Loading...
HomeMy WebLinkAboutBUSINESS PLAN 1/10/1994 ¡. ~.---- SITE/FACILITY FORM 5 f)-I I}.jo. {DY~ð---- - ~ (), () c/ " /1/. U JlVI-'pt" IJ/~ rA.. f). c¡ 3:J 0 { 1 ? r SIll Z DI AGRAM ~ I'" it.... NORTH SCALE: BUSINESS NAME: FLOOR: OF A-I AUTOMOTIVE & DYNO 1 1 DATE: 7 /7 /87 FACILITY NAME: UNIT ~: OF A-I AUTOMOTIVE & DYNO 1 1 -' - XXXXXXX (CHECK ONE) SITE DIAGRAM '. FACILITY DIAGR~~ -~.=-~~~,---",,- II Ái--tf.R a-;~liI1 ~. \.j PA/</(//òD ¡Dr I I I ~ ,I He", ~ ~. r- ~ .sò!V~(it^ ïA:J/¿.ryv .A. fn.EÞ~ ..$~~LV;.,I& E.6 I.t. lJ.. Q " \D ~ ~ À. <:;:( <.. ~ ~ <..U "::> ? Q{ ~ a fL. ..,.e.. ~ &;, ~~I. D c LIS (WlSll.:, , ! f(itT-5 R (JI) t4 CJ' ---:Þ o N \:.) c:::. (h .s~Dp ShO¡0J Air ~R G tr' -z:.. "J> 'I( LJ\ -+ Ii At f:3 (,(.\5 I1AìN '. --- - - ~ ~-",,----.....:~-:.;;-~-=~~~~~..=...-:-;;...~..;-==::;'þ--=='<';:<r~"'~~"___~....J. ~R¡VE:~AY V/J,tJ G~t;. (J~ <lVS~ ~J g¿~~ / ~~ ....- (Inspector's Comments): '-OFFICIAL USE ONt y- L___ - 5A - \ -----::;;;::------" ~.,.__:_~~.1. - t 01/07/94 ~- -~ A 1 AUTOMOTIVE & CARBURATION DYNO 215-000~000978 Overall Site with 1 Fac. Unit Page 1 General Information Location: 2000 UNION AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 02 Grid: 29A F/U: 1 AOV: 0.0 ~ Contact Name Title Business Phone - 24-Hour Phone STANLEY/BETTY BYROM OWNER (805) 323-7517 x (805 ) 395-0290 STANLEY BYROM II SON (805) 323-7517 x (805) 326-1069 Administrative Data Mail Addrs: 2000 UNION AV D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: Owner: STANLEY C. BYROM -< ----- Phone: (805) 323-7517 Address: 4424 CHARTER OAKS AV . ~ -,---'.- ---- State: CA City: BAKERSFIELD Zip: 93309- . Summary o J:- ¡; (-e01/\ q ;(J w~..s ì (, "I f( yJot e.. ~I {MI1~'ttcJ ~se f(~t? 1"1 I( \l Q1J or: e¡ 11\ J (C:v'b CI-eï.ik£.¡/' ~ RECEIVED JAN 1 , ._ Lø~ f7Y4 ~~. MJ ~ ì. 0111. It 5tGtV\ 13~ V"¿>""-" I Do hereby certify that' have (Type r print nllme) reviewed the attached hazardous materials manage- ment plan for If -1 It vr 0 and that it along with . _ (Na..f11G of Bus!ness) __ __ _.. _ any corrections constitute a complete and correct man- agement plan for my facility. .. ....... V¡;;,i.J'; . ~~~ SlQnalU/, / , I fJ'1 ",/ .-ðate ( , _ .~ ,-,-4 -.' . ,- ~ e e 01/07/94 A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000978 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-003 CARB CLEANER Liquid 120 Moderate ~ Fire, Pressure, Immed Hlth GAL 02-002 WASTE OIL Liquid 55 Low ~ Fire, Delay Hlth GAL 02-001 FREON R-12 Gas 144 Minimal ~ Fire, Pressure, Immed Hlth FT3 Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 ~~ -; . e Bakersfield Fire De G of-- l. 2. 3. 4. HAZARDOUS MATERIALS MANAGEMENT PLAN ?J.?C\~. í["QJLG 0 \0 ~,~ _,I ~G To avoid further action, return this form within 30 days of receipt. 'f'í'0 TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. INSTRUCTIONS: SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: f--\~l ÒAR.ßlA.{ÇE.tióA> )ç OYNO lllNìtJ(-, , LOCATION: d.. 000 \) ,J 1 () "J A V ~, MAILING ADDRESS: CITY: ßA)(fJ(~Ç\~ LO Sl~ /\ f_ DUN & BRADSTREET NUMBER: STATE: ~ ZIP: 1.:s~o£ PHONE: 3.1.1 -1 S 17 SIC CODE: íf~S3 PRIMARY ACTIVITY: AlA.+D $Mb6 Jc J:~_Df ;fè - f(E@,v..iì~/.^Jb o~ C/i(è135, II OWNER: StANL~y t, ~yROM MAILING ADDRESS: ~ 4 ~4 G~ A.fè +~.z OAKS: (,J.UE_ IS J( ¡:: j) ~f./¡ \ q ,?Jó9 oJ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE ( è, ßYfðM () \-J /I) f_ R. 3:),1~15f1 ~~q5- 0190 l. .)+ANLE...Y 2. ß f:.. +- +.y ßyf(o!'ì o\..J¡JE',,e 3d s- D.J.S:? J 9 ~ - O.J C, ð .3, S+!\rJ1E-y R,. y f'0. ¡./\ :¡;r SON 3.)1-7S11 ~::J.&' jOL· 9 1. FD "r~ e Bakersfield Fire Dept. Hazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: --5 MATERIAL SAFETY DATA SHEETS ON FILE: YE 5 BRIEF SUMMARY OF TRAINING PROGRAM: 'W \ \- ~ -\-~~ N E.. \-1 S ~~(H·~ ß; L.L . ~ß I ~~ I r-J (:. ~~(:ct WE- hA \) E. J'ì 0 ~ tJJ-)/ S 1\ r E.1 y flE.~ +; ¡J G.s ~ WE. I.)i!;( ().!;S I MN)' Nt:.~ p\~PlJ'0..--ts.. ð(è. MAtËf?ìnt~ th~-t. WE. lÀ-SE. útJ ~ Ðf~\Ly Af\~ì-r, ~Ë- +~'E:.r~ ~O ÓVË.R. ALL 5AF~~+>- fr:ocE{jl.Arf~ t ~ ~ t ~ 'è. h A \I €.. I AI E F ~ E,Q... T, . W E- ~ + K ì \J E. F (ì R. A (' c., . (M 1. \::: ~ f oYt.:~ S +ô ß~ ß'\\;..'- ~() '1/..,) A<..L nSffe.t-S IJ( Af\G0IèOOf.Æ~ nA+fr-/4LsI SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH & . SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. ' OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, S-tAi>!L!;.y ê.-- ßY\ðM CERTIFYTHATTHEABOVEINFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. o~ TITLE 7-22·9¡V DATE 2. FDI590 · . .¡f" .. '. e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: A- \ tA[ÇßlA~E..+;o~ ~ IJ)lÑo ---" , "J J lh,) , 1\1 (.., SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: L,J t~c¿ f:..U~~-t of A. fln-¿Afèe:...()~ !1A+E.rt:.oL SpiLL- J ~~ W'tlL C.ALL O¡I\ tö Noi:Fy +AE. FÙLt lJ(f+, ~ +J-.~ hA"2... ~(\+ fE-AM I ~;š 'WAy t~( fÎof£:.~ PlðCE,(JlA.f'ES to (O~)tA)N +1-.. E.. S [-> ~ L1..-- .Ie (LE.AJ-l V-.? J \j i LL. ~ f:.. A ('GÖMfJ.. ì ~ ~<S (j, EMPLOYEE NOTIFICATION AND EVACUATION: ¡tE.,y W,Ll ßE. oftQ)r¿~t:.6 Ok'" Dt thE. ßV,\l() ì r-> G to A ~r~r¡:f... pln(_E. u¡0+;L ¡ + ~ SAFE:. t-ò 6D fS~ c)<" ; Ñ + hf.. ß Ll; 1-0 ì ¡J e:, I A ~f_(4.() ('.,,0 lAt0t- W; Ll ß E ì1A Ij ~ , . fif+f::.fè GVt\c-l.q¡,,+ìò,,)\ \4( Go OUE.R.. G..VA~t..-.f\tìv¡J !1oNtlì.y A t Ii \ f... 'S A t~ +,>- .1''1 t f.. t i Ñ G .:) PUBLIC EVACUATION: . ' X f r, StiLL ~A~ OC-¿lAΣ.~¡A¿L él¡\~tÒt"E.J'J W;LL ~~ &~t()p,-r~~ to A S'f.\.FË ~LL\~ç::, JJ~ W;¿L t~~-,,j l'-JotiEy A¡-J;y ßv~/f')Ë.~$. +~A't I\t.EC.l.OJ'Ë. +6 lA~j +0 .E.UAC~At( t kE.. (( ~ f f:..ò p- L~. B. C. D. EMERGENCY MEDICAL PLAN: :: ~ tJ.-E. E..J ~N+ () f AJ0 A c.c; 0~N+/i, ¡J (J SOf''\E_Ù,.)0::. ~ ì¡j"'Iu..r~,0. WE.. WìLl... J"Io·v( tJ-b Pf::f'Sð,.j to A I . , 'SAt~ pl~Gf.. ï1E:,-J CALL: D¡I\ tð ðJì$f~t¿^ Fc/LQ.. iJ~i-'J 1-\ {-:v~ - {\ A + + LA~ ({ r-) a ~ M ~ C,,\ LA ¡V (.E:;. ~ M f.t" (, t , þ¡ l J. rJ :r~ / +Jì L-. ì-s /ê',G,J--,+ ð)OW,-J tÀ~ R..oAO ç ,OM (AS IirJ6J 0ÔG<.lj:J +rËA+ t-I\ ~ I f" NoR £., S E::..tJ t..f\.t7 110 J" lIJ>"J.UJ N (I u.l..(j JIOf)~R.At6~ (,.q~15S ,)'\<:;,. . , t \ + .J~ f'\ ( -i-cl~ J.,f\).(j( tl-.~ ~E..sf tf\AMA..+r£~(>I\ rs f:. A J(. E: (V tJ ., 3. FO]f;;O iN\- hE. <:...ö ~¡Ù+ >' ' · ~ '", . ,.. ~ ¡" ) ,t' e Bakersfield Fire Dep.t... Hazardous Materials Divia HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION,PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: [)LAtê. ì N ~ t l~ 5' A ~1S,+y n~G.+ì,,¡ GS JJ~ fELL I AL", f-Mf16)1f..&S tD 0-~l¿ck ALL ¿6,~-+A¡'~f:,-' ~Dl..ai'\)G ANY hA"2f:..((0,()lA"s, ,t\A+Lr)t¡1,S. ßy (Of') ~-\-ANtl.4I C.J.-lc..)<.ìrJr:, ALL ~òrJ+43rJ~rs \.l~ h~vlS .J...È'Ss; <1 f A. c..J..-~tJGt:::, Ö ~ d~ ::iraìtL cßEc~~S'E c.>(" A {)ËFEttìtJ€. B. RELEASE CONTAINMENT AND/OR MINIMIZATION~ " <!..6.Ji-Aì,,)~~, ...- ßA0:; o~ ..L ~ ~Ë.. hA\Jt:_ A. SfìLL-¡ thE:.R.C AR.~ S¡':¡w~\)s-t N f::..(-\K A.LL h0LE..RI)()tA'S r1Atf.dhÜ: . ""J"Âì'S WAY t~~ ,SA¡JatA~-.J. NUL. _ fHs So Q g tJ.-E. nA t~~i A L A ~ D AL'S t> J<. (~~; t éo.tJi-A,) ¡vs. r:. +0 A St-".A.\...\.... ~f\.r...A' C. CLEAN-UP PROCEDURES: ALL cl.É:A.0 - uf µ ~ LL ~ f, DorJf ~y {J ~ìC:E..~SE.O C.lSAN-U? k {jì5pÓS£.fj.ßJ.~ AA.2.-MAt tEAl'l" ¡h ì <; ~ + h.L 0 ~ l.y t () clE:.A s-J t.--rO - A Ny' Sf; Li.- ~.rJ ~ j+C~5t1fA)JY f oL.ì 07" , SECTION 8: UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: SOLtt'J...-lVE ,« 1" 0/(( ¡..)~~ 0 I' ~C-t~ LC "Nt:; ELECTRICAL: ,5;01/1. tÁ - WIJt-¿ - ΡJN(Q Ö Ff)éG WATER: Wf.~+~~f)~ ~ )(/11-/< SPECIAL: LOCK BOX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A. PRIVATE FIRE PROTECTION:}'.) ö B. WATER AVAILABILITY (FIRE HYDRANT): FÎ~€. liy/JrfAtJ+ 4. .:',~: ". :,'.> o Farm and Agriculture Q{I Standard Business CITY OF BAKERSFIELD BAZARDOUSMATERIALS INVENTORY page~of ~ , NON - TRADE SECRET . BUSINESS NAME: A-I tAR.ßV-.Rr:+ìcJ,v .Þt Dy,Ñt'J --r¿,,);.,.¡G LOCATION: ~() ¡ U ~ ¡ ~,J ~~J F - ' CITY, ZIP: d- 1<' ,<:. ~'f. .r:::. ( q :1:rO~ PHONE t: ~ Cì ~ - .3 ~"1 - 1 S /1 OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,J: . NAME OF THIS'FACILITY: !J. - I .c A I?;I) ..It O'yµ/), STANDARD INO. CLASS CODE: R 't S .3 DUN AND BRADSTREET NUMBER/FEDERAL ID I 11-º:¡~-J.1~î 14 Names of Mixture/Components See Instructions 1 ."<. 6: L- Physical and Health Hazard C,A,S, Number ~ 2.. J' (Check all that apply) Fire Hazard 0 Sudden Release 0 Reactivity 0 IDDDediate B! Del~Yed 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 /ì..t. f~ Physical and Health Hazard , (Check all that apply) C,A,S. Number Component # 1 Name & C.A,S. Number 00 Fire Haz!lX"d r;g¡ Sudden Release 0 Reactivity ŒJ. I~ediate 0 Delayed of Pressure Health Health Component # 2 Name & C,A;S. Number Component II 3 Namè & C,A,S. Number EMERGENCY CONTACTS #1 .s+A.Jl~y è\ <¡Y ¡"'an Name I) IJ tJ~ (? Title ,1 <:¡.s - () j q {) '2 S +11 ÑJev ß \¡ R. (;/'\ ::f .::t 24 Hr. Phone Name " 0/ <;() ,J Title Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) :;"I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those . individuals responsible for obtaining the information. . I believe that the submitted information is true, a ate, nd complet " . ;"Sfi. 1- :¿2,,'} \./" DATE SIGNED CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY o Farm and Agriculture ~ Standard Business Page ~of J. - NON - TRADE SECRET BUSINESS NAME: p..,- \ (" ~f?Rt·._;.? ç:+ìr; ¡0 .N Dy..:t' ¡¡, .)Î.¡J(. LOCATION: /"~I' ~ tJ,j i (I"J ~. U F' ' CITY, ZIP: K ¡<.ÎS~Îf(Ò '(/\, q:1:f{)~ PHONE I: ~()S - J~ ç -1~ /1 NAME OF THIS' FACILITY : A - I (r fè- 4 . A.: û'y,Ji. STANDARD IND. CLASS CODE: R 't oS ~~ DUN AND BRADSTREET NUMBER/FEDERAL ID I 11-Q.l~-:J.ì~î " C,A.S, Number 7S7ì? component , 1 Name" C.A,S. Number Fire Hazard 0 Sudden 'ReleaseD Reactivity 0 Immediate 0 D~{~Yed of Pressure' Health Health ~ . Component , 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 s~dàen Release Q Reactivity 0 Immediate 0 Delayed e . . 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 _ Physical and Health Hazard C.A,S. Number -:.: (Check all that apply) "b ;~re Hazard 0 Sudden Release 0 Reactivity Cl I~ediate 0 D~~aYed 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 11 S+A.)l.[.y (', ~~y ('£\11 Name ÖI,)IJE'-(<;" Title :~qS-()~t1D 12 Stfì.)JCy· p.,\¡R.(;~:::r~ 24 Hr. Phone Na:me"-' <;0 Title Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) c' I certify under peanlty of law that I haver personally exa:mined and am familiar with the information submitted in s and all attached documents and that based on my inquiry of those '~,pdividuals responsible for obtaining the information. . I believe that the submitted information is true, urate, . ,e(/ F OWNER/OPERATOR OR OWNER!OPERATOR' S AUTHORIZED REPRESENTATIVE 7 .<2.::2.. -i:J 7-/ DATE SIGNED -~-,~."...,,"'" ",," 'iii: - ," ':, ' I I , i 1 -----. - --- --- ~-~.- '__,_ _ _ ___n_ ___. --- .. --'--- ---- ,-- - I c_ n ..·..···1~~ .....~...... -~---------_. --~~-_._-- ----.--- e ----- - - -~ -- -----. - - - - - -- --- - -~ -, ---- ,- - --- ---~-- - -~ --- -- -- - - -- --- ------ - ~- - --- - -- --- J~ ~ is, By¡eo ~ . -~~-:~~_ ~.-~~~=~~:.~')-_d-~__ ~_'_)Ç___ ~f---- ---- - --- ---- -- - - -' - - - - - -.- ~ - -------- --- -- - - - - - -- - - ------ --~ + --- --- - - - -------- - -- --- - ---- - -- -- - - -- - --- - -. - -.- - -- - - -- ----~ .-- i -- .. - --, --- - -.-- - - - -- - --- - - - --- - - --- __~ -~~~_~ -ì __~---_____ p, ______h__ , ~'_7 ", - -- t . --- - - - ...-- -- I ~ . u 0\ - --- - - ,- - -- - i -- --- --- 1 - - + 1 ' - -- j I , I -- -- - -- -- - ------ - ... ~,. )~~~ ..____...1 e ~'~ Bakersfield Fire ~ HAZARDOUS MATERIALS DIVISION ~ Date Completed /I-IS"-' ( Business Name: A- l A.uTo MOlt vE. Business Identification No. 215-000 Station No. ~ Shift 9ïg A [Top of Business Plan) Inspector BONN€fL REC£IVEIJ NOV 1 R 1991 Ans'd....... ..... Location: 2.000 UNIoN Adequate Inadequate Verification of Inventory Materials D Çj' Verification of Quantities 0' 0 Verffication of Location ~ 0 Proper Segregation of Material ~ 0 Comments: At>o: A.NI\ f:REt2.E. <& G;PtL. USED ,,^oToR.. oIL ~ sO 6A<. ~ Cp..~ß¡} RE\,,:)(L Cl..EÞ.Ne./L. 10 6 A..L, Verification of MSDS Availablity EJ 0 Number of Employees .:3 Verification of Haz Mat Training ~ o Comments: Verification of Abatement Supplies & Procedures Comments: Ð D Emergency Procedures Posted Containers Properly Labeled B ~ D D Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: ~ D \ \ Violations: A: 'D D l N V f N -r 0 R. '( 1'0 /VIEw OMlNÆ-Il-: 5íA-H 'B'f RoN\. 39S--0:t.qO Li .s-r /.f lf ~ '-I CM A~Te R.. 0 Pc'K,5 \ Bu't;~tn~ All Items O.K , Q6' Correction Needed D \ \ FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy ~ 23/90 A 1 AUTOMO~~E & CARBURATION DYNO ~~all Site with 1 Fac. 215.- >0-000978 UY',i General Information REce:i~M> OCT 0 1 1990 1 Location: 2000 UNION AV Ident Number: 215-000-000978 Map: 103 Hazard: Moderate Grid: 29A Area of Vul: 0.0 CC'Y'lt act Name FERREL BLANKENSHIP JAY AKINS Ti tIe BusiY'less Phc'Y',e (805) 323-7517 x (805) 323-7517 x 24 HC'l..n~ Phc'Y'le (805) 323-1741 (805) 393-3713 Administrative Data Mail Addrs: 2000 UNION AV City: BAKERSFIELD Comm Code: 215-002 BAKERSFIELD STATION 02 D&B NI_\mbet~: State: CA Zip: 93301- SIC C.:.de: Owner: FERREL G. BLAKENSHIP Address: ;¡t;;Ig JAftðII~ ST OPT ~ .s~ð ~"b~..ì6~ ðt, City: BAKERSFIELD . (,.~. '\~1ð,* Ph':'Y'le: (ßo~) 3'tQ - g I ð¿ State: CA Zip: 93301- SI_\mmat~y ~I ÇHd~LL.. ~t{:),.)ktN~6='.. rO hø;'aby caiii1y ~h~t ~ hav~ (f¡'p'::- r)f pïlm nama) rt.oV¡'..."W"""'" ~;.,(:: ~~,.,,,,,f1::"1"¡ ~'-::'-:~ .-~ -',~ '," ""'->:1o{·t:\"I'ð>iIA man~t1""" Big \Ø1 Q~ t; "J ~...~~:.F;f.t.;i~,....,..a ;::.,., ..._. ,I, ~,1'h' .1!('~a~. t!;:tIt> '~::g'(;; ment pla.n fOi"_Jj;:L.J:h~tQMd;J~.,:::.:1d t.ha~ it !?!lo!'1g with l '. - . : :.. :, .. ~ : ~ ...\.: ðli'lV "'o¡"r-,.-'rir"je! ",,,...,,,,~.;.,:, '~¡" ~ f' ...., P! ",1{' ~Md '"'''I·I'..'!:''''' m!1""~ (91tl)j ~ '(~,",~r.~t..~. '.:iy··...~....,;,:,.~ìv~...t .;4VV·.~f. }~';J.U ~"~~ ä'Ovl, utn ~gsmGnt plan 10r my facW&y, ~A/J~~ q ,.¡;28' .q 0 Oat0 08/23/'30 A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000'378 Hazmat Inventory List in Reference Number Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards FClrrn Quarlt it Y MCP 02-001 SOLVENT - MINERAL SPIRITS ? 27 Mc.det~at e GAL 02-002 FREON R-12 ? 200 Mi rdmal FT3 e - 08/23/90 A 1 AUTOMOT~E & CARBURATION DYNO .. 00 - Overall Site 215.)0-000978 Page -, ~ <D> Notif./Evacuation/Medical <1> Agency Notification IN THE EVENT OF A SPILL WE WOULD DIAL 911 TO NOTIFY THE NEAREST FIRE DEPARTMENT IN OUR AREA. THEN WE WOULD NOTIFY STATE AND FEDERAL AGENCIES. <2> Employee Notif./Evacuation IS SOON AS WE HAVE NOTIFIED 8LL AGENCIES, I WOULD EVACUATE ALL EMPLOYEES TO A SAFE AREA UNTIL IT IS SAFE TO ALLOW EMPLOYEES BACK IN THE BUILDING <3> Public Notif./Evacuation AS SOON AS WE HAVE NOTIFIED ALL RGENCIES, I WOULD EVRCUATE AND CUSTOMERS TO A SAFE AREA. <4> Emergency Medical Plan IN THE CASE OF R MAJOR MEDICAL EMERGENCY, I WOULD KEEP THE PERSON INJURED IN A COOL AREA, PLACE A CLANKET OVER THE PERSON, JUST IN CASE OF SHOCK. I WOULD THEN DIAL 911 FOR FURTHER ASSISTANCE. MEMORIAL HOSPITAL WOULD BE THE CLOSEST HOSPITAL TO MY LOCATION. IN CASE OF MAJOR BURNS FRESNO OR LOS ANGELES BURN CENTER WOULD BE THE BEST PLACES TO TAKE A PERSON. MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD, CA. (805) 327-1792 08/23/90 A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000978 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention WE ARE VERY CAREFUL IN THE HANDLING OF SOLVENTS AND CARBURATOR CLEANERS THAT WE CARRY FOR USE. WE ONLY ADD ABOVE PRODUCTS WHEN SOLVENT TANK IS LOW. A LOCAL REPRESENTATIVE WHERE WE PURCHASE THE SOLVENT FILLS THE SOLVENT TANK. I ALSO CHECK THE SOLVENT TANK ON A REGULAR BASIS TO MAKE SURE THERE ARE NO LEAKS. <2> Release Containment IN THE EVENT OF A SPILL OF SOLVENT ORCARBURATOR CLEANER WE WOULD COVER THE SPILL AREA WITH SAWDUST TO CONTAIN AND CLEAN UP THE SPILL. <3> CleaY'1 Up IN THE EVENT OF A SPILL OF SOLVENT OR CARBURATOR CLEANER WE WOULD COVER THE SPILL AREA WITH SAWDUST TO CONTAIN AND CLEAN UP THE SPILL AREA. THEN WE WOULD CALL A LOCAL COMPANY LICENSED TO CLEAN UP SUCH SPILLS. THAT WE COULD ENSURE THE CLEAN-UP WOULD BE DONE TO ENSURE THE SAFETY OF SURROUNDING AREAS. <4> Other Resource Activation e - 08/23/90 A 1 AUTOMOT~E & CARBURAT I ON DYNO ~ 00 - Overall Site 215.)0-000978 Page 5 (F) Site EMergency Factors <1} Special Hazards (2) Utility Shut-Offs A) GAS - NOT IN USE B) ELECTRICAL - MAIN IS LOCATED IN OFFICE STORAGE ROOM C) WATER - MAIN IS LOCATED IN THE FRONT DRIVEWAY IN FRONT OF OFFICE D} SPECIAL - NONE E) LOCK BOX - NO (3) Fire Protec./Avail. Water THEIR ARE 4 FIRE EXTINGUSHES IN THE BUILDING. TWO ARE PLACED IN THE FRONT AND TWO ARE PLACED IN THE BACK OF THE SHOP. THE CLOSET FIRE HYDRANT IS 25 FEET NORTh-EAST ON UNION AVE. IN FRONT OF THE CAPRI MOTEL. <4} Held for Future use 08/23/90 A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000978 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY 2 DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? YES BRIEF SUMMARY OF TRAINING: SINCE WE HAVE ONLY TWO HAZERDOUS MATERIALS, I GO OVER THE CARE & HANDLEING OF THE PRODUCTS. ALSO THEY HAVE BEEN INSTRUCTED TO USE SAFETY GOGGLES WHEN THEY ARE USING THE PRODUCT, TO PROTECT THEIR EYES, IWOULD APPRECIATE IF YOU ARE GIVING ANY OTHER TRAINING SEMINARS, I WOULD LIKE TO GO AND THEN SEND MY EMPLOYEES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use e e CITY of ~AKEHS~lELlJ -.;.",-~Ã"'~.... HAZARDOUS MATERIALS INVENTORY ~ Farm and Agticulture 0 Standard Business [} NON- T RA DE SEe R ET S Page _~___. of --L. BUSINESS N1ME: ;-~~~R~ºTT~E...-.& CARR ~WNER N.A.M~: ~ENSHIE NAMn OF THIS FACILITY:o%-~AlIg~~~TlVE....&..CARR E?f¢TI2~Þ:~~2 ~ C1\: 9J3DT- â~~ESlip, 2 eA, YTWH 5Ù~ 2~SOB^~8šT~~HSN8~BEt·-~: -- . - .'n___.___~_ PHot ~ II:' -~- - ~' ---.---- PHON~ It: 8~ - ~--- ----.- - - . -- REFER TO 5 C S-FDR-PROPER CODES - - - - - - - - - , 1 2 3 4 5 6 7 8 9 10 II 12 13 1! Tr~ns TYQe ~ax Average Annual Mea$ure , Ows Cant Cant Cant Use loc~tion Vhm 'by Nues of lIixture{ço~conents Code Code Allt Allt Est UnIts on SIte Type Press Temp Co~e Store~ In Fac1lltW Wt See Instruc Ions . U M 200FT3 200FT 4 10 STORAGE ROOM 10 DICHLODIFLUOROMETHANE Physical ond Health Halard COllponent.I Nalle I C.A.S. Number (Check all that apply) ilire Hazard o Reactivity f] De lared 51. suddfn Re lease Hea th 0 Pressure O Component.2 Name I C.A.S. Number Immediate Health Component.3 Name I C.A.S. Number [} F ire Hazard o Reactivity o Delared 0 SUddfn Release Hea th 0 Pressure 4 39 IN, MACHINERY Component.1 Name I C.A.S. Number 10 SOLVENT - MINERAL SPIR TS [l Component.2 Name I C.A.S. Number w Immediate Health Component t3 Name I C.A.S. Number o Fire Hazard o Reactivity o Delared 0 Sudden Release Hea th of Pressure Nalle I C.A.S. Number O . COllponent t2 Name I C.A. S. Number ImmedIate Hea Ith Component.3 Nalle I C.A.S. Number Physical ond Health Halard (Check all that apply) C.A.S. NUllber o Fire Hazard o De Jared 0 SUddfn Re I ease Hea th 0 Pressure o Reactivity Component.1 Nalle I C.A.S. NUllber O d' Component'2 Name I C.A.S. NUllber IlIme ute Hea Ith Component'3 Name I C.A.S. NUllber EMERGENCY CONTACTS ",FERREL BLANKENSHIP rOWNER19Q-8106 112 _JAY AKINS RIlle T rtTê . lfltrPftonë Rame çertificatioq (Reed and $i9n afrt3r cÇJmp7~til19 /111 rce.ctionS) I certIfy under penallx 0 la~ th~t I have pe(sona Iy exam\nQQ Oq~ 011 familla( wit the informatIon $ubmitted in this ond all attaçhed dQcUllents, anQ t at base~ on IIY InquIry 0 those In~IVI~uals responsIble or obtaIning the InformatIon. belIeve that the submItted Inforllatlon IS true, accurate. an~ co~plete. Tttle SON ~(-ir~?J-3- ~~e ~rõl5riëTfr-rïtle of own~r,operator UN owner/operator's authorized representative STgñãture DHnrqr.ê'ð-- -..... ¡--"':"" , ~: ~ '.~ ...~.~. r- y.; , '~ e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 J 03 - ;)q It (j) :JJ.!sf ~ OFFICIAL USE ONLY ID# 000978 BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ~ axrJz '3 rrØ2 Q-: I INSTRUCTIONS: 1. To avoid further action, return this form by Q-;;)g-87. 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. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: A-I AUTOMOTIVE & CARBURATION DYNO B. LOCATION / STREET ADDRESS: 2000 N. UNION AVE. CITY: BAKERSFIELD ZIP: 93301 BUS. PHONE: (805) 323-751 7 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. FERREL BLANKENSHIP Ph# 3?3-7t:)17 Ph# 323-1741 B. .jAY AKINS Ph# i?i-7t:)17 Ph# 393-3713 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A, NAT. GAS/PROPANE: GAS HAS BEEN 'T'URNRD OFF NO'l' TN TT~F. , B. ELECTRICAL: MA TN T~ T,OC'A'T'RD IN OFFICE STORAGR ROOM TN 'l'HR CLOSET. C. WATER: WATER MAIN IS LOCATRD TN 'l'HR FRON'l' DRT'UFW~ v n.T H'ROT\TT OF OFFICE. D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - e e SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE -- ,--- /;J \. ..",- .' .' ,,--~ ... ,( ,..... -:... IN THE EVENT OF A FIRE, I HAVE FOUR FIRE EXTINGUISHERS LOCATED IN THE SHOP AREA. NEAR THE SOLVENT & CARBERATOR CLEANER. I WOULD THEN EVACUATE ANY CLIENTS I HAVE IN THE OFFICE AREA, TO A SAFE DISTANCE , ~ .', , <, ~ FRbM.' 'THE:'· BUILDING. TURN OFF THE MAIN POWER TO BUILDING AND CALL 911 FOR FURTHER ASSISTANCE IF NEEDED. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE IN THE CASE OF A MAJOR MEDICAL EMERGBNCY, I WOULD KEEP THE PERSON INJURED IN A COOL AREA,PLACE A BLANKET OVER THE PERSON, JUST IN CASE OF SHOCK. I WOULD THEN DIAL ~~11 FOR. FURTHER ASS IS STANCE .- MEMORIAL HOSPITAL WOULD BE THE CLOSET HOSPITAL TO MY LOCATION. IN THE CASE OF MAJOR BURNS, FRESNO OR LOS ANGELES BURN CENTER WOULD BE THE BEST PLACE TO TAKE PERSON. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES .WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS, CIRCLE YES OR NO A, METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: , . .'. . . . . . , . . . . , . . , . , . . . . . . , , . . . . . . , . , . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:............,...........,. C. PROPER USE OF SAFETY EQUIPMENT:.........".,..... D. EMERGENCY EVACUA~ION PROCEDURES:..,........,..... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... INITIAL YES @ YES GQ) ~NO YES NO YES ® REFRESHER YES § YE S (ÑÜ) YES @ YES ~ YES ~ SECTION 7: HAZARDOUS MATERIAL CIRC~E'~O~ ~O DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:,.,.., YES ~ I, , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury, SIGNAT~ ~LE LI J rJ b f( ''''-.. - 2B - DATE 1-.:¿ ú ~~ 1 e . BAKERSFIELD CITY FIRE DEPART~EXT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL ~SE ONLY ID# - - -' - - - BUS I NESS NMIE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned by: 2. TYPE/PRI~T YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED 4, Be as BRIEF and CONCISE as possible. BELOW .. FACILITY UNIT# NORTH #1 FACILITY UNIT NA..'Œ: A-I AUTOMOTIVE SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDu~ES WE ARE VARY CAREFUL IN THE HANDLING OF SOLVENT,CARBERATOR CLEANER THAT WE CARRY FOR USE. WE ONLY ADD ABOVE PRODUCTS WHEN SOLVENT TANK IS LOW. A LOCAL REPRESENTIVE WHERE WE PURCHASE THE SOLVENT FILLS THE SOLVENT' TANK. I ALSO CHECK THE SOLVENT TANK ON A REGULAR BASTS TO MAKE SURE THERE ARE NO LEAKS. ON THE EVENT OF A SPILL OF SOLVENT OR CARBERATOR CLEANER, WE WOULD COVER THE SPILL AREA WITH SAWDUST TO CONT~IN AND CLEAN UP THE SPILL AREA. THEN WE WOULD CALL A LOCAL COMPANY LICENSED TO CLEAN UP SUCH SPILLS. THAT WAY WE COULD ENSURE THE CLEAN-up WOULD BE DONE TO ENSURE THE SAFETY OF SOURRUNDING AREAS. SECTION 2: NOTIFICATION k\~ EVACUATIO~ PROCEDuKES AT THIS L~IT O~LY IN THE EVENT OF A SPILL WE WOULD DIAL. 911 TO NOTIFY THE NEAREST FIRE DEPARTMENT IN ARE AREA. THEN WE WOULD NOTIFY STATE AND FEDERAL AGENCYS. AS SOON AS WE HAVE NOTIFIED ALL AGENCYS, I WOULD EVACUATE ALL EMPLOYEES AND CUSTOMERS TO A SAFE AREA TILL IT IS SAFE TO ALLOW EMPLOYEES BACK IN THE BUILDING. ,. :),\ - 1 e . CIT'Y of BAKERSFIELD "WE CARE" FIRE DEPARTMEr·,JT D. S NEEDHAM FIRE CHIEF 2101 H STREET BAKERSFIELD, 93301 326,3911 September 4, 1990 Mr. Ferre~ B~ankenship A 1 Automotive & Carburation Dyno 2000 Union Ave Bakers£ie~d, Ca. 93301 Dear Mr. B~ankenship: Enc~osed you wi~~ £ind a computer printout o£ the Hazardous Materials Management Plan that is currently in our computer, we have highlighted the areas that need to be revised. Also due to a change in the law that vent into e££ect January, 1989, ve need to have a new inventory £orm (enclosed) £illed out. These £orms must be £illed out and returned to our o££ice by September 28, 1990. 1£ you have any questions p~ease don't hesitate to contact us at (805) 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materia~s Coordinator REH:vp Enclosures BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ,f'. .. I . D. # 77-0063081 Page 1 of 1 BUSINESS NAME: A-1 ATTrrOMOrrTVF. IV nVNO ADDRE$S: 2000 N. UNION AVE. CITY, ZIP: BAKERSFIELD, CA. 93301 PHONE #: 805-323-7517 OWNER NAME: FF.RRF.T. G. BLANKENSHIP FACILITY UNIT #: 1 ADDRESS: 208 JARDIN CT. APT. A FACILITY UNIT NAME: CITY, ZIP:_J:~AKERSFIELD, CA. 93301 m _. PHONE #: ' 805-323.::.1741------- (OFF ~~~ ~L USE CF I RS CODE 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D,O,T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT, CHEMICAL OR COMMON NAME CODE GUIDE ~1 . ~!.oo , ~ M 27 45 GAL 14 39 N.E. CORNER SHOP 100 SOL VENT M IN eeo,( S Pi ¡t. "l? FLLQ. M 7 1/ 10 GAL 13 39 N.E. CORNER SHOP 100 CARBBRATER CLEANER FLLQ. 2) M ;ZCO :<... ~C> F1:~ freon f(( I ;1,) 0C6 --= -- ~ 13 10 NORTH CORNER SHOP 100 ~ EXPL. , .. ~ . , , ' ~ nll;M h Jl~ 'Ç) ~ -~ ,. J \.I -J NAME: FF.RRF.T. RLANKF.N!=:HTP TITLE: OWNF.R SIGNATURE~~~ u<- H./ DATE: U'" c'( ¡, I JUfr fJ EMERGENCY CONTACT: FERREL BLANKENSHIP TITLE: OWNER " PRONE # BUS HOUR~: 323-7517 f EMERGENCY CONTACT: JAY AKINS . PRINCIPAL BUSINESS ACTIVITY: TITLE: SHOP-FOREMAN tune-ups CARBERATER REBUILDING - 4A-l - AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: 323-1741 323-7517 393-3713 ./.; e . '" BULK TRANSFER (Business) BUSINESS NAHE SITE LOCATION OLD OWNER NAME NEW OWNER NMIE NEW O\.JNER ADD, ACCOUNT NUl- BERS INVOLVED ,fiN l/t¡ôCZ()/ APPROX, DATE OF TRANSFER ~ 10- /1J-91) BY THIS INFORMATION IS TAKEN FROH THE DAILY REPORT AND SHOULD BE VERIfIED PRJOR TO ANY CHANGES, DISTRIBUTION: Sanitation Wastewater Business Licenses d-úu. - ;/11 ~J ~,N~ J~ Gt0 "V \ty/