The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN Per ·--t·"..'· ':'''t'''' .;:!~"",", :0' '~,,-': ' : " ',,',:' "t";' , ",':," j ',' ,0 ".. "perae ;." " Hazardous Materials/Ha~~~d9us Wa,ste Unified Permit . . " f '" . l- û .. ^ , ~I . . .." t"· CONDITIONS OF ,PERMIT,ON, REVERSE 'SI,DE . This permit is issued for the following: Ii!J Hazardous Materials Plan .. ,0 Underground Storage of Hazardous Materials , " ",,0 Risk Manageln8l'!t Program ' " . ",' D Hazardous Waste On-$ite Treatment' " .... Permit 10 #:: 015-000-000266 JAYS AUTOMOTIVE PERFO LOCATION: 605 SONORA ST Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor .' ' Approved by: Bakersfield, CA93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: ., ..' Issue Date 'June 30, 2003 --------- --------- --- .. .-..-.--- .. -._---------- Per... it to Operöte Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: '¡¡Hazardous Materials Plan round Storage of Hazardous Materials Q~gement Program m''', Waste 605 PERMIT ID# 015-021.000266 JAYS AUTOMOTIVE PERFOR LOCATION Issued by: SONORA Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rdFloor 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: \ ... -. f,' ,.... \ ..",' ./ H P PI MAP SITE DIAGRAM U FACILITY DIAGRAM I I Business Name: ~ :\-0 M{)-r ¡ \)f PË.K ft¡RJ"\A¡oJC(,,,- ~F Business Address: ¡ 0 S Sò ~ 0 R...A. ~+ GS A)(ER.s ~j.fJo 'c ~ \ c¡ J ~ For Office Use Only - - First In Station: _ _ _ Area Map # of Inspection Station - NORTH {( - - 19 +~, 5t~E.~-+ - ~ ßu0~ o AE.f. L ~ ß )/1.I¿£ ? « ~ 1;: ~ d rlp>rAISH, Fï ' 'G1H 0 6£.. ... ""-'. <::1 ¡.:, IJL. ~ fLS, MA',.J :? E Q... ::¡uJ c:( " ~ J ~ ); L ~ - ~ c: âó~ (..J... \"" <:::> 'L. <J FIt. VJ rAtk;NG ¡efT 6~fìè~ fJ¡.\1'1 ¡:¡ ISH lj &,,¡ (¡ ~ "',~~ ~Î.ó.M...liGl&P '0f1,'¡"f.~ l1{\j~ \ 5ff1£¿t E-Y'~~~ ¡ô+ S (::uJD ~ tDN£ J 3- +- ""2 vJ ð , - VJ ill ~ .. /fO' --- - \ .--------------~- \ H~P SITE DIAGRAM I ><- I Business Name: ~A.'/ ~ J Business Address: L9 0:; T ~..... ill P .Ll-li~; MAP FACILITY DIAGRAM I I AtA-\-OMt)-f;\)f_ Pr:,K ft¡R..MA")C('..,, ~f.('~ AU;:st SÒ¡JO!è..A ~+ ßA)Ú:_R.s~ì~lo .c.LJ \ C¡~1úr;; J J For Office Use Only First In Station: Area Map # of NORTH 0 Inspection Station: I 9 tk Sf re.f.-r ~ ßuPJ~ o ÀE.t. L ~ ß)/1. ¡¿( ? « ~ "t ~ a rlp..t'~JSH. FJ.r..,,¡¡I).I. '0 t!L .. .I..¡~iP C J.:.'J\..; lU »,. J ::L Q..... «. ";JuJ c:( j -::::> ~ +- \ - ~ c: ~~ðf¡ L-L /:;) ~ 0 \.Ù 'L ~ <:) FlM\R{U~ VJ &A~ rAr)ç;¡J G V) uJ ~ ¡ÔT G ~ fì c. ~ rJ.AI'1 ¡¡ISH J.j ð),,¡ (1 ~ æi.fw....l.ia \ (:) 0¡¡,~f.~ r\{\j~ J'~ fA I SfJ1£l.t , ! I ~""Q'f~Y ¡ô1- S ~¡J{) ~ +DN£ It .......c.......... LICENSED SMOG;" ';¡K (805) 324_370·;'.>j··t,T.':. J ~ 4'1' .1 ...,. . ,t ~"\"J .. .. ~ ~~_ .~~ ~.', .-i ~ \ Manager : Location: 605 SONORA ST City BAKERSFIELD CommCode: BAKERSFIELD STATION 02 EPA Numb: Qc1 - SiteID: í lcrû3 BusPhone: Map : 103 fÞ ~ Grid: 29C 015-021-000266 J~YS AUTOMOTIVE PER~CE 0\ì1 (661) 324 - 3 707 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact CHARLES JAY AKINS / OWNER TOM BRANDT Business Phone: (661) 324-3707x Business Phone: 24-Hour Phone: (661) ~36,-1o~'r'7 24-Hour Phone: Pager Phone : (66-l) 333 - IOYcx Pager Phone : / Title / FRIEND (661) 397-3544x (661) 397-3544x ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif1d: ParcelNo: to Phone: (661) 324-3707x State: CA Zip : 93301 Phone: (661) 324-3707x State: CA Zip : 93301 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 605 SONORA ST City : BAKERSFIELD Owner Address City CHARLES JAY AKINS : 605 SONORA : BAKERSFIELD Emergency Directives: I, tlCÞ:'~ç J /{ J,.. > Do hereby certify that I have (Typs or prInt name) reviewed the attached hazardous materials manage- ment plan forJ~~( kfvMJ'vPand that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. '/F q ~G-O ;3 naM -1- 08/14/2003 ..... ,. ,¡ . ~., ,.. ,;; F JAYS AUTOMOTIVE PER~CE p= Hazmat Inventory f== MCP+DailyMax Order .. SiteID: 015-021-000266 9 By Facility Unit 9 Fixed Containers on Site 9 SpecHaz EPA Hazards DailyMax MCP E F P IH G 525.00 FT3 Hi F IH DH G 450.00 FT3 Low F DH L 100.00 GAL Low F DH L 30.00 GAL Low F DH L 750.00 GAL Min Hazmat Common Name... ACETYLENE OXYGEN WASTE OIL ANTIFREEZE ~EON 12'" MOTOR OIL t{ fe?þ , -2 - 08/14/2003 it - CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ...~(j M~?--~ ADDRESS 6o~ o~ Dr-v---"') FACILITY CONTACT £dft. 5~ INSPECTION TIME r- INSPECTION DATE I 2---// lIt> '--- PHONE NO. ,3 2--'(-t> 7 (j ~7 BUSINESS ID NO. 15-210- 2--6 6 NUMBER OF EMPLOYEES Z- Section 1: Business Plan and Inventory Program [ð"Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand V" Business plan contact infonnation accurate V' Visible address V Correct occupancy V' Veri fication of inventory materials ,Y " ..- Verification of quantities Verification of location 1/ " Proper segregation of material y"' Verification of MSDS availability ...- Verification of Haz Mat training v Verification of abatement supplies and procedures ......¡.... Emergency procedures adequate ...... Containers properly labeled ,.,. V' V Housekeeping Fire Protection V V/Zet~ íx~-~~ " 0 Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: ~.\ ì. ~es 0 No ess Site Responsible Party Inspector:-C ~ ' 'vvt', I ^"""" lJ'~ Questions regarding this inspection? Please call us at (661) 326-3979 While - Env, Svcs. Yellow - Station Copy Pink - Business Copy , ~~- ',-~ - - JAYS AUTOMOTIVE PERFORMANCE ,) SiteID: 215-000-000266 ~~ Manager : Location: 605 SONORA ST City BAKERSFIELD /~/~' ~/ BusPhone: Map : 103 Grid: 29C (805) 324-3707 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code: DunnBrad: lJ ~mergency Contact / Title Emergency Contact / Title CHARLES JAY AKINS / OWNER TOM BRANDT / FRIEND Business Phone: (805) 324-3707x Business Phone: (805) 397-3544x 24-Hour Phone : (805) 393-3713x 24-Hour Phone : (805) 397-3544x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth to I¡~ .flJ:"1'o. C~/VS',.. v lJ ê'1vV¡þ (Jooo '7'011/. . ...9~I¡IIJ^, , "'t:S Phone: ( ) State: CA Zip : 93301 Phone: (805) 324-3707x State: CA Zip : 93301 - x Contact : MailAddr: 605 SONORA City : BAKERSFIELD Owner . .f -'Address City CHARLES JAY AKINS : 605 SONORA : BAKERSFIELD Period : Preparer: Certif'd: TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: 1,f\'\'\""J\ eS}. AK·,ns. Do hereby carmy ~hm I have ~p3 or print nam&) reviewed too ~ttachoo hæalMOOS m~~@lfÙ~is manaQ1~o ment pian ~Oi' ~.rt11:'5 ~ It 10 m tJ -;,. ,¡ L2lnd ~&'¡at it along with (Name of Busin~sa) any corrections constitute a complete and COB'rs~t man- agement pian for my facility. " ....,,_. # ~;9-~-oO ? . nature Date o -1- 09/21/1999 ;:' ~-,.- -,",: F JAYS AUTOMOTIVE PERFORMANCE p= Hazmat Inventory p== As Designated Order e SiteID: 215-000-000266 ì By Facility Unit ì Fixed Containers on Site ì specHazEPA Hazards Frm I DailyMax IUnitMCP F DH L 750 GAL Min F P IH G 2880 FT3 Min F DH L 100 GAL Low F IH DH G 450 FT3 Low F P IH G 525 FT3 Hi F DH L 30 GAL Low e Hazmat Common Name... MOTOR OIL FREON 12 WASTE OIL OXYGEN ACETYLENE ANTIFREEZE -2- 09/21/1999 .;...~ ...-;; e - F JAYS AUTOMOTIVE PERFORMANCE p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 215-000-000266 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CORNER OF BLDG Map: Grid: CAS # 64742-57-0 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 750.00 GAL Daily Average 75.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME FREON 12 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CORNER OF BLDG Map: Grid: CAS # 75-71-8 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2880.00 FT3 Daily Average 720.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Dichlorodifluoromethane No 75718 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -3- 09/21/1999 .. ..-;. ~ e e F JAYS AUTOMOTIVE PERFORMANCE p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME WASTE OIL SiteID: 215-000-000266 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NE CORNER OF BLDG 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 100.00 GAL Daily Average 30.00 GAL HAZ D US C MP ENT %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 ARO o ON S HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low p= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME OXYGEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 450.00 FT3 Daily Average 325.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 09/21/1999 ~ --- e e F JAYS AUTOMOTIVE PERFORMANCE p= Inventory Item 0005 = COMMON NAME / CHEMI CAL NAME ACETYLENE SiteID: 215-000-000266 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facili~y Unit SW CORNER Map: Grid: CAS # 74-86-2 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 525.00 FT3 Daily Average 475.00 FT3 HAZARDOUS COMPONENTS I l~~~åoIAcetYlene ~ No CAS # 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CORNER Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 30.00 GAL Daily Average 10.00 GAL %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS HAZARD A E MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low SS SS S -5- 09/21/1999 .;~ _-..0<- '~ e e F JAYS AUTOMOTIVE PERFORMANCE I f= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-000266 1 Fast Format ì Overall Site ì 07/02/1992 IN CASE OF A SPILL OR RELEASE OF A HAZARDOUS WASTE MATERIAL, WE WILL IMMEDIATELY CALL THE FIRE DEPARTMENT THEN NOTIFY THE HAZARDOUS MATERIALS DIVISION. Employee Notif./Evacuation 07/02/1992 IN THE EVENT OF AN ACCIDENT OR SPILL WE WILL TELL ALL EMPLOYEES TO LEAVE THE BUILDING AND GET FAR ENOUGH AWAY FROM THE BUILDING, WHEN IT'S BEEN CLEARED TO RETURN, THAT IS WHEN WE WILL GO BACK TO THE BUILDING. Public Notif./Evacuation 07/02/1992 FIRST WE WILL GET ALL NON-EMPLOYEES OUT OF THE BUILDING AREA, THEN ESCORT THEM TO A SAFE AREA, UNTIL IT IS CLEAR TO GO BACK IN. Emergency Medical Plan 07/02/1992 IN THE EVENT THAT SOMEBODY IS HURT OR HAS COME IN CONTACT WITH A HAZARDOUS MATERIAL WE WILL IMMEDIATELY CALL 911 FOR AN AMBULANCE AND FIRE DEPARTMENT TO BE DISPATCHED TO OUR BUSINESS. FROM OUR LOCATION THE INJURED PERSON CAN BE TAKEN TO MEMORIAL HOSPITAL OF KMC FOR TREATMENT. -6- 09/21/1999 ~ -- e e F JAYS AUTOMOTIVE PERFORMANCE I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000266 ì Fast Format ì Overall Site ì 07/02/1992 ONCE A MONTH DURING YOUR SAFETY MEETING WE TELL OUR EMPLOYEES TO BE CAREFUL WHEN USING MATERIALS TO PREVENT A SPILL OR INJURY. Release Containment 07/02/1992 MOST OF OUR MATERIALS ARE OF LIQUID FORM. INSPECT ONCE A MONTH OIL, ANTIFREEZE AND PARTS CLEANER FOR LEAKS. THIS WILL MINIMIZE THE RISK OF A Clean Up 07/02/1992 IF LIQUID SAWDUST WILL ABSORB AND CONTAIN THE SPILL TILL WE CAN CONTACT A LICENSED CLEAN-UP COMPANY TO CLEAN AND DISPOSE OF THE SAWDUZST THAT WAS USED TO CLEAN UP THE SPILL. Other Resource Activation -7- 09/21/1999 ~~- -- e e F JAYS AUTOMOTIVE PERFORMANCE I F Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-000266 ì Fast Format =¡ Overall Site ì I 07/02/1992 A) GAS - NE CORNER OF BLDG B) ELECTRICAL - NE CORNER OF BLDG INSIDE C) WATER - SW ON THE CORNER OF THE BLOCK D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 07/02/1992 PRIVATE FIRE PROTECTION - NO (NO FIRE EXTINGUISHERS) NEAREST FIRE HYDRANT - YES (WHERE IS IT) Building Occupancy Level -8- 09/21/1999 a -.. . ',"-;' e e F JAYS AUTOMOTIVE PERFORMANCE I F Training Employee Training WE HAVE ~- EMPLOYEES AT THIS FACILITY. SiteID: 215-000-000266 ì Fast Format ì Overall Site ì 07/02/1992 WE HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: AS WE GET MATERIALS IN, IF THEY ARE HAZARDOUS WE BRIEFLY GO OVER WITH THE MPLOYEES THE CORRECT WAY TO HANDLE THE MATERIALS. ONCE A MONTH WE HAVE A SAFETY MEETING AND REVIEW ALL SAFETY PROCEDURES. Page 2 r I I Held for Future Use Held for Future Use -9- 09/21/1999 ~~"U ,: \ . " .f ./~. e - Bakersfield Fire Dept. . Hazardous Materials Division ij ~ ~ (E ~ "o/J ~ \n\ 2130 "G" Street ~ JUN 26 1992 ~r Bakersfield, qA 93301' . ' j , By _~ ,,_ ," HAZARDOUS MATERIALS MANAGEMENT PLAN , ;)0 t INSTRUCTIONS: . I D 7' :¡;. 1, To avoid further action, return this form within 30 d¿-~f:-C~iPt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3, Answer the questions below for the business as a whole, 4. Be brief and concise as possible. I SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: J{-\~/S Av..+or:û+ì\J~ f(t€:.f=D.R.MI7:¡I\)C.€ -'., ~- L 0 CA TIO N: .f;~ ,GtÐÅ~'··-~~-;6~()~dA~ 3-+·¡¿T!.~f.. t- -I'~ - _____ -,~ --~- MAILING ADDRESS: ' $.A M f.. S f.)E.,<: i Jj J.: $ t II CITY: -.ß.BJ<.ë:..~~ t\&..I-..1J DUN & BRADSTREET NUMBER: STATE: ~ ZIP: 9J105 PHONE: gó~- 3Jt.j- 37 D7 SIC CODE: g 9 &1 PRIMARY ACTIVITY: A L\.+ Ò Mot i ut; R£.p~~ ~ A:.-S M 0 G -::[,J~E.C-+) 011) I U OWNER: L~f\«)..~S ~ Ay A f<? rJ 5 MAILING ADDRESS: ÌJOS, SarJoß.A StREt;;+ b5Akff(.ÇFjnO CA. 93Jt'JS i J SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 1. CJA~t;S :JÃ y AJ.<~ i0..s ()Wr0G-R 3d.1.J - J '1 (;7 ~ 2. T () t'\ f?.c: ~~D't ¡:\i~.Jt'j ::s.ft1-J,stï4 24 HR. PHONE 3 ~ J.. :1 7 ~ 3 Cj 1- ::S.£J./ tI ---. - -- 1. FD159 e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN "-..\ ',k, '9' ' , / ~ ..,...:::.~ \ "'~" . ',('; '''-j "-, \ ',- -, SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ;t MATERIAL SAFETY DATA SHEETS ON FILE: Y £-S BRIEF SUMMARY OF TRAINING PROGRAM: n~ t-JE. bE:.t !lA+Ë:('ì-42~ it.J /F tÁE)'AfèG:. I-IflZ£.tJJou.s: ~ È. ßr ~ (t-J...y G lJ 0 u E.R.. 'W '\ -} k + k~_ f.~ðY :~~ + ~E c.,Q~~ E. c..-i iJf-\y tó ð$)IN~lt- +A.f.. MAfé.KìALs, Or,)GE- A Mo~i-~ W£. ~A$È.. A 5'Ar~+.Y MË.6..+ì~G ArJ~ K£.Ù\Ë\.V ALL -S'AFE.1-Y fJrË.t~IJtA.ÎE:.s', SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALlFORNIA HEALTH & . SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER (SPECIFY REASON) SECTION 5: ,CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ø~~/Þ ß~ SIGNATUR~ OO/Je-12- TITLE ¿,-~- 9~ DATE 2. FD1590 7 /~;! .#>'~'~ .'/ , / e Bakersfield Fire Depe Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: -:rAy' ~. ALA 1- Df'\ót ¡ u& PE.R f() f{/\ (\IN cE ~GC '¡J\ L ì S't SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. B. C. . AGENCY NOTIFICATION PROCEDURES: I rJ (A ~t cJ f A Sf; LL DR. ö(.(l..E..~..i.( ()~ r~ AA2A.fè.[)· J.JAs+Ë. MAtE}:ìAL }Jl:. wIL.L- J -:Lt\'6-()ÎAtJ-y <:A LJ- +~~ F)I<.~ () £:.ft. -r~<:'N .NO+ify i-A~ H A <. AItGèwS MA"h:.\ ~~ L D; ¡) ì ! ; ö,,.J EMPLOYEE NOTIFICATION AND EVACUATION: J: N +J-t. ~VE.N-t- of .A,J F\c..<:")dJt:..Nt- 0«.. sf~LL WE. Wt.lL 1-(LL ALL. E.)\~fl/)Y~t::5 + {> .L(A v ~ t ~ ~ ß lJ..\ LD ì ¡-.)~ -l~8:~J!3:; G ~ + F ~ tÇ, ~N OlAb~ ¡q W A.Y I r- \" OM +h E.. ß ~: l<J ~ ~ G Uh~N ì t- J ~ ß. E-f.. J0 (l.((H~~~ +6 Rf+",rJ0 \ ) -j- f,..A-+ ì 5 \J ~ ~ N W E. .,) ì L L G 0 ß A C k +- b + ), ~ ð3 \A; l 0 ~ N 6 I PUBLIC EVACUATION: t- j R'S+ µ ~ ~~ ì 1. L- GE:. + ALL ('I10N - S:.Mf~Y~~5 Dv-.--T 6« +~f... ßL'\\LOì~~2r;:J;;t4li1l(; t~~N G.SC.o~i -l-.L.f..k to , J p¡ SA ~ E.. A {è '&.. A,; \J r0 -\-'l L.\ + LA <:.. }...f..A..lè. + Ó ' b 0 ~ ~è-k j ~ . D, EMERGENCY MEDICAL PLAN: -r,J +k~ ~ I.Jt~_rJ+ tÁ~+ S ÓJ'\E. <í3ó f-.I)I i.s hÙI'--t DR ÅA:S COi\f. i ¡V CO¡Jt~c-r íJì1h A AA"JAÆl:1 MIl+S/\IJL \J E.. ¡J:' L.,'-. ,. M t'\ (;. () ~ f1t~ -l) C A l.. L q \ F o(è A tV jiM ISlA. L..q.> c..¡¿ liNt::) I t-~S }.j~~ Ð~f+' +0 13¡¿ i:Jì'S!"A,'tGJ..E.(j 1-6 yò~~ ~lJSl~€-r~, ~Rò"",A.R.~ LOCAtì(}/v i-t.~ iN:rv..R.f:Opf::jt$.O~ (AN!Jr¿ +Ak~rJ + ö M f::...Mo~ ~ ~ L J-{ b ~tf; + A L-- o~ K. (1 c... F (/ ¡( +(\~.A+rtEN-¡"'\. I 3. FD1E/11 ~' \. _ Bakersfield Fire Dept. e Hazardous Materials Division c·r-~~ .. " HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: O~c.E- A Mc.:>+h tÛv,~:¡J(, yðv..R. -S'AfE.+y 1'1f:.E.t,',vG Wt:.. tË..LL r-.f<.G.. £"MfJ..DyE..f.'f, td~;t~;€::~(A/?EFkL NAE¡J ¿":S¡'¡JG r1A.1-t::t/.AL~ to frE.\}'t~-\- . A ~r ì LL J ofè-. 1\¡J~·<-\.RYt~: ~. RELEASE CONTAINMENT AND/OR MINIMIZATION: hDS+ O~ Arf.. MJ.\tt\~L~ ARt. ô~ ~;QlAjC FoRM. -:C1')SfË.c..1- O¡JCL fl 11 ð,J +/.. 0; L A Ild-; ~ f(E.Z€:. A,.,) ~ {JA/èrJ C),.E:.AJEß , I ç¡:.ö{( J....e...AI'S I I~; S h);LL ";t.'Iì¥\Î<'E. +~{. R.~~k 0(' A ~fJ¡LL-, C. CLEAN"'UP PROCEDURES: 't. (( .l ì Q. v.. ~ ~ ~;Q \oJ r-. v.. ~ 1- \rJ; L 1..- A IS !;. bfè Q A N ~ ~ (>.À) i-,A : 10 +J...E:. S(l~lL +-: LL WE. CA N ~OÑtf\c.T- A Á.;(&..¡JS'~O eLl::Ñ.J ~ ()'p".-p~5:'. +0 t-l-E:.A~ A~O' ~ì~fb$f.. oç tJ& SAyJ£.¡IA~+ i-ÁAt J.-JA~ U.r~1-J tb tL~~,) ~F i-J-.f.. -Sp" L-t..." SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): Ç"&¡.>¿c:c NATURAL GAS/PROPANE: Ñ()~-+\"~A~t r-,o¡¿,JE:..~ () Ç" ßu..; L~ ~ r:JG - fARkt'}Jc,lõt ELECTRICAL: NOR -\-}.. Ë..A~ t ~()IèNf fè. . 0 r ß l,,-, LD ì ,..\ (;., ì Ñ s. ì 0 ~ WATER: S()tA+~\lE:.s.+ ß,.J +~E:. C()/'èN'è..R. () f t~~ tß.loc.,)<. SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: rJ D B. WATER AVAILABILITY (FIRE HYDRANT): y~s 4, FD1590 :t,f¡ 1 page-1-0f ,~; -,--- CITY BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ", " - TRADE SECRET OF and Agriculture ~ o NAME OF THIS<FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL :L1-.Q~~-Q:la.1 NON OWNER NAME: ADDRESS: t: CITY, ZIP: PHONE ,I: Standard Business Farm BUSINESS NAME LOCATION: CITY, ZIP' PHONE #: 14 Mixtu~e/Camponents Instructions iL- FOR PROPER CODES 12 Location Whe~e Sto~ed in Facility tofèÑ'£:./t. REFER TO INSTRUCTIONS - - B 9 10 11 Cont Cont Cont Use Type Press Temp Code 10 i - 6 Measure units (;¿AL 5 Annual Amt 1 SO 4 Average Amt 1 5 3 Max Amt fSo 2 Type Code t'\ , 1 Trans Code N Number NUmber & C.A.S Name Component /I 1 Number C.A.S & C.A.S. Component /I 2 Name 181 D Physical and Health Hazard (Check all that apply) o Number & C.A.S Name Compon~nt /I 3 Delayed Health Immediate Health o Reactivity Sudden Release of Pressure Hazard Fire IZl C r,L \JE,N+ e.-L. §,(.¡ N ¡' ¡J(, Number Number E..A~±-é..O~ & C.A.S. & C.A.S Name 2 Name Component /I 1 C0!"l'0nent /I Component /I o L.{ GAL Number C.A.S o s Physical and Health Hazard (Check all that apply) 1X\ 0 t-! Number & C'.A.S. 3 Name Delayed Health Immediate 0 Health ß1 Reactivity o Sudden Release of Pressure Fire Hazard o r-t3 c1<J20 ~o Number & C.A.S Name Niune Name Component /I 1 C.A.S. Number & C.A.S Component /I 2 Physical and Health Hazard (Check all that apply) o Œ{\ Number &C.A.S. Component It 3 Delayed Health o Immediate Health ŒI Reactivity o Sudden Release of Pressure Hazard Fire if 1S0 a 00 N Number & C.A.S. Component /I 1 Name ;)"J. Number Number & C.A.S Name Component /I 2 o C.A.S o Physical and Health Hazard (Check all that apply) Number & C.A.S. Component /I 3 Name Delayed Health ŒI Immediate Health Reactivity Sudden Release of Pressure D Fire Hazard Œt o Title 11 certit'ication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under pean1ty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents ,,~~ividuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. EMERGENCY CONTACTS those ~-9d of inquiry my based on and that 'S CMNER/OPERATOR CMNER/OPERATOR OR OF NAMB!.I\NI) OFFICIAL TITLE ~~ \, , Page...L of ifL.- OF BAKERSFIELD ,""YTr MATERIALS INVENTORY .": - TRADE SECRET CITY HAZARDOu.d OWNER NAME: ADDRESS: CITY, ZIP: PHONE .i:" and Agriculture ŒI Standard Business J¡ i.: s <:,'1\.( U ~e!: Farm BUSINESS LOCATION: CITY, ZIP: PHONE I: o s FOR TO 8 Cont REFER . 1 Trans Code N Number NUmber Number & C.A.S. ,-, ~ðÎ,\. ~ 7 .., & C.A.S. Name Component , 2 Name Component , 1 ........ \...., i Number ß{1 o Reactivity C.A.S Physical and Health Hazard (Check all that apply) 00 & C.A.S. ~,,~+ (~'~OR!\\~ K:"; Compon~nt , 3 Name Delayed Health IlIIIIIediate Health Sudden Release of Pressure Hazard Fire ~ f¿ Number Number Number & C.A.S. & C.A.S Name Component , 1 J s:, '~ ~ Î Number C.A.S. '.s.~,~ S~ Physical and Health Hazard (Check all that apply) ŒJ p N Name co,mponent , 2 Component , ::3 IlIIIIIediate 0 Health '& C.A.S. :è. Ó ~ri...fi:A..:.'¡~:'~ Name >¿'s-:f Delayed Health ßl Reactivity ;is. o Sudden Release of Pressure Hazard ~ Fire N Number Number & C.A.S & C.A.S. Name Name Name Component' 1 Component , 2 IlIIIIIediate 0 Health Number Œ1 C.A.S o Physical and Health Hazard (Check all that apply) lŸ1 m p¡ ~,\ Number & C.A.S Component , 3 Delayed Health Reactivity Sudden Release of Pressure Hazard Fire ^ ~--~, , _~_..-:.~.~..-c. ~ - -. ,-' '" - ---= Number Number Number C.A.S. C.A.S C.A.S & & & Name Name Component' 1 Component , 2 IT] Number D I~iate Health ,.. C.A.S o Reactivity Physical and Health Hazard (Check all that apply) D :1 " (' ,. r. Component , 3 Name 12 :FJJ- JI/? 24 Hr. Phone Delayed Health ~I-;:' Sudden Release of Pressure o Fire Hazard those of inquiry based on my Title and that 1\) Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personally examined and am familiar with the information submitted individuals responsible for obtaining the information. I believe that the submitted information is true, .¡;I '" Q... Title ., ,\ " ,4 11 q ¡:KÜ~ Name EMERGENCY CONTACTS and all attached documents and complete. in this accurate, 'j OWNER/OPERM'QR'S - OWNER/OPERATOR OR OF NAME AND OFFICIAL TITLE -