HomeMy WebLinkAboutBUSINESS PLAN 7/30/2003Hazardous Materials/Hazardous Waste Unified'Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
PERMIT ID # 015-021-002146
CARROLLS TIRE
LOCATION: 8018 ROSEDALE
This _Dermit is issued for the following:
[] Hazardous Materials Plan
[] Underground Storage of HazardOus Materials
(3 Risk Management Program
[3 Hazardous Waste On-Site Treatment
IAKERSFIEI.D CA 93308
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~Services '~
Issue Date
'June 30. 2003
~CkRROLLS TIRE WAR5
Manager : LO~O ~~
Location: 8018 ROSEDALE HWY~/ %~ / ~'~
City : BAKERSFIELD
CommCode: COUNTY STATION 65 \~
EPA Numb:
SitelD: 015-021-002146
BusPhone: (661) 588-5040
Map : 102 CommHaz : Low
Grid: 21C FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact.,./ ~ Title
-~9~g~-~k~E~LD~O~'Z~IMANAGER -
Business Phone: (661) 58~5040x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Emergency Contact
Business Phone: (
24-Hour Phone : (
Pager Phone : (
/ Title
/
) - x
) - x
) - x
Hanmar Hazards:
Fire
DelHlth
Contact : ~[-~O ~]?-d~J
MailAddr: 8018 ROSEDALE HWY
City : BAKERSFIELD
Phone: (661) 588-5040x
State: CA
Zip : 93308
Owner CARROLLS TIRE WAREHOUSE
Address : 8018 ROSEDALE HWY
City : BAKERSFIELD
Phone: (661) 588-5040x
State: CA
Zip : 93308
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
= Hazmat Inventory
--Alphabetical Order
Hazmat Common Name...
.ABE OIL / F
STE Oil/ F
07-7-/',, [~eVT.~e~{ ~~ Dohem ·
~~t'~(e~ed'~' the a~ached h~ardous materials manags-
DH L
DH L
ment plan roWel-O;
~ ~ ano ~hm i~ along ~i~h
any co~s~ions ~nsfi~u~s a ~mple~s a~ ~rm~ man-
One Unified List
Ail Materials at Site
I DailyMax IUnitlMCP
200.00 GAL Min
300.00 GAL Low
agerneni plan for rny facility.
07/18/2003
COI IRECTION NdtfiCE
o~95a-
BAKERSFIELD FIRE DEPARTMENT
Location ~&~'~([ ~ ~ {'~
Name
You are hereby required to make the following
corrections at the above location:
Cot. No. !
Completion Date for Corrections ~o/~tO '~ ~ /')
Date
FD 1950
Inspector
326-3951
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enlronmental Services
1715 Chester Ave
Bakersfield, CA 9330!
Tel.' (661)326-3979
FACIUTY~NAME , · ....._. ' ,- / t INSPECTION DATE [INSPECTION TiME
ADDRESS
~ Section 1: Business Plan and Inventory Program
Routine ~ Combined /~ Joint Agency [~ Multi-Agency ~ Complaint ~ Re-inspection
\{'c=c°mpliance'~v=vio~at~o. ~ OPERATION COMMENTS
APPROPRIATE PERMIT ON HAND
ISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF QUANTITIES
......................................................................................................................................
.......................................................................
PROPER SEGREGATION OF MATERIAL
............................................................................................................................
VERIFICATION OF HAT MAT TRAINING
VERIFICATION OF ABA~MENT SUPPLIES AND PR~EOURES
EMERGENCY PROCEDURES ADEQUATE .......................................................................................................................
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: '~YES /'1 NO
Inspector Badge No,,
326-3979
'-~e~-~ ........
White . Environmenlal Services Yellow - S~ation Copy Pink - Business Copy
+ CARROLLS TIRE WAREHOUSE
Manager :
Location: 8018 ROSEDALE HWY
City : BAKERSFIELD
CommCode: COUNTY STATION 65
EPA Numb:
SiteID: 015-021-002146 +
BusPhone: (661) 588-5040
Map : 102 CommHaz : Low
Grid: 21C FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title
PAUL LOPEZ / MANAGER
Business Phone: (661) 588-5040x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Emergency Contact /
/
Business Phone: ( )
24-Hour Phone : ( )
Pager Phone : ( )
Title
- X
- X
- X
Fire DelHlth I
Hazmat Hazards:
Contact : Phone: (661)
588-5040x
MailAddr: 8018 ROSEDALE HWY State: CA
City : BAKERSFIELD Zip : 93308
Owner CARROLLS TIRE WAREHOUSE
Address : 8018 ROSEDALE HWY
City : BAI~RSFIELD
Period : to
Preparer:
Certif'd:
Emergency Directives:
Phone: (661) 588-5040x
State: CA
Zip : 93308
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
+= Hazmat Inventory One Unified List
A]nhabetic'al Order All Materials at Site
+==
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitlMCPI
...... + + + + .......... + .... +
LUBE-O~L ..................... F -- DH ~L 200.00-GAL Min
WASTE OIL F DH L 300.00 GAL Low
Do hereby certify that-, have
(Type or print name)
reviewed the attached, hazardous materials manage-
merit plan fo~//3 /~../~,~.and that it along with
(Name of Business)
any corrections constitute a complete and correct man-.
agement plan for my facility.
01/29/2002
+ CARROLLS TIRE WAREHOUSE
+= Inventory Item 0002
+== COMMON NAME / CHEMICAL NAME
LUBE OIL
Location within this Facility Unit
INSIDE EXTERIOR STORAGE SHED N OF BLDG
- SiteID: 015-021-002146 +
Facility Unit: Fixed Containers at Site +
Days On Site
365
Map: Grid: +- +
CAS#
+ 7= ~
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
I Liquid I Pure I Ambient I Ambient I DRUM/BARREL-METALLIC
+ ~ 7= 7= 7=
+
{- AMOUNTS AT THIS LOCATION =
Largest Container Daily Maximum I Daily Average
200.00 GAL 200.00 GAL I 200.00 GAL
4
100.00 Lubricating Oil (Petroleum-Based)
HAZARDOUS COMPONENTS
+ + ~
RS
.... +===+- ~
ITSecretlNo NoRSIBi°HazINo
{-===4
HAZARD ASSESSMENTS ===+
Radioactive/Amount EPA Hazards
No/ Curies F DH
4 =+=====+
NFPA USDOT# I MCP
/ / / Min
4 +=====+
+= Inventory Item 0001
+== COMMON NAME / CHEMICAL NAME
WASTE OIL
Location within this Facility Unit
OUTSIDE NW CORNER OF BLDG
Map:
Facility Unit: Fixed Containers at Site +
I Days On Site
365
Grid: + ................ +
221 CAS#
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER'T~PE
I Liquid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC
4 7= ~ =4 +
Largest Container
............ 300.0.0-GAL-
AMOUNTS AT THIS LOCATION
Daily Maximum
.... 30-0.00-- GAL
, HAZARDOUS COMPONENTS
%Wt. [
100.00 Waste Oil, Petroleum Based
Daily Average
........ 3.00.0.0- GAL.
.... +===+
CAS#
{-===4
ITSecret RS
No INo IBi°HazNo
q' +===4 {-
HAZARD ASSESSMENTS ===+
Radioactive/Amount I EPA Hazards
No/ Curies F DH
NFPA
///
USDOT#
0
MCP
Low I
--+=====+
2 01/29/2002
+ CARROLLS TIRE WAREHOUSE
SiteID: 015-021-002146 +
Fast Format +
+= Notif./Evacuation/Medical
+== Agency Notification -
+=== Employee Notif./Evacuation --
Overall Site +
+ .... Public Notif./Evacuation
Emergency Medical Plan --
-3- 01/29/2002
+ CARROLLS TIRE WAREHOUSE
SiteID: 015-021-002146 +
Fast Format +
+= Mitigation/Prevent/Abatemt
+== Release Prevention
Overall Site +
+=== Release Containment
----+
+ .... Clean Up
Other Resource Activation
-+
-4- 01/29/2002
+ CARROLLS TIRE WAREHOUSE -
+
SiteID: 015-021-002146 +
== Fast Format +
+= Site Emergency Factors
+== Special Hazards
q. =.. --
+=== Utility Shut-Offs
Overall Site +
+ .... Fire Protec./Avail. Water
----+
Building Occupancy Level
_--=+
_5_ 01/2 /2002
+ CARROLLS TIRE WAREHOUSE
+= Training
+== Employee Training
SiteID: 015-021-002146 +
= Fast Format +
Overall Site +
+=== page 2
+
+ .... Held for Future Use
-+
Held for Future Use --
-6- 01/29/2002
BFD HAZ MAT DIV ~001
04/20/01 15:58 8661 326 0576 .,
*** ACTIVITY REPORT ***
TRANSMISSION OK
TX/RX NO.
CONNECTION TEL
CONNECTION ID
START TIME
USAGE TIME
PAGES
RESULT
9665
04/20 13:53
04'45
11
OK
5889519
FAX ~ansmittal
~ ]~ s F ~ ~.: ~) Cover Sheet
CALIFORNIA
Bakersfield Fire Dept.
Office of Environmental Services
1715 Chester Ave. · Bakersfield, CA 93301
FAX No. (,.6.~,) 326-0576 · Bus No. (:6~) 326-3979
Today's Date
Time I;30
No. of Pages
CORRECTION
BAKERSFIELD FIRE DEPARTMENT
Location ~ O I ~ ~2--0.SC'-0~ ~J~/
9
Sub Div. Blk. Lot
You are hereby required to make the following coz~ctions
at the above location:
Completion Date for Corrections
Date lt / l& ? Oc~
InspectOr
326-3979
~.Ustorn Wh _ ~ger
ee/ Spec/a//st
8018 Rosedale/-/wy.
Phone ('66i~ 588-5040 Bakersfield, CA 93308
FACILITY NAME C
Section 4: Hazardous Waste Generator Program
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST .-., t tO
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 | ~)~~"'~
EPA ID #
[] Routine J~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made ~(_. ( '('~"-"~ C..) ~t~..-
EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #)
Authorized for waste treatment and/or storage
Reported release, fire, or explosion within 15 days of occurrence
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 from 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 management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 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:
Office of Environmental' Services (661) 326-3979 B~s Site Responsible Party
White - Env. Svcs. Pink - Business Copy
~ CITY OF BAKERSFIELI.~
OFe'i~E OF ENVIRONMENTAL S,r.,~xVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one form per mate~fal per bu#ding or area)
,~""~'~W i'-] ADD I-] DELETE C'~ REVISE 200 Page __ of
BUSINESS ~E {~me ~ FAClLI~ ~ME ~ D~ * ~ng B~n~ ~) 3
~1~ CHEMI~L LO~TION
CHEMI~L LO~TION ~ ~ I 0~ ~ ~ ~ ~ [~ ~ ~ CONFIDENTIAL (EPC~)
'AC'LI~ID' ~ ~ ' ~'(op~naO ~3 j GRID.(op~naO 2~
~5 T~ESECRET ~Y~ ~ No 2~
207
CHEMICAL NAME
COMMON NAME
CAS # 209
FIRE CODE HAZARD CLASSES (Complete if requested by local tim chief)
ff Subject to EPCRA. ref~ Io instructions
EHS° [] Yes [] NO 208
2~0
TYPE F"l p PURE [] m MIXTURE ~ WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213
PHYSICAL STATE [] s SOLID ~4--.LIQUID [] g GAS 214 LARGEST CONTAINER '~(:~(~ 215
FED HAZARD CATEGORIES "='~I.-EIRE
(Check all that apply)
ANNUAL WASTE 217
AMOUNT
UNITS'
[] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH
MAXIMUM _"~)(' ~ 2'8 t AVERAGE
DAILY AMOUNT ____ DAILY A~uNT
~ GAL [] Ct' CU FI' [] lb LBS [] th TONS * If EHS. amount must be in lbs.
[] 5 CHRONIC HEALTH 216
219 STATE WASTE CODE 220
DAYS ON SITE
221
STORAGE CONTAINER
(Check all that apply)
~K:)VEGROUND TANK
[] b UNDERGROUND TANK
[] c TANK INSIDE BUILDING
[] d STEEL DRUM
[] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'rFLE [] q RAIL CAR
[] r CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER
[] g CARBOY [] k BOX [] o TOTE BIN
[] h SILO [] I CYUNDER [] p TANK WAGON
STORAGE PRESSURE ~ AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224
STORAGE TEMPERATURE J~{"~"AMBIENT [] aa ABOVE AMBIENT [] be BELOWAMBIENT [] c CRYOGENIC 225
226 227 [] Yes [] No 228 229
230 231 [];,Yes [] No 232 233
234 235 [] Yes [] No 236 237
238 239 [] Yes [] No 240 241
242 243 [] Yes [] No 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE
SIGNATURE
UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
*'""' ~~"'"'""*' HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one form per mate#al per building or ama)
~ ADD .. DELETE REVISE ~ --
Page
BUSINESS NAME (Same as FACILITY NAME m' DBA - Doing Busineas A~) 3
' ~ ~ CONFIDENTIAL(EPC~) ~Y~ ~No ~2
FACILI~ID' ~ ~ 1 ~,(~na0 ~3 ~ GRlO,(op~naO 2~
205 ~ T~DESECRET ~Y~ ~No ~
CHEMI~L ~E ~
207 ~
COMMON NAME
CAS #
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chie~
EHS' ~ []Yes []~ 208
210
TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213
LARGEST CONTAINER ~ 215
PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214
FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216
(Ctie~ all that apply)
219 STATE WASTE CODE 220
ANNUAL WASTE 217 MAXlI~JM
AMOUNT DALLY AMOUNT
218 I AVERAGE
DALLY AMOUNT
UNITS' [] ga GAL [] d CU FT [] lb LBS [] tn TONS 221 * If EHS. amount must be in lbs.
DAYS ON SITE 222
STORAGE CONTAINER [] a ABOVEGROUND TANK [] · 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.~.~EL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON
STORAGE PRESSURE ...[~".~...AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224
~E~a--AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAM~IENT [] c CRYOGENIC 225
i STORAGE TEMPERATURE
2 230
3 234
4 238
-5 I 242
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE
[]YES []No 228
229
231 [] Yes [] No 232 233
235 [] Yes [] No 236 237
239 [] Yes' [] No 240 241
243 [] Yes [] No 244 245
SIG~TURE DATE 246
UPCF (7~99) 'TO (J("--~ S:\CUPAFORMS\OES2731.TV4.wpd