HomeMy WebLinkAboutBUSINESS PLAN 10/3/1990
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I;' P.O. BOX 2057 ,
íBAKERSFIELD, CALIFORNIA 93303-2057'
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ADDRESS CORRECTION REQUESTED
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DAV 20 0228SDll RTN TO SENDER
: DAVES AUTO PARTS
2113 BRADLEY AVENUE
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D.At/ES AUTO, PA'1HS
4520 STINE 110
6At<ERSf ¡Eli), (A 93313
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RETURN PAYMENTS TO:
CITY OF BAKERSFiElD
P.O. BOX 2057
BAKERSFIELD, CA 93303-2057
PLEASE MAKE CHECKS PAYABLE TO:
HAZARDOUS "ATEHIAlS D[V1510N
ACCOUNT NO. -, IJtf~1 46'7601
CITY OF BAKERSFIELD
T RN THIS COPY WITH PAYMENT
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iNQUIRIES CONCERNING THIS BILL, PLEASE PHONE: 326-:S 97 9 '
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DAliJtES AUTO PtH~}S
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8AKERSFIELD. CA 93313
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MUST. RETURN COpy WIT,H PAYMENT
RETURN PAYMENTS TO:
CITY OF BAKERSFIELD
P. O. BOX 2057
BAKERSFIELD, CA 93303-2057
HAZANOOUS MATEHIAlS DIVISION
ACCOUNT NO.
tH1 467001
Hanardova Materials Handliog Fees for 011-11117
t¡l~lAj";,'DOû, S i'1A YER lA, l So fi, '~ì~~~ ING
STATE ~ANDATED PROGAÄ~
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INQUIRIES CONCERNING THIS BILL, PLEASE PHONE:
326-:5979
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PLEASE MAKE CHECKS PAYABLE TO:
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Current Chõf'94;S
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TOTAL ~AlANCE OU~ ~ 75",00
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DAV;:$ AUTO PM~T5
l,¡S20 SY!N€ flü
BAKtRSFI£LDu (Á 93313
CUSTOMER COpy
t-!¡1t..ó70vl
09/06/89
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( DAVES AUTO PARTS /1 f·.....-""--\. Page 001
, Si te as a Whole OCT 0 3 1990
General Information
Hi).? I\.~AT 01\/.
Map: 123 Hazard: Low
Grid:14C Area of Vul:
Location: 4520 Stine Rd
Ident Number: 215-000-001287
Administrative Data
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Mail Addrs: 4520 STINE RD
City: BAKERSFIELD
GeoSubdiv: BAKERSFIELD STATION 07
Owner: DAVE BARRON
Addrs: 2113 BRADLEY AVE
City: BAKERSFIELD
Contact
¡DAVE BARRON
¡GARY ALVIS
¡Summary:
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D&B Number:
State: CA Zip: 93313-
SIC Code:
Phone: (805) 835-7091
State: CA
Zip: 93304-
Title
Business Phone
) 835-7091
) 835-7091
124 Hour Phone
I ( ) 397-5176
I ( ) 871-0267
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09/06/89
DAVES AUTO PARTS
Page 002
Overall Site HAZMAT INVENTORY - LIST
01-002 Antifreeze 120 Low
> GAL
01-001 Motor Oil 120 Minimal
> Fire, Delay Hlth GAL
.
.
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09/06/89
DAVES AUTO PARTS
Page 003
Overall Site HAZMAT INVENTORY - DETAILS
01-001 Motor Oil
> Fire> Delay Hlth
120
Minimal
GAL
Form: Liquid
Type: Pure
Days in use: 365 Use: LUBRICANT
Daily Max Amt -.-- Daily Average Amt
120 I 120
Annual Amount ~nit
1,200 IGAL
Container
PLASTIC CONTAINER
PressTTemp I Location
!AmbntIAmbntINORTHEAST CORNER
- Cone. ,
100.0% ¡Motor Oil
,
Components
, MCP -rList-
¡Minimal I
01-002 Antifreeze
>
120
Low
GAL
Form: Unknown Type: Pure
Days in use:
Use:
Daily Max Amt -.-- Daily Average Amt
120 I
Annual Amount
700
,Unit
!GAL
Container
PLASTIC CONTAINER
, PressTTemp
! I
I Location
IS WALL IN STORAGE AREA
- Cone. I Components
100.0% ¡Radiator Coolant
, MCP -¡List-
¡Low I
09/06/89
DAVES AUTO PARTS
<D> Notif./Evacuation/Medical for: 00 - Site as a Whole
Page 004.
I
<1> Agency Notification
<2> Employee Notif./Evacuation
VERBAL WARNING CALL FIRE DEPT AND EVACUATE ASAP.
<3> Public Notif./Evacuation
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09/06/89
DAVES AUTO PARTS
<D> Notif./Evacuation/Medical for: 00 - Site as a Whole
Page 005
<4> Emergency Medical Plan
MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
WHITE LN MEDICAL - 5401 WHITE LN - 832-2000
THE STORE IS ONE BLOCK AWAY FROM WHITE LANE MEDICAL. PROCEDURE IS
TO CALL AND INFORM THEM THAT WE HAVE AN EMERGENCY AND THAT WERE ON
OUR WAY TO THEIR FACILITY.
09/06/89
DAVES AUTO PARTS
<E> Mitigation/Prevent/Abatemt for:. 00 - Site as a Whole
i
Page 006 i
<1> Release Prevention
SMALL CONTAINERS. AREA CHECKED DAILY. CLEAN AREA IF A SPILL OCCURS
AS SOON AS POSSIBLEo
<2> Release Containment
<3> Clean Up
I.
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.
09/06/89
DAVES AUTO PARTS
<E> MitigationjPrevent/Abatemt for: 00 - Site as a Whole
Page 007
<4> Other Resource Activation
09/06/89
DAVES AUTO PARTS
<F> Site Emergency Factors for: 00 - Site as a Whole
Page 008
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL FRONT OF STORE
C) WATER - FRONT OF STORE
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail, Water
PRIVATE FIRE PROTECTION - DO YOU HAVE ANY FIRE EXTINGUISHERS? WHAT DO
YOU DO IN CASE OF A FIRE ?
FIRE HYDRANT -? WHERE IS IT LOCATED IN RELEATION TO YOUR BUSINESS?
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09/06/89
DAVES AUTO PARTS
<F> Site Emergency Factors for: 00 - Site as a Whole
Page 009
<4> Held for Future use
09/06/89
DAVES AUTO PARTS
<G> Training fOr: 00 - Site as a Whole
Page 010
<1> Page 1
HOW MANY EMPLOYEES DO YOU HAVE ?
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE ?
RETAIL OUTLET - DO YOU TEACH YOUR EMPLOYEES WHAT Ta DO IN CASE OF A DISASTER
AND OIL IS EVERYWHERE ?
<2> Page 2 as needed
<3> Held fOr Future Use
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Page 011
09/06/89
DAVES AUTO PARTS
<G> Training for: 00 - Site as a Whole
-',,--
<4> Held for Future Use
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March 5, 1990
TO: Nina Mayer, Accounts ,Receivable
FROM: Ralph E. Huey, Hazardous Materials Coordinator
SUBJECT: Dave's Auto Parts
Nina, account #467001 is no longer in business in Bakers£ield.
Please void all current charges and close this account.
Thanks,
Valerie
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"WE C-iRE" ~-J :\; " :; S}~
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(tYDe or print name)
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Do hereby certify that I ha"\"e revieh'ed the
for
Df\\){)'S
(name of business)
Hazardous Materials business plan
Ç\Y-~Q ~~~"'~
attached
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my fa~ility.
1- )O-;ß~_
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BUSINESS NAME DAVES ~O PARTS
.. '. ·'LOCATION 4520.STINE RD
10 N~R ZI5-000-ØØIZ~7
HIGH HAZARD RATING Z
~
I. OVERVIEW
LAST CHANGE 11/15/88 BY ESTER
JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07
HAP PAGE 123 GRID 14C FACILITY UNITS I HAZARD RATING 2
RESPONSE SUMMARY
ZA SEC 4) FIRE DEPT.
EMERGENCY CONTACTS ZA SEe z)
DAVE BARRON - 835~7091 OR 397-5176
GARY ALVIS - 835,,7091 OR 871-0Z67
UTILITY SHUTOFFS ZA SEe 3)
A) GAS - NONE B) ELECTRICAL - FRONT OF STORE C) WATER - FRONT OF STORE
Q) SPECIAL -NONE [> LOCK Bo)( .. NO (FOR OUR PURPOSE)
Z. NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
< NO, INFORMATION RECORDED FOR THIS SECTION>
priGE 1
0Z10S/89 17: 3S
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
t:
BUSINESS NAME DAVES AUTO PARTS
LOCATION 4520 STINE RD
3. HAZ MAT TRAINING SUMMARY
10 NUMBER 215-000-001287
HIGH HAZARD RATING 2
LAST CHANGE / / BY
~~
Oa1Jd-
< NO INFORMATION RECORDED FOR THIS SECTION)
4. LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 11/15/88 BY ESTER
ZA SEC 5) MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
WHITE LN MEDICAL - 5401 WHITE LN .. 832,,2000
THE STORE IS ONE ,BLOCK AWAY FROM WHITE LANE MEDICAL. PROCEDURE IS
TO CALL AND INFORM THEM THAT WE HAVE AN EMERGENCY AND THAT WERE ON
OUR WAY TO THEIR FACILITY.
PAGE Z
.,.
0Z1 06/89 17: 35
MATERI AL SAFETY DATA SYSTEMS, I Ne. (805) 648-6800
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~USINESS NAME DAVES ~O PARTS
LOCATION 4520 STINE RO
FACILITY UNIT 01
10 NL.R Z 15-000'-001 Z87
HIGH HAZARD RATING Z
,A. OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 11/15/88 BY ESTER
10
TYPE NAME
LOCATION
CONTAINMENT
PURE MOTOR OIL
EAST WALL PLASTIC CONTAINER[S]
ID PERCENT COMPONENTS
ZB08.Ø0 100.0 MOTOR OIL
z
PURE ANTI FRE.EZE
S WALL IN STORAGE AREA PLASTIC CONTAINER[S]
10 PERCENT COMPONENTS
280Z.01 100.0 RADIATOR COOLANT
B. FIRE PROTECTION / WATER SUPPLIES
MAX AMT UNIT HAZARD
USE
75 GAL UNKNOWN
LUBRICANT
HAZARD LIST
UNI< NOWN
1 Z0 GAL UNI<NOWN
COOLANT
HAZARD LIST
UNKNOWN
LAST CHANGE 11/15/88 BY ESTER
3A SEC 4) NO PRIVATE FIRE PROTECTION,
3A SEC 5) FIfiE HYDRANT?
PIiGE 3
0Z¡06/89 17: 35
MATERIAL. SAFETY DATA SYSTEMS, INC. (80S) 648-6800
t
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BUSINESS NAME DAVES AUTO PARTS
LOCATION 4520 STINE RD
10 NUMBER Z15-000-00IZ87
HIGH HAZARD RATING Z
D. EMPLOYEE NOTIFICATION / 'EVACUATION
LAST CHANGE 11/15/88 BY ESTER
3A SEC Z) VERBAL WARNING CALL FIRE DEPT AND EVACUATE ASAP.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 11/15/88 BY ESTER
3A SEC 1) SMALL CONTAINERS. AREA CHECKED DAILY. CLEAN AREA IF A SPILL OCCURS
ASAP.
PAGE 4
02/06/89 17:35
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
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SECRETS
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"ERGENCY COIIIACTS
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BAKERSFIELD CITY FIRE DEPAR~NT
2130 "G" STREET
BAKERSFIELD. CA 93301
(805) 326-3979
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OFFICIAL USE ONLY /ð? 3-///V
ID#
US INESS ~A:¥{E
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
001287
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INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and con¿ise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: ~~'S. Q ~ \ ~<:~::~:-'L'::;.:::.".;:,''}:r2~,~::;~~~,"",_,¿g¡::_,~;5?{£t;t.::t~
B. LOCATION / ST~EET'ADDRESS: ~~O ~\ \0., RÜ
CITY: ~\\:\\.e~\'\~\6 ZIP: q~?W~ BUS.PHONE: (goS) <iš3S::·70c:¡r
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SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. . ,This will notify
your local fire departmant and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF
NAM~D TITLE b...."" ...... )
A. ~ìe"~~ Qo,-
B . C' A Q-.,\ Ç\ "-- \J \ S
I
EMERGENCY:
DURING BUS. HRS. AF'tf;RoBÄS. ¿R.î:.· [" '. .
Ph# ~ò~0oql Ph# -J'-, \- :)u _
I
Ph# 0òCj-~()~Lph# cJl \ ... Od.-~' .
-
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: ~
~: ;~~~~~ICAL: }i~~\ ~f %~~t ~
D. SPECIAL: ~ _
E. LOCK BOX: ~ / NO IF YES. LOCATION: 13 ,,-¿~- ' S'~ U J
IF YES. DOES IT CONTAIN SITE PLANS? YES ~
FLOOR PLANS? YES ~
OlA ~ì ~~ 0.12- ~<..t i i d¡ 111}'
MSDSS? YES / NO
KEYS? YES ~
- 2A -
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.;
",~., ç..
,,-'~ .;.,
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\;.~
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SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE
Fì ("JL ~.
;,. '-, .f;·
h ,:: ñ '.
';.J "_ - t "...
SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YOÚ~ BUSINESS AS A WHOLE
(Ylemo(¡ cJ) fbsp)+ct,( - (Y)ctSÖ(
~h~z laæ ~dìLcJJv kvYW»~OC) .
lhe.. S-hw~ is öne- þfovk C4..J~ ~(om.W.hik ~Qn-<.
(Y't d <- lÀ.1 - f ( ò t ~ &.tvu \ ~ --tv e.D... l -{-' \ V) -ft; ( fY1 +11'aJ--
IAJ~ Y10JJt Qn -:e¡lY)£r~tn(Ô -\- '\--hŒf- ()jtJLL . ð-Y) QWL LV~
-+0 %e r .Ço..cll~. -- .-,
SECTION 6: EMPLOYEE NING
E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH 'PROVIDES E~PtOYEES WITH INITIAL AND
REFRESHER TRAIXING IN THE FOLLOWING AREAS.
- --_.. .. --,.-
CIRCLE YES OR :-m
A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS
:'1ATERIALS: . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. @:;O
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: ..... ...... ... ..... ... .... NO
C. PROPER USE OF SAFETY EQUIPMENT:.................. NO
D. E~ERGENCYEVACUATION PROCEDURES:.............. ...XO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: . . . . . ,. YES ~_~-'
on Fi I~ in 0
INITIAL
REFRESHER
@):;O
XO
NO
~~"
l"NŒ' ~
"!'_-----
\
¡
SECTION 7:
HAZARDOUS MATERIAL
CIRCL@ -- ,NO - NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A CO~PRESSED GAS:...... YES NO
I:-j)a tJQ ~((O'^) , certify that the above information is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
S¡GNATU~~_ÒWUJì
( üU
DATE ::>- \ - e>l)
- 28 -
~,
~.
~.
.
.
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BAKERSFIELD CITY FIRE DEPART~ŒXT
2130 "G" STREET
BAKERSFIELD. CA 93301
:-1
If,"'
OF?TCTA~ [SE aXLY
BUS I:\ESS X."\~Π'0
ID:;
------
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be return~d hy:
2. TYPE/PRIXT yor;R AXSíŒRS r~ ENGLISH.
3. Answep the questions bAlow fer THE FACILITY U:;IT LISTED BELOW
4. Be as BRISF aüd C8~CISE as Dosstble.-
FACILITY UNIT~ FACILI~ UNIT SA.'<E:~\Q~ Ç\ \~
. \
SECTION 1: ~ITIGATIO~. PREVE~iION, ABATE~E~-r PROCEDu~ES
":J~R\\ S<=\ \~ ~~\~ c...~~\:~\~~Q.~
\\.'l'.elf\ c,,~ c\.<. -e Ò þ~ ~ \ '\-~ , -
c:. \~ ~ ~ ~ Q... -Q ~ \ ç ~ S ~ \ \ \ 0 ( t II f- S ¡:;, ~ if p,
SECTION 2: NOTTFTCATTû~ A~D EVAC0ATION PROCEDlKES AT THIS l~TT OXLY
\.:)-Q.~ \ ~ '-- \}0 Ç\ \' \J \ \...>1 c: \\ \ \
& ~\J~\A~\..r¿ \ ~S\\~.
'Ç \ R..~ \).e~1'
'-
- 3A -
·
.;
SECTIO~ 3: HA7.1~RDOT¡S :t<\TERIALS FOR THIS !~TT O~T.Y
A. Does this Facility Unit contain Ha~nrdous ~aterials?..... YES XO
./"
/"
a bona fide Trade Sec~e~ YES XO
'"
If No, complete a se arate hazardous materials inve~
form marked: ~O~-TRAD SECRETS OXLY (white form =4A-l)
If Yes, complete a ha råou5 materials inventory~~rm marked:
TRADE SECRETS O~LY (ye ow form =4A-2) in additfÓn to the non-trade
secret form. List o~ly the trade secrets on arm 4A-2.
If YES, ee B.
If NO, continue with SECTIOX ~.
B.
~~CTION 4: PRIVATE PIRE PROTECTT X
, -.:~ ~...... ~.
'.'
SECTION 5: tOCATIO~
USE BY ~RGENCY RESPONDERS
SECTION 6: LOCATIOX OF
A. XAT. GASiPRO?\XE:
t;;';IT OXLY.
C. WATER:
O. SPECIAL:
.-
:. LOCK BOX: YES' XO ,. YES, LOCATIO~::
IF YES, S!TE PLA~S?
FLOOR P!.AXS')
YES / XO
YES :';0
:v!SoSs?
~E':'S ')
- 33 -
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\
\
VE:S
\.,...,...
. Co':>
XO
/ :\0
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., .,~/
'/
...;
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: ;:....
...-._-~
1.'0. #
RAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-l
NON-TRADE SECRETS
HAZA DOUS MATERIALS INVENTORY
-- '....
\}
P"a g e ,~ 0 f
~ .:
1
TYPE
CODE
)p
BUSINERS NAME: ~~~~ ~'---'~ y~~ OWNER NAME: \)C\\'I..O \")~\) Qü0 FACILITY UNIT #:
ADDRESS: \~Ç---¡'"'I,,')-' Q~\'Li...n DS\ C\.~\ ADDRESS: Q\\")... ~Ù\(~"f\\e~ FAC,IL!.,TYJUNIT NAME:
C I TV, ZIP: 'ù..... {.c,~~\'.t<..\. ~ C"_...~ Q~"2.. \ ~C I TY , ZIP: ~... \ '~"...r' ~(e 'X 0~ l1~:'¿ JL
PHONE #: "-.j~'"':2...C:::., I:'ïnCÅ \ . PHONE #: .....,.~/",~ ~\~( , OFFICIAL USE CFIRS CODE I
V'-' - ,,,.. ......., " I >./ \ 1"0 ONLY
3 45 6 7 8 9
ANNUAL CO NT USE LOCATION IN THIS % BY
AMOUNT U~IT CObE CODE FACILITY UNIT WT.
~b 'b()O (ct::lL tD -:¿b t~ ~~\\ /ðtJ%
"CT
2
MAX
AMOUNT
CHEMIGAL OR COMMON NAME
10
HAZARD O.O.T
CODE GUIDE
()) L
r
01;&0 e
e
--~
cX~
\~C) '\00 C(QL ' (Ç) Cfì'
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SD~~'A W~\\
"3;: ~ '2:::>,0, Ç\~ -Q. \\~~
a IJt J LJ R ç; e -:L of? 2ØJa- ·..ó/
)
--
NAME: ~~~ \".L.,~«-Q.\J\..J
EMERGENCV CONTACT:
TITLE: LJ0.J\.JV"\
TITLE:
--
SIGNATURE: \
......
____ . I
-.........r~ ~~TE:(,,-t !~(Ç
) PHONE'-..# BJ.J-S HOURS: ~~~- \~~
PHO~~T:R B~~S B~~:~:. ~Çl ~ F..,,¡.
AFTER BUS HRS: __u Œ:K=
EMERGENCY CONTACT: ~ -c-'--j ~.\_~ \ '., TI TLE:
PRINCIPAL BUSINESS IVITY:
HAZA~~O~~AT~ tSPECTION 1
\d~ '
~/lRTs 1
/?L?
BUSINESS lIME: f) It (/ £' S
LOCATION: t..¡ s- 20
¡?U70
~1íN'E8
INSPECTION DATE: /2 -/'2'- 8 9 INSPECTOR: fL1( Co 11£ AI
VERIFICATION OF INVENTORY MATERIALS
129
~
Œ
IE
VERIFICATION OF QUANTITIES
VERIFICATION OF LQCATIOII
PROPER SEGREGATION OF MATERIAL
'--
CX>MMEHTS :
VERIFICATION OP BAZ MAT TRAIMDIG
D }/O
D /110
VERIFICATION OF MSDS AVAILABLE
CCMMEHTS :
VERIFICATION OF ABATEIŒMT SUPPLIES a PROCEDURES [29
COMMENTS :
EMERGENCY PROCEDURES POSTED
D Nò
Œ'
COH'l'AIMERS PROPERLY IAR1tt.1m
COMIŒNTS :
VElUnCA'nœ OF PACD.rrY DIAGRAM
Œf
SPECDU. .~QDS ASSOCXATED VI'l'B 'l'BIS FACILITY:
VIOLATIOIIS:
~