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HomeMy WebLinkAboutBUSINESS PLAN 9/19/2003 f\J Foreign & Domestic ~:..w,- (80S) 834-5578 Performance Quality Automotive COMPLETE AUTO SERVICE & REPAIR Specialists In: Jeep, Renault & AMC Service & Repair on Most Makes & Models RON DYER, Owner/Operator l. DANNY VilLA, Owner/Operator 7001 White lane, #118 Bakersfield, CA 93309 c;p~- ~ Pc9Ælðl(Y'O¡¡\\'Q t\L~J,~ ~ð-fI'\~CifJL ULOO\ W~~ k~ ~\~~ -/cfo vML1r~ ~ cf& ~ Q ~f!1~" j!Jr3rU- 6Y/L )f -¿ cu~ ---ZUU r~L~ -- ---- - -.----- - ~- - --- --- ------ -,-..----- ,------ .) Operate to it Per Waste Unified Permit Materials/Hazardous Házardous CONDITIONS OF PERMIT ON REVERSE SIDE i ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment 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 Permit 10 #:: 015-000-000836_ ~ .-¡:¡.- : PERFORMANCE AUTOMOTI~e;\O _.¡,~.; 'f, (:Y~ LOCATION: 7001 WHITE LN 118£,' \>~~ l/æ~ r ! ¡::..' l ~r ". } "~ ' .*- _: ~; . ~; 1:~ .~ :~'f-. :. .t'. ~ 1 -.~ \-"", \. \~~\, 'i\i;"~- '~\ ~;tf\;.-~ '," Issued by: ~,.. ' , ':' r- . iv! ,~. , . t1ò'foITh 'c 5CA\.E: 1~100' - BU~iNej5 NAMe: 'Pet-Po..mcu.¡ce A",To",ðTNe, ATE: / ·'c· /'') I.)r . ~ittTŸ tJ,:LMe; ~TOC~<t\(. Ac.tl0 ~~,i CeN"iù- L" ._0 / ~I'ie, _L."(.I.c:.~ _ _ _ __ \\c::t ) \ t& Fo.... ~, Wh'l'~ L",. ....fl,T~· \02. ) \03 'Whtte. LN.· --..- LA~N F~ . -::t=' ~ 'Ir- 'f'..' ~ <:n ett-F\ ~e. ~d~~1 .D rd.,,, CI. ~.(L I I j ç, \-e. z.b· V a.ca. tJ 1:' LOT' Va.CelNI LOT ?é'¿Ft?~_4AJCë 4vTO.....o'T',..,i£ c.o'le,\-e.ò v-Ja..\'(,Wo...~! '! P6~t. loc\(,.e.ò '00)', & .... --J d .~ >< Q) ~ VO-C.o.NT LoT .:.:... ~Cht ~rQ. C"t. 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C'T;, ~tJ6Pec;TO,"~ Cornd'\4tN'16): _~D'{'e.·t-t.!C'Y1~' u.b~ Ol~',-?- l ..¡ ..' 1 " i*- - "ç' -- .PD/ ~~~ II q 12a" 101 J #. . ~ 1·3·-- lylIr;(/ ....c¡.. ~itt"y tJa.Me.: ~Tcctda.\t. Åu10 1<e---&I~ C'.eN-vu- e Ño,,",h SCAtE: 1":§2d ' BU.~iNe.~!J . NA~ë.: Pe....Pot"l1M.\tJce A.....TOn'\6T\\fe. l>ATE: , F.A·C·'..:rù----,.....· .,/ . . ,~c: ,-1-.....::;'-..&..1 i(.t.(:. T'eU""" _ - - __ \\l{ ) \ '2.0 Fo~ 1-<:>0\ wh,1'€' L..... .-.t-ÚtS· \O~ ) \0\ ~ I . ~ Ne.LO ~. (:t.Û~ Pec:tbt-':'L CoW\tt\WT~): . ~A '" &!. \N c;. ~ """::D '"' tI<' ...x.u:; ðO SC4 L ¡£t:t. st." 0,1.. J-c>gaL. Ne<J.> OIL. 6'(l.$~ ' OJ t wdbu..'b SOl-V,£, -,.r:tNJ( "a. CIl, AlT LOT '!' OIL .-' 14f' 1'Þ Z1P . ':J)r-'~"~WCLq WQ.s. +e. 0 (L ,- IA P 'Tt:> c:::.. '- .'2.0 6a..'~. ~ UN' \ --:P'li~ aL 'M 6. - 60.,O'\"t.1M\e.~.T~ U~Q..ON\'\»- f' UNtf1ED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program . .. ~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME~ INSPECTION DATE INSPECTION TIME ___A ~ --~-_£~~~-~~ uTò ¡"k.,Ó ,-( ...iA -- --- ------- ---- -- ---- _u._____.______"·u_..__.___. ______.._n__.__.__ PHONENQ-------~ ---.-------.------ ADDRESS No. of Employees 7 Ð___~__!____W_J±~=C~_____~~______~.l_~_____n__.___.____.._. g-]~ - /4ra ------_._-_.._--~..- -~-----_.- ---- __._ __ .__________"._ u_ FACILlTYCONTACT Business 10 Number 15 -021- ~3~ Section 1 : Business Plan and Inventory Program ~outine I':] Combined I':] Joint Agency I':] Multi-Agency I':] Complaint I':] Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS I':] I':] ApPROPRIATE PERMIT ON HAND I':] . I':] BUSINESS PLAN CONTACT INFORMATION ACCURATE _ ..--------------.-.-----. ---- ...-- + -._- V\lVðv4.-t? þ -- - ---...-------------.----...-.-. - -------.- ------------------_.__.._---~--------_. ._---~----------_._-,-_._-_._._-- ___.________________.._.._____~___.__,.__._'_._.__~_.__....____~~__._._...._~___.__ _ .._ _ _______.._.__. _ ~______._..n_..._ -- ~--------_.__..._.__. -.-.- .--..--- I':] I':] VISIBLE ADDRESS I':] I':] CORRECT OCCUPANCY -M(!)(}--nCf '''en _ i_~'~~ÎH-._1 ___T._.___._____~________~____._._____~_..__..__._____ ~__.__._._._____~____.___...n___ ~-- -~._---~._----_._-------_.__.._.._._----- ._-------~.---_.__._----- --~-._.-------_._----- I':] I':] - VERIFICATION OF INVENTORY MATERIALS ------------~---~-------------------_.._-~--_.._._-----.---.--.---'--.' -------- -_..~---~ . - ---_.._--_._-.~.~-----.--- ~._..._--- ---_.__._~--~----_._-----~-_._.__..__._...._---- _________~_n ____._ I':] I':] VERIFICATION OF QUANTITIES I. .______"____m__ -- -------1-- I':] I':] VERIFICATION OF LOCATION ~ i~~_~~~~~~~~~~~~~;~~~~-~_~~~~_~;~~_:_~__~-- _u ~~-~_~~_-_~ _~- ~-~~ I':] I':] VERIFICATION OF MSDS AVAILABllITYE I _~___________._____.u_____u_____.___ __m_· -.-- ---.-~.--------- - -----i, -----....--- I':] I':] VERIFICATION OF HAT MAT TRAINING ____n_.___ ______~_____~______________.._ _._----_.._---_._-------~--_._-------------_.~---_.._--..-.--- .---- - -- ----------~-- -------- I':] I':] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -------_._----_._--_..__._.._._._._--_.----~--- ----.--------- .. ..---....-.-..---.--.- - ~-- -~-- --.- . - .~.. ~_._..._.._"--- ......__..._._..._----~.~--- I':] I':] EMERGENCY PROCEDURES ADEQUATE ------------------------- --- ------- -- - --- --------- .---.---_._--- --. --------.------- ---------- -.-- -- .--- ._u ...___._.._....___._..___.._ ___n._.___._..__.u.. I':] I':] CONTAINERS PROPERLY LABELED I ------ ----- ---------------~------- ---- - -- ---- -- -- --- --u-·---t-·-·--·-----nm------.--.--.-- I':] I':] HOUSEKEEPING I _____________u____.__________..___....___.______.._______________ ------..-r.-..--------...- nn. - _____u___.__._ __ ._ ___ __._._.._..un u._ .._m_·· _____._________.n__._____._ i I - ---- - ----.-.-----r-------------- __u_ - -- --- ---... ._m___ - .__m._ ------ --- -- .----.. ------- .-.- -- .--- .--------------- _....~ __~.._.____ _. _. ____.. _.____ ..__.__.___ .._n__._.._...__..______.+___ I':] I':] FIRE PROTECTION ________________.________.n_.._.____.___.__._.._.+ I':] I':] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: I':] YES I':] No EXPLAIN: . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ------ ----~ ~ Inspector (Please Print) ---- - ---- n~_ - -- -- Fire :)re~ention-1-st-ln/Shiti-of site - -- -- - White - Environmental Services Yellow - Station Copy BUSiness SiteResponsible Party-(Piease p¡:¡n¡¡- 0'> C5 N Pink - Business Copy :E · ~ c ," :c~ " r.r~ SiteID: 015-021-000836 [ PERFORMANCE AUTOMOTIVE I anager : DANNY VILLA "ocation: 7001 WHITE LN 118 City BAKERSFIELD Busphone: Map : 123 Grid: 16D (661) 834-1450 CommHaz : Low Facunits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:7538 DunnBrad:77-029-3816 Emergency Contact / Title Emergency Contact / Title JERRY GRAHAM / OWNER DANNY VILLA / OWNER Business phone: (661) 834-1450x Business phone: (661) 834-1450x 24-Hour Phone : ( ) - x 24-Hour phone : (661) 834-1475x Pager phone : (661) 428-2732xCELL Pager Phone : (661) 428-2719xCELL Hazmat Hazards: Fire DelHlth Contact : Phone: (661) 834-1450x MailAddr: 7001 WHITE LN 118 State: CA City : BAKERSFIELD Zip : 93309 Owner DANNY VILLA/JERRY GRAHAM Phone: (661) 834-1450x Address : 7001 WHITE LN 118 State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal ertif'd: RSs: No arcelNo: Emergency Directives: One Unified List ~ All Materials at Site ~ SpecHaz EPA Hazards DailyMax MCP F DH L 45.00 GAL Low F DH L 165.00 GAL Min F DH L 70.00 GAL Low p= Hazmat Inventory p== Alphabetical Order Hazmat Common Name... ANTIFREEZE VARIOUS OILS WASTE OIL -1- 08/05/2004 UNIFIED PROGRAM IN'ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program . FACILR NAME t't' ('..ÇO ADDRESS Bakersfield Fire Dept. Enironmental Servièes 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ìoo\ INSPECTION DATE INSPECTION TIME ~-<..e._Q.u=b-.o~-¡~_------_---~--_--_---_--___------ 3/1'\ [!UL±15C_º______ ~~~â PHONE No. No. of Employees W~:"h L~ * UÎL_____t)t'J_~_~ "ß~' ~S-O ___5L__________ Business ID Number 15-021- 000 e3~ .. Section 1 : Businèss Plan and Inventory Program . .' Gel. Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS ~ 0 ApPROPRIATE PERMIT ON HAND ~~~~-~-~_.~~-_.~-~-~-_._------~-~- ------.------- ------~----------._-----_...__._----_.._-----.._---------------.-------- m 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE ---------....--.--.----.--------.-- -----_._-_._---------------_._--_._".__._-----~--_._------,--,--_._._.._...------~._-. aa: 0 VISIBLE ADDRESS ._-------~--_...~~._------_._- . -.. - .._--~._~------_..----_._----------_.._._._---_._--- -.....--.---------...-.--.----. --- t3 0 CORRECT OCCUPANCY ---------- --....------.---.-----.------------.-..-.-.-----.-------..-----.---------.--...- -_._..-._~---- ¡¡J 0 VERIFICATION OF INVENTORY MATERIALS -~-~-_._----------_.._._.__._.- .----.----.--------------.---.------.---.-------.-------------------..--- .-.--.-- --- 611 0 VERIFICATION OF QUANTITIES ___________._____________..__.___.______._...0.....- ~---~--_._-_._--------------------_._-_.-_._----_._----..---..- -.--...--.-..-.-----.- . ~~~IFICATIO~ OF LOC~~ON _________________ ~ 0 PROPER SEGREGATION OF MATERIAL -----------_._---------------_._--_._----------~------ ---------------------..-.-----.. -_._---~----_._-----_._- _..._._-------~----- ----._--~-_._---_.__.._---_.- Ell 0 VERIFICATION OF MSDS AVAILABILlTYE ---- ---..----..------- ._._----~ ---..---.--.-------- ---..------.-------------------.---------- ~ 0 VERIFICATION OF HAT MAT TRAINING ---..----.-----...---. -------------.-.------.---.---.-----.--.-----.----.---.---.--.- -----_..._----.--- IS!I 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ------~-_.__._--_._---_.._---_.- ------..--.------.-..---.-..-.--.-.------.-.-------.--.-----.--.------.-- 51J 0 EMERGENCY PROCEDURES ADEQUATE .---.----.-------..--. .-.__._----_._....._------------------------_._-~------.-..---------.--.-..----- r; 0 CONTAINERS PROPERLY LABELED -----------------_._----~_.._-_.__.- _._~-----------_.._._---------_._----------_._--_.__._-....-----..-----.-----..-- ~ 0 HOUSEKEEPING --------~----~-----_.__.._----_.~-~-- --_._-----------_.__._-~------_._-_._----.__._---_. g¡ 0 FIRE PROTECTION ----~--------~..__._---- ------ -----.-------.--.------------.----.--------.--.-..------- I!I 0 SITE DIAGRAM ADEQUATE & ON HAND ./ ANY HAZARDOUS WASTE ON SITE?: Jl(VES EXPLAIN: W4-s í~ Ði L.--- o No / 1//1/ (L¿J~ Ià/ÍìJ() /7 ,-/ I . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 -b - ? ~hei.CL-_-__--_-~_~-_-u-- Inspector Badge No. White· Environmental Services Yellow - Station Copy -~ j--------- Business Site Responsible Party () U Pink - Business Copy - \ - -, , r . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENT At SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd )·'Ioor, Bakersfield, CA 93301 FACILITY NAME~ANŒ AuTo ADDRESS'ìCXJI . I LN""*\ [ß FACILITY CONT AC1':JË:I2IZ'( ~H,A.N\ INSPECTION TJME.i.~oD - \-C:;M \ N . INSPECTION DATE 1l{/6/1:7.z PHONE NO.(¿,~,) ß'34-ass,7S BUSINESS ID NO. 15 21Ø- 'D1~-ooo-C:COß3'- NUMBER OF EMPLOYEES '-( Section 1: (3"Routine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection . OPERATION C V COMMENTS v' .. Appropriate pennit on hand Business plan contact infonnation accurate V C.;..{ANbE-D c..e." #"'~ , !¡/ Visible address Correct occupancy ./ Verification of inventory materials v' Verification of quantities v Verification of location v Proper segregation of material V Verification of MSDS availability ........ Verification of Haz Mat training V Verification of abatement supplies and procedures .V- , ¡/' Emergency procedures adequate Containers properly labeled V Housekeeping V Fire Protection ........ . Site Diagram Adequate & On Hand v C=Compliance V=Violation Any hazardous waste on site?: 0 Yes c:;rÑo . Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow.. Station Copy Pink - Business Copy ~ US mess It esponsible Party I:pec~ ()- q~ ~-'- . ...... - - ~! PERFORMANCE AUTOMOTIVE I R~(;ElVED JAN 2 2 B sPhone: ./ ."1 001 ap: 123 .. B¥' rid: 16D / ./ ~==- STATION /Ó9 SiteID: 015-021-000836 Manager : Location: 7001 WHITE LN 118 City BAKERSFIELD (661) 834-5578 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD EPA Numb: IC Code:7538 DunnBrad:77-029-3816 Emergency Contact / Title JERRY GRAHAM w.'/,OWNER Businesp Phone: ~ 834-1450x .24 -Hour Phone () x Phone Emergency Contact / Title DANNY VILLA ~/ OWNER Business Phone: ) 834-1450x 24-Hour Phone ( ~ 834-1475x Phone , Period Preparer: Certif'd: to Fire DelHlth Phone: (661) 834-1450x State: CA Zip 93309 Phone: (661) 834-1450x State: CA Zip 93309 TotalASTs: Gal TotalUSTs: Gal RSs: No I Hazmat Hazards: Contact : MailAddr: 7001 WHITE LN 118 City BAKERSFIELD Owner Address City DANNY VILLA/JERRY GRAHAM 7001 WHITE LN 118 BAKERSFIELD Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP 70.00 GAL Low 165.00 GAL Min 45.00 GAL Low WASTE OIL VARIOUS OILS ANTIFREEZE F DH L F DH L F DH L Do hereby certify that , have I, .:Q~~,,~~~,~~ .. e- . . ~ d hazardous matenals manag re\tiewed the attacne ... Pw .....¡dthat it along with ment plan 10r~~ine8S) any corrections constitute a complete and correct man- agement plan for my facility. . . "'" .'.... ~~ -1- Ie 12/12/2000 .... ~ --=----- e e F PERFORMANCE AUTOMOTIVE I f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME WASTE OIL SiteID: 015-021-000836 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AGAINST WALL 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 70.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 100.00 Waste Oil, 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 0002 F== COMMON NAME / CHEMI CAL NAME VARIOUS OILS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AGAINST WALL (NW) ~'!NÞ ,.a 1)Q.UW' oÑ ~ou~"~t.n ~Þ\\.L Map: Grid: CAS # 8020835 STATE- TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 110.00 GAL HAZARDOUS C MP NENT %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 o 0 S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -2- 12/12/2000 ;,- ~;-_. - ~~ e e F PERFORMANCE AUTOMOTIVE I p= Inventory Item 0003 F== COMMON NAME / CHEMI CAL NAME ANTIFREEZE SiteID: 015-021-000836 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit UNDER BENCH AND ON SHELVES Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient , CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 45.00 GAL Daily Average 12.00 GAL %Wt. RS CAS # 100.00 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 ..~ 1 e e F PERFORMANCE AUTOMOTIVE I I p= Notif./Evacuation/Medical r=: Agency Notification I CALL 9-1-1 AND OR FIRE DEPT. Employee Notif./Evacuation SiteID: 015-021-000836 ì Fast Format ì Overall Site ì 02/21/19961 02/21/1996 USE PA SYSTEM OR YELL TO OTHERS TO EVACUATE TO NEAREST EXIT. Public Notif./Evacuation 02/21/1996 USE PA SYSTEM OR YELL TO CUSTOMERS TO EVACUATE AND MAKE SURE ALL ARE OUT. Emergency Medical Plan 02/21/1996 GIVE FIRST AID WERE APPLICABLE, CALL 9-1-1, TRANSPORT TO MERCY HOSPITAL OR MEMORIAL HOSPITAL. -4- 12/12/2000 , .'- f e e f PERFORMANCE AUTOMOTIVE I I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000836 l Fast Format l Overall Site l 02/12/1998 ALL WASTE MATERIALS ARE SURROUNDED' BY A BOARDED SAND BOX. ACETYLENE AND OXYGEN CHAINED TO DOLLY. Release Containment 07/27/1992 THROW OIL-SORB ON OIL AND COOLENT LEAKS. DRAIN PANS. PLUG HOLES IN CONTAINERS AND USE Clean Up 07/27/19921 I MOP OR SHOVEL UP LEAKS. CLOSE VALVES. Other Resource Activation -5- 12/12/2000 -~. - . '¡ e e F PERFORMANCE AUTOMOTIVE I I ~ Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-000836 ì Fast Format ì Overall Site ì I 08/03/1999 A) GAS - NONE B) ELECTRICAL - IN CENTER BREEZEWAY C) WATER - W SIDE OF COMPLEX D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water 07/27/1992 PRIVATE FIRE PROTECTION - INTERNAL SPRINKLERS, FIRE EXTINGUISHERS IN FRONT AND REAR ALSO CENTER. NEAREST FIRE HYDRANT - IN THE CENTER OF THE COMPLEX IN THE PARKING LOT. Building Occupancy Level -6- 12/12/2000 .: ~ -... '9 e e í PERFORMANCE AUTOMOTIVE I ëëëëëëëëëëëëëëëëëëëëëëëëëëëë SitelD: 015-021-000836 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/27/1992 j o 0 OWE HAVEZEMPLOYEES AT THIS FACILITY. 3 fJlA.t\cM~S o 0 o WE DO HAVE MSDS SHEETS ON FILE. o o o o o BRIEF SUMMARY OF TRAINING PROGRAM: SHOW EMPLOYEES ALL HAZARDOUS MATERIAL o LOCATIONS AND PROPER CLEAN UP PROCEDURES. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf ~ ~- .:¡ - e PERFORMANCE AUTOMOTIVE I " '" AUG J 3 1999 BusPhone: Map : 123 Grid: 16D Manager : Location: 7001 WHITE LN 118 City BAKERSFIELD / ßY~· CommCode: BAKERSFIELD STATION 09 EPA Numb: SiteID: 215-000-000836 (805) 834-5578 CommHaz : Low FacUnits: 1 AOV: SIC Code:7538 DunnBrad:77-029-3816 Emergency Contact / Title JERRY GRAHAM ,/ OWNER Business Phone: ~) 834-1450x 24-Hour Phone () x Pager Phone (.Q.Q.6.) Emergency Contact DANNY VILLA Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: Fire Contact : MailAddr: 7001 WHITE LN 118 City BAKERSFIELD Phone: ( State: CA Zip Phone: State: Zip TotalASTs: TotalUSTs: RSs: No Owner Address City DANNY VILLA/JERRY GRAHAM 7001 WHITE LN 118 BAKERSFIELD Period Preparer: Certif'd: to Emergency Directives: p= Hazmat Inventory p== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards ANTIFREEZE VARIOUS OILS WASTE OIL F DH F DH 1/)0 hereby cértify that i hav~H i, -po \,)\ LL~ ((~ or I>rim~þ i'~¡®W<Ð@ ~1hJ~ ®iìft~h®©1 k"öazardous maiei'ia!s manage- m®ú1R pl~i1 ~©~~oSO\\."""~ ~d iha~ iR a!(})ng with (il9DIIW of RuGiflGOO) any (OO~ij"rOO1ñ~~~ OOí1m¡~~is tal compl~ts ~nd oom~d man- ~gemsi'D~ p~fñ ~©rr M~ ~i¡~. -1- / Title / OWNER (1D1ò$) 834-1450x ((¡,61) 834-1475x (-e-t75 ) I DelHlth x 834-1450x Gal Gal One Unified List l All Materials at Site l L L L Low Min Low MCP 165 70 07/15/1999 e e F PERFORMANCE AUTOMOTIVE I f= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME ANTIFREEZE SiteID: 215-000-000836 1 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDER BENCH AND ON SHELVES Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum ~.OO GAL Daily Average 12.00 GAL %'Wt. RS CAS # 100.00 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 f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME VARIOUS OILS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AGAINST WALL l t:>/v:> ') Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 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 -2- 07/15/1999 e e F PERFORMANCE AUTOMOTIVE I p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 215-000-000836 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AGAINST WALL 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 70.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 100.00 Waste Oil, 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 -3- 07/15/1999 e e SiteID: 215-000-000836 ì Fast Format ì Overall Site ì 02/21/1996 ] 02/21/1996 F PERFORMANCE AUTOMOTIVE I I f= Notif./Evacuation/Medical r=: Agency Notification ~ALL 9-1-1 AND OR FIRE DEPT. Employee Notif./Evacuation USE PA SYSTEM OR YELL TO OTHERS TO EVACUATE TO NEAREST EXIT. Public Notif./Evacuation 02/21/1996 USE PA SYSTEM OR YELL TO CUSTOMERS TO EVACUATE AND MAKE SURE ALL ARE OUT. Emergency Medical Plan 02/21/1996 GIVE FIRST AID WERE APPLICABLE, CALL 9-1-1, TRANSPORT TO MERCY HOSPITAL OR MEMORIAL HOSPITAL. -4- 07/15/1999 e e SiteID: 215-000-000836 ì Fast Format ì Overall Site ì 02/12/1998 F PERFORMANCE AUTOMOTIVE I I p= Mitigation/Prevent/Abatemt Release Prevention ALL WASTE MATERIALS ARE SURROUNDED BY A BOARDED SAND BOX. ACETYLENE AND OXYGEN CHAINED TO DOLLY. Release Containment 07/27/1992 THROW OIL-SORB ON OIL AND COOLENT LEAKS. DRAIN PANS. PLUG HOLES IN CONTAINERS AND USE Clean Up 07/27/19921 I MOP OR SHOVEL UP LEAKS. CLOSE VALVES. Other Resource Activation -5- 07/15/1999 e e F PERFORMANCE AUTOMOTIVE I I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-000836 ì Fast Format '1 Overall Site ì I 02/12/1998 A) GAS - NONE B) ELECTRICAL - IN CENTER BREEZEWAY C) WATER -':S" SIDE OF COMPLEX ~.s\ D) SPECIAL - N/A E) LOCK BOX - NO l ß Q e..e 1..e u.>P,~ \ ~ .7 \ ÞE- L 0 c...\c....... t:....:b. Fire Protec./Avail. Water 07/27/1992 PRIVATE FIRE PROTECTION - INTERNAL SPRINKLERS, FIRE EXTINGUISHERS IN FRONT AND REAR ALSO CENTER. NEAREST FIRE HYDRANT - IN THE CENTER OF THE COMPLEX IN THE PARKING LOT. Building Occupancy Level -6- 07/15/1999 ... ' . It" e e í PERFORMANCE AUTOMOTIVE I ëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000836 /íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/27/1992 ¡ o 0 o WE HAVE 2 EMPLOYEES AT THIS FACILITY. 0 o 0 o WE DO HAVE MSDS SHEETS ON FILE. 0 o 0 o BRIEF SUMMARY OF TRAINING PROGRAM: SHOW EMPLOYEES ALL HAZARDOUS MATERIAL 0 o LOCATIONS AND PROPER CLEAN UP PROCEDURES. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj ,,;- ,:'i e e PERFORMANCE AUTOMOTIVE I BusPhone: Map : 123 Grid: 16D SiteID: 215-000-000836 ß~l\-\4S() (805) ,834-557a CommHaz : Low FacUnits: 1 AOV: Manager : ~~t4N'< ~ ~aJL"< Location: 7001 WHITE LN 11 City BAKERSFIELD //' é'BY: .. -~ CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:7538 DunnBrad:77-029-3816 Emergency Contact / Title Emergency Contact / Title JERRY GRAHAM / OWNER DANNY VILLA / OWNER Business Phone: (805) 834-1450x Business Phone: (805) 834-1450x 24-Hour Phone : ( ) - x 24-Hour Phone : (805) 834-1475x Pager Phone : (~DS) 32..16 - ß3SO¡ x Pager Phone : (90S) ~q~ -o,Co~n x Hazmat Hazards: Fire DelHlth Emergency Directives: One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax F DH L 70 GAL Low F DH L 36 GAL Low F DH L 165 GAL Min f= Hazmat Inventory p== MCP+DailyMax Order Hazmat Common Name... WASTE OIL ANTIFREEZE VARIOUS OILS Do hereby cerii1y 1ha1 ~ hs'l!S ~. ð?~~me) '. . ad ~h"" at-i' ~'r¡" i,od hazardous matenats manage review L Q ~......... Q ~tMd 'thai i~ along with (, i"\lan 1or~{ \L "Çol'L,,^~ merh i'" tt-:..me of Dusmens) any correctionB constiiute a complete and corred mg¡nø agement plan 'for my iacility. ~~ 2 - ~-~~, \Q:¡llQ -1- 01/27/1998 " 'i e e F PERFORMANCE AUTOMOTIVE I p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME WASTE OIL SiteID: 215-000-000836 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facili~y Unit AGAINST WALL Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container _ GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 55.00 GAL %Wt. EHS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit UNDER BENCH Þ<r-J!> "f\1 5."'-'é.I\JE:..~ Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 36.00 GAL Daily Average 12.00 GAL %Wt. EHS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -2- 01/27/19"98 e e f PERFORMANCE AUTOMOTIVE I p= Inventory Item 0002 F= COMMON NAME / CHEMI CAL NAME VARIOUS OILS SiteID: 215-000-000836 ì Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit AGAINST WALL AGAINST WALL Map: Grid: CAS # 8020835 [ ~TA'~E I TYPE --r-:- P~ESSURE --r TEM~ERATURE I =Llquld ___pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum GAL 165.00 GAL CONTAINER TYPE ABOVE GROUND TANK Daily Average 110.00 GAL %Wt. EHS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -3- 01/27/1998 e e SiteID: 215-000-000836 ì Fast Format =¡ Overall Site =¡ 02/21/19961 02/21/1996 F PERFORMANCE AUTOMOTIVE I I p= Notif./Evacuation/Medical ~ Agency Notification CALL 9-1-1 AND OR FIRE DEPT. Employee Notif./Evacuation USE PA SYSTEM OR YELL TO OTHERS TO EVACUATE TO NEAREST EXIT. Public Notif./Evacuation 02/21/1996 USE PA SYSTEM OR YELL TO CUSTOMERS TO EVACUATE AND MAKE SURE ALL ARE OUT. Emergency Medical Plan 02/21/1996 GIVE FIRST AID WERE APPLICABLE, CALL 9-1-1, TRANSPORT TO MERCY HOSPITAL OR MEMORIAL HOSPITAL. -4- 01/27/1998 e e F PERFORMANCE AUTOMOTIVE I I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000836 ì Fast Format ì Overall Site ì 07/27/1992 ALL WASTE MATERIALS ARE SURROUNDED BY A BOARDED SAND BOX. ACETYLENE AND OXYGEN CHAINED TO ~·"'þ.o l.\-\ Release Containment 07/27/1992 THROW OIL-SORB ON OIL AND COOLENT LEAKS. DRAIN PANS. PLUG HOLES IN CONTAINERS AND USE Clean Up 07/27/19921 I MOP OR SHOVEL UP LEAKS. CLOSE VALVES. Other Resource Activation -5- 01/27/1998 e e F PERFORMANCE AUTOMOTIVE I I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-000836 ì Fast Format ì Overall Site ì I 07/27/1992 A) GAS - NONE B) ELECTRICAL - IN CENTER BREEZEWAY C) WATER - I~ í''t;'ÞTTIi:R ~REEl2;ElWAY \.r-" E..~' <::. I "DE- 0 ~ ~ 0 "^ ,\ E..)C. D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water 07/27/1992 PRIVATE FIRE PROTECTION - INTERNAL SPRINKLERS, FIRE EXTINGUISHERS IN FRONT AND REAR ALSO CENTER. NEAREST FIRE HYDRANT - IN THE CENTER OF THE COMPLEX IN THE PARKING LOT. Building Occupancy Level -6- 01/27/1998 r> e e í PERFORMANCE AUTOMOTIVE I ëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000836 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/27/1992 ¡ o 0 o WE HAVE 2 EMPLOYEES AT THIS FACILITY. 0 o 0 o WE DO HAVE MSDS SHEETS ON FILE. 0 o 0 o BRIEF SUMMARY OF TRAINING PROGRAM: SHOW EMPLOYEES ALL HAZARDOUS MATERIAL 0 o LOCATIONS AND PROPER CLEAN UP PROCEDURES. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf .,- ~"T-, "";,. KBF· 7171 ---- - -----~-------- ----~- ~--------'-- -- - ---- CORRECTION NOTICE ----- BAKERSFIELD FIRE DEPARTMENT N~ 0360 Location 7ø I ~ J -rC LA) pez ~ Sub Div. FcJ(21V2.ANCE. . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No ( Pt-r3:-ASE USE -rt-lE AÙJtL&..rr <:?AK -~ -'- o ASJ-/ 10 $)'C-A,v¡ E.JVGI tl./e,;:" ;PARTS. - flEAS£' , ~ T $.f'AAV ðùí ,AJ t1-I£ DR'ýtE0JAY. --rJ-;4NkS./ Completion Date for Corrections 1 Date ~/Z-C7/~ 7 <t:£ 326·3979 AUG-27-97 WED 09:14 ~ .,... --.-, CITY OF BKFLD WW DIV - FAX NO, 805 835 0912 - CITY of BA,KERSFIELD "WE CARE" p, 02 ~\1~!11!P~,~ ~ ~,/\...,\.D (i~;:~ ~/~:..:-'<\ ¡ +~.:-\-a... ªù'~ ~ M ~;~ 5~~ 'if ~! ~:" ~\ ..':"1. ....) ~... .0......... . " ~--'-~~ c,\'~i'<~ i)¿i/JJ_.ø~ ' FIRE DEPARTMENT S O. JOHNSON FtRE C¡';IEF 21Q1 ~ ST~EEi SAKë;RSr:IELD, 93301 326,3:311 March 5, '993 ," _~e Mr. Ron Dyer & Mr. Danny Villa Performance Quality Autorryotive 7001 White Lane IF 118 Bakersfield, CA 93309 .... Mr. Dyer & Mr. Villa: The City of Bakersfield Fire Department has received a complaint that runoff water from the steam cleaning of engines is being allowed to flow from your business into storm drains. Engines contain hazardous materials such as antifreeze and used motor oil. If you have been discharging hazardous materials into the environment. be aware that this action is a violation of the Uniform Fire Code (UFC) and the California Health and Safety Code. VIOLATION OF UFC 80.104 (b) Release of Hazardous Materials. Hazardous materials shall not be released into a sewer, storm drain, ditch, drainage canal, lake, river or tidal waterway, or upon the ground, sidewalk, street, highway or into the atmosphere. VIOLATION OF CHAPTER 6.5 OF THE CALIFORNIA , HEALTH AND SAFETY CODE, SECTION 25179.2 (c) The disposal of untreated hazardous waste in or onto land without adequate technical safeguards threatens not only the quality of the state's land, air. and water resources, but poses a direct hazard to health and safety by exposing the public to substances that have been found to cause cancer, birth defects, miscarriages, nervous disorders, blood diseases, and damage to vital organs and genes. [Rj~©rg~w¡g[ MAR 2 2 ,g93 w....!~,~ ~~!II." ,P ~.I~ rj, AUG-2ì-9ì WED 09:15 CITY OF BKFLD WW DIV -- FAX NO, 805 835 0912 e p, 03 All free flowing fluids must be drained from the engine prior to steam cleaning of radiators or crankcases. Waste water from steam cleaning may then be discharged to the City sewer system through an approved drain equipped with an oil and grease trap. You should contact WKen-Shi Cheung at the Bakersfield Waste Water Division (835-036~ if you have questions regarding discharge of chemicals to the sewer. Eric Poore at the Building, Department (326-3798) can assist you with questions regarding the specifications for an approved drain and grease trap. 'Please protect yourself and the other citizens of Bakersfield by disposing of hazardous materials and wastes correctly. Discharge of steam cieaning water or any other hazardous materials into- storm water drains could result in a citation. Please contact me at 326-3979 if you need any other information regarding proper handling, storage or disposal of hazardous materials. Sincerely, Q _ \\--'c> ,-~ 0 ~ .' ,- ~ -oJ "-'0' ,-í"-..1~_1 Barbara Brenner Hazardous Materials Planning Technician co: Ralph Huey W)ien-Shi Cheung Eric Poore AUG-27-97 WED 09:14 CITY OF BKFLD WW DIV e FAX NO. 805 835 0912 e P, 01 CITY OF BAKERSFIELD CALIFORNIA PUBLIC WORKS DEPARTMENT W ASTEW A TER DIVISION FAX PHONE NO. (80S) 835-0912 TEI..ECOPIER MESSAGE DATE Ave, 27 _ 19 't7 PLEASE ROUTE AS SOON AS POSSIBLE TO: NAME: J../Dt.tJ4I..ð Lt.JJAJES. COMPANY/ORGANIZATION: f]vv,tþJ/-1f!ijJì». L S~tlr ŒS FAX NO. SENDING MESSAGE TO: (80S) 32~ - 057(¿, .. .. .. '.- . . . ,- ... FROM: NAME: L4fù1. ¡¿ l rt1t4 OFFICE PHONE NO.: "3'2.(.,--a2.+' DEPT. CODE (3 DIGIT SUBPROGRAM#): NUMBER OF PAGES (INCLUDING COVER SHEET): SPECIAL INSTRUCTIONS: }eL td./i:J ckd w f2F;, : fatRJllJ1ð1JC£ QV4 '-¡TV At/ì'ÞHaïl VE) 700 I WU¡rE uJ #-1/8. i.(f'~S7ðA~ ttt:54NIN6 Ac:nv,7Y " rot(... ~/)ùcrEO 1.1 I'AD.Jti J6 Laï 4 IN/tI! 10 rï'DflM i:>'ùaJJ. SIIoJG.£ I1QE Dell H-AIJ()(.£!) eN · 'i3J .()o You ~ 7r:> PUt.SvE tfðA1N» (fL l~ z: ~ 7b J,lzi) /lEJDJt.a'r Ir'NV1 8101 ASHE ROAD tn.o ? BAKERSFIELD, CA 93313 E....I\W\Vf...xWP ¡'W PERFO~CE AUTOMOTIVE I 21S-000! ~:~~~1~6~ ~ ge Overall Site with 1 Fac. Unit r3 General Information 81-_,_. 1 ~ 02/07/96 Location: 7001 WHITE LN 118 Map: 123 Haz:2 Type: 3 City . BAKERSFIELD Grid: 16D F/U: 1 AOV: 0.0 . - Contact ~a~ Title --- Contact Name Title -RON DfER ~o ~~ / OWNER DANNY VILLA / OWNER ~ ~n..€. (805) .&34 55'18x~3tf-I4-lc Business Pone: (BQ§) 834 §§7Bx Business Phone: 24-Hour Phone · {-8 9 S ) 3!H;-8834x 24-Hour Phone · (805) 831-5981x'ò34-Jt/17 · · Pager Phone · ( ) - x Pager Phone · (Be s) 33 S - 53S3x · · Administrative Data Mail Addrs: 7001 WHITE LN 118 D&B Number: 77-029-3816 City: BAKERSFIELD State: CA Zip: 9J3Ql-q~30~ Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7538 Owner: RON DYER/DANNY VILLA ""'Dp..".....~ ~\L-LA. ~ Phone: (&ßS) 834 9"578 Address: 7001 WHITE LN 118 ~ ~Q..,þ..~ State: CA ß'34-/450 City: BAKERSFIELD Zip: 93301- q3~oC:¡ Summary o 5 I, ~~~ ~ \.u...A Do hereby certify that' have ypo or p 1M} reviewed tho attached hazardous materials ma¡ "age- ment plan for\>~~~~ ,Ç\..:>\CtSnd that it along with ~ ¡ me 0 U3I1\e¡¡a) any corrections constitute a complete and correct man- agement plan for my facility. (\--~ Signa e 1-- ~-O¡ ~ e e 02/07/96 PERFORMANCE AUTOMOTIVE I 215-000-000836 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 ~ Low ~ Fire, Delay Hlth {O GAL 02-003 ANTIFREEZE Liquid 24 Low ~ Fire, Delay HIth GAL 02-002 VARIOUS OILS Liquid 165 Minimal ~ Fire, Delay Hlth GAL e e 02/07/96 PERFORMANCE AUTOMOTIVE I 215-000-000836 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 WASTE OIL Liquid tl6-- Low ~ Fire, Delay Hlth 70 GAL CAS =It: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- to 4-W I 55.00 I 70 -11Q...e0 Storage r Press T Temp ~ Location DRUM/BARREL-METALLIC Ambient AmbientlAGAINST WALL - Conc l Components 100.0% Waste Oil, Petroleum Based r=- MCP --p;uide I Low I 27 02-003 ANTIFREEZE ~ Fire, Delay Hlth Liquid 24 Low GAL CAS =It: 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 -- 3~.-%-4- I 12.00 I 3~ .<4-;-ð0 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientlUNDER BENCH Location - Conc l 100.0% Ethylene Glycol Components ri: MCP --p;uide Low I 27 02-002 VARIOUS OILS ~ Fire, Delay Hlth Liquid 165 Minimal GAL CAS =It: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 165 I 110.00 I 165.00 Location Storage :l Press 1 Temp ABOVE GROUND TANK Ambient Ambient AGAINST WALL PLASTIC CONTAINER Ambient Ambient AGAINST WALL - Conc -, Components 100.0% Motor Oil, Petroleum Based r; MCP --p;uide Minimal I 27 ~ .. e e 02/07/96 PERFORMANCE AUTOMOTIVE I 215-000-000836 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 9-1-1 AND OR FIRE DEPT. <2> Employee Notif./Evacuation USE PA SYSTEM OR YELL TO OTHERS TO EVACUATE TO NEAREST EXIT. <3> Public Notif./Evacuation USE PA SYSTEM OR YELL TO CUSTOMERS TO EVACUATE AND MAKE SURE ALL ARE OUT. <4> Emergency Medical Plan GIVE FIRST AID WERE APPLICABLE, CALL 9-1-1, TRANSPORT TO MERCY HOSPITAL OR VALLEY MEDTC\IJ GRO"P. M~/'^..O~lA-..L ù . ~ ft e e 02/07/96 PERFORMANCE AUTOMOTIVE I 215-000-000836 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL WASTE MATERIALS ARE SURROUNDED BY A BOARDED SAND BOX. ACETYLENE AND OXYGEN CHAINED TO WALL. <2> Release Containment THROW OIL-SORB ON OIL AND COOLENT LEAKS. PLUG HOLES IN CONTAINERS AND USE DRAIN PANS. <3> Clean Up MOP OR SHOVEL UP LEAKS. CLOSE VALVES. <4> Other Resource Activation - ;¡ ";::0 e e 02/07/96 PERFORMANCE AUTOMOTIVE I 215-000-000836 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - IN CENTER BREEZEWAY C) WATER - IN CENTER BREEZEWAY D) SPECIAL - N/A E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - INTERNAL SPRINKLERS, FIRE EXTINGUISHERS IN FRONT AND REAR ALSO CENTER. NEAREST FIRE HYDRANT - IN THE CENTER OF THE COMPLEX IN THE PARKING LOT. <4> Building Occupancy Level -7------ ö; . ,-'" ,;¡, e e I 02/07/96 PERFORMANCE AUTOMOTIVE I 215-000-000836 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 2 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SHOW EMPLOYEES ALL HAZARDOUS MATERIAL LOCATIONS AND PROPER CLEAN UP PROCEDURES. <2> Page 2 <3> Held for Future Use <4> Held for Future Use +--- -" ------_._-----~-_. ....;- :.. (~ - -.~~ ~. HM745901 Account Number ACCOUNTS RE LE ADJUSTMENT March 23. 1995 Date x Esther Duran From Fire Department - Hazardous Materials Division Department/Division PERFORMANCE QUAUTY AUTOMOTIVE Billing Name 7001 WHITE LN - STE 118 Billing Address Site Address Parcel # (If Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adj~stment to Effective Date of Billing Change <19.22> 03-01-95 æ~rz~ Remarks: THIS PARTNERSHIP WAS DESOLVED. THEY DID AGREE TO PAY THE BILL IF WE WOULD WRITE OFF THE FINANCE CHARGES. AN 02 ACCOUNT HAS BEEN OPENED. A "" { ~ e e ================================================================================ Page: 1 Account Billing/Collection Activity Inquiry SUTL108 ================================================================================ Acct SSN Name Svc Add: 745901 eyc st: CL Bill St: CO Parcel: PERFORMANCE QUALITY AUTO 7001 WHITE LN - STE 118 Cyc: 5 Rt: 1 Svc CIs :e Seq: -------------------------------------------------------------------------------- Amt due: Lst pmt: Pmt Dte: Prior Date 01/01/95 01/01/94 01/01/93 179.22 -160.00 02/03/94 Bills -- Balance 160.00 0.00 0.00 Current Period Postings Date 03/01/95 03/01/95 Amount 16.00 3.22 Receipt #: Type Desc B91 PENALTY B92 FINANCE CHARGE ! ================================================================================ I Enter 'I' For Billing History, 'pi To Print Report, 'D' For Detail Page, or tIC' For Credit and Deposit History or 'XX' To Exit f' .- . CITY of BAKERSFIELD "WE CARE" ~'d~"__ ,I - - 0 -- s: ,¡~~\,<-L p/,i-..... <:::, SI''''''¥1''.,&' ~~~. ð~-~ ='''' ~. ~ "'~:::=. ,..~-~~ . - ::;$S .\ ·'í· .\ ......., :;.:. .' J' 'fh"-"!?E CF\~~/¡l %JÍÍj#l#ii FIRE DEPARTMENT S. D JOHNSON FIRE CHIEF 2101 H STREET BAKERSFIELD, 93301 326-3911 March 5, 1993 Mr. Ron Dyer & Mr. Danny Villa Performance Quality Automotive 7001 White Lane # 118 Bakersfield, CA 93309 .~ ~ ..- -., .... Mr. Dyer & Mr. Villa: The City of Bakersfield Fire Department has received a complaint that runoff water from the steam cleaning of engines is being allowed to flow from your business into storm drains. Engines contain hazardous materials such as antifreeze and used motor oil. If you have been discharging hazardous materials into the environment, be aware that this action is a violation of the Uniform Fire Code (UFC) and the California Health and Safety Code. VIOLATION OF UFC 80.104 (b) Release of Hazardous Materials. Hazardous materials shall not be released into a sewer, storm. drain, ditch, drain~ge canal, lake, river or tidal waterway, or upon the ground, sidewalk, street, highway or into the atmosphere. VIOLATION OF CHAPTER 6.5 OF THE CALIFORNIA HEALTH AND SAFETY CODE, SECTION 25179.2 (c) The disposal of untreated hazardous waste in or onto land without adequate technical safeguards threatens not only the quality of the state's land, air, and water resources, but poses a direct hazard to health and safety by exposing the public to substances that have been found to cause cancer, birth defects, miscarriages, nervous disorders, blood diseases, and damage to vital organs and ,genes. ~ J' ~ -tþ- . All free flowing fluids must be drained from the engine prior to steam cleaning of radiators or crankcases. Waste water from steam cleaning may then be discharged to the City sewer system through an approved drain equipped with an oil and grease trap." You should contact When-Shi Cheung at the Bakersfield"Waste Water Division (835-0362) if you have questions regarding discharge of chemicals to the sewer. Eric Poore at the Building Department (326-3798) can assist you with questions regarding the specifications for an approved drain and grease trap. Please protect yourself and the other citizens of Bakersfield by disposing of hazardous materials and wastes correctly. -Discharge of steam cleaning water or any other hazardous materials into- storm water drains could result in a citation. Please contact me at 326-3979 if you need any other information regarding proper handling, storage or disposal of hazardous materials. Sincerely, Q ~ I\'~ I-" ~ ',.- '-Q . \...) -- "\... -'2y-e...h...J-...z. ( Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey When-Shi Cheung Eric Poore . . - --- ---,- Bakersfield Fire Dept. Hazardous Materials Division ' 2130 "G" Street Bakersfield, CA. 93301 ~~CG~U~~~ ~ JUL 14 1992 .~ By NAGEMENY'PLAN Id'b- \ 6D Þ 1r.ó~ INSTRUCTIONS: ði 4. To avoid further action, return thl TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole, Be brief and concise as possible. -, .. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ? ~r--Fo'~'\f\NAJ\I\,L't'. Qv..J~~ ~. LOCATION: -po \. \",ßJ'h~ -\ ~ a.-~ ...) \~ MAILING ADDRESS: ~ G\.;~ ~ CITY: ~\(.\\) STATE: k ZIP: 09 PHONE: ~~~- S$7ð DUN & BRADSTREET NUMBER: ï -, ~ ()¿.<:\""" ~~ ~ 4, PRIMARY ACTIVITY: A-,,-~ Q.~c..,;.,.. OWN E R: C(..Ð"'- \)'1 <2.,... \ \.::) u.. \1'\ '^"\ MAILING ADDRESS: \ \ ') "-, 11\ " .)\ _ \\ ~ ~ ~ ~ - ~ SIC CODE: SECTION 2: EMERGENCY NOTIFICATION: 1. CONTACT \2.,~",- ~ ^~' =- -\ O,~~ V~\\~ \) w \1\.. (....t= n 1:) TITLE BUS, PHONE CW~~r= (("S4: S-S¡>~ 2. . 1 , \ii\\tL V CL \ \I!è\~ 24 HR. PHONE "ß~¿ )J~~~ ~~)' ,,~~ ~ð FD' .ì. '5,..........---...or;;;:lI . Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN . . SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ). MATERIAL SAFETY DATA SHEETS ON FILE: ~¿.,~ BRIEF SUMMARY OF TRAINING PROGRAM: ~ \í;,~ e~p. aß~ h@.~~I"'&I\jí\p~ 'IM.~1'hl'At L~~f!.~r\ô""",,':o .4- f"<0~ e.\~ vtp fN (..~.&.vr~~. 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 "CALlFORNIA HEALTH & . SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, ,'., , .~.: '-r WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, -,' OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- ~ MATlON IS ACCURATE, UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. º~,~, SIGNATURE . o\...u "f\¡~ TITLE --.---- - - ~- 2. , "'l<::"." ì..J \ ~ -11- DATE FDlf>90 . .... .~ ;..r"'--:. . Bakersfield Fire Dept~ . Hazardous Materials Division ". .' .. . HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Ç)~F~~~lJL¡ QI. LILt>r'1 ~\'~,^^ð+\~'Ù SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: CcJJ ~ \\ Gv'f'-J, 0"" Ç\ r~ ~\.. , B, EMPLOYEE NOTIFICATION AND EVACUATION: U ~l. f>-A '1,,\ ~~ ö F ~ ~ t)~.QA:"~ ~ Ð\f~l,;. 10 1\l~O~~ (e'lt, it C, PUBLIC EVACUATION: LÅ~ p~ ~1d~~~ ~ ~ ~ ~ ~. ~ .~~~:. ~ \~ S:"t1ìF~ Q)l ~rc.- oJ.· D, EMERGENCY MEDICAL PLAN: ~\V~ f1 f"~ ðI; JtW @\Fe © (f' C..JiQ QJ li t Mû'~ ho':"p; '<!J;t , V~ f'I\e&¡-<.J ~roµp <, ' ~~~~ Ç)"<0 3, FDlfOO ~ ,. , . "J '-h.. ., ~,_...~ ._.;¡o::::~ ,\ .... ,/' . 7' . ! I I . Bakersfield Fire De' Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RElEASE PREYENTION STEPS:' n o.J1. "W(),.::J..t, vAak-tr. ¡,M(", '> eo~~J· ~~~J. ~:''iì~ \ ~@),,,J =Ì ~~ , ~& D"D~"". D.(~ S\J. r ow~ <'&º \0( (k ¡\-c...{, ~ ð~) C-~a.lV\eJ ~ w& B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Th7òF@..J 0'\\ b~~F\r-.} OJ'^' ~~\ .i4 ~\~ \~Q.k~ ~~~~ kt}l~s t \f\ Lo.,;~,ç.a..M 4 v--~-(. d,r-4.\ ~ þCl.~'\.') C. ' CLEAN-UP PROCEDURES: V\1\ 0 P 0 r S \.vIäV J \.v.p \ -eCb~~ , I \.\ ~ltJ~ 'V~~,J \?ß ~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: CLi ð 1\.1~_ ELECTRICAL: c_..e.........+-e.... b re.:LL< \IV (,)..'1' . ì \..} WATER: \ 'Y\. (..0 .. J-..- 'D .(''(''1,,;Z''t. ¡..) Ú=-"i SPECIAL: /\1..J ~ , , LOCK BOX: YES/NO , I. f IF YES, LOCATION: \ ,\ ,- " SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A, PRIVATE FIRE PROTECTION: \I'\--+~i\..c;j ð-p'r-\'k \t.-S 1 ð=-, t"'''' E: ~-\-. I V' ¡:::.,J. 4 J¿ ß,t.I..r ~\ ~ 1JJ ~.¢ý"' B, WATER AVAILABILITY (FIRE HYDRANT): 11('\ + "'~ ce--....:J~ 'oF 4--'h-<... ~'P\~ ~ '" ~ ~ , J¡.. ð p~.Jl., \'-'>~ l e>V 4, ~..:x t' OF BAKER.SFIELD MATERIALS :.~. CITY HAZARDOUS " ,I s ~' . page-Lof'';> , INVENTORY TRADE SECRET and Agriculture 6 standard Business o c ..-'-...,- ID NAME OF THIS"FÁCILITY: , ' STANDARD IND.' CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ':J]-J)2-J-~jsl~ If" \\.. ~ , NON - ~ OWNER NAME: ADDRESS: _ CITY"ZIP: PHONE ,¡: . Farm BUSINESS NAME: LOCATION: be CITY, ZIP' PHONE #: 13 'by wt 6 4 1 Trans Code Nf ' I Number Nùmber Number & C.A.S & C.A.S Component # 1 Name Component # ,2 Name Component # 3 Name ri:~laYed Health C.A.S. Number o Physical and Health Hazard (Check all that apply) o 0 & C.A.S. Innnediate Health o Reactivity Sudden Release of Pressure Fire Hazard ~ ).~ \'o~ ~"2... '1- \ "Z. IV\. N- ~ dN-o ~ If A 1"\+-" ~ & C.A.S & C.A.S & C.A.S Component # 1 Name Component # 2 Name Component # 3 Name \..\ 1 ~2.- l.e ~-() [J/Deià.Yed Health Number o C.A.S. Physical and Health Hazard (Check all that apply) o 0 & C.A.S. & C.A.S. & C.A.S. u..~~ Name component # 2 Nàme Component # 1 1 ~e1aYed Health o -2.1.... Innnediate Health o Reactivity o 2.~ o Sudden Release of Pressure 'Z.. l'L , ' PhýØica1 and Hea1th'áazard ~, (Check all that apply) :: b Fire Hazard 0 Hazard Fire Name ;~ Component # 3 Innnediate Health \L.- c; Ic)~ Reactivity Sudden Release of Pressure ~1) ~s M N Number Number & C.A.S & C.A.S. Component # 2 Name Component # 3 Name ~e1aYed Health C.A.S. Number Physical and Health Hazard (Check all that apply) o 0 a~ ~ U Hr Phõñe Number & C.A.S. ~"fL 24 Hr. Innnediate Health o Reactivity o Sudden Release of Pressure Hazard Fire ~~ Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) .'d I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents individuals responsible for obtaining the information. I believe that the submitted information is true, accuratø, and complete. TItle #1 EMERGENCY CONTACTS those of inquiry l-\~-~'- DATE SIGNED my bassd on and that )~.~ - OWNER/OPERATOR'S AUTHORIZED REPRES~IVE NAME'AND OFFICIAL ·.OF, BAKERSFIELD.' . ~ ',' .", , ,,',., - " . .',. ,;: '~ IDOUS MATERIALS.. :IHVEIft'ORy', " , " ""::Y .: - Page ¿:'of.3,. IiOØ TRADE: SVI"DPII . . ,_/d·. '.~-::':~~..~~...-.,~~-_-_.~A;..~.,~ .,:,:~.~.:'¡"'~" ~_ ~'_"~. ..:......~!..~. :~.~:~'\.~,_ ,t,' ..-. ___.OWNER NAME: ~:Q~~ ~,", _ '\)~~~,~i~t\;i.> NAME h~:':TH:t~~_~~ILi.fi-;~:'" :,.' . - _ ADDRESSz 111. . LJ. '" ... .:>\ ~ \ ,~,,~. \Ù.J,.~ STANDARD, IND. CLASS CODE: -' CITY, ZIP: 0 'i!. c '1' DUN AND BRADSTREET NUMBER/FEDERAL ID .-,.;.~PBO~~t:; "h'~ - 'b-~~'~5\::'>'~~,'i.>\ . , '"'J¿ :r::-9~'i -~ lS!...\g, . RD'BR'1'O Œ8TRuC'fiœS PÒR PROPER. ODD_' , , 7 8, 9 10 1.1 12 -U- , Days . Cant· Cont Cant. Use Location WheEe , by on~ ~ite I Type) r p~ss I ; Cod.!.., , S1:ored in F~iU wt ~~ ~ ~ Iò;. . < :-vJo..\, Physical ad Health lfaz¡mf' C.A.S. Numherl,q~"~'t.~l9~-~ , 1 (Chack all tbat apply) . ' . O r-r 0,',' 0,' t""nt " " '2 , Fù& JJazarc! W 8udde1i b~. Reactivity , Immediate \.-..';;I' Delayed , t ' of PÆsue, Hsaltll, Health '..., , 3 - - - '"'~ ©>7{. ~ lfUlllber 1fÚmber ØWDber t.1 Uumber ~ IitIII!ber: !lame Ii. C.A.S. llame Ii C.A.S. !lame & C.A~8. \JdI~ - '. - ¥n_ 'þ¡? ,~ L- j)l c """,k B 1 Name Ii C.A.S. i 2 JlaIÍie ä' ¿.A.S. " " f 3 Il81ÌIe' ~~~.S. ~~, Component ~t 'CcmpcmeJtt , " ~, C.A.S. Nw::bEir" 'tIt~:¡ \J< t. ~ ~ '5~ . . ': -',' - ~,'.. ~.'. -, .'. \', '," ,:. ,cT', ReactiVit.yi!l J:1!anaaU.át$. a ~ .', '. !teaJ.th· ' Health , , . j' ',~:' ",..: -, C IT""!t": OF B~E:RSJr':r:: ELD r f . .. . _ . . .~..' ~ -- . - . . ~ - . , ,: , ' - ' ',,' "..> 1IAZAJ)()tJS MATERIALS· DfVEN'1'ORY ,OF . and' Agricùlturè ~tandard Busi.ness .;. '" - ;"",' . '"',:f:'~",_· ,">:'.' .,'"--,, ",:' ,1IfW:':~';~:'~~'.~,":)'" 'B~Snœ8$. NÀMÌh'~~~~~_ à~\-\~:,~~ OWNER NAMB:~.-ÇX.tcl-;:'\~~-.i\'~, :"~~\\i'¡'" LOCATION. fOOl v..)'\(\.\~ \-"" ò\\\'. AnDRE. 88:\\,- ~''''-(..ù\__· \ \~I:>O '\Jm>~~.... CITY, ZIP: be;...\(.,· '1 ~~C c¡ CITY, ZIP: . 0 'is!:' t) 'í : PHONE h q ~S<:i. ?~"c ')'"5 ï'J) PHONE ,.1: ; ë.. '1 L ¿('¡)~ ,'11·3' 5"~ 1;1 . .... ." .' RBFBlt. ro· INSTltUC"fi0Jl8 :FoR PROPER.' CODES,: 4 S I> 7 8 9 10. 11 12 , .{ Average AIu1Ual MeasuEe.,' Days Ccmt Cont ' èont US!! Location WheJ:e" _ ~ AJnt·· Units on Site ~ Coda Sto:œd in FacUity . I) I \ ~ I ~ I 3 ~ 5 O~,' \, . '-{ ~ Ú'.~-J- \ÑuJ\Â. C.A.S. Dumber/\JO /..J~ _ camponent' 1 Name & C.A.S. ~ D D'.-./ . 1"'''''13p''ft_t I .2 Name & C.A.8. NÕmber . Reactivity Immediate ~ Delaye4 . aeaith:. aea1tb;. .; Compcmeø.t,3 lfamS 5 C.A.8. 1Ilumber \ ~ p ~ I . " "{ paqe~ ~f\-~ ',·..,,::',X .',.... "~~;:::.:"<.~~~;... ~<~~>.. ." /'-~~~, NAIm OF 'rBIS"'F~CILI'rY': . STANDARD·IRD.-'CLA8S CODE; DUN AND BRADSTREET.NUMBER/FEDERAL ID. , :z :x - J} 2-1 - ~1ì'J. i.9 14 . Names of Mixture/Components See Instructions . (t)~1 ~ "13 'by Wi: vJ PhJ8ical amt IIaalth Bazaz:d (Chsck all that apply) : o Fiœ' Buard 0 Sudden lIe1easa of Pressure N . W~ , ' . PhJ81cal and Health Baza.t:d C.à.S. llumb8r' Cm:ponent 11 1 Nama & C.A.S. Number . (~ all that appl:rl, .;. '. .'. j ,. '. ~' ":'rJVi'~~,O ~utden ~ :'0', Rœct1~~ . ær/~;'D ~à~ ~9?!t:' :1 Name & C.A.8. ~ of PresSUJ:8",· . , :aêa1th HØlÙt!î, OO:!IIpaIisnt , 3 Same & C.A.S. ØImiber ::s::rYJ 1~~ ,I . t t>O I ~. ~ FT';) L~\s. S' ~ (l~~~ u.)~JJ ~ica1 aDd Røa1~' ázâd : . '" c.i:s.'!IIJI\!ber·l t[ì. ~ . <¡$.(g.. ,.- Ç; Ci01Dponeø.t It 1 JJame & C.A.S. ~ ~,;·(ChecIt all tJlatapply) '. " ". . .' "',,' , ' <;:..-./ . ::::7 " '., . ........./' .' CœI:ponsnt , 2 JJame & C.A.S. 1iumber 'Ödf Fiat HazUlS. . c:r Su4dea' Release'Q ~vity ur Immediate 0 Delayed . ',' '.~: ' ' .' ',':, ;:,af~ ,.'..',.... ..~~ . Hea1tb Camponeø.fö~ 3 !lame Q C.~8..,~ EŒJ ~~" 1'\00 t?~: H:'¡.~;>J ~\g.S ~'~<eft~, wWle',. P1:IÍaica1 aDd Hedth~. ,C'.A.~.'IDmI1Ist' '77"ir'2. -4~;" '~ ,1: ~ &C'.A.S. M:Imber. , (Check all ~ apply)", , ' , .', ' '. 'D Fiœ Hazazd' c:¡r;. ~eas8 0' ~~Vity C1 I~ate 0 Del~ ~-t' 2 ll,uø & C.A.S. ~. ',Of Pressure.' . Hea1th . Health 0ampanen1: t 3 l'lame & C~A.S. Rumbør: . . - .,.. ;: ~ <X>Ø'J'ACTS f1-i.~ Ç) \ ".-- ~~.. ~ , . 24 ¡;. ~ t2 ~:;;~, 11 ,\~ ~k . , "'r ;. ~{:.::.:. eeñ1fl.ca1:1œ ,', : (~ ARD,SIGN AnERCOMPLE~ING ALL 8 ~IONS) .'. . ..,:', :..., . -<. . 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