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Home My WebLink AboutBUSINESS PLAN 10/15/2003 /-- h ;/' '.. 1~ ~ ~ '. '. " ~ ÍI) ~. ~ t ~ " , ''oj "',;¡;" ;:---'~ .~ ...~ .. ~ () \( ~ ~~ .L, .J..1:3.-L ~"ì 1 V.l 1".1 r r .l.-Lt'U ~ .. . I FACILlTI DIAGRAM ~ Business Name: GOT.DF.N STATF. PRTRRJHT!T' . SITE DIAGRAM Bu~nessAddress: 1450 SOUTH UNION AVE. BAKERSFIELD, CA 93307 For Office Use Only S ¡-Ie I. D·:ii. 1553 First In Stetion: Area Mep #I of , Insoectlon Station: / "- NORTH , .. ,/1 . F ff!:>T C¡¿&7I-1 ¡Jl1c/riC (!~ /1"/8' . eo \1 ~ ~ \ ~ ~ ~~{Y Au íb .sfJtfl AI kt"yl S orF/C/ <t ~ '\ ~ ~\~ ~'~r' ,~ (~ ~ ~- , ~: . \/ ~ ftftJCé , GA1"e {;p,rr (II Hll. ¡::'ø/(',ðf F (¿f3 ¡NO. . IA,JICJ^( fill/: . ~ ----~----c~~-..- C vJ / -- e PATRICK ~-'"'TLEV GENERAL MA!\....._Ai GOLDEN STATE PETERBILT 1450 SO. UNION AVENUE BAKERSFIELD, CA 93307 OFFICE: (805) 833-1700 FAX: (805) 833-2788 HOME: (805) 393-1699 .' -.- _..------ ______J -- ,/, .j ~ '1 ,~ g 1\' . ~ ~ " 1\", ~ \{~ ~ ~, ~' e' .JJ ~.! ~I~ ~ij wc:aci . ~ . ~ )'f.L ~ () {1 '¿c," ._ ~ ........... (,15tPO n....- r-..-r.: OIG , . É-:>fðltJ11 C)J11VJé¡t D a s11'I€Pc;,.¿' ;:; ;fo ¡J Il J:T;eIl-. O~~N q..- /fa/.6/~ - ~ ¡----¡ 1000 ..J /¡J t-----" GIi.J- rr t:: w ~ OI.L ~ C; '^- 'á:. ~ f/.} fA j... J...... Ii'. ~ ~ ~~ ~ ~~). ~ ~---- ~ .~ 14;e r..f. wille £1'¡tJ¿/~å'" ~ ¡/~/~~?-ð'/ê~- /YI If I/'-I. Ø"j...¡::(.:( fI}/',jti' J.- f/- 14 () f/I NION flll ç: wß£ .,-- " ~ Ç::> ~ ~ ¡2,56 ~ Ooote JIt! " ()oo!e o /.f/(; II ./ (JI1IJ..4 v~u I "..;r. -' /-¡¡ed h'y/) Per it Operate to Hazardous Materials/Hazardous Waste Unified Permit ~: CONDITIONS OF ,PERMIT, ON REVERSE SIDE . '. ~. '. '."'~ '. '" .. '. '":..." ~, . : ~ :""~~~' . ,:' -.;.- -. . >"! ,.1. :.' ...~. , . " 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 , Permit ID #:: 015-000-001553 'LOCATION: 1450 S UNION AVE ;. Issued by: . "t\ , . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave" 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: 4~~~ .OfficeofEv~ . Expiration Date: . June 30, 2003 ;. ;'<-": ~;?-'.: :-. ::...:..: . ,"'-''''. Issue Date :.' "';,", ~: _ ~,i:-'-:.~ :.¡,". Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: zardous Materials Plan round Storage of Hazardous Materials agement Program Waste 1450 S UNION PERMIT ID# 015-021.Q01553 GOLDEN STATE PETERBILT .',." LOCATION Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield. CA 93301 Voice (805) 326-3979 FAX. (805) 326-0576 Approved by: Expiration Date: June 30, 2000 " ' '-.-- g ~ ~ ~, ~ ~ ~ '~ flft"C ~ . > ., _....., .;...;;ô ,.'~ , #- / ' . () ~ \ ~~ ,/J" n 1V.1 ¡J. ï 8usiness Name: r .L1-li'~ - FACILITY DIAGRAM ¢- GOLDEN STATE PETER'RTT.'T' .i' .u:-1..1. . SITE DIAGRAM Business Address: 1450 SOUTH UNION AVE. BAKERSFIELD, CA 93307 For Office Use Only First In Stetion: Area Mep it of Insoection Station: NORTH 0 . F ft"!>T C~&/4-1 ¡Jøc/riC (!/fnrlð. eo \....- ,F ~ ~ ~ ~ \ ~ ~ ~¡tP /rw tb .sl/fl tJktfriIL S orP/C/ -----'~ Gj)/íd ~ \J~" ~~. fi " '~ ~~ ~ '\ ..... ~., '" r\,,~ ~ \~~ ~ 6tJ."",r ()! ¡;q l t F~CP , I VI ,J!()^( ;4!1~ ~~.~::... __~.... ~~..r-- ~r .... ______ \~ -"'- .-~ J UNIFIED PROGRAM aPECTION CHECKLIST. SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME .. / d 5+qfe k~þ-I '11___'___________________' INSPECTION DATE INSPECTION TIME Go eel/\. /iJ-/5-Cl3 /ð¿'¡S; ---~- ~-----' ADDRESS PHONE No, No. of Employees J t/ Ç' 0 5; t.1..1Æ í 0 lA --- <g 33-/7CJo l¡ð --~----_. Business ID Number -.-.--..------- FACILlTYCONTACT 15-021- OolÇ;Ç3 " Section 1: Business Plan and Inventory Program LJ Routine LJ Combined LJ Joint Agency LJ Multi-Agency LJ Complaint LJ Re-inspection C V ( C=Compliance ) V=Violation OPERATION I COMMENTS ~LJ ~ LJ S LJ ApPROPRIATE PERMIT ON HAND ,-----------,----,---------------- -..-,----,----,,----,-------------,---------,.----..----.-.-..---------------,--..-'----- BUSINESS PLAN CONTACT INFORMATION ACCURATE ------,---..-----....,---..-- ---,-----_.._------- .....--,......,-....-....,.-----------..------,-----,--..,-..,'.....,- .._,------ VISIBLE ADDRESS ,-.-----------------..--.. ,,_.. ,..,..-.---------..--...----.-,--..-..-------..--..,------..-- ,....-..------, -'-- 19. LJ CORRECT OCCUPANCY ~ LJ 1---- þ1I LJ ,-------,--....---...----- ---_..,--,-'......--,--_.... --...----.-..--,------,-,----------,----------..-...... ......----- VERIFICATION OF INVENTORY MATERIALS ...----.-------+--- --.-- ._--_.~----_., -..-.---.---- .-..-------.---.--------.-------------.--,...-.. .~---- - -.-- VERIFICATION OF QUANTITIES I--____________________m_._'__________..~, ------,-------,.....--,--------,--,.-,-......--..---.,--..,..,........-.-.-,-- I3l. LJ VERIFICATION OF LOCATION --- -----------,--,-------,---,-----..--------------..---.- [g: LJ PROPER SEGREGATION OF MATERIAL 1-------,---,----..---.,--------------..-.----,- ,,______,__'_____._m.___ ,..---.---------------------..-.---.-., ""....._-- ~ LJ VERIFICATION OF MSDS AVAILABILlTYE I-------.----------------.."..m"------ -___....____.m_'___,_____..__m..____________...._____.m..__..______ IX) LJ VERIFICATION OF HAT MAT TRAINING ~ LJ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,--,.---.----,.---- -----,-----------...-----------.-.--..,-..-..--------.-------------- .__._~~---_.__._--. -----------_._~.-._-----_._-_.,-----_..------_._---_.-~---_._- (5J. LJ EMERGENCY PROCEDURES ADEQUATE 1-------------------,..--.-----..------..--- -...---,----....,,--..------,....-,--'..---....-- ---.--...,---..,--....,..--,- IX! LJ CONTAINERS PROPERLY LABELED -------'---------'--..---------..--'.--... ,--.,-..----------.-----'.."..,-.------'---..--'--.....--"---------.-- ~ ~- ;,~S::::::ON ._~ --t--!.~..:--?J..ª--:.-ð J___,_ ~A /Ý/!2,(21B.. 1--_,_______.______,________ __.._____ __________._____:.......,_,___._____________...____.._......_____m_._ t3. LJ SITE DIAGRAM ADEQUATE & ON HAND EXPLAIN: 5ee 9LYES LJ No 1/ + I J I fíC7¡Z.- J41"'1 IlA 1J7'.:z¿: ¡/¿Pl/! / l'vt iz:, ~ý" úé€£) V ~ a.,,~ ANY HAZARDOUS WASTE ON SITE?: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 1L~V41? / ae~~({______:~'2______ Inspector /-- Badge No, White . Environmental Services Yellow . Station Copy -~~---- 6 Pink· Business Copy c ...... )< -- GO~D~N STATE PETERBILtIÞ SiteID: 015-021-001553 Manager : PATRICK MOTLEY Location: 1450 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: '),~~ ~\.~ cJ~ BusPhone: Map : 124 Grid: 08A (661) 833-1700 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:5599 DunnBrad: Emergency Contact PATRICK MOTLEY Business Phone: 24-Hour Phone Pager Phone / Title / GENERAL MANAGER (661) 833-1700x (661) 588-7449x () x Emergency Contact / Title CLINTON JOHNSON / SERV MGR Business Phone: (661) 833-1700x 24-Hour Phone : (661) 392-8343x Pager Phone : () X GOLDEN STATE PETERBILT 1450 S UNION AVE BAKERSFIELD Fire Press React ImmHlth DelHlth Phone: (661) 833-1700x State: CA Zip 93307 Phone: (661) 833-1700x State: CA Zip 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Hazmat Hazards: Contact : MailAddr: 1450 S UNION AVE City BAKERSFIELD Owner Address City Period Preparer: Certif1d: ParcelNo: to Emergency Directives: :¡¡: C:¡;. a: Co «I- .u C,UJ Q,!f ...1'0 «Ç: a:.UJ UJLL C,5(Jj ~ iñ a: w ~ w Co w ~ ¡...; en z w C ..J o ,,~ ~ a.. a: « J: t- ~ ui r-- <D * I cD I C') 0> r-- Ô o 0 ~ IX) 0> <I: U Ò ...J UJ u: C/) a: UJ ~ <I: co UJ ;:;: IX) IX) , z o~ i º oC') I Z r--C') ::> '7~ uj ~(õ o IX)<D I U') ::::x '<t ~Œ ~, t;L.1r:l~{L~ð/J7 Do hereby certify that I have rl~Ni®woo ~Y'B® talttBì©hed hazard©u¡ material~ manage- me~~ ~~~á'D g©f t;../)0~1l..s"¡rmt.~5{'t~/~~ W;th (í'bñè of OO!OOßi) tIP U My oo~Cí(ijoú'ù~ ooUistitute a complete and correct man- asem®rDi! ¡\))~~ú11@r my facility, w&d. ,/' nature 9;;'/l-ó7 Datø -1- 08/13/2003 , ,¡;:. ... - e e ø GOLDEN STATE PETERBILT SiteID: 015-021-001553 Manager : PATRICK MOTLEY Location: 1450 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: BusPhone: Map : 124 Grid: 08A SIC Code:5599 DunnBrad: (661) 833-1700 CommHaz : Moderate FacUnits: 1 AOV: / it Ie / P~O £JYDER Business Phone: (661) 833-1700x 24-Hour Phone : (661) ~ ~074'x sf,;J- r9' Pager Phone : () x ,3 Fire Press React ImmHlth DelHlth Phone: (661) 833-1700x State: CA Zip 93307 Phone: (661) 833-1700x State: CA Zip 93307 TotalASTs: Gal TotalUSTs: = Gal RSs: No Emergency Contact PATRICK MOTLEY Business Phone: 24-Hour Phone : Pager Phone / Title / GENERAL MANAGER (661) 833-1700x (661) 588 -744 9x () x Hazmat Hazards: Contact : MailAddr: 1450 S UNION AVE City BAKERSFIELD Owner Address City GOLDEN STATE PETERBILT 1450 S UNION AVE BAKERSFIELD Period Preparer: Certif1d: to Emergency Directives: f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name." All specHazEPA Hazards \ Frm I DH L P R G F P IH G F DH L F DH L I, ¿~~ he~by certify thai I have r orp ntNlITIe reviewed the attached tümardoos materiaJs manage~ C1()I.DnV ~( jJvT¡,y()9I¿/' ' ment plan for and that It atong wtth (Nali'lÐoi~) any oorrections oom~tiiu~~ a complete and correct man- MOTOR OIL OXYGEN/ACETYLENE TORCH PROPANE TRANSMISSION FLUID WASTE OIL F E E agemeni p~a&1 ~or f1ìQ)~ ~!l©m~. One Unified List 9 Materials at Site 9 DailyMax IUnitlMCP 500,00 GAL Min 620.00 FT3 Hi 36000,00 FT3 Hi 127,00 GAL Low 500,00 GAL Low )... , "-.... 10/31/2002 #~ / / - µ-ð..z. . Da\9 '" ;- ~ e e F GOLDEN STATE PETERBILT f= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-001553 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit NE CORNER OF BLDG Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 1000,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500,00 GAL Daily Average 10,00 GAL %Wt, RS CAS# 100,00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0003 == COMMON NAME / CHEMICAL NAME OXYGEN/ACETYLENE TORCH Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit E SIDE OF BLDG Map: Grid: CAS# STATE - TYPE Gas Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT, PRESS, CYLINDER Largest Container 124,00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 620,00 FT3 Daily Average 124,00 FT3 HAZARDOUS COMP NENTS %Wt. RS CAS# 50,00 Oxygen, Compressed No 7782447 50,00 Acetylene Yes 74862 o TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R / / / Hi HAZARD ASSESSMENTS -2- 10/31/2002 e e F GOLDEN STATE PETERBILT f= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-001553 ì Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit ON THE S SIDE OF YARD Map: Grid: CAS # 74-98-6 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE FIXED PRESS, CYLINDER Largest Container 36000,00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 36000.00 FT3 Daily Average 18000.00 FT3 %wt. I 100,00 Propane HAZARDOUS COMPONENTS ~I CAS # 749861 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit PART DEPT, CENTER N SIDE OF BLDG Map: Grid: CAS# o STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 127,00 GAL Daily Average 1. 00 GAL %Wt. RS CAS # 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARDOUS COMPONENTS HAZARD A E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low SS SS -3- 10/31/2002 e e F GOLDEN STATE PETERBILT p= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001553 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit WHERE IS IT LOCATED????????? Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 500,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500,00 GAL Daily Average 500,00 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 -4- 10/31/2002 e e F GOLDEN STATE PETERBILT I p= Notif,/Evacuation/Medical ~ Agency Notification CALL 911, SiteID: 015-021-001553 9 Fast Format ì Overall Site ì 03/22/19991 05/16/1995 ] 05/16/1995 r=:: Employee Notif./Evacuation EVERYONE REPORTS TO THE N SIDE Public Notif,/Evacuation OF BLDG, EMPLOYEE ESCORTS CUSTOMERS TO N SIDE OF BLDG, Emergency Medical Plan 03/22/1999 ] I CALL 911. -5- 10/31/2002 e e F GOLDEN STATE PETERBILT I f= Mitigation/Prevent/Abatemt ~ Release Prevention PROPANE TANK N/A Containment SiteID: 015-021-001553 ì Fast Format ì Overall Site ì 05/16/1995 ] ] I I 05/16/1995 tARelease I I Clean Up Other Resource Activation -6- 10/31/2002 e e SiteID: 015-021-001553 ì Fast Format ì Overall Site ì I F GOLDEN STATE PETERBILT I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 05/16/1995 A) GAS - NW CORNER B) ELECTRICAL - SE WALL C) WATER - NW CORNER D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec,/Avail, Water 03/22/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, NEAREST FIRE HYDRANT - SW CORNER OF LOT, Building Occupancy Level -7- 10/31/2002 · e e F GOLDEN STATE PETERBILT I F Training Employee Training SiteID: 015-021-001553 ì Fast Format ì Overall Site ì 03/22/2000 WE HAVE 47 EMPLOYEES AT THIS FACILITY, WE DO HAVE MSDS SHEETS ON FILE, BRIEF SUMMARY OF TRAINING PROGRAM: CLASS BY JACK GRIGGS INC WHO INSTALLED TANK, Page 2 r I I Held for Future Use Held for Future Use -8- 10/31/2002 It -- CITY OF BAKERSFlEl..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I<'loor, Bakersfield, CA 93301 FACILITY NAME GoIJt~ $'.f o..+~ ADDRESS l $'0 SV U""IO FACILITY CONTACT C[ ~ ~'^ \fð4.k...S' 0 "'- INSPECTION TIME 02ð ~ìV\.- INSPECTION DATE c¡ - .2' - (j "- PHONE NO. BUSINESS 10 NO. 15-210- DplÇC ~ NUMBER OF EMPLOYEES 50 Section 1: ~outine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate peonit on hand ,/ Business plan contact infoonation accurate / 'See c~O:\ e C; Visible address / îJ Correct occupancy 1/ Verification of inventory materials I . ,/ Verification of quantities Verification of location r/. Proper segregation of material vii Verification of MSDS availability tI Verification of Haz Mat training ../ Verification of abatement supplies and procedures / Emergency procedures adequate V Containers properly labeled ./ Housekeeping ~ Fire Protection r;/ Site Diagram Adequate & On Hand ·v C=Compliance V=Violation Any hazardous waste on site?: Explain: ONo White - Env, Svcs. Yellow - Station Copy Pink - Business Copy ~~ Questions regarding this inspection? Please call us at (661) 326-3979 \. \-- . .' , .;:, - R P" r""' '8 T MAR 2 0 2000 /BÝ: - GOLDEN STATE PETERBILT SiteID: 215-000-001553 : Manager : PATRICK MOTLEY Location: 1450 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: J usPhone: r ap : 124 rid: 08A (661) 833-1700 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:5599 DunnBrad: Emergency Contact / Title Emergency Contact / Title PATRICK MOTLEY / GENERAL MANAGER ARTHUR CORDOVA / PARTS SUPER Business Phone: (661) 833-1700x Business Phone: (661) 833-1700x_ Þ6-~ 24-Hour Phone : (661) 588-7449x 24-Hour Phone : (661) (;:3 ð .3;¿u.tX .2 ()71 Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Period : Preparer: Certif'd: to Phone: (661) 833-1700x State: CA Zip : 93307 Phone: (661) 833-1700x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 1450 S UNION AVE City : BAKERSFIELD Owner Address City GOLDEN STATE PETERBILT : 1450 S UNION AVE : BAKERSFIELD Emergency Directives: i, .¡JJ4fÎ(/cK Øß72,¡rj(DJ© h9i\9Jby C~iii~ ~h~~ ~ htäl"~ , (Ty~ or print name) reviewed the attached hazafdolUl~ mSl~~wilâl~$ manags- c; oj..Dtr~( .$ (1i-q . ment plan 1ou- ,..0 ~~ ~~¿- ~~d ~h~~ ¡~ alcmg wnth any corrsctioW'üs con~~¡~l!~S ~ oomplete IaW'i1Q1 OOrfi'iSct man- agement plan 1ou- my ~c¡iity. ~~3~~ð / ~ 9~ 0 IlJate -1- 02/28/2000 ,,~ e F GOLDEN STATE PETERBILT f= Hazmat Inventory p== Alphabetical Order e SiteID: 215-000-001553 ì By Facility Unit ì Fixed Containers at Site ì specHazEPA Hazards Frm I DailyMax UnitMCP F DH L 10,00 GAL Min E P R G 620,00 FT3 Hi F P IH G 36000,00 FT3 Hi F DH L 127.00 GAL Low Hazmat Common Name", MOTOR OIL OXYGEN/ACETYLENE TORCH PROPANE TRANSMISSION FLUID -2- 02/28/2000 .>~-, ¡ 1 e e F GOLDEN STATE PETERBILT f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 215-000-001553 ì Facility Unit: Fixed Containers at Site 1 Days On Site 365 Location within this Facility Unit NE CORNER OF BLDG Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 5 DO r:ß /-. ,~GAL HAZARDOUS AMOUNTS AT THIS LOCATION Daily Maximum 10,00 GAL Daily Average 10.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME OXYGEN/ACETYLENE TORCH Facility Unit: Fixed Containers at Site 1 Days On Site 365 Location within this Facility Unit E SIDE OF BLDG Map: Grid: CAS # STATE - TYPE Gas Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT, PRESS. CYLINDER Largest Container 124,00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 620,00 FT3 Daily Average 124.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 50.00 Oxygen, Compressed No 7782447 50.00 Acetylene Yes 74862 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R / / / Hi -3- 02/28/2000 ~ 5-- e e F GOLDEN STATE PETERBILT f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME PROPANE SiteID: 215-000-001553 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit ON THE S SIDE OF YARD Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 36000,00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 36000,00 FT3 Daily Average 18000,00 FT3 ~Wt I l~O,ÖO Propane HAZARDOUS COMPONENTS ~ CAS # 749861 HAZ A E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ARD SS SS f= Inventory Item 0004 Facility Unit: Fixed Containers at Site ì = COMMON NAME / CHEMI CAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit PART DEPT, CENTER N SIDE OF BLDG Map: Grid: CAS # o STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 127,00 GAL Daily Average 1. 00 GAL HAZ U %Wt, RS CAS # 100,00 Transmission Fluid (Petroleum-Based) No 0 ARDO S COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 02/28/2000 - -\ \ (f~~" . . ~ e e Employee Notif,/Evacuation SiteID: 215-000-001553 1 Fast Format 1 Overall Site 1 03/22/1999 ] 05/16/1995 F GOLDEN STATE PETERBILT I p= Notif,/Evacuation/Medical r=: Agency Notification L:ALL 911, EVERYONE REPORTS TO THE N SIDE OF BLDG, Public Notif,/Evacuation 05/16/1995 EMPLOYEE ESCORTS CUSTOMERS TO N SIDE OF BLDG, Emergency Medical Plan 03/22/1999 ] I CALL 911. -5- 02/28/2000 r-+'''' -.., e e F GOLDEN STATE PETERBILT I p= Mitigation/Prevent/Abatemt r=: Release Prevention L:ROPANE TANK N/A SiteID: 215-000-001553 ì Fast Format ì Overall Site ì 05/16/19951 1 I I 05/16/1995 ¡:ARelease I I Containment Clean Up Other Resource Activation -6- 02/28/2000 -.~ --~~ .. e e ~ F GOLDEN STATE PETERBILT I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-001553 ì Fast Format ì Overall Site ì I 05/16/1995 A) GAS - NW CORNER B) ELECTRICAL - SE WALL C) WATER - NW CORNER D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec,/Avail, Water 05/16/1995 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS NEAREST FIRE HYDRANT - ?????????????? s/ u/ CofCf'/I:?K t9Þ þtJr Building Occupancy Level -7- 02/28/2000 () ;_'f¡ . "':-;-, .; . .. e e '", F GOLDEN STATE PETERBILT I F Training Employee Training WE HAVE ~ EMPLOYEES AT THIS FACILITY. WE DO ~VE MSDS SHEETS ON FILE, SiteID: 215-000-001553 1 Fast Format =¡ Overall Site =¡ 03/22/1999 £17 BRIEF SUMMARY OF TRAINING PROGRAM: CLASS BY JACK GRIGGS INC WHO INSTALLED TANK, Page 2 r I I Held for Future Use Held for Future Use -8- 02/28/2000 \ -- ~<: CUST-..pe & NO. C:-J - ~~ L MISCELLANEOUS RECEIVABLES ADJUSTMENT - DATE3-/~ -:t1 NEW ACCOUNT I I ADDRESS CHANGB CLOSE ACCT I : FINANCE CHARGE I . OTHER ADJ V / P eJ-L\'a~ \ T MAILING ADDRESS \ <-\ SJ:) -5 CllY ß.~U~~,,\ L \d\ STATE CUSTOMER NAME ~~O(\ ~,,~ C;À- ZIP CODe q~~7 SITE ADDRESS PARCEL NUMBEA (lFAPPUCABLE) ADJUSTMENT I R~~~S:'Õ3:'; ~6 ~ùrcba~~ joJ\J,\I~ APPROVED BY <:;7¿¡!¡-lj¿j- r ,'1'- ~ " .', " :, 'i; - .... e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATEmALS UOŒNTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME SITE ADDRESS GOLDEN STATE PETERBILT 1450 South Union Ave, Bakersfield, CA 93307 FACILITY NAME CITY STATE ZiP ~ _) 7i:tlCK: f; i41-¿,rç ~ ,ç 6?('///;,r / ~!i/I/¿/ l DUN & BRADSTREET NUMBER NATURE OF BUSINESS SIC CODE \. ç S / I OWNE~ßTþI;t' Ø>l2ÞY PHONE FoPg"33-/7cJÒ MAILING ADDRESS S J1)1t¿.r Þfs;: dfil1 J//. CITY STATE ZIP EMERGENCY CONTACTS NAMEJ,T,J(;(Á' )%zzä. BUSINESS PHONE g ~:$ -( 7 CJ Ò TITLE C tYl-/ J1l G fi: 24HOURPHONE S-t"cr-70/,P' NAME TITLE BUSINESS PHONE 24 HOUR PHONE 1 i 0' .. ,~ ~. \II ~OUS MATERIALS INVEN6y . Page_of_ Business Name Address CHENDCALDESC~ON 1) INVENTORY STA111S: New [ ] Addition f. 1.Revision Deletion [ ] Check ifchemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) OOT # (optional) ... Chemical Name: ,lJ.1d ÍÍJ jf ð / ¿ AHM [ ] CAS # 4) Physical & Health PHYSICAL HEAL IH Hazard Categories Fire [ ] Reactive [ J Sudden Release of Pressure [ J Immediate Health (Acute) [ J Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE .~ 2 6 6) PHYSICAL STATE Solid [ Liquid ~ Gas [ ] Pure [ Mixture [ ] Waste [ J Radioactive [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount It? h#¿ Lbs [ J Gal [>LJ ft3 [ J a) Container: !) t. Average Daily Amount i /) GI'I 1- Curies [ J b) Pressure: Annual Amount ;;U-j /) /') (;/f ¿. c) Temperature Largest Size Container -S S- f)i'¡iï?1 ~ # Days on Site :::f t, Š-- Circle Which Months: / ðJ, F, M. A. M. J, J, A. S, 0, N, D 9) MIXTURE: List COMPONENT CAS# % wr AHM the three most hazardous 1) [ J chemical components or 2) [ J any AHM components 3) [ J lO)LOCATION Iì!Ol2rH ~ftSr Co~¡/81? of J1u/LO//\/C;; 1) INVENTORY STA 111S: New [ J Addition r, tRevision [)QEeletion [ Check if chemical is a NON Trade Secret [ J Trade Secret [ J 2) Common Name: {);x'ycPl'l (t/ /!-fðß7ýILrNB 3)OOT#(optional) Chemical Name: IJ [l1!rT7 / A'71/ ~ AHM [ J CAS # 4) Physical & Health PHYSICAL REALIH Hazard Categories Fire [ J Reactive [ J Sudden Release of Pressure [ J Immediate Health (Acute) [ J Delayed Health (Chronic) [ 6) PHYSICAL STATE Liquid [ Gas ['fl- USE CODE :if i;< Mixture [ J Waste [ J Radioactive [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) Solid [ Pure [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount ê) Lbs [j Gal [ J ft3 Lþ(J a) Container: . Average Daily Amount ¿? Curies [ J b) Pressure: IJ J/ Annual Amount 0 20 cr~rl c) Temperature Largest Size Container / óZ 'i ~-<rÎ ~T # Days on Site :::rt"s- Circle Which Months: ~~, F,M.A. M, J, J,A. S, 0, N, D 9) MIXTURE: List COMPONENT CAS# % wr AHM the three most hazardous 1) [ J chemical components or 2) [ J any AHM components 3) [ ] . lO)L,QCATION , ,10¡() rJt;ALg'" /i:rlýkÇ /!l/J"c.-r,l.. Y LO£7.#7Ãr'/1 ðfi~Ç /f)~ðEAL.oG, I certify under penalty of law, that I have personally examined and am familiar with th~e info 'this and all attached documents. I beli e the submitted information is true, accurate and complete. ~ 7íé¡eIC ~ð7Z~ I'. '" 3-c?'-9ý' PRINT Name 8< Title of Authoriud Company Representative -.>'$'( ( SIgnature " Dote --- , ~r... HAPOUS MATERIALS INVENTOI Address Business Name CHEMICAL DESCRIPTION Page_of_ I) INVENTORY STATUS~Ãcßìtiõn [ 'cal is a NON Trade Secret [ ] Trade Secret [ 1 T II (optional) 2) Common Name: Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 9)~: Li& the three most hazardous 1 ) chemical components or 2) any AHM components 3) lO)LOCATIO~ / . / ) /::!E.Jea l)¡f/--orl (!~7&v£ NI'J/{J;H- S/~ é)ç XLDG. 1) INVENTORY STATUS: New [ ] ~ddition [ ] Revision [ ] Deletion [ ] Check ifChemical~S a NON T: Secret [ 5) WASTE CLASSIFICATION (3-digit code ti'om DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Liquid [~ Gas [ ] Pure [ 7) AMOUNf AND TIME AT FACILITY UNITS OF MEASURE Maximum Daily Amount Lbs [ ] Gal [~] ft3 [ ] Average Daily Amount Curies [ ] Annual Amount / ~ 7.6n É.. ¡,5;.ðt. t'J Largest Size Container / ,. G 1'1 ¡!... # Days on Site $.. t, ç-- Circle Which Months: COMPONENT USE CODE /.j -S-- Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE COD~ a) Container: / tJ b) Pressure: c) Temperatme ~M,A.M,J,J,A.S,O,N,D CAS# % wr AHM [ ] [ ] [ ] 2) Common Name: 3) DOT II (optional) ] Trade Secret [ ] Chemical Name: AHM [ ] 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-digit code ti'om DHS Foml8022) 6) PHYSICAL STATE Liquid [ Gas [ ] Pure [ Solid [ 7) AMOUNf AND TIME AT FACILITY Maximum Daily Amount A verage Daily Amount Annual Amount Largest Size Container II Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9) MIXTURE: Li& the three most hazardous 1 ) chemical components or 2) any AHM components 3) COMPONENT lO)LOCA TION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container. b) Pressure: c ) Temperature All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS# %wr AHM [ ] [ ] [ ] I certify WIder penalty of law, that I have personally examined and am tàmiliar with the intòrmation on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date ~-' ~ous MATERIALS INVENT. Business Name Address CHEN.UCALDESC~ON . Page_of_ 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ifchcmical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 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) WASTE CLASSIFICATION (3-digit code ftom DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pme[ 7) AMOUNT AND TIME AT FACn.ITY Maximwn Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous 1 ) chemical components or 2) any ARM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS## %wr AHM ( ] [ ] [ ] lO)LOCA TION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 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) WASTE CLASSIFICATION (3-digit code ftom DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid ( Gas [ ] Pme[ 7) AMOUNT AND TIME AT F ACn.ITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container II Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[] Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous 1 ) chemical components or 2) any ARM components 3) COMPONENT I O)LOCA TION USE CODE Mixture [ ] Waste ( ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS# %wr AHM [ ] [ ] [ ] I certify under penalty of law, that I have personally examined and am tàmiliar with the information on this and all attached documt:nts. I believe the subnútted infonnation is true, accurate and complete, PRINT Name & Title of Authorized Company Representative Signature Date ,- ¡, e e GOLDEN STATE PETERBILT SiteID: 215-000-001553 Manager : Location: 1450 S UNION AVE City BAKERSFIELD BusPhone: Map : 124 Grid: 08A (80S) 833-1700 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:5599 DunnBrad: Emergency Contact / Title Emergency Contact / Title PATRICK MOTLEY / GENERAL MANAGER ARTHUR CORDOVA / PARTS SUPER Business Phone: (80S) 833-1700x Business Phone: (80S) 833-1700x 24-Hour Phone : (80S) 636-3200x 24-Hour Phone : (80S) 636-3201x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - x MailAddr: 1450 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner Phone: (80S) 833-1700x Address : 1450 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 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 p== As Designated Order Hazmat Common Name", SpecHaz EPA Hazards DailyMax MCP PROPANE F P IH I, 1131í<' ¿¡'f J1t.rL.~L_ 00 hereby certiÝ\J that I hav"" (YYP3 or prom ndnml .". .:¡ "" rs~iswoo ~hiS ªtlachsd hazardous ma~erials manag~~ C;oLf)81I\.i s:?f1-ff MŒJkîR piauìJ ~@Ir ,1U;~éŠfjj~ ®fi'i©J ~~ åß tIDi())U'!g with My ©@lrr®©i1i@!iî$ OOú1$t¡~I!Jß~ ~ oomp~a~~ ~U'i©J oow~<C~ man- ~®ffi@fi'i~ lº'~~!iî ~©Ir Ml1 Wooñ~ö1ìSf. G 36000 FT3 Hi -.?-.P~/¿ Oats -1- 02/18/1999 e e F GOLDEN STATE PETERBILT p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 215-000-001553 ì Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit ON THE S SIDE OF YARD Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 36000,00 FT3 Daily Average 18000,00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Propane No 74986 HAZARD AS ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi S -2- 02/18/1999 e e Employee Notif./Evacuation SiteID: 215-000-001553 9 Fast Format ì Overall Site ì 05/16/19951 05/16/1995 F GOLDEN STATE PETERBILT I p= Notif,/Evacuation/Medical r=: Agency Notification CALL 911 EVERYONE REPORTS TO THE N SIDE OF BLDG, Public Notif./Evacuation 05/16/1995 EMPLOYEE ESCORTS CUSTOMERS TO N SIDE OF BLDG. Emergency Medical Plan 05/16/19951 I CALL 911 -3- 02/18/1999 .. e e F GOLDEN STATE PETERBILT I p= Mitigation/Prevent/Abatemt r=: Release Prevention L:ROPANE TANK N/A Containment SiteID: 215-000-001553 9 Fast Format ì Overall Site ì 05/16/19951 ] I I 05/16/1995 tARelease I I Clean Up Other Resource Activation -4- 02/18/1999 , . e e SiteID: 215-000-001553 ì Fast Format ì Overall Site ì I F GOLDEN STATE PETERBILT I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs 05/16/1995 A) GAS - NW CORNER B) ELECTRICAL - SE WALL C) WATER - NW CORNER D) SPECIAL - NONE E) LOCK BOX - NO Fire protec./Avail, Water 05/16/1995 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS NEAREST FIRE HYDRANT - ?????????????? Building Occupancy Level -5- 02/18/1999 ~, ~ , ~ e e í GOLDEN STATE PETERBILT ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001553 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/16/1995 ¡ o .~ 0 : WE HAVE~ EMPLOYEES AT THIS FACILITY. o WE DO HAVE MSDS SHEETS ON FILE, o o o o o o BRIEF SUMMARY OF TRAINING PROGRAM: o TANK, CLASS BY JACK GRIGGS, INC, WHO INSTALLED 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf - t . " ~ :~"Q v· ¡''' \ ~.. . .- BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVE: BAKERSFIELD, CA. 93301 r'?~~ HAZARDOUS MATERIALS MANAGEMENT PLAN (D ~ (S"5' 3 q.(¿j ~ INSTRUCTIONS: ~ ' C!..øcQ¿ 3 .,,- 1. To avoid further action. return this form within 30 days of receipt. . . 2. TYPE/PRINT ANSWERS IN ENGLISH. FQQ. Gv- /"0 3, Answer the Questions below for the business as a whole. 4. Be brief and concise as possible. I g.t.f Df(Æ SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~,~GOLDEN STATE PETERBILT LOCATION: 1450 SOUTH UNION AVENUE BAKERSFIELD, CA 93307 MAILING ADDRESS: SAME AS ABOVE CITY: BAKERSFIELD STATE: ~ ZIP: 93307 PHONE 833-1700 DUN & BRADSTREET NUMBER: N/A SIC CODE: 1553 PRIMARY ACTIVITY: NEW/USED HEAVY DUTY EQUIP., PARTS, SALES OWNER: E. M. THARP INC. MAILING ADDRESS: 15243 ROAD 192 PORTERVILE; CA 93257 SECTION 2: EMERGENCY NOTIFICATION: CONTACT ïlTLE BUS. PHONE 24 HR. PHONE' 1 . PA'T'RTCK MOTLEY GENERAL MANAGER 833-1700 636-3200 " . 2. ARTHUR CORDOVA PARTS SUPERVISOR 833-1700 636-3201 ~ - --...--'''- e ~ e , <. 't ' " . ........ ..i,~ .- '"" " ~, '. . ~; -: Bakersfield Fire Dept. 4trazardous Materials Division e HAZARDOUS MATERIALS MANAGEMENT PLAN " . ¡ ... ~~ ' ~;:- \ ';". " >.¡;.{ . SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ii; 8 " MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: CLASS BY JACK GRIGGS, INC. WHO INSTALLEDrTàNK. SEcnON 4: EXEMPTtON REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THA r MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: ~~ ,- n WE DO NOT HANDLE HAZARDOUS MATERIALS. ) WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEëD THE MINIMUM REPORTING QUANTITIES. OíHER,.(SPEC!FY REf\SON) ,/' SECTION 5: CERTIFICATION: \, PATRICK MOTLEY CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE, I UNDERSTAND THAT THIS 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 Al.) AND THÂT INACCUR E INFORMATION CONSTITUTES PERJURY, GENERAL MANAGER TITLE 4/13/95 DATE ........ _. ') ... ¡-'O" . f/>":.:;¡" .. " \ '. ... e Bakersfi~ld Fire Dept. e' Hazardous Materials Division ,;;; . '"' . ~ .. -..... . =r .' ''''~''" .I HAZARDOUS. MATERIALS MANAGEMENT PLAN Facility Unit Name: GOLDEN STATE PETERBILT SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: " CALL 911 B. EMPLOYE:: NOTIFICATION AND EVACUATION: EVERYONE REPORTS TO THE NORTH SIDE OF BUILDING C. PUBLIC EVACUATION: EMPLOYEE ESCORTS CUSTOMERS TO NORTH SIDE OF BUILDING D. EMERGENCY MEDICAL PLAN: CALL 911 'J ·, .. e Bakersfield Fire Dept. e Hazardous Materials Division . '...~.-:.... ... ':;,.- ¡- ,.. . .....C" ~ ..,,.;''-. .... I '-¡: ., ...... ... HAZARDO'US MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: PROPANE TANK N/A S. RELEASE CONTAINMENT AND/OR MINIMIZATION: N/A C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILlTY): NATURAL GAS/PROPANE: NOR'T'H WRS'T' CORDIER ELECTRICAL: SOTJ'T'H R)I.~'T' WàLL WATER: NORTH WR~'T' ('O-gNER SPEClAL: LOCK BOX: YES/NO IF YES. LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A. PRIVATE FIRE PROT/ECTION: FIRE EXTINGUISHER B. WATER AVAILABIUTY (FIRE HYDRANT): YES ;7 § '1 ¡:. '. " ~ .. t' ..., ~('/ .,' . BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 1715 CHESTER ÆV[~ BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN (D ~ (S"'S-.3 ~ INSiRUCTIONS: 1 . io avoid further action. return this form within 30 days of receipt. 2. TYPE/PRINi ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~m.nRN STATE PETERBILT LOCAiION: 1450 SOUTH UNION AVENUE MAILING ADDRESS: CITY: 'All KRRSFTRT.n STATE: ~ ZIP:93307 PHONE: 833-1700 DUN & BRADSTREET NUMBER: N/A SIC CODE: 1553 PRIMARY ACTIVITY: NEW/TT~Rn HRlIVY nITTY RQITTP.. PARTS. SALES OWNER: E.M. THARP INC. MAILING ADDRESS: 15243 ROAD 192 PORTERVILLE CA 93257 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE l. PATRICK MOTLEY GENERAL MANAGER 833-1700 636-3200 2. ARTHUR CORDOVA PARTS SUPERVISOR 833-1700 636-3201 .~. . . . Bakersfield Fire Dept. e eazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN !J ..... I "'_ ....r . (" ....'" r . '';' ~ ..3-:= .. ' .. " SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 8 MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: CALSS BY JACK GRIGGS, INC. WHO INSTALLED TANK. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAíMY BUSINESS IS EXEMPT FROM THE REPORTfNG REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: XXXXXX WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TiMEEXCEE:D THE MINIMUM REPORTfNG QUANTlTfES. OTHER (SPECIFY REi\SON) SECTION 5: CERTIFICATION: I, PATRICK MOTLEY CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE, I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFilL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFEïY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC, 25500 ET AL,) AND THÄT INAC RATE INFORMATION CONSTITUTES PERJURY, TITLE 4/13/95 DATE GENERAL MANAGER ') , / / BAKERSElELD CITY FIRE DEPABTMEr+T· HAZAous MATERIALS INVENtlRY . . Page_of_ . . '" / . ¡; .."- '. 3usir)éss Name GOLDEN STATE PETERBILT Address 1450 SOUTH UNTON AVF. BAKERSFIELD CA - . , ; - ' . ...- ,., ~.~. CHEMICAL DESCRIPTION ...."'. . , 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion ( ] Check if chemiCIIIls a NON TRADE SECRET ( J 'TRAŒ SECRET ( ] 2) Common Name: PROPANF. 'T'ANK 3) COT # (opCIonat), ' Chemicai Name: PROPANE AHM [ ) CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire (~ Reactive ( ) Sudden Release of Pressure [ ] Immediate Health (Acute) I ) Delayed HMIIh (Chronic) I ) 5) WASTE CLASSIFICATION - (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas :Ie] Pure :Ie] Mixture [ ] Weste I) RacIIoectiw ( ] CJ.IfC1( ALl ru,u APPl r 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE ~ 8) STORAGE CODES Maximum Daily Amount: ...3~ ao :00 [ ] gaJ [ ft3 a) Container: OÆ Average Daily Amount: ' OC!C) curies [ ] b) .l;'ressure: . 4 Annual Amount: ~oz:::t::? c)' Temperature: Largest Size Container: . a? # Days On Site 365 Circle Which Months: All Year. J, F. M. A. M, J. J. A. S. O. N. D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) PROPAÞJE [ ) chemicaJ components or any AHM components 2) [ ] 3) [ ] 10) Location 1450 SOUTH UNION AVE BAKERSFIELD C"A Q1107 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New! ] Addition [ ] Revision ( ] Deletion [ ] Check if chemicai is a NON TRADE SECRET I ) TRADE SECRET [ ) 2) Common Name: 3) DOT # (optional) ChemicaJ Name: AHM I) CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ 1 Sudden Release of Pressure [ ] Immediate Health (Acute) I ) Delayed HeeIth (Chronic) I ] 5) WASTE CLASSIFICATlON (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ) Mixture [ ) Weste I) RadioectMt ( ] ':NECJ( A.U THAr APPt. Y 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES MaxImum Daily Amount: ibs [ ] gaJ [ ] ft3 [ ] a) Container: Average Daily Amount: cunes [ ] b) Pressure: AnnuaJ Amount: c) Temperature: Largest Size Container: 1/ Days On Site Circle Which Months: All Year. J. F. M. A. M. J. J. A. S. O. N. D , MIXTURE: Ust COMPONENT CAS # %WT AHM :he three most hazardous 1) [ ] chemlcaJ components or any AHM components "2) [ ) 3) [ I 10) Location /I cerofy unaer penalty of law, that I have personalTy exammeo ana am tamlllar WIth the mtomatlon s I ~ ai/7°Cuments. I believe the vbmitted information is true, accuf8te, and complete. ð / ~.I'~./ PA'T'RH~K MO'T'T.F.Y ~Rl\TRTnL MANAe'ER .///// "//ff-' 4/13/95 RINT Name & Title of Authorized Company Representative / Sig1fáture"''' ~ PJ7 Date ..... LJIIII:"'AfIDIIIII)RJW ø__'~ ·r. BAKEBS"LD CITY FIRE DEPA.r;ltENr~~~' HAZARDOUS MATERIALS INVENTORY' ~ ---. '." """ .:- . , Page~af~ =r¡. :usiness Name Address '- ..-.. .. ~'-::.; ....:;;;,..:>.;:..~ CHEMICAL DESCRIPTION 'r~ . 1) INVENTORY STA1\JS: N_ ( J Addition ( J Revision ( ) Deletion ( ) Check if chemiclll is . NON TRADE SECREr· [ , ) Í'RADE SECRET [ ) 2) Common Name: 3) DOT II (opCioMl) Chemical Name: AHM ( ) CAS II 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire I J Reactive ( ] Sudden Release of Pressure [ I Immediate Health (Acute) ( ) Deray.d Hea/Ih (Chronic) ( ] 5) WASTE CLASSIFlCATlON (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid I] Uquid I ] Gas I ] Pure I) Mixture ( ) Wat. [ ) RIIIÜOIICtiW ( ) r:HECX AU.. mAT APPlY 7) AMOUNT AND TlME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ] gal I ] ft3 I ] a) Container: Average Daily Amount: curies [ ) b) Pressure: Annuai Amount: c) Tempentture: Largest Size Container: # Days On Site Circle Which Months: All YefJI. J. F, M. A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust COMPONENT CAS;! %wr AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ) 3) [ ] 1 0) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New I I Addition ( ] Revision [ ] Deletion ( J Check if chemical is a NON TRACE SECRET ( ] TRADE SECRET ( ] 2) Common Name: 3) DOT;! (optionai) Chemical Name: AHM ( ] CAS;! 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive ( ] Sudden Release of Pressure [ I Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATlON (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid I ] Uquid I ) Gas [ ] Pure I ] Mixture [ ] Waste [ ] Radioactive ( ] CUEOPJ..1.. mAr APPlY 7) AMOUNT AND TlME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES MUlmum Daily Amount: 100 ( 1 gal [ ] ft3 [ ] a) Container: Average Daily Amount: curies I ] b) Pressure: Annuai Amount: c) Tempentture: Largest Size Container: # Days On Site Circle Which Months: All YefJI. J. F. M. A. M. J. J. A. S. O. N. 0 9) MIXTURE: Ust COMPONENT CAS;! %wr AHM the three most hazardous 1 ) [ ) chemical components or any AHM components 2) [ ) 3) [ ] 1 0) Location :eroty unoer penalty ot law, trial I have personallyexamm8Ø anO am familiar With the mtomaøon submitted on this end 1111 attIIched ctocumenta. I Del/eve tile bmitted information is true, accuIBte, and complete. liNT Name & Title of Authorized Company Representative Signature DaN