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Home My WebLink AboutBUSINESS PLAN ~ ORANGE~BELT STAGES ~~ i __ 36~©© N _SI LLECT AVE ____ _ ____ II :~^ `~--~~f`~ ~, ~~ ~~r.~ ~s ~9~ ~ ~ ~ ~~~; ~, ~~ ~( , ~~~: ~ ,,~~~ J ·..-"1"1 -~~, -_.~-_._--~,~--- - Per W.,' .~ Ît to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: zardous Materials Plan . round Storage of Hazardous Materials agement Program Waste PERMIT ID# 015-021.Q00119 ORANGE BELT STAGES lOCATION 3640 N SlllECT TAN HAZARDOUS SUBSTANCE CAPA ¡ 0001 DIESEL " ¡: Issued by: PIPING PIPING TYPE METHOD ONITOR DW F PRESSURE AlD Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: -~-:-- - /' -'?: ).Yl<'lf .L ..L L.cli "4 .. 1 U.D..!. SITE DIAGRAM C5l:5/J FACILITY DIAGRAM Business Name: ÕP-f>\f$G£- &(} ?\t~/; Business Address: ~. cs(- It et + > A \if, -;;~., "--'~~ ~ :'; --=.~ " -<' , /- ~..-- ~,- /'" For Office Use Only firST In Stetion: Area Meo ;; of Inspec~ion SteTion: NORTH ~ ~-JtCAf~iLv\è"".s. C~bA-t ~ ~\!<-s ~ \ «j,<Q;"-'-J ~ " 'b ~ :.:::::: ~ ~ ~cJ(> ~~~~~ , ~ !cI. ~'x ~,~ ~\f'- ~'\ o -- '0 \¡ü , ~\t~ I (,t'- , ~q JI " .£ ~:\~ ~......"" ~ 7. ~. - ...... =~- ¡p J "- .f¡ ð....) 0,_ ,r¡ Q \ ~ <) Q o rc:5J' , , { ,s"tÞo~', .~: ,t ~~1 J ~\" It I ~ , ~ ~ VI V\ ~ \.9 1(:, ~,~ ~~" , ~ / ~rx- ~ .~ t>~ {-,(. ß\;$ . ", . ~/ ¡tl", V.r'- ,.:.. ,- '1 V ...) '-'- ......~ ~~ ..- ~ ~õ \ \ C' J~ , '", 0 . .. \ ¡ c;~ \J~.~ \.1 t'£'~! 1.1/ \ \ \', I ". 4!J t :tÞ <. :S ..-- -~ -4- 07/13/2007 ~' F;ORANGE BELT STAGES Manager EXIQUIO FERNANDEZ Location: 3640 N SILLECT AVE City BP,KERSFIELD CommCode: KCFD STA 66 EPA Numb: SitelD: 015-021-000119 BusPhone: (661) 327-4879 Map 102 CommHaz High Grid: 24A FacUnits: 1 AOV: SIC Code:4173 DunnBrad:02-961-2587 Emergency Contact / Title Emergency Contact / Title MICHAEL HAWORTH / PRESIDENT DISPATCHER / Business Phone: (559) 733-4408x Business Phone: (559) 733-4408x 24-Hour Phone (800) 266-7433x 24-Hour Phone (800) 266-7433x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact MATT HAWORTH Phone: '7~~S79x - MailAddr : ~4^~*?.~s~L=i~CT°=AVE ~!~ ~~~ ~~ ~ State : CA ~ ~.~ ~~~ City ~R~LELD 1~O~~L~6~v~~=~ ~~~ Zip 93308 Owner MIKE HAWORTH Phone: (800) 266-7433x Address PO BOX 949 State: CA City VISALIA Zip 93279-0949 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST based on my inquiry of those individuals responsible for obtaini ng the informatian, I certify under penalty of laver that I h © ave personally xamined anti am familiar with the information submitted and believe th i e nformation is true, accurate, and complete. Date ENT BUG ®9 2007 -1- 07/13/2007 ;, ~ F ORANGE BELT STAGES SiteID: STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: ORANGE BELT STAGES Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust : No PA Contact : ~~~~~(~ ~~ Dsg Own/Oper MATT HAWORTH ICC Nbr : 5:2.4-80`52 ='~e-~ PROPERTY OWNER INFORMATION Name DISPATCHER (~~ '~;,~~~,.. ~~`~' ~~'~2,~~ Phone Address : g ® ~g ~ ~ ~ C~, City ~ B~~~Qu~ e~, ~~~~~ State : Zip Type CORPORATION 0 TANK OWNER INFORMATION Name D~S:BA'FEHER ®~~~~ ~,~~~ ~~~~ Phone Address : ~,~ ~~ ~ ~~ City Nf a~0~ ~~ ~ ~~,~~ State : Zip Type CORPORATION 0 (559) 733-4408x BOE UST Fee# 003295 Financ'1 Resp: STATE FUND & CFO LETTER Legal Notif ~~,,,~ ,,, - - ^• - Date:04/29/1994 Phone: (r4=4_O~x-~ Name:MATT HAWORTH ® ~~~~ ~}~ Tt1:FACILITY MANAGER State UST # :=~2=~U~ 1998 Upg Cert#: 00708 015-021-000119 ~ (559) 733-4408x -2- 07/13/2007 F ORANGE BELT STAGES SiteID: 015-021-000119 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP TOILET & DRAIN CLEANERS E DH L 55.00 GAL Hi DIESEL F DH L 12000.00 GAL Mod WASTE OIL F DH L 350.00 GAL Low TRANSMISSION OIL F DH L 110.00 GAL Low MOTOR OIL F DH L X51=0:0.0 GAL Min WASTE OIL FILTERS F DH S 55.00 UnR -3- 07/13/2007 r y r - i F ORANGE BELT STAGES SiteID: 015 021-000119 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TOILET & DRAIN CLEANERS Days On Site TOILET DEODORANT 8825 365 Location within this Facility Unit Map: Grid: WASH BAY CAS# 7647-01-0 Liquid TMixture ~mbRent~E ~ T~PeRATURE TSTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 28.00 GAL - 17.f~Ga~iiCL V U w7 l.. V 1~1Y V1V L" 1V l .7 °~wt. Rs cAS# 16.00 Hydrogen Chloride Yes 7647010 Y11~G1-~tCL 1~.7,51;~~1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit E SIDE OF FAC CTR STATE TYPE PRESSURE Liquid TMixture T Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476302 TEMPERATURE ~~ CONTAINER TYPE Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest 12000100rGAL Dai112000100m GAL I Daily6000r00e GAL tiHGHKLVUJ 1.V1~lYV1VJ:,1V1S oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 L11-~GtiICL Ya J .7 L' .7.71Y1L' 1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -5- 07/13/2007 ''F ORANGE BELT STAGES ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit PIT IN SERVICE BAY SiteID: 015-021-000119 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 221 Liquid TWaste ~Ambient~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 350.00 GAL 350.00 GAL 350.00 GAL t1E~G1-1tCUUUJ I:VL~lYUlV~1V l~J ~Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t11~L,f1tC1l HJJI;b~71~11;1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low Facility Unit: Fixed Containers on Site ~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 110.00 GAL riEiGtiK1JV V ~J lLV1~lYV1V1;1V 1.7 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 ns-~~ti1cL ta a~1;~51n~1v1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 07/13/2007 ~ Inventory Item 0003 :~ ,~ .F ORANGE BELT STAGES SiteID: 015-021-000119 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: =E BAY CAS# ~~~ Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~-3-2 0. 0 0 GAL X5-1-0•. 0 0 GAL 2 71.0 0 GAL sin ~~n tiL~Gt~tc1JVUJ ~vi"lrvlv~ly 1 ~ oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 nr-~~.yx.L H~ a~a~ln~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Location within this Facility Unit ~~ ~~o ~~ ~ ~~ ~1 ~SolidE I Waste -~ PRESSURE I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 221 TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 55.00 55.00 %Wt. RSA CAS# HAZARD AS SESSMEiv 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR HAZARDOUS COMPONENTS -7- 07/13/2007 F ORANGE BELT STAGES SiteID: 015-021-000119 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/05/1995 ~ EMPLOYEES ARE INSTRUCTED TO CALL 911 IN CASE OF EMERGENCY AND THEN ORANGE BELT STAGES DISPATCHER WHO HAS A LIST OF EMERGENCY PHONE NUMBERS AT THEIR DISPOSAL. Employee Notif./Evacuation 04/05/1995 THE SIGNAL USED TO PROMPT EVACUATION OF THE BLDG WILL BE A COMBINATION: WORD OF MOUTH, AND ANNOUNCEMENT OVER THE INTERCOM SYSTEM. EMPLOYEES ARE TRAINED TO EVACUATE THROUGH THE CLEARLY MARKED EXITS AND TO MEET IN THE FRONT EMPLOYEE PARKING LOT. Public Notif./Evacuation 03/06/2000 DUE TO THE NATURE OF OUR BUSINESS WE HAVE LITTLE TO NO PUBLIC ACTIVITY ON SITE, HOWEVER IN THE CASE OF EMERGENCY, INDIVIDUALS WOULD EXIT THROUGH THE CLEARLY MARKED EXIT AREAS AND WOULD BE DIRECTED BY COMPANY PERSONNEL. Emergency Medical Plan 07/19/2006 THE CLOSEST MEDICAL FACILITY THAT CAN PROVIDE APPROPRIATE ASSISTANCE IN THE CASE OF AN ACCIDENT IS MERCY HOSPITAL, 2215 TRUXTUN AVE. -8- 07/13/2007 f F ORANGE BELT STAGES SiteID: 015-021-000119 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/05/1995 ~ BY PROVIDING QUALITY CONTAINERS, PROPERLY USING AND SECURING LIDS ON CONTAINERS OF MATERIALS. TRAIN STAFF IN USE AND PROCEDURES OF HANDLING OF HAZARDOUS MATERIALS. MAINSTAINING IN WORKING ORDER ALL SAFETY MONITORING DEVICES. Release Containment 03/06/2000 FOR PREVENTION OF DAMAGE, WE TAKE IMMEDIATE ACTION, IMMEDIATELY CONTAIN ANY SPILLED HAZARDOUS MATERIALS, RECONTAIN ALL HAZARDOUS MATERIALS AS SOON AS POSSIBLE. CONTACT OUTSIDE CONTAINMENT COMPANIES IF NEEDED. Clean Up 03/30/2006 WE EMPHASIZE CONTAINMENT, PLEASE NOTE 90% OF OUR FACILITY IS IMPERVIOUS CEMENT AND COVERED. THEREFORE, ANY SPILLS WOULD BE CONTAINED AND CLEANED UP IMMEDIATELY. ~,_ v~.itci ic.c.7vul~.c t]l..l.lVCil..1V11 -9- 07/13/2007 T y' •. t• ~F ORANGE BELT STAGES SitelD: 015-021-000119 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 nd~dl.u5 Utility Shut-Offs 03/02/2007 GAS - NW CRNR OF BLDG AT GAS METER ELECTRICAL - N SIDE WALL OF MAIN SHOP WATER - NW EDGE OF PROP 20FT N OF DRIVEWAY SPECIAL - FUEL TANK SHUT-OFF NE CRNR OF SHOP BLDG Fire Protec./Avail. Water 01/04/2007 PRIVATE FIRE PROTECTION - FIRE ALARM MONITORED BY TEL TEC COMMUNICATION. NEAREST FIRE HYDRANT - MIDDLE OF FAC. Building Occupancy Level 03/30/2006 8 EMPLOYEES -10- 07/13/2007 ~~ • ~ L F ORANGE BELT STAGES SiteID: 015-021-000119 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 07/19/2006 ~®/ ~~p~.~~c MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES RECEIVE INITIAL AND PERIODIC TRAINING REGARDING THE SAFE HANDLING OF HAZARDOUS MATERIALS, HOW TO IDENTIFY HAZARDS, PREVENTION, CLEAN-UP, WHERE, WHEN AND HOW TO EVACUATE, AND WHO TO CONTACT IN CASE OF AN INCIDENT INVOLVING HAZARDOUS MATERIALS. EMPLOYEES ARE ALSO SHOWN WHERE AND HOW TO PROPERLY STORE HAZARDOUS MATERIALS AND WHERE ALL EMERGENCY SHUT-OFF SWITCHES ARE LOCATED. rc~yC G Held for Future Use nv.LU i.vi. r u~uiC u~C -11- 07/13/2007 ~,, _ .~ ORANGE BELT STAGES SiteID: 015-021-000119 Manager ; Exiquio Fernandez I % Bus Phone : ( 6 61) 3 2 7 - 4 8 7 9 Location: 3640 N SILLECT AVE Map 102 CommHaz High City BAKERSFIELD Grid: 24A FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:4173 DunnBrad:02-961-2587 Emergency Contact / Title Emergency Contact / Title MICHAEL HAWORTH / PRESIDENT DISPATCHER / Business Phone: (559) 733-4408x Business Phone: (559) 733-4408x 24-Hour Phone (800) 266-7433x 24-Hour Phone (800) 266-7433x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ~ Fire DelHlth Contact Y : Matt Haworth I Phone: (661) 327-4879x MailAddr: 3640 N SILLECT AVE State: CA City ~BAKERSFIELD Zip 93308 Owner MIKE HAWORTH Phone: (800) 266-7433x Address PO BOX 949 State: CA City VISALIA Zip 93279-0949 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ,~, PROG H - HAZ WASTE GEN V v PROG T - ABOVEGROUND STORAGE TANK PROG U - UST G~ased on my inquiry of those individuals responsible far obtaining the information, 1 certify under penalty of law that I have personally EN f examined and am familiar with the information ~~ ~'^ submitted and believe the information is true, accurate ple te and com ~ ~-I ~ ~® ®~' , . ~ / G'v~' ~1~~ "- ®~" Signature Date ;- - . -1- 02/05/2007 1 P C3R,ANGE BELT STAGES SitelD: 015-021-000119 ~ ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: ORANGE BELT STAGES Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper MIKE HAWORTH ICC Nbr: 5248062-UC ' PROPERTY OWNER INFORMATION ', Name Orange Belt Stages Phone: (559) 733-4408x 'i Address: P.0. Box 949 i City Vis~li~, State: CA Zip: 93279 ~I Type CORPORATION TANK OWNER INFORMATION Name Orar,~e Belt Stakes Phone: (559) 733-4408x Address: p.0. Box 949 _ _ City Viszlia ~~ State: CA Zip: 9327q Type CORPORATION BOE UST Fee# 003295 Financ'1 Resp: STATE FUND & CFO LETTER Legal Notif Date: Q2_G0_C7 Phone:559-733-4408 x 208 Name: 'Niz~t,'t .,aworth Ttl: Bacility Ntanager State UST # ~ 5248062-UC -2- 02/05/2007 FJORANGE BELT STAGES SiteID: 015-021-000119 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP TOILET & DRAIN CLEANERS E DH L 55.00 GAL Hi DIESEL F DH L 12000.00 GAL Mod WASTE OIL F DH L 200.00 GAL Low TRANSMISSION OIL F DH L 110.00 GAL Low MOTOR OIL F DH L 510.00 GAL Min -3- 02/05/2007 -4- 02/05/2007 F~ORANGE BELT STAGES ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME TOILET & DRAIN CLEANERS TOILET DEODORANT 8825 Location within this Facility Unit WASH BAY STATE TYPE PRESSURE Liquid TMixtur~ Ambient SiteID: 015-021-000119 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7647-O1-0 TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 28.00 GAL ru-~GtircLVUS ~urirvlv~ivla ~Wt. RS CAS# 16.00 Hydrogen Chloride Yes 7647010 ti1~G1-~tCL AJ7~aa1~1L'lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit E SIDE OF FAC CTR STATE TYPE PRESSURE Liquid TMixture Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476302 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL nraGS~tcLUUa wi~irvlvr,lvt~ °sWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 t1HGHtCL H.7 .7~J.71~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -5- 02/05/2007 F ORANGE BELT STAGES SiteID: 015-021-000119 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: PIT IN SERVICE BAY CAS# 221 Liquid TWaste ~AmbRentURE ~ A~PeRATURE ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 40.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 -- riAGtittlJ H7 7~ 7 71~11"~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 110.00 GAL ru+c~tu~.t~vv~ ~.vt•trvivs~ly 1 %Wt• RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 nr~c~rucL r~~ ~~oari~ivta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 02/05/2007 F~ORANGE BELT STAGES ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SERVICE BAY SiteID: 015-021-000119 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture f Ambient ~ Ambient ~ ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 320.00 GAL 510.00 GAL 271.00 GAL rlt~~ruu~vu5 ~vlnrvlvl;iv~l~~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 titiGHK1J L~~ ~ ~ ~ 51~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -7- 02/05/2007 F~ORANGE BELT STAGES SiteID: 015-021-000119 Fast Format ~ Notif./EvacuationjMedical Overall Site ~ Agency Notification 04/05/1995 EMPLOYEES ARE INSTRUCTED TO CALL 911 IN CASE OF EMERGENCY AND THEN ORANGE BELT STAGES DISPATCHER WHO HAS A LIST OF EMERGENCY PHONE NUMBERS AT THEIR DISPOSAL. 9 Employee Notif./Evacuation 04/05/1995 THE SIGNAL USED TO PROMPT EVACUATION OF THE BLDG WILL BE A COMBINATION: WORD OF MOUTH, AND ANNOUNCEMENT OVER THE INTERCOM SYSTEM. EMPLOYEES ARE TRAINED TO EVACUATE THROUGH THE CLEARLY MARKED EXITS AND TO MEET IN THE FRONT EMPLOYEE PARKING LOT. Public Notif./Evacuation 03/06/2000 DUE TO THE NATURE OF OUR BUSINESS WE HAVE LITTLE TO NO PUBLIC ACTIVITY ON SITE, HOWEVER IN THE CASE OF EMERGENCY, INDIVIDUALS WOULD EXIT THROUGH THE CLEARLY MARKED EXIT AREAS AND WOULD BE DIRECTED BY COMPANY PERSONNEL. Emergency Medical Plan 07/19/2006 THE CLOSEST MEDICAL FACILITY THAT CAN PROVIDE APPROPRIATE ASSISTANCE IN THE CASE OF AN ACCIDENT IS MERCY HOSPITAL, 2215 TRUXTUN AVE. -8- 02/05/2007 ,. - F'ORANGE BELT STAGES SiteID: 015-021-000119 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/05/1995 ~ BY PROVIDING QUALITY CONTAINERS, PROPERLY USING AND SECURING LIDS ON CONTAINERS OF MATERIALS. TRAIN STAFF IN USE AND PROCEDURES OF HANDLING OF HAZARDOUS MATERIALS. MAINSTAINING IN WORKING ORDER ALL SAFETY MONITORING DEVICES. Release Containment 03/06/2000 FOR PREVENTION OF DAMAGE, WE TAKE IMMEDIATE ACTION, IMMEDIATELY CONTAIN ANY SPILLED HAZARDOUS MATERIALS, RECONTAIN ALL HAZARDOUS MATERIALS AS SOON AS POSSIBLE. CONTACT OUTSIDE CONTAINMENT COMPANIES IF NEEDED. Clean Up 03/30/2006 WE EMPHASIZE CONTAINMENT, PLEASE NOTE 90o OF OUR FACILITY IS IMPERVIOUS CEMENT AND COVERED. THEREFORE, ANY SPILLS WOULD BE CONTAINED AND CLEANED UP IMMEDIATELY. V1.11C1 iCCi7VUlC:C FiC:l.1VdL1Vi1 -9- 02/05/2007 ` 1 ~' F'ORANGE BELT STAGES SiteID: 015-021-000119 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JC(.:1d1 nd~diu~ Utility Shut-Offs 01/04/2007 A) GAS - NW CRNR OF BLDG AT GAS METER B) ELECTRICAL - N SIDE WALL OF MAIN SHOP C) WATER - NW EDGE OF PROP 20FT N OF DRIVEWAY D) SPECIAL - FUEL TANK SHUT-OFF NE CRNR OF SHOP BLDG E) LOCK BOX - NO Fire Protec./Avail. Water 01/04/2007 PRIVATE FIRE PROTECTION - FIRE ALARM MONITORED BY TEL TEC COMMUNICATION. NEAREST FIRE HYDRANT - MIDDLE OF FAC. Building Occupancy Level 03/30/2006 8 EMPLOYEES -10- 02/05/2007 . `.,~ c F~ORANGE BELT STAGES SiteID: 015-021-000119 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/19/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES RECEIVE INITIAL AND PERIODIC TRAINING REGARDING THE SAFE HANDLING OF HAZARDOUS MATERIALS, HOW TO IDENTIFY HAZARDS, PREVENTION, CLEAN-UP, WHERE, WHEN AND HOW TO EVACUATE, AND WHO TO CONTACT IN CASE OF AN INCIDENT INVOLVING HAZARDOUS MATERIALS. EMPLOYEES ARE ALSO SHOWN WHERE AND HOW TO PROPERLY STORE HAZARDOUS MATERIALS AND WHERE ALL EMERGENCY SHUT-OFF SWITCHES ARE LOCATED. rclyC G nc.iu tvi ru~uic u~C Held for Future Use -11- 02/05/2007 \. .,l _1 ~ + ORANGE BELT STAGES __________________________________ SiteID: 015-021-000119 + Manager Location: 3640 N SILLECT AVE City BAKERSFIELD BusPhone: (661) 327-4879 Map 102 CommHaz High Grid: 24A FacUnits: 1 AOV: CommCode: KCFD STA 66 SIC Code:4173 EPA Numb: DunnBrad:02-961-2587 Emergency Contact / Title. Emergency Contact / Title MICHAEL HAWORTH / PRESIDENT DISPATCHER - / Business Phone: (559) 733-4408x Business Phone: (559) 733-4408x 24-Hour Phone (800) 266-7433x 24-Hour Phone (800) 266-7433x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth __ _ Contact -;--_. .. . __- : -- _ ~.. __.__s_.- _ ---.--- -- Phone-: (=661) ..327-4879x MailAddr: 3640 N SILLECT AVE State: CA City BAKERSFIELD Zip 93308 Owner MIKE HAWORTH Phone: (800)- 266-7433x Address PO BOX 949 State: CA City VISALIA Zip 93279-0949 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +----------- fir- + Emergency Directives : ~ /,).,~ P~\\ PROG A - HAZMAT („ PROG H - HAZ WASTE GEN l(~ PROG T - ABOVEGROUND STORAGE TANK ~\ PROG U - UST ~~ o~ Based on my inquiry of 4hose individu~is ~ o0 responsible for obtaining the information, I CePtify under penalty of law that I have persor9aily examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Si nature C~ 9 ate Y7tGit.{TY VYIG~• . \ ~~ /~~ 19 2p~6 ~~ ~ .. _ . _ -1- 03/30/2006 UNIFIED PROGRAM INSPECTION CHECKLIST~~' t}~(+C:- ..,,"'>. k :.'tF:`ii.'.3. <... s.,. .F k ... 1 ~.,u. .. rt ..w .. , ... x:t .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention Services ~~~s 900 Tnuctun Ave., Suite 210 ~Rrr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 ~ FACILITY NAME ~ NSPECTION DATE INSPECTION TIME j ADDRESS J HONE NO. O OF EMPLOYEES ~ ` (~~ ~" ~ FACILITY CONTACT ~ USINESS ID NUMBER ~-$-~ ` ® s S~ 15-021- Section 1: Business Plan and Inv®ntory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V C=Compliance ( ) OPERATION V=Violation / y~~ COMM NTS .;~ ~/~~°GL ._--L-~_~~----~it/ ~r-~2--1''1--~ ~--~~--~~--- APPROPRIATE PERMIT ON HAND ~^ BUSIfIQSS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ~ 7/-t%~v •7© 7~ / ~~ ~ / (9~~~ ~~` ~ ~^ CORRECT OCCUPANCY - [;(~ ~ 7~ - ~ f ~ -1--~ ~ g~ /5 ~r/ ~[ ~- ^ VERIFICATION OF INVENTORY MATERIALS ~ Lra~Lx~. ~~ ~ ~P/7.~,%CJvP~ f.~T C~^--8- VERIFICATION OF QUANTITIES [~ VERIFICATION OF LOCATION ~ ~ ~o ~ ~T9 C~/^ PROPER SEGREGATION OF MATERIA6~t` ' '" I~/^ VERIFICATION OF MSDS AVAILABILITY _/ ! ~~ _ T /i ~ d f v~ L l~.^ VERIFICATION OF HAZ MAT TRAINING ._- ~ f ~, ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES ~° ` ~ C.-L r sZ~ . 7/f i J/,/!?fi~r O/~~ C CI7 ~ ~/ EMERGENCY PROCEDURES ADEQUATE v! il/ ^ ~-CONTAINERS PROPERLY LABELED _ ~7. „^ HOUSEKEEPING ~~ ~~7~ ~ ~ / fG /~ ~ ~ G ^~ ^ FIRE PROTECTION / ~~~~~-~~ ~~~L` ~ SITE DIAGRAM ADEQUATE 8 ON HAND (/ ~ /s ANY HAZAR~D9O- U/S WASTE ON SITE? /J BYES ^ NO ' EXPLAIN: -I.CL(~l G{//~S•_7~ v ~~~5 = - -------~~-~---~-~~ - ~-~J ~r--3 --~- DUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Ins'actar (Plaasa Print) Fin Pnvanti~n / 1 `~ In / Shift d Sita/Statian N i Sd~/Schaal SNs ~aspnsiNa Party (PNas~ Print) White -Prevention Services Yellow -Station Copy Pink - 8usinesa Copy FD2048 (Rw. ~10li) ~~ l"~~> CITY OF BAKERSFiELD FIRE DEPARTMENT F ~ OFFICE OF ENVIRONMENTAL SERVICES y/~'~ i1NIFIED PROGRAM INSPEC'CION CHECKO_,IST ;w ~gti,,!'~ 1715 Chester Ave., 3r`' Floor, i)akiersfield, CA 93301 FACILITY NAME ©~~4~re~.~~~L INSPECT IUN DATE~~C> rw Section 2: Underground Storage Tanks Program ^ Routine Combined ^ Joint Agency ^Minti-Agency ^ Complaint ^ Re-inspection Type of Tank Dd~ ~f4 wA% ~ Number of Tanks , Type of Monitoring ~ L~ Type of Piping ~~r~~lC~~1~ OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data un the (~- Permit tees current Certification of Financial Responsibility [i Monitoring record adequate and current ~ ,< 7 ~ a~ Maintenance records adequate and current l ~ Failure to correct prior UST violations r Has there been an unauthorized release? Yes NO Section 3: Aboveground Storage Tanks Program TANK SIZ,E(S) _ Type of Tank AGGREGATE CAPACITY' Number oI~ Tanks i OPERATION Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~Of~'1D//' ~~27~~ !"" Z Office of Environmental Services (661) 326-3979 ~b'hitc - inv. Svcc. Pink - Rueiness Cory Business Site Responsible Party UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING 1 SB989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~~ ~~ 30 w/R/ ~~rrr r BAKERSFIELD FIRE DTPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 P~qe 1 of 1 ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ SB-988 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST TO RFORM FUEL MONITORING CERTIFICATION StT INFO MATT N FACILITY r( N ME 8 PHO E NUMBER OF CONTACT PERSON oo - a c~ ~- ADDRESS OWNERS NAMG-~ - OPERATORS NAME ,/fin PERMIT TO OPERATE N0. NUMBER OF TANKS TO BE TESTED IS PIPING OING TO B TE ED? ES ^ NO TANK # VO CON NTS ~ i ac~o~ ~ TANK;TESTING COMPANY ~! NAME OFT TIN COMPANY ,'j V NAME 8 PHONE NUM ER OF CONTACT PERSON /n~ p~ / (' ~ .. d ~O l~ ~S / MAILING ADDRESS ~ r NAME & PHONE NUMBER OF TESTER O R SPECIAL INSPECTOR - 1 `~ ~ CERTIFICAT ON #: DATE & TIME TEST TO BE CONDUCTED '. - -0 0 ICC #: TEST METHOq SIGNATURE OF APPLICANT ~ DATE 2, ,~_ APPROVED BY DATE _. FD 2095 (Rev. 09105) ;,~IL_LING 8~ PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. Prevention Services PfiR>3 900 TYuxhzn Avenue, Suite 210 AIfTAfI T Bakersfield, CA 93301 TPl_~ (6611 ~?.6-3979 S Fax' (6611 RS2-2171 ~ LOCATION OF PROJECT (~ r c~Ly~ ell. ~- 5 - r PROPERTY OWNER , STARTING DATE Q COMPLETION DATE NAME ' PROJECT NAME ~Y1 ~ e.~ ~~-~ Ca~ o ADDRESS ------ = s ~~ e ~ PHONE N0. PROJECT ADDRESS - "'-~- : 3lo~U CnY STATE ~ ~ A- ZIP CODE o .- CONT CTOR NAME CA LICENSE NO. N TYPE OF LICENSE. EXPIRATION DATE PHONE N0. Cold ~34~'g CONTRAC OR COMPANY NAME M-E S ~ C~-4 12.E N v ~ ~~!`.nl~c-w ~ FAX NO. C2 l.o l - -4 to ~ ADDRESS Cey ~ ~v'oc~k.5 ~- . - CnY Ira- C ~ Z1P COOE ~/ • ~ ^ Alarms -New & Modifications - (Minimum Charge) $262 50 • • ~ . . 98 Over 20 000 Sq Ft FL x 013125 =Permit fee Sq ~ ^ . , . . 98 ^ Sprinklers -New & Modifications - (Minimum Charge) $210 00 ~ . 98 ^ Over 5 000 Sq Ft Ft x 042 =Permit fee Sq ~ ~ , . . . 98 ^ Minor Sprinkler Modifications (< 10 heads) $ 93.00 [Inspection Onlyj ~ 98 ^ Commercial Hoods -New & Modifications $ 398 26 ~ . 98 ^ Additional Hoods $ 36 00 ~ . 98 ^ Spray Booths -New & Mod cations $458 00 ~ ~ . 98 ^ Aboveground Storage Tanks (Installation/Insp.-1 ~ Time) $165.OQ 82 ^ Additional Tanks $ 26.00 ~ 82 ^ Aboveground Storage Tanks (Removal/inspection) $109.00 82 ^ Underground Storage Tanks (Installation./lnspedion) $878.00 (pertank) 82 ^ Underground Storage Tanks (Modfication) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 ~ 82 ^ Underground Storage Tanks (Removal) $675.00 (pertank) 84 Oilwell (Installation) $ 72.00 ~ 84 ~: andated Leak Detection (Testi !Fuel Monit. Cert. ~ $ 81.00 (persite) 82 Tents $ 93.00 (per tend 84 ^ After hours inspection fee $122.00 84 ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $90 per hour) $ 60.00 + (5 hrs. min. stand -by fee nnspection) _ $510.00 84 ^ RE-1NSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 8a ^ Portable LPG (Propane): NO.OF CAGES? $66.00 84 ^ Explosive Storage $249.00 ~ ^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page ~ ; ~ ^ Miscellaneous ; 84 FD 2021 (Rev. 09/05) ~ _ nalr_lunl L1/u1TF /fn Troa¢~~rv1 1.YFLLAW Ito Filel 1-PINK Ito Customer) > ~~ RICH ENVIRONMENTAL .. 5 4.6;1 ~ SERVICE STATION SERVICES -' LIC. #809850 -. • 5643 BROOKS CT. - - - BAKERS(661) 392 8687 08-3708 DATE 1 0~~~ ~ ~ U 5 ~-7162-3222 f PAY n .~.~ l TO THE ~ n~ J! ~~- l ~ \ ~~ ~-P . '~• ~ - ~ ~ G ~~ ~.,;~ ~ ORDER OF - `,,1 1 r \ e.~.a ..~,. ® Washington Mutual ~ ' Washington Mutual Bank, FA , Bakersfield NOrth Chaster Flnancial Centel 1587 ~ ~ _ - 231a N. Coaster Avenue i-800-7Ba-~ooo - - -~ ~ ~~. - 8akarsfield,-0A 9330`8 - 2a hour Customer S~ervic(~,, _ ~ ~ ~ , ,. ~ . .. ~i'0000 5-46.1ii' L~~: 3 2 2 2 7 L 6 2 7~: .8-7:L L6 Z 30u!. ~ - . i 5~ - ~~'- ~ ~~ ~ M I~ ~"~s ~,c~ P~~ ~ ~~5 ,. i ;BILLING & PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. Prevention Services f/Ba 900 Tnixtun Avenue, Suite 210 AAlAI T Bakersfield, CA 93301 Tel _ • (fife 11 326-3979 S Fax' (6611 R52-2171 • LOCATION OF PROJECT rn ~ ~s ~' u ~ ' • PRORERTI OWNER STARTING DATE COMPLETION DATE - S NAME ~ ~ i uc~ r PROJECT NAME (~ OVL ~ ~ ~ ~ ~ lrt'i ADDRESS ~N~ ~f2 PH N2E N~0.3 ~s 5 0 PROJECT ADDRESS ~ ~ C ~~ STATE ~ A Z1P CODE CONTRACIOR.NAME_. -- - - _ ~ - CA IJCEIVSE NO. + • TYPE OF LICENSE. _ EXPIRATIO E ~ • + NF N0. J ~~ Z _~/ g ~~~ l0 CONTRACTOR.CDMPANY_NAME.._ _ _ _ ..-"j- -„ram- ~ ~ FAX NO. ~t~(~392-ac~a~ _ ADDRESS ~ ~ ~ ~~ ~~ l ~ C ~ ~ LP C1033a8 J • ~ ^ Alarms -New & Modifications - (Minimum C e) $262 50 ~ • ~ . 98 000 Sq F>>» Over 20 Ft x 3125 =Permit fee Sq ~ ^ , . . . 98 ^ rinklers -New 8 Modifications - (Minimum Char e) S $210 ~ g p ~ . 98 ^ Over 5 F>t 000 Sq S Ft x 042 Permit fee ~ , . . . 98 ^ Minor Sprinkler Modifications (< 10 heads) 0 Inspectio Only] $ 93 ~ . 98 ^ Commercial Hoods -New & Modifications $ 398 26 ~ . 98 ^ Additional Hoods $ 36.00 ~ 98 ^ Spray Booths -New & Modifications $458 00 ~ . 98 ^ Aboveground Storage Tanks (Installation/lnsp.-1 ~ Time) $165.00 82 ^ Additional Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Removal/Inspection) $109.00 82 ^ Underground Storage Tanks (Installation./Inspection) $878.00 (pertank) 82 ^ Underground Storage Tanks (Modification) $878.00 (per site) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 nderground Storage Tanks (RemovaQ $675.00 (pertank) 84 ^ Oil ell (Installation) $ 72.00 Man ated Leak Detedion (Testing) /Fuel Mond. Cert. $ 81.00 (per site) 82 ^ T is $ 93.00 (pertent) After hours inspection fee $122.00 ~ ~ 84 ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $90 per hour) $ 60.00 + (5 hrs. min. stand -by fee Anspection) _ $510.00 84 ^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 84 ^ Portable LPG (Propane): NO.OF CAGES? $66.00 ~ ^ Explosive Storage $249.00 ' 84 ^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page ' ~ ^ Miscellaneous : ~ FD 2021 (Rev. 09/05) .,nr..ur • r r•n u~•c r•, ~r-,,....,,.,,~ ~ _vC~ 1 AW ttn Gilwl 1.PINK Itn Crrctnmwrl UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING S8969 SECONDARY GONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. 1981 ARTr T ~~ BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ ENHANrrCED LEAK DETECTION y~~ TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK T~GNTNESS TEST ~ TO PERFORM FUEL MONITORING CERTIFICATION RMATI N FACILITY , i~t S NAME 8 PHONE NUMBER OF C.ONTer.,T P_ERS VVl ~ (!~ -~ - ~ _ ~OS~ ADDRESS OWNERS NAME ~ ' l OPERATORS NAME I ` •` I ~ PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED PIPING GOI G TO YES ^ NO TANK # V CON NTS - 1 L~ ~ O C~ ~.~.v~ ~ - ~ ~ ~ oO C> ~ ~-e-ry'ti -~ TANKTESTING COMP. Y NAME OF TEST G COMPANY NAME ~ P NE NUMBE F CONTACT PERSON MAILING ADDRESS ~ S ~l _ Q ~~ 1~t ~ ~~ _J t NAME 8~ PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR ~ -~s~ q CERTIFICAT ION #: S3 DATE & TIME TEST TO B CONDUCTED ) .~ ._ ~v X1/1 ICC #: rr' ~ ~ ~ ~ ~ 'c to L~ TEST METHOQ SIGNATURE OF APPLICANT ~'~~^ DATE i ~.- b g -v APPROVED BY DATE ~F 2 Rev 9/05) ;- i . .' -~ '. ---- ,.., T .. ....;'::: .,' . ,î. 't.. 'I .. ORANGE BELT STAGES c~ SiteID: 015-0 -000119 Manager : Location: 3640 N SILLECT AVE City , BAKERSFIELD , ,,~,~ BusPhone: ~\)~ \. Map: 102 ~ Grid: 24A (661) 327-4879 CommHaz : Low FacUnits: 1 AOV: CommCode: COUNTY STATION 66 EPA Numb: SIC Code:4173 DunnBrad:02-961-2587 Emergency Contact MICHAEL HAWORTH Business Phone: 24-Hour Phone : Pager Phone : / Title / PRESIDENT (559) 733-4408x (800) 266-7433x ( ) - x Period : Preparer: Certif'd: parcelNo: to Emergency Contact / Title DISPATCHER / Business Phone: (559) 733-4408x 24-Hour Phone : (800) 266-7433x Pager Phone : ( ) - x Fire DelHlth Phone: (661) 327-4879x State: CA Zip : 93308 Phone: (8ÒO) 266-7433x State: CA .. Zip : 93279 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Hazmat Hazards: Contact : MailAddr: 3640 N SILLECT AVE City : BAKERSFIELD Owner Address : City MIKE HAWORTH PO BOX 949 : VISALIA Emergency Directives: Ø:<,ð ~~ ~¿ ¡þ-- 9¥7/1 ~C;¿ AI~I¿/8 liTE ~ II /f} d &5 ~ #/1)0/0 I, MA tt \-\AWOlT\\ Do hereby certify that ~ have (Type or print name) reviewed the attached hazardous materiBlls manage-- ~~I;., ~\,';7, ment plan for ~.~I.,.:6- lj~ and that it along with (p;jãiOO of Buwes) any corrections constitute a complete and correct man- agement plan for my facility. ~~\fJ1µ~ío)lol~ gnaturÐ Date /-IT;;;; E:S J9;Z ð , ~ IJmo/o -1- 09/15/2003 .. 1 · 1 A F O~GE BELT STAGES ~ . ONTAINER D T F RM Last Action Type: FACILITY/SITE INFORMATION Business Name: ORANGE BELT STAGES Cross Street : Business Type: Org Type: Total Tanks : 1 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : DIOPA'FCIIBR QR,AtJC'ot ß{lT ~TA(øtç. Phone: (559) 733-4408x Address: "'t..\34 t.rc'lI~(itAL K,\J<' City : V \~~ U~ State: tit Zip: "'\ß'l~J Type : CORPORATION TANK OWNER INFORMATION Name : BIOP'A'FCIIEJR O{2A tJ~ t ßt'-,. ~Tft{,(S. Phone: (559) 733-4408x Address: "t. \ '31.t t. ((\, µ~ i IH. K\~~ ~~ l a, J City : V,~ALI~ State: tJr Zip: Type : CORPORATION BOE UST Fee# : 003295 Financ'l Resp: STATE FUND & CFO LETTER Legal Notif : Tank Owner Mailing Address Date:04/29/1994 Phone: (209) 733-4408x Name:MIKE HAWORTH Ttl:PRSIDENT State UST # : 1998 Upg Cert#: 00708 STORAGE C ATA (US o SiteID: 015-021-000119 9 A) -2- 09/15/2003 't-:~' (í; 1(""'), f' Þ L If BAKER!FIELDCITY FIRE D~ARTMENT HAZARDOUS MATERIALS DIVISION I 1715 CHESTER AVE. BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN I .il J INSTRUCTIONS: I. ïo cyoid tUíiher ac:ion, ¡eTUrn ¡his fc:¡;¡ wiihin 20 days ot í'?cejot. ¡YP':.!PRINT ;"NSWE¡{S IN ENGUS~. ,Answer ine ouesTions below tor i:le CL:s:ness cs c wnOle. 3e brief GilC conc:se cs oosslbie. 2. v. SECTION 1: BUSINESS [DENTIFIC~TION DATA 3US¡i'J¡::~S :\!AIVIE: Orange Belt stages LC C,~TiC j\J: 3640 N. Sillect Ave iv1AiUNG ADBRESS: 3640 N. Sillect Ave C!TY: Bakersfield STATi:: Ca ZIP:93308 PHONE: 805~327-4879 c; U N & S R ,6, CIS ¡ K E :: -: N U ivî S :: ~ : 02 - 9 61- 2 5 8 7 SIC CODE: 4173 & 4142 ?R!~/IARY AC-:-¡VIïY: Bus Transportation OWI\JER: Mike Haworth Business Phone # 800-266-7433 iv\A:UNG AOOR::SS: P.O. Box 949 Visalia, Ca 93279 . . SECTION 2: ~ME~GcNC,{ NOTlf¡C~TION: CONTACT TITL:: BUS. PHONE 24 HR. PHONE 1. Mike Ha,vorth Presiden t·:, ::559-733-4408 800-266-7433 2. Dispatcher 559-733-4408 800-266-7433 . ~. . . Hazaråous Materials Division HAZAROeS M~TER¡ALS MANAGEMA PLAN ~ '--.. SECTION 3: TRAINING: -- _.'.-, . : . ¡; \ "r t. ; I ¡ . 1 \ j', ~ ~.....' l " , ';: J r:I,' _ t . ! ~ NUMBEi'r of: ::~\¡iÞ"LOŸÊ::'S: 8 , ' ¡viA TcRIAL SAFeTY DA I ASH E::ïS ON FiL{ Yes . ' , . . f .- ãRiEF .3UìviMARY OF TRAINING PROGí<A¡yi: . All employees receive initial and periodic training regarding the I safe handling of hazardous materials, how to identify hazards, prevention, cleanup, where, when & how to evacuate, and who to contact in case of an incident involving hazardous materials. Employees are also shown shere and how to properly store hazardous materials and where all emergency shut off switches are located. , , ' . ,.. ,..' ,'- .' ~. \ SECTION 4: EXEMPTION REQUEST: .."'\.... -. ...... -,. ,-- , . ' /", , , i CE~T¡¡:,( UNotR PENALTY OF PE:<JURY THATï\¡iY BUSINESS IS EXEMPT FROM TH'E i~E?ORïING REQUIREMEi'nS OF CHAPïE:~ ó.95 OF THE "CALIFORNIA HEALTH & SAF:::Y CODE" fOR THE ¡:OLLOWING RE.'~SOI\JS: ./ N/A WE DO ¡\JOT HANDLE :~A¿:\ROOUS :-viA ïE:<IALS. N/A WE 00 H,<\NDLE i-iA2Þ.ROCUS MATERIAL,S, aUT THE QUANTITIES AT N.O ïilvIE:::<CE::0 Tf-:~ 'MI¡\JI¡\¡IUM RE?ORTiNG QUANTrTlES. ' N/A 0-1 UC;l (S:Jcr'c:v fiC,', "'......'1:--.1) 1.L.i,\ '_'-'II I I\L.\u~ ~r SECTION 5: CE;{T¡FICÂTION: I, N/A ,CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATS, ,I UND.EKSTAND,THAT THIS, INFORIy1AJIONWILL BE. USED TO ¡:ULFILL MY F!RI\/Î'S OBL!GA liONS UNOEi< ïr.c "C.;LlFORNIA HEA,LTH AND SAf¿::TY CODE" , ' . .', ..." ~ . -', .~ .... . ,".. , {, . ..' i. >.... .--; ('.' ON H)~ZARObLiš',\¡iAT'ERIÄLS (01'1. 2Q C¡-L<\PIER ó.9S'ScC'. 255Ò,O·ET.AL.) A,I\JD THÁT . . ".:' '. '.'. ,! .. INACCURATE INFORMATlON,CONSTlTUTES'PERJURY. ' , ,-, ,... - N/A SIGNA TURE TITLE DATE 'ì .. - Hazaràous Materials Division .e . e HAZARDOUS. MATERIALS MANAGEMENT PLAN - ' Facility U nit Name: Oranqe Belt Staqes - Bakersfield Shop ". ..) SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES: A. ,~GcNC,( i'JOT!FiCAílON PRCCEQURES: Employees are instructed to call 911 in case of emergency, and then Orange Belt Stages dispatcher who has a list of emergency phone numbers at their disposal. 3. =>,\pl_c)YE= \lOT¡F;C,~T[Cl'l A010 :::"iAC~ATtCN: The signal used to prompt evacuation of the building 'will be a combination: Word of mouth, and announcement over the intercom system. ' , , Employees are trained to evacuate ~hro~gh th~~l~~ily marked exits d \ , a,n to --:-meet . in the front employee parking lot.. . c. ?U6L!C ~\fAC:.JATlCN: .. Due to the nature of our business we havelittle to no public activity on site, however in the ca,se of emergency individuals would exit through the clearly marked exit area's and would be directed by company personnel. Q. =~¡1E~Gc~JC'! MEJ!C.~L PL.~N: ,Æh~ closest medicál fa,ciltti'that'can , : \ ¿'"" . -... ..... ". - .." ~ \' . . , , . ',.'. . . "'," .' . ...'.. as's'ifëincé '.rn'the case' öfan à:cciden't . T' ," ,- ;,' ~ . " .. . - , '-",:-: " , . . . . , " , . " å,t: \ 2'215 'Tr'llx'tllrl Ave,,' Bakersfie~d~ .' provide appropriate i9 ~Mèrcÿ.,:·fI?~)?~~~l': J6c,a t~:d; . . ,. , , . ..... .;, . . , ." -~ , " _. - . '. J ,; ",:,'.:, .. '. " r": ~ =:1~ Hazaråous .IYíaterials Division .... HAZAR'O'US MATERIALS MANAGE.NT PLAN I·' I SEC¡ION ï: MITIGATION.. P.REVENTICN AND ABATEMENT PLAN: " . " . .... " ...." 'p.- . .. A. R C~=¡<\SC P R E'IEN,}ïGN STE? S: , , ,",.'!, . By providing quality containers, properly using and securing lids on containers of materials. Train staff in use and procedures of handling of hazardous materials. Mainstaining in working order all safety monitoring devices. 3. i<ELE.<\Sc'CCt'HAIN¡v1E:'lT ,-\¡\lD/OR ¡\¡jINI¡v\lZ.-\ïION: For prevention of damage we take immediate action, immediately contain any spilled hazardous materials, re-contain all hazardous materials as soon as possible. Contact outside containment companies if needed. " C~::.~.N·UP ?~OC=='URcS: We èmphisize containment, please note 90% of our facility is, impervious cement and covered. Therefore any spills would . be contáin'ed and cleaned up immediately. . .} . " SECTION 8: UTILITY SHUT-(JF;:S (LCç:.:\T!OÌ'J OF SHUT-OFFS AT YOUR FACiLITY): " ''CUI R .\t/r-:. . ~I DRO 0,\ '1 E' Northwest corner of building at gas meter . ~ ,-'\ I ,-,\ -...- ¡-.. '-J I I ,-,\ I 'I . =~='::~K!C,;L:On northsiòp. w;:¡ 11 ()f m;:¡ 1 n c::h()r '\/\--~' 'YI-.i C:":. At northwest edge of property 20ft north of driveway '::¡::::C:AL: Fuel tank shut off, northp.ast c()rnpr of "'nor hllilninl] ~CC:< 30X: '(::3/010 :;:: '~'=S, LCC,;TION: .' SECTION 9: PRIVATE fIRE PROTECTION/WATER AVAILABILITY:" ,:, ',' ,.-\. '_" PR I V AJ ¡;,:= ì R~ P R 9T_ E C T! 0 N : " ,: ':,,' ::. .:, .: ' ' Fire alarm system as pe~~ity of Bake~~fiéld-requirement~ ." ..~' a'nd 'monitored by Tel Tec Communica, tion. 3. WAïEK AVAILA31LlTY (FiRE HYDRANT): Fire hydrant located in middle of facilìty a,s ~er city of Bakersfield building requirements. I ::. 1- ' \ ' ¡ ,'.. . ~.., .. ',' BAKlIÞiSFIELD 61TY FIRE:rapÁRiM'~;~;t . " . HAZARDOUS MATERIALS ,DIVISION ,1715 CHESTER AVE. , " , BAKERSFIELD, CA. 93301 " ", '(805) 326-3919' - , ,":..,. . -. -- .- -. -- . _..-- , , -..., . - -- . , , HAZARDOUS MATERIALS'INVENTORY" FACILITY DESCRIPTION I CHECK IF BUSINESS IS A FARM [ ] I I .. - ..... . .... '- . , ' - I q' ,- -, ',' - " BUSINESS NAME Orange Belt Stages I . FACILITY NAME Orange Belt Stages I ì I SITE ADDRESS 3640 N. Sillect \ , , ' , .. 1 i i -- ' Bakersfield CA ' i CITY STATE ZIP 93308 I , I I I , ! I ¡ NATURE OF BUSINESS Bus Transportation I 'I I, ¡ Ii I 4173/4142 DUN & BRADSTREET NUMBER Ii I SIC CODE 02-961-2587 i: I " ! ~ i \ i \ Orange Belt Stages PHONE 800:"'266-'7433 ; OWNER/OPERA TOR I I MAILING ADDRESS P.O. Box 949 I \ CITY Visalia: STATE >CA, Z! P 93279 - 0 9 4 9 I I I , I EMERGENCY CONTACTS NAME Mike Hal.¡orth TITLE President BUSINESS PHONE 559-;-J33-4408, 24-HOUR PHONE 800-?hh-7433 NAME Dispatcher TITLE, ' .',' .. I . .;, BUSINESS PHONE 559-733-44Ò8 -' 24-HOUR PHONE '800-266-7433 S.CUmoef :xl 1 s¡g;z AEGIONV LfPCSTANOABDF-: --'. -"~'''';'''~'.- BAK~~i:;~s ~rJE~II~L~ ~~~:,i~_E~J '" J~n~sName Orange Belt St~ges Address 3640 N. Si 11 PC't Page' ot-- '. ,~,:~;~,:;~ft):i.: . ~: .""7 , - R R k p no: of, p 1 r1 ',", , CHEMICAL DESCRIPTION c:j f> . ':':;..~ ;. :.. ~~,"; '. .. Check if che~ical is a'NON TRADE SEèRET '{T 'TRADE SECRET pq .. ¡ I ' . : 1) INVENTORY'STATUS:' Név.:[]' Addition [] 2) Com~;nName: Motor 'Oif' . , , Revision [:xl Deletión { ) .. .. .. ,13) /DO·('#- (optiohâJ)f·:: I':, .::' , " Chemical Name: Hydrocarbons and additives ,. . AHM ( ). ,CAS# 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [) Reactive (] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) (] Delayed Health (Chronic) ( ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid (I Liquid:tc:t: Gas ( ] Pure [] Mixture ** Waste [] CHECJCN..1.. THA.T ,ppt,y Radioactive ( ] 7) AMOUNT, AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size'Container: # Days On Site 510 7.71 320 365 UNITS OF MEASURE 100 [ ] gaJ KJ 1t3 [ ] curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: 2 1 " Circle Which Months: All Year. J, F, M, A. M, J. J, A, S, O. N, D' 9) MIXTURE: List the three most hazardous chemica! components or any AHM components COMPONENT CAS # %Wf AHM [ ] ( ] [ ) 1) 2) ~., 3)" .'. . 10) Location''', Service' ·bay.' . , . ... .. CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [x Deletion ( ] Check if chemical is a NON TRADE SECRET {] TRADE SECRET ( ] ChemicaJ Name: Diesel Fuel Petrolium hydrocarbon 3) DOT # (optional) 2) Common Name: AHM ( ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire Lxi Reactive [] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) [] Delayed Health (Chronic) ( ] 5) WASTE CLASSIFICATION (3-digit code from DHS,[orm 80?2) ;USE CODE ., .~ 6) PHYSICAL STATE Solid [) Liquid þC) Gas [ J Pure [)d Mixture [] Waste [] Radioactive [ ] D-iEOO.u. TH,U A.PPt Y 7) AMOUNT AND TIME AT FACIUTY ! Maximum Daily Amount: 12,000 Average Daily Amount: lí,OOO Annual Amount: 1 71 000 ¡ Largest Size Container: 1~6~00 I # Days On Site I 9) MIXTURE: List I the three most hazardous 1) ~hemi~..components or .- any AHM compOneiits '" 2) ".- A_ .._ - , . . . , '. , , p ,-, '" . . '3) - , . UNITS OF MEASURE Ibs [ J gaJ Lxi ft3 [ ) curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: . 1 1 4 Circle Which Months: All Year. J. F, M, A. M, J, J, A. S. O. N, D " AH,,! ( ] COMPONENT CAS # %Wf " , 'j" , ~, , .. ':", " . . , - .. "::,.J'], [ ) .. . p .. .. , .. - . ... 10) Location Eas t -side of facili ty, center certify unaer pen8Jty ot JaW, that I have personally examme<:t and am familiar with the mtomaDon submttted on this and 8JI attacnea documents. I believe the I wbmitted information is true, accurate, and complete. PRINT Name & Title of Authorized Company Representative Signature Date '4Ø~ I~ I'(QICJ\IIV I..£PCSf~FCJ"'" 0:- BAKERSFIELD CITY FIRE DEPARTMENT. H4DOUS MATERIALS INVE_ORY . PRge_of_ ',' JsinessName Orange :Belt Stages Address 3640 N. Sillect Bakersfielci CHEMICAL DESCRIPTION 1J INVENTORY STATUS: New ¡ J. ,i'dgition (, '), Revisio(l.¡Xj Deletion ( ) Check if chemical is a NON TRADE SECRET [ ) TRADE SECRET [Ji: . .. , . , '.' 2) Common,"!.ame: Toilet Deordorant 8825 3) DOT #. (optional) ! .. . .. Chemical Name: T i a d e .. secret AHM ( ] CAS # ..., 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ( ] Reactive [ ] Sudden Release of Pressure [ ) Immediate Health (Acute) [ ) Delayed Health (Chronic) ( ) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 28 6) PHYSICAL STATE Solid ( J Uquid [X] Gas [] Pure [ ] Mixture k) Waste [ ] Radioactive ( ) OIEO<NJ. THAT APPtY 7) AMOUNT AND :nME AT FACIUTY _ , - UNITS OF MEASURE 6) STORAGE CODES 55 , 7 Maximum Daily Amount: Ibs ["] ~gal pq' ft3 [ ) - a) Container: Average Daily Amount: Z~ curies [ ] b) Pressure: l Annual Amount: :¿b) c) Temperature: Largest Size Container: )) # Days On Site 365 Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, 0 9) MIXTURE: Ust COMPONENT CAS # "IoWf AHM the three most hazardous 1) ( ] chemical components or any AHM components 2) [ ] ; : , . .... -- p , 3) [ ] 1 0) Lo~ion_ , . Wash bay,. , , , ,.. CHEMICAL DESCRIPTION " . 1) INVENTORY STATUS: New [ ] Addition I ) Revision Dc] Deletion ( ) CliecKif chemical is a NON TRADE SECRET [ ) TRADE SECRET I ] ; j 2) Common Name: Waste oil 3) DOT # (optional) I ! Chemical Name: Waste oil AHM [ ) CAS # ROO R ? n h I , 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive ( J Sudden Release of Pressure ( J Immediate Health (Acute) [ ) Delayed Health (Chronic) I] 5) WASTE CLASSIFICAnON, 221 (3-digit code from DHS Form 8022) USE CODE 46 6) PHYSICAL STATE Solid ( ) Uquid Ix! Gas I ) Pure [ ) Mixture I ) Waste xt Radioactive ( ] CHECI<N1... THAr.APPlY , 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 6) STORAGE CODES Maximum Daily Amount: 200 Ibs ( ] gal (~ ft3 [ ] a) Container: 2 Average Daily Amount: 40 curies I ] b) Pressure: 4 Annual Amount: 400 c) Temperature: . I . Largest Size Container: ZUU . # Days On Site 365 CircJe V\11ich Months: All Year, J, F, M, A. M, J, J, A, S, 0, N, D I i I 9) MIXTURE: Ust COMPONENT CAS # "IoWf AHM the three most hazardous·, .. ...1) '.. [I chemical components or any AHM·components ...' ,- ,...2) . . " , ( ) , , .' . , j .,. ¡ 3) I J " . , -. 10) Location Pit in service bav '.. certify under penalty o/Iaw, that I have personally examined and am /amillM with the mfomaaon subrnttted on this and all attached documents. I believe the submitted information is true, accurate, and complete: PRINT Name & Title of Authorized Company Representative Signe.ture Date 1«>I....boW:JO. ,g¡n IW;<»Otv LEPC"'~K:I"" BAKERSFIELD CITY FIRE DEPARTMENT HAZA~OUS MATERIALS INVEN-'V usiness Name ~ ...." Page_of_ Address ¡ CHEMICAL DESCRIPTION ,1) INVEf:-ITORY STATU?: N.~w ( ] ¡\dditiq,n ( J Revisiol) I I ~letiol)l I .' Check if che!11ical is a NQN TR.A.DE SECRET ( I TRADE SSCRET ,( I 2) éomríi6ri Name: 3) DOT # (optionaJ) .. .' -. " .., " . .. .. . -~ " ,. ., . '-0 . Chemical Name: AHM [ I CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES ' Fire [ I Reactive ( I Sudden Release of Pressure ( I Immediate Health (Acute) ( I Delayed Health (Chronic) ( I 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( I Liquid [ ] Gas ( ] Pure ( ] Mixture [ ] Waste [ ] Radioactive I I CHECX ALL mAT APPLY \ 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daiiy Amount: Ibs [ I gaJ ( I 113 [ I a) Container: Average Daily Amount: curies ( ] b) Pressure: AnnuaJ Amount: c) Temperature: Largest Size 'Container: # Days On Site Circle Which Months: All Year. J. F, M, A, M, J, J, A, S, 0, N. D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) II chemical components or anyAHM comp~>nents . , 2) ( ] .... 3) I J " .. ..- .. ' .. 1 0) Locai¡o~ " " .' " ,or , " , ' , .' , , ) CHEMICAL DESCRIPTION 1) INVENTORY ST~TUS: New [ J Addition [ ] !1evision ( ] Del.etion [ ] Check if chemical is a NON TRADE SECRET ( I TRADE SECRET ( I 2) Common Name: 3) DOT # (optionaJ) ChemicaJ Name: " AHM I I CAS # 4) PHYSICAL & HEALTH " PHYSICAL HEALTH HAZARD CATEGORIES Fire I Reactive ( I Sudden Release of Pressure [ ] Immediate Health (Acute) ( I Delayed Health (Chronic) ( I 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE - 6) PHYSICAL STATE Solid [ I Liquid [ I Gas [ ] Pure [ ] Mixture ( I Waste [ ] Radioactive [ I D-ffCXA.U. THAT APPlY 7) AMOUNT AND T1ME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ I gaJ [ I 113 [ I a) Container: Average Daily Amount: curies ( ] b) Pressure: AnnuaJ Amount: c) Temperature: . Largest Size Container: # Days On Site Circle Which Months: AU Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) II chemical components or MY AHM components '2) I I 3) I] 10) Location ·;ertJry under penalty of law, that I have ersonal/\ exammed and am famIliar WIth the mfomatJon submItted on thIS andtilT attached documents. I believe the p y lbmitted information is true, accurate, and complete. 1....o.r:JQ, lOIn. A(C»CNY LEPCITJIINtW"OFCJi'U Signature Date RINT Name & Title of Authorized Company Representative e o e'· O~E BElJ sv(;ES May 12, 2000 L~~'?-- ~ ., . ..ç~~~.... , 'l3i:~4ý /;~::Jj ~ --- --- ~ -~- -~ -_-=...- Bakersfield Fire Department Environmental Services 1715 Chester Avenue Bakersfield, CA 93301 Re: Hazardous Materials Management Plan Revisions Enclosed is a revised copy of the Hazardous Materials Management Plan and Hazardous Materials Inventory that reflect changes in our operation at 3640 N. Sillect Avenue, Bakerfield. Kenneth C. aker Director of SafetylTraining Enclosure P.o. BOX 949 · VISALlA, CALIFORNIA 93279 · PHONE (209) 733-4408 · FAX (209) 733-0538 ...... .4 ii;-- ~ e - ORANGE BELT STAGES SiteID: 215-000-000119 Manager : Location: 3640 N SILLECT AVE B' Y".'/ City BAKERSFIELD " / 2 2000 us Phone: ap : 102 rid: 24A (805) 327-4879 CommHaz : Low FacUnits: 1 AOV: \ ./ CommCode: COUNTY STATION 66 EPA Numb: SIC Code:4173 DunnBrad:02-961-2587 Emergency Contact / Title Emergency Contact / Title MICHAEL HAWORTH / GENERAL MANAGER AL GARDEN / OPERATIONS MGR Business Phone: (800) 266-7433x Business Phone: (805) 327-4879x 24-Hour Phone : (209) 733-3067x 24-Hour Phone : (805) 322-2358x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Owner Address City MIKE HAWORTH : PO BOX 949 : VISALIA Phone: ( ) State: CA Zip : 93301 Phone: (800) 266-7433x State: CA Zip : 93279 - x Contact : MailAddr: 3640 N SILLECT AVE City : BAKERSFIELD Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, -:it.. Q..~~ 'D£N D h "" . (Type or print name) 0 ersuy CsrMy ~ha~ ~ havs reviewed the attached hazardous matsrials manage- ment plan for ð R~N Ç.!;"' ~ . "ameofBuStn~)L 'Land ih~i Ii allOng with any corrections constitute a complete and Com~d man- agement plan for my facility. ''-, , OJ-~~ ( narure 8/;),k~ò~ -1- 02/29/2000 " e e SiteID: 215-000-000119 By Facility Unit Fixed Containers on Site F ORANGE BELT STAGES p= Hazmat Inventory p== Alphabetical Order DIESEL INCA LIQUID GOLD II MOTOR OIL TRANSMISSION OIL WASTE OIL F DH DH DH DH DH L L L L L ì ì ì DailyMax UnitMCP 12000.00 GAL Mod 55.00 GAL Min 600.00 GAL Min 110.00 GAL Low 150.00 GAL Low Hazmat Common Name... specHazEPA HazardS Frm F F F -2- 02/29/2000 e e SiteID: 215-000-000119 ì Facility Unit: Fixed Containers on Site ì f ORANGE BELT STAGES f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit EAST END OF YARD Map: Grid: CAS # 68476302 [ ?TA~EI TYPE ~ P~ESSURE ~ TEM~ERATURE -, CONTAINER TYPE =L1qu1d __pure ~mb1ent ---1 Amb1ent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 12000.00 GAL 6000.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME INCA LIQUID GOLD II Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 35.00 2-Hydroxymethyl-2-nitro-1,3-propanediol No 126114 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min HAZARD ASSESSMENTS -3- 02/29/2000 e e SiteID: 215-000-000119 ì Facility Unit: Fixed Containers on Site ì F ORANGE BELT STAGES f= Inventory Item 0004 F= COMMON NAME / CHEMI CAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 600.00 GAL Daily Average 600.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZ D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min AR ASSESSMENTS f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì = COMMON NAME / CHEMI CAL NAME TRANSMISSION OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 110.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Transmission Fluid (Petroleum-Based) No 0 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -4- 02/29/2000 e e SiteID: 215-000-000119 ì Facility Unit: Fixed Containers on Site 1 f ORANGE BELT STAGES p= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME WASTE OIL 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 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 150.00 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 -5- 02/29/2000 e e SiteID: 215-000-000119 ì Fast Format ì Overall Site ì 04/05/1995 F ORANGE BELT STAGES I p= Notif./Evacuation/Medical Agency Notification EMPLOYEES ARE INSTRUCTED TO CALL 911 IN CASE OF EMERGENCY AND THEN ORANGE BELT STAGES DISPATCHER WHO HAS A LIST OF EMERGENCY PHONE NUMBERS AT THEIR Employee Notif./Evacuation 04/05/1995 THE SIGNAL USED TO PROMPT EVACUATION OF THE BLDG WILL BE A COMBINATION: WORD OF MOUTH, AND ANNOUNCEMENT OVER THE INTERCOM SYSTEM. EMPLOYEES ARE TRAINED TO EVACUATE THROUGH THE CLEARLY MARKED EXITS AND TO MEET IN THE FRONT EMPLOYEE PARKING LOT. Public Notif./Evacuation 04/05/1995 DUE TO THE NATURE OF OUR BUSINESS WE HAVE LITTLE TO NO PUBLIC ACTIVITY ON SITE, HOWEVER IN THE CASE OF EMERGENCY, INDIVIDUALS WOULD EXIT THROUGH THE CLEARLY MARKED EXIT AREA'S AND WOULD BE DIRECTED BY COMPANY PERSONNEL. Emergency Medical Plan 04/05/1995 THE CLOSEST MEDICAL FACILITY THAT CAN PROVIDE APPROPRIATE ASSISTANCE IN THE CASE OF AN ACCIDENT IS MERCY HOSPITAL LOCATED AT 2215 TRUXTUN AVE, -6- 02/29/2000 · e e í ORANGE BELT STAGES ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000119 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1995 ¡ o 0 o BY PROVIDING QUALITY CONTAINERS, PROPERLY USING AND SECURING LIDS ON 0 o CONTAINERS OF MATERIALS. TRAIN STAFF IN USE AND PROCEDURES OF HANDLING OF 0 o HAZARDOUS MATERIALS. MAINSTAINING IN WORKING ORDER ALL SAFETY MONITORING o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1995 j o 0 o FOR PREVENTION OF DAMAGE, WE TAKE IMMEDIATE ACTION, IMMEDIATELY CONTAIN ANY 0 o SPILLED HAZARDOUS MATERIALS, RE-CONTAIN ALL HAZARDOUS MATERIALS AS SOON AS 0 o POSSIBLE. CONTACT OUTSIDE CONTAINMENT COMPANIES IF NEEDED. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1995 i o 0 o WE EMPHASIZE CONTAINMENT, PLEASE NOT 90% OF OUR FACILITY IS IMPERVIOUS 0 o CEMENT AND COVERED. THEREFORE ANY SPILLS WOULD BE CONTAINED AND CLEANED UP 0 o IMMEDIATELY. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf · -7- e e 02/2912000 " e e í ORANGE BELT STAGES ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000119 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1995 i o 0 o A) GAS - NW CORNER OF BLDG AT GAS METER o B) ELECTRICAL - ON N SIDE WALL OF MAIN SHOP o C) WATER - AT NW EDGE OF PROPERTY 20FT NORTH OF DRIVEWAY o D) SPECIAL - FUEL TANK SHUT OFF, NE CORNER OF SHOP BLDG ° E) LOCK BOX-NO 0 o 0 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1995 j o 0 o PRIV ATE FIRE PROTECTION - FIRE ALARM SYSTEM AS PER CITY OF BAKERSFIELD o REQUIREMENTS AND MONITORED BY TEL TEC COMMUNICATION. o 0 o o o o o ° NEAREST FIRE HYDRANT - FIRE HYDRANT LOCATED IN MIDDLE OF FACILITY AS PER o CITY OF BAKERSFIELD BLDG REQUIREMENT. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ ° 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 02/29/2000 o o · .. e e í ORANGE BELT STAGES ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000119 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1995 j o 0 o WE HAVE 10-15 EMPLOYEES AT THIS FACILITY. o o o o WE DO HAVE MSDS SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES RECEIVE INITIAL AND 0 o PERIODIC TRAINING REGARDING THE SAFE HANDLING OF HAZARDOUS MATERIALS, HOW TO 0 o IDENTIFY HAZARDS, PREVENTION, CLEANUP, WHERE, WHEN AND HOW TO EVACUATE, AND 0 o WHO TO CONTACT IN CASE OF AN INCIDENT INVOLVING HAZARDOUS MATERIALS. 0 o o o EMPLOYEES ARE ALSO SHOWN WHERE AND HOW TO PROPERLY STORE HAZARDOUS MATERIALS o AND WHERE ALL EMERGENCY SHUT OFF SWITCHES ARE LOCATED. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -9- 02/29/2000 IIÞ STATEMENT OF ACCOUNT 411 CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 32?:-3979 >-" , DATE: 9/01/95 TO: ORANGE BELT STAGES " PO. iY>-¡ qLf q , q 3d-- 7Cf ,; q; OS 3d. 7 - tf674 CUSTOMER NO: 3920 CUSTOMER TYPE: ES/ 3920 - - - - - - - - - - - - - - - - - - - -.... - - - -- --- - - - - - - - - - - - - -.... -... - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - =- --. CHARGE DATE DESCRIPTION ' ,'-. -.. .".... REF-NUMBER DU~ ,DATE TOTAL AMOUNT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ --:,' _ :..._ _ ,_ '_ _,'_ _0_ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 6/01/95 BEGINNING BALANCE 8/01/95 PAYMENT µ'~~ .00 110.00- 3~tfD NEW STATEMENTS! Please call 326-3979 if you have questions òr changes regarding your account. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 9/01/95 PAYMENT DUE: TOTAL DUE: 110.00- $110.00- »"< '.." .',,-,0 , ,,' > ,-,> PLEASEDÉTAGH ANI): ,SEND ',THIS 60PYWrrf(';jtEMIWTANCE:, I i ; j DUE;DA:~E r;910119S" 9/01/95 REMIT' AND MA.KE CHECK 'PA YABLEZ" TÙ: CITYOFBAI<ERSFIELD', " '." P.O. BOX 2057 BAKERSFIELD CA ,93303-2057 CUSTOMER NO: 3920 CUSTOMER TYPE: ES/ TOTAL DUE: 3920 $110.00- ¡I I II ·. P .':,.. .-........ " .,~ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION I 1715 CHESTER AV£~ BAKERSFIELD, CA. 9330,1 HAZARDOUS MA "EC~~ f:1;f? () Ii/! ë 1995- ,pt2 t11. . ~1: DIll MANAGEMENT PLAN 0 , , ,r- _7 fØz ~ INSTRUCTIONS: . .~ l ~- . i. io avoid further action, reTurn this ferm within 30 days of receiPt.þf1 ~O L c}9S, .. 2. iYPEfPRINT ANSWERS IN ENGLISH. ^ J I 3. Answer the auestions below for the ous¡ness es a W,nole. , ,_ V- :. Be brief ene conc:se es ocssible. " -;)'-1-, A- Â¿:AA'Y- LR. /D~ {çþ_ .' ,~)yt[5 .v/ N ~ 1ft C/t1\J2.L/ q()~40 ( SECTION 1: BUSINESS IDENTIFICATION DATA BUSiNESS NAME: Orange Belt Stages lCC..:'JION: 3640 N. Si11ect Ave M A ¡ II N GAD D RES S: 3640 N. Sill ec t A Y8' C!TY: Bakersfield c:-A-,-' Ca '" I I ¡:. Z!p:93308 PHONE: 805-327-4879 DUN & BRADSiKEEï NUMBE~: 02-96l-2587 SIC CODE: 4173 & ,4l42 PR!:v'¡ARY ACTIVITY: Bus Transportation OWNER: Mike Haworth Buèiness Phone # 800-266-7433 MAiLING ADDRESS: P.O. Box 9,49, Visa1ia, Ca 93279 SECTION 2: EMERGENCY NOTIF1CATION: CONTACT TiTlE BUS. PHONE 24 HR. PHONE 1. Mike Haworth General Manager 800-266-7433 20,9-733....3067 2. Al Garden Bakersfield Operation Manager 805_327.,..4879_ 322-2358 -- -..-...-- -..--...... .. ... ""'" ..J..J '-' i:-' We eazaràous Materials Division _ "'~ HAZARDOUS MATERIALS MANAGEMENT PLAN .. - ...~ '. , ... ,.~ SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 10-15 - MATERIAL SAFETY DATA SHEEïS ON FILE: Yes ôRIE~ SUMMARY OF TRAINING PROGRAM: All employees receive ini tial;gI;i61~i.: e:r:' dic training regarding the . safe handling of hazardous ~:tf~f:" ~"sl'· ow to identify hazards/ prevent;Lon, cleanup,where,when & how to ev.acuate, and who to contact in case of an incident involving hazardous materials. Employees are also shown shere and how to properly store hazardous materials and where all emergency shut off switches are located. SECTION 4: EXEMPTION REQUEST: o . I CERTIFY UNDER PENALTY OF PERJURY THAíMY BUSINESS IS EXEMPT FROM THE REPORTrNGREQUIREMENTS OF CHAPTER ó.95 OF THE "CAUFORNIA HEALTH & SAFETY CODE" FOR THE fOLLOWING REASONS: N/A WE 00 NOT HANDLE :-1AZA.RDOUS MATERIALS. N/A WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANT[TIES AT NO TiME=XC=EJ THE MINIMUM REPORTìNG QUANTITIES. N/A OTHER (SPECiFY RE~';SON) SECTION 5: CERTIFICATION: I, N/ACERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FiRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY' CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER ó.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. N/A SIGNA TURE TITLE DATE 2. ,:.- p; _:ïì . ¡" Bak.ersñ~ld Fire Dept. ttHazaràous Materials Division e " HAZARDOUS. MATERIALS MANAGEMENT PLAN Facility Unit Name: Oranqe Belt Staqes - Bakersfield Shop SECTION 6: NOTIFtC~TION AND EV ACUATION PROCEDURES: , r'I. .~GC:NC,( NOTIFiCATION PRGC=DURES: ,fn. Employees, are instructed to call 911 in case of, emergency, and then Orange Belt Stages dispatcher who has a list of emergency phone numbers at· their disposal. 3. :~/IPLOY== NOTIF¡C.;¡10N AND ='·/AC:.JAïJON: The signal used to prompt evacuation of the building 'will be a,combìnation: Word ofmQuth, and announcement over the intercom n system. Employees are trained to evacuate through the clearly marked exits and to meet in the front employee parking lot~ C, ?UBL!C ='1 ACUATION: Due to the nature of our busines~ we havel:t:ttle to no public activity on site," howeyer in the Ca$e of emeJ::"gency i.ndividual~ would exit through the clearly marked exi,t area' $" and would Be directed by company personnel. O. =~IERGcNC'( MEDICAL PL.~N: The closest medical facil:t:ty that can provide appropriate assitancei'n the Case Of an accident i~' Þ1ercy~ Ho~pital located at 2215 Truxtun Ave, Bakersfield. ... "\ ,=:W e Bakersfield Fire Dept.. Haza~daus Materials Di~sid'!' ~.- ., ..... -. . , . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN: A. RELE,';SE PREVENTION STE?S: By providing quality containers, properly using and securing lids on containers, of ,materials, Train staff in use and procedures of handli~g of hazardous materials. Mainstaining in working order all safety monitoring devices. 3. RELEASE'CONTAINMENT ANG/OR MINIMIZATION: For prevention of damag~, we t~ke immediate action, immediately contain any spilled hazardous materials, re-contain all hazardous materials as soon as possible. Contact outside containment companies if needed. c. . CLE.~N';UP ?ROCEJURES: We émphisize containment, please note 90% of our facility is impervious cement and covered. Therefore any spills would be contained and cleaned up immediately. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACiLITY): NATURAL GAS/PROPANE: Northwest corner of bu;tld.ing at gas meter =~=C-;-R IC,-\L:On northsiàe w;::¡ 11 of m;::¡ in <::nop. ' \V F,TE~: At northwest edge of property 20ft north of driveway S~ EC :AL: Fuel tank shut off, northeast ~ornpr of C!l1op h11;" din'] LCC:< SOX: YES/NO iF YES. LOe.; nON: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: ,.;. PRIVATE FIRE PROTECTION: Fire alarm system as per city of B~kersf.ield requ.irements and monitored by Telr"Tec Commun.icat.ion. S. WATER AVAILASIUTY (FiRE HYDRANT): Fire hydrant located in middle of facility as per citX of Bakersfield building requirements. t. ... BAK8iSFIELD 'CITY FIRE ofPARTMENT - HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVE. BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ BUSINESS NAME Orange Belt Stages FACILITY NAME Bakersfield Shop . SITE ADDRESS 3640 N. Sillect Ave '\ STATE 0A) " ,.... .' " ZIP 93308 1\' Ii' ,¡ ¡, CITY Bakersfield NATURE OF BUSINESS SIC CODE 4173 & 4142 Bus Transportation DUN & BRADSTREET NUMBER 02-96l-2S87 OWNER/OPERATOR Mike Haworth I / PHONE800":'266-74:n F MAILING ADDRESS P.O. Box 949 CITY Visalia STATE Ca ZIP 93279 EMERGENCY CONTACTS NAME Mike Haworth TITLE General Managpr BUSINESS PHONE 209-733-4408 24-HOUR PHONE 209-733-3067 NAME Al Garden TITLE Operations Man;::¡gpr BUSINESS PHONE 8Q5.,.327-4879 24-HOUR PHONE 805-322-2358 200 dUt{ -lq-?? REGION" LEPC STN<~ F-: SeCXemoef :xl. 1 Q2 rf\ : ~ Hatchtl BAKERSfl"O CITY FIRE DEPAFtJV1E'NT, HAZARDOUS MATERIALS INVENTORY ,~, ~~~e,-of-;- " ! \;", ' . ~ :.:, \ . . Jsiness Name Orange Belt Stages Address 3640 N. Sillect ,. /I CHEMICAL DESCRIPTION " " I 1) INVENTORY STATUS: New !XI Addition ( ] Revision ( ] Deletion ( ] Check if chemical is a NON TRADE SECRET ( ] TRADE SECRET ( ] 2) Common Name: Inca Liquid Gold II 3) DOT # (optional) Chemical Name: Proprietary AHM ( J CAS # Please see attaclh 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ( ] Reactive ( ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] i 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE I 6) PHYSICAL STATE Solid [ ] Uquid (Xi Gas ( ] Pure [ ] Mixture (Xi Waste ( ] Radioactive [ ] CHECX.ALl THAT J.PA.r 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 5 5 Gals Ibs [ ] gal [X 1t3 [ I a) Container: 7 Average Daily Amount: 0 - 5 5 Gals curies [ ] b) Pressure: 1 Annual Amount: c) Temperature: 4 I Largest Size'Container: 55 Gals # Days On Site 365 Circle Which Months: (1\ií@J. F, M, A. M. J. J, A. S. 0, N, D 9) MIXTURE: Ust COMPONENT Hcbc CAS # %wr AHM the three most hazardous 1)~dse see a L Lct.....ln::J [ J chemical components or '2- H- 'I d- RD" Y Ii e. t-k y l.. - IÜ;¡R.O- 1/3 - ~P¡'4FII 35" any AHM components 2) - [ I i 'f I 3) [ 10) Location i .j' CHEMICAL DESCRIPTION ,.... 1) INVENTORY STATUS: New ~] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: Transmission Oil 3) DOT # (optional) , Chdvron Chemical Name: Delo 400 Motor Oil SAE 15w-4 Q..HM [ J CAS # see attached 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ J Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) use CODe 6) PHYSICAL STATE Solid [ ] Uquid f{] Gas [ ] Pure [ ] Mixture ~] Waste [ ] Radioactive ( ] æ£C1uu. THAT ...PPu' i , II 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES I Maximum Daily Amount: 110 Gals Ibs [ I gaJ ¡X¡ 113 [ I a) Container: 6 ;1 Average Daily Amount: ~als curies [ I b) Pressure: ! \ Annual Amount: 0 -11 u Gals c) Temperature: Largest Size Container: 55 Gals # Days On Site 365 Circle Which Months: «'-lrYêat¡ J. F. M. A, M, J, J, A, S. O. N, 0 i 9) MIXTURE: Ust COMPONE~ r1 CAS # %WT AHM the three most hazardous 1) No:aco .ee ::It+;:H' Ç1 ?4C:l1S [ ] chemical components or O· f fL'uA.A ~.I .A Jo. .~ J.Qu:d) any AHM components 2) ( I f , 3) [ I , i I 1 0) Location . certify unaer pen8Jty of law, that I have personally examtned and am famlllat WIth the tntomaDon submItted on thiS and aJI attactled document:>. I believe '¡f¡e submitted intOrmaöon is true, accurate, and complete. PRINT Name & Title of Authorized Company Representative Signature Date ed f'lCIOt y L£PÇ rrlfllCNlO lOW .Ø~1C11a . ' . BAKER'S~LD CITY FIRE DEPAttrMENT HAZARDOUS MATERIALS INVENTORY Page_of_ --... .' ~usinéss Name Orange Belt Stages Address 3640 N. Sillect ,/' CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ¡XI Addition [ I Revision [ I Deletion [ I Check if chemical is a NON TRADE SECRET [ I TRADE SECRET ( I 2) Common Name: Motor Oil 3) DOT # (optional) Chevron Delo 400 motor oil SAE 40 CAS #see attached Chemical Name: AHM [ ) 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ) Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION N/A (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ) Liquid [x¡ Gas [ ] Pure [ ) Mixture [2q Waste [ I Radioactive [ ] CUfO<ALL mAT APPlY 7) AMOUNT AND TIME AT FACIUTY 600 gals UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ I gai ¥ ) 113 [ ] a) Container: 2 Average Daily AmounD - b U U qals curies [ I b) Pressure: 1 Annuai Amount: c) Temperature: 4 Largest Size'Container: JUU qals ~~J, # Days On Site 365 Circle Which Months: F, M. A. M, J, J. A. S, 0, N. D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) -Plea.!ç ùct:::: ct L Lctchc:.J MßI5~ [ ] chemical components or ~ oJ¿ any AHM components 2) , [ ] '"" 3) ( I 1 0) L~tion ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ 2f. Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: Diesel Fuel #l 3) DOT # (optionai) Che,*"on #1 Diesel Fuel 8008206 Chemical Name: / AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~] Reactive [ I Sudden Release of Pressure [ ] Immediate Health (Acute) DC] Delayed Health (Chronic) [ I 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ I Liquid )(] Gas [ I Pure lXJ Mixture [ ] Waste [ ] Radioactive [ ] CHECK AU. THAr APPlY 7)AMOUNTANDTlMEATFACIUTYl2 000 gals UNITS OF MEASURE 8) STORAGE CODES Maximum Dally Amount: ' Ibs [ I gai [XI 113 ( I a) Container: 1: Average Daily Amount:O .i ¿ , U U 0 gal s curies [ ] b) Pressure: Annuai Amount: 12,000 gals c) Temperature: 4 Largest Size Container: ~J, # Days On Site 365 Circle Which Months: F, M, A. M. J, J, A, S. 0, N. D 9) MIXTURE: List +lêo.ò:>t::: COMPONEN1 CAS # %WT AHM the three most hazardous 1 ) ",<:8 rlrtac· cl [ ] chemical components or 'D ( .JLð 0 12 any AHM components 2) ( I 3) [ ) 10) Location certHy under penaJtyof law, that I have personallyexammed and am familiar WIth the mfomabon submItted on thIS and-all attached documents. I.believe the submitted information is true, accurate, and complete. PRINT Name & Title of Authorized Company Representative Signature Date 5.ø.....c:..3C1taÞ, N:CICN II LIJIC ST~ FCJW BAKEBSIiiELD CITY, FIRE DEP_TM'ENT HAZlr:(DOµS,MATERIALS INVENTORY':' ",' ~ .... Pagc_9t_ Business Name Orange Belt Stages Address 3640 N. Sillect Ave V CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ()4 Addition [ ) Revision ( ) Deletion [ ) Check if chemical is a NON TRADE SECRET ( ) TRACE SECRET ( ) 2) Common Name: Waste Oil 3) DOT # (optional) Chemical Name: Petroleum not assigned AHM ( ) CAS # 4) PHYSICAL & HEALiH PHYSICAL HEAL iH HAZARD CATEGORIES Fire ~] Reactive ( ] Sudden Release of Pressure ( ] Immediate Health (Acute) ( ] Delayed Health (Chronic) ()f '5) WASTE CLASSIFICATION 221 (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid ~ ) Gas [ ) Pure [ ] Mixture ¥ ] Waste ¡ ] Radioactive [ ) CHECK All IIIAUP''''' 7) AMOUNT AND TIME AT FACIUTY 150 gals UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ) gal IX] 1t3 ¡ ] a) Container: 2 I Average Daily AmourG:-I ~ U qals curies [ ) b) Pressure: I Annual Amount: c) Temperature: 4 Largest Size Container: J:50 YellS # Days On Site 36~ Circle Which Months: (ÁÍÍY~ J, F, M, A, M,' J, J, A, S, 0, N, D 9) MIXTURE:' Ust COMPONENT CAS # %WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] ,. 3) [ ] 10) Location CHEMICAL DESCRIPTION - 1) INVENTORY STATUS: New ¡ ] Addition ( ] Revision ¡ ] Deletion ( ] Check if chemical is a NON TRADE SECRET [ ] TRACE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: . AHM [ ] CAS # / 4) PHYSICAl,& HEALTH PHYSICAL HEALiH HAZARD CATEGORIES Fire ( ] Reactive ( ] Sudden Release of Pressure [ ] Immediate Health (Acute) ¡ ] Delayed Health (Chronic) ( ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ) Gas [ ) Pure [ ] Mixture ( ] Waste ( ) Radioactive [ ] CHECI<N.L THAr APPtY , 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs ( ) gal [ ] 1t3 [ J a) Container: Average Daily Amount: curies ( ) b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A,S, 0, N, 0 9) MIXTURE: Ust COMPONENT CAS # %Wf AHM the three most hazardous 1) ( ) chemical components or any AHM components 2) [ ] 3) [ ) 10) Location ertJry unaer penalty of law, that I have personallyexammecl and am famtltaf Wtth the mfomatton submtttect on tI7/s and all attscnect documents. I Þelltwe lI1e bmit1ed information is true, accurate, and complete. /NT Name &. Title of Authorized Company Representative Signature Date r-"" ,... N~Y I.EPCST~~..