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HomeMy WebLinkAboutBUSINESS PLAN 8/11/2003Hazardous,Materials/Hazardous Waste Unified Permit .. CONDITIONS .OF .PERMIT ON REVERSE SIDE Permit ID#:: 015-000-001404 BARNETT TIRE CO (CALl LOCATION: 98 OAK ST This _oermit is issued for the followin.: [] Hazardous Materials Plan rq Underground Storage of Hm,-rdous Materials [] Risk Management Program [] Hm,-rdous 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: Office of Evironm~r~ffServices Expiration';~ate: June 30. 2003 Issue Date BARNETT TIRE Manager : Location: 98 OAK ST City : BAKERSFIELD SiteID: 015-021-001404 BusPhone: (661) 325-0711 Map : 102 CommHaz : Low Grid: 36C FacUnits: 1 AOV: CommCode:'BAKERSFIELD STATION 03 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title DON HARGIS / OWNER/MANAGER Business Phone: (661) 325-0711x 24-Hour Phone : (661) 325-7971x Pager Phone : ( ) - x Emergency Contact Business Phone: ( 24-Hour Phone : ( Pager Phone : ( / Title / ) - x ) - x ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 98 OAK ST City : BAKERSFIELD Phone: (661) 325-0711x State: CA Zip : 93304 Owner DON HARGIS Address : 98 OAK ST City : BAKERSFIELD Phone: (661) 325-0711x State: CA Zip : 93304 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: - rry~o~p~,,t.~A.) _ Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan f0~F~__~ ~f~__ a~d that it along with (Name ol Business) -- any corrections constitute a complete and correct man- agement plan for my f,ael~ity. -1- 07/15/2003 Manager : Location: 98 OAK ST /~ City : BAKERSFIELD CommCode: BAKERSFIELD STATION 03 EPA Numb: BusPhone: Map : 102 Grid: 36C SIC Code: DunnBrad: SiteID: 015-021-001404 (805) 325-0711 CommHaz : Low FacUnits: 1 AOV: Emergency Contact /~ Title RLL'i-T~U_~o~.~ OWNER/MANAGER Business Phone.-~05) 325-0711x 24-Hour Phone : (~) ~ Pager Phone : ( ) - x ~mergency Contact / Title DON HARGIS Business Phone: 24-Hour Phone : Pager Phone : / OWNER/MANAGER (805) 325-0711x (805) 325-7971x ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 98 OAK ST City : BAKERSFIELD Phone: ( ) State: CA Zip : 93304 x Owner Address : City : Period : Preparer: Certif'd: _ ---I .... DON HARGI BAKERSFIELD ~4~D to ! Emergency Directives: Phone: (805) 325-0711x State: CA Zip : 93304 TotalASTs: = TotalUSTs: = RSs: No Gal Gal = Hazmat Inventory --As Designated Order Hazmat Common Name... MOTOR OI~ WASTE MOTOR OIL ARGON ANTIFREEZE TRANSMISSION FLUID One Unified List Ail Materials at Site ISpecHaz EPA HazardsI Frm DailyMax Unit MCP F IH DH L F IH DH L F P IH G L F DH L Do hereby oa~ify ~ha~ ! h~ve 150.00 GAL Min 250.00 GAL Low 180.00 FT3 Min 140.00 GAL Low 140.00 GAL Low reviewed the attached hazardous mal[erials plan for_j~_(XC'r~~'FK, and ~hm i~ ~long wl~h ment ~a~ of ~sino~) any corrections constitute a complete and correct man- agement plan for my facility. 01/02/2001 BARNETT TIRE~ (~ = Inventory Item 0001· -- COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SE CORNER OF BLDG SiteID: 015-021-001404 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS#  STATE I TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest 'Container 100.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average I 130.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Motor Oil, Petroleum Based 8020835 ITSecretI RSIBioHaz No No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA/// I USDOT# MCP Min = Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Location within this Facility Unit E END OF BLDG Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE I TYPE PRESSURE Ambient Waste Liquid -- TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container jz O GAL AMOUNTS AT THIS LOCATION Daily Maximum Daily Average I 190.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Waste Oil, Petroleum Based CAS# TSecret No NoRS I BNoi oHa z HAZARD ASSESSMENTS Radioactive/Amount- EPA Hazards No/ Curies F IH DH NFPA /// USDOT# MCP Low 2 01/02/2001 BARNETT TIRE ~) ---- Inventory Item. 0003 -- COMMON NAME / CHEMICAL NAME ARGON Location within this Facility Unit SiteID: 015-021-001404 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7440-37-1 FSTATE ~ TYPE Gas /Pure PRESSURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 180.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 180.00 FT3 Daily Average 180.00 FT3 %Wt. 100.00 Argon HAZARDOUS COMPONENTS  S CAS# N 7440371 TSecretINO N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# MCP Min = Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site FSTATE Liquid Location within this Facility Unit 'Map: TYPE PRESSURE TEMPERATURE I Pure Ambient .~ Ambient Grid: Days On Site 365 CAS# CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 40.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 140.00 GAL Daily Average 100.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Ethylene Glycol  s CAS# N 107211  RS BioHaz No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies, NFPA/// I USDOT# Low -3- Ol/O ./26Ol BARNETT TIRE ~ Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID SiteID: 015-021-001404 Facility Unit: Fixed Containers on Site Location within this Facility Unit Map: Liquid Pure Ambient Ambient Grid: Days On Site 365 CAS# 0 CONTAINER TYPE DRUM/BARREL-METALLIC FLargest Container 50.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 140.00 GAL Daily Average 120.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Transmission Fluid (Petroleum-Based) CAS# 0 TSecretINo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# MCP Low -4- 01/02/2001 BARNETT TIRE SiteID: 015-021-001404 Fast Format ~ Notif./Evacuation/Medical --Agency Notification BY TELEPHONE CALL 911 FOR EMERGENCIES. Overall Site 01/19/1999 -- Employee Notif./Evacuation BY WORD OF MOUTH AND INTERCOM WHEN FEASABLE. 01/19/1999 Public Notif./Evacuation BY WORD OF MOUTH. 01/19/1999 Emergency Medical Plan 01/19/1999 COMPANY DOCTOR IS ROMAIN CLEROU: WE HAVE ON THE PREMISES A FULLY STOCKED FIRST AID CABINET THAT MEETS OSHA STANDARS. MERCY HOSPITAL IS THE NEAREST FACILITY TO US CAPABLE OF HANDLING HAZARDOUS EXPOSURE TO TOXIC SUBSTANCES. MERCY HOSPITAL - 2215 TRUXTUN AVE - (805) 327-3371. -5- 01/02/2001 BARNETT TIRE SiteID: 015-021-001404 Fast Format ~.Mitigation/Prevent/Abatemt -- Release Prevention Overall Site 01/19/1999 ALL MATERIALS ARE KEPT IN PROPER STORAGE CONTAINERS. -- Release Containment 01/19/1999 USE FLOOR SWEEP TO CLEAN UP ANY SOLVENT SPILLS. -- Clean Up 01/19/1999 FLOOR SWEEP IS USED TO CLEAN UP ANY SPILLS. Other Resource Activation -6- 01/02/2001 BARNETT TIRE~~ SiteID: 015-021-001404 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - IN DRIVEWAY BEHIND N SIDE OF BLDG B) ELECTRICAL - SE CORNER OF STORAGE AREA C) WATER - OAK ST NW CORNER D) SPECIAL - NONE E) LOCK BOX - NOP 01/19/1999 -- Fire Protec./Avail. Water 01/19/1999 PRIVATE FIRE PROTECTION - THE BLDG IS COMPLETELY COVERED INTERNALLY WITH AN AUTOMATIC SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - NW CORNER OF BLDG. Building Occupancy Level -7- 01/02/2001 BARNETT TIRE~l~l~ll/l~ ~/~~ SiteID: 015-021-001404i i/2 Training ~/~~/5~E/~/SE~//3/5/5~/~E6/~/~/~~~~ Overall Site i~ Employee Training/5/5~/5/5/5~5~/5~/5~/5~E~E~Efi~~ 01 / 19/1999 o WE HAVE 5 EMPLOYEES AT THIS FACILITY. o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. ° o BRIEF SUMMARY OF TRAINING: MEETINGS AND INSTRUCTION ON PREMISES ARE CONDUCTED BY STORE PERSONNEL. ° o o o ii~i~EE Held for Fumre Use o o o o BARNETT TIRE CO (CALIFORNIA Manager : Location: 98 OAK ST City : BAKERSFIELD  SiteID: 215-000-001404 IBusPhone: (805) 325-0711 '~Map : 102 CommHaz : Low Grid: 36C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 EPA Numb: SIC Code: DunnBrad: Emergency Contact RAY GOESSMAN Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER/MANAGER (805) 325-0711x (805) 836-8542x ( ) - x Emergency Contact / Title DON HARGIS / OWNER/MANAGER Business Phone: (805) 325-0711x 24-Hour Phone : (805) 325-7971x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : MailAddr: 98 OAK ST City : BAKERSFIELD Phone: ( ) State: CA Zip : 93304 X Owner RAY GOESSMAN AND DON HARGIS Address : 98 OAK ST City : BAKERSFIELD Phone: (805) 325-0711x State: CA Zip : 93304 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: = Hazmat Inventory --As Designated Order Hazmat Common Name... MOTOR OIL WASTE MOTOR OIL One Unified List Ail Materials at Site ISpecHaz I F IH DH L F IH DH L ~,__'~,~t ~ ¢~'~ ,~ Do hereby certify that I have reviewsd ~he ~ched h~a~ous ma~e~ats manage- any ~rr~o~ ~s~i~ ~ ~mp~ete and ~rs~ man- EPA HazardsI Frm DailyMax Unit MCP 50 GAL Min 250 GAL Low 1 12/14/1998 BARNETT TIRE CO (CALIFORNIA TIRE) SiteID: 215-000-001404 = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~UIVHVlUN N~vl~ / ~HSFI · ~J-Ll~ H~vi5 MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SOUTH EAST CORNER OF BUILDING CAS# F STATE -- TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Average 35.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based  S CAS# N 8020835 I TSecret S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA/// I USDOT# MCP Min Inventory Item 0002 Facility Unit: Fixed Containers on Site WASTE MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: EAST END OF BUILDING CAS# STATE I TYPE PRESSURE / Ambient Waste Liquid TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 190.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Waste Oil, Petroleum Based CAS# 0 TSecret No  S BioHaz N No HAZARD ASSESSMENTS I Radioactive/Amount I EPA Hazards INo/ Curies F IH DH NFPA /// USDOT# MCP Low -2- 12/14/1998 BARNETT TIRE CO (CALIFORNIA TIRE) SiteID: 215-000-001404 Fast Format ~ Notif./Evacuation/Medical --Agency Notification BY TELEPHONE CALL 911 FOR EMERGENCIES Overall Site 07/24/1992 -- Employee Notif./Evacuation BY WORD OF MOUTH AND INTERCOM WHEN FEASABLE 07/24/1992 -- Public Notif./Evacuation BY WORD OF MOUTH 07/24/1992 Emergency Medical Plan 07/24/1992 COMPANY DOCTOR IS ROMAIN CLEROU: WE HAVE ON THE PREMISES A FULLY STOCKED FIRST AID CABINET THAT MEETS OSHA STANDARS. MERCY HOSPITAL IS THE NEAREST FACILITY TO US CAPABLE OF HANDLING HAZARDOUS EXPOSURE TO TOXIC SUBSTANCES. MERCY HOSPITAL 2215 TRUXTUN AV BAKERSFIELD, CA. 93301 (805) 327-3371 3 12/14/1998 BARNETT TIRE CO (CALIFORNIA TIRE) SiteID: 215-000-001404 Fast Format ~ Mitigation/Prevent/Abatemt --Release Prevention ALL MATERIALS ARE KEPT IN PROPER STORAGE CONTAINERS Overall Site 01/07/1990 Release Containment USE FLOOR SWEEP TO CLEAN UP ANY SOLVENT SPILLS 01/07/1990 -- Clean Up FLOOR SWEEP IS USED TO CLEAN UP ANY SPILLS 01/07/1990 Other Resource Activation -4- 12/14/1998 BARNETT TIRE CO (CALIFORNIA TIRE) SiteID: 215-000-001404 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - IN DRIVEWAY BEHIND NORTHSIDE OF BUIDLING B) ELECTRICAL - SOUTH EAST CORNER OF STORAGE AREA C) WATER - OAK STREET NW CORNER D) SPECIAL - NONE E) LOCK BOX - NP 01/07/1990 -- Fire Protec./Avail. Water 01/07/1990 3A SEC 4) THE BUILDING IS COMPLETELY COVERED INTERNALLY WITH A AUTOMATIC SPRINKLER SYSTEM 3A SEC 5) FIRE HYDRANT - NORTH WEST CORNER OF BUILDING Building Occupancy Level 5 12/14/1998 BARNETT TIRE CO (CALIFORNIA TIRE) SiteID: 215-000-001404 Fast Format Training -- Employee Training WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: MEETINGS AND INSTRUCTION ON PREMISES ARE CONDUCTED BY STORE PERSONNEL. Overall Site 07/24/1992 -- Page 2 --Held for Future Use Held for Future Use 6 12/14/1998 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 . .' HAZARDOUS MATERIALS FACILITY DESCRIPTI°N . CHECK W BUSINESS IS A FARM [ BUSINESS NAME FACILITY NAME SITE ADDRESS CITY ~ANf(~g~ F'~'~,~ STATE SIC CODE DUN & BRADSTREET NUMBEK OWNER/OPERATOR MAmbO PHONE STATE EMERGENCY CONTACTS TITLE. 24 HOUR PHONE TITLE Business Name CHEMICAL DESCRIPTION STATUS: New [ ~ [ ] Revision [ ] Deletion [ ] 4) Physical & Health .: ! Hazard Categories Fire.i[ ] Reactive [ 5) WASTE CLASSIFICATION Page ~ of, CheckifchemicalisaNONTrad~Se~et[ ]TranS.-mi ] 3) DOT # (optional) ,, A~Vi[ I CASa PHYSICAL /Ira HEALTH ] Sudd~ Relea.~ of Pressure [ mediat~ Health (Acute) [ ] Delayed Health (Chronic) [ USE CODE t~ O-d/git ~ from/DHS Form 8022) 6i PHYSICAL STATE Solid [ ] . Liquid [ ] ~ [ ~/ Pure [ ,] 7) AMOUNT AND TIME AT FACILrLw' UNITS OF MEASURE/' ~ Maximum Daffy Amount I ~'o ~"~ ~'~' Lbs [ ] Gal [ ] fl3 [~r] Average Daily Amount / ~ C o ~=T' Curies [ ] Annual Amount Larg~Size Container /~0_ ~ FT # Days on Site . ~ C~ j~-~ ~.~a~' Circle Which Months: Mixtu~ [ ] w~ [ ] P,,,,,lio~tive [ 8) STORAGE CODES a) Container:. b) Pressure: ' 9) MIXTURE: List thc three most h~tOUS 1) chemical components or 2) any AI-IM components 10)LOCATION COMPONENT [ I [ ] 1 ) INVENTORY STATUS: New [ tion [ ] Revision [ ] Deletion [ ] 4) Physical & Health /PHYSICAL Haz,~d Cat~gori~ Fire [ ] Reactive [ (] ~,,dd~ Rele&~ of Pressure [ s) wASTE CLASSnUC^T~O~ "kl '3 , Checkifch~uicalisaNONTrad~,~[ ]TradeSe~-ct[ ] 3) DOT # (optional) , AHM[ ] cASa I lmm~liat~ Health (Acute) [ ~(3-di~t co¢~ from DHS Form 802,2) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ~'//~ [ ] ] D~ay~l H~th (Chn~ic) [ Pu~e[ I ~[ ] waste[ ] aaaio~ve[ ] 7) AMOUNT AND TIME AT FAC[LrrY Max/mum Daily Amount Average Daffy Amount Annual Amount Largest Siz~ Container # Days on Site 9) MIXTURE: List the three most ham-dous 1) cl~emical components or 2) any AHM components 3) 10)LOCATION u~rs OF~ Lbs[ ~]Galil~]fl3[ l curies [ ] C~le Which Montt~: cq~wo~avr 8) STORAGE CODES a) Container:. b) Presmm: I certify under penalty of law, that I have personally examined and am familiar with the information on this and all ~ docum~ I believe thc submitted information is true, accurate and complctc. /0 . PRINT Name dr Title of Authorized Company Representative ~J '~Signature Date Business Name I~A~OUS MATERIALS LNVENT~Y Pag~ of CHE~CAL DESCRIFHON ] Rcvisiou [ ] Delctiou [ ] I) INVENTORY STATUS: N~v [ ~ Additio~ [ Chemical Name: 4) Physical & Health . PHYSIC,aL I-r,,~,,d Categories Fire [ '-~eactive i' ] Sudaen Release of Pressure [ S> WAS~ Ct.~SSU~C^UON '.i ~> PHVS~C,U. STA~ So, id 7) AMOUNT AND ~ AT FAC~.~o Maximum Daily Amouut Averas~ Daily Amotmi ~'L O # Days ou Site Check il'chemical is a NON Trad~ Secret 3) DOT # (optional) A~Vi[ ] casa I ! HEALTH ] ~mm~iiat~ Healm (Acute) [ O~git code fi'urn DHS Form 8022) 9) lVffXTURE: List the three most hazardous 1) chemical compoucuts or 2) any AHM compoueuts 3) ] Pure[ UNITS OF MEASURE Lbs[ ]C~[ ItU[ ] Cud~ [ ] USE CODE ] ~[ ] w~t~[ ] .sadioa~v,[ 8) STORAGE CODES a) Contains, ] Tn~ S~[ ] Cimlc Which Month~: COMPONENT ] D~iay~i H~m (Chronic) [ ] CAS# % WT 10)LOCATION 1) ~ENToRY STATUS: New [~Addition [ l R~visiou [ ] l~letion [ ] 2) co~0~ N~: ?{,d..,~O fU 0, ~ ii Ch~mnical Name: Check if d~mical is a NON Trnd~ Secret [ ] Trad~ S~ [ ] 3) DOT # (optional) AHM[ ] CAS# 4) Physical & Health Hazard CaU~gori~ Fire [ WASTE CLASSIFICATION ] Reactive [ PHYSICAL HEALTH ] Sudan. Selease ot'm~re [ I hnmediat~ Health (^~ute) O-digit coda from DHS Form 8022) USECODE ] mh,~,l H~m (c~o~ic) [ 6) PHYSICAL STATE Solid [ ] Liquid [ ~ [ ] l~,~[ I Mixt~[ ] w~st~[,] Ic~ti~v,[~.L' 7) AMOUNT AND TIME AT FACR. n'Y_.~ Maximum Daily Amount Average Daily Amount Annual Amount "Largest Size Contains' # Days on Site 9) MIX~: List thc three most h,,~nrdous I) chen{ical componcuts or 2) any ~tHlv{ components 3) Lbs[ ]Gall Iff3[ c~ [ ] Circle Which Monihs: co~,eo~ 8) STOP, AGE CODES a) Container:. b) Pressure: c) Temperature ' ~ F, M, A, M, $, $, A, S, O, N, D CAS# % WT [ ] '.[ l [ ] 10)LOCATION I certify under penalty of law, that I have personally examined and am tkmilinr with the information on this and all attached docun~nt~ I believe thc submincd informatiou is true, accuratc ami complete. ~ ~ PRINT Name & Title of Authorized Company Representative Signature Da~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: .~a"??;.' i.,?~:!!::.'~'>~'"'"~iiiiii'~;ili~:ii;~. ~,.~iii!}!iiL ~iiiii'?:::iiii?,ii~i:UnSemround Storage of Hazardous Materials PERMIT ID# 015-0214)01404 :,~i~tii:.~!!i ~../,,~!~:;}~;~:i;*~ !}ii!i }::~" ...::!!!!',!~!!! i*:! i !!~'[!i!!i%.!!!!iiiii,};,~ i~kii:~0agement Program ~ % -.~ "=~:;':" ~-~ "~;~=.;r.,:.,.:b:.=......:~;;;:=,.,~[~;~Y'" ~:'~' ~ i~ ~ ~ ~ ?:~ :;_~ ~:="'"-;~ ~"-.. ':~ ~ "'.-..~ . ~;:-:~ ~a~' "' ._.......;]'"~ .' ' :, '~ ;D'.,~ F a~ ~..::; .~ ~ ' · :; ~ ~ ' ' ' ~::~ -- I ~[... ':-.,: ~ ~ '~[~:.-.'"' "%. ':~,.}::~' .~[~:,~'":"~;:..;E'::h:-~.Z ............... ......~='"=[~::;k '~[~=.,.. ..~'~ '= '~= u~r '% ..'* '" ..'":'%~.?::%~H' a[F::~;: ~[~' ~ ~k:~~:~' '~L'*'~= '::' ..,N'~' '~ ~ ~i~~ Issued by: 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 03/18/92 BARNETT TIRE CO (CALIFORNIA TIRE) 215-000-001404 Overall Site with 1 Fac. Unit Page General Information Location: 98 OAK ST Map: 102 Hazard: Low I Community: BAKERSFIELD STATION 03 Grid: 36C F/U: 1 AOV: 0.0 Contact Name I Title Business Phone i .24-Hour Phoneq RAY G~ESSMAN ~0e~m~ ~~/~r~6 (805) 325-0711 x (805) 836-8542! DON HARGIS ~~/ ~~ (805) 325-0711 x (805) 325-7971~ Administrative Data Mail Addrs: 98 OAK ST D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Co~ Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 8388 Owner: RAY GOESSMAN Address: 98 OAK ST City: BAKERSFIELD Phone: (805) 325-0711 State: CA Zip: 93304- Summary RECEivED ~AR 2 5 199;? HA7 ~,,tAT' [")IV. !, ~ ~oc53,~ ~J Do hereby certify that I have (Type or print name) reviewe,'~ i!~e ~ttache~ h~ardous materials manag~- merit plan for~!~. T/~.'~ and that it along with any correction~ constitute a complete and correct man- agement plan for my facility. 03/18/92 BARNETT TIRE CO (CALIFORNIA TIRE) 215-000-001404 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 MOTOR OIL · Fire, Immed Hlth, Delay Hlth Liquid 50 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Daily Max GAL 5o I Days: 365 Use: LUBRICANT Daily Average GAL T Annual Amount GAL 35.00! 600.00 Storage ABOVE GROUND TANK Press T Temp Location Ambient~AmbientlSOUTH EAST CORNER OF BUILDING -- Conc, Components 100.0% IMotor Oil, Petroleum Based MCP iList Minimal 02-002 'WASTE MOTOR OIL · Fire, Immed Hlth, Delay Hlth Liquid 250 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL250 I Daily Average190.00GAL Annual Amount GAL 2,280.00 Storage ABOVE GROUND TANK Press T Temp Location IAmbient~AmbientlEAST END OF BUILDING -- Conc, Components 100.0% IWaste Oil, Petroleum Based MCP List 03/18/92 BARNETT TIRE CO (CALIFORNIA TIRE) 215-000-001404 Page 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification <2> Employee Notif./Evacuation BY WORD OF MOUTH AND INTERCOM WHEN FEASABLE <3> Public Notif./Evacuation <4> Emergency Medical Plan COMPANY DOCTOR IS ROMAIN CLEROU: WE HAVE ON THE PREMISES A FULLY STOCKED FIRST AID CABINET THAT MEETS OSHA STANDARS. MERCY HOSPITAL IS THE NEAREST FACILITY TO US CAPABLE OF HANDLING HAZARDOUS EXPOSURE TO TOXIC SUBSTANCES. MERCY HOSPITAL 2215 TRUXTUN AV BAKERSFIELD, CA. 93301 (805) 327-3371 03/18/92 BARNETT TIRE CO (CALIFORNIA TIRE) 00 - Overall Site <E> Mitigation/Prevent/Abatemt 215-000-001404 Page 4 <1> Release Prevention ALL MATERIALS ARE KEpT IN PROPER STORAGE CONTAINERS <2> Release Containment USE FLOOR SWEEP TO CLEAN UP ANY SOLVENT SPILLS <3> Clean Up FLOOR SWEEP IS USED TO CLEAN UP ANY SPILLS <4> Other Resource Activation 03/18/92 BARNETT TIRE CO (CALIFORNIA TIRE) 00 - Overall Site 215-000-001404 <F> Site Emergency Factors Page 5 <1> Special Hazards <2> Utility 'Shut-Offs A) GAS - IN DRIVEWAY'BEHIND NORTHSIDE OF BUIDLING B) ELECTRICAL - SOUTH EAST CORNER OF STORAGE AREA C) WATER - OAK STREET NW CORNER D) SPECIAL - NONE E) LOCK BOX - NP <3> Fire Protec./Avail. Water 3A SEC 4) THE BUILDING IS COMPLETELY COVERED INTERNALLY WITH A AUTOMATIC SPRINKLER SYSTEM 3A SEC 5) FIRE HYDRANT - NORTH WEST CORNER OF BUILDING <4> Building Occupancy Level 03/18/92 BARNETT TIRE CO (CALIFORNIA TIRE) 00 - Overall Site <G> Training I 215-000-001404 Page <1> Page 1. WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 11/25/91 BARNETT CO (C~LIFORNIA TIRE) 2 Overall Site with 1 Fac. Unit 0-001404 General Information Page Location: 98 OAK ST Community: BAKERSFIELD STATION 03 Map: 102 Hazard: Low Grid: 36C F/U: 1AOV: 0.0 Contact Name IRAY GRESSMAN DON HARGIS Mail Addrs: 98 OAK ST City: BAKERSFIELD Comm Code: 215-003 BAKERSFIELD STATION 03 Title Business Phone 24-Hour Phone- (805) 325-0711 x (805) 836-8542 (805) 325-0711 x (805) 325-7971 Administrative Data D&B Number: State: CA Zip: 93304- SIC Code: 8388 Owner: RAY GOESSMAN Phone: (805) '325-0711 Address: 98 OAK ST State: CA City: BAKERSFIELD Zip: 93304-. Summary A,8'd ............ E I,/~7 ~ot~5,~,~,~ _ Do hereby certify that I have ment plan {~i~n~.,rr 'D.I~ a~,; that it along with ~ ~*[*~">e a con'tp[ete and correct man- any corrections ~,,~..>.~ ~emem plan for my ~acility. 2-' SignatUre - Da~e ' ' 11/25/91 BARNETT T~ CO (CALIFORNIA TIRE) 21~00-001404 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 2 02-002 WASTE MOTOR OIL Fire, Immed Hlth, Delay Hlth Liquid 250 Low GAL CAS #: Trade Secret: No orm: Liquid Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL250 I Daily Average190.00GAL Annual Amount GAL-- 2,280.00 Storage Press T Temp Location .~gk~DF2~ C,R©UND ~4tHK Ambient~AmbientlSOUTH ~ C~R4%FmR ~ .B~ 100.0% ~Waste Oil, Petroleum Based ~S~/~"~ ~Low 02-001 MOTOR OIL Fire, Immed Hlth, Delay Hlth Liquid 50 Minimal GAL CAS #: Form: Liquid Type: Pure Trade Secret: No Days: 365 Use: LUBRICANT Daily Max GAL 50 I Daily Average GAL 35.00 Annual Amount GAL 600.00 Storage ABOVE GROUND TANK Press T Temp Location IAmbient~AmbientlSOUTH EAST CORNER OF BUILDING -- Conc~ Components 100.0% IMotor Oil, Petroleum Based MCp IMinimal I List 11/25/91 BARNETT Tll~ CO (CALIFORNIA TIRE) 2 00 - Overall Site <D> Notif./Evacuation/Medical ~-001404 Page 3 <1> Agency Notification <2> Employee Notif./Evacuation BY WORD OF MOUTH AND INTERCOM WHEN FEASABLE <3> Public Notif./Evacuation <4> Emergency Medical Plan COMPANY DOCTOR IS ROMAIN CLEROU: WE HAVE ON THE PREMISES A FULLY STOCKED FIRST AID CABINET THAT MEETS OSHA STANDARS. MERCY HOSPITAL IS THE NEAREST FACILITY TO US CAPABLE OF HANDLING HAZARDOUS EXPOSURE TO TOXIC SUBSTANCES. MERCY HOSPITAL 2215 TRUXTUN AV BAKERSFIELD, CA. 93301 (805) 327-3371 11/25/91 BARNETT TI~E CO (CALIFORNIA TIRE) 2 00 - Overall Site <E> Mitigation/Prevent/Abatemt 0-001404 Page 4 <1> Release Prevention ALL MATERIALS ARE KEPT IN PROPER STORAGE CONTAINERS <2> Release Containment USE FLOOR SWEEP TO CLEAN UP ANY SOLVENT SPILLS <3> Clean Up FLOOR SWEEP IS USED TO CLEAN UP ANY SPILLS <4> Other Resource Activation 11/25/91 BARNETT T~ CO (CALIFORNIA TIRE) 2 00 - Overall Site <F> Site Emergency Factors 00-001404 Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - IN DRIVEWAY BEHIND NORTHSIDE OF BUIDLING B) ELECTRICAL - SOUTH EAST CORNER OF STORAGE AREA C) WATER - OAK STREET NW CORNER D) SPECIAL - NONE E) LOCK BOX - NP <3> Fire Protec./Avail. Water 3A SEC 4) THE BUILDING IS COMPLETELY COVERED INTERNALLY WITH A AUTOMATIC SPRINKLER SYSTEM 3A SEC 5) FIRE HYDRANT - NORTH WEST CORNER OF BUILDING <4> Building Occupancy Level 11/25/91 BARNETT T~J~ CO (CALIFORNIA TIRE) 00 - Overall Site <G> Training 2 le000-001404 Page 6 <1> Page.l WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held .for Future Use BARNETT TIRE CO (CALIFORNIA TIRE) ~ Hazmat Inventory -- Inventory Details ~-Name ~WASTE MOTOR OIL J Fac. Unit: Fixed Containers on Site Hazards: Fire, Immed Hlth, Delay Hlth Form: Liquid CONV 01/07/90 Secret CAS/Waste Code -n MCP: Low Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL I 250.00 '. / , ~ Daily Average GAL 1--Annual Amount GAL 11 190.00 II 2,280.00 Press ~ Temp Location Ambien'tiAmbient SOUTH EAST CORNER OF BUILDING <S> S.P.T.L. <I> Inventory List <C> Components <N> Notes <P> Print <Fi> Help <Esc> Exit BakerSfield Fire Dep~ HAZARDOUS MATERIALS DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 UNDERGROUND TANK QUESTIONNAIRI= RECE'q~ JUL 0 ? 1991 I. FACILITY/SITE No. OF TANKS DBA OR~ILITY NAME ~ BOX TO INDICATE ~CORPORATION ~ INDIVIDUAL ~ PARTNERSHIP HAZ. MAT. DIV. I NAJylE~OF OPERATOR _ / ; ~ -- z''=' 7 ~ L~A[ AGfNCY DIS~IC~ ~ COU~ AGENCY ~ STA~ AGENCY ~FEDE~[ AGENCY TYPE OF BUSINESS GAS STATION [~ 2 DISTRIBUTOR FA RM (~ 4 PROCESSOR ~5 OTHER KERN COUNTY PERMIT TO OPERATE No. EMERGENCY CONTACT PERSON (PRIMARY DAYS: NAME (LAST, FIRST/ PHONE No. WITH AREA CODE EMERGENCY CONTACT PERSON (SECONDARY) optional I DA~AME (LAST, FIRST) PHONE No. WITH AREA CODE NIG~AME (~SL FI~D ~NE ~. WITH AR~ CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS~ . ~ l CIIY N~,¥E ,x ~ox ~UAt TO INDICATE Q PARTNERSHIP r III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS [~ INDIVIDUAL [~ LOCAL AGENCY Q STATE AGENCY [~ PARTNERSHIP [~ COUNTY AGENCY [~ FEDERAL AGENCY LOCAL AGENCY ~ STATE AGENCY [~ COUNTY AGENCY [~ FEDERAL AGENCY PHONE NO. _WI~J:~REA CODE CITY NAME BOX ZIP CODE PHONE No. WITH AREA CODE OWNER'S DATE VOLUME PRODUCT TANK No. INSTALLED STORED DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE IN SERVICE Y/N Y/N Y/N YIN Y/N Y/N c, . /~ Fill one segmen~t for each tank, unless all/~anks and piping are ~'' constructed ofc~same materials, style ano~ype, then only fill ~ one segment out. please identify tanks by owner ID ~. I. TANKDESCRIPTION COMPLETEALLITEMS--SPECIFYIFUNKNOWN A. OWNER'S TANK I..D.# B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. BoANDC, ANDALLTHATAPPLIESINBOXO A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDtRY CONTAINI ENT (VAULTED TANK) [] 99 OTHER CONCRETE []6 "OL' I"YL HLOR' EI ALUMINUM [] BRONTF [] 10 GALVANIT~I STEE~ I ~WN ' [] ~ 5 G~ LINING IS LINING MATERIAL ~MPATI L I.~ ME.ANOn? YES_ NO__ D. CORROSION ~ I ~LYE~YLENE WRAP 2 ~NG PROTEC~ON ~ 5 CATHODIC PROTECTION 91 ~NE B. TANK [] ' MATERIAL [] 5 (Primary Tank) [] 9 C, INTERIOR LINING 4 STEEL CLAD W/FIBERGLASS REINFORCED pLASTIC 8 IO(P/o METHANOL COMPATIBLEW/FRP 99 OTHER 4 PHENOLIC LINING 99 OTHER 4 FIBERGLASS REINFORCED PLASTIC 99 OTHER IV. PIPING INFORMATION C,RC~ A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U I SUCTION _.A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U I SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C~ MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION V. TANK LEAK DETECTION A U 1 BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE .~ U 7 STEEL W/ COATING A U 8 100'/o METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTR'IAL t,/,ONITORING [] 99 OTHER [] I VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 6 TANK TESTING [] 7 ,NTERSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK L D. # C. DATE INSTALLED (MO/DAY/YEAR) B. MANUFACTURED BY: D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, ANO C, AND ALL THAT APPLIES IN 80X D A. TYPE OF SYSTEM B. TANK MATERIAL (Primary Tank) C. INTERIOR .LINING D. CORROSION i PROTECTION ] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER IS LIN,NG MATERIAL COMPATIBLE WITH, ME~ANOL ~ YES vINO WR~ ~ ' POLYETHYLENE WRAP ~ 2 ~ ~ 3 ~L ~ 5 c,THco,c PROTEC~O". .~ _~ ~ NO,~ ~ ~S U,K,OWN ] 95 UNKNOWN ] 9g OTHER [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100°/. METHANOL COMPATIBLEW/FRP ] 99 OTHER ] 4 PHENOLIC LINING ] 99 OTHER ] 4 FIBERGLASS REINFORCED PLASTIC ] 99 OTHER IV. PIPING INFORMATION, C~RC~ A IFABOVEGROUNDOR U IFUNDERGROUNO, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U g9 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A U 1 BARE STEEL C. MATERIAL AND CORROSION A U 5 ALUMINUM PROTECTION A U g GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVlNYL CHLORIDE (PVC)A U 4 FIBERGLASS PiPE A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEWIFRP A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 tNTERSTITtAL · MONITORING [] 99 OTHER V, TANK LEAK DETECTION ~__] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [~ 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING ?'] 6, TANK TESTING [] 7 [NTERSTITIALMONITORING [~ 91 NONE [] 9§ UNKNOVVN [] 9g OTHER ,.~. TANK DESCRIPTION COMPLETE A. OWNER'S TANK I, D. # C. DATE INSTALLED (MO/DAY/YEAR) SPECIFY IF UNKNOWN B. MANUFACTURED BY: D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B. AND C, AND ALL THAT APPLIES IN I~OX O A. TYPEOF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 sINGLE WAll WITH EXTERIOR LINER : [] 95 UNKNOWN [] 4. SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER TANK [] .1 BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZE ] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD 'WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER [] I RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING C, INTERIOR lINING [] 5 GLASS LINING [] 8 UNLINED [] 95 UNKNOWN IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ ] 4 PHENOLIC LINING ] 99 OTHER D. CORROSION : [] 1 POLYETHYLENE WRAP [] 2 COATING ' [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION, [] 5, CATHODIC PROTECTION [] 91 NONE p,',., ,.~,{~::] 95 UNKNOWN [] 99 OTHER IV. PIPING INFORMATION C~RCLE .~ IFABOVEGROUNDOR U IFUNDERGROUNO, BOTH IF APPLICABLE '": ': A. SYSTEM TYPE A U I SUCTION ...... ~, U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN ,~ U 99 OTHER . C. MATERIAL AND CORROSION PROTECTION J~ U 1 BARE STEEL :~..:A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE A U 5 ALUMINUM ".~,. U 6..CONCRETE .~ "" "J~' U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL Jt U 10 CATHODIC PROTECTION '-Jr U 95 UNKNOWN 'A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 UNE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION I[] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING [] 6 TANK TESTING [] 7 ,NTERSTITIALMONITORING [] S, NONE [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS- SPECIFY ~F UNKNOWN A. OWNER'S TANK L D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: II1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. 8, ANDC, ANOALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 SINGLE WAIl WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTEDTANIO [] 99 OTHER B. TANK [] 1 BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZE ] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100=/o METHANOL COMPATIBLEW/FRP [] 99 OTHER ~ 1 RUBBER LINED I'~ 2 ALKYD LINING [~ 3 EPOXY LINING [~ 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ] 3 VINYL WRAP r'-~ 95 UNKNOWN ] 4 FIBERGLASS REINFORCED PLASTIC ] 99 OTHER IV. PIPING INFORMATION CIRCLE .& IFABOVEGROUNDOR U IFUNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. 'CONSTRUCTION A U I SINGLE WALL A U 2 DOUBLE WALL 'A U 3 LINED TRENCH A U 95 UNKNOWN A IJ 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U 1 BARE STEEL A U 5 ALUMINUM A U 9 GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4. FIBERGLASS PiPE A IJ 6 CONCRETE A U 7 STEEL w/ CoATING A U 8 100"/o METHANOL COMPATIBLEW/FRP A U 10 CATHODIC PROTECTIGN A U 95 UNKNOWN A IJ 99 OTHER D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR ~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION I [ ] 1 VISUAL CHECK [~ 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 6 TANK TESTING [] 7 tNTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER November 25, 1991 Mr. Ray Goessman Barnett Tire Co. 98 Oak Street Bakersfield, Ca. 93304 Dear Ray, Per our telephone conversation of November 25, 1991, I am enclosing a computer printout of your'business plan along with new inventory forms for your completion. I have highlighted several areas on the plan itself that you will need to revise, as well as fill out the inventory form to change the classification from underground storage tank to what you have your waste oil stored in. If you have any problems or questions please feel free to call (805) 326-3979. Please have the forms completed, signed and returned to this by December 15, 1991. Sincerely, Valerie Pendergrass Hazardous Materials Division KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 (805) 861-2761 JUL 2 $ ~ I .OFFICIAL USE ONLY ~LIFORN~ TIRE CO. D.B.A. BARNETT TIRE CO. ID# '+._¢,/~C~ IBUSINESS NAME ~ ~ _~dJ'' HAZARDOUS MATERI ALS BUSINESS FL'AN AS A WHOLE FORM 2A Rtt~EPi/JED INSTRUCTIONS: 1. To avoid further action, return this form by JUL 29 1987 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. H~A~. ~OJv, SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: ~//~ ~ CITY: ~'37~'~/~,, ~'~- ZIP: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the'release Or .threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF-EMERGENCY: ldo'u DURING BUS. HRS. AF_~ER ]3US. HRS. Ph# _r..~ ,~ &~ ,~,~ .,,~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. 'NAT. GAS/PROPANE:I/N/ B. ELECTR IFAL:/~3 ~-,~r~t> D. SPECIAL: E. LOCK BOX: YES /~_~ IF YES, LOCATION: FLOOR PLANS? YES / NO KEYS? YES / NO SEP 1 4 19~7 -Over- KCFO HMCU HMCU-4 SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A SECTION 6: ENPLOYEE TRAINING EMPLOYERS.ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS ,. MATERIALS y~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~S~ NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: ..... · ............. .(~.S"~' NO YES NO ~._.~.-.-~---NO~- YES~ NO ..... - .............. E. DO YOU ~INTAIN E~PLOYEE TRAINING RECORDS; ..... ~-"-'--~-~ YES NO '-- ' I, ~ , certify that the above information is accurate. I un d that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that-inaccurate informatiog constitutes perjury. SIGNATURE _ TITLE P rC'~ t ~'- DATE HMCU-4 KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 BUSINESS NAME: OFFICIAL USE ONLY ID# BUSI NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED ~0W '' _ . 4. Be__as BR.IEF__and_CONCISE_as_p~ssibl~ FACILITY UNIT# /: FACILITY UNIT NAME: ~.t/~ 7/~ ~ogp-- SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY HMCU-6 SECTION 3: HAZARDOUS NATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B Are any of the hazardous materials a bona fide Trade Secret as '< defined by Section 6254.7 of the Government Code? ......... YES ('~' If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the'non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY ENERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: B. ELECTRICAL: N E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES / NO KEYS? YES / NO HNCU-6 KERN COUNTY FIRE DEPARTMENT I.D. # FORM 4A-1 page~ NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAM.~:~:~yA/e~- 7~/~ OWNER NAME: ~'~ ~~.~ FACILITY UNIT ADDRESS: ~''O~/ff ~F ADDRESS: ~O~R X~ FACILITY UNIT'NAME:~d~F~r/~b CITY, ZIP: ~%~[~cO ~- CITY,ZIP: ~~%~l~V~ ~' PHONE ~: /~J ~ ~)~ ~7// PHONE 8: - ~TF/ OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN ,THIS · BY HAZARD D..O.T OR COMMON NAME GUIDE '~I.CODE AMO~U~T.. AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL,~./,~_~ '~Y.//---~ .COD'E ~MER )NTACT: ~,~¥/v ITLE: H # BUS HOURS: AFTER BUS HRS: EMERGENCY CONTACT:~ /~~ TITLE:I.~ ~ PHONE , BUS HOURS: ~RINCIPAL BUSINESS ACTIVITY: ~/~-~ ~~ ' . ~N(C~ AFTER BUS HRS: .HMCU-9 CONTAINER CODES ~PE CODES Pure Mixtures of pure substances Wastes (Also add appropriate waste code) UNIT CODES 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Tank 04 Portable Pressurized Cylinders 05 Insulated Tank (Includes Cryogenics) 06 Drums or Barrels - Metallic 07 Drums or Barrels - Non-Metallic 08 Carboy(s) 09 Glass Container(s) 10. Plastic Container(s) - 11. Box(es) 12. Bag(s) 13. Metal Containers (Not Drums) LBS = Pounds 14. In Machinery or processing equipment TON = Tons (2,000 lbs) 15. Bin(s) GAL = Gallons 99. OTHER - Specify on separate sheet BBL = Barrels (42 gals) .......... _~ Ft3 = Cubic Feet CUR = Curies USE CODES 01. Additive 02 Adhesive 03 Aerosol 04 Anesthetic 05 Bactericide 06 Blasting 07 Catalyst 08 Cleaning 09. Coolant 10. Cooling 11. Drilling 12. Drying 13 Emulsifler/Demulsifier 14 Etching 15 Experimental 16 Fabrication 17 Fertilizer 18 Formulation 19 Fuel 20 Fungicide -2-1~- Grinding - -- 22. Heating 23. Herbicide 24. Insecticide 25 Instructional 26 Lubricant 27 Medical Aid 'or Process 28 Neutralizer 29 Painting 30 Pesticide 31 Plating 32. Preservative 33. Refining 34. Sealer 35. Spraying 36. Sterilizer 37. Storage 38. Stripper 39. Washing 40. Waste 41. Water Treatment 42. Welding Soldering 43. Well_Injection 44. Oil Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Explosive CMLQ - Combustible Liquid CMSL - Combustible Solid CRMT - Corrosive Material FLGS - Flammable Gas FLLQ - Flammable Liquid FLSI.-- Flammable So]id NFLG - Non-Flammable Gas OGFX - Organic Peroxide CgiID - Oxidizer CRYO ~Cryogenics ORMA - Anesthetic, Irritant ORME - Hazardous Waste ORMS - Other regulated Material B,C,and D PSNA - Poison A (Gas) PSNB - Poison B (Liquid or Solid) RADI - Radioactive WATR - Water Reactive ETIO - Etiological Agent PYRO - Pyrophoric, Hypergolic or spontaneously combustible Farm and Agriculture u_- . . F~RI']' COUNTY FIRE DEPARTMENT -- r7"r~ . HAZARDO. US.__ .: MA'~?~-RI__ ALS 'I NV~NTO ~.~.~.~.~ .'~"~e-. · -~<' ~-~-~'~r~'~'~ O," 0:'~:" ":: · :" :':" ~ ''~' - ' ' '" '., . .. -. ~ .' ~--: ~,'~-. -.- . .... . . - . . ; : :. PHONE ~:_~'(~ ~-oV/' ' ." PHONE STANDARD iND. CL~SS-CODS:~', :NA~E OF T~S. FAC~LZTY: ¢ Page __[.._ of / Dans type Code Code .__A_LE_] ~"~J Immediate Health ~'~J Fire L__J Reactivity Immediate Health Fire Reactivity 3 '4 5 6 :? 8 9 Max Average Annual 'Measure Cunt Cunt Cunt Amt Amt Est Units lype Press lemp 5"o(~M__J_.?.o4___4[~..~_~s_l_6e___~J_~_~__J / '~-~Delayed Health L--J Sudden Release of Pressure 10 il Use % by Code Wt C.A.S. Number on Site ~'e~'~Oelayed Health C.A.S. Number L,(_J t3) , Days Sudden Release of Pressure on Site L----~ 12 Names of Mixture/Components See Instructions i u 'u Immediate Heaith r~'~ ~-J Fire Delayed Health r---'m u_.~ Reactivity L._J Sudden Release of Pressure (~ ~ O ~ E~R~Y CONTACTS MAR 6 1989 C.A.S, Number 13) ~ Days I I on Site ~----~ ati d and sign after comple~in~ all sections) "' ' '.: I certify under penalty of law that I have persona)ly examined and am familiar with the infor~n submitted in this ~lnd all attached documents, and 'that based ,on m~..~X.,._.,, inquiry of those i,nd~viduals responsible for obtaining the information, I believe that the suSie/ted informati~ is ~r/~, accurate, and complete. : f / -' INSPECTION SU)~IARY: 0 - Does not Apply H DOUS lVlZkTERIZil. 4BUREAU A~kI~INSPECTION FOI~lVl ANNUAL INSPECTION / EXEMPTION RE-INSPECTION ALL ITEMS OK: [ ~VIOLATION$ NOTED: [ ] COMPLAINT ! - In Compliance 2 - Correction Needed $ - Verbally Warned 4 - N.O.V 5 - Citation 6 - Referred to (Specify) EMERGENCY PROCEDURES (CCR TITLE 19-2729 & 31) A. Agency Notification Plan (O.E.S., FD)..( B. Employee Notification & Evac. Plan ( C. Emergency Responder Notification ~ D. Medical Assistance E. Private Response Team Procedures t TRAINING REQUIREMENTS (CCR TITLE 19-2732) F. Training Records G. MSDS Available to Employees H. Employees Familiar with MSDS I. Use of Personal Protective Equipment J. Waste Material Permits & License K. Employees familiar with evacuation plan. Comments: PREVENTION & CLEANUP PROCEDURES (CCR TITLE 19-2731 L. Work Area Safety M. Clean-up Materials placement/availability N. Clean-up Equipment O. Fire Protection Systems P. Waste Handling & Storage q. Availability of Protective Equipment INV. & DIAGRAM VERIFICATION (CCR TITLE 19-2729) R. Inventory Quantities s. Storage, Container Cond., & Labeling T. Location in Facility Unit U. Emergency Water Supply ! V. Evacuation Plan & Area W. Surrounding Exposures X. Utility Shut-offs Y. Other Clearance Oranted[ ~ Started [/ : ~ Completed Ill~p~ctor Re-inspection Required [ ] on Total Time : / Miles on Insp KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET. BAKERSFIELD, CA 93308 BUSINESS NAME INSPECTOR QUESTIONNAIRE BUSINESS PLAi~ AS A ~IOLE FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN (2A). INSTRUCTIONS: 1. Complete this form only once for each occupancy. 2. Attach this form to BUSINESS PLAN (2A) and forward to Data Entry. BUSINESS PLAN VERIFIED ON: ~ / ~ / ~ SECTION 1: RESPONSE SUNNARY (Limit to 4-5 lines) SECTION 2: NOTIFICATION / EVACUATION OF AFFECTED PUBLIC (Limit to 13 lines)~ HMCU:5_ KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 BUSINESS NAME INSPECTOR' S QUESTIONNAIRE SINGLE FACILITY UNIT FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN FORM (2A) THAT REQUIRES A BREAKDOWN INT0 FACILITY UNITS (FORM 3A). INSTRUCTIONS: 1. Complete this form for each FACILITY UNIT. 2. Attach this form to BUSINESS PLAN 3A and forward to Data Entry. BUSINESS PLAN VERIFIED ON: ~ / ~-- / ~ FACILITY UNIT #: FACILITY UNIT NAME: SECTION 1: SPECIAL HAZARDS ASSOCIATED WITH THIS UNIT ONLY HMCU-7