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HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007NU TIRE TOWN 1420 GOLDEN STATE HWY. - _ -~ Hazardous. Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE Permit ID#:: 015-000-000865 NUTIRE TOWN LOCATION: 1420 GOLDEN STATE Issued by: This oermit is issued for the followina: [] Hazardous Materials Plan [~ Underground Storage of Hazardous Materials E] Risk Management Program E] Hazardous Waste On-Site Treatment IELD 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: Office o f EvirontmmlaTS ervices ~ Issue Date Expiration Date: June 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021000865 NUTIRE TOWN LOCATION 1420 Issued by: This permit is issued for the following: ....... .., ....... ~.. .............................................................. ·., .~Hazardous Materials Plan ?i?~'' :~ ! ~:~:~:'~*'~'~'~:'::~;i '~ii!ii', !ii iil ?i;:::iii!ii~i~e~ground Storage of Hazardous Materials ...... '%,::."':~ %...::::::~'%':q¥':" :':::::'" :':::::, ;;,'"::::?".,~::Ha~ofis Waste ...................... ,,,~'~ , ,'~, ' ........:~;%;~'"':~'"~:,~:'~ ..::::::::~i~,. · ~",, % ~,~'i i~ .... ~%[,~' ~4[;~ ~ ~ "' ~ ~ '~ '" "~* ~ % ;'"'"..,,~k S GOLDEN ~"-"~ ¢,..'"'...'~¢ '~ii~ii~[~E ~;"i~ ~,,,,... ' ':'~:;",,=:::'::Eii~;;;4;~iiii~i~41~:'~b ~ ,i ~'?-~ ..... i: ';i :~::,,~a~iii~ $. "-.. '~i~ iii":.... "..~ i"i ..':.'::::.::~-,,. ¢'/i; "' ', ' ~'.2 ~ ' ~ "' , · ~ ' "; ~ ~ ~'~ ~ ~ ~ ."-, ~i~....."-~ '~ ........ .~. N'%. ~ ."': "". ~ ~ z 2~ ", ', '~ r Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 ITE HSISIP DIAGRAM LITY DIAGRAM iTE AGRAM ~ Ft~I.:ILI TY DIAGRA,VI i ~: ~ ~? NUTIRE TOWN SiteID: 015-021-000865 Manager BRUCE NUZUM Location: 1420 GOLDEN STATE AVE City BAKERSFIELD BusPhone: (661) 327-0736 Map 103 CommHaz Low Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:5531 DunnBrad:77-021-8060 Emergency Contact / Title .Emergency Contact / Title BRUCE NUZUM / OWNER DENNIS QUALLS / FIREFIGHTER Business Phorie: (661) 327-0736x Business Phone: (661) 327-0736x 24-Hour Phone (661) 589-7432x 24-Hour Phone (661) 871-6049x Pager Phone ( ) - x Pager Phone ( ). - x Hazmat Hazards: Fire DelHlth Contact BRUCE NUZUM Phone: (661) 327-0736x MailAddr: 1420 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner BRUCE NUZUM Phone: (661) 327-0736x Address 16415 CLARISSE ST State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No . ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT'D J U L 19 2007 ~?ased on my inquiry of those indiv{duals respon~ibEe far oataining the information, I certify under penalty of la~n.~ that I have personally examined and am familiar with the information submitted and E~eGFVe the information is true, accurate, and complete. Signature U Date -1- 07/13/2007 P NUTIRE TOWN SiteID: 015-021-000865 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low -2- 07/13/2007 1 -3- 07/13/2007 r. F NUTIRE TOWN SiteID: 015-021-000865 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: FENCED AREA CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL • nt~~tucLVU~ ~.vi~irvlvr~ly 1 a %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riAGt1KL ~5a~~ari~lvia TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F DH / / j Low -4- 07/13/2007 ~; F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/11/2000 ~ CALL 911. Employee Notif./Evacuation 07/11/2000 VERBAL. Public Notif./Evacuation 07/11/2000 VERBAL. Emergency Medical Plan 07/11/2000 NEAREST HOSPITAL. -5- 07/13/2007 ~ i \. P NUTIRE TOWN. SiteID: 015-021-000865 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2000 ~ KEEP CLEAN - HAVE RAISED OVER ASPHALT. Release Containment 07/11/2000 USE SAND AND DIKE. Clean Up 03/20/2006 USE ABSORBANT AND CALL CLEAN-UP CO. Other Resource Activation -6- 07/13/2007 : F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ -~ -,- .~~c~.iai na~aiu~ Utility Shut-Offs A) GAS - SW CRNR OF BLDG OUTSIDE B) ELECTRICAL - SE OF BLDG INSIDE C) WATER - PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO 01/03/2007 Fire Protec./Avail. Water 01/03/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - CRNR 30TH & CHESTER. Building Occupancy Level 03/02/2006 1 EMPLOYEE -7- 07/13/2007 t •, F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/03/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: READ ALL MATERIAL SAFETY DATA SHEETS. Ydy C G nc.i.u ivi r u~..uic vac nC~.~.a ivi r u~uLC u~C -8- 07/13/2007 Ss, ~ ti NUTIRE TOWN Manager " 3v~~c~ Al~w~,;. - - - - - Location: 1420 GOLDEN STATE AVE City BAKERSFIELD SiteID: 015-021-000865 BusPhone: (661) 327-0736 Map 103 CommHaz Low Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:5531 DunnBrad:77-021-8060 Emergency Contact / Title Emergency Contact / Title BRUCE NUZUM / OWNER DENNIS QUALLS / FIREFIGHTER Business Phone: (661) 327-0736x Business Phone: (661) 327-0736x 24-Hour Phone (661) 589-7432x 24-Hour Phone (661) 871-6049x Pager Phone ( ) - x Pager Phone. ( ) - x Hazmat Hazards: Fire DelHlth Contact !~>ruc~e filclzv~. Phone: (661) 327-0736x MailAddr: 1420 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner BRUCE NUZUM Phone: (661) 327-0736x Address 16415 CLARISSE ST State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN END F ~ e ~. d i i f ~~zo ~1 use on my nqu ry o those individuals responsible for obta'snirig the information, I certify under penalty of taw that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Sig ature Date -1- 02/05/2007 F NUTIRE TOWN SiteID: 015-021-000865 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low -2- 02j05j2007 -3- 02/05/2007 F NUTIRE TOWN SiteID: 015-021-000865 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: FENCED AREA CAS# 221 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Con55~00rGAL Daily M55100m GAL I Daily A30r00e GAL - t1HGHttJJV U 5 lrV1~lYV1V 1~;N'1'S %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1HGHKL 1-~55L' S51~1L' 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low t `\ -4- 02/05/2007 F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/11/2000 ~ CALL 911. Employee Notif./Evacuation VERBAL. 07/11/2000 Public Notif./Evacuation 07/11/2000 VERBAL. Emergency Medical Plan 07/11/2000 NEAREST HOSPITAL. r ~- -5- 02/05/2007 F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site~~ ~ Release Prevention 07/11/2000 ~ KEEP CLEAN - HAVE RAISED OVER ASPHALT. Release Containment 07/11/2000 USE SAND AND DIKE. Clean Up 03/20/2006 USE ABSORBANT AND CALL CLEAN-UP CO. v~.iici iZG~7VUll:G tyl.l.lVCLl.1V11 -6- 02/05/2007 ~ M F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ w'7~JCC:1d1 ridGdLU~S' Utility Shut-Offs 01/03/2007 A) GAS - SW CRNR OF BLDG OUTSIDE B) ELECTRICAL - SE OF BLDG INSIDE C) WATER - PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/03/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - CRNR 30TH & CHESTER. Building Occupancy Level 03/02/2006 1 EMPLOYEE -7- 02/05/2007 ,, F NUTIRE TOWN SiteID: 015-021-000865 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/03/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: READ ALL MATERIAL SAFETY DATA SHEETS. rayc c. n~lu Lui ru~ui~ u~~ Held for Future Use -8- 02/05/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program • Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 ___ __ _ --_ ---_ FACILITY NAME i WSPECTION DATE INSPEC~TIO^N TIME ADDRESS ---- -- PFIONE No. No. of FJnployees -- ~ ~ ---~ ---.. ~o~:~~!`----~e---~''~_` .. _..-_ _ _ -- --. 21173=~- ----t-------- - - FACILITYCONTACT A sines ID Number rc,,G~ `v z 15-021-~ ~ 6~ Section 1: Business Plan and Inventory Pn~gram Routine ^ Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection • C V (C=ComplianCe~ OPERATION COMMENTS `V=Violation APPROPRIATE PERMIT ON HAND 1 ~ ~~~ © ~` rt >hS ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~I ^ ~ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE J _ __ _ . ^ VERIFICATION OF HAT MAT TRAINING f ----- ^ ----- VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -------___._.-_....__....... ,_ -. - ----_ -------- ------- ~_.--- O C l ..._._. _. _ ..- _. . ^ EMERGENCY PROCEDURES ADEQUATE . . . -....._. ._ _~. _-_ .. ._----..--------._..-.__ _.-.-..-.- i ~j5 --- ----- ^ --- _.... -- --------- _ -----......_- ------~- ~ ---- -- - -- --- -. CONTAINERS PROPERLY LABELED u..-- - -.._. - -- ..._ ^ HOUSEKEEPING nA - - ~ ~ ^. FIRE PROTECTION 20 ^ SITE DIAGRAM ADEQUATE S ON HAND ANY HAZARDOUS WASTE ON/SITE: YES ^ NO EXPLAIN: ~a11~ t/ i • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT 661 326-3979 --- ~_~-GI ~I~_- -------~~_~-~~---- ---- --- -.-- Inspector (Please Print) Fire Prevention 1st-INShik of Site White - Envvonmental Services Yellow -Station Copy Busin Site Respon tbl aAy ( Print) Pink - tlusinesa Copy ^~ ., + NUTIRE TOWN _________________________________________ SiteID: 015-021-000865 + Manager BusPhone: (661) 327-0736 Location: 1420 GOLDEN STATE AVE Map 103 CommHaz Low City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:5531 EPA Numb: DunnBrad:77-021-8060 Emergency Contact / Title Emergency Contact / Title BRUCE NUZUM / OWNER DENNIS QUALLS / FIREFIGHTER Business Phone: (661) 327-0736x Business Phone: (661) 327-0736x 24-Hour Phone (661) 589-7432x 24-Hour Phone (661) 871-6049x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact Phone: (661) 327-0736x MailAddr: 1420 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner BRUCE NUZUM Phone: (661) 327-0736x Address 16415 CLARISSE ST State: CA City BAKERSFIELD Zip 93312 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, accurate, and complete. Signature ~~ Date E~r°~aR2o ~QQ6 -1- 03/03/2006 NUTIRE TOWN Manager : Location: 1420 GOLDEN STATE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: SiteID: 015-021-000865 BusPhone: Map : 103 Grid: 19C (661) 327-0736 CommHaz : Low FacUnits: 1 AOV: SIC Code:5531 DunnBrad:77-021-8060 Emergency Contact / Title BRUCE NUZUM / OWNER Business Phone: (661) 327-0736X 24-Hour Phone : (661) 589-7432x Pager Phone : ( ) - x Emergency Contact / Title DENNIS QUALLS / FIREFIGHTER Business Phone: (661) 327-0736x 24-Hour Phone : (661) 871-6049x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : MailAddr: 1420 GOLDEN STATE City : BAKERSFIELD Phone: (661) 327-0736x State: CA Zip : 93301 Owner BRUCE NUZUM Address : 16415 CLARISSE ST City : BAKERSFIELD Phone: (661) 327-0736x State: CA Zip : 93312 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, _-PS~. ~.~.. ,,u,.,-~,,,~. Do hereby certify that i have reviewed the attached hazardous materials manage. ment plan for /,J~, 7-,~ '7~,..,~ and that it along with (Na~me of Businese) any corrections constitute a complete and correct man- agei'nent plan for my facility. -1- 09/15/2003 NUTIRE TOWN Manager : Location: 1420 GOLDEN STATE City : BAKERSFIELD CommCode: BAKERSFIELD STATION-04 EPA Numb:  ~,~--~ SiteID: 215-000-000865 .... ~ a ~00~ ~usPhone: 805) 327- I JUL,1V & ' ( 0736 ~ ~,~ ~ap : 103 CommHaz : Low ~/~r. -\ ~id: 19C FacUnits: 1 AOV: :.IBY:~ SIC Code:5531 DunnBrad:77-021-8060 Emergency Contact / Title BRUCE4~4- ~:u~/ OWNER. Business Phone: (805) 327-0736x 24-Hour Phone : (805) 589-7432x Pager Phone : ( ) - x Emergency Contact / Title Business Phone: (805) ~27 24-Hour Phone : Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : MailAddr: 1420 GOLDEN STATE City : BAKERSFIELD Phone: ( ) State: CA Zip : 93301 X Owner BRUCE ATUZUM Address : !0~0! ~T-J~EME WAY /Gg~ ~=~-~ ss~ City : BAKERSFIELD Phone: (805) 327-0736x State: CA Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: .= Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory --As Designated Order Hazmat Common Name... SpecHazI One Unified List All Materials at Site EPA HazardsI Frm DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low I, _.~5~..~ .ce: /,,/u~u,.,.-,. Do hereby/certify that I have IType or print n~.,'ne) reviewed the attached hazardous materials manage- ment plan ~or-~/~, '7';, ~_ T'o,...,.~ and that it along with (Name of Business) any corrections consti~u~s a complete and correct man- agement plan t~or my i'acility. 1 06/01/2000 NUTIRE TOWN SiteID: 215-000-000865 Inventory Item 0001 Facility Unit: Fixed Containers on Site ~UlVUVl~ ~Vl~ / ~£ ~./-.X_.l~ ~Vl~ WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE IN FENCED 'AREA CAS# 221 F STATE ~ TYPE Liquid I Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container, s_ GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 30.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Waste Oil, Petroleum Based CAS# 0 TSecret No  S BioHaz N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// -2- 06/01/2000 F NUTIRE TOWN SiteID: 215-000-000865 Fast Format = Notif./Evacuation/Medical --Agency Notification CALL 911 Overall Site 03/12/1992 -- Employee Notif./Evacuation VERBAL 03/12/1992 Public Notif./Evacuation VERBAL 03/12/1992 Emergency Medical Plan NEAREST HOSPITAL 03/12/1992 3 06/01/2000 F NUTIRE TOWN SiteID: 215-000-000865 Fast Format ~ Mitigation/Prevent/Abatemt --Release Prevention KEEP CLEAN - HAVE RAISED OVER ASPHALT Overall Site 01/03/1991 Release Containment USE SAND AND DIKE. 01/03/1991 -- Clean Up USE ABSORBANT AND CALL CLEAN UP COMPANY 01/03/1991 Other Resource Activation -4- 06/01/.2000 F NUTIRE TOWN SiteID: 215-000-000865 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING OUTSIDE B) ELECTRICAL - SOUTHEAST OF BUILDING INSIDE C) WATER - PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO 01/03/1991 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER 01/03/1991 FIRE HYDRANT - CORNER OF 30TH AND CHESTER Building,Oqcupancy Level 5 06/01/2000 F NUTIRE TOWN SiteID: 215-000-000865 Fast Format ~ Training -- Employee Training WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE READ ALL MATERIAL SAFETY DATA SHEETS. Overall Site 01/03/1991 -- Page 2 --Held for Future Use Held for Future Use 6 06/01/2000 02~27/92 NUTIRE TOWN 215-000-000865 Overall Site with 1 Fac. Unit General Information RECEIVED HAR 9 1.q92 Aos°d ............ Page I Location: 1420 GOLDEN STATE Map: 103 Hazard: Low I Community: BAKERSFIELD STATION 04 Grid: 19C F/U: 1 AOV: 0.0 I Contact Name BRUCE NUZUM DONALD NUZUM OWNER Title Business Phone (805) 327-0736 x (805) - x 24-Hour Phone1 (805) 589-7432] (805) 589-4811[ Administrative Data Mail Addrs: 1420 GOLDEN STATE City: BAKERSFIELD C°mm Code: 215-004 BAKERSFIELD STATION 04 D&B Number: 77-021-8060 State: CA Zip: 93301- SIC Code: 5531 Owner: BRUCE NUZUM Phone: (805) 327-0736 Address: 10801ALLENE WY State: CA City: .BAKERSFIELD Zip: 93312- Summary I,*~./c.E'//,/~zU~,~ Do hereby certi/y tl~ I have reviewed the attached hazardous materials manage- men~ plan for,~/~ 7~'£E /~'"'"~/v and that it along with (Name Of Busine~) · ' any corrections constitute a complete and correct man- egement plan ~or my facility. 02/27/92 NUTIRE TOWN 215-000-000865 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-001 WASTE OIL · Fire, Delay Hlth Liquid 55 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL Daily Average GAL Annual Amount GAL 200.00 Storage DRUM/BARREL-METALLIC Press T Temp Location [ambient[Ambient[OUTSIDE IN FENCED AREA -- Conc~ Components 100.0% IWaste Oil, Petroleum Based MCP --~List ILow 02/27/92 NUTIRE TOWN 215-000-000865 00 - Overall Site <D> Notif./Evacuation/Medical Page 3 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan .NEAREST HOSPITAL 02/27/92 NUTIRE TOWN 215-000-000865 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 4 <1> Release Prevention KEEP CLEAN - HAVE RAISED OVER ASPHALT <2> Release Containment USE SAND AND DIKE <3> Clean Up USE ABSORBANT AND CALL CLEAN UP COMPANY <4> Other Resource Activation 02127/92 NUTIRE TOWN 215-000-000865 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING OUTSIDE B) ELECTRICAL - SOUTHEAST OF BUILDING INSIDE C) WATER - PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - CORNER OF 30TH AND CHESTER .<4> Building Occupancy Level 02/27/92 NUTIRE TOWN 215-000-000865 00 - Overall Site <G> Training Page <1> Page 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE READ ALL MATERIAL SAFETY DATA SHEETS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use .:". . ' - · · , , , . :~. . ,~ :i.f; ,,.':,¥'[ :V'Li:¥.; ..!¥?;'!¥:"%~,.~ .'~ ..?-'!. ':~.':~.. ' · ' Yr ~--J Farm and Agriculture ~ Standard Business ,, ,,.,,,. :~,.~ . . . : ,, ~,. ,.; ,,:. ~;~ ,~'~: ~:~/..,,~[.~?.~: : :. ....· -;~ - , Page.. of__ - · ' NON - ~E SEC~T ' ' - '~,' . , , ~' CITY, ZIP~ ~4~S~D; ~ ~/ CITY,.~ZIP=~~/~.~ Trees Type Max Average :i . Annual MeasUre # DaYs Cont' ·Cont: i'. Cont, ": Uae .: ' ' Location Whe~"i. '"' : .':: ::h' ;~'(";'~ii;~f ' ' · 'Names of Hi,cure/Components Code Code Amt Anfc Amt Units on Site Presa' Tem~ Code , . stored in Factli~ i .~ ii~ t~.~;,',.iJ!~5:,. %wtby ·  ~ See_.~ns_truc-tions .. .'. {Check all ~hat apply) :':' ' ':' :,i Component I ~- Name '$ C~A;S."N~' -I I I I I I I .I ' I · I I ,:~ ...... · ........ PhYsical and Realth Hazard C.l.8. Number .. Component i 1 Nam~ ?i C.A.S. Number ' o~ Pressure ,. Henlth Health ,, component # 3 [{ame"&'C.A.S. Number ..,.- I I I I I I I I I I I-,:' PhYsical'and ~enlth Hazard C.I.S. Number ,'~ Component # 1' ~n~ ~C.~.S. Number :' · .' ~ Fire Hazard D Sudden Releaae [~ Reactivity [] Imediate ~ Delayed ': " of Pressure Health Health Component # 3 Name & C.A.S. Number PhYsical"and Health Hazard C.A.S. Number Component # I Name & C,A.S. Nu~ (Check all that apply) '. . ': Component # 2 Name"& C.A.S. Number [~ Fire Hazard' ~ Sudden Release [] Reactivity ~ lnnn~iate [~'Dela~ . . .: of P~esaure Health Health ', .; Component # 3 Name ~ C'.A.S. Nun~er Name Title 24 Hr. Phone l~ame : Title 24 Hr Phon'~ Car~iflcation . (READ AND SIGN AFTER COMPLETING ALL SECTIONS) - :. . . . I certify under peanl~Y of law that I haver pareonally e~amined and am familiar with ~he information submitted in 'this and all attached documents end that based on my inquiry of those individuals responsible for obtaining the information. I believe that the submitted information ts true, accurate, and camplete...)j '.., .: ......... · Bakerst~e]d FLre Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 REC.,EWE~ MAT. ON. HAZARDOUS MATERIALS MANAGEMENT PLAN 2. 3. 4, To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ,'~/~ LOCATION' /,'-/ ~To MAILING ADDRESS: ,~ ~/bl ~ C lY: DUI~8~ BRADSTREET NUMBER' PRIMARY ACTIVITY' MAILING ADDRESS: / SIC CODE: --,~".-~- ,.~ / SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE ,,'"~LZ :~ BUS. PHONE $,,2 7-~7~C 24 HR. PHONE ,5' o° ?- 7~..~ FOISt ~S~'~N ~.;~?.TRAINING: NUMBER OF EMPLOYESS: / MATERIAL SAFETY DATA SHEETS ON FILE: ,~ BakerSfield Fire Dept.~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN BRIEF SUMMARY OF TRAINING PROGRAM: 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, 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. ./'~.~..~, ,,/Z ~..~ ' .,4..~4 ~- 9~ ~ SIGNATURE f- O- TITLE DATE F0159c Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: /V ~ -'~i r e~ '~--~ L~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: EMPLOYEE NOTIFICATION AND EVACUATION' PUBLIC EVACUATION: EMERGENCY MEDICAL PLAN' Bakersfield Fire Dept. ~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: Bo RELEASE CONTAINMENT AND/OR MINIMIZATION: CLEAN-UP PROCEDURES: SECTION 8~. UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NAI:URAL GAS/PROPANE: ELECTRICAL: ,,,~' o~7"/~ - WA~....7'~, ?,~ r,¢~ ,;,~ LoT SPECIAL: LOCK BOX: YES/N..~.Q IF YES, LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: Ao -B. WATER AVAILABILITY (FIRE HYDRANT)' 4. FD159~ CTTY of BAKERSFTELD HAZARDOUS MATERTALS TNVENTORY . Farm and Agriculture ['i Standard Business [] NON--TRADE SECRETS . Page ........ of BUSINESS NAME' ..Z/J/~ ~ r'~.~ To co ~ OWNER NAME: /"~ k,c(~ ~ ,~.~ cz_ zz ~ NAHE OF THIS FACILITY:/~/Z,/ LOCATION: Ifff~'~/de.~., a'T~tTe... ADDRESS: I,~'~'Ol A. Jle_~,. Wa._~, STANDARD IND. CLASS CODE.;-~.~:'_..~.~-.~/ ............. CITY. ZIP:~_~.~_-~~j~.. CITY. ZIP:~-~A-~_,.~-e/e.~,. ~.'~_ DUN AND BRADSTREE! NUMBER Trans I 2 ,ax 3 4 Annual $ 6 't !i~ 8 9 ID I1 12 !y~e Average MRa~Bre gont ~ont ~ont Us Location. Nhe[e. ~ty Names Code Loom Amt ami Est un~ts on e mype ~ress ~emp Cole ~ixture/Coe~onents 5em Instructions ~toreo In eaclm~ty Physical and Health Hazard C,A.S. Number Component II Name t C,A.S. Number (ChecA all that apply) Fire Hazard [] Reactivity [] Sudden Release Component 12 Name I C,l.S, Number of Pressure -' Component 13 Name I C.A,S, Number Physical and Health Hazard C.A.S. Number Component II Name & C,A,$. Number (Check al/ that apply) Component 12 Name & C.A.S. Number ~ Fire Hazard [] Reactivity [] Delayed [] Sudden Release [] ]mmedi~.~e Health of Pressure Health Component 13 Name & C.A.S. Num'ber Physical and H~althHazard C,~.S, Number Component ~1 Name & C,~.S. Number (Check all that apply) Component 12 Name & C,A,S, Number ~FI Fire Hazard [] Reactivity [] Oelayed [] Sudden Release [] ~mm~di~.t~ Health ofPressureHea~th Componentl3 Name&C,A.S. Number Physical and Heal'th ~alard C,~,S, Number. Component I~ Name & C.I,S, Number (ChecN ali that app/yl Component 12 Name I C.A.S. Number ~ Fire Hazard [] Reactivity [] OelayedHealth [] Sudden of PressureRelease ~ Component 13 Name I C.A.S, Number CertificatiOunter (Re'~d andl~av~i nper. sona~,examlnq~lq~af' r cC~rn 7 ~ft]g ~T7~it~theeC~fons) I c~[tffy penalt~ o[]a~ that tm famillac Information Submitted in this.and all at~.~hed.docveent~, an~ tpac oaseo on.my ~nqu~ry ~t.:nose ~no~v~oua~s respons~o~e tot obtaining the ~nrormac~on, I ben,eve thaL the suo~tteo inloreatlon lS true, accurate, eno complete, ~-~ficiai ~ttle of o~ner/ooerator u, o~n~rlo~erator's authorized re ores eh tat lye ~~~