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Per
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Hazardous Materials/Hazardous Waste Unified Permit
, CONDITIONS: OF...PEB·MIT .ON REVERSE SIDE
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Permit 10 #:: 015-000-001383
" LOCATION: 1700 E TRUXTUN AVE
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Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES'
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326~3979
FAX (661) 326-0576
Issued by:
, .
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Approved by:
Issue Date
,', ,Expiration Date:
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'.June 30, 2003
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DATE: / /
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4tITE/FACILITY DI~~RAM
FORM 5
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GONZALES AUTO REPAIR
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-- SiteID~3
Manager :
Location: 1700 E TRUXTUN AVE
City BAKERSFIELD
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-
02
BusPhone:
Map : 103
Grid: 28A
(661) 395-1053
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION
EPA Numb:
SIC Code:5541
DunnBrad:95-327-0606
Emergency Contact
SAM GONZALES SR
Business Phone:
24-Hour Phone :
Pager Phone :
Hazmat Hazards:
/ Title
/ OWNER
(661) 395-1053x
(661) ~~ ~
~I )3 i 3 l5S'81x
/ Title
/ MECHANIC
(661) 395-1053x
(661) 664-9081x
( ) - x
Emergency Contact
SAM GONZALES JR
Business Phone:
24-Hour Phone :
Pager Phone :
Fire Press
ImmHlth DelHlth
Contact : -S~AIv.s~ I
MailAddr: 1700 E TRUXTUN AVE
City : BAKERSFIELD
Owner
Address
City
Phone: (661) B~Ô ~~~x
State: CA ~-3 ð 5~'i
Zip : 93305
SAM GONZALES
: 4412 ISLE VERDE
: BAKERSFIELD
Phone:
State:
Zip :
(661) :a~2 ':'Q92jx
CA ~.3ð5c¿'7
93301
Period :
Preparer:
Certif'd:
ParcelNo:
Emergency Directives:
11-/
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to q- I ':7 -..-03
TotalASTs: = / Iv
TotalUSTs: =
RSs: No
Gal
Gal
-,
1,~$"A~rf¡J!.)e.. -1 Do hereby certify that I have
reviewed the attached hazardous materials manage--
ment plan fOr(~~ ~ g.f.,<ü and that "I J .
( of ¡neBl) I a ong wIth
any corrections constitute a complete and correct man-
agement plan for my facility.
.:J... ã-"1.rro..sO) 1"A I r'?-!'1-2
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08/13/2003
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-- SiteID:
015-021-001383 9
Fast Format 9
Overall Site 9
02/10/1999
F GONZALES AUTO REPAIR
I
F Training
Employee Training
.:3
THERE IS ONLY~ EMPLOYEE
AT THIS FACILITY.
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE????????U~
. () r
GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM:
Page 2
Held for Future Use
{
-9-
08/13/2003
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CITY OF BAKERSFIEI.D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301
FACILITY NAMEG-oN2.A-l€ '2.... 4VTo ~j!'2.INSPECTlON DATE I ( 1(.,/1 d3
ADDRESS 17 (J 0 E.,~ \R.LhC T¡)~ A:.ff. PHONE NO. G:.(o I s '7'.s- - /OS:]
FACILITY CONTACT Si\M L.~N2AL5 S BUSINESS ID NO. 15-210- 06' 13e.?
INSPECTION TIME I S- r"-I '~ NUMBER OF EMPLOYEES :3'
Section 1:
~outine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TlON C V COMMENTS
Appropriate peonit on hand v
Business plan contact infoonation accurate v
~
Visible address V" NOV 14 2003 V
Correct occupancy V' ~
Veri fication of inventory materials '" V
Verification of quantities V'
Verification of location .r
Proper segregation of material ~
Verification of MSDS availability v
Verification of Haz Mat training vk-
Verification of abatement supplies and procedures ./
Emergency procedures adequate ./
Containers properly labeled .¡
Housekeeping -/
Fire Protection II ~(LII' ~c...'2:- r... \ ~ß.. (îXTl'N'5V\ Sh:<..Q..
~
Site Diagram Adequate & On Hand v'
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain: WIA ~ ŸE. ~ 0
ONo
White· Env, Svcs.
Yellow - Station Copy
Pink· Business Copy
JtÆlJ\éJt ~
Business Site 'esponsible Party
Inspector} ~
-2<:-
Questions regarding this inspection? Please call us at (661) 326-3979
'~~
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-
CITY OF BAKERSFIEIJD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
FACILITY NAMEG-ð;J2ÆlE.S Avlû ~\QrNSPECTION DATE~ 0 114> ( ð 2..
ADDRESS-1 '7Oð r, fRù"t7u/ý Aiif' PHONE NO. &fel 39$"'.... 10S.3
FACILITY CONTACTSA~ G-O~ALS. 5> BUSINESS 10 NO. 15-210-061385
INSPECTION TIME J.s- ,..,...,' NUMBER OF EMPLOYEES .3
,
Section I:
I!ÍRoutine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate pennit on hand ./
Business plan contact infonnation accurate ../
Visible address v
Correct occupancy ./
Verification of inventory materials v'
Verification of quantities II"
Verification of location .r
Proper segregation of material ./
Verification of MSDS availability ./
Verification of Haz Mat training N'lp\
Verification of abatement supplies and procedures 1/
Emergency procedures adequate ./
Containers properly labeled Iv ~f"'Z..ç¡.,> '\b 'I.. .0... ~ '2- L- <::. Ç) ,,-,",A. \ .... E. R....
~J'ìì'L: 2-e.~ Ç!OI'2. V~IE-~ on ç:"(/í!::.R5
Housekeeping .......'-'
Fire Protection 1/ V2R- c.. 'v\ ~ Ç\ QIZ-- G..~T¡'t.J~\..I ~!>~
Site Diagram Adequate & On Hand vi::-
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain: WD-5'Ç': , /.h ~ ~ Îl-
IDes
,
or\.....-
DNo
/1
,--,
Business Site Respon ibl Party
Inspector) ~
ttiflec4 ê d ~
/
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env, Svcs.
Yellow· Station Copy
Pink - Business Copy
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+ GONZALES AUTO REPAIR ================================ SiteID: 015-021-001383 +
Manager :
Location: 1700 E TRUXTUN AVE
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 28A
(661) 395-1053
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02 SIC Code:5541
EPA Numb: DunnBrad:95-327-0606
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
SAM GONZALES SR / OWNER SAM GONZALES JR / MECHANIC
Business Phone: (661) 395-1053x Business Phone: (661) 395-1053x
24-Hour Phone : (661) 322-7908x 24-Hour Phone : (661) 664-9081x
Pager Phone () x Pager Phone () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact : Phone: (661) 398-1053x
MailAddr: 1700 E TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93305
+------------------------------------------------------------------------------+
Owner. SAM GONZALES Phone: (661) 322-7908x
Address : 4412 ISLE VERDE State: CA
City : BAKERSFIELD Zip : 93301
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
+------------------------------------------------------------------------------+
Emergency Directives:
+==============================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== Alphabetical Order ================================= All Materials at Site +
+--------------------------------+~------+-----------+-----+----------+----+---+
I Hazmat Common Name... I SpecHazIEPA Hazards Frm I DailyMax IUnitIMCP
+--------------------------------+-------+-----------+-----+----------+----+---+
ACETYLENE E F P IH G 200.00 FT3 Hi
OXYGEN F IH DR G 300.00 FT3 Low
WASTE OIL F DR L 110.00 GAL Low
+==============================================================================+
-1-
03/27/2002
'.
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-
GONZALES AUTO REPAIR
SiteID: 015-021-001383
Manager :
Location: 1700 E TRUXTUNAVE
City BAKERSFIELD
/ /
BusPhone:
Map : 103
Grid: 28A
(805) 395-1053
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:5541
DunnBrad:95-327-0606
Emergency Contact / Title Emergency Contact / Title
SAM GONZALES SR / OWNER SAM GONZALES JR / MECHANIC
Business Phone: (805) 395-1053x Business Phone: (805) 395-1053x
24-Hour Phone : (805) --3~2 9908A- 24-Hour Phone : (805) 664-9081x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (805) 398-1053x
MailAddr: 1700 E TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93305
Owner SAM GONZALES Phone: (805) 322-7908x
Address : 4412 ISLE VERDE State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List l
All Materials at Site l
f= Hazmat Inventory
f== As Designated Order
Hazmat Common Name. . .
SpecHaz EPA Hazards
DailyMax
MCP
WASTE OIL F DH
OXYGEN F IH DH
ACETYLENE F P IH.
Io<-~ 1\tn1 (;tl AJZ/j.e 7 Do hereby certify that I have
~pe orp~ame)
reviewed the attached hazardous materials manage-
ment Plan for.&J\/7 Þ4~-,z~:.-and that it along with
(Name õl1fU8moss)
any corrections constitute a complete and correct mand ,
agement plan for rAY facility.
L
G
G
110.00 GAL
300.00 FT3
200.00 FT3
Low
Low
Hi
-1-
01/02/2001
,
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F GONZALES AUTO REPAIR
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
WASTE OIL
SiteID: 015-021-001383 l
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
50FT E OF SHOP BY FENCE GATE
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
110.00 GAL
Daily Average
55.00 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
f= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
OXYGEN
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT.-PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 FT3
Daily Average
150.00 FT3
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA. Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMENTS
-2-
01/02/2001
,
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F GONZALES AUTO REPAIR
p= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
ACETYLENE
SiteID: 015-021-001383 ì
Facility Unit: Fixed Containers on Site 1
Days On Site
Location within this Facility Unit
Map:
Grid:
CAS#
74 - 86 - 2-
- TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 FT3
Daily Average
100.00 FT3
I l~~~òoIAcetYlene
HAZARDOUS COMPONENTS
G;]
CAS #
748621
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
-3-
01/02/2001
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F GONZALES AUTO REPAIR
I
p= Notif./Evacuation/Medical
r=: Agency Notification
CALL 911.,
Employee Notif./Evacuation
SiteID: 015-021-001383 ì
Fast Format ì
Overall Site ì
02/10/1999 ]
12/19/1997
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN.
Public Notif./Evacuation
12/19/19971
12/19/1997
PUBLIC IS NOT ALLOWED IN GARAGE AREA.
Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY.
-4-
01/02/2001
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F GONZALES AUTO REPAIR
I
p= Mitigation/Prevent/Abatemt
r=: Release Prevention
lOlL KEPT IN CLOSED METAL DRUMS.
Release Containment
SiteID: 015-021-001383 ì
Fast Format ì
Overall Site ì
10/14/1992 ]
12/19/1997
OIL CONTAINED IN CLOSED METAL CONTAINERS.
Clean Up 10/14/1992
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY. WE HAVE A WET DRY VACUUM.
Other Resource Activation
-5-
01/02/2001
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F GONZALES AUTO REPAIR
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
SiteID: 015-021-001383 ì
Fast Format ì
Overall Site ì
I
02/10/1999
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING RM NEXT TO GARAGE STALLS
C) WATER - SW CORNER OF GARAGE, NEXT TO RR TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - L SIDE, R ON BLDG FRONT WALL
Fire Protec./Avail. Water
02/10/1999
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON E SIDE OF THE WALL
WHERE THE MECHANICS DO THEIR WORK.
NEAREST FIRE HYDRANT - LOCATED AT WILLIAMS ST & TRUXTUN AVE.
Building Occupancy Level
-6-
01/02/2001
" " '. ":i
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F GONZALES AUTO REPAIR
I
F Training
Employee Training
SiteID: 015-021-001383 ì
Fast Format ì
Overall Site ì
02/10/1999
THERE IS ONLY 1 EMPLOYEE AT THIS FACILITY.
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE????????
GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM:
Page 2
r
I
I
Held for Future Use
Held for Future Use
-7-
01/02/2001
~
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GONZALES AUTO REPAIR
ù=~ h.; ~ ik: M v Iii I.iI ",
/
SiteID: 215-000-001383
CommCode: BAKERSFIELD
EPA Numb:
H<\,'! (),~ 5'"1"99/9 BusPhone:
/,xl /t;./ Map : 103
// ,// Grid: 28A
// 12~tliÑQ~~. SERVICES
STATION "Q/2/ SIC Code:5541
DunnBrad:95-327-0606
(805) 395-1053
CommHaz : Low
FacUnits: 1 AOV:
Manager :
Location: 1700 E TRUXTUN AVE
City BAKERSFIELD
Emergency Contact / Title Emergency Contact / Title
SAM GONZALES SR / OWNER SAM GONZALES JR / MECHANIC
Business Phone: (805) 395-1053x Business Phone: (805) 395-1053x
24-Hour Phone : (805) 322-7908x 24-Hour Phone : (805) 664-9081x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (805) 398-1053x
MailAddr: 1700 E TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93305
Owner SAM GONZALES Phone: (805) 322-7908x
Address : 4412 ISLE VERDE State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List ì
All Materials at Site ì
p= Hazmat Inventory
p== As Designated Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
WASTE OIL
OXYGEN
ACETYLENE
F DH
~~ -^"' e(ì~LI~leroo hereby certi~ lÞat l~vWI
~ '(rýpeorpnntnàme)
reviewed the attached hazardous materials manage-
,
ment plan for~w7 OLe.'3 ~iind that it along with
~"OJ Busrness}
any corrections constitute a complete and correct man-
agement plan for my facility.
L
G
G
110 GAL
300 FT3
200 FT3
Low
Low
Hi
~(k-fr
-1-
12/14/1998
..
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F GONZALES AUTO REPAIR
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
WASTE OIL
SiteID: 215-000-001383 l
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
50FT E OF SHOP BY FENCE GATE
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
110.00 GAL
Daily Average
55.00 GAL
HAZARD US M ENT
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
o
CO PON
S
HAZARD SSE ME TS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
A SS N
p= Inventory Item 0002
= COMMON NAME / CHEMI CAL NAME
OXYGEN
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 FT3
Daily Average
150.00 FT3
HAZAR US MP ENTS
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
DO CO ON
T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMEN S
-2-
12/14/1998
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F GONZALES AUTO REPAIR
p= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
ACETYLENE
SiteID: 215-000-001383 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
Location within this Facility Unit
Map:
Grid:
CAS #
74-86-2
- TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 FT3
Daily Average
100.00 FT3
I l~~~åoIAcetYlene
HAZARDOUS COMPONENTS
~
CAS #
748621
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
-3-
12/14/1998
e
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Employee Notif./Evacuation
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
01/02/1991 1
12/19/1997
F GONZALES AUTO REPAIR
I
p= Notif./Evacuation/Medical
r=: Agency Notification
CALL 911
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN.
Public Notif./Evacuation
12/19/1997 ]
12/19/1997
PUBLIC IS NOT ALLOWED IN GARAGE AREA.
Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY.
-4-
12/14/1998
e
e
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
10/14/19921
12/19/1997
F GONZALES AUTO REPAIR
I
p= Mitigation/Prevent/Abatemt
r=:OIRLelease Prevention
l:: KEPT IN CLOSED METAL DRUMS.
Release Containment
OIL CONTAINED IN CLOSED METAL CONTAINERS.
Clean Up 10/14/1992
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY. WE HAVE A WET DRY VACUUM.
Other Resource Activation
-5-
12/14/1998
e
e
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
I
F GONZALES AUTO REPAIR
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
12/19/1997
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING RM NEXT TO GARAGE STALLS
C) WATER - SW CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - L SIDE, R ON BLDG FRONT WALL
Fire Protec./Avail. Water
12/19/1997
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON E SIDE OF THE WALL
WHERE THE MECHANICS DO THEIR WORK.
NEAREST FIRE HYDRANT - LOCATED AT WILLIAMS & TRUXTUN.
Building Occupancy Level
-6-
12/14/1998
/
.. ¡' /(
"
/~ e e
/
/'
//í GONZALES AUTO REPAIR ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001383
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/19/1997 ¡
o 0
o THERE IS ONLY 1 EMPLOYEE AT THIS FACILITY. 0
o 0
o DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE???????? NEEDED FOR OXYGEN 0
o AND ACETYLENE WHICH ARE NOT WASTE MATERIALS. (MOTOR OIL IF YOU HAVE ANY.) 0
o 0
o GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: 0
o 0
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
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íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
0 0
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íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
, ~ '!,
PerDlit
to Operate
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
, "itt,!~ardous Materials Plan
" """~~~round Storage of Hazardous Materials
"'oagement Program
''',' -
, Waste
PERMIT ID# 015-021.001383
GONZALES AUTO REPAIR
LOCATION
I
i.
Issued by:
1700 E TRUXTUN
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:
. ~"_,,:'_""- "",' ..~_ ~ ~ '0
-----¡
~
Manager :
Location:
City
. @~CC~]\4~~i
GONZALES AUTO REPAIR El 1I tJ!
/ jBusPhone:
1700 E TRUXTUN AV By _ Map : 103
Bakersfield -~- --------\Grid: 28A
-
,.~ '"i'
SiteID: 215-000-001383
(805) 395-1053
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:5541
DunnBrad:95-327-0606
Emergency Contact / Title Emergency Contact / Title
Lon DJ1\T.7.m~cr SOA'Y\. ~(\zcJes Sr. SAM GONZALES JR / MECHANIC
Business Phone: (805) 395-1053x Business Phone: (805) 395-1053x
24-Hour Phone : (805) 3GG 8671.." 24-Hour Phone : (805) 323 2449x -
Pager Phone : ( )3~790~ ~ Pager Phone : ( )fCbY- -er0%! x ~
Hazmat Hazards: Fire Press ImmHlth DelHlth
Emergency Directives:
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax MCP
F P IH G 200 FT3 Hi
F IH DH G 300 FT3 Low
F DH L 110 GAL Low
f= Hazmat Inventory
p== MCP+DailyMax Order
Hazmat Common Name...
ACETYLENE
OXYGEN
WASTE OIL
L..ÇA1t1 §ON'lALf S S~ Do hereby certify that I have
"('i'nxt orpañt name) .
reviewed the attached hazardous materials manage-
ment plan fort'/I\Ll.^' pc./! u-t;;:; and that it along with
~~
any corrections constitute a complete and correct man-
agement plan for my facility.
t,
___Y/4~~
l :J. ..LJ.-11
Date .-.'..
-1-
11/06/1997 ,
ço'
-~
'Õ
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F GONZALES AUTO REPAIR
f= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
ACETYLENE
SiteID: 215-000-001383 1
Facility Unit: Fixed Containers on Site ~
Days On Site
Location within this Facility Unit
Map:
Grid:
CAS #
74-86-2
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 FT3
Daily Average
100.00 FT3
%Wt. EHS CAS #
100.00 Acetylene No 74862
HAZARDOUS COMPONENTS
TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
f= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
OXYGEN
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 FT3
Daily Average
150.00 FT3
%Wt. EHS CAS #
100.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMENTS
-2-
11/06/1997
·
-. .I
e
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F GONZALES AUTO REPAIR
f= Inventory Item 0001
COMMON NAME / CHEMICAL NAME
WASTE OIL
SiteID: 215-000-001383 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
within this Facility Unit
SJ-JOI? BY 'PfL7\_ILER-
Map:
Grid:
CAS #
221
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
110.00 GAL
Daily Average
55.00 GAL
HAZARD US M ENT
%Wt. EHS CAS #
100.00 Waste Oil, Petroleum Based No 0
o
CO PON
S
HAZARD ASSESSMENTS
TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-3-
11/06/1997
e
e
F GONZALES AUTO REPAIR
I
p= Notif./Evacuation/Medical
r=: Agency Notification
CALL 911
Employee Notif./Evacuation
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
01/02/1991 1
01/02/1991
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN
Public Notif./Evacuation
01/02/1991 1
01/02/1991
PUBLIC IS NOT ALLOWED IN GARAGE AREA
Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY
-4-
11/06/1997
e
e
f GONZALES AUTO REPAIR
I
p= Mitigation/Prevent/Abatemt
r=: Release Prevention
I OIL KEPT IN CLOSED METAL DRUMS.
Release Containment
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
10/14/1992 ]
10/14/1992
OIL CONTAINED IN CLOSED METAL CONTAINERS
Clean Up 10/14/1992
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY. WE HAVE A WET DRY VACUUM.
Other Resource Activation
-5-
11/06/1997
e
e
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
I
F GONZALES AUTO REPAIR
I
F Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
01/02/1991
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING ROOM NEXT TO GARAGE STALLS
C) WATER - SOUTHWEST CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - LEFT SIDE, RIGHT ON BUILDING FRONT WALL
Fire Protec./Avail. Water
01/02/1991
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON EAST SIDE OF THE
WALL WHERE THE MECHANICS DO THEIR WORK
FIRE HYDRANT - WILLIAMS & TRUXTUN
Building Occupancy Level
-6-
11/06/1997
· -. '.
/
_/
'.J
e
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/
/
F,GONZALES AUTO REPAIR
I
/ F Training
,/ Employee Training
SiteID: 215-000-001383 ì
Fast Format ì
Overall Site ì
10/14/1992
THERE IS 1 EMPLOYEE AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? WE ONLY HAVE WASTE
MATERIALS.
Page 2
[
I
I
Held for Future Use
Held for Future Use
-7-
11/06/1997
t
03/16/95 -
,
It
-
/
GONZALES AUTO REPAIR 215-000-001383
Overall Site with 1 Fac. Unit
Page 1
General Information
Location: 1700 E TRUXTUN AV Map:103 Haz:2 Type: 3
City . Bakersfield Grid: 28A F/U: 1 AOV: 0.0
.
--- Contact Name Title - Contact Name Title
LOU NAVARRO / SAM GONZALES JR / MECHANIC
Business Phone: (805) 395-1053x Business Phone: (805) 395-1053x
24-Hour Phone · (805) 366-8671x 24-Hour Phone · (805) 323-2449x
· ·
Pager Phone · ( ) - x Pager Phone · ( ) - x
· ·
Administrative Data
Mail Addrs: 1700 E TRUXTUN AV D&B Number: 95-327-0606
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5541
Owner: SAM GONZALES Phone: (805) 322-7908
Address: 4412 ISLE VERDE State: CA
City: BAKERSFIELD Zip: 93301-
Summary
I,~ @.o11Z.B./..e S Do he b .
(Type or print name) re Y certify ~hai I havs
reviewed the attached hazardous materials manage~
ment plan for~"Û>~ ,oS
---rÑame~~yTQ.-and that it along with
any corrections constitute a completo and
' g correct man-
agement plan for my facility.
/Ls~ Qr---
4 \ 2-...,--9 ÞJ...........
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03/16/95_
.
GONZALES AUTO REPAIR 215-000-001383
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form' Max Qty MCP
02-003 ACETYLENE Gas 200 High
~ Fire, Pressure, Immed Hlth FT3
02-001 WASTE OIL Liquid 110 Low
~ Fire, Delay Hlth GAL
02-002 OXYGEN Gas 300 Low
~ Fire, Immed Hlth, Delay Hlth FT3
e
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03/16/95,
GONZALES AUTO REPAIR 215-000-001383
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-003 ACETYLENE
~ Fire, Pressure, Immed Hlth
Gas
200 High
FT3
CAS =It: 74-86-2
Trade Secret: No
Form: Gas
Type: Pure
Days:
Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
200 I 100.00 I 1,500.00
Storage r Press T Temp -:ì
PORT. PRESS. CYLINDER Above Ambient
Location
- Conc l
100.0% Acetylene
Components
r; MCP ----p;uide
High I 17
02-001 WASTE OIL
~ Fire, Delay Hlth
Liquid
110 Low
GAL
CAS =It: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 Use: WASTE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
110 55.00 I 500.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~ Location
Ambient AmbientIN BACK OF SHOP BY TRAILER
- Conc l Components
100.0% Waste Oil, Petroleum Based
~ MCP ----p;uide
Low I 27
02-002 OXYGEN
~ Fire, Immed Hlth, Delay Hlth
Gas
300 Low
FT3
CAS =It: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
300 I 150.00 I 1,500.00
Storage r Press T Temp ~
PORT. PRESS. CYLINDER Ambient Ambient
Location
- Conc l
100.0% Oxygen, Compressed
Components
~ MCP ----p;uide
Low I 14
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03/16/95.
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN
<3> Public Notif./Evacuation
PUBLIC IS NOT ALLOWED IN GARAGE AREA
<4> Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY
e
e
I 03/16/95;
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
OIL KEPT IN CLOSED METAL DRUMS.
<2> Release Containment
OIL CONTAINED IN CLOSED METAL CONTAINERS
<3> Clean Up
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY. WE HAVE A WET DRY VACUUM.
<4> Other Resource Activation
e
e
03/ 16 /95.
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING ROOM NEXT TO GARAGE STALLS
C) WATER - SOUTHWEST CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - LEFT SIDE, RIGHT ON BUILDING FRONT WALL
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON EAST SIDE OF THE
WALL WHERE THE MECHANICS DO THEIR WORK
FIRE HYDRANT - WILLIAMS & TRUXTUN
<4> Building Occupancy Level
e
e
03/ 16/~5.
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
<G> Training
Page
7
<1> Employee Training
THERE IS 1 EMPLOYEE AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? WE ONLY HAVE WASTE
MATERIALS.
WE DON'T HAVE ANY HAZARDOUS MATERIALS EXCEPT MOTOR OIL.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
~
.
.
-
BAKERSFIELD
September 13, 1994
Gonzalez Auto Repair
1700 East Truxtun Avenue
Bakersfield, California 93305
Dear Owner:
Our office has notified you on several occasions that your
hazardous materials account is seriously past due. You have failed
to make payment or to make and keep any payment arrangements.
The City of Bakersfield hereby demands payment in full on account
HM474702 in the amount of $405.31. Payment must be received in my
office within ten (10) working days of your receipt of this demand.
Failure to make payment within the ten working days will force the
City of Bakersfield to commence legal action against you.
If a judgement is granted you will be held liable for the amount of
the suit plus court costs plus interest at 10% until such time as
the judgement is satisfied.
Respect~fUllY
.. ff/#, ./---'l-'
~~
Drew Shar les
Financial Investigator
City of Bakersfield · Treasury Division · P.O. Box 2057
Bakersfield · California · 93303
.. 't
...
\ ~
,I
.
. D~~[~~\4~ín\
215-000-00138 f"r NOV 5 1992 :Y e
1 Fac. Unit I
$
10/08/92
GONZALES AUTO REPAIR
Overall Site with
1
General Information
By
Location: 1700 E TRUXTUN AV Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 02 Grid: 28A FlU: 1 AOV: 0.0
~ Contact Name Title Business Phone - 24-Hour Phone
LOU NAVARRO (805) 395-1053 x (805) 366-8671
SAM GONZALES JR MECHANIC (805) 395-1053 x (805) 323-2449
Administrative Data
Mail Addrs: 1700 E TRUXTUN AV D&B Number: 95-327-0606
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5541
Owner: SAM GONZALES Phone: (805) 322-7908
Address: 4412 ISLE VERDE State: CA
City: BAKERSFIELD Zip: 93301-
Summary
,j[o,U ~¡;::ervCf3
(ly otprint ~ 0 hêr~hv certify that' have
reviewed the attachert I·. . .. .
~' j\ c:-t." ~;;>1e~IaIS manage- /
ment plan fo~ ~ ~:ò,.,; ÿJ .
(rl ". r,! r :~:r;¡:;;;;r' ..', I, ,! at It along with
any correct/'ons conSf~t. ,
l' ui.·::¡aCOIT·p'etea d
. . n correct rodn-
agement plan for my facility.
","
r7 .f!.~lûf ti:rv!' Or:¡
~I~n<l, -
//-5Jj ¿
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,.
. ..
.
.
..
10/08/92
GONZALES AUTO REPAIR 215-000-001383
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 WASTE OIL
~ Fire, Delay Hlth
Liquid
110 Low
GAL
CAS #: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 Use: WASTE
Daily Max GAL ~ Daily Average GAL --¡- Annual Amount GAL -
110 I 55.00 I 500.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~I Location
Ambient Ambient/IN BACK OF SHOP BY TRAILER
- Conc l
100.0% Waste Oil, Petroleum
W-fl.l dÁcr +a nt IV) lovlttl./;"
\
"300
(
~
Components
Based
~ MCP ---rList
Low I
~q..~
r
. .
.
.
10/08/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN
<3> Public Notif./Evacuation
PUBLIC IS NOT ALLOWED IN GARAGE AREA
)
<4> Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY
.
.
.
10/08/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
<2> Release Containment
OIL CONTAINED IN CLOSED METAL CONTAINERS
<3> Clean Up
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY
I <4> Other Resource Activation
/
~ ~
,.
.
.
10/08/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
5
<F> Site Emergency Factors
! <1> Special H~zards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING ROOM NEXT TO GARAGE STALLS
C) WATER - SOUTHWEST CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - LEFT SIDE, RIGHT ON BUILDING FRONT WALL
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON EAST SIDE OF THE
WALL WHERE THE MECHANICS DO THEIR WORK
FIRE HYDRANT - WILLIAMS & TRUXTUN
<4> Building Occupancy Level
~
!' ..
. '.
.
.
10/08/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
6
<G> Training
<1> Page 1
WE HAVE 2 EMPLOYEES
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
WE DON'T HAVE ANY HAZARDOUS
WLrûdvrt~ iortw ~"Ÿì
MATERIALS EXCEPT MOTOR OIL. ~ '
OV1fqlb~d-~~
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
BAKERS-=:LD CITY FIRE DEP.-rMENT
HAZÄ'l!rbous MATERIALS INVENTORY
Gðlf\?,a'-eJJ Attt-o Address { 100 e I Trw¿J1;;;\ Ytt;Jl.
CHEMICA,y6ÉSCRIPTION
Revision [~Ietion [ 'V Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ ]
L..,/
~ '___""ì,"";;-
Business Name
2) Common Name:
1) INVENTORY STATUS: New [ ] Addition [ ]
3) DOT # (optional)
Chemical Name:
4) PHYSICAL & HEALTH
HAZARD CATEGORIES
5) WASTE CLASSIFICATION
6) PHYSICAL STATE
::2
CAS #
AHM [ ]
PHYSICAL
Fire [\.V'Reactive [] Sudden Release of Pressure [ ]
d:») (3·digit code from DAs Form 8022)
,~
~
Page_of_
~,~L
USE CODE
L\-D
HEALTH
Immediate Health (Acute) [] Delayed Health (Chronic)
Pure [] Mixture [] Waste vr"
Solid [] Liquid [\J/' Gas [ ]
CHECK AU.. THAT APPlY
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount:
Average Daily Amount:
Annual Amount:
Largest Size Container:
# Days On Site
9) MIXTURE: List
the three most hazardous
chemical components or
any AHM components
10) Location
1) INVENTORY STATUS:
2) Common Name:
Chemical Name:
4) PHYSICAL & HEALTH
HAZARD CATEGORIES
5) WASTE CLASSIFICATION
6) PHYSICAL STATE
7) AMOUNT AND TIME AT FACILITY
Maximum Daily Amount:
Average Daily Amount:
Annual Amount:
Largest Size Container:
# Days On Site
9) MIXTURE: List
the three most hazardous
chemical components or
any AHM components
10) Location
Solid I ]
1\0
S;-g
~
UNITS OF MEASURE
100 [ ] gal v( ft3 I ]
curies [ ]
8) STORAGE CODES
a) Container:
b) Pressure:
c) Temperature:
Radioactive [ ]
ðDb
1
L\-
% INr Ð1 AHM
I rx:J -Ie;. ]
I]
[ ]
TRADE SECRET [ ]
77?;4--4tf '7
(3-digit code from DHS Form 8022)
USE CODE
DY:~
HEAL ']J;t-
Immediate Health (Acute) IV Delayed Health (Chronic) I ]
Radioactive [ ]
~4
% INr AHM
I]
fÐÕ%I]
[ ]
s.øt","~3Q1Si19:l
Circle Which Months: ~, F, M, A, M, J, J, A, S, 0, N, D
Wasi¿ oì CfMPONENT
CAS #
1 )
2)~_~ ..
~~,-;:..::
3)
Addition ~evision I ]
I
f
CHEMICAL DESCRI,rT10i
Deletion I ] V ~Ck if chemical is a NON TRADE SECRET I ]
3) DOT # (optional)
AHM I]
CAS #
. /' PHYSICAL . /'
Fire lYI Reactive I] Sudden Release of Pressure M
Liquid I ]
Gas "<'Í
Pure ~ixture I] Waste I]
CHECK ALL mAT APPLY
5:)()-
~-
?IÆ
~b5
UNITS OF MEASURE
Ibs I ] gal I] ft3 ¡y(
curies [ ] ,
8) STORAGE CODES
a) Container:
b) Pressure:
c) Temperature:
Circle Which Months: All Year, J, F, M, A, M, J, J, A, S. 0, N, D
~nMPOJ\lENT
CAS #
1)
2) 'OY-~0-- .i-#
3)
'1LOTlT~M
S,gnature
Date
REGCN V LEPC STANDARD FCA"
'--~f \),
: -ç.'
,,/,'
) >
BAKERSIiILD CITY FIRE DEPA.MENT
HAZARt)OUS MATERIALS INVEN~Y
Go rLzoJ.;ø Auio Address 17CO 6· TV1JAt~ A-u-e.
" ~ r_"", _
Page_of_
Business Name
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2~iéommon Name: 3) DOT # (optional)
Chemical Name: 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
6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
œECKALL THAT ItPPlY
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 100 1 ] gal [ ] 113 [ ] 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, D
9) MIXTURE: f AHM,
Ust ~OMPONENT CAS # %Wf
the three most hazardous 1) [ ]
chemical components or
any AHM components 2) - ~ v [ ]
-
3) - . .j [ ]
1 0) Location
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3·digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
CHECK ALL THAT APPt Y
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: Ibs [ ] gal [ ] 113 [ ] 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, D
9) MIXTURE: Ust COMPONENT CAS # %Wf AHM
the three most hazardous 1 ) [ ]
chemical components or
any AHM components 2) ...J . [ ]
~
3) . . , [ ]
I I
10) Location " ' .,
-, - - . , ,
.. --
ceTtiIy unaer penalty of law, that'M7ave personallyexammed and am familiar wíth the mfomation subm,tted on thIS ana all attacned documents. I believe the
Tl!:"~erI1W1lj}fl-
Date
~.-n~3Q,1S182
REGI~ V l.EPC SfANDMD FOR'"
--,
~
.
.
CITY of BAKERSFIELD
i:o "WE CARE" l\''p\V
FIRE DEPARTMENT ~. ~~ ~ ,~ 10'
S. D, JOHNSON [)' ,Àu \l oJP~ I '. "If
FIRE CHIEF Jf(jYt'·,· V\) . cY VQ~JY'
~~úb
Dear Mr. Gonzales;
2101 H STREET
BAKERSFIELD. 93301
326·3911
September 10, 1992
NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE
-----------------------------------------------
-----------------------------------------------
In the inspection of your business Gonzales Auto Repair,
located at 1700 ·E. Truxt~n avenue, Bakersfield, Ca. 93305 on
September 9th the following Hazardous Materials regulation
violations were identified:
1) Unknown hazardous material in a 55 gallon drum not
reported in your chemical inventory.
VIOLATION OF CH. 6.96 CALIFORNIA HEALTH
& SAFETY CODE 25509(a)(1-4)
(a)The annual inventory form shall include, but
shall not be limited to, information on all of the
following which are handled in quantities equal to or
greater than the quantities specified in subdivision (a)
of Section 25503.5:
(1) A listing of the chemical name and common names
of every hazardous substance or chemical
product handled by the business.
(2) The category of waste, including the general
chemical and mineral composition of the waste
listed by probable maximum and minimum
concentrations, of every hazardous waste
handled by the business.
(3) A listing of the chemical name and common names
of every other hazardous material or mixture
containing a hazardous material handled by the
business which is not otherwise listed pursuant
to paragraph (1) or (2). "
(4) The maximum amount of each hazardous material
~
.
.
~
or mixture containing a hazardous material
disclosed in paragraphs (1), (2), and (3) which
is handled at anyone time by the business over
the course of the year.
2) Containers not properly labeled.
VIOLATION OF OSHA 1910.1200
(1) The chemical manufacturer, importer, or
distributor shall ensure that each container of
hazardous chemicals leaving the workplace is labeled,
tagged or marked with the following information:
(i) Identity of the hazardous chemical(s).
(ii)Appropriate hazard warnings; and
(iii)Name and address of the chemical
manufacturer, importer, or other responsible
party.
(4) Except as provided in paragraphs (3) and (4)
the employer shall ensure that each container of
hazardous che~icals in the workplace is labeled, tagged,
or marked with the following information:
(i) Identity of the hazardous chemical(s)
contained therein; and
(ii)Appropriate hazard warnings.
(5) The employer may use signs, placards, process
sheets, batch tickets, operating procedures, or other
such written materials in lieu of affixing labels to
individual stationary process containers, as long as the
alternative method identifies the containers to which it
is applicable and conveys the information required by
paragraph (2) of this section to be on label. The
written materials shall be readily accessible to the
employees in their work area throughout each work shift.
(7) The employer shall not remove of deface
existing labels on incoming containers of hazardous
chemicals, unless the container is immediately marked
'with the required information.
(8) The employer shall ensure that labels or other
forms of warn~ngs are legible, in English, and
prominently displayed on the container, or readily
r..
.
.
available in the work area throughout each work shift.
Employers having employees who speak other languages may
add the information in-their language to the material
presented, as long as the information is presented in
English as well.
3) No emergency plan or clean up plan available.
VIOLATION OF CALIFORNIA HEALTH AND SAFETY
CODE CHAPTER 6.95, 25504
Business plans shall include all of the following:
(b) Emergency response plans and procedures in the
event of a reportable or threatened release of a
hazardous material, including, but not limited to, all
of the following:
(1) Immediate notification to the administering
agency and to appropriate local emergency
rescue personnel and the office.
(2) Procedures for the mitigation of a release or
threatened release to minimize any potential
harm or damage to persons, property, or the
environment.
(3) Evacuation plans and procedures, including
immediate notice, for the business site.
4) Oxygen and acetylene bottles not properly restrained.
VIOLATION OF UFC SECTION 74.107 AND
BAKERSFIELD MUNICIPAL CODE, SECTION 15.64.110
Section 74.107, Storage and Use of Cylinders, of the
Uniform Fire Code is amended to read:
All compressed gas cylinders in service or in
storage shall be adequately secured to prevent falling or
being knocked over. This shall be accomplished by the
installation of safety chains of suitable size or other
restraining methods approved by the Bureau of Fire
Prevention.
5) Material Safety Dqta Sheets not available.
VIOLATION OF UFC 80.104
(d) Material Safety Data Sheets (MSDS) shall be
readily available on the premises for hazardous
materials regulated by this article.
..;:. ,,' ~ ~-
.
.
6) Hazardous materials training inadequate.
VIOLATION OF OSHA 1910.1200(H)
(2) Training. Employee training shall include at
least:
(i)Methods and observations that may be used
to detect the presence or release of a hazardous
chemical in the work area (such as monitoring
conducted by the employer, continuous monitoring
devices, visual appearance or odor of hazardous
chemicals when being released, etc.);
(ii)The physical and health hazards of the
chemicals in the work area;
(iii)The measures employees can take to
protect themselves from these hazards, including
specific procedures the employer has implemented to
protect employees from exposure to hazardous
chemicals, such as appropriate work practices,
emergency procedures, and personal protective
equipment to be used; and,
(iv)The details of the hazard communication
program developed by the employer, including an
explanation of the labeling system and the material
safety data sheet, and how employees can obtain and
use the appropriate hazard information.
(h) Employee information and training. Employers
shall provide employees with information and training
on hazardous chemicals in their work area at the time of
their initial assignment, and whenever a new hazard is
introduced into their work area.
The above violations must be corrected by October 9, 1992
The department will schedule a re-inspection of your facility
to verify compliance. If you have any questions regarding
this notice, please contact Ralph Huey at 326-3979.
,',
-?:Sinc;:eòy, I /
....~~
Ralph E.Huey
Hazardous Materials Coordinator
"
.,1
.'
.
~
09/09/92
GONZALES AUTO REPAIR 215-000-001383
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 1700 E TRUXTUN AV Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 02 Grid: 28A FlU: 1 AOV: 0.0
- Contact Name Title Business Phone - 24-Hour Phone
LOU NAVARRO (805) 395-1053 x (805) 366-8671
SAM GONZALES JR MECHANIC (805) 395-1053 x (805) 323-2449
Administrative Data
Mail Addrs: 1700 E TRUXTUN AV D&B Number: 95-327-0606
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5541
Owner: SAM,GONZALES Phone: (805) 322-7908
Address: 4412 ISLE VERDE State: CA
City: BAKERSFIELD Zip: 93301-
Summary
.
1
.
.
09/09/92
GONZALES AUTO REPAIR 215-000-001383
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 WASTE OIL
~ Fire, Delay Hlth
Liquid
110 Low
GAL
CAS =It: 221
Trade Secret: No
Form: Liquid Type: Waste
Days: 365 Use: WASTE
---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
110 I 55.00 I 500.00
Storage r Press T Temp ~I Location
DRUM/BARREL-METALLIC Ambient Ambient I IN BACK OF SHOP BY TRAILER
- Conc ~ . Components
100.0% Waste Oil, Petroleum Based
r=- MCP ---rList
I Low I
Ø)G4 )/0>/ .(S~J!::!:~~I
r/V~Ô¿¡ ~ r~.
(jjPyô ~~ ¡J~/J~cj~A/4-~,
. #~ !fø-if No:!
cØìóx~ I ~ hA~'
ð:J
~ Î
.
.
09/09/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
"
ANYONE COULD JUST WALK OUT OF THE FRONT DOpRS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN
<3> Public Notif./Evacuation
PUBLIC IS NOT ALLOWED IN GARAGE AREA
<4> Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY
.- 'i
.
.
09/09/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overáll Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
<2> Release Containment
OIL CONTAINED IN CLOSED METAL CONTAINERS
<3> Clean Up
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY
NéJr-~v¡J~ ^
<4> Other Resource Activation
.' '" 'It
.
.
09/09/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
5
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING ROOM NEXT TO GARAGE STALLS
C) WATER - SOUTHWEST CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES- LEFT SIDE, RIGHT ON BUILDING FRONT WALL
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON EAST SIDE OF THE
WALL WHERE THE MECHANICS DO THEIR WORK
FIRE HYDRANT - WILLIAMS & TRUXTUN
<4> Building Occupancy Level
,à. ,,~. .r..
.
.
09/09/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
6
<G> Training
<1> Page 1
WE HAVE 2 EMPLOYEES
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
WE DON'T HAVE ANY HAZARDO~S MATERIALS EXCEPT MOTOR OIL.
~ ð¡(!J{f'1. )
(
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
T ~- r----
"t'
~
. .
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
S. D. JOHNSON
FIRE CHIEF
2101 H STREET
BAKERSFIELD, 93301
326·3911
September 10, 1992
Dear Mr. Gonzales;
NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE
-----------------------------------------------
-----------------------------------------------
In the inspection of your business Gonzales Auto Repair,
located at 1700 E. Truxtun avenue, Bakersfield, Ca. 93305 on
September 9th t~e following Hazardous Materials regulation
violations were identified:
1) Unknown hazardous material in a 55 gallon drum not
reported in your chemical inventory.
VIOLATION OF CH. 6.96 CALIFORNIA HEALTH
& SAFETY CODE 25509(a)(1-4)
(a)The annual inventory form shall include, but
shall not be limited to, information on all of the
following which are handled in quantities equal to or
greater than the quantities specified in subdivision (a)
of Section 25503.5:
(1) A listing of the chemical name and common names
of every hazardous substance or chemical
product handled by the business.
(2) The category of waste, including the general
chemical and mineral composition of the waste
listed by probable maximum and minimum
,concentrations, of every hazardous waste
handled by the business.
(3) A listing of the chemical name and common names
of every other hazardous material or mixture
containing a hazardous material handled by the
business which is not otherwise listed pursuant
to paragraph (1) or (2). ' '
(4) The maximum amount of each hazardous material
~
~
.
.
or mixture containing a hazardous material
disclosed in paragraphs (I), (2), and (3) which
is handled at anyone time by the business over
the course of the year.
2) Containers not properly labeled.
VIOLATION OF OSHA 1910.1200
(1) The chemical manufacturer, importer, or
distributor shall ensure that each container of
hazardous chemicals leaving the workplace is labeled,
tagged or marked with the following information:
(i) Identity of the hazardous chemical(s).
(ii)Appropriate hazard warnings; and
(iii)Name and address of the chemical
manufacturer, importer, or other responsible
party.
(4) Except as provided in paragraphs (3) and (4)
the employer shall ensure that each container of
. hazardous chemicals in the workplace is labeled, tagged,
or marked with the following information:
(i) Identity of the hazardous chemical(s)
contained therein; and
(ii)Appropriate hazard warnings.
(5) The employer may use signs, placards, process
sheets, batch tickets, operating procedures, or other
such written materials in lieu of affixing labels to
individual stationary process còntainers, as long as the
alternative method identifies the containers to which it
is applicable and conveys the information required by
paragraph {2) of this section to be on label. The
written materials shall be readily accessible to the
employees in their work area throughout each work shift.
(7) The employer shall not remove of deface
existing labels on incoming containers of hazardous
chemicals, unless the container is immediately marked
with the required information.
(8) The employer shall ensure that labels or other
forms of warnings are legible, in English, and
prominently displayed on the container, or readily
~ " ~ .
.
.
available in the work area throughout each work shift.
Employers having employees who speak other languages may
add the information in their language to the material
presented, as long as the information is presented in
English as well.
3) No emergency plan or clean up plan available.
VIOLATION OF CALIFORNIA HEALTH AND SAFETY
CODE CHAPTER 6.95, 25504
Business plans shall include all of the following:
(b) Emergency response plans and procedures in the
event of a reportable or threatened release of a
hazardous material, including, but not limited to, all
of the following:
(1) Immediate notification to the administering
agency and to appropriate local emergency
rescue personnel and the office.
(2) Procedures for the mitigation of a release or
threatened release to minimize any potential
harm or damage to persons, property, or the
environment.
(3) Evacuation plans and procedures, including
immediate notice, for the business site.
4) Oxygen and acetylene bottles not properly restrained.
VIOLATION OF UFC SECTION 74.107 AND
BAKERSFIELD MUNICIPAL CODE, SECTION 15.64.110
Section 74.107, Storage and Use of Cylinders, of the
Uniform Fire Code is amended to read:
All compressed gas cylinders in service or in
storage shall be adequately secured to prevent falling or
being knocked over. This shall be accomplished by the
installation of safety chains of suitable size or other
restraining methods approved by the Bureau of Fire
Prevention.
5) Material Safety Data Sheets not available.
VIOLATION OF UFC 80.104
(d) Material Safety Data Sheets (MSDS) shall be
readily available on the premises for hazardous
materials regulated by this article.
~f j" ~
.
.
6) Hazardous materials training inadequate.
VIOLATION OF OSHA 1910.1200(H)
(2) Training~ Employee training shall include at
least:
(i)Methods and observations that may be used
to detect the presence or release of a hazardous
chemical in the work area (such as monitoring
conducted by the employer, continuous monitoring
devices, visual appearance or odor of hazardous
chemicals when being released, etc.);
(ii)The physical and health hazards of the
chemicals in the work area;
(iii)The measures employees can take to
protect themselves ,from these hazards, including
specific procedures the employer has implemented to
protect employees from exposure to hazardous
chemicals, such as appropriate work practices,
emergency procedures, and personal protective
equipment to be used; and,
(iv)The details of the hazard communication
program developed by the employer, including an
explanation of the labeling system and the material
safety data sheet, and how employees can obtain and
use the appropriate hazard information.
(h) Employee information and training. Employers
shall provide employees with information and training
on hazardous chemicals in their work area at the time of
their initial assignment, and whenever a new hazard is
introduced into their work area.
The above violations must be corrected by October 9, 1992
The department will schedule a re-inspection of your facility
to verify compliance. If you have any questions regarding
this notice, please contact Ralph Huey at 326-3979.
Ã~~
~ '~~~Ph E. Huey
Hazardous Materials Coordinator
..
'i
-. ÚUf·
.1
.
;
07/30/92
GONZALES AUTO REPAIR 215-000-001383
Overall Site with 1 ,Fac. Unit
Page
1
General Information
Location: 1700 E TRUXTUN AV
Community: BAKERSFIELD STATION 02
Map: 103 Hazard: Low
Grid: 28A FlU: 1 AOV: 0.0
Contact Name
LOU NAVARRO
SAM GONZALES JR
Title
Business Phone
(805) 395-1053 x
(805) 395-1053 x
24-Hour Phone
(805) 366-8671
(805) 323-2449
MECHANIC
Administrative Data
Mail Addrs: 1700 E TRUXTUN AV
City: BAKERSFIELD
Comm Code: 215-002 BAKERSFIELD STATION 02
D&B Number: 95-32
State: CA Zip: 9330 -
SIC Code: 5541
Owner: SAM GONZALES
Address: 4412 ISLE VERDE
City: BAKERSFIELD
Phone: (805) 322-7908
State: CA
Zip: 93301-
Summary
RE
SfP 1 5 \992;
HAZ. MAT. OW.
I, S:I}/)J! ~~ps Do hereby certify that I have
(Type Of print name)
,
reviewed the attached hazardous materials manage-
,ment plan for~d that it atong with
, (foIg·· : d £Iv$inùss)
any corrections constitute a c,omplete and correc.t man-
agement plan for my facility.
J
)4n1i!!;;'
~ ~ ~ eM ~~hA.~UrO( cw(w ~ ~
~ ~~ ~ 8'-IO-Q).. ~ ~ ~
tff~ ~~ ~ 3d0-.3Q7Q,
~
~
Ãf-i..I.·:"
9-'/2- ,/ ~
Dø
f<.Ltiuvr¡,L)
~
.
.
.
07/30/92
GONZALES AUTO REPAIR 215-000-001383
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 WASTE OIL
~ Fire, Delay Hlth
Liquid
160 Low
GAL
CAS #: 221
Trade Secret: No
Form: Liquid Type: Waste Days: 365 Use: WASTE
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL ~
160 ~ I 80.00 I 500.00
Storage ·~r Press T Temp ~ Location
DRUM/BARREL-METALLIC Ambient Ambient I IN BACK OF SHOP BY TRAILER
- Conc l Components
100.0% Waste Oil, Petroleum Based
I~ MCP --rList
/Low I
.
.
07/30/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN
<3> Public Notif./Evacuation
PUBLIC IS NOT ALLOWED IN GARAGE AREA
<4> Emergency Medical Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY
.
.
07/30/92
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
Page 4
<E> Mitigation/Prevent/Abatemt
o~
~~~,
<1> Release Prevention
,e.- H h lie. ft-
W&-""~YJRY ?J~ ~
<2> Release Containment
OIL CONTAINED IN CLOSED METAL CONTAINERS
1,.-..5"5 9tJ B~
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY
ft 7li f) t e U /h1 f) ~C£¿ CðR- P,
2fo5f wJMd~ (
.
~(1NÆ/"" HI Ll.,CiL 9CJ'lð~
<3> Clean Up
<4> Other Resource Activation
fV&N~c
, ' '. . .
07/30/92 GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
<F> Site Emergency Factors
Page 5
<1> Special Hazards
IA/'CJ N~
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING ROOM NEXT TO GARAGE STALLS
C) WATER - SOUTHWEST CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - LEFT SIDE, RIGHT ON BUILDING FRONT WALL
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON EAST SIDE OF THE
WALL WHERE THE MECHANICS DO THEIR WORK
FIRE HYDRANT - WILLIAMS & TRUXTUN
<4> Building Occupancy Level
,//
.,
.# -i~.;..
.
07/30/92
.
GONZALES AUTO REPAIR 215-000-001383
00 - Overall Site
<G> Training
Page
6
<1> Page 1
WE HAVE @JEMPLOYEES
DO YOU HAVE MATERIAL SAFETY DATA
w# ~
WE DON'T HAVE ANY HAZARDOUS MATERIALS EXCEPT MOTOR OIL.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
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GONZALES AUTO REPAIR 215-000-001383
Overall Site with 1 Fac. Unit
Page
1
~
04/20/92
General Information
.'
I
Location: 1700 E TRUXTUN AV Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 02 Grid: 28A FlU: 1 AOV: 0.0
,- "
- Contact Name Title Business Phone - 24-Hour Phone
LOu' NAVARRO (805) 395-1053 x (805) 366-8671
SAM GONZALES JR MECHANIC (805) 395-1053 x (805) 323-2449
Administrative Data
Mail Addrs: 1700 E TRUXTUN AV D&B Number: 95-327-0606
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5541
Owner: SAM GONZALES Phone: (805) 322-7908
Address: 4412 ISLE VERDE State: CA
City: BAKERSFIELD Zip: 93301-
Summary
RECEIVED
JUN , 6 1992
HAZ. MAT. DIV.
,~ rØ/}'J1~ Do hereby certify that I have
I y¡MI or priM Mme)
reviewed the attached hazardous matertals manage-
ment plan for~?At6-ÓflTf) and that it along with
(Name 01 BuelneSS)
any corrections constitute a complete and correct man-
agement plan for my facility.
~"_ 7)y~~ S-''li' -92
- --- ---
__ __'C .______~_
--
------ ----
o Farm and
Agriculture Ldard
CITY OF BAKERSFIELD
HAZARDOUS MATERIALS INVENTORY
page_Of''''
NAME OF THIS'FACILITY'~~~,f~,_ I
STANDARD IND. CLASS CODE: ~ ~' - ~
DUN AND BRADSTREET NUMBER FEDERAL ID '
Cl -:z:- - 3. 6 ¡ - ^z. <2.<0_ oJ;' (¡J.57ë.
61L
Business
P6al and Health Hazard
~ck all that apply)
o Fire Hazard 0 Sudden Release
of Pressure
5°0
C.A.S. Number
/
Immediate~aYed
Health Health
Component # 1 Name & C.A.S.
NON -
. BUSINESS NAME. ~~~~ ~r~OWNER NAME.
~~;I~~~, ~ ~~]J-; . ~- ~ = ~D~:S,Z:IP:
PHONE #: . L ' PHONE ,#: ,')
REFER TO INSTRUCTIONS FOR PROPER
7 8 9 10 11
, Days Cont Cont Cont Use
o Site Press Temp Code
5
Annual
Amt
o Reactivity D
Component # 2 Name & C.A.S.
Component # 3 Name & C.A.S.
Physical and Health Hazard C.A.S. Number
(Check all that apply)
: 0 Fire Hazard 0 Sudden Release '0 Reactivity 0 Immediate ~elaYed
of Pressure Health Health
Component # 1 Name & C.A.S. Number
, Component It 2 Name & C.A.S. Number
Component It 3 Name & C.A.S. Number
Physical and Health Hazard
(Check all that apply)
C.A.S. Number
Component' 1 Name & C.A.S. Number
'-ire Hazard
o Sudden Release D Reactivity 0 IlIDDediate 0 Delayed
of Pressure Health Health
Component It 2 Name & C.A.S. Number
Component # 3 Name & C.A.S. Number
Physical and Health Hazard C.A.S. Number
" (Check all that apply)
D Fire Hazard 0 Sudc,en Release 0 Reactivity 0 IlIDDediate 0 Delayed
of Pressure Health Health
Component # 1 Name & C.A.S. Number
Component # 2 Name & C.A.S. Number
Component , 3 Name & C.A.S. Number
EMERGENCY CONTACTS
#1
#2
II
!
i Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
li,;- I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of thosè
! . ,¡,,'V"'''''' ~.....1blo ,= ob__ tbe 'o,_tioo, 1 bo11_o <bot too .w.dttod in,o_t1oo ,. t=o. o=7/to. oed o-r; .
t ~.,,' ~~1 Jif~d- &-/)--9~
J Jr. AND OFFICIAL TITLE OF amEIVOPERA!l'OR OR amER/OPERA!l'OR'S AUTHORIZED REPRESENTATIVE· SIGN / DATE SIGNED
"
i
Name
-,I ~
~ ~ ,.:fIIt...
"f · ~ "'}'
.
.
MEMORANDUM
SEPTEMBER 6, 1991
. TO: VALERIE PENDERGRASS, HAZARDOUS MATERIALS//"
FROM: DREW SHARPLES, FINANCIAL INVESTIGATOR~
RE: HAZARDOUS MATERIALS ACCOUNTS
HM474701 Gonzales Auto Repair
Judgment was received on 7-19-91 in the amount of
$277.63. Close 01 account and open 02 account.
Needed adjustments have been made. (See Attachment)
DS/rw \'\~~
MDS.24 L\
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.
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HI11 47470 I
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CASH ~~
ADJUS'!MEÃ"'!'S TJ ~"':S ~..¡:..r::: '":'
"""""~
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9-1oJ-9¡
()NE"w~
( ) T"\~ -'~
~ $ AIlJ"-US!MEm'
( ) SZRV":!:= ~
( ) ADDRESS üWG:
-'
PAR:::!:. '*
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~--... ADDRE:SS
170CJ e. JítlJ'f.,TIAI..J f}t/G
P KJ~'::"~~ CMNE:R
~ NAME
h 0 IJ ~ J!l J.. 6' S ¡::¡ u ro "?.. e;'? // , ~
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~ '" h1 € .1'1 .s S I 77::;-
=, £~, w...:
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.
i
GOAlaLES AUTO REPAIR 215-000-~1383
Overall Site with 1 Fao. Unit
Page
1
1l/'?8/90
,
General Information
Looation: 1700 E TRUXTUN AV I"lap: 103 Hazard: Lo""
Ident Number: 215-000-001383 Grid: 28A Area of Vul: 0.0
1/
V @Econtact Name ~~ ~ Ti tle AV~ Business Phone -- 24 Hour PhOne]
V II '. _ ~ ~~~i~LiC- -~-t:::: J.ØV ~- "'" ~ 805) 395-1053 x ( 805) 326-8671
, " Y G u , . 36 (805) 395-1053 $ (805) 326-1646
z Q ~ l¿~3-~9~q
, "'" .
Administrative Data tt~~ItX J.-f);¢: f.. --.3 7 to )~
Mail Addrs: 1700 E TRUXTUN AV ' & umber: ~- ~ 'iJ ¿>,
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5541
-
Owner: SA¡VI GONZALES Plìone: (ørfJ 2.'--7"103
Address: .-:::¡C wAl;-r~ OT l*e' C¡C¡ 1"'2.. Isb£ VJlV(.o£ State: CA
City: B{~KERSFIELD Zip: ~::;::;o.£.- c¡ 3"3 (J I
Summary I
I
of--
.'
1.~A1TI ~ (ì16 Do Mreby certify that I have
(Type or name
. Wad the ~a~hed hazardo, us material$ mfJ,: .2'!.;II).
reVIG... CiL I .., I ^," /ðI. .+7\
~ Q.u¿- l):Ul) "
n2 . " '.\ ....o¡ "",,:,' ;,.. '.
ment P}~n for~ IY .ar.d tha, I. ~k",~,:' ~
. · ¡ 1;.'. (l'!a. c19whlneu)
aJì'f corrections constitute a complete and correct n'¡an·
agement plan for my faci\ity.
Q lil ()" .r¡) ,." (i .," ~,. I g C{ f\
j})J\A¡ 'M71Î~ f)/ ~&ië'-' v
/ _. gna1We
11/28/90
Pin-Ref Name/Hazards
GO~LES AUTO REPAIR 21S-000Jlt1383
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Form
Quantity
Page
2
IV¡CP
Low
02-001 MOTOR OIL
Delay Hlth
Liquid 110
GAL
11/28/90
GO~LES AUTO REPAIR 215-000-4IÞ1383
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-001 MOTOR OIL
Delay Hlth
Liquid
110 Low
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 Use: OTHER
- Daily Max GAL ~ Daily Average GAL -¡ Annual Amount GAL -
110.00 I 110.00 I 6,050.00
storage
DRUM/BARREL-METALLIC
r Press T Temp ~ Location
Ambient AmbientlIN BACK OF SHOP BY TRAILER
- Cone l
100.0% Waste Oil
Components
I~ IvlCP --p..ist i
Low I
11/28/90
GO~LES AUTO REPAIR 21S-000Jlt1383
00 - Overall Site
Page
4
<D> Notif./Evaouation/Medioal
<1> Agenoy Notifioation
C~L¿
9//
<2> Employee Notif./Evaouation
ANYONE COULD JUST WALK OUT OF THE FRONT DOORS. THE TWO LARGE GARAGE DOORS
ROLL UP AND DOWN, THEY ARE ROLLED UP ALL DAY LONG. THERE ARE TWO OTHER
DOORS ALSO WHICH ARE ALWAYS OPEN
<3> Publio Notif./Evaouation
fuß¿/c /S ¡1/tJ/ AtIocueo
/A/ b4æ~6.€ ß~€/l
<4> Emergenoy Medioal Plan
WE WILL BE USING LOCAL EMERGENCY ROOMS IN CASE OF ANY MEDICAL EMERGENCY
11/28/90
GO~LES AUTO REPAIR 21S-000-4IÞ1383
00 - Oveíall Site
Page
5
<E> Mitigation/Píevent/Abatemt
<1> Release Píevention
<2> Release Containment
OIL CONTAINED IN CLOSED METAL CONTAINERS
<3> Clean Up
OIL DISPOSED OF PROPERLY BY A RECYCLING COMPANY
<4> Otheí Resouíoe Aotivation
,',
11/28/90
GO~LES AUTO REPAIR 21S-000Jlt1383
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - LOCATED IN WAITING ROOM NEXT TO GARAGE STALLS
C) WATER - SOUTHWEST CORNER OF GARAGE, NEXT TO RAILROAD TRACKS
D) SPECIAL - NONE
E) LOCK BOX - YES - LEFT SIDE, RIGHT ON BUILDING FRONT WALL
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS MOUNTED ON EAST SIDE OF THE
WALL WHERE THE MECHANICS DO THEIR WORK
FI RE HYDRANT? whf'_\e.. ì";) ('~ 7 ') L --/, ,Ç\,
¡ ',' ' ~e;l..{ a~ -fbLty' .
1(£WtJ¿ 'S' l/~(M C1Vt rQf}L ,(j.J)UVtL C-a4CI) O'~U {A)(f7Î(bfd
"on j fn(X(ñtí:J, c>" 12&1_ ~Vf}L~ >:! (' -6J1d ðtlLdJ
<4> Held for- Future use ' b'þ 0icb: qa/~-a1-L o.Jl::;tì.
tvl¿¿'~.J I
7Af"'fNP /'2-lftdL "
o ,
I
(J)/} 0( cLt fA) Q {<- ___'
ì " ."....
11/28/90
GO~LES AUTO REPAIR 21S-000Jlt1383
00 - Overall Site
Page
7
<G> Training
<1> Page 1
WE HAVE 2 EMPLOYEES
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
WE DON'T HAVE ANY HAZARDOUS MATERIALS EXCEPT MOTOR OIL.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
CITY of BAKERSFIELD
,
ì
, . HAZARDOUS MATERIALS INVENTORY
i farm and Agtlculture [] Standard Business []
¢ NON-TRADE SECRETS Page
aUSINESS NAME: ßO_~~~frOWNER NAMI: ~ ~k NAME OF TMIS FACIlITYÒ'
.lOCATION' ~ i. -:':' 'l£' ADDRES~' :J£...,.. ..:.. STANDARD IND. CLASS C DF:---- , -----------
~M~~ W:~?ß,~- -~ .":;..", J}kMp);: ~ - ;';~~~E/~~::: BRAªW'~E1~U!f~Ro6;;,¿--_m_._.~
I I 2 3 ~'5 6 ~ 8 9 10 II 12 13 Il
, Tr~ns, Tyoe ~ax Average Annual Mea$ure 1 ys Cant Cant Cant Use loc.tion Vhere 'by Hues of I!ixture/Çoroonents
Code Code Allt Allt Est UnIts on Ite Type Press Temp COde Stored In facIlity Wt See Instruct Ions
af í?í?í- 'mT
Name & C.A.S. NUllber
~
____ of ___I
I
o Fire Hazard (] Reactivity (] Oe 1ared (] Sudden Release [] . COllponent 12 Nalle & C.A.S. HUllber
IlImedlate
Hea th of Pressure Health
COllponent 13 Nalle & C.A.S. NUllber
.$~
[] Reactivity ~d [] SUddfn Re lease [] COllponent '2, Nalle & C.A.S. NUllber
IlIlIediate
Hea th o Pressure Health
COllponent 13 Nalle & C.A.S. NUllber
Physical 'nd Health Ha~ard
lCheck a I that apply)
o Fire Hazard
[] Reactivity
[] De I ayed [] Sudden Re 1 ease
Health of Pressure
/
[] . Compon&nt'2 Nalle & C.A.S. NUllber
filmed late
Health
COllponent 13 Nalle & C.A.S. NUllber
I I
Physical end Health Ha{ard
ICheck all that apply) ,
C.A.S. NUllber
COllponent., Nalle & C.A.S. HUllber
o Fire Hazard
[] Reactivity
[] De Jayed [] Sudden Re lease
Health of Pressure
[] . Component 12 Halle & C.A.S. Number
IIlmedlate
Health
COllponent.3 Name & C.A.S. NUllber
EMERGENCY CONTACTS _1
:<¡,J" Y9:<//J
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01~n ~~~ ~TC~=T
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CrF!C:AL us:: ON!:l
I D #
BUSINESS NAME
~
.'
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
RECEiv'ED
,INSTRUCTIONS:
APR 1 7 1989
HAZ. MAT. ÕlV.
t., To avoid further action. return this fro~ ~ithin 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the Questions below for the business as a whole.
4. Be as brief and concise as possible.s
SECTION I: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME, Gen;(Q/r:s CÞ.ï.ii.D. ~{bl r
B. lOCATION I STREET ADDRESS: I '7()Ò ¿; Tf2..iJc~Â;.¿,
CITYI3af¡:xflwIP' 93,'XJ5 BUS. PHONE' (ßó:5)~3
SECTION Z: EMERGENCY NOTIFICATIONS
In case of an e~ergency involving the rel~ase or threatened release of
a hazardous ~a1erial. call 911 and 1-800-852-7550 or 1-916-427-4341. This
will notify your lacal fir~ d~p=~t~~~t a~d the State Office of EMergency
Services as_required_by law. J
,r
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.
::~!t~:::.~%~
AFTER BUS. HRS.
PH# :)lilT' 00'7 I
PH# ?2!p-/(¡({.ç,
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NATURAL GAS/PROPANE: tv/A . '
t ~~m~~~:$d d/~/:r;~~£t//:1IA%J!1ioJ1f1h
E. LOCK BOX: @! NO IF YES, LOCATION: ..Jf'* .:\Iìi~ /Ù3ht M hi) (Jd/~ 1voV\Î w::tU
IF YES: DOES IT CONTAIN SITE PLANS? YES! W MSDSS? YES i NO
FLOOR PLANS? YES!~ KEYS? YES / NO
.
.
__ J.
~;r-:." ; "'-;"
\~ -..-.J
~,
;,
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
~()~ W!¡J¡uð/kJ At;.:1f liaa -h
dfþul7! ~æ awtJ¡~èh 0 ()?{IjCl&le bn (!aÃle 4
Q íh~~5~ CA EM .GEN Y OId!!£ST1!!~ /:tR B~~
~ wiU m ú4úri¡ f¡)c~/ FJr¡éY~ej ,r'ddn-¡CV
/- n. . Cðíf::JJ' ~ {} rUf . I'YLRdlWl ~rrWlrµf1ttiV,
__ _~ __ _ I\~~SECTION 6: EM~LOY_EE. ~fiAININ~L. ., __ _ ____
d
-~ - -~ --::-...~-,...~~~ ,. -- -,.--.::-:--- -- - - -
-- .- - -
I ..' ,,"
'i EMPLOYËRS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES
WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS
MflTERIALS.
A.
B.
NUMBER OF EMPLOYEES AT THIS FACILITY
DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS
MATERIAL YOU HANDLE ?
GIVE A BRIEF SUMMARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM:
tW deni }-¡Il.til OIU.:f Aú/?O/)dœKJ maw/4Þ
ßJcfLpr /J7!?ð/ m/ (;tlltdtct¡torZdiJ)
~
C.
,(,
SECTION 7: EXEMPTION REQUEST
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY
CODE FOR THE FOllOWING REASONS:
_ __.__ WE ()O NOT HANDLE HAZARDOUS MATERIALS.:...
~ __"_ '-. - -.-".,..,-~ -'. --~_--"'--'-"'_'-=- _=-....õ..o:-_-_-.~____~__. -:- ---;;__ = . _ -,..,;__~ =----...:..-
_ .__~ ____ ___ _ __--.,.~____. _ c _ . ___.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIME EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 8: CERTIFICATION
I, , certify t.hat 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 5.95 Sec. 25500 Ei: AI.) and that
inaccurate inforMation constitutes pe~jurÿ.
SIGNATURE
TITLE
Of>.TE
~
~ ...-_.
~~~.. '4- .\ .~ ... ÿ
.
.
BAKERSFIELD CITY FIRE DEPART~EXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
~D# '
------
BUS D'ESS :\MfE:
: £. :...... . _. . _~._ ~ _. _.: >..,. T ...' . ..
. _, ,BUSINE$SPLAN
. ·-~SINGI:..·E 'Íi"ACTLITY "UNIT
FORM 3A
INSTRUCTIONS
'" _ . '<;';:"¡",,:,è~;.:'11.-'~To l:ivoj.,g J'-'~rther.,action,___thÌ$ form must be returned by: .:':,-",
---- - ,.'2".' TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
. ~. Be as BRIEF ~nd CONCISE as possible. ,c
FACILITY UNIT NAME: GðnLO l.esAum t€pQ/~
. n. .
..'
FACILITY UNIT#
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
. .. !.~7·à;.
~¿}~ ~ ~~
~~~{f~k¿¡
. , :tI>Q;."'c,§M£~ .
'~è:~;~;'~-:·~7~(J!,-~,,·.,-_.i 7:'·~iÞ!~
SECTION 2: NOTIFICATION AND EVACUATION PROCEDù~ES AT THIS u~IT ONLY
,. OJUf1flM: enuld fd ~ ~ cSj . iƣ
M (fr71 cJco--uJ-;. J./L¿ fwe· 1M CJ!-- ~aCJ-L da5r -5 A dI .
U' j cJ¡ PI1J aM /1 rihd ,Gtp C? Ll ðt;;t t µ¡ {4. ~.
,¡.,tj2 ý{)W n ) ~- () d 6lJYS {)j)LJA9 ~ èh a1..I2!- CJdc)fa¡a- 'I
QJLe-, -Iwr9--- .e1h-i ý .
Ð-fJÞ n I
" ,
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.
.
,~.~~
. :.. -;j
.
SECTIO~ 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A, Does this F~cility Unit con~ain Haznrdous Materj~12?
VE S G.;)
If YES, see B.
If ~O, continue with SECTION 4,
B, Are ,In;: ()f the hazaràou~; rnéltE:!'ial s :, bona
filie Tr~de SeC~E!t
,,~'~
I.......)
:-:0
¡ ..,~'"
If No, complété: a separate hazardous materials inventory '. '
furm marked: NON-TRADE SECRETS ONLY (white form ~4A-l)
If Yes, complete a hazardous materials inventory form marked:
'~'CC-~:/>. ~1'.RAD~_~ÇR~T.?~~~-.Jy.ellow form #4A-2). in addi,tiçm ,t,o the" no~-trade ",;_..¡",
"',"': ~"'~'Sè_cret forin.:'~ist only the traae-secr'ë't'son f()rlìÏ-4Å~2-:--~ ,'--~. è,~' "';'*_.~',,'
':< '}:~~"~·:~~~~:\~V~~iYt~~.<~:¿~~~~~7·~r~~7:~)~'~~~~qt;l':'~1f;~~.. ~;,.~-:, ~, .. . ,:.',.... ."
:¡~t~ ~~K~P«ff:;~::2:;T~dR~~c6
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
17f9n..t
SECT.ION6:LOCATION ,OF UTILITY. SHUT.,..OFFSAT THIS· UNIT ONLY"
'".',.,,~. NA'X. ,GAS/PROPANE':', ";'.:,,;:',', "',., { : ,¿,~".<' :',,:,", " "
, "
'I
B, ELECTRICAL: '. 1>. "
", . " , ,.P?1S-tå.e uJ~7iñø ---t f9{) N rfUKT * . -th..t, ..6faJI:Þ tÆJÍu;t1, .
_,.~_fjt1_ _.LtYd-JO 4lW----~.,-,--=-~--- .-_~ -_-~--_-. ____~-_ _ =__
C. WATER: ~4..l¿¡y1 UFz.. ru/l. 6J 1M.
Ý-ra cfr;J .
qa rary- \ fGLJCr Ýù r MJ rtØc/
D. SPECIAL:
E. LOC,K BOX: @/ NO IF. YES, LOCATION: riqfJt cfn 10n+ c.J-D -/;I<p
~:v;¡¿~~ ~~ciL 7& CJ:ij;;:~ nULV
IF YES, SITE PLAl-:S? YES /(Q. MSDSs':> \IF.S;:\O :7'
FLOOR PLA~S') YES /~ KEYS~ YES :\0
3B
~ ;'\¡.; ,.,
I~
I
hJd S-~ {~
HAZARDOUS MATERXALS XNVENTORY
NON-TRADE SECRETS
~~~~;~~:, NA¡"~6 G,~n ZQJlQ;3 ~ÎÕ~I~:::s:~E,l~~"I" @,;DW~~
CITY, zIP,t2a~~~h:6~= C,TY, ZIP,ØÉ_=---_'ft;ß.i. B~
PHONE ,: 3QS- I O~ "3 PHONE .: 32. -
RltrD ro XIISDUcrxollS roll nOPD CODIlS
CIT}T of BAKERSFIELD
~,
rare and Aqr;cu Itur,
l.-J
Standard Bus in"s
.---.
L.-'
NAME OF Tn1S ~~JLÅTY:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
Ir
~ð.
,
Iran,
(~
2
Tvøe
Code
i._/
Mt
.ve:. I
Mt
5
Mnuil
Est
1
tOys
an Sit.
I
Cant
"...
11
Cant
T ....
12
lacIUan .....
Stored In flCi 1tty
It
"- of .i IItUN/CcIIIIanInt.
SIt .lIItructiCIIII
,
....."'"
Units
11
Un
CadI
13
'by
lit
~,-.¡hlW1 hI.A~aiJt¡c_ __
I ""
... . C.'.S. ......
,,\ =t': . ;
V';'n~Qk..\-_
--
------------
---
,..-., ,.-., r-, ,.-, r-'
L_.I Fir. H.llrd L._-' IlelCti¥ity L._-' Del.yed L._-' SucIdtn ..Ifill L._-' .....i.t.
HNlth of P"'ICH'I IIeIlth
......t 12 .... U.S. ....,
----
~t II .... C.'.S. ......
I
i Physic.1 end IIttlth HII.rd
, (tt.ck.11 that ,"Iy)
--- --
C.'.S. "11'_
........t 11 .... U.S. ......
---
----
r-, ,.-., ,..-, ,.-., ,.-.,
I L_.I Fire HI"rd L._-' lløctivlty L._-' Deleyed L._-' SucIdtn ..1.... L._-' .....i.t.
; ! 11M I th of P,.....:"I ....lth
........t 12 .... U.S. .......
~t tJ .... C.A.S. .......
--- -----
P"",,ic.1 end 11M 1th Hal.rd
(theck .11 tllet 'l1li Iy)
C.'.S. 1IœIi.
Caløantnt 11 .... C.,. S. IIUIIIIr
r-, ,.-., ,.-, ,.-., ,--.,
L _.I fire Hu.rd L. - -' Rllct1vity L. - -' Del.yed L. - -' Sudden hllll. L. - -' ..edi.t.
HHlth of Preslure HHlth
eo.an.t 12 ..., C.A.S. IIUIIIIr
~t 13 .... C.'.S. .......
----JL______L__________--1.-____________JL_____________J______~_L_______1_______Ì______JL___...t.
-
--
Phys ical end HH 1th IIIrard
(tt.ck .11 tllet ",1,)
u.s. ...,.". ____________________ CϿanlrtt II ..., C.A.S. IIUIIIIr
-
w..... __ ____
r-, ~-, ~-., r--, r-'
L _.I Fire Hlla,.d L.:- oJ RNctfvjty L. - -' OIJayØ L. - -' Sudden h'":,. L. - -' ..edlat.
Hili th of Pressurl IIH Ith
Ca.panlllt 12 .... C.'.S. IIùIIbtr
------------------- .---.-
ta.panent 13 .... U.S. .....
IIfRGfNCY COIITACTS ., .2
;¡¡-~----------------------------------- nH¡-·'--------------------- 21-A¡:-Pfliiiii------ q¡¡------------------------ Ttt'r----------------- R'1II'-PIIIIIII------
_~ntficltion (Read and sign after coapleting all s~ctJonsJ
i c.rtl~v und.r ""'lty of 1", that I hay. Ølrlonll1y ,"1.inlPd end .. fa.fli.r with t" infor..tian su.itted in this end .n .ttached doc....ts. end that beled an ., illCUiry of thol. fndfvfdul1. reslOlllib1.
.Iii" oét~.inin9 (":Jfi' forMtfan. I ili,ye thet the, su.itted inforutian il true. accurate. ,"d coeølttr
.\ --!--'~-JT--h fQtl.(J:Tì-ØTc~RCJ.....¿;.¿)d.--t--.----t~=---=,---------t-~.-- s___~.!..1:!.1!&i-fk-/2..¿.:~~ <, _____m________________ ' 0 a rdLÆ_.L1..ª-9..-------
4.. Ino~;) 'C" I eo. OÕIn"'ir ODlrator¡:y ownerTo'pera or 5 IU ""rll8<! reores", allye .gnalure tI ' Íití-s'Í~n¡r
,~J' v.