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BUSINESS PLAN 8/8/2003
Per It Operftte to Hazardous Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment /1~~~::~ FIRESTONE TIRE & RUBBER.eQy~af'. ....,X;,Ui4~,;~?'~?j¡i(~~ "':'''l~, ,;;:(1-, '/ "&.;j/ <,;', ..,.. ·.('L"~:¿ i:':'::<"';&,~~, LOCATION: 3650 STINE RD l~,' ,/~, .'SAKERSFIELD ilCÀ'93"\ l!~:i.;/ .·.'C. .\ ~- \ l'}~¡ Permit I D #:: 015-000-001094 e Issued by: ;. Issue Date '.j;', :,,~ <~. . .~ .. ",¡ ~i \ ., ,. . " ~_~f " "4{ æ ,,/ ..'J '. ;l (!.i." ¡ ,:t;:/"' \, "; ~1, \. t".. '!, "~~ -f'} 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: June 30, 2003 , " : I ~J \ , . ,¡,.'. VI /0~ -) ~ 'c' Permits. Fac 11 i ty 'Name .3/00 '/'7 /íAE,.ÇfD,J¡Ç -(-, Inspeetor Date FINAL INSPECTION CHECKLIST - /A.'" j I S- ""'1".' I :.:; Q (, {p..../ ) Cv'/,...,,:íf -' ". .J ..... I I f,;.-;;.:: ."': "f::' SéR./é.5 d> I ~!""""A'AL cO,JiJJC'TNI7'¡1' ::(,;S~R, I /--; /),J,.J¡Ju'K. ...J.ri:I<:(-.' I .I I i I I I I I I I ~ .~- I I I I I .. ¡ N w,o. --- \\ , i \ c:, ..c F/ C. ,,' I Plot plan notes J...- I - - ~'·'_r......,Vf,. --------- I J , I ::'\ '71 i I Plot Diagraœ 1. All new and existing tanks located on plot plan? 2. Does tank product correspond ~o ~roduct labels on plot plan? 3. Was there no .odifications ~dentified which were not depicted on the plot plans? If "No" described . ...-- -..'---- '.. .......__.._.._. ._-- ._..._. - - _._. ~_..... 4. Are monitoring weli~ ~~[ re ani. product in su.p? ,~.o If ""..- and 5. Is piping system pre""¡"~~ suet,lilT r~raoJi \. ? Yes No ø I_I I~ -, I_I 10 I_I Vi' 1- \_1 /":-/<:";AV!Í'f1 ~ - .-~~....."~""-- ,. t~ ' _~:.,~ ~., ",. ..~~"f\.:í _ .. ", "'I'TE/-~AC'IL'I~~- 'D_~G:R~' - ,'--=-" FORM 5 IÐ9+ C3¡=f1~f 7 . " 3~5D '6+ i ne... FLOOR: ¡ OF I UNIT;;: I OF I FACILITY DIAGRAi'1 X NORTH SCALE: BUSINESS NAME: t£ ì FACILITY NAi'1E: (CHECK ONE) SITE DIAGRA'1 I] "(I~ .¡ý ff¡ ~ y..\ '1 ·fl,J \ . V ~~ ~ t- / . IfI~ / / I I -.5 I 1(/ I r- r to Otþ ~ '11 5FJ¡) ',', ~ '~ :> :;J- ,I VI I ¡ ~~ ,ç / ,~ "b I (' "- Iv ~ '~ ~ ÞI" d~ Ii ~l " I ~I 1 61" ¡ ~ ~ ~~ I 5/;1),;-";:7 ~ .tId.U.-ØßJ/ f,LtI' ~~t ~ ~ 'i" {1- /1 ~ 1." 6~ í)~ofllt( , , l5ecc¡~~~0/~ - ~£,A/ / "(Inspector's Comments): -OFFICIAL USE ONLY- - 5A - SITE DIAGRAM (Requ'IIIÞite.S) 1. Address: Identity the- principle buildin~s by the Street nu.bers. e 9. Lock (key) Box " ..~ "Ý:.r <"~~ 10. MSDS Stora~e Box 2. Street(s). Alleys, Driveways, and Parkin¡ Areas adjacent to 'the property. Include the street na.es. 11, Railroad Tracks 12. Fence or Barrier a. .Wlre Þ. Masonry 3. Store Drains, Culverts. Yard Draina c. Wood 4. Drainaie Canais. Ditches. Creeks, d. Gates 13. Powerl1nes 5. 8uildings a. Fraae construction 14. Guard Station b. Masonry construction c. Metal construction J ! 15. Storage Tanks: Identify the capacity in &,111. a. Above Ifround Þ. Under¡round ) l d. Access Door 6. Utility Controls a. Gas 18. Diking or Bera b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identity the location where e.ployeu .ill ..et. 7. Fire Suppression Systeas: a. Fire Hydrants b. Fire Sprinkler Connections 19. OutsIde Hazardous Wa.te Storage c. Fire Standpipe .... Connections " , d.~~"e~Control Vslves tor~ otection syate.s -.' ~f ..~. ,;~ '\¡'~ ~~ii e. Fire PUllP ~ ...~ 20. Outside Hazardous Material Stora¡e 21. Outside Hazardous Material Use/Handling 8.. Fire Depart.ent Access 22. Type ot Hazardous Material/Wa.te Stored or Used (See Belo.) ~ ~ TYPE OF HAZARDOUS MATERIAL F · naaaable E if Explosive L · Liquid R · Radiologicai C · Corrodve 0 k Oxidizer G · Gas P · Polaon W · Water Reactive T . Toxic 9 · Solid H · Cryo¡enic D . Waste 8 . Etlololical Exa.ple: Fla..able Liquid· FL FACILITY DIAGRAM (Required ite.. in addition to the above) 1- Risera tor Sprinklers 8. Pire Ifscapes 2. Partitions V. Air Conditioning Unite 3. Stairwayœ: Indicate the 10. Wind_ level, .erved (ro. h1¡hest to lowelt. 11. Inaide Hazardoua Waste Storale 4. Escalator: Indicate the levels served tro. la. Inaide Hazardous hicheat to lowest. Materials Storace 5. Elevator 13. Inside Hazardous Material. Use/Handline 8. Attic Acces. 14. Sewer Dra1n Inlets 7. Skyll¡hts .:¡ :;1 :11' II II : i!L" ; .. -...--..--J¡I...-~s-..--------- IIWOIŒ---- _-'l'Iß-:9ßJ~JQcK .=-834:6g'l~ ..., _rfl"~lL'f'-l,1",( t_w ,'\I, M-Lh.axSCD--. '---,.-,- -..-,---~~ll1~, 613-,-,- ,---,- '- -,- ---.- ----, -. -- -, -- __ __ ____ __________'________ :¡¡ jl! ~:! - - ~(tJ_~ liw~ : Irtct'l ~1UA.úfJ ~t--(C¡Lchv~.s III ff l5ð.OO. h~~ B 'J1-/~ß ði2.. I I- . . 1-- ~'}--B~ '~ l&d_~cf1J{f1)tJV ?? il I, -, - - - - ~-. -----------~·~t---- .-~---------.--------- ---- I,; II , ¡¡ , , ill t ~-- ·--~'--L· ,--~~~,.--..-, " ;-, " :'1 ~L_____~~~~______~___~_____ -----~-- i -- ------.-_._,.L___._,.__ ,.__ _....___..______,__,_,_.___,._.,.,_._,.. ___. ,.,_,,___,__,__. "I ,t¡ ['I .._--~-,-- Iii ':1' ,__.. __'_'___.._______,_.._.__..,. ,_._.__,__,_,__. .,--.-. '-"----'-Fr--- ---, -- -- . -"':.--'---- ---,-, ,. .:.~1------ - ,...,-..--.-'-,-----,--,,---,-,----,----,,------ '''-,-------' ,:1 ---- '------Tt II¡ ,--,..--·-----,-,H~-----,"--, '!¡ ,II I¡I , I -- ...-, __. T I I ----- -~ ---~----------------- ------- ---------------- --- -------- . - _.n _____ +.._. - ------------.----.-------..--- .------- ---..--.. ..- --- . - - -. - ---- _ _ __·___.__.~___H_______________.h_ .' --- - "-' ':t -" ,-, . 'II ¡d .-. . -- -" -.---------.- -- -------t'..--- "--- ~-.. -. :11 ::-1 ., " -----.---- -.--------- - - - ----,- ---"-----.- .- .,- .- - -- --- -- --'--- -----~..- -_..~----------- ---~- -------.-- -------- ----~------- _._--,---------~._-- - - - ------ -- ---- --------------~-- ~~ F~-ìII. __ ..r FIRESTONE STORES 3650 NEW STINE RD. BAKERSFIELD, CA 93309 (805) 834-8844 IT WAS A PLEASURE /)1"\ I'1..i A fIl- SERVICING YOUR CAR f1l-Æ1 ¡Vl ~ -~ ---, - -~--------' ,"{) F':ÏRESTONE TIRE & RUBB~CO #3588 . 'Ol¿:~:n j SiteID Manager : BRIDGES TONE/FIRESTONE INC Location: 3650 STINE RD City : BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: to I I I E~~~gencyrContâct OßCAR HAGUREGUL Business Phone: 24-Hour Phone : Pager Phone : , 't~~~ ~~~ BusPhone: Map : 123 Grid: 14A (661) 834-8844 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:7538 DunnBrad:00-128-8109 / Title / STORE MANAGER (661) 834-8844x (661) B35 89~rxÇt7,-?4t 'Cr"~ - ~ 'Mjy':- Ç{)4- r()5"ft, Emergency Contact DAVE SINAI Business Phone: 24-Hour Phone : Pager Phone : / Title / ASST DIST MGR (916) 486-3852x (626) 581-7975x ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : ---RICH V .LLLJ: F\",ar~vJ Ç'chLi be(' MailAddr: 3650 STINE RD City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 834-8844x State: CA Zip : 93309 Phone: (916) 486-3852x State: CA Zip : 95825 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address : City BRIDGESTONE FIRESTONE INC 2361 BUTANO DR : SACRAMENTO Emergency Directives: I, Àt\J~~~or~~ai~if Do hereby certify that I have reviewed the attached hau1rdous materials manage- menj plan for'hl'tz.8k^L..- . and that it along W'·th (Nama of Business) any corrections con$titu~s a !COmplete and correct man- agement plan for my facility. ~r24~, ß/ønQIUAII "Sš> r r() ~ Date -1- 08/05/2003 ~.---___ ..'i e - FIRESTONE TI~ RUBBER CO #3'588 S't ID 015 021 001094 & 1 e : - - r. Manager ,;: BRIDGESTONE/FIRESTONE INC BusPhone: (661) 834-8844 Location: 3650 STINE RD Map : 123 CommHaz : Moderate City : BAKERSFIELD Grid: 14A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code:7538 EPA Numb: DunnBrad:00-128-8109 -- \ \ 1.A. ..... ~ I 1f'\IA\.' If.-, 1_ I I...... ç. I - I..... I ~ Emergency Contact V\.,{ ~ ~ \) 1fi1."i è v I ~,: / Title Emergency Contact RTC'M ~:ILLI 'OS£o..-< / STORE MANAGER ~~lAILLÊ / ASST DIST MGR Business Phone: (661) 834-8844x Business Phone: (916) 486-3852x 24-Hour Phone : (661) 835-8951x 24-Hour Phone : (JIG) g:JQ ¡::;?AAx Pager Phone : ( ) soo-&036Cp Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : RICH VILLI Phone: (661) 834-8844x MailAddr: 3650 STINE RD State: CA City : BAKERSFIELD Zip : 93309 Owner BRIDGESTONE FIRESTONE INC Phone: (916) 486-3852x Address : 2361 BUTANO DR State: CA City : SACRAMENTO Zip : 95825 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif1d: RSs: No Emergency Directives: One Unified List 9 All Materials at Site 9 SpecHaz EPA Hazards DailyMax MCP F IH L 100.00 GAL Low DH L 250.00 GAL Min F DH L '500 GAL Low So ~ f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name... COOLANT MOTOR OIL WASTE OIL W CA-~~ ~\. ~ -1- 09/30/2002 " .- -' e e F FIRESTONE TIRE & RUBBER CO #3588 f= Inventory Item 0005 == COMMON NAME / CHEMICAL NAME COOLANT SiteID: 015-021-001094 9 Facility Unit: Fixed Containers on Site 9 Days On Site Location within this Facility Unit E END OF SHOP AREA PLASTIC DRUMS Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 100.00 GAL %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SW CORNER INSIDE Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 150.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS ZA A SSME S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min HA RD SSE NT -2 - 09/30/2002 ;o¡¡ e e F FIRESTONE TIRE & RUBBER CO #3588 f= Inventory Item 0006 === COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001094 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 221 STATE - TYPE Liquid Waste , PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum Daily Average GAL GAL %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -3- 09/30/2002 ·.. e e F FIRESTONE TIRE & RUBBER CO #3588 I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001094 9 Fast Format , Overall Site 9 06/14/1999 CALL 911 - BAKERSFIELD FIRE DEPT HAZARDOUS MATERIALS DIVISION - 326-3979 POLICE DEPARTMENT - 911 Employee Notif./Evacuation 08/27/1991 NOTIFY FIRE DEPT AND POLICE AT ONCE. REQUESTED. HAVE ALL EMPLOYEES LEAVE AREA WHEN Public Notif./Evacuation . 06/14/1999 ] 04/29/19971 I THRY POLICE AND FIRE DEPT DIRECTION. I Emergency Medical Plan HEALTH NET COMP 1-800-961-2667. -4 - 09/30/2002 ~~ e e F FIRESTONE TIRE & RUBBER CO #3588 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001094 9 Fast Format '9 Overall Site 9 06/14/1999 HAVE SWEEP UP MATERIAL, MOP & BUCKET, EYE PROTECTION AND APRON WITH RUBBER GLOVES. r Release Clean Up Containment 08/27/1991 II OCTO SORB II SYSTEM - OIL CONTAINMENT SYSTEM - VARIOUS ABSORBANT SNAKES PADS WITH A 55 GALLON BARREL TO HOLD WASTE. HAVE UNDER CONTRACT PETROLEUM RECYCLING CORP TO DISPOSE OF WASTE OIL PRODUCTS. Other Resource Activation I , -5- 09/30/2002 ~ e e F FIRESTONE TIRE & RUBBER CO #3588 I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-001094 9 Fast Format 9 Overall Site 9 I 06/14/1999 A) GAS - W SIDE OF BLDG OUTSIDE B) ELECTRICAL - NW CORNER OF BLDG IN SHOP C) WATER - S SIDE WALL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 06/14/1999 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHTOUT SHOP. FIRE HYDRANT - S WALL OUTSIDE. Building Occupancy Level -6- 09/30/2002 ~ e e F FIRESTONE TIRE & RUBBER CO #3588 I F Training Employee Training SiteID: 015-021-001094 ì Fast Format ì Overall Site ì 06/14/1999 WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: MANAGER REVIEW OF HANDLING PROCEDURES AND EMERGENCY SITUATION WITH EMPLOYEES. Page 2 r I I Held for Future Use Held for Future Use -7- 09/30/2002 ;; Þ" Rr<'/~Ef'\lE~ za!us Materials Disclosure 10folatioo Jur~ 11 ~999 Bakersfield, CA Kern County JB~;/~"" Site I.D. 215-000..n~ ·'/Section '1--Business and Address Information ~ Business Phone: (661) 834-8844 Map: 123 Grid: 14A CommHaz: Moderate FacUnits: 1 AOV SIC Code: 5531 Mail Notices to: Bridgestone / Firestone District Office (AMTS) 2361 Butano Drive Sacramento, CA 95825 Attention: Brian Miller 6/8/99 EPA# CAD 981 981 996 I Firestone Store 3650 Stine Road Bakersfield, CA 93309 # 3588 Phone: 1 (661) 834-8844 Ph: (916) 486-3852 Fire District: Bakersfield Fire Dept. Section 2--Contact Information A. Name of contact durina business hours: Shift Hours Name I Title 17AM-6PM Rich Villi Store Manager Phone Number 1(661) 834-8844 B. Two names etc. to contact after business hours: Shift Hours 7AM-6PM Shift Hours 17 AM-6PM Shift Hours 7AM-6PM Name I Title Rich Villi Store Manager Name I Title Chuck Robitaille / Asst. Dist. Mgr. Name I Title Brian Miller / Dist. OpS. Asst. Phone Number (home) 1(661) 835-8951 Phone Number (page) 1(916) 828-6288 Phone Number (page) 1(916) 828-5446 C. Two names to contact in case of emergency Haz. Mat. Incident: Shift Hours Name I Title 17AM-6PM Rich Villi Store Manager Shift Hours Name I Title 7AM-6PM Chuck Robitaille / Asst. Dist. Mgr. Phone Number 1(661) 834-8844 Phone Number 1(916) 828-6288 (page) Section 3--General and Buildina Information DBA (Doing Business As) if different than business name Firestone Tire and Service Center Description of main business operation Automobile and light truck servicing and repair. NOTE: The underground waste oil storage tank has been removed from this site. Waste oil is now stored in the open storage area @ the SIW corner of the building. (285 Gal. Cap.) Page 1 , . e e Employee information - # of employees on site per shift hours: Additional Business Info: Shift Hours Day of Wk. Number of employees Standard Industrial Code (SIC) 5531 7:30A-6PM M-F 8 (UBC) Shift Hours Number of employees Uniform Building I Occupancy Code B-1 I B-2 8AM-5PM SAT. 8 Shift Hours Number of employees Lot Size (square feet or acreage) Unknown SUN. Closed Number of Floors 2 (basement below showroom access @ NE & SE corners of shop area.) Reporting Status (section 4) I E Section 4--Chemical Disclosure Information--Reportina Status A. No chemicals are used in any way in our business. B. Chemicals are used in our company, but we do not meet the requirements for disclosure. We have no chemicals in amounts requiring disclosure. C. Chemicals are used in our business and we are submitting our initial Hazardous Materials Disclosure Packet. D. We have reviewed our records and we have no changes from previously submitted information. E. We are submitting a renewal with changes as indicated. ·***SPECIAL NOTICE FOR DISCLOSURE PACKET UPDATES···· If any of the following occur, you are required to notify our department within 30 days to complete an updated disclosure form! 1 Change of business address. 2 Change of business ownership. 3 Change of business name. 4 Cessation of business operation. 5 Change of business occupany class (UBC). 6 7 Reclassification of TRADE SECRET INFORMATION. Change of handling or use of previously undisclosed hazardous material, waste, or combination thereof. Storage of any new hazardous material that would require you to comply with disclosure laws. A significant change in handling inventory quanity (100%) of any hazardous material for which disclosure information has already been made. 8 9 Page 2 , e e Section 5--Sianature I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. ~ --/' 6/8199 Signature Date hazmatfm.xls Brian N. Miller District Staff Assistant Please return form to: Bakersfield Fire Department Administrative Services 2101 "H" Street Bakersfield, CA 93301 (661) 326-3941 (661) 395-1349 (fax) 3/23/98 IMPORTANT: Business are required to update their Business Plan & Disclosure information annually. Page 3 ,¡ ,#--- ! e FIRESTONE TIRE & R~ER CO #3588 /t/ðAJ V/LL-) Manager :~TONE/FIRESTONE INC Location: 3650 STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 14A 215-000-001094 (&,~) 834-8844 ComrnHaz : Moderate FacUnits: 1 AOV: CommCode: EPA Numb: SIC code:~~~Ø/ DunnBrad: ¿J1I-/1-J ~hd~ Emergency Contact / Title Emergency Contact / Title RICH VILLI / STORE MANAGER r'VUtlAt, /t,,ð/f/).í<LlE / ASST DIST MGR Business Phone: ((;,~/) 834-8844x Business Phone: (916) 486-3852x 24-Hour Phone : (~" I) 835-8951x 24-Hour Phone : (916) 828-6288x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire React ImrnHlth DelHlth Contact : RICH VILLI Phone: (~¿'I) 834-8844x MailAddr: 3650 STINE RD State: CA City : BAKERSFIELD Zip : 93309 Owner BRIDGESTONE FIRESTONE INC Phone: (916 ) 486-3852x Address : 2361 BUTANO DR State: CA City : SACRAMENTO Zip : 95825 Period : to TotalASTs: ~ = ø¿J6J Gal Pre parer: TotalUSTs :...{j)- = -e- Gal Certif'd: RSs: No Emergency Directives: f= Hazmat Inventory p== As Designated Order One Unified List l All Materials at Site l Hazmat Common Name... SpecHaz EPA Hazards NEW OIL DH ~ cf.ð N"'.é F IH DH ELECTROLYTE STORAGE BATTERY Ú17ttÝ£/.») R IH DH COOLANT I ¿Æ'LJJJV æz. Ell!.- F IH , /, fíV~OVP1Ír¡f~~' Do hereby certify that I have rs~i®w~©J ~f¡s ~titãJchsd hazardous ma!eJja!s m~r¡~QJe- hÆ " , ~Ø/¿'J' mlSfD~ pla¡BîJ ~©&" 1,'~~K'£~81d ~ha1. üî a'©fi~ with any ©[»í"r~ñ©>BîJ~ OOfDfS~i~t!~~ a completa ti3lrnd ©Qrr~d man- a@am®O'D~ W»~~BîJ ~©>rr ml? ~~m~. DailyMax MCP L L L L Min Mod Hi Low 250 GAL 10 GAL 10 GAL 100 GAL 12/11/1998 .' e e F FIRESTONE TIRE & RUBBER CO #3588 p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME NEW OIL SiteID: 215-000-001094 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW CORNER INSIDE Map: Grid: CAS # 8002-65-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 150.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min HAZARD ASSESSMENTS p= Inventory Item = COMMON NAME / SOLVENT 0003 CHEMICAL NAME til'I'Itf (þ,4/.dy /It~øf ¿u.i?.P)/ð£) Location within t~acility Unit Map: Grid: SW CORNER INSIDE Facility Unit: Fixed Containers on Site ì Days On Site 365 CAS # 64741-41-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 10.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10.00 GAL Daily Average 10.00 GAL %Wt. RS CAS # 85.00 Naphtha Solvent No 8030306 12.00 Benzene No 71432 1. 00 Xylene, Mixed No 1330207 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -2- 12/11/1998 e e í FIRESTONE TIRE & RUBBER CO #3588 ëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001094 i íë Inventory Item 0004 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o ELECTROLYTE STORAGE BATTERY 0 Days On Site 0 o o o o ~ocation within this Facility Unit Map: Grid: ûááááááááááááááááÇ o~SHOWROOM NEAR FRONT DOOR/USED SHOP NORTH NEAR STAIRS 0 CAS # 0 :.. /t7.~.i~-ð...~ ..~!.7.~~..~1'.~!:..--:.. ..~~ q~:#Æ.............................. ~.............. ?~~~:~~:~fo aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeee íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 5.00 GAL 0 10.00 GAL 0 10.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS # 0 o 34.000Lead 0No 0 74399210 o 11.000Sulfuric Acid (EPA) °Yeso 76649390 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 R IH DH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf e e íë Inventory Item íëë COMMON NAME / o COOLANT o 0005 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o Days On Site 0 ~þ~ ûááááááááááááááááÇ o CAS # 0 o o o Location within this Facility Unit o E END OF SHOP AREA PLASTIC DRUMS Map: Grid: o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Pure 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 55.00 GAL 0 100.00 GAL 0 100.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RS 0 CAS # 0 o 100.000Ethylene Glycol 0No 0 1072110 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -3- 12/11/1998 .0 e e í FIRESTONE TIRE & RUBBER CO #3588 ëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001094 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 i o 0 o CALL 911 - BAKERSFIELD FIRE DEPARTMENT o o o o HAZARDOUS MATERIALS DIVISION - 326-3979 o o o o POLICE DEPARTMENT o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 i o 0 o NOTIFY FIRE DEPT AND POLICE AT ONCE. HAVE ALL EMPLOYEES LEAVE AREA WHEN o REQUESTED. o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 i o 0 o THRU POLICE AND FIRE DEPARTMENT DIRECTION o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/29/1997 i o 0 o HEALTH NET COMP 1-800-961-2667. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -4- 12/11/1998 I e e í FIRESTONE TIRE & RUBBER CO #3588 ëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001094 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 ¡ o 0 o HAVE MY SWEEP UP MATERIAL, MOP & BUCKET, EYE PROTECTION AND APRON WITH o RUBBER GLOVES. o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 ¡ o 0 o "OCTOSORB" SYSTEM - OIL CONTAINMENT SYSTEM - VARIOUS ABSORBANT SNAKES PADS 0 o WITH A 55 GALLON BARREL TO HOLD WASTE. HAVE UNDER CONTRACT PETROLEUM 0 o RECYCLING CORP TO DISPOSE OF WASTE OIL PRODUCTS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -5- 12/11/1998 · " e e í FIRESTONE TIRE & RUBBER CO #3588 ëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001094 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 ¡ o 0 o A) GAS - WEST SIDE OF BUILDING OUTSIDE o B) ELECTRICAL - NORTHWEST CORNER OF BUILDING o C) WATER - SOUTH SIDE WALL o D) SPECIAL - NONE o E) LOCK BOX - NO 0 IN SHOP 0 0 0 0 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/29/1997 ¡ o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHTOUT SHOP. o o o o o o o o o o FIRE HYDRANT - SOUTH WALL OUTSIDE. o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -6- 12/11/1998 · e e ,õ í FIRESTONE TIRE & RUBBER CO #3588 ëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001094 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/27/1991 ¡ : WE HAV~EMPLOYEES AT THIS FACILITY : o 0 o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE 0 o 0 o BRIEF SUMMARY OF TRAINING: MANAGER REVIEW OF HANDLING PROCEDURES AND 0 o EMERGENCY SITUATION WITH EMPLOYEES. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj I I. I !IRESTONE lanager : .ocation: ,~ity - TIRE & RUBBER CO #35 ~ BRIDGESTONE/FIRESTON ' IN~PR 2 9 1997 3650 STINE RD BAKERSFIELD e SiteID: 215-000-001094 ,'8<1/ -¡""':J :ommCode: BAKERSFIELD STATION 07 EPA Numb: Phone: : 123 Gr d: 14A (805) 834-8844 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact RICH VILLI Business Phone: 24-Hour Phone : Pager Phone / Title / STORE MANAGER (805) 834-8844x (805) 835-8951x () x Emergency Contact / Title JOE WILLIAMS / ASST DIST MGR Business Phone: (916) 486-3852x 24-Hour Phone : '916-828-6288 x Pager Phone : l) x Hazmat Hazards: Fire React ImmHlth DelHlth Agency-Defined Topic Title f= Hazmat Inventory One Unified List 9 p== MCP+DailyMax Order All Materials at Site 9 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP ELECTROLYTE STORAGE BATTERY R IH DH L 5 GAL. Hi SOLVENT F IH DH L 10 GAL Mod WASTE OIL DH L 500 GAL Low COOLANT F IH L 100 GAL Low NEW OIL DH L 250 GAL Min I, 𣡡:)¡/ ~IJ:UE¿ Do hereby certify that I have (Type or prin name) reviewed the r~~tached lìazaidous materials manage- ment plan icr Hé"',j1"¿,&:?.:r~and that it along with (t~ama of ~1j:~,":p) any corrections consti1ute a complete and correct man- agel11ent plan for my facility. ~~ ~r . ¥tJ· 91 -1- ~ e F FIRESTONE TIRE & RUBBER CO #3588 f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ELECTROLYTE STORAGE BATTERY e SiteID: 215-000-001094 9 Facility Unit: Fixed Containers on Site 9 Days On Site Location within this Facility Unit NEW SHOWROOM NEAR FRONT DOOR/USED SHOP NORTH NEAR STAIRS CAS# 7664-93-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS STOR D AN N Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 5 GAL. 10 GAL. 10 GAL. DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL E D I USE %Wt. EHS CAS# 34.00 Lead No 7439921 11.00 Sulfuric Acid (EPA) Yes 7664939 HAZARDOUS COMPONENTS -2- e e F FIRESTONE TIRE & RUBBER CO #3588 F Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME SOLVENT SiteID: 215-000-001094 9 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW CORNER INSIDE CAS# 64741-41-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 10.00 10.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt. EHS CAS# 85.00 Naphtha Solvent No 8030306 12.00 Benzene No 71432 1. 00 Xylene, Mixed No 1330207 HAZARDOUS COMPONENTS -3- T e e F FIRESTONE TIRE & RUBBER CO #3588 f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 215-000-001094 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SOUTHWEST CORNER OF CONCOURSE CASt 8002-65-9 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK AMOUNTS STORED A D N Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 500 500.00 200.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL N I USE %Wt. EHS CAS # 100.00 Waste Oil, Petroleum Based No 8002-65-9 HAZARDOUS COMPONENTS -4- " e e F FIRESTONE TIRE & RUBBER CO #3588 I F Inventory Item 0005 = COMMON NAME / CHEMICAL NAME COOLANT SiteID: 215-000-001094 9 Facility Unit: Fixed Containers on Site 9 Days On Site Location within this Facility Unit E END OF SHOP AREA PLASTIC DRUMS CAst 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS STORED AND I U Lrgst Cant. this Lac GAL DailyMax this Lac GAL DailyAvg this Lac GAL 55 GAL. 100.00 100.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL N SE %Wt. EHS CAS# 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS -5- e e F FIRESTONE TIRE & RUBBER CO #3588 f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME NEW OIL SiteID: 215-000-001094 9 Facility Unit: Fixed Containers on Site 9 Location within this Facility Unit SW CORNER INSIDE Days On Site 365 CAS# 8002-65-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Lrgst Cont.this Lac GAL DailyMax this Loc GAL DailyAvg this Lac GAL 250 GAL 250.00 150.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE H T %Wt. EHS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 AZARDOUS COMPONEN S -6- e e F FIRESTONE TIRE & RUBBER CO #3588 I p= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001094 9 Fast Format 9 Overall Site 9 08/27/1991 CALL 911 - BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION - 326-3979 POLICE DEPARTMENT Employee Notif./Evacuation 08/27/1991 NOTIFY FIRE DEPT AND POLICE AT ONCE. HAVE ALL EMPLOYEES LEAVE AREA WHEN REQUESTED. Public Notif./Evacuation 08/27/1991 THRU POLICE AND FIRE DEPARTMENT DIRECTION Emergency Medical Plan Health Net COMP 1-800-961-2667 -7- e F FIRESTONE TIRE & RUBBER CO #3588 I I F Mi tigation/Prevent/Abatemt Release Prevention e SiteID: 215-000-001094 9 Fast Format 9 Overall Site 9 08/27/1991 HAVE MY SWEEP UP MATERIAL, MOP & BUCKET, EYE PROTECTION AND APRON WITH RUBBER GLOVES. r=== Release Containment Clean Up 08/27/1991 "OCTOSORB" SYSTEM - OIL CONTAINMENT SYSTEM - VARIOUS ABSORBANT SNAKES PADS WITH A 55 GALLON BARREL TO HOLD WASTE. HAVE UNDER CONTRACT PETROLEUM RECYCLING CORP TO DISPOSE OF WASTE OIL PRODUCTS. Other Resource Activation -8- e F FIRESTONE TIRE & RUBBER CO #3588 I p= Site Emergency Factors , c: Special Hazards Utility Shut-Offs e SiteID: 215-000-001094 9 Fast Format 9 Overall Site ì I 08/27/1991 A) GAS - WEST SIDE OF BUILDING OUTSIDE B) ELECTRICAL - NORTHWEST CORNER OF BUILDING C) WATER - SOUTH SIDE WALL D) SPECIAL - NONE E) LOCK BOX - NO IN SHOP Fire Protec./Avail. Water 08/27/1991 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHTOUT SHOP FIRE HYDRANT - SOUTH WALL OUTSIDE. Building Occupancy Level -9- .. ~ e e F FIRESTONE TIRE & RUBBER CO #3588 I F Training Employee Training SiteID: 215-000-001094 9 Fast Format 9 Overall Site 9 08/27/1991 WE HAVE 9 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: MANAGER REVIEW OF HANDLING PROCEDURES AND EMERGENCY SITUATION WITH EMPLOYEES. Page 2 [ I I Held for Future Use Held for Future Use -10- I . ';' ~ - e ~ 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 Overall Site with 1 Fac. Unit Page 1 General Information Location: 3650 STINE RD Map: 123 Haz:3 Type: 3 City . BAKERSFIELD Grid: 14A FlU: 1 AOV: 0.0 . £/;;n~:/ NRm~ Title f"ont.act..-Name " Title I' I STORE MANAGER ...I'ø~ qiju/,t;ms #.Jsr. LJ/J7:~:" Business Phone: (805) 834-8844.2L Business Phone: I ,,/~ ?T1'6..."rz. 24-Hour Phone · (805) 'as- "~f/ 24-Hour Phone . l--" - - · . Pager Phone · ( ) - x Pager Phone : (~/h ) S-S"¿, -?ø$'/ x · Administrative Data Mail Addrs: 3650 STINE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: Owner: AMERICAN TIRE & SERVICE CO Phone: (615) 292-4481 Address: 50 CENTURY BLVD State: TN City: NASHVILLE Zip: 37214- Summary . ~ á?;/~H??I5 Do hereb\1 C9rt¡~t that I.h~v^ (Typo or prIn¡ namo) J '7 ... ç reviewed the attached hazardou$ I'na.terlat$ mEr :':-!.~4e.. ment plan for k.R~~ and that it a!nnt"~ ì.~/HI1 (Name 01 e1'41:10~) , any corrections constitute a complete and correct man.. agement plan for my facility. tJo: -' r~ ~þ:tf¿f / :It - ì ~ It e 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 SOLVENT Liquid 10 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 WASTE OIL Liquid 500 Low ~ Delay Hlth GAL 02-002 NEW OIL Liquid 250 Minimal ~ Delay Hlth GAL .. " e e 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 SOLVENT ~ Fire, Immed Hlth, Delay H1th Liquid 10 Moderate GAL CAS #: 64741-41-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10 I 10.00 I 10.00 storage r Press T Temp -:ì Location DRUM/BARREL-METALLIC Ambient Ambient SW CORNER INSIDE Cone 85.0% 12.0% 1.0% Components ffi MCP guide Moderate 27 Moderate 27 Moderate 27 Naphtha Solvent Benzene Xylene, Mixed 02-001 WASTE OIL ~ Delay Hlth Liquid 500 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 500 I 200.00 I 2,800.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient Ambient I SOUTHWEST CORNER OF CONCOURSE - Cone l ' Components 100.0% Waste Oil, Petroleum Based ri: MCP ----rGuide Low I 27 02-002 NEW OIL ~ Delay Hlth Liquid 250 Minimal GAL CAS #: 8002-65-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I 150.00 I 1,400.00 storage ABOVE GROUND TANK r Press T Temp -:ì Location Ambient AmbientlSW CORNER INSIDE - Cone l Components 100.0% Motor Oil, Petroleum Based r; MCP ----rGuide Minimal I 27 · " ~ HAWDOU.S MATERIALS INVE_ORY MJq/Ú. ~II~ Øf/~ddress j(,5// h& ~ ~Þh~. Page_of_ usiness Name CHEMICAL DESCRIPTION 2) Common Name: a NON TRADE SECRET [~TRADE SECRET [ J Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL ¡V;,.r-¿ Fire [] Reactive [] Sudden Release of Pressure [ ] /,c HEAL~ //ý~ÇS'ç' Immediate Health (Acute) [~Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION I (3·digit code from DHS Form 8022) USE CODE 9 6) PHYSICAL STATE Solid [J Liquid ~ Gas [ ] Pure ] Mixture ~ Waste [] Radioactive [ ] CHfQ( ALl. mAT APPU 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annuai Amount: Largest Size Container: # Days On Site IP() UNITS OF MEA~RE Ibs [ J gai ["'I"'" ft3 { ] curies ( ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: 't. /0 , S""S- Jh~ Circle Which Months: M. A. M. J, J. A, S. O. N. D 9) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # %WT AHM [ ] [ ] [ J 1) 2) 3) 10) Location /:,(/..I:r ~ d/ .f#,/, //,1'61 /I/Ih'/¿ t?/Ø?-?/ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ~ditiOn { ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [~DE SECRET ( ] ChemicaJ Name: 3) DOT # (optionai) 2) Common Name: CAS# 4) PHYSICAL & HEALTH HAZARD CATEGORIES Fire [ ] PHY~AL Reactive I"'i"" Sudden Release of Pressure ( ] HEALTH Immediate Health (Acute) {~Iayed Health (Chronic) ( ] CkfCl< ALL TNA r N'Pt. y Radioactive [ ] 5) WASTE CLASSIFICATION 6) PHYSICAL STATE Solid I ] (3-digit code from DHS Form 8022) Liquid ~Gas I ] Pure {] Mixture 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: J tJO Average Daily Amount: ~ Annual Amount: ' Largest Size Container: =:=E: # Days On Site ~ UNITS OF MEASURE Ibs [ ] gaJ [ ] ft3 [~ curies [ J 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: Circle Which Months: A, M. J, J, A. S, 0, N. D 9) MIXTURE: List the three most hazardous chemical components or any AHM components COM~ENT 1) /f;¿!'~U',<t!!.. ~/) CA$# %WT AHM I] [ ] 2) tICJI..ow3Q. ,tIiII:I IIIIECIOtY \.EPC1'TNC»IIIIDFCJi'» BAKER5FU¡LD CITY FIRE D~PA~MENT HAZAF1Wous MATERIALS INVENT~Y ," ¡'" " Page_of_ . , 3usiness Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( ] Addition ( ] Revision (. ] Dele:tion ( ] Check if chemical is a NON TRADE SECRET ( ] TRADE SECRET [ ] 12) Common Name: 3) DOT # (optional) I Chemical Name: AHM [ ] CAS # ! 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ], Delayed Health (Chronic) [ ] I I 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE I I 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas ( ] Pure [ ] Mixture ( ] Waste [ ] Radioactive [ ] CHECI<ALL rn4T APPlY 7) AMOUNT AND TIME AT FAÇIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 100 [ ] gal [ ] 1t3 [ J a) Container: Average Daily Amount: cunes [ ] b) Pressure: Annual Amount: c) TempØråture: Largest Size' Container: # Days On Site Circle Which Months: All Year. J. F. M. A. M. J. J. A. S. O. N. D ·1 9) MIXTURE: List COMPONENT CAS # %WT AHM ¡ the three most hazardous 1) [ ] cnemlca! components or any AHM components 2) [ ] " 3) [ ] , 1 0) Locatio n I CHEMICAL DESCRIPTION I ! I 1) INVENTORY STATUS: New ( 1 Addition [ ] Revision [ ] Deletion [ 1 Check if chemica! is a NON TRADE SECREJ [ ] _TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) , - " Chemical Name: AHM ( ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ 1 Delayed Health (Chronic) [ 1 II 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE i 6) PHYSICAL STATE Solid [ ] Liquid [ 1 Gas [ ] Pure [ ] Mixture ( ] Waste [ ] Radioactive ( ] i C>ífCl< A.L.L ì'I-IAT APPl 'f , 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily ,Amount: Ibs [ ] gal [ ] ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: , Annual Amount: c) Temperature: I Largest Size Container: # Days On Site Circle Which Months: All Year. J, F. M. A. M, J. J. A. S, O. N. D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) [ ] chemica! components or any AHM components 2) [ ] 3) ( J è " , . , .. ., .' 10) Location, . . I cert1fy under pen8Jty of law, mat I nave personaJly exammed and am faml/íar WIth the mfomaDon submttted on thiS and aJI attact/ed documents. I believe me submitted'informatÍon is true, accurate, and complete. , . PRINT Name & Title 0; Authorized Company Representative Signature Date SClemo.Xa '1182 1IIIEG(JrI " LIPC STAfiIOW) IFOW -.I .:U . ~ . ,. '. ... . . ... !-'." '. '~ e ~r-rE~ Etét"7~~'trE . ... ..' . U.S. DOï EMERGENCY RESPONSE GUIDE 1# 60':-:' :.;~~ (FOR 24-HOUR EMERGENCY ASSISTANCE, C~LL èHE'MTREC -ï-8riã-42~93?O) .. ....- ....--. ..... ~ ::·~'·'~;Kþ~~{~~~~~~~~~;'>~~7~ : HEALTH HAZARDS Contact causes bums. to skin-. and. eyes. If inhaied~:may be harmful. Fire may' prodüce irrifåtirìgo{ poisoñous gaseš: --- -. : ' Runoff ,fròrri ~re control or..dilution water. may cause.poUution. _ FIRE OR EXPLOSION .. _ _ . . .... . - Seme of these materials may burn, but none of them ignites rea.dily. ;._ F!ammat;lle/pòisonous'ga.ses may aC~:Jmulata ill'tanks 'and hopper cars." --. ._.. Some of these ~areria.!s may_ig:'1ite comcus.icies (wo,oò...paper. oii.. stc.l...._ _.._.. -- - -- ..-----_._~ .---- ..- -.---. ---.--- -- " EMERGEN.CY ACïtON ..' - - . - .--.- .. .. .. --- i<aep unnecessaf'¡' pecp!ê-'away; isolate. haza.rd ~aa·~d deny. èntry~ ~~?i;:;: .'.~/: ___,.;~ Stay upwind: keep out'iJf row·areas. . . d "'~'-" ',--.. ,~-,',. ~.~ Seif-::ntainec creathinç apparat~s (SCEA) and" stitictt.:rarftreiightar5-"';protec~ve clothing . wilf provids' rìmited protec¡ion. . . ' , . :..;., ' -'.'- . ~-'--';' '- .-, ..' " " -"0 CALL CHEMïFtEC AT 1-ðQQ-42~-9300 FOR EMERGENCY ASSISTANCE..ILwater_poUu~on cc:ur:s,. notify tt.e acpropriata a¡,;tharitfes. FiRE ..... --- .-. SCr.1e of t¡'~se ~ateriatS"' :nay ¡eac: victent!y with ·;v~m:r. --, Small Fires: Dr! ~;,em¡ca¡; CQ2. ~a¡cn: '~/atsr:f:íay or star:qarc fOa.'T!., _ ___.,_... Large Fires: Warer spray. fog ·::r s:ar:carc fear.: is ;ee~mmenced. Move c::Jntainer from fire area it you' ca!"! ce it with~ur risk. - 0-:- -- ' Coot ccntainers ,hat are ex::osed to flames '!lit~ '.'ia.sr from the side until weil after fire . I ... _. .. _.. ..._... __ _.,_ ..._ is out: Stay away f¡om encs .J! tanks. S?fLL OR LEAK _ .. - Do not toäch' spj[t~;.æ.~~ë.rt,~.~·~cp,leàk !(Yo.~:~an do .i~~~~~o~tfÍslS· :·"5f~:,t~~~~;.:3 Small Spills: Take up with sand or other noncombustible' absorbent material and place into containers for later disposal. ......:.. ~:.:;... '.-",' ..;:,,~ ° .-:; .7,' :'"r. ,,:,,,;¿.~:~~~ . ,Small Dry-:.spiÌls;· With 'cléãií' sliõi/èi pì~ce "måte'çiåi '¡'nto :èîë~n, <fry < container anáëõVer; mOlle containers from spill area.-----" ..:., ' ...-..:.. .--.'.-' ':.:.._-~_._- Large Spills: Dike far ahead of liquid spill ror later disposal; . . -. .---..- .. ----- FIRST AID ..... ,.:. ..' : , ; ~rcve vic:fm teef.ash air;'.call emsrçer!cy medic~! ·car:_ . ... -.---- .. -.-- Remove and isalateccnt.aminatec c:othing, ar.C: shoes at the site. _:_ . .,~_____. ..___; In case of' ,contact with materia!. imrne~¡ately t:l.:sh skin or eyes with running water for. at least 15 minutes. ... . - . - ,..- , Keep vï'ctím quiet and maintain norma! .body tem¡::erature. ._ . ,_ _._ . ....... -..... .. ..- -. " . ... .:p -. ..:~~~ ~~.:~~~.;1j " : ~ " ~ . . ;;.; ? .~ ...~ ~ .. '... ,'"' :-:ì _. I (, , t i ! 1 ~ e e 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 - BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION - 326-3979 POLICE DEPARTMENT <2> Employee Notif./Evacuation NOTIFY FIRE DEPT AND POLICE AT ONCE. HAVE ALL EMPLOYEES LEAVE AREA WHEN REQUESTED. <3> Public Notif./Evacuation THRU POLICE AND FIRE DEPARTMENT DIRECTION <4> Emergency Medical Plan 'é. ~ ¡; e e 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention HAVE MY SWEEP UP MATERIAL, MOP & BUCKET, EYE PROTECTION AND APRON WITH RUBBER GLOVES. <2> Release Containment I <3> Clean Up "OCTOSORB" SYSTEM - OIL CONTAINMENT SYSTEM - VARIOUS ABSORBANT SNAKES PADS WITH A 55 GALLON BARREL TO HOLD WASTE. HAVE UNDER CONTRACT PETROLEUM RECYCLING CORP TO DISPOSE OF WASTE OIL PRODUCTS. <4> Other Resource Activation . . ~ e e 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site Page 6 <F> Site Emergency Factors I <1> Special Hazards ! <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING OUTSIDE B) ELECTRICAL - NORTHWEST CORNER OF BUILDING IN SHOP C) WATER - SOUTH SIDE WALL D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHTOUT SHOP FIRE HYDRANT - SOUTH WALL OUTSIDE. <4> Building Occupancy Level ~ ~ . Q ~ e e 10/22/96 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site I ' .' <G> Training <1> Employee Training WE HAVE 9 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: MANAGER REVIEW OF HANDLING PROCEDURES AND EMERGENCY SITUATION WITH EMPLOYEES. <2> Page 2 <3> Held for Future Use <4> Held for Future Use Page 7 0;» :¡_ Wr"\I'._. 1__- -II I 11'1_ -i' ........-.... ¡ ! OFFICE OF ENVIRONMENTAL SERVICES, ~~--;::~;;,._ ¡ 1715 CHESTER AVENUE, 3RD FLOOR ij{~(~~li''if~~ I. BAKERSFIELD, CA 93301 '/(i ' ! (805) 326·3979 Ju L NOV 251996 :¡ I HAZARDOUS MATERIALS INVENTO By 'I I ¡ 1 FACILITY DESCRIPTION : I C:-:E':K IF BUSINESS IS A FARM í ì BUSINESS NAME þ;,~frdh ß?2?~t"'ý -Þßf'88 I ;=AC¡LlTY ;"-JAME SiTE ADDRESS ~.5ð Jé7ß ß/?/J CTY Þf"~#Ýß/.) STAT:: ~ ZiP ?ð~Pf NATU~E CF BUSINESS .IV7P'''~'Ø'/;Ü/L ~.,¡; ~fi"~;?/é?' , SiC CeDE ,?.f'gf1 2UN & BPAOSTREEï NUMBE::i , i OWNEëi¡CPEëiATCR ~M7'¿*~.s~ * ' ¡ MAiLiNG ADDRESS j.~1 #//?~ /J~. I I , i cn .h;A'/J/J?EH1õ I PHONE #¡¿ ¥&~U.f'2- , .:::-,-= ~ ,-,1/"\1'- Z!P 9~ð~.r" E~~RGENCY CONTACTS NAME ø~// Y{LI . BUSiNESS ';;:,ONE !'4f' /;¥$1/1- . NAME ~É Mø//øJ/ , BUSlNESS PHONE 1/t, if& 'J~ ïlTLE .Eo,~ ~~~~ 24-HOUR PHONE.ð.J' "/9.>'1 TITL~ 4/." øJ~/q #1~ 24-HOUR PHONE 9/~ 55h-?of'/ ~/F¡/.... s.a.._ :XI. I SIIIZ AI!CIICIH'I LÐC STANONIO F· W"I''''. ''''I .......... "". I-.J I .. ,... ...,...rl""u ~IV''''I'II HAZAR_US MATERIALS INVENT~ '.-~~.- ~ge_of_ ! ~1 ' : -. :siness Name Address -I' .. CHEMICAL DESCRIPTION ~r~ -, ' " :) INVENTORY STAT\JS: N_ I ) Addition I J Revision I ) Deletion I ) Check if chemical is a NON TRACE SECRET ( ) TRADE SECRET [ I :) Common Name: 3) DOT II (oØCional) Chemical Name: AHM [ ] CAS # 1) PHYSICAl & HEALTH PHYSICAl HEALTH HAZARD CATEGORIES Fire [ ReactIVe I J Sudden Release 01 Pressure ( J Immedie1e Health (Acute) I ] Delayed Health (Chronic) ( 3) WASTE CLASSIFICATION (3-digit code trorn DHS Form 8022) use CODe 3) PHYSICAl STATE Solid [ ] uQuld [ J Gas [ ] Pure l] Mixture [ J Weste I] RadioectiYe ( ] I ·:Jr:ffOC AlL )"}.¡,4f JJIPl ~ ¡ '- I ~) AMOUNT AND TIME AT FACIUTY UNITS OF MEASÛRE 8) STORAGE CODES, MllXlmum Daily Amount: Ibs [ ] gaJ ( 1 It:! [ ] a) Container: Average Daily Amount: cunes [ ] b) Pressure: Annuei Amount: c) Tempere1ure: Largest SizeContamer: # Days On Site Circle Which Month!i: All Year. J. F, M, A: M. J. J, A. S. 0, N. D ! 3) MIXi1JRE: ust COMPONENT ; CAS # %wr AHM :ne Inree most "µaIdo!!s 1) ( J c:'iemlcal comconents or any AHM comconents 2) [ ] 3) " '. ( ] ! 0) Location I CHEMICAL DESCRIPTION ¡ . ) INVENTORY STATUS: New ( ] Addition [ ] Revision ( ] Deletion ( ] Check if chemIcal is a NON TRADE SECRET [ ] TRADE SECRET ( ] 2) Common Name: .' 3) 'OOT # (opCionaI) ChemIcal Name: AHM:[ ] CAS # I 1) PliYS¡CAL & HEALT!:'i PHYSICAL HEALTH I HAZARD CATEGORIES'- Fire [ I ReactIVe ( ] Sudden Release of Pressure [ ] Immedie1e Health (Acute) [} ,Delayed H~a/th (Chronic) I J 3) WASTE CLASSIFICATION (3-<iiglt cooa from DHS Form 8022) USE CODE I 5) PHYSICAL STATE Solid { ] uQuid [ Gas { ] Pure ( ¡ Mixture [ ] Waste [ I Radioactive [ ] ~fCX AJ...l. i'J.íAr APfIt-- 1) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ I gal [ ] It:! [ ] a) Container: Average D¡uly Arno'unt: cunes [ . , b) P.re,ssure:-, , Annuei Amount: c) TemperllNre: Largest Size Cont¡un~r: ,; Days On Site -.. Circle Which Months: 'AJI Year. J. F, M. A. M. J. J.',A, S. 0, N. 0 3) MIXTURE: ust COMPONENT CAS # %WT AHM Ihe three most hazardous l' [ ] cnemlCa! comconents ,or " any AHM components 2) " [ 1 .. 0, ,3) .......... ~ ! \ , . 1 0) locaIion , . , Ira unoe, enaJ 01 law, mar I nave pef$OnaJ eumm8Ø ana am rammIU wlm me InromaDOn sUDm,ttfIØ on ttJls ana 1111 &ØiICI1eò aoc&IIIJ8mL I De"eve me 0/ P ~ ~ ,milled inførmtJtion is true. aCCUnrtIt, anci compler.. ¡NT N.",e dr Title of Authonz8Ø Compeny RepresenllUive Signature Data _w ~·""'1IIDIIt ~ - H~RDOUS MATERIALS It. ECTION Business Name: F,'rr .s +on e Location: ?:> G 5' () S..{.- I ~ -{> Business Identification No. 215-000 0(.1 I () q~ (Top of Business Plan) Station No. t Shift \~ Inspector 12-j I6v:1{'^~ , ;,',,/ Arrival Time: / I·' () D Departure Time: {I ?() Inspection Time: 11ft' '- i ¡r~. , Bakersfield Fire Dept. tþJFF/Œ OF ENVIRONMENTAL SERVJŒS 1715 Chester Ave. Bakersfield, CA 93301 /' ,/ Date Completed ,I C)' I ¡. 9 c 'V kv. b tJ Ci' ¿o~~ Address Visable Correct Occupancy Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: Adequate Inadequate ~ 0 "81 0 ""g 0 ."-..m 0 ~ g o Verification of MSDS Availablity Number of Employees: Verification of Haz Mat Training Comments: ~ "'m o Verification of Abbatement Supplies and Procedures Comments: "'m o Emergency Procedures Posted Containers Properly Labled Comments: Adequate Inadequate ~ 0 )¡ 0 t. \ Verification of Facility Diagram l\.JOne.. DL Housekeeping F I Fire Protection e- Electrical Comments: \, o o o o "m );¡ ~ UST. ~toring Program Comments: ~ o o Permits ')n 0 Spill Control 'm 0 (,05 Hold OPe~ Dev¿¡,e '~ tJ ~ 0 Hazardous Waste EPA No. ' D ~J.'-H "U Proper Waste Disposal "º' Secondary Containment 0 Security 0 o ß ~ Special Hazards Associated with this Facility: '?l.S.8 ~-"/f\;-+ -/-; If L (S:f"cJ:) fi.tth/l\,/)1 b.£, I q'l t~ ('it (¡ '::J . Violations: 12(4 iiLì Business OwnerlManager PRINT NAME rr; 1Þ. SIGNATURE White-Haz Mat Div. iÕ ~. ~ All Items O.K 0 Correction Needed ~ :> Q) e;.. N ' Ii'> CD ~ Yellow-Station Copy o u. Pink-Business Copy ~~ 6~ HAZARDOUS MATE_LS INSPECTION Business Name: location: '3 b57J! Business Identification No. 215~OOO {"P ( olf¥ Station No. ~ Shift ß ~ Akersfield Fire Dept. /'" Ha!lfdous Materials Division Date Completed ?J I~ /a '1 ~¡:I',o'~7'"7i<fr= t .,¡.' '--: \\ ~E ~\~ ,,0 , _--0 ril\1 I¡¡ ~ . I '., .1 '± j, Lf L)/i ì .._-~ (Top of Business Plan) Inspector ~ I DlJ~ Arrival Time: _ ~ ./ Departure Time: I ( 60 Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: By Inspection Time: I ~ t-.. ,,J Adequate Inadequate ~ 0 CY- 0 g- O Gr' 0 æ( 0 I:] u:r' 'i~ Î- - '+"3 g "2.. Gr' 0 Verification of MSDS Availability Number of Employees: '~ Verification of Haz Mat Training Comments: N IE W M A- 1./ I'ri E-f/.... ~ l -f'/\. A. \:) 1\-"" ~ Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: 'WJ"'(!- g' ~ g/ o o o Violations: will \NJrk- () '" 1"1F"', ¡\';)rð dí)(ß~I/¡~ _~\~~ ~Prlv1S I Business OwnerlManager PRINT NAME White-Haz Mat Oiv Yellow-Station Copy All Items O.K D Correction Needed (]/ ;;:; ~ ,¡¡ e:. ª a u. Pink-Business Copy ~ ..;0 ,e e ./ ~ 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 Overall Site with 1 Fac. Unit Page 1 General Information Location: 3650 STINE RD Map: 123 Hazard: Moderate Community: BAKERSFIELD STATION 07 Grid: 14A FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone ..ADAM RODRIGUEZ $íVR.-<2... I--tCJ R.,> (805) 834-8844 x (805) 631-1517 if'DONNA TINSLEY as!-/:;- Hgtt. (805) 834-8844 x (805) 366-0370 Administrative Data Mail Addrs: 3650 STINE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: Owner: FIRESTONE TIRE & RUBBER CO #27C9 Phone: ( ) - Address: 3650 STINE RD 1 State: CA City: BAKERSFIELD Zip: 93309- Summary Lad- þ~;~~ /99/ / RECEIVED t~OV 3 0 1993 " HAT MAT. DIV. A d.D..N\ ~ oct r- ì CA.e." StOte.. V'Nl. i\aJ j 'J)Li\"'; s. ï"'~Mo. rc..\...·, ~~ ct.s~ iSt- M.at'\c...j t....t- 80s- - '(3 I - 7 '2!J-O ()K t, 74 ~v h/.I/h.¿ Do hereby certify that I have ,. \po or print name) reviewed the attached hazardous materials manage- ment plan for IS'I'eJIOAfh .s ~"L- and that it along with . (Name 0 uslness) any corrections constitute a complete and correct man- agement plan for my facility. ~¥~ . .I'., /I)~)~ # Ie " '. e e 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 SOLVENT Liquid 10 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-001 WASTE OIL Liquid 500 Low ~ Delay Hlth GAL 02-002 NEW OIL Liquid 250 Minimal ~ Delay Hlth GAL 'i e e I 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 SOLVENT ~ Fire; Immed Hlth, Delay Hlth Liquid 10 Moderate GAL CAS #: 64741-41-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 ·Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 10 I 10.00 I 10.00 Storage r press'T Temp ~ Location DRUMYBARREL-METALLIC Ambient Ambient SW CORNER INSIDE Conc 85.0% 12.0% 1.0% Components ~ MCP grUide Moderate 27 Moderate 27 Moderate 27 Naphtha Solvent Benzene Xylene, Mixed 02-001 WASTE OIL ~ Delay Hlth Liquid 500 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 500 I 200.00 1 2,800.00 Storage ABOVE GROUND TANK r Press T Temp -:-1 Location Ambient Ambient 1 SOUTHWEST CORNER OF CONCOURSE - Conc _I Components 100.0% Waste Oil, Petroleum Based ~ MCP -¡Guide Low I 27 02-002 NEW OIL ~ Delay Hlth CAS #: 8002-65-9 Liquid 250 Minimal GAL Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 250 .1· 150.00 I 1,400.00 Storage ABOVE GROUND. TANK r Press T Temp ~ Location Ambient Ambient SW CORNER INSIDE - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP -¡Guide Minimal I 27 ¿ '0 e e 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site Page 4 <D> Notif./Ev,~cuation/Medical <1> Agency Notification CALL 911 - BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION - 326-3979 POLICE DEPARTMENT <2> Employee Notif./Evacuation NOTIFY FIRE DEPT AND POLICE AT ONCE. HAVE ALL EMPLOYEES LEAVE AREA WHEN REQUESTED. <3> Public Notif./Evacuation THRU POLICE AND FIRE DEPARTMENT DIRECTION <4> Emergency Medical Plan e e 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt , <1> Release Prevention HAVE MY SWEEP UP MATERIAL, MOP & BUCKET, EYE PROTECTION AND APRON WITH RUBBER GLOVES. <2> Release Containment <3> Clean Up "OCTOSORB" SYSTEM - OIL CONTAINMENT SYSTEM - VARIOUS ABSORBANT SNAKES PADS WITH A 55 GALLON BARREL TO HOLD WASTE. HAVE UNDER CONTRACT PETROLEUM RECYCLING CORP TO DISPOSE OF WASTE OIL PRODUCTS. <4> Other Resource Activation .... .. . e e 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING OUTSIDE B) ELECTRICAL - NORTHWEST CORNER OF BUILDING IN SHOP C) WATER - SOUTH SIDE WALL D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHTOUT SHOP - FIRE HYDRANT - SOUTH WALL OUTSIDE. <4> Building Occupancy Level ~ ~ '. '0 e e 09/03/93 FIRESTONE TIRE & RUBBER CO #27C9 215-000-001094 00 - Overall Site <G> Training Page 7 <1> Page 1 WE HAVE 9 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: MANAGER REVIEW OF HANDLING PROCEDURES AND EMERGENCY SITUATION WITH EMPLOYEES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use .. -1 : CITY of 8AKER~~lELU 1: . I. ~AZARDOUS MATERIALS INVENT6RY AU&081991 farll and Agtlculture 0 Standard BusIness A '. I I NON-TRADE SECRETS \, HAZ MAI.DIV. "BUSINESS NAME: ,FJI~E5roA1£.. í\R£' j1"bb., (10. OWNER NAME: ~~ Þtf NAME OF nÙs FAClLìTYò= fD7~ ,LOCATION' 3bS N . ADDRESS' ---~- STANDARD IND. CLASS C DF:-'--'. ~Àb~~ ~fP:~~~ij~:<:1'\ Cof:S30tf ~ÀÒ~~ fi~P:- _.~ DUN AND BRADSTR~ET NUHB~R--'--"---'--"'-' - - -- --- 'I REFER TO-rl'VSTRUCTIONS t-OH f-JROPER CODES ¡ - ..,.. - - - - 4 ,5 6 7 8 9 10" 12 13 II Average \," Annual Mea$ure . Dys Cant Cant Cant Usq loc~tion Where 'by Nalles of ~hture{COflPonents Allt: Est UnIts on SIte 'Type Press Temp Code Stored In FacI t Ity lit See Instruc Ions . I 3(05 2.. 2.h S.W CoR~of shop ESt-! gOO2.-ft:>5-? COllponent'1 Nalle I C.A.S. NURlber Trans Code 2 TYAe COde I i ~,O Reactivity ,~ \ o Delayed 0 Suddfn Release Health 0 Pressure O Component.2 Nalle I C.A.S. NURlber lmmed is te Health Component.3 NaRle I C.A.S. Number 1 U M (!) I Phy~icøl 'od Health, Hafud (Check a I that apply i ~ire Hazard 10 Reactivity I o Delared ' 0 Suddfn Release Hea th 0 Pressure S.W tCJttf'loll SkbF Nalle I C.A.S. NUllber I' ~ \~ C6* NUle I C.A.S. NumberN/A )<,:f.'1c.iQ 0 oj UL , '33d>..zc. 7 I. ""' ~ ~ Name & C.A.S. Humber ¡ , ~ Component .' I CORlponent 12 o lmmed j ate Health Component 13 U W \ Physical and Healtb Haiard (Check all that apply) 1 þire Hazard 1'0 Reactivity: I, í ) o De I ared 0 SUddfn Re I ease Hea th 0 Pressure I 13 5.\1( C'oR"oR or C'o~t()"'$e. I Component" Name I C.A,S. Number ¡ ¡ O Component.2 Name I C.A.S. Number lmmed iste Health Component '3 Name I C.A.S. Number Physic,l'aod Healtij Hafard (Check all that a~ply I I , , , o Fire Hazard ¡ 0 Reactivity ¡ , I C.A.S. Number o Delayed 0 Sudden Release Health of Pressure Component 'I Name I C.A.S. Number O Component.2 Namê I C.A.S. Number Immediate Health Component.3 Name & C.A.S. NUllber i í: ' I. I! ! ¡' EMERGENCY CON,TACTS tl1R{ff):},Lt 1<.06,RIroU67- rWft- HA-,J(;¡Grç kfr~nlfP- 112ft pAlAlA- íí~/ey Certifiçatioq:(ReCd and $ign afjer C9mp7eting Ç111. sections) . .. ; I certIfy un~er penaltï 0 la~ th~t 'I have persona III examlnqQ oqd,m familiar Ylth the information $ubmltted In this ond all ! a~açhed dQc nents, ·aoo t at basea on my Inquiry 0 hose InalVldua s responsible for obtaining the InformatIon. I believe that! the SUblllltt I rllatlan IS true, accurate, and co~plete. ' ~~t n~flclal tl~le ~wn;r/operator'S authorized representative ' ~I~~ature II f " RECEIVED .. raqe l ofL . ~$tt> ~oTOR oc L. t4~'Í Þ1MJ tiJ l?JL- "3(,.(,. "03 ÎÓ H 'Hf1'1i~- pfkfi- 04/03/91 'FIR~ST. TIRE & i ~f\\ Ove1"~all S/~ RUBBER CO #27C'=J Site with 1 Fac. ~c. -()()()-()¡-) 1 ()C 4 ~~ ....... ..... ..- U1'"lit Page 1 Ge1'"le1"~a 1 I nfcrrmat i Cr1'"1 LClcat i CI1'"t: 3650 STINE RD M I d e1'"lt NI.\TI1be1"~ : 215-000-001094 f,k ~ CI:r1'"lt act Narlle --rj-¡ADAM R¿;~~lu~z- i Busine .JACK OWENS I <80S) 834 I DAV I D_ LONG L Dcnr¡q T\H""1 _J <a;b ) 834 J Adm i 1'"1 i st1"~at i ve Data Mail Add1"~s : 365() STINE RD City: BAKERSFIELD St CI:.mm Code: 215-007 BAKERSFIELD STATION 07 OW1'"ler : FIRESTONE TIRE & RUBBER CO #i:?7C9 Address: 3650 STINE RD I City: BAKERSFIELD Sun1mary ..------.... I ap: 123 Hazard: Moderate id: 14A Area of Vul: 0.0 S5 Phone ~ 24 H~ur ,I~one~ -8844 x I f.8óç ) 91i7'S"!=.1:::;3 I -8844 x 1~) ~ -':: _____ __ .3'-<' - ø ~l9.. I II ---;hcr~~---------- I St~~:~ ~~309- J '33309- D&B Numbe1"~: ate: CA Zip: SIC CClde: ------..---..- 1 I "J I RECEIVED AUG 0 6 1991 HAZ. MAT. DIV. @Ó~I" , o~ I AD1>rJ1 ~ () DfU t u. (3;1 Do her¢.)by cèrtify that I have , (Ty~ or print name) reviewed the attaCh€KJ ha;¿~~rdG;¡s materials manage- ment plan for~~ÞfE,.JjL<.fJ.e,n¡J that it along with (Nar.-:e c·f t;.¡siro€l~ì any corrections constitute a (."Omplete and correct man- agement plan for my facHity. M~P~ 1-"}/}-71 Date '.~ " 04/03/'31 i FIHESTcI TIRE & RUBBER CO #27C':3 15-000-0010':34 ,Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site Plr,-Ref Name/Hazards FC.t~fll Quarlt i ty MCP 02-003 SOLVENT LI<=tu:~ ? 55 M.:.derate GAL 02-001 WASTE OIL L ,C[IA' ~ ? 550 L.:.w Gr:¡L 02-002 NEW OIL L ''iu I Js. ? 250 Mi rlÌmai GAL r... 04/03/91 , F I R~STI: TIRE & RUBBER CO #27C9 '5-000-0010'34 00 - Overall Site ~'age .. ..., (D) Notif./Evacuation/Medical (1) Agency Notification f ßQ.\(~.sF~ fJ h(-f' Oepl ,\ Hct2Q.1doC/$ ,Þble""IIt.{ Þlý. " Po/';e Der~ 3J..1o- 3? 77 (2) Employee Notif./Evacuation NOTIFY FIRE DEPT AND POLICE AT ONCE. HAVE ALL EMPLOYEES LEAVE AREA WHEN REQUESTED. (3) Public Notif./Evacuation ¡J,RCl í6!tte I¡::;r~ ¥ f)IRÐ~Tlo,lj, (4) Emergency Medical Plan .--- ~.. 04/03/91 ø- f .. e FIRESTONE TIRE & RUBBER CO #27C9 00 - Overall Site e 215-000-001094 Page 4 (E) Mitigation/Pr~vent/AbateMt (1) Release Prevention HAVE, MY SWEEP UP MATERIAL, MOP & BUCKET, EYE PROTECTION AND APRON Wrr:H RUBBER GLOVES. (2) Release ContainMent ¡< 5ee (3) CleaY-I Up \$e(ocü : ," O~,.O>c>12ßI( >'1 S-,-~ ctb.s 0" bca.1 ( 0; I Ccrn(q,IYI~"""" r S"rS~ ". \.Ú.;\,owSfl Sf/4f.le5/f'IfÞ5. ''-1 $$ ~al ßørv-t-l To {¡told """ø~~. (...c,), 1"\ r f r\o.ue u,^d~ Co7-1TfOlt.T" ?eTIol~"", R-e.e,~LI11 1'0 0 \.S. 'Posz..... O+- WA-S7£ OIL. ?r()dtte..-ì:S. r~p (4) Other Resource Activátion '''" ,. ~ ,¡ e FIRESTONE TIRE & RUBBER CO #27C9 00 - Overall Site e 21 =i-OOO-OO 1 094 Page 5, 04/03/91 ;i (' .. <F> Site EMergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING OUTSIDE B) ELECTRICAL - NORTHWEST CORNER OF BUILDING IN SHOP C) WATER - SOUTH SIDE WALL D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ??????????????? h<e.. £~T;.'t\t¡/'JI$l-l.4S 17t(~ OuT SÁ.e¡. FIRE HYDRANT - SOUTH WALL OUTSIDE. <4> Held for Future use '... 04/03/91 e FIRESTONE TIRE & RUBBER to #27C9 00 - Òverall Site e ' 215-000-00109Lt Page 6 .JJ I" .. <G} Tra i rl i rIg ------.. --- <1} Page 1 WE HAVE 9 EMPLOYEES AT THIS FACILITY ~ I BRIEF SUMMARY OF TRAINING: ~a1€-1 Re \J i-eW 5 :'t"u~ 't-l·crY7..s \.)J ~ CJ f- ~{HtJ('~7 ~p(07f~5 yes, ?('ú~ -e ¿vi'<'5 0.",.1 t:.".-tA /.¿,Ar 7 DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? <2} Page 2 as needed <3} Held for Future Use <4} Held for Future Use ... '';' :O.....e ,~ ....'t ow /. . ,..... ~. ..... -..... ... ;~' i . , (T)~ Ær ,r¡ e e " BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93ffÐC E r V ED (I ~(805) 326-3979 -I,\r\ NOV 3 1987 ;¿IJSP 7 Aos'd..... OFFICIAL USE ONLY ID# _, Sl\-l S- -#J CøtÝ2 ::- -r(fQ (;I . J- J""1b<t.6 2..1Cq U01094 " HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 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 concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: /:=jReçjv/V ¿. TJf¿é ~ {lvl::,t:,~ Co. B. LOCATION / STREET ADDRESS: 36S0 5TJN~ 1l.¿J. .:#- 27C9'. CITY: ~PrKiEIt\~/e-U) (/or ZIP: Cß307 BUS. PHONE: (f 05'1 J'y l.J ¡ 1 V Y 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 department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE cr~ Ovv¿f~Jr DURING BUS. HRS. A. J?JHN P. Rrhtt/,¡ fl y(¡) Ph# ß.,:1c"61!JV.~ B. 0,:)11)1) Lo¡JC; Ph# 1'],//.1 yy AFTER BUS. HRS.. Co "L ,~" Ph# ~J ~ ¿..~ /~ /--23..;>4.) Ph# l' 'I-cfoz...-f- 8'()J-;23S3 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NA T. GAS /Pr:.O r :.IIE : ~ k ., ",J. I.J..¡ ~ ¡. f / L>& I'h~ 8 fA I U1H·J6 ~: lJa ff'J-e:iir:%{~/~::~~~JLJ/~ HV D. E. ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES ~ IF YES, LOCATION: I ro..) O.;t J"I06- (ðtt.o.V"",,, , S H o.,/) IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - -~.,---_.__. ,.-- e - ,''",.' .(". -4. (. .:.\ . ~ SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE \~. ~. ;. <;, ~..fr II ô IV-e, SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE S~·~ji-/ Í¡'¡.rJ<. ~/)~ ~ . J {...,pJ1Ý ~j~ð6,.. 'tut!J'fg G~p!1lt4O ~tVl<~o/ T/LéTTrfY1~(t f>'A,Cì!tÞéf'. J . I J O;~6 {,Aj ¡A t re " C(}tJ1¡?~ SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.. ...................................... ~ NO B, PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:......................... .¡ NO C. PROPER USE OF SAFETY EQUIPMENT:....,..........". NO D. EMERGENCY EVACUATION PROCEDURES:...,............. Y NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. ... ... YE NO REFRESHER @'> NO Is NO E· NO E NO YE NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES ~ I. ....Lò,1,.., 1~I'f7t¡t/{lf\IJ.¡J . 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. SIGNATUR~ TITLE~ DATE ~U- 7? - 28 - . . t, ,~, '~ e e . ~ r BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: Hrè..::>.7-ðV7e $~re. ------ BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# 27ccy FACILITY UNIT NAME: 'Hre.s?z>/?e S7G~. SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES ~) ¡~ ¡J1,p ~ Yry .~¥'~,~ Ó'- ;-¡ L ,J /J.. _ P'. ~ ':.. /J -i,~ d ::-..' - ~/~. . . /rVV~T/ '~' vJ~ ~~ SECTION 2: NOTIFICATION M~ EVACUATION PROCEDURES AT THIS ùÑIT' ONLY MA-;:{¡¿/ -rr ,,-v~-17_ It? 0 NU::;- I (:!:PI ~ Lo¡ ~ C-tfr/I rI éE tt!fJt¡Ju6'>~ .. f7 Jt6 I/~fr' /(PJIJ IJ7fA'J ßIjJ ~ ~l- rrlletJ VU I~ , /ð¿/Cd - 3A - . · e ~ ~ SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials?.. . .' YES NO If YES, see B. If NO, continue with SECTION 4, B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No"complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SOtJ 711 IU Pd...'-- ac. + r 11J6-. >, ":~ SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS urnT ONLY. A. ~;AT. GAS/PROPi\NI(: -, ~-r---""- ~ ().I 12> r 5/.(J & t:? )f!.. (J u. / Ú{),) r/ (; " B. ELECTRICAL: lJ....J G,.{ 1" (,L/pttL ;;Yr lOð, . l v. I L-JJ /,AI fo . C. WATER: SOli ¡ç~' f/0 65 J ¿. v9¿. '_ D 1;.' t>7tìí:7- ,.>1; b- cJ J r.f't)? 6 I {)Ul ¿,O.JIV 6 D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, STTE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES YES NO NO 1,EYS? .. 3B - " .{ ....... ~.' to' .... /. .. BUSINESS NAME: ADDRESS: CITY ZIp· ¡It'" BAKERSFIELD CITY FIRE DEPARTMENT llt3 )2$3'1.,;) FORM 4A-1 NON-TRADE SECRETS ~~.iSTONE #f1et'O!!JfJ5>0US MATERI ALS INVENTORY ~650 SY1ItE-RIl OWNER NAME: ADDRESS: :~r<~~ CITY ZIP' Page I Òr--"¡-- j ·<~-I '-:¡. 1. D. # -.\ . FACILITY UNIT #: FACILITY UNIT NAME: = , ~. .- , PHONE #: '!J:~~R,~~ PHONE #: 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE I 'tV' SS-O 2000 ~L.. / i:e> /N 55b G::?/. ~;?'.é' Ú/.A'.$T.e' J ,e;c¡ r CWL..cp é/~r4~", ~--"'~ 0_ O/L J) Dr ~ !) 00) . ~. Ð~ ;U. 5W.~ ~ 1Ý.(2,U) . Or L . -- (;J<¡ D <6 )1p~ ¿;(j- 1 IV gW~··ìA~ S~ I ~03rÒ~ \. .çzS- oQ.L. 06. ð2š , ,U e ~ / - NAME: /' ¿ "',k / Á/ ;£Ä£..J TITLE: ~f:ï-TI. E : SIGNATURE: DATE: EMERG~CONTACT: :r4á /).,.I~AIf 1'~- PHONE # BUS HOURS: ,j)-j¥J'"'%4/Y AFTER BUS HRS: ,?J7-.2353 " ~ EMERGENCY CONTACT: ~v;// . PRINCIPAL BUSINESS ACTIVITY: ¿ A~ ~~,. '7 ~/e .d~~E/s~~1r =_ ~ I - 4A-l - PHONE # BUS HOURS: AFTER BUS HRS: ?1¿./~2h 7/.:;1 p~ ( I C/), . ~~, Bakersfield Fire Ìlpt~ Hazardous Materials Inspection fJO F' -+- -t Business Name: ( I' -< S { (f '-1 -<- 111'-( Date Completed 9-- ;< ttb6Ç?r fJ. ;( , Location: 30~O ,S;f,'l1~ RCCCIVED J U L 7 1989 Ans/rl.... eo eo.... Plan ID # 215-000-00 ,oq~(Top right comer Business Plan) Station No. 1 Shift 8 InspectorC.:.ø¿¡?¿//,/ /J¡'¿ f 2,. f?pJl~,.¿J Adequate Inadequate 0 6 D 0 0 @ [t2( 0 Verification of Inventory Materials o [IY" [g/ ~ Verification of Quantities Verification of Location Proper Segregation of Material Comments: ,~ Verification ofMSDS Availabilityc¡ f Number of Employees Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: ~ D D o Verification of Facility Diagram D co~r Special Hazards Associated with this Facility: ~ Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office .,.-r.-ri....- -'."',,:,';.,'. /.. ,V--:12{ , ,- .'.'- " \'...~ ".'.'- \ -'~ ,~r/"';~';~,"'(·~'P';·~·-::-''7':;'...-·;: . .' .. ':', ::,.~.~,,:~¿';"-" :. \."!.' " , '\ ....- / ... ~~~ ~-~-, ¡J-Q¡t~-k- "ð- 103 I~) fl(¿'/ ',~/_ 7 '1/V( \. " " , r , ./ ,. -~. "" ~ ~ ,) , / t ~.,. ì j"- ~ ~ (~ f(f~)