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HomeMy WebLinkAboutBUSINESS PLAN 9/19/2003 J Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE . i1.iû b It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment \ /-3 -1'2- " . I LOCATION: 7001 WHITE LN 117 5wt£J ~ ~.ßvrt , #CUV·/N¡I. fo-hYl.d~ ~i.Jk,-~ , ~ '-cJ 12,-.3/ rd Approved by: Date Issue Expiration Date: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Issued 'by: Operftte to Ït Per Waste Unified Permit Materials/Hazardous Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE This ermit is issued for the followin tI,~rdous Materials Plan ,."m round Storage of Hazardous Materials l11~gement Program m_" Waste , ') ~;' , J PERMIT ID# 015-021.Q01263 AT THE SHOP DIESEL & AUT LOCATION WHITE 7001 Approved by: JunL3DmL-2000 Expiration Date: Bakersfield, Fire Ùepartment OffiCE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield. CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Issued by: ~1' 7Îl6 Sf(oP í),esec.! A, fefJA//e. 7001 t<..h.ft7é Lµ. SUI't'é- 1t7 S'T£ Dtl46.e,..¡,r1 SlT€ ,.0, ~ 12..<03 .........-'""-. . ._~ - ---" .,-.-- .1 J:.tE I 1-('1'0· I i I , I i .1 "' )( ~ ~ " ~I -----------.-.- -..- ~I" ;1'~ q)t) iA..J 1-1/ 7é ¿ AJ , ~\\,'1- .þ\\"J ~ /' If¡\.\. ~\I..) ~\,\.p \ ,0 .:L..:.: . - ------..., -.,-------- --------.j t>Ge I \ov ... ." w (~ . .., ~~;~~~;;:rn oie t f oÎt~.l 102- . ~~i:qr~; _____'01 ~~~. or,. I J \ Oo;¡~ oe. 1 J oie -, ~ô~ ,0"7 011 ~~ _____ ~ 101 / / \ ·~ ~.. jf ) ,...,... I. ~.. "(', , .' , . ' ..' -, /_~ ( NORTH -. --- ~IÞ: TE/F AC I L I TY . FOR.:vt 5 DI.R_~M . 7001 ~.Jh ¡kif1, 12&>3 I~'5 9 -:/110 .:5 SCALE:: FLOOR: OF \.... u~r:' ;:: (CñECK ONE) SITE DrAGR.~r ,~ FACrLITY DrAG~.~r wo M'\"L 7- .'. {l/ø\J\fL,. v,JO B/ \3 rrv~~ ~ 'ç:V\ 1{\#<4 MTI.- ~rlf 54 ~ MTk Jr- -- .--;:.--- "'/ @ o \ ~\Þ) J ®'® r ( t--- ~ro.~ t)("' ----~ c..-. IV C MI\.- 1"7 '~,l ~ (YJ '\... (Inspector's Comments): -OFFICIAL CSE ONLY- - 5A - ..... stTE ~r~GRAM (ReqUir~jllÞeNS) 1. Addrp.ss: IdentIfy the prinCiple buildlnlts by the Street ou.oers. '.~~'" ·r.~ ,~ Z. Street(s). Alleys. Driveways. and Park1ng Areas adjacent to the property. Include the street a_es. 9. [.\)ck (key _x 10. MSCS Starn!1;e Bo:c 11- Railroad Tracks 12. Fence or Barrier a. Wire b. ~asonry c. Wood d. Gates 13. Power lines 14. GIIU'1i Station 1S. Storaþ ranks: IdentUy the CBlNlcltV 1n ~l. a. AÞove uound b. I1IIderaraUlld 1C. :U~ c:' !s:.=a. " IT. I9acaatloa Routa ¿- 18. evaca.t1oa Area: Idnt1!y t!la' løcat10D 1Itntn ~lo,... -111 ..c. , - . ~...--~ ., 3. Sto~ Drains. Culverts. Yard Drains 4. Drainage Canals. Ditches. Creeks. s. auUdlncs a. Frame construction b. Masonry construction c. Metal construction d. Access Door 8. Ut11.1tY CDatrols . G. Gae b. !lect:ric1 tv c. !facer T. lire SUop~aion Syst...: a. Fire IIYdnIIU b. Fire Sorluk1ar CDna~lona 1.. Oat.lda IIuardoua ~. ~01'1lce c. FIre Staød~1ø. ConDectloDa ZOo Oaaid. !lazardoua !tataria.! St01'1lP d. "ater CDntrol Valves tor protect10D syst_ 21. OUaida Razardous JIf.tal'ial U.., 1laøci1løc a. lire Puao 22. tTPe ot llazaråous !tacerla1/"uca Sto""* or O.ad (5_ Below I 8. 'Ire Oaøart_DC Accesa TT1'! 0' RAZARDOUS ~'rnRr:.r. , · '1....bl. E . ~losiv. r. · r.J.qui d C . CDrroaive a .' Ozid1zer G · Gaa " . Mat.r R.active t' . Toxic S · SaUd I . Raå1olÿ¡1c:l P .,PoisaD /I - CrvaþD1c D . !taste 8 . Et10101tic:al Exaaøl.: Y1aa.able Llqui~· YL YACILITY OIAGRAM (Required lteas ln addItion to the above) 1. R1:ters !Ol' Sprlniclers s. Pin Escapes :. Putlt10as 9. Air COndltioninc UnIts 3. StaIl'W11YS: In~lcace the 10. Windows l.vels served (roa hiBbeat to lowest. 11. Insid. Hazardoua !fasCII Storace 4. Escalator: Indicate r.he leveis s.rved (ra. 1%. Inside Hazardous hlenest to lowest. Maceriala Storase 5. Elevator 13. Inside Hazardous Materials Use/Handling 8. Attic Access 14. Sewer Drain rnlets 7. Skyl!~hU FACILlTYCONTACT Lo("l' S\-\-()~ .____________ ___________~)------------- \,j l ~t L v-,)~J_[l_'________ ~~"\?. ~ ~~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 IN9h~oï ~;E INSPECTION TIME ________ 151.s:..________ PHONE No_ No_ of Employees ~\. 4,-\\g ____\__u________ Business ID Number 15-021- 00 I"ZC03 UNIFIED PROGRAM IN'ECTION CHE~KLIST SECTION 1 Business Plan and Inventory Program . FACILITY NAME Section 1 : Business Plan and InventoryÞrogram d Joint Agency C] Multi-Agency C] Complaint C] Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS C] C] ApPROPRIATE PERMIT ON HAND ---,-------~--,~--_._----- --_.--------------~---_._------------_.~-_._----_._-~------.----------.----...-.--.----- C] C] BUSINESS PLAN CONTACT INFORMATION ACCURATE ------.-----...--.----...------.-- -.--.- -----.--.---------------.-+.---...-----.----.----..-.----.--.-.----.-------- .--- --.-------- C] C] V,SIBLE ADDRESS ----.----...---------------------.---....-.-. ..--- _..._---_._--~---_._---_..._._---_._--_._.._._._~._.~----~._-- ------..---...-.--.----.- ----- C] C] CORRECT OCCUPANCY ---~-_._--_._~-------_..._------- -~-~-.-._.._.__...__._----_._...._------_.._-----~--------,--------.---------.-- -. ---..~._---_.- C] C] VERIFICATION OF INVENTORY MATERIALS -----.-------------.--.---- ---_._--_..__.__._-_.--~_._------"-_.__._--------------------.------ _ ..-.-. ..---.-.-.--- C] C] VERIFICATION OF QUANTITIES ------_._----_._._-----_.-----_.._~- ---------------------_._~--------------------_._._._....-..--.----------..--.---...-.-..-..----.- C] C] VERIFICATION OF LOCATION --------.----------.-- ---~--------_.__._.._._-_. ------------.-----------..- --.- C] C] PROPER SEGREGATION OF MATERIAL -----------------.-------- --------.---...----------,---.--------------.-------.------~---_._-- ..-.-.'.-- C] C] VERIFICATION OF MSDS AVAILABILlTYE --~---~._----------------~_.__.__..._--_._._-- -_._._._--------_._--_.._----~._--------------_._------_._-_._--~--- C] C] VERIFICATION OF HAT MAT TRAINING .......:-- ----..------.-----..---.-- .------------..----.---.---.-----------..----.----.--.-----_._-~----~---_._-_._----- C] C] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES --------.---.--------..--.---- --------------~-----_.._-_._------_._--_._---_.._---~----------------_.~-~ C] C] EMERGENCY PROCEDURES ADEQUATE -------------_.~---_._-----_._--------_._- -_.__._--------_..__.__._-_._-------_.__._-~---- -------.._-_._._---------_.~.__._---- C] C] CONTAINERS PROPERLY LABELED -----~-----------_._-_._------- -..----.-.-. - --------.----.------------------.-.---.-----.-...------------------- C] C] HOUSEKEEPING t~ C]_~_~~E PRO~ECTION____ E~~-~~'~~ _~~~ð~-~:~~~~~v~~~~~~=~~~~~==-~~--=~= C] C] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ YES C] No ~ EXPLAIN: W 4~ í~ Gtt...- . White - Environmental Services Yellow - Station Copy ~~~ -X--- B"""~R~Pm,.bI'P''''U 0 Pink . Business Copy ~ L QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 -G=-~~__________.______L~S-~---. Inspector Badge No_ ./...~ , ~'- \J1J.. ð / /-';/ /~ . . /// SiteID: 015-021-001263 .ì' AT THE SHOP DIESEL & AUT~REPAIR Manager : Location: 7001 WHITE LN 117 City BAKERSFIELD BusPhone: Map : 123 Grid: 16D (661) 831-9418 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact LARRY HANDY Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER/OPERATOR (661) 831-9418x (661) 587-1450x ( ) - x Emergency Contact CARMEN HANDY Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER/OPERATOR (661) 831-9418x (661) 587-1450x (çp{) 303 - olf5Ýx Hazmat Hazards: Fire DelHlth Period : Preparer: Certif1d: ParcelNo: to Phone: (661) 831-9418x State: CA Zip : 93309 Phone: (661) 831-9418x State: CA Zip : ·q'2~99 1311) if TotalASTs: = TotalUSTs: = RSs: No Gal Gal Contact : MailAddr: 7001 WHITE LN 103 City : BAKERSFIELD Owner Address : City LARRY HANDY ~ h't.Ø:s 8'fEltLING BR ,0\ ~~ V)t4V\('Þf< : BAKERS FIELD t(? -:; í'1 Emergency Directives: I, t-c:c"ff'1 H4.v\ ~'1 Do hereby certify that i have (Type or print '\a"'~\ Nviewed the attached nazaraous materials manage-- ment plan forßk" The..làhOLand that it along with (Name of BU5ínó\lLS\ any corredions constitute a compìete and correct man- agement plan for my facility. ~ ø'-I8 -0 3 Oñ!(r -1- 06/16/2003 ß' f AT THE SHOP DIESEL & AUT~REPAIR p= Hazmat Inventory f== MCP+DailyMax Order 4IÞSiteID: 015-021-001263 ì By Facility Unit ì Fixed Containers on Site ì Hazmat Common Name. . . SpecHaz EPA Hazards WASTE OIL ANTIFREEZE MOTOR OIL F F F -2- DailyMax MCP 110.00 GAL Low 55.00 GAL Low 55.00 GAL Min DH DH DH L L L 06/16/2003 ~ F AT THE SHOP DIESEL & AU~REPAIR p= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME WASTE OIL 4IÞsiteID: 015-021-001263 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CORNER 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 110.00 GAL Daily Average 55.00 GAL HAZA %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 RDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr. No 220.00 Treatment UnitID: I Unit Type: Agency-Defined Text Label WASTE DATA -3- 06/16/2003 11 . . F AT THE SHOP DIESEL & AUTO REPAIR f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME ANTIFREEZE SiteID: 015-021-001263 , Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NEXT TO WASTE OIL DRUMS Map: Grid: CAS# 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 30.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS HAZARD A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low SSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined5: Ag.Defined8: I- Ag.Define11 -4- 06/16/2003 .:t . . F AT THE SHOP DIESEL & AUTO REPAIR f= Inventory Item 0002 ¡= COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-001263 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit E WALL IN FRONT OF STAIRS Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 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 Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -5- 06/16/2003 ; AT THE SHOP DIESEL & AU~REPAIR I p= Notif./Evacuation/Medical r=: Agency Notification CALL 911. ~ Employee Notif./Evacuation ~RBAL & CALL 911. Public Notif./Evacuation . SiteID: 015-021-001263 ì Fast Format ì Overall Site ì 12/20/2000 1 ] 12/20/2000 12/20/2000 SIGN ON INSIDE WALL AT R OF FRONT DOOR EXIT. Emergency Medical Plan 12/20/2000 ] NEAREST HOSPITAL. -6- 06/16/2003 : AT THE SHOP DIESEL & AU. REPAIR I f= Mitigation/Prevent/Abatemt Release Prevention . SiteID: 015-021-001263 ì Fast Format ì Overall Site ì 01/07/1992 TWO 55 GAL DRUMS IN WHICH ARE SEALED WITH SCREW IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD ANTIFREEZE, WATER & OIL Clean Up 01/07/1992 01/07/1992 ] 1 I r=:: Release Containment ~UMS HAVE SCREW ON CAPS AND COVERS. RICE ASH. Other Resource Activation -7- 06/16/2003 : AT THE SHOP DIESEL & AUtlÞREPAIR I f= Site Emergency Factors [:: Special Hazards Utility Shut-Offs e, SlteID: 015-021-001263 9 Fast Format =t Overall Site 9 I 12/20/2000 A) GAS - NONE B) ELECTRICAL - IN SHOP ON OUTSIDE BATHROOM WALL C) WATER - UP STAIRS ON E SIDE UPPER WALL (1) VALVE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/20/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - IN FRONT L OF BLDG (CENTER DIVIDER) . Building Occupancy Level -8- 06/16/2003 '. : AT THE SHOP DIESEL & AU~REPAIR I F Training Employee Training . SiteID: 015-021-001263 9 Fast Format 9 Overall Site 9 12/20/2000 WE HAVE NO EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: SAFETY MEETING ONCE A MONTH. Page 2 [ I I Held for Future Use Held for Future Use -9- 06/16/2003 ., ,. e - AT THE SHOP DIESEL & AUTO REPAIR " \ SiteID: 015-021-001263 Manager : Location: 7001 WHITE LN 117 City BAKERSFIELD ,// // /' , ~/~ \ ~/ BusPhone: Map : 123 Grid: 16D (805) 831-9418 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:7538 '" ,.- "DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY HANDY ~J/ OWNER/OPERATOR CARMEN HANDY ~ OWNER/OPERATOR Business Phone: -&8'5') 831-9418x Business Phone: 831-9418x 24-Hour Phone : (.e-e.5,6( BJf ~1~~~ 24-Hour phone : (~) J#-L~tð~ Pager Phone : ( )&1 5' 7_-lro x Pager Phone : ( {¡Pi) Hazmat Hazards: Fire DelHlth Contact : " " ,- " . ECEIVED- - ~.~- ~ . "Phone :- ( " ) - - x MailAddr: 7001 WHITE LN 103 R , State: CA City : BAKERSFIELD DEC 1 9 2000 Zip : 93309 Owner LARRY HANDY ENV'RO~' «;ERVICES Phone: (805) 831-9418x Address : 4205 STERLING DR State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: . , ... - . ...- .- -. -. - . .. '-RSs: No Emergency Directives: . ' - . ' .. - Hazmat Common Name... One Unified List ì All Materials at Site ì f= Hazmat Inventory f== As Designated Order EPA Hazards DailyMax MCP WASTE OIL MOTOR OIL ANTIFREEZE F DH L F DH L F DH L I, L4I.t~ 1-IQ.~cÍ~ Do hereby certi~y ~hat i have (Type or print ntime) reviewed the attached hazardous materials manage- ment plan for..A±'fhe... 6~o,o ~nd that i~ along with (~G of áualnÐI!6) any corrections constitute a complete and corred man- agement plan for my facility. . 110.00 GAL 55.00 GAL 55.00 GAL Low Min Low ,~ ' ." 12/12/2000 e e F AT THE SHOP DIESEL & AUTO REPAIR p= Inventory Item 0001 ¡::= COMMON NAME / CHEMI CAL NAME WASTE OIL SiteID: 015-021-001263 1 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE CORNER Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container ,f) GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 100.00 Waste --Oil,- petroleum--Based -....._- - - ~~ - ~ - 0 ,-~-- --~. - No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit E WALL IN FRONT OF STAIRS Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container ,S- GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL -- HAZARDOUS COMPONENTS -. CAS # %Wt. RS 100.00 Motor Oil, Petroleum Based No 8020835 HAZARD TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No _ No No/ Curies F DH / / / Min ASSESSMENTS -2- 12/12/2000 .. e e F AT THE SHOP DIESEL & AUTO REPAIR p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ANTIFREEZE SiteID: 015-021-001263 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit NEXT TO WASTE OIL DRUMS Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 5~ GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %'Wt. RS CAS # 30.00 Ethylene Glycol- ~- -- - ~ - -- - ---- - ---~ -No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -3- 12/12/2000 · e e F AT THE SHOP DIESEL & AUTO REPAIR I p= Notif./Evacuation/Medical r=: Agency Notification CALL 911 SiteID: 015-021-001263 ì Fast Format ì Overall Site ì 01/07/1992 ] 01/07/1992 ] 01/07/1992 ¡=:: Employee Notif./Evacuation VERBAL & CALL 911 Public Notif./Evacuation SIGN ON INSIDE WALL AT RIGHT OF ~RONTDOOR EXIT. Emergency-MedicaL Plan 01/07/1992 ] NEAREST HOSPITAL I I ' -4- 12/12/2000 ,;¡ e e F AT THE SHOP DIESEL & AUTO REPAIR I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001263 ì Fast Format ì Overall Site ì 01/07/1992 TWO 55 GAL DRUMS IN WHICH ARE SEALED WITH SCREW IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD ANTIFREEZE, WATER & OIL 01/07/1992 01/07/1992 1 1 I r=:: Release Containment ~UMS HAVE SCREW ON CAPS AND COVERS. I RlCEC::~ Up I Other Resource Activation -5- 12/12/2000 ... ., e e F AT THE SHOP DIESEL & AUTO REPAIR I p= Site Emergency Factors [:: Special Hazards Utility Shut-Offs SiteID: 015-021-001263 ~ Fast Format ~ Overall Site ~ I 09/17/1992 A) GAS - NONE B) ELECTRICAL - IN SHOP ON OOUTSIDE BATHROOM WALL C) WATER - UP STAIRS ON EAST SIDE UPPER WALL (1) VALVE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 09/17/1992 PRIVATE FIRE PROTECTION_- FIRE EXTINGUISHERS FIRE HYDRANT - IN FRONT LEFT OF BUILDING (CENTER DIVIDER) Building Occupancy Level -6- 12/12/2000 :. .. ~' ¡, e e F AT THE SHOP DIESEL & AUTO REPAIR I F Training Employee Training SiteID: 015-021-001263 1 Fast Format 1 Overall Site 1 03/07/1996 WE HAVE NO EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SAFETY MEETING ONCE A MONTH. Page 2 r I I Held for Future Use ~ __n __ .....__ Held for Future Use -7- 12/12/2000 IIÞ STATEMENT OF ACCOUNT 4It CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD. CA 93301-5201 , ',,~ v", ." ~(.865 )~//32b"':§9i9 , ., j ~_~ '.:'~ v<, /' { -'-0,", ':'\.. \!f, DATE: 9/01/98 TO: A T THE SHOP D I ~!?~L i~~/ AUTO 7001 WHITE LNS,TE103 >. BAKERSFIELD, .,çAi;9330~<;;i i /,i\>\); . ~ CUSTOMER NO:;3359 CUSTOMER "TYPE: ES/ 3359 ------------------~~---~~_______~_f~_~~_____________________________________ ¡ , '\ ' - y " ^ ' - - '- ~;' '...;;·x >" ' " CHARGE DATE D~~,ÇRJPitION;, . .. ~. RE'F"--NUMBER DUE DA''FE TOTAL AMOUNT ------ -------- ....:......~-~----:';....--.:..~......;~.----........:__;;;..,......; ~-.:_+~L.....~......-_ ~____...;._.;;.. ______________ 1\'~:::.~~' v }>~;'::^~w. - L' 'i ; j' . REFND 8/01/98 BÉGINNIN~ BALÄNCE· 6/30/98 PÄX~ENT'> . . ~ ........ 8/19/98 MR·J:NT REÈUND VCHRS ,- -"'«,;" ' 1< 110.00 128. 50-· 18. 50 i '- FOR GUESTIDNSOR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 10/01/98 PAYMENT DUE: TOTAL DUE: 18. 50-- $18. 50-- ':~---:-- . e e CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated, CLAIMANT'S NAME AND ADDRESS: At The Shop Diesel & Auto Repair (AUTHORIZED SIGNATURE OF CITY AGENCY) 7001 White Ln., Ste 103 Bakersfield, CA 93309 Date: 08-12-98 Initials of Preparer: CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business overpaid their Hazardous Materials bill by $18.50. For that reason they now have a credit of $18.50 which we will be refunding. Fund Dept. Base Ell Objt Project # Invoice # Amount Date of Invoice 011 0000 123 7900 $18.50 VOUCHER TOTAL $18.50 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72. Presenting False Claims. Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount or writing, is guilty of a felony. J,: 'i.~.. ~. Æ BAKERSFIELD FIRE DEPARTMENT . e - MEMORANDUM DATE: August 6, 1998 TO: Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher Please issue a Claim Voucher to refund overpayment of $18.50 made by At The Shop Diesel & Auto Repair. They made a payment of $18.50 on 6/30/98 and another payment of$128.50 on the same day. They now have a credit of$18.50. Please send refund to: At The Shop Diesel & Auto Repair 7001 White Ln Ste 103 Bakersfield, CA 93309 Thank you, led ,I 'y~a; W~ ~p ~OPe ~ A W'e.nbu? " 1"... { ~;. e STATEMENT OF ACCOUNT e CITY OF BA~ERSFIELD 1501 TRUXTUN Ai,IE BAKERSFIELD. CA 93301-5201 í805J 326-3979 DATE: 8/01/98 TO: AT THE SHOP DIESEL & AUTO REPA 7001 WHITE LN STE 103 BA~ERSFIELD, CA 93309 CUSTOMER NO: 3359 CUSTOMER TYPE: ESI 3359 ---------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 6/30/98 BEGINNING BALANCE 6/30/98 PAYMENT 6/30/98 PAYMENT 128. 50 128. 50-- 18. 50-- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 8/31/98 PAYMENT DUE: TOT AL DUE: 18, 50-- $18. 50-- DATE: 8/01/98 DUE DATE: 8/31/98 PLEASE DETACH AND SENDTHIS.COPV WITH REMITTANCE REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3359 CUSTOMER TYPE: ES/ TOTAL DUE: 3359 $18. 50- A ....._r ~" 1\1 R,~ 3 0 I 0 -; Customer" 10 Last statement Last invoice Current balance Pending ~ CITY OF BAKERSFIELD ~ Mi"ellaneous Receivables Inq~y 3359 8/01/98 0/00/00 18.50- .00 Name: Addr: AT THE SHOP DIESEL & AUTO REPA 7001 WHITE LN STE 103 BAKERSFIELD, CA 93309 A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. 5=Disp1ay Opt Trans Date 8/01/98 6/30/98 6/30/98 6/30/98 6/11/98 6/10/98 6/01/98 6/01/98 5/01/98 F3=Exit Combined Detail Chg Code Description Amount Balance Typ stmrn Statements Processed .00 18.50- PAYMENT 18.50- 18.50- PAYMENT 128.50- .00 stmrn Statements Pro cess e d ,00 128.50 stmrn Statements Processed .00 128.50 HM005 HAZ MAT HANDLING FEE 110.00 128.50 stmrn Statements Processed .00 18 .50 SSOOl CA STATE SURCHARGE 18.50 18.50 A stmrn Statements Processed .00 .00 F12=Cance1 * = Pending 8/05/98 16:14:20 Bnk G Cd L 00 Y 00 Y + ~ o ,. 2/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000 ~~6(Ç~TW'e Overall Site with 1 Fac. Unit ,MAR 7 1996 ¡ General Information ~) í r '<; :::- I _. Location: 7001 WHITE LN 117 <13\-1\55"" Map:123 Haz:2 Type: 3 City . BAKERSFIELD Grid: 16D FlU: 1 AOV: 0.0 . / - Contact Name Title I --- Contact Name Title LARRY HANDY I OWNER/OP~r:t0R CARMEN HANDY I OWNER/OPERATOR Business Phone: (805) 831-9418x Business Phone: (805) 831-9418x 24-Hour Phone · (805) n..~ __'A 24-Hour Phone · (805) 831-8707x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 7001-103 WHITE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7538 Owner: LARRY HANDY Phone: (805) 831-9418 Address: 4205 STERLING DR State: CA City: BAKERSFIELD Zip: 93309- Summary e -- 1 1 L1.('t"' 1: ~"'~~~ Do hereby certify that I have J (Type or pnnt name) reviewed the attached hazardous materials manage- t Plan for AT\he S~~and that it along with men (Name of Busme ) any corrections constitute a complete and correct man- agement plan for my facility- ~- \tJ- ~0 Da» --------- -. e e 02/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 WASTE OIL Liquid 110 Low ~ Fire, Delay H1th GAL 02-003 ANTIFREEZE Liquid 55 Low ~ Fire, Delay Hlth GAL 02-002 MOTOR OIL Liquid 55 Minimal ~ Fire, Delay H1th GAL e e 02/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 WASTE OIL ~ Fire, Delay Hlth Liquid 110 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 110 55.00 1 220.00 Storage r Press T Temp ~ DRUM/BARREL-METALLIC Ambient Ambient SE CORNER Location - Cone l Components 100.0% Waste Oil, Petroleum Based r=- MCP ------p;uide Low I 27 - Notes 02-003 ANTIFREEZE ~ Fire, Delay H1th Liquid 55 Low GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --. 55 I 55.00 . 55.00 Storage r Press T Temp ~ Location DRUM/BARREL-NONMETAL Ambient AmbientlNEXT TO WASTE OIL DRUMS - Cone l 30.0% Ethylene Glycol Components r=- MCP ------p;uide 1 Low I 27 02-002 MOTOR OIL ~ Fire, Delay Hlth Liquid 55 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 1 55.00 I 55.00 Storage r Press T Temp ~ Location DRUM/BARREL-NONMETAL Ambient Ambient E WALL IN FRONT OF STAIRS - Cone l Components 100.0% Motor Oil, Petroleum Based r; MCP ------p;uide Minimal I 27 e - 02/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 4 <D> Notif./Evacuation/Medica1 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL & CALL 911 <3> Public Notif./Evacuation SIGN ON INSIDE WALL AT RIGHT OF FRONT DOOR EXIT. <4> Emergency Medical Plan NEAREST HOSPITAL - . I à ... e - 02/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention TWO 55 GAL DRUMS IN WHICH ARE SEALED WITH SCREW IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD ANTIFREEZE, WATER & OIL <2> Release Containment DRUMS HAVE SCREW ON CAPS AND COVERS. <3> Clean Up RICE ASH. <4> Other Resource Activation ;; . e e 02/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - IN SHOP ON OOUTSIDE BATHROOM WALL C) WATER - UP STAIRS ON EAST SIDE UPPER WALL (1) VALVE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - IN FRONT LEFT OF BUILDING (CENTER DIVIDER) <4> Building Occupancy Level ...¡ r'" lib e e 02/07/96 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 1 IiIlIr:ë6Y~fJS AT THIS FACILITY no tbWl.. f lð0ee7 WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SAFETY MEETING ONCE A MONTH. <2> Page 2 <3> Held for Future Use <4> Held for Future Use e - o ¡g(Ç¡gD%7¡g~ t '.. . ~ 07/27/92 AT THE SHOP DIESEL & AUTO REPAIR 215-000 Lo1WfB111992 e 1 Overall Site with 1 Fac: Unit General Information By Location: 7001 WHITE LN 103 Map: 123 Hazard: Low Community: BAKERSFIELD STATION 09 Grid: 16D F/U: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone LARRY HANDY OWNER/OPERATOR (805) 831-9418 x (805) 831-8707 CARMEN HANDY OWNER/OPERATOR (805) 831-9418 x (805) 831-8707 Administrative Data Mail Addrs: 7001-103 WHITE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7538 Owner: LARRY HANDY Phone: (805) 831-9418 Address: 4205 STERLING DR State: CA City: BAKERSFIELD Zip: 93309- Summary @ I, J.~~,,~'¿ Do hereby certify Ihøt i hwe revßew®©Î the aUaehsd hazardous ma~e8'!ai$ man~g~o V men! plan lor A-T\~e ~ and Uhal n alol1{ wnh r- anyœ~iOnS~;;~~;':::OmPleie andœrfflCl man· . . ~~mlSlrìt pia¡W~©Jf mw ~sdi~V· ~1' ~~. ~-\O"'1~ Date ,'" e e ." -> 07/27/92 AT THE SHOP DIESEL" & AUTO REPAIR 215-000-001263 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 WASTE OIL · Fire, Delay Hlth Liquid 110 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 110 I 55.00 I 220.00 Storage r Press T Temp ~ DRUM/BARREL-METALLIC Ambient Ambient SE CORNER Location - Conc l Components 100.0% Waste Oil, Petroleum Based r~ MCP -rList Low - Notes 02-002 MOTOR OIL · Fire, Delay Hlth Liquid 55 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I· 55.00 I 55.00 Storage r Press T Temp ~ Location DRUM/BARREL-NONMETAL Ambient Ambient E WALL IN FRONT OF STAIRS - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP ~List Minimal I 02-003 ANTIFREEZE · Fire, Delay Hlth Liquid 55 Low GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZ'E Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 55.00 I 55.00 Storage DRUM/BARREL-NONMETAL r Press T Temp ~I Location Ambient AmbientlNEXT TO WASTE OIL DRUMS - Conc l 30.0% Ethylene Glycol Components r=- MCP -rList Low I 'e e 07/27/92 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification ('0 CALL 911 <2> Employee Notif./Evacuation VERBAL & CALL 911 <3> Public Notif./Evacuation SIGN ON INSIDE WALL AT RIGHT OF FRONT DOOR EXIT. <4> Emergency Medical Plan NEAREST HOSPITAL e e 07/27/92 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention TWO 55 GAL DRUMS IN WHICH ARE SEALED WITH SCREW IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD, ANTIFREEZE, WATER & OIL <2> Release Containment DRUMS HAVE SCREW ON CAPS AND COVERS. <3> Clean Up RICE ASH. <4> Other Resource Activation e e ò .. 07/27/92 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - IN SHOP ON OOUTSIDE BATHROOM WALL C) WATER - UP STAIRS ON EAST SIDE UPPER WALL (1) VALVE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDR.l\NT - ?????????? . - I~ ~c 1 ,,~ LL0I' {lI\ ~* ~-t ~ {btA,t\--ì ~\M'lf" \}/till I J \ <4> Building Occupancy Level e e ~ ... --., .J. 07/27/92 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site <G> Training Page 6 <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? it5 BRIEF SUMMARY OF TRAINING: SAFETY MEETING ONCE A MONTH. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use J .. -ï ----- ~~ . General Information V-' RECEIVED 21aOo-0012tDfc 2 I.ln9Pa!;; e Unit 1 ~ 1 AOS'd ............ 1 12/12/'31 AT THE SHOP DIESEL & AUTO REPAIR Overall Site with 1 Fac. I I~ r~Location' 7001 WHITE LN 10-;--- ~3 -Ha~=~ \Cc.mmu"("lÌty: BAKERSFIELD STATION 09 Gt~id: 16D F/U: 1 AOV: 00011 ~- CCI"("lt act Name I Tit 1 e ......-- Bus i "("less Phc'"("le ~l24-Hour Phor,e1l' LARRY HANDY _ I OWV1e.r 0'f (805) 831-r::34l8 x (805) -&3:3-&V:H I L~{'1'r\J "n"~r,~aF~~~_ OO>~tr _~ (gCJ)") g~~-'q4\f__~___,__(~D') t31_~ft:¡(J'f I ---- Admi"("listt~ative Data.-------- . l Mail Addrs: 7001-103 WHITE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-009 BAKERSFIELD STA~ION·09. ~,_ SIC Code: 7538 __... -------¡------------,.,---- . Plìo"("le: ([305) 831--9418 I I State: CA - ,- - II Zip: '333(Y::3- ~ I I OW"("let~ : I I I. Addt~ess: L- City: LARRY HANDY 4205 STERLING DR BAKERSFIELD r Summary ~-- of- I, lo.~r'1 \t~~!'1 Do hereby certify that I have ¡Type or print nad.e) reviewed -the ·a.ttached, hazardous~materials-manage~ ,- -, ment plan for A- '"\ 'íÙ- ç ,?~O.p and that it along with ~~ any corrections constitute a complete and correct man.. agement plan for my facility. ~~~ \1..,\C\"q l Date ',. 12/12/91 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overal"l Site Page 2 (D) Notif./Evacuation/Medical (1) Agency Notification CALL 911 (2) Employee Notif./Evaeuation VERBAL & CALL 911 (3) Public Notif./Evacuation . '- . () I ~ 4- () '(.¡Å1\- ~ {J'ð",,-r Jooç e.;¡ t Sir Doll I"\SIóU- w£t\ 'l \ ~\ r" (4) Emergency Medical Plan NEAREST HOSPITAL . e e 21.00-001263 Page 3 12/12/r:31 AT THE SHOP DIESEL & AUTO REPAIR 00 - Overall Site (E> Mitigation/Prevent/Abatemt -----.--.- <1> Release Prevention .----- TWO 55 GAL DRUMS IN WHICH ARE SEALED WITH SCREW IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD ANTIFREEZE, WATER & OIL . - --- - _. ~ -- --- --..::0' , .--- --- -- ~-- ~--. ~'-- ' <2> Release Containment :DO'(.I.""'~ \k~ .$e,retJ tJII'\. ~'l\1)Á. *' ~DùUS en Clearl Up t,~~ 4-s ~ - - -- .- ~ ----~_._--~----~-~-~....,.-.". -- ---- --~ -~--- ~ '.---~~""-:-"'~ . --- -- - ------- .- - --~ (4) Other Resource Activation ....---.. 12/12/'31 AT THE SHOP DIESEL & AUTO REPAIR 215-000-001263 00 - Overall Site Page 4 (F> Site Emergency Factors ----....-----.- (1) Special Hazards (2) utility Shut-Offs A) GAS - NONE B) ELECTRICAL - IN SHOP C) WATER - 11117111?11 D) SPECIAL - NONE E) LOCI-< BOX - NO ON OO~TSIDE BATHROOM WALL [.( U f S:tttfS 011\ Set"'+- <;rItR~ tAr f J2..f' W tt G) Valv¿ (3) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - ?????????? <;;e<z- it+e r [q Vi (4) Building Occupancy Level . . i ..' .. e 12/12/91 AT THE SHOP DIESEL & AUTO REPAIR 00 - Overall Site {G> T¡-~a i n i )"Ig {1> Page 1 --- WE HAVE 2 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: :3 a:Pr¡ v'V1 eJ-\v\,y () ~c ¿ ct vVI 0 wilt -----<..-,--~ ~~~----'- ----------- -"""-"-"'---'0.-_-:--""-_ __ __~____ <2> Page 2 as needed <3> Held for Future Use -- 21.00--001263 - ~ -------~---. <4> Held for Future Use Page J::' ;.;,t ..--..--..--- \. .\' .'tJ Page_of_ NAME OF THIS'FÄCILITY: sto~k ,+afo ~",,*e'f STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL "2?-- Qé!:/.- E~3.l ."f: o CITY BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ~. - TRADE SECRET OF and Agriculture~standard Business o J ID ¡ NON OWNER NAME ADDRESS : ~ CITY, ZIP: PHONE ..I: r Farm BUSINESS NAME: LOCATION: ....7DO CITY, ZIP PHONE #: PROPER CODES 12 Location Where Stored in Facility he.x-r +0 V>ðo.",,+e 0' FOR REFER TO - - 7 B /I Days on Site '3 (,,Ç 6 Measure Units G~\ 5 4 1 Number NÌ1mber Number & C.A.S. & C.A.S. Component /I 1 Name Component /I 2 Name 8' Delayed Health Number o C.A.S o Physical and Health Hazard (Check all that apply) o 0 ~ & C.A.S. /I 3 Name Component IlIUDediate Health Reactivity Sudden Release of Pressure Fire Hazard D1 ~5" Q,Q1 &tl 2,OD ().t~e no Number .& C.A.S. Component , 1 Name Number C.A.S Physical and Health Hazard (Check all that apply) o Number Number & C.A.S. & C.A.S. Name Component , 3 Name component It :i! Delayed Health o IlIUDediate Health o 0' Reactivity Sudden Release of Pressure Fire Hazard ~ Number S. & C.A Name It 1 Component Number C.A.S. Physical and Health Hazard (Check all that apply) Cì 0 Number & C.A.S Component It :i! Name o o D Delayed Health IlIUDediate Health Reactivity Sudden Release of Pressure Fire Hazard Number & C.A.S /I 3 Name Component Number & C.A.S Component /I 1 Name Number C.A.S Physical and Health Hazard (Check all that appiy) Number & C.A.S. Component , 2 Name o o o Cl o Number & C.A.S /I 3 Name 12 Component ~3\- 24 Hr Delayed Health IlIUDediate Health Reactivity Sudden Release of Pressure n Fire Hazard Wl~e. Title VI. Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty ot law that I haver personally examined and am familiar with the intormation submitted in this and all attached documents individuals responsible for obtaining the information. I believe that the submitted intormation is true, accurate, and complete. Name EMERGENCY CONTACTS inquiry ot those my \¡-\~- DATE SIGNED and that based on ., AUTHORIZED REPRESENTATIVE S OWNER/OPERATOR ~ 0.., \' NAME AND OFFIC e ~~ - Bakersfield Fire Dept. . HAZARDOUS MATERIALS DIVISION / Date Completed ~- Å - Of ( RECEl1ED AU6 5 1991 Ans'd. ........... Location: /\ ~ 700 I +~(' \AI L~( 107 Business Name: ç~ h'" -H Business Identification No. 215-000 - 00 I ~ 6 ., (Top of Business Plan) Station No. ~ Shift C Inspector ~ ,,~ Adequate Inadequate Verification of Inventory Materials 0 Q./ Verification of Quantities Q. D Verification of Location m 0 Proper Segregation of Material IT:r 0 AJJ~J ... {\.. ",.... L - pr~""< r Comments: 5"5 J q \f ô~ <èo"\.to. \"'~...... \1.F0\. ")+~ Verification of MSDS Availablity ID D Number of Employees Å Verification of Haz Mat Training ~ D Comments: Verification of Abatement Supplies & Procedures Q' 0 Comments: Emergency Procedures Posted ITY' 0 Containers Properly Labeled ~ 0 Comments: Verification of Facility Diagram Q-- 0 Special Hazards Associated with this Facility: Violations: ~~ All Items O.K. D Correction Needed G" FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy Date Completed <6-:Zd~ 'ið Business Name: A\- .\-"'L S ~òr O\es~( ~ Av\ 0 ~q~y 700 I \J ~.\ \t L..~ il- 103 RECEIVED Location: ~~ ~ Bakersfield Fire "pt. V- Hazardous Materials Inspection i ,~ :~ AUG 2 2 1990 plan ID # 215-000-00 I.? 63 (Top right corner Business Plan) Cì C- ---.!:\ OH:A'1.f MAT. DIV. Station No. I Shift . Inspector ~ (" '" ~ --I c.. k ~o'\ Adequate Inadequate vèrification of Inventory Materials D C!r ~ Œr Verification of Quantities Verification of Location Proper Segregation of Material Q'I} (.{J.¡~) Comments: S- 5" ~ "t I! 0" r Verification of MSDS Availability Number of Employees J..... D Verification of Haz Mat Training & Comments: cw-- D D D [B" tJone. D Verification of Abatement Supplies & Procedures [% Comments: D Emergency Procedures Posted D ~ Containers Properly Labeled Comments: Œr' D Verification of Facility Diagram ~ Special Hazards Associated with this Facility: D Violations: FD 1652 (Rev, 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office ''---;'~~A'' ~ V.. /. . 'ò . "<E:it" .... o't: . 0, -S');" /~.' ~\'J '- -' i ("', "U "'-,-, '-A~ .": l:. -",-+....~., ".~ ~~1~.,,) '. " .wÞ. --' .\ " ,,, , J ,:r::4ll''';':'';;i\~' " "'....ë,'O'E-}~·j .~ e ~ 'i e CITY of BAKERSFIELD "WE CARE" ~(p'~ 1 C¿? \- 94 13 "ùú.nTI77lJt".. \~ >~,~;~:'!.!111l ~".".'LlJ ,,--,~ ¿-/j' :~.. ~', '~<\-: ::::::~..:..' ,', '1- -::::~=== ==\~ \;:" -,,:-.. =,< :- -'. -:~= ;a~:;:¡ -. ....\~ ..-":.. I I ~.. ~ -- , ;;'--"-'::-:-:-'7\\\'" ¡/~ L<JJ~ííí~ r 1 Ld t"~: .4. ,Hc{ vt&1 ttYDe or prlnt name) Do hereby C "" ~..... i .Ç.. "-..... L -. ..l ..\" that I ha -,'e rev i e,\,'ed RECEIVED JAN 3 1 1989 Ans'd........... . the attached Hazardous Materials business plan for 4.L.I he" S 1,0 f,o D(¿,s~L ,+-4v{/o teefQ¡ú- (name of business) and that. it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. ~wtv~t~ Sjgnat.ure \ - "3 - q1 date , 0 . 'J- ~.. ~" 0 A .¡J'Y _.~ Y? -\I' /f}' ~~p c1~ ~'oß j ~ ~~.. - .0 . t v~ (/Wß~ 0 V--Q~ q~ ~.Y5 ~ ~/4 ·1 .,. (" .. ;; BUSINESS Nf\t1E AT TH.OP DIESEL 8< AUTO REPAIR 10 NeR 215·'000-00126:3 LOCATION 7001-103 WHITE ll\t HIGH HAZARD RATING Z 1. OVERVIEW LAST CHANG~ 11/14/88 BY VAL JURIS CODE 215-009 JURIS BAKERSFIELD STATION 09 MAP PASE 123 GRID 160 FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC l) LARRY HANDY - 831,-9418 OR 835-8091 UTILITY SHUTOFFS 2A SEC 3) I) GAS - NONE B) ELECTRICAL - IN SHOP ON PIS BATt- ROOM WALl C) WATER - ? 0) SPECIAL - NONE E) LOCK BOX - NO z. NOTIFICATION I PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR lHIS SECTION> P(':¡GE 1 1 ZIZZ/89-'lZ':36 , , MATERIAL SAFETY DATA SYSTEMS. INC. (80S) '£4B~6B0~ BUSINESS NAME AT THEeOp DIESEL 8. AUTO REPfHR 10 NUeR Z15-ØØØ-ØØ1Z63 LOCATION 7001 - 103 WHITE LN HIGHHAIARD RfHING 2 3. HAZ MAT TRAINiNG SUMMARY LAST CHANGE / / E,W < NO INFORMATION RECORDED FOR THIS SEcrrON > 4. LOCAL. EMERGENCY MEDICAL ASSISTHNCE LAST CHANGE 11/14/88 BY VAL 2A SEC 5) NEAREST HOSPITAL ---- "",- PAGE Z 1 Z/ZZ/88 1 Z; 36 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 ~ .,. .. ~ "-'-.. BUSINESS NAME AT THEeOp DIESEL ,> LOCA'TI ON 7ØØ 1 - 103 WHI TE LN FAtILITY UNIT 01 11 AUTO REPAIR 10 NUeR ZI5-000-Ø01Z63 HIGH HAZARD RATING 2 A. OVERALL HAZARDOUS MATERIALS INVENTOhy LAST CHANGE 11/14/88 BY VAL 10 TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE WASTE WASTE OIL 55 GAL UNKNOWN NW SIDE OF BLDG DRUMS OR BARRELS MET.. Wf1STE IO PERCENT COMPONENTS HAZARD LIST 15913.00 100.0 WASTE OIL UNI<NOWN Z WASTE WASTE ANTIFREEZE 55 GAL UNKNOWN NW SIDE OF BlOG DRUMS OR BA~RELS MET.. WASTE 10 PERCENT COMPONENTS HAZARD LIST 2802.00 100.0 ETHYLENE GLYCOL UNKNOWN B. FIRE PROTECTION ! WATER SUPPLIES LAST CHANGE 11/14/88 BY VAL 3A SEC 4) FIRE EXTINGUISHERS 3A SEe 5) FIRE HYDRANT - '? PAGE 3 1 ZIT? 113S'TL: 36 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME AT THE.etop DIESEL &. AUTO REPAIR 10 N~R 215-000-001263 LOCATION 7001- 103 WHITE l.N HIGH HAZARD RATING Z D. EMPLOYEE NOTIFICATION / EVRCUATION LAST CHANGE '1/14/88 BY VAL 3A SEC 2.> VERBAL &.CALL 911 -.-......- --- ""'"-----. ----- --, - ---=--0 _ - - --,......---- ~- --~- ,,"---- - ---.... :-~ --" E. MITIGATION / PREVENTION I ABATEMENT LAST CHANGE 11/14/88 BY VAL 3A SEC 1) TWO 55 GAL DRUMS IN WHICH ARE SEALED WITH SCREW IN CAPS ULESS BEING FILLED, THESE DRUMS HAVE OLO ANTIFREEZE. WATER &. OIL 1-_ O'~ --- -.- -~= ~---=-- -- -.-- --~- -. - ~ - --~- - - ~~ ~ ~ - - - ~-'",- - - --"" PAGE 4 1Z/ZZ/88 12:36 Mf\TERIALSAFETY DATA SYSTEMS. INC. (805) 648-6800 . . ... J" ~' of BAKERSFIELD CIT}T ~ HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS ,~ L..-J .L of Pig, NAME OF TWiš ~~1L~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER - - c- Standerd Bus.n,ss turf FIr. Ind Aqricu BUSINESS LOCATION: CITY, ZIP PHONE II: 11 ..... of 111J1tUl'l/ea.an.nt. $Ie Instruct illlll , , lIM.u", Units J II.. Aat 2 Tyøe Cod, ------. Wú.J.c.. /,}J,~Ú'" 10\\ ,coo\avV't -------------. 1) 'by lit 7 Oys Sit. . on u.s. . 5 A__1ge AnnulI I Aet Est !;"S Go:L_'-~_~L r--, L._-' r--' L._-' Del.~ ....Ith , frlns Cod, ªJ~L..__U_ºf~fr!: Ph~itll end KNlth ",z.Nt !(heck .11 thet .pply) r--, Fir. Hnerd L. - -' RHCth'1ty ~? l-.di.t. ....Ith SudcI.n hI.... of PI'tIIII'" 3 " 5"' -.----- C.A.S. ....___ r--' L._.J 1° G~ r--' L._.J S'D &.\ --------- r--, L._.J Del.~ , ....Ith Phys ic.1 end ....lth Hez.Nt (Check III that ''IlIly) "8'" r--, .. _.J FI", ",uN! L. _.J IIHctivity _e_ f:i. l-.di.t. ....Ith SudcI.n hI_ of PI'tISI/I't f~ to.panent I ec.onent 12 Callpanent 13 --_l__l__________L___________l__________l____.l__L__l I 1__-1___ Physic.1 end "Nlth ",1.Nt C.A.S. ...,. to.panent . (Check .11 that ...1,) -- " - , r- - , Co.p(IMIIt I L _.J Fire HIl.rd L._-' Callpanent --- Phys iCII end IIH Ith ",urd (Check .11 thllt '1I1IIy) r--" L. - -' Reactivity .... .... ..... · C.'.S. · C.'.S. ... ... .... - r--, L._.J 10 11 12 Cant Un location ...... T.... Code StCll'ld In Feci lity ~ 5,,~ <Z:af ~r~_____ .... ______ ec.onent 11 .... C.'.S. .... r--, Call1Pllnt 12 .... C.'.S. .... L._.J Callpanent 13 .... C.'.S. .... ] .sð(,\¡~ ~.asf- Qp~__.__ ec.onent 11 .... C.',S. .... Callpanent 12 .... C.A.S. ..... ea.on.nt 13 .... C.A.S, .... C.A.S r--" L._-' r--" L._.J -., _.J " L - .... ...,. . C.A.S. · C.'.S ... ... l-.dilt. IIHlth Sudden It, I..., of p"".v", Del.~ 1I..lth Fire HIl'I'd · C.A.S ... r--., L._-' r--" L._-' ,,-, L._-' ---- .2 d.CM'WQ..V\ \-k.., Iiii-------------þ-------------- 1Iœbel' . C.A,S ... 13 l-.di.t, H.. Ith Ri¥ï~~------------------!! "V Suddl!ll ReI..., of Pressure 11 Ri~Lc:.T--~~------------------- Oeley8 Health ty IINct ivi "ERGENCY CI*UCTS incliY1du11. I'..pon.ibl. , -;;.~-¡¡r DitëSiijñïa-------- those of that based on ., inqui"Y IIICI ,Ueched dacUIIlllts sign after co.pletJng all s~ctJonsJ that I have persona lIy w.ellined end .. fui Ji.,. .ith the 1nfor..t ion su.itt" in this IIICI .11 I ~1i.v, that the su.itted into....tion is trw. .ccuretw. .nd Co.lIl.~ A I S;qñ¡t~~-~~ Car icet ion (Rf!ad and I cart 1fy under J111\11ty of I,. to~'tfbte in ing tha infor-.t Ion. 4~-¡J~J~~~M~~L-irToDir¡~õ~~~ir7õDiritõr~Š-¡ütliõ¡:¡z¡a-riõrišiñtiHŸi J é-of f ......... ,,....... I I "." ~ì CITY of BAKEKSfI ELl) 't RECEIVED " HAZARDOUS MATERIALS INVENTOR+ OCT Farm and Agtlculture 0 ¡tan j BUSIness 0 Ii· 10 1990 \ f, i Do~ NON-TRADE SECRETS j Page of I BUSINESS N~t.~ '~c: 1fiVd-~hWNER NAME: J..",.t~ NAME OF THIS F..Iþ.. CILITy~ßs'd._........ ---- lOCATION:· I:] ADDRESS' ~ . STANDARD IND. :ClASS CODl"---··~ --.---- - ~ÀMÈ HP: , - -"- ~'7o ~ÀÒ~È ú!P: _ {~, DUN AND BRADST:R~ET NUMB~R-------- ------- - = REFER TO-rrvS rr'ü DNS-roR---PROPER CODES - -,I - - - - - - - _ 1 3 5 6 1 8 9 10 11 12 ~ 13 U Trans Max Annual Mea$ure . Oys Cont Cont Cont Use location Where I 'by t alles of ~ixture{çOl!!conents Code Amt Est Units on SIte Type Press Temp Code Stored In FacIlIty ,\ Wt See Ins~ruc Ions IOO~\ ~ US-I \~ I t I L{ I ¿¡6 I Ne'~ ~et;rt Qcrij4/' [f = C.A,S, Number Component., Name & C,A,S. Number I I - " Component.2 Name & C.A.S, Number I ~ FHe Hazard 0 ReactivIty 0 Oela{ed 0 Sudden Release 0 Immediate - I Hea th of Pressure Hea 1 th - Component.3 Name & C,A.S, Number : I ,=, I I I I I i PhJ'sical ~Od Health Ha~ard C.A.S. Number compone.nt.1 Name & C,A,S. Number I ~ (Check all that apply, I Component.2 Name & CrA.S, Number I '1 , o Fire Hazard 0 Reactivity 0 Oe1a{ed 0 Sudden Release 0 Immediate 'I -",' Hea th of Pressure Hea 1 th ~ ~ Component.3 Name & C.A.S. Number i I .~ ,=, I I l I I I ~ ' PhJ'sical ~nd Health Ha~ard C,A,S, Number Component.1 Name & C,A.S, Number (Check all that applYI ' Component.2 Name & C.A,S, Number ~ o Fire Hazard 0 Reactivity 0 Oela{ed 0 Sudden Release 0 Immediate 4 Hea th of Pressure Health Component.3 Name & C,A.S. Number r I=:J I I I I I L I i\ PhJ'sical ~nd Health Ha~ard C,A,S. Number Component., Name & C.A,S, Number \ (Check all that apply) ~ Component.2 Name & C,A,S. Number 1 o Fire Hazard 0 Reactivity 0 Oela{ed 0 Sudden Release 0 Immediate 1\1 Hea th of Pressure Health Component.3 Name & C.A.S, Number EMERGENCY CONTACTS #1 #2 RUe Tttle 241frPñone-- Rame nr - 2TlfflJñõñ'e"" Certifiçatio~ (Reed and $ign afJer c9mp7~ting {3.77 sections} . I certlf under enalty. 0 la th t I have pe(sona I examln Q ~ d m familIar it the informatIon $U mitte~ In his ond all attaçhedYdQCu~en~s, anO t at ~ase~ on my InquIry 0 lhose Inålvl~ua's responsib1e ~or obtaIning the In~ormatlon. Ì belIeve that the submItted Infor~atlon IS true. accurate, and complete, I , iO-'1-¡O ~š-ãüthorI2ed rêpreseñfãtiVë Uãt~fqr.e " . \-,. --=- ~ .' , . --to ~,...- - -- . -- - ------- --~ -=::;;> .;,--;.. ~-::----- ~- . '.-??-~' ~--"'--~',- .,' ,..,..,--------~. -~ ' \ ;--";J- ~ , ¡1/o+e: ~rr.'1þ s.J'..~\ ·1Jafct 5ht2~/t I~(} .\ / . \ / L /¡Y // t:J / ú.J ~ ~ 2? i - . L.u <:) ¡ u..... : . L.u I-- : Q::u:t:::Ï Q gg ~ 5;~""'\ ' . . -. ~--- _.: '":~-----~--- --~,-~-.- : ,<~ -,~.~ ~~::I" ,. .. .... I.¡ ~, e . ..,J '¡' BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 001263 OFFICIAL USE ONLY /~3-/6j) .~¡ ID# ~ ., :'1 .. ""J' HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A . dzJþ .~. ,2- r%-G: e 'I INSTRUCTIONS: 1. To avoid further action, return this form by 5 - d~ -~~ 2. TYPE/PRINT k~SWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. ~" r: ,"" ~ ~ ~: SECTION 1: BUSINESS IDENTIFICATION DATA b~e,~~ ~ Æv..-w e.era.í~ W'" ï+e \ '^ 4±= \03 ~~?i)q: BUS.PHONE: (~s-) ~~(-qL( \~.., o. A. BUSINESS ~AME:~+ T he S ~D? B. LOCATION / STREET ADDRESS: '100 t CITY:':~~k'tr~~\,A& ' .. . ZIP: "'1 ~ .., ;-, ~·fi?).: .' "'?: =:"::... ..;~:.::~.,.i~~.. ¡ .~~ ~~~. ~::".:: 2:;=;:;,; ~!-~,.,;:..;- '" ,~, ..... . ..' >' " , ~':.' SECTION 2: EMERGENCY NOTIFICATIONS . ·'Ç,£r~-:· ':':-~:rl~~i~:f£;';~;~è'~~:';"~:' :":.,~,,>~. __ _-." -- - . , . .. . P.. .~~.;;; ~". . ,·.t'~~~~:t~·:· I~"'case 'of an emergency involving the release or threatened release of a: - '.'-:: .. hazardous material; call 911 and 1-800-852-7550 or, 1-916-427-4341;. This will notify . your. local fire department and the State Office of Emergency Services as required by,. 1 aw '.:::- . ' . ...-...........-- '. ~:.3-/~~"~ ,'; :'>:~~" ~: '..~.~",...~': k·i.~:.,.¡, <~...~: '"t !']I:; '. ...,..-..-".... . .. .. * ~'\ '-:~¿_; ;: _~.;-:. ,t.?~. ~ '~ ~.¡ :~ :~ .\. ,..--. ~...,..'" "".. .-.... ""'.,. . -..-,.' -. ,'- ~-- .~( EMPLOYEES TO NOTIFY NAME AND T:TLE ~ A . 1....0. (' f ~ \\.4 V\ B. IN CASE OF EMERGENCY: ~j..,.__:~.......::,,- .:.:~ .' .-..... .~- "-'-- -_.~ .-...-,' ..... .",. ~, \.......... -"~~ ""'-..... . ... DURING BUS. HRS. Ph# ~(- ~tt I Q AFTER BUS. HRS. Ph# ?l~5'-fO? I ~~ ? Ph# Ph# " '~I ',' SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE ~ A. NAT. GAS/PROPANE: ~~V\.€.- . B. ELECTRICAL: ~ '" "S. Ð 0 VI (:) '-'\.Ái:uQu- C. WATER: D. SPECIAL: E. LOCK BOX: YES / ~O IF YES, LOCATION: ~a.~ fOOIl\l\ uJc,.,,\\ IF YES, DOES IT CONTAI~ SITE PLANS? YES / NO FLOOR PLANS? YES / ~O MSDSS? YES / NO KEYS? YES / ~O \ - 2A - . e "- I .~,,,'-~,.. 1 t>. " ~ ,¡ .; ': ,~,.~ . . ", . ~ . - SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE " ;, ~ r/ 0 £,l(¿ ,. ," SECTION 5: LOCAL EMERGENCY *=DICAL ASSISTAi'lCE FOR YOUR BUSINESS AS A WHOLE ....., I'Ä~"" '." L.'\' , '. .~~ ..~ "'. ., '.. ',' . ,"-..... ,.._ _:;". ..~.... :",';. ......,,~. ............ --:..::;,<1', " ," '. ::;-':4"".( , ' . . " . ,'. . ' . ':~,>';~;'. ,-~:~~; c. ....~, ...:.:-- .-." -.....-... .~ . . ~ '... . ..~:~ --J-J' '·:~.'V··~ :- ~ _ 'f(~'~ ·=".~)~3·~r··-:¡",';'·· -"".--~_. -.~ "'.'- --~-----..--~--- ". .. . .-. k'·""""_ ___ _ _~"'''' ............ .....__ ..__ SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE ~EQ~IRED TO HAVE A PROGRAM, WHICH ·~ROVIDES E~PtOYEES WITH I~ITIAL AXD REFRESHER TRAINING IN THE FOLLOWING AREAS. ¡JO CIRCLE YES OR NO e..W\ft oy~es . .INITIAL REFRESHER A. .~ B. ~ C. D. E. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS :'<tATERIALS: . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . ., YES NO PROCEDURES FOR COORDINATING ACTIVITIES ". WITH RESPONSE AGENCIES: . . . . . . . . . . .. . . . . ~.,' .~;.. ~~'. . .. YES NO PROPER USE OF SAFETY EQUIPMENT:.................. 'YES NO E~ERGENCY EVACUATION PROCEDURES:.............. .... YES NO DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. ...... YES NO YES NO YES XO . YES NO YES NO YES NO SECTION 7: HAZARDOUS MATERIAL ~ !~ CIRCLE YES:";,; NO -NONE DOES YOUR BGSINESS HANDLE HAZARDOUS ~4TERIAL IN QU&~TITIES LESS THAN 500 POG~DS OF A SOLID. 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ,..... ~ NO I, L~{"f'1 ~£A.I.\.~ , certify that the above information is accurate. I understahd that1this information will· be used to fulfill my firm's obligations under the new 'California Health and Safety code on Hazardous Material~ (Div.20 ~hapter 6,95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. "' ..~".. . ..",~ of_. -. ,,--- .--......-.?'- . SIGNATURE 'J.~.~~·TrTLE otJJV\e( DATE l.{ --~fJ-c1? - 2B - <:..... 'f.'. ~\ '. e . .'~' $' ~ ~ 3.4.¡ŒRS?~::::'D CTTt FT~::: Dë.?,\RT:!::::':7 2130 "G" STREET BAKERSFIELD. CA 93301 BUSI:'jESS :\A!!E: O-:-':'ïr-.1" ;-5';' 0,',\' ..... . '- : ......" lø \..t L..I " ..t ~.. ó .OO~ M 1 ~ ~ S~Df1 D ,à;e,\ .,}~(Jfo ~D' ------ BUS I NESS PLA...i.'J SINGLE FACILITY u~IT FORM 3A INSTRUCiIONS 1. To avoid further action. this form must bereturneà by: z. TYPE/PRr~T YOt:R ANS¡'iERS IN ENGLISH. 3. Answer t~e questions below fc~ THE FAC!LITY t;~!T L:~~~ BELOW 4. Be as BRIEF and CO~CISE as possible. FACILITY TmI'T~-.1 03 FACILITY UNIT ,N.A.'Œ:-:ðl Th(..Sk>f b,èsel.J-,4~ ~e.F''''- SE~ON 1: ~ILTGATTON. PR~v~~l~ON. ABA~ PROCZITGRES +wo 5"6' ~\ ku.W\s '1&,\ w~\c-~ d,.('e. se(JL\J). ~\f^ :~r€-\.0 \Y.\ ~O\r.S" lA.1I\\'!.~J ~e\\\'~ -f~\\eQi-Ä1~~ J(r()..W\s ~\d.V'a. Ð\J2.. <:\.V\-\-,.çf'~e-:Q.. ~ wctk~Ð\\ 0 SF.C7TO?-r 2: ~O~T~! C~7T O~; . ,..... .....~:....u ~:AC~A7:CX P~CCEDt~ES Ai LRIS ~7T~ a~~~ v~ ¢ Cof2P 9' I ( ,_. 1';,.. .... <". -, ~ I .,- '. :" 4. ,.. -~ J.. SECTIO:J ~: r-L:\ï:.ð.RCOr:S :~,47::n,~LS ?nR THIS r~iTT OXT.Y A. Does this r.'1cility Cnit cont::1in H<lz:1raOt1s :'!at~!'ials?"", ® ::0 If YES, se~ B. If ~O, continue with SECTTOX 4. B. Are any of the hazardous materials a bona fide Trade Seèret YES t§Y If No, complete a separate hazardous materials inventory form marked: :\OX-TRADE SECRE7S OXT.Y (t'lhi te form =4A-l) If Yes, complete a hazardous mate~ials inventory form marked: TRADE SECRE7S OX:'Y (yellow form =4A-2) in addition to the non-trade secret form. List o~ly the trade secrets on form 4A-2. SEC7~~~~ 4~ P?rV'ALE ?TRE ?~C7ZC7TiJ~\ -F\~, e.xt· SEC7!OX ~: LOCATTO~ OF WATER St7?~Y ~OR USE BV ~?G~~CY RES?O~~E?S - -~- . ---.'~-- . _.- - . -- ~ -~ ..""- SECT!O:\ 5: LOGATIOX OF t~rLI~! SñL~-QF~S AT THIS t~,T7 O~LY. A. X.~T. G..l.S,PRO?.':.Xé:: B. E:'ECTRICAL: C. í'iATER: D. SP;:::C_.J"L: _, LCC~ 8(1~; '~..:S ~:c . - YES, LCC~TIa~: IF ..-..... s--- PLAXS" ..-,... , ::0 \[50S s ') "'t:::S '\8 '::.::, ._~ , F'~OOR pr ., ,..,....., \"'="3 :\0 ;;:?·~·S ':' \.-,-. \"0 . ...........~ . _r:...) ..,,, 41 e 'J '-' ,,0 r ~)!>~. ~~1<::':>. IIM~.,U:iI' a "'.U 1,1 I. .. -, II , fO'tI' 4A-' I'ill:' ., 'I N (J N - ")' It A U B B Eon rn PI' S II A Z A It n 0 IJ a rot APt' ß It I A La' I N V I~ N ·r 0 It Y ~l 11';1111 !i:' /I ~ Dl~~.\ ~-\o~¡.rrOHIIßn IIAIIB. L_ _____. f^CII.ITV IIUIf · :.(03 1I11 ~ì~ì:._. ~\'O~ _ AUUIIE89, ~__ FAI;II.ITY utln tI^HE:L._ I I., 7 II' ' t- q,?1)O~._ In TV, Z "I. ~3. ----------- 111111/ . ~__ __.__ ___.___ __ "IIClIIB I, ., IIU'f(IJ~:~~" IIS~ (;flllft 1:11111' ~ :J I .. n I fI I ., 0 III I ' I I /I ^ X ^ "" II ^ I. .: lI...r II II I~ I. CI(: ^ l' I II If III Till 8 " ^ 7, 1\ 1111 " II I I II '''II!I'HL M!!HWL .!HHJ !~!HHi !!!U!~ .,_f.A!HkllLYl!IJ !JìdL!H' cmum _!~~W! Ii\ pi ·e e, »À 1 f.: tt-2.V-?r ¡iš-iiïJ¡¡õš'í- ~3 (-<f41f'.'.. u nlls IIU 5 : ...oD~ I _____ liS nOllns ___._. IIIIS, IIRS: 1).?fJ ~ -- N·iÛ~ NuJ ~ - JaJ. QL !Jf2 ~~!IQ --- -- -- -- --- --- -' ._ __ __e_ -- -- .-- , í 6~_Gw 82°_ \) --' ß -,-- IJI ~:~líõíiE ~, __~I~_ AfT En PIIOtlE . AFTER tI11'£'2 ¡'tLB. - - '" . 'E I , T I TI \ III ,); 1--·· --...--- ...--- lCirt 1\1 111':;1'.111: V C; u,n ^ I: T ., , ',j¡ : 1/ III i f II n' ¡:IIIITM:T: ---.-- ""r " f I "1\ I, lIISIIIl:!1!1 ACTIVITV