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Home My WebLink AboutBUSINESS PLAN 4/10/2000 . ,I'. Per It t' '-, -,". t . o· ···Opera e Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE LOCA nON Issued by: 4851 Bakersfield Fire Department . OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: 93313 " , . ¡ ... Issue Date June 30, 2003 . ., ............... L 8m DIAGRAM J 1 Business Name: Business Address: 7\ I~ v ',> ~I ,- , ~ -" ~ <rL~ í') ¡ ., C:t p,T:~ ~ ~=? ~.",. .- ' ( 11-::: Ll eS' I s..\II-t~ í2D> -~-- r ~ ~ ru. Q e I'ACILITY D~GRAM ~ féNCæ. r I I.\ 8 OFÎ~IC. ì~ ~ "2, ~'..i ,ß. \.~ ù_~ tDU \. 'tU ¡ :"t~ ';-"1\\-" ~ S? 9-1 rV ~ t V' ~::t)\,ç, ìf2Jif"-.. < J. J¡ ~ ,<)'<J '4t " (- çQ.- , ,..Sf. ~-- "l 1 ~------~_.--- " ¢o..' I ~ ,... P' J ;¡: \ AM}VIA ~ L It l \~ \ Ù ~ I ~ J\ . V\ ð 0~~" ~ ;?oO'.r' -------.; ~ 1;, \j.. ~' ¡ 11 ~i ::;¡ &1 I t I 6AS :;1_ ðFF m[' e.. ~læcr~lt~L . "- ., -' , ~ ( ..--¿ ~ ;-boll ~(~T' of:.¿ç; \, íll~,N'f A ¡ 2/ c:.. = ~" ~;y..:> t;it-¡c"'H..lt: . I--=-- _~, __ _ o¡;::..Ç¡C-@ .~ \~-_>T-~ I~~\--- -,":,- ~ lP+z fiù ~ ß ,~ '- " ,~ 11 jí 't ~ '" ! . ~. ~~?.z I ¡\.('I.T1 r ,. .....0<1"" ~=<z-æ.'" V". [! 0Pvv'-~ß( IE lðM~ -I £''ìO~~Tœ !~IJ. t:¿,?- (~:,~ F\\?ê o ¡4Ý~\<'ß"('\"t' I' -; ~ @. G-M\~ --"----- ----~ ~ -¥ ~ \1: ? ~ (Q ="t wPt-"\"Œ.tZ. ~ _ \ "l <;. ~'-\J7"O\'-'l<c; e e S1cJ /3 ~ CITY OF EAIŒJPS.§]fR!E[J!)) JFllJR?JE D1EJJD A~1fMŒN1f OFFICE OF IENVflJR([~~MJIE~1f AIL §IE1Fl.VMC]E§ UNIFIED l?ROGAA~l1 nN§fPIECC1rll(Q)~ C!HI!ECOCIT...II§T rns Che§ter Aveo9 ]rd 1F~iIJ)(IJirr9 JE!iDIk~J]"$ffn~DIDJ9 CA ~]]«Dj fACILITY NAME ~~Ø~:i~'\1..~~SPECTION DATE { (I - 'ì ~ ADDRESS L.¡A.5 ' () - ~HONE NO. S~t- ÐOOD f ACIUTY CONTACT 'Vat »1'JL ,An:d!({)n~ BUSINESS HD NO. 15-210- "do?:ló INSPÐCTION TIME ;-YO '.M~'AI NUMBER Of EMPLOYEES ",?::>ð §e~Qnl!J)IIl1 ll: ~ine IE51!!1~nlme$$ 'R$HJ1 3iH1d hBVændl!J)~ ]JD1ì'l!J)~II'BlIll111 OJ Combùned o Joùnt Age~cy OJ Muhù-Agency OJ Complaint OJ Re-inspection OPERATION C V COMMENTS Appropriate pennit on hand m Business plan contact infonnation accurate Visible address Correct occupancy V Verification of inventory materials ./ Verification of quantities G Verification of location BD Proper segregation of material V Verification of MSDS availability 'if Verification of Haz Mat training ¡/ VÐ^.e- 10.:1 '::Ptf~ ':rI1~ Verification of abatement supplies and procedures vi Emergency procedures adequate V Containers properly labeled V Housekeeping vi Fire Protection V :s~<p O.t( . í Site Diagram Adequate & On Hand ~ i C=Compliance V=Violatiol!\ ~ f ÂIIl1Y I1ñlID2Z:BJIì<dJ(!)I1ß¡¡} 'm/$)$Qœ (!)1Jì) ¡¡}mQœ'l': ~ŒS3 OJ~(!J) A Explain: Wa.«írtR Clf\+ì...- ~r<2R~-e- n ft1 r ...... )'- Bu~ dl Si~~ ~nSible Party Questiol!ls regmrding this inspection? Please cmn lIAS a~ (16M) 326-J979 I While - Env, Svcs, Yellow - Station Copy Pin!! - Business Copy . H~sp~c~or: ø~ ~ ~ I t1~ DI/I ¿ - ~ , , e CITY OF BAKERSFIELD . OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOu~<~!~mAtSMANAGEMÆNTPLAN C ¢- 'I ' II ,-,,0'< ~ /,; \ ?- ~ ~øú INSTRUCTIONS: \: /.:/" -,' - II \O r, ," ~. 11 t . ~ ~ u~ :>-' \,-,,--. -:;:ø-~--- 1. To avoid further action, return this fonn within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION 1. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA p~o.~ 2 I Lr7l 6'-\ Y\,\c, , BUSINESS NAME: ßA.~~SÇ\~l~ 11<m LOCATION: L\ 8s \ S,\:\ \\.\ \f.. \2d MAILING ADDRESS: SA./Y'I ~ CITY: ß~il~ ~\û-O STATE:~ ZIPS31~3 PHONE:~ PRIMARY ACTIVITY: f\\.RC)~,---,,, C(() ~\ I. ~\GN Ç?~e OWNER: ~\."""'" A~0(?C¿ hTI"A> PHONE: t?lt)!-f3~/i3OOD MAILING ADDRESS: S Ä.rvn ~ EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE ~~ (Ð~P. 1. ~~\è( Ä. Bco(..~ ~ A 140Cë: tC"A-'t\A Œ §!C ') ô~l i:boo 66 Cj--{ { 3> D 2. DA\110 ~¡.JoQ~¡::" B~ l~OðD :ð6š.§1 , I J :-", t HAttRDOUSMATEmALSMANAGEM~TPLAN SECTION ILl: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: SI~~~/S'Y'ed . " B. EMPLOYEE AND AGENCY NOTIFICATION: ~~..... --- -. :.......- l,-,,,§1è¡"J q \.l C. ENVIRONMENTAL RESPONSE MANAGEMENT: SA-F(\~,-\ c..c ~ ~'\ \IV V-V D. EMERGENCY MEDICAL PLAN: ~~s.~\Œ.lO ~~ \'-'\ M~Dt~ ---- ,;Z 3-~-Cò q2wþ'~ß. ~ 7/ v q~<, ~ J11r(f)) Tg'~o-" ~'1 æ~-...,,!J.lJA,VJ illA.-YJillJ c Kim Andreatta 4851 Stine Road, Bakersfield, CA 93313 phone (661) 831-8000 fax (661) 833-4373 .d . ~ ~_ ~ HAztlriousMATEmALSMANAGEM~PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSME~T AND PREVENTION MEASURES: S'"\MC... ~,..(}I... ~,~~" ~~ ?~,,(êßV- B. RELEASE CONTAINMENT AND/OR MITIGATION: sÞ~~ ~e~ C. CLEAN-UP AND RECOVERY PROCEDURES: SA-~llE,\ ~L~ UTILITY SHUT -OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITy) NATURAL GAS/PROPANE: 51 ~ ro<2N.1Vl ~\2 1(Y'AlM. 0:.008 Ou~PE. ELECTRICAL: Œ 0---Ç., \ f <;. WA-V\. <9 {Z S ,^\Of' WATER: ~A-§.- ç, ¡'·o e:.. Ð ~ 'Ç)~~ (.Q c::,. fûH.Á:.CU\¿ - SPECIAL: LOCK BOX: YE~ IF YES, LOCATION: PRIVATE FIRE PROTECTION/W A TER AVAILABILITY A. PRIVATE FIRE PROTECTION: ~ ;te~6~RJ¡ F¡;~~ B. WATER AVAILABILITY (FIRE HYDRANT): ~~ s"tal:.. o~ ~r~ 3 <Jf-.' \. HA~OUSMATEmALSMANAGEMttTPLAN SECTION III: TRAINING NUMBER OF El\1PLOYEES: 17 MATERIAL SAFETY DATA SHEETS ON FILE: y r£ 5 Cpl#K~) BRIEF SUMMARY OF TRAINING PROGRAM: ()1-t C~~^-~ ~,\. \.~ $.~ Pv^O CERTIFICATION I, .t:"1tAt\. ~fnp...~JL CERTIFY THAT THE ABOVE INFORMATION IS ACC E. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" 0 H ARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT IN CC TE INFORMATION CONSTITUTES PERJURY. ~.5. TITLE SIGN 4 · CITY OF BAKERSFIELDa OFfttE OF ENVIRONMENTAL SftVICES 1715 Chester Ave., CA 93301 (661) 326~3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page _ Of I. FACILITY IDENTIFICATION FACILITY ID # 1 Year Beginning 100 Year Ending 101 BUSINESS NAME (Same as FACILITY NAME or DBA· Doing Business As) i ß~~ieSn€.L(,) A\FD rcx;ù'{ 1/-.lC I ! SITE ADDRESS L\ S\. STIN,Q:. \2..c( CITY ~l\¿Œ5V> \. ~ '-- 0 I DUN& F\_lPÜ 7 _0 L\ 0. c-lu ~ BRADSTREET - \.::::::> -~ ....J 3 BUSINESS PHONE 6~~- B~l--amo 102 103 104 CA ZIP S. 106 SIC CODE (4 Digit #) '"':> 32: 105 107 COUNTY --"(Cµ 108 OPERATOR NAME 109 110 II." ' OWNER INFORMATION OWNER NAME 111 OWNER PHONE fobt-EiS/-8cco 112 OWNER MAILING ADDRESS CITY ~cL 113 CONTACT NAME , , III. ENvIRONMENTAL CONTACT i '-" >c ,._... _ _' _', _',~ $" ý " ;-- '^r Q E 117 CONTACT PHONE 116 118 I CONTACT MAILING , ADDRESS CITY 119 120 STATE 121 ZIP 122 ..PRIMARY.. NAME C þ.QcA TITLE , . IV. EME~GENCYCONTACTS ..sECONDARY. Q(2\~ 123 NAME ~ft 129 125 TITLE 130 126 131 24-HOUR PHONE !oLl-\ \30 127 24-HOUR PHONE 132 PAGER # 128 PAGER # 133 , <" , , :Yo ,ÇERTIFICATION > ,/. /' inq ,ry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined form' 'on submitted in this inventory and believe the information is true, accurate, and complete. I OP T DATE 134 NAME OF DOCUMENT PREPARER 135 136 137 ~ UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd HAZARDOUS MATERIALS INVENTORV CHEMICAL DESCRIPTION e CITY OF BAKERSFIELe OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326=3979 DNEW DADD o DELETE D REVISE 200 (one form per material per building or area) Page of I. FACILITY INFORMATION 3 . I i I 'f' CHEMICAL NAME I o Yes 0 No 202 204 203 II. CHEMICAL INFORMATION "1.. 205 TRADE SECRET 0 Yes 0 No 206 If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS' DYes 0 No 208 ; CAS# 2O9 ·IfERS is·YeII.· a118ØIOWttS below 11lIl5t be in Ibs. I FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) PHYSICAL STATE 210 o P PURE Git m MIXTURE o w WASTE 211 RADIOACTIVE DYes ONo 212 CURIES 213 o s SOLID ŒIJ LIQUID OgGAS 214 LARGEST CONTAINER 215 TYPE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT m.1 FIRE ~2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH 216 217 MAXIMUM DAILY AMOUNT GAL 218 AVERAGE DAILY AMOUNT 219 STATE WASTE CODE 220 UNITS' !2J'ga GAL 0 d CU FT . If EHS, amount must be in Ibs. o Ib LBS o In TONS 221 DAYS ON SITE 222 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM De PLASTIClNONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON o q RAIL CAR o r OTHER 223 STORAGE PRESSURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o C CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 2 7 'lIvre:. 226 ·~O 227 o Yes 0 No 228 229 /?/J--M eJ\?! 231 0 Yes 0 No 232 233 3 235 OYesONo 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 DYes 0 No 244 245 \ \ III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 I UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION .. CITY OF BAKERSFIELIA OFI'ft:E OF ENVIRONMENTAL SB.VICES 1715 Chester Ave., CA 93301 (661) 326-3979 DNEW DADD o DELETE D REVISE 200 (one form per metetisf per budding or arøe) Page of :'" '¿~·..''..~t~}¡¡;:7f1-~';:~/'~ ....'~~.}.;.~~ ~', ;,,' .: ':r.,.}~:,::~l~.·;i~;>·-;-:' ,~ :-;t\~ ~,~ :~. . , " . .~!~I:'F=ACILIT'(,INFQRMATI()N~i~" '~.fi~~~<::' ': ' '-:~·-i,' - - . .' 3 201[ CHEMICAL LOCATION CONFIDENTIAL (EPCRA) GRID # (optional) o Yes 0 No 202 204 205 TRADE SECRET 0 Yes 0 No 206 If Subject to EPCRA. refer to instructions 207 COMMON NAME EHS' o Yes 0 No 208 CAS # 209 I FIRE CODE HAZARD CLASSES (Complete if requested by local flre chief) 210 TYPE opPURE o m MIXTURE w WASTE 211 RADIOACTIVE DYes CURIES 213 PHYSICAL STATE o s SOLID I uaUID ogGAS 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES o o o o (Check all that apply) 1 FIRE 2 REACTIVE 3 PRESSURE RELEASE 4 ACUTE HEALTH 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 I MAXIMUM 218 I AVERAGE 21g STA~~COrE 220 ! AMOUNT CAlLY AMOUNT CAlLY AMOUNT I UNITS· o 98 GAl o d CUFT o Ib L8S o tn TONS 221 DAYS ON SITE 222 . If EHS. amount must be in Ibs. STORAGE CONTAINER o a ABOVEGROUND TANK 9'e PlASTlCINONMETALlIC DRUM o I FIBER DRUM o m GLASS BOTTLE o q RAIL CAR 223 (Check aft that epply) o b UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOTTLE o r OTHER DC TANK INSIDE BUILDING o 9 CARBOY Ok BOX o 0 TOTE BIN 12 d STEEL DRUM o h SILO o I CYLINDER o P TANK WAGON STORAGE PRESSURE o e AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 I STORAGE TEMÆRATURE o e AMBIENT o sa ABOVE AMBIENT o be BELOW AMBIENT o c CRYOGENIC 225 , 2 230 231 o Yes 0 No 232 233 3 234 235 oYeaoNo 236 237 4 238 239 o Yea 0 No 240 241 5 242 243 o Ya¡¡ 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd .. CITY OF BAKERSFIEL. OFn"CE OF ENVIRONMENTAL SrkVICES 1715 Chester Ave., CA 93301 (661) 326003979 HAZARDOUS MATERIALS INVENTORV CHEMICAL DESCRIPTION DNEW DADO D DELETE D REVISE 200 (one form per meteriBt per building or area) Page of .-,".< i,'. 3 ::,. .,-~+¥,~~~~~\;;lt;::' (~:~~;~~~t*::~~~~':,~,t .~r~~~£{· ~:·J}"Gfir.~:k\·.; '" ,~>~).'c"~ .~. ::~" }·:,'t~A,. "1 ~~":' ',: '9.J¡,r=^~tIJ'{, INF9RMATlON~{;) MICAL LOCATION -:,"~' .,¡}~,-·-:"'~;/::,;·r",,,,-.~'.:. ,,,"<.~' ,.~. ;,~\.~'J.:.;.::.:.,"':.:';" ;Ctte,..lèAt:INFORMATlòN .:',«c.":- ,. ',. ..,,¡;~ '-"':"..........t", ~~'! ,."" '; ,'....^.'~,,~ .-;I<-~:~,:" ',' ~p Dyes D No 202 204 205 TRADE SECRET Dyes D No 206 If 5ubjec:l to EPCRA, refØf' to instructions CHEMICAL NAME 207 COMMON NAME EHS· Dyes D No 208 CAS # 209 I FIRE CODE HAZARD ClASSES (Complete if requested by local fire chief) TYPE pPURE D m MIXTURE D w WASTE 211 RADIOACTIVE Dyes PHYSICAL STATE D s SOLID D I LIQUID 214 LARGEST CONTAINER FED HAZARD CATEGORIES o 2 REACTIVE o 4 ACUTE HEALTH (Check aU thet apply) ANNUAL WASTE MAXIMUM AVERAGE AMOUNT CAlLY AMOUNT DAILY AMOUNT UNITS· o ga GAL o tn TONS . If EHS, amount m o 5 CHRONIC HEALTH o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN o P TANK WAGON STORAGE CONTAINER (Check alt that apply) _ PlASTlCINONMETALLIC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX I CYLINDER o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING STEEL DRUM STORAGE PRESSURE o as ABOVE AMBIENT o ba BELOW AMBIENT a AMBIENT 210 CURIES 213 215 216 219 STATE WASTE CODE 220 221 DAY?hs 222 o q RAIL CAR o r OTHER 223 224 ì 233 ! 2 230 231 o Yes 0 No 232 3 234 235 o Y63 0 No 236 237 238 239 o Y63 0 No 240 241 L UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd .. CITY OF BAKERSFIEIA OníCE OF ENVIRONMENTAL nRVICES 1715 Chester Ave., CA 93301 (661) 32~-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADD 200 D DELETE D REVISE 207 COMMON NAME EH5° (one fa"" per matÐrl8t per buDding or arøa) Page of D Ves D No 206 If Subjeà to EPCRA, refer to instruáions Dves DNo 208 CASfI 209 FIRE CODE HAZARD CLASSES (Complete If requested by local fire cNef) TYPE D P PURE D w WASTE 211 RADIOACTIVE D Ves D No PHVSICAl STATE 214 LARGEST CONTAINER DgGAS I I I FED HAZARD CATEGORIES (Check aU that apply) ANNUAl WASTE AMOUNT REACTIVE D 3 PRESSURE RELEASE D 4 ACUTE HEALTH D 218 AVERAGE CAlLY AMOUNT -=s UNITS" 98 GAl D of CUFT D Ib LBS D In TONS . If EHS, amount must be In Ibs. STORAGE CONTAINER (Check aU /hat apply) De PlASTlCINONMETALUC DRUM Of CAN D 9 CARBOY D h SILO D i FIBER DRUM DjBAG D k BOX D I CYLINDER D m GLASS BOTTLE D n PLASTIC BOTTLE Do TOTE BIN D P TANK WAGON D s ABOVEGROUND TANK Db UNDERGROUND TANK .E!f TANK INSIDE BUILDING ~ STEel DRUM "is AMBIENT D BB ABOVE AMBIENT D ba BELOW AMBIENT STORAGE PRESSURE 210 CURIES 213 215 216 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 D q RAIL CAR Dr OTHER 223 I 224 ! STORAGE TEMPERATURE Cf::) 2 02.0 230 231 Dyes D No 232 233 3 ID 234 235 DVesDNo 236 237 4 1 239 D Vos D No 240 241 5 242 243 Dyes 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd