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Home My WebLink AboutBUSINESS PLAN 12/8/2003 it to Operil.te Materials/Hazardous Waste Unified Permit Hazardous CONDITIONS OF.,PERn,1IT ON REVERSE SIDE - 1 :,:. "":. _,'"'I'" . . . .'. " 'J .' ',' ~ ... . .. " . . ' 1! It! Hazardous Materials Plan o Underground Storage of HazardOus MaterIals o Risk Management Program o Hazardous Waste On-Site Treatment Permit ID #:: 015-000-001355 MIDAS MUFFLER LOCATION: 6919 WHITE LN , Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date Expiration Date: ;;.; ·~~~i:~~'·.·:~'~ - . ':-' .::- ~;.... . " ,. Issued by: Operil.te to PerDlit Materials/Hazardous Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ermit is issued for the followin tI~~ardous Materials Plan · c,"" round Storage of Hazardous Materials LQagement Program m Waste WHITE PERMIT ID# 015-Q21.o01355 MIDAS MUFFLER 6919 LOCATION ~ Approved by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (80S) 326-3979 FAX (80S) 326-0576 Expiration Date: Issued by: ~-... -. .~ ..... , i Q. ~. ~ i -11 ~~ \ \ .. ~ ~f6 tIJ£ £~ ff~6'V~Rlmm~'~ia- ~JNIJ<.~66 re9 t q l:j L\l I, j , J -" ,- ;:;=- 1.).>.7 ¡f1J5jJ q SITE/FACILITY DIAGRAM FORM 3 UNIT': OF I NORTH SC~LE: FLOOR: OF' (CHECK ONE) SITE D{AGRA~ --- FACILITY DIAGRAM I '. C'= 3 :!: Q;' a MiDAs,. MùU¿r¿ ,(dt ,q w ~,'k. ~ I ,¡ ;~ : ¡\1: : V~MT ~P¡+' , . "J " It,', ! . .; , :¡ L ..,.4- ~j ~ <.9 . ,,0 V ~ ~ . .....·4"'1'-1 ....··41 - 5A - ~ -... --, T :.... N ~ NORTH ~ë:f{. £Lf~~'~iWfíiJt.~_~&% 6~} I ~I tvf;, ¡(é' SITE/FACILITY DIAGRAM ff /355 FORM ~ q IW5f SCALE: flOOR: I OF I L UNIT.: t OF I (CtlECK ONE) SITE DIAGRA.... ~ FACILITY DIAGRAM '. --.. -- ---- - - - - -- - -- . - - - - - - - - - ~- .__.--.L ..... - - - - ,-.. - - .,--..-- - - ------- -..-- --------- ~~. o:::~ '*..(\ Q';:::: ,.0 , ('> , Ho ~ .. ..c VI_ .. i( D-_ ~f F r ~ ~ 't c- fí.æt: fi,f l;vè.:-vi'~ ~ ~.. i t.' ': ~:I;.:: ,do' . . ,I :;:!ii~ .¡ . :;' ": :.' ({h, ~;. w ,~;: hllf- Æ.7/-.., V.¿ /'/j_ ~"''''i L.-J~ t. ~~ ð -J: 01> ~ (Inspector's Co..ents); -OFFICIAL USE ONLY- " '~~:';t , 'I.." - 5A - ~ 'i' ,,/"'/ .. MIDAS MUFFLER ...,jj .., 'L [è vo; RICK lYIEImIUS' 6919 WHITE LN BAKERSFIELD / ~ '<0 Manager : Location: City CommCode: BAKERSFIELD STATION 09 EPA Numb: SiteID: 015-021-001355 BusPhone: Map : 123 Grid: 16D (661) 398-0921 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:7533 DunnBrad: Emergency Contact 1/ Title ' R I (, I" r L~. ~::ZS J1flte--C--~O)I MANAGER ,Jð~ C~dS Business Phone: (661) 398-0921x 24-Hour Phone : (800) 458-4519x Pager Phone : (661) 589-9587x Hazmat Hazards: Contact : ~ fv_ S ;Jõr&¡e... LR(~ MailAddr: 6919 WHITE LN City : BAKERSFIELD Owner Address City MR VINCENT/MR MILLER LLC : 6919 WHITE LN : BAKERSFIELD Period : Pre parer: Certif'd: ParcelNo: to Emergency Directives: Emergency C09~act·, / Title ~ µ¡.tJ?rc.JrrM / VICE PRESIDENT Business Phone: (661) 837-8969x 24-Hour Phone: (661) 201 ~ACELL Pager Phone : (~t) 2o'"f -777'-{ x ~L Fire Press ImmHlth DelHlth Phone: (661) 398-0921x State: CA Zip : 93309 Phone: (661) 837-8969x State: CA Zip : 93309 TotalASTs: = Gal TotalUSTs: = Gal RSs: No I~\.O , ~\\ L{ " JO:Œ\ t:.- L Ql~~ Üo hereby certify 'èÎ1fì." i have (Typ€ or print n¡¡I'TW) reviewed the attached hazardous materials manage· .... ment pían for_~ lklA-S , .ar.d '~h2t it aiong \,l\fHh (Name of BUSiness) any corredions constitute a complete and correct man agement pian for my facility. ~~ (J-- 8~~ Date -1- 09/09/2003 .. SiteID: 015-021-001355 ì By Facility Unit , Fixed Containers on Site ì specHazEPA Hazards Frm I DailyMax IUnitMCP E F P IH G 1500.00 FT3 Hi F P IH G 4500.00 FT3 Low F P IH G 1500.00 FT3 Low F DH L 500.00 GAL Low F DH L 110.00 GAL Low F P IH G 715.00 FT3 Min F DH L 110.00 GAL Min F MIDAS MUFFLER f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... ACETYLENE LIQUID OXYGEN OXYGEN WASTE OIL TRANSMISSION OIL ARGON/CARBON DIOXIDE MOTOR OIL -2- 09/09/2003 -3- 09/09/2003 SiteID: 015-021-001355 ì Facility Unit: Fixed Containers on Site ì F MIDAS MUFFLER f= Inventory Item 0002 === COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit EXTERIOR W WALL AND N WALL, ONE PORTABLE Map: Grid: CAS# 74-86-2 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 FT3 Daily Average 732.00 FT3 %wt. I 100.00 Acetylene HAZARDOUS COMPONENTS G;] CAS# 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0006 = COMMON NAME / CHEMI CAL NAME LIQUID OXYGEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit W WALL Map: Grid: CAS# 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 4500.00 FT3 Daily Average 4500.00 FT3 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS A S N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No! Curies F P IH / / / Low HAZ RD AS ESSME TS -4- 09/09/2003 SiteID: 015-021-001355 9 Facility Unit: Fixed Containers on Site 9 F MIDAS MUFFLER f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit EXTERIOR W WALL AND N WALL, ONE PORTABLE Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 FT3 Daily Average 1300.00 FT3 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0005 F== COMMON NAME / CHEMICAL NAME WASTE OIL Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit W WALL, SCORNER Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 110.00 GAL P %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COM ONENTS HAZARD ASSES MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low S S -5- 09/09/2003 SiteID: 015-021-001355 ~ Facility Unit: Fixed Containers on Site 9 F MIDAS MUFFLER F Inventory Item 0007 = COMMON NAME / CHEMI CAL NAME TRANSMISSION OIL Days On Site 365 Location within this Facility Unit WHERE IS IT LOCATED?????????? hOW MUCH DO YOU HAVE????????????? Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average GAL %Wt. RS CAS # 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ARGON/CARBON DIOXIDE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit SW CORNER AND S WALL, ONE PORTABLE Map: Grid: CAS# 7440-37-1 STATE - TYPE Gas Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 350.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 715.00 FT3 Daily Average 715.00 FT3 Z U MPONENTS %Wt. RS CAS# 75.00 Argon No 7440371 25.00 Carbon Dioxide No 124389 HA ARDO S CO TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -6- 09/09/2003 SiteID: 015-021-001355 9 Facility Unit: Fixed Containers on Site 9 F MIDAS MUFFLER f= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit W WALL SCORNER Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 110.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 110.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -7- 09/09/2003 F MIDAS MUFFLER I f= Notif./Evacuation/Medical r=: Agency Notification CALL 911. r=:: Employee Notif./Evacuation ~CAL INSTRUCTIONS. SiteID: 015-021-001355 9 Fast Format 9 Overall Site 9 11/16/2000 1 ] 1 11/16/2000 Public Notif./Evacuation 11/16/2000 VOCAL INSTRUCTIONS. Emergency Medical Plan 11/16/2000 1 MERCI MEDI CENTER. -8- 09/09/2003 :¡ SiteID: 015-021-001355 9 Fast Format '" Overall Site '" 11/16/2000 F MIDAS MUFFLER I f= Mitigation/Prevent/Abatemt Release Prevention GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT HAND VALVES. Release Containment 11/16/2000 GAS IS STORED IN APPROVED PRESSURE CONTAINERS. Clean Up 11/16/2000 MOP/SPONGES, WRING OUT IN CONTAINMENT BARRELS. Other Resource Activation -9- 09/09/2003 ¿ SiteID: 015-021-001355 9 Fast Format 9 Overall Site 9 I F MIDAS MUFFLER I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs A) GAS - NW CORNER INSIDE B) ELECTRICAL - NW CORNER C) WATER - W SIDE OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO 09/29/1997 INSIDE Fire Protec./Avail. Water 11/16/2000 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS LOCATED IN SHOP AREA. FIRE HYDRANT - NW CORNER OF PROPERTY. Building Occupancy Level -10- 09/09/2003 .. F MIDAS MUFFLER I F Training Employee Training SiteID: 015-021-001355 9 Fast Format 9 Overall Site 9 11/16/2000 WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. Page 2 r I I Held for Future Use Held for Future Use -11- 09/09/2003 \ 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 AME DA.~ INSPE~ION D1'E INSPECTION TIME ~ \ C(-\-- a~ l Ç"b\::) PHONE 0:--- No:- of Employees--- '\ e:,- O~ 'Z. ( '- Business ID Number -------------- 15-021- 00 I3.S"S ADDRESS - ---------ii)\P---------- -(' 'l, ~ ~\ G:::::>", \ "' FACILlTYCONTACT - -.J c:::>~ vJ 'l-+1~ ~. C>;:!. .-----...- .......,.J . Sectip01: Bùsiness Plan and InventoryProgfam CJ Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( c=comPliance) V=Violation ~CJ ApPROPRIATE PERMIT ON HAND ~-~--~--~._-~.__._-----_._---------- -.,..---.-.--.--,.--------------.-"------."------.---..~_._-_.~--------_._-_.__.._.__._---- ~ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ 0 VISIBLE ADDRESS ~O CORRECT OCCUPANCY ~O VERIFICATION OF INVENTORY MATERIALS ~ 0 VERIFICATION OF QUANTITIES OPERATION COMMENTS ---,--_.._--_._._-----~_._-~._~- ---. -.~._--_._----~- ..-----...-----.-......... --.---...------------.---- .__._--_.._------~--_._----- .-------- ._---_.~----------_._~---_._------. .---- -...-----.-------------.---.----.------.-----,--.-.---.-_...._~----------...._-----_.- --_.._-_.._--~ -----_.._-~._-----_._--_._...__._----_._.._--_._---------_.----------~_._------ __ ___________n ___._ -------- -----,- --.--. .-----.------- _.._----_.__._-----~.__._--------------+--------_._--- --- nn.____.__.____·_ .0 --------..---------.-----.----- -~p ~---i~---pr.~;,:::::.-r;.~ïZ:----..::;:.c:;.~"'t""-\_;¡;,;;·;;.;,:j::.:i---- r¡y'\¡ERIFICATION OF LOCATION --~------------------~- ____~_____~~_._____.._________~_~._____ ______________.___n________ o ~ PROPER SEGREGATION OF MATERIAL -------_._-----------_._-~--~--_.__._---- -----------+._------------_.__.._._--_._-----------~...-------~---_.._--_.._,,---- g'" 0 VERIFICATION OF MSDS AVAILABILlTYE ~~RIFIC~TION OF HAT M~T T~INING~~~==~~u=~__~~~~-- - ~:.. ~:_~~ _~~~~-~~~~~=~~~:~~~~__-_~~~ ¡:;t'" 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,--,,-------_._- ._._~- -------------_._--------_._--._-_._---------_.__._..~-,_.__._-----_._~ er-- 0 EMERGENCY PROCEDURES ADEQUATE -____._____.__._______.__ ..~____·________·__·____e_______·__·_______________~___..____._____________.__._..___~ OS-CONTAINERS PROPERLY LABELED ~________~_________________._______ ._._.____._ _____.________.____~______..________________~_.u._____._____.__.______,_ o ~HOUSEKEEPING ~ ~'TT"æ t'o-..-r 10...... '""L\:::) '-'-->ße. ~ i '--\dC:.~~_~___L........~_~ ~.~~~~___u -~----- --------- o 0 FIRE PROTECTION ___~___n~_____~__~______~____~_ -.;;:.r~~-- ~ C-T-----~~---~_t~---ro5:.- o ~SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: gA(ES :?/ r;HJo EXPLAIN: W4-,>í~ 0/'- . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~. ~~_________~'_:lZ.______ Inspector Badge No, .... ~, "'''''~- ---E( U 1[:",. ~ White - Environmental Services Yellow - Station Copy " -- - · CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENT Ai.. SERVICES UNIFIED PROGRAM INSPECTION CHECKI...IST 1115 Chester Ave., 3rd ¡·'Ioor, Bakersfield. CA 93301 FACILITY NAME M I r::;~Þ"'::>^^ LJFF' ~ t2. ADDRESS ~<1 \ q \.NH;l TE" LN. FACILITY CONTACT~¿"~ MEDAI2.1.5 INSPECTION TIMEßr Þ ,IS- ~ t~ INSPECTION DATE (i-I i/- G<..- PHONE NO, (""'CoI) "3C\e,.- cAZI BUSINESS to NO. 15-210- NUMBER OF EMPLOYEES 7 Section 1: Business Plan and Inventory Program ~Routine o Combined CJ Joint Agency CJ Multi-Agency o Complaint ORe-inspection · OPERATION C V COMMENTS Appropriate permit on hand V V /' Business plan contact information accurate ./ , / / Visible address Correct occupancy ¡/ Verification of inveritory materials V" Verification of quantities ¡/ Verification oflocation V -.... Proper segregation of material v' Verification of MSDS availability v/ Verification of Haz Mat training V' Veri fication of abatement supplies and procedures -./ Emergency procedures adequate ../ V Containers properly labeled V V O.k......... J-.-.J - f r~<c;. (vi. .l-I V .;,. . . Housekeeping '""\u 17 bv I. 41( 0 v."""'- - .,- 1'7'~ H -a- '- . V . Fire Protection Site Diagram Adequate & On Hand V Any hazardous waste on site?: · Explain: ~/~.~ $ Questions regarding this inspection? Please call us at (661) 326-3979 ~es CJNo ~ l ~¡x-..A l"'2..- - I ó - 0 '- ~B Æß-S' R 'bl P --- US mess Ite esponsl e arty Inspector>. ~7. _ Pink· Business Copy C=Compliance V=Violation While - Env, Svcs. Yellow· Station Copy 9¿ '1 FROM ._:. MIDAS FAX NO. 6618371094 - _,Mar. 20 2002 09:55AM P2 SiteID: 015-021-001355 MIDAS MUFFLER Manager : RICK MEDA!lIS J1L e...Do.:-¿~, Location: 6919 WHITE LN City BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 16D SIC Code:7533 DunnBrad: (661) 398-0921 CommHaz : Moderate FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title RICK Þ~DAR'f3 V\.f(ÞÅJt/'s J MANAGBR .¿roR~E ::mAREg..- / Or'ERNfIONS HGR Business Phone: (661) 398-0921x Business Phone: (661) -3913 º 9-201x 24-Hol1r Phone ; (800) 458-4519x 24-Hour Phone : (661) ~'i:- t774x Pager Phone : (661) 589-9587x pager phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : RICK MEDAA!8' yÝL.(.Oat-t'S.. Phone: ( 661) 398-0921x MailAddr: 6919 WHITE LN State: CA City : BAKERSFIELD Zip : 93309 Owner MR VINCENT/MR MILLER LLC Phone: (661) 837-8969x Address : 6919 WHITE LN State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal CertifJd: RSs; No J;Ø/Øj'ß'AJ1 (!¿u¡) ME'f '" /ÕM ?;::o/JD II.A-~ V. p, Emergency Directives: eJ /3 ø s. (¡PM) ?3 t- - gU,..1 (!'i?tL( ,;,,~ I ) 9-ÔG/ - q {) 2} 2 One Unified List ~ All Materials at Site; f= Razmat Inventory ~ Alphabetical Order EPA Hazards Hazmat Common Name... F P rH G F P IH G F P IH G F DR L F P IH G F DH L F DR L I, ~ Do hereby certi!y that I Mve (1'jt;:':' !'Ii" þf¡"tr:3!T':ß) re',;:·;:wsd t;-re at~aciliSd hazar-deus materials manage- ACETYLENE ARGON/CARBON DIOXIDE LIQUID OXYGEN MOTOR OIL OXYGEN TRANSMISSION OIL WASTE OIL E men! pian for Mi DA5 and tha.t ¡t aJoíig w¡~h (Ñð.IT'e Of 6uslne1>$) any corrections constitute a complete and correct man· . .$ ,. _ f...., /11, vu~ iLJ~- DailyMax MCP 1500.00 FT3 Hi 715.00 FT3 Min 4500.00 FT3 Low 110.00 GAL Min 1500.00 FT3 Low 110.00 GAL Low 500_00 GAL Low 11/13/200J e - ø' ¡ CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 / '-) INSPECTION DATE /¡J - r- 01 PHONE NO.~ 9?- c>y~( BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES l " . Section 1: œ..- Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate permit on hand V Business plan contact information accurate v Visible address v Correct occupancy V Verification of inventory materials V -T 'f"",!.~,L.L ,,,' ò, \ \ \0 ¿.,,\ ' Veri fication of quantities l,..- Verification of location ¡.- Proper segregation of material V Verification of MSDS availability V Verification of Haz Mat training v Verification of abatement supplies and procedures ........ Emergency procedures adequate v Containers properly labeled t- Housekeeping ¡...o Fire Protection v Site Diagram Adequate & On Hand ........ C==Campliance V == V ialation Any hazardous waste on site?: Explain: ~Yes DNo White - Env, Svcs, Yellow - Station Copy Pink - Business Copy x ~ -- Bus~te Responsible Party Inspector: Ç.~ ~ ~ Questions regarding this inspection? Please caIl us at (661) 326-3979 -~- '\ . - ) - 17 MIDAS MUFFLER Manager: Rick ¡UC(:l~'('~ Location: 6919 WHITE LN City BAKERSFIELD / / \/ SiteID: 015-021-001355 BusPhone: Map : 123 Grid: 16D (6b() 398-0921 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:7533 DunnBrad: Emrfgency Contact / Title 1<-( ët ,4?cday, ~ / MANAGER Business Phone: (80S) 398-0921x 24-Hour Phone : (800) 458-4519x Pager Phone : (805) 589-9587x ~,ergenc~ Contact / TiTle Dr-qe.. ..)UClf~L / OpC1f({t;Od'5 M?lliAGER us'fness Phone: f.«,(} 3q ß' ....cfl~êj 24-Hour Phone: «(f;?(') ZDt¡ -'z--1-:rr' Pager Phone : ( ,) '_ -', _ Hazmat Hazards: Contact : Rle k Mctky,'s MailAddr: 6919 WHITE LN City : BAKERSFIELD Owne r /lv.:o 1¡J'iìlE¥l 11m r M' Jlt:. y' Address : 6919 WHl'l,/:!;'-LN City : BAKERSFIELD Fire Press ImmHlth DelHlth Phone: (6(,,/)39<6 - oq2(x State: CA Zip : 93309 Period : Preparer: Certif'd: to 11£. RECŒ9VED Mal] G 5 2000 Phone: (,tør) t'J~-,-g-9'7 State: CA Zip : 93309 EJ~vmc¡",j "::':nY~'jft~,~ .. 'tA}.', , , H'." f_f~' TotalASTs: = TotalUSTs: = RSs: No Gal Gal -"""'~~ Emergency Directives: One Unified List 9 All Materials at Site 9 p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DR DH DailyMax MCP 1500.00 FT3 Low 1500.00 FT3 Hi 715.00 FT3 Min 110.00 GAL Min 500.00 GAL Low 4500.00 FT3 Low OXYGEN ACETYLENE ARGON/CARBON DIOXIDE MOTOR OIL MOTOR OIL (USED) LIQUID OXYGEN G G G L L I, JOT\~ £t«(ú1-- Do herebYP certi~Hthat I ha:e J(fypa or print name) reviewed the attached hazardous materials manage- ment plan for /If,'da.s of Bttte-"f't. ~nd that it along with (Name of Business) any corrections constitute a complete and correct man- F P F P F P F F F IH IH IH agement plan for my facility. rJ"'J~~tUCL I/Æ.{w 09/28/2000 Î e e F MIDAS MUFFLER p= Inventory Item F= COMMON NAME / OXYGEN 0001 CHEMICAL NAME SiteID: 015-021-001355 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: EXTERIOR WEST WALL AND NORTH WALL. ONE PORTABLE MOVES AROUND CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 FT3 Daily Average 1300.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME ACETYLENE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: Grid: EXTERIOR WESTWALL AND NORTH WALL. ONE PORTABLE MOVES AROUND CAS # 74-86-:2 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 FT3 Daily Average 732.00 FT3 %Wt. RS CAS # 100.00 Acetylene Yes 74862 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -2- 09/28/2000 e e í MIDAS MUFFLER ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001355 ¡ íë Inventory Item 0003 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o ARGON/CARBON DIOXIDE 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o SW CORNER AND SOUTH WALL. ONE PORTABLE UNIT MOVES AROUND IN° CAS# o 0 7440-37-1 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Gas 0 Mixture 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o FT3 0 715.00 FT3 0 715.00 FT3 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 75.000 Argon °No 0 74403710 o 25.000Carbon Dioxide °No 0 1243890 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Min 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf o e - íë Inventory Item 0004 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° MOTOR OIL ° Days On Site ° o ° 365 ° ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ ° WEST WALL, SOUTH CORNER ° CAS# ° ° 8020835 ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid ° Pure ° Ambient ° Ambient ° ABOVE GROUND TANK 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 ° GAL ° 110.00 GAL 0 110.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ ° %Wt. ° 0 RSo CAS# 0 ° 100.000Motor Oil, Petroleum Based °No 0 80208350 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards ° NFPA 0 USDOT# ° MCP 0 ° No °No ° No ° No/ Curies 0 F DH ° / / / ° ° Min ° äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf o -3- 09/2812000 e e í MIDAS MUFFLER ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001355 ¡ íë Inventory Item 0005 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o MOTOR OIL (USED) 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o WEST WALL, SOUTH CORNER 0 CAS# o 0 2210 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Waste 0 Ambient 0 Ambient 0 DRUM/BARREL-METALLIC 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 55.00 GAL 0 500.00 GAL 0 110.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 100.000Waste Oil, Petroleum Based °No 0 00 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F DH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj o íë Inventory Item 0006 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o LIQUID OXYGEN 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o WEST WALL 0 CAS# 0 o 0 7782-44-7 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Pure 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o FT3 0 4500.00 FT3 0 4500.00 FT3 0 ãëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 100.0000xygen, Compressed °No 0 77824470 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -4- 09/2812000 e e í MIDAS MUFFLER ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001355 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëFastFornaat j íë Notif.lEvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01126/1995 i o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Enaployee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/26/1995 j o 0 o VOCAL INSTRUCTIONS o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01126/1995 j o 0 o VOCAL INSTRUCTIONS o o o ãëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Enaergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/26/1995 i o 0 o MERCI MEDI CENTER o o o ãëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -5- 09/28/2000 e e í MIDAS MUFFLER ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001355 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01126/1995 i o 0 o GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT 0 o HAND VALVES 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/26/1995 i o 0 o GAS IS STORED IN APPROVED PRESSURE CONTAINERS o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01126/1995 j o 0 o MOP/SPONGES. WRING OUT IN CONTAINMENT BARRELS. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 09/28/2000 ,,;. II 't e e í MIDAS MUFFLER ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001355 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/29/1997 j o 0 o A) GAS - NW CORNER INSIDE o B) ELECTRICAL - NW CORNER INSIDE o C) WATER - W SIDE OUTSIDE o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/29/1997 j o 0 o PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISlIERS LOCATED IN SlIOP AREA o o o o o o o FIRE lIYDRANT - NW CORNER OF PROPERTY o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 09/28/2000 o .t'. ''1'' 'þ :. e e í MIDAS MUFFLER ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001355 ì íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/29/1997 i o 0 o WE HAVE 8 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF 0 o HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ì o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf MIDAS MUFFLER ~ p_<,k . { df{1-Q('ð'7 .~/ ~V GU' (f\l~ ~ø. (I~~ l1\.t''-( ~o ~,,~ SiteID: 215-000-001355 l.I'\.. . ,'~ ~_£ BusPhone: (805) 398-0921 6919 WHITE, LN (jO _ ~~I-I II /7(;::::---Map : 123 CommHaz: Moderate BAKERSFIELD 'u W lEM~/Grid: 16D FacUnits: 1 AOV: S i,f I'cd'iS1q BAKERSFIELD STAT N cr P 2 1997 j/þt SIC Code: 7533 ,,~)O . Vi DunnBrad: I --.~~ Emérgency Conta MIKE RICHARDS Business Pho 24-Hour Phon Pager Phone / Title / GENERAL MANAGER (805) 837- 83 71x (.sO::;) S89 3sa IX (805) 328-2465x ... " ~ .¡ Manager : Location: City CommCode: EPA Numb: Emergency)Çontact Title ~Ø'e;~~~'/J~_t~g- / MANAGER Bus1.ness 'Phone: '" Jj~~gfj::S..:::<2.C¡J...t 24 -Hour Phone d~';xz::o<- -'IS'B-..,-tt-$7 Pager Phone () X Hazmat Hazards: Fire ImmHlth DelHlth Agency-Defined Topic Title F Hazmat Inventory One Unified List l f== MCP+DailyMax Order All Materials at Site l Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP ACETYLENE F P IH G 1500 FT3 Hi LIQUID OXYGEN F P IH G 4500 FT3 Low OXYGEN F P IH G 1500 FT3 Low MOTOR OIL (USED) F DH L i-~ GAL Low ARGON/CARBON DIOXIDE F P IH G 715 FT3 Min MOTOR OIL F DH L 110 GAL Min ~I M lc - P. r L ~ ~5 !l)© ~@~fë»~ (C~vQij~ ~\ìv~ ~ ~aM@ ~ ú"ŒM!®~OO ~Ih® ®~lhoo Iì'n~Slrow$ Mal~~ffi~ij$ M~nSl@iS~ m®i'ð~ ~~®~ q(Q)1í fV\~qtL) ~oo1 aM~ i~ ~~©~ wi~ru Bli'UV OOIi'Ii'®©\'¡Ü©ß1$ OOfl1$~Õam~ ~ (C©m~!®ft® ®i'U© OOITœ~ m2ú1~ Bl@em®íîft ¡!5J~Wù ~@IT mv ~©ò~ü~. ~~~ -Cf] 6 ~tr- ' \!Z:Jt) ~ -1- 08/11/1Q97 .. .. e e f MIDAS MUFFLER I F Notif./Evacuation/Medical ~~:e::: Notification ~ Employee Notif./Evacuation ~CAL INSTRUCTIONS SiteID: 215-000-001355 ~ Fast Format 1 Overall Site 1 01/26/1995 ] ] 1 01/26/1995 Public Notif./Evacuation 01/26/1995 VOCAL INSTRUCTIONS Emergency Medical Plan 01/26/19951 MERCI MEDI CENTER -2- 08/11/19;97 o¡ e e F MIDAS MUFFLER I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001355 l Fast Format "I Overall Site "I 01/26/1995 GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT HAND VALVES Release Containment 01/26/1995 GAS IS STORED IN APPROVED PRESSURE CONTAINERS Clean Up 01/26/1995 MOP/SPONGES. WRING OUT IN CONTAINMENT BARRELS. Other Resource Activation -3- 08/11/19.97 f' ." ,.. e e F MIDAS MUFFLER I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-001355 l Fast Format ì Overall Site ì I 01/31/1990 A) GAS - NORTHWEST CORNER INSIDE B) ELECTRICAL - NORTHWEST CORNER C) WATER - WEST SIDE - OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO INSIDE Fire Protec./Avail. Water 01/31/1990 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS LOCATED IN SHOP AREA FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY Building Occupancy Level -4- 08/11/1997 ø ~r .., e e F MIDAS MUFFLER I F Training Employee Training SiteID: 215-000-001355 ì Fast Format ì Overall Site ì 07/25/1991 WE HAVE 8 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. Page 2 r I I Held for Future Use Held for Future Use -5- 08/11/1~97 ~- /'. /' . . ....~ "'I_~ e ·e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT 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 BUSINESSNAME:/\{DeLClfvuJCl INC. DbA- µt'bA-S Ðf íb~Ç¿GúJ LOCATION: &!1¡0¡ /tJIH7G Uf. MAILING ADDRESS: CITY: ~tê1L-& (ìt?U) STATE: U} ZIP: ~PHONE:~ ,.cf37,.8'37I DUN & BRADSTREET NUMBER: N / A SIC CODE: 75 ()O . PRIMARY ACTMTY: ku.7DMo-ntJS- W,ih't- OWNER: '!JOeL c IJutJ (7 MAILING ADDRESS: ~G- A-~ ¡}6où¿E SECTION 2: EMERGENCY NOTIFICATION CONTACT 1. M ¡' leG ~t'cl,f-¡j.ff) S TITLE BUS. PHONE 24 HR. PHONE ()f, MG,f!-( 80s ~37-g37{ s$q - q~7 2. 1 e e , \. "~~ ~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: A~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: 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, 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 INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE 2 ...~ ~~' ~ 12/29/94 " ¡- ...-It .- / Page 1 '. . MIDAS MUFFLER 215-000-001355 Overall Site with 1 Fac. Unit ~, General Information Location: 6919 WHITE LN City Map:123 Haz:3 Type: 3 Grid: 16D FlU: 1 AOV: 0.0 Contact Name DON LIENHARD Business Phone: 24-Hour Phone Pager Phone Title I MANAGER (805) 398-0921x e:P ,17 (805) 836 3046xe B"""t ( ) - ?t~ ,/ .' ,r ý~ Contact Name Title JAY WARDELL r'Y'\ k'I<ILohC...» Q.WNER' ~a?e.-"""" L f"1t.t Business Phone: (805) ~98 0921x837~~ 24-Hour Phone/ftYt«:805J-- 8JJ 103"8x;ð1f1v' Pager Phone : (&?oj) JJ..~ ~'-{6rx I Ad Mail Addrs: 6919 WHITE LN City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD STATION 09 Owner: ~l!i! vINCENT,' f~DBA f/AA -{ (UV"/ Address: 6919 WHITE LN l./111c..e..A-j- (VI( City: BAKERSFIELD D&B Number: State: CA Zip: 93309- SIC Code: 7533 Phone: (805) 837-8371 State: CA Zip: 93309- Summary tl \f^~A ,j AVa. L~~/¿~J\ \ () ~L~ ~ \ / '1 0 I ~~\~I1J '\ q~ ) ~~'-~~ r/ ~ e \ (_{) J J \)1 \-~ 1)( (¡ 0 Ý I, Nt ~ I ~{ ttvv!/ Do hereby certify that! hava (\ 0 \ cJ (Type or pnnl name) \1 , ~ \ reviewed the attached hazardous materials manage- 1\ r/ ment plan for(1t04S f'4v11-1v-and that it along with \~ (Name of Business) any corr,sdions constitute a complete BInd-correct man- agement plan for my facility. ~ Signature - /-IÝ-7f-- Da\@ .- e e , ~ I 12/29/94 MIDAS MUFFLER 215-000-001355 Page 2 .. Hazmat Inventory List in MCP Order "" 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 ACETYLENE Gas 1500 High ~ Fire, Pressure, Immed Hlth FT3 02-001 OXYGEN Gas 1500 Low ~ Fire, Pressure, Immed Hlth FT3 02-003 ARGON/CARBON DIOXIDE Gas ill Minimal ~ Fire, Pressure, Immed Hlth . .' e e 12/29/94 ~ .. MIDAS MUFFLER 215-000-001355 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE · Fire, Pressure, Immed Hlth Gas 1500 High FT3 (,CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FABRICATION PORT. Daily Max FT3 -,- ~ AV;'¡;3-ge FT3 ::-r Annual Amount FT3 - 1,500 I - ~~ I 2,000.00 Storage r Press T Temp ~ Locati n I (, ( PRESS. CYLINDER Above AmbientEXTERIOR WESTWALL ~~l ~~~+1Þ~~ e:>'" -<- pc.... ~~I<- Mo~ c..,.-øc.^¿ j..... S' r Components MCP ~uide High I 17 - Conc l 100.0% Acetylene 02-001 OXYGEN · Fire, Pressure, Immed Hlth Gas 1500 Low FT3 CAS #: 7782-44-7 Trade Secret: No , / V Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING PORT. Daily Max FT3 -,- Daily Average FT3 --r-- Annual Amount FT3 -- 1,500 . I ~\~oO ~~ I 1,500.00 Storage r Press T Temp -:ì Locatipn PRESS. CYLINDER Above Ambient I EXTERIOR f WEST WALL( 4",-¿. ro ~.J.-~ µc",( I ~ pC....T\.b(-<.... I"\c..v"""'> c......eo..."'<., z......) ",,0,,", Components ~ MCP ~uide I Low I 14 - Conc l 100.0% Oxygen, Compressed 02-003 ARGON/CARBON DIOXIDE · Fire, Pressure, Immed Hlth Gas 381 Minimal FT3 \/ CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: WELDING SOLDERING - Daily )f'ax :!~-,- Daily JYlê'rage Fr:r.J --r-- Annual Amount FT3 -- 1 tS ~ I 1C" ~ I 1,143.00 I Storage r Press T Temp -:-1 Location PORT. PRESS. CYLINDER Above Ambient I SW CORNE,R I t(Aá.. 50~ ~",-( ~ ¿ ~ çk.o~ tl.....~ po~U¿ v""~~ f'Ac.v~..,-1 ct....c>......... - Conc l Components ~ MCP î\uide 75.0% Argon I 4'r~ Eo V\ Minimal 12 .25.0% Carbon Dioxide é?'I!t(~(....I^., Low 21 e e 12/29/94 ¡ MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VOCAL INSTRUCTIONS <3> Public Notif./Evacuation VOCAL INSTRUCTIONS <4> Emergency Medical Plan I .~ALLEY INDUSTRIAL V mer~ rYl-e.J..- ~~ OV ^ €- C(fI'-tf+ Ito-.../,...j..¡ · ~ e e 12/29/94 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT HAND VALVES I <2> Release Containment GAS IS STORED IN APPROVED PRESSURE CONTAINERS <3> Clean Up Äoyl?p<9'ì~ lUn''5 01J- if] CM-ft:t: (t n...tA.r kf' 4 <4> Other Resource Activation ~ .. ~. e e 12/29/94 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 6 <F> Site Emergency Factors I <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER INSIDE B) ELECTRICAL - NORTHWEST CORNER INSIDE C) WATER - WEST SIDE - OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS LOCATED IN SHOP AREA FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY <4> Building Occupancy Level ·,. ,.. r;."':"" >..--:......"., e . 12/29/94 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 8 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. (\ ......./ <2> Page 2 <3> Held for Future Use <4> Held for Future Use . }t- . fc-'ù- 5~· IJ- ,). f- ( .&lc,jeP1 ~ )t¥---, 'I ! J5t¿F t. v=>S ~"1 1'''' '1 ( ( . // qC-e-J-y/~ ~ U V) vl(- I fc<~ J.6t:/ LP- #JA f tJ IC,J'- --- 15' G J 0. b' ~ ~ ...¡ 1- Ljf,.-- ;P'"' r? /F . U e ~ ~~='.~ - .-. -j-G....;, I toY '- F- BAKER.5..FIELD CITY FIRE DEPARTMENT " . HARDOUS MATERIALS INVAORY M ¡()¡fS MtJl¡Zl~v-- .. Buslness Name Pa~_of_ Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [~ition [ 2) Common Name: M 0 J Revision [ Check if chemical is a NON TRADE SECRET [J TRADE SECRET [l1' 3) DOT # (optional) () 0 + ý'c:s V }4 -Ie AH~ CAS # -e:r- Deletion [ Chemical Name: 4) PHYSICAL & HEALTH HAZARD CATEGORIES 5) WASTE CLASSIFICATION PHYSICAL Fire [( Reactive ~ ,Sudden Release of Pressure [ J HEALTH Immediate He,alth (Acute) J6J. Delayed Health (Chronic)""fISt- -Ç- (3-digit code from DHS Form 8022) ....Q- USE CODE Pure' [~xture [J Waste [] 6) PHYSICAL STATE Solid [] liquid [.r- Gas [ ] œ£oc.AlL. mAT APPlY 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: largest Size Container: # Days On Site 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components 10) Location w~s Radioactive ( ] 110 /10 '2.150 , S$, 3 '-5 UNITS OF MEASURE Ibs ( ] gal (..("113 ( I curies ( I 8) STORAGE CODES a) Container: 0 , b) Pressure: c) Temperature: O( O'f M. A, M, J, J. A. S. 0, N. 0 Circle Which Months: COMPONENT CAS # % wr AHM ( ] 100 t -H- ( I 1 ) 2) Mo to V- ('Q( L. r CHEMICAL DESCRIPTION Check if chemical is a NON TRADE SECRET (~DE SECRET ( I 3) DOT # (optional) Y\oi ,...~~uc:;../<-~ 1) INVENTORY STATUS: New (¿dition [ I Revision ( Mo ~ V"' 2) Common Name: Chemical Name: 4) PHYSICAL & HEALTH HAZARD CATEGORIES 5) WASTE CLASSIFICATION us t:.. à LVCr.J 1<- Deletion ( I (!;)t, 0 c:J( (.." V'to +- AHM ..¡er CAS # / PHYSICAL Fire (tf' Reactive [I Sudden Release of Pressure [ I d-)..( (3-digit code from DHS Form 8022) HEALTH Immediate Health (Acute) (I Delayed Health (Chronic) ( I Wf'SI-L. USE CODE If 0 Pure (~ure (J Waste (I 6) PHYSICAL STATE Solid (] liquid [~as ( I OIE.(;( AU. THAT N'1A.Y 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: largest Size Container: # Days On Site 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components <J-ø_t»ow3Q tDln Radioactive ( ) !IO ~ ~ J(p UNITS OF MEASi.¿!3E Ibs ( I gal (~113 ( I curies ( I 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: 0(' t1c../ 0'- J. F, M, A. M. J, J. A, S. O. N, D Circle Which Months: COMPONENT CAS # % wr AHM ( ] I 00 ~ -r=t- ( ) 1) 2) M~./.oy- '(!?( C -~ Signature ----- /-/Ý-7- Date f'EOICHY lEPC8TotrNOMC Business Ñáme . BAKERSFIELD CITY FIRE DEPARTMENT ~ HAlaRDOUS MATERIALS INV.ORY (Vt (OA 5' ÔÎu f-t(~". Pa~_of_ Address 1) INVENTORY STATUS; New [¿diliOn [ ] Revision [ Deletion [ CHEMICAL DESCRIPTION Check if chemical is a NON TRADE SECRET ~DE SECRET [ ] ---- 3) DOT # (optionaQ 2) Common Name: / v Chemical Name: {...Þ"\ AHM [ ] CAS # ~78:J.~YC¡~ 4) PHYSICAL & HEALTH HAZARD CATEGORIES Fire [ ) PHYSICAL Reactive [) Sudden Release of Pressure [~ HEAL T!J/' Immediate Health (Acute) [V Delayed Health (Chronic) [ ) 5) WASTE CLASSIFICATION ~ (3-digit code from DHS Form 8022) USE CODE -t::?-- 6) PHYSICAL STATE /' Solid [J Liquid [L..y'" Gas ( ] Pure' [J Mixture I ] Waste I ] Radioactive I J OlECKALL THAT APPLY 7) AMOUNT AND TIME AT FACiliTY _ Maximum Daily Amount: ¿/j? c. r- I Average Daily Amount: eo c.. F r Annual Amount: S I{ c;;roO Largest Size Container: '1S ~ # Days On Site '1 " :;- UNITS OF MEASURE ____ Ibs [ ) gal I ] 1\3 I 1" curies I ) GÝ 02- 0,/ Circle Which Months: F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # % WT ÀHM I) !pog 4ij- ( ) 1) 2) ~r'1u ('J. Of4'~.e. V1 7 7 8,'2- 10) Location (oA...- CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ) Addition I ] Revision I ) Deletion ( ) Check if chemical is a NON TRADE SECRET I ) TRADE SECRET I ) 2) Common Name: 3} DOT # (optional) Chemical Name: AHM (,] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire I ) Reactive [] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) I] Delayed Health (Chronic) ( ) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [) Liquid [] Gas { ] Pure {] Mixture {] Waste {J CHECllAU.IIIArAPR.r Radioactive ( ] 7) AMOUNT AND TIME AT FACiliTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: # Days On Site UNITS OF MEASURE Ibs { ] gal {J 1\3 ( ) curies I ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: Circle Which Months; All Year, J, F, M, A. M. J, J, A, S, 0, N, 0 9) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # %WT AHM I] I) [ ] 1) 2) 3) PRINT Name & Title of Authorized Company Representative Signature Date ~_tMr3Q 1092 RECI~ v \.£PC STNrQIrAO ~~ HAZARDOUS MA TE.ALS INSPECTION _kersfield Fire Dept. /' Hazardous Materials Division Date Completed I /-27 - '7 Ý Location: fJ1/ O/J-S /J1IJPF~ (ó 9/9 Idl-ltr£ /_..0 , Business Name: Business Identification No. 215-000 .()D 1"3 $'")' , " . Shift é (Top of Business Plan) Station No. i 1·'30 Inspector 0/"'12- Inspection Time: :20 Adequate Inadequate / rn/ LI RECEIVED ~ ~ DEC 0 2 1994 0 HA7, M4T. OlV. g/ D Arrival Time: Departure Time: 7'.' )"cJ J~~mq I Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material /ll1i!tfJ5 T2> Lt'sT W/-t5TIE ð ¡L r rg/ øð r"rr- 0, L ~) Number of Employees: '\ r Verification of Haz Mat Training x \ï) Comments: ð ~ Q \tI Verification of Abatement Supplies & Procedures f\ Comments: Verification ofMSDS Availability 1( f1 D ~ LJ ~ o Emergency Procedures Posted Containers Properly labeled ~ ~ o D Comments: ~/ LJ Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: {VI ( fç -'<- ((,~ h ~ V'- ¿f ~--' ---::7 ~ ~ Business ONnerlManager ~ME SIGNATURE ~ All Items O.K LJ Correction Needed 13-- ¡ î !:!S ª a u. tpt White-Haz Mat Div Yellow-Station Copy Pink-Business Copy ~ . r¡, e e / ~ 05/28/93 MIDAS MUFFLER 215-000-001355 Overall Site with 1 Fac. Unit Page 1 General Information Location: 6919 WHITE LN Map: 123 Hazard: Moderate Community: BAKERSFIELD STATION 09 Grid: 16D FlU: 1 AOV: 0.0 .....-- Contact Name Title Business ,Phone - 24-Hour Phone DON LIENHARD MANAGER (805) 398-0921 x (805) 836-3046 JAY WARDELL OWNER (805) 398-0921 x (805) 833-1038 Administrative Data Mail Addrs: 6919 WHITE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7533 - - ..- - -. .- -" ._- Owner: GRUBER VINCENT, INC DBA Phone: (805) 837-8371 Address: 6919 WHITE LN State: CA City: BAKERSFIELD Zip: 93309- Summary RECEIVED iJUl 0 6 1993 HAZ. MAT. DlV. ,- t j-l\'( W t\'"Rj) f; L L Do hereby certify that I have - ' - - (Type.Of print name) . reviewed the attached hazardous materials manage· ment plan for M 11) AÇ and that it along with (Name of Bucinala) any corrections constitute a complete and correct man· agement plan for my facility. .. - , - - ~ Ubi» ')l7/i) · .' e -- OS/28/93 MIDAS MUFFLER 215-000-001355 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 1500 High FT3 1500 Low FT3 381 Minimal FT3 02-002 ACETYLENE Gas ~ Fire, pres·sure, Immed Hlth 02-001 OXYGEN Gas ~ Fire, Pressure, Immed Hlth 02-003 ARGON/CARBON DIOXIDE Gas ~ Fire, Pressure, Immed Hlth e e OS/28/93 MIDAS MUFFLER 215-000-001355 02 - rixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE ~ Fire, Pressure, Immed H1th Gas 1500 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FABRICATION Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,500 I 732.00 I 2,000.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above AmbientlEXTERIOR WESTWALL - Conc l 100.0% Components ~ MCP -:-rGuide Unrated I 0 02-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 1500 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,500 I 996.00 1,500.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above AmbientEXTERIOR WEST WALL - Conc l 100.0% Components ~ MCP -:-rGuide Unrated I 0 02-003 ARGON/CARBON DIOXIDE ~Fire, Pressure, Immed Hlth Gas 381 Minimal FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 381 I 381.00 I 1,143.00 Storage r Press T Temp.-:ì PORT. PRESS. CYLINDER Above ArnbientSW CORNER Location - Cone -I 75.0% 25.0% Components ~ MCP ITUide Unrated 0 Unrated 0 ~ OS/28/93 e e MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 4 <D> Notif./Evacuation/Medica1 I <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VOCAL INSTRUCTIONS <3> Public Notif./Evacuation VOCAL INSTRUCTIONS <4> Emergency Medical Plan VALLEY INDUSTRIAL .:. .. e e OS/28/93 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT HAND VALVES <2> Release Containment GAS IS STORED IN APPROVED PRESSURE CONTAINERS <3> Clean Up <4> Other Resource Activation .¡,¡. ...' e e OS/28/93 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER INSIDE B) ELECTRICAL - NORTHWEST CORNER INSIDE C) WATER - WEST SIDE - OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS LOCATED IN SHOP AREA FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY <4> Building Occupancy Level ó .;; ~, '. ,~ e e OS/28/93 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 8 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use e Bakersfield Fire Dept.. / HAZARDOUS MATERIALS DIVISION Date Completed 75 - 2'f - <11 Business Name: J'1 ~cl..o.~ Location: 6' q I 9 M v~C (~" \AI~'.{~ l~ Business Identification No. 215-000 - CIa 13 ~ :5 rr op ~ Station No. 9 Shift C. Inspector ~ MegUâlê.;:'::lnaâeq-;;-ate~ Verification of Inventory tAateriaJ~;:-;>"'/-- ~ 0 rn- \ , ~f/ nO . ~~cati6í(o¡,an{¡es G' D RECEIVED /ii ~"/" Verification ¢ Location ß" 0 MAY 2 7 1993 ~ "~./ I , /' Proper Segregation of Material r:r D , HA7. MAT. OIV. Comments: S- ~/~G. C "'" "'5 L. CI: \ J. .,.v__ / ¡ / í Verification of MSDS Availablity ITt,.,/'/- D Number of EmPJoye~ '3 . ___~____~---./ VerificàtiõñõfHãZr:Áat Training ~ 0 ~ ./ Comments: f\ ~ Verification of Abatement Supplies & Procedures \) Comments: m o Emergency Procedures Posted Containers Properly Labeled ~ B o o Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: m-- o V~glatioos: ~ {t +.r -1J..", Y\""\"J(~ 00"" k '1/' "1 ~ G,.,.j L~", M¡ 0' M""''''~A (391 -0)00, ~ Q.... €' ) ./ '" ~ All Items O.K. '~~ Correction Needed Busine er/Manager . FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow·Station Copy Pink-Business Copy o ~ ^- n~~_ n - - ,,':,-.,: ~~iECG~rrw~~'I- -, 0~j/i:::êU'32 ?)?_b-3Q7C1...TDAS 't1UF~:LEF~ .215-Ö~?:"-OOl;a¡ OJ n Pë:'lge 1 ~.~ ..' ", .- ':'m~all Slte \<'ntt1 1 Fac. U¡W JUN 81992 U) ~ " ,~ "f. L:J ' . '-. ~'''''. , .:,' (3e'(er~a I I nf C'r~rtlëlt i OY'i rl~ L~c~t~·G:;:~N -===-----==:P,~- :a~d'-MC'd:~at~ ~ I ~~c<m~~~~Y'1 i t y ~~~~r~~:_:~~ E:_~_. S,TA~~~_~~'3________________________,____~:~~~~_~_~_.,:~~ /u.,~___-=-_~~~,~_ o. ~~j ['---- C01'"rl:: act Në.Hlle -J--------'--- Tit I f-:? --------~-~-~. ..,- Bus i 1'"1f.'?SS PhoY'le 2',¡,-'-Hcl.\r~ Pho1'"11? DON LIENHARDMANAGE~ ." (805) 398-0921 x (805) 836-3046 JAY WARDELL OWNER (805) 398-0921 x (805) 833-1038 --....------.-..--..--- -......--..-..--......-----..-.. ..------..-..-....---.-.-. ------------.-------------------- Ad m i 1'"1 i s t r~ëI t i ve Da t a ..----,---------,----- -........--..--- Mail Addrs: 6919 WHITE LN City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD STATION 09 ----------- -,----- ,-I::..:.. .. -- OWY'ler': I( RUGEr<- & :I;IFNSON c;. RLJß E' te.') '¡). ' . < n' Ph CI '(I I? : (805) 837 -8371 Add¡'~ess: 6919 t-JHITE LN Vlf\CQ.o\-C..- l n CI State: CA City: BAKERSFIEL~~___~____~~~,~____Zi~:_~~~I~~______~ D8,B Numbe'r': St a t I?: Cf4 Zip: SIC Cc.de: 93309- ~'533 ---------...-- SUfI1f11ar'Y ---- ..---..-----..--..-......---..--- -----..-----....-..-..--------..-..-..-....---..-........---.-..-....---.-.-..--..----....---- .---....-....-----------------....---------.... -.------..-..-..-- (Ç.~ lï)Dr'\ L', eh h ~J Do hereby certify that I have · (Type or PMt name) reviewed the attached hazardous materials manage- ment plan for M\ÞA~ Ml:>F~La?and that it along with (Name of Busln8l8) any corrections constitute a complete and correct man· agement plan for my facility. cltJ)~ ' ~ qZ- =1~~ . ~ .0" 05/;:::2/'32 MIDAS MUFFLER 215-000-001355 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Fot'·m 02-002 ACETYLENE Fire, Pressure, Immed HIth Gas ........---.---....---------..-----------.. 02-001 OXYGEN Fire, Pressure, Immed HIth Gas Page i::: Qua1'lt it Y MCP ..--.-- -..--....-- 1500 High FT3 ..-....-..------....-- 1500 Low FT3 ---.--.. ------.-.... ---....------..-..---.-...-.-.--......---......----..-----.... ~ -- -- - -.-,.. ---- ------- ---- e e - --- - ---,-.--- "-- - --- OS/22/r:32 .DAS _~UFFL~R 2~5-000-001 -~,..,,~ ~ - F 1 xed CClY"lt a 1 Y"let-·s eC'(1 S_ Page ..~ .J Hazmat InventClry Detail in MCP Order ....--- -------- 02-002 ACETYLENE Fire, Pressure, Immed Hlth Gas 1500 High FT3 --...-.- CAS #: 74-86-2 Tt~ade Secret: r'kc Felt~m: Gas Type: Pun:? Days: 365 Use: FABRICATION --- Dai ly Max FT3 -----r- Dai ly Avet~age FT3 ---,-- A,(lY"Iual AmCllmt: FT3 -- 1,500 I 732.00 I 2,000.00 .--- Ste't~age r" Pt~ess 'f Temp ·-'T--------- Le,e:-at iel'(l PORT. PRESS. CYLINDER AbClve Ambient EXTERIOR WESTWALL - 1 g~;~I~'t.lAcet y l..~me-----'-~--- Ce,mpe'Y"le'(lt s -----'-------, H i :~P --,- i s t 02-001 OXYGEN Fire, Pressure, Immed Hlth Gas 1500 LClW FT3 ----.......---.----.--.....-...-.---.... CAS #: 7782-44-7 Tt~ade See:-t-'et: No Fot~m: Gas Type: Pt_n~e Days: 365 Use: WELDING SOLDERING -- Dai ly 'flax ~~~ -I Dai ly Avet~age FT3 ---r- AY"lY"Iual Arnecll"(lt FT3 - 1,~uu I 996.00 I 1,500.00 - Stot~age r Pt~ess T Temp -:-r Locat iel'(l PORT. PRESS. CYLINDER Above Ambient/EXTERIOR WEST WALL - CeC'(lc -1 100.0't. Oxygen, Compressed Ce1mpoY"le'(lt s r.- MCP --rL i s t I Le,¡.. I OS/22/'32 Cl} Agency Notification CALL '311 MIDAS MUFFLER 215-000-001355 00 - Overall Site CD} Notif./Evacuation/Medical (2) Employee Notif./Evacuation -.-..-------..-- VOCAL INSTRUCTIONS C3} Public Notif./Evacuation VOCAL INSTRUCTIONS - - ---- -- ~------------'" -_.----<:----.-~---' (4) Emergency Medical Plan VALLEY INDUSTRIAL e tit Page 4 ..-..-..------------- -y 05/é~2/'32 AIDAS MUFFLER 215-000-001.' -J ~ 00 - Overall Site Page C;' ;.J CE} Mitigation/Prevent/Abatemt ---..--- -..--- ..---..-------.........-..--..-- Cl} Release Prevention GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT HAND VALVES C2} Release Containment -------..-........-..--..-..-..- GAS IS STORED IN APPROVED PRESSURE CONTAINERS C3} Clea·.... Up --..---- C4} Other Resource Activation OS/22/'32 MIDAS MUFFLER 215-000-001355 00 - Overall Site Page IS CF} Site Emergency Factors ----..---------..- .------....- ....-------...----..--......- ~1} Special Hazards C2} Utility ~hut-Offs A) GAS - NORTHWEST CORNER INSIDE B) ELECTRICAL - NORTHWEST CORNER INSIDE C) WATER - WEST SIDE - OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO C3} Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS LOCATED IN SHOP AREA FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY - -- -- -- :---------- C4} Building Occupancy Level e . OS/22/r:32 AIDAS MUFFLER 215-000-001.'0:::- ~ 00 - Overall Site Page 7 (G) T)"~a i Y"f i Y"fg ----------..----..---....-------. ..--..-..--..----.-..---- < 1) Page 1 WE HAVE B EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. <2> Page ~ as needed ---.. <3} Held for Future Use <4> Held for Future Use --- l\' o ÑOf,; R. C Þ-e. S f>'l¿tl\crj ~ i-{ð P -. CD OF BAKER.SFIELD MATERIALS CITY HAZARDOUS \ , page.-l-0f...L , INVENTORY o TRADE SECRET NOH OWNER NAME ADDRESS: ~ CITY, ZIP: PHONE ,,#: and Agriculture 0' standard Business yY1 Ù 1=- ¡::: L <t, æ..- '\. ,,~s BUSINESS NAME LOCATION: ~' CITY, ZIP' - PHONE #: Farm 14 Names of Mixture/Components See Instructions fJ. ~6óN ~~ Dlo3<.tOE FOR PROPER CODES 12 Location Where Stored in Facility .6 o. W ISST c:::oeI\1f¡ 6 1 & C.A.S. Number NUmber Number & C.A.S & C.A.S Name Name Name component 1# 1 Component 1# 2 3 Component 1# Delayed Health o ~f\' Iounediate Health Number [] Reactivity C.A.S o Sudden Release of Pressure Physical and Health Bazard ,~heck all that apply) ,~ QQ Fire Hazard Number & C.A.S. Component 1# 1 Name Number & C.A.S. Component 1# 2 Name o Number o C.A.S. o Physical and Bealth Hazard (Check all that apply) o Number & C.A.S Name Component 1# 3 Delayed Beal th IDDDediate Health Reactivity Sudden Release of Pressure Fire Hazard o Number Number Number & C.A.S & C.A.S & C.A.S Component 1# 1 Name component 1# 2 Name Component 1# 3 Name Delayed Health IDDDediate 0 Health Number o Reactivity C.A.S o Sudden Release of Pressure Phýsical and Health Hazard (Check all that apply) . D Fire 0 Bazard Number & C.A.S 1# 1 Name component Number & C.A.S 1# 2 Name component Number [1 C.A.S Physical and Health Hazard (Check all that apply) Number ELL S. & C.A Name 1# 3 component Delayed Health o IDDDediate Health Reactivity o Sudden Release of Pressure #1 o Fire Bazard o of those and that based on my inqui ~/~ DATE SIGNED EMERGENCY CONTACTS Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanltyof law that I haver personally examined and am familiar with the information submitted individuals responsible for obtaining the information. I believe that the submitted information is true, "~Ö~ L\(b\"\hòJd NAME AND OFFICIAL TITLE OF OWNER/OPERATOR OR REPRESENTATIVE ~~'?Jo1'ii12. OWNER/OPERM'QR'S' AUTHORIZED '" ....... e e FIRE DEPARTMENT S, D. JOHNSON FIRE CHIEF i¡~q(bu Ð ~., . . ......~. c-.,C::::,-;;'- '. ~ / --c:; / '. t; 2101 H STREET b '. BAKERSFIELD, 93301 !?J 326-3911 MAY 14,· 1992 '~ ~ rsr CITY of BAKERSFIELD "WE CARE" Dear Mr. Lienhard; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- In the inspection of your business Midas Muffler, located at 6919 White Lane, Bakersfield, Ca.93309 on 5-7-92 the following Hazardous Materials regulation violations were identified: 1) The current business plan on file is incorrect, and does not reflect the current owner. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 (b) In addition to the requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a modification of its business plan, the handler shall submit a copy of the plan revision to the administering agency within 30 days of the operational change. (c) The handler shall, in any case, review the business plan, submitted pursuant to subdivisions (a) and (b), on or before January 1, 1988, and at least once every two years thereafter, to determine if a revision is needed and shall certify to the administering agency that the review was made and that any necessary changes were made to the plan, A copy of these changes shall be submitted to the administering agency as part of this certification. (d) Unless exempted from the business plan requirements under this chapter, any business which handles a hazardous material shall annually submit a completed inventory form to the administering agency of " " ... e e the county or city in which the business is located. Notwithstanding any other provisions of the law, an inventory form shall be filed on or before January 1, 1988, for the 1988 calendar year, and annually thereafter. This inventory shall be filed annually, notwithstanding the review requirements of subdivision (c) 2) Current Inventory on file is incorrect, inventory does not include Carbon Dioxide or Argon on hand. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) -' I (a) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503,.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. ' (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the business. (3) A 'listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at-anyone time by the business over the course of the year. , The above violations must be corrected by June 5, 1992 :À .~ ~. -- e e The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. .---- Coordinator ~ .-.~ - e MAY 14,· 1992 Dear Mr. Lienhard; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- -----------,------------------------------------ In the inspection of your business Midas Muffler, located at 6919 White Lane, Bakersfield, Ca.93309 on 5-7-92 the following Hazardous Materials regulation violations were identified: 1) The current business plan on file is incorrect, and does not reflect the current owner. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 (b) In addition to the requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a modification of its business plan, the handler shall submit a.copy of the plan revision to the administering agency within 30 days of the operational change.' ::) (c) The handler shall, in any case, review the business plan, submitted pursuant to subdivisions (a) and (b), on or before January 1, 1988, and at least once every two years thereafter, to determine if a revision is needed and shall certify to the administering agency that the review was made and that any necessary changes were made to the plan, A copy of these changes shall be submitted to the administering agency as part of this certification. (d) Unless exempted from the business plan requirements under this chapter, any business which handles a hazardous material shall annually submit a completed inventory form to the administering agency of ~ .. .-:;, e e the county or city in which the business is located. Notwithstanding any other provisions of the law, an inventory form shall be filed on or before January 1, 1988, for the 1988 calendar year, and annually thereafter. This inventory shall be filed annually, notwithstanding the review requirements of subdivision (c) 2) Current Inventory on file is incorrect, inventory does not include Carbon Dioxide or Argon on hand. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) (a) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum concentrations, of every hazardous waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at anyone time by the business over the course of the-year. The above violations must be corrected by June 5, 1992 ~ ,~~ e e The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. Coordinator ~ ~r,~~,. ;' "..ç. e ( BULK TRANSFER (Busíness) BUSINESS NAME P7,7:JII9:S /YJUF'FJ..BILSl ANt) --:a;:t,ql<e.s S lTE LOCATION In c;; I C) úJ k , r~ ~ 4' OLD OWNER NAME E /.. WCo"b CH""1'})&G.,\.s ; (2,k" Y 77 ~ ,y~,-.,?H6.s.s NEW OWNER NAME kr"il.Li~~. J4.IV{f &".A./ r X'J,J4. 0/" I rrlJ1/AI S:rR.BGT ~VM NEW OWNER ADD. )..ÝJbJð S, £J.. {!.,g"n.ua~,,¡J... ~AAI mAr~uÞ} (!." 9-44~ ACCOUNT NUMBERS INVOLVED Sb ~2 2. AID I H/'17 1./.72./D/ ~~ .:s-s'i?~ () I :PR¿~L3/_9L THIS INFORMATION IS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES. DISTRIBUTION: Sanitation Wastewater B~:s';",..._~..... 11.....'-L¡,~....w Hazaråous Materials e ~9~ Bakersfield Fire Dept.e HAZARDOUS MATERIALS DIVISION / Business Identification No. 215-000 - ðO J 3l) ) (T o~ ~usine~s Plan) Station No. 1 Shift C Inspector ~ Business Name: -1':ì" J 4. :; Location: 6{ t ~ MufÇ l~r \V~:+~ L.., Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: CO2 720 C'v .(J!- Verification of MSDS Availablity £ Number of Employees Verification of Haz Mat Training Comments: Date Completed 5- 7- 92- RECE\VED ".v 1 1 \992 Ii i \ I H.A.7, MAT. O\V. Adequate Inadequate D [Y I!:r 0 ~ 0 (g- O A~JöV\ ("°7 IM,/ )gl cv ~ f æ(" 0 G--- o o Verification of Abatement Supplies & Procedures Comments: IT;r Emergency Procedures Posted Containers Properly Labeled Comments: G" ~ o o o Verification of Facility Diagram Special Hazards Associated with this Facility: ~ Violations: All Items O.K. 0 Correction Needed ~ 1.., e IV It a.,eJ - I'-'lCJ R.. . White-Haz Mat Div. Yellow-Station Copy Pink· Business Copy e e January 25, 1991 Mr. Elwood Champness Midas Mu££ler & Brake Service 6919 White Lane Bakers£ield, Ca. 93309 Dear Elwood, Per our phone conversation of January 25, 1991, enclosed you will find a copy of the Hazardous Materials Management Plan that we now have in the computer for Midas Muffler on White Lane. An inspection by the Bakersfield Fire Department in May, 1990 found additional chemicals at that location. Enclosed you will find a copy of the inspection. These chemicals ~ill need to be added to your existing chemical inventory. Also take this time to review your business plan in general and make any changes necessary, date, sign, complete the additional inventory sheet and return it by February 15, 1991. If you have any questions or if I can be o:f any :further assistance please don't hesitate to call me at 326-3979. Sincerely, Valerie Pendergrass Hazardous Materials Division ENCLOSURES ~t- J¡ eN'Q¡(/d tV arJ 10- .()~. ~~ '" RECEtV,EO 1991 1 JUl TV of HAKEH~J-IELU ! ~HA~ARDOUS MATERIALS INVENT?RY NON-TRADE SECRETS ¡ ê... ~ 2'.. 1\ (2; SS ~ CI , ~ and Agticulture [] ~ Page of NAME OF nhs FACIL~'rl····'VV\"t·D Þr ~ ST ANDARD IND. CLASS CÒDF:---------------- DUN AND BRADSTREET NUMBER--'------- ----- - - '- - - - F- L'€e OWNER NAME: C--\ ~.: - ADDRESS' -4'-\ \ . ---- ~l6~ ~!P:-. ~ , RÊFE~ tOj ness Bus farll BUSINESS NA LOCATION' CITY,. ZIP PHON!: II: '\j U ~ixlure{çc~Donents Instruc Ions 3 , by lit CODES 12 on Where n FacIlity 11 Use Code 1 o~ ~He 6 Mea$ure Units 5 Annual Est 4 Average Allt 3 Max Allt 2 IYA8 Code I Ir~ns Code b Hailes of See t_u R.~ 10 loc~t Stored W€S,- ~lJT~tO~ 42- F"f: fo 500 th Hafard ap~ly ~ v Number Number Number C,A.S C.A.S C,A,S Nalle Nane Nallle . t2 t3 mmediate COlllponent Health Component tr SUdd;n Release '0 Pressure Nunber Ii Delayed Health C.A,S o ty React jy o end Hea all that Hazard re pn~~~~ Ii' OXI...f<5 ~ eo, ?URe: ~o OUÎSIÖ& w¡;:s-r C.A ~bÇ '1'1 Fí3 1.0 q 5'00 11 NUllber Number Number S C,A,S C.A.S & Nalle & Nalle & t2 t3 IIImedlate COlllponent Health Component ~ Suddfn Re lease o Pressure Number ~ De layed Hea I th C,A,S o ty th'Hafard apply - I ; React jy o aHdt~:t r re Hazard pr~~~a F ~ Number NUllber NUllber . NUllber Number NUllber C,A,S C.A ,S C.A,S C.A.S C,A.S C,A.S v end Healt~ Hafard all that apply ¡ I, re Hazard I 0- React ! ~ j [ Phï~ical eod Health uafard (Check all that apply í re Hazard ~ 0 React t ; 1 ! CotÚACTS ¡ Nalle Nallè NBlle / .2 .3 Component Immediate Component Health Component o SUdd;n Re I ease o Pressure Number o De layed Health C,A.S o ; '/ tYi v Physica ICheck F o Nalle Name Nalle Component . 12 t3 mmediate Component Health Component o Sudd;n Release o Pressure NUllber o Delayed Health C,A,S o t~ o F çertifjçatioQ ¡(Reed and $ign af~f3r cÇ>mp7et I cer I fy under ena'lt 0 Ia th t I have pe(sona h examln Q . d II at~açted dQcUllenkan~ t at ~ase~ on IIY InQuIrY 0 hose InålVl~ua's suLmltted Inforllatlon IS true. accurate. and coiplete ~:, ~ Iì~~ end 0 ~:Sb-3otf~ - Z{1Iftliõñe- V\I\.. &- '2. nt (¿ Y"\. h~(é this I be 2T1{nfiõñr- $ubllitte~ in Inforllat'lon, eé ing ~7J sections) familla( with the info(matlon responsIble for obtaining the 111 R! EMERGENCY Lß/Z1 ~ UHnrqf.ê~ present at Ive c · . . '"=, IkDAS MUFFLER 215-000-001:Í1 Overall Site with 1 Fac. Unit Page 1 06/13/91' " General Information Location: 6919 WHITE LN Ident Number: 215-000-001355 Map: 123 Hazard: Moderate Grid: 16D Area of Vul: 0.0 -; Contact Name BeUC LILLY Don LlfZnh TIM CHAMPNESS Title MANAGER OWNER Business Phone (805) 398-0921 x , (805) 398""0921 x 24 Hour Phone· (~óç) c¡ '3& - "B01Ji,:. (805) Administrative Data Mail Addrs: 6919 WHITE LN City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD STATION 09 D&B Number: State: CA Zip: 93309- SIC Code: Owner: CLAY TIMOTHY CHAMPNESS Address: 2209 NAYLOR ST City: BAKERSFIELD Phone: (805) 398-0921 State: CA Zip: 93309- Summary o hereby certify that t have i....> ,. ype or p nt rcame} reviewed the attached hazardous materials ma¡lage- ment plan for \{V\\o<=\~M\)~.and that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. ~~ ~v?fq, 06 / 13/911' ~DAS MUFFLER 21S-000-001J1þ Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form High 02-002 ACETYLENE Fire, Pressure, Immed Hlth Gas 02-001 OXYGEN Fire, Pressure, Immed Hlth Gas Quantity 732 ~. 1500 FT3 99(; ¡çOO FT3 Page 2 MCP Low r. " ~DAS MUFFLER 215-000-001~ 02 - Fixed Containers on Site Page 3 06/13/9 r HazmatInventory Detail in MCP Order 02-002 ACETYLENE Fire, Pressure, Immed Hlth Gas 732' High FT3 CAS =It: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FABRICATION Daily Max FT3 732 Daily Average FT3 732.00 Annual AmountFT3 732.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientEXTERIOR WESTWALL - Conc l 100.0% Acetylene Components I~ MCP -¡List High I 02-001 OXYGEN Fire, Pressure, Immed Hlth Gas 996 Low FT3 CAS =It: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FABRICATION Daily Max FT3 996 Daily Average FT3 996.00 Annual Amount FT3 996.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientEXTERIOR WESTWALL - Conc -I 100.0% Oxygen, Compressed Components I~ MCP -¡List Low I ~ . 06/13/9f 4trDASMUFFLER 215-000-001. . 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VOCAL INSTRUCTIONS <3> Public Notif./Evacuation VOCAL INSTRUCTIONS <4> Emergency Medical Plan VALLEY INDUSTRIAL ~ .? ~IDAS MUFFLER 215-000-001~ 00 - Overall Site Page 5 06/13/91 " <E> Mitigation/Prevent/Abatemt <1> Release Prevention GAS IS KEPT IN PRESSURIZED BOTTLES, OXYGEN IS RIGHT HAND, ACETYLENE IS LEFT HAND VALVES \ ,-. <2> Release Containment GAS IS STORED IN APPROVED PRESSURE CONTAINERS <3> Clean Up <4> Other Resource Activation i' F' ¡, '. tltIDAS MUFFLER 215-000-001~ 00 - Overall Site Page 6 06 / 13/9 l' <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER INSIDE B) ELECTRICAL - NORTHWEST CORNER INSIDE C) WATER - WEST SIDE - OUTSIDE D) SPECIAL - NONE E) LOCK BOX -,NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS LOCATED IN SHOP AREA FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY <4> Building Occupancy Level ~_...~ }¿ ~;P - ,'to' " tlaIDAS MUFFLER 2l5-000-00l~ 00 - Overall Site Page .. 7 06/13/91'" /' <G> Training .//' <1> Page 1 WE HAVE~M~OYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: DESCRIPTION OF SHUT OFF VALVES, EXPLANATION OF HIGH PRESSURE AND GENERAL SAFETY, DESCRIPTION OF AUTHORITIES PHONE NUMBERS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~~6&B B~BB6 'V':) 'Pla!!SJa)88 - aU8-ellM 6~69 ,.. f r"-·· Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Str~et Bakersfield, CA. 93301 RECEIVED cfr JAN 2 6 1990 HAZ. MAT. DIV. HAZARDOUS MATERIALS MANAGEMENT PLAN ~~3 ~~_ Gt-- -I- INSTRUCTIONS: 1. To avoid further action. return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questlonà below for the business as a whole. 4. Be brief and concise as possible. ' SECTION 1: BUSINESS IDENTIFICATION DATA ;:; ,;~: BUSINESS NAME:1!h.DA ~ JI\ u('{ Ie l<.. ¡ ß 24Ke ~u"Ú2.... r¡ 'j, LO~ATlON: Co ill vJ A 'J¿ ~, l~ ¡f-)Jšp ~ ~ /¡e I /d . \ J M'A'ILlNG ADDRESS: ~ rI\-e , , CITY: 8A~ e f. ~~'t? {J STATE:LA ZIP:Q3 ~D4 PHONE:~)3'1ß-0'1 d r DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: I+)"\ö R e-Pa,'f< OWNER: c.~ I: ~À ~pNeS5 MAILING ADDRESS: ~q \ q Lù [\ ,'k Ln, SIC CODE: SECTION 2: EMERGENCY NOTIFICATION: 1. 1. -/" 398-0~1 2. ....~......."""f.. i 6919 White Lane - Bakersfield, CA 93313 fOI~ : " . r. ......U.l.~'"'&. '-J..........~ ... ...... ""' ...., -t'..... a Hf,¡i~at.do]J!;¡ Materials DiViS.' ~6~£ £~t:;t:;t) V'J P'18!SJa)Ba - aUBl 6~69 'i1"AZARDOUS MATERIALS MANAG - T PLAN sP·... , ,- TRAINING: NUMBER OF EMPLOYESS: S MATERIAL SAFETY DATA SHEETS ON FILE: Y¿ S BRIEF SUMMARY OF TRAINING PROGRAM:( -¡"'\ ,~ ,\ I r sf lu4 off V Á\ L~,S, J ~ £J( ;? \p" \(:J'\ 0 i .t G.-~10 l Sf) (I ,{-<-\ ~ pldflc~~/ 0 "'\ ()~ N~ "k p¡¿~,e~~L (¡Q. . ' ;:, I I' (^,,\'\hOR'ÍI'~ P~ov-\(~ J..Jù~l~fr ~L,( I? P '\-' C'., l? '"'I 1'\-'1-/ SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THA T 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) CERTIFICATlON~ I, 7--' 1//"»/. 9~<') CERTIFY THAT THE ABOVE INFOR- MATION CCURATE. 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 INACCUR TE INFORMATION / NSTITUTES PERJURY, t;J-2S/~1 - , , fDl S90 I 2. ....,~"'"J..' 6919 Whi~e Lane· Bakersfield, CA 93313 398-(n::i~ I. ;, ,~~~ ,'" ...t' \ ,- ;\ , .\ 1" i 1 , '. e Bakersfield Fire Dept. Hazardous Materials Divisi_ I, ~ HAZARDOUS MATERIALS MANAGEMENT PLAN " ' Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: Jj;;2L 9// B. EMPLOYEE NOTIFICATION AND EVACUATION: Vo-c~L-- / tv' q -r/Z;vc T7 () IV' J C. PUBLIC EVACUATION: VOe/~ / tv{ ¡!--/<.A/uT),o N S D. EMERGENCY MEDICAL PLAN: It.-/h-q (6 " //1,./1.\ J ¡ (;;- /l- / 4 L :;>.r: 3. F{)IEOO . '4 . ...~ Bakersfield Fire Dept. __ Hazardous Materials Division e . ¡ ;'! .. ..~~ ~ .} ~ HAZARDOUS MATERIALS MANAGEMENT PLAN I! .,:.." ~ SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: OA.s J' f'Cf-,f/-¡- / ¡-v f~jÇ'{5 í2()I7/£J {/)(;/~£~ JS /ij¿¿¡- !.tVfvlj _ /Vef r /_J RELEASE CONTAINMENT AND/OR MINIMIZATION: B) ~E (f ~ ¡<I /'1-- Ij VIl) (/,f j G;;;,,; ).J J'lcðZ£6 ?,ù t'J~paoué6 -!}<£.JS¡)t.~ c.,w (/'~ q~ fl2-) C. CLEAN-UP PROCEDURES: ~þ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: flO!2/~ W k,{Y- {};/l /VÆd..- //1/ft'tJ €:. ELECTRICAL: ~/7JL WATER: tVeIt fÝ/QJ''£- ~ c9u T--:.[! ¡;,? SPECIAL: LOCK BOX: YE~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY: A. PRIVATE FIRE PROTECTION: 3 ///Z,"¿ Æs77/V;;UL..s¿~.r£..,J .0-c.n ræp yÑ &kt ¡Ul-6r1- B. WATER AVAILABILITY (FIRE HYDRANT): lJ~nf" W'<c¡r- ""," ~bL- 1. (jJ",,,£,, 7" FD1590 INVENTORY J JUT Cf\l\l::l\ùï l. t:LU HAZARDOUS MATERIALS a NON-TRA_Q~ Se:G.R ._. _,-:.,~ " ,.¡.,:_r ."S' ~ " ~.l 2 ] 4 5 5 1 --8'" ~ :c:c_c-;. Ty~e )In Average Annul Heasure I Dys Cant Cont ~~~e~>':~:: Co e Alt Alt Est Units on Site .1:Œ.! Press - 2.S - J<ÕA-l - - og a ~ '2.5 ?5 ~. 15 l 4- - ind ~e!lth Hlzard C.A.S. HUlllber Q3.c2 ~..2 -4- Conoonent II Hale & C.A.S. NUlber a I tat &oolyl ! Hazard o Reactivity o oelareo [] 5uo01n Release [] ¡ o. Component 12 Halle & C.A.S. Nuaber IIIlIIe late" . He. th o Pressure Health Comoonent. 13 HamIl C.A.S, Humber £] q'1~ ~ qt1 ~ ~ 2L1 z.. 14- I l {¿, ~ ~-W~ /(,2 vJ ~V~ieaJ f~d ~ealth Hlflrd C.A.S. Number '1 Î?~ L-~-Î COllloonent 11 Halle 1 C.A.S. HUlber J,C eex a tat. aoply m» ~Udd¡n Release o I . COIIloßent. 12 Hue & C.A.S. HUlber ~ Fire Hazard [] Reactivity o De Ilred Milled 111 te (1)cn Ht! th o Pressure Hea j th ø~ COIIIDonent'3 HIlle ¡ C.A.S. HUlber ~ Z. Î32. ill '2. L.4- I lt1 ,~~~ ,6i. W sical 1nd Health Hliard b&'~ COlllponent II Halle & C.A.S. Humber .; he~x a that !pply c.>:,.) Old' Component 12 Hale & C ,A: S. HUllber ~ [] Reactivity o oelareo ð'SUddf" Release ¿; - F j re Hazard IIlIIe late Hea th o Pressure Hea I th leu I I '. Component'3 Hale & C.A.S. HUlber , I ¡ =:J I I I ~vsie~1 ind Health Haiard C.A.S. HUllber COlllponent II NIle & C.A.S. HUlber <o~hec a I that !øøly ~ . -"" [] ¡ d' Comoonent 12 Hale & C.A.S. HUllber [] Fire Hazard [] Reactivity [] oelared [] SUddfn Ralease .Ie late Hea tl1 o Pressure Healtl1 COllloonent'3 Hale & C.A.S. nUBber EMERGENCY CONTACTS 111 rrrn 112 m 24 Hr f'none Nue rertifiption ~A'e(.~ and sifn afjOr cçmf71ting. i177, sec~ions) r cert! v under ~enal ~ 0 av that ¡ hay persona Irhexal,ne '~ fl fallllar wlt~ the ¡nfarnatlon $uQlitted in this " 3ttached' 1QC41en S,!n t at based on fty In~Ulry 1 .¡ose Jndlvl ua s responsIble or obtaInIng the ¡nrornatlon. ¡ be --..., suO~ltted ¡nrOrlatlon IS true, !ccurate, an COlD ete '-,..' -1 '! ~ va J¡UI~ ~r-Qfië 0 '....... " >;. of ETS NAME OF THIS FACILITY; STANDARD IND. CLASS CODe: DUN AND BRAOSTREEfNUMBER- - - - - - - Standard BUSIness o culture ~US Ã~r8~_14A,M~ ë'f!iVè ZIP: . PHON _.~:.~ Aqt and FUll 3 , by ~ar.es of Wt s!! ~~Lr -Sé:>lven+ ~ M.' ~l?12-Al ~ b;e - li!. ~~. ~ -{.4~ lb - () XLj ~ 10: 02- - - - 1 - AL¿"1:µ 4- J.g S/f)? pi e. A po - - ~ ( ~ C-, ¥-- ri ~ 3q <6-a{~ \ ¡ nt z. Hr ~none JIr:'t;;~~ 1 CODES vi RE.CE\'J£O tU\'( 2 '2. ,<j<jß ~\\5·d.... ..... ... S'-I<1-'1o MAY 2 Î 1990 HAZ. MAT. DIV. ~~",;V-\ C- [<.5Ò'î e . .~ B~eldFire Dept. Hazardous Materials Inspection D~te Completed I y' Business Name: ß ì ~ CI 5 Location: b 9 19 i'lL .pr-Ip~ w~Je k", Plan 1D # 215-000-001355 (Top right comer Business Plan) Station No. I Inspector Shift C, At:GEIVED Adequate Inadequate , \/ Verification of Inventory Materials 0"'- ~erification of Quantities Verification of Location f ~ Proper Segregation of Material '09- ~J./ Comments: 'JJ..o N. ~l CO:¡) ÇS ':t. \ 5 '3 0 ('"..\' 1 Q C'eJy le.'\(_ . . /fication of MSDS Availability ./ Number of Employees 5 o o ~ Œ( 'Q..J. \/VC(sk ai') 5"'5' 'J",I @ Verification of Haz Mat Training g Comments: 5ß Œr o o HrJ><rcA" ~ t-ìrf 0.1 o o Verification of Abatement Supplies & Procedures at Comments: Emergency Procedures Posted (5) ~ Containers Properly Labeled Comments: N ð fro n.jQ~(,s ros-\-¡:>J Verification of Facility Diagram NO\l\(. ",,', ~~ f",¡..·L cvt- o o Œr Œr o o Special Hazards Associated with this Facility: o Violations: FD 1652 (Rev, 3-89) White·Haz Mat Div, Yellow-Station Copy Pink-Business Office .-- - - , , - ~ J!' - ro ~wJ CITY of B.¡;-i.I<:El<'S.Z=IELD j..-- ,." .~- .- 'i ,¡ /j l ARE OEPIIRn.cEKT O. S. NEEDHAM ARE CHIEF 2101 H mEET BAlŒASRElD. 93301 J2S.:>911 Dear Business Owner: Enc10sed pI ease find a copy of your ~sponse to the Hazardous Material Business Plan reques~. We have fauna it necessary to reject your pian for the foìlowing reason(s) as checked below. D Illegible Business Plan (please print or type information in English). Form-2A :7n90rD Incomplete Form 3A Missing or D Incomplete Form 4A D Missing or ~omplete - ~()$Ý etJ r) /tGe-tyJeNP IN . ~ f.J:... oJ- So i'd-. " p~. - &UJ J }fat>l1ffl Form SA IN~ '-d (þ{~1 aNý h"-l€.. - 71tt €b(). Site Diagram 0 Missing or D IncompTe e t Facilities Diagram D Missing or 0 Incomplete This is to be corrected and resubmitted within 30 days to: õakersfield City Fire Department Hazardous Materiaì~ Division 2130 IIG" Street Bakersfield, CA 93301 If additional copies of any forms are needed ,they can be picked up from the Hazardous Materials Division at 2130 IIG" Street in person. Coordinator , . r '. _ ;: ~.(':z<:, o.£~, /< ¡' A'" ",:. ) " ..¡. II\.-.f·... ,....1_ REH/eq to -.;( _ n ""^ (\ /) 'At -.J. .IJ.., r,. I." - _1 , " ,._) , n ^ ' , ~~ u.,~ÄU·A>.!j,! ",·~..it..'t\,~;J.\..t7~')'u....J>u-.~~·,;~ v '" OJ)JJJ- ~ _ ~ floÚJyv w0l ~ lÞU 10-3 '-.- . It . It I-l&;-C¡O/ ~ ukt;h ~ ~/.v¡:~ Tö ~ lU"htd (JX, ~d.tcL ~ ~(%Ù ßenC¡1 ()Jé ~~-Îl ~ ~~'6 1{). 0f*.o.- ~~ - QM-c ~ 'tf;YLU-U /-11-'1Ù () 5'-éJO pY'Y1 Lv ..p;Lk: J!p ~., 3:17-9S<68- ~ ~pj(Llfi4// I I-I~-qo/ 5p~ ~ ~~ð - ~ ~ ~ ~ J.AA~1k~ ~~. ~ ~rf" ~ ~~ 0Jv..d ~ ~ u.f6th ~, viyo~ Mq-.--. ~.J r1t¡ rœIJ . ~ I \.\ ..,'~" "l· .,'~ ., "'-~ .; .. ~ '; . ~' ~ I., ~ .,.-'\t Of q .- VEO~tJ?'r@ 1988 Page -L l°c..:, Q I\AKERSF 1 EI.D (; 1 TY FIRE DEPARTMENT A (p-'f'\'E C E FORM 4A-l. I?-? OCT 1 7 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTO~~ 1355 j ~ o J ~ . tJ'NIT : ........... 'F A ell. lTY UNIT NAME OVWE'R tfAtŒ-:Q/A. 'r~od'4 e~ O¡/~S s ADDRESS, ~ßf11.":¡(.!Jf --s.¡.. FACILITY CITY. ZIP: I f- It . 4 q '!. ~o q PHONE .: ~" -C:,(J1Q BUSIwm;~ -,qM'rE: ADDRESS: CITY, ZIP: "'9"Ç">oq PlfONE It 3 USE CFIRS CODE 10 HAZARDjD.O.T ,CODE GU I Dt, fOFFICIAL ONLY 9 8 ~ BY --'!.L. 1~1t> IN THIS UNIT 7 LOCATION FACILITY 6 USE CODE f¿ G. > t:lrL4 rffl tq NAME ,CHEMICAL OR I , /i Ac y I k ( I'V\ e. f I f I 0 x 't '.-1 'f'IL p,..roL~vl"'\ tJA/)h~A COMMON ,c>c:/1o I Ole) of D O\J~c.,:Ja r ~'AI.I~o~,!!¡~ : 1'\ ~~. ^ dO. ^ SA,..1\..a.. 'i6e.kJo~ (' 1\ D 1.c. ~s.w 4.2-1 5 CONT UNIT CODE St>LÞs t} AAL\» 4- SGAL 1(") 4 3 ANNUAL AMOUNT ~ ~ 3> 2 MAX AMOUNT 4- £ 3 J l'VPF. CODE ~ -r ? ~ oß ,DATE: q/'t)~ ~~oq~J ql4, ~ . . . . BUS HOURS AFTER BUS HRS: PHONE , BUS HOURS APTER ,BUS HRS: //,;;£~ PHONE . . SIGNATURE . . . ~---- OWfl~ e. TITLE TITLE . . TITLE N A ME: ::JI''1 ~haM pIÙ:. -¿c £MERGENCV oNTACT: MEROENCV CONTACT: RINCIP^L nUSINESS E. ¡)