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Home My WebLink AboutHAZ-BUSINESS PLAN 9/7/1999Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE Permit ID #:: 015-000-O01956 KRAGEN AUTO PARTS #13; LOCATION: 2201 PANAMA LN This rmrmit is issued for the followin_.: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Pr _~ram [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Appmvexi by: Expiration Date: Offi¢¢ofEv~i~'~4 ' June 30. 2003 Issue Date 1905 Aston Avenue Carlsbad California 92009 www.3eco.com 760-602-8700 Fax: 760-602-8701 September 7, 1999 City of Bakersfield Office of Environmental Services 1715 Chester Ave. Bakersfield, CA 93307 COMPANY Safcty-Kl¢¢n Company Kragen Auto Parts #1382 2201 Panama Lane Bakersfield, CA 93307 To Whom It May Concern: Enclosed is the facility diagram for the Hazardous Materials Management Plan (HMMP) for the facility listed above. 3E Company, hazardous materials consultants for Kragen Auto, has completed this disclosure. A copy of this plan has been forwarded, with the original HMMP, to the facility and will be maintained by the facility manager. This map is being sent separate from the original HMMP which was completed Sept. 3rd. Please attach this facility diagram with the HMMP and inventory forms. Thank you. If you have any questions, or require any further information regarding this submittal please feel free to call me at (760) 602-8825. Thank You, 3E Company Devin Caringella Regulatory Disclosures Hazardous Materials Services Enc: Hazardous Materials Management Plan cc: Kathi Bowles, CSK Auto Bill Morgan, Store Manager 2 3 4 5 6 7 8 9 10 MUIUI~ UIL .12UWN ~k~ ~.. _ D BULK OIL I i i i ~--~ ~.... ~ :: , , , , I I I III o m F'"'~ ~ ~FUEL ADD., START. FLUID, DEGREASERS, PARTS CLEANERS~DEGRE~SERS I I I I I I I Ill ~'~ ~ ....... I I I I I I I III P~rkin~ p~rkin9 Po;s~mo Lone G 2 3 4 5 6 ? 8 9 10 ................................................................................................................................................................................................................. ~a~i ............ ~']~'~ ................ Company D~ FOR: SYMBOL ~GEND: C~NT: CSK ~mge~ Auto P~ ~188~ C~rl~bmd, CA 98008 B~er~field. ~I~ ~ IW~ste Oil Tank -- FI~: CS1382fp FACILITY NA~M.E ADDRESS FACILITY CONTACT~ INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~" Floor, Bakersfield, CA 93301 INSPECTION DATE ~I 1 '- ! PHONE NO.. ~'3 Z ".3~ BUSINESS ID NO. I5-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~Routine I~ Combined I~ Joint Agency [~ Multi-Agency ~l Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of location Proper segregation of material Verification of MSDS availability V 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 Xj .... C=Compliance V=Violation Any hazardous wal~te~on sit~?:/ g~Yes [~ No Questions regarding this inspection? Please ¢ifii us at (66 I) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Business ~jte Responsible/Party KRAGEN AUTO PARTS #13 Manager : BILL MORGAN Location: 2201 PANAMA LN City : BAKERSFIELD CommCode: BAKERSFIELD STATION 13 EPA Numb: SiteID: 015-021-0~ BusPhone: (661) 832-3451 Map : 123 CommHaz : Low Grid: 24D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title BILL MORGAN / MANAGER Business Phone: (661) 827-8091x 24-Hour Phone : (661) 832-3451x Pager Phone : ( ) - x Emergency Contact / Title BEN LEDEZMA / DISTRICT MGR Business Phone: (661) 322-1157x 24-Hour Phone : (661)-¢~B-S--6~g99~-- Pager Phone : ( ) ~°~F~x Hazmat Hazards: Contact : 3E CO Fire Press ImmHlth DelHlth Phone: (760) 602-~ MailAddr: PO BOX 6030 City : PHOENIX State: AZ Zip : 85005 Owner Address : PO BOX 6030 City : PHOENIX Period : Preparer:~%%'t~ Certif'd: ParcelNo: CSK AUTO INC-JENKINS MAYNARD CEO Phone: (602) 265-9200x State: AZ Zip : 85005 TotalASTs: i TotalUSTs: = RSs: No Gal Gal Emergency Directives: -1- 08/22/2003 F KRAGEN AUTO PARTS #13 = Mazmat Inventory --MCP+DailyMax Order Hazmat Common Name... WASTE OIL I SpecHaz I EPA HazardsI DH L III ~G SiteID: 015-021-001956 By Facility Unit Fixed Containers at Site Frm DailyMax IUnit[MCP 220.00 GAL Low --1-50-rUu GA~ Lo~- =~ ~ ~ Min 120.0~ 60 ~ ~-U,~ ~'~ -2- 08/22/2003 F KRAGEN AUTO PARTS #13 ~ Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit SW CORNER OF BLDG SiteID: 015-021-001956 Facility Unit: Fixed Containers at Site Map: ~ Grid: Days On Site 365 CAS# 221 rSTATE TYPE PRESSURE Liquid Waste Ambient TEMPERATURE Ambient CONTAINER TYPE ~1 I. -DR~~%RE L - METALL I C- Largest Container 220.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 220.00 GAL Daily Average I 220.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Waste Oil, Petroleum Based TSecretNo N~SIBi°HaZNo HAZARD ASSESSMENTS IRadioactive/Amount EPA Hazards No/ Curies F NFPA USDOT# Low ~ Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME ,ANTIFREEZE Location within this Facility Unit UNDER SALES COUNTER ADDITIONAL PRODUCTS LOCATED ON S WALL WITH MOTOR OILS Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# F STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Ethylene Glycol 107211 TSecretINo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA/// I USDOT# Low 4 08~22/2003 F KRAGEN AUTO PARTS #13 SiteID: 015-021-001956 ---- Inventory Item 0001 Facility Unit: Fixed Containers at Site ~'UIvlIvIu~N 1~1,~1v1~', ! ~l"/t'*;lvl..L ~_,~..~.h MOTOR OIL ~~~ Days 365 On Site Location within this Facility Unit Map: Grid: S SIDE OF BLDG CAS# 8020835 STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 300.00 GAL I%Wt. 100.00 HAZARDOUS COMPONENTS IMotor Oil, Petroleum Based I ~S CAS# N 8020835 TSecretNo N~SIBi°HaZNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# I MCP Min ---- Inventory Item 0003 Facility Unit: Fixed Containers at Site FREON R-12 ~L~~ ~ Days365On Site Location within this Facility Unit Map: Grid: E END OF BLDG IN BACK RM CAS# 75-71-8 F STATE ~ TYPE Gas /Pure P RE S SURE IAmbient -- TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container I 30.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 120.00 FT3 Daily Average 120.00 FT3 %Wt. 100.00 HAZARDOUS COMPONENTS Dichlorodifluoromethane- N 75718 TSecret No SlBioHaz N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# Min -5- 08/22/2003 KRAGEN AUTO PARTS #1 ~ Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME FREON 134 Location within this Facility Unit MIDDLE OF BLDG SiteID: 015-021-001956 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 75-71-8 r STATE TYPE Gas I Pure PRESSURE, TEMPERATURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 30.00 AMOUNTS AT THIS LOCATION I Daily Maximum I 60.00 Daily Average 30.00 %Wt. 100.00 HAZARDOUS COMPONENTS Dichlorodifluoromethane INoRSI CAS# 75718 TSecret No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# I MCP Min 6 08/22/2003 (~NEW (~DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per build/ag or area) ~ADD O REVISE 200 Page l-- of 1 __ :=:...' :'::'i~:LFXClOTYI~Oi~TIo~~ ~ !~'i!:,. = : ::*:=/:' ::.i::,==i=.'/ ::!· BUSINESS NAME (Same as FACILIT~ NAME o~ DBA- Doing Business As) 3 Kragen Auto Parts #1382 201 CHEMICAL LOCATION G Ye~ No 202 CHEMiCAL LOCATION Stockroom CONFIDENTIAL (EPCRA) FACILITY ID # I 1~ ~ 1MAP#(opfional) ] 203GRlD,(optional) A-6 2o~ :':~ .... .:.,=. '~"' '. ':: =:';:: =: .! i,; cH'%~ ~N~6~i~ :''' = :::"!.":':':. ;: '.:i~: :::: " ':/"=: :=' ?.:~ ::"' CHEMICAL NAME COMMON NAME Used Lead Acid Batteries 205 TRADE SECRET (:~ YeS:~ NO 206 I1' Subject to EPCRA, refer to instructions 207 EHS' :~Yes G No 208 CAS# FIRE CODE HAZARD CLASSES (Complete if requested by local fire chiel} WRII, CORR 210 TYPE GpPURE GmMIX~URE ~wWASTE2,,"~,OACTIVE GYa,~No 2,2[CUR'ES 2,3 PHYSICAL STATE G s SOLID ~l LIQUID G g G~ 214 ~GESTCONTAINER 10.~ 215 FED H~RD CATE~RIES O 1 FIRE ~ 2 R~CTIVE G 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH G 5 CHRONIC H~L~H 216 (Che~ all tha~ apply) 219 ~E W~TE CODE ~0 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE AMOUNT 11,498 DAILY AMOUNT 1050 DAILY AMOUNT 525 UNITS" G ga GAL G cf CU FT ~ lb LBS G tn TONS 221 DAYS ON SITE 222 · If EHS. amount must be in lbs. 365 STORAGE CONTAINER G a ABOVEGROUND TANK G e PLASTIC/NONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE ~ ~ ~ BAiL CAR 223 (Check all that apply) (~ b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE OTHER G c TANK INSIDE BUILDING G g CARBOY G k BOX G o TOTE BIN (~ d STEEL DRUM G h SILO (~ I CYLINDER G p TANK WAGON Battery Case STORAGE PRESSURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT (~ c CRYOGENIC 225 %WT EHS i ?! ' · .= CAS:# ! ~ ~0-40 228 Sulfuric Acid 22? ~Ya$ G No 228 7664-93-9 2e~ I 2~o 23, GYes No232 7439-92-1 23 Lead 234 235 G Yes G No 236 237 238 239 G Yes G No 240 241 242 243 ~ Yes ~ No 244 · 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ... ' "'SIGNATURE X-'. -- ' ' .DATE · 246 | Jessie Shelhamer, agent for CSK Auto, Inc. ~x. \ ' ~X,\ ~ ~, ,, [ ~ . / I3E Company- Regulatory Disclosures X,.~x'~x'~ X~).- X C .~A ), b. kxN, ~ ~, ~ I J~ 10'61 -x,-- ~ ........ / l' UPCF (7~99) C:\WINNT40\Profiles\jtraylor.000\Desktop\OES2731 .wpd i I 2 3 4 5 6 7 8 9 10 , '"'""~RA¥ITY niL FrED R,\CK I L I I I I I I III ,., i j f " i ~ I I I I I I Ill - i rv FUF'L ADD., START. FLUID, DF'GREASF.RS, PARTS CLEANERS-~i DF.GRF.~ SERS ~ L,J G Peneme kene G I 2 3 4 5 6 7 8 ~ 9 10 SYMBOL LEGEND: ~ g~mc snu~o~r ~ ns~ ~aumsg~ DATE: 02/07/02 3E Company DRAWN FOR: ~ Wosle 0il Tank ~ EMEROgN~ CLIENT: CSK Kragen Auto Par~ ~1382 _ w~rE~ snuro~ ASSEMBLY AREA DWN BY: ~T 1905 Aston Ave Suite 100 2201 Panama Lane ~ Waste Batteries ~ ~l~ ~m EQUIPMENT ~ FIRE HYD~ SCA~: UNDEFINED ~ Carlsbad, CA 92008 Bakersfield, CA 93307 ~ FWOR D~IN ~ P~RSONAL PROTZ~IVE BqUIP~NT FILE: CS1382fp September 15, 2003 City of Bakersfield Office of Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 RE: Hazardous Material Business Plan Kragen Auto Parts #1382 2201 Panama Ln. Bakersfield, CA To Whom It May Concern: Enclosed is the updated Hazardous Material Business Plan for the CSK Auto facility noted above. This update is being submitted per the annual agency requirement. A copy of this update has been forwarded to the CSK facility to be kept on record and available for inspection at all times. If you should have any questions regarding this disclosure, please feel free to contact me via the e-mail address below or at (760) 602-8783. Best Regards, ~mer 3E COMPANY Regulatory Disclosures Hazardous Materials Services Jshelham~3 ecompany.com Enc. Cc: Store Manager, Kragen Auto Parts #4045 1905 Aston Avenue · Carlsbad, CA 92008 · P: 1800.360.3220 · F: 760.602.8852 · www.3ECompany.com 3_= COMPANY® March 20, 2003 Kern Co~'~y Environmental Health Services Dept. HAtatzn~r~Vl:u~ ~art°e~. all~;D1 ~ vi s i on 2700 M Stree~,~ Suite 275 Bakersfield, CAXx~3301 RE: Hazardous Materials Business Plan Kragen Auto Parts Store #797 and #1382 1905 Aston Avenue Carlsbad. CA 92008 1.800.360.3220 www.3ecompany.com To Whom It May Concern: Enclosed is the Hazardous Materials Business Plan for the facility listed above. A copy has been sent to the facility to be maintained on site and available for inspection at all times. If you have any questions regarding this matter, please contact us in the Regulatory Department as soon as possible at (760) 602-8700. Best Regards, 3E Company Melanie Jones Regulatory Disclosures MANAGING THE\HAZARDOUS. 24/7, WORLDWIDE COMPLIANCE AND INFORMATION SERVICES. KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT (805) 862-8700 Business :Name... DO~ NOT WRITE IN THIS BOX SECTION 1: A. B. HAZARDOUS MATERIALS BUSINESS PLAN FORM 2 BUSINESS IDENTIFICATION DATA FULL LEGAL BUSINESS NAME: Kragen Auto Parts # 1382 PHYSICAL LOCATION/STREET ADDRESS: 2201 Panama Lane CITY: Bakersfield, CA. ZIP: 93307 MAILING ADDRESS: P.O. Box 6030/Risk Management Forms Due By: BUSINESS PHONE: ( 661 ) 831-8091 CITY: Phoenix, AZ. ZIP: 85005 D. HAVE YOU FILED A BUSINESS PLAN WITH THE DEPARTMENT UNDER A DIFFERENT NAME WITHIN THE LAST TWO YEARS? YES ~ NO ~X~ IF YES, UNDER WHAT NAME DID YOU FILE? E. THIS SUBMISSION IS A NEW~ OR REVISED X BUSINESS PLAN F. DOES YOUR BUSINESS HANDLE ANY"ACUTELY HAZARDOUS MATERIALS" LISTED ON THE ENCLOSED HANDOUT, IN ADDITION TO OTHER TYPES OF MATERIALS? YES. X NO ~ SECTION 2: EMERGENCY NOTIFICATIONS In the event of an emergency involving the release or threatened release of a hazardous material, telephone 9-t-1, and then (800) 852-7550 or (916) 262-1621. This will notify your local fire department and the State Office of Emergency Services, as required by state law. Additional federal reports may be required. PERSONS WHO SHOULD BE NOTIFIED IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: NAME AND TITLE A. Ben Ledezma/District Manager B. Bill Morgan/Store Manager DURING BUSINESS HOURS Ph# (661) 322-1157 Ph# (661) 827-8091 - CONTINUED ON REVERSE - AFTER BUSINESS HOURS Ph# (661) 635-5462 Ph# (661) 832-3451 (1) SECTION 3: LOCATION OF THE MAIN UTILITY SHUTOFFS FOR THE ENTIRE BUSINESS A. NATURAL GAS/PROPANE: Rear of facility near southeast comer B. ELECTRICAL: Southeast comer of building in warehouse/stockroom C. WATER: Southeast comer ofbuildin~ in rear O. SPECIAL/OTHER: Circuit Breaker: South East Comer of Building, Inside LOCK BOX: YES~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES I NO MSDS? YES / NO YES / NO KEYS? YES ! NO SECTION 4: PRIVATE RESPONSE TEAM DESCRIPTION Do you have a group of employees trained to handle minor accidents involving hazardous materials at your business? Yes X No If so, you must explain the level of training and equipment they possess and how they are notified to respond. All employees are trained initially on clean up/handling of hazardous materials and are given an annual refresher course. Spills will be maintained with in-store kits and/or outside emergency hazardous spill contractors. In the event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contamination. If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up. SECTION $: IDENTIFICATION OF THE CLOSEST AVAILABLE TO YOUR BUSINESS Business Health Network 2811 H Street, ADDRESS: CITY: Bakersfield, CA 93301 PHONE: ( go5 } 321-~7~1 COMMENTS/ADDITIONAL INFO: APPROPRIATE EMERGENCY MEDICAL ASSISTANCE ( ) - CONTINUED ON NEXT PAGE - (2) SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for safe handling of the hazardous materials used'by your business; 2) The CAL OSHA Hazard Communication Standard; 3) Correct use of emergency response equipment and supplies available at your business; 4) The prevention, minimization, and cleanup procedures you have developed for your business and explained on the business plan forms; 5) The emergency evacuation plans you have developed, the notification procedures used to alert people to evacuate, and the closest location to obtain appropriate emergency medical care; 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business; 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials. Describe the location of the written plan and the training records which are required to be developed and maintained. State law requires your training records be inspected. Trainings: New employees are trained in the proper handling, recording and storage of Hazardous Materials. They are trained to read/understand the Material Safety Data Sheets and the proper use of Personal Protective Equipment such as safety glasses, gloves and acid apron. The business plan is reviewed at least annually and mandatory monthly safety meetings cover hazardous materials as well as general safety practices. Employee training records are maintained in the manager's office. All employees will attend a 2 hour training and a biannual refresher training. The training will include annual inspection procedures, review and maintenance of safety equipment, such as fire extinguishers and eye wash stations. Training content includes review procedures for proper use of safety and spill equipment. All employees receive an annual one-hour training on Emergency Response Plan Implementation. The training will review emergency response plan, evacuation, location of emergency shut-off switches and specific responsibilities of all employees during an emergency. In addition, all managers are trained on procedures for coordination with emergency response agencies. . i:i Isyour bUSiness diVided-into smaller'geographic areas~or:units? ~ Nbi ' cOntinUe°n:with:Sections:~7.:thr°ugh 10°ftbisf°rm, DOnot:anSWer SectiOns 7 through-1 o'Of~is f°rm:.sign'.: your.~name :atthe bottom'of: PageS,'then fill lout :a Form3 for.every area.your:business wassubdivided :into; - CONTINUED ON REVERSE - (3) SECTION 7: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIPTION OF MONITORING METHODS AND PROCEDURES. RELEASE PREVENTION: Hazardous Materials at facilities include car batteries, automotive liquids (lubricants, solvents, cleaning agents), aerosols, fuel system enhancers, octane boosters, double-walled waste oil tank (220 gal), etc. Incompatible products are separated by distance or partition to preclude accidental mixtures. Damaged or leaking products not suitable for retail sale are immediately pulled from the general sales floor and disposed of in accordance with Federal, State, and or Local guidelines. RELEASE CONTAINMENT: Spills will be maintained with in-store kits and~or outside emergency hazardous spill contractors. In the event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contamination. If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up. CLEANUP: If the spill is over 5 gallons or the facility is not capable of in-house clean-up a private Emergency Response Team will be contracted out to assist in clean-up. Smaller spills would be absorbed and removed, placed in a labeled container by the trained employees and set aside as waste. SECTION 8: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES TO USE IN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. AGENCY NOTIFICATION: In the event that outside notification would be required for an incident at Kragen, the manager on duty or corporate personnel will notify applicable federal, state, and local agencies. The Fire Department will be contacted immediately for all spills over $ gallons, and for small spills the manager will contact 3E Company for assistance in clean-up procedures. EMPLOYEE NOTIFICATION/EVACUATION: The manager on duty or applicable staff member will notify personnel and customers verbally and by PA speaker. Employees are trained to evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for immediate evacuation - CONTINUED ON NEXT PAGE - (4) SECTION 9: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE THAT MAY ASSIST EMERGENCY RESPONDERS. Fire extinguishers are located throughout the facility. No other arrangements have been made with emergency responders. SECTION t0: LIST THE LOCATION OF ANY WATER SUPPLIES THAT MAY BE USED BY EMERGENCY RESPONDERS. Only water supply known is from the water shutoff I, Jessica Colbert, Agent for CSK Auto Inc. , certify that the information submitted on all the business plan forms is accurate and complete. I understand that this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95 et seq. and Title 42 U.S.G.C, Section 1100 et seq. and false information may be punishable by fine, imprisonment, or both. 3E Company - Regulatory Disclosures 03/01/2003 Signature Title Date (s) :arm and Agricu~':~?i~'~= ,". ] =~ 'dandard Business X ] KERN COUNTY ~::~:~i!?~ONMENTAL HEALTH SERVICES DEPARTt~ ~..:'i ~' HAZARDOUS MATERIALS INVENTORY FORM 4 Page 1 of 1 Kragen Auto Parts # 1382 IUSINESS NAME: ID # I 2 3 4 5 6 7 8 9 10 ! I 12 Trade frans Type Max Average Annual Measure Coat Coat Coat Use % by NAMES OF MIXTURE/COMPONENTS Secret Code Code Amt Amt Est Units Type Press Temp Code Wt SEE INSTRUCTIONS Y/N R W 220 110 2,350 3allons 02 1 1 40 !100 PRODUCT NAMEWaste Petroleum Hydrocarbon/Waste Oil No [x~ ] Immediate Health Location Warehouse/Stockroom 100 Component & CAS Waste Oil/Mixture j~l Fire [ ] Delayed Health CAS NumbetMixture Component & CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [365 ] Component & CAS R [w 11,050 525 111,498 ~ounds i' 10 11 [1 ~7 [00 PRODUCT NAME Sulfuric Acid/UsedLeadAcidBatteries qo IX ] Immediate Health LocationWarehouse/Stockroom 30-40 Component & CAS Sulfuric Acid/7664-93-9 [ ] Fire IX ] Delayed Health CAS Number7664-93-9 53 Component & CAS Lead/7439-92-1 D( ] Reactivity [ ] Sudden Release of Pressure # Days on Site [365 ] Component & CAS [ ] Immediate Health Location Component & CAS [ ] Fire · [ ] Delayed Health CAS Number Component & CAS [ ] Reactivity [ ] Sudden Release of Pressure. # Days on Site [ ] Component & CAS [ ] immediate Health i Location Component & CAS [ ] Fire [ ] Delayed Health CAS Number Component & CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component & CAS [ ] Immediate Health Location Component & CAS [ I Fire [ ] Delayed Health CAS Number Component & CAS [ I Reactivity [ I Sudden R¢lea.~ of Pressure # Days on Site [ i Component & CAS MB:ch HM126 ~_-- COMPANY® March 28, 2003 Bakersfield Fire Department Attn: Ralph Huey Hazardous Materials Division 1715 Chester Avenue Bakersfield, CA 93301 Hazardous Materials Business Plan Kragen Auto Parts Store #1398/0797/1382 1905 AstoriA venue Carlsbad, CA 92008 1.800.360.3220 www.3ecompany.com To Whom It May Concern: Enclosed is the Hazardous Materials Business Plan map for the facility listed above. Recently a copy a copy of the plan was sent to the facility to be maintained on site and the map was not included. Please attach map to your Business Plan and have available for inspection at all times. If you have any questions regarding this matter, please contact us in the Regulatory Department as soon as possible at (760) 602-8700. Best Regards, 3E Company Melanie Jones Regula,ory Discl ~sures MANAGING THE HAZARDOUS. 24/7, WORLDWIDE COMPLIANCE ANO INFORMATION SERVICES. IFACILITY DIAGRAM Business Name: Kragen #1398 tSite Address: 240 Chester Ave Bakersfield Map #: I A B C D E F G H ~ Y ROLL FE UP DOOR 143' STORE ENTRANCE/EXIT For Site Map · Scare o¢ Map · Loading Areas · Parking Lots · Internal Roads Storm and Sewer -Drains Adjacent ,Property Use Location and Names o¢ Adjacent Streets ,and AUeys Access and Egress Po;nts and Roads For Sub-Site Map · Scale oF Map Location oF Each · Storage Area Location oF Each Hazardous Material Handting Location oF Emergency Response Equipment (i) Water Main (~ Electric Main [] Spill Kit (~Waste Oil Tank [] Waste Batteries [] Fire Alarm Pull FE Fire Exit 1":85' North SITE DIAGRAM A 6 Y Business Name: Kragen #1398 B C D E Vacant Site Address: 240 Chester Ave i Map #: Bakersfield F G H Apartmehts For Site Map · Scare o¢ Map Parkiing Lot Ches]ter Avenue Office Retail Vacant' .Loading Areas *Parking Lots *Internat Roads Storm and Se~er *Drains Adjacent .Property Use Location and Names aP Adjacent Streets ,and Atteys Access and Egress Points and Roads For Sub-Site Map *Scote of Map Location of Each *Storage Arec Location of Each Materiat H¢ndUn9 *Area Location of Emergency Response Equipment (~Fire Hydrant )Evacuation Area (~)Gas Main Scale: Undefined North ICALIFORNIA ANNOTATED SITE MAP IIBusiness Name: ~Site Address: 1701 S. CHESTER AVENUE ~ KRAGEN AUTO PARTS # 0797~ BAKERSFIELD, CA Map #: I A B C D E F G , H I For Site Map · Scale oF Mop · Loading Areas · Parkin9 Lots .Internal Roads .Storm and Sewer ,Adjacent Property Use · Location and Names o¢ Adjacent Streets and Alleys · ACCESS and Egress Points and Roads For Sub-Site Map · Scate oF Mop .Location oF Each Storage Area · Location o¢ Each Hazardous Material Handting Area · Location o? Emergency Response Equipment F IRE EXTINGUISHER EYE WASH STATION - (~ ELECTRIC MAIN ~q] BATTERIES ~ WASTE OIL Scare: 1"--11' North I{Business Name: ISite CALIFORNIA ANNOTATED SITE MAP tl KRAGEN AUTO PARTS # 0797 A B C D E McDONALD'S SNAPPY ........ FOOD'STORE/- GAS STATION FASTRIP _ _ SyO_~E/. GAS STATION Address: 1701 S. CHES'rEI< AVENUE { Map #: 2 BAKERSFIELD, CA { F C H V~LLEY .... ~-buh'§ REPAIR PARKIN'G LOT ~BERGER MING AVENUE MOTORING For Site Map *Scale oF Map *Loading Areas *Parking Lots *Internol Roads *Storm and Sewer Dra}ns *Adjacent Property Use *Location and Names oF Adjacent Streets and ALleys *Access and Egress Points and Roads For Sub-Site Map *ScaLe oF Map *Location oF Each Storage Areo *Location oF Each Hazardous Material Handling Area *Location oF Emergency Response Equipment FIRE HYDRANT #II EMERGENCY ASSEMBLY AREA STORM DRAIN NOT TO SCALE ~ North 2 3 4 5 6 7 I 8 9 10 '~,::~. ~ ( ~' ~ .................... ~ ,'~l /~ A i(~ ~ ...,. '~ ~ .......... ~ ........... ~1 ~, ~__~ NORTH ~ .... , ~ ~ Tank L I I I I I I Ill I I I I I I I III~ ~; _~ c ~ -'-~FUEL ADD., START. FLUID, DEG~EASERS, PARTS CLEANERS i ' - ~ '~ - E i i ~ ....... ~ F 2 3 '4 5 6 7 i I 8 9 10 ~ nss ~scu~ss~s DATE: 02/07/02 SYMBOL LEGEND: sm~s~c ssuTo~r , ~ 3E Company DRAWN FOR: ~ ~ Waste ~it Tank , CLIENT: CSK Kragen Auto ~arb '~1382 ~ assg~sr~ aug~ DWN BY: LRT 1905 Aslon Ave Suite 100 2201 Panama Lane ~Wasle Balteries ~ ~,e~ ~,o gQU,PU~NT; ~ ,iRE HVO~ SCALE: UNDEFINED Carlsbad, CA 92008 Bakersfield, CA ~3307, ~ ~o~ o~ ~ PZ~SO~*L P~OTZ~VZ~ Z~VmUZ~T FILE: .... .,.,CS1382fp KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT (805) 862-8700 Business :Name DO. NOT WRITE IN THIS BOX Grid. SECTION 1: A. B. HAZARDOUS MATERIALS BUSINESS PLAN FORM 2 CITY: Bakersfield, CA. MAILING ADDRESS: CITY: ?hocnix, AZ. BUSINESS IDENTIFICATION DATA FULL LEGAL BUSINESS NAME: Y..ragcn .Auto Parts # ]382 PHYSICAL LOCATION/STREET ADDRESS: 220 ] ?anama Lane ZIP: 93307 ?.O. Box 6030/R/sk iV[anagemcnt Forms Due By: BUSINESS PHONE: ( 661 ) g31-g091 ZIP: 85005 D. HAVE YOU FILED A BUSINESS PLAN WITH THE DEPARTMENT UNDER A DIFFERENT NAME WITHIN THE LAST TWO YEARS? YES ~ NO X IF YES, UNDER WHAT NAME DID YOU FILE? E. THIS SUBMISSION IS A NEW~ OR REVISED X BUSINESS PLAN F. DOES YOUR BUSINESS HANDLE ANY "ACUTELY HAZARDOUS MATERIALS" LISTED ON THE ENCLOSED HANDOUT, IN ADDITION TO OTHER TYPES OF MATERIALS? YES :X~ NO ~ SECTION 2: EMERGENCY NOTIFICATIONS In the event of an 'emergency involving the release or threatened release of a hazardous material, telephone 9-1-1, and then (800) 852-7550 or (916) 262-1621. This will notify your local fire department and the State Office of Emergency Services, as required by state law. Additional federal reports may be required. PERSONS WHO SHOULD BE NOTIFiED;IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL · ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: NAME AND TITLE DURING BUSINESS HOURS AFTER BUSINESS HOURS A. Ben Lcdezma/District Manager Ph# (661) 322-1157 Ph# (661) 635-5462 B. Bill Morgan/Store Manager Ph# (661) 827-8091 Ph# (661) 832-3451 - CONTINUED ON REVERSE - ': (1) SECTION 3: LOCATION OF THE MAIN UTILITY SHUTOFFS FOR THE ENTIRE BUSINESS A. NATURAL GAS/PROPANE: Rear of facility near southeast comer B. ELECTRICAL: Southeast comer of building in warehouse/stockroom C. WATER: Southeast comer of building in rear D. SPECIAL/OTHER: Circuit Breaker: South East Comer of Building, Inside Eo LOCK BOX: YES~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES I NO MSDS? YES / NO YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM DESCRIPTION Do you have a group' of employees trained to handle minor accidents involving hazardous materials at your business? Yes '~ No If so, you must explain the level-of training and equipment they possess and how they are notified to respond. All employees are trained initially on clean up/handling of hazardous materials and are given an annual refresher course. Spills will be maintained with in:store kits and/or outside emergency hazardous' spill contractors. In the event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contamination. If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up. SECTION 5: #1 ADDRESS: CITY: IDENTIFICATION OF THE CLOSEST AVAILABLE TO YOUR BUSINESS Business Health Network 2811 H Street, Bakersfield, CA 93301 ' PHONE: · ( g0s ) 3~l-~?gl COMMENTS/ADDITIONAL INFO: APPROPRIATE EMERGENCY MEDICAL ASSISTANCE ( - CONTINUED ON NEXT PAGE - SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for safe handling of the hazardous materials used 'by your business; 2) The CAL OSHA Hazard Communication Standard; 3) Correct use of emergency response equipment and supplies available at your business; 4) The prevention, minimization, and cleanup procedures you have developed for your business and explained on the business plan forms; 5) The emergency evacuation plans you have developed, the notification procedures used to alert people to evacuate, and the closest location to obtain appropriate emergency mediCal care; 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business; 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials.' Describe the location of the written plan and the training records which are required to be developed and maintained. State law requires your training records be inspected. Trainings: New employees are trained in the proper handling, recording and storage of Hazardous Materials. They are trained to ' read/understand the Material Safety Data Sheets and the proper use of Personal Protective Equipment such as safety glasses, gloves and acid apron. The business plan'is reviewed at least annually and mandatory monthly safety meetings cover hazardous materials as well as general safety practices. Employee training records are maintained in the manager's office. All employees will attend a 2 hour training and a biannual refresher training. The training will include annual inspection procedures, review and maintenance of safety equipment, such as fire extinguishers and eye wash stations. Training content includes review procedures for proper use of safety and spill equipment. All employees receive an annual one-hour training on Emergency Response Plan ImPlementation. The training will review emergency response plan,- evacuation, location of emergency shut-off switches and specific responsibilities of all employees during an emergency. In addition, all managers are trained on procedures for coordination with emergency response agencies. STOP! IsyourbuSiness.dividedinto smal'ler ge°graphic areas~orunits?' × NOi::.'' cOnfinue°n:with::SectionsTth:rOugh 10.Of~thiS::form~:' yes,. Do:not: ansWer.'Si~ctions 7'thr°ugh 10 'of:lhiS :form:·. Sign your name atthebottom'ot PageS,'then~fill iouta: :: Form 3 'for every area.your:business wassubdivided :into; -CONTINUED ON REVERSE- (3) SECTION 7: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIPTION OF MONITORING METHODS AND PROCEDURES. RELEASE PREVENTION: Hazardous Materials at facilities include car batteries, automotive liquids (lubricants, solvents, cleaning agents), aerosols, fuel system enhancers, octane boosters, double-walled waste oil tank (220 gal), etc. Incompatible products are separated by distance or partition to preclude accidental mixtures. Damaged or leaking products not suitable for retail sale are immediately pulled from the general sales floor and disposed of in accordance with Federal, State, and or Local guidelines. RELEASE CONTAINMENT: Spills will be maintained with in-store kits and/or outside emergency hazardous spill contractors. In the' event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contaminationl If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up, CLEANUP: If the spill is over 5 gallons or the facility is not capable of in-house clean-up a private Emergency Response Team will be contracted out to assist in clean-up. Smaller spills would be absorbed and removed, placed in a labeled container by the trained employees and set aside as waste. SECTION 8: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES TO USE IN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. AGENCY NOTIFICATION: In the event that outside notification would be required for an incident at Kragen, the manager on duty or corporate personnel will notify applicable federal, state, and local agencies. The. Fire Department will be. contacted immediately for all spills over 5 gallons, and for small spills the manager will contact 3E Company for assistance in clean-up procedures. EMPLOYEE NOTIFICATION/EVACUATION: The manager on duty or applicable staff member will notify personnel and customers verbally and by PA speaker. Employees are trained to evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for immediate evacuation - CONTINUED ON NEXT PAGE - (4) sECTION 9: · EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE THAT MAY ASSIST EMERGENCY RESPONDERS. Fire extinguishers are located throughout the facility. No other arrangements have been made with emergency responders. SECTION 10: LIST THE LOCATION OF ANY WATER SUPPLIES THAT MAY BE USED RESPONDERS. Only water ~upply known is from the water shutoff BY EMERGENCY I, Jessica Colbert, Agent for CSK Auto Inc. , certify that the information submitted on all the business plan forms is accurate and complete. I understand that this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95.et seq. and Title 42 U.S.G.C. Section 1100 et seq. and false information may be punishable by fine, imprisonment, or both. 3E Company - Regulatory Disclosures 03/01/2003 Signature Title Date (5) :arm and Agricul~:~.?~-~.'[~ -.',.] ~ KERN COUNTY I4;!i;:~'~i~,'~ONMENTAL HEALTH SERVICES DEPARTM~,:'i .: . HAZARDOUS MATERIALS INVENTORY ;tandard BusinessX] FORM 4 Page 1 of 1 Kragen Auto Parts # 1382 IUSINESS NAME: ID # I 2 3 4 5 .6 7 8 9 10 ! i 12 Trade Fransl Type Max Average Annual Measure Coat COat Coat Use % by NAMES OF MIXTURE/COMPONENTS Secret Code[ Code Ami /ant Est Units Type Press Temp Code Wt ~~ SEE INSTRUCTIONS Y/N R' W 220 110 2,350 Gallons 02 1 1' '" 40 100 PRODUCT NAMEWaste Petroleum Hydrocarbon/Waste Oil No ~ ] Immediate Health Location Warehouse/Stockroom 100 ComlJonent & CAS Waste Oil/Mixture i~1 Fire [ ] Delayed Health CAS NumbevMixture Component & CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [365 ] Component & CAS R iw 11,050 525 111,49s ~°undsI 10 l1 l1 17 i00 PRODUCTN. AME Sulfuric Acid/ Used Lead Acid Batteries "' qo [X ] Immediate Health LocationWarehouse/Stockroom 30-40 Component & CAS Sulfuric Acid/7664-93-9 · [ ] Fire [~ ] Delayed Health CAS Number76~4-93-9 53 Component & CAS Lead/7439-92-1 IX ] Reactivity [ ] Sudden Release of Pressure # Days on Site [365 ] Component & CAS [ ] Immediate Health Location Component & CAS [ ] Fire [ ] Delayed Health CAS Number Component & CAS [ ] Reactivity [ ] Sudden Release of' Pressur.e # Days on site [. ] Component & CAS [ ] Immediate Health Location Component & CAS [ ] Fire [ ] Delayed Health CAS Number Component & CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ ] Component & CAS [ ] Immediate Health Location Component & CAS [ ] Fire [ ] Delayed Health CAS Number Component & CAS [ ] Reactivity [ I Sudden Release of Pressure # Days on Site [ ! Component & CAS MB:ch HMI26 ~_= COMPANY® / February 12, 2002 County of Kern Dept. of Environmental Health Hazardous Materials Division 2700 M Street, Suite 300 Bakersfield, CA. 93301 RE: Kragen Auto # 1382 Hazardous Materials Business Plan 00J To Whom It May Concern, Enclosed is the hazardous materials business plan for the facility noted above. A copy has been forwarded to the facility to be maintained on site available for inspection at all times. If you have any questions or concerns regarding this matter please feel free to contact me at (760) 602-8821 1905 Aston Avenue Carlsbad, CA 92008 1.800.360.3220 Best~_egards, 3E Company wwvv.3ecompany.com Leslie Thomas Regulatory Specialist Hazardous Materials Services MANAGING THE ~AZARDOUS. 24/7, WORLDWIDE COMPLIANCE AND INFORMATION SERVICES. KERN COU :NVlRONMENTAL HEALTH SERVlCI-'S~PARTME,NT (805) 862-8700 Business :Name DONOT WRITE IN THIS BOX Grid: HAZARDOUS MATERIALS BUSINESS PLAN FORM 2 SECTION 1: BUSINESS IDENTIFICATION DATA A. FULL LEGAL BUSINESS NAME: Kragen Auto Parts # 1382 Forms Du FE82 ' 2002 B. PHYSICAL LOCATION/STREET ADDRESS: 2201 Panama Lane CITY: Bakersfield, CA. ZIP: 93307 BUSINESS PHONE:( 661 } 831-80Ol C. MAILING ADDRESS: P.O. Box 6030/Risk Management CITY: Phoenix, AZ. ZIP: 85005 D. HAVE YOU FILED A BUSINESS PLAN WITH THE DEPARTMENT UNDER A DIFFERENT NAME WITHIN THE LAST TWO YEARS? YES __ NO X IF YES, UNDER WHAT NAME DID YOU FILE? E. THIS SUBMISSION IS A NEW OR REVISED ~)~ BUSINESS PLAN F. DOES YOUR BUSINESS HANDLE ANY"ACUTELY HAZARDOUS MATERIALS" LISTED ON THE ENCLOSED HANDOUT, IN ADDITION TO OTHERTYPES OF MATERIALS? YES ~ NO ~x~ SECTION 2: EMERGENCY NOTIFICATIONS In the event of an emergency involving the release or threatened release of a hazardous material, telephone 9-1-1, and then (800) 852-7550 or (916) 262-1621. This will notify your local fire department and the State Office of Emergency Services, as required by state law. Additional federal reports may be required. PERSONS WHO SHOULD BE NOTIFIED IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: NAME AND TITLE A. Ben Ledezma/District Manager DURING BUSINESS HOURS Ph# (661) 322-1157 AFTER BUSINESS HOURS Ph# (661) 635-5462 B. Bill Morgan/Store Manager Ph# (661) 827-8091 Ph# (661) 832-3451 - CONTINUED ON REVERSE - (1) SECTION 3: LOCATION OF ON UTILITY SHUTOFFS FOR THE A.NATURAL GAS/PROPANE: Rear of facility near southeast comer ENTI~BUSINESS B. ' ELECTRICAL: Southeast comer of building in warehouse/stockroom C. WATER: Southeast comer of building in rear D. SPECIAL/OTHER: Circuit Breaker: South East Comer of Building, Inside Eo LOCK BOX: YES~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES I NO MSDS? YES / NO YES I NO KEYS? YES I NO SECTION 4: PRIVATE RESPONSE TEAM DESCRIPTION Do you have a group of employees trained to handle minor accidents involving hazardous materials at your business? Yes ,~ No__ If so, you must explain the level of training and equipment they possess and how they are notified to respond. All employees are trained initially on clean up/handling of hazardous materials and are given an annual refresher course. Spills will be maintained with in-store kits and/or outside emergency hazardous spill contractors. In the event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contamination. If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up. SECTION 5: IDENTIFICATION OF THE CLOSEST AVAILABLE TO YOUR BUSINESS #1 Business Health Network 2811 H Street, ADDRESS: CITY: Bakersfield, CA 93301 PHONE: ( 8o5 ) 321-3781 COMMENTS/ADDITIONAL INFO: APPROPRIATE EMERGENCY MEDICAL ASSISTANCE ( ) - CONTINUED ON NEXT PAGE - (2) SECTION 6: EMPLOYEE TRA EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for safe handling of the hazardous materials used'by your business; 2) The CAL OSHA Hazard Communication Standard; 3) Correct use of emergency response equipment and supplies available at your business; 4) The prevention, minimization, and cleanup procedures you have developed for your business and explained on the business plan forms; 5) The emergency evacuation plans you have developed, the notification procedures used to alert people to evacuate, and the closest location to obtain appropriate emergency medical care; 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business; 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials. Describe the location of the written plan and the training records which are required to be developed and maintained. State law requires your training records be inspected. Trainings: New employees are trained in the proper handling, recording and storage of Hazardous Materials. They are trained to read/understand the Material Safety Data Sheets and the proper use of Personal Protective Equipment such as safety glasses, gloves and acid apron. The business plan is reviewed at least annually and mandatory monthly safety meetings cover hazardous materials as well as general safety practices. Employee training records are maintained in the manager's office. All employees will attend a 2 hour training and a biannual refresher training. The training will include annual inspection procedures, review and maintenance of safety equipment, such as fire extinguishers and eye wash stations. Training content includes review procedures for proper use of safety and spill equipment. All employees receive an annual one-hour training on Emergency Response Plan Implementation. The training will review emergency response plan, evacuation, location of emergency shut-off switches and specific responsibilities of all employees during an emergency. In addition, all managers are trained on procedures for coordination with emergency response agencies. Jl~ STOP! Isyour'buSiness. dividedinto smailer geographic areas °r::u:nits?· Continue on:withSections 7 :thr°ugh 10°f thiS~:form~::.. Do:not: anSWer SeCtiOns 7 ~thr°ugh- 10 oflhiSform;·. Sign',: your,nameatthe~bottom of:Page 5, thenffiliOuta ~ F~rm,3 for every area your'business wassubdivided :into~ -CONTINUED ON REVERSE- (3) SECTION 7: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIPTION OF MONITORING METHODS AND PROCEDURES. RELEASE PREVENTION: Hazardous Materials at Facilities include car batterieS', automotive liquids (lubricants, solvents, cleaning agents), aerosols, fuel system enhancers, octane boosters, double-walled waste oil tank (220 gal), etc. Incompatible products are separated by distance or partition to preclude accidental mixtures. Damaged or leaking products not suitable for retail sale are immediately pulled from the general sales floor and disposed of in accordance with Federal, State, and or Local guidelines. RELEASE CONTAINMENT: Spills will be maintained with in-store kits and/or outside emergency hazardous spill contractors. In the event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contamination. If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up. CLEANUP: If the spill is over 5 gallons or the facility is not capable of in-house clean-up a private Emergency Response Team will be contracted out to assist in clean-up. Smaller spills would be absorbed and removed, placed in a labeled container by the trained employees and set aside as waste. SECTION 8: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES TO USE IN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. AGENCY NOTIFICATION: In the event that outside notification would be required for an incident at Kragen, the manager on duty or corporate personnel will notify applicable federal, state, and local agencies. The Fire Department will be contacted immediately for all spills over 5 gallons, and for small spills the manager will contact 3E Company for assistance in clean-up procedures. EMPLOYEE NOTIFICATION/EVACUATION: The manager on duty or applicable staff member will notify personnel and customers verbally and by PA speaker. Employees are trained to evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for immediate evacuation - CONTINUED ON NEXT PAGE - (4) SECTION 9: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE THAT MAY ASSIST EMERGENCY RESPONDERS. Fire extinguishers are located throughout the facility. No other arrangements have been made with emergency responders. SECTION 10: LIST THE LOCATION OF ANY WATER SUPPLIES THAT MAY BE USED RESPONDERS. Only water supply known is from the water shutoff BY EMERGENCY I, Leslie Thomas, Agent for CSK Auto Inc. , certify that the information submitted on all the business plan forms is accurate and complete. I understand that this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95 et seq. and Title 42 U.S.G.C. Section 1100 et seq. and false information may be punishable by fine, imprisonment, or both. Signature 3E Company Regulatory Specialist 02/07/02 Title Date (5) :arm and Agriculture [ ] KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT HAZARDOUS MATERIALS INVENTORY ;tandard Business X] FORM 4 Page 1 of 1 K.ragen Auto Parts # 1382 IUSINESS NAME: ID # I 2 3 4 5 6 7 8 9 10 ! 1 12 Trade Frans Type Max Average Annual Measure Coat Cont Coat Use % by NAMES OF MIXTURE/COMPONENTS Secret Code Code Amt Amt Est Units Type Prcss femp Code l Wt SEE INSTRUCTIONS Y/N R W 220 110 2,350 Gallons 02 1 40 100 PRODUCT NAMEWaste Petroleum Hydrocarbon/Waste Oil No [x~ ] Immediate Health Location Warehouse/Stockroom 100 Component & CAS Waste Oil/Mixture j~] Fire [ ] Delayed Health CAS Numbe~Iixture Component & CAS [ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [365 ] Component & CAS R iw 11,050 525 111,498 Fo= l, ol i1. too PRODUcT NAM . Su £uric ^cid/ Used Lead ^cid Ba eries IX ] Immediate Health Lo~tionWarehouse/Stockroom 30-40 Component & CAS Sulfuric Acid/7664-93-9 [ ] Fire [~ ] Delayed Health CAS Number7664-93-9 5'~ Component & CAS Lead/7439-92-1 [~ ] Reactivity [ ] Sudden Release of Pressure # Days on Site [365 ] Component & CAS [ ] Immediate Health Location Component & CAS [ ] Fire · [ ] Delayed Health CAS Number Component & CAS [ ]Rcactivity [ ] Sudden Release of Prcssur.c # Days on Site '[ ] Component & CAS [ ]lmmcdiatc Health Location Component & CAS [ ] Fire [ ] Delayed Health CAS Number Componcnt& CAS [ ] Reactivity [ ] Sudden Release of Prcssur~ # Days on Site [ ] Component & CAS [ ] Immediate Health Location Componcnt& CAS [ ]Firc [ ]Dclaycd Health CAS Number Component & CAS ] Reactivity [ ] Sudden Release of Pressure # Days on Site [ i Component & CAS HMI26 I 2 3 4 5 6 7 8 9 10 ~ k~ E ~vaste/' NORTH I I I ~ ~ I BULK OZLI _J A~jo~e~t FUE ANERS~ DEGREt~SERS I I I I I I I III ~ ,~ D i 2 3 4 ~ 6 7 B ~ 9 10 ~R~N SYMBOL LEGEND: ~ ~IC S~?OE~ ~ ~ ~ms~sR ] DAT~: 02/07/02 FOR: ~ W~ste Oil Tank ~ gHgROgN~ CLIENT: CSK 3E Company Kragen Auto Parts ~1~82 ~ATER SHU~F ASSemBLY A~ DWN BY: LRT 1905 Aston Ave Suite 100 2201 Panama Lane ~Wasle Batteries ~ ~l~ AID EQUIPME~ ~ ~ HYD~ SCALE: UNDEF[NED Carlsbad, CA 92008 Bakersfield, CA 93307 ~ ~oR o~]s ~ PE~ONAL PROTZ~VE gQUIPMENT FILE: CS1382fp Manager : BILL MORGAN Location: 2201 PANAMA LN City : BAKERSFIELD CommCode: BAKERSFIELD STATION 13 EPA NuB: SiteID: 215-000-001956 BusPhone: Map : 123 Grid: 24D (661) 832-3451 CommHaz : Low FacUnits: 1 AOV: SIC Code: 555~ DunnBrad :O~q~3j Emergency Contact / Title BILL MORGAN / MANAGER Business Phone: (661) 827-8091x 24-Hour Phone : (661) 832-3451x Pager Phone : ( ) - x Emergency Contact / Title BEN LEDEZMA / DISTRICT MGR Business Phone: (661) 721-2179x 24-Hour Phone : (661) 635-5462x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : ~6o.~/A)~, MailAddr: 1905 ASTON AVE 100 City : CARLSBAD Owner CSK AUTO INC-JENKINS MAYNARD CEO Address : PO BOX 6030 City : PHOENIX Phone: (760) 602-8825x State: CA Zip : 92088 Phone: ~OO) CKS-CORPx State: AZ Zip : 85005 Period :., V loo to Preparer: ~ri~ ~~ Cert i f ' d: TotalASTs: % = ~ TotalUSTs: 0 = RSs: No Gal Gal Emergency Directives: reviewed th~ attachsd hazardous m~r~a~s manage- mere plan ~or ~l~l/"i/I '~ j~and ~ha~ ~ along ~i~h ~ of ~) any corrs~ions cons~i~u~s a compls~ and ~ ~an- agsmsnt plan for ~y ~c~i~. 1 02/29/2000 F KRAGEN AUTO PARTS = Hazmat Inventory --Alphabetical Order Hazmat Common Name... ANTIFREEZE FREON FREON R-12 MOTOR OIL WASTE OIL SiteID: 215-000-001956 By Facility Unit Fixed Containers at Site ISpecHazlEPA HazardsI Frm DailyMax IUnitIMCP L F P IH G F P IH G F DH L F DH L 150.00 GAL Low 60.00 Min 120.00 FT3 Min 5000.00 GAL Min 220.00 GAL Low 2 02/29/2000 KRAGEN AUTO PARTS SiteID: 215-000-001956 Inventory Item 0005 Facility Unit: Fixed Containers at Site ~UIVUViU~ ~Vl~ / ~ ~-~J~ ~Vl~ ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: U~ER SALES COUNTER CAS# AODITIONAL PRODUCTS LOCATED ON S WALL ~IT~ MOTOR OILS ~iXtUY© STATE T TYPE PRESSURE Ambient Pure [Liquid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 100.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Ethylene Glycol S CAS# N 107211 TSecretNo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount I EPA HazardsI NFPA No/ Curies / / / USDOT# I MCP Low ~ Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME FREON FREON 134 Location within this Facility Unit MIDDLE OF BLDG Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 75-71-8 FSTATE TYPE Gas I Pure PRESSURE TEMPERATURE Above Ambient I Ambient I CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 30.00 AMOUNTS AT THIS LOCATION Daily Maximum60.00 Daily Average 30.00 %Wt. 100.00 HAZARDOUS COMPONENTS Dichlorodifluoromethane No CAS# 75718 TSecret No S BioHaz N No HAZARD ASSESSMENTS Radi°active/Am°unt I EPA HazardsINO/ Curies F P IH NFPA /// USDOT# MCP Min 3 02/29/2000 KRAGEN AUTO PARTS Inventory Item 0003 COMMON NAME / CHEMICAL NAME FREON R-12 Location within this Facility Unit E END OF BLDG IN BACK RM SiteID: 215-000-001956 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 75-71-8 STATE -- TYPE PRESSURE Ambient Pure Gas TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 30.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 120.00 FT3 Daily Average 120.00 FT3 HAZARDOUS COMPONENTS %Wt. I 100.00 Dichlorodifluoromethane N 75718 HAZARD ASSESSMENTS TSecret oRS BioHazl Radioactive/Amount I EPA HazardsI NFPA No N No No/ Curies F P IH / / / USDOT# IMinMCP Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lV~Vl~ ~Vl~ / ~1 ~4/~ ~Vl~ MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE OF BLDG CAS# 8020835 FSTATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 GAL Daily Average 3000.00 GAL HAZARDOUS COMPONENTS I%Wt. I 100.00 Motor Oil, Petroleum Based 8020835 ITSecret No HAZARD ASSESSMENTS RS BioHazI Radioactive/Amount EPA Hazards No NoI No/ Curies F DH NFPA/// I USDOT# Min -4:- 02/29/2000 KRAGEN AUTO PARTS SiteID: 215-000-001956 Inventory Item 0002 Facility Unit: Fixed Containers at Site ~UiVUVlU~ ~Vl~ / ~ £ ~-~.L~ ~Vl~ WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SW CORNER OF BLDG CAS# 221 STATE I TYPE PRESSURE Ambient Waste Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 220.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 220.00 GAL Daily Average 220.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Waste Oil, Petroleum Based CAS# TSecret No I RSiBioHaz No No HAZARD ASSESSMENTS I Radioactive/Am°unt I EPA Hazards INo/ Curies F DH NFPA /// USDOT# I MCP Low 5 02/29/2000 F KRAGEN AUTO PARTS SiteID: 215-000-001956 Fast Format = Notif./Evacuation/Medical --Agency Notification Overall Site 09/13/1999 IN THE EVENT THAT OUTSIDE NOTIFICATION WOULD BE REQUIRED FOR AN INCIDENT AT KRAGEN, THE MANAGER ON DUTY OR CORPORATE PERSONNEL WILL NOTIFY APPLICABLE FEDERAL, STATE AND LOCAL AGENCIES. THE FIRE DEPT WILL BE CONTACTED IMMEDIATELY FOR ALL SPILLS OVER 5 GAL, AND FOR SMALL SPILLS THE MANAGER WILL CONTACT 3E CO FOR ASSISTANCE IN CLEAN-UP PROCEDURES. Employee Notif./Evacuation 09/13/1999 THE MANAGER ON DUTY OR APPLICABLE STAFF MEMBER WILL NOTIFY PERSONNEL AND CUSTOMERS VERBALLY AND BY PA SPEAKER. EMPLOYEES ARE TRAINED TO EVACUATE THE FACILITY THROUGH THE NEAREST EMERGENCY EXIT AND MEET AT THE ASSIGNED STAGING AREA. EMPLOYEES WILL ASSIST CUSTOMERS FOR IMMEDIATE EVACUATION. -- Public Notif./Evacuation 09/13/1999 THE MANAGER ON DUTY OR APPLICABLE STAFF MEMBER WILL NOTIFY PERSONNEL AND CUSTOMERS VERBALLY AND BY PA SPEAKER. EMPLOYEES ARE TRAINED TO EVACUATE THE FACILITY THROUGH THE NEAREST EMERGENCY EXIT AND MEET AT THE ASSIGNED STAGING AREA. EMPLOYEES WILL ASSIST CUSTOMERS FOR IMMEDIATE EVACUATION. Emergency Medical Plan 09/13/1999 IN THE EVENT OF A MEDICAL EMERGENCY, THE MANAGER ON DUTY WILL CALL 911 OR THE PROPER MEDICAL FACILITY WILL BE CONTACTED. BUSINESS HEALTH NETWORK IS THE CLOSEST MEDICAL FACILITY TO THIS PLACE OF BUSINESS ON 2811 H ST, 321-3781. IN THE EVENT OF A CHEMICAL EXPOSURE OR POISONING 3E CO WILL BE CONTACTED TO CONNECT WITH POISON CONTROL SERVICES. 6 02/29/2000 ~ KRAGEN AUTO PARTS SiteID: 215-000-001956 Fast Format ~ Mitigation/Prevent/Abatemt --Release Prevention Overall Site 09/13/1999 HAZARDOUS MATERIALS AT FACILITIES INCLUDE CAR BATTERIES, AUTOMOTIVE LIQUIDS (LUBRICANTS, SOLVENTS, CLEANING AGENTS), AEROSOLS, FUEL SYSTEM ENHANCERS, OCTANE BOOSTERS, DOUBLE WALLED WASTE OIL TANK (220 GAL), ETC. INCOMPATIBLE PRODUCTS ARE SEPARATED BY DISTANCE OR PARTITION TO PRECLUDE ACCIDENTAL MISTURES. DAMAGED OR LEAKING PRODUCTS NOT SUITABLE FOR RETAIL SALE ARE IMMEDIATELY PULLED FROM THE GENERAL SALES FLOOR AND DISPOSED OF IN ACCORDANCE WITH FEDERAL, STATE AND OR LOCAL QUIDELINES. --Release Containment 09/13/1999 SPILLS WILL BE MAINTAINED WITH IN-STORE KITS AND/OR OUTSIDE EMERGENCY HAZARDOUS SPILL CONTRACTORS. IN THE EVENT OF A SPILL THE AREA WILL BE SEALED OFF FROM NON-ESSENTIAL PERSONS. USUALLY AN ABSORBENT MATERIAL WILL BE IMMEDIATELY POURED ON THE SUBSTANCE AND ANY ADJACENT DRAINS ARE COVERED TO PREVENT CONTAMINATION. IF THE SPILL IS UNDER 5 GAL 3E CO WILL BE CONTACTED FOR INSTRUCTIONS ON CLEAN-UP. -- Clean Up 09/13/1999 IF THE SPILL IS OVER 5 GALLONS OR THE FACILITY IS NOT CAPABLE OF IN-HOUSE CLEAN-UP. SMALLER SPILLS WOULD BE ABSORBED AND REMOVED, PLACED IN ALABELED CONTAINER BY THE TRAINED EMPLOYEES AND SET ASIDE AS WASTE. Other Resource Activation 7 02/29/2000 F KRAGEN AUTO PARTS SiteID: 215-000-001956 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - N/A B) ELECTRICAL - SE CORNER OF BLDG, OUTSIDE C) WATER - SE CORNER OF BLDG, OUTSIDE, ADJACENT TO ELECTRICAL D) SPECIAL - CIRCUIT BREAKER SE CORNER OF BLDG, INSIDE E) LOCK BOX - SE SIDE OF BLDG, OUTSIDE 09/13/1999 Fire Protec./Avail. Water 09/13/1999 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS, NO SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - 500FT NE OF BLDG. Building Occupancy Level 8 02/29/2000 F KRAGEN AUTO PARTS SiteID: 215-000-001956 Fast Format Training -- Employee Training Overall Site 09/13/1999 WE HAVE 6 EMPLOYEES AND ONE MANAGER AT THIS FACILITY. WE DO HAVE 25-30 MSDS SHEETS ON FILE, ALL OTHERS ARE BY ELECTRONIC ACCESS VIA 3E CO. GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: NEW EMPLOYEES ARE TRAINED IN THE PROPER HANDLING, RECORDING AND STORAGE OF HAZARDOUS MATERIALS. THEY ARE TRAINED TO READ/UNDERSTAND THE MSDS AND THE PROPER USE OF PPE SUCH AS SAFETY GLASSES, GLOVES AND ACID APRON. THE BUSINESS PLAN IS REVIEWED AT LEAST ANNUALLY AND MANDATORY MONTHLY SAFETY MEETINGS COVER HAZMAT AS WELL AS GENERAL SAFETY PRACTICES. EMPLOYEE TRAINING RECORDS ARE MAINTAINED IN THE MANAGERS OFFICE. HAZ MAT TRAINING LOGS AND INSPECTION SHEETS ARE MAINTAINED BY THE STORE MANAGER. ALL EMPLOYEES WILL ATTEND A 2 HR TRAINING AND A BIANNUAL REFRESHER TRAINING. THE TRAINING WILL INCLUDE ANNUAL INSPECTION PROCEDURES, REVIEW AND MAINTENANCE OF SAFETY EQUIPMENT, SUCH AS FIRE EXTINGUISHERS AND EYE WASH STATIONS. TRAINING CONTENT INCLUDES REVIEW PROCEDURES FOR PEROPER USE OF SAFETY AND SPILL EQUIPMENT. ALL EMPLOYEES RECEIVE AN ANNUAL ONE-HOUR TRAINING ON EMERGENCY RESPONSE PLAN IMPLEMENTATION. THE TRAINING WILL REVIEW EMERGENCY RESPONSE PLAN, EVACUATION, LOATION OF EMERGENCY SHUT-OFF SWITCHES AND SPECIFIC RESPONSIBILITIES OF ALL EMPLOYEES DURING AN EMERGENCY. IN ADDITION ALL MANAGERS ARE TRAINED ON PROCEDURES FOR COORDINATION WITH EMERGENCY RESPONSE AGENCIES. ALL EMPLOYEES WILL ATTEND A ONE HOUR BIANNUAL REFRESHER TRAINING ON PROPER PROCEDURES FOR HAZARDOUS WASTE STORAGE, HANDLING, AND LABELING. THEY WILL REVIEW PROPER METHODS FOR ALL HAZARDOUS WASTE DISPOSAL AND RECORD KEEPING REQUIREMENTS. THEY WILL REVIEW MATERIAL SAFETY DATA SHEETS AND THE PROPER USE OF PERSONAL PROTECTIVE EQUIPMENT. ALL EMPLOYEES WILL ATTEND A BIANNUAL REFRESHER TRAINING FOR ONE HOUR REGARDING THE MAINTENANCE OF SAFETY EQUIPMENT. ALL EMPLOYEES WILL ATTENT A ANNUAL ONE HOUR TRAINING AND REVIEW ON THE EMERGENCY RESPONSE PLAN, EVACUATION, LOCATION OF EMERGENCY SHUT-OFF Page Held for Future Use Held for Future Use 9 02/29/2000 Sent By: 3E COMPANY; 7606028893; Mar-6-O0 12:10PM; Page 1/2 3-= COMPANY Emergency ResIJonse (.;enter ,4 ,¥afety-Kieen Company 1905 Aston Ave. Carlsbad, CA 92008 3E Company Regulatory Disclosures Fax Cover Sheet Number of Pages (Including Cover Page): Date: March, 6 2000 To: Ester Company: Bakersfield City Fire Dept Phone; (661) 326-3979 Fax: (661) 326-0576 From: Richard E. Martin Regulatory Disclosure Coordinator Phone: (760) 602-2284 Fax: (603) 761-8166 Re: Change of Billing Address CSK Auto Inc, C/O Government Disclosures 19o5 Aston Ave. Carlsbad, CA 92008 Message: Esther, ~ ~ Per our conversation on March 6, 2000, ! am faaing a request for Change of Billing Address f~ . Auto Inc, - A.K.A Kragen Auto stores in yot,r agency jurisdiction, Please change mailing acldre~s to: ' Also enclosed is a copy of the Authorization Letter fi'om CSK Auto [ac., which states that 3E Company is the billing address for all-hazardous materials pemfits and disclosures. appreciate your time and paticncc with this reqtmst. Ify0u have any questions please feel flee to contact me at the number above or e.mail address below. Tha,k You. Sinc~gra.ly-~.~ ~' Rcgulato~ Di~closme.. Coordinator R.ma rdn .~.~}3 ceompany, corn 3E Simplifies compliance I'or uver 60,{.~.)0 business locations worldwide. For more inlbrmal.ion call (800) 360- 3220. * MRD.q on Demand * Chemical Spill/Information Hr~tlinc * Exposure~oison ConSol Hotlin¢ * Transpo~ation Serviec~'~ Government Disclosures * H~'dous W~te M~agemeat * Em~g~cy Response Hotline * Site-Specific Invcntot~ Tracking and Customized Rc~ * Employee Training * Sent By: 3E COMPANY; 7606028893; Mar-6-O0 12:10PM; Page 2/2 ~-"I~OM: CSK .4~to, DAT~ This Letter of Author~azion shall be in forc~ and effect until such time as y~ur ottice receives a writ~.u revocation of tach Letter of Autho~atioa from CSK Auto. CSK Auto acknowledges thet it n~y be reqt~'~d to ~u'~sh additioz~l ~~on, which at CSK Auto's d~crction, n~ey be provided 'm you d~rectly from CSIC A~to ~ tbroui~h 3~ Cc~npeay. $cnfar Vice President .S ,won]. jo and sub_s~bed before me ~-'~ Public ' --' 'l~ ~ 645 E Mlsmurl Ave Suite 400 Ph~lx. AZ 8,5012-1373 (602) 265.'9200 1905 Aston Avenue Carlsbad California 92009 www.3eco.com 760-602-8700 Fax: 760-602-8701 COMPANY Safety-Kleen Company September 3, 1999 City of Bakersfield Office of Environmental Services 1715 Chester Ave. Bakersfield, CA 93307 Kragen Auto Parts #1382 2201 Panama Ln Bakersfield, CA 93307 To Whom It May Concern: Enclosed is the Hazardous Materials Management Plan (HMMP) listed above, as required by your agency. 3E Company, hazardous materials consultants for Kragen Auto, has completed this disclosure. A copy of this disclosure has been forwarded to the facility and will be maintained by the facility manager. If you have any questions, or require any further information regarding this submittal please feel free to call me at (760) 602-8825. Thank You, 3E Company Devin CaringS/// Regulatory Disclosure~ Hazardous Materials Services Enc: Hazardous Materials Management Plan cc: Kathi Bowles, CSK Auto Bill Morgan, Store Manager CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSTRUCTIONS: 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 as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: CSK Auto Inc. #1382 LOCATION: Bakersfield, CA MAII.ING ADDRESS: 2201 PanamaLane CITY: Bakersfield STATE: CA DUN & BRADSTREET NUMBER: 018833132 PRIMARY ACTMTY: Retail Sales, Automotive Parts and Accessories OWNER: CSK Auto Inc. ZIP: 93307 PHONE: (661) 827-8091 SIC CODE: 5531 MAILING ADDRESS: Attn: Risk Management PO Box 6030 Phoenix, AZ 85005 SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE 1. Ben Ledezma District Manager BUS. PHONE (661) 721-2179 2. Bill Morgan Store Manager (661)827-8091 24HR. PHONE (~61)635-5462 (661) 832-3451 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 6, Five Employees, One Manager MATERIAL SAFETY DATA SHEETS ON FILE: 25-30 MSDS on File, All Others are by Electronic Access Via 3E Company. BRIEF SUMMARY OF TRAINING PROGRbdM: Trainings: New employees are trained in the proper handhng, recording and storage of Hazardous Materials. They are trained t~ read/understand the MSDS and the proper use of PPE such as safety glasses, gloves and acid apron. The business plan is reviewed at least annually and mandatory monthly safety meetings cover hazmat as well as general safety practices. Employee training records are maintained in the manager's office. All employees will attend a 2 hour training and a biannual refresher training. The training will include annual inspection procedures, review and maintenance of safety equipment, such as fac extinguishers and eye wash stations. Training content includes review procedures for proper use of safety and spill equipment. All employees receive an annual one-hour training on Emergency Response Plan Implementation. The training will review emergency response plan, evacuation, location of emergency shut-off switches and specific responsibilities of all employees during an emergency. In addition, all managers are trained on procedures for coordination with emergency response agencies. 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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, Devin Caringella-3E Company/Regulatory Disclosures CERTIFY THAT THE ABOVE INFORMATION 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. SIGNATURE t/' ~IT£E /t DATE 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES Ao AGENCY NOTIFICATION PROCEDURES: In the event that outside notification would be required for an incident at Kragen, the manager on duty or corporate personnel will notify applicable federal, state, and local agencies. The Fire Department will be contacted immediately for all spills over 5 gallons, and for small spills the manager will contact 3E Company for assistance in clean-up procedures. B. EMPLOYEE NOTIFICATION AND EVACUATION: The manager on duty or applicable staff member will notify personnel and customers verbally and by PA speaker. Employees are trained to evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for immediate evacuation PUBLIC EVACUATION: The manager on duty or applicable staff member will notify personnel and customers verbally and by PA speaker. Employees are trained to evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for immediate evacuation EMERGENCY MEDICAL PLAN: In the event of a medical emergency, the manager on duty will call 911 or the proper medical facility will be contacted. Business Health Network is the closest medical facility to this place of business on 2811 H Street, Bakersfield, CA 93301 at (805) 321-3781. In the event of a chemical exposure or poisoning, 3E Company will be contacted to connect with Poison Control Services. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITI(~ATION. PREVENTION AND ABATEMENT PLAN Bo RELEASE PREVENTION STEPS: Hazardous Materials at facilities include car batteries, automotive liquids (lubricants, solvents, cleaning agents), aerosols, fuel system enhancers, octane boosters, double-walled waste oil tank (220 gal), etc. Incompatible products are separated by distance or partition to preclude accidental mixtures. Damaged or leaking products not suitable for retail sale are immediately pulled from the general sales floor and disposed of in accordance with Federal, State, and or Local guidelines. RELEASE CONTAINMENT AND/OR MINIMIZATION: Spills will be maintained with in-store kits and/or outside emergency hazardous spill contractors. Int. he event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains are covered to prevent contamination. If the spill is under 5 gallons 3E Company will be contacted for instructions on clean-up. CLEAN-UP PROCEDURES: If the spill is over 5 gallons or the facility is not capable of in-house clean-up a private Emergency Response Team will be contracted out to assist in clean-up. Smaller spills would be absorbed and removed, placed in a labeled container by the trained employees and set aside as waste. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACII.ITY) NATURAL GAS/PROPANE: ELECTRICAL: SouthEast Comer of Building, Outside WATER: South East Comer of Building, Outside, Adjacent to Electrical SPECIAL: Circuit Breaker: South East Comer of Building, Inside LOCK BOX: (~O IF YES, LOCATION: South East Side of Building, Outside SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAII.ABILITY Ao Bo PRIVATE FIRE PROTECTION: 3 Fire Extinguishers No Sprinkler System WATER AVAILABILITY (FIRE HYDRANT): 500ft North East of Building 4 KRAGEN AUTO PARTS Manager : BffiMorgan Location: 2201 PANAMA LN City : BAKERSFIELD CommCode: BAKERSFIELD STATION 13 EPA Numb: CAL000187809 SiteID: 215-000-001956 BusPhone: Map : 123 Grid: 24D (661) 832-3451 CommHaz : FacUnits: 1 AOV: SIC Code: 5531 DunnBrad: 018833132 Emergency Contact BILL MORGAN Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 827-8091 (661) 832-3451 ( ) - x Emergency Contact / Title Ben Ledezma District Manager Business Phone : (661) 721-2179 24-Hour Phone : (661) 635-5462 Pager Phone : Hazmat Hazards: Fire Press X ImmHlth DelHlth Contact : Devin Carmgella-3E Company/Regulatory Disclosures MailAddr: 22C, 1 D.~2:i-----~-~ L?; 1905 AstonAve Suite 100 City ~ ........... C~lsb : -~---- -- .......~ ad Phone: (760) 602-8825 State: CA Zip : ~ 92008 Owner CSK AUTO INC-JENKINS MAYNARD CEO Address : PO BOX 6030 City : PHOENIX Phone: (800)CSK-CORP State: AZ Zip : 85005 Period : 01/01/99 to 12/31/00 Preparer: Devin Cafingell~3E Company Certif ' d: TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: = Hazmat Inventory --Alphabetical Order Hazmat Common Name... ANTIFREEZE FREON FREON R-12 MOTOR OIL WASTE OIL l, . .Devin Cafingella IspecHazI EPA HazardsI Frm ,, L F P IH ' G F P IH G F DH L F DH L Do hereby certify that I have One Unified List ~ Ail Materials at Site ~ DailyMax IUnitlMCPI 150 GAL Low[ 60 Min 120 FT3 Min 5000 GAL Min 220 GAL Low' reviewed the attached hazardous materials manage- ment plan for ,Krage_.nAuto #1382 arid that it along with any corrections cor~titute a complete and'correct man- agement plan for my facili~ KRAGEN AUTO PARTS SiteID: 215-000-001956 Inventory Item 0005 Facility Unit: Fixed Containers at Site ~TIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: ~ER S~ES CO~TER CAS% Additio~l Pmdu~s ~ Loca~d on ~e Sou~ W~l wi~ Motor Oils F STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Containerl.00 GAL [ AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average ] i00.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Ethylene Glycol 107211 HAZARD ASSESSMENTS , I Radi°active/Am°unt I EPA Hazards INo/ Curies NFPA /// USDOT# I MCP Low Inventory Item 0004 COMMON NAME / CHEMICAL NAME FREON FREON 134 Location within this Facility Unit Mid~eof~eBm~ Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 75-71-8 ~- STATE -- TYPE Gas Pure PRESSURE TEMPERATURE [ Jkbove Ambient ] Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 30.00 AMOUNTS AT THIS LOCATION Daily Maximum 60.00 Daily Average 30.00 HAZARDOUS COMPONENTS %Wt. I 100.00 Dichlorodifluoromethane CAS# 75718 TSecret No HAZARD ASSESSMENTS I RSIBioHaz' Radioactive/Amount EPA Hazards liN° I No No/ Curies F P IH NFPA /// USDOT# I MCP Min -o- A;l/A?/lqC~C~ F KRAGEN AUTO PARTS SiteID: 215-000-001956 ----- Inventory Item 0003 Facility Unit: Fixed Containers at Site FREON R-12 Days On Site 365 Location within this Facility Unit Map: Grid: East End of Building, In the Back Room C3~ # 75-71-8 FSTATE ~ TYPE Gas /Pure PRESSURE Ambient TEMPERATURE IAmbient CONTAINER TYPE I PORT. PRESS. CYLINDER Largest Container 30.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 120.00 FT3 Daily Average 120.00 FT3 HAZARDOUS COMPONENTS %Wt. I 100.00 Dichlorodifluoromethane Radioactive/Amount EPA Hazards I No INo I No No/ Curies F P IH NFPA /// USDOT# MCP Min ---- Inventory Item 0001 Facility Unit: Fixed Containers at Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE OF BLDG CAS# 8020835 rSTATE TYPE Liquid TPure PRESSURE TEMPERATURE Ambient --~Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 GAL Daily Average 3000.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based 8020835 TSecret No I RSiBioHaz No No HAZARD ASSESSMENTS I Radi°active/Am°unt I EPA Hazards INo/ Curies F DH NFPA /// USDOT# Min I KRAGEN AUTO PARTS ---- Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit SW CORNER OF BLDG SiteID: 215-000-001956 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 221 F STATE ~ TYPE Liquid I Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE I DRUM/BARREL-METALL I C Largest Container 220.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 220.00 GAL Daily Average I 220.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Waste Oil, Petroleum Based TSecret No RSiBioHaz No No HAZARD ASSESSMENTS Radi°active/Am°unt I EPA Hazards[No/ Curies F DH NFPA/// I USDOT# MCP Low F KRAGEN AUTO PARTS SiteID: 215-000-001956 ~ Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency. Notification ] In the event that outside notification would be required for an incident at Kragen, the manager on duty or corporate personnel will notify [applicable federal, state, and local agencies. The Fire Department will be contacted immediately for all spills over 5 gallons, and for small Ispills the manager will contact 3E Compan~v for assistance in clean-un procedures Em lo e No i .~ ac ti . . ~ma~g~ on ~ru~ or ap~lch~le s~f~me~lm~er w~t~nnotify personnel and customers verbally and by PA speaker. Employees are trmned to [evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for [immediate evacuation o ' cu rio . ~~e~} &% ~ ~a~ph~abfe~ me~er w,% n0m pe~s0~el and cust0me~ verbally and by PA speaker. Employees ~ ~me~ to evacuate the facility through the nearest emergency exit and meet at the assigned staging area. Employees will assist customers for immediate evacuation Emerctencv Medical Plan lin the event 0fa m~dical emergency, the manager on duty will call 911 or the proper medical facility will be contacted. Business Health INetwork is the closest medical facility to this place of business on 2811 H Street, Bakersfield, CA 93301 at (805) 321-3781. In the event [of a chemical exposure or poisoning., 3E Company will b~ contactod to connect with Poison Control Service~, F KRAGEN AUTO PARTS SiteID: 215-000-001956 Fast Format Mit igat ion/Prevent/Abat emt Overall Site bRelease Prevention dous Materials at facilities include car batteries, automotive liquids (lubricants, solvents, cleaning agents), aerosols, fuel system enhancers, octane boosters, e-walled waste oil tank (220 gal), etc. Incompatible products are separated by distance or partition to preclude accidental mixtures. Damaged or leaking products not le for retail sale are immediately pulled from the ~eneral sales floor and disposed of in accordance with Federal. State. and or Local ~uidelines. R ease .C nt inmet S~S Wl~e mamtaln~';~ Wl~ln-sto~l'~ts and/or outside emergency hazardous spill contractors. In the event of a spill the area will be sealed off from non-essential persons. Usually, an absorbent material will be immediately poured on the substance and any adjacent drains lare covered to prevent contaminatiott If the spill is under 5 gallons 3E Company will be contacted for inslmctions.on clean-up. , lean U . ~il~ls over 5 g~a~ons or the facility ~s not capable of in-house clean-up a private Emergency Response Team will be contracted out to [assist in clean-up. Smaller spills would be absorbed and removed, placed in a labeled container by the trained employees and set aside as waste. Other Resource Activation F KRAGEN AUTO PARTS SiteID: 215-000-001956 Fast Format Site Emergency Factors Special Hazards Overall Site -- Utility Shut-Offs A) GAS - B) ELECTRICAL - SouthEast Comer of Building, Outside C) WATER - South East Comer of Building, Outside, Adjacent to Electrical D) SPECIAL - Circuit Breaker: South East Comer of Building, Inside E) LOCK BOX - South East Side of Building, Outside 08/02/1999 -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3FireExtinguishe~ No Sprinkler System 08/02/1999 NEAREST FIRE HYDRANT - 500fl Nomh East of Building Building Occupancy Level KRAGEN AUTO PARTS SiteID: 215-000-001956 f Fast Format = Training Overall Site -- Employee Training 08/02/1999 HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY?~~ 6, FiveEmployees, One ......... Manager DO YOU HAVE MSDS SHEETS ON FILE?????????? 25-30MSDSonFile, All Others are by Electmnic Access Via 3E Company. GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: See Bel0w - Page 2 Held for Future Use Held for Future Use Trainings: New employees are trained in the proper handling, recording and storage of Hazardous Materials. They are trained to mad/understand the MSDS and the proper use of PPE such as safety glasses, gloves and acid apron. The business plan is reviewed at least annually and mandatory monthly safety meetings cover hazmat as well as general safety practices. Employee training records are maintained in the manager's office. Hazmat training logs and inspection sheets are maintained by the Store Manager. All employees will attend a 2 hour training and a biatmual refresher mining. The training will include annual inspection procedures, review and maintenance of safety equipment, such as fire extinguishers and eye wash stations. Training content includes review procedures for proper use of safety and spill equipment. All employees receive an annual one-hour training on Emergency Response Plan Implementation. The training will review emergency response plan, evacuation, location of emergency shut-off switches and specific responsibilities of all employees during an emergency. In addition, all managers are trained on procedures for coordination with emergency response agencies. All employees will attend a one hour biannual refresher training on proper procedures for hazardous waste storage, handling, and labeling. They will review proper methods for all hazardous waste disposal and record keeping requirements. They will review Material Safety Data Sheets and the proper use of personal protective equipment. All employees will attend a biannual refresher training for one hour regarding the maintenance or safety equipment. All employees will attend a annual one hour mining and review on the emergency response plan, evacuation, location of emergency shut-off switches and specific responsibilities of all employees. CITY OF BAKERSFIELD~TMENT UNIFIED PROG~M INSPECTION CHEC~IST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME K~ ~ P~% *~~SPECTION DATE ADD'SS ~ ~~ ~, PHONENO. FACILITY CONTACT O~a ~~ BUS'ESS ID NO. 15-210- ~SPECTION TIME {q :~-- ~ 5~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~~ne [~ Combined [] Joint Agency ~ Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address C°rrect °ccupancy Verification of inventory materials Verification of quantities Verification of location t,~ 2201 PANAMA LANE · BA~RSFIELD, CA 93307 Proper segregation of material }/~ PHONE (805) 827-8091 Verification of MSDSavailability ',/ ' . . ' .. _ . , ~ ' Verification of Haz Mat training Verification of abatement supplies and procedures t,/' Emergency procedures adequate Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~'Yes [~l No Explain: ~_)c~ C-Cfi CSt. ~,~ Questions regarding this inspection? Please call us at (805) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Busine~s~arty Inspector: FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # [~l Routine ~ Combined [] Joint Agency [~l Multi-Agency [~1 Complaint [~1 Re-inspection OPERATION C V COMMENTS Hazardous ~vaste determination has been made EPA 1D Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized tbr waste treatment and/or storage Reported release, fire. or explosion within 15 days ofoccurance 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 t¥om 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 tnanagement of' used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests lbr 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: ~ ~ M ~-'"-3 'e Off, ce of Environmental Services (805) 326-3979 Busin ss Party \Vhite - Eiw. Svcs. Pink - Business Copy CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 FACILITY INFORMATION Page Of ~oo / Year Ending 3 BUSINESS PHONE <~ '~ '7... -'~',~ FACILITY ID # ~.'.,. Year Beginning BUSINESS NAME~ (Same as FACILITY NAME or DBA- Doing Business As) 102 SITE ADDRESS 103 CITY 104 CA / ZIP 105 DUN & los/ SIC CODE 107 BRADSTREET (4 Digit #) COUNTY 108 j OPERATOR PHONE 110 OPERATOR NAME 109 :~:.:::-~ ::~,'L:~:'! ::':i:.::::' :!: :~.,i ~: .: ;::~!:.'?~ ,: :~> :~:~:~-:'::. ,.....:~:::: ~ ,: :::~:.:::>. :::,:; .: :...,.,.,.~ ....... . .: ..., ~:.,:,.,,~,~.,...,,:~.,:: ,,: .: .:~. :,.~,:: .;:; ',:,.,:: :., ,: :,'~:.;,,:,: ,..,.:.. ::? :.? .~, ,: .-.-::::::::::::::::::::::: ::::,:, ,,, ¥,:: :':., :::.,,::::'::~:,: .~ ... :~ :~,;:':,f~:?!'.,~: ,~i~i~!;'..~':?.:. ~ OWNER NAME ~---~ {~. ~.J'T~ / tY~.. ~, J C'~..J(~.t~'~s ~14.~J~/~'~/t~.,,~ C~'~1.11 OWNER PHONE 112 / ~ OWNER MAILING ADDRESS ~ ~ ~ 113, CITY P~t~ ~ ~ 114 STATE ~s ZIP ~~ ~s CONTACT NAME 117 J CONTACT PHONE 118 CONTACT MAILING 119 ADDRESS CITY 120 STATE 121 ZIP 122 ' .. :::::!~!:::'::.!::.~!~ii:i~?:'~'~,: ~: ~.:~ ~?.: :ii.~i: :y:;,"~!:::::~:..: ~:%~ ? .:~:..:.,:~;? >:: :,~:: :~?:. ~:.:: :::: :~:::::: ::?:.:~:~ ~ ? ::. ::. NAME 123 NAME ~'~::V~//~'/'~ ~,~'~-'1~ 129 TITLE /I,I.~,DAZ., 125 TITLE ~T ~ 130 BUSINESS PHONE ~ ~ - ~ / 126 BUSINESS PHONE ~3~ 24-HOUR PHONE ~ ~ , ~ ~ / 127 24-HOUR PHONE 7~ ~ ~32 PAGER ~ ~28 PAGER ~ 133 .. .:~ . ~ :~. :~'~ :' ':v :'" :: :::,: :.: · ~... ~,::.:= :'::~:'::; ::;?-~.::. :.?:~:~ : : ....... :. , .....~:. ?.:: :::.~::: ... ======================================= . . . ::: :,::::~ :'::: :~::~: :.~::.::. ::?:~ :~:~:~:~.: ~.'.::: :. :...:.::,. ::~ :¥..: ... ::::~:::,~: ~ ......... :..:...:.::::~::>:~: ,.: .... ...,:¥ :::::::::::::::::::::::::::::::::::::::::::::::::: ..... ::::::::::::::::::::::::::::::::::: .......... :::::...:. :. ce~iflcation: Bas~ on my inqui~ of ~ose individuals responsible for ob~ining ~e info~ation, I ce~i~ under penal~ of law that I have pe~onally examined and am familiar with the info~ation submi~ed in ~is invento~ and believe the info~ation is true, accurate, and complete. SIGNATURE OF O~E~OPE~TOR DATE 1~ ~ME OF DOCUME~ PREPARER 135 NAMES OF O~E~OPE~TOR (pdnt) 136 TITLE OF O~E~OPE~TOR 137 F0~M 27DO CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per matetYal per building or ama) r-] ADD [] OELETE [] REVISE 200 Page __ of BUSINESS NAME (Same as FACILITY NAME ~ DBA - Doing Business As) 3 CHEMICAL LOCATION _.~ .,~, ~ ~:'__ ~ ~.~_~ 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) [] Yes [] No 202 FACILITY ID # ~1~ ~ 1 MAP # (optional) 203 GRID # (optional) 204 CHEMICAL NAME COMMON NAME 205 2O7 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA. refer to iinstructions EHS* [] Yes [] NO 208 ! !:~:::: :i :":.i :~,:..i" :~ i.' '" !:!':~:::'~!~?i, 1 FIRE CODE HAZARD CLASSES (Complete if requested by local fire ohief) 210 i TYPE ~ p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213 : PHYSICAL STATE [] s SOLID ~'1 LIQUID [] g GAS 214 LARGEST CONTAINER ~ 215 FED HAZARD CATEGORIES ~ (Chect< all that apply) ~ 1 FIRE ANNUAL WASTE 217 AMOUNT UNITS* [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH MAXIMUM ,~ 218 r AVERAGE 219 STATE WASTE CODE DA,LY OUNT DA,LY A UNT ~ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 216 22O 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] b UNDERGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [~ PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 ~,. ~?:.',::~,?:i~ :,.. ~.~ :,~:~ ::?:::~; ~, .~:~ :~,:. 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 a TIi:'LE OF AUTHORIZED coMpANy RE. PRESENTATIV~ ' ' ....... ...... ' ~I~NATuRE 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 form per material per building or area) I-'1 ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 CHEMICAL NAME 205 []Yes []No 202 2O4 TRADE SECRET [] Yes [] No 206 If Subject ID EPCRA, refer to iinstructions COMMON NAME EHS° [] Yes [] No 208 ! CAs # 2o~ .!~:~, E,'~ 'i~.b ~' ~'~ ~:!!:::;: :' FIRE CODE H~RD C~SSE$ (~plete if r~u~t~ by I~1 ~re ~i~ 210 ~ ~PE ~ p PURE ~ m MI~URE ~w WASTE 211 ~IOACTIVE D Y~ ~ No 212 CURIES 213 PHYSI~L STATE ~ s ~LID ~1 LIQUID ~ g ~S 214 ~RGEST CO~AINER 215 FED HAZARD CATEGORIES [] 1 FIRE (Chec~k all that apply) ANNUAL WASTE 217 AMOUNT UNITS* [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH MAXIMUM 218 I AVERAGE DALLY AMOUNT J DAILY AMOUNT [] ga GAL [] cf 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 UNDERGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTICJNONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-rLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [--I a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba EELOWAMBIENT 226 230 234 238 242 227 231 235 239 243 [] c CRYOGENIC 225 ~Y~ DNo 228 ~ 2~ []Yes[]No 236 []Yes []No 240 []Yes []No 244 237 241 245 SIGNATURE DATE 246 Form 2731 (3/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 I-1 ADD [] DELETE [] REVISE HAZARDOUS MATERIALS INVENTORY ~~~ Chemical Description Form (one form per mater~al per building or area) 200 Page __ of__ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) CHEMICAL LOCATION 201CONFIDENTIALCHEMICAL LOCATION(EPCRA) [] Yes [] No 202 FACILITY ID # ~1 ~ 1 MAP # (optional) 203 GRID # (optional) 204 .' .:' ::':/'..'. ', i.: ?:.:':i!:i;: i'!::ili::'::'::?: :;',:: '"'::':?i'ii :i"".':?::' :!. :';:':::':,:'i IIi cHEMICALi~iNFORMATiONi:::i!: i;' ii::!:;:~, :::.'. "'i CHEMICAL NAME 205 207 COMMON NAME CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire cflief~ TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to iinstructions EHS* [] Yes [] No 208 '%:i:.:'~: ;~. ~'~ "~: '~ !::::?: :i::: :. :4: ': "': .,.:.,' ,. ::': ~:;~,..i" I E'~$ issues-: ~1] ~ts bel(~;W -~ust:be i~:!?': :. :. I 21o E TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 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 (Chec~ all that apply) 216 ANNUAL WASTE 217 I MAXIMUM I AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT I ~ ''~ 218 DAILY AMOUNT UNITS* [] ga GAL [] cf CU FT [] It) LBS [] tn TONS 221 DAYS 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 [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT 1 [] ba BELOWAMBIENT [] c CRYOGENIC 225 226 227 [] Yes [] No 228 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 229! 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 form per rnaterfal per bM#ding or area) 200 Page __ of ~ ["1 ADD [] DELETE [] REVISE BUSINESS NAME (Same as FACILITY NAME o~ DBA - Doir~g Business As) 3 205 207 COMMON NAME CAS # 209 TRADE SECRET [] Yes [] No 206 if Subject ID EPCRA. refer to iinstructions ENS* I--I yes [] No 208 FIRE CODE HAZARD CLASSES (Complele if requested by local fire cflie0 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 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 (Check all thal apply) ANNUAL WASTE 217 I MAXIMUM ,t~/~'~ :~218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT I DAILY AMOUNT r._J~,--.,- DAILY 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 [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS 80'I-FLE [] 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 [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba 8ELOWAMBIENT 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 ill'ITEM OF AUTHORIZED COMPANY REPRESENT~"~;~E ' ' ~iGNATURE DATE 246 Form 2731 (3/99) RESC MANAGEMENT RANDALL L. ABBOTT DIRECTOR DAVID PRICE m ASsIsTANT DIRECTOR : Environmental Health Services Department STEVE McCALLEY, REIlS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO · "~lanning & Development"SerVices Department TED JAMES, AICP, DIRECTOR .ENVIRONMENTAL HEALTH, SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 II. De H. I. J. Ke CONTACT PERSON: POSITION: PHONE NUMBER: UIC SHALLOW INJECTION WELL CHECKLIST CLYDE BARBEAU SEE ABOVE INTERVIEW THE OPERATOR/NATURE OF BUSINESS HOW LONG IN BUSINESS: UNK ARE THEY A MEMBER OF AN ASSOCIATION: ARE THEY AWARE OF ANY WATER SUPPLY WELL LOCATION AND/OR OWNERSHIP: MUNICIPAL WATER SITE HISTORY YEARS OF OCCUPATION: BUSINESSES ON SITE SINE 1965 PREVIOUS OWNERS: EXXON PREVIOUS OPERATORS: EXXON, OAK DEV. PREVIOUS USES OF FACILITY: SERVICE STATION, OFFICES, POOL CONSTRUCTION. PRODUCTS OR SERVICES OFFERED: VACANT PROPERTY NOW 'BRIEF DESCRIPTION OF ANY PROCESS, OPERATION, OR MAINTENANCE THAT PRODUCES WASTE: WHAT CHEMICALS ARE STORED ON SITE: DO THEY HAVE MATERIAL SAFETY DATA SHEETS: DESCRIBE THE WASTE DISPOSAL PRACTICES: SOLVENT HAULER: MANIFESTS: OPEN CONTAINER: WASTE OIL HAULER: MANIFESTS: OPEN CONTAINER: FREQUENCY: PROPER LABELING: FREQUENCY: PROPER LABELING: RANDALL L. ABBOTT DIRECTOR DAVID PRICE m ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 III. Oe Pe UIC SHALLOW INJECTION WELL CHECKLIST WASTE ANTIFREEZE HAULER: MANIFESTS: FREQUENCY: _ OPEN CONTAINER: PROPER LABELING: WASTE SLUDGE HAULER: MANIFESTS: FREQUENCY: OPEN CONTAINER:_ PROPER LABELING: WASTE CHARACTERIZED: WASTE OIL FILTER HAULER: MANIFESTS: OPEN CONTAINER: OTHER WASTES: FREQUENCY: PROPER LABELING: VERIFICATION RECEIPTS: OPEN CONTAINER: PROPER LABELING: E.P.A. IDENTIFICATION NUMBER: BUSINESS PLANS ON FILE: TRAINING REQUIREMENTS: __ WEEKLY STORAGE INSPECTION: HOW OFTEN: INSPECT THE FACILITY GENERAL SITE CONDITIONS HOUSEKEEPING: SITE VACANT EASE OF ENTRY: GOOD COOPERATION: GOOD SURROUNDING LAND USE: COMMERCIAL AND RESIDENTIAL A. GENERAL APPEARANCE OF THE WELL(S): DRYWELL B. SUSCEPTIBILITY TO SPILLS: SOME 3 RANDALL L. ABBOTT DIRECTOR DAVID PRICE !11 ASSISTANT DIRECTOR Environmenta! Health Services Department STEVE M¢CALLE¥, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 1 2 3 4 5 6 7 UIC SHALLOW INJECTION WELL CHECKLIST Co E. F. G. J. K. L. CLASS V WELL(S): ONE STATUS: NOT CURRENTLY IN USE YEARS OF OPERATION:UNKNOWN OIL/WATER SEPARATOR OR GREASE TRAP USED: CLARIFIER ARE THE WELLS PUMPED OUT: HOW OFTEN: DO THE WELLS EVER GET PLUGGED UP: CONSTRUCTION DETAILS (MEASURE) TOTAL DEPTH: DIAMETER: CASING: ARE THE INJECTION WELLS REGULATED BY A STATE OR LOCAL PROGRAM: RWQCB PERMIT: HOW ARE SPILLS.OR ACCIDENTS HANDLED: WHERE DOES THE FLOOR/LOT DRAINAGE WATER GO: 'CAR WASH: HOW IS THE EFFLUENT DISPOSED: CLEANERS USED: HOW MANY AUTOS ARE SERVICED DAILY: DOCUMENTS TO REQUEST MAP OF FACILITY AS-BUILT DIAGRAMS, PLUMBING PLANS DRILLERS LOGS MONITORING WELL DATA FLOW DIAGRAM OF PROCESSES, WASTE GENERATION, AND DISPOSAL MANIFESTS FOR WASTE DISPOSAL MATERIAL SAFETY DATA SHEETS RES£ ~CE MANAGEMENT At ~CY RANDALL L. ABBOTT DIRECTOR DAVID PRICE HI ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REH$, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 AGENCY: KERN COUNTY UNDERGROUND INJECTION CONTROL PROGRAM INSPECTION REPORT KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT INSPECTOR: TERRY GRAY FACILITY INFORMATION FACILITY NAME: PANAMA & COLONY PARTNERS PARENT COMPANY: ADDRESS: 2209 PANAMA LANE CITY: BAKERSFIELD STATE: CA ZIP: 93304 CONTACT NAME: CLYDE BARBEAU POSITION: DESCRIPTION OF WASTE STREAM: FORMER GAS STATION & POOL CONST. CO DESCRIPTION OF INJECTION WELL: DRYWELL DESCRIPTION OF ACTIVITY THAT MAY ENDANGER GROUND WATER BUT NOT RELATED TO INJECTION WELLS OR TANKS (e.g. PONDS, SPILLS): INSPECTION INFORMATION INSPECTION DATE: 07/07/93 NUMBER OF WELLS: ~ WELL TYPE AUTO SERVICE:XX STORM WATER: STATUS OF WELLS ACTIVE:XX ABANDONED: INJECTATE SAMPLED:NO VIOLATION FOUND:YES FOLLOW-UP NEEDED:YES RCRA FACILITY: COMMENTS: INDUSTRIAL WASTE:XX OTHER: AGRICULTURAL WASTE: UNDER CONSTRUCTION: OTHER: 5 RESC ~CE MANAGEMENT AC ~C¥ RANDALL L. ABBOTT DIRECTOR DAVID PRICE m ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 ITE DIAGRAM N RESC ~CE MANAGEMENT A~ ~CY RANDALL L. ABBOTT DIRECTOR " DAVID PRICE m ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCAL~LEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES IDEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 WORK OIlDP~il LO~ SHKKT Date:07/07/93 Tracking #: 6934 APN:373-Z?0-02-00-5 Work Order #: EM0 50229 WO Category: Hazmats WO Type: EPA Reimb.: Y XXXX N RP Code: WORK ORDER NAME: UlC - 2209 PNAMA LANE PANAMA & COLONY PARTNERS CLYDE BARBEAU RESPONSIBLE PARTY NAME: RP CONTACT: RP ADDRESS: 4450 CALIFORNIA AVE SUITE K-303 RP CITY: RP PHONE # : INSPECTOR: PROGRAM: DESCRIPTION: BAKERSFIELD STATE: CA (805)323-1996 ( ) TERRY GRAY EXT. 582 HMMP-Enforcement SHALLOW DISPOSAL WELL ZIP: 93309 LOCATION: FACILITY NAME: 2209 PANAMA LANE, BAKERSFIELD COMMENTS: RES£. ~CE MANAGEMENT A( ~CY RANDALL L. ABBOTT DIRECTOR DAVID PRICE m ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AiCP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 373-170-02-00-5 Roll I FILE BEING PREPARED 93 STATUS - ACTIVE Area Code 001-078 Name PANAMA & COLONY PARTNERS Deed 06791-2157 01/20/93 801 cd 84210 SD 2 Use 11000 CV 81058 Notf 4450 CALIFORNIA AVE #K-303 KTX BAKERSFIELD CA 93309 Census Bill 4450 CALIFORNIA AVE ~K-303 Coord BAKERSFIELD CA 93309 Zoning Site LLA 339 PTN PAR 1EXC MR FROM 373-010-34-00-1 L/S 25 B/TP 30 TR/RG SUPPLEMENTAL BILL(S) PRESENT *** VALUES *** Market 27 Acres OIL FLD SS OPER 36 S-CD B 0.54 CP Mineral Land imprvmnts Other imps Pets/Prop Exemption£ 82 377 119 ~69 VALUES CHANGED 02/27/81 * SUPP-INFO * Entry 1 TRA Xame PANAMA &. COLONY PARTNERS NET ASSESSED VALUE 001-078 *** PRIOR Bill No Addr 4450 CALIFORNIA AVE =I(-303 TYPE BAKERSFIELD CA 93309 EVENT-DT TX-YR BILLED-DY ENTRY-DY 01/20/93 92 06/07/9'3 DEED Enter parcel number o- · _,t3 .170 02 0n 5 File P EI'ENT- ~ 4 - :. ,_ S A !.!W biS ! >I -VALUES- 80 76© ~D 1t0,061 IMP 5I.H i 90 , ~ = ,~ X i i S 1 f,[ B ~,94 ""9 .... O ,J RESC ~CE MANAGEMENT A~ ~CY RANDALL L. ABBOTT DIRECTOR DAVID PRICE m ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 SCHOOL DIST. / 7C~ / '252 '~?'4--1 7 '..:~ :: ) k II TRA C T TRA C T ~ TRA ¢ T ' ;¥'.7'RAC~' 4895 AVE. UIC PAPERWORK CHECKLIST PAGE BEGIN UIC PAPERWORK CHECKLIST COMPLETE COMPLAINT FORM ASSIGN A TRACKING NUMBER (LIST ON COMPLAINT FORM) BEGIN A FILE FOLDER FOR CASE (IF NECESSARY) RESEARCH PROPERTY RECORD FOR OWNERSHIP (IF NEEDED) ATTACH APN MAP TO FILE (IF NEEDED) COMPLETE WORK ORDER LOG SHEET ( 1 PER EACH RESPONSIBLE PARTY) COMPLETE SHALLOW INJECTION WELL CHECKLIST & UIC PROGRAM FORM ( INITIALS ) FILE ~'"'] ACCOUNTING .D-~]L.~PA DISK [-"]..FILE ~-~'~ HARD FILE [ ] RWQCB 10. PROP 65 REPORT (IF NEEDED) DRAFT NOTIFICATION LETTER(S) (REVIEWED BY JOE CANAS) [ ] FILE [ ] JANET [ ] 11. NOTIFICATION LETTER(S) [ ] OWNER [ ] OPERATOR [ ] FILE [ ] RWQCB [ ] cc,s 12. SECOND NOTICE (IF NECESSARY) OWNER OPERATOR FILE 13. HEARING NOTICE (IF NECESSARY) [ ] OWNER [ ] OPERATOR [ ] FILE 14. 15. 16. REFERRAL TO E.P.A. (IF NECESSARY) WITNESS INITIAL SAMPLING REVIEW ANALYSIS [ ] [ ] UIC PAPERWORK CHECKLIST 16{a). RECOMMEND CLOSURE WITHOUT SITE CHARACTERIZATION 16(a)(1). REQUEST DETAILS AND DOCUMENTATION FOR CLOSURE OF UIC 16(a)(2). ISSUE CLOSURE LETTER FOR SITES WITHOUT CHARACTERIZATION 16(a)(3). COMPLETE WORK ORDER CLOSURE FORM 16(a)(4). PUT ABATE DATE AND ABATEMENT ACTION IN COMPUTER FILE 16(a)(5). LOG FILE INTO FACILITIES FILES 16(a)(6). TAKE FILE TO FILE ROOM 16(b) 16(b)(1) 17. 18. 19. 20. 21. 22. 23. RECOMMEND ADDITIONAL SITE CHARACTERIZATION INPUT DATA TO REFLECT CASE REASSIGNMENT MAIL LETTER REQUESTING SITE CHARACTERIZATION REVIEW & APPROVAL OF WORKPLAN SITE CHARACTERIZATION & FIELDWORK REVIEW SITE CHARACTERIZATION REPORT REMEDIATION (IF NECESSARY) CLOSURE LETTER ISSUE WORK ORDER CLOSURE SHEET 24. 25. 26. PUT ABATE DATE AND ABATEMENT ACTION INTO COMPUTER FILE LOG FILE INTO FACILITIES FILES TAKE COMPLETED FILE TO FILE ROOM [ ] PAGE 2 (INITIALS) [ ] [ ] [ ] [ ] FILE [ ] EPA [ ] RWQCB [ ] FILE [ ] ACCOUNTING [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] FILE [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ [ ] FILE [ [ ] FILE [ [ ] ACCOUNTING [ ] [ [ ] [ ] [ ] [ I / KERN SERVICE AND COMPLAINT FORM [] Service Request (~,/.~ Complaint 7Y ENVIRONMENTAL HEALTH SERVI~ DEPARTMENT Heportlng Person Address ............ _.~.~ ......................... Phone ..................... Property Owner ............................... L ........... Address .......... _-__~ ............................ Phone · Information · Taken by RESULTS OF I NV ESTIGATION ,5-'"y~' ~ '~'-~- ~,~¢-'Y'~' ·