HomeMy WebLinkAboutBUSINESS PLAN 4/3/2002
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+ BIG 0 TIRES ========================================= SiteID: 015-021-002071 +
Manager : MIKE BEAUMONT
Location: 6911 WHITE LN
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 18B
(661) 827-9888
CommHaz : Minimal
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 09 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
RICHARD DIMAGGIO / OWNER MIKE BEAUMONT / GENERAL MGR
Business Phone: (661) 587-7576x Business Phone: (661) 827-9888x
24-Hour Phone : (661) 201-6042x 24-Hour Phone : (661) 201-7413x
Pager Phone : () x Pager Phone : () X
+---------------------------------------+--------------------------------------+
¡:HHazmat Hazards: Fire Press ImmHlth DelHlth I
+~-,----------------------------------------------------------------------------+
Contact : Phone: (661) 827-9888x
MailAddr: PO BOX 22680 State: CA
City : BAKERSFIELD Zip : 93390
+------------------------------------------------------------------------------+
Owner RICHARD DIMAGGIO Phone: (661) 587-7576x
Address: PO BOX 22680 State: CA
City : BAKERSFIELD Zip : 93390
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
+------------------------------------------------------------------------------+
Emergency Directives:
+==============================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== Alphabetical Order ================================= All Materials at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... ISpecHazEPA Hazards Frm I DailyMax IUnitlMCpl
+--------------------------------+-------+-----------+-----+----------+----+---+
HELIUM F P IH G 217.00 FT3 Min
MOTOR OIL F DH L 100.00 GAL Min
MOTOR OIL F DH L 100.00 GAL Min
WASTE OIL F 'DH L 100.00 GAL Low
I, 0\\ ~ &Ü.~\--DO hereby csrti~ ~hai ~ havs
(TY?3 or print name)
reviewed the attached hazardoo8 ma~ei'Ìals manage-
ment plan for Ú~ a-\r& ~ and that i~ afoi"ð@ wi~~
QM(I õH &as}
any corrections constitute at oomple~¡g¡ and oorrsd mai"ù°
=====~==========================================+
, '"
l.\. ~ - <J~ - - 03 / 21 / 2 002
~~
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Operil.te
to
it
Per
Waste Unified Permit
Materials/Hazardous
Hazardous
CONDITIONS OF PERMIT ON REVERSE SIDE
hi rmit is is
~ Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-5ite Treatment
PERMIT ID # 015-021-002071
BIG 0 TIRES
6911
LOCA nON
ÎÏ.I
'f
1/-71
Issue Date
Approved by:
Expiration Date:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576
Issued by:
~ - :;.
Ï'!.";;''-. '...~
:~::.~~ ~o '~i(b
Business Address: 101" l ii)y\'\O \.. i\ .
.
FACILITY DIAGRAM J
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, UNIFIED PROGRAM INIECTION 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
~\'. () \ill_s-
ADDRES~
Coq 1\ W, LÑ
FACIUTYCONTACT
R ,',- \..
INSPECTION DATE INSPECTION TIME
---~----~--,-
IO-/S"o~ ._~º-___
----------~C\-~ ~---~\17------- ì;~-N;~~ % No. _~:~~I:~::___
----.-----.----------- Business ID Number
15-021- OÓ~O ï
Secti,on1 : Businèss Plan and In\lèntoryProgram
C] Combined
tJ Joint Agency
C] Multi-Agency
C] Complaint
C] Re-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
'JJ C]
tot· C]
C] ~ ApPROPRIATE PERMIT ON HAND E' b' ..' L, ~... ,..JL:
_______________._____ _._____._x~~d.--,------lL5.!-oy-.-~----.-------.-----L-
BUSINESS PLAN CONTACT INFORMATION ACCURATE
-~------.----"--'--"- -----
----..-.-..------.--..--.----..--- ------.---------.-------------..--..--.--------------.--------------..-------..--..--.-------
VISIBLE ADDRESS
-----...---------.--...-------.---.---.
_..._._-_._-._-------_._--_._----------_._~_._------ --.-..---------- ...-.-..-----. ---~
~ C]
~ C]
CORRECT OCCUPANCY
---~~-------~------~-_..._-_._-
---_.._._-----_._--_._-~~.__._--.----_.._.~_.._-_._---- ..._---~---~-_._--,------_._-- -,---_..-_.._-
VERIFICATION OF INVENTORY MATERIALS
..------- -----------
----_._--~-_.._.----_._"---------_._- ~---_._--------~-----_._- ---.- --....--- .-.-..-.- -.--
~ C] VERIFICATION OF QUANTITIES
. ~ C]
-~-----------_._--._-----_.._--~-_._---- --_._---------------_._-.-_.._---------~-_._-_.._._._------.-----------..--..---...-.-.-..--.---
VERIFICATION OF LOCATION
~-~------------------~-----_._-- -~--------------_.._----~._----_.._._-,_._---------_.----
r;;J C] PROPER SEGREGATION OF MATERIAL
-.-------------------..------. .-----.--,..---.---,--- ..-.-..----.-----------.-------.---.-----..-
C] ,a VERIFICATION OF MSDS AVAILABILlTYE rJO '(V\SOs h.-o/'.,....~ 0 IJ f,\-,
------------------.---.-----.. .----..-- ----------,-.------------.----.------.-----------<------------._--------
C] fI. VERIFICATION OF HAT MAT TRAINING
C] Sf
----------.----....---.--
---------_._._--~.._--_.-~-_._-------------_..__._..__.-_._._---~-------_.-.__.
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ e á
------,-------- _____~_____ç..____~_____£."'_~)---c.,ç..-~.------------------
EMERGENCY PROCEDURES ADEQUATE
JI C]
~ C] CONTAINERS PROPERLY LABELED
---~-----_.~-------_._-_.-------.-.__..__.
~
-._------_._-~----_..-
..--.---------------.--.-----------.------...------....-. .----.-.-------..--.--.--.-.-.--
-.-------------------------.--.-----.-----------.....---------------+--------.-
ANY HAZARDOUS WASTE ON SITE?:
C] HOUSEKEEPING t
--- -- -------- -------------------------------------- ---
C] ~ FIRE PROTECTION E: \" '\.... J \ I
________~_____~_________________ _ __x 'w~~.s-~-.N-~e.--- Q__",-< c;.~Q~~__ ___ __ _________
9'1 C] SITE DIAGRAM ADEQUATE & ON HAND /
/
V-
~YES
C] No
EXPLAIN:
r:;, ,
.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~ - \) c:. <l...LQ____________
Inspector
.-Jt I (}ç
Badge No,
k
White - Environmental Services
Yellow - Station Copy
Pink - Business Copy
q,u
BIG 0 TIRES
.
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SlteID: 015-021-002071
~-£;
.-,¡'- ~.
Manager : MIKE BEAUMONT
Location: 6911 WHITE LN
City BAKERSFIELD
ø
~~\.. c¿ ßs,
BusPhone:
Map : 123
Grid: 18B
(661) 827-9888
CommHaz : Minimal
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 09
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title
RICHARD DIMAGGIO / OWNER
Business Phone: (661) 587-7576x
24-Hour phone : (661) 201-6042x
Pager Phone : ( ) - x
Emergency Contact
MIKE BEAUMONT
Business Phone:
24-Hour phone :
Pager Phone :
/ Title '\J P
/~
(661) 827-9888x
(661) 201-7413x
( ) - x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 827-9888x
State: CA
Zip : 93390
Phone: (661) 587-7576x
State: CA
Zip : 93390
TotalASTs: == Gal
TotalUSTs: == Gal
RSs: No
Contact :
MailAddr: PO BOX 22680
City : BAKERSFIELD
Owner
Address :
City
RICHARD DIMAGGIO
PO BOX 22680
: BAKERSFIELD
Emergency Directives:
I, jY"\ \ \u 5a.a.UJ'V\ot\ bo hereby certify that I have
(TvlY.' OJ' ;¡nnt name)
reviewed H,e attached hazardous materials manage-
ment plan for e"Co. ~J\n..~ and that it along with
<Ñã)Ïç of BI.Jsiness)
any corrections constitute a complete and correct man-
ag~ment plan for my facility.
~~~ (- lð-03
$I:;;n;.oluru Date
-1-
07/15/2003
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F BIG 0 TIRES
I
f= Site Emergency Factors
r=: Special Hazards
.
.
SiteID: 015-021-002071 ì
Fast Format 9
Overall Site 9
I
Utility Shut-Offs 11/07/2000
A) GAS - OUTSIDE S WALL CENTER FROM L TO R
B) ELECTRICAL - OUTSIDE S WALL CENTER FROM L TO R
C) WATER - UNKNOWN
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
11/07/2000
PRIVATE FIRE PROTECTION - UNDERWRITERS INSURANCE 3 MILLIO DOLLAR UMBRELLA.
(WHAT ABOU~FIRE ~XTINGUISHERS OR SPRINKLER SYSTEM?????~.???L
~6 ~ ~ n.. 8c~t~~ l.~Q.Ó ..IMoro~~~ ~ ~~~. ~~ec..\' ~ ~
+\ ~ d.Lpr.
NEAREST FIRE HYDRANT - 3/4 OF A BLOCK E OF OUR STORE ON THE S SIDE OF WHITE
Building Occupancy Level
-10-
07/15/2003
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+ BIG 0 TIRES ========================================= SiteID: 015-021-002071 +
+= Inventory Item 0002 =============== Facility Unit: Fixed Containers at Site +
+-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+
-- ------------------------------ ----------------
HELIUM I Days On Site I
365
+----------------+
I CAS # I
7440-59-7
Location within this Facility Unit
W WALL INSIDE OF SHOP
Map:
Grid:
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
217.00 FT3 217.00 FT3 217.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS# I
100.00 Helium No 7440597
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecret RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F P IH / / / Min
+=======+===+======+====================+=============+=========+========+=====+
+= Inventory Item
+== CO~MON NAME /
MOTOR OIL
HAVOLINE 10W-30
Location within this Facility
E SIDE WALL CENTER OF SHOP WALL
0001 =============== Facility Unit: Fixed Containers at Site +
CHEMICAL NAME ==============================+================+
I Days On Site I
365
+----------------+
I CAS# I
8020835
Unit
Map:
Grid:
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I ABOVE GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
350.00 GAL 100.00 GAL 75.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IRS I CAS # I
100.00 Motor Oil, Petroleum Based No 8020835
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecret/ RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH / / / Min
+=======+===+======+====================+=============+=========+========+=====+
-2-
03/21/2002
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+ BIG 0 TIRES ========================================= SiteID: 015-021-002071 +
+= Inventory Item 0003 =============== Facility Unit: Fixed Containers at Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
MOTOR OIL I Days On Site I
HAVOLINE 5W-30 365
Location within this Facility Unit Map: Grid: +----------------+
E SDIE WALL CENTER OF SHOP WALL I 'CAS# I
8020835
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I ABOVE GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
350.00 GAL 100.00 GAL 75.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt . I IRS I CAS# I
100.00 Motor Oil, Petroleum Based No 8020835
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
I TSecretI RSIBioHaz Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I M~P I
No No No No/ Curles F DH / / / Mln
+=======+===+======+====================+=============+=========+========+=====+
Location within this Facility Unit
0004 =============== Facility Unit: Fixed Containers at Site +
CHEMICAL NAME ==============================+================+
I Days On Site I
365
+----------------+
I CAS# I
221
Map:
Grid:
+= Inventory Item
+== COMMON NAME /
WASTE OIL
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I· Daily Average I
350.00 GAL 100.00 GAL 75.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I I RSI CAS # I
100.00 Waste Oil, P~troleum Based No 0
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecretl RSBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH / / / Low
+=======+===+======+====================+=============+=========+========+=====+
-3-
03/21/2002
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+ BIG 0 TIRES :::=::=:==:==:==::==:==:================= SiteID: 015-021-002071 +
+=======:=====:=:::===========:========:=========:=====:==:======= Fast Format +
+- Notl'f /Evacuatl'on/Medl'cal ------------------------------------ Overall Sl'te +
-. ------------------------------------
+=: Agency Notification =:==::=:::=::==========:==:================ 11/07/2000 +
OBSERVE DAILY FLUID LEVELS OF NEW AND USED OIL TANKS, CHECK FOR LEAKS AND/OR
SPILLS.
+=:=====================:====================================================:=+
+--- Employee Notl'f /Evacuatl'on ---------~------------------------- 11/07·/2000 +
--- . -----------------------------------
IF SPILLS ARE MORE THAN FIFTY GALLONS, CONTACT 911, 1-800-852-7550, MIKE
BEAUMONT 201-7413 OR RICHARD DIMAGGIO 201-6042.
+==============================================================================+
+---- Publl'c Notl'f /Evacuatl'on ------------------------------------ 11/07/2000 +
---- . ------------------------------------
IF ANY LARGE SPILL 50 GAL OR OVER WE WILL CONTACT OFFICE OF EMERGENCY
SERVICES 1-800-852-7550.
+==============================================================================+
+----- Emergency Medl'cal Plan ------------------------------------- 11/07/2000 +
----- -------------------------------------
DEPENDING ON SEVERITY OF THE INJURY, ADMINISTER FIRST AID, RUSH TO HOSPITAL,
CALL FOR AMBULANCE, CONTACT RICHARD DIMAGGIO OR MIKE BEAUMONT.
+=:===:==:=============:==:=====:==::::===:==:==:==============================+
-4-
03/21/2002
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+ BIG 0 TIRES ========================================= SiteID: 015-021-002071
+================================================================= Fast Format
+= Mitigation/prevent/Abatemt =================================== Overall Site
+-- Release Prevent1'on -------------------------------------------- 11/07/2000
-- --------------------------------------------
+
+
+
+
EVALUATE CONTAINERS DAILY, CHECK FOR LEAKS, CRACKS, ETC.
+==============================================================================+
+=== Release Containment ========================================== 11/07/2000 +
2-350 GALLON QUALITY AIR TOOL OIL CONTAINERS W/AIR OIL GUNS.
+==============================================================================+
+---- Clean Up ---------------------------------------------------- 11/07/2000 +
---- ----------------------------------------------------
CONTAIN SPILL W/CLEANUP LITTER AND WASH CEMENT W/SIMPLE GREEN OR CLEANING
AGENTS.
+==============================================================================+
+===== Other Resource Activation ==============================================+
I I
+==============================================================================+
-5-
03/21/2002
;. ... ~ ..
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+ BIG 0 TIRES ========================================= SiteID: 015-021-002071 +
+================================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+== Special Hazards ===========================================================+
I I
+==============================================================================+
+--- Utl'll'ty Shut-Offs -------------------------------------------- 11/07/2000 +
--- --------------------------------------------
A) GAS - OUTSIDE S WALL CENTER FROM L TO R
B) ELECTRICAL - OUTSIDE S WALL CENTER FROM L TO R
C) WATER - UNKNOWN
D) SPECIAL - NONE
E) LOCK BOX - NO
+==============================================================================+
+---- Fl're Protec /Aval'l Water ----------------------------------- 11/07/2000 +
---- .. -----------------------------------
PRIVATE FIRE PROTECTION - UNDERWRITERS INSURANCE 3 MILLION DOLLAR UMBRELLA.
(WHAT ABOUT FIRE EXTINGUISHERS OR SPRINKLER SYSTEM??????????)
NEAREST FIRE HYDRANT - 3/4 OF A BLOCK E OF OUR STORE ON THE S SIDE OF WHITE
+==============================================================================+
+===== Building Occupancy Level ===============================================+
I I
+==============================================================================+
-6-
03/21/2002
,~ ;
--
-
.
" ..
+ BIG 0 TIRES ========================================= SiteID: 015-021-002071 +
+================================================================= Fast Format +
+= Training ===================================================== Overall Site +
+==,Employee Training ============================================= 11/07/2000 +
WE HAVE 9 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE FAMILIAR,W/OIL (WASTE
OR NEW) THEIR CONTAINERS, CLEANUP PROCEDURES, WHO TO CALL AND WHERE THE MSDS
SHEETS ARE.
+==============================================================================+
+=== Page 2 ===================================================================+
-I I
+==============================================================================+
+==== Held for Future Use =====================================================+
I I
+==============================================================================+
+===== Held for Future Use ====================================================+
I I
+==============================================================================+
-7-
03/21/2002
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATEIDALS MANAGEMENT PLAN
I
. I INSTRUCTIONS:
~~c .
Ot'¡' ~v~ð
~4i~' () .9 ~
~Ot?l ¿OOO
·s~
'III/¡¡
t'~S
1.
2.
3.
4.
5.
\ L~-\~f)
To avoid further action, this fonn within 30 days ofr~ipt·.
TYPE/PRINT ANS RS IN ENGLISH.
Answer the questions below for the business as a whole.
Be as brief and concise as possible.
You may also attach Business Owner / Operator Fonn and Chemical Description Fonn(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
, , ,
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, ,
SECTION I: BUSINESS IDENTIFICATION DATA
.. 1 ,
. ,"-
BUSINESS NAME:' b\(J - 0 ~\'(~~.;, ' i
\ . - .
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" -'
LOCATION: \o~ \\ U\'n\\:D ls\. "
MAILING ADDRESS: 7· ,0. ~'O"f. 62 ~ ~ 50
CIT~tÒk~b~Q.1~ ," , STATE:~ZI~:q~iflp~ONE:tDlo\-Bd~-qá88·n
PRIMARY ACTIVITY: -\\ '(Q... " \ ù\(\ Q D=> \ ,b'('a..\::Jt '"::> '\ \ u.\a~ ~·O\\
OwNER: e\ Q YyCl.,ý (~ . \)\ 'f'\\ o..qq \ 0 , ~HONE: toLD I ~ S81-1óî lp ,
MAILING ADDRESS: 1=>,0, ÚO~ ddloßD Ó'A~. ~u\. C1' ?ð1 {)
"
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EMERGENCY N0TIFICATION' .'
CONTACT
TITLE.
"24 HR. PHONE
BUS. PHONE
1:' (6C\r\a..vð. u\ m~\O OwV\QV' 8Bl~lfj'lló ' 'dü\-lQOYa...
2.0\'\(j) &.öu..m OX\t ~aJt\QXru \f\fQ\f.ifO\- 7L\ \3
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HAZARDOUSMATEmALSMANAGEMÅ’NTPLAN,~
SECTION 11.1: DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
O'O~\{·V~ Ò\Q\l.\ -9\~\¿ U\)L\~
Ù~ 0\\ -\- CV\ ~~ \ Q.h lC.\c ~
O\f b9\\\~.
o\! f\.QW ard
u.~ Wìd
.. ·B'-:I~LÖ;::G~:O~::N:~~·~~-~Q\\OO~··
C:.a\\ \O\C..;~ C\ \ \ - \ - 2>DD - ~Ó do - '1 'b bO
.. . . ~~~9.ü~~~iO((~~ d;¿\~ .'w~.~d-...
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C. _., E~RONMENTAL RESPONSE Mi\NAGE~~:- : IQ - (}j(\,-\- \ Q'(G\ Q...,_.
~\ \ \ 50, C\Q,\ DC OJ~ Wi., ,w\\ \ ,Q,(X\to...cJ,
0'.Rc..a... oQ. QxY\~\{o¡o,.\'\<:.L\ ~'<\J\<..L";:) \- ßOD-86d -lS'bO.
/- '
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.D. . EMERGENCYMEDlCAL PLAN: 'ù.Q...~Ó\~ O'f' '0JL1)~\ "-\ Òç:
- ~ '\'('\~\J..X~ -y().. ð'{Y\\'(\\~ü.V ~ ("6\ 0.:,\6. 1 \0..'6\\
TO '¥\Ð>5?\W \ ~ \ föy cun'aJ\CU'\Q QOnìCAQ..,-t
e\~'(Ó D\ ff\oCÇ\\O ~ fY\\\U ~QAUJ(nQJ(\~
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., ~ _ BAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 11.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
E\JO...\~ COf\-\OÚX\JLV~ ð.cù \(.\ \ ~Mdc -Çhy \..sL6-\(.~\
t-~ '\-\ ~"L~ \ Q, \-c, .
B. RELEASE CONTAINMENT AND/OR MITIGATION:
( d"') '~DO G\ C\_\\ o,Vì q U c(\ \\-l.\ 0..\'( \oa \ 0\ \ Ca\~\G\ \M.VS
eù\ Û\.\y 0\\ G\\.l.;f)~.
C. CLEAN-UP AND RECOVERY PROCEDURES: tart \-~\ Vì òÇ)\ \ \ w \
Q~C\1\ ~U-?- \\\1_jLV" CÀJ04 ,w~~y\ ~n~-
w\ 'b\m?'-'- ~~h'" Q)( ~Q..r\\f\~- - QG\iL~\-~,
-. - ". ..- ._,.
UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY)
NATURALGASIPROPN'E: ~~ ð~'<ì Wõ~ ~(ì~{ -R-fm \:Q-I-:\oí2-\-.
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WATER: .-- LL (\ tx'\O,lù0· - "-
SPECIAL:
LOCK BOX: YESINO IF YES, LOCATION:
PRIVATE FIRE PROTECTION/W A TER AVAILABILITY
A.
PRIVATE FIRE PROTECTION: ~ V W'{ \ "ù. V::> \ (1 Ò\..L\{ð....¥') <.....Q..
"3 '(Y\\\\\ ()Yì ò\G\\C\.Y L;uVV1 \o'fJL\\~.
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B. WATER AVAILABILITY (FIRE HYDRANT):
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HAZARDOUS MATERIALS MANAGEMENT PLAN . ~
SECTION III: TRAINING
NUMBER OF EMPLOYEES:
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MATERIAL SAFETY DATA SHEETS ON FILE: l\ \L.~ .
. BRIEF SUMMARY OF TRAINING PROGRAM: t\LL 9XYì'y\ÒL\Q!L ~ (L'(.Q
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-t\u O\~D~a 5~\~ ()J{~.(). .
- .
CERTIFICATION
- -"-_.. ~ .
n _ _. _ . ___
I, {,{\~LQ {ÒSLOJJ....XY\oxr\- CERTIFY THAT THE ABOVE INFORMATION
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 (DIY. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
THAT INACCURATE_ ,_ __ R¥ATIO~ CONSTIru:TES PERJURY.
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DATE
4
-. CITY OF BAKERSFIEL.
OdPCE OF ENVIRONMENTAL S\EÌtVICES
1715 Chester Ave., CA 93301 (661) 326-3979
BUSINESS OWNER I OPERATOR IDENTIFICATION
FACILITY INFORMATION
SITE ADDRESS 103
CITY 104 CA ZIP Q,33 105
DUN& 106 SIC CODE 107
BRADSTREET - (4 Digit #)
COUNTY
CONTACT MAILING
ADDRESS
Y·D.
LPlo\ - 681- ì51lÞI
113 i
TITLE 125 TITI..E 130 ¡
126 131 !
I
-- 127 U (3-<O\-iL\\3 I
24-HOUR PHONE 24-HOUR PHONE .. 132 :,
PAGER # 128 PAGER # 133 ¡
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UPCF (7/99)
135 i
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137
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. CITY OF BAKERSFIELqa
OFF~E OF ENVIRONMENTAL SmvICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
~\ YU ~Ym~Q...., 3 mdroxo\
COMMON NAME
CAS #
FIRE CODE HAZARD CLASSES (Complete if requested by local fire d1ief)
TYPE
Om MIXTURE
o w WASTE
P PURE
211
RADIOACTIVE
PHYSICAl STATE
1$ LIQUID
214
LARGEST CONTAINER
o s SOLID
o 9 GAS
FED HAZARD CATEGORIES
(Check all that apply)
ANNUAl WASTE
AMOUNT
~1'FIRE
o 2 REACTIVE
o 3 PRESSURE RELEASE
o 4 ACUTE HEALTH
o 5 CHRONIC HEALTH
217 MAXIMUM
DAILY AMOUNT
AVERAGE c:::-
DAILY AMOUNT d....J -¡ S-
O Ib LBS 0 In TONS
UNITS·
o ga GAL Od CUFT
. If EHS. amount must be in Ibs.
STORAGE CONTAINER ~
(Check all that apply) ABOVEGROUND TANK
b UNDERGROUND TANK
DC TANK INSIDE BUILDING
o d STEEL DRUM
De PLASTIClNONMETALLlC DRUM
Of CAN
o 9 CARBOY
o h SILO
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 q RAIL CAR
o r OTHER
STORAGE PRESSURE
~ AMBIENT
o ba BELOW AMBIENT
o aa ABOVE AMBIENT
202
204
213 I
215
216 I
220
222
223
224
STORAGE TEMPERATURE
226 227 o Yes 0 No 228 229
2 230 231 .,0 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
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COMMON NAME
::AS,
-,.----- - ---."--., -,..--
. CITY OF BAKERSnA
O~CEOFE~ONMENTALSERWCES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
:1
pPURE
'HYSICAL STATE
o . SOLID
1:1) HAZARD CATEGORIES
::hedc III ItIIt IIpIy)
HNUAL WASTE , ""-
MOUNT 1'--J ~.
o 1 FIRE
OIUCIUIO
OmlllX1\JRE
o w WASTE 211 RADtOAC1l\IE
Oy..
2
2
2
217 MAXIMUM \,.. I 218 AVENÅ’.' ( , . 219
DAILY AMOUNT (J..X\ \-^<ìow í\ .DAlt.YAMOUNT \)J;'\ '{....-y)a v:::;-D -
UNITS" . ~ GAL·· '.' d CU FT 0 III LBS .0 In TONS
.. If EMS, IIIICIUIIt must In _
z:
fORAGE CONTAINER
:htcIId IINI'IPPIYJ
O. ABOVEGROUND TANI<
Db UNDERGROUND TANK
o c TANI< INSIDE BUILDING
o d STEel DRUM
GAS
214 LARGEST CONTAINER
STATE WASTE CODE
2:
OZREACTIVE
04 ACUTEHEAl.TH
05' CHRONIC HEALTH
221 DAYSON~
o q RAft.. CAR
Or OTHER
~
PRESSURE RELEAse
I'ORAGE PRESSURE
o . MllIENT
22
O. P\.ASTICJNONMETAWC DRUM
01 CAN
o II CARBOy
o h S8.0
o I FISER DRUM
OBAG
Ok BOX
fs/ACVUNDER
Om GlASS BOTTLE
o n PlASTIC BOTTlE
o 0 TOTE BIN
o Ii TANI< WAGON
'ORAGE TEWERATURE
O'AMBIeNt
\):~;'~~;'". ' .':. ' :"'~~P~","'?f~" >'~~,:;'.":.,'¡~ ,', : <~',~>{;.~'" , ' " .', CI,'~ , ,,~'~·?~XS~~~~~~~~j~;,~~r/ ,:.~,':~ '
¡g7 .. ABOVE MIIIENT
o !III eaow AMBIENT'
o c CRYOGENIC
22
228 ZO Dye. ONo 228 221
230 231 Dye. ONo 232 231
234 235 Oy..ONo 236 231
231 239 DVM ONo 2<40 2141
242 243 Dye. DNo 244 24ð
" 't:{1.. ABOVE AMBIENT
o !III BElOW AMBIENI'
:F (7199)
-"-----' - --............-.---...-.--
. CITY OF BAKERS~ft
O~CEOFENV1RONMENTALSERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
.
rype
'HYSICAl STATE
1:0 HAZARD CATEGORIES
::hedc IllIIIIIIIIpIy)
HNUAL WASTE
MOUNT
o 1 FIRE
.A·
UNfTS"
fORAGE CONTAINER
:heck ,,/hit tlPlJlyJ
èil ABOVEGROUNDTANK
Db UNDERGROUND TANK
o c TANK INSIDE BUILDING
o d STEEL DRUM
,0 w WASTE 211 RADIOACTIVE
o VII
CURIES
2
lIQUID
DgGAS
214
D.. AaJTEHëAt.1H ... 05 QiRONIC HëAt.1H
2
2
02 REACTIVE
03' PRESSURE RELEASE
2
219 STATE9~ ~
DAYS ON srÆ
RJ
z
217
221
o q RAIL CAR
Or 01HER
z
. ~ I ""(/'"1. 218 AVERAGE' C',. <:!Ç'" .. e-.....
~VU . ,DAlLVAIDJNT c::r J ~ \'J.
II GAl " 0 c:f CUFT 0 III L8So III TONS
. " EHS, IC\/ must be kI /ba. '
O. PI.ASTICJNONMETAWC DRUM
Of CAN
DgCARBOY
o h su.o
o I FIBER DRUM
OJ BAG
Ok BOX
OICYUNDER
o 1ft GlASS BOTTlE
On PLAST1C BOTTLE
00 TOTE BIN
Os) TANKWAQON
fORAGE PRESSURE
óOMeIENT
22
o .. ABOVE AMBIENT
D be BELOW AMBIENT'
'ORAGE TEMPeRATURE
. AMSIEN!
D .. ASOVE AMBIENT
o be BELOW AMBIENT'
o c CRYOGENIC
22
, ,
~<}.$\";:.,' .. <' ,:'!.~~:,:~,:,~;,;~" :,.r:,~,:':.;~:. ,..' ,-..':': <~<,'~ :'::. ",.~;~i:~.;~~~Si&g~.~j::'~I:·:"? :
22t m OV.. ONo 228 221
230 .. 231 OV" ONo 232 ... .. ~
234 235 DVIIONo 238 231
231 239 o VII 0 No 2<10 2141
242 243 Dv.. ONo 244 24ð
\0;;~':::~¡i~./~:)~·:~· \~¿' ~,~':<,\::(, ,.,' ': ':~;~?~~~Ù\;~;i~,;: ,{ ,;.~:~;:;~ ,(,~\t:t~~¥~:~1~ji\:~(~1~;'~>:~.~~i~~:i_;I·i,'~';,~':;
r: -""-iT."(;:. -·.....-."'f:1VÃ:Jt "'.f''f--. ~T3":.: 'It '.' RE ' ,
F (7199)
CHEMICAL LOCATION
COMMON NAAE
~f
--,'--.----. -- ----....._.-._---
. CITY OF BAKERS~!
O~CEOFENVERONMENTALSERVICES
1715 Chester Ave.t CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
:IRe
rvpe
DpPUAE
'HYSICAL STATE
D . SOlID
ED HAZARD CATEGORIES
::hedc l1li tNllIIIIy)
HNUAL WASTE
r.«>UNT
_ -V' FIRE
TORAGE CONTAINER
;INIck .."., tppIy)
fi' ASOVEGROUNDTANK
o b UNDERGROUND TANK
Dc TANK INSIDE BUILDING
o d STEEL DRUM
D m IoIXT\JAE
Ov. ~No
2
CURIES
2
WASTE 211 RADIOACTNE
ov.
2
o2REACnVE
o 3 - PRESSURE RELEÁSE
04 ACUTE-HEAL11i
05 CHRONIC HEAL11i-
2:
o .. A80VE AtÆlENT
o III øaoW AMIIIENT
~ LIQUID
o 9_ GAS
214 LARGESTCONTAINER
2
219 STAlIa WASTE CODE
é7-~
221 ~Q(Q~_
z
218 AVERAGE-
DAIl. V AMOUNT
II GAl -- 0 cf tuFT 0 Ib lBSO 1/1 TONS
- . If EHS.1IIICIUIIt InUIt be In IllS.
O. P\.ASTtCINONMETAWC DRUM
Of CAN
09 CARBOV
o h SILO
0, FIBER DRUM
O/BAG
Ok BOX
OICYUNDER
D m GlASS 8OTT1.E
o n PLASTIC BOTTlE
00 TOTe BIN
Op TAHKWAGOH
o q RAIl CAR
o r 011iER
z
rORAGE PRESSURE
22
228 127 Ov. DNo 228 221
230 231 Ov.. ONo 232 ~
234 235 OV..ONo 238 231
2311 239 o V.. ONo 240 2141
242 243 Ov.. DNo 244 245
F (1199)
DATE 245
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