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Home My WebLink AboutBUSINESS PLAN PAKTIRES. MUF. FLERS- BRAKE? Alignment Custom Wheels Shocks. Balancing · CV Joints IQBAL MANAGER 39S I SOUTH "H" STREET, UNITA 805.397-2222 BAKERSFIELD, CA 93304 FAX 805.397-2689 ,¥ ~CITY OF BAKERSFIELD ~:' B~o OFFICE OF ENVIRONMENTAL S~I ~ FlttE ~ 1715 Chester Ave., CA 93301 (661 ~ Pag~ Of FACILITY ID # Year Beginning BUSINESS N~IE (Same as FACILITY NAME or DBA- Doing Business As) ing 3 BUSINESS PHONE 102 SITE ADDRESS CITY 104 CA ZIP DUN & 106 SIC CODE BRADSTREET (4 Digit #) 103 105 107 COUNTY lo6 OPERATOR NAME _. lo9 OPERATOR PHONE 11o OWNER NAME ' 111 OWNER PHONE 112 OWNER MAILING ADDRESS 113 CITY 114 t STATE 1,5 I ZIP 116 CONTACT NAME 117 CONTACT PHONE 118 CONTACT MAILING -- 119 ADDRESS CITY 120 STATE 121 I ZIP 122 PAGER# NAME 123 NAME 129 TITLE 125 TITLE 130 BUSINESS PHONE ~26 BUSINESS PHONE 131 24-HOUR PHONE 127 24-HOUR PHONE 132 ~2e PAGER # 133 Certification: Based on my inquiry of those individuals responsible for obtaining {he information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 NAMES OF OWNER/OPERATOR (print) 136 TITLE OF OWNER/OPERATOR 137 2730 [] ADD I'l DELETE CITY OF' BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form 'r-] REVISE (one form per material per building or area) 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 201 CONFIDENTIAL (EPCRA) 202 205 TRADE SECRET [] Yes [] No 206 207 COMMON NAME EHS* [] Yes [] No 208 CAS ~ ' ' 209 ~:~:~S FIRE CODE H~RD C~SSE~ (~mplete if r~u~t~ by I~1 fire ~ie~ 210 ~PE ~p PURE D m MI~URE ~ w WASTE 211 ~DIOACTNE ~ Y~ ~ No 212 CURIES 213 Ds ~LID ~ LIQUID ~ g ~S 2~4 ~RGESTCO~A, NER ~ ~ PHYSI~L STATE 215 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTNE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (~ that ANNUAL WASTEA~u~ 217 DAILy~IMUMA~u~ ~ ~ 218 ~ AVE~GEDAiLY A~U~ ~ ~ 219 STATE WASTE CODE UNITS* ~ga ~ ~ ~ CU ~ ~ lb LBS D m TONS 221 DAYS ON SITE * If EHS, ~nt m~t be in lbs. STORAGE CONTAINER ~a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-I'LE [] q RAIL CAR 223 (Check all that apply) ._ [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTFLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN .El d STEEL DRUM [] h SILO Eli CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~iJ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] NO 236 237 238 239 []Yes []No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 Form 2731(3/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 [] ADD [] DELETE [] REVISE Chemical Description Form (one form per mate#al per building or area) 200 Page __ of ~ 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME ~ ~.~ ~J~ ~ ~ ~,~ If Subject to EPCRA, refer to linstructions 207 COMMON NAME EHS* []Yes []No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire cflief) 210 TYPE ~ p PURE [] m MIXTURE [] 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 ~1~1 FIRE (C~ec~ all that apply) ANNUAL WASTE 217 AMOUNT --- UNITS* [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH MAXIMUM 218 AVERAGE DALLY AMOUNT ~ ~ DAILY AMOUNT ~ga GAL [] c~ CU FT [] lb LBS [] tn TONS * if EHS, amount must be in lbs. [] 5 CHRONIC HEALTH 216 / ,~ 219 STATE WASTE CODE 220 DAYS ON SITE 222 221 STORAGE CONTAINER (Check all that apply) '~a ABOVEGROUND TANK []b UNDERGROUNDTANK F~c TANKINSIDEBUILDING [] d STEEL DRUM [] e P~,STIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k SOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~'a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 227 [] Yes' [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Form 2731(3/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 [] ADD [] DELETE [] REVISE HAZARDOUS MATERIALS INVENTORY ~ ~"~ Chemical Description Form (one form per mate~fal per building or area) 200 Page __ of __ ..... ,~ :,~.~ ~:~ :×,~ ~ ,~,,~ ...... ~, ..... ~.~¥,,,~ ..... ~:~,~ ~..I. FACILITY. INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Businass. As) CHEMICAL LOCATION 205 TRADE SECRET [] Yes [] No 206 CHEM,CAL NAME ~ ~0~'~ ~ (~ t ~=, ,f Subject to EPCRA, refer to iinstructions 207 COMMON NAME EHS* [] Yes [] No 208 CAS # 209 -i~ffEHS: S~'eS?~al amo~6tS below mbst be'in: FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE ,~ew WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213 PHYSICAL STATE [] s SOLID ~ 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 AMOUNT ~ DAILY AMOUNT ~ ~t O DAILY AMOUNT UNITS*~E~.ga GAL [] cf CUFT ~'1 lb LBS [] tn TONS * If EHS, amount must be in lbs. 219 STATE WASTE CODE DAYS ON S|'¥E 221 220 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM -r-~ m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) -- []b UNDERGROUND TANK --- [~f CAN [-]j BAG ~--~n PLASTIC BOTTLE [--~r OTHER [] c TANK INSIOE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN ~l'd STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE ~l~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE - DATE 246 Form 2731(3/9g) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 [] ADD [] DELETE [] REVISE HAZARDOUS MATERIALS INVENTORY l ~;;~~ Chemical Description Form (one fora1 per mate#al per building or ama) 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 CHEMICAL LOCATION t~' t~E ~ ~;~ ~' b~ ~F .~'~ 201CONFIDENTIALCHEMICALLOCATION(EPCRA) F-~ Yes DNo 202 FACILITY ID # · ~ 1 MAP # (optional) 203 GRID # (optional) 204 205 207 COMMON NAME CAS # 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA. refer to iinstructions EHS* []Yes [] No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ~ p PURE [] m MIXTURE [] w WASTE 211 PHYSICAL STATE [] s SOLID [--II LIQUID ~ g GAS. 214 RADIOACTIVE [] Yes [] No 212 I CURIES 213 LARGEST CONTAINER ~w~-~f 215 FED HAZARD CATEGORIES [] 1 FIRE ~2 REACTIVE ~ PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 2i6 (Check all that apply) UNITS' [] ga GAL ~ cf CU FT [] lb LBS [] tn TONS 221I DAYS ON SiTE 222 * If EHS. amount must be ih lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e 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 BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] § CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO ~1 CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT ~ aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE ~Da AMBIENT [] aa ABOVE AMBIENT '-'L-I ba BELOW AMBIENT [] c CRYOGENIC 225 226 227 [] Yes' [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 r. 242 243 [] Yes [] NO 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Form 2731(3/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one forr~ per material per building or area) [] ADO [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ NAME ~ DBA - D~ng Busin~ ~) 3 ~ CHEMI~L LO~TION · ~ } ~. -- ~ -- ~ ~ _ ~ ...... ~ ' ~lJ CHEMICAL LOCATION ~ ~ , / /'V>fO~ ~ ~ ~ ~'~ ~ CONFIDENTIAL(EPC~) ~Y~ ~No 202 ~ FACILITY. 'ID # ~ ..... ~i!l~'!~ ,~ ,:':" 1 MAP # (optional) . 203 GRIO # (optional) 204~ I · 205 TRADE SECRET [] Yes [] No 206 I CHEMICAL NAME .. to EP RA.,e,e, to 207 COM~N ~ME EHS* ~ Y~ ~ No 208 CAS ~ 209 ~;~ff EHS:~:~ :~'~'~b~ ~ln4~.~~: : FIRE CODE ~D C~SSES (~ptete if r~umt~ by I~1 fire_~i~ -- 210 TYPE ~p PURE [] m MIXTURE [] w WASTE 211 I RADIOACTIVE [] Yes [] No 212 CURIES 213 FED HAZARD CATEGORIES ~ 1 FIRE [] 2 REACTIVE ~1~3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) AMOuNTANNUAL WASTE 217 DAILyMAXIMUMAMoUNT ~ ~ 218 ADAiLyVERAGEAMoUNT t' Z~ 219 I STATE WASTE CODE 220 UNITS* [] ga GAL ~cf CU FT [] lb LBS [] tn TONS 221] OAYS ON SITE 222 - * If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK" [] e 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 BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM . [] h SILO ,1~ I CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT ~ aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 227 [] Yes [] No 228 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE - DATE 246 Form 2731(3/99)