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HomeMy WebLinkAboutBUSINESS PLAN 9/23/2003 " PERFORMANCE Ai.iTC(v\()f1 V E I 7aJl_v.>.~~_ffJ(~_ en.'."'.'.'........... '\J \ ~q~ " ~30 92, I 98 99 1~5qO\t,lfo \..-\ , J . ,..j ,,~ r,() ~ - - ~ - - - w '" " /, o -j * -'I 'j (. \~:,' I III ,i' \.r f(l~~ rl ~- ~ ~<\ 81 .n ti) 2. fl. I:f" rI M rt! l"'I , :..... 1"1 c:. ~.:tri f1',J. '04%1: fI1 Ct -' rl !Ul:I:: 'Q;.l-tr" WIJJ::::Hft j.1J OI:::lP-l., <to f'!1Z - E.;t.JZ PlttiWg UI l!"l(ttUV10 l~l Z'.l'.-J O<tHIJJ1:l l'- ::::: ".ofi- d ~1!.tf.L. CtZt:l 1;1":,% O"u. 0::Cl:: 1J..j:)9::r1W;::t OC!-Wfll XI- tJJJ",I:t:L.LtJ .~JJ.t (ktJ::....:rmo:: ,\ ~t'- / , ~ ., .;, I, '.\ ./ \ I ""'..'->.- f .- ,",', "" ~. ," ~. .:,.......... .:: I ,f (' ;,~:; j:""? " '- (1; ,. ..! 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'" .. ~..: /;- ;,J " I" d. , ,~ ;,., " " ";{ ::.~ " '>~~: ,,,;'..: '!;:" " i"':' };::::: ",,': 'J,' ':.~: ~j -;:"" ~~ ',"., ,", '\ " ~;r,t,:¡, ":: , ',:,:,: . j;~~{::~ .." .'><c " ,;:' ,...., '('::,r, "," :},,:' ,:/' :""." :"- t' '..fer",'·, . ""'. .;:, Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 INSPECTION DATE I INSPECTION TIME ...._-~ 2~ 1~~1-1~t~'-FJ~90iii'- ..---------otJ.- ...-.....n-..---iBUsinessID Number ...-l.._...,5~_....n_.._. 15-021- 000 83'- UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program FACIL~ NAME mu__ .. ~c.-~~r~ ",,,,,,-'-€. n' om _OVJ.O ~X",' e ADDRESS _. '.QQ_L___LU.b :n__.._b.~. _.~...jJ<6_._...__.... FACILITYCONTACT - Section 1: Business Plan and Inventory Program tia Routine c:J Combined c:J Joint Agency c:J Multi-Agency c:J Complaint c:J Re-inspection C V ( C=Compliance ) V=Violalion OPERATION COMMENTS ~ n ApPROPRIATE PERMIT ON HAND (2J c:J BUSINESS PLAN CONTACT INFORMATION ACCURATE Cl 0 VISIBLE ADDRESS ~ 0 CORRECT OCCUPANCY ~ n VERIFICATION OF INVENTORY MATERIALS ~ 0 VERIFICATION OF QUANTITIES 52 c:J VERIFICATION OF LOCATION ~ n PROPER SEGREGATION OF MATERIAL m c:J VERIFICATION OF MSDS AVAILABILlTYE q;J c:J VERIFICATION OF HAT MAT TRAINING -----~-----~.._- ri 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ---------"---------. t2J c:J EMERGENCY PROCEDURES ADEQUATE .------- --._------------ t; n CONTAINERS PROPERLY LABElED ;_~_ ;,~;S:::::;. .~-_.._---J.----------~---_._--- --.---.-.--- -.- ----.- -- ----- -- ---m---J------- ---- ---- ----- ...-..-.-.. ---.--.---... ....--- ~ 0 SITE DIAGRAM ADEQUATE & ON HAND I I ANY HAZARDOUS WASTE ON SITE?: ~YES EXPLAIN: WA..s 14C.... ()i <....-- r:J No / / 1/1/ U 4!.u:J( 1/ /)] () /7 ,-/ I (, QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ..~--.~o.chei.o.-....__.__.._.....#:_lD.s--.-- Inspeclor Badge No, -~nessS;l~ Responsible Party While . Environmental Services Yellow - Station Copy Pink - Business Copy O\C~ ~ .. / PERFORMANCE AUTOMOTIV~ -- / '\ \ '2.31()~ :. Manager : 'DÞ.ÑM~ Location: 7001 WHITE LN 118 City BAKERSFIELD . 0 1.~~) ()t"\ 0 BusPhone: Map : 123 Grid: 16D SiteID: 015-021-000836 'ò 1 '-\ - ) 't ~o ( 6 61) 834 -.g.:; '7 B'" 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) .:2 0 5 <) e 0 1 xC'F.LT. Pager Phone (661) ""..... ........." : : ~'i~-'i".., \~ tE.. u... u.,_~ - '2... "\~'). r f.l.l. Hazmat Hazards: Fire DelHlth Period : Pre parer: Certif'd: ParcelNo: to Phone: (661) 834-1450x State: CA Zip : 93309 Phone: (661) 834-1450x State: CA Zip : 93309 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 7001 WHITE LN 118 City : BAKERSFIELD Owner Address City DANNY VILLA/JERRY GRAHAM : 7001 WHITE LN 118 : BAKERSFIELD Emergency Directives: i,~~ ..)~t"'" Do hereby certify that I have ( I' y~ or print name) reviewed the attached hazardous matsiials manage- ment plan 1or~'\.""'.....œ~"TÞat(id toot i~ $.!©ng with (Name of SutIinese) any ooITedions constitute a complete and correct man- ageme~ plan k>r my iacUity. ~gnature -- ~ \~ 102. Date -1- 09/16/2003 'i: . F PERFORMANCE AUTOMOTIVilt I f= Mitigation/Prevent/Abatemt Release Prevention . SiteID: 015-021-000836 ì Fast Format ì Overall Site ì 02/12/1998 ALL WASTE MATERIALS ARE SURROUNDED BY A BOARDED SAND BOX. ACETYLENE AND OXYGEN CHAINED TO DOLLY. CO (3..AL ~4C\~~ 0\\... I:>1'Lv.....N-.~ Ñ-'t)~ 5 \"' 0 p.,> ~Q...~~e.. '::>~~...., Q..~\C"E;..~~ .. Release Containment 01/04/2001 THROW OILSORB ON OIL AND COOLANT LEAKS. PLUG HOLES IN CONTAINERS AND USE DRAIN PANS. Clean Up 01/04/2001 ] I MOP OR SHOVEL UP LEAKS. CLOSE VALVES. Other Resource Activation -7- 09/16/2003 ;";: ~ F PERFORMANCE AUTOMOTIV~ I F Training Employee Training WE HAVE ¡ EMPLOYEES AT THIS FACILITY. . SiteID: 015-021-000836 ì Fast Format ì Overall Site ì 01/04/2001 WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SHOW EMPLOYEES ALL HAZARDOUS MATERIAL LOCATIONS AND PROPER CLEAN UP PROCEDURES. Page 2 L I I Held for Future Use Held for Future Use -9- 09/16/2003 Operil.te PerDl.it to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ermit is issued for the followin 't,I@~ardous Materials Plan .'.." Iround Storage of Hazardous Materials lagement Program . Waste PERMIT ID# 01S-D21.Q00836 PERFORMANCE AUTOMOTIV WHITE 7001 LOCATION :\ ,~ \' Approved by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 . Voice (805) 326-3979 FAX (805) 326-0576 '- Expiration Date: Issued by: Business Name: Location: 7 () 0 \ - Bakersfield Fire Dept. . HAZARDOUS MATERIALS DIVISION V" Pf'V' ~ov-""" 0\1.. r Q Date Completed _I CJ - t c¡ - o¡ / A IJ t-ó ~ 0 ~ : \r L REceiVED U "I W~~t~ ..bl OCT 1 6 1991 Business Identification No. 215-000 ~ 000 ;;l.. 7? (fop of Business Plan) Station No. q Shift C, Inspector 11- e"'\ J Ý' ì Co- k 5 d HA7 MAT.O'V. Adequate Inadequate Verification of Inventory Materials D D Verification of Quantities D D Verification of Location D D Proper Segregation of Material 0 D Comments: 0 D Number of Employees 0 0 Comments: Verification of Abatement Supplies & Proc D 0 Comments: Emergency Procedures Posted 0 D Containers Properly Labeled 0 Comments: Verification of Facility Diagram 0 0 Special Hazards Associated with this Facility: _...-- Q All Items O.K. D Correction Needed D Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy " - e . /.:¿ '5 .I' @ BAKERSFIELD CITY FIRE DEPARTMENT RECE IV~ÓA. .. 2130 "G" STREET BAKERSFIELD, CA 93301 JUl1 3 1987 193 -,1'&0 (805) 326-3979 ~ Ans·d............ ~ U -.JNS r i OFFICIAL USE ONLY ID# /Ä7/fn ?-l '3> !BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH, 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME:~\-eo\-~d..N'-~ . Q..\.A -n.) '1f'Ÿ\("" T\ \Ie.. B. LOCATION / STREET ADDRESS:~l)' " ,* Lt.')h\"T~ LU.1 tJ.N\\,,,", HGt. "to. tOz., '01 CITY: \Oe.\..~~ Q~'J<.Ì ZIP: Crb'3>OQ BUS. PHONE: (fbS) S '3{ð -8 Boo SECTION 2: EMERGENCY NOTIFICATIONS In 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 law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE í / DURING BUS. HRS. AFTER BUS. HRS. A. .::!5'""l"ð~ ~,:;h..¿5:. Ph#é3~-B6oð Ph#'"3QB - !ß2Gf.,s- VJ-f-l.( G¡./~~ Ph#B:š0,....!ß~ Ph# ~3L/- ?J"J3/ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - e e \ _"",~ ·.0 ' ~~y. ,¿ , ,.. " ~~ '\:1 ( '1 ,'I;!' , , ,"', ,r . ',J ..t . ~ .' ~' ~ - J. f ( ~:i ..;: ,:..- SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE N/A SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE ~~Sï '- ho S p, T~C SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . . Ð. EMERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . . E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... INITIAL ~ NO ~ NO ~ NO YES @ REFRESHER G;) NO ! NO 'YES NO Y NO YES@ SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:......~ NO I"~~ "" l~ , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SrGNATU~ ~!TLE rr,l~f- DATE ~ It).. e 9- - 2B - ,,'. ~,;. -! (., ']I: f e e .~ ~ BAKERSFIELD CITY FIRE DEPARTME~T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRI~T YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED 4. Be as BRIEF and CONCISE as possible, \ot. lO't, . FACILITY UNIT# H,Cf '" ,to FACILITY UNIT NAMErP~~ó....u .D BELOW . ~ "'h:?'Ih\..û"'h ~ SECTION 1: MITIGATION, PREVENTION, ABATEME~l PROCEDURES Þt \ \ l;.J 0- 5'T~ ~ \ l. \ ~ "'5-rore-d ì \\..1 ST ~ b b \ s" u.) .\~ .6C-\-~ tJ PI u 6 S ç1., ~u.' d N.O\ .6 p~ « (. '\ (? \" \ ~ p--e..d ou ~ G "'r. I\L ~.e.. ~S.e. 0.9 Dt-l.e. 1o.(2 ~ G da.}'Y'£k.û~ ~ a .5P;" occ.'-'-....~ '-'<J~ ~-e.P ë:~{;.~rb:uuq- , .~ ~ . r~c..¿ ~~u.:.. p()W~ ð tU Pr-e-W\, ~~s """to 6oO-~ uP ð ~ L .. we. '^-\~o U~ 6P\ \ L ~ o....,O,St,rb~1'-(..cr ..tv ~t-o)?"') Ou. r .bo l (.)~M ~ ~~ ,-OL 1U '\<", /A .p ð..~ '1. ~ö~"-'~ I ~ctT ")... Cis úa1~, l/YIa...tI(- "ay\ (,4. 4 W\~ SECTION 2: NOTIFICATION ~~ EVACUATION PROCEDURES AT THIS u~IT ONLY CD \j ~~\o4.Ll ~ ~...e.lL ~yY\ P I 01.1~ ~ c.. L/) ~ ~0-(... b '-1 iyn.Qa..~ ð P. d.o(J~w~ ~ .. @ Cft,(( q l \ - 3A - e e \1\. . ~" " ¡- '\; . \' .. "'" \ SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? .... .~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION DN-e. ç, ~ ..¿ )LoT; N 6Lds h,eJ.., I ÌtI ~ t/ ~ í r , " SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS s~.e 511"-e pJa ,J ) SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A, NAT. GAS/PROPANE: ~ pIa-it.! r ;fb~/'I, h., ¡o J e:uJ ~>/ -+-< c: r B. ELECTRICAL: I( il r" I( 1 I( C. WATER: { I it ¡ I I, , I"{ D. SPECIAL: /JIll , E. LOCK BOX: YES @ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES / NO KEYS? YES / NO - 38 - / /" '. . ., -'-- 0 f . Í-.::. , ' .~ .~; l' :e'" 101 ~ If), .., lie¡ ç IlO UNIT #: ..} '8A1 ~11J Page FACILITY UNIT NAME: BAKERSFIELD CITY FIRE DEPARTMENT /'2020 ( FORM 4A-1 NON-TRADE SECRETS ¿'1 HAZARDOUS MATERIALS INVENTORY ~ '"RJC.J::-C1JtK.L(¿ ~1V ~~" (kNr., ¡.- , BUS I NESS NAME :~"" ~t-m(lAi c.. l.A.\'öllV\oT\ \Ie- OWNER NAME: F/:ILAIJe. i=õ~1ê..¡- ADDRESS :'3oJ( t ù~ ;T.q.. t..-...\. . uÑ\'T~ lð/. IOlll/fef 12.0 ADDRESS: ~~~ ~~:~ ¡:¡iI~, C I TV, ZIP :13et.¡¿~~4'4< .J 93:3(Jq CITY, ZIP:_ d PHONE #: g:!!!~.ti"'J - _..-!11, PHONE #: <Ç\ 3.5- n?_C:: ~ FACILITY 9331:3 77-- _(2 # D I CODE 10 HAZARDID.O.T CODE GUIDE CFIRS USE fOFFICIAL ONLY 9 8 NAME OR COMMON ~gò8' CHEMICAL IT\O'b~ ð tL % BY WI...:. II. (J11'JI-Q em I-æ (Jh1/-Q 6 7 USE LOCATION IN THIS CODE FACILITY UNIT ~ 1../0 Ñ.iLI\_,-"d'~ ~ 1\i'Q 1 TYPE CODE Ò'P ,~t tI 15 64l ,5 2. 20 4 2.1 S}p bOP 71221 5 CONT ::TODE Gal A Dl,.;. 4 3 ANNUAL AMOUNT ~SO 2 MAX AMOUNT C-rn L ~ (Ø.h1LQ _DATE: Wio",BQ:: 8g¡;,~B -¡:Joe> é3 g6"-O 55- IS1ýE~ 59x ~ ~'8Ü?( .J..Jå..S1?,¿ ~Tt)~ ~:)(\... J 5'1t lY\1Y\'n-r- (!) ; L a'3'D ð" ~ vY'- OTD\t ~ d... ¿:::)'8'ð ~ Wd~"nO iIYl.h~¡" ~~ l ·SIGNATURE ~ ~¿I /1 L_ A"'- 7~ - -;;;::Æ ~-,;) PHONE # BUS HOURS AFTER BUS HRS: / /ðo"kJ I )1'<ts'T<" '1Þ tp ¡. 12.,'t " ,) ~hJ<-N r- ~ ~.JI.T'9 WI...._. 100 IJA bO(¡)o ¡aD"?o ; tèr"",A IÔOCJb I o.-.Ci'I , ~ 6::' '. 0 '$;.' , :.,..¡;;. ~~~!ri,~J~QI. ~.. W. Cð~j.-'" 1 b 1.- . ä 6~ £ ~hU!j,- £ß~\L oji ~ L.... '}f"JL.U ~ toi 10\ q.. "'-""". ...... 1 b /1, A1 ..I A J::... TITLE . ~, . <!)~ : N A ME: F I-t.1.. 'Ai. ï::: ~s 7' t::J:::... TIT L E EMERGENCY CONTACT: ~~ /i b.t1fL~ u 13108 Qk~ eé> LK) If t\ ( I. If II h d 0 ~ ~~ ÐßO 250 'Z.So 500 2..2ö 55 55 '2.!2-0 : PHONE # BUS HOURS AFTER BUS HRS: : 4A-l ACT EMERGENCY CONTA~T: PRINCIPAL BUSINESS ';f-:' -i'.(::....- -¡;.. w ci -@ Shell -- e 1/ ',,--. . MATERIAL SAFETY DATA SHEET MSDS NUMBER ~ 71,630-4 24 HOUREMERGENC'(:ASSIST ANCE ...... ,. . ,/.. GENERAL MSP$ ASSIST ANCE( 97367 14-851 PAGE 1 ACUTE HEALTH' fiRE o 1 ~ 1 REACTIVITY . ~ .... LEAST . 0 o HAZARD RATING r HIGH - 3 SLIGHT . 1 MOOERA lE . 2 SHELL: 713-473-9461 CHEMTREC: 800-424-9300 SHELL: 713-241-4819 EXTREME . 4 *For acute and chronic health effects refer to the discussion in Section 111 SECTI9N.' ... .,' ."..':.": ;..;'':-': ·c,<,.c- ., .' ..,..., ',...' .',:'" '...' :':..'.':...:.,.: ',"::' .",. '.":', .. .':-";';::, ",...... :',:: , ' . PRODUCT ~ SHELL ROTELLA(R) T MULTIGRADE 15W/40 ; CH~~~~AL .. MI~~~RE (SEE SECTION I I -A) : CHEMICAL ~ PETROLEUM ; F AMIL V HYDROCARBON: MOTOR OIL SHELL ~ 50012 CODE ---------------------------------------------------------------------------------------------------- SECTION II-A PRODUCT/INGREDIENT ¡.------------------------------------------------------------------------------------------------~--- NO. COMPOSITION CAS NUMBER PERCENT -----------------------------------~---------------------------------------------------------------- P SHELL ROTELLA T MULTIGRADE 15W/40 MIXTURE 100 1 SOL. REF. . HYDROTREATED DEWAXED HEAVY PARAFFINIC DISTILLATE 64742-65-0 30-40 i 2 SOL. REF. . HYDROTREATED HEAVY PARAFFINIC DIST. 64742-54-7 15-25 !' '-... 3 SOL. REF. . HYDROTREATED RESIDUAL DIL 64742-57-0 5-10 4 ADD IT I VE PACKAGE 30-40 -------------------------------------------------------------------------------------------~~------- SECTION II-B ACUTE TOXICITY DATA ---------------------------------------------------------------------------------------------------- NO. ACUTE ORAL LOSO ACUTE DERMAL L050 ACUTE INHALATION LCSO ---------------------------------------------------------------------------------------------------- P NOT AVAILABLE BASED UPON DATA AVAILABLE TO SHELL, COMPONENT 4 IN THIS PRODUCT IS NOT HAZARDOUS UNDER OSHA HAZARD COMMUNICATION (29 CFR 1910.1200). ---------------------------------------------------------------------------------------------------- SECTION III HEALTH INFORMATION ' ---------------------------------------------------------------------------------------------------- . , THE HEALTH EFFECTS NOTED BELOW ARE CONSISTENT WITH REQUIREMENTS UNDER THE OSHA HAZARD COMMUNICATION STANDARD (29 CFR 1910.1200). EVE CONTACT LUBRICATING OILS ARE GENERALLY CONSIDERED NO MORE THAN MINIMALLY IRRITATING TO THE EYES. SKIN CONTACT LUBRICATING OILS ARE GENERALLY CONSIDERED NO MORE THAN MILDLY IRRITATING TO THE SKIN. PROLONGED AND REPEATED CONTACT MAY RESULT IN VARIOUS SKIN DISORDERS SUCH AS DERMATITIS. FOLLICULITIS OR OIL ACNE. '- INHALATION INHALATION OF VAPOR (GENERATED AT HIGH TEMPERATURES ONLY) OR OIL MIST FROM THIS PRODUCT MAY RESULT IN MILD IRRITATION. OF THE UPPER RESPIRATORY TRACT. \ i I ¡ I I ~ ~ TV I:3AKEKS~l ELl) :- . , us ERIALS INVE ì Farm and Agtlculture [] Standard BusIness I NON 0 ESE eRE T S $TCU< '..It' ,J~9J.o- ___ of_ Eg~Å~ïðft:gE: , ~ ~i 2M~~M~HE:-l ~. MtH~D2~DT~h~.F¿mp~¿DE:£.e",",¡~ ~...n,J-__ CITY ~ ZIP: ~ ð CITY ~ zlp~ I 3 DU~ AND BR~)SJREET NUHBER~ - c:--:~ - -~ PHONt: ,,: - ¡- .,--- PHONt: It: :' ~ ~ -,., '2-0 - -rv u\..O -- REFER TO-¡N~ R-PROPER CODES - - (.¿ - - - - - - 1 2 3 4 5 6 1 8 0 11 12 U Tr~ns Ty~e Max Average Annual Hea$ure 1 Dys Cont nt Use location Where !lalles of lIixture{çclI'conents Code Code Allt Allt Est UnIts on SIte Type mp Code Stored In Facility See Instruc Ions . ~ 250 1 25012DOO ~3lcS 103 [ 02" I~.£.~ .~ .· /lJ/ ~ Physical onld Health Ha¡ard C.A,S, Number h"l1'1Z-SY-. ~onent II Name I C,A,S. Number (Checkal that applY¡ ,~,' ~ I 4'41 --- , 5 ' Component 12 Name I C.A,S. Number [] ReactivIty [] Delayed SUddfn Release ~ediate Health 0 Pressure Health --- Component 13 ~ ~ ~ PhYSical ood Healtb Ha¡ard C.A.S. Number Name I C,A,S. Number ICheck all that apply, ___ ~ Name & C.A.S. Number [¥"Fire Hazard [] Reactivity [] Delayed [] Suddfn Release Health 0 Pressure --- Name & C.A,S, Number ~ SD I SD 1:30D ~ 3(,& I t:Jfø I I l1 I o9Is~.l!ðJ.Al#J.J jtJl ~ Physical ond Health Ha¡ard C,A.S. Number /O?-- 2-1 -I Component 11 Name & C,A,S, Number/3íiJ'-s.8_3 (Check all that apply, .... . . I L. f 1.(" , ~ _ ./ _ ./ .5 I!! --" COllponent 12 Nalle & C.A,S. NUllber-:v <2/ qq_LJ I !f'1ire Hazard ~eactivity [] Delayed [] SUddfn Release ~mll!~diate T1QJ -., l..L,; Health 0 Pressure Health Component 13 ~ $ ~ ~ Physical 'nd Health Ha¡ard Nalle & C,A,S. NUllber nl-- ~~JRM IZheck I that apply, ~ 0 f-/~72 Nalle & C,A.S. Number > Fire Hazard 0 Reactivity 7 e17~~ Name I C,A,S. NUllber EHERGENCY CONTACTS II 1 ~~I\UC ~<;;T.ee- Cl,~\.lol,- 93.5-o2..5S 112F~....ItI...' r:; 3"-/ - 5~ I 'L Na nt e 24 Hr phone Rãfii - --- nl!fT1i~ Certifiçatio" fReed and $;gn afjf3r cÇJmp7et;ng, /117 sect;ons) ¡·certlfy under enal1 0 la th t I have pe(sona I~ examln Q 0 d II famllla( it the informatIon $U mitted in his ,~uçhed dQcUllen~s, an~ t at ~ase~ on my InquIrY 0 hose InâlV1~ua'sresponslb'e ~or obtaIning the In~orllatlon, I be submItted Inforllstlon IS true, accurate, and co~plete. FR-RÑ\C- /O:!If5, qo '~~e ~r~fim operator's 8utnorlzeo represen 08~-1nr.ëð- I [i'I , r <~~~ ~A~MA"P F AC,I L\T'( J)_'A.61\ÄM 0 , I ; , 1) No~T" . J"Q.rw\e. Or A re.4. " UMiT IJ~~ I :Åî! ~ ~? , .J AL4TOMðïi\l1. . u. #T:it J20 A.,.e,o. MA.~ ..LoF 2. ~"'OC.~d4.\e.. ~u."o ~e T~, L Q p_II.1'1'e..r t, JjJ , ..jj, , !,¡;itÎ", I·' ., , . , . , . -"~'.'" , r,.' ."'(,,'; I·~.:'.;.'.:. ..¡"'.:'.:".i'.;'" ." ::. . ,·i.t.':·' , {;<..- .. , ", ' ... ."~~~: ' ...1'0, 1:( ~~\øb)'-L h.,:",,,.,.,>.,,,, L I.."" '~.;' '.' ..',' c¿4.$.. ~ x, 'qJ. ., ;. ,/it R r ,. ""'~W' hh ,,"/'., l1. - . '.<, ,[,>.>.,-;:, : Wh ~Te.. l.J. ", L~wtJ " ')J ~ I J ~~.. :\t'i-- ,~~ ~ . M Ida.. S M i.4 PC te.r ! ' L:,,:;~:',', ~ ~;!,:--,:" ~ F1þ I:~~: I " t ':' " p: l::' F ;c :f !, ' ii' ~';¡r . '. ¡·,·;flo.tÀ'N'T' ;';:, >Lo'T ~~ F i.-e "'~ rA.NT PQ~E Jot.tce4 boK eo\le.~ ' w~, ~(J¡ ð.~ ' ~ A F\e.~\ Ca..\-d F4e.l~ .J -J d c) .- x Q1 I: ¡'.' . ¡ ," .' p ,', j , t~ ¡ ì ~;' , '0 ' [, . " L Ì' 1 J .... f .5 ~ h \ r ra... c.. \. r': " t " · H' ·M ~ e >' - r .,' ..." . , r, P '! J!:',' ~,~-L;;;,~: ;~~l ~E-- J)1ACi-ilAM. ~ L,y:;:~j'~'::;;· '. . 1'2;);0",:;., t!u~~tt,\e.'~ N4me.. I '$Ji: ¡"r~':/;~ ~ 1 ., t,X;; !,¡..' . M';í-Th 1-'·'/' ,." ' ~ "', ',:'~" ~, ~AN MAP FACti L \T'(, J).'~G1\þJw\(l .fu.Po hr\ö ... t!1) A &A. -¡n In co T ;u.c..... ~, t......)h~-r~ L.J'I L\N.lT""' 12.0 =- A.,.e,lÅ MA.~·· ~oF , 2- , 6 "tO~~A,.t..e.. A"","TO No.fI\e. of Are.4. ':. 'K'ø~~L ~ -,p~~~ ~ ¡: .Ã': ì .... ~ , .' " ,"'" . , ".' " ¡'~ ^'" . ~ ~o<\ q,p' ~ ~ '.1>.0 ~~ "J"' t; I 'l». ~~ ~~'{ ~'t- ~\ù I J'(~ ~ :to ~...Ð , Y' I \ ~o f I ~~~f ^~ ~, ':~V~o f;~~Y~ ,,0/ IJ'~ . ~ ~v~ o,\\~ /J, 't y ~tf- of...' ("t pJ .¿ 'f '£ Oç~,f) .-,' . l' '.': ::L .-I", . .ð.~ !:it'ILJ. \',', ':rl~,..~ (dt'':;tttt ru . " ,f .. -rh,~ t'~ J~ a..dd,:.r\·ð.J -to ~.Tooe. p\èl...J, 13....-e.A. (.~w....& oç ßc...L~I~e.~~ .s a4~ t-e..T4.4,L C-vJT-ù- b,\ N~ø t', i, r I';'.;>, ' ; I' i ,\, . ,,' . , :, ¡ :~" . ' ,C," ":.', - ,r ':". f:' .- H M· ~ e L', '. r, P ../ r ~ '.. ".61't.E..- J) LACi'R.AM 0 ¡ ...". ,,' L ,.",. ,':',0 . ¡Vè"-a",,,~e.'S Ñ~"'e.,: ,j- '-.. . . "', ~AÑ MAP FAC.tL\T'( J).'A.G1\~ ~ k£1~~cÌ ~ 1) t)."R. 2) ŒJ »OTe.. ~ I) f\\\ 0 ç 64: \ cl¡ -e.1G. t~ c..o ø£..)- e.-d kY-? ~4.1bW\A..."T i·<" ~p ""Ñ.~tE..t- ~'1 ~,.e«) .. ~:·'.l" ;"j: ,- . ?e.. r (:?o ~ t"I'"\~ l...l' , A u To m OT~ \Ie. :100 I l.l} h~T~, W. I lÃ~~\~ 120 " . . . -~'<, i ~ ~o~Th ~Q.IW\e. OF At'e.4. -:. 11..ü:--A- }~r~ A'rt,o. MA.~ 5TOc.,~A-\~ 'Re:r~ L 1~1 I ;z¡,0" I J I' ," "', . "~,':, ',' rC\...,. ~\Ñ~ :. ·.......F?> ! ~ ¡ .'. . -:D\-\ \JIe. W ()..~ " . .", , ~ , r·.... ..' ",' u)Q.,Ti N'a ~M. :i:l: ,-z.O :jl l\ q -!\ \\~ - -- . .', . . .... ¡:. ~~> ," ì' " j f"':: ¡ ~o r nit). ;; 1l¡V- STð..\ 'r'4Jø.y -ro 1"\~t.iA.t-1,~-e - oç~ ,~ .!J ¡"'o f , fJ ~e.... .. 'fI\ -e. ~ ,!ó,.t.L\'.,¡ e.. I;'¡ s ,ë,k, o~ dA.S"~ \ ,~~: ~"u. ~ TO fIoo.Ci.e.. ð toA' ~ . .......--.. . ". j kt>(Z If yt'" jµf ¡:) t{,/:4. "" I ö I ¡ , l', :tt to"L ....,,:..'¡..; .,.,.' :It.1D ~ ! ) , ~ . ..~ ~ ..~ ...~ . ,,~ ';, -~', , ¡ , ! .. " 1 l~J F~ '":Dh~~ "-'P~~ÞOl ~ .:# ..1-o.F-L- ~ p.~\O {' -" e..t.i -r e,..\'" ,tf J ~. c. î \ 2,so 6.0} ~ . Ñe...J. / t:Ht... , tJ e. Q.) Coð\A..rr o \... S0141~. o 250 o ' ~Q,\4.Þ o WA.¡T~ oo~t... / : ~'Th -v.. M. : ~lt.e..T. bre.ø..\(.Q.1ro boJe. " ~~ o'+-- e e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 ~~ RECEIVED OCT 2 2 1990 Ans'd. ............ HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: . \. ,> ,>. i, , 1, To avoid further action, return this form' within 30 days of receipt. 2. TYPE/~R)NT ANSWERS IN ENGLISH. 3. Answer the questions below' for the business as a whole. . 4. > Be brief and concise as possible. , . SECTION 1: BUSINESS IDENTIFICATION' DATA , 'ì .; > .~ BUSINESS NAME: -Pe..rPo t-m4..Nc..e~ ',A~,..o mOT~u.L LOCATION: 3001 u.? h~T~ \....1. J l J.f\.L'T~ 12() ¡ ,~ j'~ð....N\¡~ rL ~ a...bð u.L. . . . . MAILING ADDRESS: CITY: "R... ~~Q,elá: STATE: ~ ZIP:Q330Q PHONE: 83<0- aBoo 'Ç r T~'fI,!).:t-- DUN f8fSRAbsTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: Ç\u.TnN'\nTI~. 1<.",p,.-a.1. r OWNER: Frð....N\L G ~ -r& hQ.N\:e. ff;~,.e...e.- MAILING ADDRESS: 410' T ~~dð...lL ~'J-e_1 J B \f¿(2lrl J C.tb q 3 3 r~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE· 24 HR, PHONE . , 1. :FtP~1'-:.~Hi~~3.·~~~.;>-~OúÛl\l~ - ß3G?-88co e3~-b'L.s~ 2. h,~~I\\.4-~~ C I\S't~Ll:¿~ <ShoP tð\rt'.~--,; B5Co-9t30o - 834 -5~IL 1. FDic ·. "'-~ . Bakersfield Fire Dept. e Hazardous Materials Division ---ç~ -- " "#- '." ~"'."'" ~ -...",..~ ' HAZARDOUS MATERIALS MANAGEMENT PLAN ""-.. .~ '" ". "":., ~ ~. . j ~ ' . ~ '" f - '... ' ~. " r :': :", SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 10 MATERIAL SAFETY DATA SHEETS ON FILE: Ye~ BRIEF SUMMARY OF TRAINING PROGRAM: We hø..\M.. a:. M ON~\,,\ rY\~T,AJ9 Woe.. da..~c.M..~s ~ ~~ - :r: ~ a.1Ú a. c..i, d.e.~r h~p.La&.Ld ~"""'~, -tk. WlDM-T'-', w-e... q 0 0" & d-e..~ l s cl. c () r1'\ -<. '-'<..P w L~ Q.... , !Jo ll.L-r,~r..1 'To ck.\'..u- Cl..M1.1 D~~ ~;cL....c.'t'~ oç~" T Lt P<- . E4.C....-~ M 0 N-r~ ð-.. J ~ ~ C2..c..t-c-N. r c.e. ~ p I ð-It~ ~;, J d, $è.c.c.s 5 lÂ. d:P~~1'" ~'~-t-'-1'-r6 p;c...w ,~""' ~~,pjþ~~I~.. W~ qo 6~\-' .6~Í"'1. ~, .6~.ar~ ~PPo)(., ~ 3 (Y')ÐS. ~ Å '.', i) &v\D~'" -eiL ' þ~ ~~:..- ~\\~ ~ "" No~~ 1.) W4~T-e.. N\0'1"o'" ~,'L SECTION 4: EXEMPTION REQUEST: : . 3) t..øo~~ ~ ...k~ , , Ll) 5~'T'1 !>o \o..~T I CERTIFY UNDER PENALTY O'F 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 HÁNDLE HÀZARDOUS MATERIA'LS. WE DO HANDLE HAZARDOUS MATERIALS, BUT,THE QUANTITlES AT NO TlMEEXCEED THE MIf\!IMUM REPORTING ~UANTlTlES. ! , OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, _\= E',~fU~ Fõ sle...r CERTIFY THA T THE ABOVE INFOR- MATION IS ACCURATE. I UNDER~TAND THAT THIS INFORMATION WILL B,E USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALÌFORNIA HEALTH ANÓ $AFE"PY caDE" ON ,HAZARDOUS MATERIALS_(DIV, 20 CHAPTE8 6.95 SEG..J5500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY.' --- -~,', " ~Ç) ~Að~ SIGNATURE &~ TITLE /ð/ 19~ '10 I DATE 2. FD159tì I ~~ ~ \ \;/~r '-v'" .' .."'-. /< ? ./ ./ '. e Bakersfield Fire Dept. e Hazardous Materials Division ;, J HAZARDOUS MATERIALS MANAGEMENT PLAN Facility U nit Name: ~(}, r-~d..tJ)~ Q.~Tðn"\oTa·~ , . SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: , ' A. AGENCY NOTiFICATION P'ROCEDURÊS'; c»~ ð~ f'1' h~ ~ 4' Wø..sT-e. f"nO-ro... o-,L cPcsl4..AIT .¿. 15 C¡4.\S. ðC ~~"l.t ~ol(JoC.MT ðN f>r-eW1~~.s - A\\ 0 \L ¿. CðoL4.&\LT o...~< ~d_ ~... (l,ìos-e.A b\.\~c" IN ~lJ~T 0... bbL WA.~ P~N(..~~J ab~ð...b~T t-Lé..e ~5 ~ ~t ðlV f~ {ff\' ~~ ït> b-e L.<.S..e..d ~ C~ L.<.P dt4'1 ~l\.4.: ~ ~,...:r MdL'1 !>P~ LL. o~~~ 'tv b<. UO'-L £?-e:d- SL'4. &L~--t. ð ç ~,~- C-CLLt Ç2\~. clib--4-1~ e; £1 ~ \ B. , EMPLOYEE NOTIFICATION AND EVACUATION: (1) U..e..0-::JtÃ-l.C....... ~<"'-L <-e..¡/lo'tR-c...,-ee-'5 Ï"V \-e.Cc...-<.J-'1- b 4 ~~s (JÇ,. c::Lo~ L.ð~.s - ® ~<... G\\\ 'C: PUBLIC EVACUATION: Sc:t.. ~', c~.s o..J~ 0 v-<- D. EMERGENCY MEDICAL PLAN: \\..l..€CL-Ir-é'.. S ~ tv sf'. \"'-- L '. ... 3. FDI$1.' I e Bakersfield Fire Dept. tit Hazardous Materials Division ~~;?i_~~~. ~ ~ '''- '-',-~- " HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEME~a PLAN: A. RELEASE PREVENTION STEPS: R-d 0 i L (N-e.W ~ u.s.eJ ') ~ \Ge.P-r i~ C!J.o~, Co "-4 T~\~ ::. ~c...J, ,'\IV ~\ r Þð'1~) L.(.S.o(!..d¡ t'~ ÞhI6.- ~h~ol-k.-.'" h-~ l......Ll,S lÚ2-FT' ÓN toc~'~"...I ~ otb-ro\-C;. CL""'1 ~,p;-\,l..2.-¡ G. ~ ~'\.~.s -' WrL,S ~_ 6Ù.,' k>b' ~. ~f--<... \~ - QD M-l"o....'µ f\'\~~bo)L ~,\ ~'~CLc\. W I 6 a..'rU-d -- B." RELEASE. CPNT,AINMENT A~D/OR MINIMIZATION: , , SC0~ tLS a.-1()~' C. CLEAN-UP PROCEDURES: 'R,~ h"",\.ls "tv ~ðA.~ ......P a.Ñ'1 P.l\.04.~J· ~pi H ~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF ~HUT-OFFS AT YOUR FACILITY): _ ~", NATURAL GASI P RO PANE: . <"",e. ..~, °r.- ,o!a ~ ¡J ¡J ()J1A.;A.- ~ r II ~¿Ù Wùw. ~t1ß ~ ) uJ UJtÄrvJ ELECTRICAL: (/ (I WATER: '/ 1/ // SPECIAL: LOCK BOX: @NO N/Á I IF YES, LOCATION: ~ ..5/~ jC71a.~ - SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY: A. PRIVATE FIRE PROTECTION: F, ~ ..e x. T""-1'j ~,' ~h.e..,,", , '" @ oç (p u N(t'"~ B. WATER AVAILABILITY (FIRE HYDRANT): .:S-e.e !!J, 7-~ P /a ¡J. 4. FD159. Business Name: Location: / t;Jr::,..f:' Sr:- ' I f/ ¡:. çþ 1 8 ' () 4gB IL /990 Ij- ~·O., , -~Q.ÞJ pQø;vl . , Bakersfield Fire Dept. Hazardous Materials Inspection Date Completed ne.fDrz.mA"-IŒ. #1lJíOrYIO\,Ù/e, --#:/1 a iOD' \Nf+ITI~:" LtJ.. __L 9- ... -.. Plan ID # 215-000-oOtnH (Top right comer Business Plan) Station No.~ Shift C- Inspector CPtSP.-VAN4 IHac/,,(()cf( I Adequate Inadequate o JLf ~ Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: ~I 0 50 U4"") Verification ofMSDS Availability Number of Employees ~ 0. '" t; - .{: "".e f':2 €' .if Verification of Haz Mat Training ø Comments: ~ o o o o o Verification of Abatement Supplies & Procedures 7 Comments: o 7 0 ~D Emergency Procedures Posted Containers Properly Labeled Comments: ø" Verification of Facility Diagram Special Hazards Associated with this Facility: o Violations: ¡ 10 G¡q J -A¡rJ'¡; - FRe~ Z E II} Of" L,s ít?d FD 1652 (Rev, 3-89) White-Haz Mat Div, Yellow-Station Copy Pink-Business Office