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Home My WebLink AboutBUSINESS PLAN '-':"' ~ .;\ ~.;;\ T~'~:~ .; ',' :;;.. NORTH e.- e· . SITE/FACILITY DIfÞ~RAM FORM 5 7C¡3-III~t 7 ?foc.~:'~/<f! OF H~r ~-+ ::1- UNIT :::1.0F SCALE: DATE: ¿ / - ~O ~ Q1 (CHECK ONE) SITE DIAGRA~ FACILITY DIAGRA~ ~. 1---.... ---- ~ ------ -. -- I -~ I i ~p! ¡ - o 1 J 'I 'I - I ~1 \12 of () , ~ , 'Ç( ~ ~ ~: _ x " \IJ <Z! . ~~: T -t <ni ~ :> ~~ ~ ~ -' Œ a . ¡ '¡ .~~ \¡f~ LJ (Inspector's Comments): - - - W \ LLD A~.sOvJ· ct', vUa..~i-e . OIL· W'V\lo\O~. I o 3/'f/~dO (Þ a 10 ¡()I /?J Q g, ~t ~ .-~~ eo, <t ¡ . ~î 'r -=v V" l .!i 1..:::'3 (/J- Ü) 31 "0 ~. ,,- I I ~ VJ _ I~-:$ . ,~~ ~ 2 pR.~~ RcolM , ~~d~ \ o q~iØÐ . tÉM't =b t o"ts- ~~\!)~g ~'ko~ ~1OQ~~~$) -OFFICIAL USE ONLY- '.. - 5A - ! .1 ! ( '~L ~.. ~ 01 ~ é.].' o -M ~J c/ + \/) SITE DIAGRAM (Relied ~s) 1. Address: Ilierit y the principle buildings by the Street nuabers. 9. L"kl,! ~ 10. MSDS Storage Box 11. Railroad Tracks 12. Fence or Barrier a. WIre ò. Ml180nry c. Wood d. Gates 13. Power linea 14. Guard Station 15. Storage Tanks: Identify the capacity in gilL a. Above ~round b. Under¡round 16. DikInc or Ber. 17, Evacuation Route 2. Street(s), Allevs. Driveways. and Parking Areas adjacent to the property. Include the street naaes. 3. Stor. Drains. Culverts. Yard Drains 4. Drainage Canals. Ditches. Creeks. 5. BuildIngs a. Fraae construction b. Masonry construction c. Metal construction d. Access Door 6. Utility Controls 8. Gas . b. Electricity c. Water 18. Evacuation Area: rdentHy the location where a.ployaas wi 11 ..et. 19. Outside Hazardous W.ste Storaie aD. Outside Hazardous Material Storage 21. Outside Hazardous Matertal Uae/Handllng 7. FireSuppres.ion 5y.te.s: a. Fire Hydrants b. Fire Sprinkler Connections c. Plre Standptpe Connections d. Water Control Valves Cor protection syste.. e. Fire Pup 22. Type ot Hazar~oua Material/Waate Stored 01" Used (Sea Below) 8. Fire Depart.ent Access TYPE OF HAZARDOUS ~TER[AL F · FIUllable E Exploaive L Llqu1d C · Corrosive 0 . Oa1d1zer G . Gas II · Water Rellctt ve T . Toxic S . Solid R Radl01o¡ical P . Pobon H . Cry-olonic o . Waste 8 . Etiolo¡lcal Exaapl.: Flaaaable LiquId· PL FACtLITY DtAGRAM (Required ite.s in addition to the above) 1. 'Rhers tor Sprinidera 8. Fire Escapea ! 2. Part It ton. g. Air Condition!n, Unit. 3. Stairways: Indicate tbo 10. Windows levels aerved troD b1ebeat to loweet. 11. Inside Hazardoua Waate Storace 4. Escalator: Indicate the leve'Ja seMled troD 12. Inside Hazardous hi~heat tg loweat. Natertal. Storace ~. Elevator 13. tna1de Hazardou5 Materials Use/HendUne 8. Attic Ace... 14. Sewer Drain Inlets 7. Skyl i¡htf ,;;.. ..")- l-~¡. t, ......:'__ Î' ....;;...~;....' $.¡.... MAR-12-96 TU .. E 11·35 . AM C0MPUTER+SMOG __<E-+++-+ 835 3501 P.01 13 Û1-r Ò+ ¿A: /µr~( ../ . / r\- ¿L ~<- ¿¡:;Jð~ IL-~.-r c/-- te. + c¡ t9 v1- ~ tl ðfJ Ie- /:fl o-J 1A- P1- f- ¿J ~ W IL~~ /VloJ~) ðv<-~. ¿____S,~f--S-S I (j: J# /{hJ. 9 ,n) A /-R fAr S hf.¿ &<k- tJÚ'l \ ' Þ'\,ð J\,,JJ I' -;;;:; 5 ùtß$> <;: k rhW~ 6).J :;Pt.-/ 5tJ lie ,i3~ ,#/,-{-{?-(.. /!A1k 7h.11- µ{ 4í~ ~. ~~;ØJ ¿;l;; ) /l1( Cð(jL~~ -It~C(5llr) ~~ r¡~ jJ't ~ ~'k (o7Jø Cvr4f~ 5~O' <6J;~~ 3ft I A1:í:P~A --------- ~ .~.. ,(~ . -- HM428801 Account Number ACCOUNTS RECENABLE ADJUSTMENT February 14. 1995 Date x Esther Duran From Fire Department - Hazardous Materials Division Department/Division COMPUTER SMOG SPECIALIST BIlling Name 3621 STOCKDALE HWY BIlling Address Site Address Parcel :# (If Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 0 <21.51 > 1-11-95 do!;! EIf~ Remarks: WE AGREED TO WRITE OFF THESE FINANCE CHARGES IF THEY PAID THE REMAINDER OF THE Bill. ~-. "'¿'J - e =============================================================================== Utilities General Account Maintenance 02/14/95 PUTLS801 =============================================================================== Acct Nbr: 426801 Cyc Stat: CL Bill Stat: NO Acct Cyc Stat: CL Transfer-from: Transfer-to: Page 1 of 6 Due: 21. 51 1. Customer Name: COMPUTER SMOG SPEACIALIST 2. Social Sec Nbr: 3. Telephone: 4. Service Address: 3621 STOCKDALE HWY 5. Service City: BAKERSFIELD 6. State: CA 7. Zip: 93309 8. Parcel ID: 9. Bill Cycle: 5 20. Water Svc Class: 10. Route Nbr: 11. Comments: 12. Prev Acct: HM00793 23. Misc Services: 23.1 F05 HAZ MAT HANDLING 13. Service Date: 23.2 F17 INSPECTION FEE 14. Fund no: 23.3 15. Billto Adl:3621 STOCKDALE HWY 23.4 16. Billto Ad2: 24. Closing Date: 17. Bill-to City: BAKERSFIELD 18. State: CA 19. Zip: 93309 =============================================================================== Enter Save(S), Cancel(XX), Next page(/), or Field # to Change 4ÎÍÍÌ'"- ..., ...... e It Page: ================================================================================ SUTL108 1 Account Billing/Collection Activity Inquiry ================================================================================ Acct SSN Name Svc Add: 426801 Cyc st: CL Bill st: NO Parcel: COMPUTER SMOG SPEACIALIST 3621 STOCKDALE HWY Cyc: 5 Rt: Svc CIs :e Seq: -------------------------------------------------------------------------------- Amt due: Lst Pmt: Pmt Dte: Prior Date 01/01/95 01/01/94 01/01/93 01/01/92 01/01/91 02/15/90 181.51 -173.13 03/04/94 Bills -- Balance 181. 51 0.00 0.00 0.00 0.00 0.00 Type Desc Current Period Postings Date Amount Receipt '* ================================================================================ Enter 'I' For Bill History,'P' To Print Report, '/C' For Credit and Deposit History or 'XX' To Exit -~.Sl -.J ?? f· V.· '\; o-L. 00~-, '-.Q-, <t;~~. óSO! ~i' - . e . --.- ...."'. ~- e 1 p\~(C[~~%7~ 07/29/92 COMPUTER SMOG SPEACIALIST 215-000.-000 93 Overall Site with 1 Fac. Unit OCT 20 1992 General Information iß Locat~on: 3621 STOCKDALE HWY ,Community: BAKERSFIELD STATION 03 Map: 123 Hazard: Low Grid: 02B FlU:' 1 AOV: 0.0 Contact Name JOE BODIE ,¡v¡J cl¡f~ Title Business Phone (805) 835-3501 x (~~'Z...'-.:. x 24-Hour Phone (805) 854-2543 (g-ø:)5~'t -9£1. . -e,.J~ Administrative Data Mail Addrs: 3621 STOCKDALE HWY City: BAKERSFIELD Comm Code: 215-003 BAKERSFIELD STATION 03 Owner: JOE ~8tJfe. Address: 11640 COMMANCHO RD City: DIGIORGIO D&B Number: State: CA Zip: 93309- SIC Code: Phone: tiØ? p1...lf -? J 16 state: CA Zip: 93217- Summary " OK .~ ,#~~ ~ ¿;).:p- Do hereby œrtify that I have " ype 01' print name) reviewed the attached hazardous materials manage- ment phií"\ for C~di:A... ~:ld that it along with (N e of 8us!r:ess) , any correctionsoonstitute a complete and correct man- agement plan for my facility. .. . ~ , ~ : v~4.~ !IJ -I ~J' ''\- Dale e e ¡' ¡: 07/29/92 COMPUTER SMOG SPEACI~LIST 215-000-000793 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 WAST~OIL ~ F'æe, Delay Hlth Liquid 200 GAL Low Trade Secret: No orm: Liquid Type: Waste Days: 365 Use: WASTE - Daily Mßx GAL,~ Daily AV. e.;pge GAL ;-¡- Ann~~,Amount GAL - SS~' I 6~~ I . ::..;JJ ..1,ttß6.l1Ð r Press T· Temp ~I Location Ambient AmbientlWEST SIDE OF BUSINESS Storaqe . 11NDER~NK ~ 9~ Cone -I 100.0% Waste Oil, Components Petroleum Based ~ MCP; ---rList Low I 02-002 MOTOR OIL ~ Fi e, Delay Hlth Liquid 200 Minimal GAL Trade Secret: No Type: Pure Days: 365 Use: LUBRICANT ~ Daily ~ax GAL ----r-- Daily A~rage GAL,--r-- Annual Amount GAL - f5S ~ I 5S .~ I 5bO ~~ Storage r Press T Temp ~ Location ~BARRE~~--@-- Ambient Ambient I SOUT7 WALL OF BAY - cð'r(c l. . Components ~ MCP :-rList 100.0% Motor Oil, Petroleum Based ¡Minimal I e e .. . 07/29/92 COMPUTER SMOG SPEACIALIST 215-000-000793 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EVACUATION THRU FRONT DOORS AND SLIDING GLASS DOORS. CALL 911 OR FIRE DEPARTMENT <3> Public Notif./Evacuation ~..I2b::::::-~ all Ø'-C,£Jk Lt;lf'~ ~~ t )tlh.J / ~ 41¡1~ r T . ~ J <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 e ;~ -0 07/29/92 e COMPUTER SMOG SPEACIALIST, 215-000-000793 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ð ~ L.- Pr rA.o¡,.-.~ Ik-Il ~ Ie) ~ ~ 6-4 ~ fJ{'f-M-t; 0;.) ~+'St'JL-- ß~ 'ì)~j 1.".. 0' <2> Release Containment J;-1- 5 /~7/t!..d Ib--/€A-$~ ð.y ¡¿"-ct:< <3> Clean Up RICE PULP TO CLEAN UP OIL <4> Other Resource Activation ./ /~J e e ~ 07/29/92 COMPUTER SMOG SPEACIALIST , 215-000-000793 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE PARTS ROOM ON LEFT SIDE C) WATER - ON WEST SIDE OF BUSINESS D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ALARM FIRE HYDRANT - NORTH SIDE OF STOCKDALE HIGHWAY, 3600 BLOCK ¡ <4> Building Occupancy Level - e ¡ '5 1 '~ 07/29/92 COMPUTER SMOG SPEACIALIST 215-000-000793 00 - Overall Site Page . 6 <G>Training . <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY Ó~NÁ/ o/~/r~. DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?? BRIEF SUMMARY OF TRAINING: /h-Ð¡tlt'L..~ "9;<1.Ço.+7 /"\-flefw5S 1£.5. /' / <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use - ----~~ ";!"'>~AJ{"~", '¿)t .... "O~4':S-;;,\ '..l.. _'. ~\\ r-... t""" G . i70~~, :), )' .~~;.o, ~. -'~ , 'C'A ',. 'I- / 'l.Ì rORt' \ '~ e _11TDTrlk /) \\\\\II~~~~'!~::!1l!¡ CITY of BAKERSFIELD 1q ~~i:('a':;~\ "¡VE C...'¡RE" r./ =~:::Sll ':;':; c{?':? ~~'~" ~,ìg Ä"..... ,:,:,":~~\,.. ,1,1...;: @ "';'ÎÍi~ 3ð5EP/' bocl'¿, , (tYDe or print name) RECEIVED JAN 0 5 1989 Ans' d............ Do hereb:;' certif~,- that I ha"\-e revieí,'ed the att~ched Hazardous Materials business plan for G 0 rv\./J ¡"..,:..J--er" .-5;Þ1/J <7 , / (name of business) 5;p'~V1~/J/- f/ and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility, / / L//~7 date ~ ~ ¡-t\-<g~ ~ ~ ~ ca.Ql JYYV.- lsode- ~\Q ~ ~ ~ QQ1uuJ f)<.T ~-d-b o~ I t ....,1,. BUSINESS NAME COMPUTER SMOG SPEAC1ALIST LOCATION 3621 STOCKDALE HWY 10 NUMBER 215-000-000'793 HIGH HAZARD RATING 2 3. HAZ MAT TRAINING SUMMARY LAST CHANGE I I BY <NO INFORMATION RECORDED FOR THIS SECTION> 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 07/28/88 BY ESTER ZA SEC 5) MERCY HOSPITAL - ZZ 15 TRU)(TUN AVE - 327- 3371 PAGE Z 1Z/14/88 16:59 MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6S0Ø -. e e ., . roBUSINESS NAME COMPUT~MOG SPEACIALIST LOCATION 3621 ST~DALE HWY FACILITY UNIT 01 10 NU~ 215-000-000793 HIPHAZARO RAT! NGZ RECEIVED A. OVERALL HAZARDOUS MATERIALS 10 TYPE NAME LOCATI ON INVENTORY LAST CHANGE 07/28/88 BY ESTER MAX AMT UNIT HA~· MAT. DIV. USE fEB 2 2 \989 CONTAINMENT WASTE WASTE OIL W SIDE OF BUSINESS UNDERGROUND TANKS 10 PERCENT COMPONENTS 1598.00 100.0 WASTE OIL Z00 GAL UNKNOWN OIL TREATMENT HAZARD LIST UNKNOWN Z PURE MOTOR OIL 110 GAL UNKNOWN 5 SIDE INSIDE SW CORNER DRUMS OR BARRELS MET.. LUBRICANT 10 PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNI<NOWN B. FIRE PROTECTION 1 WATER SUPPLIES LAST CHANGE 07/28/88 BY ESTER 3A SEC 4) FIRE ALARM FOR FIRE PROTECTION. 3A SEe 5) FIRE HYDRANT LOCATED ON N SIDE OF STOCKDALE HWY, 3600 BLOCK. rr·,~¡:-7:-E 'r.f""';' il '~"~,'" .. .~~-..;;:: t . ",'" ~,': \ -;-. ~ , . ~ ;,'....ç ~.,,; -:1' . 'e Bodie ',- ,Owner .,.:. çomputer Smog Specialist 3621 Stockdale HWV. Bakersfield, Calif. 93309 835·3501 PAGE 3 12/14/88 16:59 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 · BUSINESS NAME COMPUT~MOG SPEACIALIST 'LOCATION 362 1 ST~OALE HWV 10 NU~ 215-000-000793 Hl~HAZARD RATING 2 1. OVERVIEW LAST CHANGE 09/02/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 GRID 02B FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY ZA SEC 4) NO PRIVATE RESPONSE TEAM. EMERGENCY CONTACTS ZA SEC Z> JOE BODIE - 835-3501 OR 854-2543 UTILITY SHUTOFFS ZA ,SEC 3) A) GAS - NONE B} ELECTRICAL - INSIDE PARTS ROOM ON LEFT SIDE C} WATER - ON WEST SIDE OF BUSINESS Q) SPECIAL - NONE E) LOCK BOX ~ NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12114/88 16:59 MATERIAL SAFETY DATA SYSTEMS, INC. <80S) 648-6800 '" " . BUSINESS NAME COMPUTER SM06 SPEACIALIST LOCATION 3621 STOCKDALE HWY D. EMPLOYEE NOTIFICATION / EVACUATION 10 NUMBER 215-000-000793 HIGH HAZARD RATING Z LAST CHANGE 07/28/88 BY ESTER 3A SEC Z) EVACUATION THRU FRONT DOORS AND SLIDING GLASS DOORS. CAll 911 OR FI RE OEPT. E. MITIGATION / PREVENTION / ABATEMENT 3A SEC 1) RICE PULP TO CLEAN UP OIL. PAGE 4 lAST CHANGE 07/28/88 BY ESTER MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 tZ/14/88 16:59 " e e ·~ . A 'V. ~. ..'.- ,. . e"---~ ------,,,_.--- , -. " E' -- OF" STATE OF CAlIFORNIA-HEAlTH AND WELFARE AGENCY GEORGE DEUKM,EJIAN, Goll'emor I;!o. DEPARTMENT OF HEALTH SERVICES- 714/744 P STREET P.O. BOX 942732 SACRAMENTO, CA 9423+7320 ( 916) 324-1781 @'-'" . . .,' Date: 1-!:i3 011989 ACKNOWLEDGEMENT OF NOTIFICATION OF HAZARDOUS WASTE ACTIVITY The state of California, Department of Health services, Toxic Substances Control Division, Program Monitoring and Personnel section is now issuing California I. D. nwnbers for all small quantity gener~tors in California. These nwnbers will begin with a CAL prefix. A permanent California I. D. number has been assigned to the address location of your company. A copy of your application form is attached. The number is SITE-SPECIFIC. If your company should move, this I.D. number does NOT move with the company and a new one must be / obtained. I f you should make any changes to the attached fotID please notify us in writing. The number must be included on all manifests for transporting of hazardous waste; all Annual/Biennial Reports that generators of hazardous waste, and owners/operators of hazardous waste treatment, storage and disposal facilities must file. Please retain this I.D. number in your files for reference when disposing of hazardous waste. Program Monitoring & Personnel Section Toxic Substances Control Division -~_.~..~ ~...,.,~~--~---""",,.~- ------ - - .--=-----=----:"--,,. "" .- -.--..,..,-~-~ Stlndlrd 8uSi"rss ~ HAZARDOUS MATERX ALS :J:'NVENTORY NON - T R ^ DES E eRE T S p'gec;l of ~~ ¿,;b;16'WNER NAME: -.1"õ' !.JtxJ7,G- , NAME OF Trt1:S r.AfJL!.TY: ADDRESS: 1~ 0 q C uS f-~ .,ç"/, STANDARD IND. CLASS CODE CITY. ZIP: . I:ÞjIJ-I;:'O~b"'(Ø ~tð,,¿ - 'i''5 qOo/ DUN AND BRADSTREET NUMBER PHONE II: $?)7' £.. - ã3.& ~.;; Q---;;-YS:' IUll'D ro IIIS'l7lUt:rIOIIS roB PROPIlR CODa CIT}T of BAKERSFIELD F,r. ,"d AqricuJture '--' BUSINESS NAME: LOCATION: ' CITY, ZIP: PHONE II: 1 2 Ira"s TYII'! Cod. Code 11 Un Code 12 Location ....... StOl'ld In FlCillty 3 III. Mt . b'I'Iq' Mt Ph~iell and HHlth HlllreI hKk .11 tlllt 1Ily) C.A.S. ....... ______ CoIpcnnt 11 .... U.S. .... ., r-, ,..-, ,..-., ,..-, L_.J Fir. HIliI'd L_.J RHctl"lty L_.J Del,yed L_.J Sudden ..1_ L_..I 1...llt. IIH Ith of P....,IU... ....Ith to.QønInt 12 .... C.A.S. .... ~t 13 .... C.A.S. .... PhysiclI IIId IIHlth H".reI (Check .11 tlllt '1I1IIy) \ C.A.S. .......____ ~t II ... ',C.A.S. .... r-., ,..-, ,..-, ,.-, ,..-, L_.J FI... HIliI'd L_..I "'ctl"lty L_..I Del,yed L_..I Sudden hI... L_..I I...t.t. , IIH Ith of P....'JVI't ....lth CoIpcnnt n .... C.A.S. ..... CoIpcnnt 13 .... c.a. S. .... Phys ICII IIId ....lth Hlrlrel (Check .11 tlllt '1I1IIy) c.,on.nt.1 .... C.A.S. .... C.A.S. IIwbtr r-, ,..-, r-., ,..-., ,..-., L _.J Ftre H"'l'd L _..I Rllctl"ity L _.J Del,yed L _..I Sudd", ReI..,. L _.J 1...I.t. HH Ith of P.....u... ....Itll CoIpcnnt n 1_' C.A.S. .... CoIpcnnt 13 .... C.A.S. .... --__JL____l____________1-.____________JL______~-----J------l------L_______J_~_JL_______L__ Phys lell IIId HH Ith Hlrerel (Check .11 tlllt 1",ly) C.A.S. 1uIIbtr_____________________ ec.ø-nt 11 .... C.A.S. .... ,...-., ,..-., r-., r-" ,.-, L _.J Fire HilII'd" L _..I IINctl"lty, L _..I Dellyed L _..I Sudd", _elau L _..I 1...I,t. HII J th of Prnsul" H.. I th C~t 12 .... C.A.S. ....,.,. tc.panent n .... C.A.S. """1' frlPpJPd~..'(- 12 -Ø-Prt.tl.ßi4í:.Æ':---------- T1gJkJ1:'d..~-------------- .;[;¡,l¡:£þ.$2 '- 13 , 11',' lit 1. __ of IItxtUl't/tc.panentl Set IMtl'UCtiCll'll {j -- ----- ------------------------ ------ C.rtthcation (Rf!ad and sign after co.plp.tJng all sf!ctions) It.rtì'iv unde. I' ItI\Ilty of 1.'. that .1 IIIve "rsor;.~~t,;.'.ined .nd .. f..llI.r with the infor..tion su.itttcl In this end .11 .ttlChed, doc_tl, IIIG tlllt based on Wtf Inquiry of thos. Indl"lcIuIll 1'"IGIIlibl. f'00'inin9 the infor-,rlon. I believe t~~:t!!d info....tion is true. .ccur.te, .nd coell~t.. V7~ fa' R" ·_~---~~lá.f~J.l Æ-~;2'.--¿~~DR--~-7-!.!!£--·----£r~-.-~3.-------~£-r--- s·---t·...--- -- -~-----~----, ----....--------- ,,~t--s·-¿--Lk.-':--L----------- 4"'1 aM on1C" tl e ûJ owner, operator owner ooera or s au ""rll~ reorn", ..IV' 19n. ure ~ ~~--, ,\HI' 19n.... ' ,; '.'-. . ..5~~:: ~ \ . , ~ç' ~.,. e, 1 prOGRAM MONIT ,I, '0 r. 1 ',.. i: _ _ ~l11fr(lAppro ed OMBNo. 2050,0028, £xpires9,JO,88, ease print or type wIth ELITE 1Ype (12 characters per inch) in the unshaded ari\as only Ft"R",ONNcl S!:C¡ .,~,,, GSA No 0245·£PA ,OT United States Environmental Rrotee'on Agency \ Please refer to the Instructions for Washington. DC 2t46Ó U 't.1 . 'i' r,('"..' Filing Notification before comPletinå - _ ,\J IjtU this form. The information requeste N 'f" . ' f H d .. here is required by law (Section Otl Icatlon 0 azar 0 5 H/ltV j30100ftheResourceConservation 1 ¡and Recovery Act). ~ ôEPA .;. / o c For Official Use Only A. Hazardous Waste Activi ,/ 1 a, Generator EB1'b. Less than 1.000 kg/mo. o 2. Transpor1er G. ':::, S, ih'v-,.\ ~J..~ o 3. Treater/Storer/Disposer \J f:::o c 04, Underground Injection - 00; o 5. Market or Burn Hazardous Waste Fuel (enter 'X' and mark appropriate boxes below) o a. Generator Marketing to Burner o b. Other Marketer o c. Burner VII. Waste Fuel Burning: Type of Combustion Device (enter ·X· in alf appropriate boxes tciindicate type of combustion device(s)in which hazardous waste fuel or off, specification used oil fuel is burned. See instructions for definitions of combustion devices.) o A. Utility Boiler 0 B. Industrial Boiler 0 C. Industrial Furnace VIII. Mode of Trans ortation trans ro riate box es ro riate boxes. Refer to instructions. B. Used Oil Fuel Activities ~ 6. Off-Specification Used Oil Fuel (enter 'X' and mark appropriate boxes below) aa. Generator Marketing to Burner o b. Other Marketer o c. Burner o 7, Specification Used Oil Fuel Marketer (or On site Burner) Who. First Claims the Oil Meets the Specification , . , ~ . . . -: . 1 ,I; o A, Air 0 B. Rail 0 C. Highway IX. First or Subse uent Notification Mark 'X' in the appropriate box to indicate whether this is your Installation's first notification of hazardous waste activity or a subsequent nOllfication;-lf-this·i::;,not,yoür·first-notification;-errter-your'installa:ion~s'EPA-IÐ'Numbe; i",thEi'spaCe17rovided-below:--- -~-- - ,- -,~- / (] A, First Notification 0 B. Subsequent Notification (complete irem C) EPA ¡:orm 8700,12 (Rev, 11,85) Previous edition is obsolet,;" ContinIlA,....'" ..,.._~ JJ, . ." 'j '" <, e /2 3 ~O 2 (3 BAKERSFIELD CITY FIRE DEPARTMENT STA m f 7 2130 "G" STREET R ECE I VE 0 fl5 BAKERSFIELD, CA 93301 OJ U L 7 1987 (805) 326-3979, 0;:;)";' , D Ans'd. ........... e OFFICIAL USE ONLY 5~l) ID# J<6\d-~ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE ð FORM 2A 1~~ ~~~ 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. RECEIVED AUG 1 0 ;987 Ana'd............ SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: CITY: ~3 ~.lèr¡;vLf: 6 &-icJ (1{) ~ p U +(-:;'ÎI\. g \M. D ~ S P ,¿-c.t A L\ ¿ + 3((, d. ~ s -to cJt. d A-h: rM wy ZIP: Q330q BUS. PHONE: (!?o.5) g 35 - 3 SDð A. BUSINESS NAME: 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 TITL~ð ... DURING BUS. HRS, AFTER BUS. HR~ J A. ::JnF ßOCA\t:1 0 W &\Jl:M... Ph# &~S ·3:5JOO Ph# ~54 ,dS--I3 B. Ph# Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: WOtJt:r "'\+ kf)~A-"·htt1.;N\ , B. ELECTRICAL: Iw ~\g),e PA.L~Ì"~ ~ooV"t.(),^J l~..ç+ s.",c1Ñ C. WATER: (¡"H:.n W~"t+ 6U1t~ ~ (-\\J,~I ~,Hj~ D. SPECIAL: ~ E. LOCK BOX: YES J\..E9l IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - e . t ' <;,-~ ' \ \ _,,_, ' ,·X' :" ' SECTION 4: PRIVATE' RESPONSE TEAM FOR BUSINESS AS A WHOLE jz/ðP/t?" SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE ...) ,-,':" ;.' ,;. £/f/J~¡¿iJ'ÒvIJ/~(f Raø~, f14#AC-'( //ak7/õ~, { <,.< 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 A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . . '. . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . B, PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . . D. EMERGENCY EVACUATION PROCEDURES:.. . , . . . . . . . . . . . . . E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... 'INITIAL, YES @ ¿!3, ,~ , NO Y~ YES UiSY REFRESHER YES NO YES NO YES NO YES NO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 PO~F A SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:... ...~ NO I, . ~<?~~~~ , 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. 'SIGNATURE ¡ff~ TITLE ¿rj7~Ø/~ DATE d:-*-F7 - 2B - ) ~~ ~~ ~ t. t- e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY - BUSINESS NAME: COVV' PO~{'" ~)o\o\(?.5 Spi:n~t..t& 'f ID# ------ BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be retu~ned 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 »ossible. FACILITY UNIT#' =t- FACILITY UNIT NAME: . rfll.V\po'·h.?t, g¡M.~ SECTION 1: MITIGATION. PREVENTION, ABATEME~~ PROCEDURES -R ,(:..6 P\ ar - To C. (lfn'W lJ r- CJ ì ( SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT ,THIS ùNTT ONLY £UAc..UF\-t\~~ -th~<J FVèow't 000QS é( S/cc1'N 6 J4)~ ODOR.5 OpLL q II OR.H,<G ~-r. - 3A - e . ., 1-·~ '<~ ~,- "'at " SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? . . . . . GNO \ If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES~ 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 F\ ~" ~L~~~ SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS NoP"'\-hlS1c..l& O-Ç 5t'oc..kc1f\(~ Hw'f 3boD ßloc..k_ SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: NQVJ~ NO 6'f\ß 7õ ß"udd,'wr B. ELECTRICAL: \ w ß ~c..~ 9~~5 . ~OOvt>\., ovJ wþf \ WIg \clG' w A C,{- C. WATER: UJ~~ f ~t elf; C..ç 'ßullc1~LYj D. SPECIAL: E. LOCK BOX, YES @¡F YES, LOCATION, IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ---...-..~'" Page :4=- 0 f ~::t. ,r-- BUSINESS NAME: ~c ~~Þ{..ll:::in~~f.SP;~ILJ~'fOWNER NAME: ....()Ç~AcJÚ, ADDRESS: ~...al _~ -¡¡, __~ __ ___ ADDRESS: /Jt. ¿¡/J Cðu. - L¡y /è'J'j CITY, ZIP: ßA.\¿ ii, ' 330 CITY,ZIP: O¡'é~IOLQO.·'7') C.ArI_ 't PHONE #: ~~ -ð.?.S-3 0/ PHONE #: fTo$-R~o/' ...t9$"¿¡~ I. D. # , 112 345 6 ,TYPE MAX ANNUAL CONT USE I CODE AMOUNT AMOUNT UNIT CODE CODE '. ~GÞI. f IOOGPL GAL 0' t..t~ ~ ~3 ; \ 06~ fð)06JL 6Þl.. <J~ a. ~ fìjj\" '\ \Oß~L IOÐ6r<. 6~L \3. 03 ~ / .;:::::? 'or.." >J ... ,.. FACILITY UNIT #: ~, FACILITY UNIT NAME: . G '-::?..:l 7 . OFFICIAL USE CFIRS CODE ONLY ,- 7 LOCATION IN THIS FACILIT_Y UNIT _ UJ~""t ßH:>l:r o~ ßU$\~è Ow w·~ \ \ ,N';)OIQ E>t_ ~ou-\~ Slcfê uvSlclG ~~ .n... ,. .JJ.L COil". J:~4 $ \ cl & uJ ~ <..C.. \ ~ ~~\CL.is ~ 9 10 HAZARD D.O.T CODE GUIDE 8 % BY WT. CHEMICAL OR COMMON NAME 0\\ l~fIß+M ~Ro¡tAC~~~ FLLG-. 10/1I0 ð ~g)Jt 0, ( .('o~ CAns ~LLa.. CÄ..t.b" SiD'R~" tóf ß~~L>l:'SORtNcþ'"'L-~ -e , , J e NAME: ~ JnA-- '.) _II/;, EMERGENCY CONTACT: -1o~~hcfi6 EM ERG E N C Y CON T ACT : ..S4.v1.ot e- , PRINCIPAL BUSINESS ACTIVITY: ./ " ./"? - TITLE: OWJV~ SIGNATURE: ð.-d ~ 'I",.. ~.. T I TLÉ: nWJl.Jbu ./ /' PHONE # BUS HOURS: ,,. AFTER BUS HRS: TITLE: ()WIU{;~ PHONE # BUS HOURS: AFTER BUS HRS: DATE: /iJ-30'Y/ 8-,gs -3501 BS4 "~$t( .3 SÂI4( g- - - - 4A-l - .ARDOUS MATERIALS IVAAGEMENT PLAN INVENTORY INSTRUCTIONS GENERAL INFORMATION: Important: If you' require more invèntory forms than the one provided, you should make photocopies of the fprms prior to entering any information on them. The additional copies must be on the same color paper as the original. Information must be typed/printed.. in English. Make a· copy for your records. Complete business name and address information. If they have been required, the number of separate facility units will be determined by the Bakersfield City Fire Department. Give each facility unit a common name, and a one or two digit number. NOTE: An inventory form must be made for each separate facility unit. The top of the form must be completed for each facility - s how i n g Business name and location as well as owner name and mailing address. Also include "SIC" Standard Industrial Classification Code and if available Dun and Bradstreet Number. Non-Trade Secrets (White Form). Non-Trade Secret Materials in one facility unit. / Trade Secrets (Yellow Form). Trade Secret Materials in' one facility unit. 1. TRANSACTION CODE: Is this inventory sheet new, an addition, deletion or update to your hazardqus materials business plan. A - Addition D = Deletion U = Update N = New 2. TYPE/CODE: For the purpose of this entry, there are three types of hazardous materials: P = Pure M = Mixtures of pure substances W = Wastes. (Also add appropriate waste code) 3 . MAXIMUM AMOUNT: l\ This should represent the maximum number of units of this material present at anyone time. (Refer to the "UNIT" section of these instructions) 4 . AVERAGE AMOUNT: This should represent the average amo~nt, usually on hand at any one time. · e HAZARDOUS MATERIALS MANAGEMENT PLAN '"~-- .~- ~, .; ~ ~!!.- INVENTORY INSTRUCTIONS 5 . ANNUAL AMOUNT: This should represent the anticipated annual (thru put) number of units of the material. 6 . MEASURE UNITS: LBS = Pounds, for materials stored as solids GAL = Gallons, for materials stored as liquids FT3 = Cubic Feet at S.T.P., for materials stored as gases CUR = Curies, for radioactive materials 7. DAYS ON SITE: Days anticipated that this material will be at this site, for the calendar year reporting. 8. CONTAINER TYPE: (Use appropriate code) 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Tank 04. Portable Pressurized Cylinders 05. Insulated Tank (includes cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non-Metallic 08. Corboy(s) 9. CONTAINER PRESSURE (Use appropriate code) 1 = Ambient Pressure (I-Atmosphere) 2 = Greater than'Ambient Pressure 3 = Less than Ambient Pressure 09. Glass Container(s) 10. Plastic Container(s) 11. Box(es) 12. Bag(s) 13. Metal Containers (not drums) 14. In Machinery or processing equipment 15. Bin(s) 99. Other - specify 10. CONTAINER TEMPERATURE (Use appropriate code) 4 = Ambient Temperature 5 = Greater than Ambient Temperature 6 = Less than Ambient Temperature 7 = Cryogenic Conditions 11. USE CODES: (Use appropriate code) 01. Additive 11. 02. Adhesive 12. 03. Aerosol 13. 04. Anesthetic 14. 05. Bactericide 15. 06. Blasting 16. 07. Catalyst 17. 08. Cleaning 18. 09. Coolant 1~. 10. Cooling 20. 2 Drilling Drying Emulsifier/Demulsifier Etching Experimental Fabrication Fertilizer Formulation Fuel Fungicide · ,I ¡;.--'" .~":Þ- e e 11. USE CODES: (Continued) 21. Grinding 22. Heating 23. Herbicide 24. Insecticide 25. Instructional 26. Lubricant 27. Medical Aid or Process 28. Neutralizer 29·. Painting 30. Pesticide 31. Plating 32. Preservative 33. Refining 34. Sealer 35. Spraying 36. Sterilizer 37. Storage 38. Stripping 39. Washing 40. Waste 41. Water Treatment 42. Welding Soldering 43. 'Well Injection 44. Oil Treatment 99. Other - Specify '- 12. LOCATION WHERE STORED IN THIS FACILITY Briefly indicate the location of the material within the building/facility unit using compass points and obvious landmarks. 13. PERCENT BY WEIGHT Indicate the concentration of each pure substance as a percentage of total weight. In the case of mixtures and wastes ,énter the maximum expected concentration of the three most Hazardous.'Components. Round off %. 14. NAMES OF MIXTURE/COMPONENTS EMERGENCY CONTACTS: Enter the name, title and phone numbers of two persons who are knowledgeable about this facility. PLEASE BE CERTAIN THAT FORMS ARE PROPERLY SIGNED AND DATED AT THE BOTTOM 3 farb and Agliculture 0' BUSINESS NAME: LOCATION' cITY ZIP: PHON~ d: 1 ' , Standard Business I I ! I , I CITY of ~AKEH~I-IELU HAZARDOUS MATERIALS INVENTORY ':\. t o NON-TRADE SECRETS Page __, of ~4IIf~ ~~N~~s~~ME:. , ~~M"o2fDTHh~. FêrILP~¿of:--"" ..,:'------- ~Oy zip: ' ouA ANB ,B" ÄAOSTREEf NUHBER-'-'U _____,,___u,_'__' ~ bN~"' ---- -'- - R FER TO-rNSTRUCTIDNSt=DTr"PROPER CODES i -..,., - - - - - - - '- 6 ~ ' 8 9 10 1\ .12 , 'i. 13 U Hea$ure I ys Cont Cont Cont Use loc~tlon Where ¡i 'by Hues of "i~ture{çCIIDonents UnIts on Ite Type Press Temp Code Stored In facllltr¡ lit See Instruc Ions , 1 2 lr~ns 'Vile Code Code 3 "ax Allt . " Aver age, Allt I Phy~ic~1 tnd He.lth Halard {Check a I that applYI . o fire Hazard o ReactiYit1 C.A,S. Humber COllponent II Halle I C.A,S. Number . . o Il\mediate COl\ponent 12 Nalle I C.A.S. NUllber Hea Ith Component 13 Nalle I C.A.S. NUllber :'1. Component II Halle I C.A.S. NUllber i: ,I ~j Halle I C.A.S. NUllber I' o I COl\ponent 12 <: hilled ate ¡, Health I: COllponent U Nalle I C,A.S. Number , " o Delaled 0 SUdd;n Release Hea th 0 Pressure Phy~ic.1 tPd Health uaiard ICheck a I t~at apply o fire Hazard o Reactivity C,A,S.'Nullber o De layed' 0 Sudden Re lease Health of Pressure Physical 'nd Health Halard ; I Check a I that app lVI, ./ o Fire Hazard 0 ReactiYit1; Component II Hame I C,A.S. Number C.A.S. Humber o oe'aled 0 SUdd;n Release Hea th 0 Pressure O ,Component 12 Name I C,A,S. Number IlImedlate Health Component 13 Halle I C,A,S. HUllber EMERGENCY CONTACTS _1 "2 RIlle He I e Zf1f( Phone Rà1ie íertificatiOQ· (Reed and!¡ign af1ßr c9mp7eting {Jll sections} , '; certify under penal\ï 0 la~ th,t I have persona l~l exalllneo 'Qd tll familla( with the Inforllatløn ,ubllitte~ in this end all attached dQcVllent$\ anQ t at based on IIY Inquiry 0 hose IndlVldul s responsible for obtaining the Information. I belIeve that the submitted Informat on IS true, accurate. and coípleta. ' , 'I . I i. - I, ~Tn~'lcI81 fit Ie of owner/oøèrltOr UK owner/operator's authorized representative ; STgñature Physic.I'DOd Health Ualard ICheck all that appl1J o f ire Hazard o Reactivltý C,A,S, NUl\ber Component II Halle I C.A.S. Number o De I aled 0 sudd;n Re lease Hea th 0 Pressure ... O d I Component 12 Nllle & C. A. S. NUllber \lime ate Health Component 13 Nalle I C,A.S. HUllber THle 21'lIf"Fliõñ¿ .. OHrSf~r.ea-