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HomeMy WebLinkAboutBUSINESS PLAN 7/18/2007- - ~ ROMY'S AUTOMOTIVE SRVC & TIRES 6801 WHITE LANE, G4 J -- -- -- ~~ ~~~ ~-- -,~ ~ c ~ ~f ~~; ~~ ~~ ,~1 ~~ f. .~ .`-' .~ ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 Manager.: ROMEO TIPANERO Location: 6801 WHITE LN F-1 City BAKERSFIELD BusPhone: (661) 827-0593 Map 123 CommHaz Low Grid: 16B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: CAL000261727 SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROMEO TIPANERO / OWNER MARITES TIPANERO / OWNER Business Phone: (661) 827-0593x Business Phone: (661) 827-0593x 24-Hour Phone (661) 304-9247x 24-Hour Phone (661) 836-9575x Pager Phone ( } - x Pager Phone ( } - x Hazmat Hazards: Fire DelHlth Contact ROMEO TIPANERO Phone: (661) 472-1706x MailAddr: 9822 GOLD DUST DR State: CA City BAKERSFIELD Zip 93311-3025 Owner ROMEO TIPANERO Phone: (661) 472-1706x Address 9822 GOLD DUST DR State: CA City BAKERSFIELD Zip 93311-3025 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: E1V~ PROG A - HAZMAT p ~JUC r~ /~ J PROG H - HAZ WASTE GEN V 200, S~sad on my inquiry of those individuals resp!~nsibie for obtainin the i f g n ormation, I cerlily under penalty ofi la~t~ that i h ave persanaliy examined and am familiar with the ;nfosmatian submitted and i~)t'ii~ue the information is true , accu - ~, an : iom .i~~!e. ~" 7 /~' ~~ Signa- lure - D ~e -1- 07/13/2007 f A F ROMPS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ANTIFREEZE L 55.00 GAL Low WASTE OIL F DH L 55.00 GAL Low LUBRICATING OIL F DH L 100.00 GAL Min WASTE OIL FILTERS S 55.00 GAL UnR -2- 07/13/2007 1- ~ ~ -3- 07/13/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~ Mixture Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Con55~00rGAL Daily M55100m GAL I Daily A55r00e GAL ntic~t~cLVUJ ~.vrirvlvrivtS sWt. RS CAS# 100.00 Ethylene Glycol No 107211 r31iG1iitL Ei. 77L~JJ1~1r,1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZAR DOUS COMPONENTS ~Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 - r1Yi[~tiLCL tiJ JP~JJI~IP~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ' -4- 07/13/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME LUBRICATING OIL Location within this Facility Unit STATE TYPE ~ PRESSURE Liquid TMixture I Am'-~ --~ Largest Container 55.00 GAL SiteID: 015-021-002448 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64742-65-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 55.00 GAL r~~ra.rcLUU~ ~ui~iruivr.iv 1 ~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1HG1~tC.U L~J~L' .7.71~1~1V l.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS r r oWt. RS CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -5- 07/13/2007 ~SolidE Waste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ ,Z F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/26/2003 ~ CALL 911 Employee Notif./Evacuation 02/21/2007 SOUTH MAIN DOOR Public Notif./Evacuation SOUTH MAIN FRONT PARKING LOT 02/21/2007 Emergency Medical Plan 02/26/2003 MERCY HOSPITAL -6- 07/13/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ KC1~dS~ Y1.CV~11l.1CJi1 Release Containment Clean Up CRANES WASTE OIL INC ENVIRONMENTAL SERVICES 800-272-6330 ASBURY ENVIRONMENTAL SERVICES 707-693-6000 03/20/2006 Other Resource Activation -7- 07/13/2007 r~ :~/ ~ F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~peciai nazaras Utility Shut-Offs 02/21/2007 NORTH SIDE BLDG MAIN ELECT SHUT-OFF ~„ , 1'116 r1v~.c~..~1-~va11 rva~.ci Building Occupancy Level 12/11/2006 2 EMPLOYEES -8- 07/13/2007 i .f. w. i F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/21/2007 ~ SAFETY MEETING TRAINING rc~yC L Held for Future Use I1C ll,i 1VL ~' IA I~ULC U5C -9- 07/13/2007 - ~ Prevention Services UNIFIED PROGRAM INSP:ECTION CHECKLIST. B E R S F, , „ 90o-1~-uXtun Ave., Suite 210 a~ ,.___.__._.u~ ~~ -__.. ,. ~~~._~~ ..,_._~ ___ ~.. _..._~,.~~ ~-.. m _ ~~~~. ______,~~~.- _ FiRe~ Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ' aRrM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME - s ~ ` ~ ~ INSPECTION DATE to-~~- o ~ INSPECTIO TIME s'~ l ~ ~~. . - ADDRESS ~ ~-~-~-~. L~ PHONE NO. , ~ ~ o~f3 NO OF EMPLOYEES Z FACILITY CONTACT BUSINESS ID NUMBER 15-021- Z~<<l~ -vt,, ~~ 1 AA-/~4~ _ _ ~ __ _ Section 1: Business Plan and Inventory Program ^ ^ ^ __ _ __T ~~~" I ~ __ ROUTINE ^ COMBINED JOIN COMPLAINT T AGENCY -^ MULTI-AGENCY RE-INSPECTION C V (C=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~nl~'D ~ ~ ~ ~ ~ ~OQ~ 'tl v ^ VISIBLE ADDRESS (~3' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL h/~ T/ LK ^ VERIFICATION OF MSDS AVAILABILITY L ^ VERIFICATION OF HAZ MAT TRAINING l ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDO.U~S ~ SON ITT EXPLAIN: AYES ^ NO QUESTIONS REGARDING THIS INSPE9CTION? PLEASE CALL US AT (661j 326-3979 Q~Z ~~"_ ' Inspector (Please Print) Fire Prevention / 1°'-In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy V r ~~~ Pink -Business Copy FD 2155 (Rev. 09/05 :y. ~1 ~yi ROMYS AUTOMOTIVE SERVICE & TIRES .Manager ROMEO TIPANERO Location: 6801 WHITE LN F-1 City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: CAL000261727 SiteID: 015-021-002448 BusPhone: (661) 827-0593 Map 123 CommHaz Low Grid: 16B FacUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROMEO TIPANERO / OWNER MARITES TIPANERO / OWNER Business Phone: (661) 827-0593x Business Phone: (661) 827-0593x 24-Hour Phone (661) 304-9247x 24-Hour Phone (661) 836-9575x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact ROMEO TIPANERO Phone: (661) 472-1706x MailAddr: 9822 GOLD DUST DR State: CA City BAKERSFIELD Zip 93311-3025 Owner ROMEO TIPANERO Phone: (661) 472-1706x Address 9822 GOLD DUST DR State: CA City BAKERSFIELD Zip 93311-3025 Period to TotalASTs: = Gal Prepares: - TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law That I have personally ea:amined and am familiar with the information suh~ ~' led and believe the information is true, ~.~rate, and complete. L~ ~~ O~ S~gn~tur ~ Date ~~~ z z ~oo~ -1- 02/06/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site q Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ANTIFREEZE L 55.00 GAL Low WASTE OIL F DH L 55.00 GAL Low LUBRICATING OIL F DH L 100.00 GAL Min WASTE OIL FILTERS S 55.00 GAL UnR -2- 02/06/2007 -3- 02/06/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL nti~taxLUUa wrirvlv~ivl~ %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 nt~~.~ucL xa a~~ari~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME j CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWaste -Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ntiar~cLV V a ~.vi~irviv~ly 1 a %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 I11~GEiKL EiJ JL" .7.71~1L" 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 02/06/2007 Liquid TMixture ~mbient~E ~ AmbientT~E DRUM/BNARRELENONMETAL F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LUBRICATING OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 64742-65-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 100.00 GAL 55.00 GAL ril-~GEitCLV U 7 1:V1~lYV1V L"i1V T~ oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 - r1AL,EitCL HJJL' .7a1~1~1V l J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ /'~/'1L /ILR/1TT. 1TT LRT ~ /"ITTTTRT /`,TT wTr wRr, AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS , T oWt. RSA CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -5- 02/06/2007 ~Solid~ TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/26/2003 ~ CALL 911 r,lll~1V~/CC 1VV1.11. / ~VdC:Udl.1Vi1 SDU7~ ~'~ DObty Public Notif./Evacuation ~a V4~ I~-~1-t~ ~~T f~'i~lL(~r~ LD7 Emergency Medical Plan 02/26/2003 MERCY HOSPITAL -6- 02/06/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention -- xelease c.:onLainmenL Clean Up 03/20/2006 = CRANES WASTE OIL INC ENVIRONMENTAL SERVICES 800-272-6330 ASBURY ENVIRONMENTAL SERVICES 707-693-6000 V L11CL .RC A"VI.LL I:C t1l:L1VdL1V11 -7- 02/06/2007 F ROMYS AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aN~c:lcil nc«c~rcz~ V V1111.y w711UL-V11A ~Cor~ St,~~ ~V«~+,~G Fire Protec./Avail. Water Building Occupancy Level 12/11/2006 2 EMPLOYEES -8- 02/06/2007 L ~ F ROMYS AUTOMOTIVE SERVICE & TIRES SitelD: 015-021-002448 ~ Fast Format ~ ~ Training Overall Site ~ L~LIL~J1VxCC l1.d111111y ~~~~-gyp ~,dlf~~''Ji~~~j '~-,~- ttt1~~ rdyC ~ nciu ivt ru~uiC u~C _ ~ azc~.u .L Vi r u~.uic vac -9- 02/06/2007 ti + ROMYS AUTOMOTIVE SERVICE & TIRES ____________________ SiteID: 015-021-002448 + Manager ROMEO TIPANERO _ BusPhone: (661) 827-0593 Location: 6801 WHITE LN $joQ~, t"1 Map 123 CommHaz Low City BAKERSFIELD Grid: 16B FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:7538 EPA Numb: CAL000261727 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROMEO TIPANERO / OWNER MARITES TIPANERO / OWNER Business Phone: (661) --9~3.3•xg~`1- Business Phone: (661) 827-0593x 24-Hour Phone (661) 4~.~--xTOOx~30~-9~ 24-Hour Phone (661) 836-9575x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact ROMEO TIPANERO Phone : ( 661) -4-~2--37-6fx 3~D'~-~J' yy MailAddr: 6801 WHITE LN -~~ g~• ~ .i. State: CA City BAKERSFIELD Zip 93309 Owner ROMEO TIPANERO Phone : ( 6 61) a'~-max 3p~-9 ~fi Address 3713 LAVERNE AVE State: CA City BAKERSFIELD Zip 93309 Period to Preparers Certif' d: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the inforrnatlan I certify under enal4y of law that I have personally e e and am familiar with the Inform lion ub ~i d ~c ate.. nd rnrr~4,Ir~- a ion is true, ~_~-~~, Date /LIY~~ ~~~ ~ ~~~~ -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~~"PE~?li' .~k$'L'"...n3vHx'~.~.:._. :n;A~#'~-_ . stfe ..d',Y...~ _.. { cep <.~ • ~J: C~._.w.-. ~~- rnY,..w s:,.w tl.'. 3.. . ter'±?~3. E v .-~7"i'! y, SECTION 1: Business Plan and Inventory Program J BAKERSFIELD FIRE DEPT Prevention Services f~~~ 900 T4uxtun Ave., Suite 210 ~wrllr s Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE rd-.~~-ds NSPECTION TIME ~:~ ~~ S ~~T~~ ADDRESS Cfl8"~-t t,J~-iT G. ~ C, -y HONE NO. sz-~- ~s93 O OF EMPLOYEES 3 FACILITY CONTACT " USINESS ID NUMBER ~s-o2~- ~~148 t~s---~ ~ e.~ xZ m~->let~ T Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND - / Cam. ~ BUSIt12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ - / C~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL I~ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO DUKES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ~TYtS ^ NO EXPLAIN: ~ ), QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Q "_ `'"~ White -Prevention Services Yellow -Station Copy Pink -Business Copy F02049 (Rav. 02/05) " j . . ROMY'S AUTOMOTIVE SERVICE & TIRES SiteID: 015-021-002448 Manager : ROMEO TIPANERO Location: 6801 WHITE LN G-4 City BAKERSFIELD ~\'~ fjj-f.. t BusPhone: Map : 123 Grid: 16B (661) 827-0593 CommHaz : FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: CAL000261727 SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROMEO TIPANERO / OWNER MARITES TIPANERO / CO-OWNER Business Phone: (661) 872-0593x Business Phone: (661) 827-0593x 24-Hour Phone : (661) 472-1706x 24-Hour Phone : (661) 836-9575x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 472-1706x State: CA Zip : 93309 Phone: (661) 472-1706x State: CA Zip : 93309 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : ROMEO TIPANERO MailAddr: 6801 WHITE LN G-4 City : BAKERSFIELD Owner Address : City ROMEO TIPANERO 3713 LAVERNE AVE : BAKERSFIELD Emergency Directives: - I, f1; ¡tteD Î, ,pal1~o hereby C6'Þnify that I have (Type or pi' nt naroo) reviewoo the attached hazardous materials ma¡nag~-' Ii?~ ; A ..L~JJk'(ç S'~lS~n~ ment plan for JUOfV1'¥,Ç 1T'-\t7"ll""Mô tMt it ~ong with (~oi lðucfnoo:¡) any corvootion$ ooU1$titu1* a complete and OOVYÐd man- a~®m®8ì!t plan for my facility. . , ~ÀA Si tuf& ~ / V-?/-f)S DatC! ROMY'S A.mOFíi\01fW!E S!E~VlltC!E M!DJ 1fll~S 6801 White Ln" Ste, G·4· Bakersfield, CA 93309 ? - :;¡..;>. Mon· Fri 8:30am· 6:30pm / Sat 8am . 5pm / Sun Closed. Romeo Tipanero Owner ~.] (66!) 827-0593 Cell (661) 472-1706 -1- 10/17/2003 e /~3-/bD 90 - ð/~ -ó:2-/- ÓDðYY/ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3fd I~'loor, Bakersfield, CA 93301 E5Lþ'Lj!À- JffY' 0 (1 ssó(j 11 rlff101 FACILITY NAME r¡2ðM.('s ~ ADDRESS (08'0 ( WI,+\,E W FACILITY CONTACT INSPECTION TIME 5-CJbJ¡ c.E &-4 INSPECTION DATE '2-. I Ci. I ð '> PHONE NO. "&'2. 7 - o~ cr30 BUSINESS ID NO. 15-210- ,vG.J NUMBER OF EMPLOYEES Section I: Business Plan and Inventory Program o Routine a.Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pemit on hand ~ P("l.""'I"r c;t-n= Business plan contact infomation accurate Visible address Correct occupancy Verification of inventory materials U Sf:ð O't.- 4: FíLrr:~S f{ AÑÎì r-ftC-tZ.l: Verification of quantities rr- GAL- C-4 Verification of location INs,OE >€ C{2.N~ of; SHoP Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous wasteon si e?: 54..Y~. 0 No Explain: u<;~ OL" Â'\!'n~ac M~ While· Env, Svcs, Yellow - Station Copy Pink· Business Copy Business Site Respo sible Party Inspector: W,/\/C-S Questions regarding this inspection? Please call us at (661) 326-3979 e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME ~l(5 MoMlð'f\vt:.. INSPECTION DATE '7..-/(1 /03 I , Section 4: Hazardous Waste Generator Program EP A ID # CAL OÓ02fó (7 z.. 7 o Routine ø Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination has been made þ-L I~S OK- EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage /./' Reported release, fire, or explosion within 15 days of occurrence ( Established or maintains a contingency plan and training ~ Hazardous waste accumulation time frames ) Containers in good condition and not leaking / Containers are compatible with the hazardous waste /' Containers are kept closed when not in use I Weekly inspection of storage area \ Ignitable/reactive waste located at least 50 feet from property line '" Secondary containment provided \ Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste / Proper management of lead acid batteries including labels / Proper management of used oil filters ( Transports hazardous waste with completed manifest \ Sends manifest copies to DTSC "" Retains manifests for 3 years \ Retains hazardous waste analysis for 3 years ) Retains copies of used oil receipts for 3 years ¡/ / Determines if waste is restricted from land disposal I ", C=Compliance V=Violation ¡j '¿~-£J;; Inspector: (¡..), NE:5 Office of Environmental SeIVices (661) 326-3979 Œusiness Site Respßnsible Party ~ White - Env, Svcs, Pink - Business Copy BUSINESS OWNER I OPERATOR IDENTIFICATION 11 FACILITY INFORMATION ;j,.¡ylO rJ :¿ J'J... pI"" 016 I ¿ -/(,p c¡ L OI).,D~/- Dð>YC¡ 1~5ÐÖ I Page _ Of " . , . 'I.FAC¡tlTvJD'~NiIFlèÄTION c': , .d- -. > ,. ,,- ,~,y;,:;; __-,,;:,.', - c. . FACILITY ID # I 1 Year Beginning 11 _ tf'- l>4 100 ! Year Ending BUSINESS NAM, (Same as FACILITY NAME or DBA- Doing Business As) b 3 I BUSINESS l~~~E~) 'Rð~\{ -S .,ðrtJrot"-OT1\JE ..s~lce ~Þ{ T1~.s . 'cU'U1 _ 9~ 7 -OSqô a CITY OF BAKERSFIELD - OFF1IP'E OF ENVIRONMENTAL S./ICES 1715 Chester Ave., CA 93301 (661) 326-3979 '01 . 102 .. SITE A~~~S ---~C2.W to!t\ 1E L-A\Jt; I S-t.~ . . CITY ~f1\31..:p , DUN& : BRADSTREET COUNTY ~ «.: I OPERATOR NAME G -1 103 104 I I CA I ZIP 9ð~ð9 106 SIC CODE (4 Digit#) '558 105 , 107 : 109 , CONTACT NAME -n -f~~ 117 I CONTACT PHONE '17;;¿ - 17tJ(¡, : CONTACT MAILING , ADDRESS ! CITY 119 ZIP '¡r;;'~'~tÕNbÅRY;,>X .' ;/ij}~::,''''fÚe~,::; , :, , . (~;j:~ ",¡,>~ ;'. 122 123 NAME 125 I TITLE I I 126 I BUSINESS PHONE 127 ! 24-HOUR PHONE i 128 : PAGER # \\t't\\-(eR[) \JJ~ g~7 - ()sqð 83'" - qs- 7$;' 130 : I 131 132 . PAGER # 133 . t· "; ~.,:), -::';~, ù: ';: ~~;';;t :~.- '?*n~;.:·;,,\ . "', -;>k,:',.~_ ..;.;.EÇJ;~T.:lfIØ~l:loN.;~~' , ',o'._.:k ,·..',fh-"'..' '-~:A:<"'<<<'~"~;:<;'~"'" ".'!:."^'"''_~''' i 135 , 136 TITLE OF OWNER/OPERATOR OcA/#f/t- 137 : UPCF (7/99) \ S:\CUPAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIEL~ OF. OF ENVIRONMENTAL S~ICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section 11.1 - DISCOVERY AND NOTIFICATIONS , . I. 'FACILI'rY IDENTIFICAtíøÑ.,> FACIU1)'ID # --s Øl œ-- STt ~- ~ ai\& 1\ R~ 'ß.L t:cb7<.~ Tlhl EfA ID "it ML 3 476, Cft . 13.3 t) OOO:JCP f7?7 DISCOVERY' A. LEAK DETECTION AND MONITORING PROCEDURES: '- ~~~ . ' '/ , .':, t,- .' , ,(:' :~: '.t '~.~'-~" >. ~~~,:". '; _~~. .,:; ~"_',::::~,.:'t~:,·,~r~~~~t.t~:' ~'.. NØTIFICA TIONS,';~~l:"f,;;~~~,: .~ .' - . ;. "~'~''''-'' ,. , '.;f'"'..;J. ". ,.,.."~ . .. B. EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: CaiQ. q t \ ,t ".. :},,~VIR~,NME,NT Áç~MANÂøE~Et{J;~:.,;~,:/Û:>~:,~',~,~:~;1~·~2'~/;1J~~li:~:;<:;i~t6~:{i::,') .:fr:: ", . , C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: I i I ! I r:" EMERGENCY MEDICAL PLAN I D. CLOSEST LOCAL MEDICAL FACILITY: Mf!f((0Y tfOf?1111+~ UPCF (7199) S:IPROCEDURE MANUAllN_ HMMP fonn,wpd HAÐAOUS MATERIALS MANAGEMEAPLAN - - ~ection 1/.2 - RELEASE RESPONSE plAr :~~~it~·£'}~;:_~:.(::'^· ..' ""_' ,'-,~ ·-··:~·;;·,,;::-'~~i;~::\·5~:,t?:<.1:~ :..' ¿' " . ',·ff.}",:'::.PREt;IMINARY;~A:SSESSMENT·, . 't,_.:.~...,"J..>.."_,,~.,, 'l" ~. ....'- ','_~ '''''~;'''''~.f'.,."' . ,- A. HAZARD ASSESSMENT AND PREVENTION MEASURES: ,. ... ", . ~. 'c' . . " 'RESPON$Ë ÀCtIONS,~:"". ¿;- ;- ... ~ - '-.' '. ...^ . ",. , ,.. - ....'>-.~~... . . B. RELEASE CONTAINMENT AND MITIGATION: . ~::,f'., .," FOLLOW-UP ACTIONS,' C. CLEAN-UP AND RECOVERY PROCEDURES: QR-ÄJ.Je~ WA->7l3" 01 L) SJ-le,· E\I V I R:öN MSNTAL .seF.. \t f~ ,.- (p 88 V I - ~OO - P. 7 :J--. UPCF (719i1 S:\PROCEDURE MANUAlINew HMMP lonn,wpd HAZAlous MATERIALS MANAGEME'PLAN Section 111.1 - FACILITY AND LOCALITY INFORMATION .-.~ .. ',- . . "'" ;"i:~;)~~~, UTII.Îi1ï¥;.SHÜ1:~FFSf',:).: ' " . ';, "" '...." 1,'....~ .' ., '. ,. LOCATION OF SHUT-OFFS AT YOUR FACILITY: ELECTRICAL: ,I£E"~~ IJDW~ Iù Ttfe e~"t,'ft-Ðð},^ ))(Ã) \L " NATURAL GAS I PROPANE: WATER: SPECIAL: LOCK BOX: YES I @) IF YES, LOCATION: A. :"' :,' ¡ ," "-:':PRIVATE FIREPRPTECTION. 'WÁ,TER'A.VÂai.AäU:'ItY. :. . " PRIVATE FIRE PROTECTION: ':f-kc,rþ CU-(í/ 6 f'" ru.- e-f:. -t i"3 \). {Q.1A..e, r ~ ~4"'~~ ~\~ w~ ~~ ~ ß~' '.' . B. WATER AVAILABILITY (FIRE HYDRANT): ,5:1~0~~~~; , A. NUMBER OF EMPLOYEES: 1. -/ · ;':'TìWNÎNG~ .,;1 . " '''.: ''',' " owlJÐe- ) 8*14' , ðLV\.U..rS (Ù'~ .':' '::. -. .. , .'>' "".... B. MATERIALS DATA SHEETS ON FILE: C. BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION Based on my inquiry of those individuals responsible for oblaining the information, I certify under penalty of law \hal I have pen;onnaly examined and am familiar with \ha Information submitted and baIIeve \he informa is true. accurate, and complete, 51 OF OWN DATE 477, 478, TITLE OF SIGNER cX-;2 -D"3 t7't/N f R- 479, fYteo Ð UPCF (7189) 5:\PROCEOURE MANUALINew HMMP form,wpd · CITY OF BAKERSFIELD OF E OF ENVIRONMENTAL S.ICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADD 200 D DELETE D REVISE COMMON NAME , L()f3r<l~Á n~ ðt\.- CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE D m MIXTURE Dyes D p PURE w WASTE 211 RADIOACTIVE o PHYSICAL STATE ~QUID 214 LARGEST CONTAINER D s SOLID o 9 GAS FED HAZARD CATEGORIES (Check all that apply) ff1 FIRE D 2 REACTIVE D 4 ACUTE HEALTH D 5 CHRONIC HEALTH D 3 PRESSURE RELEASE ANNUAL WASTE AMOUNT qjú,,^- 217 MAXIMUM DAILY AMOUNT D 9a GAL D cf CUFT . If EHS, amounl must be in Ibs, D In TONS 218 'AVERAGE DAILY AMOUNT /()o D Ib LBS UNITS' STORAGE CONTAINER (Check all that apply) o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o a ABOVEGROUND TANK Db UNDERGROUND TANK Dc TANK INSIDE BUILDING ~ STEEL DRUM , 5fé PLASTIC/NONMETALLIC DRUM ... Of CAN o 9 CARBOY D h SilO (one form per material per building or area) Page of DYes 0 No 202 204 , ¡ .0, 210 212 216 , --' 219 STATE WASTE CODE .;;J.:L DAYS ON SITE , 222 i 220 221 o q RAIL CAR D r OTHER 223 STORAGE PRESSURE o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 o a AMBIENT D aa ABOVE AMBIENT D ba BELOW AMBIENT 225 D c CRYOGENIC STORAGE TEMPERATURE o a AMBIENT 226 : 2 230 i 3 234 4 238 5 242 227 Dyes 0 No 229 231 DYes 0 No 232 235 DYesDNo 236 239 o Yes 0 No 240 243 DYes 0 No 244 229 233 I --I 237 241 245 7í t ¿; r1-e,cù DATE 246 __'I/- ~ 02- z-,-D:S I PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE If:<; ! tJf.u UPCF (7/99) S:ICUPAFORMSIOES2731,TV4,wpd DNEW DADD D DELETE ------¡ J 3 I ! " ; , ~'~'''~4_,'~ ~,. < . "~" .,." "<. - '". -', '. ~¥",.~( ...,~':.;:.<": "~:~" , _ CITY OF BAKERSFIELD OF~E OF ENVIRONMENTAL SItvICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION D REVISE 200 .', ,,"," ....... , , , ":/ì< ~ þ "_ '., i;;;~;~.:..;.;,:,'~:,: :" '-\,Þ-:;;:<:>;~,'~""~: ~.~ ;,:"" ' : ;j,~> ::~<~ '", ;\:~~i FA~,~1Ç'NFORiÄtíÖtr1~i; .... . ,~-; " GH'\ 01 :, ; ~ ~~~->áéi ;/ ,..<'. '.-:' ,;','~' ';. ., , i BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) I. ~\-3 AU"\t~DnV6 I CHEMICAL LOCATION g,~IŒ 11 er'S> 2011' CHEMICAL LOCATION CONFIDENTIAL (EPCRA) GRID # (optional) I i I CHEMICAL NAME I COMMON NAME Át{ r :PteE2-b EHS· If Subject to EPCRA, refer to inslruClions o Yes 0 No 208 CAS # 203 (one form per material per building or area) Page of o Yes 0 No 202 204 205 ~ "'>' '.:>~> "~': ':,,, ~<-~;;~~:; /,_: - >:':--::_'_ ~?::;{-~,ç-:---V:';; ,,, _~./' " It:êH~MíCA,f;I~F:ORMÄTIÒÑ . ' ,~" ,__.~,~ :«";h:)~~·,.:.i: r~'-""'N~'Jit'-'~","~':-::"'- ',':;"; t<··,,~:,...· 207 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 209 TYPE o P PURE PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT 01 FIRE UNITS· STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o m MIXTURE ~D 210 CURIES 213 I o w WASTE 211 RADIOACTNE 0 Yes 215 216 219 STATE WASTE CODE 220 o g GAS 214 LARGEST CONTAINER 5"S ~AL 221 DAYS ON SITE 222 ! o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH o q RAIL CAR o r OTHER 223 217 I MAXIMUM DAILY AMOUNT OgaGAL OdCUFT . If EHS. amount must be in Ibs, ~PLASTIClNONMETALLlC DRUM Of CAN o g CARBOY o h SILO 218 I AVERAGE DAILY AMOUNT o Ib LBS 0 tn TONS o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON STORAGE PRESSURE o a AMBIENT 224 STORAGE TEMPERATURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o C CRYOGENIC 225 UPCF (7/99) 230 231 o Yes 0 No 232 233 3 234 235 OYesONo 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 o Yes 0 No 244 245 S:\CUPAFORMS\OES2731.TV4.wpd HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION .. CITY OF BAKERSFIELD OF~E OF ENVIRONMENTAL S&ICES 1715 Chester Ave., CA 93301 (661) 326-3979 DNEW DADD D DELETE D REVISE 200 (one form per material per building or area) Page of .···;i)~t:?;'.,:~i~~J,:¿~j::?~,'·: >é~;;2:I;iÄê¡~t#f~~~~r..ÀiJð~,~\\r.::·:;i": . --J t~ ~& DYes 0 No 202 204 o Yes 0 No 206 If Subject to EPCRA, refer to instructions COMMON NAME ó; ( r'lw EHS· o Yes 0 No 208 CAS # ;_'}'t>,,;;/;:;ß~~5~F~i~>~·t,>::. ,." " _. . -_'>~_:\.::~.:',:.' 209 .'O¡{e··· Yes,·'allaJDOÚntsbelowmustbCinlbs:>· ,,': ·~;:i<"? .,:." '.' '~"'!f-- -: , ':<~r,~ FIRE CODE HAZARD CLASSES (Complete ~ requested by local fire Chief) TYPE o p PURE ~LlD o m MIXTURE 210 ~:ASTE 211 RADIOACTIVE DYes Q1fo 212 CURIES 213 o g GAS 214 LARGEST CONTAINER .FS A 215 PHYSICAL STATE o I LIQUID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 1 FIRE 02 REACTNE 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 I 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 o e PlASTIC/NONMETALLIC DRUM o i FIBER DRUM o m GLASS BOlTLE o q RAIL CAR 223 , (Check all that apply) o b UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOlTLE o r OTHER ~ANK INSIDE BUILDING 09 CARBOY Ok BOX o 0 TOTE BIN 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 2 I 230 231 o Yes 0 No 232 233 3 234 235 DYesONo 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 Dyes 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ,- '; .J '.7 _ 17)1'>':;- "', .\ t N .~- sm DIAG~ ~ I PA~IAGRAM r J Business Name: _þ:1 S t~M£l11/C ~~\CE~ ;;g Tlfe~ Business Address: gO f W Þ ~ . Gt - 'f ~18Zj), 13~ I ¡ PACIUI'Y DIAGRAM D - - - - . . . 8m: DIAGRAM t::::J B-.... Name: _ BUIiness Address: ~a t- . o -:2 , . . M \.!fI' , V'I I , '" I.., -==- =- ~---.... - - .." :-:.::=--= c .. #011 6t/i/c&4,3S' c;¡/t? 6' go / V.4>/e ¿Q>;<f€!- . ~ t.I-2 . -1..72 ^CS, NET 9.Q66 SOFT. 9.~ SOFT, 1.078 SOFT, 3.000 SOFT, 9,960 SOFT. 1.200 SOE T 9,966 SOFT. 9,170 50.£T, I - ... .. ¡(~ Q ~r FU11.JRE RESTAURANT LLll.WJl PROJECT ANALYSIS: ZOtING: SITe AREA: BIÄOIHG AREA: BUILDING A:. 0f'FICE WAAEHOU8E 8UU)(NG B: OI"I"ICE w AAEHOU6E BUIlDING c: IECT AIJI1IAHT BUILDING D: 0f'FICE W~IE BUILDING E: 0f'FICE W~ BUILDING F: ()f"ACE w~ BUILDING G: Of'FtCE w~ BUILDING H: 0f'FICE W~8£ "Tf""\T.t.' r:.nr\<::~ j . D·/ · · I · · I · · I · · -t .... IUD-Z f/-lJ 1-1-1 &8 G-9 G-¡o I ; . ;, 3 . J,/oI.:y F . ~U)N".... fITî . r --r - J1 - - . 11-1. R-~ .. BUILD A £-6 E-'> ç_ ,i{ , IT1 . X ::s- E-) -'. I:T -'. rt n E-~ ~ ~ £-/ ~ T Þh - , 'bl.} é , .