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HomeMy WebLinkAboutBUSINESS PLAN 10/6/2003I ~J I II ~~ JOHN H. AXT A U'1'u SERVICE 601 GOLDENSTATE HWh, u Hazardous Materials/Hazardous Waste Unified Permit ., CONDITIONS OF .PERMIT ON REVERSE SIDE - · ' ' {'*" ' ' This oermit is issued for the followinq: . . [] H~.~rdous Materials Plan ' Permit [] Underground Storage of H,~-,,rdous Materials ID #:: 015-.000-001774 [] Risk'l~nagem~nt Program JOHN H AXT AUTO $1::R¥1~l::. [] LOC^lION: 601 GOI_DFR SI^IF ,... · ~:...~.. -:'~ . ..' · ~' ' i' OFFICE OF ENVIRONMENTAL SER VICES' ~ 1715 Chester Ave., 3rd Floor Approved by: ' (~.g~_l_pi~Huey,.D~ Issue Date Bakersfield, CA 93301 OtticeofEvironm~tlffServices" Voice, (661) 326-3979 FAX (661) 326-0576 Expiration.Date: ? iJune 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... ,~,,~,,~,,~ ~,~ ~?~, ~,, ~,~, ~,,~, This - "'perm,~ is issued for the '-" ' -m,,ow, ng: ,:,~5¥!~"}'~I~! *~:~?'::i ii~i!i i i ii?;:~:?,iiil;~ili~e[ground Storage of Hazardous Materials ,i!i!. '~:. :~ ~.~:.:~i'::~.'"'"':~' ~ ~' ~[ii!'.[[!~ii!~:,. . 'i ~ 4f 'L.~..~:~i~:" ~ :i~. '"~  ¢~_ .~ ~ ,u ....,.. ~.,.r,, ~ .~ ~,. =,. '~ "~'- ..... lssu~ by: 0~I~ OFE~RO~3L S~ ~CES 1~15 Chewer Av~., 3rd Floor Voice (805) F~(S05) 32&0576 Exp~tionDate: June 30~ 2000 ITE DIAGRAM FACILITY DIA ( CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGILS. M INSPECTION CHECKLIST 1715 Chester Ave., 3ro Floor, Bakersfield, CA 93301 FACILITY NAME)°~/~' #' A-)rT ~oT'o C~rf'~/'%SPECTION_DATE ADDRESS ~6{ ~,o/../)t,v' f'lZ.,4T~ PHONE NO. ~_~__ -- FACILITY CONTACtL~O~ tO -~ ''/'-'T'' BUSINESS ID NO. 15-210- 00['77 INSPECTION TIME ~ ~ !~.J NUMBER OF EMPLOYEES_ Section I: Business Plan and Inventory Program ~Routine [~ Combined [~] Joint Agency [~ Multi-Agency ~.] Complaint I~ Re-inspection OPERATION C ,/V CPM M ENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities iV Verification of location ~,/, Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled , Housekeeping I// Fire Protection Site Diagram Adequate & On Hand .r/ C=Compliance V=Violation Any waste on ~ Yes Explain: Questions regarding this inspection? Please call us at (661) 326-3979 less Site Responsible Part), White- Env. Svcs. Yellow- Slation Copy Pink- Business Copy Inspector: x\ 'I' AXT AUTO SERVICE JOHN H BusPhone: Map 102 Grid: 24B SiteID: 015-021-001774 Manager JOHN H AXT Location: 601 GOLDEN STATE AVE City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: (661) 322-2850 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title JOHN AXT / OWNER REX & IRENE PHINNEY / OWNERS IN-LAWS Business Phone: (661) 322-2850x Business Phone: (661) 322-2850x 24-Hour Phone (661) 392-9391x 24-Hour Phone (661} 366-6953x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact JOHN H AXT Phone: (661) 322-2850x MailAddr: 601 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner JOHN H AXT Phone: (661) 322-2850x Address 601 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT'D J U L 12 2007 used on my inquiry of those individuals nsible for obtaining the information, I certify respo under penalty ofi law that I have personally ' snformation examined and am familiar with the submitted and believe the ~ formation is true, accurate, a^d complete. ~ r jv - o'Z ignature ~ ®ate -1- 06/29/2007 F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low -2- 06/29/2007 '3' 06/29/2007 F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: LUBE BAY CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Con55~00rGAL Daily M55100m GAL I Daily A55r00e GAL ti1~G[iKLVUS w1~lrVlvi;ly-15 °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ri!-~GHKL E~JJl'~5bl~l~ly 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 06/29/2007 F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/26/2006 ~ CALL 911 OR AMBULANCE WHICHEVER IS NEEDED. Employee Notif./Evacuation TELL EMPLOYEES OF EMERGENCY, EVACUATE BLDG AT ALL EXITS. 12/01/1999 Public Notif./Evacuation FRONT OFFICE DOOR OPENS OUT TO FRONT LOT AND ST. 12/01/1999 Emergency Medical Plan CALL 911 AND OPEN FIRST AID KIT IF NEEDED. 12/01/1999 -5- 06/29/2007 F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/03/1997 ~ WE TRAIN EMPLOYEES TO PLAN AHEAD ON ANY OIL LEAKS TO CAPTURE THE OIL. Release Containment 04/03/1997 IF WE HAVE A SPILL WE ACT FAST TO CAPTURE IT. Clean Up 04/03/1997 TO CLEAN UP WE USE A QUICK ABSORBENT TO SOAK IT UP AND PUT IT IN A CONTAINER. V1.11C1 LCCSVI.Ii I:C 1"11:L1VCL l.1 V11 -6- 06/29/2007 r~ ~' F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~lGV1GL1 na~Ctl u.7~ Utility Shut-Offs 03/27/2007 ELECTRICAL - SHUT-OFF IN LUBE BAY W WALL WATER - SHUT-OFF SW WALL VALVE Fire Protec./Avail. Water 11/08/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS S WALL AND N WALL OF LUBE BAY. NEAREST FIRE HYDRANT - ACROSS 24TH ST. Building Occupancy Level 03/06/2006 2 EMPLOYEES -7- 06/29/2007 y, - ., C. F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/25/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE TRAIN EVERYONE ON OIL SPILLS TO USE QUICK ABSORBANT AND PUT IT IN OUR CONTAINER. rayc ~ Held for Future Use Held for Future Use -8- 06/29/2007 R~ ~~~~ ~~ AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~--. Manager J t5~ n H ~ /~ ~ ~ Location: 601 GOLDEN STATE AVE City BAKERSFIELD BusPhone: (661) 322-2850 Map 10.2 CommHaz Low Grid: 24B F'aCUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN AXT / OWNER REX & IRENE PHINNEY / OWNERS IN-LAWS Business Phone: (661) 322-2850x Business Phone: (661) 322-2850x 24-Hour Phone (661) 392-9391x 24-Hour Phone (661) 366-6953x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact J ~ ~ C'? ~ ~ Phone: (661) 322-2850x MailAddr: 601 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner JOHN H AXT Phone: (661) 322-2850x Address 601 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~(~ ~,A ~ ~ D L ~" ~ ls id ENT'D I~AR ~ ~ X007 ua t3ased on my inquiry of those indiv r pbtaining the Infarmatipn, I certify ibl f e n reSpt~ns under penalty of law that I have personally examined and am familiar with the information submitted and believe the info mation is true, accurate, and complete. g gnature Date -1- 03/19/2007 z , p AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ ~ Hazmat Inventory By Facility Unit e ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low -2- 03/19/2007 -3- 03/19/2007 P 1 F AXT AUTO SERVICE JOHN H ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit LUBE BAY SiteID: 015-021-001774 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 221 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 55.00 GAL - ti11GL~ttUVUS LV1~lYV1Vr;1V'1'~ oWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ru~~,Ht~cL . t~a~~aari~iv 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 03/19/2007 ~. ~ F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/26/2006 ~ CALL 911 OR AMBULANCE WHICHEVER IS NEEDED. Employee Notif./Evacuation 12/01/1999 TELL EMPLOYEES OF EMERGENCY, EVACUATE BLDG AT ALL EXITS. Public Notif./Evacuation FRONT OFFICE DOOR OPENS OUT TO FRONT LOT AND ST. 12/01/1999 Emergency Medical Plan 12/01/1999 CALL 911 AND OPEN FIRST AID KIT IF NEEDED. -5- 03/19/2007 ~. 5 F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/03/1997 ~ WE TRAIN EMPLOYEES TO PLAN AHEAD ON ANY OIL LEAKS TO CAPTURE THE OIL. Release Containment 04/03/1997 IF WE HAVE A SPILL WE ACT FAST TO CAPTURE IT. Clean Up 04/03/1997 TO CLEAN UP WE USE A QUICK ABSORBENT TO SOAK IT UP AND PUT IT IN A CONTAINER. V1.11CL 1CC .7V U1 l~C 1'il:LlVCl l,..l V11 -6- 03/19/2007 :, F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~ct~iai nac.ai.u~ Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SHUT-OFF IN LUBE BAY W WALL C) WATER - SHUT-OFF SW WALL VALVE D) SPECIAL - NONE E) LOCK BOX - NO 01/25/2007 Fire Protec./Avail. Water 11/08/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS S WALL AND N WALL OF LUBE BAY. NEAREST FIRE HYDRANT - ACROSS 24TH ST. Building Occupancy Level 03/06/2006 2 EMPLOYEES -7- 03/19/2007 r~ F AXT AUTO SERVICE JOHN H SiteID: 015-021-001774 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/25/2007 ~ MSDS SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: WE TRAIN EVERYONE ON OIL SPILLS TO USE QUICK ABSORBANT AND PUT IT IN OUR CONTAINER. rayc c. RC 111 1V.L rul.UlC V.7C ric.iu .i.vi r u~.utc vac -8- 03/19/2007 UNIFIED PROGRAM INSPECTION CHECKLIST t~' .SECTION 1:` Business Plan and Mventory Program BAKERSFIELD FIRE DEPT a Prevention Services wltt 900 Truxtun Ave., Suite 210 ~Rir~ Bakersfield, CA 93801 Tel.: (6f~1) 326-3979 Fax: (661) 872-2171 FAC~T~ E ~ NSPEC ON D TE INS ~~TION TI~_ ADDRES ZoO ( ~oL~~ S'~q-t ~ HON NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021-Q~ Section 1: Business Plan and Inventory Program J ;JD~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (C=Compliance OPERATION V=Violation COMMENTS `l~) ^ APPROPRIATE PERMIT ON HAND " "^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE '7'II ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION !~ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY - - - -Y ---- _... --- -__ . -- --- --------- ~ ~v " f~ / ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~} ( ^ HOUSEKEEPING ~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS W ~TE`ON SITE? YES ^ NC EXPLAIN. l _ .QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL U9 AT (861) 928-3979 i ~'~ ~s~ Inspector (Please Print) Fire Prevention / 1N In / Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink - Buaineas Copy FD2048 (Rev. 02/05) ;~ .~ + AXT AUTO SERVICE JOHN H _____________________________ SiteID: 015-021-001774 + Manager Location: 601 GOLDEN STATE AVE City BAKERSFIELD BusPhone: (661) 322-2850 Map 102 CommHaz Low Grid: 24B FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN & AXT / OWNER~,I REX & IRENE PHINNEY / OWNERS IN-LAWS Business Phone: (661) 32.2-2850x ~ L~•/" Business Phone: (661) 322-2850x 24-Hour Phone (661) 8x`~ ~ 24-Hour Phone (661) 366-6953x Pager Phone ~ ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact Phone: (661) 322-2850x MailAddr: 601 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner JOHN H AXT Phone: (661) 322-2850x Address 601 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN 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, accura~and comple Signature Date ~1~~~~ ~~ ~ ~ ~~~6 -1- 03/06/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~S ECTI O N ~ 1~ : ~~Business MPlan and ~ ~~ - ~ ~~ ~ ~~~~~~ ~ ~~~ ~ _..,,,. ~~~ ~ ~~~~~ ~~ Inventory Program BAKERSFIELD FIRE DEPT Prevention Services r1RS 900 Ti°uxtun Ave., Suite 210 ~wrir r Bakersfield; CA 93301 Tel.: (661) 326-3979~EC Fax: (661) 872-2171 ' 6?,~~~ FACILITY N E ~o~AI ~ i4XT ,~}~D SCR ~r~~ NSPECTION DATE INSP TIME , ~ ADDRESS G o ( ~ ~~ o~~ .s ~ ~= ~~ HO ENO. O OF EMPLOYEES FACILITY CONTACT {~XT USINESS ID NUMBER 15-021-c~6 ~ 71 `( Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND . ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY T~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSOS AVAILABILITY ,: ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~} ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING `~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA~~RDqq~~O~US WASTE ON SITE? `YES ^ NO EXPLAIN: C~'u~~-~-i- //vv - - --------- ---------- - .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1°' In /Shift of Site/Station # Bu ' ess Ite/School Site Respo ible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) ~ ~) ~yQ,~LD A~~~ CITY OF BAKERSFIEI,D FIRE DEPARTMENT ~4 ~ OFFICE OF ENVIRONMFNTAL SERVICES ~' ~ UNIFIED PROGRAIN INSPECTION CHECKLIST S 'w ~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ../ FACILITY NAME ~~~~ ~ ~" XT q `' i o S ~~ ~L INSPECTION DATE~~~ O ~j ADDRESS 661 6oLD~c~v ~~i`,e PHONE NO. 3Z2 .fib FACILITY CONTACT'~oN ~? f~ y~T BUSINF;SS (D NO. 15-210- ~O(77 INSPECTION TIME`S nil i~J Nt1MBER OF EMPLOYEES Section l: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection OPERATION COMMENTS C Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand j' C=Compliance V=Violation ';, ~.~ Any hazer ous waste on site: Yes ^ No ~~1~ Zp G/~G~ / ~~ Explain: ~ l1, l.Q l ~- ~ ~/ Questions regarding this inspection? Please call us at (661) 326-3979 Whirr • Env. Svcs. Yellow • Station Copy Pink -Business Copy ~ness Site Responsible Part Inspector: G ~t ~f.~` '3OHN H AXT AUTO SiteID: 015-021-001774 Manager : BusPhone: (661) 322-2850 Location: 601 GOLDEN STATE ~%%' Map : 102 CommHaz : Minimal City : BAKERSFIELD Grid: 24B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 ~ SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN & DIANNE AXT / OWNER REX & IRENE PHINNEY / IN LAWS Business Phone: (661) 322-2850x Business Phone: (661) 322-2850x 24-Hour Phone : (661) 398-1598x 24-Hour Phone : (661) 366-6953x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: (661) 322-2850x MailAddr: 601 GOLDEN STATE State: CA City : BAKERSFIELD Zip : 93301 Owner JOHN H AXT Phone: (661) - 32x22850 Address : 601 GOLDEN STATE State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: 'Emergency Directives: o h®mby c,~i~ th~ ~ have ~v~®d ~hs .~.~Ch®d he~a~ous rn~erials ~ ~ ~n ~Or a~d ~hat it alon with any co~edions constitute ~ complete a~d corre~ man- agement plan for' my faciliiy. -1- 08/14/2003 JOHN H AXT AUTO SERVICE :RY~]~iV~D! SiteID: 215-000-001774 Manager : · I 'N0V~,][ 6 7999 IBusPhone: (805) 322-2850 Location: 601 GOLDEN STATE I// f' IMap : 102 CommHaz : Minimal City : BAKERSFIELD /~¥. ~Grid: 24B FacUnits: 1 AOV: / CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN & DIANNE AXT / OWNER REX & IRENE PHINNEY / IN LAWS Business Phone: (805) 322-2850x Business Phone: (805) 322-2850x 24-Hour Phone : (805) 398-1598x 24-Hour Phone : (805) 366-6953x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: 'Fire DelHlth Contact : Phone: (805) 322-2850x MailAddr: 601 GOLDEN STATE State: CA City : BAKERSFIELD Zip : 93301 Owner JOHN H AXT Phone: (805) 322-2850x Address : 601 GOLDEN STATE State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~,~ or ~ ~) reviewed ~he a~ach®d h~ar~s ~a~a~s' ~anage- .,~"amd that it a~o~ with (~ ~ ~e~) any ~rrs~lons ~nstit,ut~ a ~mpl~t~ and ~rre~ man- agsmeni plan iOr ~y ~ci)i~. i 11/01/1999 JOHN H AXT AUTO SERVICE SiteID: 215-000-001774 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers at Site Hazmat Common Name... ISpo¢;HazlEPA HazardsI Frm I DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low -2- 11/01/1999 JOHN H AXT AUTO SERVICE SiteID: 215-000-001774 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE LUBE BAY CAS# 221 F STATE TYPE'I PRESSURE i. TEMPERATUREI CONTAINER TYPE Ambient Ambient DRUM/BARREL -METALLIC Waste Liquid Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL Waste HAZARDOUSCOMPONENTS t~t %Wt. S CAS# 100.00 Oil, Petroleum Based N 0 HAZARD ASSESSMENTS ITsecret ~S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F DH / / / Low -3- 11/01/1999 F JOHN H AXT AUTO SERVICE SiteID: 215-000-001774 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 04/03/1997 CALL 911 OR AMB~CE WHICH-EVER IS NEEDED. -- Employee Notif./Evacuation 04/03/1997 TELL EMPLOYEES OF EMERGENCY, EVACUATE BUILDING AT ALL EXITS. Public Notif./Evacuation 04/03/1997 FRONT OFFICE DOOR OPENS OUT TO FRONT LOT AND STREET. Emergency Medical Plan 04/03/1997 CALL 911 AND OPEN FIRST AID KIT IT NEEDED. -4- 11/01/19s9 F JOHN H AXT AUTO SERVICE SiteID: 215-000-001774 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 04/03/1997 WE TRAIN EMPLOYEES TO PLAN AHEAD ON ANY OIL LEAKS TO CAPTURE THE OIL. Release Containment 04/03/1997 IIF WE HAVE A SPILL WE ACT FAST TO CAPTURE IT. -- Clean Up 04/03/1997 TO CLEAN UP WE USE A QUICK ABSORBENT TO SOAK IT UP AND PUT IT IN A Other Resource Activation -5- 1 /01/ 999 F JOHN H AXT AUTO SERVICE SiteID: 215-000-001774 I Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 04/03/1997 A) GAS - NONE B) ELECTRICAL - SHUT OFF IN LUBE BAY ON W WALL C) WATER - SHUT OFF SW WALL VALVE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 04/03/1997 PRIVATE FIRE PROTECTION - WE HAVE FIRE EXTINGUISHERS MOUNTED ON S WALL AND N WALL OF LUBE BAY. NEAREST FIRE HYDRANT - LOCATED DIRECTLY ACROSS 24TH STREET. Building Occupancy Level -6- 11/01/1999 JOHN H AXT AUTO SERVICE ~~~~~~ siteID: 215-000-001774 Trainin~ ~~~~~~~~~~~ Overall Si~e i~ Employee Trainin~ ~~~~~~~~~ 04/03/1997 WE HAVE 2 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIE~ SUMMARY OF' TRAI~I~G PROGR~'vI: ~E TR. AI~ EVERYBODY O~ OIL SPILLS TO USE ~ICK kBSORBE~T AND PUT IT I~ OIJ'R COnTAInER. aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeef omc ov UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSTRUCTIONS: ~e ~:.a'._~,_.. ~iii APR 2 7997 ,,,.~i" 1. To avoid further action, return this form withim~days, of receipt. ~- 3. Answer the questions below for the business as a whole. I (~-'~ ~ 4. Be as brief and concise as possible. SECTION 1' BUSINESS DENTIFICATION DATA [ (~) ' LOCATION: f~ / ~'~~__ ~ ~~G ~D~SS: ~ / ~'/~ ~~ D~ & B~S~ET ~ER: .~o~ ~.-- SIC CODE: PRfiklARY ACTIV-ITY: MAILING .ADDRESS: SECTION 2' EMERGENCY NOTIFICATION CONTACT TFI'LE BUS. PHONE 24 HR. PHONE 2.' HAZARDOUS MATER][ALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER. OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON EKE: BRIEF SUMMARY OF TRAINING PROGR~Vi: ., SECTION 4: EXEMPTION REQUEST I CERTIFY L.':-NDER PENALTY OF PEtLIL-RY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CH~M:~TER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWD,'G REASONS: WE DO NOT HAaNDLE I-L~ZA. RDOUS MATERIALS. XN' WE DO I-L~zNDLE t-DkZ,ad~DOL~S MATEKIALS, BUT THE QUANTITIES AT NO TI-ME EXCEED THE .MJNT~.IL~I REPORTING QUANTITIES. OTHER (SPECIFY REASON~ SECTION 5: CERTIFICATION I, ~o,e/,U ,'/f)< 7'~ CERTIFY THAT THE ABOVE [NTO1LMATION IS ACCURATE. I L~T)ERST.~N-D THAT TI-tiS INFORMATION WILL BE USED TO FULFILL MY FI2~M' S OBLIGATI(3NS UNDER THE "CALIFORNIA, HEALTH ),aND SAFETY CODE" ON HAZARDOUS _MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET .~. INACCURATE ~. INTO 1L\IATION CONS ~sff/4,x''/a'g'7-~ TITUTES PERJI~Y/f)/ff_../~;~'~' CHEMICAL DF-~CRIP'llON Chem~ N~: ~M PH~IC~ & H~ PHYSI~ H~ WAS~ C~SSIFICA~ON ~ . (~ig~ ~=e ~m OHS Fo~ 8~ USE CODE AMOUNT ANO ~ME AT FACI~ ~NIT~ CF ,~SURE 8) STOOGE CODES Averege Om~ A~unt: ~ ~ :uners{ ~ Annum A~unt: c) Tempera: ~gest Size Contmnec ~ Oa~ On S~te ~ ::~:e ~cn Morons: All Ye~. ~. F, M. A. M, MITRE: ~st COMPONE~ CAS :~e mree most n~uous :nem~ com~nen~ or ~y AHM com~nents :~ CHEMICAL DESCRI~ION · '~NTCRY STA~S: New i ] ;~cmcn ~ ~ =ews~on ( ] ~e~et~on Chec~ d cneml~ is a NON ~DE SECR~ ;~mmon N~e: 3) ~T ~ (o~) ;~em~c~ Name: AHM =~YSiCAL & H~L~ =HYSICAL -~RDCA~GCR[E5 Eire ~ ~ ~ea~ve( ~ Suo~en~e~e~ec';'essure ~ ~ ,mme~i~e~e~(Ac~e) [ ,'tASTE C~SSIFICA~GN ~o~g~t co~e ~om OHS Fc~ SC2~' USE CC~E =HYS~CAL STA~ Sohd { ~ ~cu~0 { ] G~ ( ] Fure ] Mi~um ( ] W~te :MOUNT AND T;ME ~T F~C:U~ _.',:TS CF '.~SURE 8) STOOGE M~mum Ca,v Amount: :s . . ;~ , , ~3 [ a) Cont~ne~ Average Oran Amount: :~nes ; ; ~) Pressure: Annu~ Amount: c) Tem~te: ~gest S~ze Cont~ner: = Oavs On S~te J,:c:e ¢,'~,cn ~.~omns ~Jl Ye~. ' F, M. A. M. J, J. A. S, ~t'~RE: ~st COMPCNE~T CAS :e mree most n~ous ly AHM core.hen= ' u~er ;e~ or law, mat I n~e oemonmly e~m~ ~o ~ t~lll~ Wl;q me ~ ink,aeon is ~e, acc~. ~ comolete. ~~ V~e & T~t ~c~z~ Com~ Rep~en~e n~v..~,~nuuu,,~ iVlJ,~ i i;;;nh,~l..O II'lVi;;i~l I ~.Tn I J-'age_.oL_, :~ness Name Address CHEMICAL DESCRIP'rlON i ~NVENTORYSTATUS:'New~t ! Addlkml ! nevmaml~l Demmal~l Cheek~dwm=MiINON,TRN3E:~[ ] Ti~SGC~-r~[ I CommonN~nte: 3) DOT ~ Chemical Name: AHM.I ] CAS · PHYSICAL & HEALTH PHYSICAL HEALTH .'~AZARD CATEGORIES Fire [ ] Reactive[ ] Suclc~en Release of Pressure [ ; Immedi~eHeeJ~t (Acute) [ ] DMIyIdHiiIIh(C~) WASTE CLASSIFICATION 3-ciig~t coae mm OHS Form 8022! USE CODE :1 PHYSICAL STATE Solid [ ] UCIUK:t [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] ~ ,~MOUNT AND T1ME AT FACIUTY UNITS CF MEASURE 8) STORAGE CODES Maximum O=,iy. Amount: R:~s ( ] ~aJ [ ] ,~3 [ ] aJ Container:. ;, Average O~"n~ Am~um: cum,s ( ] b) Pressure: Annum Amount: c) TemDem~lre: , La/gest Size ContaJnec ~ Days On S~te C:rc:e Which Mon~,s: All Ye&r. ,~. F. M. A, M. J. J. A. S. O. N. D MIXTURE' Ust COMPONENT CAS # % WT AHM :~e three most n~zJ/aous 1). [ ] :~emlcaJ components or ~.n¥ AHM components .~ [ ] Location CHEMICAL DFSCRIPTION '.'VENTCRY STAT'dS: New ] ~oc,~en i ] =ews~on ( ] ~e~etlon ' Checx i~ cnem~cai is a NON TRADE SECRET [ ] TRADE SECRET gommon Name: 3) I:X3T :,-~em~ca} Name: AHM [ ] CAS :HYSICAL & HEALT:.-~ =HYSICAL HEALTH -~7_AFIDCATEGOR!E$ Fire ( : ;ea~lve( i Suc]clenRe~easecf,='essure ¢ ' tmmeclimePleeJtrliAcute) [ ] ;)eleVeclHemthfChron<) ,¥ASTE CLASSIFICATION ,'3-o~a_~t code ~om OHS Fcr~ 8C22! USE CC~E =HYSICAL STATE. Solid [ 1 ;culcl [ ] Gas [ ] F~re ( ] Mixture ( ] Waste [ ] RaalOa~Jve [ ] -~4OUNT AND ~ME AT F.~C~[_J ,T'Y .NITS CF r',~=.ASURE 8) STORAGE Me.x,mum C,.a,v Amount: :s i' _c=, '' ~,3 [] ~1 Cont=,ner:. Avera(:Je Gau~v Amount: :;nas [ ' b) Pressure: Annum Amount: c) TemDerezure: !-a~c_3est S~ze Container: # Oevs On S~e 2~rc:e w~cn ,',~on[ns: All Year. J. F. M. A. M. J, J, A. S. O. N. O !,IlXTURE: ~s! COMPONENT CAS # % WT AHM ,',e three most naza~30us 11 [ ] :nem~cm components or u~y AHM cornc)onen~s 2) [ ] y unoer oerMu~y et/aw, glat / nave Dersonall¥ examinee aha am teJ'r~lll~J' wlD't D'?o/ntomaDon SuomJTMO On O'Ua ~ alt ,~eo informeeon ~s D~Je. accurate, and complete. Name & 77fie of ,4~.c."rze~l ComDany Ref~re.senmDve Signature :n~''~ Name Aaaress CHEMICAL Di'~CRIPTION WAS~ C~SSI~ON ~igg ~ ~m OHS Fo~ 8~I USE CODE ~MOUNT AND ~ME AT FICI~ ~NIT$ CF M~SURE 8) STOOGE CODES M~umO~unl: .... :~ [ ] ~ [ ] ~3 [ ] ~Co~ A~m~ Om~ A~um: :unm~ ( ] b) P~: Annum A~um: c) Tempera: ~1 Size Comw~ ~ Oa~ On S~te =:~:e ~ Morons: ~11Yem. J. F. M. A. M. J. J. A. $. 41~RE; Cst C~MPON~T C~ · · ~ mine mo~t n~ao~ ~ 1 ,~em~ com~ne~ or ~v ~M cam~nems LO~tlOfl CHEMICAL ~ESCaI~ION ;VE_NTC~Y STATUS. New i ; :ccmcn ! =evasion ( ] Ce,etlon · 3hecx ~ cnem~c,m ~s a NON ~DE S~R~ [ ] ~E SECR~ [ ' :mmon N~e' 3) ~T · · em~c~Name. ~HM { ~ CAS= .~D CA~GC~E~ :~re ; ' :ea~ive i : Suooen ~e+e~e c' ;?~sure ,mmea~e me~ ~Ac~el [ ~ Ce~ He~ {Ch~n~l [ ' ;S~ C~3SIFtCA~CN ~a~q:t c=ce ~om OHS ~c~ SECO' ~E CCCE ~GUNT ~NC ~ME :T 7:C;~ _.',.:~ :F ~,!~L~Sb~E 81 STOOGE CCOE~ Average 0~ Amount: :;xes ,:: ~) Pressure: Annum Amount: c) Tem~re: ~qest 5~ze Ccnt~ner: ~RE: ~st C;MPCNENT CAS · % ~ AHM three mos~ ~ous ~' [ ] ~ com~nen~ or r ~n~a~ ts ~e. ac~. ~ complete. me & Title ot ALnrCnZeO ComDarw Reor~lenmave $ignalum Dam ness Name Adamss CHEMICAL DI-~ICRIPTION WAS~ C~R~N (~ ~ ~ OHS Fo~ ~ USE ~DE ~H~IC~STA~ ~1~ [ ] ~a~ [ ] G~ [ ] Pure [ ] M~ ( ] W~ [ ] ;MOUNT AND ~ME AT FACI~ ;NITS CF M~SURE 8) STOOGE CODES ~ S~ze Com~flec · ~I~RE: ~st CCM~ONE~ CAS ~ 'e mine most n~ ~ ) ~em~ com~nen~ or nv AHM com~nen~ ;~NTCRY STA~d~: New ~ ] ~ac~n i ~ =ev,s~on ( ] ~e~e~on, ~hecK ~ cnem~ is a NON ~DE $~R~ 'em~ca Name: ARM [ ] CAS ~ 'YSICAL & H~L~ =~YSICAL :~RD CA~GCR~E$ F{re ~ : =eam~ve { ] Suooen ~e+e~e c~ ='essure ' m~a~e ~e~ (Ac~e) [ ~ ,'~S~ C~SSIFICA~CN >a~gtl cooe ~om OM$ Fc~ 8C22~ USE CC~E ~YSfCAL STA~ Sohd ( ~ -=u~o ( ~ G~ ( } :':re ~ ] M~um ( I W~te [ ] 'dOUNT ANO ~ME 4T ;4C:~ _~dTS CF U~S~RE 8) STOOGE CC~E~ Annu~ Amount: c) Tempera; ~RE: UsC COMPONENT C~ · em,~ ~m~ne~ or AHM ~m~nen~ 2~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY M~DICAL PL.&\':