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Home My WebLink AboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This _permit is issued for the following: [] Hazardous Materials Plan El Underground Storage of HazardOus Materials I-! RiskManagement Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002222 BRAKE EXPRESS LOCATION 4551 ,313 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 ofEv~Scrviccs ' JUL 3 3 200~ Issue Date June 30; 2003 ITE DIAGRAI~ i Business Name: Business Address: FACILITY DIAGRAM BRAKE EXPRESS Manager : Location: 4551 GRISSOM ST B City :'BAKERSFIELD BusPhone: Map : 123 Grid: 15D CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code: DunnBrad: SiteID: 015-021-002222 (661) 398-2277 CommHaz : Low FacUnits: 1 AOV: Emergency Contact / Title KURT OR SOLLY CASON / OWNER/WIFE Business Phone: (661) 397-9333x 24-Hour Phone : (661) 664-7396x Pager Phone : ( ) - x Emergency Contact / Title STEVE OR BOB CASON / Business Phone: (661) 664-7396x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : MailAddr: 4551 GRISSOM ST B City : BAKERSFIELD Phone: (661) 398-2277x State: CA Zip : 93313 Owner KURT CASON Address : 4551 GRISSOM ST B City : BAKERSFIELD Phone: (661) 397-9333x State: CA Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives~: ~ Hazmat Inventory --Alphabetical Order Hazmat Common Name... WASTE ANTIFREEZE WASTE.OIL ISpecHazI One Unified List Ail Materials at Site EPA HazardsI Frm 'DailyMax IUnitlMcP F DH L 55.00 GAL Low F DH L 110.00 GAL Low hereby certify thst ~ have the at~ached hazardous materials manage- men[ plan for and that it along with (Name of Business) - any corrections constitute a complete and correct man- agement plan for my facility. 04/03/2002 BRAKE EXPRESS = Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Location within this Facility Unit INSIDE CENTER OF N WALL SiteID: 015-021-002222 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 107-21-1 STATE ~ TYPE Liquid /Waste PRESSURE Ambient TEMPERATURE lAmbient CONTAINER TYPE PLASTIC CONTAINER Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 40.00 GAL HAZARDOUS COMPONENTS %Wt. I 30.00 Ethylene Glycol N 107211 ITSecretI RSlBioHaz No No No HAZARD ASSESSMENTS I Radioactive/Amount I EPA Hazards No/ Curies F DH NFPA/// [ USDOT# MCP Low = Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit INSIDE CENTER OF N WALL Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 221 STATE T TYPE PRESSURE Ambient Waste Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 40.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ CuriesI F DH / / / Low 2 04/'03/2002 BRAKE EXPRESS SiteID: 015-021-002222 Fast Format = Notif./Evacuation/Medical --Agency Notification VISUAL. Overall Site 07/20/2001 -- Employee Notif./Evacuation VERBAL. 07/20/2001 -- Public Notif./Evacuation CRANES WASTE OIL. 07/20/2001 Emergency Medical Plan FIRST AID KIT. 07/20/2001 3 04/03/2002 BRAKE EXPRESS SiteID: 015-021-002222 Fast Format Mitigation/Prevent/Abatemt Release Prevention LOCATE WASTE DRUMS OUT OF THE WAY OF TRAFFIC. Overall Site 07/20/2001 -- Release Containment CONTAINMENT PALLET. 07/20/2001 -- Clean Up CRANES WASTE OIL. 07/20/2001 Othe~ Resource Activation -4- 04/03/2002 F BR3kKE EXPRESS SiteID: 015-021-002222 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - OUTSIDE SE CORNER OF BLDG C) WATER - AT SIDEWALK IN FRONT OF SHOP D) SPECIAL - NONE E) LOCK BOX - NO 07/20/2001 -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - PORTABLE FIRE EXTINGUISHER. 07/20/2001 NEAREST FIRE HYDRANT 100FT N OF BLDG. Building Occupancy Level -5- 04/03/2002 BRAKE EXPRESS SiteID: 015-021-002222 Fast Format Training -- Employee Training HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY?????? YOU NEED TO OBTAIN MSDS SHEETS AND HAVE ON FILE????????? GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: Overall Site 07/20/2001 Page 2 Held for Future Use Held for Future Use -6- 04/03/2002 D April3,2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Cheste*r Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Dear Business Owner: This notice is meant to act as a reminder that the California health and Safety Code, Chapter 6.95, requires if you handle, use, store or dispose of Hazardous Substances at any time during the year in excess of the minimum reporting quantities you must pay the fees allot. Enclosed, please find a statement showing a balance owed. You may or may not still be in business, but at the time these charges were generated you were. At this time we are requesting payment in full. If you have any questions or if I can be of any assistance please do not hesitate to call 326-3642. Office of Environment Services Enclosed CiTY OF '^ ..... ~,~uF!ELD ,= n~. BOX 2057 455i QRiS~OM ST ~B ~ NO: (661) ~ 32_6.3~42 DATE: 3/01/0~ 37256 - CUSTOME~ TYPE: ES/ 186.00 FOR ~UE~TiONS'OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THiS 9]'ATEMENT. 286. O0 OVER 30 OVER 60 OVER 90 D~T~ R~MiT AND~MA~E CHECK~-~AYABLETD CITY OF BAKERSFIELD PO ~OX BAKERSFIELD ,CA93303~2057· (661) 326-3642 PAYMENT DUE: TOTAl_ DUE: TOTAL DUE: :'- o0' $186. O0 $186.00 L D Dear Business Owner: FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 This notice is meant to act as a reminder that the California Health and Safety Code, Chapter 6.95, requires any handler of hazardous materials to revise their hazardous materials business plan within 30 days of any one of the following events: (1) A 100 per cent or more increase in the quantity of a previously-disclosed material. (2) Any handling of a previously-undisclosed hazardous material, subject to the inventory requirements of Chapter 6.95. (3) Change in business ownership. (4) Change in business address. (5) Change of business name. Any questions regarding these required revisions, please call the Hazardous Materials Division at (805) 326-3979. Sincerely yours, Director, Office of Environmental Services CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY ~ ADDRESS FACILITY INSPECTION TIME I t~ INSPECTION DATE l / -- ~' ~O PHONE NO, ~?[ ~ - _"?;2.'7'7 BUSINESS 1D NO. 15-210- (LO '7_. ~,'~,7_, NUMBER OF EMPLOYEES '2...~ Section 1: Business Plan and Inventory Program [~ Routine ~ Combined [~ Joint Agency I~l Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS 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 L Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation ~JO L0~Z:~ ~ Any haz.ardous waste onl~ite?: ,[~ Yes [~ No Questions regarding this inspection? Please call us at (661) 326-3979 Pink - Business Copy White - Env. Svcs, Yellow - Station Copy t Inspe6'tor:~r ~ _/-/~ .'>?t~/ Party + BRAKE EXPRESS Manager : Location: 4551 GRISSOM ST B City : BAKERSFIELD CommCode: BAKERSFIELD STATION 13 EPA Numb: SiteID: 015-021-002222 + BusPhone: (661) 398-2277 Map : 123 CommHaz : Low Grid: 15D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title_ KURT OR SOLLY CASON / OWNER/WIF~~ Business Phone: (661) 397-9333x 24-Hour Phone : (661) 664-7396x Pager Phone : ( ) - x Emergency Contact / Title STEVE OR BOB CASON / Business Phone: (661) 664-7396x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact : MailAddr: 4551 GRISSOM ST B City : BAKERSFIELD Fire DelHlthI + Phone: (661) 398-2277x State: CA Zip : 93313 Owner KURT CASON Address : 4551 GRISSOM ST B City : BAKERSFIELD Period : to Preparer: Certif'd: +- Phone: (661) 397-9333x State: CA Zip : 93313 TotalASTs: = TotalUSTs: = Res: No + Gal Gal Emergency Directives: += Hazmat Inventory One Unified List + -== Alphabetical Order Ail Materials at Site + ................................. + ....... + ........... + ..... + + .... +- --+ Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCPI ................................. +--.---~-+ ........... + ..... + + .... +---+ WASTE ANTIFREEZE ....... F 'DH' ~L 55~'0-0-'GAL Low WASTE OIL F DH L 110.00 GAL Low 1, Do hereby certify that I have (Type o~ prir~t name) revi~wgd ~he attached hazardous materials manage- mer¥~ pla~ for and that it along with (/';~ Of I~usine~s) any corrections constitute a complete and correct man- agement plan for my facility. agna~e - 1 - Date 01 / 18 / 2002 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., BakersfieJd, CA (661) 326-3979 HAZARDOUS MATERIALS MAN~&GE~ENT PLAN ' 1. To avoid further action, retum this form within"30 days of receipt. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. f3 You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: LOCATION: .q f'ec~ MAILING ADDRESS: PRIMARY ACTIVITY: ,~X_.~ STATE: ~ ZIP: PHONE: OWNER: ~ e.9-'-' C,4-s o~, PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICR~TIONS A. LEAK DETECTION AND MONITORING PROCEDURES: Bo EMPLOYEE AND AGENCY NOTIFICATION: Co ENVIRONMENTAL RESPONSE MANAGEMENT: Do EMERGENCY MEDICAL PLAN: 2 HAZARDOUS MATi~RIALS "~ MANAGEMENT PLAN SECTION I1.2: RELEASE RESPONSE PLAN s' A. HAZARD ASSESSMENT AND PREVENTION MEASURES: Bo RELEASE CONTAINMENT AND/OR MITIGATION: CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: Ot).r'q,O¢ WATER: .~.~- Ct o(_4~,tx~.16 SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): t 16o ~ 6-c ~c~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAILING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINILG PROGRAM: CERTIFICATION X, ~1~)~'-]'-' ~a~0g~'"' CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FU~p~, L MY FI~'S OBLIGATIONS ~ER THE "CAL~O~IA HEALTH A~ S~ETY CODE'\ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND ~HAT INACCURATE INFORMATION CONSTITUTES PERJURY. "~GNATURE ~ 4 CITY OF BAKERSFIEld, OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester ~ve., CA 93301 (661) 326-3979 BUSINESS OWNER / OpERA~OR IDENTIFICATION FACILITY INFORMATION Page Of __ ~ ~/'~ I. FACILITY IDENTIFICATION FACILI'FY ID # ,~?iill I l~e~'~ I I i ~[ Year Beginning loo I , ....... ~ ~ t:~: ~ ' i I 'Z-~( BUSINESS NAME (Same as FACILI~ NAME or DBA-Doing Business As) ~ ~ ~~3 Year Ending BUSINESS PHONE 402 SITE ADDRESS ~'-~-"1 ~'~ ~5C.)r1~1 :~ 7-' 103 CITY DUN & BRADSTREET 104 CA 106 SIC CODE (4 Digit #) 107 COUNTY 408 OPERATOR NAME 109 i OPERATOR PHONE ' -'iii: ': IL. "OWNER INFORMATION':I'''' ::" ' "' ':' ''''::.-" · OWNER NAME OWNER MAILING ADDRESS 112 113 CITY CONTACT NAME 117 ! CONTACT PHONE 118 119 CONTACT MAILING ADDRESS I CiTY 420 STATE 121 ZIP 122 ..: :: .PRIMARY-~,, i:: ~'1 T -'.SECONDARY- ..! NAME TITLE BUS,NESS PHONE -,OUR P,ONE 123 NAME 125 TITLE 126 BUSINESS PHONE 24-HOUR PHONE 129 130 131 132 PAGER # 128 PAGER # 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am ~=amiliar with the information submitted in this inventory and believe the information is true, accurate, and complete. -~i-~-~7~RE OF OWNER/OPERATOR DATE 434 NAME OF DOC~'I; PR--'R~-~-I~-~ 135 ~ ~-.-~.Z. o / --N~'~-E-~;-~-OWNER/OPERATOR (print) 136 I TITLE OF OWNER/OPERATOR 137 UPCF (7/99) S:\CU PAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIEI~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester ~ve., CA 93301 (661) 326-3979 HAZARDOUS MATERI.~LS INVENTORY CHEMICA~: DESCRIPTION "~W [] ADD ~ DELETE [] REVISE 200 (one form per matedal per building or area) Page __ of __ I . ~= i, i-%USINESS NAME (Same as FACILI'~-Y NAME or DBA - Doing Business As) I. FACILITY INFORMATION 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) [] Yes [] No 202 CHEMICAL LOCATION f/~ S ( ~ E ~__.~-'~'["~,t~ 203 i GRID # (optional) 204 1i MAP #(optional) ,.C. MICAL ,FORMATi0,..: · 205 ! TRADE SECRET [] Yes [] No 206 i If Subject to EPCRA, refer to instructions CHEMICAL NAME /-'~ ~"~ ~' ~-'~ '~ ~- i 20i' COMMON NAME 'EHS* [] Yes [] No 208 CAS # 209 i *If EHS is*Yes,' all amounts below must be ia lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [~w WASTE 211 I RADIOACTIVE []Yes []No 212 j~ CURIES 213 PHYSICAL STATE [] s SOLID .J~ LIQUID [] g GAS 214 LARGEST CONTAINER ..~-,~""- 215 FED HAZARD CATEGORIES ,,~.!._FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check alt that apply) ANNUAL WASTE 217 i MAXIMUM 218 ' AVERAGE ,~{~ 219 STATE WASTE CODE 220 AMOUNT DAYS ON SITE 222 UNITS* ,[~ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 *If EHS, amount must be in lbs. ~(~-~ STORAGE CONTAINER [] a ABOVEGROUND TANK ~ PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTI'LE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 [] c CRYOGENIC 225 STORAGE TEMPERATURE ~ AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 227 ~ 1 226 ' . j ~ QY~ ONo 228 230 234 238 242 231 235 239 243 []Yes []No 232 []Yes[]No 236 []Yes []No 240 []Yes []No 244 229 233 237 241 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DAT~ 246 , UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd CITY OF BAKERSFIEL R O E OF ENVIRONMENTAL VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~..~_Ew I"'] ADD i--I DELETE [] REVISE 'one fo~n per material I~er budding or ama) Page __ of __ BUSINESS NAME (Same as FACILITY NAME o~ DBA - Doing Business As) CHEMICAL LOCATION FACILI~ ID ~J~ ~ 2011 CHEMICAL LOCATION I CONFIDENTIAL (EPCRA) 203 j GRID # (optional) [] Yes [] No 202 204 205 TRADE sEcRET r-]yes r-]No 206 If Subject to EPCRA, refer to instructions CHEMICAL NAME 207 COMMON NAME EHS' [] Yes r"J No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE j~w WASTE 211 RADIOACTIVE [] Yes [] No 212 i CURIES 213 PHYSICAL STATE [] s SOLID ~'1 LIQUID [] g GAS 214 LARGEST CONTAINER .~""~'"' 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE ,~4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~ all that apply) ANNUAL wASTE <.~ (.~ 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT ,.~--- DALLY AMOUNT ~',~ DALLY AMOUNT UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 I DAYS ON SITE 222 * If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK ~t. PLASTIC~NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO3q'LE [] q RAIL CAR 223 (Check all that apply) '~' []b UNDERGROUND TANK f-If CAN ['-~j BAG []n PLASTICBO'FrLE' []r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] 1 CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ AMBIENT [] aa ABOVE AMBIENT [] ba 8ELOWAMBIENT 224 STORAGE TEMPERATURE ~ · AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 2~ ~7 ~ Y~ ~ No 228 233 ~0 231 ~Y~ ~No 232 237 2~ ~5 ~ Y~ ~ No 236 238 239 ~ Y~ ~ No 240 241 242 243 ~ ', ~ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7199) S:\CUPAFORMS\OES2731 .TV4.wpd FACILITY NAME Section 4: I-I Routine CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Hazardous Waste Generator Program EPA ID # /~ft//~ [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made .~Z~,/,.~. 916-324-1781 to obtain EPA ID #) EPA ID Number (Phone: Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames / Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violation Inspector: ~/~ I txf~"~ ~/' Office of Environmental'Services (661) 326-3979 ~B'us~nes~ Si~e Responsible Party White - Env. Svcs. Pink - Business Copy FACILITY NAME ~/Z~ ADDRESS q'~51 ~'~L-C~O/~I FACILITY CONTACT ~SPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. BUSINESS ID NO. 15-210-'"" t'~'~ NUMBER OF EMPLOYEES 'Z__ Section 1: Business Plan and Inventory Program [21 Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate po'~'-~L~ ~ I~ / Visible address ~ Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material i.,, / 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 p~~__~ ~/.Jq C=Compliance V=Violation Any hazardous waste on site?: ~ Yes [] No Explain: o~ - :~,3'" /'~:'/.- r--I Lidfj-..k-ht'~ ,~[ ~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Business Site Responsible Party._, Inspector: BRAKE XPHETM'~'~S Will Beat Any Shop's Lowest Price by 10% or morel" All Makes..~li Models 398-2277 ° 397-9333 (M-F) 7:30 am - 5:30 pm .4551 Grissom Street (Sat) 8am - 4pm Bal~ersfield, CA 93309