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HomeMy WebLinkAboutBUSINESS PLANHazardous Materials/HazardOus waste Unified Permit CONDITIONS OF:~PERMIT ON REVERSE SIDE Permit ID#:: 015-000-000489 ALTEC SMOG AND TUNE LOCATION: 2300 L ST This ~ermit is issued for the followinn. [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program [] H-~rdous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES~  1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: Office of Ev~Scrviccs '"" June 30; 2003 Issue Date Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: Materials Plan i?~ii~'~U~e[ground Storage of Hazardous iateflals Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: Office of I~v&n~l~nentai ServiCes June 30, 2000 MISCELLANEOUS RECEIVABLES ADJUSTMENT CUSTOMER NAME MAILING ADDRESS C'~ ~C~ ~ SITE ADDRESS NEWACCOUNT ADDRESSCHANGE CLOSE ACCT ' FINANCE CHARGE I ~/I OTHER ADJ i ZiP CODE PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT CHG DATE CHARGE CODE ADJUSTMENT AMOUNT /-o/-0/ APPROVED BY Please... r--] Read ~] Handle E~] Approve [] Forward I--] Return 1--'] Keep or r--] Review with M _ c~ROU~r~NO,& R;'~QUEST~ From: Post-it~ 7664 0aM 1995 ~ Date: FINANCE DEPARTMENT CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303 RETURN SERVICE REQUESTED '~.3:3 0.3/20~ 7 RETURN TO SENDER ALTEC 5HOG AND TUNE TENPORAR~LY AWAY ~m~[ TO ~ENDER ALTEC SMOG AND TUNE Manager : Location: 2300 L ST City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: SiteID: 215-000-000489 10~-~/!usPhone: (805) 325-1053 Map : 103 CommHaz : Low rid: 30A FacUnits: 1 AOV: '~SIC Code:7549 DunnBrad: Emergency Contact / Title TIM PADDOCK ,/ OWNER Business Phone-~6[8~) 325-1053x 24 -Hour Phone : (8~r5) Pager Phone : (~/) ~_~-/~x Emergency Contact JLTDY RODGERS Business Phone: '? 24-Hour Phone : Pager Phone : / Title / SECRETARY (805) 325-1053x (805) 834-8195x ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : MailAddr: PO BOX 9552 City : BAKERSFIELD Phone: ( ) State: CA Zip : 93389 X Owner TIM PADDOCK Address : PO BOX 9552 City : BAKERSFIELD Phone: (805) 325-1053x State: CA Zip : 93389 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory --As Designated Order Hazmat Common Name... MOTOR OIL OXYGEN F DH Do hereby certify ~at I ha~ DH reviewed the a'~tacned ~azardous materials ma~.age- merit plan ~or ~2/:2~¢ ~/¢ ¢ and that it along with ~ ' ' (Nam ot ~ine~) / a~y corrections co~sfitu~o a ~mDlet~ ~ correct ~a~- One Unified List Ail Materials at Site ISpooHazlEPA Hazards Frm DailyMax Unit MCP L 195.00 GAL Min G 281.00 FT3 Low agement plan for my ?acilityo 06/21/2000 ALTEC SMOG AND TUNE SiteID: 215-000-000489 = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~I~.P~..I_~ ~_/-*k[vl~ MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SW CORNER OF SHOP BLDG CAS# 72623-87-1 STATE TYPE PRESSURE Ambient Pure Liquid TEMPER3~TURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container~ GAL AMOUNTS AT THIS LOCATION Daily Maximum 195.00 GAL Daily Average 100.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based RN~oRS CAS#8020835 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# MCP Min Inventory Item 0003 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~11 ~.~"%J-~ ~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: NE CORNER CAS# 7782-44-7 FSTATE ~ TYPE Gas /Pure PRE S SURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container ~z~ ~Z~ ~r~ FT3 AMOUNTS AT THIS LOCATION -- Daily Maximum Daily Average 281.00 FT3 281.00 FT3 HAZARDOUS COMPONENTS l%Wt. I 100.00 Oxygen, Compressed CAS# N 7782447 ITSecret No HAZARD ASSESSMENTS ] RS BioHazI Radioactive/Amount EPA Hazards No NoI No/ Curies F IH DH NFPA /// IUSDOT# MCP Low -2- 06/21/2000 ALTEC SMOG AND TUNE SiteID: 215-000-000489 Fast Format ~ Notif./Evacuation/Medical --Agency Notification Overall Site 07/31/1996 PHONES IN SHOP AND OFFICE TO CALL 9-1-1 TO REPORT SPILLS OR INCIDENTS. Employee Notif./Evacuation VERBALLY TELL THE EMPLOYEE TO LEAVE THE AREA THROUGH EXIT DOORS. 07/31/1996 Public Notif./Evacuation EITHER THROUGH N SHOP BAY OR S SHOP BAY. 07/31/1996 Emergency Medical Plan FIRST AID KIT IN OFFICE. GOLDEN EAGLE HEALTH PROVIDER. 07/31/1996 -3- 06/21/2000 ALTEC SMOG AND TUNE SiteID: 215-000-000489 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 07/31/1996 ALL AEROSOL CONTAINERS STORED IN METAL CABINET. GREASE RAGS LOCATED IN METAL CONTAINER. ALL OIL IS STORED IN METAL DRUMS AND SECURED AREAS. Release Containment ABSORBANT AVAILABLE. 07/31/1996 -- Clean Up COLE'S WASTE OIL CONTRACTED FOR SERVICE. 07/31/1996 Other Resource Activation -4- 06/21/2000 ALTEC SMOG AND TUNE SiteID: 215-000-000489 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - NOT CONNECTED B) ELECTRICAL - OUTSIDE SE CORNER QF SHOP BLDG D) SPECIAL - NONE E) LOCK BOX - NO 07/31/1996 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. 07/31/1996 NEAREST FIRE HYDRANT - SW CORNER OF L AND 24TH. Building Occupancy Level -5- 06/21/2000 OUST MISCELLANEOUS RECEIVABLES ADJUSTMENT CUSTOMER NAME MAILING ADDRESS CITY NEW ACCOUNT ADDRESS CHANGE CLOSE ACCT j · FINANCE CHARGE I OTHER ADJ ZIP CODE ~'~ ] SITE ADDRESS PARCEL NUMBER OF APPLICABLE) ADJUSTMENT I I CHG DATE CHARGE CODE ADJUSTMENT AMOUNT REMARKS: '~-'~ ~~' APPROVED BY BAKER iELD CITY FIRE DEP TMENT HAZARDOUS MATERIALS DIVISION 1715 -CHESTER .AV_E.~ BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: To avoid further action, return ;his form within 30 days of receipt. ~PE/PRINT ANSWERS iN ENGLISH. Answer the dues'dons below for the ausiness cs a wno{e. ~e brief cna COhO:Se cs Do&siDle. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: LC C,:,TiC N: ZIP: ~SSo/ PHONE: SECTION ~' E,MERGENCY ~%zaraous 1V~aterials Division. HAZARDOQ$ MATeRiALS MANAGeMeNT ~tAN SECTION .'.'.5: TRAINING: NUMBER OF EMPLOYEES: '~> MATERIAL SAFETY DATA SHEETS ON FILE; BRIEF SUMMARY OF TRAINING PROGRAM: SECT[ON 4: EXEMPTION REQUEST: ! CERTIFY UNDER PENALTY OF PERJURY T¼A"MY BUSINESS IS EXEMPT FROM THE ,REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & ,,At-,_.Y~ -="r CCD,="" FOR THE FOLLOWING REASONS' ,'V?. CO NOT mANCLE HAZARDOUSMA~c,~ALS.'-~' WEOO HANDLE HAL'&RCCUS MATERIALS, ,~UT THE QUANTITiES AT NO TiMEE:<CEED THE MINIMUbl REPORTING QUANTITIES. SECTION 5: C ERTIFt C ATI O N: i, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" SE'... 25500 ET AL.).&NO THAT ON HAZARDOUS MATERIALS (ClV. 20 CHAPTER 6.95 - ". INACCURATE INFORMATION CONSTITUTES PERJURY. SIC~f'AT(~ ~ ~ITLE DATE azardous ~a~en~ds D~v~s~on HAZARDOUS MATERIALS MANAGEMENT PLAN F(:c{lity Llnit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES' EMPLOYEE NOTIFICATION AND --',/ACuAt ION: -'l'q4Ft4.3d'6-t&- ~...-'-X: I 'T- ~oo ~..S ,: UBL',C ~"/ACUATIO N' SECTION 7: ko B~kers~.el& Fire Dept. Hazardous l'~a:erials Divisi¢ HAZARDOUS MATERIALS MANAGEMENT PLAN MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: RELEASE. CONTAINMENT ANO/OR MINIMI~TION: .'", '=lM up ?,qCCEDURE£' SECTION 8: UTILITY SHUT-OFFS '~ '" ' ...~CAT[CN CF SHUT-OFFS AT YOUR FAC[LITY) NATURAL '$AS/?RO?ANE' ',VAT'S' ~',.~, ~,-~ ECX ':'ES/NO SECTION 9: PRIVATE FiRE PROTECTION/WATER AVAILABILITY: ?RIVATE FiRE PROTECTICN: ~______.-"'-×'"C,',.o/,.3u,$ctL-.¢.-.~ B. WATER AVAILABILITY (FIRE HYDRANT): BAKERSF,,LELD CITY FIRE DEPAJ TMENT HAZ. RBOOUS MATERIALS INVEN'I RY ~usiness Name .,~7._.'"('-~ '~,~oG,-- Address Page_of__ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New(~'~[ ] Re~ision( ] Deletion( ] Check if chemicat is a NON TRADE SECRET [ ] TRADE SECRET [ ! 2) Common Name: /.~/_~'~0(7..~ ~ C.~ 3) DOT # (Ol:Xional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] De.yeti Health (Chronic) [ ] : 5) WASTE CLASSIFiCATION .(3-digit code from OHS Form 8022) USE CODE ~ 6) PHYSICAL STATE Solid [ ] Liquid [,~_..~] Gas [ ] Pure ~ Mixture [ ] Waste [ ] Radioactive ( ] CHE¢~ ALL THAt AP~.t~ AMOUNT AND T1ME AT FACIETY UNITS OF MEASURE 8) STORAGE CODES Mmamum Daily AmounC /1,~ ~ lbs [] ga] [dt]. ft3 [] a) Container. ~ Average Daily Amount: /~:~,-~ cunas[ ] b) Pressure: (~ AnnuaJ Amount: 70(:> c) Temperature: Largast Size'Container. / ~.0 # Days On Site ~o%" Circle Which Months: All Year. J, F, M, A, M, J. J, A, S, O, N, D 9) MIXTURE: list the three most hazardous chemica] components or any AHM components COMPONENT CAS # % WT AHM 1) [] 2). [ ] 3) [ ] 10) Location / ~ 5, C~ ~--~/.~J C_.,~/~J/?- ~ ~,./.r~' ~-C~- CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ] Addition[ ] Revisions[ ] Deletion[ ] Check if chemic, ad is a NON TRADE SECRET [ ] TRADE SECRET [ ] 3) DOT # (OlXionah ChemicaJ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure ~ Immediate Hearth (Acute) [ ] Delayed Hea]th (Chronic) [ ] 5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022} USE CODE ~ ~ 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas ~ Pure ~ Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILJTY Maximum Da~ty Amount: Average Daily Amount: Annua~ Amount: Largest Size Contmner: ~__~-'~ # Days On Site UNITS OF MEASURE 8) STORAGE CODES lbs [ ] ga [ ] ~t3 [~f. a) Conta~ner: cunes[ ] b) Pressure: c) Temperature: CircleVVhich Montt~s: All Year. J. F, M. A, M, J, J, A. S, O, N, D g) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # %v~/r AHM ~1 [] [ ] [] 101 Location 4-~ ',~. ~ ?~,-'~'- ~! - ) ~;" t'ff. ,,Z3 <'~ ,,~-~-s~.~ - r'~ ~ ..... ~--~, ~ .... ~~ ce~ under penn. of law, ~at I have pe~onaSy ex~m~ ~d ~ f~#i~ w~ ~e in'me,on suDmi~~~c~ d~umen~ I be#eve submi~ info~a~on is ~e, accu~. ~d co~lete. ~ ~ PRI~ Name & ~e of A~z~ Comfy Represenm~ve ~ ~ Dam BAKERSI LD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY :usiness Name ~L..~'C ~ ~O G Address '2 ~ O 'O C.. S r Page..__oL ,- CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ~ Addition [ ] Revision [ ] Deletion [ ] Check if chemical i~ a NON TRADE SECRET [ ] 'TRAI3E SEC. RET [ ] 2) Common Name: (.~J/3r-~-~-l~ ~_~ L__ 3) DOT # (optional). Chemical Name: AHM [ } CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire ,~.] Reactive [ ] Sudden Release of Pressure [ ] HEALTH Immedlete Health (Acute) [~ Dek~Heailtt~) [ ] 5) WASTE CLASSIFICATION '~'7._. J (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [4~J Gas [ ] Pure [ ] Mixture [ ] Waste [~ Radioact~e [ ] 7) AMOUNT AND TIME AT FACIETY UNITS OF MEASURE 8) STORAGE CODES Ma~mum D=ily Amount: .~--'~--~ ,- Ib~ [] gal [~' ft3 [] a~ Container:. Average Daily Amount: j~/~ cunes[ ] b) Pressure: Annual Amount: t'<~:;;¥.9~ c) Temperature: Largest Size Container: # Days On Site "~:>_.~'- Circle Which Months: All Year, J, F, M, A, M, J, J, A. S, O, N, D 9) MIX'FURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # %w'r AHM 4) [] 2) [ ] 3) [ ] 10) Location //~.)~/~)~' ,<~~ ~,,¢'~ ~."T- d~./T%,O~- _.%~__- (~.~ CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New ( ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] Common Name: 3) DOT # (optiora0 Chemic~ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire { ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-dicjit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uauid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste { ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIlITy Maximum Daily Amount: Average Da~ly Amount: AnnuaJ Amount: Largest Size Container: # Days On Site UNITS OF MEASURE lbs [ ] gal { ] ~3 cunes[ ] 8) STORAGE CODES a) Conta~ner:. b) Pressure: c) Temperature: Circle Which Months: All Year, J. F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: list the three most hazardous chemicaJ components or any AHM components COMPONENT CAS # % WT AHM 1) [] 2) [ ] 3) 10) Location cer~fy uniter penally of law, ;tat I have personally examined eno am famitiar wi;t ~he infometion submitted on ~i$ anti ali a~lacl3ed documents. I believe Ih; ubmitted information is true, accurate, and complete. 'RINT Name & Title of AuZhorized Com.~anyRepresentative Signature Date ITE DIAGRAM i~usiness N(3me: Business AcCress: FACILITY DIAGRAM For Office Use Only First ~n Static;n: lnsc~ec~an Stc,'ian: Arec~ Mc~ .~ ct NORTH ¢ ,,,)olx~,