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Home My WebLink AboutBUSINESS PLAN " ----7 t N . 'It ./' SITE DIAGRAM ,r V .;! FACILITY DIAGRAM r Business Name: E Lr:::.,.JA -Ac.fro 5At.E s Business Address: ¡ 3 13. ¡;;z T~ú~ ru tV AJ Ë <I :sr- s,... £. TQ..<JXTU tJ ~ \A &f>.~G ðFf=',((;. . ~ ...J '" O;,vc..ero PAr 1'(.) <¡:2E.9 otf\JCl!. ~ ðxY!kC ( " SOLVE-N ., 1 CE DEPÀ'RTMENT , OF BAKERSFIELD ! P.O. BOX 2057 :IElD, CALIFORNIA 913303 I SERVICE REQUESTED TO: S~~LENA AUTO SALES 1813 E TRUXTUN AVE BAKERSFIELD, CA 93305 SELE3i3 Q~30'52~OO i'l'l' RETURN ~ . , :SELENA AUTO ~A[~SSENDER MOVED LEFT NO ADDR~SS UNABLE TO FORI/I/'\¡::¡O- RETURN TO SEl\ìÔFJ.l 3- ) 6-Q9.. / 5ñ"':>p Cbð~ ~?1k I J ~ ~ríÞ' 7~ --:~ CÞJ~ ~'JXe ~.-ßr/~q, _~~,~.~:_::'';':....:........_....--:..............l:;~.:;:'':'~.'''''_u'_''.''';':'....._''''::''''':'''''-..-..._._,_",.,....._..__.._,._ ....""_.-'---..__4~.~'._..-,_,,~__'-_,. ." _.. ..:-.",-. . .._ - \ - CUST.e & NO. t:S - 1$5 ðé - ....,,'-....._..<-:...'..<.;-:..-... MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE~i- Ib-Ð NEW ACCOUNT ADDReSS CHANGE Close ACCT i : FINANce CHARGE I J I 'OTHERADJ ,!~ Sd~ ~ S-J-f"" MAILING ADDRESS \ ~ \ 5 E Tr u )(-\-0 (\ ~\J € - CITY ~e's.Q.\ dc:\ STATE C>& ZIP CODE'i~~DÇ ,. CUSTOMER NAME SITE ADDRESS PARCEL NUMBER (lFAPPUCA8U:) ADJUSTMENT REMARKS: Jif': ~ ~~rc-ho.~'€ s1.0J\d-'v'~ 1'.)(\ \1 b APPROVED BY -ç;f~ ______ Per Ït to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CC)NDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: :::tla~ardous Materials Plan round Storage of Hazardous Materials agement Program . , Waste 1313 E TRUXTUN PERMIT 10# 015-021.Q0181'7 SELENA MOTORS LOCATION Issued by: Bakersficdd Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chestc:r Ave., 3rd Floor Bakersfield, CA 93301 Voice (80S) 326-3979 FAX (80S) 326-0576 *~ ph Huey. ffice of ental Servi es JUne 30, 2000 Approved by: Expiration Date: .. " . ....¡; e J¿ SELENA MOTORS SiteID: 215-000-001817 Manager : Location: 1313 E TRUXTUN AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 29C (805) 322-9504 CommHaz : Low FacUnits: 1 AOV: CommCoåle: BAKERSFIELD STATION 02 EPA Numb: SIC Code:5521 DunnBrad: Emergency Contact / Title Emergency Contact / Title JORGE VIOLANTE / OWNER JAVIER FLORES / PARTNER Business-Phone: (805) 322-9504x Business Phone: ( ) - x 24-Hour Phone : (805) 633-9809x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Emergency Directives: F Hazmat Inventory One Unified List l p== MCP+DailyMax Order All Materials at Site l Hazmat Common Hazards DailyMax MCP ACETYLENE NOV 0 {) 1997 IH G 80 FT3 Hi SOLVENT DH L 55 GAL Mod OXYGEN By IH DH G 249 FT3 Low WASTE OIL DH L 55 GAL Low -........,.- .~ ~ ij, Jo&1P~ \Ií{)~f; ~© Y'tl®&'®~ ©®m¡ñ~ ~~~~ ß Û'ð~O l]UWtJ ~m AQfi\O) rð~ûŒJ~@©j ~ñJ® @mì®©rvOO ~~®~$ rm~~®~~ij~ M@ú1~®~ m®tù~ ~!mlí'ð ~~$J~ ftoo.ft ñ~ $ln©~ w~!ììJ ®~y ©@W6'~ß©rro® OOOO~~~t\oB~® $J œm(9J~~® ®8î1©1 OOIi'ú'~©i1 rm~~ íID@®rn®rro~ Lº>~®1i'b ~©I? ~~ ~@j~ñ~ 0 i J... ' . ';(;"ni..,." , -1- 10/22/1997 · e e 0002 CHEMICAL NAME SiteID: 215-000-001817 ì Facility Unit: Mobile Containers at Site 1 F SELENA MOTORS f= Inventory Item = COMMON NAME / ACETYLENE Days On Site 365 Location within this Facility Unit ON CART E SIDE OF LOT Map: Grid: CAS # 74-86-2 [STATE - TYPE = Gas Pure ~rest Container ~ 80.00 FT3 PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 80.00 FT3 Daily Average 80.00 FT3 HAZARDOUS COMPONENTS ~ CAS # 748621 %Wt. 100.00 Acetylene HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME SOLVENT Facility Unit: Fixed Containers at Site 1 Days On Site 365 Locat,ion within this Facility Unit SE CORJ:\rER OF LOT Map: Grid: CAS # CONTAINER TYPE OTHER - SPECIFY [ ~TA~E I TYPE ~ P~ESSURE ~ TEM~ERATURE I =L1QUld _pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL ~est Container 55.00 GAL Daily Average 55.00 GAL HAZARDOUS COMPONENTS ~ No CAS # I 8030306 %Wt. 100.00 Naphtha HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -2- 10/22/1997 e e SiteID: 215-000-001817 ì Facility Unit: Mobile Containers at Site l F SELENA MOTORS F Inventory Item 0001 = COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit ON CART E SIDE OF LOT Map: Grid: CAS # 7782-44-7 [STATE - TYPE = Gas Pure ~'est Container ~ 249.00 FT3 PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 249.00 FT3 Daily Average 249.00 FT3 HA U M ENTS %Wt. EHS CAS # 100.00 Oxygen, Compressed No 7782447 ZARDO S CO PON HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low F Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME WASTE OIL Facility Unit: Fixed Containers at Site l Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 221 [STATE - TYPE Liquid Waste C:est PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS # 100.00 Waste Oil, Petroleum Based No 0 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -3- 10/22/1997 e e F SELENA MOTORS SiteID: 215-000-001817 ì I Fast Format ì p= Notif./Evacuation/Medical Overall Site ì I Agency Notification 10/21/1997 WHAT AGENCIES ARE YOU GOING TO NOTIFY IN CASE OF AN EMERGENCY????? r:T'TE::~Oyee Notif. /Evacuation 10/21/1997 ~ YOU GOING TO NOTIFY YOUR EMPLOYEES OF THE SAME EMERGENCY??????? r: :~:liC Notif./Evacuation 10/21/1997 L:= YOU GOING TO NOTIFY THE PUBLIC OF THE SAME EMERGENCY????? r= :ergency Medical Plan 10/21/1997 L:::::DICAL FACILITY ARE YOU GOING TO USE IN CASE OF AN EMERGENCY????? -4- 10/22/1997 ~. e e F SELENA MOTORS SiteID: I F Mitiga.tion/Prevent/Abatemt [ru::l::_se Prevention L~E YOU GOING TO DO TO PREVENT A RELEASE???????? r:7\:e::~ase Containment L~E YOU GOING TO DO TO CONTAIN THAT RELEASE?????? E1ean Up WHAT ARE YOU GOING TO DO TO CLEAN UP THE SPILL??????? 215-000-001817 l Fast Format l Overall Site l 10/21/1997 10/21/1997 10/21/1997 Cher Resource Activation -5- 10/22/1997 , ;0. .. e e SiteID: 215-000-001817 l Fast Format l Overall Site l I F SELENA MOTORS I F Site Emergency Factors I Special Hazards Utility Shut-Offs 10/21/1997 WHERE ARE YOUR UTILITY A) GAS - B) ELECTRICAL - C) WATER - D) SPECIAL - E) LOCK BOX - SHUT OFFS????? Fire Protec./Avail. Water 10/21/1997 WHAT IS YOUR PRIVATE FIRE PROTECTION?????????? WHERE IS YOUR NEAREST FIRE HYDRANT????????? ~ilding Occupancy Level -6- 10/22/1997 ..;i .~ ~ ¡: e e / F SELENA MOTORS I . F Training Employee Training SiteID: 215-000-001817 ì Fast Format ì Overall Site ì 10/21/1997 HOW ~~ EMPLOYEES AT THIS FACILITY????? DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE??????? GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: C2 Cd for Future Use C1d for Future Use -7- 10/22/1997 þ, - e ~ -., J ..-- .. ¡ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 ~\ll s@ ~ _./ H\t t03-dCt~ (}6 fP~ INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPEIPRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: SE-L-c.--r-.JA fVlo1V'<2-S LOCATION: ) ~ I :, E {I2UX7V~ MAJLING ADDRESS: CITY: STATE: ZIP: àS:- PHONE: 32?-CfS-C>4- DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: OWNER: ...)OR&E:. VIQLANíG MAILING ADDRESS: 7 14 -Jc..-e:ra..<::V s T 0 S- SECTION 2: £\1ERGENCY NOTIFICATION CONTACT 1. -j 0 c<c9E (/ (0 L. A".rr6.. TITLE BUS. PHONE 3. 2..2-QS-04' 24 HR. PHONE 033 -7~à1 2. ~/~V( t:72.... ~~ 7 ~ PTNYL e e ~r .' HAZARDOUSMATE~S~AGEMENTPLAN , ~. ~, SECTION 3: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF S~Y OF TRAINING PROGRAM: SECTION 4: EXEMPTION REOUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUAN l1TlliS AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TInS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET A1.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE 2 .,. l' ,- ( .. (f e e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: 3 e e -;:¡__Î , " HAZARDOUS MATERIALS MANAGEMENT PLAN .~ '" SECTION 7: MITIGATION. PREVENTION AND ABATE?vfENT PLAN A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) NATURAL GAS/PROP ANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRlV ATE FIRE PROTECTION/W ATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER A V All..ABILITY (FIRE HYDRANT): 4 t· Business N~ilIne . $z:::LE:VA; ~OUS MATERIALS INVENT. I? , 3 - -rr-.. . IA ¡Page of AAc;"\OILS Address ::::> I c- I 'c::Ux:'\v'\J -- CHEMICAL DESCRIPTION I) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secn:t [ ] Trade Secret [ ] ~ U .- \ 2) Common Name: L/ )l." ~-o-J 3) DOT # (optional) Chemical Name: ARM [ ] CAS # 4) Physical &; Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute)[ ] Delayed Health (Chronic)[ 5) WASIE CLASSIFICATION (3~git code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES í a) Container: _ b) Pressure: c) Temperature 4- 7) AMOUNT AND TIME AT FAC~t0 Maximmn Daily Amount :-¡--r A vel'age Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 ~ Curies [ ] Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List the three miDst hazardous I) chemical components or 2) any AHM components 3) COMPONENT CAS# %wr ARM [ ] [ ] [ ] IO)LOCATION ât--J' c~-r 6 "5' Dé. of LØr I) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] -A f' ;- .-::-r Å-z..-,.J¿; 2) Common Name: ~ (ï U 3) DOT # (optional) Chemical Niune: ARM [ ] CAS # 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute)[ ] Delayed Health (Chronic)[ 5) WASTE CLASSIFICATION (3~git code from DHS Form 8022) USE CODE 6) PHYSICAL STAIE Solid [ Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioadive [ 8) STORAGE CODES 4- a) Container: b) Pressure: '"L c) Temperature 4- 7) AMOUNT AND TIME AT FAC1I.I1'h....._ Maximum Daily Amount ~ Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 ~ Curies [ ] Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTIJRE: List the three most hazardous I) chemical components or 2) any AHM components 3) COMPONENT CAS# %wr ARM [ ] [ ] [ ] IO)LOCATION ~ I ./ /V? ....r- r:::;:: ./ /'.....-- U'^.J ~~"""I c...- S 106"' c>F --- ( I certify under penalty of law, that I have personally examined and am familiar with the information on this and all attached documarts. I believe the submitted information is true, accm-ate and complete. Date DOßrT "'T..._... I}. 1;;..'..... ",..- AH1'h........;...AÀ r,...__......., DØI"'W'øC'Øftto~.·ø ~;ont11TP. daumous MATERIALS INVENT. ~;'r Page _ of _ '1" Business Name Address CHEMICAL DESCRIPTION ...,- I) INVENTORY STArnS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret ( ] Trade Secret ( ] 2) Common Name: $() 2.... viS:. N í' 3) ooT # (optional) Chemical Name: AHM[ ] CAS# 4) Physical & Health PHYSICAL HEALTII Hazard Caltegories Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( ] DeIayedHealth (Chronic) [ 5 ) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STATE Liquid [91 Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME AT F ACn.rrY5:'s'" Mm:imum Daily Amount Average Daily Amount 5'~ Annual Amount S ~ Largest Size Container 5 'S' II Dalys on Site 3b~ UNITS OF MEASURE Lbs [ ] Gal ~ ft3 [ ] Curies [ ] Circle Whicl1 Months: 9)~: Li~ the~mo~~œ I) chemical cmnponents or 2) any AHM c:omponents 3) COMPONENT USE CODE Mixture~ Waste ( ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature All Year, I, F, M, A, M, I, I, A, S, 0, N, D CAS# %Wf AHM [ ] [ ] [ ] IO)LOCATION >c:: i¥" ~ ctãJR... I) INVENTORY STArnS: New [ ] Addition [ ] Revision [ ] Deletion [ Check if cl1emical is a NON Trade Secret ( ] Trade Secret [ ] 2) Common Name: W A<Té::: 07 L- 3) ooT # (optional) Chemical Name: AHM [ ] CAS #I 4) Physical & Health PHYSICAL HEALTII Hazard Caù:gories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute)( ] Delayed Health (Chronic)( 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [ Gas { ] Pure [ 7) AMOUNT j\ND TIME AT F ACIUIY Maximum Daily Amount Average Daily Amount Annwù Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9) MIXTURE: Li~ the three most hazardoœ 1 ) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature All Year, I, F, M, A, M, I, I, A, S, 0, N, D CAS# %Wf AHM [ ] [ ] [ ] IO)LOCATION I certify under pc;:na1ty of law, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. --- - ~- ~:__......- na+.o " 1 , ri"'.A'l\.~ ~/-- ~~~t.. 'U*\,-, - Þ..u·ro SAtES CJ.\RROS BARJ..\fOS JORCE ....~ \lIOLArrrE 1 ~n TRW.'TON AYiNUE -sAW::RSfIELD, 'CA. 'n()~ ~- ~~h B'ONE (8G~) ~~2;1~a~ HAZARDOÜS MATERIALS INSeTION _ Bakersfield Fire Dept. ~CE OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed ¡It::> ~ Ò I ~ 7 ::::; E <-t-:A.J (.). lVlc),1õlZ.. :s 13) 3 E TR.ú)¿TUJ Business Identification No. 215-000 N e0 Business Name: Location: . Station No. Shift (Top of Business Plan) ~ W/AJES Inspector Arrival Time: (Õ: '7.Z> Departure Time: I D -: 5"D ßu~ PLAN MUl1''''''''cn,A ~ G-CN (V[ufîlVW\~A Inspection Time: ~(2flçc f1.<"-?r ~rs.D 36 ,...,,J CVI2.f<r;::.-ttt..-"S f'JC'"1.-CDZ30 Adequate Inadequate Adequate Inadequate Address Visable C] C] Emer~enc~ Procedures Posted c] c] Correct Occupancy c] c] CC ntai ers Properly Lablecr---.) C] # Verification of Inventory Materials C] C] Comments: Verification of Quantities C] C] Verification of Location C] C] Verification of Facility Diagram C] C] Proper Segregation of Material C] C] ~~~ C] C] Comments: ~'-Jé.SS C] ..... ~~ ,,^-~-o6C> Electrical C] C] Comments: Verification of MSDS Availablity C] C] Number of Employees: UST Monitoring Program C] C] Comments: Verification of Haz Mat Training C] C] Permits C] C] Comments: Spill Control C] C] Hold Open Device 0 0 Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures C] 0 0 . Comments: 0 0 0 g. 1 NCSP w( LN.~>ïE V\.I\ATtXL D rV.. Special Hazards Associated with this Facility: SAC-ES Ql=çl(::..G APftA¡2s -ø ßE USGD AÇ ~ /' r.>t:AJC-E: A S (.,J0EL<-_ Violations: F:lZ,,J& lAJA~rC OIL 7)f2utV( 'IN<;"(/)C Y~9 AF"íC-f2.. PR(j{7C~ DI SPo~~Ac t LAß.C-t,'/\JG-., 2.G- C¡..(/.læG-é: P, ee Ex7íAl~f,.-+t~ íi'> \2! ~ ~~~ j~f~ VAù~~~1 Business Owner/Manager PRINT NAME SIGNATURE All Items O.K C] Correction Needed . [Î es N on to White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy c u. ~C\\~JJ:~<::-~;T::I;~~~;:~~;~:""'-' '~"~" ,.-->- ">,, , ""';;:;;;;:~;;T~:~;~:E: ,~- '¡, !,,- 1715 Chester Ave. ! i7:". Bakersfield, CA 93301 ~ ~ ~ ), Date Completed /6 ~ 0 1'7 ..., ,,I Business Name: , :S C<-6AJß, Mò'1"òl?, '3 13/3 ~ T~~ruJ Business Identification No. 215-000 ¡J ~ (Top of Business Plan) ~ W"AJEs, ., ' Location: Station No. Shift Inspector Arrival Time: f õ: -zD Departure Time: I D ': $V ßu ~ P¿AI'I MUtPViAcn,A I+W G- CN ß.1' (..q-'IV'-"\:.;JJ),4 Inspection Time: c.0' (l.(l.¡:< n~ ~K:fJ:j¡ 3ò M',J c..~TI..-...J$ f"JC-.srJ)t.ÇO Adequate Inadequate Adequate Inadequate Address Visable 0 0 0 0 Correct Occupancy 0 0 0 iÞ Verification of Inventory Materials 0 0 Comments: .~ Verification of Quantities 0 0 Verification of Location 0 0 Verification of Facility Diagram 0 0 Proper Segregation of Material 0 0 ~ 0 0 Comments: 'ß.y>,II.iéSS ,(f?t.Þ<N e n 0 ..g, .. tV E-(.-f)Gf.) Electrical 0 0 Comments: Verification of MSDS Availablity 0 0 Number of Employees: '7 UST Monitoring Program 0 0 .,,'.1'., Comments: Verification of Haz Mat Training 0 0 Pennits 0 0 Comments: Spill Control 0 0 Hold Open Device 0 0 Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures 0 0 ..~~ . 0 D Comments: 0 0 0 G> lNsP ~ I t.AJJ1.-. ~ i"E t.AIIA~ D , V, Special Hazards Associated with this Facility: ~.:;; , f>~E. AS c...J E-LL. - SAl.ÆS aÇr::'c.G .A P Pc...Af2S -rt.) ß é os ~ A. 'S; Violations: Y!JZ, ,J r::r LV A ~ rt:. D/SPò'S,Ac... t LAß&"¡J&,, ~~~ ~I~ ~~Ù~~~I Business Owner/Manager PRINT NAME 0''- Dl2ulV1 oj ~(I)~ Y4£? AF"íC-12.. PR(j(7t.'9'<- 2G CI..I..IVè&e!.. ç, e.e Ex "('íA1CrJI$.4{G/Z... Lñ ~ ~ SIGNATURE All Items O.K 0 Correction Needed __ :> Q) ~ N <n «> ~ White-Haz Mat Div. YelloW-Station Copy Pink-Business Copy o u.