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.&\':