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~,