Loading...
HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/7/1993 " '. . .,.,;-' ,¡ ·t'o·':" ....:p: . ·e·~J:~·\!;I'::· >~ . ',' ~;',' ".-?·~:P", .~~.::;; ~ .. . ; - ',' l.<.; . . . .". " Materials/Hazar4o,us·'WasteUnifiedPermit CONDITIONSOFPERM1TÓNi=lÊÝÊRSESIDE '-. .¡ j ~ ~.¡'~:'~ . .,,' \.;,. Ît Hazardous . .1iI Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Date Issue Approved by: Expiration Date: Permit ID #: 015-000-000406 WHITE LANE AUTOMOTIVE LOCATION: 7001 WHITE LN 104 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: -- -- WHITE LANE AUTOMOTIVE * Auto * Truck * RV G (805) 397-4406 ~ 7001 White lane, #104 ' Bakersfield, CA 93309 STEVE HENQ Owner L----'-_ __ _u ____._ --- - -- ------""--- _______ - ,I -- -- ¡3ør~f~J~/)JJt.$J/:' cu-d!P ~.. ¡ " _Mh.:!,~. U I ~ ~ -I -,3. ¡ t I - F 6- - 3- ~ /).~â,L,-, J ~ Per...it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ,'::::~:',;:::;'::,:::"'''':':';;:,::,:: '."ltJ:¡;H:Z~;d::~~::r~:~su;~a~r the following: .. .. on "'.m .. .. . ......... , ',:;;~ .<,;'i'if.. f;[ground Storage of Hazardous Materials PERMIT ID# 015-021.000406 ;';"ç'" ~,agement Program WHITE LANE AUTOMOTIVE'£ iI~¡,Waste :~ '. .- LOCATION 7001 WHITE ... !¡..... ''',:i W. no,:. ¡g J¡::, '-:,. 'm .l~::·:..::~~f ·r:."'. "!;ill' ,,,": " \ ¡f j!¡".\.JI¡¡ :in, ':. \,!W I " :;:~.: '. " .~, , '..:;'" þt Issued by: ~ Bakersfield Fire Department Approved by: ~ OFFICE OF ENVIRONMENTAL SER VICES _ 1715 Chester Ave., 3rd Floor Servi es Bakersfield, CA 93301 Voice (805) 326-3979 . . .June 30 2000 FAX (805) 326-0576 ExpIratIon Date: _" _ _ _ _ "_ _ _ .' ;Ä- ~... r \- ..y 4:" ~ - \ 'c:gs~ CD ~ ':'$ ~ \~r!4 ~J ;< I ,;' '" \~ HMtMP PLANIJI~ MAP SITE DIAGRAM IX~ FACILITY DIAGRAM Business Name: White Lane Automot ive 7001 White Lane #104 Business Address: Bakersf ield. CA 93309 For Office Use Only First In Station: Area Map # of NORTH V Inspection Station: tdm''Té /A,!/ ¿S- "'---~--' . . --- - -------- --- -~._-- ------'.----.- -... --._--- /// ////,/¡i:;l(í;/ / / // ¡ 4~~iC" ~.e¡/RÎkK/ZÆ - -(----- I - ____l ___ _ +___ _ . - --- --- ~ ~ -~ "-------.- -___~____...L____ \ f RADi Itr-oe.1 ~-r- -rue,J' -, :fi,r/{)iJ :$ tØ P I Ýl " ~ " ~ ( I¿ J{1 I -'-) 'I ~ '3 4t::.- x I\::; ~ HúMÞetChts '. -N 'J ~',~ ' ij Þdo+l.Z ; ~.( Il~! 11 I $Ho; I\I;P ! .\J ~ ~ - - -- -- ,-- ,-- ~ ,\: - :_.-+-~---- /. tv 1tSt~ 0 í ",,--. .)" !f¡DttJ¡( 0 ¡' '2 W~)'e 12 IJ Altlc .3. ~..e..'b cJe({Yte'~ ~-Io~ 13iß.. "'I . elrdc.¡r(¡t fAl1J C'" /;!ß.,1t..'gbp ~~ ~ i: ~ ~ 1 , Ii) ~ h ~~ 3 ~ ~~ ~ ~ H ,~ ii~ V) V) -L ~ ~ ':::,. " ~ ~ ~ ~ '" l; /' ~ // !IØ , ('."J : if1' . f, -16 ~ l~ t0tt---- .--' ¡) ~ ¡!té~tQI f::"~ fV --------" CA~1:d ;;U'ct.5 VAcAlJfr pi e.t-.D /~ ' j,Jì" ~ I .10 ~:, . ~D 't~ ,~~~I I I I F , i!.e' ¡ ,I H'(.{) . ¡ ¡ i .1 t2 ~ c I' I '_'_'_'_-'4__'''_-- -, .,... !p:~ (.j ~) UJ NIT'€' lAJ. '- . lz...O' ll? \\Î -.. . \ \8 , . f 0'. LOS" ... .------ \ , ~ ~ . Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street - '-.. RECEIVED ,#,fA Y ì J993 HAZ. MAT. OlV Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN ¥Ø2 G/ ¡f;-' INSTRUCTIONS: l. 2. 3. 4. To avoid further action. return this form within 30 days of receipt. q A TYPE/PRINT ANSWERS IN ENGliSH. . D -- "- Answer the questions below for the business as a whole. \ Be brief and concise as possible. SECTION': BUSINESS IDENTIFICATION DATA BUS I NESS N A ME: Wh i teL an e Au to ill 0 t i v e LOCATION: 7001 White Lane #104 MAILING ADDRESS: 7001 White Lane fll04 CITY: Bakersfield STATE: ~ ZIP: 93309 PHONE: 805 397-4406 3> rf DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: 554 47 6231 SIC CODE: - 7538 Auto Repair OWNER: Steven R. Hendrix MAILING ADDRESS: 7001 White Lane #104 Bakersfield, CA 93309 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE 1. Steven R. Hendrix Owner 805 397-4406 805 398-8569 2, Roy Hendrix 805 831-3891 805 831-2862 1. _Bakersfield Fire Dept. , . ~azardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ~'.,..'I ~~ ""-". SECTION 3: TRAINING: NUMBER OF EMPLOYEES: -0- MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: I have no employees. I have been trained in the handling of ~hazardous and potentially ~hazardous material by prior employers. I am self trained through continuously reviewing mY2handling procedures. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, WE, DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, S-rz:.v-6 ~-/Þ?~ ;..x: CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON ·HAZAROOUS MATERIALS (01'1, 29 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY; J ..æ:V SIGNATURE TITLE s--7-93 DATE ð£unc/ 2. FD1590 : ~l A .. Bnkerslleld Fire Dept. . ~azardous Materials Division . HAZARDOUS MATERIALS MANAGEMENT PLAN ,. ~ Facility Unit Name: White Lane Automotive' SECTION 6: . NOTIFICATION AND EV AC,UATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: 1. In ev~nt of emergency notify fire dept. by telephone. 2. If s~tuation effects adjacent bu~iness notify owner/manager in person. Notify property manager df the c6mplèx is 2. 'effected. , ß, EMPLOYEE NOTIFICATION AND EVACUATION: n/a no employees C. PUBLIC EVACUATION: Should a customer be on the premises and an emergency arose I would announce it and request them to move out of the building .- and move to the vacant field directly south of the shop. D, EMERGENCY MEDICAL PLAN: Most medical emergencies can be handled by the Medi-Center at Ashe & Ming or the Medi-Center on White Lane. If the need is more serious then ER at San Joaquin or Mercy Hospital are the closest. 3, '. lläklJl'~n.!Jltlll'I.t·1I Dill Hazardous Materials Ulvision HAZARDOUS MATERIALS MANAGEMENT PLAN ~ ~ SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: , , A, RELEASE, PREVENTION STEPS: . - 2 . 1. All materials (ie. motor oil, waste o~l, etc.) are stored in approved containers. Waste oil is picked up and removed from the premises on a regular scnedule. : 3. Waste and trash are placed in metal containers with lids. RELEASE CONTAINMENT AND/OR MINIMIZAT.ION: 1. Containers are in good condition & free of ruptures. 2. Containers are properly labeled and situated away from traffíc areas. 3j Oversized funnels to prevent spills. B. .. C. CLEAN-UP PROCEDURES: 1. Stop or reroute traffic away from spill. 2. Capture & contain spills with absorbing material & transfer to waste barrel for disposal. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: n/ a ELECTRICAL: , , . Northeast corner wall; npxr rn rpQtroom WATER: So. wall of bldg.; east of roll up door. SPECIAL: LOCK BOX: ¥~S/NO IF YES, LOCATION: n/a SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABllITY: , A. PRIVATE FIRE PROTECTION: Building is protected by an automatic sprinkler system. Fire extinguisher is ~~mouñted on the shop wall. S, WATER AVAILABILITY (FIRE HYDRANT): Fire Hydrant is located approx. 200' north of shop. 4. - 8AKER~ELD CI~ FIRE DEP~8TMENT , HAZ~OUS MATERIALS INVE_RY ~age.:-of_ White Lane Automotive . Address 7001 White Lane Bakersfield. C~09 8usiness Name . CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New;h Addition [ ] Revision ( ] Deletior:J ] Check if chemical is a NON TRADE SECRET [14- TRADE SECRET [ 1 2) Common Name: ///ð~-e Ø//- V 3) DOT # (optional) ChemicaJ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ( ] Reactive J-r] Sudden Release of Pressure [ 1 Immediate Health (Acute) [ ] Delayed HeaJth (Chronic) [ 1 5) WASTE CLASSIFICAT10N r.Pø?/ (3-digit code from DHS Form 8022) USE CODE ~ 5) PHYSICAL STATE Solid [ ] Liquid p(I Gas [ ] Pure [ ] Mixture ( J Waste ( ] Radioactive [ ] alêC< AU. TUAT .A.M.Y 7) AMOUNT AND T1ME AT FACIUlY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~. 100 ( ] gat [ ] 1t3 [ J a) Container: ~h Average Daily Amount: 41'~ curies ( 1 b) Pressure: I' Annual Amount: c.2t::ð c) Temperature: f~ Largest Size Container: .:rs- Circle.'M1ich Months: ~J, # Days On Site F. M, A. M. J, J, A, S. O. N, D 9) MIXTURE: List I COMPONENT CAS # %WT AHM the three most hazardous 1) ( ] chemicaJ components or any AHM components 2) [ ] 3) ( ] 10) Location " ,- _. , . , -. . /- CHEMICAL DESCRIPTION . 1) INVENTORY STATUS: New IV]- Addition [ ] Revision ( ] Deletion ( ] Check if chemical is a NON TRADE SECRET ;>d~ TRADE SECRET ( ] 2) Common Name: 4Pd?b~ ~// dY~ 3) DOT # (optional) -- 0 \ Chemical Name: ~ AHM (] CAS # 4) PHYSICAL & HEALTH _. PHYSICAL. -, HEALTH Ii HAZARD CATEGORIES Fire ( ] Reactive ()t Sudden Release- of Pressure ( ] Immediate Health (Acute) ( ] Delayed Health (Chronic) ( ] ,! , 5) WASTE CLASSIFICAT10N Je5l/ (3-digit code from DHS Form 8022) USE CODE # 6) PHYSICAL STATE Solid ( ] Liquid (Þ'-t- Gas_ ( ] Pure ( ] Mixture [ J Waste M.... Radioactive [ ] (;)4ECi<.AU. "",AT APPt.1 7) .AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES t:}¿' Maximum Daily Amount: ..:r.:r Ibs ( ] gat;<! ft3 [ ] a) Container: Average Daily Amount: ~ curies [ ] b) Pressure: I' Annual Amount: ~IW) c) Temperature: ¢ . Largest Size Container: ...:T6" Circle 'M1ich Months:'~' 1/ Days On Site 9v J. F, M. A. M, J. J. A. S. O. N, D -~ 9) MIXTURE: Ust COMPONENT. . - CAS 1/ %WT AHM I the three most hazardous 1) [ ] i chemical components or ., I any AHM components 2) n I .. . ,. .. , - - - .~-.. --... 1 - ~.~._.. .'. ...-.. . .... [ 1 3) ..." '" .~'- -- - I I. 10) Location. , I ceroty Under peneJry or law, tJ'1at I have personaJly exarmnfld and am famll/ar WItt! ene /nfomanon suomlCted on chiS and aJI atlacnfld documents. I Del/eve l submitted information is true, accurate, and complete¡' _. .., JP~-- Signature ' S-7.ðJ I Date I .At:QIOI'f/ I.IPCST~ Steven R. Hendrix Owner PRINT Name & Title of Authorized Company Representative t.cIt.....,.31I_ 8AK_SFIELO-CITY FIR'E ARTMENT. i' 1 I HAZARDOUS MATERIALS DIVISION 2130 "GII STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION_ CHECK IF BUSINESS IS A FARM ( ] , ' ' BUSINESS NAME White Lane Automotive FACILITY NAME .., . .~- =-':: ~ .... .- , , ' -, -.J ':. -..- ::: - SITE.ADDRESS 7001 White Lane 111 04 CITY Bakersfield STATE 'CA ZIP 93309 NATURE OF BUSINESS Auto Repair SIC ÇODE 7538 DUN & BRADSTREET NUMBER' S S II 554 47 6231 - '.. OWNER/OPERATOR Steven R. Hendrix PHONE 805, 397.:,.4406 ,,- , MAILING ADDRESS 7001 White Lane 11104 CITY Bakersfield STATE CA ZIP 93309 K EMERGENCY CONTACTS NAME Steven R. Hendrix TITLE Owner BUSINESS PHONE 805 397-4406 24-HOUR PHONE 805 398-8569 ··r· ,. NAME Roy Hendrix TITlE- n/a , , , - --.- '-,-.~_. -.--. - " .. .. BUSINESS PHONE. 805 831-3891 24-HOUR PHONE 805 831-2862 " .. .. .. '~';-'.,.:.' '- $eøemÞet :!Q, 15192 REGION V I.E?C ST.-NOAAC F- BAKER.ELD CIl)' FIRE DEPARTMENT . . HAZ.OUS MATERIALS INVE.RY Page~of_ 9usiness Name ' Address I~ ~ " CHEMICAL DESCRIPTION ! 1) INVENTORY STAT\JS: New ( I Addition I ] Revision I ] Deletion I 1 Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ I I 2) Common Name: 3) DOT ;I (optionaJ) \ Chemical Name: AHM I] CAS # I ¡ \ 4) PHYSICAL &. HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ( ] Reactive ( ] Sudden Release of Pressure [ I Immediate HeaJth (Acute) [ ] ~Iayed Health (Chronic) [ I I 5) WASTE CLASSIFICA1l0N (3-digit code from DHS Forni 8022) USE CODE 6) PHYSICAL STATE Solid I] Uquid I ] Gas I ] Pure I] Mixture I ] Waste [ ] Radioactive [ ] OIECX..l.l1. THAT APPI.'f 7) AMOUNT AND TlME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 100 I ] gaJ I ] 1t3 I ] a) Container. Average Daily Amount: curies [ I b) Pressure: Annual Amount:· c) Temperature: Largest Size Container: iF Days On Site Circle Which Months: AU Year. J. F, M. A, M. J. J. A. S. 0, N. D 9) MIXTURE: Ust COMPONENT CAS# %Wf AHM the three most hazardous 1 ) I] chemical components or ar.y AHM components 2) I] 3) [ ] 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STAT\JS: New I ] Addition I ] Revision ( ], Deletion ( ] Check if chemical is a NON TRADE SECRET ( ] TRADE SECRET ( ] .. 2) Common Name: 3) DOT # (optional) ChemicaJ Name: / AHM [ ] CAS # 4) PHYSICAL &. HEALTH PHYSICAL .. HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure ( ] Immediate Health (Acute) I ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3.digit code from DHS Form 80221 USE CODE ]1 I' 6) PHYSICAL STATE Solid Uquid [ ] Gas I ] ( ] Mixture ( # Waste [ ] Radioactive I ] II [ ] Pure ] C}f£0<AL.L T?-fAr.APf1t'f 7) AMOUNT AND TlME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES : Maximum Daily Amount: Ibs [ ] gal ( ] it3 ( ] a) Container: ì Average Daily Amount: curies [ ] b) Pressure: Aonual Amount: c) Temperature: , Largest Size Container. i # Days On Site Circle Which Months: All Year. J. F. M. A. M. J. J. A, S. O. N. D , 9) MIXTURE: Ust COMPONENT CAS # %Wf AHM i the three most hazardous 1) ( ] : I chemical components or any AHM compOnentS' , 2) [ ] : : 3) 1\ ; j 10) Location ,- , I 1 cerùty Under penaJty of law, that I have personally exammed. and am familiar: wlm me mtomabon submitted on mls and all attached documents. I believe u submitted information is l7tJe, accurate, and complete. 'I PRINT Name & TitJe.JJf Authorized Company Representative Signature Date I I'llQiOI'I \.ØCS'T»IQIfIIIIO'" --- 8AKE_R~ELD CtTY FIR,E DEP"TMENT H~DOUS MATERIALS INVE_:ÒRY Page_of_ " :Justness Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ 1 Addition { I Revision [ ] Deletion ( 1 Check if chemical is a NON TRADE SECRET I] TRADE SECRET [ ] 2) Common Name: 3) DOT 1/ (optional) Chemical Name: AHM! I CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ 11 Reactive ( ] Sudden Release of Pressure [ 1 Immediate Health (Acute) [ 1 Delayed Health (Chronic) [ J 5) WASTE CLASSIFICAT10N (:I-digit code from DHS Form 6022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 04EO<~ THAT APPtY 7) AMOUNT AND T1ME AT FACIUTf , ' UNITS OF MEASURE 8) STORAGE CODES I Maximum Daily Amount: 100 ( ] gal [ ¡ tt3 [ ] a) Container. Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year. J. p, M, A, M. J. J, A, S, O. N. D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) [ ], chemical components or . any AHM components 2) [ ] . 3) [ ] 10) LoC<!.tion CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ -] Addition [ ] Revision [ ] Deletion [ ] . . Check if chemical is a NON TRADE ,SECRET [ ] TRAOE SECRET [ ] 2) Common Name: 3) OOT # (optional) ,/ Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ 1 Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ J i 5) WASTE CLASSIFICAT10N (3-digit code from DHS Form 6022) USE CODE " 6) PHYSICAL STATE Solid [ I Uquid [ ] Gas [ ] Pure [ I Mixture [ ] Waste [ ] Radioactive [ ¡ c:H£CX.Al..L THAT.APf'ty 7) AMOUNT AND TIME AT FAC\UTf UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 100 [ ] gal [ ¡ 1t3 [ J a) Container. Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year. J. F. M, A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the th~e most hazardous 1) [ 1 ··r· chemi<:aJ components or MY AHM components 2) [ I 3) ( 10) LOCS1ion cef11ty Under penalty ot law, that I nave personally examined and am tarn/liar WIth the '"tomatlOn sucm/rted on thIS ana aJI attacnea aocuments. I believe [ submitted informaâon is tTtJe, accurate, and complete. -...... r PRINT Name & Title of Authorized Company Representative Signature- Date ~~I- IICQIOtV \,ÆPI:"'~'