The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN Per It Operil.te to Hazardous Materials/Hazardous Waste Unified Permit . , CONDITIONS OF PERMIT ON REVERSE SIDE This oermit is issued for the following: £iJ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-001243 {.:. , : p""1 '. ; , MA TTS PAINT & BODY SHOP ~4~'r, l;:,""j),."",,,'" ..t')/' '", ....j}>·,r'ç'1~~: LOCATION: 1616 V ST l',\/~ "!3'f:KERS'FIE'LO l~ ~'/~"~\'¡j" /; ,., (:to" - 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 \ \ g \ I'~-/ m ~ 10 i W ill \ \ \ \ ~ v / " ,- ... '''0 V Q .'" ')0 "1 I ' 06'" // '. \, .1 / .I () f-'-F¿')jµ¿ ffTY ~t.!N'~: DJV MðJ)¡t-£ C;A~rs " \. 1;\] Shof¿' ~ Q " .,Q ,..1 Jjj __"'" _ ,J~ . .. .Q. r¡:] " >-, .'-0" ":---=~~ t.iJ GJ0 , ~~ \ i I J - . ..1 --~. . ,. . '.... _. I ¡ I I ¡ ¡ I . s.: ¡ .. I i -J J I t Ì' '\ ·~t!:~~- .~ ~ ' , . .._.. \-.: -... . ---- I "):' ..... ..------- .~ I \ , .~.._.._~._, .. ....- ..-..,-.., ----.--.-.. . --!-. .._~~-~,~......~- ~=~-'Z"~:.~ -..'2~--··~'..- ,¡,;s.- ..----.. .-..-. , :>-. \\ . ".~ -' 'UJ \ .. _._,._.~..._- ~ ' .. ~ '~-i -"'-"-k--"'~- \ ¡ ,. : ...--..~,~,._'--= ' \ ' , . .'"t'.,-;- \ . ..~-~_. ·LL. . 'w ........ - _. .. -- -. _.._, ... "0- :0 .. .-..- ..--.-.....- ...-....,..... .-.-, .- . ,- - -.--.. .. .., . .. .-...- -...--.... - . .- t).r:fJC~'__f""__' _~ '. ..T---. -1- /. . .... ... ..~ . -; ¡tHey --...' -.{I;JJ. :.. ._-~ --. .-........ --. .... .- _.. . ..... -.., ...... . -;--- ....~ ....... ...-. ... - ·.·.._.........w ; ~'~,.~ "Do.... . ~ . -.. .. -..- -.-.----- .. . - r"~ . ... - .. -- -, . I ~ t I , . , , , 'n ... . ,_ .,..' ~._.. ,....~. . ___.,. _ _.. ..... .p.. ... . .~,- . . -.--.. ...-. ..-. . _._._.a--_ ---\. \ ......--\ . . ':I± 5hop 1.. ,Q.e~:JÖ'\c:..t..- ,~"~~"'C.e ...... -..--- . , . --..-. :> '?~;')t~J,)¡'1"eîA~cJ"<.~r sL J",\ ì); r>"- - "'---"' . F'112.E: l-IYo , ---.--- Y?t,; - .," .... . Per it Operate to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ..it~ardous Materials Plan ··""'~tground Storage of Hazardous Materials agement Program . Waste 1616 PERMIT ID# 015-02H)01243 MATTS PAINT & BODY SHOP LOCATION I.. Issued by: v Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, . , . ffice of ental Servi es . Approved by: Expiration Date: June 30, 2000 I ~ :---:=j-'¡ ~T~f-¡-~~î=t=-T~1~9-p~j{:lf-§di~-L~l-t-itl-t-,-1 l-=rf· 1- ¡~ r [- TV ~~ -~ T-¡ :-j-í ~f1'0 '~T 1--1 d,--r I-T'. r-r--T--i' ¡-i- - -í - ¡--I ~- -:----:'-- ~ ~-j- --~,-+ -~H-t-1LIðTd1d~ --k t-..: j +---1' -j -I---f- : -~--1--I---.L-t-~---1 -'-l-r-I 1- '--~ - ...ttWd -I--~- ~-j f ,~¿¡,¡r4ç:-\<!?, !1i~lr. -~l) f>1 ~ --LI'--+--I----+J! - -tl-J-¡---f---i -- --:-- : ,I, I ' , , I ; I I ' ' " 'it ' -, -1- - -- - r' ~-- - -r---1--;,o -¿--r--I - --- -- - - -- ------,---f---c- - :- - - -:--- -, - - -'81-- ¡-----!---t 1--[ r- ¡ -- -¡' f- -¡ j I -; -,- --~ i- --, - r -- - ï - _H -¡-r--r--: L__ - ; -- t--- ~J -~- ---I --i- -~ --- - -----j" -T - i - ¡ - -+- -t- ! --r--~ --j-r - - _or --- -+-t--;I : ' 1)', @1(\1,,'!i 01 I! I, ,x.~);-~ ')1c--ffTUL.ßN¿:r i ! -- -;- - -I- -- ..¿, ¡ - - -..J-- L:)t'- flfo-"- J -f- - =4 ---t-- ,1r - -t - t I -or --~ - : - .. - --t -- -- - --¡--t----¡- --- 't--- - - i+ -1 - ~ - -1 ¡ j" ¡ II t ,- - ,I - i +t+ ~ -11 --- - ¡ --, - "-~"-, U¡-r}¡iT ~- -~ -1 ~- -"-rrt- -l [! l-~it-~l r ~ ~ :'t-l1-~, - ¡ - r i--~-I-i'~ I~ "-*-1' ---i- :T'~--f' i-~ -{----¡ -~r---i-i- ---I -1-i- U T _ j- - --j 7 --!-T G1- I ~ ¡ - , r--j -,-~ -tt--Iu~ iT : m, -¡-~--:-- mi-! 1 ~ -T-' ~j ,'-T --i-+-i--11rr-¡L -i -¡ -r- --~-1-1--- - - - -L-J - ¡-'- e( - r ¡ 1 ,'-'-'i--~" -i---1 -t---¡'- [ -T -¡-i-- r -- --j''-'---r--¡ 1--1- -t--- U-!.t ;:- t + ~ +,111 -1':rl -LI_ i:-It-I,U!" 1+-j'r1-j' -- -:-(;s--¡.------t-- t-l t'--r -'1 ¡ -I -1-- Î~-'---)--i -1---- -t- +--~--: - r --¡-- --~.-. -j -t--;---:-- .;.-c I ìW1 I ; I I I- I I ,I I I' " I I , I : I I : , Ii: -- ---vr -¡~-'T -;- 1 1 -1-1--¡- -ï--l---~ '--r---...--t,·--1--¡-- _1"; ¡--ì---; --1--r-'r---r-,r- -r ¡-- n , C. - - ¡, -.'-- ~'- -- , - ï ..¡ -f ¡ - T -- ,- T' - f''') -. ¡ : i - - -- -t-- r -i---: -- -r --t --:- -j- - r- ,-- -- - - 7-- - - t --~- - j- --of 1- i I ¡ i Iþ~I'4- - H J-,-t -I ~--f ¡ j- f-i ,_,_L - --~ - -r--' -t--l -,j 'i -'t ~ - -1- -¡_·-j---1- - -I- + ---;---r-~---- -¡'-Of -J--t---~h --I -+-1 -- - ,------ -i - r n_ t - ¡ - - "1 r _1- -·t-~- -- I --- -, ;-- +1 -..- ~ --~- - ---j i- -~--t--+- f-r--~-- , ' I I , _ I I I I' 1\ i I n -7-, I ; ! j I I I¡ - j II ; I \ I , I' J '¡ I . t" -. I ';- - ¡-¡ ---:---+_.-~. 't. IHt~- '!' - . - ¡- J -, ./' -"',' - .of I -- t- ~ t¡ t· --I ,-- t'- I - --I I - f '-¡-I- , ' I ' ,-- l¡ , I I ~ , I' I I; !,.,'! 1=- =1 + f -t mm-ll , !' ,j ." !. i -rl~ i-:¡-j-i . ., J +H _1-+++ :~ '. -- '., --t--I ,., -- -- --+--1--' -r- ¡ -i-i --~--1-r--¡-- --~--r-t ¡-. i.·-i---j -r-i-i'-- - ,¡ -f ¡ t II ,1,/ -- -I -Imt -j. -- --·11 -- ~ - ·f-- -- -f--- t-~---~---t J-- -------t - i-~ !-__I_L__t,_.___ ..-I t'¡--'-I ¡)----,I:-IJf+HI-+-~ - ---- - ~ - - J. -L-+--t' -J--1- - - - '-- f·1 _.1._ -- ,-l. - -~ - --1- - -~-~ ~QJ;--_..I - - I_i. ---I ,~-- _ _1_ , !: Iiì '& d.e... j Q.II ¡;¡±..,¡ ¡¡I: ,iJ :e.'! ! !"-- ¡---- l' : ¡Ke~\ fe", l '" l·,-.)~D,&>-..Lr- -- -----l'---í-- tl\fr¡-1--~-r-- -:-. t - -r--- [' _if - f -- 1-, -- --.- - - t-- J--- ¡ ¡l' t - ['-l- -'--r- ~ -~rt-+I ,¡ - ir ¡-~r~-, --; --- . ---I ~-jf'~lTI' -¡Ffl- -··'I--I-I-rtrlu~rT:r~T~/:~C<Ar¡'_ --- --, - --I -I' -T -¡'- ,I_--/f-'- -+- 'f··-r sLJi;"'l-~c~~ .'. -.-- '--.-~-~~1~r~~[J'-1 - r·-!- , I. I . '.. I , I . - --: -I I 1, 'I ¡ 1 I il '~~=¡ -;--:: f - - ------¡--r -: ¡ _1 -,: ~ - --l--¡-'1- r-' i- 1 ---J' +1- -r ..[ - f . .- \~ -f---r --i--.t- i--+ --r-"---¡-- ¡---j- 'I :---1--:--+ -+--- --[,;.,-;- -r--:-":' ~ - . - '1-" -, - r-- ---1- ~--~.-- -I ~ +-l, ï~-r-J·-~---+-- -~ -+ -~ -:____+_ I ¡ I ¡ I ¡ ! ¡ I . ¡ ¡ : I 1 : I ¡ ! : I ¡ j ¡ ¡ I _,_-:"""õ~"" . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301 FACILITYNAME/VJATTS ?AtNT 2\ ßo~y INSPECTION DATE 10 I/Ç!d3 ADDRESS tG.>f(P \r ~ r. PHONE NO. 2.;2 ":? - 8' 8'8 c> FACILITY ONTACTPG: ""I :;;;I1è./.h'VJo BUSINESS ID NO. 15-210- 00 I 'Z.. <-I '3. INSPECTION TIME fY. D Y'h í,J NUMBER OF EMPLOYEES-.3 Section I: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection _. OPERA TION C V COMMENTS Appropriate penn it on hand t/' Business plan contact infonnation accurate Iv Visible address v Correct occupancy ./ Verification of inventory materials V Verification of quantities v Verification of location /' Proper segregation of material v Verification of MSDS availability ../ Verification of Haz Mat training \ Iv' lð -.2ð "'ð3 Veri fication of abatement supplies and procedures V ~d- iffY) Ò /6 Emergency procedures adequate V Containers properly labeled Iv Housekeeping Iv' ~ -/ Fire Protection .¡ .M/.ð---d ?: Site Diagram Adequate & On Hand ,V d..- C-.,.I ./ ... " C=Compliance V=Violation Any hazardous waste on site?: Œ(Yes 0 No Explain: I^,A~ l"~ -rhlhf{\)U2_ ~~L White - Env. Svcs, Yellow - Station Copy Pink - Business Copy Business Site Responsible Party Inspector: ~ ~ ~G Questions regarding this inspection? Please call us at (661) 326-3979 ¡-~~ . MATTS PAINT & BODY SHOP . _.....; ,..-' ~'ê~ SiteID: 015-021-001243 Manager : Location: 1616 V ST City BAKERSFIELD t~~, -1 \) CommCode: BAKERSFIELD STATION 02 ~~\ EPA Numb: BusPhone: Map : 103 Grid: 30D (661) 323-8880 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title OSCAR RUDNICK / DEAN SHISHIDO / Business Phone: (661) 631-9970x Business Phone: (661) 323-8880x 24-Hour Phone : (661) 204-2933xCELL 24-Hour Phone : (661) -500 J136x ./ Pager Phone : ( ) I - x . Pager Phone : (661) 900-2727xCELL Hazmat Hazards: ~ý r 7 ?- - t?<1~õ Fire Press ImmHlth DelHlth Contact : Phone: (661) 323-8880x MailAddr: 1616 V ST State: CA City : BAKERSFIELD Zip : 93301 Owner MATT MABRY Phone: (661) 323-8880x Address : 2311 CASTRO LN State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I f= Hazmat Inventory f== Alphabetical Order One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax MCP F P IH G 660.00 FT3 Hi F P IH G 562.00 FT3 Low F IH DH L 60.00 GAL Mod Hazmat Common Name... ACETYLENE OXYGEN PAINT THINNER/REDUCER -1- 01/07/2003 I I I e e ø ~MÃTTS PAINT & BODY SHOP SiteID: 015-021-001243 Manager : Location: 1616 V ST City BAKERSFIELD CommCode: BAKERSFIELD STATION 02 EPA Numb: BusPhone: Map : 103 Grid: 30D (661) 323 - 8880 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title OSCAR RUDNICK / DEAN SHISHIDO / Business Phone: (661) 631-9970x Business Phone: (661) 323-8880x 24-Hour Phone : (661) 204-2933xCELL 24-Hour Phone : (661) 588-3136x Pager Phone : ( ) - x Pager Phone : (661) 900-2727xCELL Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 323-8880x MailAddr: 1616 V ST State: CA City : BAKERSFIELD Zip : 93301 Owner MATT MABRY Phone: (661) 323-8880x Address : 2311 CASTRO LN State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: , f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards One Unified List 9 All Materials at Site 9 DailyMax MCP G 660.00 FT3 Hi G 562.00 FT3 Low L 60.00 GAL Mod ACETYLENE OXYGEN PAINT THINNER/REDUCER .iJli?/'~ f(od,..¡itfé J. ype or print 1Ui11Y19) Do hereby œrtñfyth~ ~ h~viSJ reviewed the attached hszamous mSlte~Slls manage- 'Ii' /:vff:S þA -nJf-&k ment plan for 1 an©} ~OOt åi al©6V;¡ wiiliJ (1\!M'íÐ or 1SIuo/n1llall) . .~ any corrsctions oonstityt~ Bl oomp!sts tSlY'D©1 OOUVSd m~!ñI- agement plan for r;y facm~. F P F P F IH IH IH DH ~~ . ì, /1 /2~/{?2- , DàI 11/20/2002 ---..,. e e F"MATTS PAINT & BODY SHOP f= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ACETYLENE SiteID: 015-021-001243 ì Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit VARIOUS/MOBILE #2 Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Above Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 660.00 FT3 Daily Average 600.00 FT3 HAZARDOUS COMPONENTS ~ CAS# 748621 I l~~~óoIAcetYlene ZAR EN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HA D ASSESSM TS f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME OXYGEN Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit VARIOUS/MOBILE #2 Map: Grid: CAS# 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Above Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 562.00 FT3 Daily Average 450.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -2- 11/20/2002 e e F'MATTS PAINT & BODY SHOP f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME PAINT THINNER/REDUCER SiteID: 015-021-001243 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SW CORNER SHOP #1 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 30;00 GAL %Wt. RS CAS# 6.00 n-Butyl Alcohol No 71363 8.00 Acetone No 67641 8.00 Toluene No 108883 8.00 Isopropyl Alcohol No 67630 30.00 Naphtha No 8030306 25.00 Mineral Spirits No 8030306 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 11/20/2002 e e F'MAT"'l'S PAINT & BODY SHOP I f= Notif./Evacuation/Medical r=: Agency Notification CALL 911. Employee Notif./Evacuation SiteID: 015-021-001243 ì Fast Format ì Overall Site ì 01/26/2000 1 OS/29/1990 DAIL 911. EMPLOYEES TO MEET AT SHADY LN AND V ST. Public Notif./Evacuation Emergency Medical Plan 01/26/2000 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -4- 11/20/2002 e e F'MATTS PAINT & BODY SHOP I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001243 ì Fast Format ì Overall Site ì 01/26/2000 TRAIN EMPLOYEES ON HOW TO HANDLE AND CLEANUP AND DISPOSE OF ALL MATERIALS ON HAND. STORE ALL THINNERS, REDUCERS AND PAINTS IN DESIGNATED PAINT STORAGE AREA. KEEP OXYGEN AND ACETYLENE CYLINDERS CHAINED AND OPERATED CORRECTLY. Release Containment [ I I Clean Up Other Resource Activation -5- 11/20/2002 e e FMATTS PAINT & BODY SHOP I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 015-021-001243 9 Fast Format 9 Overall Site 9 I 01/26/2000 A) GAS - OUTSIDE NW CORNER OF OFFICE B) ELECTRICAL - OUTSIDE SE WALL OF SHOP 1, OUTSIDE NW CORNER OF SHOP 2, OUTSIDE SW WALL OF OFFICE C) WATER - E WALL CENTER ALLEY #1, NE CORNER 60FT E #2, NE CORNER 40FT OFFICE D) SPECIAL - NONE Fire Protec./Avail. Water 01/26/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS STRATIGICALLY LOCATED THROUGHOUT THE BLDG. FIRE HYDANT - ON THE NE CORNER OF V ST AND SHADY LN. Building Occupancy Level -~ -. -- - - - --- 1-· - -6- 11/20/2002 e e F -'MATTS PAINT & BODY SHOP I F Training Employee Training SiteID: 015-021-001243 9 Fast Format ì Overall Site 9 01/26/2000 WE HAVE 4 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES HAVE BEEN INSTRUCTED ON LOCATION OF MSDS SHEETS. EACH EMPLOYEE HAS BEEN INSTRUCTED TO READ, AND FULLY UNDERSTAND LABELS ON EACH PRODUCT THEY USE. EACH EMPLOYEE MUST HAVE THEIR OWN PERSONAL SAFETY GEAR SUCH AS RESPIRATORS, PROTECTIVE GOLVES, GOGGLES ETC. ON ANY ACCIDENT EMPLOYEES ARE INSTRUCTED TO REFER TO MSDS. ON ANY LARGE ACCIDENT, SUCH AS RUPTURES, FIRE, LEAKAGE, EXPOSURE, ETC THEY ARE INSTRUCTED TO DIAL 911 FOR PROPER ASSISTANCE. WARNING SIGNS ARE ALSO POSTED REFERING TO CALIFORNIA HEALTH AND SAFETY CODE SECTION 25249.6. Page 2 [ I I Held for Future Use Held for Future Use .--- -,~. -- - - - .-----=---- ------- - --- ----- -- - -~--- .------ - - --------- --- --- -7- 11/20/2002 ,~- ¡ :;T;PA:NT~' I ,.,.. 'If t¡'=-' f, & BODY SHOP ============================= SiteID: 015-021-001243 + e e Manager : Location: 1616 V ST City BAKERSFIELD BusPhone: Map : 103 Grid: 30D (661) 323-8880 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad: +==============================================================================+ J +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title ~:..l'T B:i\.DL\.'i / ~ / Business Phone: (661) 323-8880x Business Phone: (661) 323-8880x 24-Hour Phone : (661) 831 7~91x 24-Hour Phone : (661) ~08M313ex Pager Phone : () x Pager Phone : () x +-------~-------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : Phone: (661) 323-8880x MailAddr: 1616 V ST State: CA City : BAKERSFIELD Zip : 93301 +------------------------------------------------------------------------------+ Owner MATT MABRY Phone: (661) 323-8880x Address: 2311 CASTRO LN State: CA City : BAKERSFIELD Zip : 93304 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif1d: RSs: No +------------------------------------------------------------------------------+ Emergency Directives: +==============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... SpecHazlEPA Hazards I Frm I DailyMax UnitMCP/ +--------------------------------+-------+-----------+-----+----------+----+---+ ACETYLE~E F P IH G 660.00 FT3 Hi OXYGEN F P IH G 562.00 FT3 Low PAINT THINNER/REDUCER F IH DH L 60.00 GAL Mod OSc..A Q... . Q""~N ~Q...k \)~Pt,J ~~\ 5'--.' ~o ~ S 1- '79'/0 élhL-(2..5 ~ 0 '-( .... 2. 9 3 ') Q.£ LL ì (Jl) - ;;l ) ;;) 7 c:.. {î l L -\...,.,.. \ _(,0 l>P~A-Î~ ffA-?...-'--.I1T s:-",fò rJlZ...u ð~ tv----ð" \ +==============================================================================+ -1- 03/27/2002 \ ;¡.~ ~ -...~. i ,'" ,I \ / -" " 't e - CITY OF BAKERSFIEI.lD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301 FACILITY NAME mATT s t>Ai,JT ~D'>'IfNSPECTION DATE II 1/ / 102- ADDRESS Il.o 1(0 \.\ V\.( s -r PHONE NO. (p (q I 52 g - 8'tH~ é) FACILITY CONTACT 0 ~c..At:R. ~'" ~N ¡c..v BUSINESS ID NO. 15-210- 0 ð I 2. 4 3 fNSPECTION TIME 2..0 ~t'oJ NUMBER OF EMPLOYEES 3 Section I: Business Plan and Inventory Program ~Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection - OPERA TION C V COMMENTS Appropriate penn it on hand ,/ Business plan contact infonnation accurate v Visible address ¡/ Correct occupancy V' Verification of inventory materials V Verification of quantities if'" Verification of location V Proper segregation of material IV Verification of MSDS availability V Verification of Haz Mat training IJII\ Verification of abatement supplies and procedures V Emergency procedures adequate V'" Containers properly labeled vi' Housekeeping II" Fire Protection ~ \) l S L k 1.\ rz..ve..J r-;.)(;l·À /,.",} 'ç L.^ n Site Diagram Adequate & On Hand / <.I C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes /3'No White· Env. Svcs, Yellow - Station Copy Pink - Business Copy ~d£l Business Site Responsible Party Inspector;'þ- '0~Q" 2~' Questions regarding this inspection? Please call us t (661) 326-3979 -9' \ ~ .-"=.,- . "r -- - : I I I I MATTS PAINT & BODY SHOP SiteID: 215-000-001243 Manager : Location: 1616 V ST City Bakersfield .~~~ 2 5 2000 / .j B¥'/- < / " ,,-- .~- ..-. ,/-- BusPhone: Map : 103 Grid: 30D (805) 323 - 8880 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title MATT MABRY / Business Phone: (661) 323-8880x 24-Hour Phone : (661) 831-7591x Pager Phone : ( ) - x Emergency Contact VICTOR MABRY Business Phone: 24-Hour Phone : Pager Phone : / / (661) (661) ( ) Title 323-8880x 588-3136x - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 1616 V ST City : BAKERSFIELD Owner MATT MABRY Address : 2311 CASTRO LN City : BAKERSFIELD Period : to Preparer: Certif'd: Emergency Directives: Phone: ( ) State: CA Zip : 93301 - x Phone: (805) 323-8880x State: CA Zip : 93304 TotalASTs: = TotalUSTs: RSs: No Gal Gal ( I, MIL~ t.\,((.hr'l !Do hsreby carmy 1ha~ ~ ha"~ . (Type or print name) reviewed the attached h~ardOlJs malt~rials m~na9s- \A~~'S, ,~~""~ . 1 Plan ior~itt "'-~1 1ð100 that it alon@ wl~h men (meo till) any corrections constitute a complets and cOV''i''sd man- agement plan 101" my facility. ß3~ /,¡,/_ItJ Date -1- 01/19/2000 .~. - ~ e e F MATTS PAINT & BODY SHOP p= Hazmat Inventory p== Alphabetical Order SiteID: 215-000-001243 ì By Facility Unit ì Fixed Containers on Site ì specHazEPA HazardS Frm I DailyMax IUnitMCP Hazmat Common Name... ACETYLENE OXYGEN PAINT THINNER/REDUCER F P F P F IH IH IH DH G G L 660.00 FT3 562.00 FT3 60.00 GAL Hi Low Mod -2- 01/19/2000 ,.-; ~ - - F MATTS PAINT & BODY SHOP p= Inventory Item 0003 F= COMMON NAME / CHEMI CAL NAME ACETYLENE SiteID: 215-000-001243 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit VARIOUS/MOBILE #2 Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Above Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 660.00 FT3 Daily Average 600.00 FT3 HAZARDOUS COMPONENTS [~I CAS # 748621 I l~~~åoIAcetYlene TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CHEMI CAL NAME OXYGEN Facility Unit: Fixed Containers on'Site ì Days On Site 365 Location within this Facility Unit VARIOUS/MOBILE #2 Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Above Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 562.00 FT3 Daily Average 450.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARD S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ASSESSMENT -3- 01/19/2000 .' ... e e F MATTS PAINT & BODY SHOP p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME PAINT THINNER/REDUCER SiteID: 215-000-001243 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW CORNER SHOP #1 Map: Grid: CAS # STATE - TYPE Liquid ,Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 30.00 GAL %Wt. RS CAS # 6.00 n-Butyl Alcohol No 71363 8.00 Acetone No 67641 8.00 Toluene No 108883 8.00 Isopropyl Alcohol No 67630 30.00 Naphtha No 8030306 25.00 Mineral Spirits No 8030306 HAZARDOUS COMPONENTS A E SMEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD SS S TS I i -4- 01/19/2000 .- .. e e F MATTS PAINT & BODY SHOP I p= Notif./Evàcuation/Medical ~~:e::: Notification Employee Notif./Evacuation SiteID: 215-000-001243 ì Fast Format ì Overall Site ì OS/29/1990 ] OS/29/1990 DAIL 91i. EMPLOYEES TO MEET AT SHADY LN AND V ST. Public Notif./Evacuation Emergency Medical Plan OS/29/1990 1 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 -5- 01/19/2000 ... e e F MATTS PAINT & BODY SHOP I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001243 ì Fast Format =¡ Overall Site =¡ OS/29/1990 TRAIN EMPLOYEES ON HOW TO HANDLE AND CLEAN-UP AND DISPOSE OF ALL MATERIALS ON HAND. STORE ALL THINNERS, REDUCERS AND PAINTS IN DESIGNATED PAINT STORAGE AREA. KEEP OXYGEN AND ACETYLENE CYLINDERS CHAINED AND OPERATED Release Containment [ I I Clean Up Other Resource Activation -6- 01/19/2000 e e F MATTS PAINT & BODY SHOP I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-001243 l Fast Format l Overall Site l I OS/29/1990 A) GAS - OUTSIDE NORTHWEST CORNER OF OFFICE B) ELECTRICAL - OUTSIDE SOUTHEAST WALL OF SHOP 1, OUTSIDE NORTHWEST CORNER OF SHOP 2, OUTSIDE SOUTHWEST WALL OF OFFICE C) WATER - EAST WALL CENTER ALLEY #1, NORTHEAST CORNER 60FT E #2, NORTHEAST CORNER 40FT OFFICE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water OS/29/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS STRATIGICALLY LOCATED THROUGHOUT THE BUILDING FIRE HYDANT - ON THE NORTHEAST CORNER OF V ST AND SHADY LANE Building Occupancy Level -7- 01/19/2000 ~'" - e e F MATTS PAINT & BODY SHOP I p= Training Employee Training SiteID: 215-000-001243 ì Fast Format ì Overall Site ì OS/29/1990 WE HAVE 4 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES HAVE BEEN INSTRUCTED ON LOCATION OF MATERIAL SAFETY DATA SHEETS. EACH EMPLOYEE HAS BEEN INSTRUCTED TO READ, AND FULLY UNDERSTAND LABELS ON EACH PRODUCT THEY USE. EACH EMPLOYEE MUST HAVE THEIR OWN PERSONAL SAFETY GEAR SUCH AS RESPIRATORS, PROTECTIVE GOLVES, GOGGLES ETC. ON ANY ACCIDENT EMPLOYEES ARE INSTRUCTED TO REFER TO MSDS. ON ANY LARGE ACCIDENT, SUCH AS RUPTURES, FIRE, LEAKAGE, EXPOSURE, ETC. THEY ARE INSTRUCTED TO DIAL 911 FOR PROPER ASSISTANCE. WARNING SIGNS ARE ALSO POSTED REFERING TO CALIFORNIA HEALTH AND SAFETY CODE SECTION 25249.6. I ' Page 2 [ I I Held for Future Use Held for Future Use -8- 01/19/2000 ~- . ~ BUSlNESS NAME MATTS~NT & 60pV SHOP LOCAJION 1616 ~T 10 N~R 215-000-001243 tR-t HAZARD RAT! NG 3 1. OVERVIEW œ LAST CHANGE 10/07/88 BY ESTER JURIS CODE 215--001 JURIS BAKERSFIELD STATION 01 MAP PAGE 103 GRID 300 FAC!LITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY ZA SEC 4> NO PRIVATE RESPONSE TEAM. EMt:;RGENCY CONTACTS 2A SEC Z> MATT MABRY - 323~88B0 OR 83t-7591 VICTOR MABRY .. 3Z3-8af,!0 OR 8:3[; 1 Bl4 &Co t{- 72..2~ UTILITY SHUTOFFS ZR SEC 3) A) GAS - OUTSIDE NW CORNER OF OFFICE S> ELECTRICAL.. OUTSIDE SE WLALL OF SHOP 1. OUTSIDE NW CORNER OF SHOP Z, OUT$IOE SW WALL OF OFFICE C> WATER - E WALL CENTER ALLEY #1, NE CORNER 60FT E #2. NE CORNER 40FT OFFlCE 0> SPECIAL" NONE RECEtvED \M~Y 0 9 \969 HAZ. MAT. DIV. Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY ! , < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 04/1 V8S 12.:45 MArERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800 BU~INESS NAME FlAilS HE-UN I Ii E:JODY SHUt"' LOCATION 1616 ~ 51 _ .lU .f\IUMtlE:H _ Z T~..ct(M0-00H4j HIGH HAZARD RATING 3 3. HAZ MAT TRAINtNG SUMMARY LAST CHANGE / / BY ¡y ð· ~Þ{f L . A/ul7,kr- o-P é;rYlfJ/ð¡/ee'S ~ f'1¿;[)S ðr-.e- VS/ltWle- ledeJ ~'ì Lf:fì¿e 4.vJ ð'1e Lt>ee;,te-& :'Î~kb~,u.l / h);]VJC{¿i o~ N·,..f4 W4J! " < NO INFORMATION RËCORDËD FOR THIS SËCTION > ~~~ iftW-~· lZWWi()i;;;¡) h,,~ ~~... ~deJ l)'î /OCa.+/ð'1 O~ M~J)S- £t::{v{ e7Vlf(Ð'Ie¿ h4..5 ~ ìn~....deJ f" f'e"".Á / ct>-td F,dly L6IJe../.r ð., ~¿Jh ?/l6c1~f f-4e..)' ~~e-. £.c.i¡ ehtfJ/We.e 1'J?43-f hctVe r!-4"r Ol.tl'1 ~I'IY'¡)"Q.J Sd.f:'e.iy c7--eÆ.-'-" S'4cA qS' reS'()/~h.("oS; fJ(lÐhC/l/ve. tf--lðvrt:JI / (j--o~f{ /'è'S etc;. ðn a '1 y 6tc-c-I'k'1f eM-pI ()y~s 4re,.. í;., s--'ff'uc.feJ 10 ("del" fÐ /If ~ bs V()!~~~, ðJ1 a)-¡ y kt/'¿¡e, é'{,¿?/k'1f/ S'Lt.,c-~1 c. f' rt.-t¡;ftd'lesF:;·¡,e.,/ /eq ¡f-..q.~ ex fó S'kre- el-c, 7Îte--y 4Ó"-e. I/} ~f,...",¿¡"J II>- :¡j,'e<.-/ q-¡-I hr- P/"&~ c{9.s-/s.f4.>¡ t-e..1)- W4.f'l1. nfj.. j'-lf'1 r' ~I"e, c¿/s-o IPD$,¡.ed ~I';'/"j.. 1-lb Ct¿II~lfI¡ ct'L;¡ 3'er.f:'e.fj' C ð k :s~<./+ "'"7 2./""2'-19," Yð!l.1,Ì'VI es; . UÞ¡ jet" ,d'~,'1j 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 10/07/B8 BY ESTËR ZA SEC 5) MERCY HOSPITAL -' 2215 TRIJXTUN AVE - 327-3371 PAGE Z 041 rZIes- £4: 45 MATERI AL SAFETY DATA SYSTEMS> I NC. (805) 648--6800 e e ,. BUSINESS NAME MATTS PAINI Ii BODV SHOP .. LOCATION 1816 V sr FACILITY UNIT 01 4IÞ III NUMt:$t.R L 15-000"·<L101Z4.1 4íÞH HAZARD RATING 3 A. OVERALL HAZARDOUS MATERIALS INVENTORV Lf-\ST CHANGE 10/07/B8 BY ESTER 10 TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE MIXTURE PAINT THINNERlREDUCER SW CORNER SHOP #1 DRUMS OR BARRELS MET.. 10 PERCENT COMPONENTS 1203.00 30.0 Náphtha 1Z03.01 25.0 Mineral Spirits 1006.00 8.0 Acetone 1130.00 B.Ø Toluene 1160.01 8.0 Isopropyl Alcohol 1018.00 6.0 n-Butyl Alcohol 3135.04 5.0 Propylene Gly~ol Mono~ethyl Ether 60 GAL EXTREME PAINTING HAZARD LI 5T MOOËRATE MODERATE MODERÁTE MODERATE MODERATE MODERATE LOW z PURE OXYGEN VARIOUS/MOBILE #2 PORTABLE PRESS. CYL ro PERCENT COMPONENTS 2359.00 100.0 Oxygen, COMpressed 562 FT3 HIGH WELDING/SOLDERING HAZARD LIST LOW 3 PURE ACETYLENE VARIOUS/MOBILE #2 PORTABLE PRESS. CYL. 10 PERCENT COMPONENTS 1241.00 100.0 Acetyl~ne 660 FT3 EXTREME WELDING/SOLDERING HAZARD LIST HIGH 8. F~RE PROTECTION / WAT~R SUPPLIES LAST CHRNGE I / BY \=; ('<2.- Ex h'1f1~,'S'lf2rS LI) ¿;;é.!-eJ (:zJ c>" NfJ r-f~ wc..11 &~ ShÞþ#Z Cl.vzJ 6;2) 0'1 'Sö..,d-4 u~11 ðP ¥l7.-- é.<) La06.JeJ 0'"1 II./~r{-~ [.)41/1 á~ (;2) cd dl1ð S04H, W41/ (¡f:' sA/); #..L. closesf. N"Ef- Aydt?f,"l-f is- L./)Ce¿f-eJ o"t -(-~ N9r-f)., j£4s1- Ci:>~ttßr &P 'V ç1-. i s.'ta.Jy Ln. < NU INFORMATION RE;CORDED FOR THIS SECTION> PAGE 3 04/1Z1B9 12:45 MATERIAL 5AFETY DATA SYSTEMS. INC. <80S) 649.,6800 I l~ ., - BUSINESS NAMI;MATTS PIì1NT & -eDDY SA-OP LOCATION 1616 Y ST 10 NUMBER 7. 15:"ØØØ:"00T2"43, . HIGH HAZARD RATING 3 O. EMPLOYEE NOTIFXCATION / EVACUATION LAsr CHANGE 10/07/88 BY ESTER 3A SEC z> DArL 911. EMPl.OYEES TO MEET AT SHADY LN AND V ST. E. MITIGATION / PREVENTION / ABATEMENT lAST CHA~6E 10/07/88 BY ESTER 3A SEC 1) TRAIN EMPLOYEES ON HOW TO HANDLE AND CLEAN-UP AND DISPOSE OF ALL MATE~IALS ON HAND. STORE ALL THINNERS. RÉOUCERS AND PAINTS IN OES!GNATED PAINT STORAGE ARËf\. KEEP OXYGEN AND ACETYLENE CYLINDERS CHAINED AND OPERATED CORRECTLY. PAGE 4 04/1Z/B9 1 Z~4S MATERIAL SAFETY DA/A SYSTEMS. INC. (805) 648-6800 . e e -·1 CIT}T of BAKERSFIELD F arM and Agr icu I ture ~ Standard Business L..-..: HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS Page ____ of ____ ,r '--' BUSINESS NAME:Matts Paint & Bodv Shop LOCATION: 161 h " ~t- CITY, ZIP: Bakersfleld, Ca 93301 ,PHONE iI: (ROt;) 1?1-RRRO OWNER NAME: Ma t t Mabry ADDRESS: 2311 Castro Ln. CITY, ZIP: ,Bakerstleld, Ca. 93304 PHONE II: (80 5) 83 1 - 759 1 1l1U'D TO INSTRUCTIONS 'OR PROPllR CODU , 2 Irans Tyllt! Code Code 3 llell AIIt 4 Average AIIt 5 Annua I Est 6 !leasure Units 7 8 . Oys Cont on Site Type 9 10 Cant Cant Pres. T..., " Ute Code 12 laclt 1 on IIlwr. Stored In hcil \ty i'" NAME OF TtnŠ ~AJ::JL1.TY:Auto bod STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 13 'by lit U lIa_ of lixtul'tl¡c-t. Set Instruct ions 2 ~ SW c_Qn!~L s h9.P__UJ___ ____ Co.ponlllt II 11.-. C.A.S. IIu8ber ------------------- Physica 1 and Health Hazard C.A.S, Nu8ber _____________ I r.neck a 11 that .pp Iy) Ai ..-.., "i/r'" ..-.., .._.., -Fire Hazard L_.J Reactivity L_.J Delayed L_.J Sudden Rel..se L_.J IMldi.te He. th of Pressure 11M I th ta.Qonlllt 12 ...... C.A.S. bber Cœponent 13 11.-. U.S. ....... IQ· _!§P.tJ1_ª__________________1.?.92.:-º-º-__ _____ 25. Mineral Spirits 1203.07 ------ 1006.00 113_0.00_ ____ 1160.01 e. Con t -. ____ 8..... _î-º.l..Y.~JJ~__ C.A.S. Nu.btr_____ Cœponent II 11_' C.A.S. IIuIIbtr ----- - Physic.l .nd H..lth Hazard (Check all that .pply) r-, r-., r-, ~-., ,._, L_.J Fire Haz.rd L_.J Reactivity L_.J Del.yed L_.J Sudden R.I.... L_.J (Mldiat. Health of Prn.ure IIMlth CoItøonent 12 11_' C. A. s. lluaber Coeøonent 13 11.-. U.S. ...... Physic.l end HN Ith Hlz.rd (Check a 11 ttÎat apply) U.s. NUIIbtr CoIøonInt II flue' U.S. IIuIIber r-, r-., r-, r-, r-" L _.J Fire Hazard L_.J Reactivity L_.J Delayed L_.J Sudden RelM" L_.J l.ediate Hfll th of Pressurt Hea I th CoIIoonInt 12 11_' C.A.S. IIu.bIr CCIIIIOIIeI'It 13 11_' C.A.S. IIuIIbtr .!--L---5-6-Z--L--i2~L--L-ll~_4..__.lttJ.l2.~L_º.1.UL_1_~_L~_?_L..Y a!" i O~Mobile # 2 Physic. I end H..lth Hu.rd C.A.S.llullber______________________ Cœponlllt II N_' C.A.S. NUIIber (theck a 11 that apply) r-¥, .--., r-, r.:£' r-., L_.J Firt Haz.rd I.._.J Rflctivity L_.J ~Iayed L~.J Sudden Release L_.J l.ediate He.lth of PrfSSurt Hfllth COIIJOIIIIIt 12 N_' C. A. 5, lIùaber -Butyl Alcohol 1018.0Q_____ lene Glycol Mononethyl ether 3155.04 -- --- --------- ------ ----------- ------ ----------------------- ---- ---- --------- 1JlQ 0 Conrpresse_ª~gg!L________ _____ 2359.00 --------------------------------------------- ------- " Matt__MabJ:¥____________________ '"Qwn~L_________________ Niie, 'In. 5 42 eo.~i'bJ~ ifdrhlU~ber#2 1 00 ~cetylene 1241 .00 , 2f-~¡:~p~l-~-~-J. .2I1i~A£..t-º.E.-~?.Þ-!='J:--------m- ~f,~?--CJ~E.---------------.? ~;~-~~~~------ 1320 ft3 365 04 2 ./ Certification-'(Read and sign after co_pip-ring all sections) 1 certi~ under pen.lty of ,law that I have øersonally ellallined .nd ae faailiar with the inforllllltion SUbllittedz¿n this a all It~,IChed docu s, and that based on ay inquiry of those Individulls responsible ,or obtaIning the InforlMtlon. I believe that the subll1tted 1nfor..tion is true accurate and cœplete . . , -:::;/ n~-----~--n--·-l--~i.C t- oJ:-~abJ:~.,,==.s h on -.,Manager . 5 _ 8 _ 8 9 N~.@ anu On IC 1ð t 1< lI! OT owner Top@rðtor-'OJ! OWftei'7õõërã'tõr 5 autlíõr ff!a rëõFëšëñUtìÿë Siijñ;;cüFë---------------------------- ---------------------- OåcëSiijñ¡a-------------------------- . , " ~ WILLIAM M. SAVAGE Resident Representative Account Survey Department 5401 California Ave" Suite 201 Bakersfield, CA 93309 . Telephone: 805/325-0535 The Ohio Casualty Insurance Company . The Ohio Life Insurance Company West American Insurance Company . Ohio Security Insurance Company American Fire & Casualty Company . <"^ '~ e BAKERSF:ELD c:rr FIRE DEP~RTJIIT 2:30 "G" STREET - BAKERSFIELD. CA 93301 (305) 326-3979 (0;,-300 I :J.1V) f RECEIVED APR 2 1 1988 Ans'd. 2.--- ........... / OFFICIAL CSE O~LY ID::: 001243 I ~C'oi1 :3 /'/IJ 122 CTf - US IXESS :;A:·Œ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INS7RUCl'IO~S: 1. To avoid further action. return this form by 2. TYPE/PRI~T ANSWERS I:: E!'IGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SEC7ION 1: BUSI~SS IDENTIFICATION DATA A. BUSI~ESS ~AME: Me{ ~~s Yo.ìl1-t ~ TIvJy s;k D p . , _I B. LOCAT:O~i / STREET AODRESS:_I~ /1.0 Vr~\. CITY: (3 ¿;¡ ker s~' eJ.J Z"'':)· .... . q1:) (!) I BUS . PHO~E : ( 2:>6.1) 12...1> -'&~~<o SEC7ION 2: EMERG~CY ~OTIFTCATIONS In case of an emergency involving the release or threatened release of a hazardous material. call 911 and 1-800-852-ï550 or 1-916-427-4341. This will notify your local fire departmen~ and thd State Office of Emer~ency Services as required by law. E:IPLOYEES TO :iOTIFY DI CASE OF E:!ERGE:iC"l: ~AM'E AND T~T.LE A. ~~.r± ~hnj Ph# v B. V'LJ~ðr M4br /¡ Ph;; , DURING BUS. HRS. ~23 ~ 2.:b~ ~ 12 ~ - ~1>~D AFTER 3t;S. as. Ph# ?" t....7.r1' Ph~ ..2;> ~ - I ~2 'I SEC1'ION 3: LOCATION OF UTILITY SHU1'-i)FPS FOR BUSINESS AS A WHOLE A. ~AT. GAS/PROPANE: B. ELEC'I'RICAL: C. ¡'lATER: O. SPECIAL: E. LOCK 30X: IF YES. LOCrlTIO~; IF YES. DOES IT cmrT.U:;- SITE PLA~S? FLOOR PLANS? YES / :10 YES .I :;0 :1SûSS? YES!:-1O KE'!S? YES.I ;;0 - 2:\ - -:7 e e ;- .... ,-J; ",">;y- P ¿Ii r:' ,.,. -. ' SECTTON 4: PRIVATE RESPO~SE TEA~ FOR BVSIXESS AS A WHOLE . ~~:' . ~NjJhJV ..J . . .~, \..' : :: SECTION 5: LOCAL EMERGE~CY ~EDICAL ASSISTANCE FOR YOt~ BUSI~~SS AS A WHOLE M~r¿y J1ð<;:f. SECTION 6: EMPLOYEE TRAINING E:-IPLO'i .:.RS ARE REQl:'IRED TO HAv~ A PROGRA~! í'iHICH ?ROV~JES ::::·!PIOYEES íHTH ::G7:;:.~L ASD REFRESHER TRAIXI~G I~ THE FOLLOWr~G AREAS. CIRCLE YES OR XO . rXTTIAL A. ~~~~~L;~~. ~~~~ . ~~~~~ ~~~ . ~~ . ~~~~~~~~~ . , . . . . . . . .. C@ :;0 B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPOXSE AGE~CIES:................,......,.. ~ XO C. PROPER USE OF SAFETY EQUIP~E~¡:.....,..... ...,... ~ NO D. E~ERGE~CY EVACUATION PROCEDURES:...... ....... ..... ~ XO E, DO YOU )IAIÑ--rAIN E:'[PLOYEE TRAI~ING RECORDS:.....,. YES (@) REFRESHER YES :-:0 ~::S XO YES NO YES XO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES - NO - NONE DOES YOUR Bl:'SINESS HA~DLE HAZARDOUS ~4TERIAL IX QUAN7ITIES LESS THAX 500 ?OeXDS OF A SOLID, 55 Q¡ALLONS OF A LIQl:'ID. OR 200 CUBIC FEET OF A CO)!PRESSED GAS:,.,.., ':"ES XO I. <.5YJvf~r Mø.b~ . certify that the above information is accurate. r unders~and th~t this informa~ion will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous ~aterials (Div. 20 Chap~er 6.95 Sec. 25500 Et- AI.) and that inaccurate information constitu~es perjury. 'SIGNATURE t'~ _~~ , TITLE S Î'.. DATE~ ¡ _ ,..,r:- --' .; .~1-.- ~ e e BAKERSFIELD CITY FIRE DEPARTIYEXT 2130 "G" STREET BAKERSFIELD. CA 93301 ¡-, \ "'7; ;:; ,..~ ,."'-~. OF?TCTA: CSE OXLY ID# ------ BUSßESS XA~Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned hy: 2. TYPE/PRIXT YOI;R AXS~ŒRS I~ ENGLISH. 3. Answer the questions b~low for THE FACILITY UXIT LISTED BELOW 4. Be as BRIEf and CONCISE as possible.- FACILITY UNIT~ .1,2. I DÇÇ'ì",e.. FACILITY UNIT NA.'fE: -:3ì..~S"o.,J ò~Çi ~ SECTION 1: ~IT!GAT!ON, PREVE~l!ON, ABATE~E~~ PROCEDù~ES --r-r-."ì., eM- fleyees I h. (;)'1) {" ~({.J(e.. O\.V\.J c.\eA('\ -"""f ~~ Ä J ; ~pð~ C ~ ~ I J "~~e.(''eds ()^ h.£t..~~L .::s-\-I9f'e. a.U Ih;'\t\e."Ç' -Q.~¡v!e("l~j 6.r'\J ~c.u1I')t$, J.q 4tl.~'~'1^~eJ Jttìn+ ~hrl.l-1-e C((!e.~. K-ee:f D'/..Vtiev¡ t\VI.J A¿.d-ylt¡.\Ie c.Y\¡'I'\.1-r~1 ~¡f\eJ ~ ðper4J-eJ C-'P('('ev~\y, SECTION 2: NOTIFICATION A~~ EVAC~ATIO~ PROCEDl~ES AT THIS l~TT a~!Y D ~ct) q () I Gt~J eVVtf ÐYc~~tD ~~t- l' I...... \ ~ V ..)'t-<'Q:.~ S>, ~t 0htJy ~h, - 3A - · e Ii _,Jo¿ ;' ~"J.-...'" '_'h ...,. t SECTIOi'i 3: HAZARDOUS !fATERIALS FOR THIS r~IT O~LY A. Does this Facility Unit contain Hazardous ~aterials?..." YES XO If YES. see B'. If NO. continue with SECTIO~ 4. \ B. Are\~ny of the hazardous materials a bona fide Trade Secret YES XO If No,~omPlete a separate hazardous materials inventory form mar~d: :;'O~-TRADE SECRETS OXLY (white form =4A-l) If Yes, com~ete a hazardous materials inventory form marked: TRADE SECRE . OXLY (yellow form ~4A-2) in addition to the n -trade secret form. 1st only the trade secrets on form 4A-2. / / C. ~'¡ATER: SECTION 4: PRIVATE SECTION 5: LOCAT!ON SECTIO~ 6: LOCATIOX A. XAT. G..l.S/PRO?_';,XE: B. SLECTRICAL: D. SPECIAL: E. LOCK BOX: YES XO I: YES, LOCATIOX: IF YES, SITE PLAXS? FLOOR PLAXS? YES / :\0 YES ' XO ![SDSs? ~EYS? 'ŒS XO YES / XO - 38 - ,.._....~-.'--- ¡ ~ 1. D. # ;' I " ¡: ¡i !', , BAKERSF I EI.D C I TV F J RE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page - -, "I . .,'~ - ~! j' ' - t .~ ; " d BUSINESS NAME 'eà~.s. R;"t t 13<>1.~ sk..r OWNER NAME: Mt\~t ~1G{ k0u FACILITY UNIT #:l¡).~~'u¡. ADDRESS: ~~n L~~Ò .h FACILITY UNIT NAME ~ ~~Þp¿,arnce: ADDRESS: I~ i '~ CITY. ZIP: ~kC2-r-r,= j &tl~ ò L/ CITY, ZIP:' "5':;- ¿¡13C) PHONE # :32.3-~~~D PHONE #: ~~7.>~1 10FFICIAL USE CFIRS CODE I II ONLY I: 1 2 3 II 4 5 6 7 8 9 10 TYPE MAX ANNUA~) 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 ~M ~O 27DI ~/S'. 00 2C¡ -dw G{)('VIQ,C ~),q> ~.-1- I Dö 9"0 %IN-t: -rh/ AlAltOP. Ro A uc.et? I ¡ /' - -\ e ¡ i P S~2- /12 'It C,Ff; OL/ i.JZ V~ft'ð1~5 / {';tob/le; *2- /ÓD% ()X\/OOtA / d3~1 / I ' 1<...] ..... / ¡ '~ /¡;h/) /32# Cç:¡. óLf C¡z ~r/ó/.(.5 /MdJlje, :# Z / ðDlI7é) (ò /" -o-f-, I /.ð.AI (b ~'-\ \ /~ . ¡: I ~ N- ßø;-i: 0 00 J4J -- /ò11( 6 - I }i Ii I r'Yi ~o'~"TY1 0 . IDOb I: ,r;/ / ,:'-'J. l) Nt 0 . It~ , I II I~~ . J~^_J\ L. ,.. J) ~ ·\\~Ö.()\ e- ,I Ii I ,I ' () I! Ilo- /J 3r)5~ bLf !: 11 n-.J2 ..I. 1 2. - ð ... ;\ ¡: I() ?'O\J , " "/ /' J .bJ-.... " f" 1L1J f . I: ' -- f d r;;r ;¡ ?,r) NOØAÆ ' \ÕlO ':) :i :¡ d¡T H/~ '2:;- \~DÓ/ol (~AOI_() S-O.ð ~",--, ;! , ! A / - . / NAME: V'1'e,- 'I'Ir Mr"hf'/ TIT L E: .~J'\ ,~J1 M na ('. SIGNATURE: (/~ //V',;;¡z DATE: ~2/~..itl EMERGENCY CONTACT: ~rM~h(lv . TITI.E: ,-=:.\......... M n£L.f". PHONE # BUS HOURS: 3<.. )-.& Å~D , . u AFTER BUS HRS: . £.;,/....-J~'2i/ EMERGENCY CONTACT: i !v1(Á++, ~ q~=: TITLE: ~t öf Òw~r PHONE # BUS HOURS: 12'), .2.2.~D - PRINCIPAL BUSINESS Îið/ly f AFTER BUS HRS: 9-.."1J-/~l .ACTIVITY: Au....fuM~¡..t''''e fJ. 1- ~afr- , , ,) .- J1\--1 -