HomeMy WebLinkAboutBUSINESS PLAN 4/16/1999
Waste Unified Permit
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Hazardous
CONDITIONS OFPERNI,.,T ON REVERSE SIDE
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Permit ID #:: 015-000-000005
MEINEKE
LOCATION: 6541 WHITE LN M
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Issue Date
Approved by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
ø FAX (661) 326-0576
Issued by:
Expiration Date:
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"'~.~A~ DISCOUNT MUFFLER S~PS, INC.
HOWARD "SANDY" CHAD DICK
Owner - Manager
Crossroads Auto Center
6541 White Lane, Suite M
Bakersfield, CA 93309
(805) 397-9705
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Per it to Operate
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
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PERMIT ID# 015-021-000005 ;!a':î¡:'im-·~¡~~:::.::~~~~::a~zardOUS Materials
MEINEKE "', ;}':::~"·""~i'hWaste
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LOCATION 6541 WHITE 'FIEL.D CA
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Issued by:
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Bakersfield Fire Department Approved by: , ~
OFFICE OF ENVIRONMENTAL SER VICES -
1715 Chester Ave., 3rd Floor Servi es
Bakersfield. CA 93301
Voice (805)326-3979 . . · 30 2000
FAX (805)326-0576 ExplratlonDate: ~une .. .. . _
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UNIFIED PROGRAM IN'ECTION 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 INSPECTION DATE INSPECTION TIME
tî'\ [-C f\.l ~ k fCi... ID-IS- (,) 5 ¿o M ~
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ADDRESS PHONE No_ No, of Employees
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FACILlTYCONTACT Business 10 Number
~\V I\-Q..\I~ è. \-\ A-\)"þ \èk.. 15-021- ~OOOl-
Secti.on1: Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
C V
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( C=Compliance )
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
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~ 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE
_____ ~__.___..____~_~___________ ___ _______~___~________..____._u_._n _.__~______________._ ___.____._~....___._____ _ ...__ ________.
~ 0 VISIBLE ADDRESS
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_..__._------------_._~----------_.._-----------_._._- -..-..--..-------.-...-.-.----.. ---
G:Ý. 0 CORRECT OCCUPANCY
~~ VERIFICATION~;INV~NTORY ~ATERIALS ------------
-~-_.._----_._~_.__.-..._._---_._-_.~._--~-_.._----._-.--.----.---.--.--- ------------...
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r!f" 0 VERIFICATION OF QUANTITIES
--..----------..-.--- ._---_..._-_.,,-_.-~----_.._~-----_._--_.__._--_._---_.-----.-------.-...--- -_._._-_._~-
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VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
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._--~._..~._~~---------_._- ---_.._-_._---~--------"----_._-_._-_...._-_.__._--
VERIFICATION OF MSDS AVAILABILlTYE
~ 0 --;RIFI~~TION OF HAT-~AT TRAINING ---------------------- ---------------------,----------------------------
-----.--...----.------------- ._--~----_.._------_.------_.__._~------.._._~-_._._.--~---_...-----.------
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
"---.-------.---..---- ~-----_._--_._....__._.._._--_._-~-----_._-----_._---_.--.------.--
EMERGENCY PROCEDURES ADEQUATE
---~----------------~-----_._---------------- _.._------_._--_._.__._--_.-----_._----------~-----._--_._-----_.._._-~.__._.._----
cg../o CONTAINERS PROPERLY LABELED
~------------------------ ~---~--_. ---------------_.-----------------------------------------------_.~--
C'r 0 HOUSEKEEPING A'''no\Ø)D\I- "- ~~IA,":J-L- ~/!;~Lt......
.y 0- FI~E PROTECTION ~~-=-====_=-=-= ~-Pt':~ ~ ~~=~, =;-f~J,*¿~'~;
~O SITE DIAGRAM ADEQUATE & ON HAND ~
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ANY HAZARDOUS WASTE ON SITE?:
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EXPLAIN: 0 t' \
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 '
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Inspector Badge No,
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White - Environmental Services
Yellow - Station Copy
Pink - Business Copy
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CITY OF BAKERSFIEI.D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd 1~'loor, Bakersfield, CA 93301
FACILITY NAME Me:: I NE~
ADDRESS £.,..&:5&-{ I NHITrE' U-J
FACILITY CONTACT±::\~J~D/-HADDIL.K..
INSPECTION TIME / ~ e;;q¡- l 5' "'^', ,..J
INSPECTION DATE II II.... ( ~-.....
PHONE NO, (~B~ì - 41 DS'
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES '-I
Section 1:
Business Plan and Inventory Program
~ine, D Combined
D Joint Agency
D Multi-Agency
o Complaint
ORe-inspection
OPERA nON
C V COMMENTS
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Appropriate permit on hand
Business plan contact information accurate
Visible address
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Correct occupancy
Verification of inventory materials
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Verification of quantities
V erification of location
Proper segregation of material
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Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
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Containers properly labeled
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Housekeeping
Fire Protection
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Site Diagram Adequate & On Hand
C=Compliance
V=Violation
Any hazardous waste on site?:
. Explain:
Questions regarding this inspection? Please call us at ~~
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White - Env, Svcs.
Yellow - Station Copy
Pink - Business Copy
Business Site Responsible Party
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MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE3-/~ -:t(
NEW ACCOUNT !
ADDRESS CHANGEi
CLose ACCT i
: FINANce CHARGE
, OTHER ADJ I
CUSTOMER NAME (Yl e~ (\e l ~.
MAILING ADDRESS 0SL\ ~ L~~ ~ + e k S:1e ~
CITY ßal-er'S~ì -eJct STATE CA ZIP CODe q -:S"30l
SITE ADDRESS
PARCEL NUMBER
(lFAPPUCA8I.E)
ADJUSTMENT
R~~S: 'Ö~ 11& ~ùrc-har<J~ ~toj~'II~
APPROVED BY 4~ ~
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Bakermeld Fire Dept..
HAZARDOUS MATERIALS DIVISION
Date Completed G- Lf - ~ ')
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Business Name: Me I'" e k.L--
Location:
6"'34-1
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RECEIVED
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HAZ, MAT. D¡V
Business Identification No. 215-000 OO() 0 <::; (Top of Business Plan)
Station No. '1 Shift c.. Inspector ~
Adequate
Inadequate
Verification of Inventory Materials D rf:r'
Verification of Quantities G--' D
Verification of Location ffi' D
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~- Proper Segregation of Malerial ~
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I V' ~ VenTlCallOll OS-¡>;v¡¡1tãlJlity 1!j D
: ' Number of Employees Lf
Verification of Haz Mat Training
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Comments:
Verification of Abatement Supplies & Procedures
Comments:
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D
Comments:
W<t~~C
Emergency Procedures Posted
Containers Properly Labeled
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Verification of Facility Diagram
Special Hazards Associated with this Facility:
Violations:
"7J~ O~
Business wner/Manager
FD 1652 (Rev. 1-90)
All Items O.K. D
Correction Needed ~
White-Haz Mat Div. Yellow·Station Copy Pink-Business Copy
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'--4- n-~rsfield Fire De~~ ~ ~
HAZARDOUS MATERIALS DIVISION
Date Completed --.J ~ - 7 - 9 ð
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RECEIVED
,DEC 1 0 1990
Business Name:
Location:
b s t I
Business Identification No. 215-000'" 0 00 0 ò )"
Station No.
(
Inspector
Shift C
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Availablity
3-
Verification of Haz Mat Training
Comments:
(Top of Business Plan)
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H/t7 M4T, nlv.
Adequate Inadequate
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Verification of Abatement Supplies & Procedures
Comments:
Emergency Procedures Posted
Containers Properly Labeled
Comments:
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Verification of Facility Diagram
Special Hazards Associated with this Facility:
~
Violations:
7~ ~ C~rAø!M
Business Owner/Manager
FD 1652 (Rev. 1·90)
All Items O.K. 0
Correction Needed ~
White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
~ CITY of HAKEHSFIELD " ';1'
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Farm and Agticulture [] ~AZARDOUS MATERIALS INVENTORY ~
Standard BusIness Page of ~)
NON-TRADE SECRETS ,0
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BUSINESS NAME: )t¡e.,. z.. Ø1..)~ 1_ OWNER NAME: HeJ.I.Vi;r'" al.t.-t.J.~~ NAME OF THIS FACILITY:
l~CATIONp'(..~6 (.VI., - -
,-", ....."1 ADDRESS' ~ . ",,,. _ ST ANDARD IND. CLASS COOF:-- - -- -
C TY È p. - '1. OJ " '3 (?Ø¡ ~TY È ~lp:~1( t' ~."t'HC)'ïf DUN AND BRADSTREET NUMBER---- --
PHON : :) "'" 1 - "'7 ~ P ~N : -mS')-'" lO[ L ( - -
R ER TO RUCTIONS-nJR-PROPER CODES - - - - -
- - -
1 2 3 1 8 9 10 11 12
Tr~ns Type Max . ~yS Cont Cont Cont uSå loc~tion Whe~e ,f " 'e nl
Co e Code Allt on 1 te Type Press Temp Co e Store In Facl lty Ie I JC
M - - -
0 e' er {:.
... - -
Ph~fiic~l ~nd ~ealth Hafard
I ec a I t at apply - - - -
o Fire Hazard o Reactivity [] Delared o SUddr Release [] Component.2 Name & C,A,S, Number
Immediate
Hea th o Pressure Health - - - -
Component.3 Name & C,A,S. Number /
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- -
- - - -
o Fire Hazard o Reactivity [] De 1ared [] suddf" Re I ease Component.2 Name & C.A,S, Number
o Immediate - -
Hea th o Pressure Health - -
Component.3 Name & C.A.S, Number
- - - -
- - - -
Phtsical ,nd ~ealth Hajard C,A.S, Number Component. 1 Name & C,A.S, Number
I heck a 1 t at apply - - - -
[] Reactivity [] Delared [] SUddr Re 1 ease Component.2 Name & C,A.S, Number
o Fire Hazard [] Immediate -
Hea th o Pressure Hea Ith - - -
Component.3 Name & C.A,S. Number
- - - - -
- - - -
PhCsíc~l ,nd ~ealth Haiard C.A.S, Number Component.1 Name & C.A,S, Number
(hec a I t at apply - - - -
[] Reactivity [] Dela,ed [] SUddfn Release [] . Component J2 Name & C. A, S, NU1I'Iber
o Fire Hazard ImmedIate
Hea th o Pressure Health - - - -
Component'3 Name & C,A,S, Number
c1~(¿4 tf?.y~e."" /JCf t - - - -
EMERGENCY CONTACTS #1 r!AC1W""c..Á.. 3~/'ìl( #2 ~ lC-lt.:(...Þ"( (A.. - - ~~ J --1ñ~
e ' T t e nlIr õñr- Ram TlIr . n
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rertifiptio~ çRe~fa and ~ifn afler c9mf7~ting. a7 7 sections) . .
certl un er enal y. 0 a th t I av persona I examln $ m faml11a( it the informatIon $U m1tte4 In his ~nd al1
attaçhedYdQC~men~sl an~ t at ~ase~ on my In~uiry ~ lhose Inålvl~ua's responslbfe ~or obtaIning the In~ormatI0n. ¡ belIeve that the ~,
submItted In or~atlon IS true, accurate,~aQ comp ete.
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IU;ië-ar ofmH-rH1ë owner7QPëfãtõf'š8üthor 1 zed representat 1 VI! UHniqr.ê1
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Bakersfield Fire De¡tl
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
RECEIVED
JUN 20 1990
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HAZARDOUS MATERIALS MANAGEMENT PLAN dØo 3 I
~NSTRUCTlONS: ~r;C, i,'
To avoid further action. return this form within 30 days of receipt,
TYPE/PRINT ANSWERS IN ENGLISH.
3, Answer the questions below for the business as a whole, (\
4, Be brief and concise as possible, ___ \ to u
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SECTION 1: BUSINESS IDENTIFICATION DATA C\ 0\
BUSINESS NAME: ()1e./ VL{. k t.. JA1,' )~/e../ ~ ;SJ/w~ €-
LOCATION: (Q.I)LJ I Vhd-r.:?.. I_Þ'I '#=- M
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MAILING ADDRESS:
CITY: &4
SCot Y'I1. e.
STATE: ~ ZIP: q~~oC1 PHONE: 3c.¡?~ Of70S
DUN & BRADSTREET NUMBER:
SIC CODE:
OWNER:
¡'¡o tU&1.vt0
J11vÇ.i; [~- C1 ~ >"""1.- { "'-
Ct.t'A.)o;(/ ~lt ¡( I c-~~e.{
tJG..4 J81/e.~
PRIMARY ACTIVITY:
MAILING ADDRESS:
Sq.."""'L €-
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1 . l-1rJl.A/CA-",/l (1,~crI., c:,~ C9'V'~p<--- '3Ct ')-C?:J '70 ,5' '3 Cot t:3z -/Gz I (
2, /?,c-4.~A IJ.....Á / ~// ~ .-. C? U/ '1- e:,- 3 1-. S- - f) 2. l{ a." %1 J -'3 l) ~J
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Bakersfield Fire Dept. _
HAZAL~;Z~~~5R~~;r~~~~;1;~Et'¡'LAN
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SECTION 3: TRAINING:
NUMBER OF EMPlOYESS:
.3
MA TERIAl SAFETY DA T A SHEETS ON FILE:
YeS"
S q.~/(It¿~"\
BRIEF SUMMARY OF TRAINING PROGRAM:
C<jl
e.. -'>1 ¡J / Ii> 'y~"
b",,~..z W¡o ..f~ fy Ch'\ {'¡; ~ S'~ç;.jy,
SECTION 4: EXEMPTION REQUEST:
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
TlMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, f!v/.IVú,..,y( ß~tAMlc:1--(l 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 THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
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SIGNA TURE
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TITLE
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DATE
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Bakersfield Fire Dept.
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Hazardous Materials DiviSictl
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A, AGENCY NOTIFICATION PROCEDURES:
C"",U q , I
S, EMPLOYEE NOTIFICATION AND EVACUATION:
I <£.."LV ~
hv: lC;{ .;,
C, PUBLIC EVACUATION:
,
¡ <è.C\. v e.. 10 VI I d L- "l)
D. EMERGENCY MEDICAL PLAN:
o~ C-I...<?--c.. t' o{..... '" -f Cjo --I-c/
J:", c:.C<...:>c- Þ?1.. VI..,./'
JlkJe..;, c-)I hUJ/j> I ~ . J"" c...<:-t. r Co- D'~ .s- e.. ~.c.> ...J :;- Cl-t..C-C-I'oA. <{..V\.-I
(' I ~J--t I ;[' ¡O rY Ì.S~ .b (e.. ,
C-.<::-LtI c-¡1I ,^-"'I.O"( ~ I- o(Y'L Cc...101
3.
FOI! ;()
Hakersfield Fire Dept. _
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Hazardous Materials Division.
.
HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A,
RELEASE PREVENTION STEPS:
cPA Iy h'lY' ~ We.../cÁ.'''1..j 7Ct.J"0!..""'" ~
01 V\ +ec... "'" t"... ~ ~ l- :.. e.. s- cd $"'Ct> t". <'\...V C-
S~vi ~I/e.'" vc....S'
C- h. ~c.-4 v 4 I v e. .r--
B. RElEASE CONTAINMENT AND/OR MINIMIZATION:
SlÄ.~
C, CLEAN-UP PROCEDURES:
V\, 0 i V\\!..~ u{
SECTION 8: UTILITY SHUT-OFFS (LOCA TION OF SHUT -OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: C G1..-rt ~vt.Á &f: b VI I.Á¡~ 'J - ta.Jr.e. tv{ J"'1.4.-{
WATER:
ecu- i
ðl~ ~ C?-.p
bUt 1A,'~
b Vt I~~
ELECTRICAL: (»-ey+ -e",oA D-Ç
SPECIAL:
-
LOCK BOX: YES/NO
IF YES, LOCATION:
Jl¡Ju
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIV A TE FIRE PROTECTION: -Ç~:..Q. -~)(+~, :fC-3
B, WATER AVAILABILITY (FIRE HYDRANT):
ler
n (\ .. 'h\ \c L~· [ A~ he-
,-, ' Of (\e.c ot IA.I 1
FO 1 S;¡O
Bakersfield Fire Dept.
e Hazardous Materials D.ion
TO: PLANNING DEPT. - (µ'ir ße!lyy\LvY\....;
.,gl?;jll~1f J~.bPT.
BUSINESS NAME ÌY14.r..)'LO Þ r) J hOW-UJ..ú..¡yLL
YnL¡fJ- Lut.)
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LOCATION (054/ WM cl.f1A1.ß-¡
STATUS OF HAZ MAT REGULATIONS
I. ~eqUired to complete a Hazardous Materials
~ ~usiness Plan
o Hazardous Materials Business Plan Complete
II. 0 Risk Management & Prevention Program Required
o Risk Management & Prevention Program Requirements
are being met - OK to issue permit
o Risk Management and Prevention Program has been
approved. OK to issue Certificate of Occupancy.
III. 0 No Hazardous Material Requirements.
'-tMvu~ WJliffJW1ÆJ
Hazardous Materials D' ¡sion
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Date '
FD 165~
·
Bakersfield Fire Delt.
Hazardous Materials DiVI on
RECEIVED
HAZARDOUS MATERIALS COMPLIANCE STATEMENT
(To be completed by Building Permit Applicant and/or Site Plan Review APrHQ¥,t2 9 1989
(ex.,,\ e....
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HA~, MAT. DIV.
LOCATION
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BUSINESS NAME
PLEASE READ ALL OF THE INFORMA TON CAREFULLY, FAILURE TO COMPLY WITH THE HAZARDOUS MATERIALS
REGULATIONS MAY RESULT IN CIVIL LIABILITIES OF UP TO $2000.00 FOR EACH DAY IN WHICH THE VIOLATlO
OCCURS, fr:\'J() < 0 .....J- \.
~'~ \IûtO--¥l ~ ~. ~ ;LJlø
Will the Applicant or future building occupant be required to complete a Hazardous rcY
Materials Business Plan? L::l!
(NOTE) If you handle, store, use or dispose of, reportable quantities of any
hazardous substance, you are required by California Law to complete a
Hazardous Materials Business Plan, Forms can be obtained from the Bakersfield
Fire Department. Hazardous Materials Division, 2130 G Street.
Typical every day hazardous materials you may find in your facilities may Include,
but not limited to: compressed gases; fuels - all types; solvents; oils (new and
waste); thinners; caustic or corrosive materials; poisonous or toxic materials; and
radioactive materials.
Will the applicant or future building occupant be required to complete a Risk Manage-
ment and Prevention Program?
YES
o
NO
o
(NOTE) If you handle, store, use or dispose of reportable quantities of any
extremely hazardous substance you must develop a Risk Management and
Prevention Program. THIS PLAN MUST BE APPROVED BY THE LOCAL
ADMINISTERING AGENCY BEFORE YOU COMMENCE OPERATIONS AT THIS
FACILITY. The list of regulated chemicals is contained In Appendix A of part 355
of Subchapter J of Chapter I of Title 40 of the Code of Federal Regulations. This
list of chemicals isavailable at the Bakersfield Fire Department, Hazardous
Materials Division, 2130 G Street.
School -(any school, public or private used for the purposes of education of
children Kindergarten or any of grade 1 to 12, inclusive)
YES NO
0 ß]
YES NO
0 ß]
0 0
0 IðJ
0 0
Will the applicant or furture building occupant be required to obtain a permit from the
Kern County Air Polution Control District?
Location within 1,000 feet of outer boundry of the following:
Hospital .
Long Term Care Facility -
Check here if none of the above apply to this project.
Signed:
.1·!cn~~ A C lhP~;~l
(Owner, Priniple or Officer of Business)
Date:
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I
FD 1654