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HomeMy WebLinkAboutBUSINESS PLANu ' i GOLDENSTATE MOTORS ~ 1132 GOLDEN STATE HWY. F Hazardous Materials/Hazardous Waste Unified .Permit . CONDITIONS OF PERMIT ON REVERSE SIDE Permit ID #:: 015-000-001771 GOLDEN STATE MOTORS LOCATION: 1132 GOLDEN STATE AVE .:~ .~ . . . This permit is Issued for the followin_.: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: ' Expiration Date: Office of Evh-onmemlffServices ~ issue Date 'June 30; 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .,, ~'~'"'?'?'?'ii~i?::~i!:i~i:ii~:i::iiiiiiii::i:i~;::iii:iiii~:i~:::i:ill i::::::!!!i'i:i!~:,!~Hazardous MateHals Plan · .,~d,,?i ~:i= !:~,!~ :'?:~::~i iiii!i, iiiiiiiii!i?:: iiiii~,iliDii:U':._~e~ground Storage of Hazardous Materials PERMIT ID# 015-021001771 ~/ii?i!:'~ii, i.~ii~,!!iiiiii~ !i! ;,:~" ....~,~!!!!i!ii!!i!i! iii!i !!,!!!!~:?iiiiiiiiiii:~!i~k~agement Program ' GOLDEN STATE MOTORS LOCATION 11 32 GOLDEN ~?'~,"~' .~ $:~f .d''"'''''~ ...... ' ........ ~ ~ .... ~:'t~ ~ :'"~..4~. Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: ~]ph Huey,~ti~~_~ Office of ~ffli~ental ServiCes Expiration Date: June 30. 2000 ~IT~ ~IAGRAM ~u~ness Nc:me: ~u~ne~s AcCre~: FACtL/T~IAGRAM ;ct Cffice Use Only A~ea Ma= # ',~t NORTH oF~,cC. t I ~ Bakersfield Fire Dept. UIVIFIE® PROGRAM INSPECTION CHECKLIST Enironmental services - _ _ _ ~ _ ~ 1715 Chester Ave SECTION 1 Business Plan and Inventory Program ~ Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME m~rtc i iurv uHi t irvart~ i iv -------- ADDRESS PHONE No. No. of Emplc --~1 ~ ~-~«~-n--~~~ ---g9Yie----------------- ---------------- --- s q~~ ~_ _~_. Business ID Number FACILITYCONTACT~~~ ( ~ 11 15-21- ~ 7 G ~~,~~ Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection C V IV=Vioatplonncel OPERATION COMMENTS ^ ^ APPROPRIATE JPERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ND ^ ^ CORRECT OCCUPANCY ___ ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES __ __ - ^ ^ VERIFICATION OF LOCATION ~ t ^ ^ PROPER SEGREGATION OF MATERIAL / ^ ^ VERIFICATION OF MSDS AVAILABILITYE ~ ^ ^ VERIFICATION OF HAT MAT TRAINING ----_ ----------- ------------------------- 1I ~ ~ ~ M,,,es~ ~ --- ----- ------- ------ --- ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~ -- - - ~ ' `l.l' ------------- -- - ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ~ v~ i ^ ^ HOUSEKEEPING ------- ------ ----- ---- ------ ------ - - -- --__t. _ ._ ... __ _ _ _ --- ----- ------------ ^ ^ FIRE PROTECTION ~ ' ^ ^ SITE DIAGRAM ADEQUATE & ON HAND F ANY HAZARDOUS WASTE ON SITE: ^ YES NO ~~4` EXPLAIN: ~~~- ~ ~ ~ *`~" .~-=. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 --d_-~--___~.---- ------- s~.__`f__~--- -____. Inspector (Please Print) Fire Prevention 1st-InlShik of Site White -Environmental Services Yellow -Station Copy -~---- Bu mess Site Responsible Party (Please Print) rn a N Pink -Business Copy ~ GOLDEN STATE MOTORS Manager : Location: 1132 GOLDEN STATE AVE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 SiteID: 015-021-001771 BusPhone: (661) 325-9191 Map : 103 CommHaz : Minimal Grid: 24B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title REZA BASHIRTASH / OWNER Business Phone: (661) 325-9191x 24-Hour Phone : (661) 837-1366x Pager Phone : ( ) - x Emergency Contact / Title FARHAD BASHIRTASH / OWNER Business Phone: (661) 325-9191x 24-Hour Phone : (661) 837-1366x Pager Phone : ( ) - x Hazmat Hazards: Fire DetHlth Contact : MailAddr: PO BOX 10419 City : BAKERSFIELD Phone: (661) 325-9191x State: CA Zip : 93389-0419 Owner REZA & FARHAD BASHIRTASH Address : 1132 GOLDEN STATE AVE City : BAKERSFIELD Phone: (661) 325-9191x State: CA Zip : 93301 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: i,'~/~~ ~'~Do hereby certify that Ih ave · {Ty;e or ~r~ n~me) r®viewed the attached hazardous materials manage- ment plan fo~/?z--,O-~gT'/T/E,//'/'/~Z~that it along with r(Name of Sua~nee~) ' any corrections constitute a complete and correct man- agement plan for my facility. -1- 08/13/2003 GOLDEN STATE MOTORS INC Man'ager : Location: 1132 GOLDEN STATE AVE City. : BAKERSFIELD BusPhone: Map : 103 Grid: 24B CommCode: BAKERSFIELD STATION 04 EPA Numb: SIC Code: DunnBrad: SiteID: 015-021-001771 (805) 325-9191 CommHaz :. Minimal FacUnits: 1 AOV: Emergency Contact REZA BASHIRTASH Business Phone: 24-Hour Phone : Pager.Phone : / Title / OWNER (805) 325-9191x (805) 837-1366x ( ) - x o Emergency Contact FARHAD BASHIRTASH Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (805) 325-9191x (805) 837=1366x ( ) - x Hazmat Hazards: Fire DelHlth Contact : MailAddr: PO BOX 10419 City : BAKERSFIELD Phone: (805) 325-9191x State: CA Zip : 93389-0419. Owner REZA & FARHAD BASHIRTASH Address : 1132 GOLDEN STATE AVE City : BAKERSFIELD Phone: (HM-) NOS- State: CA Zip : 93301 32x59191 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: = Hazmat Inventory -- As Designated Order Hazmat Common Name... MOTOR OIL AUTOMATIC TRANSMISSION FLUID WASTE OIL ,:race /?77. / F DH L F DH L F DH L One Unified List ~ Ail Materials at Site ~ DailyMax '1 Hnit I MCPI 70.00 GAL Min' 70.00 GAL Low 110.00 GAL Low I,~"~ i~L~;~44-sJ~ Do hereby certify that I have ('Type or print name) reviewed the attached hazardous materials manage- ment plan for~:f~/~/~/?~-~f/;/~::~fa3nd that it along with (Name of Business) - any corre~ions constitute a complete and correct man- agement plan for my facility. Signature Date oli3o/2ool GOLDEN STATE MOTORS INC = I~ventory Item 0001 -- COM~ON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit INSIDE E WALL OF E BLDG SiteID: 015-021-001771 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 8020835 STATE Liquid TYPE PRESSURE Pure Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 70.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecretI oRSIBioHazI Radioactive/Amount I EPA HazardsI NFPA No N No No/ Curies F DH / / / USDOT# MCP Min Inventory Item 0002 Facility Unit: Fixed Containers at Site AUTOMATIC TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE E WALL OF E BLDG CAS# 64742-56-9 rSTATE TYPE Liquid I Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 70.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Transmission Fluid (Petroleum-Based) No CAS# TSecret No I oRSIBi°Haz N No HAZARD ASSESSMENTS Radioactive/AmountNo/ Curies I EPAF HazardsDH NFPA /// USDOT# MCP LOw -2- 01/30/2001 GOLDEN STATE MOTORS INC SiteID: 015-021-001771 = I~ventory Item 0003 Facility Unit: Fixed Containers at Site ~ivUVl~ ~vl~ / ~~_/--kL~ ~Vl~ WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE INTERIOR WALL OF E BLDG CAS# 221 STATE TYPE PRESSURE Ambient Waste [Licluid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 55.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS IWaste Oil, Petroleum Based CAS# 0 TSecret No RS BioHaz No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# MCP Low 3 01/30/2001 GOLDEN STATE MOTORS INC SiteID: 015-021-001771 Fast Format = Notif./Evacuation/Medical --Agency Notification PHONES AVAILABLE IN SALES OFFICE.v Overall Site 04/03/1997 -- Employee Notif./Evacuation LouDSpEAKER SYSTEM THROUGHOUT LOT.~ 04/03/1997 -- Public Notif./Evacuation PUBLIC WOULD LEAVE LOT THROUGH W GATF~ 04/03/1997 Emergency Medical Plan FIRST AID KIT IN OFFICE. FHP IS MEDICAL HEALTH PROVIDER. 04/03/1997 -4- 01/30/2001 GOLDEN STATE MOTORS INC SiteID: 015-021-001771 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention 04/03/1997 OIL TANKS ARE LOCATED AWAY FROM TRAFFIC AREAS AND ARE OF UL LISTED~ Release Containment KITTY LITTER AVAILABLE TO SOAK UP SPILLS. 04/03/1997 -- Clean Up CRANES WASTE OIL SERVICES.~ 04/03/1997 Other Resource Activation -5- 01/30/2001 GOLDEN STATE MOTORS INC SiteID: 015-021-001771 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - N/A · B) ELECTRICAL - INSIDE E WAL OF E BLDG C) SPECIAL - IN CENTER OF LOT ' D) SPECIAL - NONE E) LOCK BOX - NO 04/03/1997 -- Fire Protec./Avail. Water 04/03/1997 PRIVATE FIRE PROTECTION - PORTABLE EXTINGUISHERS IN OFFICE AND SHOP.3' NEAREST FIRE HYDRANT - 29TH & M ST Building Occupancy Level 6 01/30/20.01 GOLDEN STATE MOTORS INC ~/~/~/~/5/~/~/~/~/~/~/~/~~ SiteID: 015-021-001771 i~ Trai~ng ~~~~~~~~ Overall Site ~ Employee Trai~g ~~~~~~~ 04/03/1997 WE ~VE~ EMPLOYEES AT THIS FACILITY. · 0 WE DO HAVE MSDS SHEETS ON FILE IN THE OFFICE. o B~EF SUMMARY OF T~INING PROG~M: SERVICE EMPLOYEES AWARE OF MSDS COMMUNICATION. · o 0 o 0 i~ Held for Future Use o 0 i~¢~ Held for Fumre Use 0 I O4 , CA. 19 BAKERS ELD CITY FIRE DEPJIJJtlTMENT HAZARDOUS MATERIALS DIVISION 1715 'CHESTER .AV£~ BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: To avoiC furmer action, return ;t~is form witl~in 30 clays ot receJgt. TYPE/PRINT ANSWERS tN ENGUSH. Answer me auestions Oetow for me =usiness cs a whole. ~e Drier cnc conc~e cs Dc~Die. SECTION t' BUSINESSIDENTIFICAT[CN DATA ~ ,.,,., ~ ~iN F_ SS NAME: -~ ~:SBOt ~, -. %2_g- fi/e/ _,, ' --HON:. SiC SS?_,:' ~'_'-'_T:CN'~' =*" .... TN: "'" , ..... ,m×gENC'," NCT;F!CA., SS NT,I, CT -7' - '~US. : PHCNE .-',-,ONE a~azdocs MateriaLs Dihsion HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ~ MATERIAL SAFETY DATA SHE~S ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECT[C;N 4: :.XEMPTICN REQUEST: . CERTIFY UNCE2 F Eb,IAI_T",," CF ,:~":_.~..,,..,,,'~v. TFATMY .~USiNESS IS EXEMPT FROM/HE ,qE?C. RTING ,~z~IRE:",,IENTS CF CHA?TE'.':, 6.-7.5 C,F ':AH z':''z C'-' ""- .... ' .... Cz '-~ Ir-:.: FOLLOWING -iMEE:<CEE..O. THE MINIMUM SECTION ,5: CE.qTiFtCATICN' CEF, TiFY THAT THE ARCVE iNFOR- MATiON ISACSURATE. i UNDERSTANC THAT THtSINFORMAT[C)N WILL ~E USED TO FULFILL MY F!RM'S CSUGATIC. NS UNCEF~ THE "CAL!FCRNIA HEALTH AND ~AFET'," CODE" ON HAZARE)CUS MATERIALS (DIV. '"~3 CHAPTER 6.,c~, ~E.Z_,. 2-35,'3C ET AL.) .AND THAT INACCURATE ]NFCRMATiCN CCNSTITUTES PERJURY. SIGNATURE TITLE DATE HAZARDQUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PRCCE~URE~' ~.~..~,~ ~---~ ,~,J'A, c,~ ¢ ~.~ rd' ~ _:!,.4PLCYE:_ NOTIFiCATiON ANC: ~Y'ACUATION: B akersfieicl. FLre Dept. Hazardous ~a~enab D[v~sio~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENT~©N AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: RELEASE. CONTAINMENT AND/OR MINIMIZATION: CECTICN "' UTILITY S' '-' ........ ~ ~. HUT-,,.,Fr~: _ _ .._, ' -:'-' ~' ,-,,,,._. N Ct' ~HUT-,OFFS AT YOUR FAC&ITY) SECTION 9' ?RIVATE FiRE PROTECTION/WATER AVAILABILITY: A. ?R[VATE FiRE PROTECT;ON: ~z'~.~¢C' ~?~?~,~u~--~ WATER AVAILABILITY (FIRE m, ORANT}: BAKERSFIELD CiTY FIRE DEPARTiWENi ~u~in~ Name ~~ ~ ~~ Addr~ t ( '~ ~ ~0~ ~'~ Page_oL CHEMICAL DESCRIPTION 1) INVENTORY STATUS: Ne~r,,~ ~ ( ] Reei~ien [ ] Deletien ( ] Cheek if ~ i~ · NON TRADE S~ [ ] ~ SECRET [ ] 2) C~n~non Name: ChemieeJ N~me: 3) DOT # (opl~eaai). AHM [ ] CAS # ' 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Rea~tve ( ] Suclden Release of Pressure [ ] Immeeliate Hea~th (Acute) ( ] Delayed Health (Ch~) ( ] 5) WASTE CLASSIFiCATION (3-digit code from OHS Fon'n 8022) USE CODE 6) PHYSICAL STATE . Solid [ ] Liquid ~ Ga~ [ ] Pure ~] Mixture [ ] Waste [ ] RadieaetJ~ [ ] AMOUNT AND.~ME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES MaXimum Daily Amoum: ~'~ [1~ [] gaJ [~] fi3 [ ] a) Container:, <~- Average ~ Amount: tunas [ ] b) Pressure: ~ Annuat Amount: ~ c) Temperattlre: 4:~ Largest Size'Confiner. # Day~ On Site Circle Which Mont~s: All Year. J. F, M, A, M. J, J, A, S, 0, N, D 9) MIXTURE: List the three most hazardous chemicaJ coml3onem~ or any AHM coml:x3nent~ COMPONENT CAS # % WT~ AHM [ ] ( ) CHEMICAL DESCRIPTION INVENTORY STATUS: New ( ] .~ddition ( ] Revision ( ] Deletion { ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ] ChemiCaJ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ! ] Reactive ( ] Sudden Release of Pressure ( ] Immediate Heatttt (Acute) { ] Delayed H~aJth (Chronic) ( ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE PHYSICAL STATE Solid [ : '_:.Ouid [ I Gas ( } Pure [ ] Mixlure [ ] Waste 7) AMOUNT AND TIME AT FACII Ii-Y L.;NITS CF MEASURE 8) STORAGE CCDES Maximum Ca~l¥ Amount: "7~) :bS { ', ;~l [ ] ~3 [ ] a) Container: Average Oaiiy Amount: :unes ( ] b) Pressure: Annual Amoun(: '~4:~C.~ c) Temperature: La~'ges[ Size Container: "~¢.~ # Days On S~e '~' Circle~Vnicn Months: All Ye~. J. F, M, A, M. J. J, A. S. O. N. D 9) MIX'r'URE: Ust the three most haza~(3ous c~em~caJ coml:x3nen[s or ~ny AHM comoonents COMPONENT CAS # % WT AHM [) [ ] 10) Laca~ion :er~ unoer pena~y or/aw, ~at / nave personady exam/neD eno am ~am/.ar w/rn ~e ~ntome~on suom/ffeo on mis and all artaclle~ document, i believe ,bmitte¢t informa~on is ~rue, accurate, end complete. tINT Name & Ti#e of AuOlonzeo Company Representabve BAKERSI LD CITY FIRE DEP/ TMENT HAZA'F[DOUS MATERIALS INVENTORY Page__oL i usiness Name Address CHEMICAL DESCRIPTION 1) ~NVENTORY STATUG: New ! ] Aciditlc~ ! ] Re~i~ion [ ] Deletion [ ] Checkifct~emicMi~aNON"r~$r~ [ ] TRAI3~=C. ARET [ ] 2) Common Nan.: 3) DOT e Chemical Name: AHM [ ] CAS 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure [ ] lmmediat~HeaJt~ (A~ute) [ ] Del~Heall~(Cllmai¢) [ ] 5) WASTE CLASSIFICATION c~.,'/.._ ( .(3-digit code from OHS Form 8022) USE PHYSICAL STATE Solid [ ] Liquid [~] Ga.~ [ ] Pure ( ] Mixture [ ] W~sm [ ] Radieaeth~ [ I- 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES MaXimum Daily Amount:~{~(C~ lbs [ ] gal ~,] ft3 [ ] a~ CorltaJrter. Average OaJly Amount: ~ cuhes { ] b) Annum Amount: '-~oC) c) Temperature: Larges! Size Container: # Days On Site ~Fc~ Circle Which Montl~s: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List the three most hazardous chemmaJ components or ~ny AHM components COMPONENT CAS # % WT AHM [] [ ] [ ] CHEMICAL DESCRIPTION INVENTORY STATUS: New ( ] Addition [ ] Revision ( ] Deletion { ] Checl( if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optmnm) Chemic4a Name: AHM ( ] CAS # PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire { I Reactive [ I Sudden Release of Pressure [ ] Immedi~e Healtll (Acute) [ ] De~cl Hen/th (Chronic) WASTE CLASSIFICATION ,.3-digit cocle from DHS Form 8022} USE CODE PHYSICAL STATE Solid [ ] L:~:ula [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Reak:,active [ ] AMOUNT AND T1ME AT FACILITY Meximum Daffy Amount: Average Dmly Amount: AnnuaJ Amount: Largest Size Container: # Days On Site UNITS OF MEASURE 8) STORAGE CODES ;bs [ ] ga~ [ ] ~3 [ ] a) Contmnec cunes[ ] b) Pressure: c} Temperature: Circle Which Months: Alt Yee. r, J, F, M. A. M. J, J, A, S, O. N, O 9) MIXTURE: List ',he three most haza~Clous cnemlca~ components or ~ny AHM components 1) 3) COMPONENT CAS # % WT AHM [] [] 0) Location ~r~fy unaer penalty or law, mai' t nave persona/~y examinee eno am tamfiia~ wire ~he infomeaon suOmflled on mis eno ail ar~ac, nea ~ocument~ 1 believe me ,mirte¢l infon'neEon is ~Tue, accurate, eno complete.