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HomeMy WebLinkAboutBUSINESS PLAN Per -. it Operate to , Hazardous Materials/Hazardous Waste U nifiedPermit ,i ~, ,CONDITIONS OF ,PERMIT ON REVERSE SIDE ", :~~'.~: :~'¡, ' . 'J '. . LOCATION: 115 E WHITE LN . , ' Issue Date This permit Is Issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-001953 GARCIAS TRUCKING Issued by: ,,~ ~.. . 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: \ . " 'I " ') I , .' ¡ . Expifation Date: - ·:1 .' . 'June 30, 2003 " . 1 l"" '(~ '. Ct' . -; 1 -,..,...-....-..:~'::~ ..:.. . ".'r, -. ,.....r,. L ;L,..~f~~ff,?~~ Gh~C))0 , . ,~- '. . ...... 1 .,~ "':" " 0' .,.; ',.' T~pV - I STDp~E I TDOLS I " \;<'.- J ", . . " '.~- L~~·t:di~ ~~.J¡~~~" ,~ . ._-:;;,¿ I,'..,: ~:..¡. . ",.' .:~ ¡'o i.- i,b,-.\ - " "'-. UI . ..., Agenda Hebdomadaire ..ee....y Wochenplan' ~ .anner~:. Piano Settimanale I. . " Agenda Semanal. _ 1'_ . ~ONDAY Lundi/Monfag/Lunedi/Lunes e JJ~ j,7J ~~~/-. - WCti - (\I\. (.L ç 51 e ~S' 22' 77 ~7' 719 2- THURSDAY Jeudi/Donnersfag/Giovedi/Jueves '3?'yo ZS .-e FRIDA Y Vendredi/Freitag/Venerdi/Vierenes ". SATURDAY Samedi/Samstag/Saboto/Sobodo , SUNDA Y Dimanche/Sonntag/Domenica/Domingo .---" ~ ~¿;~ ~~!{TN~ & J-,r- ~(. '> <¡, :;~<¡, ~ Manager : Location: 115 E WHITE LN Ci ty BAKERSFIELD ~UG 1 ~ lGG'3 CommCode: BAKERSFIELD STATION 05 EPA Numb: . SiteID: 015-021-001953 BusPhone: Map : 124 Grid: 17A (661) 834-1546 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact TONY GARCIA Business Phone: 24-Hour Phone : Pager Phone : / Title / (661) 834-1546x (661) p 1 2ES:;x ( ) '7 '1 r (.,!~..(-,.V It /7.. ~ L Emergency Contact / Title / Business Phone: ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Fire Press ImmHlth DelHlth Hazmat Hazards: Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 834-1546x State: CA Zip : 93307 Phone: (661) 634 2555x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address City Contact : MailAddr: 115 E WHITE LN City : BAKERSFIELD ,., ... " " .~ <Th.RCIA : 115 E WHITE LN : BAKERSFIELD Emergency Directives: I, $ ~& d"n--~høfflJbY œro!y ¡hell havø V~ i¡I1 ¡milt MOO) revi®wOO fttù~ ie1tt~hOO hæl§\ú'©1©>Q,8~ mS\t~V'Ù®I~ M~81al@®o ~~©1 ~~~ 6~ ~©Iiî~ w¡~Ûî i"ìW)1i1~ ~~ú1 ~©ú" (~@9 li)oo!mioo) ~ oo0"li"~ilQw~~ OOIFìJ~I~iJ~S t§l roml9>~®il® ®rðfÖ1 oorrvooR m~lFìJo ~~ pfim f@1ì' MV ~~dli\ty. ~~ ~eJiiUro r(lft?3 .~ -1- 08/13/2003 - a··· ~. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 f\Ø INSTRUCTIONS: 5 cþ\. éJcr;3 JÙA!CJJ:% 1. To avoid further action, return this fonn within 30 days ofrec '~l:." ¡ 1 ¡99'9~lj 2. TYPEIPRINT ANSWERS IN ENGLISH. ~" 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~~ A _ tJ'»rfLtH- -¡;t/ e-k k/vY LOCATION: JI5' &, lJJ1-J/-e' l~ MAILING ADDRESS:' /<" IE tUh.//£ LIV a4f/c/ STATE: (!,If- ZIP: 7..J.3?ìpHONE:~ Y JS'fc, CITY: DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTMTY: M~I/I~ f/&~n-r ý f?-~ OWNER: S'/V?? 6- 77J1rtj Gfruaª ; MAILING ADDRESS: 0Scvm £-- 0. Jb..f;ll-tZ_ . SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE 1. S"T/vi;;r:;S' Wnjf (}ãfCLf¿' ~ 2. S/4-/V-Co~ VòrvyGin!,ttt' ~ BUS. PHONE 24 HR. PHONE '''I P3l.f IS-Y{.- /¡rJ-~r- ¿ Ce / t 3]1 ?-5" SS , 1 e e .. .. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: ~ MATERIAL SAFETY DATA SHEETS ON FILE: t(t5 BRIEF SUMMARY OF TRAINING PROGRAM: 1 ¿ ~ SECTION 4: EXEMPTION REOUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: ~ WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, l1t11Jn () C--1C;CAr~L c( CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TInS INFORMATION WilL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIY. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~ :SiI~ ~ ~9 SIGNATURE TITLE ' , DATE 2 e e ~ ". HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: ? e:/!; B. EMPLOYEE NOTIFICATION AND EVACUATION: 3 ~ m ~L 0 'f £. £- '- ~ '--ft~~ TV --ct.--e ~ ftJ£~ Po~~ - C. PUBLIC EV. ~CUATION: y $- 5 " d ~ ~'~7 [)d--L-~¡ ~ ~ t1-V~ c¡d- D. EMERGENCY MEDI~AL PLAN: 'J £.. ~ yÞL£¿ P-o-vl4- é~ '---j/lõh~ 3 ~ ',~ ... e e :?;. , HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATE~NT PLAN A. RELEASE PREVENTIO~ STE~~:.I r:£-$" . ~U/1~ ~~P; B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: luQ- Q~ ~I ~~ ~ VYL" f1yc\Ju LQ.)C ., SECTION 8: UTILITY SHUT -OFFS (,LOCATION OF SHUT -OFFS AT YOUR F ACILITV) NATURAL GAS/PROPANE:. /1/ 0 ELECTRICAL: - '/J - - -,,-. ~:.~ , - .:' /'7 í ; , I _ ð - . -<\-~ . { 'l 1 .- . .. ~ -.-,_L.J WATER: / . -' SPECIAL: -LOCK BOX: YE~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/W ATER AVAILABILITY A. PRIVATE FIRE PROTECTION:----j1O . B. WATER AVAILABILITY (FIRE HYDRANT): l{ e S _ 4 iì. , . -, ~ e GARCIAS TRUCKING Manager Location: 115 E WHITE LN City BAKERSFIELD BusPhone: Map : 124 Grid: 17A CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code: DunnBrad: e SiteID: 215-000-001953 (661) 834-1546 CommHaz : FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title TONY GARCIA / / Business Phone: ( 661) 834-1546x Business Phone: ( ) - x 24-Hour Phone : (661) 634-2555x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 834-1546x MailAddr: 115 E WHITE LN State: CA City : BAKERSFIELD Zip : 93307 Owner TONY GARCIA Phone: (661) 634-2555x Address : 11;5 E WHITE LN State: CA City : BAKERSFIELD Zip : 93307 -- - Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: F Hazmat Inventory p== Alphabetical Order One Unified List ì All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DIESEL MOTOR OIL OXYGEN PROPANE WASTE OIL F DH F IH DH F P IH F DH ij, ~1(j ~t/~ ~ 00 hereby csrtify ~hat ! have ('(" or piWlt I'Glrw) n~~i®woo ü~~ 161~©~~©1 Û1~rdous matGui~~$ ffiÐ.naga- men! ¡¡Ian l./tt~~'k~aoo thai il ak>ng with any ooú"U's~¡©~~ ©©~~~i~19~~ @. complst(ß aú1©1 oomed man- S9j&JmsWDü p¡~ý'b ~©!i' M~ ~m~ 0 .,'" DailyMax MCP L L G G L 500 GAL 220 GAL 17250 FT3 3240 FT3 55 GAL Low Min Low Hi Low 06/01/1999 -. e e SiteID: 215-000-001953 ì Facility Unit: Fixed Containers at Site ì F GARCIAS TRUCKING p= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME DIESEL Days On Site 365 Location within this Facility Unit S OF HOUSE Map: Grid: CAS # r¡OY9J. 103 [ ~TA~EI TYPE ~ P~ESSURE --r TEM~ERATURE I CONTAINER TYPE =L~qu~d __pure ~mb~ent ---1 Amb~ent ~ ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 300.00 GAL %Wt. RS CAS # 100.00 Fuel Oil No. 1 No 70892103 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / ' . Low HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME MOTOR OIL Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit GARAGE AREA S OF HOUSE Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 220.00 GAL Daily Average 165.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZAR E T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min D ASS SSMEN S -2- 06/01/1999 ~ e e SiteID: 215-000-001953 ì Facility Unit: Fixed Containers at Site ì F GARCIAS TRUCKING p= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit PORTABLE CARTS IN YARD Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 5750.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 17250.00 FT3 Daily Average 5750.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS HAZARD A S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low SSESSMENT p= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME PROPANE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit PORTABLE CARTS IN YARD Map: Grid: CAS # 74-98-6 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 1080.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 3240.00 FT3 Daily Average 1080.00 FT3 %Wt. I 100.00 Propane HAZARDOUS COMPONENTS ~ CAS # 749861 HAZAR TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi D ASSESSMENTS -3- 06/01/1999 e e SiteID: 215-000-001953 , Facility Unit: Fixed Containers at Site ì F GARCIAS TRUCKING f= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit SE OF HOME PLACE Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based· No 0 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -4- 06/01/1999 e e SiteID: 215-000-001953 ì Fast Format ì Overall Site ì I I I I F GARCIAS TRUCKING I p= Notif./Evacuation/Medical r== Agency Notification ~ Employee Notif./Evacuation I I Public Notif./Evacuation Emergency Medical Plan -5- 06/01/1999 e e Other Resource Activation SiteID: 215-000-001953 ì Fast Format ì Overall Site ì I I I I F GARCIAS TRUCKING I p= Mitigation/Prevent/Abatemt r== Release Prevention Release Containment L I I Clean Up -6- 06/01/1999 · . e e SiteID: 215-000-001953 ì Fast Format ì Overall Site ì I F GARCIAS TRUCKING I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs 06/01/1999 A) GAS - B) ELECTRICAL - C) WATER - D) SPECIAL - E) LOCK BOX - Fire Protec./Avail. Water 06/01/1999 PRIVATE FIRE PROTECTION - ???????????? NEAREST FIRE HYDRANT - ????????? Building Occupancy Level I -7- 06/01/1999 '" ' ,. e e SiteID: 215-000-001953 ì Fast Format ì Overall Site ì 06/01/1999 F GARCIAS TRUCKING I F Training Employee Training HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY????????? ~ DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE????????? ~ec; GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: Page 2 [ I I Held for Future Use Held for Future Use -8- 06/01/1999 - ~RDOUS MA TERIALS INVEN~~Y 'B::Name~6lVC~ll\ \~\1LJ Address ~,~S f1t ffi-b \qÀJYV . CBEN.DCALDESC~ON I) INVENTORY STAruS: New ( ] Addition [ 2) Common Name: Ò)6'-{" ~eVì Chemical Name: ~ 'i S -e V\ Page 2> of_ J Revision [ ] Delction [ ] Check if chemical is a NON Trade Secret ( ] Trade Secret ( 3) ooT # (optional) AHM [ J CAS #77 ~;) -l£L{-7 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 trom DHS Fonn 8022) 6) PHYSICAL STATE Liquid ( ] Gas ()<f Pure W Mixture [ ] Waste ( ] Radioactive ( ] Solid ( 7) AMOUNT AND TIME AT FACn..ITY UNITS OF MEASURE Maximum Daily Amount \ îatJ:) tò~13 Lbs [ ] Gal [ ] ft3 [)d"" Average Daily AmOtmt .5 Î,c::;(), OD M3 Cwies [ ] Annual AmOtmt Largest Size Container 5/50 {TO F13 # Days on Site '31 (¡ <'" Circle Which Months: 9)~: Li~ the three most hazardous chemical components or any AHM components . CO~NENT \ I) ('\\(\1 D-¡en l m f req.,yO, 2) v 3) USE CODE 8) STORAGE C¡ES ~ a) Container:, . IT, P (-e £5< (\ /. ~ ( b) Pressure: O\JG~~ c ) Temperature CÀiI\'Y\J.') iQAt'\.l ~~F, M. A. M. J, J, A. S, 0, N, D CAS# % wr TJf ;)l[l{7 IÖl').ÓÙ AHM [ ] [ ] [ ] 10)i~tæ~Dh vù \~~v-\ ~~~ K-t.¿luLî ~ e (brk~tQfL&AT~ I n\ \..(CtA~ , I) INVENfORY STATI1S: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ 2) Common Name: \>ro--.çccne _ 3) OOT # (optional) Chemical Name: 0'( U'{?C\.V\..Q; AHM [ ] CAS li14 - q,~ -(p 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reacúve [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Liquid [ ] Gas 1><] Puèe.JL1 MixtW"e [ ] Waste [ ] Radioactive [ ] Solid [ 7) AMOUNT AND TIME AT FACILITY 00 Maximum Daily Amount ~Q.Ll (). FT3 A verage Daily Amount \ tì 1«() I tJO Ff~ Annual Amount Largest Size Container to <¡( 0 ·en ~ # Days on Site ~l.2~~ UNITS OF MEASURE Lbs [ ] Gal [ ] ft3f><Þ Cwies [ ] Circle Which Months: 9)~: Li~ the three most hazardous chemical components or any AHM components CPMPONENT I) \>íhPC..LVV , 2) 3) 8) STORAGE C a) Container: b) Pressure: c) Temperature "'-'YY\.I-vti'..N\,f ~'F' M. A. M. J, J, A. s, 0, N, D CAS# % wr l'--f (.I, ,\( 0 lOb ,ê'Ù AHM [ ] [ ] [ ] 10)LOCA OW ", ì ,\ 0.' <+-f ~. .~ I CC0 \AJ\~\. '<" \V\L~ I certify under penalty of law, that I havc personally examined believe the submitted infonnation is true, accurate and complcte. PRINT Name & Title of Authorized Company Representativc Signature Date ~OUS MATERIALS INVENT. Business Name Q Ct-Jí ~/LaJ TrucK; 11 C? Address } Ie:¡ IS· (JL1 ,(lx, LeL~ J CHEMICAL DESCRIPTION ..- ---- Page, ~ of_ I) INVENTORY STATUS: New ( ] Addition ( 2) Common Name: j) l.e~e\ Chemical Name: \)\' e ~ / I ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ( ] Trade Secret f ] 3) DÇ>T II (optional) AHM ( ] CAS II r-r(j~ø.. ~ 1;0 ~ 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 from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ LiquidK] Gas [ ] Pure Þ(J Mixture [ ] Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY 00.. Maximum Daily Amount (q)O I _ypJ.. Average Daily Amount 3m ¡ co jCv\ Annual Amount Largest Size Container FJlJ;0U%Cu( II Days on Site . UNITS OF MEASURE Lbs [ ] Gal D<1 ft3 [ ] Curies [ 1 9)~: Li~ the three most hazardous chemical components or any AHM components CQMfONENT 1) t==uel C') I.. \ ~t \ 2) 3) Ll0vJ 8) STORAGE CO a) Container: b) Pressure: c ) Temperature Ý\Ì ~'F' M, A. M, I, I, A. S, 0, N, D CASII % wr -X~~ o,;,).lf\~ \. ('¡()' DO Circle Which Months: ARM [ ] [ ] [ ] 10)LOCATIQN. . \ II . . ..-. \. ~ . \,OCCt. +lon w \~\\\r\ ~~5~ \-ð\C\.Ál<Jv)UVì.,-,t- .'b çS)ç ~~-e I) INVENTORY STATUS: New ( ] Addition [ ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Secret [ 1 Trade Secret [ 2) Common Name: \"0.0\1') ( ~,,\ 3) DOT II (optional) Chemical Name: Yv\l-S\h« \)\ \ AHM[ ] CAS# ~Od D~3S; 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire ( ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ 1 Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE Mixtme [ ] Waste [ ] Radioactive [ 1 6) PHYSICAL STATE Solid [ Liquid [)ð Gas [ ] Pure [)<1 7) AMOUNT AND TIME A T FACILITY cJO ' I UNITS OF ~URE Maximum Daily Amount ();LO, Iif'<---I Lbs [ ] Gal [0Jft3 [ ] Average Daily Amount I (Qt::;, 00<]",-,1 Curies [ ] Annual Amount Largest Size Container s<:; ,0 o~ Ov I II Days on Site ."() -ls2. ~ 8) STORAGE CODES J a) Container: 1'ìr\A.'VVI) fu.(~t-rv¡ b) Pressure: ~, W' v'\ \ c) Temperature rQ NY\ h 1£. n/ Circle Which Months: e, F, M, A. M, I, I, A, S, 0, N, D COMfQNE¥.L \ '\ CAS# % wr 1) \:':.r\O~-C)\'- f)\¡ \ \'\"C~ uÌJ\~.Lv\Y\ he'l9-..ed ¡ gDJOf5';~S- "lJD·l.7Ù 2) 3) 9)~: Li~ the three most hazardous chemical components or any ÀHM components AHM [ ] [ ] [ ] 10 LOCA110N - '\ \ , I (' l !\ - Q;ç bY' W\'\-h" l~ '\-C' '\)JIA..~ ~u. 'O( ~u.s~ê- ~ I certify under penalty of law, that I have personally e and am familiar with e in1ònnation on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. PRINT Name & Title of Authorized Company Representative ~-ø~~ Signature .~9 r Date e e í :_'. GARCIA'S TRUCKDG '~~ i; Hauling Pipes & i ~ - .011 Equipment Home 834- 1546 Fax 834-~ 18ft;' Car 332-0925 Pager 634-2555 I J Contact: 115 E. White Lane Bakersfield. CA 93307 ~ ----- - -- -- --_._------- - · !;;D 6Þt- ðz.. ")I.. z.. U 566ÁL.- C3 ~""2... I , f . I ' I. I . ~00-160_1S46 ' I gene 831-540A, ¡ "------ -- -- '-- CORP e e __I HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one fonn per material per building or area) Page of e CITY OF BAKERSFIEL. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 DADD 200 ^~\;:~;,~;'%~"f'~Â~¡E~~Ì~\~¡~Xf!~~:~<,;;;;"'·. ) ~r¿JOL ( tv c;.. CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optional) 3 o Yes 0 No 202 204 CHEMICAL NAME þ\"E-Séc... DYes 0 No 206 If Subject to EPCRA. refer to iinstructions 207 COMMON NAME EHS· o Yes 0 No 208 CAS # }: V' ,,'.',,~.:"';~";y/' ,.v,·( '" 209~r';~~Æ:r~·:'an~~~~I~ ~~~~~i:'j;~£~ FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE P PURE o m MIXTURE PHYSICAL STATE o s SOLID ~ LIQUID FED HAZARD CATEGORIES 1;1 FIRE o 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOUNT o Yes 0 No o w WASTE 211 RADIOACTIVE OgGAS 214 LARGEST CONTAINER SðÙ o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 218 AVERAGE DAILY AMOUNT :1<00 UNITS· S'ðO 4ga GAL 0 d CUFT . If EHS. amount must be in Ibs, o Ib LBS o In TONS STORAGE CONTAINER' (Check all that apply) o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN o P TANK WAGON ~ ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o e PLASTICINONMETALLIC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER STORAGE PRESSURE o ba BELOW AMBIENT III a AMBIENT o aa ABOVE AMBIENT 210 212 CURIES 213 215 216 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAIL CAR Or OTHER 223 224 STORAGE TEMPERATURE tJ a AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 o aa ABOVE AMBIENT 226 227 o Yes 0 No 228 231 o Yes 0 No 232 235 o Yes 0 No 236 239 DYes 0 No 240 2 230 3 234 4 238 229 233 Z37 241 Form 2731(3/99) HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per malerial per building or area) Page of e CITY OF BAKERSFIEL. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 o DELETE 200 ..<~ ~': :::', i .., ',:~::~?~[~,~¡~[~~; S ^~ I~ xë::¿r-, ~ , vI" ~'_ 1 MAP # (optional) 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optional) 3 DYes 0 No 202 204 I I o Yes 0 No 208 i i ~~;';;t0;'\:>~Z;;>~~!~;(~~~~:';' ~: ~;:/:~;:;2:t :";~'~:, ...,::·~<~~{~::;;~\t.Á_' 209 <~':1f,EHS ls':Yes.. all amounts below must bê 11\',:". " :~~s~~~t~i{?j~:~>j'>' ')::~':-:;:'::::', ,. - - ',', ·'·.:-·~'::~1~~;:L~: CHEMICAL NAME ¡YI ò<íðft o I è... COMMON NAME EHS· If Subject 10 EPCRA, refer to ¡instructions 207 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE iI p PURE o m MIXTURE PHYSICAL STATE o s SOLID ~ I LlaUID FED HAZARD CATEGORIES fJ 1 FIRE o 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOUNT o Yes 0 No o w WASTE 211 RADIOACTIVE o 9 GAS 214 LARGEST CONTAINER ~~ o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH ~'20 218 AVERAGE DAILY AMOUNT "~ UNITS· ~gaGAL OdCUFT . If EHS, amount must be in Ibs, o Ib LBS o In TONS STORAGE CONTAINER (Check all that apply) o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o e PLASTIC/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o a ABOVEGROUND TANK Db UNDERGROUND TANK DC TANK INSIDE BUILDING 'j8 d STEEL DRUM STORAGE PRESSURE ~ a AMBIENT STORAGE TEMPERATURE iii' a AMBIENT 226 2 230 3 234 4 238 5 242 o aa ABOVE AMBIENT o ba BELOW AMBIENT 210 212 CURIES 213 215 216 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAIL CAR o r OTHER 223 224 o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 227 o Yes 0 No 228 231 o Yes 0 No 232 235 DYes 0 No 236 239 DYes ONo 240 243 o Yes 0 No 244 229 233 237 241 245 Form 2731(3/99) 200 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per building or area) Page of e CITY OF BAKERSFIEL. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 , ~Kc~t{tij~~o~~Âii&:~~~~~~{, BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) ~l{~. ') G-f:.,r"/&- P LAc-£ o Yes 0 No 202 204 CHEMICAL LOCATION FACILITY ID # CHEMICAL NAME OIL COMMON NAME o Yes 0 No 208 CAS # ~;"':~~~~~~W~,~~~s;~~t~~fe FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE o P PURE o m MIXTURE o w WASTE 211 RADIOACTIVE DYes ONo 212 CURIES 213 PHYSICAL STATE o s SOLID o I LIQUID OgGAS 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT 01 FIRE o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 217 MAXIMUM DAILY AMOUNT 218 AVERAGE DAILY AMOUNT 219 STATE WASTE CODE 220 UNITS· OgaGAL OdCUFT . If EHS, amount must be in Ibs, o Ib LBS o In TONS 221 DAYS ON SITE 222 STORAGE CONTAINER o a ABOVEGROUND TANK ÇJ e PLASTICINONMETALLlC DRUM o i FIBER DRUM o m GLASS BOTTLE o q RAIL CAR 223 (Check all that apply) o b UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOTTLE o r OTHER DC TANK INSIDE BUILDING o g CARBOY Ok BOX o 0 TOTE BIN o d STEEL DRUM o h SILO o I CYLINDER o P TANK WAGON STORAGE PRESSURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 226 227 o Yes 0 No 228 229 2 230 231 o Yes 0 No 232 233 3 234 235 OYesONo 236 237 4 238 239 DYes ONo 240 241 5 242 243 o Yes 0 No 244 245 Form 2731(3/99) HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per building or area) Page of e CITY OF BAKERSFIEL. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 DADD D DELETE 200 D REVISE BUSINESS NAME (Same as FACILITY NAME or DBA· Doing Business As) &.N2..(.t Á. r ~ 1"'\(2(,)L ~t "..)6- CHEMICAL LOCATION ~~~L..'Ë ~~'f) IN o/~ FACILITY ID # 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optional) o Yes 0 No 202 204 CHEMICAL NAME rprw PA~ o Yes 0 No 206 If Subject to EPCRA, refer to iinstrudions 207 COMMON NAME EHS· o Yes 0 No 208 CAS # ~~f~:V.·::,~·"~::~~Y-:;P·. ,', , : ..~.~: .. ',..': .' '_'~.~'~': <.:'<".:.:::. " 209 : ,:'If EHS Is"YeS*,'àII amounts beloW must be iii :'; "".;;'" +ìb~):!~<} ';:'" : . "'i: ."'~., " ;' i:~:;·. "::' FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE o Yes 0 No o w WASTE .-p·PURE o m MIXTURE 211 RADIOACTIVE PHYSICAL STATE LARGEST CONTAINER 30 ~t... !tit" 9 GAS o s SOLID o I LIQUID 214 FED HAZARD CATEGORIES (Check alllhat apply) ANNUAL WASTE AMOUNT é3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH ~1 FIRE o 2 REACTIVE ~240 AVERAGE DAILY AMOUNT 218 MAXIMUM DAILY AMOUNT 217 32.."\0 UNITS· o ga GAL .cf CUFT . If EHS. amount must be in Ibs, o Ib LBS o tn TONS STORAGE CONTAINER (Check all that apply) o e PLASTICINONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX _ CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN o P TANK WAGON o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o ø STEEL DRUM STORAGE PRESSURE ., aa ABOVE AMBIENT o ba BELOW AMBIENT o a AMBIENT STORAGE TEMPERATURE o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 gt a AMBIENT 210 CURIES 213 , é) f:D Pï1 215 216 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAIL CAR Or OTHER 223 224 226 227 o Yes 0 No 228 229 2 230 231 o Yes 0 No 232 233 3 234 235 o Yes 0 No 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 o Yes 0 No 244 245 Form 2731(3/99) 'i e CITY OF BAKERSFIELdt OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 DADD D DELETE D REVISE 200 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per building or area) Page of BUSINESS NAME (Same as NAME or DBA· Doing Business As) ~~~ ';; ..-ya~~INCT F6rt "rA <11.. e: CAI2. n CHEMICAL LOCATION IN '(Mf) 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optional) D Yes D No 202 204 FACILITY ID # 1 MAP # (optional) CHEMICAL NAME o XY6-e--J I L,QI.J, ç:\\2:-f) If Subject to EPCRA. refer to iinstructions 207 COMMON NAME EHS' D Yes D No 208 CAS # 209 ,;'¡'~~~~~'1~~Ä~}~iåm~~;~08·~~:P;~~"'.1 210 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) PHYSICAL STATE D s SOLID IR LlaUID DgGAS 214 LARGEST CONTAINER .s-o 6A&.. PrJ 215 TYPE . P PURE D m MIXTURE D w WASTE 211 RADIOACTIVE Dyes D No CURIES 213 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT D 1 FIRE IØ 2 REACTIVE ~3 PRESSURE RELEASE D 4 ACUTE HEALTH D 5 CHRONIC HEALTH 216 217 MAXIMUM DAILY AMOUNT r?,2.ro 218 AVERAGE DAILY AMOUNT ,? I 2 ("0 219 STATE WASTE CODE 220 UNITS' D ga GAL liP d CU FT . If EHS. amount must be in Ibs, o Ib LBS o tn TONS 221 DAYS ON SITE 222 STORAGE CONTAINER (Check all that apply) D a ABOVEGROUND TANK D b UNDERGROUND TANK D c TANK INSIDE BUILDING D d STEEL DRUM De PLASTIClNONMETALLlC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX i1ør CYLINDER D m GLASS BOTTLE D n PLASTIC BOTTLE D 0 TOTE BIN D P TANK WAGON o q RAIL CAR o r OTHER 223 STORAGE PRESSURE D a AMBIENT ~a ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE D a AMBIENT o aa ABOVE AMBIENT [J ba BELOW AMBIENT .pc CRYOGENIC 225 226 2 230 3 234 4 238 5 242 227 D Yes D No 228 231 D Yes 0 No 232 235 Dyes D No 236 239 Dyes D No 240 243 Dyes D No 244 229 233 237 241 245 Form 2731(3/99)