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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