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HomeMy WebLinkAboutUST REP. 6/3/2004~ June 3, 2004 Ms. Tracy Hasson The Pep Boys 3111 West Allegheny Avenue Philadelphia, PA 19132 ~,RE C.iE~ CLOSURE OF ! UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT PEP BOYS STORE #622; ADMINISTRATIVE SERVICES PERMIT #BR-0305 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Ms. Hasson: FAX J661) 852-2170 This is to inform you that this department has reviewed the results for the SUPPRESSION SERWCES preliminary assessment associated with the closure of the tank located at the 2101 "H" Street Bakersfield, CA 93301 above stated address. VOICE (661) 326-3941 FAX (661)852-2170 Based upon laboratory data submitted, this office is satisfied with the PREVENnON SERVICES assessment performed and requires no. further action at this time. FIRE SAFETy $ERVIC~ · ENVIRONMENTAL $EIVICES 900 Truxtun Ave., Suite 210 Accordingly, no unauthorized release reporting is necessary for this closure. Bakersfield, CA 93301 VOICE (6611 326-3979 FAX J661) 852-2171 If you have any questions regarding this matter, please feel free to call me at 661 - 326-3649. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 Sincerely, VOICE (661} 326-3951 TRAINING DIVISION 5642 Victor Ave. I-ioward H. Wines, III Bakersfield, CA 93308 VOICE {661) 399-4697 Hazardous Materials Specialist FAX {661) 39%5763 Registered Geologist No. 7239 Office of Environmental Services cc: J. Whiting, RWQCB R. Denton, EC Group West, LLC Hazardous Materials/HaZardoUs waSte Unified Permit CONDITIONS' OF.PERMIT ON REVERSE SIDE ,. ' This oermit is Issued for the followin_a: [] Hazardous Materials Plan El Underground Storage of Hazardous Materials Permit ID #:: 015-000-000498 [3 Risk Management Progmm WESTCHESTER AUTOMOTIV ~o ,~r~o.. Wa.t.O.-S,o T~ LOCATION: 2424 F ST OFFICE OF ENVIRONMENTAL SERVICES' ' ' ~ ' Bakersfield, CA 93301 Offie¢ofEvironn~nta~Serviees 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 permit is issued for the following: ,?,,~ ,~'ii~"iI~'? ?? ii' ii~ ::i',',':':':;;ii':ii;i:~'~iiii':i':i:iiii'i:,:;~:'" i''' !?' !!i!::!~'-!~Hazardous Materials Plan .... ~,,~iixSi' ?~.?"'~:'~"%i~.}~i[ii!!'. ,?iii!,~ ]iii?~;?:?~;i:,Di'~ilU~erground Storage of Hazardous Materials ~i".....".~ '" '~/~1 ~" ~ ' ~ = ~' ~ ~=' ~'' '~ '~ ~' · ~ '" ...... = ............... ~.. :,~!j~i~~ *=. ~ ~ '. -.. ~:~-' · F,.~.....,.....~. ,~ ... .~.~ ~., .~. ~ ~ .... :~ ~'~'~'. ...... ~"b,~'' ~D =~. · ~ ..~ ,~ r ~=* '~'" .'='" ~ ~ ~ .~ ~:::L~' ='-'".-.J~,.~' 4r; ~ '~ ......... ~,~ ~.,' ,.," ./..,," ,..'/.,'".// ./ /.L=,(,~,~,~ OB~ersfield Fke D.anment Approv~ by: F ~P}e ~ ' O~ICE OF E~R ON~AL ~ u~ ~7]s Chmer A~e., ~d Floo~ B~e~fiel~ CA Voice (805) 326-3979 FAX (S05)326-0576 Expiration Date: June 30, 2000 ITE/FACILITYFoRM o~_: ? ,/~/£7 ~C~T¥ ~x~ (CHECK ONE) SITE D~AGRA>I ~ ORTH SCALE: BUSINESS NAME: FLOOR: OF "/"k DATE:?.I~ /~7 FACILITY NAME: UNIT -~: OF (CHECE ONE) SITE D~AGRA)~ FACILITY D~AGRA~ FACILITY INFORMATION BUSINESS ACTIVITIES " T , ·Pagelof 8 I. FACILITY IDENTIFICA ION. BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) WESTCHESTER AUTOMOTIVE II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility . If Yes~ please complete these pa~es of the UPCF_ _ A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (F ..... IySWRCaForm^) I. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (o.e page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST TANK (o,e per lank) UST INSTALLATION ~ CERTIFICATE OF COMPLIANCE (o.e page per tn.k) (Formerly Form C) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (:lo~.ro porti .... ne page per laok) C. ABOVE GROUND PETROLEUM STORAGE TANKS {A~Ts) Own or operate ASTs above these thresholds: '"any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs --- the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE · EPA ID NUMBER - provide at the top of 1. Generate hazardous waste? [] YES [] NO 9 this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? [] YES [] NO 1 0 perreeycler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YES [] NO 11 TREATMENT - FACILITY (Formerly DISC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (onepageper unit) (Formerly DISC Forms 1772 A,B,C,D and Q 4. Treatment subject to financial assurance requirements (for [] YES [] NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form t232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/.removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) t65 PROGRAM CONS tM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION BEGINNING DATE 1oo ENDING DATE ~0~ 08/01/02 07/31/03 BUSINESS NAME (same as FACILITY NAME or DBA - Doing Business As) 3 [ BUSINESS PHONE WESTCHESTER AUTOMOTIVE ~ 1(661) 327-5274 BUSINESS SITE ADDRESS e~" 2424 "F" STREET C1TY lo4 ZIP CODE 1o5 BAKERSFIELD - 3822 DUN & BRADSTREET 106 SIC CODE (4 digit #) ~o? 36 - 350 - 4457 5738 COUNTY 108 KERN BUSINESS OPERATOR NAME ~o9 I BUSINESS OPERATOR PHONE no HAROLD MONTGOMERY 1(661) 327-5274 II. BUSINESS OWNER OWNER NAME HI I OWNER PHONE HAROLD MONTGOMERY 1(661) 327-5274 OWNER MAILING ADDRESS H3 2424 "F" STREET CItY 1,4 ] STATE n5 ]ZIP CODE 1la BAKERSFIELD ICA 193301 - 3822 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 [ CONTACT PHONE HAROLD MONTGOMERY 1(661) 327-5274 CONTACT MAILING ADDRESS 2424 "F" STREET CITY 120 ' STATE ~21 [ ZIP CODE 122 BAKERSFIELD CA ]93301 - 3822 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME ~29 HAROLD MONTGOMERY DON HAMILTON TITLE 124 TITLE 129 OVV2qER MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 (661) 327-5274 (661) 327-5274 24-HOUR PHONE 1~6 24-HOUR PHONE 131 (661) 399-6955 (661) 323-5576 PAGER # 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE ] DATE 134 [ NAME OF DOCUMENT PREPARER 135 1108 / 29 / 03 I/PACIFiC MANAGEMENT SVCS. NAME OF SIGNER (print) 136 | TITLE OF SIGNEPv~' 137 UPCF ( 1/99 revised) 167 OES FORM 2730 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION {one pa,tie per material per buildin~ or area} ~DD [-']DELETE [5~REVISE 200 ] Page 3 of 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT NORTH WALL [] YES ~ NO II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes I)~ No 206 ETHYLENE GLYCOL MIXTURE If Subject to EPCRA, refer to instructions COMMONNAME /-" 207 PHS* [] Yes [] No 2os &NTIFREEZE / COOLANT · CAS# 209 · If PHS is "Yes", all amounts below must be in lbs. Mixture FiRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 J 213 HAZARDOUS MATERIAL 211 RADIOACTIVE []Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 2t5 PHYSICAL STATE 214 LARGEST CONTAINER (Check one item only) [] a. SOLID []b. LIQUID [] c. GAS FED HAZARD CATEGORIES' 216 (Check all that'apply) [] a. FIRE []b. REACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH 30 16o . 221 [ DAYS ON SITE: 222 UNITS* [~a.GALLONS []b. CUBICFEET [] c. POUNDS []&TONS 'Check one item only1 * If PHS, amount m'ust be in ]~ounds. [365 STOR^OE I--la. ABOVE OROVND TANK I--'Ie. PrASTICmONMETALLlCDRVU [] i. VlBERDRUM I-'I~n. GL^SSUOTTLE [] q. RAILCAR CONTAINER []b. UNDERGROUND TANK []f. CAN []j. BAG []ri. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING []g.CARBOY [] k. BOX []o. TOTE BIN 1~] d. STEEL DRUM [-] h. SILO [] 1. CYLINDER []p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 % W T HAZARDOUS COMPONENT (For mixture or waste only) PHS CAS # 226 22'/ []Y¢$ [] No 228 229' 84 - 94 Ethylene Glycol 107-21-1 2 230 231 I-'lYes [] No 232 233 0 - 10 Diethylene Glycol 11146-6 3 234 235 []Yes [] No 236 237 2 - 4 /qater 7732-18-5 4 23g 239 []Yes [] NO 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous compoucnrs am present ar grcales than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA. Please Sien Here UPCF (1/99) 169 ORS Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTmN /one pa~e per material per buildinfl or areaI []ADD []DELETE I:EI EwsE 2001 Pag __4_of _8__ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL [~1 YES ~] NO FACILITYID# I I I I I Ii21MAP#l°pti°nal)°f 2 2°3 IGRID#(°pti°nal)jG- 2 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes D<] No 206 PETROLEUM HYDROCARBO.~ MIXTURE If Subject to EPCRA, refer to instructions COMMON NAME ~ ~ 207 EHS* [] Yes [] No 2O8 AUTOMATIC TRAN~'~Iv~SSION FLUID CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 HAZARDOUS MATERIAL 213 TYPE (Check one item only) F'Ia. PURE [5~b. MIXTURE I--lc. WASTE 211 RADIOACTIVE r']Yes ~]No 212 CURIES N/A ,215 PHYSICAL STATE 2i4 LARGEST CONTAINER 75 (Check one item only) [] a. SOLID [~b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 Check all that apply) [] a. FIRE I--Ih. REACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 2la ANNUAL WASTE AMOUNT 219 J STATE WASTE CODE 220 I I 30 [60 221 UNITS* [] a. GALLONS []b. CUBIC FEET [] c. POUNDS []d. TONS I DAYS ON SITE: 222 (Check one item only} ' * If EHS, amount must be in pounds. [365 STORAGE []a. ABOVE GROUND TANK []e. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM []m. GLASS BOTTLE [] q. RAILCAR CONTAINER [-]b. UNDERGROUND TANK []f. CAN []~.BAG []n, PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING []g.CARBOY [] k;BOX [] o, TOTE BIN [-'] d. STEEL DRUM r-ih. SILO [] 1. CYLINDER ' [--]p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE []a..AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT ~]d. CRYOGENIC 225 % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 ["]Yes [] No 22S. 229 85- 100 Aliphatic Petroleum Distillates 64742-65-0 2 230 231 [] Yes [] No 232 ~33 3 234 235 [] Yes [] No 236 237 4 2ZS 239 [] Yes [] No 240 241 5 ' 242 243 []Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required info~mation. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA_ Please Sign Here UPCF (1/99) 169 OES Form 2731 OUNIFIED PROGRAM CONSOLIDATED~RM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION forte eaoe per material per builciino or area} ~DD ~DELETE ~REVISE 2oo [ Page 5 of 8 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) ~STCHESTER AUTOMOTIVE CHEMICAL LOCATION ~o~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ~JACENT EAST W~L ~ YES ~ NO , 12 of 2 ia:2 H. CHEMICAL INFORMATION CHEMICXLNAME ' ~0s TRADESECRE* "~ Yes PETROLE~ HYDROC~ON , subject 1o EPCRA, refer lo  208 COMMON NAME 207 EHS* ~ Yes .~ No MOTOR OIL CAS~ ~0~ MN~re *IfEHS is "Yes", all amounts below must be in lbs. FIRE GODE HAZARD GLASSES (Gomn~et~ i~ toquirad b~ GUPA) 2~0 HAZARDOUS MATERIAL [ 213 TYPE (Oheck one item on¥) Da. PuaE ~b. MIXTURE Dc. WASTE ~)~ RADIOACTIVE DYes ~No ~I CURIES N/A (Check one item only) ~ a. SOLID ~ b. LIQUID ~ c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) ~ a. FIRE ~b. REACTIVE ~ c. PRESSURE RELEASE ~d. ACUTE HEALTH ~ e. CHRONIC HEALTH AVERAGE DAILY AM'OUNT ~ ~ 217 [ MAXIMUM DALLY AMOUNT 2[~ ANNUAL WASTE AMOUNT 219 [ STATE WASTE CODE 2~o 110 1220 22~ I DAYS' umrs* ~a.~ALLONS ~b. CUBICFEET ~c. POUNDS ~d. TONS ONSITE: 222 Check one item only} * If EHS, amount must be in ~ounds. 1365 STORAGE ~a. ABOVE GROUND TANK ~e. PLASTIC/NONMETALLICDRUM ~ i.F[BERDRUM ~m. GLASS BOTTLE ~ q. RAILCAR CONTAINER Db. UNDERGROUND TANK ~f. CAN ~j. BAG ~n. PLASTIC BOTTLE ~ r. OTHER ~ d, STEEL DRUM Dh. SILO ~ 1, CYLINDER ~p. TANK WAGON STORAGE PRESSURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC % W T HAZARDOUS COMPONENT (For mixture or waste only) EH S CAS >85 V~ious Lubricating Base Oils 6474X-~-X < 15 Additive Package, including: Mixture < 2 Zinc A~Idithiopho~phate 68649-42-3 4 2~ 23~ ~Yes ~ No a~o 5 242 243 ~ Yes ~ No 244 If more hazardous components am present at gtea~er than 1% by weight if non-carcinogenic, 0t 0,l% by weight if carcinogenic, auach additional sheets of paper capturing ~he required informafiom ~DD[TIONAL LOCALLY COLLECTED INFORMATION I~EPCRA_ Please Si~n Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION {one parle per material per buildinfl or areaI ~]A DD r~DELETE [~REVISE 200 [ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2o~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL [] YES [~ NO 12 of 2 IG- s II. CHEMICAL INFORMATION CHEMICAL NAME ~ 205 TRADE SECRET {._] Yes OXYGEN ~ if Subject to EPCRA, refer to [nslruclions COMMON NAME a 201 208 EHS* [] Yes [] No OXYGEN, COMPRESSED GAS CAS# 2o~ 7782-44-7 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 HAZARDOUS MATERIAL I 2t3 TYPE (Check one item only) [5~a. PURE [-'IL. MIXTURE ["lc. WASTE 211 RADIOACTIVE [-']Yes []No 2~2I CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 191 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE ~;~b. REACTIVE [] c. PRESSURE RELEASE [~]d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 [ MAXIMUM DAILY AMOUNT 2t8 ANNUAL WASTE AMOUNT 219 [ STATE WASTE CODE 220 I 96 [191 221 [ DAYS ON SITE: 222 UNITS* [~a. GALId0NS []b. CUBIC FEET [] ¢.POUNDS [~d. TONS {Check one item only) * If EHS, amount must be in ~ounds. 1365 STORAGE []a. ABOVE GROUND TANK []e. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM [-']m. GLASS BOTTLE [] q. RAILCAR CONTAINER [~]b. UNDERGROUND TANK []f. CAN [~j. BAG [--'[n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING []g.CARBOY [] k. BOX [] o. TOTE BIN r-I d. STEEL DRUM Dh. SILO [] I. CYLINDER r-lp. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS I 226 227 [] Yes [] NO 228 229 100 Oxygen 7782-44-7 2 230 231 ["]Yes [] No 232 233 3 234 235 [~Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components sm present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 ...... IfEPCRA please givn Her~ UPCF (1/99) 169 GET Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [~DD ~]DELETE [~REV1SE 200 [ Page _S_of _~_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2Ol CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT NORTH WALL l~] YES [~ NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o~ TRADE SECRET [] Yes [] No 206 WASTE ETHYLENEe.~YCOL MIXTURE If Subject to EPCRA, refer to instructions COMMON NAME / 207 EHS* [] Yes [] No 206 WASTE ANTIFREEZE / COOLANT CAS# 20o Mixture *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE []Yes []No 212 CURIES TYPE (Gheck one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 2')4 LARGEST CONTAINER 55 (Check oneitem only) [] a. SOLID []b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [~]b. REACTIVE [] c. PRESSURE RELEASE [~d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 ] MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 ] STATE WASTE CODE 220 I I 25 150 55 1134 221 I DAYS ON SITE: 222 UNITS* []a.GALLONS []b. CUBICFEET [] e. POUNDS [-]&TONS 'Check one item only} * If EHS, amount must be in ]>ounds. 1365 STORAGE []a. ABOVE GROUND TANK []e. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM []m. GLASS BOTTLE [] q. RA1LCAR CONTAINER []b. UNDERGROUND TANK F~f. CAN [~j. BAG [~n. PLASTIC BOTTLE [] r. OTHER · ~]c, TANK INSIDE BUILDING []g. CARBOY [] k. BOX []o. TOTEBIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER []p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 226 227 [--]Yes [] No 22~ 229 84 - 94 Ethylene Glycol 107-21-1 2 0-10 230 ~iethylene Glycol 231 [--]Yes [] NO 232 111-46-6 233 3 2- 4 234 Water 235 [] Yes [] No 236 7732-18-5 237 4 :238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No :244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfF, pCRA. Please Si~n Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION {one ?age per material per buildin~ or areaI I-'iA O D ~--]DELETE []RE VISE 200 I Page _~ 0£ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2or CHEMICAL LOCATION CONFIDENTIAL 2o2 EPCRA EAST SHOP, ADJACENT NORTH WALL [] YES ~ NO FAClLITYID~ I I I I I J I ] II2MAP'(°pti°nal)of 2 203 J GRID# (°pti°ha01G - 2 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET LJ Yes [] No 206 WASTE PETROLEUMr,-HYDROCARBON ~f subject to EPCRA, refer to instructions COMMON NAME ~ 207 206 EHS* [] Yes [] N6 WASTE MOTOR OIL CAS# 209 *IfEHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 2~5 PHYSICAL STATE 2i4 LARGEST CONTAINER 300 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE I~b. REACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 218 I ANNUAL WASTE AMOUNT 2t9 ] STATE WASTE CODE 220 ! I ]5o. poo ]600 1221 221 ] DAYS ON SITE: 222 UNITS* []a.GALLONs []b. CUBICFEET [] c. POUNDS []&TONS Check one item only) * If EHS, amount must be in ]~ounds. ]365 STORAGE []a. ABOVE GROUND TANK []e. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM []m. GLASS BOTTLE [] q. RAILCAR CONTAINER [~b. UNDERGROUND TANK []f. CAN []j. BAG ~-]n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN ~] d. STEEL DRUM [] h. SILO [] 1. CYLINDER []p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] e. BELOW AMBIENT [] d. CRYOGENIC 225 % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 []Yes [] No 228 229 >85 Various Lubricating Base Oils 6474X-XX-X 2 230 231 [] Yes [] No 232 233 < 15 Additive Package, including: Mixture 3 234 235 [] Yes [] No 236 237 < 2 Zinc Alkyldithiophosphate 68649-42-3 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No -244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1 ~A by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA. Please Si~n Here UPCF (I/99) 169 ORS Form 273I FOR MAP SYIVI OLS (Used if applicable) ~ Absorbent F~ Hazardous Materials Storage (~ Batteries ~ Hazardous Waste Storage O Dip / Process Tank H Hoist -- ~-- Door : : 2 - Post Lift Overhead Rollup Door ~ 4 - Post Lift Exterior Wall ~'~ Material Safety Data Sheets Interior Wall [] Medical / First Aid Kit ( · ., ) Driveway / Fire Dept. Access ~ Personal Protective Equipment' (~) Utility -- Electric Main (~) Pressurized Tank (~ Utility - Gas Main ~ Railroad Tracks (~) Utility -- Water Main O Sewer Drain (~) Emergency Shutoff {~ Storm Brain E ~ Emergency Exit /~ Shower/Eye Wash ..9. Evacuation / Staging Area [[~'] Stairs r'~ Eye Wash ~ Aboveground Storage Tank (with capacity) '~ ~' '"' Fence .~ .... Underground Storage Tank (with capacity) ~ Fire Department Connection (~) Propane Tank {~ Fire Hose ~ O Air Compressor (~) Fire Hydrant ~ High Voltage Box (~) Fire Extinguisher W Building / Roof Support Posts (~ Sprinkler System Valve ~ Trash ~ Stormwater Sampling Point ..ok Alignment Rack .... <, Water Flow Direction <:)-z--c::~ North Direction CALIFORNIAANNOTATED SITE MAPI Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map # 1 of 2 BAKERSFIELD, CA 93301 - 3822 A B C D E F G H I J Scale: Approx. 1": 43.27 Ft. Corner of F For Site Map 26th Streets Scale of Map !,,?, · Loading Areas iii~!ili"i~i!~ · Parking Lots · Internal Roads , · Storm and Sewer ~ Drains ~9,, < .. · Adjacent > T Property Use x x x A · Locations and d / I Names of ~ (~ e~ Adjacent Streets Y andAlleys ! · Access and Egress Points ( WESTCHESTER ® and Roads AUTOMOTIVE ) ~ 2424 "F" Street p o ~9~ For Sub-Site Map Bakersfield, CA e'&'~ p · Scale of Map a 93301 - 3822 r a k (661) 327-5274 r' · Location of Each i k Storage Area n i · Location of Each g n g Hazardous Material Handling '~( Area I eo, o. > · Location of · Emergency · Response .............................. Equipment ~ Kern ~ ' ~ Driving School~ TNorth OES Form 2729 (,map) Appendix E ALIFORNIA ANNOTATED. SITE MAP Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map# 2 of 2 BAKERSFIELD, CA 93301 -3822 A B C D E F G H I J Scale: 1 ~ ~ Approx. 1" = 20.56 Ft. N Not an coo~,,t I~.~,,,du~-'a-'~..u~ [' ×; × × × × ~ For Site Map [~ --arts ~ I~°6tant Bart. ~Coolantl P..~s/ ~ I · Scale of Map L i:~ -- I ^sT'°" Uaedl ~ FiltersI Parking ~) · Loading Areas 2 o,,ce I / · Parking Lots I' '¢'"' ~ Motor! · Internal Roads  ® Drains \1~,~/~ o, × ~ × × ~ ~ ~ · Storm and Sewer ~ ® · Adjacent Property Use 3 · · Locations and ~--~> Names of ~._, Adjacent Streets and Alleys sw~t I · Access and hop East · s~ ] ~'-~ Egress Points -~---~ and Roads 4 ~ ~ For Sub-Site Map F~ · Scale of Map ~-~ A~o~u O~ · Location of Each a Storage Area (lCleaner ,~ · Location of Each 5 Hazardous ~ Material Handling Area ~--~ · Location of ~__, Emergency i Response ,8 --~ Equipment \i/ 7 TNorth 6o'0"- ) OES Form 2729 (map) (1194) Appendix E Appendix A 'Emergency Response Plan and Training (Note: This form is simply a summary of our written Plan. The Plan is a separate document detailed in our company Health and Safety Plan (HASP), and contains our SB198 Plan, Emergency Response and Employee Training. Our business Emergency Response Plan is included in this Plan and is available on site for review. Afl ~rems that apply are checked below.) Emergency Response Trainin.q · All employees are trained in the followinq procedures as appropriate: 1) [] Internal emergency alarm notification 2) [] Immediate notification to our area Certified Unified Program Agent (CUPA), the County Environmental Health Department, local Fire DepartmentJHazMat Response, State Office of Emergency Services (OES) and other emergency response agencies as necessary. 3) [] Review of the emergency response plan. 4) [] Evacuation procedures. 5) [] Procedures for the mitigatiOn of a release or threatened release. · Hazardous Materials/Waste handlers are additionally trained in the following: 6) [] Safe methods for handling and storage of hazardous materials. 7) [] Proper use of personal protection equipment. 8) '[] Locations and proper use of fire and spill control equipment. 9) [] Specific haZards of each chemical to which they may be exposed, including the pathways of exposure (i.e., skin absorption, inhalation, ingestion). Location and use of MSDSs. · Our Emergency Coordinator and emergency response team members are additionally trained'in the followinq procedures and will act as a liaison to the Fire Department: 10) [] Personnel rescue procedures. (This duty is deferred to trained professionals.) 11) [] Shutdown of operations. 12) [] Use, maintenance and replacement of emergency reSponse equipment. 13) [] Emergency response drills. 14) [] Refresher training is provided at least annually. · The following training records are maintained for each employee: 15) [] Verification of date that training was completed. 16) [] Description of introductory and continuing training appropriate for each employee. 17) [] Employee's training records are retained at least three years. 18) [] Description and documentation of facility emergency response drills. · Other: 19) [] Procedure to be used in the event of a spill. 20) [] Areas and systems in the facility which are earthquake sensitive have been identified and inspection procedures are established for these areas. Emer.clencv Response Equipment (Ail that apply are checked.) 21) Equipment location/Map grid #: Map2: D-4, D-5, F-2, F-3, F-4, F-5 22) Equipment inspector/Emergency Coordinator: HAROLD MONTGOMERY 23) Inspection frequency: Quarterly. 24) Personal Protection Equipment (PPE): [] Boots [] Chemical resistant suit [] Face Shield / goggles [] Gloves [] Helmet / Hardhat [] Respiratory protection [] Other: 25) Cleanup Equipment [] Absorbent [] Broom " [] Neutralizers [] Pumps / Vacuums [] Spill cart [] Vapor scrubber []'Other: RAGS 26) Communication Devices: [] Portable radios. []. Telephones [] Pagers [] Other: Evacuation Information (All that apply are checked.) 27) Evacuation notification procedure: [] Verbal/Shouting [] Horns [] Alarms 28) Evacuation procedures: [] Defined evacuation routes and procedures [] Preplanned assembly areas [] Evacuation route maps prominently displayed throughout facility [] Re-entry procedures / Follow public safety personnel approval Emergency Notification for spills or leaks of hazardous materials or hazardous wastes' 29) '~ Fire / Police / Ambulance: 9-1-1 30) County Environmental Health Department / HazMat Response / CUPA: Name: Bakersfield Fire Department Street address: 1715 Chester Avenue, 3rd Floor City: Bakersfield State: CA Zip code: 93301 - 5210 Phone: (661) 326-3979 31) CA Office of emergency Services (OES): 1-800-852-7550 -or- (916) 262-1621 30) Medical facility: Name: Valley Industrial Medical Group Street address: 2501 "G" Street City: Bakersfield State: CA Zip code: 93301 - 281 Phone: (661) 327-2225 Certification I hereby certify, under penalty of perjury, that the information contained in this Hazardous Materials Business Management Plan is, to the beSt of my knowledge, true and correct. I understand that I may be required to show proof of compliance during any facility inspection conducted by local, county, state or federal authorities. Name: HAROLD MONTGOMERY Title: OWNER Signature~Date: o8 / 29 / 03 ._ EM RELEASE FOLLOW-UP NOTICE RE NG FORM BUSINESS NAME I FACILITY EMERGENCY CONTACT & PHONE NUMBER. 'WESTCHESTER AU,TOMOTiVE I~,HAROLD MONTGOMERY (661, ) 327-5274 DATE / / / ~ 0ES (use 24 hr time) OES I I, NOIDENTABDRESSLOCATION ~ CITY/COMMUNITY I COUNTY ZIP' CHEMICAL OR TRADE NAME (print or type) CAS Number CHECK IF CHEMICAL IS LISTED IN ~ CHECK IF RELEASE REQUIRESNOTIFI- 40 CFR 355, APPENDiXA []~ CATION UNDER 42U.S.C. Section 9603 (a) [] I--]SOLID E~].LIQUID [-]GAS I [] GROUND [] OTHER DAYS HOURS' MINUTES ACTIONS TAKEN ~K~~WN~RANT~PATEDHEALTHEFFE~T~(Us~thec~mm~ntssecti~n.f~radditi~na~inf~rmati~n)NOTACUTECHRONIC~ KNOWN OR OR IMMEDIATE (explain) DELAYED (explain) (explain) , ADVICE REGARDING MEDICAL ATTENTION NECESSARY FOR EXPOSED INDIVIDUALS (INDICATE SECTION IA-Gl AND ITEM WITH COMMENTS OR ADDITIONAL INFORMATION) CERTIFICATION: I certify under penalty of law that I have personally examined and I am familiar with the information submitted and believe the submitted information is true, accurate, and complete. REPORTING FACILITY REPRESENTATIVE (print or type) SIGNATURE OR REPORTING FACILITY REPRESENTATIVE DATE' . CITY OF BAKERSFIELD FIRE DEPARTMENT ,,~"~'. OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY INSPECTION I)~TF_, ADDRESS PHONE NO./'/~&/)~ ?~ q ~'~ 7/~ FACILITY CONTACT "Z4~'ht2 L..a a BUSINESS II~NO: 15-210- INSPECTION TIME ~.~ ~/d-. NUMBEROF EMPLOYEES Section 1: Business Plan and Inventory Program )i[7Routine [~ Combined [~1 Joint Agency [~1 Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand i,,/ Business plan contact information accurate V/ Visible address Correct occupancy Verification of inventory materials Verification of quantities ~,'' Verification of location Proper segregation of material Verification of MSDS availability g"' Verification of Haz Mat training Verification of abatement supplies and procedures t-"- Emergency procedures adequate L.- Containers properly labeled I/- Housekeeping I,,,' ," Fire Protection Site Diagram Adequate & On Hand b," C=Compliance V=Violation Explain:nnyhazard°uswaste°nsite?: [~]Yes ~No ~B~ Questions regarding this inspection? Please call us at (661) 326-3979 ~ss, Si~ ~esl?onsibki~ . Party White - Env. Svcs. Yellow - Station Cooy Pink - Business Copy Inspector: 2002 Hazardous Materials Management Plan HMMP AND Hazardous Materials- Disclosure Forms For: 2424 "F" STREET BAKERSFIELD, CA 93301-3822 (661) 327-5274 Presented to: CERTIFIED UNIFIED PROGRAM' AGENCY BAKERSFIELD FIRE DEPARTMENT Hazardous Materials. Division 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301-5210 (805) 326- 3979 Prepared by: ~d~dfic ~nagemen~ Services Environmental Compliance Specialists 1923 Nm"~h FJp~¢, Suite 101 (559) 251'- 4060 Fresno, California 93727-1510 FAX (559) 251-5534 ' UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of 8 I. FACILITY IDENTIFICATION FACILITYID# I ['[ I I [ [ I I I II I I[EPAID#(HazardousWasteOnlY)lcAL 000 005 835 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) WESTCHESTER AUTOMOTIVE II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Oper.ator Identification page (OES Form 2730). Does your facilit7 If Yes, please complete these pa~es of the UPCF_ _ A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY <p ..... ly SWRCB Form A) 1. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (c~osure portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: '"any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs --- the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE EPA ID NUMBER - provide at the top of 1. Generate hazardous waste? [] YES [] NO 9 this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)7 [] YES [] NO 10 perrecycler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YES [] NO 1 I TREATMENT - FACILITY (Formerly DISC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) (Formerly DISC Forms 1772 A,B,C,D and Q 4. Treatment subject to financial assurance requirements (for [] YES [] NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232) REMOTE WASTE / CONSOLIDATION 5. Consolidate hazardous waste generated at a remote site? [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) 165 PROGRAM CONSOLIDATED FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# 1oo ENDING DATE ~o~ /01/01 07/31/02 IBUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 [ BUSINESS PHONE 1o2 WESTCHESTER AUTOMOTIVE [(661t 327-5274 BUSINESS SITE ADDRESS ~o3 2424 "F" STREET CITY io4 ZIP CODE BAKERSFIELD 93301 - 3822 DUN & BRADSTREET 1o6 SIC CODE (4 digit #) io7 36 - 350 - 4457 5738 COUNTY ~08 KERN BUSINESS OPERATOR NAME t09 [ BUSINESS OPERATOR PHONE HAROLD MONTGOMERY [(661) 327- 5274 II. BUSINESS OWNER OWNERNAME III [ OWNER PHONE HAROLD MONTGOMERY [(661) 32%5274 OWNER MAILING ADDRESS 113 2424 "F" STREET CITY Ha I STATE H5 [ ZIP CODE ~6 BAKERSFIELD [CA [93301 - 3822 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 I CONTACT PHONE HAROLD MONTGOMERY 1(661) 327-5274 ! CONTACT MAILING ADDRESS 119 i2424 "F" STREET CITY ~20 I STATE m [ ZIP CODE 122 BAKERSFIELD ICA 193301 - 3822 -PRIMARY- IV. EMERGENCY CONTACTS' -SECONDARY- NAME 123 NAME 129 HAROLD MONTGOMERY DON HAMILTON TITLE 124 TITLE OWNER MANAGER BUSINESS PHONE 125 BUSINESS PHONE ~3o (661) 327-5274 [661) 327-5274 24-HOUR PHONE 126 24-HOUR PHONE (661) 399-6955 661) 323-5576 PAGER# 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that [ have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE [ DATE 134 I NAME OF DOCUMENT PREPARER 135 ]08 / 30 / 02 [PACIFIC MANAGEMENT SVCS. NAME OF SIGNER (print) 136 I TITLE OF SIGNER ' 137 UPCF ( 1/99 revised) 167 OES FORM 2730 (1/99) I.JI~FIED PROGRAM CONSOLIDATED FOR'~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION , Ione pa~e per mater~a~ per 'oui~din~ or ~ADD , ~DELETE ~REVISE 200 I , Page 3 of 8 I. FACILITY I~ORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION zo~ CHEMICAL LOCATION CONFIDENTIAL EPCRA EAST SHOP, ADJACENT NORTH WALL ~ YES ~ NO II. CHE~C~ I~O~ATION CHEMICAL NAME ~os T~DE SECRET ~ Yes ~ No ~o~ ETHYLENE GLYCOL MIX~ . Subioct to ~cR~, ro~er to lnstru~ions COMMON NAME ~o~ ~o~ ANT~EZE / . COOLANT CAS~ ~0~ *If EHS is "Yes", all amounts below must be in lbs. Mix~e FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZA~OUS MATE~AL · WPE (Check one item only) ~ a. PU~ ~ b. MIXTURE ~c. WASTE 211 ~DIOACTIVE ~ Yes ~ No 212I CU~ES N/A P~SICAL STATE . 2~4 LARGEST CO~A~R 60 FED HAZARD CATEGORIES 216 (Che~k all ~at apply) ~ a. FIRE ~ b. REACTIVE ~ ~, P~SSU~ ~LEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH 30 16o 22~ [ DAYS ON SITE: 222 UNITS* ~ a.GALLONS ~ b. CUBIC FEET ~ c. PONDS ~ d. TONS ~Check one item only} * If EHS, amount must be in po~. ~365 STORAGE ~ a. ABOVE CROWD TANK ~ c. PLASTIC~ONMETALLIC DR~ ~ i. FIBER DR~ ~ m. GLASS BOTTLE ~ q. ~IL CAR CONTAINER STOOGE PRESSURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224 STOOGE TEMPE~TU~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC %WT HAZA~OUS COMPONENT (For mixture or waste only) EHS CAS ~ 84 - 94 Ethylene Glycol 107-21-1 2 0 - 10 2~oDie~ylene Glycol ~ ~ Yes ~ No 232 111-46-6 3 2s4 2~s ~ Yes ~ No 2t~ 237 2 - 4 Water 7732-18-5 4 2ss 2t9 ~ Yes ~ No 240 5 242 243 ~ YeS ~ NO 244 2a5 'If more h~ardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by ~eight if carcinogenic, attach additional sheets of paper capturing the r~quired information. ADDITIONAL LOCALLY COLLECTED INFO~ATION 246 If EP~. Ple88~ ~ Here UPCF (1/99) 169 OES Form 2731 ' U'~FIED PROGRAM CONSOLIDATED FORI'~Ir HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /one pe~e per material per buildinl~ or area/ E]ADD ["']DELETE [5~REVISE , , 200 ] Page 4 °t 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2or CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST. SHOP, ADJACENT EAST WALL [~ YES ~ N© II. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET ~,[ Yes [] No 20/5 PETROLEUM HYDROCARBON MIXTURE . Subject to EPCRA, refer to instructions COMMON NAME 20? 20/5 EHS* [] Yes [] No AUTOMATIC TRANSMISSION FLUID CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL [ 213 TYPE (Check one item only) [] a. PURE [] h. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212I CURIES N/A 2t5 PHYSICAL STATE 214 LARGEST CONTAINER 60 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS rED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] cl. ACUTE HEALTH [] e. CHRONIC HEALTH 55 110 221 I DAYS oNSITE: 222 UNITS* []a. GALLONS r~b. CUBICFEET E'~e. POUNDS []&TONS {Check one item only? * If EHS, amount must be in pounds. [365 . STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f, CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 l-I Yes [] No 22~ '229 85 - ! 00 Aliphatic Petroleum Distillates ~ 64742-65-0 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 $ 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carelnogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Si~. Here UPCF (1/99) 169 ©ES Form 273 1 U1V[FIED PROGRAM CONSOLIDATED FOR'~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /one pa~e per matedal per buildin~ or area/ ~]ADD [~DELETE ~5~]REVISE 200 ~ Page 5 of 8 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ~VESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL [] YES [] NO H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes [~] No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No MOTOR OIL CAS# 209 Mixture *If PHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] e. WASTE N/A PHYSICAL STATE 2~4 LARGEST CONTAINER 60' (Check one item only) [] a. SOLID [] b. LIQUID [] e. GAS FED HAZARD CATEGORIES 216 (Cheek all that apply) [] a. FIRE [] b. REACTIVE [] e. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 [ MAXIMUM DAILY AMOUNT 2Is [ ANNUAL WASTE AMOUNT 219 [ STATE WASTE CODE 220 ! 110 [220 221 ] DAYS ON SITE: 222 UNITS. Iga. GALLONS I--lb. CUBIC FEET [] c. ?OUNDS []d. TONS {Check one item only) * If EHS, amount must be in pounds, p 65 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) PHS CAS # ] 226 227 [] Yes [] No 228 229 > 8.5 Various Lubricating Base Oils 6474X-XX-X 2 ~ 15 230 Additive Package, including: 231 [] Yes [] No 232 Mixture 233 3 234 235 [] Yes [] No 236 237 < 2 Zinc Alkyldithiophosphate 68649-42-3 4 238- 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IFEPCRA. Please gien Here UPCF (1/99) 169 OES Form 2731 _ U1V[FIED PROGRAM CONSOLIDATED FORI~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ione pa~e per matedal per building or area1 [~]ADD [~]DELETE [5~]REVlSE 200 [ Page 6 of 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2ol CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL ~ YES ~ NO II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET I I Yes I)(] No 206 OXYGEN ~f Subject to EPCRA, refer to instructions COMMON NAME 207 2os EHS* [] Yes [] No OXYGEN, COMPRESSED GAS CAS# 7782-44-7 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete'if required by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 337 (Check one item only) [] a. SOLID []b. LIQUID [] ¢.GAS FED HAZARD CATEGORIES . 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7 ] MAXIMUM DAILY AMOUNT 2~ ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 22o ! 169 1337 '" I DAYS ON SITE: 222 UNITS* [] a. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 13 65 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b, UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # ~ 226 22? [] Yes [] No 228 229 100 Oxygen 7782-44-7 2 23o 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 $ 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Siam Here UPCF (1/99) 169 OES Form 2731 UI~FIED PROGRAM CONSOLIDATED FORI~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION , , lone pa~e per material per buildin~ or area/ E--lADD [-]DELETE I~REVISE 200 [ ,Page 7 of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEM1CAL LOCATION 20t CHEM1CAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT NORTH WALL [7] YES [~ NO [2 of 2 [G-2 II. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET [] Yes WASTE ETHYLENE GLYCOL MIXTURE , subject to EPCRA, refer to instructions COMMON NAME 207 . 208 EHS* [] Yes [] No WASTE ANTIFREEZE / COOLANT CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A, 215 PHYSICAL STATE 214 LARGEST CONTAINER 60 (Check one item only) [] a. SOLID [] b. LIQUID [] c, GAS · FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 215 I ANNUAL WASTE AMOUNT 219 ] STATE WASTE CODE 220 28 155 155 1134 xzl [ DAYS ON SITE: UNITS* []a. GALLONS []b. CUBIC FEET [] c. POUNDS []d. TONS (Check one item only) * If EHS, amount must be in pounds. [365 ,, STORAGE []a. ABOVE GROUND TANK []e. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM []m. GLASS BOTTLE [] q. RAILCAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n, PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 22~ STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste on]y) EHS CAS # t 226 227 [] Yes [] No 228 229 84 - 94 Ethylene Glycol 107-21-1 2 230 231 [] Yes [] No 232 233 0 - 10 Diethy!ene Glycol 111~46-6 3 234 235 [] Yes [] No 236 237 2 - 4 Water 7732-18-5 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] NO 244 245 If more hazardous components am present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additlonal sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sien Here UPCF (1/99) 169 OES Form 2731 , U'I~FIED PROGRAM CONSOLIDATED FOR~]' HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION I I Ione pa~e per mateda) per buildin~ or areaI [~]ADD ["]DELETE []REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2ol CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT NORTH WALL [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECKET t_] Yes ~ No 208 WASTE PETROLEUM HYDROCARBON ~I Subject to EPCR^, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No [WASTE MOTOR OIL CAS# 209 Mixture *If EHS is "Yes", all amounts below must be in lbs. FIRI~ CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL I 213 TYPE (Check one item only) l--la. PURE ~]b. MIXTURE [~c. WASTE 211 RADIOACTIVE r']Yes []No 212I CUmES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 300 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [~ e. CHRONIC HEALTH 150 1300 1600 ,, 1221 22t I DAYS ON SITE: 222 UNITS* []a. GALLONS []b. CUBICFEET [] e. POLrNDS []&TONS {Check one item only) * If EHS, amount must be in pounds. 1365 STORAGE CONTAINER [] a, ABOVE GROUND TANK [] e. PLASTIC, NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [~]b. UNDERGROUND TANK []{.CAN []j. BAG ]~n. PLASTIC BOTTLE [] r. OTHER [] ¢. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] O. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORakGE TEMPERATURE [] a. AMBIENT [] b, ABOVE AMBIENT [] c, BELOW AMBIENT [] d, CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # t 226 22'~ r-] Yes [] No 22~ 229 >8,5 Various Lubricating Base Oils 6474X-XX-X 2 ( 15 230 hdditive Package, including: 231 [] Yes [] No 232 Mixture 233 3 234 235 []Yes [] NO 236 237 < 2 Zinc Alk¥1dithiophosphate 68649-42-3 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by ~veight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If FPCRA. Please Si~n Here UPCF (1/99) 169 OES Form 2731 KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ~'~ Hazardous Materials Storage Batteries ~ Hazardous Waste Stol:age Door ~ Material Safety Data Sheets Overhead Rollup Door F~ Medical / First Aid Kit Exterior Wall ~ Personal Protective Equipment Interior Wall O Pressurized Tank -H-H-H- Railroad Tracks Driveway / Fire Dept Access ~ ~ ~ ~ ~ ~ Utility - Electric Main O Sewer Drain' Utility -- Gas Main (~ Storm Drain Utility -- Water Main //~ Shower / Eye Wash Emergency Shutoff L~H~I Stairs  Aboveground Storage Tank Emergency Exit (with capacity) Evacuation / Staging Area ~" - - - ''~ Underground Storage Tank .... / (with capacity) Eye Wash G Propane Tank Fence ~ Air Compressor Fire Department Connection '~----..} Z'{-----~ North Direction Fire Hose ~ High Voltage BoX Fire Hydrant i Building / Roof Support Posts ' Fire Extinguisher ~ Trash . Sprinkler System Valve .... E ....... Alignment Rack CALIFORNIA ANNOTATED SITE MA1 Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map # 1 of 2' I BAKERSFIELD, CA 93301-3822 I 1 A B C D E F G H I J Scale: Approx. 1 1' 1" = 43.27 Ft. ® For Site Map . S / W Corner of F & 26th Streets · Scale of Map 2 ~~:";' rkmg Lot. for · Internal Roads N ~~,rpod Bu~ of Bakersfi~ · Storm and Sewer  Drains · Adjacent ... I' Property Use ( > ! · Locations and 3 I J x X x/~ |Al · Names of (~ e~ Adjacent Streets and Alleys Y x x × Access and ~ ,1, Egress Points ( WESTCHESTER ® ~ and Roads AUTOMOTIVE 4 ) ~ 2424 "F" Street e.~.~ For Sub-Site Map P Bakersfield, CA ~," p · Scale of Map a 93301 -3822 a · Location of Each r (661) 327-5274 r k k Storage Area i i · Location of Each n n Hazardous 5 g g Material Handling ,~< Area · Location of ~ 60. 0.. Emergency Response 6 ~~,.~ .............................. Equipment ~~ Driving School~ 7 TNorth OES Form 2729 (map) (1/94) Appendix E CALiFORNiA ANNOTATED SiTE MAI Business Name: WESTCHESTER AUTOMOTIVE ' Site Address: 2424 "F" STRI:I:fBAKERSFiELD, CA 93301 A B C D E F G H I J Scale: < ~. ) Approx.  ~'~' 1" = 20.56 Ft. N Not an Exit For Site Map ~ ~ Filters! Parking Parking Lots 2 omc· IR/RI Office ~-~ . Internal Roads I ' "'" ~ ® ' I f . Storm and Sewer ~ ,~--~'~'~ I ~ o~ A ....... Drains '~1 ® · Adjacent Property Use · Locations and 3 ~ Names of -~ Adjacent Streets <--, and Alleys · Access and ~'est Eastl Egress Points hop ~ Sh °1 and Roads For Sub-Site Map · Scale of Map ~ ~ · Location of Each · Location of Each 5 Hazardous ~ Material Handling Area · Location of Emergency <~-~ Response Equipment 6 7 TNorth ( 6o'o' ) OES Form 2729 (map) (1/94) Appendix E Appendix A Emergency Response Plan and Training (Note: This form is simply a summary of our written Plan. The Plan is a separate document detailed in our company Health and Safety Plan (HASP), and contains our SB198 Plan, Emergency Response and Employee Training. Our business Emergency Response Plan is included in this Plan and is available on site for review. All items that apply are checked below.) Emergency Response Trainin.q · All employees are trained in the followinq procedures as appropriate: 1) [] Internal emergency alarm notification 2) [] Immediate notification t° our area Certified Unified Program Agent (CUPA), the County Environmental Health Department, local Fire Department/HazMat Response, State Office of Emergency Services (OES) and other emergency response agencies as necessary. 3) [] Review of the emergency response plan. 4) [] Evacuation procedures. 5) [] Procedures for the mitigation of a release or threatened release. · Hazardous Materials/VVaste handlers are additionally trained in the following: 6) [] Safe methods for handling and storage of hazardous materials. 7) [] Proper use of personal protection equipment. 8) [] Locations and proper use of fire and spill control equipment. 9) [] Specific hazards of each chemical to which they may be exposed, including the pathways of exposure (i.e., skin absorption, inhalation, ingestion). Location and use of MSDSs. · Our Emergency Coordinator and emerqency response team members are additionally trained in the following procedures and will act as a liaison to the Fire Department: 10) [] Personnel rescue procedures. (This duty is deferred to trained professionals.) 11) [] Shutdown of operations. 12) [] Use, maintenance and replacement of emergency response equipment. 13) [] Emergency response drills. 14) []' Refresher training is provided at least annually. · The followinq traininq records are maintained for each employee: 15) [] Verification of date that training was completed. 16) [] Description of introductory and continuing training appropriate for each employee. 17) [] Employee's training records are retained at least three years. 18) [] Description and documentation of facility emergency response drills. · Other: 19) [] Procedure to be used in the event of a spill. 20) [] Areas and systems in the facility which are earthquake sensitive have been identified and inspection procedures are established for these areas. Emer.qency Response Equipment (Afl that apply are checked.) 21) Equipment location/Map grid #: Map2: D-4, D-5, F-2, F-3, F-4, F-5 22) Equipment inspector / Emergency Coordinator: HAROLD MONTGOMERY 23) Inspection frequency: Quarterly. 24) Personal Protection Equipment (PPE): [] Boots [] Chemical resistant suit [] Face shield / goggles [] Gloves [] Helmet / Hardhat [] Respiratory protection [] Other: 25) Cleanup Equipment [] Absorbent [] Broom [] Neutralizers [] Pumps/Vacuums [] Spill cart [] Vapor scrubber [] Other: RAGS 26) Communication Devices: [] Portable radios [] Telephones [] Pagers [] Other: Evacuation Information (All that apply are checked.) 27) Evacuation notification procedure: [] Verbal / Shouting [] Horns [] Alarms 28) Evacuation procedures: [] Defined evacuation routes and procedures [] Preplanned assembly areas [] Evacuation route maps prominently displayed throughout facility [] Re-entry procedures / Follow public safety personnel approval Emerqency Notification for spills or leaks of hazardous materials or hazardous wastes 29) Fire / Police / Ambulance: 9-1-1 30) County Environmental Health Department / HazMat Response / CUPA: Name: Bakersfield Fire Department Street address: 1715 Chester Avenue, 3rd Floor City: Bakersfield State: CA Zip code: 93301 - 5210 Phone: (661) 326-3979 31) CA Office of emergency Services (OES): 1-800-852-7550 -or- (916) 262-1621 30) Medical facility: Name: Valley Industrial Medical Group Street address: 2501 "G" Street City: Bakersfield State: CA Zip code: 93301 - 2811 Phone: (661) 327-2225 Certification I hereby certify, under penalty of perjury, that the information contained in this Hazardous Materials Business Management Plan is, to the best of my knowledge, true and correct. I understand that I may be required to show proof of compliance during any facility inspection conducted by local, county, state or federal authorities. Name: HAROLD MONTGOMERY Title: OWNER Signature_//?¢'~'~-~~~ Date: 08 / 30 / 02 EMERGENCY RELEASE FOLLOW-UP NOTICE REPORTING FORM BUSINESS NAME I FACILITY EMERGENCY CONTACT & PHONE NUMBER I (661) 327-5274 WESTCHESTER AUTOMOTIVE HAROLD MONTGOMERY INCIDENT MO DAY YR ~ TIME DATE / / / ~ OES (use 24 hr time) OES ~ NOTIFIED CONTROL NO./ / / / / / I INCIDENT ADDRESS LOCATION I CITY / COMMUNITY COUNTY ZIP I 2424 "F" STREET ~ BAKERSFIELD KERN 93301 - 3822 CHEMICAL OR TRADE NAME (print or type) CAS Number CHECK IF CHEMICAL IS LISTED IN . ~ CHECK IF RELEASE REQUIRESNOTIFI- 40 CFR 355, APPENDIX A [] I CATION UNDER 42 U.S.C. Section 9603 (a) [] PHYSICAL STATE CONTAINED ~ PHYSICAL STATE RELEASED / QUANTITY RELEASED [] SOLID [] LIQUID [] GAS I [] SOLID [] LIQUID []GAS I I ENVIRONMENTAL CONTAMINATION I TIME OF RELEASE I DURATION OF RELEASE [] GROUND []OTHER I I DAYS HOURS M,NUTES ACTIONS TAKEN ADVICE REGARDING MEDICAL ATTENTION NECESSARY FOR EXPOSED INDIVIDUALS (INDICATE SECTION [A-Gl AND ITEM WITH COMMENTS OR ADDITIONAL INFORMATION) CERTIFICATION: I certify under penalty of law that I have personally examined and I am familiar with the information submitted and believe the' submitted information is true, accurate, and complete. REPORTING FACILITY REPRESENTATIVE (print or type) SIGNATURE OR REPORTING FACILITY REPRESENTATIVE DATE: 2001 Hazardous Materials Management Plan HMMP Hazardous Materials Disclosure Forms For: 2424 "F" STREET BAKERSFIELD,· CA 9'330'I-3822 (66~I.) 327-5274 Presented to: CERTIFIED UNIFIED PROGRAM AGENCY BAKERSFIELD FIRE DEPARTMENT Hazardous Materials Division 1715. Chester Avenue, 3rd Floor Bakersfield, CA 93301-5210 (805) 326- 3979 Prepared by: ~ric Management Services . Environmental Compliance Specialists 1923 North Fine, Suite 101 (559) 251 -4060 Fresno, California 93727-1510 · -FAX (559) 251-5534 · UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of 8 I. FACILITY IDENTIFICATION ~c,~,~,~ I I I I I I I I I I I 11EPAID#(Hazard°usWasteOnly)[CAE 000 005 835 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) WESTCHESTER AUTOMOTIVE II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility If Yes, please complete these pages of the UPCF_ _ A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 273 I) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly SWRCB Form A) I. . Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (o.e page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST TANK (o,e per ta,k) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form c) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (elos,re portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: '"any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs --- the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? [] YES [] NO 9 EPA ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT recyclablematerials (per HSC 25143.2)? [] YES [] NO 10 perreeycler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YES [] NO 1 1 TREATMENT - FACILITY (Formerly DISC Forma 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) (Formerly DISC Forma 1772 A,B,C,D and Q 4. Treaunent subject to financial assurance requirements (for [] YES [] NO 12 CERTIFICATION OF FINANCIAL Peri. it by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS is (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) 165 IED PROGRAM CONSOLIDATED FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION 2 8 I. IDENTIFICATION FACILITY ID// BEGINNING DATE 10o ENDING DATE 07/01/00 06/30/01 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 [ BUSINESS PHONE 1o2 WESTCHESTER AUTOMOTIVE 1(661~ 327-5274 BUSINESS SITE ADDRESS ~o3 2424 "F" STREET CITY 104 ZIP CODE BAKERSFIELD 93301 - 3822 DUN & BRADSTREET 106 SIC CODE (4 digit #) 36 - 350 - 4457 5738 COUNTY ~os KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE HAROLD MONTGOMERY (661) 327-5274 II. BUSINESS OWNER OWNERNAME III I OWNER PHONE n2 HAROLD MONTGOMERY [(661) 327-5274 OWNER MAILING ADDRESS 2424 "F" STREET CITY 114 ] STATE n5 [ ZIPCODE 116 BAKERSFIELD ]CA 193301 - 3822 III. ENVIRONMENTAL CONTACT CONTACT NAME n? CONTACT PHONE HAROLD MONTGOMERY (661) 327-5274 CONTACT MAILING ADDRESS 119 2424 "F" STREET CITY laO STATE ~21 ZIP CODE 122 BAKERSFIELD CA 93301 - 3822 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 129 HAROLD MONTGOMERY DON HAMILTON TITLE 124 TITLE 129 OWNER MANAGER BUSINESS PHONE 125 BUS1NESS PHONE 13o (661) 327- 5274 (661) 327- 5274 24-HOUR PHONE 126 24-HOUR PHONE (661) 399-6955 661) 323-5576 PAGER # 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE I DATE 134 I NAME OF DOCUMENT PREPARER 135 108 / 15/01 [PACIFIC MANAGEMENT SVCS. NAME OF SIGNER (print) 136 ~ TITLE OF SIGNE~ -- ! 137 HAROLD MONTGOMERY IOWNER '_/ 'TPY UPCF ( 1/99 revised) 167 OES FORM 2730 (1/99) ~IFIED PROGRAM CONSOLIDATED FO~VI HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRI?TION (one page per material per building or area1 IlAr)r) [--IDELETE IS~b. EVISE 200 I Page 3 of 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL EPCRA EAST SHOP, ADJACENT NORTH WALL [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET L.] Yes L~ No 206 ETHYLENE GLYCOL MIXTURE If Subject to EPCRA, refer to instructions COMMON NAME ' 207 208 EHS* [] Yes [] No ANTIFREEZE / COOLANT CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 HAZARDOUS MATERIAL I 213 TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yea [] No 212I CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 60 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] bJ REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 [ MAXIMUM DAILY AMOUNT 2~8 ANNUAL WASTE AMOUNT 2]9 [ STATE WASTE CODE 22o I 30 160 221 I DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 1365 STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 84 - 94 Ethylene Glycol 107-21-1 2 230 231 [] Yes [] No 232 233 0 - 10 Diethylene Glycol 111-46-6 3 234 235 [] Yes [] No 236 237 2 - 4 Water 7732-18-5 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] NO 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If I~PCRA, PI~a,~ Simon Here UPCF (1/99) 169 OES Form 2731 ~]~IFIED PROGRAM CONSOLIDATED FO]k~vI HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ione page per material per buildin~ or area/ [~]ADD [--]DELETE [~REVISE 200] Page 4 of 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2ol CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL [] YES [] NO FACILITY ID # I Illl I J2MAP'(°Pti0nal)of 2 2°3 [ G[~ID# (°Pti°nal),G - 2 204 II. CHEMICAL INFORMATION CHEM1CALNAME 205 TRADE SECRET ~ Yes ~ No 206 PETROLEUM HYDROCARBON MIXTURE If Subject to EPCRA, refer to instructions COMMON NAME 20? EHS* [] Yes [] No 208 AUTOMATIC TRANSMISSION FLUID CAS# 2o9 *If EHS is "Yes", all amounts below must be in lbs. Mixture FiRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL I 2~ 3 TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212I CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 60 (Check one item only) [] a. SOLID [] b, LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check allthat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 21~ ANNUAL WASTE AMOUNT 219 [ STATE WASTE CODE 220 55 II10 221 I DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d, TONS /Check o,e item only) * It EHS. amou,t must be i..o.nas. 1365 STOR^GE [] a. ABOVE GROUND TANK [] e. PLASTICmONMETALLIC DRUM [] i. FIBER DRU~ [] ~. GLASS BOTTLE [] q. RaIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g,CARBOY [] k. BOX [] o. TOTE BIN [] d, STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 22,L STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 12s 8,5-100 Aliphatic Petroleum Distillates 64742-65-0 2 2~0 ~ [] Yes [] No 2~2 233 3 234 235 [] Yes [] No 23~ 237 4 2~s 239 [] Yes [] No 240 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please $~en Here UPCF (1/99) 169 OES Form 2731 ~TNIFIED PROGRAM CONSOLIDATED FO]~M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRI?TION lone ?age per matedal per buildia~ or area} I--lADD [-']DELETE I~REVISE 200 [ , Page 5 of 8 1. FACILITY iNFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 2o~ CHEMICAL LOCAT1ON CONFIDENTIAL 202 EPCRA [EAST SHOP, ADJACENT EAST WALL [] YES [] NO H. CHEMICAL INFORMATION CHEM1CALNAME ' ' 205 TRADE SECRET I-I Yes [] No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No MOTOR OIL CAS# 2ob Mixture *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 HAZARDOUS MATERIAL 213 TYPE (Check oneitem only) [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 60 (Cheek one item only) [] a. SOLID []b. LIQUID [] c, GAS FED HAZARD CATEGORIES. ' ' 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d, ACUTE HEALTH [] e. CHRONIC HEALTH 110 [220 221 [ DAYS ON SITE: 222 UNITS* ~ia. GALLONS []b. CUBICFEET []c. POUNDS I--Id. TONS (Cheek one item ertl,v) , * If EHS, amount must be in pounds. , [365 , , STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] e. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] l. CYLINDER [] p. TANK WAGON 223 STOP. AGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] e. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT . [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I :26 2:7 []Yes [] No :2~ 229 > 85 Various Lubricating Base Oils 6474X-XX-X 2 230 23t [] Yes [] NO 232 233 < 15 Additive Package, including: Mixture 3 234 235 [] Yes [] No 236 237 < 2 Zinc Alkyldithiophosphate 68649-42-3 4 238 239 [] Yes [] No 240 5 24:2 243 [] Yes [] NO 244 245 If more hazardous eomponems am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information, ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sien Here UPCF (I/99) 169 OES Form 273 1 i~IIFIED PROORAM CONSOLIDATED FO"kr'M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ione pa~e ~)er matedal pe~ buildin~ or area/ [~]ADD [-']DELETE [~REVISE 200 J ?age 6 of 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ~l Yes IX] No 206 OXYGEN ~f Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No OXYGEN, COMPRESSED GAS CAS# 209 7782-44-7 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 337 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21 § (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 2la I ANNUAL WASTE AMOUNT 219 [ STATE WASTE CODE 220 I 169 1337 221 I DAYS ON SITE: 222 UNITS* [] a. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only1 * If EHS, amount must be in pounds. 13 65 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 '[~ Yes [] No 228 229 100 Oxygen 7782-44-7 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 24] 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1 ~ by weight if non-carcinogenic, or 0.1 ~ by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sien Here UPCF (1/99) 169 OES Form 2731 '~IIFIED PROGRAM CONSOLIDATED F0"~M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ........... lone pa~eioer mate,rial per buildin~ or area~ [-']ADD F=JDELETE []REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION ...... 20~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT NORTH WALL [] YES [] NO FACILITY ID # 2 of 2 IG - 2 , II. CHEMICAL INFORMATION ' CHEMICAL NAME ' ' ' 2bs TRADE SECRET L] Yes I~ No 208 WASTE ETHYLENE GLYCOL MIXTURE If Subjecl to EPCRA, refer 1o inslructions COMMON NAME 207 208 EHS* [] Yes [] No 'WASTE ANTIFREEZE / COOLANT CAS# 209 Mixture *If EHS is "Yes", all amounts below must be in lbs. FiRE CODE HAZARD CLASSES (Complete if required by CUPA) ..... 210 , , , I , I I I I ' ' '213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212[ CURIES TYPE (Check one )tern only) [] a, PURE [] b. MIXTURE [] c. WASTE , N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 60 (Check one item 0nly) [] a. SOLID [~b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE. [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217I MAXIMUMb~,ILYfl~M6UN¥ 218 ANNUAL WASTE AMOUNT 219I STATE WASTE CODE 220 I 28 155 , ,. 55 1134 22~ [ DAYS ON SITE: 222 UNITS* [~a. GALLONS []b. CUBICFEET [] c. POUNDS []&TONS {Check o,ne iltem onlyI I * IfEHS, amount must'be in pounds. 1365 , STORAGE [] a, ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] e. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 84 - 94 Ethylene Glycol 10%21-1 .... 2 230 231 [] Yes [] No 232 233 0 - 10 Diethylene Glycol 111-46-6 3 2-4 ;34 Water 4 238 239 [] Yes []. No 240 241 $ 242 243 [] Yes [] NO 244 245 If more hazardous com~onems am present au greater tha~ 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, at~'a~h' ad~litional sheets of paper capturing tile required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 j . . [fEPCRA. Please Sien Here UPCF (1/99) 169 OES Form 273 1 "~NIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone pate per material per buildin~ or area1 [-']ADD ['-]DELETE [~REVISE ~oo I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT' NORTH WALL [] YES [] NO .. 2 of 2 IH- 2 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [_1 Yes D<] No 200 WASTE PETROLEUM HYDROCARBON ~f Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No WASTE MOTOR OIL CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS MATERIAL TYPE (Check oneitem only) [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 300 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 [ MAXIMUM DAILY AMOUNT 218 [ ANNUAL WASTE AMOUNT 2~9 [ STATE WASTE CODE 220 150 [300 1600 . 1221 221 I DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. [365 STORAGE CONT^IN~R [] a. ABOVE GROUND TANK 1-'1 e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AM BLENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 >85' Various Lubricating Base Oils 6474X-XX-X 2 < 15 230 &dditive Package, including: 23t [] Yes [] No 232 Mixture 233 3 234 235 [] Yes [] No 236 237 < 2 Zinc Alkyldithiophosphate 68649-42-3 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sien Here UPCF (1/99) 169 OES Form 2731 KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ~ Hazardous Materials Storage Batteries ~'~' Hazardous Waste Storage Dip/Process Tank H Hoist Door ~ Material Safety Data Sheets Overhead Rollup Door [~ Medical / First Aid Kit Exterior Wall ~ Personal Protective . Equipment interior Wail G Pressurized Tank Driveway / Fire Dept Access ~ Railroad Tracks Utility - Electric Main O Sewer Drain Utility -- Gas Main ~) S[orm Drain Utility -- Water Main //~ Shower / Eye Wash Emergency Shutoff ~ Stairs  . Aboveground Storage Tank Emergency Exit (with capacity) Evacuation / Staging Area (" - - - % Underground Storage Tank Eye Wash G Propane Tank. Fence ~ Air Compressor Fire Department Connection '":~D'~"{"--~ North DireCtion Fire Hose ~ High Vo,tage Box Fire Hydraot I Building / Roof Support Posts " Fire Extinguisher ~ Trash Sprinkler System Valve ~--~ ....... Alignment Rack I Business Name: WESTCHI~STER AUTOMOTIVE Site Addr;ass: 2~24 "F" STREET Map~ ;f2 I I . BAKERSFIELD, CA 93301-3822 A B C D E .... F G H I J Scale: Approx.  1" = 43.27 Ft. 1 S / W Corner ofF For Site Map & 26~ Streets * Scale of Map 2 N ~¢~ Airpo~ Bus of Bakersfield ~ ~ Drains ~* ( > t · Adjacent %~ / Property Use 3 / x x x~ Al · Locations and J ~ Names of ~ e y Adjacent Streets ~ and Alleys <- WESTCHESTER. ~ · Access and 4 ) AUTOMOTIVE Egress Points ~ 2424 "F" Street ~ and Roads P Bakersfield, CA ~ p a 93301 - 3822 r a For Sub-Site Map k (661) 327-5274 r i k · Scale of Map n i · Location of Each 5 g n g Storage Area . Location of Each  Hazardous  eo, o- Material Handling 6 Area . Location of ~;~;~ Kern ~ Emergency ~Dr v ng School~.~/ ~:~ ~:~ Equipment 7 - North . OES Form 2729 (map) (1/94) Appendix E ALIFORNIA ANOTATED SITE MAP I Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map #2 of 2 I ~' I I BAKERSFIELD, CA 93301-3822 A B C D E F G H I J Scale:  < ~'° ~ Approx. ~-;~ 1" = 20.50 Ft. 1 N ,or an Exit  / L cootaot ~.~.u,~..u,~ i' ~ ~ x ~ ~ ~ :: For Site Map I fal.~_l_~]' Parts I AST/Oil Used ® Scale of Map ,, ~.-;~ ~ . Filters Parking (~) · Loading Areas 4--6 office i R/Ri Office I ATF * Parking Lots I , , ~ [-.~ ® ' · Internal Roads 2 .,R/R ~ru;;a Motor .......... Lr'" Ll oi, -, · storm and Sewer ~ E~B® ......... · Adjacent Property Use 3 ~- --~ · Locations and Names of Adjacent Streets (~ West East shop Shop ._~ and Alleys ~.*__> · Access and 4 ~ Egress Points ,,-~ F~ and Roads Parts Cleaner~ .~ °.~,~t/ For Sub-Site Map · Scale of Map 5 ~D · Location of Each ® Storage Area · Location of Each ~--~ Hazardous Material Handling 6 <*--~ t Area ..t ~--> · Location of Emergency ~ Response \ i / Equipment ,7 < ~o ...... ) - North OES Form 2729 (map)(1/94.) Appendix E EMERGENCY RELEASE FOLLOW-UP NOTICE REPORTING FORM I BUSINESS NAME I FACILITY EMERGENCY CONTACT & PHONE NUMBER I 1 WESTCHESTER AUTOMOTIVE I HAROLD MONTGOMERY (661)327-5274 INCIDENT MO DAY YR I TIME I DATE / / / I OES (use 24 hr time) I OES ! NOT IED .! CONTROL NO./ , , , , / 2424 "F" ST~ET I B~ERSF~LD I ~ 93301-3822 CHEMICAL OR T~DE N~E ~rint or ~e) ~ CAS Number ~ ~ CHECK IF ~LEASE ~Q~S NOTIFI- 40CFR355, APPE~IXA ~ I ~~42U.S.C. Section 9603(a) ~ PHYSICAL STATE CONTA~D ~~] QUANTI~LEASED ~ S~m ~ LIQ~ ~SI ~ SOLID ~ LIQ~D ~ GAS I ~ ~ [ ~~ ] D~TION OF ~LEaSE ~ am ~ WaTeR I ~ E ~RO~ ~ OT~R I I DaYS_nOmS~T~S ACTIONS T~N ~O~ OR ANTICIPATED HEALTH EFFECTS (Use the comments section for additional ~fomation) AC~E OR IMMEDIATE (expla~). C~O~C OR DELAYED (explain) NOT ~O~ (explain). ~VICE ~GA~G MEDIC~ A~E~ION ~CESSARY FOR E~OSED ~IVIDUALS COMMENTS (~DICATE SECTION [A-G] AND ITEM WITH COMMENTS OR ADDITIONAL ~FO~ATION) CERTIFICATION: I ce~i~ under penalty of law that I have personally examined ~d I m famili~ with ~e ~fomation submitted ~d believe ~e submitted info~ation is ~e, accurate, ~d complete. ~PORT~G FACILITY ~P~SENTATIVE (prat or t~e). SIGNAT~ OR ~PORT~G FACILITY ~P~SENTATIVE DATE: 2000/~r: ' Hazardous "Ma~ Management Plan HMMP AND Hazardous Materials Disclosure Forms For: 2424 "F" STREET BAKERSFIELD, CA 9330%3822 (661) 327-5274 Presented to: CERTIFIED UNIFIED PROGRAM AGENCY BAKERSFIELD FIRE DEPARTMENT Hazardous Materials Division 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301-5210 (805) 326- 3979 Prepared by: Management 5ervices Environmental Compliance Specialists 1923 North Fine, Suite 101 (559) 251 - 4060 Fresno, California 93727-1510 FAX (559) 251 -5534 "t~NIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of 8 I. FACILITY IDENTIFICATION FACILITY ID #I I I ] [ I I I I I1 EPA ID # (Hazardous Waste OnlY)cAi, 000 005 $35 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) WESTCHESTER AUTOMOTIVE II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (DES Form 2730). Does your facility If Yes, please complete these pa~es of the UPCF ..... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and liSTs); or the applicable Federal threshold [] YES [] NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (DES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (OSTs) UST FACILITY 0eormerlySWRCB Form A) I. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (one page per tack) (Formerly Form B) 2. Intend to upgrade existing or install new liSTs? [] YES [] NO 6 UST FACILITY UST TANK (one per UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form c) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (closure portion -one page per tack) C. ABOVE GROUND PETROLEU1VI STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: -'any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs -- the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE EPA ID NUMBER - provide at the top of 1. Generate hazardous waste? [] YES [] NO 9 this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? [] YES [] NO 10 perrecycler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YES [] NO 1 1 TREATMENT - FACILITY (Formerly DISC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) (Formerly DISC Forms 1772 A,B,C,D and Q 4. Treatment subject to financial assurance requirements (for [] YES [] NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Formerly lYrsc Form 1232) REMOTE WASTE / CONSOLIDATION 5. Consolidate hazardous waste generated at a remote site? [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by yollr GU]PA or local agency.) UPCF (1/99) 165 PROGRAM CONSOLIDATED FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION I I I I I I I I I [ I,I I I 108/01/99 07/31/00 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) I [ BUSINESS PHONE WESTCHESTER AUTOMOTIVE [(661) 327- 5274 SITE ADDRESS "F" STREET CITY 1o4 ZIP CODE BAKERSFIELD - 3822 DUN & BRADSTREET lo6 SIC CODE (4 digit #) 36 - 350 - 4457 5738 COUNTY BUSINESS OPERATOR NAME ~o9 BUSINESS OPERATOR PHONE HAROLD MONTGOMERY (661) 327-5274 II. BUSINESS OWNER OWNER NAME III [ OWNER PHONE ,HAROLD MONTGOMERY [(661) 327-5274 OWNER MAILING ADDRESS 2424 "F" STREET CITY lla I STATE ~{5 [ ZIP CODE BAKERSFIELD ICA [93301 - 3822 ~ III. ENVIRONMENTAL CONTACT CONTACT NAME 1~7 [ CONTACT PHONE HAROLD MONTGOMERY l(661) 327 - 5274 CONTACT MAILING ADDRESS 2424 "F" STREET CITY 12o STATE 121 I ZIP CODE BAKERSFIELD CA [93301 - 3822 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME ~23 NAME HAROLD MONTGOMERY DAVID NUNLIST TITLE ~2~ TITLE )WNER MANAGER BUSINESS PHONE 1~5 BUSINESS PHONE (661) 327- 5274 (661) 327 - 5274 24-HOUR PHONE {20 24-HOUR PHONE (661) 399-6955 661) 393-5381 PAGER # 12~ PAGER# ' ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ]o8 / 18 / oo [PACWtC MANAGEMENT SVCS. HAROLD MONTGOMERY [OWNER UPCF ( 1/99 revised) 16'/ OCS FORM 2730 (1/99) "~rNIFIED PROGRAM CONSOLIDATED FCrRM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMI¢^L DESCRIPTION (one page per material pet building ¢ ~rea) ~ADD ~DELETE ~VISE 200 [ P,ge ~ 0f, S . BUS'ESS N~E (S~e ~ FACILI~ N~E or DBA - Doing Business As) ~STC~S~R AUTOMO~ CHEMICAL LOCATION ' 2a~ C~EMICAL LOCATION'CONFIDENTIAL 202 EPCRA EAST SHOP, ~JACENT EAST W~L ~ YES ~ NO ' ' ' 203 204 , 2 of 2 - II. CHEMICAL ~FO~ATION CHEMICAL NAME - 20S T~DE SECRET ~ Yes ~ No 200 E~E~ GLYCOL ~~ ~r Subjeel lo EPCRA. refer ~o COMMON NAME 207 208 EHS* ~ Yes ~ No A~E~./ COOL~ CAS~ 20o ~xt~ *If EHS is "Yes", all amoun~ below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 J 213 HAZA~OUS~AL 211 ~IOAC~ ~Yes ~No 212 C~IES WPE (Che~ one item only) ~ a. P~ ~ b. MI~E ~ c. wAs~ N/A 215 PHYSICAL STA~ 21~ LARGEST CO~A~R 60 (Check oneitem only) ~ a, SOLID ~b. LIQUID ~ c. GAS FED HAZ~ CA,GOReS 2[ 6 (Check all ~at app,) ~ a. FI~ ~ b. REACTIVE ~ c. PRESSmE RELEASE ~ d. ACUTE HEALTH ~ o. CHRONIC HEALTH AVERAG~DAmYAMO~' 21~ [ ~X~DAmYAMO~ 2,* } AN~ALWA~M~ 2'~ [ STA~WASTB~OD~" 3o 16o UNITS* ~a,GALLONS ~b.C~ICFEET ~c. PO~S ~d, TONS 22z[DAYSONSI~: 222 (Check one item only) * ~ EHS, amount must be in pounds. 13 65 STORAGE CONTAINER ~a. ABOVE GROUND TANK ~e. PLASTIC~O~TALLICDRUM ~ i.F~ERDR~ ~m. GLASSBO~LE ~ q. RAILCAR ~b.~DERGRO~TA~ ~f. CAN ~j. BAG ~n. PLASTIC BOTTLE ~ r. OTHER ~ c. TA~ INS~E BUmDINO ~ g,CARBOY ~ k. BOX ~ o. TOTE BIN ~ d. STEEL DR~ ~ h. SmO ~ 1. CYLI~ER ~ p. TA~ WAGON STOOGE P~SS~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT 224 STOOGE ~E~ ~ a. AMBIENT ~ b. ABOVE A~IE~ ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT ~DOUS CO~O~NT (For mixture or waste only) EHS CAS 1 226 227 ~ Yes ~ No 228 22~ ~4- 94 ~thylene GNcol 107-21-I , ,, 2 2~0 2~ ~ Y*s ~ No ~,2 0 - 10 3ie~ylene Glycol 11146-6 3 234 235 ~ Yes ~ No 2~6 212 2 - 4 ~ater 7732-18-5 4 238 239 ~ Yes ~ NO 240 241 If more hazardom componen~ am pr*scm at greater ~an 1~ by weight if non-carcinog~ic, or 0.1 ~ by weight if c~cinogenie, attach aa~fion~ sheets of pa~r capt~ng the requi~ed infmmafi~. 246 ADDI~ONAL LOCALLY COLLECTED INFORMATION ,, IfEPCRA. P[e[~ S~gn Here ~CF (1/99) 169 OES Form 2731 ~NIFIED PROGRAM CONSOLIDATED F~M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION . lone pa~e per material per building or area) [--~ADD [--]DELETE []REVISE 200 [ Page 5 0f 8 1. FACILI~ ~FORMATION BUSINESS NAME (S~e ~ FACILI~ N~E or DBA - Doing Business As) ~STC~S~R AUTOMO~ CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL EPCRA EAST SHOP, ~JACE~ EAST W~L ~ YES ~ NO FACILI~ ID ff I I I I I I' I2MAP~ (optional)of2 203 I~R~, (optional,_ 204 H. CHEMICAL ~FO~ATION CHEMICAL NAME 20s TRADE SECRET ~ Yes ~ No 208 PE~OLE~ H~ROC~ON If Subject to EPCRA. refar to in~ctions COMMON NAME 207 208 EHS* ~ Yes ~ No MOTOR Om CAS~ 209 ~ *IfEHS is "Yes". all amo~n~ below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210  213 H~A~OUS ~L 2H ~DiOAC~ ~ Yes ~ N o 212 C~S PHYSICAL STA~ 2~4 LARGEST CO~A~ER 60 (Check onei~m only) ~ a. SOLID ~b. LIQUID ~ c, OAS ~D HAZARD CA,GOReS (Check ~ mat apply) ~ a. FI~ ~ b. REACTIVE ~ c. PRESS~E ~LEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH AVERAOE DAVY AMO~ 21 ~ ~XI~ DAVY AMO~ 2~ AN~AL WAS~ ~O~ 2~9 [ STA~ WASTE CODE I l0 220 22~ [ DAYS ON SITE: UNITS* ~a. OALLONS ~b. CUBICFEET ~ c. PO~DS ~d. TONS (Check one it~ only) * ~ EH S, amount must ke ~ pounds. [36 5 STORAGE CONTAIN E R ~ a. ABOVE ORO~ TA~ ~ e. PLASTIC~O~TALLIC DR~ ~ i. FIBER DR~ ~ m. OLASS BOTTLE ~ q. RAIL CAR ~ b. ~ERORO~ TA~ ~ f. CAN ~ j. BAO ~ n. PLASTIC BOTTLE ~ r. OTHER ~ c. TA~ INS~E BUmDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN ~ d. STEEL DR~ ~ h. SILO ~ 1. C~I~ER ~ p, TANK WAGON STOOGE P~SS~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT 224 STOOGE ~E~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT ~ d. CRYOGENIC %WT ~Z~US CO~O~NT (For mitre or waste only) EHS CAS ff I 226 227 ~ Yes ~ No 22s >85 ~ous Lubfica~ng Bas~ Oils 6474X-~-X 2 < 15 2~o &d~fiv~ Package, inclu~ng: 2. ~ Yes ~ No m ~xm~ 3 ~a 23~ ~ Yes ~ No 23~ ( 2 Z~c ~ldi~ophosp~te 68649~2-3 4 ~as 239 ~ Yes ~ No 2~0 241 5 24~ 24~ ~ Yes ~ No 244 245 If more ba~tflo~ componenB am present at greater than 1% by weight if non-eazeinogenie, or 0.1% by weight if eatcinogenie, at,ch ad~fion~ sheets of paper eapt~ing the requited info~ation. ~DI~ONAL LOC~LY COLLECTED INF0~ATION 246 If EPCRA. Please Si~n Here ~CF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - eHEMIC^L DESCRIPTION Ione page per material per building or areaI [-]ADD [-']DELETE [~]REVISE 200 [ Page 4 0[ 8 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 2o2 EPCRA EAST SHOP, ADJACENT EAST WALL [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o5 TRADE SECRET [] Yes [] No PETROLEUM HYDROCARBON MIXTURE If Subiect to [PCeA, rafar to in~rmions COMMON NAME ~07 EHS* [] Yes [] No AUTOMATIC TRANSMISSION FLUID CAS# 200 Mixture *IfEHS is "Yes", all amounts below must be in lbs. FIRI:: CODE HAZARD CLASSES {complete if required by CUPA) 2~0 HAZARDOUS MATERIAL I TY~F(Ohockon*it*monl¥) I--la. PURE [~b. MIXTUP-,E I--lc. WASTE 2~1 RADIOACTIVE [~Yo$ [~No 212! CUP, mS N/A PHYSICAL STATE 21 (Check one item only) [] a. SOLID [~b. LIQUID [] c. GAS 2~4 LARGEST CONTAINER 60 iCED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE ~]b. REACTIVE [] c. PRESSURE RELEASE ~d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOLrNT 217 MAXIMUM DALLY AMOUNT ~ I ANNUAL WASTE AMOUNT 2~9 I STATE WASTE CODE 2~o 55 I10 , 22~ I DAYS' Oi'q SITE: UNITS* []a. GALLONS []b. CUBICFEET [] c. POUNDS []d. TONS {Check, one item only) * If EHS, amount must be in pounds. [365 STORAGE ['~a. ABOVE GROLrND TANK [-]e. PLASTICfNONMETALLICDRUM [] i. FIBERDRUM [--]m. GLASS BOTTLE [] q. RAILCAR CONTAINER [] b. mrOERGROmm TAXX [] f. CAN [] j. ~Aa [] n. ~'LAST~C BOTT~.n [] ~. OT~ER [] c. TANK INSIDE BUILDING [] ~.CARBO ¥ [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # [ 226 227 [] Yes [] No 228 229 8q - 100 Aliphatic Petroleum Distillates. ~64742-65-0 2 230 2~1 [] Yes [] No 2:~2 3 2~4 2~5 [] Yes [] No 236 23? 4 2~* 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 It' more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach add/tional sheets of paper capturing the r*qubed information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24'6 IfEPCRA. Pl~a~o Si~n Here UPCF (1/99) 169 OES Form 2731 ' ~NIFIED PROGRAM CONSOLIDATED F~M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ione page per material per building or area1 r-]ADD r-]DELETE [~EVISE 2oo I Page 6 or S I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA EAST SHOP, ADJACENT EAST WALL [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os TRADE SECRET [ [ Yes [] No 2oo DXYGEN If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No DXYGEN, COMPRESSED GAS CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. 7782-44-7 FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] N o 212 CURIES TYPE (Check one item only) [] a. PD-R~ [] b. iVffXTUILE [] c. WASTE N/A PHYSICAL STATE 21S (Check one item only) [] a. SOLID [~]b. LIQUID [] c. GAS 214 LARGEST CONTAINER 337 FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE []b. REACTIVE [] c. PRESSUKB1LELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH AVEKAGEDAILY AMOLrNT 217 MAXIMUM DAILY AMOLrNT 2is ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 169 337 221 DAYS ON SITE: 222 UNITS* [~a. GALLONS []b. CUBICFEET [] c.?OUNDS []d. TONS (Check one item only) * IfEHS, amount must be in pounds. 365 STORAGE CONTAIN ER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FreER DRUM [] m. GLASS BOTTLE [] q. RAiL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] ]. CYLYNDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22s % W T HAZARDOUS COMPONENT (For mixture or waste only) E H S CA S # I 226 22'1 [] Yes [] No 228 229 1 co Oxygen 7782-44-7 2 230 231 [] Yes [] No 232 233 3 23a 235 [] Yes [] No 236 :137 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Plea~ $ien Here UPCF (1/99) 169 OES Form 2731 ~qIFIED PROGRAM CONSOLIDATED F~M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /one palp per material per buildin~ or areal [-]ADD [-']DELETE [~REVISE 200[ ,, I. FACILI~ ~FO~ATION Bus,Ess NAME (S~e ~ FACILI~ NAME or DBA - Doing Business As) ~STC~S~R AUTOMO~ CHEMICAL LOCATION 20~ CHEMICAL LOC~ION CONFIDENTIAL 2o2 EPCRA DUTS~E, FENCED ~A NORT~AST CO~R OF SHOP ~ YES ~ NO II. CHEMICAL ~FORMATION CHEMICAL NAME 205 TRADE SECRET ~ Yes ~ No 20~ WAS~ E~E~ GLYCOL ~~ If Subject to EPCRA, refertoin~ructions COMMON NAME 20~ 208 EHS* ~ Yes ~ No WAS~ A~EZE / COOLA~ CASg 209 ~ *IfEHS is "Yes", all amoun~ below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 WPE (Check one item only) ~a.P~ ~b.~g ~c. WASTE 211 ~DIOAC~VE ~Yes ~No 212I c~ms N/A PHYSICAL STA~ (Check one item only) ~ a. SOLID ~ b. LIQUID ~ c. GAS 214 LARGEST CO~A~R 60 ~D HAZED CA~GORmS 2 (Check all that apply) ~ a. FIRE ~ b. REACTIVE ~ c. PRESS~ERELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HE~TH AVERAGE DAVY AMO~ 217 I ~I~DAILY ~O~ 2~a A~AL WAS~ ~O~ 2m ~ STATE WASTE CODE 220 28 155 55 1134 221 [ DAYS ON SITE: 222 UNITS* ~ a. GALLONS ~b. CUBIC FEET ~ c. PO~DS ~ fl. TONS (Check one item only) * IfEHS, amount must be m pounds. ~ , [365 STORAGE CONTAIN E R ~ a. ABOVE GROUND TA~ ~ e. PLASTIC~O~TALLIC DRUM ~ i. FreER DR~ ~ m. GLASS BO~LE ~ q. RAm ~ d. STEEL DRUM ~ h. StaG ~ 1. CYLI~ER ~ p. TANK WAGON STORAGE PRESS~E ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW A~IENT 224 STOOGE ~E~ ~ a. A~IENT D b. ABOVE A~IENT ~ c. BELOW A~IENT ~ d. CRYOGENIC 225 %WT ~OUS CO~O~NT (For mixture or waste only) EHS CAS g 1 226 22* ~ Yes ~ No 228 229 84 - 94 Ethylene Glycol 107-21-1 2 230 231 ~ Yes ~ No 232 0 - 10 )ie~ylene Glycol 11146-6 2 - 4 ~ater 7732-18-5 5 242 Z41 ~ Yes ~ No 244 245 If more hazardo~ eomponen~ am present at greater than 1% by weight if non-carcinogmic, or 0.1% by weight if carcinogenic, at,ch ad~fionfl sheets of paper capt~ng the required i~o~afion. ADDI~ONAL LOCALLY COLLECTED ~FORMATION 246 IfEPCRA. Please Sien Here ~CF (1/99) 169 OES Form 2731 ~NIFIED PROORAM CONSOLIDATED F~M HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION , lone pa~e per material per buikiln~ or areal [-]ADD , , , {--]DELETE [~ILEVISE a00 I Page 8 of 8 I. FACILI~ ~FORMATION BUSINESS NAME (S~e ~ FACILI~ NAME or DBA - Doing Business As) 3 ~STC~S~R AUTOMO~ C~MICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL 10a EPCRA OUTS~E, FENCED ~A NOR~AST CO~R OF SHOP ~ YES ~ NO , 2 of 2 , IH- 2 II. CHEMICAL ~FORMATION CHEMICAL NAME 20s T~DE SECRET ~ Yes ~ No WASTE PE~OLE~ H~ROC~ON . Subject ~o EPCRA, refer to in.ructions COMMON NAME 207 208 EHS* ~ Yes ~ No WAS~ MOTOR O~ CAS~ M~ *IfEHS is "Yes", all amoun~ below mast be in lbs. FIRE CODE HAZARD CLAS~ES (Complete if required by CUPA) 210 ~ZA~OUS ~RIAL 2 ~ 3 ~PE (Check one item only) ~A.P~ ~b.~ ~c. WAS~ 211 ~DIOAC~ME ~Y.~ ~o 2,2 c~ms N/A 215 PHYSICAL STA~ 214 LARGEST CO~A~ER 300 (Checkoncit~m only) ~ a. SOLID ~b, LIQUID ~ c, GAS ~ HAZA~ CA~GOR~ ...... 21 (Check all ~at apply) ~ a. FIRE ~b. REACTIVE ~ c.P~SS~ERELEASE ~d. ACUTE HEALTH ~ c. CHRONIC HEALTH 'A~R~GEDA~YAMO~ 212 ~Xi~DA~YAMO~ 2~s A~ALWAS~O~ 2~9 ~ STATEWASTA~ODg I ]50 300 600 . , , ]221 Zz~ [ DAYS ON SITE: ~t~s* ~.o~LLo~s ~b.C~CF~X ~.PO~S ~.~O~S (~eck one item only) * ~ EHS, amount must b~ in pounds. , , STORAGE CONTAIN ER ~ a. ABOVE GRO~ TA~ ~ e. PLASTIC~O~ETALL]C DRUM ~ i. ~ER DR~ ~ m GLASS BOTTLE ~ q. RAIL CAR ~ c. TA~ mS~E BU~DINO ~ g.OARBOY ~ k. BOX ~ o. TOTE BIN ~ d. STEEL DRUM ~ h. S~O ~ 1. C~DER ~ p. TA~ WAGON 223 STORAGE PRESS~ ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c, BELOW AMBIENT STOOGE ~E~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT ~ d. CRYOGENIC %W T ~DOUS CO~O~NT (For mitre or waste oMy) E H S CAS ~ >85 V~ous Lubficafin~ Base Oils 6474X-~-X 2 < 15 :~o Adffifive Package, inclu~ng: 2~; ~ Yes ~ No 2n ~x~re < 2 Z~c A~ldi~ophosp~te , , , 68649-42-3 4 :~a :~9 ~Yes ~ No ~0 If more hazardo~ componen~ am present at greater than 1% by weight if non-~arcinogeni~, or 0.1% by weight if carcinogenic, at. ch ad~tion~ sheets of paper captains the required information. ADDI~O~AL LOd~LLY COLLECTED INF6RMATiON 246 If EPCRA. Please Si~ Hero ~CF (1/99) 169 OES Form 2731 KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ~ Hazardous Materials Storage Batteries ~ Hazardous Waste Storage Dip / Process Tank H Hoist' Door ~'~ Material Safety Data Sheets Overhead Rollup Door r~ Medical / First Aid Kit Exterior Wall ~ Personal Protective Equipment interior Wall Q Pressurized Tank Driveway / Fire Dept Access ~ Railroad Tracks Utility ~- Electric Main O Sewer Drain Utility -- Gas Main ~ Storm Drain Utility -- Water Main ~ Shower / Eye Wash Emergency Shutoff ~ Stairs Emergency Exit ~ Aboveground Storage Tank (with capacity) i~ - - - Underground Storage Tank Evacuation / Staging Area ~ ' - - - x (with capacity) Eye Wash ~ Propane Tank Fence ~ Air Compressor Fire DepaKment Connection ~Z~ NoKh Direction Fire Hese ~ High Voltage Box Fire Hydrant ~ Building / Roof Suppo~ Posts ..... Alignment Rack Sprinkler System Valve ~ ~ .... C~ALIFORNiAANOTATED SITE MAP Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map#1 of 2 BAKERSFIELD, CA 93301-3822 A B C 'D E ¢ G H I J Scale: Approx. 1' 1": 43.27 Ft. 1 S / W Corner off For Site Map & 26th Streets · Scale of Map t~ J · Loading Areas · Parking Lots Parking Lot for · Internal Roads 2 N Airport Bus of Bakersfield · Storm and Sewer  . Drains ~ × x x x × × ~ × × x × × x × · Adjacent 3 .,~ > "" Property Use A · Locations and J J~:t '~ ^ / Namesof {~) el Valley Industrial Medical Group Adjacent Streets Y and Alleys ,l, · Access and 4 WESTCHESTER (~ Egress Points ~ m AUTOMOTIVE and Roads m 2424 "F" Street P q Bakersfield, CA '~" P For Sub-Site Map a 93301 - 3822 r a · Scale of Map k (661) 327-5274 r 5 ~ k · Location of Each n i g ,, n Storage Area g · Location of Each ,~ Hazardous 6 l 61'"0"' ' AreaMaterial Handling Valley Industrial · Location of .............................. Medical Group Emergency' Kern ...,v Response Driving School 7 American Indian Council Equipment t North dES Form 2729 (map) (1/94) Appendix E ! ' I CALIFORNIAANOTATED SITE MAP Business Name: WESTcJ-IESTER AuToMoTIVE Site Address: 2424 "F" STREET Map#2 of 2 · BAKERSFIELD, CA 93301-3822 A 'B' ' C 'D E F '' 'G H I ' J .... Scale:  < 54' o" '~ Approx. <--~'~ 1" = 20.58 Ft. 1 N L... j C~r* E4~.r~%,%.Wa,, For Site Map ' .,~ ~.a.~ ' · Scale of Map  ® · Loading Areas ~_~ om. ~wa,tE~lw,.,.'~ · Parking Lots 2 I , '~' ® ~o, ® ^T~ ~ ' Internal Roads I Oil ~ ATF ® · Storm and Sewer G Drains ~ · Adjacent i Property Use 3 ~--, ~_~ · Locations and Names of Adjacent Streets D Wast East sho~ sho~ __~ and Alleys · Access and 4 ~'~--~ o Egress Points <--, E~] and Roads ~,c~ueous Parts Cie ....~ F~ ForSub-Site Map Oxy I ^c~ · Scale of Map 5 · Location of Each D Storage Area (~ · Location of Each Hazardous -~ Material Handling 6 Area ~-~ } · Location of _ I -~ Emergency Response ~ Equipment 7' \i/ t North <, 60' 0" OES Form 2729 (map) (1/94) Appendix E EMER RELEASE FOLLOW-UP NOTICE REPORTING FORM BUSINESS NAME I FACILITY EMERGENCY CONTACT & PHONE NUMBER WESTCItESTER AUTOMOTIVE ~ HAROLD MONTGOMERY ( 661 ) 327 - 5274 DATE / / / { OES (use 24 hr time) I OES I NOTIFIED I CONTROL NO./ / / / / / ~ i '-C~~OUNTY ZIP . 2424 "F" STREET 1 BAKERSFIELD KERN 93301-3822 ~-- CHECK IF RELEASE REQUIRES NOTIFI- 40 CFR 355, APPENDIX A [-] I CATION UNDER 42 U. S.C. Section 9603 (a) [] PHYSICAL STATE CONTAINED ~-~~1 QUANTITY RELEASED [] so~m []I~IQm~ []a~sI [] soLn> []L~QUm []o^s I Em~mONME~AL CONT~m~^TION I TnVm OF RELE^SE I ~)ta~TION OF P,~LE^SE [] m [] wATER [] [] I I ACTIONS TAKEN KNOWN OR ANTICIPATED HEALTH EFFECTS (Use the comments section for additional information) [] ACUTE OR IMMEDIATE (explain) [] CHRONIC OR DELAYED (explain). [] NOT KNOWN (explain). ADVICE REGARDING MEDICAL ATTENTION NECESSARY FOR EXPOSED INDIVIDUALS COMMENTS (INDICATE SECTION IA-G] AND rFEM WITH COMMENTS OR ADDITIONAL INFORMATION) ~ I C~e'TI~IC^TION: I certify u~der penalty °f ~aw that I have per~°naUyexamined and ~ am familiar with the information submitted and believe the submitted information is true, accurate, and complete. REPORTING FACILITY REPRESENTATIVE (print or type) SIGNATURE OR REPORTING FACILITY REPRESENTATIVE. .DATE: 1999 Hazardous Materials Management Plan HMMP AND Hazardous Materials Disclosure Forms 2424 "F" STREET BAKERSFIELD, CA 93301-3822 (661) 32?-$2?4 Presented to: CERTIFIED UNIFIED PROGRAM AGENCY BAKERSFIELD FIRE DEPARTMENT Hazardous Materials Division 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301-5210 (805) 326- 3979 Prepared by: ~~iific l~ana§ement Services Environmenta/Compliance Specia/ists 1923 North Fine, Suite 10l (559) 251-4060 Fresno, California 93727- 1510 FAX (559) 251-5534 CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX A California Hazardous Materials inventory Reporting Form - Business Owner/Operator Identification Page CALENDARYEARBEGINNING (1)[07,01/98 ] ENDING(2) [06/30/99 BUSINESS NAME (4) [WESTCHESTER AUTOMOTIVE I BUSINESS PHONE (5) [ (661) 327-5274 S TEADDRESS (6)12424 "F" STREET DUN& (10) [36-350-4457 SIC CODE (4 DIGIT) (11) BRADSTREET OPERATOR (12) IHAROLD W. MONTGOMERY I OPERATOR PHONE (13)1(661)327-5274 NAME OWNER INFORMATION OWNER NAME (14)I HAROLD MONTGOMERY I OWNER PHONE (15)[(661)327-5274 OWNER MAILINGADDRESS (16)12424 "F" STREET ENVIRONMENTAL CONTACT CONTACT NAME (20) [HAROLD MONTGOMERY J CONTACT PHONE (21)1(661)327-5274 MAILING ADDRESS (22) 2424 "F" STREET CITY (23) [BAKERSFIELD I STATE (24) ~ ZIP (25)193301-3822 Primary EMERGENCY CONTACTS Secondary NAME (26) I HAROLD MONTGOMERY NAME (31) I DAVID NUNLIST TITLE (27) I OWNER ] TITLE (32) MANAGER BUSINESS PHONE (28) ((661) 327-5274 ] BUSINESS PHONE (33) 1(661) 327-5274 24-HOUR PHONE (29) (661) 399-6955 I 24-HOUR PHONE (34) I (661) 393-5381 PAGER# (30) [ J PAGER# (35) ACUTELY HAZARD )US MATERIALS (AHM) ON SITE AHM (36). []Yes [] No I If yes, and above Threshold Planning Quantities, attach a sheet of paper with a general description of the process and principal equipment. ADDITIONAL LOCALLY COLLECTED INFORMATION (37) Certification: I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. Print Name of Document Preparer (38) J Pacific Management Services / 1923 North Fine, Suite #101 / Fresno, CA 93727 / (559) 251-4060 I OEsSignature ofOwner/OperatOrForm 2730 (04/96) (39)~C~ .~-~.. ~~_,~.-~ i Date (40)07~23~99 I CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)I-lADD [] DELETE [] REVISE PAGE (2) I2] OF (3) BUSINESS NAME (4) [WESTCHESTER AUTOMOTIVE I1) EAST SHOP AREA; 2) EAST PARTS ROOM CHEMICAL LOCATION (5) MAPS (6)[2 of 2 I GRID. (7) G-2; F-1 CHEMICAL NAME (8) ETHYLENE GLYCOL MIXTURE I TRADE SECRET (11) []Y []N COMMONNAME (9) IANTIFREEZE/COOLANT I *EHS (12) [F'IY •N l cas (1o) I M,×ture I 'IF EHS BOX IS "Y" i i ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) HAZARD CLASSES* I *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) []PURE []MIXTURE []WASTE RADIOACTIVE(IS) I-Iy []N I (16) I N/^ P.YS,CALSTATE (17) I[]SOL,D []UQU,D ~ GAS I CURIES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES LARGEST (21) 60 I ANNUAL WASTE AMT (25) [ CONTAINER : STORAGE (26) []ABOVE GROUND TANK []CAN []BOX i-ITANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT []BELOW AMBIENT STORAGE {33~ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIXES A & B OES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1) E]ADD [] DELETE [] REVISE PAGE (2) I 3 OF (3) 171 BUSINESS NAME 14) I~STCHESTER AUTOMOTIVE CHEMICAL LOCATION (~) [INSIDE SHOP, ADJACENT ~ST WALL CAS FiRE CODE (13) ] HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) IE3PURE []MIXTURE E]WASTE ] RADIOACTIVE(15) IE]Y []N I (16) IN/A PHYS,CALSTATE 117) IDSOL,O []L,OU,D [] GAS I CUR,ES FED HAZARD (18) [ [] FIRE [] REACTIVE [] PRESSURE RELEASE CATEGORIES CoDESTATEWASTE (19) I I UNITS* (22)/[]LBS ~]TONS (20) 1385 I *If EHS, amo[lrtts must be ii~ lbs. AVG DALLY AMT (24) DAYS ON SITE LARGEST (21) 60 ] ANNUAL WASTE AMT (25) CONTAINER STORAGE (26) []ABOVE GROUND TANK []CAN i-3BOX []TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS~ BOTI'LE [] AIRBOY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BO3-I'LE [] PLASTIC / NONMETALLIC DRUM [] BAG E} TOTE BIN I I PRESSURE (27) []AMBIENT [] ABOVE AMBIENT [3 BELOW AMBIENT TEMPERATURE (28) [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (29~ %WT (;~0) HAZARDOUS COMPONENT (31) EHS (32) ~A$# 1 85 - 100 Aliphatic Petroleum Distillates [] Y [] N 164742-65-0 (33) ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIXES A & B DES Form 27'31 (O4/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1) E] ADD [] DELETE [] REVISE PAGE (2) 4 OF (3) BUS,NESS NAME (4) I WESTCHESTER AUTOMOT,VE CHEMICAL LOCATION (5) [INSIDE SHOP, ADJACENT EAST WALL (10) 1Mixture I *IF EHS BOX IS "Y" CAS I I ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) IE]PURE []MIXTURE [] WASTE ] RADIOACTIVE (15)IF'IY []N I (16) P.YS CALSTATE (47) }[]SOUO []UOU O [] GAS I CUR ES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES STATEWASTE (19) UNITS* (22) }[]LBS CODE DAYSONSITE (20) I 365 I *If EHS, amounts must be in lbs. AVG DALLY AMT (24) LARGEST (21) 60 I ANNUAL WASTE AMT (25) CONTAINER STORAGE (26) E]ABOVE GROUND TANK []CAN E]BOX E3TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [3 CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] AIRBOY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BO'I-rLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE [] PRESSURE (27) AMBIENT [] ABOVE AMBIENT E] BELOW AMBIENT STORAGE TEMPERATURE (28) [] AMBIENT [] ABOVE AMBIENT Fq BELOW AMBIENT [] CRYOGENIC (29 %WT ~30) HAZARDOUS COMPONENT (31) EHS {~2) q;AS# .. 2<15 Additive Package, including: I ~ ~"11~'x'u~ (33)ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIXES A & B OES Form 2731 (04196) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1,~ADD °DELETE []R~VlSE PAGE<2) OF(3) 171 BUS~NESS.*ME (4) I W~STC.ESTER AUTOMOTIVE CHEMICAL LOCATION (5) [INSIDE BUILDING, EAST SHOP, ADJACENT MIDDLE OF EAST WALL CHEMICAL NAME (8) [OXYGEN [ TRADE SECRET (11) [nY []N (lO) 17782~4-7 I -,F E.S 8OX ,S "Y" CAS I I HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) I []PURE i-]MIXTURE F] WASTE I RADIOACTIVE (15) I [-I Y []N PHYSlCALSTATE (17) {[]SOUD[]LiQUiD [] GAS I CUR,ES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES I[]GAL •CUFT1 MAX DAILY AMT (23)1337 STATEWASTE (19) I I UNITS* (22) [E3LBS E]TONS CODE DAYS ON SITE (20) 1365 I *lf EHS, amounts must bein lbs. AVG DAILY AMT (24) [169 LARGEST (21) 337 ] ANNUAL WASTE AMT (25) CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX E] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR []TANK INSIDE BUILDING [] SILO E]GLASS BO'I-I'LE E] [] STEEL DRUM [] FIBER DRUM E] PLASTIC BO'I-TLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN I PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT CI BELOW AMBIENT 100 Oxygen ~ Y ~ N 7782~-7 (33)ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIXES A & B DES Form 2731 (04196) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical De~ Page (1) I-lADD r-i DELETE [] REVISE PAGE (2) ~" J OF (3) BUSINESS NAME (4) I WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5)I OUTSIDE' IN FENCED AREA NORTHEAST OF BUILDING CHEMICAL NAME (8) IwASTE ETHYLENE GLYCOL MIXTURE TRADE SECRET (11) []y COMMONNAME (9) IWASTE ANTIFREEZE I COOLANT 'EHS (12) (r-ly []N (lO) t M, ure I ',F E.S BOX .S "Y" CAS I ALL AMOUNTS MUST BE IN LBS FIRE CODE (13)I HAZARD CLASSES* 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) [r-IPURE []MIXTURE [] WASTE] RADiOACTiVE (15) I[]Y []N ) (16) PHYSICAL STATE (17) []SOLID []LIQUID [] GAS I CURIES FED HAZARD (18) [ [] FIRE [] REACTIVE [] PRESSURE RELEASE ~ ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES [ STATEWASTE (19) /134 UNITS* (22) MAX DAILYAMT (23) 55 L [] TONS CODE CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX r-I TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR I-ITANK INSIDE BUILDING r'lSlLO []GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN PRESSURE (27) [] AMBIENT [] ABOVE AMBIENT I-I BELOW AMBIENT STORAGE [] TEMPERATURE (28) AMBIENT O ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (2c. %VVT (301 HAZARDOUS COMPONENT (31) EHS (32) CAS# 1 84-94 Ethylene Glycol ) []Y []N ] 107-21-1 2 0-10 Diethylene Glycol 1 [] Y [] N 1111.46_6 32-4 Water I []Y []N [7732-18-5 (33)ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIXES A & B DES Fon~ 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE t9 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1) i-J ADD [] DELETE [] REVISE PAGE (2) 7 OF (3) BUSINESS NAME (4) [WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5) I OUTSIDE' AST IN FENCED AREA NORTHEAST OF BUILDING (10) 1Mixture I 'IF EHS BOX IS "Y" CAS J ALL AMOUNTS MUST BE IN LBS FIRECODE HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FiRE CHIEF - REFER TO iNSTRUCTiONS. TYPE (14) I-IPURE ,MIXTURE []WASTEI RADIOACTIVE (15) I[~Y []N .HYSlCALSTATE I[]SOLID []LIOUID [] GAS I CURIES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES CODE ~ LBS I-I TONS CONT^INER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER ~ UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR I-ITANK INSIDE BUILDING []SILO r-IGLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE I PRESSURE (27) ~ AMBIENT [] ABOVEAMBIENT []BELOWAMBIENT TEMPERATURE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (29 %WT {;~0) HAZARDOUS COMPONENT (31) EHS (32) CAS# 1 > 85 Various Lubricating Base Oils [] Y [] N I 6474X-XX-X 2 < 15 Additive Package, including: r-I y [] N I Mixture 3 < 2 Zinc Alkyldithiophosphate [] Y [] N I 68649-42-3 4 F3y []N I 5 []Y []N [ (33)ADDITIONAL LOCALLY COLLECTED INFORMATION I SEE APPENDIXES A & B OES Fon'n 2731 (041~6) KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ~ Hazardous Materials Storage Batteries ~ Hazardous Waste Storage Dip/Process Tank H Hoist Door ~ Material Safety Data Sheets Overhead Rollup Door [~ Medical / First Aid Kit Exterior Wall ~ Personal Protective Equipment Interior Wall Q Pressurized Tank Driveway / Fire Dept Access -H-H-H-~ ~ ~ Railroad Tracks Utility - Electric Main O Sewer Drain Utility - Gas Main i~ Storm Drain Utility - Water Main ~ Shower / Eye Wash Emergency Shutoff ~ Stairs Emergency Exit ~ Aboveground Storage Tank (with capacity) Evacuation / Staging Area [" - - - "~ Underground Storage Tank ~ - - - ~ (with capacity) Eye Wash G Propane Tank Fence ~ Air Compressor Fire Department Connection ,,c::~Z~ North Direction Fire Hose ~ High Voltage Box Fire Hydrant I Building / Roof Support Posts Fire Extinguisher ~ Trash Sprinkler System Valve <---~ ...... Alignment Rack CALIFORNIAANOTATED SITE MAP ~ Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map#1 of 2 ~ I I BAKERSFIELD, CA 93301-3822 A B C D E F G H I J Scale: Approx. 1" = 44.80 Ft.  /W Corner of F For Site Map 26th Streets · Scale of Map ~ ~/~ · Loading Areas · Parking Lots N ~A~ ~gofL~ta fk~L field · Internal Roads ~ ~~~ · Storm and Sewer .................... Drains ~:: ~ ' T · Adjacent A Property Use J I~ ~ ~t 1~ e~ · LocationsandNamesof Y Adjacent Streets  × × I and Alleys · Access and ( WESTCHESTER ) AUTOMOTIVE Egress Points 96' 2424 "F" Street and Roads P Bakersfield, CA =[: p a 93301 - 3822 a r For Sub-Site Map k (805) 327-5274 r k · Scale of Map i i n n · Location of Each g g Storage Area · Location of Each I 6o' Hazardous ~'~ Material Handling Area ~/J//////////////"//~ .............................. · Location of ~ Kem ////,l.Z-,I Emergency ~'. Ddving School~/,~ Response ~//~ Equipment t North OES Form 2729 (map) (1/94) Appendix E CALIFORNIA ANOTATED SITE MAP ~ Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map#2 of 2 I I BAKERSFIELD, CA 93301-3822 A B C D E F G H I J Scale:  , .54' , Approx. '--"°'"' 1" = 20.58 Ft. N ~ / c~, Storage ~ For Site Map ~.~s · Scale of Map ._~ of~ce ~ · Parking Lots · Internal Roads M(~?rh--~j~TF ~ ...... ' Storm and Sewer ~ ® Drains · Adjacent I Property Use 3 .--~ ~ · Locations and Names of ~v~o~~ E~t Adjacent Streets sho~ and Alleys F~ "°--' ' Access and 4 ~ ~-~ Egress Points Aqueous .s.s and Roads Cleaner <~--I ^~t For Sub-Site Map · Scale of Map 5 F~ ~ :~ · Location of Each Storage Area · Location of Each Hazardous I I Material Handling 6 :-~ Area · Location of Emergency ~ Response \ ~ / Equipment v 7 , ~0' , t North eLS Form 2729 (map) (1/94) Appendix E CALIFORNIA CODE OF REGULATIONS .TITLE 19 CHAPTER 2 SUBCHAPTER 3 ' OPTIONAL MODEL REPORTING FORM - ARE~ PLAN CHECKLIST for ELEMENT AREA PLAN ELEMENT NOT PROVIDED, PROPOSED ELEMENT JUSTIFICATION DATE FOR and reference section ATTACHED ATTACHED COMPLETION I I SECTION 2722 - EMERGENCY RESPONSE PROCEDURES * Approach, Recognition & Evaluation Personnel Monitoring & Decontamination Equipment Monitoring & Decontamination SECTION 2723 - PRE-EMERGENCY PLANNING * Pre-incident Site Surveys Planning & Coordination Emergency Funding Access Disposal Facility Access Emergency Response Contractor Access Integrated Response Management System SECTION 2724 - NOTIFICATION & COORDINATION Notification & Coordination Emergency Communications Responsibility Matrix DES Notification SECTION 2725 - TRAINING * Emergency Response Personnel Training Training Documentation Training Exercises SECTION 2726 - PUBLIC SAFETY & INFORMATION · Site Perimeter Security Safety Procedure Information Information Release Responsibility Medical Notification Evacuation Plans ; [, SECTION 2727 - SUPPLIES AND EQUIPMENT * Listing & Description Testing & Maintenance SECTION 2728 - INCIDENT CRITIQUE AND FOLLOW-UP · Narratives of sections 2722, 2-723, 2724, 2725, 2726 and 2727 are available on site for review. Appendix A Emergency Response Plan and Training (Note: This form is simply a summary of our written Plan. The Plan is a separate document detailed in our company Health and Safety Plan (tL4SP), and contains our SB198 Plan, Emergency Response and Employee Training. Our business Emergency Response Plan is included in this Plan and is available on site for review. All items that apply are checked below.) Emergency Response Training · All employees are trained in the following procedures as appropriate: 1) x_. Internal emergency alarm notification. 2) x__ Immediate notification to our area Certified Unified Program Agent (CUPA), the County Environmental Health Department, local Fire Department/HazMat Response, State Office of Emergency Services (OES) and other emergency response agencies as necessary. 3) x__ Review of the emergency response plan. 4) x__ Evacuation procedures. 5) ~x Procedures for the mitigation of a release or threatened release. · Hazardous Materials/Waste handlers are additionally trained in the following: 6) ~x Safe methods for handling and storage of hazardous materials. 7) x__ Proper use of personal protection equipment. 8) ~x Locations and proper use of fire and spill control equipment. 9) __x Specific hazards of each chemical to which they may be exposed, including the pathways of exposure (i.e., skin absorption, inhalation, ingestion). Location and use of MSDSs. · Our Emergency Coordinator and emergency response team members are additionally trained in the following procedures and will act as a liaison to the Fire Department: 10)__ Personnel rescue procedures. (This duty is deferred to trained professionals.) 11) ~x Shutdown of operations. 12) x__ Use, maintenance and replacement of emergency response equipment. 13) x__ Emergency response drills. 14) ~ Refresher training is provided at least annually. · The following training records are maintained for each employee: 15) ~x Verification of date that training was completed. 16) ~x Description of introductory and continuing training appropriate for each employee. 17) x_.. Employee's training records are retained at least three years. 18) ~x Description and documentation of facility emergency response drills. · Other: 19) ~x Procedure to be used in the event of a spill. 20) ~x Areas and systems in the facility which are earthquake sensitive have been identified and inspection procedures are established for these areas. Emergency Response Equipment (.4ll that apply are checked) 21) Equipment location / Map grid #: Map 2 of 2, G-2 22) Equipment inspector / Emergency Coordinator: Harold Montgomery 23) Inspection frequency: Quarterly. 24) Personal Protection Equipment (PPE): Boots Chemical resistant suit __x Face shield / goggles ~x Gloves Helmet / Hardhat __ Respiratory protection Other: 25) Cleanup Equipment: ~.x Absorbent ~x Broom __ Neutralizers m Pumps/Vacuums __ Spill cart __ Vapor scrubber x_~ Other: Rags 26) Communication Devices: Portable radios ~x Telephones __ Pagers Other: Evacuation Information (All that apply are checked.) 27) Evacuation notification procedure: ~x Verbal / Shouting Horns Alarms 28) Evacuation procedures: x_3.. Defined evacuation routes and procedures ~x Preplanned assembly areas ~.x Evacuation route maps prominently displayed throughout facility _..x Re-entry procedures / Follow public safety personnel approval Emergency Notification:for spills or leaks of hazardous materials or hazardous wastes 29) Fire / Police / Ambulance: 9-1-1 30) County Environmental Health Department / HazMat Response / CUPA: Name: Bakersfield Fire Department Street address: 1715 Chester Avenue, 3rd Floor City: Bakersfield State: CA Zip code: 93301-5210 Phone: (661) 326-3979 31) CA Office of Emergency Services (OES): 1-800-852-7550 -or- (916) 262-1621 32) Medical facility: Valley Industrial Medical Group Street address: 2501 "G" Street City: Bakersfield State: CA Zip code: 93301-2811 Phone: (661) 327-2225 Appendix B EMERGENCY RESPONSE PLAN RELEASE PREVENTION Proper handling and storage of hazardous materials effectively prevent most releases. Procedures are established to outline how hazardous materials are safely and properly handled at this facility. The following topics are included in these procedures: 1) Storage Criteria · Materials are stored in proper containers. · All containers are properly labeled. · All containers are protected from rain, wind, vehicular traffic, and moving machinery. · All containers are covered and are in good condition. · All chemicals are stored in locations separated from: incompatible materials, drains, property lines, gutters, alleys, roads. 2) Inspection Protocols · Inspections of storage areas are conducted weekly. · All rainwater is drained from secondary containment systems. · Potential fire hazards and ignition sources, their control procedures, and the type of fire protection equipment have been identified. · All necessary safety equipment is properly stored and maintained. 3) Process Equipment and Transfer of Chemicals · Procedures are established for the safe transfer of chemicals from one container to another. · Procedures are in place for facility transfer operations, pumping, and on-site processes. · Procedures are in place for the operation of facility tank car and tank truck loading/ unloading racks if and when necessary · Any pressurized product transfer lines are adequately protected. · Chemicals are handled in accordance with manufacturer recommendations. 4) Employee Training All employees are trained to adequate levels of emergency response capabilities. A training program has be developed with is reasonable and appropriate for the size of this business and the nature of the hazardous materials handled. The level of training required is dependent on the specific job functions or duties of the employee during and emergency response action. Major events, should they occur, will be under the direction of professional emergency responders. The training program, at a minimum, includes: · Methods for safe handling of hazardous materials. · ProCedures for coordination with local emergency response organizations. · Use of emergency response equipment and supplies under the control of the handler. --Familiarity with the plans and procedures specified in the business plan. IMMEDIATE NOTIFICATION AND EVACUATION The Business Plan includes the establishment of procedures for the immediate notification of employees, evacuation of the site and notification of appropriate authorities. The following issues are addressed in these procedures. 1) Notification of Employees · States who is responsible to ensure all employees are notified of a release · How emergency notification occurs · Lists available names, addresses, and phone numbers (office and home) of all persons qualified to act as the emergency coordinator at this facility 2) Evacuation of Employees · Procedures are in place for employees who remain to operate critical facility operations before they eVacuate · Employees are trained in orderly evacuation of the facility · All exits are clearly marked · A head count is taken to assure all employees are accounted for 3) Notification of Emergency Response Agencies · Included in the procedures is a statement of cooperative effort with the local police department, £n'e department, hospitals, contractors, and State and Local emergency response teams to coordinate emergency services · States who will notify authorities · States what agencies will be notified along with current phone numbers · States when notification will occur · States what will be reported 4) Notification of Other Resources · States what other resources are available for assistance (i.e. contractors, consultants), including 24 hour phone numbers for these resources 5) Notification of Neighbors · In the event that a release will likely impact adjacent properties · States who the responsible person is to notify neighbors and what the correct phone numbers are IMMEDIATE REPORT OF A RELEASE OR THREATENED RELEASE Health and Safety Code, Chapter 6.95 states that, "the handler shall, upon discovery, immediately report any release or threatened release of hazardous material to the Administering Agency and to the Office of Emergency Services." "Person" means any employee, authorized representative, agent, or designee of a handler. "Handler" means any business that handles a hazardous material. The requirement also applies to businesses that handle small quantities of hazardous materials which may be exempt from the business plan registration requirement, yet are required to report releases. "Release" is any spilling, leaking, pumping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping or disposing into the environment, unless permitted or authorized by a regulatory agency. "Threatened Release" means a condition creating a substantial probability of harm, when the probability and potential extent of harm make it reasonably necessary to take immediate action to prevent, reduce, or mitigate damages to persons, property or the environment. RELEASE REPORTING REQUIREMENTS 1. A person shall provide an immediate, verbal report of any release or threatened release of a hazardous material to the Administering Agency and the Office of Emergency Services as soon as: a. the person has knowledge of the release or threatened release; b. notification can be provided without impeding immediate medical measures. 2. The immediate reporting of the release or threatened release shall include: a. the exact location; b. the name of the person; c. the hazardous materials involved, if known, and an estimate of the quantity; d. an estimate of the potential hazards presented by the hazardous materials involved. 3. The immediate reporting shall not be required if there is reasonable belief that the release or threatened release poses no significant present or potential hazard to human health or the environment. 4. Immediate reporting shall be made to the local Administering Agency (Certified Unified Program Agency) and the Office of Emergency Services. 5. The verbal report to the Administering Agency will be followed by a brief written account of the incident, the cleanup action taken, and the steps taken to prevent future occurrence. EMPLOYEE TRAINING AND CLEANUP PROCEDURES General evacuation and notification procedures outlines above may be adequate for this facility. However, if employees are expected to respond to an emergency and conduct control, contain- ment and cleanup activities, additional procedures and protocols are in place. 1) Employee Training Employees are trained in the proper cleanup of spilled materials · Employees are trained in the proper protective equipment · Employees will not be required to enter an environment that is Immediately Dangerous to Life of Health (IDHL) 2) Medical Assistance / First Aid Employees trained in first aid will give help to any injured person prior to the arrival of Emergency Medical Services · If possible all contaminated persons will be decontaminated prior to medical treatment and transportation · Contamination information will be transmitted to Emergency Medical Services personnel and receiving medical facility if needed 3) Equipment · Spill control or containment equipment is available · Absorbent materials are compatible with hazardous materials · A list of all emergency equipment at this facility (such as fire extinguishing systems, spill control equipment, communications and alarm systems, and decontamination equipment) is available · The local Fire Department may provide local assistance as needed 4) Storage and Disposal of Wastes Generated All waste materials will be cleaned up and stored in an appropriate manner A licensed hauler will dispose of all waste 5) Re-entry Criteria · If necessary, air will be monitored prior to re-entry of the area of release · All slip hazards will be abated prior to re-entry · The emergency coordinator will certify the area safe for re-entry, who may defer to a professional emergency responder Certification I hereby certify, under penalty of perjury, that the information contained in this Hazardous Materials Business Management Plan is, to the best of my knowledge, tree and correct. understand that I may be required to show proof of compliance during any facility inspection conducted by local, county, state or federal authorities. Name: Harold W. Montgomery Title: Owner Signa~---~g~'~/~/'Tfi'~~ Date: 07/23/99 EMERGENCY PROCEDURES Our Business Plan established procedures for the immediate notification of employees, evacuation of the site and notification of appropriate authorities. The following issues are addressed in these procedures. 1) Notification of Employees · States who is responsible to ensure all employees are notified of a release · States how the emergency notification occurs (alarms, verbal, etc.) · Lists available names, addresses, and phone numbers (office and home) of all persons qualified to act as the emergency coordinator at this facility 2) Evacuation of Employees · Procedures are in place for employees who remain to operate critical plant operations before they evacuate · Employees are trained in the orderly evacuation of the facility · All exits are clearly marked · Safe staging (gathering) areas are identified (please see site map) · The person responsible for employee head count has been identified 3) Notification of Emergency Response Agencies · Included in our procedures is a statement of cooperative effort with the local police department, fire department, hospitals, contractors, and State and Local emergency response teams to coordinate emergency services · States who will notify authorities · States what agencies will be notified along with current phone numbers · States when notification will occur · States what will be reported 4) Notification of Other Resources · States other resources that are available for assistance (i.e. contractors, consultants, organizations along with telephone numbers) 5) Notification of Neighbors · States what to do if a release will likely impact adjacent properties · States who will notify neighbors along with telephone numbers EMERGENCY RELEASE FOLLOW-UP NOTICE REPORTING FORM BUSINESS NAME ! FACILITY EMERGENCY CONTACT & PHONE NUMBER WESTCI-IESTER AUTOMOTIVE ~ HAROLD MONTGOMERY ( 661 ) 327- 5274 OA~ / / / I DES (use 24 ~r time) IDES I NOTIFIED I ~o~o~o., , , , , , I c I I I c, ,co i I 2424 "F" STREET I BAKERSFIELD I ~P~ ~-- CHECK IF RELEASE REQUIRES NOTIFI- I ~ I l ~0 c~,^ee~x^ ~.s.c. Section 9603 (a) I--1 I ENVIRONMENTAl. CONT^MINATION I TIME OF RELE^SE I DU~TION OF ~ AIR ~ WA~RI I ~ ~o~o ~ o~.~I I o~o~s_~s ~EFFECTS ~se the commenU section for additional ~fomation) ~ ACU~ OR I~EDIA~ (explain). = ~o~i~ o~ ~.~ (explain). ~ ~c~ AT~T~O~ ~EC~SSA~V FO~ ~OSEV ~V~WVV~S COMMENTS (~DICATE SECTION [A-Gl AND ITEM WITH COM~NTS OR ~DITION~ ~FO~TION) c~IIFIc~IIO~: I ~i~ ~d~r p~al* °f law m~t I hav~ p~r~°~ally ~x~d ~d I ~ f~ili~ wi~ m~ ~fomation submiRed ~d believe the submi~ed ~fomation is ~e, acc~ate, ~d complete. ~PORT~G FACILI~ ~P~SENTATIVE (p~t or ~pe). SIGNA~ OR ~PORT~G FACILITY ~P~SENTATIVE .DA~: Hazardous Materials Management Plan Hazardous Materials'/~-~--- Disclosure Forms For: 2424 F STREET BAKERSFIELD, CA 93301 (Ei0S) 327-5274 Presented to: CERTIFIED UNIFIED PROGRAM AGENCY BAKERSFIELD FI R. E DEPARTMENT Hazardous Ma[erials Division [715 Chester Avenue. 3rd Floor Bakersfield, CA 93301-5210 (805) 326- 3979 Prepared by: ~i~a~ific Management Services Enwronmental Compliance Specialists 1923 North Fine, Suite I01 (209) 2.51 - 4060 Fresno, Calit'omia 9.3727 FAX (209) 25[-5534 CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX A California Hazardous Materials Inventory Reporting Form - Business Owner/Operator Identification Page BUSINESS NAME (4) [ WESTCHESTER AUTOMOTIVE I BUSINESS PHONE (5) (805) 327-5274 SITE ADDRESS (6) ] 2424 "F" STREET CITY (7) [ BAKERSFIELD ] STA'i'E (8) ~--~ ZIP (9) I 93301 . 3822 ] DUN & (10) [36- 350-4457 SIC CODE (4 DIGIT)(11) 8RADSTREET OPERATOR (12) IHAROLD W. MONTGOMERY I OPERATOR PHONE(13)((805)327-5274 NAME OWNER INFORMATION OWNER NAME (14)I HAROLD MONTGOMERY I OWNER PHONE (15)I(805)327-5274 OWNER MAILING ADDRESS (16) [ 2424 "F" STREET CITY (17) IBAKERSFiELD ]STATE (18)~ ZIP(19) {93301-3822 ENVIRONMENTAL CONTACT CONTACT NAME (20) IHAROLD MONTGOMERY 1CONTACTPHONE (21) [(805) 327-5274 MAILING ADDRESS (22) 2424 "F" STREET CITY (23) BAKERSFIELD STATE (24)~-~ ZIP (25)I93301-3822 Primary EMERGENCY CONTACTS Secondary NAME (26) HAROLD MONTGOMERY NAME (31) DAVID NUNLIST TITLE (27) OWNER TITLE (32) [ MANAGER BUSINESS PHONE (28) I(805) 327-5274 ] BUSINESS PHONE (33) (805) 327-5274 24-HOUR PHONE (29) (805) 399-6955 24-HOUR PHONE (34) {(805) 393-5381 PAGER # (30) [ ] PAGER # (35) ACUTELY HAZARDOUS MATERIALS (AHM) ON SITE AHM (36) [] Yes _X: No If yes, and above Threshold Planning Quantities, attach a sheet of paper with a general description of the process and principal equipment. ADDITIONAL LOCALLY COLLECTED INFORMATION 37) Certification: I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. Print Name of Document Preparer (38) I Pacific Management Services / 1923 North Fine, Suite #101 / Fresno, CA 93727 / (209) 251-4060 Oi~S Form 2730 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)[]ADD []DELETE '~REVlSE PAGE(2) ~ OF(3) ~ BUSINESS NAME (4) VVESTCHESTER AUTOMOTIVE [1) EAST SHOP AREA; 2) EAST PARTS ROOM CHEMICAL LOCATION (5) MAPS (6)[2 of 2 ] GRID# (7)lC-2; F-1 CHEMICAL NAME (8) ETHYLENE GLYCOL MIXTURE TRADE SECRET (11) [[]Y XN COMMON NAME (9) ANTIFREEZE/COOLANT *EHS (12)l[]Y XN (10) IMixture / *IF EHS BOX IS "Y" CAS I ALL AMOUNTS MUST BE IN LBS *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) [E}PURE ~MIXTURE ~WASTE RADIOACTIVE (15) I[]Y ~IN (16) I N/A PHYSICAL STATE (17) [] SOLID ~ LIQUID [] GAS CURIES FED HAZARD (18) r ~ FIRE [] REACTIVE [] PRESSURE RELEASE 'XI ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES L LARGEST (21) 60 I ANNUAL WASTE AMI (25) CONTAINER ] STORAGE (26) []ABOVE GROUND TANK [] CAN [] BOX ~TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR []TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] ,X! STEEL DRUM [] FIBER DRUM × PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE PRESSURE (27) /~ AMBIENT [] ABOVE AMBIENT -~ BELOW AMBIENT / STORAGE 20-10 Diethylene Glycol IC3Y ×N 1111.46.6 3 2 - 4 Water ~ Y x; N 7732-18-5 4 II~Y []N (33) ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIX J OES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3, APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)E~ADO []DELETE ~ REVISE PAGE (2) BUSINESS NAME (4) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5)IINSIDE SHOP, ADJACENT EAST WALL CHEMICAL NAME (8) IPETROLEUM HYDROCARBON MIXTURE TRADE SECRET ("~) []Y XN COMMONNAME (9) [AUTOMATIC TRANSMISSION FLUID *EHS (12) I[]Y I Mixture *IF EHS BOX IS "Y" CAS (10) ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) [ HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FtRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) l[]PURE ,~MIXTURE [] WASTE J RADIOACTIVE(15) []Y X,N (16) N/A PHYSICAL STATE (17) /~SOLID ,XILIQUID ~ GAS CURIES FED HAZARD (18) I Xi FIRE [] REACTIVE I~ PRESSURE RELEASE x ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES [ CoDESTATEWASTE (19) UNITS* (22)[XGAL[]LBS [][~CU FT]ToNS MAX DAILY AMT (23)Ii10 LARGEST (21) 60 ] ANNUAL WASTE AMT (25) CONTAINER J STORAGE (26) ~]ABOVE GROUND TANK []CAN ~ BOX []TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING ~ SILO [] GLASS BOTTLE ~IAIRBOY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BO~-FLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE PRESSURE (27) AMBIENT [] ABOVE AMBIENT 13 BELOW AMBIENT STORAGE TEMPERATURE (28) AMBIENT [] ABOVE AMBIENT E BELOW AMBIENT E~ CRYOGENIC (29 %VVT (30, HAZARDOUS COMPONENT (31)EHS (32) 0AS# 1 85-100 lAliphatic Petroleum Distillates I[]Y xN 164742-65-0 (33) ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIX J DES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)~ADD E}DELETE ~REVISE PAGE (2) I.'4 I OF (3) ~ BUSINESS NAME (4) [WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5) I iNSIDE SHOP, ADJACENT EAST WALL MAPS (6) 2 of 2 GRID# (7) I G 2 CHEMICAL NAME (8) [ PETROLEUM HYDROCARBON TRADE SECRET (11) Y x~ N CAS (10) /Mixture *IF EHS BOX IS "Y" L ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) HAZARD CLASSES* · COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. []PURE ¢¢MIXTURE [] WASTE / RADIOACTIVE (15) /DY x N (16) [N/A TYPE (14) L PHYSICAL STATE (17) I[]SOLID ~LIQUID [] GAS 1 CURIES FED HAZARD (18) '~ FIRE [] REACTIVE [] PRESSURE RELEASE X: ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES CoDESTATEWASTE (19) [ ] UN{TS* (22) IXGALEILBS (3E3CU FT]ToNS MAX DAILY AMT (23) 220 DAYSONSITE (20) [365 I *lfEHS, amounts must be in lbs, AVGOAILYAMT (24) II10 CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN ~ BOX E3 TANK WAGON CONTAINER [] UNDER GROUND TANK L~ CARBOY E3 CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO E~ GLASS BOTTLE x AIRBOY [] STEEL DRUM ~ FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] E, AG [] TOTE BIN STORAGE [ PRESSURE (27) ~', AMBIENT [] ABOVE AMBIENT ~3 BELOW AMBIENT STORAGE [ ] TEMPERATURE (28) ~ AMBIENT E3 ABOVE AMBIENT ~ BELOW AMBIENT []CRYOGENIC (29) %WT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS# (33) ADDITIONAL LOCALLY COLLECTED INFORMATIQN SEE APPENDIX J DES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1) [] ADD []DELETE ~ REVISE PAGE (2)[5 OF(3) BUS,NESS NAME (4) [WEST .ES'rE. AUTO O ,VE CHEMICAL LOCATION (5) I INSIDE BUILDING, ADJACENT MIDDLE OF WEST WALL MAPS (6)12 of 2 I GRID# (7) IE'3 CHEMICAL NAME (8) OXYGEN TRADE SECRET (11) [] Y X, N CAS (10) 7782-44-7 *IF EHS BOX IS "Y" ALL AMOUNTS MUST BE iN LBS FIRE CODE (13) HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) I~PURE []MIXTURE F~WASTE I RADiOACTiVE(15) E~y X,N I (16) IN/A PHYSICAL STATE (17) /r~ SOLID [] LIQUID ,×~ GAS CURIES FED HAZARD (18) I [] FIRE ~ REACTIVE XJ PRESStJRE RELEASE x ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES I STATEWASTE (19) UNITS* (22)[E]GAL X CU FT1 MAX DAILYAMT (23) 337 CODE [ E} LBS [] TONS J DAYS ON SITE (20) 365 *if EHS, an3ounts must be in lbs. AVG DAILY AMT /24) 169 LARGEST (21) 337 ] ANNUAL WASTE AMT (25) [ CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] (::AN ~ BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY x CYLINDER [] RAIL CAR []TANK INSIDE BUILDING []SILO E3GLASS Bo'FrLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE [ ] PRESSURE (27) ~] AMBIENT '~ ABOVEAMBIENT E3 BELOWAMBIENT (33) ADDITIONAL LOCALLY COLLECTED INFORMATION j SEE APPI=NDIX J OES Form 2731 (04~96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical De~ Page Il)E} ADD []DELETE ,~ REVISE PAGE (2)Iv I OF(3) BUSINESS NAME (4) WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5) OUTSIDE, IN FENCED AREA NORTHEAST OF BUILDING ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) HAZARD CLASSES* "COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) E~PURE ,~IMIXTURE x WASTEI RADiOACTiVE(15) [[]Y ×iN (16) [ NIA PHYSICAL STATE (17) [ [] SOLID ,~! LIQUID []GAS ] CURIES FEDHAZARD (18) IXiFIRE E}REACTIVE [] PRESSIJRE RELEASE X ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING ~ SILO E~ GLASS BOTTLE [] [] STEEL DRUM [~ FIBER QRUM [] PLASTIC BOTTLE ~ PLASTIC / NONMETALLIC DRUM ~ BAG [] TOTE BIN STORAGE PRESSURE (27) ~AMBIENT ~ ABOVE AMBIENT [] BELOW AMB,ENT STORAGE TEMPERATURE (28) '~` AMBIENT E~ ABOVE AMBIENT L-] BELOW AMBIENT ~ CRYOGENIC (29) %w'r (3o) HAZARDOUS COMPONENT (31) EHS .(32) CAS# (33) ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPL=NDIX J DES ~-orm 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3, APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)1~ ADD ©DELETE ~:~ REVISE PAGE (2) 7 BUSINESS NAME (4) I WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5) OUTSIDE, AST IN FENCED AREA NORTHEAST OF BUILDING CHEMICAL NAME (8) [WASTE PETROLEUM HYDROCARBON TRADE SECRET (11) Y N COMMONNAME (9) [WASTE MOTOR OIL *EHS (12) [E3Y CAS (10) I Mixture *IF EHS BOX IS "Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) HAZARD CLASSES* 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) I-IPURE 'X_IMIXTURE X~WASTEI RADIOACTIVE(15) []Y ×'N I (16) [N/A PHYSICAL STATE (17) /[]SOLID ~LIQUID [] GAS I CURIES CATEGORIES CONTAINER STORAGE (26) ,~ ABOVE GROUND TANK [] (;:AN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR []TANK INSIDE BUILDING [] SILO ~ GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] E, AG [] TOTE BIN STORAGE PRESSURE (27) ~ AMBIENT E} ABOVE AMBIENT E3 BELOW AMBIENT (29 %WT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS# 1 > 85 Various Lubricating Base Oils [[]Y x_-I N I 6474X-XX-X 2 < 15 Additive Package, including: [] Y _XI N Mixture 3 < 2 Zinc Alkyldithiophosphate [] y 4 OES Form 2731 (04/96) KEY FOR MAP SYMBOLS ( USED IF APPLICABLE) ABSORBENT (~ UTILF'I'Y - WATER MA.tN ]' HOIST ~ ~ z~C~ s~o~ ~ ~ox~ox ~OR W~ ~ ~ ~ Z ~ ~ D~ON D~'AGE D~ON ~ SP~ SYS~ V~ ~ S~T D~AY / ~ DEP~ AC~=S ~ GU~ STA~ON ( ~3 ~O~GRO~ STOOGE T~ ~ ~A~ b~ - ~E~C ~ ~US ~ ~O~GE ~x. ~ ~GRO~ STOOGE T~ ~ C~AC~ BAKERSFIELD, CA 93301-3822 B C D E F G H I J Scale: 1~ Approx, (~ 1"= UNKNOWN Ft. comer 26th Streets For Site Map · Scale of Map · Loading Areas  · Internal Roads ,.,s or ,^~.~,s~.',r.~, · Storm and Sewer Drains · Adjacent .................... Property Use I)R 1 VISb'A Y ~ * ~ ~~ · Locations and  Names of  Adjacent Streets (~) and Alleys · Access and +-- Egress Points - ;. ~' ~ and Roads ^ For Sub-Site Map ~ · Scale of Map "t~" ~ · Location of Each ~ Storage Area S " · Location of Each 'I' ~; Hazardous r.~^ Material Handling I~ Area Emergency Response t North OES Ferm 2729 (map) (1/94) Appendix E CALIFORNIAANOTATED SITE MAP ~ Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map#2 of 2 I I BAKERSFIELD, CA 93301-3822 A B C D E F G H I J Scale: Approx. '2 ........ "~ 1"= UNKNOWN Ft. 1 ~'^~rs ~,^.,s For Site Map '~-'~ · Scale of Map I~E~,~/~~ ~ '"'"'"'"'"'"'~q / · Loading Areas ~- ~' o,:~,,:,; w,,,,e w~,,e · Parking Lots OFFIC ()il ATF 2 Q B.,,,e,.~,, ~o,or ^'r~' ......... ' Internal Roads  E!~ m ~ · Storm and Sewer I (~ ~ © Drains  · Adjacent Property Use 3 (D -- ~ -~> N · Locations and ~- ~. Names of Adjacent Streets Oxy/[ ^~, and Alleys I · Access and 4 ~ s,o~ ~ ~,,~,~' _ r. -D Egress Points ^~^ ^'"~^ and Roads For Sub-Site Map ~- ~. · Scale of Map 5 · Location of Each Storage Area -- ~ -~> · Location of Each (Z) E Hazardous Material Handling 6 Area · Location of <~-~ --- I I --~ Emergency I Response 7 I x,/lk/ ~ I Equipment ' t ' North OES Form 2729 (map) (1/94) Appendix E CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3 OPTIONAL MODEL REPORTING FORM - AREA PLAN CHECKLIST for ELEMENT AREA PLAN ELEMENT NOT PROVIDED, i PROPOSED ELEMENT JUSTIFICATION DATE FOR and reference section ATTACHED ATTACHED COMPLETION SECTION 2722 - EMERGENCY RESPONSE PROCEDURES * Approach, Recognition & Evaluation Personnel Monitoring & Decontamination Equipment Monitoring & Decontamination SECTION 2723 - PRE-EMERGENCY PLANNING * Pre-incident Site Surveys Planning & Coordination Emergency Funding Access Disposal Facility Access Emergency Response Contractor Access Integrated Response Management System SECTION 2724 - NOTIFICATION & COORDINATION * Notification & Coordination Emergency Communications Responsibility Matrix OES Notification SECTION 2725 - TRAINING * Emergency Response Personnel Training Training Documentation Training Exercises SECTION 2726 - PUBLIC SAFETY & INFORMATION · Site Perimeter Security Safety Procedure Information Information Release Responsibility Medical Notification Evacuation Plans SECTION 2727 - SUPPLIES AND EQUIPMENT * Listing & Description Testing & Maintenance SECTION 2728 - INCIDENT CRITIQUE AND FOLLOW-UP X · Narratives of sections 2722, 2723, 2724, 2725, 2726 and 2727 are available on site for review. Appendix J Emergency Response Plan and Training (Note: This form is simply a summary of our written Plan. The Plan is a separate document detailed in our company Health and Safety Plan (HASP), and contains our SB198 Plan, Emergency Response and Employee Training. Our business Emergency Response Plan is included in this Plan and is available on site for re:view. All items that apply are checked below.) Emergency Response Training All employees are trained in the tbllowing procedures as appropriate: 1) ~x Internal emergency alarm notification. 2) _~x Immediate notification to our area Certified Unified Program Agent (CUPA), the County Environmental Health Department, local }:ire Department/HazMat Response, State Office of Emergency Services (OES) and other emergency response agencies as necessary. 3) & Review of the emergency response plan. 4) _ax Evacuation procedures. 5) ~ Procedures for the mitigation of a release or threatened release. Hazardous Materials/Waste handlers are additionally trained in the following: 6) ~ Safe methods for handling and storage of hazardous materials. 7) _ax Proper use of personal protection equipment. 8) ~x Locations and proper use of fire and spill control equipment. 9) x_~ Specific hazards of each chemical to which they may be exposed, including the pathways of exposure (i.e., skin absorption, inhalation, ingestion). Location and use of MSDSs. Our Emergency Coordinator and emergency response team members are additionally trained in the following procedures and will act as a liaison to the Fire Department: 10)__ Personnel rescue procedures. (This duty is: deferred to trained professionals.) 11)_ax Shutdown of operations. 12) ~x Use, maintenance and replacement of emergency response equipment. 13) x Emergency. response drills. 14) ~x Refresher training is provided at least annually. The following training records are maintained for each employee: 15) ~x Verification of date that training was completed. 16) ~x Description of introductory and continuing training appropriate for each employee. 17) ~ Employee's training records are retained at least three years. 18) g_x_ Description and documentation of facility emergency response drills. Other: 19)__x Procedure to be used in the event ora spill. 20) ~x Areas and systems in the facility which are earthquake sensitive have been identified and inspection procedures are established for these areas. Emergency Response Equipment (4ll that apIz'ly are checked) 21) Equipment location / Map grid #: Map 2 of 2, G-2 22) Equipment inspector / Emergency Coordinator: Harold Montgomery 23) Inspection frequency: Quarterly. 24) Personal Protection Equipment (PPE): Boots Chemical resistant suit ~ Face shield / goggles _~x Gloves Helmet / Hardhat __ Respiratory protection Other: 25) Cleanup Equipment: ~_x Absorbent ~x Broom Neutralizers __ Pumps/Vacuums __ Spill cart __ Vapor scrubber ~x Other: Rags 26) Communication Devices: Portable radios ~x Telephones __ Pagers Other: Evacuation Information (All that apply are ch,'.cked.) 27) Evacuation notification procedure: ~x Verbal / Shouting Horns Alarms 28) Evacuation procedures: _x_x Defined evacuation routes and procedures __x Preplanned assembly areas __x Evacuation route maps prominently displayed throughout facility _X.x Re-entry procedures / Follow public sa:~'ety personnel approval Emergency Notification for spills or leaks of hazardous materials or hazardous wastes 29) Fire / Police / Ambulance: 9-1-1 30) County Environmental Health Department / HazMat Response / CUPA: Name: Bakersfield Fire Department Street address: 1715 Chester Avenue, 3rd Floor State: CA Zip code: 93301-5210 City: Bakersfield Phone: (805) 326-3979 31) CA Office of Emergency Services (OES): 1-800-852-7550 -or- (916) 262-1621 32) Medical facility: Valley Industrial Medical Group Street address: 2501 "G" Street State: CA Zip code: 93301-2811 City: Bakersfield Phone: (805) 327-2225 Certification I hereby certify, under penalty of perjury, that the information contained in this Hazardous Materials Business Management Plan is, to the best of my knowledge, true and correct. I understand that I may be required to show proof of compliance during any facility inspection conducted by local, county, state or federal authorities. Name: Harold W. Montgomery Title: Owner 06/:9/9 ., EMERGEN LEASE FOLLOW-UP NOTICE REPORTING FORM BUSINESS NAME [ FACILITY EMERGENCY CONTACT 8,: PHONE NUMBER WESTCHESTER AUTOMOTIVE [ HAROLD MONTGOMERY ( 805 ) 327 - 5274 iNCIDENT MO DAY YR .I TIME DATE / / / [ OES (use 24 hr time) OES I NOTIFIED I CONTROL NO./ / / / / / 2424 "F~ STREET / BAKERSFIELD I KERN 93301-3822 ~~N----~~~ 1 CAS Number 40 CFR 355, APPENDIX A CATION UNDER 42 U.S.C. Section 9603 (a) [] ![] SOLID [] LIQUID [] GAS ENVIRONMENTAL CONTAMINATION E DURATION OF RELEASE [] AIR [] WATER ~] GROUND [] OTHER DAYS__HOURS__MINUTES KNOWN OR ANTICIPATED HEALTH EFFECTS (Use the comments section for additional information) [] ACUTE OR IMMEDIATE (explain)_ [] CHRONIC OR DELAYED (explain). [] NOT KNOWN (explain) CERTIFICATION: IcertifyunderpenattyOflawthatlhavepersOnallyexaminedandlamfamiliarwiththe information submitted and believe the submitted information is true, accurate, and complete. REPORTING FACILITY REPRESENTATIVE (print or type) SIGNATURE OR REPORTING FACILITY REPRESENTATIVE DATE: 1997 Hazardous Materials Management Plan HMMP AND Hazardous Materials Disclosure Forms For: N ~ 5 1997 2~2¢ F STREET BAKERSFIELD, CA 93301 (805) 327-5274. Presented to: CERTIFIED UNIFIED PROGRAM AGENCY BAKERSFIELD FIRE DEPARTMENT Hazardous Materials Division 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 (805) 326- 3979 Prepared by: ~~clfi¢ Management Services Environmental Compliance Specialists 1923 North Fine, Suite 101 (209) 251-4060 Fresno, California 93727 FAX (209) 251-5534 CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX A California Hazardous Materials Inventory Reporting Form - Business Owner/Operator identification Page SITE ADDRESS (6) 2424 "F" STREET CITY (7) I BAKERSFIELD I STATE (8) ~'~ ZIP (9)I 93301 I DUN& (10) I 36. 350. 4457 I SIC CODE (4 DIGIT)(11)~ BRADSTREET OPERATOR (12) NAME I HAROLD W. MONTGOMERY ,I OPERATOR PHONE (13)1(805)327-5274 OWNER INFORMATION OWNER NAME (14) I HAROLD MONTGOMERY 1 OWNER PHONE (15)I (805)327-5274 OWNER I~ILING ADDRESS (16) 1 2424 "F" STREET CITY (17) [BAKERSFIELD ISTATE (18) ~ ZIP(19) [93301 J ENVIRONMENTAL CO~ITACT CONTACT NAME (20) I HAROLD MONTGOMERY I CONTACT PHONE (21)1(805)327-5274 MAILING ADDRESS (22) 2424 "F" STREET CITY (23) I BAKERSFIELD I STATE (24)~'~ ZIP (25)193301 Primary EMERGENCY CONTACTS Secondary NAME (26) I HAROLD MONTGOMERY NAME (31) I DAVID NUNLIST TITLE (27) {OWNER i TITLE (32) [MANAGER BUSINESS PHONE (28) [ (805) 327-5274 BUSINESS PHONE (33) I' (805) 327-5274 24-HOUR PHONE (29) I (805) 399-6955 24-HOUR PHONE (34) I (805) 393-5381 PAGER# (30) [ PAGER# (35) ACUTELY HAZARDOUS MATERIALS (AHM) ON SITE AHM (36) la Yes [] No I If yes, and above ThreshOlddescriptionPlanningof the processQUantitieS'and principalattach a equipment.Sheet of paper with a general ADDITIONAL LOCALLY COLLECTED INFORMATION (37) ..... Certification: I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. Print Name of Document Preparer (38) I Pacific Management Services / 1923 North Fine, Suite#101 I Fresno, CA 93727 / (209) 251-4060 I Signature of Owner/Operator (39) ~¢:~F--~.~ I Date (40) 106/25/97 J DES Form 2730 (04/96) ~ -J' CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)[]ADD []DELETE []REVISE PAGE (2) BUSINESS.AME (4) IWESTC.ESTER AUTOMOT,VE CHEMICAL LOCATION (5) IINSIDE SHOP, NORTHWEST CORNER ALL AMOUNTS MUST BE IN LBS FIRE CODE (13) HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) I F'IPURE [MIXTURE I-] WASTE PHYSICAL STATE (17) {[]SOLID []LIQUID [] GAS I CURIES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES LARGEST (21) 60 I ANNUAL WASTE AMT (25) CONTAINER I STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER E] RAIL CAR []TANK INSIDE BUILDING []SILO []GLASS BO'I-rLE ~AIRBOY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE , [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE I I PRESSURE (27) []AMBIENT ~] ABOVE AMBIENT [] BELOW AMBIENT TEMPERATURE (28) []AMBIENT []ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC 85 - 100 Aliphatic Petroleum Distillates [] Y [] N 64742-65-0 (33)ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIX J OES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1) E3 ADD CI DELETE [] REVISE PAGE (2) OF (3) BUSINESS NAME (4) [WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5) IiNSiDE SHOP, NORTHWEST CORNER MAPS (6)I2 of 2 I GRID# (7)IF-2 CHEMICAL NAME (8) IPETROLEUM HYDROCARBON I TRADE SECRET (11) [l'-]y []N COMMONNAME (9) IMOTOR OIL I *EHS (12) I[]Y []N 1 CAS (10) 1Mixture I *IF EHS BOX IS "Y" I I ALL AMOUNTS MUST BE IN LBS FIRE CODE (13)I HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. PHYSICAL STATE (17) I []SOLID []LIQUID [] GAS CURIES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER i [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] AIRBOY [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE · I PRESSURE (27) [] AMBIENT []' ABOVE AMBIENT [] BELOW AMBIENT STORAGE { TEMPERATURE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (2c. %WT ¢30) HAZARDOUS COMPONENT (31) EHS (:32) CAS# I >85 IVarious Lubricating Base Oils IE3Y []N I 6474X-XX-X 2<15 Additive Package, including: Ir-iY •N I Mixture (33)ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIX J OES Form 2731 (04196) ' CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)QADD []DELETE []REVISE PAGE(2) ~ OF<3) ~ BUSINESS NAME (4) I VVESTCHESTER AUTOMOTIVE } (5) 11) EAsT SHOP AREA; 2) EAST PARTS ROOM I CHEMICAL LOCATION COMMONNAME (O) [ANTIFREEZE/COOLANT *EHS (12) I-]y []N CAS (10) IMixture I *,F EHS BOX IS"Y" ALL AMOUNTS MUST BE IN LBS FIRE CODE (13)I HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) I r-iPURE []MIXTURE [] WASTE I RADIOACTIVE (15) [~Y []N I (16) I N/A PHYSICAL STATE (17)I~SOLiD []LIQUID [] GAS I CURIES FED HAZARD (18) I [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH CATEGORIES LARGEST (21) 60 [ A..UALWASTEAMT(25) [ CONTAINER STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [~ [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE PRESSURE (27) I[] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT STORAGE TEMPERATURE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT I-I CRYOGENICI (29) %VVT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS# 1 84-94 Ethylene Glycol 2 0-10 Diethylene Glycol []Y []N 3 2-4 Water []Y []N I 7732'18'5 I SEE APPENDIX J OES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1) I~ ADD CI DELETE [] REVISE PAGE (2) OF (3) 171 BUSINESS NAME (4) {WESTCHESTE. AUTOMOTIVE CHEMICAL LOCATIO" (5) [INSIDE BUILDING, ADJACENT MIDDLE OF WEST WALL COMMONNAME (9) OXYGEN, COMPRESSED GAS I 'EHS (12) ~N CAS (10) 7782-44-7 I *IF EHS BOX IS ALL AMOUNTS MUST BE IN LBS FIRECODE (13) I HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED 8Y THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) {[]PURE I-]MIXTURE [] WASTE I RADIOACTIVE (15)I[~Y []N I (16)N/A PHYS,C^'STATE(17) I[]SOL,D []L,QU,D [] GAS I CUR,ES FED HAZARD (18) I r-I FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH C] CHRONIC HEALTH CATEGORIES STATEWASTE (19) I I UNITS* (22) CODE { I DAYS ON SITE (20) 1365 I 'If EHS, amounts must be in lbs. AVG DAILY AMT (24) [169 LARGEST (21) 337 I ANNUAL WASTE AMT (25) CONTAINER STORAGE (26) [] ABOVE GROUND TANK i-I CAN [] BOX [] TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE [] I PRESSURE (27) AMBIENT []' ABOVE AMBIENT [] BELOW AMBIENT STORAGE ] TEMPERATURE (28) [] AMBIENT [] ABOVE AMBIENT I-I BELOW AMBIENT [] CRYOGENIC (29 %WT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS# (33)ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIX J DES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical Description Page (1)CADD E3DELETE ~3REVISE PAGE (2) I6 OF (3) BUS,NESS.AME (4) I W~STC.ESTER AUTOMO*,VE CHEMICAL NAME (8))WASTE PETROLEUM HYDROCARBON TRADE SECRET (11) I[]Y COMMONNAME (9) [WASTE MOTOR OIL CAS (10) IMixture I 'IF E,S BOX IS "Y" I ALL AMOUNTS MUST BE IN LBS F,RECODE (13) I H~RD C~SSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOC~ FIRE CHIEF - REFER TO INSTRUCTIONS. ~PE (14) ~PURE ~MIXTURE ~WASTEI ~DIOACTIVE(15) I~Y ~N I (16) [N/A FED ~RD (18) ~ ~ FIRE ~ R~CTIVE ~ PRESSURE REL~SE CATEGORIES I 1 ~RGEST (21) 300 , ANNUAL WASTE AMT (25) CONTAINER I STOOGE (26) ~ ABOVE GROUND TANK ~ CAN ~ BOX ~ TANK WAGON CONTAINER ~ UNDER GROUND TANK ~ CARBOY ~ CYLINDER ~ ~IL CAR ~TANK INSIDE BUILDING ~ SILO ~ STEEL DRUM ~ FIBER DRUM ~ P~STIC BO~LE ~ P~STIC / NONMETALLIC DRUM ~ BAG ~ TOTE BIN STORAGE [ ] PRESSURE (27) ~ AMBIENT []. ABOVE AMBIENT [] BELOW AMBIENT 2 <15 ] Additive Package, including: [r-ly ,N JMixture I I ° °NI (33) ADDITIONAL LOCALLY COLLECTED INFORMATION SEE APPENDIX J OES Form 2731 (04/96) CALIFORNIA CODE OF REGULATIONS TITLE '19 CHAPTER 2 SUBCHAPTER 3. APPENDIX C California Hazardous Materials Inventory Reporting Form - Chemical De~ Page (1) [] ADD [] DELETE [] REVISE PAGE (2) I ' I OF (3) BUSINESS NAME (4) [WESTCHESTER AUTOMOTIVE CHEMICAL LOCATION (5)I OUTSiDE' IN FENCED AREA NORTHEAST OF BUILDING CHEMICAL NAME (8) WASTE ETHYLENE GLYCOL MIXTURE I TRADE SECRET (11) [[]y ~N (10) IMixtLIre I 'IF EHS BOX IS "Y" CAS I HAZARD CLASSES* *COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. TYPE (14) JDPURE ~MIXTURE [] WASTE[ RADiOACTiVE (15) J[]Y []N J (16) J N/A PHYSICAL STATE (17) I I-I SOLID [] LIQUID [] GAS I CURIES FED HAZARD (18) 1 [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH i-1 CHRONIC HEALTH CATEGORIES CONTAINER STORAGE (26) []ABOVE GROUND TANK ~CAN [3BOX []TANK WAGON CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR [] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] [] STEEL DRUM [] FIBER DRUM [] PLASTIC BO'I-rLE [] PLASTIC / NONMETALLIC DRUM [] BAG [] TOTE BIN STORAGE { PRESSURE (27) ~ AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT TEMPERATURE (28) [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC (29 %VVT {:~0) HAZARDOUS COMPQNENT (31} EHS (32) ¢A$# 3 2-4 Water []Y {~N I 7732-18-5 SEE APPENDIX J OES Form 2731 (04196) KEY FOR MAP SYMBOLS (USED IF APPLICABLE) WALL ~ F~ HOSE /%% SHOV~SP. ! ~'flg WASH D~AGE D~ON ~ SP~ ~YS~ V~ ~ ~T D~AY / ~ DEP~ AC~S ~ GU~ ~A~ON ~ ~O~GRO~ STOOGE T~ ~ C~AC~ E~ WASH ALIFORNIA ANOTATED SITE MAP I Business Name:, WESTCHESTE'I~ AUTOMOTIVE,,,, Site Address: 2424BAKERSFiELD,"F" STREETcA 93301Map #1 °f 2 B C D E F G H I J Scale: Approx. ~ (~) 1": ~J~ Ft. corner of 26th Streets For Site Map  · Scale of Map · Loading Areas · Parking Lots FARK I NG I,OT FOR A I RPORT ~J  · Interna! Roads ~us OF BAKERSF1EI.D · Storm and Sewer Drains · Adjacent ....................... Property Use DR I VEWAY .~ .~ ~- · Locations and  Names of Adjacent Streets ~) and Alleys · Access and Egress Points -~ ~ and Roads For Sub-Site Map  · Scale of Map "F" · Location of Each Storage Area · Location of Each S Hazardous R ~ ,w.^~ Material Handling Area E · Location of ~' ~~~ Emergency T l%~AHERICAN ~ Response J~ IND]^N ~x Equipment I%% cou.c,l~ %% t North OES Form 2729 (map) (I/94) Appendix E CALIFORNIAANOTATED SITE MAP I Business Name: WESTCHESTER AUTOMOTIVE Site Address: 2424 "F" STREET Map#2 of 2 I . I BAKERSFIELD, CA 93301 I A B C D E F G H I J , Scale: E Approx. 1 PARTS PARTS For Site Map E --~ / · Scale of Map  ~ · Loading Areas ,~- E ./. O~F~:E Wa.,. W.~,e * Parking Lots 2 ~ Motor ATF ...... × ' Internal Roads  Oil . [~ ® · Storm and Sewer ] ~ ~ /~) Drains  · Adjacent 3 i Property Use ~- E Names of Adjacent Streets o~y/ and Alleys i · Access and 4 I ~ s,, o P s,, o ~ E - > Egress Points AREA AREA and Roads For Sub-Site Map <~- E · Scale of Map 5 · Location of Each Storage Area · Location of Each ~ -~ Hazardous (~ Material Handling 6 Area · Location of E Emergency <~- ] } E -~ Response Equipment E T North I OES Form 2729 (map) (1/94) Appendix E CALIFORNIA CODE OF REGULATIONS TITLE 19 CHAPTER 2 SUBCHAPTER 3 OPTIONAL MODEL REPORTING FORM - AREA PLAN CHECKLIST for ELEMENT AREA PLAN ELEMENT NOT PROVIDED, PROPOSED ELEMENT JUSTIFICATION DATE FOR and reference section A'r-rACHED ATTACHED COMPLETION SECTION 2722 - EMERGENCY RESPONSE PROCEDURES · Approach, Recognition & Evaluation Personnel Monitoring & Decontamination Equipment Monitoring & Decontamination SECTION 2723 - PRE-EMERGENCY PLANNING * Pre-incident Site Surveys Planning & Coordination Emergency Funding Access Disposal Facility Access Emergency Response Contractor Access Integrated Response Management System SECTION 2724 - NOTIFICATION & COORDINATION · Notification & Coordination Emergency Communications Responsibility Matrix OES Notification SECTION 2725 - TRAINING * Emergency Response Personnel Training Training Documentation Training Exercises SECTION 2726 - PUBLIC SAFETY & INFORMATION * Site Perimeter Security Safety Procedure Information Information Release Responsibility Medical Notification Evacuation Plans SECTION 2727 - SUPPLIES AND EQUIPMENT * Listing & Description Testing & Maintenance SECTION 2728 - INCIDENT CRITIQUE AND FOLLOW-UP X · Narratives of sections 2722, 2723, 2724, 2725, 2726 and 2727 are available on site for review. Appendix J Emergency Response Plan and Training (Note: This form is simply'a summary of our written Plan. The Plan is a separate document detailed in our company Health and Safety Plan (HASP), and contains our SB198 Plan, Emergency Response and Employee Training. Our business Emergency Response Plan is included in this Plan and is available on site for review. ,/Ill items that apply are checked below.) Emergency Response Training · All employees are trained in the following procedures as appropriate: 1) ~ Internal emergency alarm notification. 2) _x_. Immediate notification to our area Certified Unified Program Agent (CUPA), the County Environmental Health Department, local Fire Department/HazMat Response, State Office of Emergency Services (OES) and other emergency response agencies as necessary. 3) ~ Review of the emergency response plan. 4) ~ Evacuation procedures. 5) _..X_ Procedures for the mitigation of a release or threatened release. · Hazardous Materials/Waste handler~ are additionally trained in the following: 6) ~ Safe methods for handling and storage of hazardous materials. 7) _x_ Proper use of personal protection equipment. 8) .x. Locations and proper use of fire and spill control equipment. 9) ~ Specific hazards of each chemical to which they may be exposed, including the pathways of exposure (i.e., skin absorption, inhalation, ingestion). Location and use of MSDSs. · Our Emergency Coordinator and emergency response team members are additionally trained in the following procedures and will oct as a liitison to the Fire Department; 10)__ Personnel rescue procedures. (This duty is deferred to trained professionals.) 11) ~x Shutdown of operations. 12) ~x Use, maintenance and replacement of emergency response equipment. 13)_x. Emergency response drills. 14)_X. Refresher training is provided at least annually. · The following training records are maintained for each employee: 15)..x_ Verification of date that training was completed. 16)_.x Description of introductory and continuing training appropriate for each employee. 17)_x. Employee's training records are retained at least three years. 18) ~x Description and documentation of facility emergency response drills. · Other: 19)..x_ Procedure to be used in the event of a spill. 20)__.x Areas and systems in the facility which are earthquake sensitive have been identified and inspection procedures are established for these areas. Emergency Response Equipment (.4li that apply are checked.) 21) Equipment location / Map grid #: Map 2 of 2, F-2 22) Equipment inspector / Emergency Coordinator: Harold Montgomery 23) Inspection frequency: Quarterly. 24) Personal Protection Equipment (PPE): Boots Chemical resistant suit _,X_ Face shield / goggles _!c Gloves Helmet / Hardhat - __ Respiratory protection Other: 25) Cleanup Equipment: _x_._ Absorbent _lc Broom Neutralizers __ Pumps/Vacuums m Spill cart t Vapor scrubber _,X_ Other: Rags 26) Communication Devices: Portable radios _x_ Telephones t Pagers Other: Evacuation Information (All that apply are checked.) 27) Evacuation notification procedure: ..~ Verbal / Shouting ~ Horns Alarms 28) Evacuation procedures: _x. Defined evacuation routes and procedures ._x_ Preplanned assembly areas .$... Evacuation route maps prominently displayed throughout facility __~ Re-entry procedures / Follow public safety personnel approval Emergency Notification for spills or leaks of hazardous materials or hazardous wastes 29) Fire / Police / Ambulance: 9-1-1 30) County Environmental Health Department / HazMat Response / CUPA: Name: Bakersfield Fire Department Street address: 1715 Chester Avenue, 3rd Floor City: Bakersfield State: CA Zip code: 93301 Phone: (805) 326-3979 31) CA Office of Emergency Services (OES): 1-800-852-7550 -or- (916) 262-1621 32) Medical facility: Valley Industrial Medical Group Street address: 2501 "G" Street City: Bakersfield State: CA Zip code: 93301 Phone: (805) 327-2225 Certification I hereby certify, under penalty of perjury, that the information contained in this Hazardous Materials Business Management Plan is, to the best of my knowledge, true and correct. I understand that I may be required to show proof of compliance during any facility inspection conducted by local, county, state or federal authorities. Name: Harold W. Montgomery Title: Owner Signature~'~~~-~Date: 06 / 25 / 97 EMERGENCY RELEASE FOLLOW-UP NOTICE REPORTING FORM BUSINESS NAME I FACILITY EMERGENCY CONTACT & PHONE NUMBER WESTCHESTER AUTOMOTIVE 1 HAROLD MONTGOMERY ( 805 ) 327- 5274 INCIDENT MO' DAY YR I TIME I DATE / / / I OES (use 24 hr time) I OES I NOTIFIED I ~ CHECK IF RELEASE REQUIRES NOTIFI- 4° CFR 355' APPENDIX A PHYSICAL STATE CONTAINED PHYSICAL STATE RELEASED QUANTITY RELEASEO ENVIRONMENTAL CONTAMINATION I TIME OF RELEASE I iSUP. ATION OF RELEASE [] AiR [] WATER I ' I ~ NOT KNO~ (explain) infomation submieed ~d believe the sublimed infomation is ~e, accurate, ~d complete. ~PORT~G FACILI~ ~P~SENTATIVE (print or ~pe). SIGNA~ OR ~PORT~G FACILI~ ~P~SENTATIVE DATE: Hazardous Mater~a~ Management Plan HMMP Hazardous Materials Disclosure Forms ~. For: 2424 F STREET BAKERSFIELD. CA 9~O 1 (805) ~27-5274 Presented to: BAKERSFIELD FIRE DEPARTMENT Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 Prepared by: Management Services Environmental Compliance Specialists 1923 North Fine, Suite 101 Fresno, California 93727 (209) 251-4060 FAX (209) 251-5534 Bakersfield Fire Dept. t-Iazardoua lVfateria!s Division 2130 "G" Street' Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INST1~UCT1ONS: 1. To avoid further action, return this term within 30 dcys of receipt. 2. TYPE/PRINT ANSWERS IN ENGL!$H. 3. Answer the questions below for the business as c whole. 4. Be brief cnd condse cs possible. SECTION l' BUSINESS IDENiIFtCATION DATA "~ ~. WESTCEESTER AUTOMOTIVE 8, UStN =,.,o NAMr_. LOCATION' 2424 "F" STREET MAILING ADDRESS: 2424 "F" STREET CEY: BAKERSFIELD ,~l~l~_.C-^--' CA Z!P: 93301 PHON~-."' (805) 327-5274 .... 36-350-4A57 7538 DUN & ~RAOSTREET NUMcc~. · SiC COOE'. PRIMARY ACTIVITY: GENERAL AUTOMOTIVE REPAIR OWNE~' HAROLD MONTGOMERY MAILING AD~'~c't.jlx~_~. 2424 "F" STREET BAKERSFIELD, CA 93301 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. F, ,ONE 1. HAROLD MONTGOMERY OWNER (805) 327-5274 (805) 399-6955 2, DAVID NUNLIST ~&NAGER (805) 327-5274 (805) 366-3283 ~Bakersfie!d Fire Dept. '"lqazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 6 MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: WITHIN ·THIRTY DAYS OF HIRING, ALL NEW EMPLOYEES ARE REQUIRED TO PARTICIPATE IN A THOROUGH HAZARDOUS MATERIALS TRAINING SESSION. THE TRAINING INCLUDES INFORMATION COVERED THROUGHOUT THIS EMERGENCY RESPONSE REPORT AND RIGHT-TO-KNOW HAZARDOUS MATERIALS LAWS. INITIAL TRAINING ALSO INCLUDES BASIC INSTRUCTION ON HOW TO PROPERLY AND SAFELY HANDLE ALL HAZARDOUS MATERIALS AND WASTE PRODUCTS PRESENT AT THIS FACILITY. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. INSTRUCTION ON HOW TO INTERPRET THE NATIONAL FIRE PROTECTION AGENCY (NFPA) MARKING SYSTEM IS GIVEN, IN ADDITION TO HOW TO COMPRE- HEND MATERIAL SAFETY DATA SHEETS FOR SPECIFIC HAZARDS AND FIRST AID INFORMATION FOR USE IN CASE OF MINOR INJURIES IN THE .WORKPLACE. NEW EMPLOYEES ARE ALSO TRAINED IN THE LOCATION AND PROPER USE OF PORTABLE FIRE EXTINGUISHERS FOR FIGHTING SMALL FIRES, AS WELL AS IN THE USE OF RAGS, ABSORBENTS, AND OTHER SPILL CLEAN-UP CONTROL MATERIALS. ALL EMPLOYEES ARE TRAINED REGARDING THE LOCATION OF AND SHUT- OFF PROCEDURES FOR THE EMERGENCY UTILITY SWITCHES/VALVES. (CONTINUED ON REVERSE) 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) SECTION 5: CERTIFICATION: I, H A R O L D W M 0 ~ T C 0 M g ~t ¥ 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. ~-~. _/~~ OWNER 5-24-96 SIGNATURE TITLE DATE BRIEF SUMMARY OF TRAINING PROGRAM, CONTINUED: NEWLY HIRED EMPLOYEES ALSO RECEIVE TRAINING ON PROPER EMERGENCY RESPONSE PLAN IMPLEMENTATION, INCLUDING THE USE OF ON-SITE EMERGENCY RESPONSE EQUIPMENT AND MATERIALS., EMERGENCY TELEPHONE NUMBERS LISTED IN FORM E, SECTION II (EMERGENCY RESPONSE PLANS AND PROCEDURES) OF THIS BUSINESS PLAN, EVACUATION ROUTES, AND STAGING AREA. BUSINESS PLAN INFORMATION (SECTION I OF BINDER) AND MATERIAL SAFETY DATA SHEETS (SECTION IV OF BINDER) ARE LOCATED IN THE ENVIRONMENTAL COMPLIANCE/SAFETY TRAINING BINDER, WHICH IS KEPT IN THE SHOP OFFICE. IN-PERSON, VIDEO, AND WRITTEN EMPLOYEE HANDBOOK INSTRUCTION GIVEN TO NEW EMPLOYEES IS DOCUMENTED IN SECTION III OF THE BINDER. , , Bakersfield ~-Sre Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facilify Unit Name: WESTCHESTER AUTOmOTiVE SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTtFICATtON PROCEDURES: FOR EMERGENCY, DIAL 9-tit. FOR NON-EMERGENCY, REPORTABLE RELEASE, CALL LAA (805) 326-3979 AND OFFICE OF EMERGENCY SERVICES (800) 852-7550. B. EMPLOYEE NOTIFICATION AND EVACUATION: BECAUSE OF THE SMALL WORK AREA AND THE SM. ALL NUMBER OF EMPLOYEES, INSTRUCTIONS TO EVACUATE WILl. BE GIVEN BY A SHOUTED VERBAL WARNING. PERSONNEL ARE TO VACATE THE BUILDING BY GOING OUT T~E NEAREST EXIT, AND THEN MEETING AT THE PREDESIGNATED STAGING AREA FOR A HEAD COUNT. THE STAGING AREA IS LOCATED AT THE NORTH%EST CORNER OF THE ?ROPERTX, NEAR THE AIRPORT BUS PARKING nOT. C. PUBLIC EVACUATION: HAROLD MONTGOMERY WILL NOTIFY THE FOLLOWING SURROUNDING POPULATION, IF NECESSARY: VALLEY INDUSTRIAL MEDICAL GROUP (805) 327-2225 2) KERN DRIVING SCHOOL (805) 325-2650 O. EMERGENCY MEDICAL PLAN: VALLEY INDUSTRIAL MEDICAL GROUP 2501 "G" STREET BAKERSFIELD, CALIFORNIA 93301 (805) 327-2225 LOCATED 50 FEET FROM OUR BUSINESS, ACROSS THE BACK ALLEY. Bakers~e~d F~re Dept Hazardous l~Iaterials Divisi, HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE ?REVENTION STEPS: PLEASE SEE REVERSE SIDE B, RELEASE CONTAINMENT AND/OR MINIMIZATION: PLEASE SEE REVERSE SIDE C. CLEAN-UP PROCEDURES: FOR SMALL SPILLS, HAZARDOUS MATERIALS WILL BE CLEANED UP WITH ABSORBANT MATERIALS, WHICH WILL THEN BE TREATED AS HAZARDOUS WASTE. FOR ANY LARGE RELEASE (HIGHLY UNLIKELY), A PROFESSIONAL CLEAN-UP FIRM WILL BE HIRED. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: OUTSIDE, ON EAST WALL OF BUILDING ELECTRICAL' OUTSIDE, ON EAST WALL OF BUILDING WATER' OUTSIDE, IN ALLEY (EAST OF BUILDING) SPECIAL: ALARM: NORTH WALL INSIDE FRONT SHOP (ADJACENT TO MEN'S RESTROOM) LOCK BOX: YES/'~ IF YES, LOCATION: '~._.~ SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION' NONE B. WATER AVAILABILITY (FIRE HYDRANT)' (~) SOUTHWEST CORNER OF "F" ~ 26th STREETS (2) NORTHWEST CORNER OF "F" & 266h STREETS RELEASE PREVENTION STEPS: PREVENTION BEGINS WITH EMPLOYEE AWARENESS IN OUR TRAINING PROGRAM ON HAZARDOUS MATERIALS. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. IN AN ATTEMPT TO PREVENT A HAZ MAT- RELATED EMERGENCY, INVENTORY SUPPLIES ARE INTENTIONALLY KEPT LO~ ORDERING ON AN AS-NEEDED BASIS ONLY. ALL WASTE PRODUCTS ARE.PROPERLY ACCUMULATED AND SAFELY STORED PRIOR TO REMOVAL BY A LICENSED HAULER. HAZARDS ARE PRIMARILY LIMITED TO FLAMMABLE/COMBUSTIBLE PETROLEUM-BASED PRODUCTS AND PRESSURIZED COMPRESSED GAS CYLINDERS, ALL OF WHICH ARE COMPATIBLE AND SAFELY STORED IN METAL CONTAINERS. DAILY CLEAN-UP PROCEDURES ARE ROUTINE, IN ORDER TO PREVENT A RELEASE OF HAZARDOUS MATERIALS OR PERSONAL INJURY TO EMPLOYEES. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: OUR PRIMARY STRATEGY TO PREVENT A RELEASE OF HAZARDOUS MATERIALS IS TO NOT HAVE ANY LARGE QUANTITY OF ANY HAZARDOUS MATERIALS OR WASTE ON HAND AT ANY GIVEN TIME. IN THE EVENT OF A MINOR SPILL OR LEAK, ABSORBENT MATERIAL IS IMMEDIATELY APPLIED TO THE SUBSTANCE. ONCE THE SPILL OR LEAK HAS BEEN COMPLETELY CONTAINED AND ABSORBED, THE REFUSE IS CAREFULLY COLLECTED. THE CONTAMINATED MATERIAL IS THEN PROPERLY STORED UNTIL ITS REMOVAL BY A LICENSED HAULER. ~ Farm and Agriculture ~ Standard Business Page I o~ 2 NON - TI~E SEC~T BUSINESS N~E~ WESTCHESTER AUTOMOTIVE OWNER NAME~ I{A[{O[.[) W. MONTGOMERY HAME OF THIS"FACILITY~ LOCATION~ 2424 "~" STREET ADDRESS: 5816 CARTER AVENUE STANDARD IND. CLASS CODE~ 7532 CITY, ZIP~ BAKERSFIELD, CA 933~[ CITY, ZIP~ BAKERSF1EI.D, CA 93308 DUN AND B~ST~ET NUMBE~/FED~L ID PHONE ~, (805) 327-5274 PHONE.~: (~0~) 399-6955 3 6 - 3 5 0 -4 4 5 REFER ~ INSTHU~IONS FOR PROPER ~DES Tran~ ~pe ~x Average ~nual Measur~ I Days Cent Cent Cent Use Lo.at/on Where Ha~s of Hlxture/Com~nents Cods C~e ~t ~t ~t Units wt Bee Instructions on Site __~~ Tomp Code Stored In Fac~l]t~ , . >85 VARIES I.UgRI~TiNG ~E OiLS ~hyel~al and Health Hazard C.A.a. ,u~or 8002-05-9 Component ~ ~ ,,~ S C.a.a. Nu~or ~742-65~ (Chock ali that apply) Compon.nt ~ Z N~ ~ C.A.a. Number > 15 ~D1TI.~ PA~, I~.~]NG: of Pressure llealth Health Component I ] Xa~ t C.A.a. Hu~er Zl~ ~IlltlOHBSMB~E i> 2 68~9-42-3 U [ M [ 1io ] 55 [ [lO [ GAL [ 365 '[08 { [ [ 4 I 261 1NS1DE SIIOP, N/W CORNER AUTO'TIC T~NsMISS1oN FI.UH .......... { 85 V~i~S LUBRI.~TI~ ~SE OILS Physical and Health Hazard C.a.a. ,u~or MI XTURE component I 1 ,am ~ c.a.a. ,u~or . ~742-65-O (chock all that apply) o~ Proasur* Iloalth Ilealth Component I 3 .a~ ~ C.A.a. Nu~er < 2 ZI~ ~K~DI'IIIIOI~USH~:IE 68~9-42-3 "U. I M '1., .60 1' 45' "1 i20' "1 ,GAl. "1 365 { 10'"'1 ] { 4 I 091 EAST pARTS ROOM ANTIFREEZE/COOLANT Physical and Health Hazard C.A.B..u~.r 107-21-1 Component I 1 Ha~ ~ C.A.a. Number > 9! EIIHL~ IChsck all tha~ apply) ~ ...... Component I 2 Na~ S C.A.8. of Pressure lloalth Health Component ] 3 Ha~ ~ C.A.B. Humor U'[ p .[' 90 I. 65. [. 90 [ .... F;r' [ '365 ]oz~ [ I [ 6 [.SE[ ins.!DE BI. OG, MIi)oLE ~ ~ALL "~CETY/ENE, COHPRESSEi)'GAS 74-86-2 1~ $h~lcal and H~lth Hazard C.A.8. Humor Component ~ I ~a~ S C.~.8. Humber {Ch~k all tl~t applyJ Component ~ 2 Na~ $ C.A.8. Humor of Pressure Health lloalth Component I 3 Ha~ $ C.A.a. Nu~or EHEROENCY CONTACTS' ~'"'IIAROI.D W. MONTGOMERY OWNER " (805)' 399-6955t2 DAVID NUNI.1ST MANAGER (~5D66-3283 Na~ Title 24 Ur. Phone Name Title 24 Hr Pbon~ e~rtiflcatlon (READ AND SIGH AFTER COHPLETING ALL SECTIONS) ~.zti{~ under poanlt~ of law that I hayer ~rsonally ~amin~ and am familiar with tho lnfozmatlon st~bmlttod in thio and all attached d~umont~ and that ~sod l~divlduals zms~lbls for obtaining tho infor~tlon. I believe that the su~ittod lnfozmation is true, accurate, and ~ Farm and ~griculhure ~ S~anda~d Business NON - 'I'iiADE ~ECIIET BUSINESS HAHE~ WES'FCIIESTER AUTOMOTIVE OWNER ~t4g~ I1AROI.I) W. MONTGOMERY NAME OF TIIIS'FAOILITY~ - LOCATION~ 2424 "F" STREET ADDRESS~ 5816 CARTEl{ AVENUE STANDARD IND. CLASS CODE~ 7532 ~ITY, ZIP~ DAKERSFIEI.D, CA 933D[ CITY, ZIP~ ~AKERSFIEtD, CA 93308 DUN ~D B~STREET NUI4BE~~ PRONE ~, - (805) 327-527/~ PIIONE.[~ ~5) 399-6955 ~ I 2 ] 4 5 6 7 O 9 10 11 12 Tran~ ~yp8 ~x Averflge ~ttual H~aauro ~ Days Cent Cent Coflt Uso Lo~ation Where Ha~s o~ HJxtu~o/C~nents Physloal and Health Hazard C.A.S. Hu~er 7782-44-7 Component { I Sa~ [ C.A.B. Hu~ {Check all that apply) Component I 2 Ha~ ~ C.R.S. Numar llealth Health Component { ] Ha~ S C.A.B. Hu~er {Cheek ~11 that a~ply} Component { ~ H~m l C.R.B. IIoaltb ilealth Component I 3 Ha~ i C.A.B. et v .... -~- 68~9-42-3 30 [ 55 GAL 365 06 I 4 ~ ~m} WASTE ANTIFREEZE/COOLANT 134 ' c.A.a. Uu~-r bll XTURE component I i ..~ m c.a.a..u~er 107-21-1 physical and Health [Check all that apply} CompoaollE ~ 2 ~a~ [ C.~.~. BuYer I Fire Hazard ~ Sudden Belea,, ~ Reactivity ~ l~odlata ~ Iloalth llealth Component I 3 Ila~ & C.A.B, ?~lcal and B~lth Hazard C.A.S. BuYer Component [ I Na~ i C,A.8. Hu~er [Check {11 that apply} component { 2 Ba~ i C.A.B. Hu~er ~NER ~itlm 24 Hr ~hone Certification -- (READ AND SIGN AFTER COHPI,ETIHG ~b SECTIOHS) I oagtigy under p~nlty of law that I hayer ~rsonally ~amln~ and am familiar with the lnfotmatlon submitted in title and all attached d~ent~ and that based on ~ {n~iry of those lndividual~ gas~n~lble for obtaining the lnio~tion- I believe that the ~u~ltted ingoimation ia t~u~, accu~at~, and IIAROLD W. MONTGOMERY, OWNER ..--- - - - - KEY TO MAP SYMBOLS ~ E ~ - EVACUATION ROUTE Q - ELECTRICAL CUTOFF NATURAL GAS CUTOFF WATER CUTOFF FIRE HYDRANT ,~ FIRE EXTINGUISHER [02j - ABOVERGROUI'ND STORAGE TANK ~ - DRIVEWAY × :: x - FENCE }~4 - EVACUATION STAGING AREA · ' ' H~P P~ MAP SITE DIAGRAM ~ FACILITY DIAGRAM Business Name: W1~STCHESTER AUTOMO~TIV~ Business Address: 2424 "F" STREET BAKERSFIELD, CA 93301 For Office Use Only First In ,Station: Are(2 Map # . of Inspection Station: NORTH ~/"~ corner of PARKING LOT FOR AIRPORT BUS OF BAKERSFIELD OR I VEWAY ~S%~ESTER AUTOMOTI~B ~ 2424 "F" ST~ET P B~RSFIELD, CA 93301 "~" (805) 327-5274 S DRIVEWAY E T HMo'VIP PLAN~ MAP SITE DIAGRAM [ ! FACILITY DIAGRAM Business Ncme: ~SZC~S~'ER al:rroMoT:l:V~ Business Addre~: 2424 "F" STREET BAKERSFIELD, CA 93301 Far Of'rice Use Only First In Stction: Afec: Mci::> # of Inspection Stction: NORTH PARTS PARTS ~'- ~ 1 ~ ~/R OFFZC~ OFFICE ,qo i. s: Hoist - E i I DOCUMENT RESEARCH AND COMPILATION M,en~gemenr. Service5 Environmental Compliance Specialists 1023 North Fine, Suite 101 (209) 251-4060 Fresno, California 93727 FAX (209) 251-5534 With data and information provided by our client, this document has been prepared in accordance with best management practices and in response to requirements of local, state 'and federal administering agencies in compliance with all laws and regulations appertaining thereto. Signature: ~ ~.~o ~ Date: ..~-~/~'-~ L. Dean Lowe, Ph.D. Environmental Consultant 0§~/24/.95 ' W~STCHESTER AUTOMOTIVE 215-000-000498 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2424 F ST Map:102 Haz:2 Type: 3 City : Bakersfield Grid: 25B F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title HAROLD MONTGOMERY / OWNER DAVID NUNLIST / MANAGER Business Phone: (805) 327-5274x Business Phone: (805) 327-5274x 24-Hour Phone : (805) 399-6955x 24-Hour Phone : (805) 366-3283x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 2424 F ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 7538 Owner: HAROLD MONTGOMERY Phone: (805) 327-5274 Address: 5816 CARTER AV State: CA City: BAKERSFIELD Zip: 93308- Summary RECEIVED r~'~'~ ..... '"'~ .... ~, . HAZ. MAT. DIV. 0~/24A95 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 ACETYLENE Gas 90 High · Fire, Pressure, Immed Hlth FT3 02-007 WASTE ANTIFREEZE Liquid 55 High · Fire, Delay Hlth GAL 02-004 OXYGEN Gas 337 Low · Fire, Pressure, Immed Hlth FT3 02-002 WASTE MOTOR OIL Liquid 300 'Low · Fire, Delay Hlth GAL 02-005 TRANSMISSION FLUID Liquid 110 Low · Fire, Immed Hlth GAL 02-006 ANTIFREEZE/COOLANT Liquid 60 Low · Fire, Immed Hlth, Delay Hlth GAL 02-001 MOTOR OIL Liquid 220 Minimal · Fire, Delay Hlth GAL 0~/24~95 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 ACETYLENE Gas 90 High ~ Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 [ Annual Amount FT3 90 ~ 45.00 90.00 StorageIIPress T Temp Location PORT. PRESS. CYLINDER [Ambient[AmbientlINSIDE BLDG MID W WALL -- Conc Components MCP --TGuide 100.0% IAcetylene IHigh ~ 17 -- Notes 02-007 WASTE ANTIFREEZE Liquid 55 High ~ Fire, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GALI Daily Average GAL [ Annual Amount GAL 55 ~ 30.00 55.00 StorageIIPress T Temp Location DRUM/BARREL-METALLIC IAmbientlAmbientlFENCED AREA NE OF BLDG - Conc. Components MCP --TGuide 95.0% IEthylene IHigh ] 22 05s/24/95 ~ WESTCHESTER AUTOMOTIVE 215-000-000498 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 OXYGEN Gas 337 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3337Ii Daily Average168.00FT3 ] Annual Amount337.00FT3 -- Storage ~ Press T Tempt Location PORT. PRESS. CYLINDER I Ambient~AmbientlINSIDE BLDG MID W WALL -- Conc~ Components ~ MCP ---TGuide 100.0% IOxygen, Compressed ILow ~ 14 -- Notes 02-002 WASTE MOTOR OIL Liquid 300 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 Annual Amount GAL -- 300 ~ 150.00 600.00 StorageItPress T Temp Location ABOVE GROUND TANK IAmbientJAmbientlOUTSIDE BLDG NW CORNER -- Conc~ ComponentsI MCP ---TGuide 100.0% IWaste Oil, Petroleum Based ILow J 27 -- Notes 0~/24/95 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-005 TRANSMISSION FLUID Liquid 110 Low · Fire, Immed Hlth GAL CAS #: 107211 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL I Daily Average GAL I Annual Amount GAL 55 iiO~ I 55.00 220 II$.$0~ Storage~~Press T Temp Location CARBOY IAmbientlAmbientlINSIDE SHOP, NW CORNER -- Conc Components MCP ---/Guide 100.0% ITransmission Fluid (Petroleum-Based) ILow ! 27 02-006 ANTIFREEZE/COOLANT Liquid 60 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL I Daily Average GAL I Annual Amount GAL 24 ~0~ I 20 ~5.~ 120.00 Storage IIPress T Temp Location PLASTIC CONTAINER IAmbientJAmbientlE PARTS ROOM -- Conc Components MCP ---7Guide 100.0% IEthylene Glycol ILow ~ 27 02-'001 MOTOR OIL Liquid 220 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 , , 220 ~ 150.00 440.00 Storage~~Press l Temp Location METAL CONTAINR-NONDRUMIAmbientlAmDientlINSIDE NW CORNER -- Conc; Components ~ MCP --TGuide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 -- Notes 0~'/24/95 ~ WESTCHESTER AUTOMOTIVE 215-000-000498 Page 6 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification FOR EMERGENCY, DIAL 9-1-1. FOR NON-EMERGENCY, REPORTABLE RELEASE, CALL LAA (805) 326-3979 AND OFFICE OF EMERGENCY SERVICES (800) 852-7550. <2> Employee Notif./Evacuation BECAUSE OF THE SMALL WORK AREA AND THE SMALL NUMBER OF EMPLOYEES, INSTRUCTIONS TO EVACUATE WILL BE GIVEN BY A SHOUTED VERBAL WARNING. PERSONNEL ARE TO VACATE THE BUILDING BY GOING OUT THE NEAREST EXIT, AND THEN MEETING AT THE PREDESIGNATED STAGING AREA FOR A HEAD COUNT. THE STAGING AREA IS LOCATED AT THE NORTHWEST CORNER OF THE PROPERTY, NEAR THE AIRPORT BUS PARKING LOT. <3> Public Notif./Evacuation HAROLD MONTGOMERY WILL NOTIFY THE FOLLOWING SURROUNDING POPULATION, IF NECESSARY: 1) VALLEY INDUSTRIAL MEDICAL GROUP (805) 327-2225 2) AMERICAN INDIAN COUNCIL (805) 327-2207 3) KERN DRIVING SCHOOL (805) 325-2650 <4> Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL GROUP - 2501 G ST - (805) 327-22225 LOCATED 50FT FROM OUR BUSINESS, ACROSS THE BACK ALLEY. ~/24/95 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention PREVENTION BEGINS WITH EMPLOYEE AWARENESS IN OUR TRAINING PROGRAM ON HAZARDOUS MATERIALS. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. IN AN ATTEMPT TO PREVENT A HAZ MAT RELATED EMERGENCY, INVENTORY SUPPPLIES ARE INTENTIONALLY KEPT LOW, ORDERING ON AN AS-NEEDED BAASIS ONLY. ALL WASTE PRODUCTS ARE PROPERLY ACCUMULATED AND SAFELY STORED PRIOR TO REMOVAL BY A LICENSED HAULER. HAZARDS ARE PRIMARILY LIMITED TO FLAMMABLE/COMBUSTIBLE PETROLEUM-BASED PRODUCTS AND PRESSURIZED COMPRESSED GAS CYLINDERS, ALL OF WHICH ARE COMPATIBLE AND SAFELY STORED IN METAL CONTAINERS. DAILY CLEAN UP PROCEDURES ARE ROUTINE, IN ORDER TO PREVENT A RELEASE OF HAZARDOUS MATERIALS OR PERSONAL INJURY TO EMPLOYEES. <2> Release Containment OUR PRIMARY STRATEGY TO PREVENT A RELEASE OF HAZARDOUS MATERIALS IS TO NOT HAVE ANY LARGE QUANTITY OF ANY HAZARDOUS MATERIALS OR WASTE ON HAND AT ANY GIVEN TIME. IN THE EVENT OF A MINOR SPILL OR LEAK, ABSORBENT MATERIAL IS IMMEDIATELY APPLIED TO THE SUBSTANCE. ONCE THE SPILL OR LEAK HAS BEEN COMPLETELY CONTAINED AND ABSORBED, THE REFUSE IS CAREFULLY COLLECTED. THE CONTAMINATED MATERIAL IS THEN PROPERLY STORED UNTIL ITS REMOVAL BY A LICENSED HAULER. <3> Clean Up FOR SMALL SPILLS, HAZARDOUS MATERIALS WILL BE CLEANED UP WITH ABSORBANT MATERIALS, WHICH WILL THEN BE TREATED AS HAZARDOUS WASTE. FOR ANY 'LARGE RELEASE (HIGHLY UNLIKELY), A PROFESSIONAL CLEAN UP FIRM WILL BE HIRED. <4> Other Resource Activation 05~/24/95 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 8 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) 05724/95 ~ WESTCHESTER AUTOMOTIVE 215-000-000498 Page 9 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A)' GAS - OUTSIDE, ON E WALL OF BLDG B) ELECTRICAL - OUTSIDE, ON E WALL OF BLDG C) WATER - OUTSIDE, IN ALLEY (E OF BLDG) D) SPECIAL - ALARM: N WALL INSIDE FRONT SHOP (ADJACENT TO MEN'S RESTROOM) E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT BUILDING FIRE HYDRANTS - SOUTHWEST CORNER CORNER OF 26TH AND F ST AND AT THE NORTHWEST CORNER OF 26TH AND F ST. <4> Building Occupancy Level 05'/24/95 ' ~ WESTCHESTER AUTOMOTIVE 215-000-000498 Page 10 00 - Overall Site <G> Training <1> Employee Training WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WITHIN THIRTY DAYS OF HIRING, ALL NEW EMPLOYEES ARE REQUIRED TO PARTICIPATE IN A THOROUGH HAZARDOUS MATERIALS TRAINING SESSION. THE TRAINING INCLUDES INFORMATION COVERED THROUGHOUT THIS EMERGENCY RESPONSE REPORT AND RIGHT TO KNOW HAZARDOUS MATERIALS LAWS. INITIAL TRAINING ALSO INCLUDES BASIC INSTRUCTION ON HOW TO PROPERLY AND SAFELY HANDLE ALL HAZARDOUS MATERIALS AND WASTE PRODUCTS PRESENT AT THIS FACILITY. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. INSTRUCTION ON HOW TO INTERPRET THE NATIONAL FIRE PROTECTION AGENCY (NFPA) MARKING SYSTEM IS GIVEN, IN ADDITION TO HOW TO COMPREHEND MATERIAL SAFETY DATA SHEETS FOR SPECIFIC HAZARDS AND FIRST AID INFORMATION FOR USE IN CASE OF MINOR INJURIES IN THE WORKPLACE. NEW EMPLOYEES ARE ALSO TRAINED IN THE LOCATION AND PROPER USE OF PORTABLE FIRE EXTINGUISHERS FOR FIGHTING SMALL FIRES, AS WELL AS IN THE USE OF RAGS, ABSORBANTS, AND OTHER SPILL CLEAN UP CONTROL MATERIALS. ALL EMPLOYEES ARE TRAINED REGARDING THE LOCATION OF AND SHUT OFF PROCEDURES FOR THE EMERGENCY UTILITY SWITCHES/VALVES. NEWLY HIRED EMPLOYEES ALSO RECEIVE TRAINING ON PROPER EMERGENCY RESPONSE PLAN IMPLEMENTATION, INCLUDING THE USE OF ON SITE EMERGENCY RESPONSE EQUIPMENT AND MATERIALS, EMERGENCY TELEPHONE NUMBERS LISTED IN FORM E, SECTION II (EMERGENCY RESPONSE PLANS AND PROCEDURES) OF THIS BUSINESS PLAN, EVACUATION ROUTES, AND STAGING AAAREA. BUSINESS PLAN INFORMATION (SECTION 1 OF BINDER) AND MATERIAL SAFETY DATA SHEETS (SECTION IV OF BINDER) ARE LOCATED IN THE ENVIRONMENTAL COMPLIANCE/SAFETY TRAINING BINDER, WHICH IS KEPT IN THE SHOP OFFICE. IN PERSON, VEDEO, AND WRITTEN EMPLOYEE HANDBOOK INSTRUCTION GIVEN TO NEW EMPLOYEES IS DOCUMENTED IN SECTION III OF THE BINDER. <2> Page 2 <3> Held for Future Use Bakersfield Fire Dept. Hazardous Materis]s Division 2130 "G" Street' Bakersfield, CA_ 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To (:void further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as po~ible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~TSSTCn~.STEt~ AU'tOMO~:~'CS LOCATION: ,2424 "F" STREET MAILING ADDRESS'. 2424 "F" STREET CITY: BAKERSFIELD STATE'. CA Z1P; 93301 PHONE: (805) 327-5274 DUN & BRADSTREET NUMBER: 36-350-4457 SIC CODE'. 7538 PRIMARY ACTIVITY: GENERAL AUTOMOTIVE REPAIR OWNER: HAROLD MONTGOMERY MAI[IN® ADDRSSS'. 242~ "F" STREET BAKERSFIELD, CA 93301 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. HAROLD MONTGOMERY OWNER (805) 327-5274 (805) 399-6955 DAVID NUNLIST MANAGER (805) 327-5274 (805) 366-3283 ~akersfie~d F~re Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 7 MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: WITHIN THIRTY DAYS OF HIRING, ALL NEW EMPLOYEES ARE REQUIRED TO PARTICIPATE IN A THOROUGH HAZARDOUS MATERIALS TRAINING SESSION. THE TRAINING INCLUDES INFORMATION COVERED TNROUGHOUT THIS EMERGENCY RESPONSE REPORT AND RIGHT-TO-KNOW HAZARDOUS MATERIALS LAWS. INITIAL TRAINING ALSO INCLUDES BASIC INSTRUCTION ON HOW TO PROPERLY AND SAFELY HANDLE ALL HAZARDOUS MATERIALS AND WASTE PRODUCTS PRESENT AT THIS FACILITY. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. INSTRUCTION ON HOW TO INTERPRET THE NATIONAL FIRE PROTECTION AGENCY (NFPA) MARKING SYSTEM IS GIVEN, IN ADDITION TO HOW TO COMPRE- HEND MATERIAL SAFETY DATA SHEETS FOR SPECIFIC HAZARDS AND FIRST AID INFORMATION FOR USE IN CASE OF MINOR INJURIES IN THE .WORKPLACE. NEW EMPLOYEES ARE ALSO TRAINED IN THE LOCATION AND PROPER USE OF PORTABLE FIRE EXTINGUISHERS FOR FIGHTING SMALL FIRES, AS WELL AS IN THE USE OF RAGS, ABSORBENTS, AND OTHER SPILL CLEAN-UP CONTROL MATERIALS. ALL EMPLOYEES ARE TRAINED REGARDING THE LOCATION OF AND SHUT- OFF PROCEDURES FOR THE EMERGENCY UTILITY SWITCHES/VALVES. (CONTINUED ON REVERSE) 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) SECTION 5: CERTIFICATION: I, ~ A R O ~- D W . M O N Z ¢ O M ~. R ¥ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WlLL 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 BRIEF SI]MMARY OF TRAINING PROGRAM, CONTINUED: NEWLY HIRED EMPLOYEES ALSO RECEIVE TRAINING ON PROPER EMERGENCY RESPONSE PLAN IMPLEMENTATION, INCLUDING THE USE OF ON-SITE EMERGENCY RESPONSE EQUIPMENT AND MATERIALS., EMERGENCY TELEPHONE NUMBERS LISTED IN FORM E, SECTION II (EMERGENCY RESPONSE PLANS AND PROCEDURES) OF THIS BUSINESS PLAN, EVACUATION ROUTES, AND STAGING AREA. BUSINESS PLAN INFORMATION (SECTION I OF BINDER) AND MATERIAL SAFETY DATA SHEETS (SECTION IV OF BINDER) ARE LOCATED IN THE ENVIRONMENTAL COMPLIANCE/SAFETY TRAINING BINDER, WHICH IS KEPT IN THE SHOP OFFICE. IN-PERSON, VIDEO, AND WRITTEN EMPLOYEE HANDBOOK INSTRUCTION GIVEN TO NEW EMPLOYEES IS DOCUMENTED IN SECTION III OF THE BINDER. ~Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facili~-.-Unit Name: NESTCHESTER AUTOMOTIVE SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, AGENCY NOTIFICATION PROCEDURES: FOR EMERGENCY, DIAL 9-1~1. FOR NON-EMERGENCY, REPORTABLE RELEASE, CALL LAA (805) 326-3979 AND OFFICE OF EMERGENCY SERVICES (800) 852-7550. B. EMPLOYEE NOTIFICATION AND EVACUATION: BECAUSE OF THE SMALL WORK AREA AND THE SMALL NUMBER OF EMPLOYEES, INSTRUCTIONS TO EVACUATE WILL BE GIVEN BY A SHOUTED VERBAL WARNING. PERSONNEL ARE TO VACATE THE BUILDING BY GOING OUT THE NEAREST EXIT, AND THEN MEETING AT THE PREDESIGNATED STAGING AREA FOR A HEAD COUNT. THE STAGING AREA IS LOCATED AT THE NORTHWEST CORNER OF THE PROPERTY, NEAR THE AIRPORT BUS PARKING LOT. C. PUBLIC EVACUATION: HAROLD MONTGOMERY WILL NOTIFY THE FOLLOWING SURROUNDING POPULATION, IF NECESSARY: 1) VALLEY INDUSTRIAL MEDICAL GROUP (805) 327-2225 2) KERN DRIVING SCHOOL (805) 325-2650 D. EMERGENCY MEDICAL PLAN: VALLEY INDUSTRIAL MEDICAL GROUP 2501 "G" STREET BAKERSFIELD, CALIFORNIA 93301 (805) 327-2225 LOCATED 50 FEET FROM OUR BUSINESS, ACROSS THE BACK ALLEY. Bakersfield Fire Dept Hazardous Materials Divisio~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS' PLEASE SEE REVERSE SIDE B. RELEASE CONTAINMENT AND/OR MINIMIZATION: PLEASE SEE REVERSE SIDE C. CLEAN-UP PROCEDURES: FOR SMALL SPILLS, HAZARDOUS MATERIALS WILL BE CLEANED UP WITH ABSORBANT MATERIALS, WHICH WILL THEN BE TREATED AS HAZARDOUS WASTE. FOR ANY LARGE RELEASE (HIGHLY UNLIKELY), A PROFESSIONAL CLEAN-UP FIRM WILL BE HIRED. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: OUTSIDE, ON EAST WALL OF BUILDING ELECTRICAL: OUTSIDE, ON EAST WALL OF BUILDING WATER: OUTSIDE, IN ALLEY (EAST OF BUILDING) SPECIAL; ALARM: NORTH WALL INSIDE FRONT SHOP (ADJACENT TO MEN'S RESTROOM) YES,(~ IF YES, LOCATION' LOCK BOX: SECTION 9: PRIVATE FlEE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: NONE B. WATER AVAILABILITY (FIRE HYDRANT): (1) SOUTHWEST CORNER OF "F" & 26th STREETS (2) NORTHWEST CORNER OF "F" & 26th STREETS A. P, E1.F, ASE PREVENTION STEPS: PREVENTION BEGINS WITH EMPLOYEE AWAKENESS IN OUR TRAINING PROGRAM ON HAZARDOUS MATERIALS. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. IN AN ATTEMPT TO PREVENT A HAZ MAT- RELATED EMERGENCY, INVENTORY SUPPLIES ARE INTENTIONALLY KEPT ORDERING ON AN AS-NEEDED BASIS ONLY. ALL WASTE PRODUCTS ARE.PROPERLY ACCUMULATED AND SAFELY STORED PRIOR TO REMOVAL BY A LICENSED HAULER. HAZARDS ARE PRIMARILY LIMITED TO FLAMMABLE/COMBUSTIBLE PETROLEUM-BASED PRODUCTS AND PRESSURIZED COMPRESSED GAS CYLINDERS, ALL OF'WHICH ARE COMPATIBLE AND SAFELY STORED IN METAL CONTAINERS. DAILY CLEAN-UP PROCEDURE~ ARE ROUTINE, IN ORDER TO PREVENTA RELEASE OF HAZARDOUS MATERIALS OR PERSONAL INJURY TO EMPLOYEES~ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: OUR PRIMARY STRATEGY TO PREVENT A RELEASE OF HAZARDOUS MATERIALS IS TO NOT HAVE ANY LARGE QUANTITY OF ANY HAZARDOUS MATERIALS OR WASTE ON HAND AT ANY GIVEN TIME. IN THE EVENT OF A MINOR SPILL OR LEAK, ABSORBENT MATERIAL IS IMMEDIATELY APPLIED TO THE SUBSTANCE. ONCE THE SPILL OR LEAK HAS BEEN COMPLETELY CONTAINED AND ABSORBED, THE REFUSE IS CAREFULLY COLLECTED. THE CONTAMINATED MATERIAL IS THEN PROPERLY STORED UNTIL ITS REMOVAL BY A LICENSED HAULER. CITY OF B/~EERSF I ELD I~ZARDOUS HAT~IALS INV~NTOBY [] Fa~ and Agriculture ~ Standard Bus~nes~ Page, 1 of 2 NON - TI~E SEC~T BUSINESS N~ ~ESTC~STER AUTOMOTIVE O~ER N~ HAROLD W. MONTGOMERY N~E OF TJIIS'FACILITY~ LOCATION~ 2424 "'F" STREET ADDRESS~ 58~6 CA~TE~ AVENUE STAND~D IND. CLASS CODE~ 7532 OIT~, ZIP~ BAKERSFIELD, CA 93~01 CITY, ZIP~.~BAKER~F~ELD~ C~ 93308 DUN ~D B~ST~ET N~BE~FEDE~ ID PHONE ~ (805) 327-5274 PHONE,~' (805) 399-6955 ~ ~ - 3 5 0 -4 4 5 7 ~R ~ INSTRU~IONS FO~ ~ROPER ~DES Traflm ~e ~x Average ~nual Hea~ure I Days Cent Cent Coflt Use Lo~a~ion ~ete % by ~ of H~u~e/C~flent~ Code C~e ~ ~ ~t ., Ua~te , on S~te ~ Press Tem~ Code Stored ~n. Facil~ty ,~ See ~ >85 V~I~S L~T~G ~ 0ILS Ph~i=al and B~Ith ~azard C.A.S. Numar 8002-0~--9 Component J I Na~ & C.A.8. Nu~ , , (Check all that apply) Component J 2 ~a~ ; C.A.8. N~e; > 15 ~DI~ PA~, I~G: > 2 U [ M [ 110 ] 55 [ 110 [ GAL [ 365 [08 [ I [ 4 [ 26] INSIDE ~,ltOP, N/W CORNER AUTO. TIC T~NSHISSION ~UII > 85 V~I~S L~I~TI~ ~ O~S Physical and ~lth ~aza~d C.A.~. Su~sr MIXTURE co~ons, t ~ ~ ~am · c.a.a, guest ~742-6~,, (C~=k all that of Pressure Health Health Component I 3 Na~ & C.A.8. Numar < 2 68~9-42-3 Pb~lual and B~lth Hazard e.A.8. Numar 107--21-1 Compomeat ~ ~ ,a~ ~ C.a.S. N~.= > 9~ ~ ~YC~ 107-2 ~- ] . · Componen~ ~ 2 Na~ ~ C.A.B. Nu~er og Ems=sure Health B~l~h Component ~ 3 Na~ ; ~.A.8. N~e; u'l "I 90 I I "q I I ' 6s I i I,., 1 21 INSIDESLOG,MIDDLE "WALL ACETYLENE,CO SSEO GAS 74-86-2 ~1~ A~ th~l~al and ~lth Hazard C.A.8. ~u~er Component [ I Na~ & C.A.8. Numar (Cheek all t~t apply) Component [ 2 Na~ ~ C.A.B. of P~eaau~e Health Health Component I 3 Na~ & C.A.B. Nu~e~ E~R~ENCY CONTACTS ~ HAROLD ~i.' MONTGOMERY ~W~R (805} 39~6955~'2' DAVID NUNLIST MANAGER Nam Tltlu 24 Hr. Phone N~e Title 24 ~ phOne c~ioatton (~ AND SIGN AFTER COMPLETING ~L SECTIONS) ~e=ti[y ~de= p~,lty of law tha~ I hayer ~rnonally ~tn~ and ~ familiar with the lnfo~atlon submitted In this and all attached d~entn ~d that ~aed on ~ l~l~ of those ladivid~ls tnsW~lbls for ob~alnln~ the tnfo~tion. I beliers that the nu~ltt~d lntomntlon Is t~n, accurate, and u~plats. H'~aLD W. MONTGOMERY, OWNER ~~~ 6/7/95 (21T '1"¥ OF B/~.I{E RS F T I/:LD Ih%ZAP, I)OUS MATERIALS INVENTOI1Y [] Farm and Agriculture W Standard Business Page 2 of NON - 'I'IU%DE SECRET BUSINESS NAHE: WESTCHESTER AUTOMOTIVE OWNER NAHE: IIAROLD W. MONTGOMERY NAME OF THIS' FACILITY: LOCATION{ --~42~ "F" STREET ADDRESS{ 58[6 CARTER AVENUE STANDA~ IND. CLASS COD~{ 7532 CITY, ZIP{. . BAKERSFIELD', CA 9JJOi CITY, ZIP{ BAKERSFIELD, CA 93308 DUN PHON~. #{ (805) 327-5274 PI{ONE.#,' (805) 399-6955 --3--6- 3 5 0 -4 4 5 7 IIEFER TO INSTI1UCTION$ FOR PI1OPSll CODES i 2 ~ 4 5 6 7 o '9 '1o 11 12 i3 ' ' Trane ~/po Hex Average annual HeaauFo I Days Cant Cant Cant Uae Loeatlon W~ere · by Hames of M~xtuxe/e~onenta Code Code Ant Amt Ant Units on 81te T~?e Press Tamp Code Stored in Fa.c!~!~, w~ See InotL~=t~ona u-~'P "{ 337 J 168 f 337 f FT, I '565' 'f0g '"f ! I 4 1.42 i.IN.SIDE BLOG, MIDDLE W, W.ALL ~XYGEN, COMPRESSED GAS Ph~loel and Health ~azard C.A.fl. Humber 7782-44-7 Component J 1 Ha~ i C.A.B. Number [00 OXYGEN Component I 2 Name I; C.A.B. Humber of Preseure Health Health Component f 3 Hame i C.A.B. Number [ w' I [ J 600 I G^L I Im I' I' 1' 0 [ · I PhynJoal and H~lth Hazard C.A.a. Numar M~XTU~E covenant f I HaM & C.A.8. ~u~er (Check all that apply) < i5~DITI~ PAC~, I~I~: of Pressure .ealth ,ealth Coco.eat f 3 Na~ ~ c.a.a. Numar < ~ ZI~ ~I~O~S~ 68~9~2-3 U { w { :55': "1' 30 '1' 55 { GAL { !65 { 0'6' { 1' { 4 { 40 { ~m ~,.N/E OF Bu~im WASTE ANTIF~EzE/~OOLANT 134 MI XTURE 107-21-1 [hplcal and ~ulth Hazard C.A.fl. Numar Component f I Ha~ ~ C.A.8. N~er > 95 ~ ~YC~  all that apply) Componsnt I 2 ~a~ G C.A.B. Numar ;h~loal and H~lth Bazazd C.A.B. Numar Component f I Ha~ ~ C.A.B. N~er (Cheek ell t~t apply) Component ~ 2 Na~ ~ C.A.B. Nu~e~ E~ROENOY' CONTACTS' Ii tlAROLD W': MONTGOMERY OWNER (805) 39~6955)2 DAVID'NUNLIST P~NAGER (~5~6~3283 HaM Title 24 Hr. Phone N~e Title 24 ~ Fho~® :~tir. ication (~EAD A~D SIG~ AFTE~ COmPLETInG ~L SECTIONS) ~tify ~der p~nlt~ of law that ~ hayer ~ffo~al]~ s~i~g ~d a f~llar with the lnfo~ation submitted In thio ~d all at~ached d~oflt. ~d that hand off ~ ln~l~ of tho.o I,ndivld~la res~Jble for obtaining the ]nfo~tlon. I believe that th. unfitted ln~o~atlon lo ~e, secrete, and c~plete. 5 KEY TO MAP SYMBOLS E ~ - EVACUATION ROUTE O - ELECTRICAL CUTOFF O - NATURAL GAS CUTOFF Q'- - WATER cuTOFF FIRE EXTINGUISHER ABOVERGROUND STORAGE TANK DRIVEWAY x :: x - FENCE ~ - EVACUATION STAGING AREA HMilfl P PLAN M_AP SITE DIAGRAM ~ FACILITY DIAGRAM I~USJFless Nc:me: WESTCItESTF. R AUTOMOTIVE Business Adclress: 2424 "F" STREET BAKERSFIELD, CA 93301 For Office Use Only First In Station: Are<: Mcp# of Inspection St<:tion: NORTH /~ comer of 26th Streets PARKING LOT FOR AIRPORT N BUS OF BAKERSFIELD I1 DRIVEWAY Z4 24 "F" STRI~ET P BAKERSFIELD, CA 93301 A A R R (805) 327-5274 K I N G BT ~ ' ~ 0RIVEWAY .~ I-IM' IP PLAN MAP SITE DIAGRAM [__! FACILITY DIAGRAM Business Nome: WESTCHESTER AUTOMOTIVE Business Aclclress: 2424. "F" STREET .BAKERSFIELD, CA 9330]. For Offi¢~ Use Only First In Stc:tion: Area Map # of Inspection Station: NORTH · E ~ WASTE STOOGE PARTS PARTS OFF[CE SHOP · SHOP E '~--'E {I Ho[sc ' I E 2424 F STREET BAKERSFIELD, CA 93301 (805) 327-5274 HEALTH AND SAFETY PLAN INCLUDING SB 198 ILLNESS AND INJURY PREVENTION PROGRAM (Hereinafter referred to as the Plan) EMERGENCY COORDINATOR: HaroM W. Montgomery (Hereinafter referred to as the Emergency Coordinator) INTRODUCTION I. Requirements Met THIS HEALTH AND SAFETY PLAN is in compliance with the provisions of the Federal Occupational Safety and Health Administration (OSHA) Standard on Hazard Communication (HAZCOM) (29 CFR 1910.1200) which became effective May 23, 1983, as since amended. This Plan also meets the requirements of a Hazardous Materials Management Plan, a Right-To-Know Hazard Communication Program, a Hazardous Waste Contingency Plan, a Risk Management and Prevention Program, an Emergency Preparedness and Notification Plan, along with provisions for AB2185, AB2187, SB198, and other applicable OSHA/EPA, California and U.S. hazard communication and employee safety laws. H. Employee Rights under the Law - 1910.1200 Employees have the right to know: (1) any operations in their work area where work hazards and hazardous chemicals are present; and (2) the location and availability of this written hazard communication/illness-injury prevention program, including the required list of hazardous chemicals and required Material Safety Data Sheets. IH. Policy Statement: Commitment to Safety This company is firmly committed to providing every employee with safe and healthy working conditions together with an injury-free work environment. Some work activities require the use of chemicals and other substances that have potentially hazardous properties. When workers are required to handle these substances, it is important that they be aware of the identity of the substances and any toxic or hazardous properties, as well as proper handling precautions, safety equipment, and emergency procedures to be used. In summary, an informed employee is more likely to be a careful employee. This Plan will be available in the office during work hours for review by all employees, their designated representatives, and agents of regulatory agencies. This Plan applies to all employees and has the full support of management and staff for education, training and information in safety enforcement. The safety, health, and welfare of all employees is a basic part of our management policy. Management positions carry a primary responsibility for the safety and well-being of employees under their direction. Among the basic responsibilities assigned to ALL positions, including management positions, is the obligation of the job holder to prevent injury to himself/herself as well as to co-workers. This responsibility can only be carded out by promoting safe work practices and maintaining property and equipment in safe operating condition. Our Emergency Coordinator will have the authority and responsibility for maintaining our company's Health and Safety Plan, Illness and Injury Prevention Program and will be accountable for safety practices, safety education and training, communicating safety information, fire protection, and protection from hazardous materials. IV. Program Overview This Plan has been developed to enhance the health and safety of all our employees. As a part of this program, we will provide information about chemical hazards and other hazardous substances in the workplace. We will accomplish this task by using our comprehensive Hazard Communication Program. Program activities include the following: · Inventorying and listing all known hazardous substances Used in our business. · Properly labeling containers of hazardous substances and shelves where they are stored. Page 2 * Obtaining a Material Safety Data Sheet (MSDS) for each hazardous substance. · Providing appropriate training to employees and information to outside contractors exposed to hazardous substances. · Identifying work hazards in order to prevent job-related injuries and illnesses. · Providing employee training in the area of injury prevention. V. Management Responsibility Management will provide the leadership to place the same degree of emphasis on employee safety placed on any other important program. Specifically, the discharge of this responsibility will include, but not be limited to, performance of the following duties: · Promote safety awareness to line supervision. · Establish and maintain appropriate housekeeping procedures. · Encourage safety suggestions from supervisors and non-supervisory personnel, giving them immediate consideration. * Schedule supervisory and non-supervisory safety meetings as often as necessary to effect safe practices and operating conditions. VI. Supervisor RespOnsibility Each supervisor is responsible for the safety of each member of their unit. Specifically, the discharge of this responsibility will include, but not be limited to, performance of the following duties: · Conduct inspections not less than one time each month for the purpose of identifying and controlling hazards within the workplace. · Orient each employee to all job hazards and safety procedures. · Promote safety awareness and enforce all safety rules and regulations. · Ensure that proper first aid is rendered in case of injury and that all accidents are reported. · Investigate all accidents (and near-accidents) and prepare a Supervisor's Accident Report. · Recommend corrective action where safety hazards exist. Page 3 · Conduct a meeting, at which safety is discussed,' not less than one time each month. · Ensure that training and/or instruction is communicated in a language, understood by the employee. · Provide timely documentation of all safety-related activities and procedures to the person having authority and responsibility for the overall program and to other officials as required. · COmmunication and training in new processes, new procedures, new equipment, new chemical hazards, new components in Right-To-Know training, safety activities, hazards, and safe work practices will be done by one or a combination of the following: (1) one-on-one conference between the supervisor and the employee; (2) group safety training sessions; (3). postings on the company bulletin board; Or (4) enclosures with the employee's paycheck. · Supervisors are responsible for getting first aid and proper medical care, and for filling out ail necessary medical forms, Occupational Safety and Health forms, and Workers' Compensation Employer's Report oflndustfiai Injury reports. · Procedures to investigate occupational injury, illness, or exposure to hazardous substances will include gathering pertinent data and making an objective evaluation of facts, statements, and related information, all of which will lead to a definite plan to prevent recurrence. Investigati.on procedures will include completion of a "Supervisors Report of Accident" and an "Employee's Report of Accident". · Procedures for correcting unsafe or unhealthy conditions and work practices will involve either one or a combination of the following: (I) abatement; (2) safeguarding; (3) personal Protective equipment; or (4) training. · An occupational health and safety training program to instruct employees in general safe and healthy work practices and to provide specific instruction with respect to hazards specific to each employee's job will be provided to all new employees and to all employees given a new job assignment. Further, all employees will be trained whenever new substances are introduced into the workplace and represent a new hazard and whenever the employer receives notification of a new or previously unrecognized hazard. · Supervisors will be knowledgeable of the safety, physical, and health hazards to which employees under their immediate direction and control may be exposed. VII. Employee Responsibility The success of this Health and Safety Plan depends to a great extent upon the cooperation and commitment of every employee. Each employee should be alert to the potential hazards of Page 4 materials in the workplace and follow the appropriate work practices that have been established to protect their health and safety. We insist that employees take personal responsibility for their own physical and health safety and that of co-workers. Whenever there is a question regarding the handling, use, disposal, or emergency procedures involved with a specific chemical, the label and/or Material Safety Data Sheet (MSDS) should be consulted. It is the responsibility of the employee to wear the appropriate, adequate, protective clothing and safety equipment as prescribed by the employer, the MSDS/manufacturer's recommendation, and related warning signs. The typical hazards to be found in the workplace have required the establishment of specific rules of conduct. In addition to being observed as a list of safety rules, the following will be considered as additional job duties for all personnel. Employees will: · Keep the work areas clean and free of unnecessary tripping hazards. · Operate equipment strictly in accordance with supervisory instruction. · Wear safety glasses with side shields or a face shield while grinding, sanding, or using other similar power equipment. Wear protective clothing and other devices where specified by the supervisor. · Wear appropriate footwear suited to the job. · Report to the supervisor hazardous conditions or unsafe actions of others. · Immediately report to the supervisor all accidents and injuries. · Seek first aid immediately following injury. · Comply with all safety rules and regulations as set forth in the written training programs provided to employees. · Adhere to all common practices which are considered safe and healthy work practices and procedures by this industry. Employees must inform their supervisor of, or themselves correct, all safety, health, and fire hazards on discovery. Employees will not be dismissed or discriminated against for informing supervisors or owners about work site hazards. If in doubt about a health or safety matter, .employees have a duty to talk it over promptly with their direct supervisor. In the event the matter is not attended to in a timely manner, the employee is directed to refer it to the next higher level of management. Page 5 Each employee will participate in training as requested and learn and obey safety practices and rules and use all proper safety devices and protective gear. Disciplinary actions will be taken to assure that employees comply with safe and healthy work practices. All training and re-training will be monitored and documented. Records which verify training will be retained in the company's binder which contains information on injury prevention, hazard communication, and Material Safety Data Sheets. This binder is to be easily accessible to all employees. Supervisors who conduct training on the job will be required to complete proper written training verification with employees' signatures. Employees wil! not: * Take unnecessary risks or work under hazardous conditions. * Use unsafe tools or equipment. * Distract or interfere with another employee during the performance of his/her job. · Start a machine, motor, or any other equipment when not authorized to do so. · Tie down, block out, or remove a safety device unless authorized to do so. · Wear loose-fitting clothing, neckties, or jewelry while working around machinery, or wear long hair when inappropriate to the job. · Smoke in hazardous or unauthorized areas · Engage in horseplay. VHI. Disciplinary Action Under authority of SB195, Cal-OSHA's Illness and Injury Prevention Program, employers are given power to enforce disciplinary action toward employees who violate written and common sense rules of safety in the workplace. While this Plan outlines some general safety rules, we reserve the right to enforce specific written disciplinary action if such rules or common sense are not followed. General disciplinary action steps for our company will carefully follow the guidelines &the National Labor Relations Board (NLRB) and SB198. In general, these are: (1) a set number of verbal warnings, or oral reprimands, documented in the employee's personnel file, (2) a set number of written warnings, or letters of reprimand, signed by management and the employee and placed in the employee's personnel file, (3) one of the written reprimands may consist of the employer's option to give the violator a specified time off without pay, and/or (4) the employer's option of demotion or reassignment of the violator, and finally, (5) dismissal or termination of employment. The set number of verbal and written warnings, determined by this employer, will be equally and fairly enforced. Any warning, verbal or written will be given to the violating employee immediately following the infraction of the safety rule or horseplay stating the Page 6 specific reason(s) for discipline. The warning(s) shall also include the consequences of any future violation(s). In the absence of any specific written disciplinary policy, this section becomes our company Disciplinary Policy. IX. Hazard Assessment and Control Supervisors will conduct regularly scheduled periodic inspections to identify and evaluate unsafe conditions and work practices. These 'inspections' will take place whenever new substances, process, procedures, or equipment are introduced to the workplace and whenever the employer receives notification of a new or previously unrecognized hazard. These inspections are in addition to the everyday safety and health checks that are a part of the routine duties of supervisors. Employees will be able to inform supervisors of hazards at the worksite by verbal notice as soon as possible. A written form will be available in the office. These forms will be used by employees to formally notify the supervisor of any hazards the employee considers to be significant. This notice can be dropped off at the office or given to any supervisor. Under no circumstances will there be reprisals for employees reporting hazards to the company. A formal report will be submitted to the individual in charge of safety following these inspections. Records of the corrected items will be kept in' the personnel office for at least three years after correction. All occupational illnesses and injuries will be investigated using the procedures and forms supplied by the workers' compensation insurance carrier. These forms will be reviewed by management herein named. Items which will prevent further illness and injury will be brought up at the next safety meeting. A review of the safety procedures will be conducted by management herein named and any corrections or program deficiencies will be included as updates in the safety program. Procedures for correcting unsafe work conditions will be discussed at the next staff safety meeting attended by all employees and management. If an imminent hazard is noticed, all work will stop until the hazard is removed or corrected. X. Reporting Responsibility The Emergency Coordinator is ultimately responsible for getting first aid and proper medical care for injured employees; for reporting by telegram within 24 hours to the proper government officials and to the workers' compensation carder any injury or death; for filling out all neCessary medical forms, Occupational Safety and Health forms, and Workers' Compensation Employer's Report of Industrial Injury forms. Page 7 A. RELEASE PREVENTION I. Storage Criteria In an attempt to prevent a release of hazardous materials, inventory supplies are intentionallY maintained at relatively low quantities, ordering on a demand basis only. Inventory control measures include a first-in/first-out policy, so as to not have idle supplies for long periods of time. All waste products are accumulated within secondary containment (110% of the primary container) and removed on a regular basis by licensed haulers, thereby reducing the risk of a hazardous waste incident. Daily cleanup procedures are routine in order to minimize the chances for a release of hazardous materials or injury to personnel. All new materials are properly stored in original containers with distinctive labels clearly identifying the contents. Additionally, a NFPA placard or label is displayed at each storage area to warn individuals of potential hazards. Specific indoor storage locations have been designated for compatible materials, to ensure the protection of all containers from natural elements and outside contamination. Each-stor~ge location is clearly marked and isolated from machinery, air intake ducts, and pedestrian traffic areas. It is Stmadard operating procedure to cover and replace all containers immediately following their use. H. Inspection Protocol As a result of routine business operations and best management practices, inspection occurs on a daily basis. Any aboveground release due to a leak or seepage can easily be detected through visual inspection. All ignition sources (such as electrical switches, outlets, and compressor) and other potential fire hazards have been identified. Permanent drum storage locations are strategically isolated from possible fire hazards. Policy dictates the grounding of flammable liquid drums as a spark arrestor. Company policy prohibits employees from smoking near flammables. Portable fire extinguishers are located throughout the facility. Each fire extinguisher is inspected on an annual basis by the vendor/provider and by the local fire department. Personal protective equipment (such as safety glasses, gloves, dust masks and/or respirators) is mandatory when handling potentially hazardous materials. Appropriate eqUipment is readily available in each department and is stored nearby. In addition to daily inspection as a result of routine use, all personal protective equipment is placed on an annual maintenance schedule to ensure its proper working condition. Page HI. Process Equipment and Transfer of Chemicals Procedures for the safe use and transfer of chemicals from one container to another have been established and conveyed to material handlers. After the transfer of materials; each container is tightly closed for storage or transport. Following manufacturer recommendations as stated on Material Safety Data Sheets, each chemical product is stored and handled in well-ventilated areas away from sources of ignition. During the delivery of new product and removal of waste material, an employee shall be present to guarantee a safe transfer. All generated waste products are collected in small containers prior to their transfer into a larger container for longer-term storage. The proper procedure for waste transfer is as follows: after accumulating a reasonable amount of waste (either at the completion of a job or at the end of the workday), the small container is t° be sealed and carried to the larger container; at this time, the handler is to remove the cap on the larger container and insert a funnel into the opening; once the funnel is in place, the handler may open the small container ~nd carefully pour the material into the larger container; when the transfer process is complete, the funnel is removed and the primary container is immediately resealed. Longer-term storage containers of new product and waste are closed at all times, except for filling or transferring. All large, longer-term containers of hazardous waste are stored within secondary containment. IV. Employee Training The 1983 Hazard Communication Act (followed by legislation known as the Right to Know Laws, AB2185 and AB2187, et.al.) Title 8, GISO Sections !509, 3203, and the 1991 Cai-OSHA SB198 law, as amended, (the Illness and Injury Prevention Program [IIPP]), requires every employer to establish an employee accident prevention, safety education and training program for employees routinely exposed to toxic substances. Our company has developed a training plan designed to inform employees of hazardous chemicals and hazardous working conditions possible or present within the workplace. Prevention of a release of hazardous materials begins with employee awareness through our training program in the area of hazardous materials and injury prevention. Employee training materials are provided by Pacific Management Services, a private consulting firm specializing in environmental health and safety compliance issues. Other materials are provided by the California Chamber of Commerce, our Workers' Compensation insurance company, and other outside sources of training materials. Within thirty (30) days of hiring, general threshold.or initial training is given to all new employees, affected and authorized employees. This is accomplished through information provided during safety meetings or self-study and on-the-job training administered by management personnel or an industry professional. At the time of an employee's initial assignment, mandatory hazardous materials training is given in the form of a haz mat video and employee handbooks. This training is repeated annually, as well as whenever a new hazard or hazardous chemical is introduced into the work environment. Page 9 Regularly scheduled accident-prevention safety training is conducted to satisfy the requirements of SB198 (the Illness and Injury Prevention Program), with topics based on job functions performed at our business. In keeping with this Plan, accident-prevention safety meetings (or self-study sessions) are characterized by video and/or verbal descriptions of proper procedures, while following written manuals as guidelines. The hazardous materials safe handling training session covers the following required information and training topics: * The requirements of the Hazard Communication Act and what they mean; * Any operations within work areas where hazardous chemicals are present; · The location and availability of the written hazard communication program; a review of our company's Hazardous. Materials Management Plan, Material Safety Data Sheets, Injury and Illness Prevention Plan, and our Emergency Procedures; · Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance, or odor of hazardous chemicals when being released into the work atmosphere); · The specific physical and health hazards of the chemicals in the work area; (This is done either by specific chemical or by categories of hazards. Nonetheless, all employees are made aware that the information is available on the specific hazards of individual chemicals through the use of Material Safety Data Sheets.) · The measures employees can take to protect themselves from these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals (such as appropriate work practices, emergency procedures, and personal protective equipment to be used); and · The details of the hazard communication program, including an explanation of how to read and interpret the information found on container labels and Material Safety Data Sheets, and how employees can obtain and use the appropriate hazard information. * Lockout/Tagout Standard (LOTO) and energy control procedures for machinery and equipment. · Medical Services/First Aid Standard and bloodbome pathogens rules. * Operation of specialized equipment, machinery or vehicles. * Department of Transportation (DOT) requirements, as required and necessary. · Emergency evacuation drills (annually). Page 10 B. IMMEDIATE NOTIFICATION AND EVACUATION I. Notification of Employees Although we do not specifically have an on-site emergency response team, the Emergency Coordinator will respond to a leak, spill, fire, explosion, or airborne release. The basic nature of our business and low inventory allows for release or spill detection through visual monitoring. Initial verbal communication by the first respondent to the Emergency Coordinator, followed by a loud verbal announcement by office personnel, will effectively notify all employees of the emergency. H. Evacuation of Employees In the event of an emergency situation requiring the evacuation of the facility, a loud verbal announcement will effectively activate the proper evacuation procedures (as practiced during training drills). A~er safely vacating the premises through the designated evacuation routes, all employees are to meet at the predetermined evacuation assembly area. At this time, the Emergency Coordinator is responsible for taking an employee head count. If necessary, the Emergency Coordinator will also secure all utility shutoff valves and switches.- Please refer to the Site Map for the specific location of the evacuation assembly area, as indicated by II1. Notification of.Emergency Response Agencies Management personnel, notified by employees of the incident, will determine the nature and extent of the accident. After evaluating the situation and consulting the proper outside authorities, if the Emergency Coordinator reasonably believes the release cannot be easily contained and cleaned up by employees (or if the situation creates any health or safety hazard to employees, the public, or the environment), he will immediately notify the agencies listed in Section C, "Emergency Response Procedures". Notification will include the following information: 1. The name and telephone number of the person making the report. 2. The exact location (including the name and address of the facility) at which the release or threatened release occurred. 3. The time and nature of the incident. 4. The type and quantity of the of hazardous material(s) involved. 5. The extent of any injuries. 6. The potential hazard(s) to human health or to the environment. Page 11 Additional notification is required if Special ci 1. I£ the .~n;,~., rcumstan ~re--' -~-,,~u or leaked ..... c~ ~re reVOlved. Y c~lses into - * ,uate~al enter~ t~_ _. ' b) ~ ..... ~ ~ocal Was~ ...... ,.or other wa*~-- system or - ~,,~act the re~i .....~ter ~i~sio~ ~ ~ way: ..... off the business ~ ~um Water R~_ ~ "°tPublic Work.e- - - 2. If the released material's Control Bo~d. ~ airborne, contact the re~on~ ~r Quality Boarw~r Pollution h may be necessa t , and en~ro~ental c~es~a~, the appro~2~tY Data Sheet fo- · onsultant~ __ ~,,~re h~-~-~ ~ ~ec~fic h~ards ~or o ,uay pro,de aa~:,:~°us Waste ~' Notification °f Neighbors ~,uona~ assistance, ntractors, insurance Due to the relativel due to our abin-., y sm~l quantit;,~ _~. a h~a~a~. '-y to COntro ~ _ '~ otn~ardo ~ ~ -.~us mate~al- · ~ ~ Small acciden,-, ? and Waste ~ate~als are us~ - ~_mc~dent Woula ~,,a~ re,ease ~tho ~'~j~_~s present _ .. 'nanageme., _ ~ aha Stored. ~_ ~ ~ severe , .... ut Outside ass/o,-__ at Our facfl~t releas~ _ "' practices; tk~--~ ~ ~ recommena~ ~,ou~ to im~.~. '~,-uce, it is u,m._~'.~d ~_ ~ oCCurs w~ou "~,ctOre, the no~.:~.;;~~u oy the m .... f~t adjacent nr~c~Y t~at ~°oral~ator .,.:u ~u requires ..... ~ a~lolll~ of ~n .... ~luf~CtHfeE tk~ . YJ ~Pc~les. -,u COntact im~.."°nncation of ,~'~ major releas .' ~'~ ~SDS's, o · ,,~u~ate nei~hk .... "'~ SU~ouna;._ e ~s greatly ~a r be~t o ~ ~a telephone ~_ ~"~ population ~ffff~ced. If a ~'personal visit. ' "~ nmergency Page 12 C. EMERGENCY RESPONSE PROCEDURES MAJOR INCIDENT: FIRE, SPILL, OR SUSPECTED LEAK 1. TURN OFF POWER, using emergency shut-off switch and/or master switches to electrical and natural gas shut-offs. 2. EVACUATE: Verbally ANNOUNCE to all persons at the site: "There is an emergency. Please turn off all power and leave the facility immediately. All employees meet at the evacuation assembly area." 3. CALL 9-1-1 and give the following (example) information: "THERE IS A FIRE/GASOLINE SPILL at -- (name and exact location of business) --." If anyone is trapped or needs medical attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation. 4. LOOK AROUND to assure that everyone has left the facility--particularly those who may not have heard the emergency announcement. Assist (or direct assistance to) anyone having difficulty leaving the area, and anyone who may be injured. 5. REPORT to arriving emergency response personnel to provide them with any information or · assistance they might need. 6., CONTACT the owner or manager if they are not already on-site. · 9-1-1 Police, Fire, and Medical · (805) 326-3911 Bakersfield Fire Department · (800) 852-7550 California Office of Emergency Services (OES) All employees are instructed regarding immediate notification of persons within the facility who are to respond to an incident. THE CLOSEST MEDICAL FACILITY THAT CAN PROVIDE APPROPRIATE ASSISTANCE IN CASE OF AN ACCIDENT IS: Valley Industrial Medical Group 2501 "G" Street Bakersfield, CA 93301 (805) 32 7-2225 EMERGENCY NUMBERS ARE POSTED NEAR THE TELEPHONE. Page 13 MINOR INCIDENT: FIRES: Extinguish with fire extinguisher. Recharge the extinguishers as necessary. SPILLS: Clean up with absorbent materials on site and dispose of according to all regulations. Have a fire extinguisher ready for spills of flammable materials. Restock absorbent as necessary. MEDICAL:. Treat with on-site first aid kit or transport to nearest hospital. The nearest medical facility is listed above. RECORD-KEEPING: Record the event in the daily monitoring log. NOTIFICATION: Notify the owner or the manager of the incident. D. HAZARDOUS MATERIALS EMERGENCY RESPONSE L Procedures used to prevent a release of hazardous materials: Our business monitors and inspects daily all storage containers and hazardous materials. Our primary strategy to prevent a release of hazardous materials is to not have any large quantity of toxic or waste materials on hand at any given time. Inventory is intentionally kept Iow, ordering on an as-needed basis. Inventory and waste are securely stored, away from employee and customer traffic areas. Hazardous waste is picked up regularly by a licensed hauler. II. Procedures to reduce/prevent/abate damage if a release of hazardous materials occurs: The business uses rags and absorbent material to contain and clean up any small spill of hazardous material. For larger spills, on-site personnel will dial 9-1-1. Absorbents, rags, and fire extinguishers are kept in the work areas. Employees have been trained in how to use these items. Work areas are cleaned daily. Each employee knows where emergency shut-offvalves and power switches are located. Employees have been instructed to mm off utilities (if necessary) during emergency situations. Iii. Procedures for immediate notification and evacuation of business site: Notify all on-site personnel that an emergency exists. Notice will be verbal. Evacuate everyone to the designated emergency assembly area. (Please refer to the site map for the location of this area.) Page 14 E. EMERGENCY RESPONSE PROTOCOLS AND CLEANUP PROCEDURES I. Employee Training Although we do not have a trained on-site emergency response team, all material handlers have been instructed in the proper cleanup of released materials in accordance with the Material Safety Data Sheet. Responders are encouraged to use the available personal protective equipment (such as safety glasses, respirators, and gloves) during the cleanup process. All material handlers have been directed to take precautionary measures during release containment and cleanup procedures. Although highly unlikely due to the type and quantity of materials present, if the situation is deemed immediately dangerous to life or health, employees have been instructed to isolate the area and evacuate the facility. II. Medical Assistance / First Aid A basic first aid kit for minor injuries is available as indicated on the facility map by +. The medical supplies within the kit include various types of bandages and bandage dressings to control bleeding and soothe minor bums. Antiseptic is available for abrasions and other wounds. In the event of an eye injury, an eye wash solution to rinse out the eye and relieve irritation may be found in or near the first aid kit. For more serious eye injuries, a constant flow of water will be applied for fifteen minutes. The Emergency Coordinator is responsible for maintaining and inspecting the adequacy of medical supplies on a quarterly basis. If an incident occurs which depletes the kit of a particular item, the Emergency Coordinator will replace that item in a timely fashion. Any situation in which an employee requires immediate attention beyond that of the first aid kit will necessitate notifying an ambulance service and/or an emergency medical facility. In addition to life-threatening situations (such as cardiac arrest or cessation of breathing), any accident resulting in serious bodily injury (such as eye injury or serious burns) will definitely warrant notification of professional medical assistance. All employees have been taught how to properly notify medical response agencies. If an accident occurs which involves hazardous materials, a MSDS on the particular substance will be available for reference by emergency medical personnel. III. Equipment Spill control and containment equipment available to responders include shop rags and absorbent material, along with a scoop and a broom. A collection container is designated for the storage of contaminated material until its removal by a licensed hauler. Other emergency response equipment includes personal protective equipment and portable fire extinguishers. While awaiting professional assistance, on-site responders who are trained in the proper use of emergency Page 15 response equipment and supplies will contain the release as best as possible. Upon the arrival of emergency response agencies, employees are to surrender cleanup control to emergency personnel, assisting as needed. IV. Storage and Disposal of Wastes Generated Contaminated product resulting from a release and subsequent cleanup will be collected with a scoop, broom, and rags and placed into a properly labeled container. Waste material is removed on a regular basis by a licensed hauler for recycling. V. Reentry Criteria If the facility was evacuated because of a spill or fire, it is likely that slipping hazards will be present and will require attention before reentry is allowed. Following thorough investigation and considering the recommendation of professional emergency response personnel, the Emergency Coordinator will decide if the facility is safe for reentry. Page 16 F. EMPLOYEE TRAINING PLAN [Employees will be given this training before starting work, and refresher courses will be provided annually. Records will be kept to show when each employee has been given his&er safety Iraining. Each employee will sign and date the training log upon completion of training. These records will b~ kept for a minimum of three years.] I. First Things To Know: (For locations, please refer to the SITE MAP.) A. EMERGENCY ASSEMBLY AREA: Location where employees are to meet in the event of an. emergency which requires evacuation of the building. B. EMERGENCY POWER SHUT-OFF: This tums off the power and helps prevent spills. C. ELECTRICAL PANEL: The panel allows you to selectively cut off power to lights, signs, pumps, etc. The main switch kills all power at the site.) D. NATUKAL GAS SHUT-OFF: The valve allows you to shut off the flow of natural gas during an emergency. (This may or may not be necessary.) E. WATER SHUT-OFF: In some cases, it may be necessary to shut off'the water supply. The water valve allows you to do this. F. EMERGENCY RESPONSE EQUIPMENT: These items (gloves, goggles, broom, shovel, etc.) will be used by employees to prevent direct skin contact with hazardous materials. G. FIRE EXTINGUISHER: Use only on small fires that you can handle. Do not attempt to extinguish large fires on your own--call 9-1-1 for help. H. ABSORBENT: In the form of kitty litter, absorbent can soak up small spills of gasoline, oil, diesel fuel, or other petroleum products. Absorbent should be used instead of washing spills down a drain. Also use rags whenever possible. In case of a large spill, try to contain the spill to a confined area. A vacuum truck will need to be used for complete cleanup. Never put used absorbent into the trash--it must be treated as hazardous waste. I. FIRST AID KIT: A first aid kit 'is available for treatment of minor injuries. Employees are informed of its location. Page 17 First Aid Procedures (for exposure to flammables such as solvents, thinners, gasoline, and diesel fuel): 1. EYE CONTACT: Flush with water for 15 minutes while holding eyelids oPen. Get medical attention. 2. SKIN CONTACT: Flush with water while removing Contaminated clothing and shoes. Follow by washing skin with soap and water. Do not reuse clothing or shoes until cleaned. If irritation persists, get medical attention. 3. INHALATION (Breathing): Remove victim to fresh air. If breathin8 is difficult, provide oxygen. If not breathing, administer CPR. Get immediate medical attention. 4. INGESTION (Swallowing) DO NOT INDUCE VOMITING, BECAUSE GASOLINE CAN ENTER LUNGS AND CAUSE SEVERE LUNG D .A~.GE! If vomiting occurs spontaneously, keep head below hips to prevent al attention aspiration of liquid into lungs. Get immediate medic . NOTE TO PHYSICIAN: If more than 2.0 ml per kg has been ingested and vomiting has not occurred, emesis shouM be induced with medical supervision. Keep victim's head below hips to prevent aspiration. If symptoms such as loss of gag reflex, convulsions, or unconsciousness occur before emesis, gastric lavage using a cuffed endotracheal tube should be considered. 5. FOR FURTHER INFORMATION, consult the Material Safety Data Sheet for these products and for other hazardous materials. First Aid Procedures (for exposure to other materials): Consult the warning advice on container labels or refer to the Materials Safety Data Sheets. J. HAZARDOUS MATERIALS MANAGEMENT PLAN (HMMP) AND MATERIAL SAFETY DATA SHEETS (MSDS's) are kept in the Environmental Compliance and Safety Training binder. The MSDS is a multi-part "extended label" form prepared by the manufacturer or importer of a hazardous substance. Among other things, the MSDS includes the following: · Exact chemical name and Chemical Abstract Service (CAS) number of each hazardous substance contained in the product. · Hazards or risks of exposure, including potential physical and health effects and symptoms. · Proper handling precautions, including the use of various protective methods and equipment. · Emergency and first aid procedures in the event of spill, fire, or accident. · The date the information was compiled and whom to contact to obtain further information. Page 18 The MSDS is the primary document required to prepare and conduct meaningful training for employees exposed to hazardous substances. We have designated a person to be responsible for obtaining, dating on receipt, and maintaining the Material Safety Data Sheets for our company. This person will review incoming MSDS's for new and significant health/safety information and will see that any new information is communicated to our employees. We have a written process to obtain needed MSDS's from distributors or manufacturers. We also have a written request process by which employees can obtain copies of MSDS's. Ifa particular MSDS is not available, or if there is no MSDS for a hazardous substance in use in our business, employees are to immediately notify the contact person. If an employee needs immediate information about a substance he/she is using on the job, and an MSDS is not available or is confusing, or if there are questions about the accuracy of the MSDS, the employee shoUld contact the California Hazard Evaluation System and Information Service (HESIS) at (510) 540-3014. HESIS will assist in determining if there are health effects from exposure to the substance. If use of a product is discontinued and the MSDS is destroyed, a record of the identity (chemical name if known) of the substance or agent, and where and when it was used, shall be kept for a period of at least thirty (30) years. H. Employee Training and Emergency Notification: This facility has a required program which provides employees with initial and refresher training in the following areas: A. Employees are trained in methods for safe handling of hazardous materials. B. Procedures are established for coordinating activities with response agencies. C. Employees are trained in the proper use of safety equipment. D. Employees are trained in procedures for emergency evacuation. E. Employee training records are retained for three years. l~I. Employee Emergency Response Training for: A. NEW EMPLOYEES: Prior to job startup, new employees are given an orientation which includes: information covered in this document; Right-To-Know hazardous materials laws; National Fire Protection Association labeling and placarding: and Material Safety Data Sheets. · Page 19 B. ANNUAL REFRESHER TRAINING: Refresher training is held annually for all employees. Training is also provided when any new hazard or hazardous materials is introduced into the work environment. C. SAFE HANDLING OF HAZARDOUS MATERIALS: The use of Material Safety Data Sheets, safe handling of products and wastes, proper cleanup, protective clothing, and other safety precautions are discussed. D. PROPER USE OF ON-SITE EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES: Employees are trained in the use of fire retardants, extinguishers, absorbents, clean rags, brooms, shovels, and other available equipment. E. PROCEDURES FOR NOTIFYING AND COORDINATING WITH LOCAL EMERGENCY RESPONSE AGENCIES: Management personnel are responsible for coordinating with and cooperating with any local emergency response agencies. NOTE: All employees shouM review the Hazardous Materials Management Plan (H~P). Specifically, each employee should understand the procedures to be used in responding to various kinds of emergencies, and know how to check .for leaks of hazardous materials. Employees shouM also review Section C, "Emergency Response Procedures". All employees shouM have access to and review Material Safety Data Sheets for hazardous materials used at this facility. MSDS's are kept in the Environmental Compliance and Safety Training binder. Page 20 G. OTHER ADMINISTRATIVE REQUIREMENTS I. Product, Container, and Shelf Labeling A. ON IN-HOUSE CHEMICALS: It is a policy of this company that no container or hazardous substance will be released for use until the following label information is verified: * Products, containers, and/or shelves are clearly labeled as to the contents. · ApPropriate hazard warnings are noted. · The name and address of the manufacturer are listed. · To further guarantee that employees are aware of the hazards of materials used in their work areas, it is our policy to label all secondary containers. Secondary containers are labeled with either an extra copy of the original manufacturer's label or with generic labels which give content identity and warning of the specific hazard. · Should a label on any primary or secondary container become detached or unreadable after issue of the container and/or during its use, the label is to be replaced. · Containers used for hazardous substances but intended only for the immediate use of the employee who transferred the substance into the container, need not be labeled so long as the container is emptied and cleaned prior to the end of that employee's work shift. B. ON SHIPPED CHEMICALS: * Chemical manufacturers, importers, and distributors will make sure that each container of hazardous chemicals leaving the workplace is labeled, tagged, or marked. Our company uses the marking system of the National Fire Protection Association (NFPA) for identification of hazards. Employees are trained in this system of identification. H. Site/Facility Map A copy of our site/facility map is included within the HMMP/Business Plan, and fulfills the requirements of federal and state laws. A site map showing evacuation routes is posted in our place of business. Page 21 HI. Informing Non-Employees of Hazardous Materials To guarantee that customers, visitors, or outside contractors and vendors are safe in our facility, we provide the following information: A. Warning signs are posted as to hazardous substances or conditions which are present at our place of business. B. Appropriate protective measures which may be taken to lessen the possibility of exposure to hazards. C. MSDS information from contractors and vendors who may bring chemical hazards to our place of business. IV. Hazardous Non-Routine Tasks Employees occasionally may be required to perform hazardous non-routine tasks. Prior to starting work on such projects, each employee involved will be given information about hazards to which he/she may be exposed during such an assignment. This information will include: A. Specific hazards which may be encountered. B. Protective/safety measures which must be utilized. C. Measures the company has taken to lessen the hazards, including protective equip- ment, the presence of another employee, and the use of emergency procedures. Miscellaneous facility maintenance and repair activities are examples of non-routine tasks which employees might be called upon to perform. D. Certification of training is to be documented on all employee training sessions through the use of Training Logs. These logs include employee names and signatures, date of the training, name of the trainer, and a copy of the material used in the training. V. Hazardous Substances in Unlabeled Pipes (if applicable) To prevent the possible exposure of employees to hazardous substances in unlabeled pipes, it is our policy that no employee is authorized to work on or otherwise tamper with any pipe in our facility. This policy shall not be superceded by anyone other than the owner or corporate officer in charge of safety issues for the business. Page 22 VI. Inventory of Hazardous Substances An inventory of all known hazardous substances (in reportable quantity) present at our facility is found in the Hazardous Materials Management Plan (HMMP). The inventory includes each hazardous substance and the work area where it is used. This inventory will be reviewed and updated annually, as well as when new hazardous substances are introduced. VII. Exemptions The California Hazard Communication Regulation includes the following exemptions: A. HAZARDOUS WASTES: This exemption, however, is limited to those wastes regulated by the federal EPA. California hazardous waste is to be properly labeled. B. TOBACCO PRODUCTS. C. WOOD OR WOOD PRODUCTS: An example might be furniture. The glue, varnish, paint, etc. used in the manufacture of furniture is a hazardous substance during the manufacturing process. When the finished product is delivered, those substances are bound up and no longer need to be considered hazardous. D. ARTICLES (manufactured items): An example might be a vehicle tire. Numerous hazardous substances are used in the manufacture of tires, but when delivered, these components need not be considered hazardous to the handler. E. FOOD, DRUGS, OR COSMETICS intended for use or consumption by the employee. F. RETAIL FOOD ESTABLISHMENTS: This exemption is not effective if the establishment is located in the work area where other hazardous substances are handled or stored. G. CONSUMER PRODUCTS SOLD AT RETAIL: This exemption is not effective if the duration and frequency of employee exposure is greater than that of the ordinary consumer. For example, if employees use an pressurized can of solvent for cleaning oil and grease, the frequency of employee use far exceeds that of the ordinary consumer. Even though the product is available over-the-counter, it is not considered exempt. H. PESTICIDES: Pesticide use is already regulated by the California Department of Food and Agriculture. Harold W. Montgomery Date Owner Note: The following five pages are forms used for keeping records at our place of business. Page 23 (NOTE: This report form is used to obtain required information about an emergency or incident. A copy is to be given to emergency response personnel.) I. NAME OF BUSINESS ADDRESS PHONE PERSON COMPILING REPORT II. DATE OF INCIDENT: TIME OF INCIDENT: TYPE OF INCIDENT (FIRE,EXPLOSION,SPILL,CHEMICAL RELEASE): NAME & QUANTITY OF MATERIAL(S) INVOLVED (TO THE EXTENT KNOWN): * CONTROL MEASURES USED (ABSORBANTS, FIRE EXTINGUISHERS, ETC.): * CLEAN-UP PROCEDURES USED: EXTENT OF INJURIES, IF ANY: POSSIBLE HAZARD(S) TO HUMAN HEALTH OR THE ENVIRONMENT: For assistance, refer to Material Safety Data Sheets III- Emergency Notification & Evacuation: (Give procedure & process used, staging area, etc.) VI. Notification of Neighboring Businesses/Residences (North, South, East, West): 1. Name Address Phone Contact Person 2. Name Address Phone Contact Person 3. Name Address Phone Contact Person 4. Name Address Phone Contact Person By: Signature Title: IV. Notification of Emergency Responders: 9-1-1 Name of Fire Department Phone - Name of Police Department Phone - Name of Medical Facility Phone - Nm~eofPolice/Sheriff/CHP Phone - Name of Ambulance Service Phone - Hazardous Materials Response (Health or Fire Department) V. Agency Numbers: Toxic Information Center .............. ( ) - California Office Of Emergency Services (OES) .................... (800) 852 - 7550 State Department of Health Services Toxic Substances Control Division ..... (916) 324 - 1781 Water Quality Control Board ........... ( ) - Air Quality Control Board ............. ( ) - Enviro.,~talProtectiomAgem~y (EPA) ....... ( 4 15) 495 - 8895 National Response Center .............. (800) 424 - 8802 Other Important Numbers Private Spill Clean-Up Company: ( ) - ( ) - ( ) - INSPECTION LOG PHONE COMPANY Responsible Inspector Title and Storage Date of Title and Counter Corrective Facilxty ., Inspection Observations. Signature' Signature A~tions RECORDABLE DISCHARGE LOG COHPANY PHONE Method Signature/Title Time/Date Amount/Type of Responsible Storage Discharge Material Corrective Cause of Time/Date of Facility Discovered Discharged Action Discharge Corrected Disposal Officer Hazardous Materials Management Plan HMMP AND Hazardous Materials Disclosure Forms For: 1992 2424 F STREET BAKERSFIELD, CA 93301 (805) 327-5274 Presented to: BAK. ERSFIE[.D FIEE DEPARTHENT HAZARDOUS MATERIA]-S DIVISION 2130 "G" STREET BAKERSFIELD, CAI~IFORNIA 93301 Prepared by: Management. Services Environmental Compliance Specialists 192:3 North Fine, Suite 101 Fresno, California 93727 (209) 251-4060 Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street' B~l~ersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: ~¢ 1. To avoid further action, return this form within 30 days of receipt. 2, TYPE/PRINT ANSWERS IN ENGLISH, 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~STC~ST~,R A~r~oMoTIV[ LOCATION: 2424 "F" STREET MAILING ADDRESS: 2424 "F" STREET CITY: BAKERSFIELD STATE: CA ZIP: 93301 PHONE: (805) 327-5274 DUN & BRADSTREET NUMBER: 36~35°-4457 SiC CODE: 7538 PRIMARY ACTIVITY: GENERAL AUTOMOTIVE REPAIR OWNER'. HAROLD MONTGOMERY MAILING ADDRESS: 2424 "F" STREET BAKERSFIELD, CA 93301 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. HAROLD MONTGOMERY OWNER.. (805) 327-5274 (805) 399-6955 2. DAVID NUNLIST .MANAGER (805) 327-5274 (805) 366-3283 B akers~eld Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 5 MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: WITHIN THIRTY DAYS OF HIRING, ALL NEW EMPLOYEES ARE REQUIRED TO PARTICIPATE IN A THOROUGH HAZARDOUS MATERIALS TRAINING SESSION. THE TRAINING INCLUDES INFORMATION COVERED THROUGHOUT THIS EMERGENCY RESPONSE REPORT AND RIGHT-TO-KNOW HAZARDOUS MATERIALS LAWS. INITIAL TRAINING ALSO INCLUDES BASIC INSTRUCTION ON HOW TO PROPERLY AND SAFELY HANDLE ALL HAZARDOUS MATERIALS AND WASTE PRODUCTS PRESENT AT THIS FACILITY. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. INSTRUCTION ON HOW TO INTERPRET THE NATIONAL FIRE PROTECTION AGENCY (NFPA) MARKING SYSTEM IS GIVEN, IN ADDITION TO HOW TO COMPRE- HEND MATERIAL SAFETY DATA SHEETS FOR SPECIFIC HAZARDS AND FIRST AID INFORMATION FOR USE IN CASE OF MINOR INJURIES IN THE .WORKPLACE. NEW EMPLOYEES ARE ALSO TRAINED IN THE LOCATION AND PROPER USE OF PORTABLE FIRE EXTINGUISHERS FOR FIGHTING SMALL FIRES, AS WELL AS IN THE USE OF RAGS, ABSORBANTS, AND OTHER SPILL CLEAN-UP CONTROL MATERIALS. ALL EMPLOYEES ARE TRAINED REGARDING THE LOCATION OF AND SHUT- OFF PROCEDURES FOR THE EMERGENCY UTILITY SWITCHES/VALVES. (CONTINUED ON REVERSE) 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) SECTION 5: CERTIFICATION: I, a A it O ]- D W . M O t~ ? C O M ~. ~t ¥ 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 2. BRIEF SUMMARY OF TRAINING PROGRAM, CONTINUED: NEWLY HIRED EMPLOYEES ALSO RECEIVE TRAINING ON PROPER EMERGENCY RESPONSE PLAN IMPLEMENTATION, INCLUDING THE USE OF ON-SITE EMERGENCY RESPONSE EQUIPMENT AND MATERIALS., EMERGENCY TELEPHONE NUMBERS LISTED IN FORM E, SECTION II (EMERGENCY RESPONSE PLANS AND PROCEDURES) OF THIS BUSINESS PLAN, EVACUATION ROUTES, AND STAGING AREA. BUSINESS PLAN INFORMATION (SECTION I OF BINDER) AND MATERIAL SAFETY DATA SHEETS (SECTION IV OF BINDER) ARE LOCATED IN THE ENVIRONMENTAL COMPLIANCE/SAFETY TRAINING BINDER, WHICH IS KEPT IN THE SHOP OFFICE. IN-PERSON, VIDEO, AND WRITTEN EMPLOYEE HANDBOOK INSTRUCTION GIVEN TO NEW EMPLOYEES IS DOCUMENTED IN SECTION III OF THE BINDER. Bal~ersfield Fire Dept. Hazardous Mat;erials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility-Unit Name: ~STC~ST~R ~UTOI~OTIVE SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: FOR EMERGENCY, DIAL 9-1~1. FOR NON-EMERGENCY, REPORTABLE RELEASE, CALL LAA (805) 326-3979 AND OFFICE OF EMERGENCY SERVICES (800) 852-7550. B. EMPLOYEE NOTIFICATION AND EVACUATION: BECAUSE OF THE SMALL WORK AREA AND THE SMALL NUMBER OF EMPLOYEES, INSTRUCTIONS TO EVACUATE WILL BE GIVEN BY A SHOUTED VERBAL WARNING. PERSONNEL ARE TO VACATE THE BUILDING BY GOING OUT THE NEAREST EXIT, AND THEN MEETING AT THE PREDESIGNATED STAGING AREA FOR A HEAD COUNT. THE STAGING AREA IS LOCATED AT THE NORTHWEST CORNER OF THE PROPERTY, NEAR THE AIRPORT BUS PARKING LOT. C. PUBLIC EVACUATION: HAROLD MONTGOMERY WILL NOTIFY THE FOLLOWING SURROUNDING POPULATION, IF NECESSARY: 1) VALLEY INDUSTRIAL MEDICAL GROUP (805) 327-2225 2) AMERICAN INDIAN.COUNCIL (805) 327-2207 3) KERN DRIVING SCHOOL (805) 325-2650 D. EMERGENCY MEDICAL PLAN: VALLEY INDUSTRIAL MEDICAL GROUP 2501 "G" STREET BAKERSFIELD, CALIFORNIA 93301 (805) 327-2225 LOCATED 50 FEET FROM OUR BUSINESS, ACROSS THE BACK ALLEY. Bakersfield Fire Di~.sP~on Hazardous Materials D HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS' PLEASE SEE REVERSE SIDE B. RELEASE CONTAINMENT AND/OR MINIMIZATION: PLEASE SEE REVERSE SIDE C. CLEAN-UP PROCEDURES: FOR SMALL SPILLS, HAZARDOUS MATERIALS WILL BE CLEANED UP WITH ABSORBANT MATERIALS, WHICH WILL THEN BE TREATED AS HAZARDOUS WASTE. FOR ANY LARGE RELEASE (HIGHLY UNLIKELY), A PROFESSIONAL CLEAN-UP FIRM WILL BE HIRED. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: OUTSIDE, ON EAST WALL OF BUILDING ELECTRICAL: OUTSIDE, ON EAST WALL OF BUILDING WATER: OUTSIDE, IN ALLEY (EAST OF BUILDING) SPECIAL: ALARM: NORTH WALL INSIDE FRONT SHOP (ADJACENT TO MEN'S RESTROOM) LOCK BOX: YE$~N~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: NONE B. WATER AVAILABILITY (FIRE HYDRANT): (t) SOUTHWEST CORNER OF "F" & 26th STREETS (2) NORTHWEST CORNER OF "F" & 4. 26th STREETS A. RELEASE PREVENTION-~PS: PREVENTION BEGINS WITH EMPLOYEE AWARENESS IN OUR TRAINING PROGRAM ON HAZARDOUS MATERIALS. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. IN AN ATTEMPT TO PREVENT A HAZ MAT- RELATED EMERGENCY, INVENTORY SUPPLIES ARE INTENTIONALLY KEPT LOW'f ORDERING ON AN AS-NEEDED BASIS ONLY. ALL WASTE PRODUCTS ARE.PROPERLY ACCUMULATED AND SAFELY STORED PRIOR TO REMOVAL BY A LICENSED HAULER. HAZARDS ARE PRIMARILY LIMITED TO FLAMMABLE/COMBUSTIBLE PETROLEUM-BASED PRODUCTS AND PRESSURIZED COMPRESSED GAS CYLINDERS, ALL OF WHICH ARE COMPATIBLE AND SAFELY STORED IN METAL CONTAINERS. DAILY CLEAN-UP PROCEDURES ARE ROUTINE, IN ORDER TO PREVENT 'A RELEASE OF HAZARDOUS MATERIALS OR PERSONAL INJURY TO EMPLOYEES~ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: OUR PRIMARY STRATEGY TO PREVENT A RELEASE OF HAZARDOUS MATERIALS IS TO NOT HAVE ANY LARGE QUANTITY OF ANY HAZARDOUS MATERIALS OR WASTE ON HAND AT ANY GIVEN TIME. IN THE EVENT OF A MINOR SPILL OR LEAK, ABSORBENT MATERIAL IS IMMEDIATELY APPLIED TO THE SUBSTANCE. ONCE THE SPILL OR LEAK HAS BEEN COMPLETELY CONTAINED AND ABSORBED, THE REFUSE IS CAREFULLY COLLECTED. THE CONTAMINATED MATERIAL IS THEN PROPERLY STORED UNTIL ITS REMOVAL BY A LICENSED HAULER. CITY OF BAKERSFIELD HAZARDOUS NA'I'ERIALS ]'NV~NTORY Farm and Agriculture f Standard Business Page 1 ~f 2 NON - '~'RADE SECRET BUSINESS NAMEs WESTCHESTER AUTOMOTIVE OWNER NAMEr HAROLD W. MONTGOMERY NAME OF THIS"FACILITY's LOCATIONs "'24'24 "F" STREET ADDRESS: 5816 CARTER AVENUE STANDARD IND. CLASS CODEs 7532 CITY, ZIP~ BAKERSFIELD, CA 93301 CITY, ZIP~ BAKERSFIELD, CA 93308 DUN AND BRADSTREET N[TMSER/FEDERAL ID.~ PHONE #: (805) 327-'5274 PHONE.#:' (805) 399-6955 3 6 - 3 5 0 - 4 4 5 7 REFER TO INSTRUCTIONS FOR PROPF~t CODES 1 2 .... 3 4 5 6 7 8 ' 9 10 1~. ' ' 12 ' ~ans ~ype Max Average Annual Measure # Days Conk Conk Conk Use Location Where % by N~s of Mixture/Components cod. Cod. Amt Am~ Amt Units on Site Type Press Temp Code Stored tn Facilit~ w~ See In, a~r~/t/on.s N I MI 220 J, 150 I 440 ..I G^L i 365 16'S I ~ I .~ 1261 INSIDE SHOP, N/W CORNER ..OTOR OI,-V/ . VARIOUS LUBRICATING BASE OILS~ >85 Physioal and Health Hazard C.A.S. Humber 8002--05--9 Component # I Name & C.A.S. Number 6~742--65--0 (Check all that apply) Component # 2 Name & C.AoS. Humber > ~5 ~)DITi~ P~GE, INCLUDINC: f Fire Hazard ~ Sudden Release ~] Reactivity [~ I~edlate ~ Delayed of Pressure Health Health Component J 3 Name ~ C.A.S. Number Z~ A~I~O~~ > 2 6~649-42-3 N J M J 110 ].. 5.5 .J..' 110 J GAL [ 365 I 08. I 1 [ 4 ['26J INSIDE SHOP, N/W ~O'RNER" %/~AUTOMATIC TRANSMISSION FLU~£ > s~ wiOUs L~ICATIm ~ O~S 64742-65-0 Physical and Health Hazard C.A.B. Nu=er MIXTURE Component ! 1 Name ~ C.A.B. Number (Check all that appl~) Component # 2 ~ame & C.A.S. aumber < 15 ADDITIVE PACKAGE, INCLUDING: of Pressure Health Health Component # 3'Name & C.A.S. Humber < 2 Z~ ~.~i"LDIT~IOP~0SP~TE 68~9-42-3 N I M [ .'60 ..[ 45 [ 120 '[ GA[ [ '~65 [..~0.[.~. I.. 4 .... [.09.1 EAST PARTS ROOM Phlmtcal and Health Hazard C.A.S. Hu~er 107-21-1 Component ~ 1 Name & C.A.S. Number ,> (Check all that apply) · Component # 2 Name ~ C.A.S. Number ~ Fire Retard ~ Sudden Release ~ Reactivit~ W l=ediate ~ Delayed of Pressure Health Health Component ~ 3 Name & C.A.B. Number N'l P I 90 I 45 .... I 90 [ FT~ i 365 I 04 .I ~ I 4 .... i 42,1 INSIDE ~LDG, ~IDDrE ~ ~ALL ~ ^C~.~.t~, CO~t~SS~.~ ~^S 74-86-2 100 Phlmtcal and Realth Razard C,A.S. Number Component # 1 Name & C.A.8. Number (Chenk all that apply) ] Fire Razerd m Sudden Release [] Reactivity ~ I~nediate [ Delayed Component # 2 Name & C.A.S. Number of Pressure Health Health Component [ 3 Name & C.A.S. Number EMERGENCY CONTACTS #1 HAROLD W. MON. TGOMERY 0W~ER (805) 399-6955#2 DAVID NUNLIST MANAGER ( ~805/~66~3283 Ram Title 24 Hr. Phone Name Title 24 Hr PhOne oe£tify under peanlty of law that ~ hayer porsonally examined and am familiar w~th the informatio~l submitted in this and all sttanhsd documents and that based on ~ inquiry of those ~div~duale r~pon~ible for obtaining the information. I believe that the submitted ~nformatlon is true, accurate, and nomplete. H^R0' D MON GO ERY, 0 NER ,2-24-92 CITY OF BAKERSFIELD HAZARDOUS NA~ERIALS INVENTORY [~ Farm and Agriculture ~ Standard Business Page. 2 'of 2 NON - ~ADE SECRET BUSINESS NAMEs WESTCHESTER AUTOMOTIVE OWNER NAMEs HAROLD W. MONTGOMERY NAME OF THIS"FACILITYs LOCATIONs ' 2424 "F'; STREET ADDRESS~ 5816 CARTER AVENUE STANDARD IND. CLASS CODEs 7532 CITY, ZIPs BAKERSFIELD, CA 933UI CITY, ZIPs BAKERSFIELD, CA 93308 DUN AND BRADSTREET NUMBER/FEDERAL ID .#' PHONE #s (805) 327-5274 PHONE.#.' (805) 399-6955 3 6- 3 5 0 -4 4 5 7 REFER TO INS~q/UCTIONS FOR PROPER (~ODES 1 2 3 4 5 6 7 8 9 10 '1{ 12 13 14 Trane ~pe HaM Average Annual Measure # Days Cent Cent Cent Use Location W~ere % by / N~s o£ Mlxture/C~ponents ~ode Code AmC Ami Amt Unt.~a on Site Type Press Tamp Code Stored in Facllit~ wt See Instructions N [ P [ 337 ~ 168 J 337 j FT~ J 365 104 I 1 ] 4 [42 J INSIDE BLDG~ MIDDLE W WALL ~/OXYGEN, COMPRESSED GAS Physioel and Health Hazard C.A.S. Hu~er 7782-44-7 Component f I Name & C.A.-". Number [00 (Cheek all that apply) Component # 2 Name & C.A.S. Humber [2] Fi£e He,etd ~ Sudden Release ~ Ren~tivit¥ ~ I.ediste I~] Delayed of Pressure Health HeaXth Component # 3 Name & C.A.B. Number N IWI 300 I 150 I 600 I GAL I 365 1 14 1401UGST, mmm~N/EOFm~. WASTE MOTOROU. 221 > 85 V I0 S :mmCmm 64742-65-0 Physical and Health Hazard C.A.S. Number MIXTURE Component t[ 1 N~ & C.A.S. Ntuaber (Check all that apply) < 15 ADDITIVE PACKAGE, INCLUDING: component ~ 2 Hame · c.A.s. Humber ~ Pire Hazard [2] Sudden Release [] Reactivity ~ Imediate [~ Delayed Of Pressure Health Health Component [ 3'Hame & C.A.S. Humber { 2 Z~C ALKYLDI~OPHOSPHAT~ N I w I .55 [ 30 I 55 I GAL I ....365 I06 I 1 I 4 140 J FENCED AREA, N/E OF BUILDING ~/ WASTE ANTIFREEZE/COOLANT 134 [hysioal and Health Hazard C.A.S. Humber MIXTURE Component [ I Hame & C.A.B. Humber > 91 E~ (~YC~ (Cheek ail that apply) Component [ 2 Han~ G C.A.S. ~umber ] Fire Hazard [] Sudden Release ~ Reactivity [] I.ediate ~ Delayed of Pressure Health Health Component ~ 3 Name & C.A.S. Number ~hysloel end Realth Hazard C.A.S. Number Component # I Name & C.A.S. Number (Check ell that apply) Component # 2 Name & C.A.S. Number E] ,ire ,e,ard El; Sudd., Rel.... [] Reactivity ,.edla . tD D.layed of Pressure Health Health Component # ~ Name & C.A.S. Number EHERGENCY CONTACTS #~ HAROLD 14. MONTGOMERY OWNER ' (805) 399-6955#2 DAVID NUNLIST MANAGER (805]866=3283 Name Title 24 Hr. Phone Hame Title 24 Hr Phone C~rtifieetion (READ AND SIGN AFTER COMPLETING ALL SECTI(~NS) ee£tify under peanltl' of law that I haver personally examined and am familiar with the Information submitted in this and all attached d~cumenta and that based on my inquiry of those ladividuale responsible for obtaining the ln£orma~ion. I believe that the submitted Information is true, accurate, and o~plete. .qIil4~AND CIFFICIAL TITLK OF CI,/NSR/OPKRA-TOR OR CYdI~R/OP}RIS AUTHORIEED REPRKflEN'P-A~IV~ flIGHA.TUR]~ DATE SIGHED H MP PLAI MAP SITE DIAGRAM I FACILITY DIAGRAM Business Name: WESTCHESTER AUTOMOIIVE Business Address: 2424 "F" STREET BAKERSFIELD, CA 93301 For Office Use Only First In Station: Area Map # of Inspection Station: NORTH F & 26th Streets PARKING LOT FOR AIRPORT N BUS OF BAKERSFIELD I1 DRIVEWAY ~T~HESTER A~O~I~ ~ ~RSFIELD, CA 9330l A A R R (805) 327-5274 K I I G I ~ DRIVEWAY ~/////~ PLAN MAP SITE DIAGRAM F'---1 FACILITY DIAGRAM Business Name: ~STC~ST~ AUTO1/OTIVE Business Address: 2424 "F" STREET BAKERSFIELD, CA 93301 For Office Use Only First In Station: Area Map # , of Inspection Station: NORTH E Ill I III II  ~ZA~OUS WASTE STOOGE PARTS PARTS OFFICE ~ ,,.E~ N SHOP SHOP AREA AREA 4--E Hoist 04/29/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2424 F ST Map: 102 Hazard: Low I Community: BAKERSFIELD STATION 01 Grid: 25B F/U: 1 AOV: 0.0 Contact Name Title Business Phone ---r 24-Hour Phone- HAROLD MONTGOMERY ~O3~/6~ (805) 327-5274 x/(805) 399-6955 DAVID NUNLIST /~AA/~6~ (805) 327-5274 x (805) 366-3283 Administrative Data Mail Addrs: 2424 F ST D&B Number:'F?-~o~-~J- City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: HAROLD MONTGOMERY Phone: (805) 327-5274 Address: 5816 CARTER AV State: CA City: BAKERSFIELD Zip: 93308- Summary RECEIVED MAY 5 1992 HAZ. MAT. DIV. 04/29/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-003 ACETYLENE Gas 90 High · Fire, Pressure, Immed Hlth FT3 02-004 OXYGEN Gas 337 Low · Fire, Pressure, Immed Hlth FT3 02-002 WASTE MOTOR OIL Liquid 280 Low · Fire, Delay Hlth GAL 02-001 MOTOR OIL Liquid 330 Minimal · Fire, Delay Hlth GAL 04/29/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NINE DOORS ARE AVAILABLE TO EXIT THE BLDG. ALL EMPLOYEES WILL MEET AT THE NW CORNER OF THE PROPERTY AT THE AIRPORT BUS PARKING LOT FOR A HEAD COUNT. <3> Public Notif./Ev~cuation ALL SPILLS WOULD BE MINOR AND WOULD BE IMMEDIATELY CLEANED UP. OF THESE WERE TO OCCUR, THEY WOULD BE INSIDE THE SHOP BUILDING ON CONCRETE FLOORS. THIS WOULD ELIMINATE ANY DANGER TO NEIGHBORS OR TO SOIL OR WATER SUPPLY. <4> Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL GROUP IS LOCATED 50 FT FROM THE BUSINESS, ACROSS THE BACK ALLEY. ALL PERSONS WILL BE DIRECTED THERE. 04/29/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention <2> Release Containment <3> Clean Up ALL SPILLS ARE CLEANED UP IMMEDIATELY WITH ABSORBANT. <4> Other Resource Activation 04/29/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER OF BUILDING SOUTH OF FENCED STORAGE AREA B) ELECTRICAL - NORTHEAST CORNER OF BUILDING SOUTH OF FENCED STORAGE AREA C) WATER - NORTHEAST CORNER OF BUILDING SOUTH OF FENCED STORAGE AREA D) SPECIAL - ALARM NORTH WALL INSIDE FRONT SHOP BUILDING BY MEN'S ROOM E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED THROUGHOUT THE BUILDING . FIRE HYDRANTS - SOUTHWEST CORNER CORNER OF 24TH AND F ST AND AT THE NORTHWEST CORNER OF 26TH AND F ST. <4> Building Occupancy Level 04/29/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE MONTHLY SHOP MEETINGS ARE HELD TO REVIEW AND INFORM EMPLOYEES OF THE LOCATION OF MATERIAL SAFETY DATA SHEETS AND CORRECT PROCEDURES FOR EVACUATION IN CASE OF EMERGENCY. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use "WE CARE" April 28, 1992 FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 · Harold Montgomery Westchester Automotive ' 2424 F Street Bakersfield, CA 93301 Dear Mr. Montgomery: Enclosed please find the computer copy of your Hazardous Materials Business Plan that- you certified as complete on April 10, 1992. This plan is not complete. You have failed to complete the highlighted sections El, E2, and E3 on page 4 of your plan. Please complete and return these sections by May 15, 1992. If you have any difficulties i please do not hesitate to call our office at 326-3979. , Sincerely Yours, .:: % ._ · Ralph E. Huey Hazardous Materials Coordinator CITY of BAKERSFIELD "WE CARE" April 28, 1992 FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Harold Montgomery Westchester Automotive 2424 F Street Bakersfield, CA 93301 Dear Mr. Montgomery: Enclosed please find the computer copy of your Hazardous Materials Business Plan that you certified as complete on April 10, 1992. This plan is not complete. You have failed to complete the highlighted sections El, E2, and E3 on page 4 of your plan. Please complete and return these sections by May 15, 1992. If you have any difficulties please do not hesitate to call our office at 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator · 03/17/92 WESTCHESTERoverall AUTOMOTIVEsite with 1Fac.215-000-000'~ PRunit 14 1992 General,Information Location: 2424 F ST Map: 102 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 25B F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- HAROLD MONTGOMERY ~o3~F_ 1(805) 327-5274 x 1(805).399-6955 DAVID NUNLIST /~A/~~ (805) 327-5274 x (805) 366-3283 Administrative Data Mail Addrs: 2424 F ST D&B Number: City: BAKERSFIELD. State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: HAROLD MONTGOMERY Phone: (805) 327-5274 Address: 5816 CARTER AV State: CA City: BAKERSFIELD Zip: 93308- Summary 03/17/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 MOTOR OIL Liquid 330 Minimal · Fire,, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT -- Daily Max GAL Daily Average GAL Annual Amount GAL 330 I 150.00 ----~ 600.00 Storage~~Press T Temp Location METAL CONTAINR-NONDRUMIAmbient[AmbientlINSIDE NW CORNER -- Conc Components MCP List 100.0% IMotor Oil, Petroleum Based IMinimal I -- Notes 02-002 WASTE MOTOR OIL Liquid 280 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE --. Daily Max GAL] Daily Average GAL I Annual Amount GAL 280 ~ 100.00 600.00 StorageIIPress T Temp Location ABOVE GROUND TANK IAmbientlAmbientlOUTSIDE BLDG NW CORNER -- Cons i Components I MCPI List 100.0% Waste 0il, Petroleum Based Low I -- Notes 03/17/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-003 ACETYLENE Gas 90 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 90 I 45.00 90.00 Storage I Press T Temp I Location PORT. PRESS. CYLINDER Above ~Above INSIDE BLDG MID W WALL -- Conc Components MCP List 100.'0% IAcetylene IHigh --~ -- Notes 02-004 OXYGEN Gas 337 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I AnnUal Amount FT3 337 i 168.00 337.00 Storage I Press I Temp I Location PORT. PRESS. CYLINDER Above IAbove INSIDE BLDG MID W WALL -- Conc Components MCP ~List 100.0% IOxygen, Compressed ILow - Notes 03/17/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NINE DOORS~ARE AVAILABLE TO EXIT THE BLDG. ALL EMPLOYEES WILL MEET AT THE NW CORNER OF THE PROPERTY AT THE AIRPORT BUS PARKING LOT FOR A HEAD COUNT. <3> Public Notif./Evacuation ALL SPILLS WOULD BE'MINOR AND WOULD BE IMMEDIATELY CLEANED UP. OF THESE WERE TO OCCUR, THEY WOULD BE INSIDE THE SHOP BUILDING ON CONCRETE FLOORS. THIS WOULD ELIMINATE ANY DANGER TO NEIGHBORS OR TO SOIL OR WATER SUPPLY. <4> Emergency Medical Plan 0 VALLEY INDUSTRIAL MEDICAL GROUP IS LOCATED 50 FT FROM THE BUSINESS, ACROSS THE BACK ALLEY. ALL PERSONS WILL BE DIRECTED THERE. 03/17/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 5 00 - Overall Site <E> Mitigation/Pr~vent/Abatemt <1> Release Prevention ALL SPILLS ARE CLEANED UP IMMEDIATELY WITH ABSORBANT. <2> Release Containment <3> Clean Up <4> Other Resource Activation 03/17/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER OF BUILDING SOUTH OF FENCED STORAGE AREA B) ELECTRICAL - NORTHEAST CORNER OF BUILDING SOUTH OF FENCED STORAGE AREA C) WATER - NORTHEAST CORNER OF BUILDING SOUTH OF FENCED STORAGE AREA D) SPECIAL - ALARM NORTH WALL INSIDE FRONT SHOP BUILDING BY MEN'S ROOM E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED THROUGHOUT THE BUILDING FIRE HYDRANTS - SOUTHWEST CORNER CORNER OF 24TH AND F ST AND AT THE NORTHWEST CORNER OF 26TH AND F ST. <4> Building Occupancy Level 03/17/92 WESTCHESTER AUTOMOTIVE 215-000-000498 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY ~DATA SHEETS ON FILE MONTHLY SHOP MEETINGS ARE HELD TO REVIEW AND INFORM EMPLOYEES OF THE LOCATION OF MATERIAL SAFETY DATA SHEETS AND CORRECT PROCEDURES FOR EVACUATION IN CASE OF EMERGENCY. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ,.".~. ?,'~ ~.,~, CITY of BAKER$?IELD ~0~ ,.~ ,~"(:."~ ~,~ --~,,~] I'VE CARE" "~-.."..,--,- ....... ,.."/ "',O '." .-, '- ~ "-.Z~ (tyue or Drin~ name) Do hereby c=~t~ ~" ' ~. ~z., that I have reviewea the RECEIVED attached Hazardous Materials business ~lan FIB I 6 1989 HAZ. MAT. O~. for ~ ~~'~~ and that it along with the attached additions or corrections constitute a comDtete and correct Business Plan for my facility. signature date ' ~USINESS N.ME .ESTCH~ER AUTOMOTIVE I~ N~R z,.~-o,~-~o4.~8 LOCATION znz4 F ST HIGH HAZARD RATING 1. OVERVIEW LAST CHANGE 09/Z8/88 BY ESTER JURIS CODE 215-001 SURIS BAKERSFIELD STATION 01 MAP PAGE 10Z GRID 2SB FRCI'LITY UNITS 1 HAZARD. RATING Z RESPONSE SUMMARY '~ ZA SEC 4) ALL SPILLS ARE CLEANED UP IMMEDIATELY WITH ABSORBANT. EMERGENCY CONTACTS 2A SEC 2> HAROLD MONTGOMERY - 327-SZ?4 OR 399-6955 DAVID NUNLIST - 327-'5274 OR 366-3283 UTILITY SHUTOFFS 2A SEC 3> A) GAS - NE CORNER OF BLDG S OF FENCED STORAGE AREA B> ELECTRICAL - NE CORNER OF BLDG S OF FENCED STORAGE AREA C) WATER - NE CORNER OF BLDG S OF FENCED STORAGE AREA D> SPECIAL - ALARM N WALL INSIDE FRONT SHOP BLDG BY MEN'S ROOM E) LOCK BOX '- NO Z. NOTIFIC~>TION / PUBLIC EVACUATION I_RST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 lZ/Z3/BB 1G:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME WESTCHESTER f~UTOMOTIVE ID NUMBER Z15-O00-'OOO498 LOCATION Z4Z4 F ST HIGH HAZARD RATING Z 3. HAZ MA'[ TRAINING SUMMARY LAST CHANGE / / BY < NO iNFORMATION RECORBED FOR THIS SECTION LOCAL EMERGENCY MEOICAL ASSISTANCE LAST CHANGE eg/ZBIB8 BY ESTER SEC S) VALLEY INDUSTRIAL. MEDICAL GROUP IS LOCATED 50 FT FROM THE BUSINESS, ACROSS THE BACK ALLEY. ALL PERSONS WILL BE DIRECTED THERE. PAGE 2 12153188 1G:40 MATERIAL SAFETY DATA SYSTEMS, INC% ('805-~ 648-6800 BUSINESS NAME WESTCH~ER AUTOMOTIVE ID ZlS-~O-OOO49B LOCATION Z4Z4 F ST HIGH HAZARD RATING Z FACILITY UNIT OVERALL. HAZARDOUS MATERIALS INVENTORY LAST CHANGE 09/28/88 BY ESTER ID TYPE NAME MAX BMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE MOTOR OIL 330 GAL UNKNOWN INSIDE NW CORNER DRUMS OR BARRELS MET.. FABRICATION ID PERCENT COMPONENTS HAZARD LIST Z808.~0 100.0 MOTOR OIL UNKNOWN WASTE WASTE MOTOR OIL 280 GAL UNKNOWN OUTSIDE BLOG NW CORNER DRUMS OR BARRELS MET.. WASTE ID PERCENT COMPONENTS HAZARD LIST 1S98.00 100.0 WASTE OIL UNKNOWN PURE ACETYLENE 130 FT3 EXTREME INSIDE BLDG MID W WALL PORTABLE PRESS, CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARO LIST 1241,00 100.0 ACETYLENE EXTREME 4 PURE OXYGEN 175 FT3 HIGH INSIDE BLOG MID W WALL PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST Z~S9.~ 1(~0.0 OXYGEN, COMPRESSED HIGH B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 09/Z8/88 BY ESTER SEC 4) FIRE EXTINGUISHERS ARE LOCATED THROUGHOUT THE BLDG FOR FIRE PROTECTION. SEC S) FIRE HYDRANTS ARE LOCATED ~T THE SW CORNER OF z4'rH AND F ST AND AT THE NW CORNER OF ZGTH ~ND F' ST, PBGE 3 12/23/88 1G:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) $48-G800 BUSINESS NAME WESTCHESTER AUTOMOTIVE ID NUMBER Z1S-O~-OOO4B8 LOCATION 24.24 F ST HI'GH HAZARD RATING Z EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 09/28/88 BY ESTER SEC Z) NINE DOORS ARE AVAILABLE TO EXIT THE BLDG. ALL EMPLOYEES WILL MEET AT THE NW CORNER OF THE PROPERTY AT THE AlP, PORT BUS PARKING LOT FOR A HEAD COUNT. E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 09/28/88 BY ESTER SEC 1) ALL SPILLS ARE CLEANED UP IMMEDIATELY WITH ABSORBANT. PAGE 4 1ZIZ3/88 1B:40 MATERIAL. SAFETY DATA SYSTEMS, INC. (805> 848-B800 CITY of BAKERSFIELD NON-- q?RADE SECRETS ' P.~, .... of .... ~ STANDARD IND. CLASS CODE, , , CITY, ZIP:~ ~ CITY, ZIP: ~~~ ~ ~ DUN AND BRADSTR~ET NUMBER ~lth ~lth ot P~ ~lth ~lth of ~ ~lth ...... ~~ [ - ~ ~ -- ~ ~ r--~ ~lth ~ P~su~ ~lth ~ ........ ~ ~ -" ~ ~ "': ...... : ..... 7 - ~ "'~~ ", ...... "' ' H~ith of Pr~suee ~lth ~ertt~t~ (Reed and siEn after coMpJ~tJn~ aJf 3ectJonsJ for ~btainin9 t~ tflf~mtI~. I ~lteve t~t t~ suMitt~ info~ti~ is t~. accurate, ~d c~letl. B SFIE , CIW Frae DE? RECE{VED 2130 "G" STREET 9 1987 BAKERSFIELD, CA 93301 (80 ) 326-39';'9 AllS'd ............ OFFICIAL USE ONLY BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 00'0, 98 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 A. BUSINESS NAME: .. Westchester Automotive B. LOCATION / STREET ADDRESS: 2424 F Street CITY: Bakersfield ZIP: 93301 BUS.PHONE: (805) 327-5274 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release ov 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: NAME AND TITLE DURING BUS. HRS. AFTER BUS, HRS. A. Harold Montgomery Ph# 327-5274 Ph# 3qq-6q55 B. David Nunlist- Ph# 327-5274 Ph# 366-3283 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT, GAS/PROPANE: Northeast corner of,building, south of fenced mtar~P mrmm B. ELECTRICAL: same as above C. WATER: same as above D. SPECIAL: Alarm s.~.plied by batteries-north wall inside front shop building b~ men's-room E, LOCK BOX: YES /~._q~ 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 All spills are cleaned up immediately with absorbant. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Vall~y.'~n'dustr±al Med±cal Group ±s located 50 feet from-the bus±ness, across the back alley. Ail persons will be d±rected there. 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 m. METHODS FOR SAFE HANDLING OF HAZARDOUS 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: ....... NO NO SECTION ?: 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: ...... ~ NO I, Harold Montgomery , 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 ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid fuPther action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# 1 FACILITY UNIT NP~E: Westch'ester-'Aut°m°tive SECTION i: MITIGATION, PREVE~rION, ABATEMENT PROCEDURES Ali spills are cleaned up immediately with absorbant. ' SECTION 2: NOTIFICATION AND EVACUATION PROCEDb~ES AT THIS b~IT ONLY Nine doors are available to exit the building. Ail employees will meet at the northwest corner of the property at the Airport Bus parking lot for a head count. - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO 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: TRADE 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 Fire extinguishers are~located throughout the building. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E,~rERGENCY RESPONDERS Fire hydrants are located at the Southwest corner of 24th and F Streets and at the northwest corner of 26th and F Streets. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GA$/PROPAN~ Northeast corner of building, south of fenced storage area (back of shop next to alley) B. ELECTRICAL: Same as above C. WATER: Same ,a~above~ D. SPECIAL: Alarm supplied by batteries-north wall inside front shop buildin~ by men's restroom E. LOCK BOX: YES / ~-~0~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page I of NON--TRADE SECRETS . HAZARDOUS MATERI ALS INVENTORY · BUSINESS NAME: Westchester Automotive OWNER NAME: Harold Montgo.~¢ry FACILITY UNIT #: 1 ADDRESS: 2~24 F Street ADDRESS: 5816 Carter Ave. FACILITY UNIT NAME: same CITY, ZIP:.Bakersf~a]d 9qqN] CITY,ZIP:Bakersfield 93306 PHONE ~: 327-5274 PHONE #: 399-6955- ~OFFIcIAL USE CFIRS CODE 0, NLY 1 2 3 4 5 6 7 8 9 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 GUIDE ~/IP 330 1200 GAL 06 26 Inside NW corner 100 motor oil c~ ?LLQ ~/~"1,~ ~/ Outside building in i00 waste motor oil /,~-~ ?LLQ 280 1200 GAL 06 40,, fenc~H mrea NW corner .~ Inside shop building 130 130 Ft3 04 42 middle of W wall 100 acetylene /~/ CRYO ~P ]75 175 Ft3 04 42 Same as above 1(~0 oxygen ~C~-~-9 CRYO ! NAME Harold ~{nntonrnprv TITLE: Ownor SIGNATURE DATE: 7-9 87 EMERGENCY CONTACt: ~rold Montgomery TITLE: Owner PHONE BUS HOURS: ' AFTER BUS HRS: ~-7~- {~ EMERGENCY CONTACT: ,~%O;~ ~,~ . TITLE:~ho~ ~o~~ PHONE # BUS HOURS: ~9-5-gl7/ ' P, RINCIPAL BUSINESS ACTIVITY: ~~+~V~ ~'~.x2~,.;~ AFTER BUS HRS: - 4A-1 -