HomeMy WebLinkAboutHAZARDOUS WASTE
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BAKE_FIELD èlTY FIRE D~RTME~
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HAZARDOUS MATERIALS DIVISION f\l
2130 "G" STREET . of\)\';
. BAKERSFiELD, CA. 93301 ~ (\ \ CL
(805) 326-3979 00..1 .. ~\T .
HAZARDOU A S INVENTORY t:Ø2-Gt- !J
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CHECK IF BUSINESS IS A FARM (] '-'
BUSINESS N:M~ ~~ ç t-fJß
FACILITY NAME 311:./1/l/C-
SITE ADDRESS J-- 5 '2:) 50"
CITY X Ibf}f--- STATE
NATURE OF BUSINESS
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C a..~ . ZIP C;;~:?CJ7
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SIC C1)"DE DUN & BRADSTREET NUMBER 'SCf7-ft 9(¿)V
cJWNER/OPERATOR f-[..e-J\JIf,y Î/h I/f f~ PHONE (h;,,-gó2~
MAILING ADDRESS '2- ~ ~ . 5& l{ Kt::J ¡vl . ~, .
CITY (bIJ-1' STATE CA ZIP ýSSo/ I.
_~ EMERGENCY CONTA,CTS
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BUSINESS PHONE 24-HOUR PHONE
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NAME . TITLE
BUSINESS PHONE
24-HOUR PHONE f}5b '- [31 r2-
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8AK~SFIELD CITY FIRE O.ARTMENT-
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HAZARDOUS MATERIALS DIVISION
, 2130 "G" STREET
, BAKERSFIELD, CA. 93301
(805) 326-3979
HAZARDOUS MATERIALS INVENTORY
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FACILITY DESCRIPTION
CHECK IF BUSINESS IS A FARM []
.BUSINESS NAME
FACILITY NAME
SITE ADDRESS
CITY
STATE
ZIP
NATURE OF BUSINESS
SIC CODE
DUN & BRADSTREET NUMBER
.
OWNER/OPERATOR
PHONE
MAILING ADDRESS
\ CITY
STATE
ZIP
EMERGENCY CONTACTS
NAME
TITLE
BUSINESS PHONE
24-HOUR PHONE
NAME
TITLE
BUSINESS PHONE
24-HOUR PHONE
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REGION V LE?C Sf .a.NCAAD Fe
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BAKERSFj.fLD CITY FIRE DEPAiiMENT
~ HAZA~OUS MATERIALS INVENT~Y
Page_of_
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¡
Business Name
Address
1) INVENTORY STATUS: New 0ddition I ]
L.. 0.. C
I-Q.C
Revision I
Deletion I
CHEMICAL DESCRIPTION
Check if chemical is a NON TRADE SECRET ~DE SECRET I ]
Chemical Name:
3) DOT # (optional)
2) Common Name:
AHM I]
CAS#,
r-- ""~--~')
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4) PHYSICAL & HEALTH
HAZARD CATEGORIES
Fire
PHYSICAL
Reactive I J Sudden Release of Pressure I )
HEALTH
Immediate Health (Acute) [) Delayed Health (Chronic) 4...t".
5) WASTE CLASSIFICATION
6) PHYSICAL STATE
Solid I )
(3-digit code from DHS Form 8022)
Uquid [¿Gas I ]
USE CODE
Pure ) Mixture
CHECK. ~ Tl-iAT APPt Y
7) AMOUNT AND TIME AT FACIUTY
Maximum Daily Amount:
Average Daily Amount:
Annual Amount:
Largest Size'Container:
# Days On Site
=lß
jPJÓ.
, Ii\Y"
861'"'"
UNITS OF MEASURE
100 I ) gal I <rft3' I ]
curies I )
8) STORAGE CODES
a)'<;,ontainer: 06
b) Pressure: ,
c) Temperature: ;¿¡ .
/1.3
.
Circle Which Months:
M, A, M, J, J, A, S, 0, N, D
10) Location .
'1)
(~
CAS #
10</- Rf> -:3
( 3.30 - 2L:>-7
100-<¡, -<j 1
W!e~ 0
%wr AHM
63 [ )
/0' I)
/6' I)
9) MIXTURE: Ust
the three most hazardous
chemical components or
any AHM components
oN
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New I~'n [ ) Revision I ] Deletionl )
Check if chemical is a NON TRADE SECRET [ TRADE SECRET I )
2) Common Name: ~t n'''' 25 C J " R
Chemical Name: -5 Q H E:.
Hell uK .
3) DOT # (optional)
AHM I ) CAS #
4) PHYSICAL & HEALTH
HAZARD CATEGORIES
Fire I ]
PHYSICAL , ~
Reactive [) Sudden Release of Pressure ¡....r
5) WASTE CLASSIFICATION
(3·digit code from DHS Form 8022)
HEALTH
Immediate Health (Acute) [] Delayed Health (Chronic) [ ]
USE CODE - MalðO IJ~
6) PHYSICAL STATE
Solid [ Uquid I] Gas~'
Pure ~e I] Waste I)
CHECKALl.. THAT N'Pty
Radioactive I )
7) AMOUNT AND TIME AT FACIUTY
Maximum Daily Amount:
Average Daily Amount:
Annual Amount:
Largest Size Container:
# Days On Site
~~.3
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;Z "t'~ .
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UNITS OF MEASURE. ../'
Ibs I ] gal I J ft3 tvr
curies I )
8) STORAGE CODES
a) Container:
b) Pressure:
c) Temperature:
04,
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Circle Which Months:
J, F, M, A, M, J, J, A. S, 0, N, D
9) MIXTURE: Ust
the three most hazardous
chemical components or
any AHM components
1)
H I COMPONENT
'€ 'OJ. ~ .
CAS #
%wr
AHM
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I]
I)
2)
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PRINT Na
Date
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AEGIOt V I.ÐC STN'ItOMO FOu.I
BAKERSI:LELD CITY FIRE DEPARTMENT
HAZAlJOUS MATERIALS INVEN.V
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Page_of_~' "
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Business Name
Address
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.Ail THAT APPt'f
7) AMOUNT AND TIME AT FACIUTY 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: List COMPONENT CAS # %WT AHM
the three most hazardous 1) ( )
chemical components or
any AHM components 2) ( ]
3) ( ]
10) Location
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ r 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 ( 1 Liquid ( J Gas ( ) Pure ( ] Mixture ( ) Waste ( ] Radioactive [ )
CHECI< AI..l. THAT APPt y
7} AMOUNT AND riME AT FACIUTY UNITS OF MEASURE 8} STORAGE CODES
Maximum Daily Amount: Ibs ( ] gal [ 1 113 [ ) 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: List COMPONENT CAS # %WT AHM
the three most hazardous 1) . [ ]
I chemical components or .,.
any AHM components 2) c· [ ]
I 3) ( )
10) Location ,
eert1fy under penalty of law, that I have personally exammed and am familiar WIU1 U1e mfomation submItted on thIS and all attached documents. I öelleve me
submitted informatÍon is true, accurate, and complete.
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PRINT Name & Title of Authorized Company RepresentatÍve
Signature
Date
Secr--e.3Q 'Gn
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BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION ~~~~.;;'lIW~~
1715 'CHESTER'.AV,L
. BAKERSFIELD, CA. 93301 JµN 291994
By
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HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt. June 23, 1994
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole,
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATIOND.ATA
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BUSINESS NAME: ((!,. () tu'~ ,S'
lOc;ATION: ;<:3 ~ ~ Sf) U44J.ÐtLA)~hJDJJøÞ1, 6ð t/Jwsf/?-tr+fJ/tHg/i/
MAILING ADDRESS: ;;23:;L 3 >D Uv-J.; tfŸl, fr¡)~,
CITY: ßp-Æ-ø-rs-ß.d¡J STATE: éIL ZIP: ð7 ~HONE: <t3L- ~b;23
DUN & BRADSTREET NUMBER: 1lM.,j(f7/!)vi>f) SIC CODE:lLlilj(/hl~J/1
PRIMARY ACTIVITY: ¡{!¿ ,£)tU/" ¿Jr¿2.fjPh #11 C¿
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OWNER: 11.£-/4 /'1 fø tvfø tm .
MAILING ADDRESS: d2 3;;2:3 5 t> IlPt/ ()'0 !/-1)4I
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS. PHONE
24 HR. PHONE
1. JL 0 )¡\ f. ~ ~/~,tttkl,l, ß I.J2E ''3-% ~ ~b l 'j "63f<. - 'bIt V
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, Bakersfield Fire Dept.
-,zardous Materials Division e
HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: I -- l) LV J1,/
MATER"lAL SAFETY DATA SHEETS ON FILE,: ~<.ß5..--
BRIEF SUMMARY OF TRAINING PROGRAM:
:5-ê/ p c /..LM'1 I1:f, I{/) 'Vl1f C¡/b O.£?S} Vtl f...ell crlæš~.5
t{)t a!i tÝVl g/f' vI.! fó 1) I /) fÞ5.ø/ ort:~c¿
r..e pi ó-C.R fM-...ewf f)f cJ1 fD ð (5 ..y dô fj.¿ W.ujÞ
,111' Mil Jet (jJ (t '!;f .¿, L
---- sEcOOtf-.r:EXEMPTTÖN-R'EQÙEST:
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I CERTIFY UNDER PENALTY OF PERJURY THArMY BUSINESS IS EXEMPT FROM THE
REPORTfNG REQUIREMENTS OF CHAPTER 6.95 OF THE IICAUFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE 00 NOT HANDLE HAZARDOUS MATERIALS.
1/
WE 00 HANDLE HAZARDOUS MATERIALS, BUT THE QUANi[nE5; AT NO
TIMEEXCEED THE MINIMUM REPORT¡~~G QUANTITIES.
OTHER (SPECIFY REASON) .
SECTION 5: CERTIFICATION:
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I, CERTIFY THAT THE ABOVE INFOR-
MATION IS CCURATE, I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY F RM'S 08UGA TlONS UNDER THE "CAUFORN!A HEALTH AND SAFElY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THÄT
INACCURATE INFORMATION CONSTITUTES PERJURY,
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SIGN URE
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TITLE
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DATE.
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. Bakersfi~ld Fire Dept. __
: . Hazardous Materials Division fit
HAZARDOUS. MATERiALS MANAGEMENT PLAN
Facility Unit Name:
¿ )¡{è + 1:1>
SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES:
A.
B.
C. .
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AGENCY NOTIFICATION PROCEDURES: f-J Î~
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EMPLOYEE NOTIFICATION AND EVACUATION: ..
..-:- '
J- ttvf;L f'11.J¿ @ul f .~I/ò1-Lt ¡kif
,¡,c¿~L-cd--æt /;Ú;/b-l#.ß.-~--~~-- ...-
{J ¡ 6 / tn1; ð úJ µ/".¿M63/ IJ ttl vh '/ J tl ¿PI' ð ..M J 7 f
PUBLIC EV ACUATION: ' , .
:r: b µf J;v~¡'¡ d~rtft'-tJtÞ6 ~µ/dt0-6
t¡JtWf'-R4 4 b~1 f1. .#ss.;r: wðevtd &d/
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D.
EMERGENCY MEOICAL PLAN:
J .JW n Mdlt::td (!e. Y), t--M' I (!£ul{ q II
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_ Bakersfield Fire Dept. .
Haza.rdous Materia.ls Division
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HAZARDO'US MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A.
RELEAS~REVENTION STEPS: flU ·h ð/? I.¿p r / /It ~ /"'/J/JAr
P 1M I A- ¡! tJ(fI;t hu J1..u-S It '0/' f d If ~ tI Yf¿;Jt,P'1'
. tvA~ }j/l t<A~
B. RElEASE'CONTAINMENT AND/OR MINIMIZATION: .
f ~ ¿t¡;.JtW^..t d tl1! dl f'-4v/¡/ t9-t/I/ ~,,~ú()þú,..vlín>L-
é/-fJ ¡Ma...ørrla/š .Þ tV 5J ) f/l l'VLï4C£,¿;/ n fß-'5 5 ¡ #1.-ttf
.¡; .It) pli/W rh../~f~ :5 h- r ~ Ii 1 .
C. CLEAN-UP PROCEDURES:" ~ I3J
_~_ _, _ _ ' ;£ JhJ fI4j f ~(~ j!ðUufc.Prtl~ }1Æ¿'Æ.;rø¡rl ~
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/I~~ fl/'\ fý1.¿¿~ A ~ þJr~ ¿CðVM/'
SECTION 8: UTILITY SHUT-OFFS (lOCATION OF SHUT-OFFS AT YOUR FACILITY):
. ~ATURAL GAS/PROPANE: ~f Par/It ))#4.Þi 1-/ 4vli'/~
EU:CTRICAL: /f~~ Ç5rJl{IÆ ~¡j2<./J ~ 6tv; J/¡{Æ//
WATER: lft!..Ph f -sJ d." tf /J/.vI ¡¿{ / I1j In.. ..f11./ l/)é{.. c..-/:'
SPECIAL:
lOCK BOX: YESf!jßJ IF YES. LOSATI0N:
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SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY:
A. PRIVATE FIRE PROTECTION: N-v
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B,
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WATER AVAILABIUTY (FIRE HYDRANT): W
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CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
S, D, JOHNSON
FIRE CHIEF
January 6, 1994
2101 H STREET
BAKERSFIÉLD, 93301
326·3911
Mr. Henry Chatman:!
Chat's Auto Service
2323 S. Union Ave.
93307
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NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE
************************************************************
Dear Mr. Chatman:
IN THE INSPECTION OF Chat's Auto Service, lOCATED AT 2323 S. Union Avenue
BAKERSFIELD, CA 93307 ON January 8,1994, THE FOllOWING HAZARDOUS
MATERIAL REGULATION VIOLATIONS WERE IDENTIFIED.
1) Hazardous materials containers not properly closed.
VIOLATION OF THE CITY OF BAKERSFIELD MUNICIPAL CODE
SECTION 15.64.340
HaZardous materials shall be stored in such a manner as to prevent
spills or accidental releases. All containers shall be closed when not in
use and good housekeeping maintained in the area of storage and use.
2) Empty containers not properly closed.
VIOLATION OF THE UFC 79.201
(c) Empty containers. The storage of empty tanks and containers previously
used for the storage of flammable or combustible liquids, unless free from explosive
vapors, shall be as specified for the storage of flammable liquids. Tanks and containers
when emptied shall have the covers or plugs immediately replaced in openings.
3) Helium cylinder not properly chained.
VIOLATION OF THE 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
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to prevent falling or being knocked over. This shall be accomplished by the ínstallation
of safety chains of suitable size or other restraining methods approved by the Bureau
of Fire Prevention.
4) HaZardous materials present that were not included on your inventory.
VIOLATION OF CHAPTER 6.95 CALIFORNIA HEALTH
AND SAFETY CODE SECTiON 25509(a)(1-6)
(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.
(5) Sufficient infQrmation on how and where the hazardous materials disclosed
in paragraphs (1), (2), and (3) are handled by the business to allow fire, safety,
health, and other appropriate personnel to prepare adequate emergency
responses to potential releases of the hazardous materials.
(6) The SIC Code number of the business if applicable.
(7) The name and phone number of the person representing the business and
able to assist emergency personnel in the event of an emergency involving the
business during nonbusiness hours;
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The above violations must be corrected by Feb. 1, 1994.
Failure to correct these violations will result in. further enforcement action. This
Department will conduct a reinspection of your facility to verify compliance. If you have
any questions regarding this notice, please contact me at 326-3979.
Si~~ ./
~hE. H~
Hazardous Materials Coordinator
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