HomeMy WebLinkAboutBUSINESS PLAN 10/23/2003
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Hazardous Materials/Hazardous Waste Unified Permit
, CONDITIONS OF PERMIT ON REVERSE SIDE
Permit ID #:: 015-000-000861
, WINSTON TIRE #12
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This permit Is Issued for the following:
IiI Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
LOCATION: 1401 UNION AVE
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Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES'
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
Issue Date
June 30, 2003
NINSTON TIRE CO.
101 SONORA AVE.
BAKERSFIELD, CA
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WINSTON TIRE COMP.-HEADQUARTER 1 1
~ORTH SC\Lr: : BCSI'iESS :\A~E: ;:1:, on? : OF
4-13-89 WINSTON TIRE COMP# 12 1 1
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WINSTON TiRE CO.
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~d L~KE #12
SiteID: 015-021-000861
Manager : GEORGE RIOS
Location: 1401 UNION AVE
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 02
EPA Numb:
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BusPhone:
Map : 103
Grid: 29C
(661) 631-5525
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:7538
DunnBrad:02-825-0389
Emergency Contact ' / Title Emergency Contact / Title
GEORGE RIOS / STORE MANAGER RICK / DISTRICT MANAGE
Business Phone: (661) 631-5525x Business Phone: (818) 972-1200x
24-Hour Phone : (661) 827-0276x 24-Hour Phone : (818) 541-2801x706
Pager Phone : ( ) - x Pager Phone : (818) 541-2801x
Hazmat Hazards: Fire DelHlth
Contact : ANNE GAUTHIER Phone: (818) 972-1200x546
MailAddr: 690 KNOX ST 200 State: CA
City : TORRANCE Zip : 90502-1325
Owner ANNE GAUTHIER Phone: (818) 972-1200x546
Address : 690 KNOX ST 200 State: CA
City : TORRANCE Zip : 90502-1325
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List ì
All Materials at Site ì
f= Hazmat Inventory
~ Alphabetical Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
ANTIFREEZE
MOTOR OIL
STODDARD SOLVENT
WASTE OIL
F
F
F
DH
DH
DH
L
L
L
L
55.00 GAL
240.00 GAL
25.00 GAL
110.00 GAL
Low
'Min
Mod
Low
I, TD'M --Ae tv(J€:ro Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for IX5Latll1r T,' ff'. Ûl1lrMsnd that it along with
(Name of BuBine8S)
any corrections constitute a complete and correct man·
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PAGE: 66
BUSINESS ()WNER I OPERATOR IDENTIFICATION
PACllITY INFORMATION
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SIGNATURE OF OWN~AIOPI!AATO~ CA'Æ 134 NAME OF DOCUMENT PAaPAR!R
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NA~OP OWNE~OR (f)I1nt) , _ --" WI TITl OF OWNERlOPERATO,R
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PAGE 17
07/27/2003 23:06
05/27/2063 03:26
CXTY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave~ CA 93101 (661) 326...3979
HAZAI~DOUS MATERIALS INVENTORY
CHEMJCAL DESCRIP110N
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CITY OF BAKERSFIELD
ornCR or ENVIRONMENTAL SERVICES
1715 Chester AVE., Bakersfield, CA 93301 (661) 326-3979
HAZARDO JS MATERIALS MANAGEMENT PlAN
Section 11.1 ~ DISCOVERY AND NOTIFICATIONS
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C. SPECIFIC RESPONSIßIt.ITIES OF EMPlO"EE8:
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PAGE 04
PAGE 113
HAZARDOUIS MATeRIALS MANAGeMENT PLAN
Sectio, 11.2 . RE..EASE RESPONse PLAN
r _ ~__.=~~ - J~I~ ASSESSMENT
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A. HAZARD ASSESSMENT AND PREVENT1C IN MEASURes~
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PAGE 11
HAZARDOUS MATERIALS MANAGEMENT PLAN
Section 111.1 ,FACILiTY AND LOCALITY INFO~MATrON
If' YES. LOCA TI( N;
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A. PlWATe FIRE PR=~N~mJ:i:~~/WA" 'ERAÝ~ . .
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LOCATION ðF SHUT ..QFFS AT YOUR FACILnV:
NATURAl GAS! PROPANE: IÝc~G ,
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C. BRIEF SUMMARY OF TRAINING PROGRAM: (..~~'í ~t:r7Y ,41GjÇ7í^9:5 ;/EOJ CJp.)
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I CITY OF BAKERSFJELIa
o ICE OF ENVIRONMENTAL SIlVICES
1715 Chester Ave., CA 93301 (661) 326-3979
BUSINESS OWNER I OPERATOR IDENTIFICATION
FACILITY INFORMATION
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FAClUíY 10 # I I ¡ , , 'ear BegInning 100 I Year Encling
··.u..~ NAME (__FAC1LITY~~I";'__:;., --- .1 BUSINESS Pl'fONE ~
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Certification: Based on my inquiry of those indilliduala ~$ ~ for: obtsinlng 1M infMnatlon. I certify under penalty of law that I have Þ9reonaUy examined
and am familiar with the il'lformation submitted in thi$ inventory and believe tha information Is true, accurate, and oomplete,
~~AE OF OWNER/OPERATOR. DAlE 134 NAME OF DOCU'ffT PREPAREA
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NAMES OF OWNERlOPERAf6R(~nt) if/" 138 TITle OF OWNER/OPERATOR
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PAGE 07
I .
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chuter Ave.. Bakersfield, CA (661) 326-3979
HAZARDOUS ~[ATERIALS MANAGEMENT PLAN
INSTRUCTIONS
SECITON 1. - BUSrnESS IDENTiE1CATION DAIAi
The Business Owner I Ope1ator Fonn, Chemical Description Fonn(s) and other Fonns
(e.g.: underground storage lank infonnation, hazardous waste treatment, etc., as needed)
may be subnútted as the firlit section of the Hazardous Materials Management Plan in
order to avoid duplícation c f infonnation for initial submissions.
HAZARDOU; MATERIALS MANAGEMENT PLAN
SECTION II.! - DISCOVERY ~D NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
Describe the procedures an( l equipment used to detect any release or threatened release of a
hazardous material ~m an:' storage container, tank. or vessel at your business. Please
provide a written explanati( n that also includes the make and model number of any
automated or electronic leat detection equipment in use at your facility.
B. EMPLOYEE AND AGENCY NOTIFICATION:
What agencies and or corpo :at-e officiaJs are notified in case of a hazardous materials spill
or emergency - What proc ~s are used to notify these parties? At a minimum, you
must can 9..1..1 and the Ofit.e of Emergency Services at I·goo.. 852.-7550 to report any
spills that are a threat to life, safety or the environment, or for other non-emergency
spiU reporting, please call )Ut' omœ at (661) 326-3979.
C. , ENVIRONMENTAL RESPONSE MANAGEMENT:
Please describe who will be responsible for what activities (notifying authorities, clean--up
companies, etc.), and what 'l1e chain-of-conunand is at your facility for making sure these
activities are carried out.
D. EMERGENCY MEDICAL :?LAN:
Summarize your plan for handling medical emergencies occwring at your business. List
the local medical facility car able of handling an accident involving Hazardous Materials
used at your business.
HAZARDOUS MATERIALS MANAGEMENT PLAN
1
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PAGE 08
.
.
" SECTION ij.2 - RFT .EASE RP.sP¡~NSE PLAli
A. HAZARD ASSESSMENT AND PREVENTION MEASURFB:
ExpJain the procedures that you have developed and implemented to help prevent an
incident from occurring, T 1ese steps could include. but are not limited to. storage methods,
container types, sepgatiOt I, safety equipment, and/or procedures used.
B. RELEASB CONTAINMErIT AND/OR MITIGATION:
Explain the procedures that you have developed and implemented to assist in keeping a
hazar(lous materials incidex t at your business as small or confined as possible.
C. CLEAN-UP AND RECOVeRY.PROCEDURES:
Explain what clean up proo ~utes wîll be itnplemented in case of a release at your business,
This should address small s ?i1ls. as well as a major release of material once the material is
contained.
Hazardous Waste: Please provide the name of the hazardous waste co.rnpany that
regularly removes the wastes from your business, and how often that waste is removed.
Please keep all disposal receipts for the ]ast three years available on site for inspection.
llT1LITY SHtIT-OFFS
List locations of shut offs wing compass points and known or obvious landmarks. IT you
have a lock box containing ] ~ and maps of the facility for the Fire DePartment to use,
please list its location also. '.
,PRIVATE F1RE PROTECT [ONIW ATER. A V AR.ABllJIX
A. Private Fire Protect ion: Describe on-site fire protection for your business or
facUity unit, includû1g sprinklers, fire extinguishers. a1ar.m. systems and private
response teams.
B. Water AvailabUity l;Fire Hydrant): Give the loCation of the closest water supply
or fiœ hydrant to be 1lsed by the Fìre Department in case of an emergency.
2
OS/27/2003 03:26 7148994923
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PAGE 09
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. I:ITY OF BAKERSFIEL.
OFFICE or ENVlRON1\mNT AL SERVICES
1715 Chester AVE., Bakersfield, CA 93301 (661) 326-3979
HAZARDO JS MATERIALS MANAGEMENT PLAN
Section 11.1 - DISCOVERY AND NOTIFICATIONS
e
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1
I. FACILITY IDENTIFICATION
eu~ NAMI!(9Ime ."ACII.m'~E ar OBA '~I~A$)
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A. lEAK OETECTION AND MONITORING PR:)CEDURES:
0Slt4l-¡ 4tL S"7oe4c;6 (bN"7AINU-5 IÎ&(/E r/ka()A.JD
t!/J~¡;;¡j DAJ¿ V
;:<:,:,;;~::~l~,::~;~~~~~~~;::,,~:jt~~;~f~~1$.~j':~(..i~·;~. '~~~'i: :~~~~t^:,
B. EMERGENCY AND AGENCY NOTIFICATlCIN PROCEDURES:
/J}4IvLV36ll- (J'¡0 /Jny -k No7IF'( 6JBlt?6,....e,y ~~ By "kk¡?hø'~ -# 9//
¿?¿~ vp ~A-I'-{) tbR¿:beA7G or:¡:f¿t7 7ò &: Nö"'7/~G7J
'~:.':ß;.?1:,~
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~ ...."1"\ .,:If.,p.....~:IiI..tu;......''':~ ..,..JiI,.,..,., I".
'! N.\I' ,k.anA1:: ,"
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C. SPECIFIC RESPONSIBILITIES OF EMPlO"EES:
ND7/~ j)J~G1I- ()A.J /JurYí é'G-J7A/~ SpIll AR64, bl;AðU7€ IF ¿VcÇ(q)(CL)
',;. "'('~..~::'I:r~f;!'f:',>,~·':;~~:r~;:);~l'~J1:.:-:':',·:":'¡·:·~í~~~NCŸ'M~DlèÂ4iþ~.. "",' ': :,'~,:',":~:}Ç~'::'::(::Z:}::2~: ·;':"'~:;--::::;l~s¥.H:;;~:'~~;:'
D. ClOSEST LOCAl MEDICAL FACILITY:
J='4¿~a..o A1Eß1()¿¡4¿ Hos¡JI7'4¿ r.F ¿.?I - j27-/79 Z-
OF (711111}
S'-PROCEDURE MMUAL1HIIw HNMP IOftILwpd
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PAGE 10
Aoou¡) MATERIALS MANAGEME'PLAN
SèCtio, 11.2 - RELEASE RESPONSE PLAN
I'RE~ ASSESSMENT ,
A. HAZARD ASSESSMENT AND PREVENTIC IN MEASURES:
.::JjJsp~ YlSC)4-¿O( /J¡¡.¡¿Y'¡ tv4$7G ~ JV07Jfi31 ~L ¡J1{!!c-V-¡!J
6dè,~ (Je()JI,{S ¿æcMe ¡L;;J!
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B. RELEASE CONTAINMENT AND MmGATlON:
",.:'
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C. CLEAN·UP AND RECOVERY PROCEDU~:S:
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OS/27/2003 03:26 7148994923
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PAGE 11
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Section 111.1 . FACILITY AND LOCALITY INFORMATION
~ unuTY SHUT .oFFS
1
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WATER:
LOCATION OF SHUT..QFFS AT YOUR FACILI1Y:
NATURAL GAS I PROPANE: NO¡..Jer
ELECTRICAL: /),IoJEL ~78J ðAJ NoI2.7.A1 /~7 w4LL. jAJ.S)Q17
,
No£:r,t! 6r~'7" ~{Ç£¡aL wtlU->
NJ4
SPECIAL:
lOCK BOX: YES I@
IF YES, LOCATION:
-
, PRîvÅTi¡'FiF~;pRbta:TiòN1WATERAVÅitABlI~nv ," ,
. ," '.. ,"." ' ..., ' '". .
PRIVATE FIRE PROTECTION:
hf2e b~7)~SH~ LæA-7GO ï1/2c;v9J.J oV1 LœA'1{r;J
.., , ,
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a. WATER AVAILABILITY (FIRE HYDRANT);
/ííi€ /-IylJeAfo.J'/ 6:,(!k7EIJ o~ .5/vv ¿r0û.JGL- at UN¡6~ A-LØ
. .:»:-~/., ~
....... ~. .,.' .. . ,,,:,
\: ~i.':':~·:'~~:'·~~~·;:\S '.':. "':,~~:" ','. ,~,:," "", '1';:~~:~'ING '
" ""J '"
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A. NUMBER Of EMPLOYEES: 'Co
B. MATERIALS DATA SHEETS ON FILE: ,V~5'1 A1¡fµ~-L ðIo/iæ /1'-' h/~ tJAÆA.lfG"1
C. BRIEFSUMMARYOFTRAJNINGPROG~M: ~.Jd{ ~7Y /ý/GlÇ~µ¡::5 J./El.lJ o~
SkrcÆ-L>Aj !J1lJR.AfIlJ]S {JtfLlðtL -10 ó/E"¡,.J)f..JÎ/ G;.,pk'l<~s 1~¡'ElJ IJN wid""
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. CITY OF BAKERSFIEL.
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326..3979
HAZAI~DOUS MATERIALS INVENTORY
CHEMtCAL DESCRIPTION
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