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Home My WebLink AboutBUSINESS PLAN .' .~..... .- e ~ . ~- .-",1 1~~~lEÛw~~\¡ ~ f1PR 1 199fPaU/ By ¡ 1 ~ 02/12/96 NIAGARA CAR WASH 215-000-001521 Overall Site with 1 Fac. Unit General Information Location: 7991 WHITE LN Map:123 Haz:2 Type: 3 City . BAKERSFIELD Grid: 16C FlU: 1 AOV: 0.0 . - Contact Name Title - Contact Name Title BRIAN HOBIN I OWNER FRANK HOBIN I OWNER Business Phone: (805) 832-7348x Business Phone: (805) 831-7998x 24-Hour Phone · (805) 664-7570x 24-Hour Phone · (805) 664-0849x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 7991 WHITE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7542 Owner: BRIAN HOBIN Phone: (805) 832-7348 Address: 7991 WHITE LN State: CA City: BAKERSFIELD Zip: 93309- Summary Do hereby certify that , have \. (Typ8 Of print name) æeria\s manage- reviewed the attached hazardoUs m . and that it a\ong with ment ptan for (Name 01 aul>ine6S) . n nd correct ma - any corrections constitute a comptete a agement pian for \ faciUty. Dele - ~ e e 02/12/96 NIAGARA CAR WASH 215-000-001521 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers at Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 GASOLINE, UNLEADED Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-003 GASOLINE, UNLEADED PLUS Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 GASOLINE, PREMIUM Liquid 12000 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-007 WASTE OIL Liquid 500 Low ~ Fire, Delay Hlth GAL 02-005 HELIUM Gas 200 Minimal ~ Fire, Pressure, Immed Hlth LBS 02-006 MOTOR OIL Liquid 1500 Minimal ~ Fire, Delay Hlth GAL 02-001 POLISH Liquid 55 Unrated ~ Delay Hlth GAL e e 02/12/96 NIAGARA CAR WASH 215-000-001521 02 - Fixed Containers at Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 GASOLINE, UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 0.00 I 0.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientIUNDERGROUND, W SIDE OF LOT - Conc l 100.0% Gasoline Components r; MCP ---¡Guide Moderate 27 02-003 GASOLINE, UNLEADED PLUS ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 0.00 I 0.00 Storage UNDER GROUND TANK r Press T Temp ~I Location Ambient AmbientIUNDERGROUND, W SIDE OF LOT - Conc l 100.0% Gasoline Components r; MCP ---¡Guide Moderate 27 02-004 GASOLINE, PREMIUM ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 0.00 I 0.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientIUNDERGROUND, W SIDE OF LOT - Conc l 100.0% Gasoline Components r; MCP ---¡Guide Moderate I 27 e e 02/12/96 NIAGARA CAR WASH 215-000-001521 02 - Fixed Containers at Site Page 4 Hazmat Inventory Detail in MCP Order 02-007 WASTE OIL Liquid 500 Low ~ Fire, Delay H1th 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 -- 500 500.00 500.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientIN LUBE SHOP PIT - Cone l Components 100.0% Waste Oil, Petroleum Based r=- MCP ---¡Guide Low I 27 02-005 HELIUM ~ Fire, Pressure, Immed Hlth Gas 200 Minimal LBS CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 200 200.00 I 200.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientINSIDE BOUTIQUE - Cone -, 100.0% Helium Components 1-; MCP ---¡Guide Minimal I 12 02-006 MOTOR OIL ~ Fire, Delay Hlth Liquid 1500 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 -- 1,500 1,500.00 . 1,500.00 Storage OTHER - SPECIFY r Press T Temp ~ Location Ambient AmbientlLUBE DEPT (IN BULK) ~ Cone -, Components 100.0% Motor Oil, Petroleum Based r; MCP ---¡Guide Minimal I 27 e e 02/12/96 NIAGARA CAR WASH 215-000-001521 02 - Fixed Containers at Site Page 5 02-001 POLISH ~ Delay H1th Hazmat Inventory Detail in MCP Order Liquid 55 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 55.00 I 55.00 Storage OTHER - SPECIFY r Press T Temp -:ì Ambient AmbientlCAR WASH Location - Conc Components MCP ---¡Guide e e 02/12/96 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 6 <D> Notif./Evacuation/Medical <1> Agency Notification HALL AMBULANCE BAKERSFIELD FIRE DEPT HAZARDOUS MATERILS OWNERS - BRIAN HOBIN & FRANK HOBIN <2> Employee Notif./Evacuation PA SYSTEMS. EMPLOYEES CHECK IN WITH MANAGERS OF EACH DEPT. <3> Public Notif./Evacuation PA SYSTEM <4> Emergency Medical Plan HALL AMBULANCE & MERCY HOSPITAL. -" e e 02/12/96 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 7 <E> Mitigation/prevent/Abatemt <1> Release Prevention SAFETY MEETINGS HAZARDOUS MATERIALS AWARENESS <2> Release Containment EQUIPMENT ON HAND IN CASE OF SPILL: SHOVEL, DIRT, GLOVES, FIRE EXTINGUISHERS. <3> Clean Up GAS SPILL: ABSORBANT ROCK DIRT. <4> Other Resource Activation ~. ~ e e 02/12/96 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EMERGENCY SHUT OFF AT TRASH ENCLOSURE AND AT FRONT CHASHIERS DESK B) ELECTRICAL - LOCATED IN MAIN EQUIPMENT ROOM C) WATER - LOCATED IN MAIN EQUIPMENT ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED THROUGHOUT THE CAR WASH BOTH INSIDE AND OUT. NEAREST FIRE HYDRANT - SE CORNER OF APPROCH ON CERNON WAY. <4> Building Occupancy Level ~' , . -~ e e 02/12/96 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 9 <G> Training <1> Employee Training WE HAVE 75 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: DOCUMENTATION OF ALL SAFETY MEETINGS ARE ON FILE. MEETINGS ARE HELD ONCE A MONTH. <2> Page 2 <3> Held for Future Use ! <4> Held for Future Use HAZARDOUS MA TE.LS INSPECTION 6ersfield Fire Dept. Hazardous Materials Division Date Completed Business Name: ^},Ie f4.P..A. ('vLl~ fA J~ location: 79 S l l1)L~ LY\ Business Identification No. 215-000 , 5 ~ I Station No. j¥\z /rk..,y Shift J)A7 Arrival Time: Departure Time: (Top of Business Plan) - Inspector J l.J R K. / I h'Y'6 / Inspection Time: Verification of Inventory Materials Verification of Quantities Verification of location Proper Segregation of Material Adequate B'. ~ ~ Comments: Inadequate LJ LJ I:] I:] Verification of MSDS Availability ~/ I:] Number of Employees: Verification of Haz Mat Training ~ Comments: Verification of Abatement Supplies & Procedures Comments: g// ~ Emergency Procedures Posted Containers Properly labeled Comments: GY"/ Verification of Facility Diagram Special Hazards Associated with this Facility: I:] I:] I:] o I:] Violations: 4-'( O~ ¡h11~}:- yÐv.- White-Haz Mat Div Yellow-Station Copy Pink-Business Copy All Items O.K ~ Correction Needed LJ i ~ e:.. ~ c LL ...., I , ,- :-. --~.. _._~-_ __ ~~~~DW~ / ' NIAGARA CAR WAS~ 215-000-00~521 . OCT 301995 n qe Overall Site w~th 1 Fac. Un~t ~. General Information By 1 ~ I 09/29/95 Location: 7991 WHITE LN City : BAKERSFIELD Map:123 Haz:2 Type: 3 Grid: 16C FlU: 1 AOV: 0.0 Contact Name BRIAN HOBIN Business Phone: 24-Hour Phone Pager Phone Title I OWNER (805) 832-7348x (805) 664-7570x () x Contact Name FRANK HOBIN Business Phone: 24-Hour Phone Pager Phone Title I OWNER (805) 831-7998x (805) 664-0849x () x Administrative Data Mail Addrs: 7991 WHITE LN City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD ST~TION 09 D&B Number: State: CA Zip: 93309- SIC Code: 7542 Owner: BRIAN HOBIN Address: 7991 WHITE LN City: BAKERSFIELD Phone: (805) 832-7348 State: CA Zip: 93309- Summary NJ N.J~; M~C'LO'J. ~- ~~oJ . 'lffiN~a tJ~ ß-f\.~, I, .~ I ~~L..A.~-,J ~ h"",bY <:<"!ity t",!11 have reviewed Ü~~ atia..:;hùC: i1c;'..::.i:i;·'-Ìot:~ r.t"t¡¡;liais nj':~.. ~,pa- ment plan fOr'í\\~~,,- Cb~ 'w~...~ õnd th~! it f.:'~t~·; ':. :, ~ ,"'0 of Bu3lr'1e11!J) any corrections constitute a complete and correct man- ~~emem~Z2· /0-5 -9 r Ðøt - ." e e 09/29/95 NIAGARA CAR WASH 215-000-001521 Hazmat Inventory List in MCP Order 02 - Fixed Containers at Site P1n-Ref Name/Hazards Form 02-002 GASOLINE, UNLEADED Liquid .. Fire, Immed Hlth, Delay Hlth 02-003 GASOLINE, UNLEADED PLUS Liquid .. Fire, Immed Hlth, Delay Hlth 02-004 GASOLINE, PREMIUM Liquid .. Fire, Immed Hlth, Delay Hlth 02-001 POLISH Liquid .. Delay Hlth Page 2 Max Qty MCP 12000 Moderate GAL 12000 Moderate GAL 12000 Moderate GAL 55 Unrated GAL .'::.. -' e e 09/29/95 NIAGARA CAR WASH 215-000-001521 02 - Fixed Containers at Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 GASOLINE, UNLEADED ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r--. Daily Average GAL --r-- Annual Amount GAL -- 12 , 0001 ," 0 . 0 0 I 0 . 00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientIUNDERGROUND, W SIDE OF LOT - Conc l 100.0% Gasoline Components r; MCP ----rGuide Moderate 27 02-003 GASOLINE, UNLEADED PLUS ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I· 0.00 I 0.00 Storage UNDER GROUND TANK r Press T Temp ~I Location Ambient AmbientIUNDERGROUND, W SIDE OF LOT - Conc l 100.0% Gasoline Components r; MCP ----rGuide Moderate 27 02-004 GASOLINE, PREMIUM ~ Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Dàys: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 12,000 I 0.00 I 0.00 Storage UNDER GROUND TANK r Press T Temp -:ì Location Ambient AmbientIUNDERGROUND, W SIDE OF LOT - Conc l 100.0% Gasoline Components r; MCP ----rGuide Moderate 27 -. . e - 09/29/95 NIAGARA CAR WASH 215-000-001521 02 - Fixed Containers at Site Page 4 Hazmat Inventory Detail in MCP Order 02-001 POLISH Þ> Delay Hlth Liquid 55 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 55.00 I 55.00 Storage OTHER - SPECIFY r Press T Temp ~ Ambient AmbientCAR WASH Location - Conc Components MCP -,-Guide ." · e e 09/29/95 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification HALL AMBULANCE BAKERSFIELD FIRE DEPT HAZARDOUS MATERILS OWNERS - BRIAN HOBIN & FRANK HOBIN <2> Employee Notif./Evacuation PA SYSTEMS. EMPLOYEES CHECK IN WITH MANAGERS OF EACH DEPT. <3> Public Notif./Evacuation PA SYSTEM <4> Emergency Medical Plan HALL AMBULANCE & MERCY HOSPITAL. j' ¡ . . - e 09/29/95 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 6 <E> Mitigatiq~/prevent/Abatemt <1> Release Prevention SAFETY MEETINGS HAZARDOUS MATERIALS AWARENESS <2> Release Containment EQUIPMENT ON HAND IN CARE OF SPILL: SHOVEL, DIRT, GLOVES, FIRE EXTINGUISHERS. <3> Clean Up GAS SPILL: ABSORBANT ROCK DIRT. I <4> Other Resource Activation - . , . ~ e e 09/29/95 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EMERGENCY SHUT OFF AT TRAS~ ENCLOSURE AND AT FRONT CHASHIERS DESK B) ELECTRICAL - LOCATED IN MAIN EQUIPMENT ROOM C) WATER - LOCATED IN MAIN EQUIPMENT ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED THROUGHOUT THE CAR WASH BOTH INSIDE AND OUT. NEAREST FIRE HYDRANT - SE CORNER OF APPROCH ON CERNON WAY. i <4> Building Occupancy Level ~ ,.-: ,. ~ e e 09/29/95 NIAGARA CAR WASH 215-000-001521 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 75 EMPLOYEES AT THIS FACILITY. .~ WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: DOCUMENTATION OF ALL SAFETY MEETINGS ARE ON FILE. MEETINGS ARE HELD ONCE A MONTH. <2> Page 2 <3> Held for Future Use ~ <4> Held for Future Use \J Business Name ~(),~ CAr ~...~ Address ì<1C\\ \J "'; h~ "-I CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [.1 Deletion [ ) Check if chemical is a NON TRADE SECRET [ ) TRADE SECRET [ ) 2) Common Name: ~().s.~ C)\\ 3) DOT # (optional) Chemical Name: AHM [ ) CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [0- 5) WASTE CLASSIFICATION (3-digit code from DHS Form 6022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid I.:.r Gas I ] Pure I] Mixture [ ] Waste I] Radioactive I ] CHECK AU THAT APPlY 7) AMOUNT AND TIME AT FACIUTY ? UNITS OF MEASURE 8) STORAGE CODES \J\\'k~~wJ ~h~ Maximum Daily Amount: . Ibs [ ] gal [ ] ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: ~, F, M, A, M, J:~, A, S, 0, # Days On Site Circle Which Months: N. D ----- 9) MIXTURE: List COM,ONENT a . \ <:.c~~""'s!Jb~ ~A\1..,ìC (AS ~ %WT AHM the three most hazardous 1 ) \. k. \o..~ k 7 c. _ ~ -uJ I"W".. \ ) L.\~,-,\" . 1..V [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location ~ ShQO CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition I ] Revision [ ] Deletion I ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET I ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM I] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 6022) USE CODE 6) PHYSICAL STATE Solid I] Liquid [ ] Gas [ ] Pure I] Mixture I] Waste [ ] Radioactive [ ] CHECK AU. THAT APPLY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ], gal [ ] ,.ft3 [ ] a) Contåiner: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M. J, J, A, S, O. N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) ) [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location certify under penalty of law, that I have personally exammed and am familiar WIth the mfomation submItted on thIS and all attacned aocuments. I believe tf1e BAKERS~LD CITY FIRE DEPAWMENT HAZA~DOUS MATERIALS INVENTORY W k Page_of_ submitted information is true, accurate, and complete. ~ ~~~ l-l ~~~.~< Slg a e ¡ 0'" è):1- c¡ IS' Date PRINT Na e & Title of Autho ' Company Representative s.ørember3Q 191n REGlCN Y LEPC STAHOMD FæM Business Name ~ 0.0... OvVk· Ot'SJ Address ,qe>¡ I \ rv<.. ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision ['-1 Deletion [ ] Check if chemical is a NON TRADE SECRET t ] TRADE SECRET [ r 2) Common Name: \-\ '(.. \ ~ ,^-'rVv. 3) DOT # (optional) Chemical Name: :¡: "'- ~.\. C:.A.s. AHM [ ] CAS # ì Lf<ln - S"'J -ì 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [e.}- pure [...f- Mixture [ ] Waste [ ] Radioactive [ ] CHECI<N..L mAT APPlY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 'Loa Ib<:. Ibs [t}-gal [ ] fl3 [ ] a) Container: '"\-~\s::. Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size'Container: ~ ~J, # Days On Site Circle Which Months: F, M, A. M, J. J,A. S, 0, N. D ~ 9) MIXTURE: Ust . . COMPONEN\ CAS # %WT AHM the three most hazardous 1), S~ M?k' 'A s..'-Vh '-. x \4r'o- -, ' . . . ., [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location ~'=>I 'L ba",-\-:q~ . CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition ['-f"'Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: YV\ () ~ t7- D\ \ 3) DOT # (optional) . Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [....r Gas [ ] Pure [-t Mixture [ ] Waste [ ] Radioactive [ ] CHECI<Al..1.. THAT APPlY 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES b",,\1t:. Maximum Daily Amount: \'500 - Ibs ["gal ['1" 113 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: ~J,F. # Days On Site A\\ Circle Which Months: M. A, M. J, J, A. S, 0, N, D 9) MIXTURE: Ust COMPONENT à CAS # %WT AHM the three most hazardous 1) '2ì Vi c. ~t'I""'~CUI" ~ [ ] chemical components or any AHM components ..r- 2) [ ] 3) [ ] 10) Location ~. ~+ certify under penalty of law, that I have personally exammed and am familiar with the mfomation submitted on.J!1J.s and all attached documents. I Del/eVe the BAKER.ELD CITY FIRE DEP.TMENT HAZARDOUS MATERIALS INVENTORY ~ \¡J ~ \,j~\~ ~ Page_of_ Y\' "", ( I C> - 2.s-·9/~ Date ompany Representative s.ølember30. 1992 REGlCJ\I¥ LEPC8TMlCARDFCfIM <~j c, ~.' ~ , r.. BAKERSFIELD CITY FIRE DEPARTME HAZARDOUS MATERIALS DIVISION 1715CHESTERAV£~ BAKERSFIELD, CA., 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN \ -- _-ì_,~_~ INSTRUCTIONS: /CS-~/. ' 1. 2. io avoid further action. return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. "APR 1 4 1995 ! 3. 4. 9~aoo \ SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Y\, Q.c:Jo...v,^, ~ \Ahs~ LOCATION: \~O¡\ \.J\-..; 'rt- ~AY\-C MAILING ADDRESS: \'\C1\ \N'v\.\\~ \.-.'A'r\'- CITY: b(A~~.r;:S'\ ~\~ STATE: ~ Z!P: q~~o'\ PHONE: ~~1.: 1~Y.~ DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: C'A-.a- \,JCA..S~ OWNER: ~(l..\ ~ ~C) bì V"\ MAILING ADDRESS: SQ'ri\ ce.~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 1. ~(2...\~ \-\ () 'b\Y".. a~Y\-tll- ~ 5.1.·ì!> 1..\-<6' 2. ~ f.....'A0-L.. ~bì ì"- au~ ~\ -1'1q~ . 1 . 24 HR. PHONE 1.o\c4--lSl0 \C~ ~ - a~,,\q . 'Bakersfield Fire Dept. e .azardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN "! __,1 ~ ....~ . ..ß ~ ". - ~ ..- "'- SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 'IS MATERIAL SAFETY DATA SHEETS ON FILE: ~ BRIEF SUMMARY OF TRAINING PROGRAM: l:::>c<:'\JM~~,k~ o~ oJlL ~~'1 lììc:.~\-inr (A.V't. 0""' ~l\-e.... V\'\c..e.,~l\t\.<r- Ovrt- \-J...cL·~ Q. ~. , I. SECTION 4: EXEMPTION REQUEST: ,/ . I CERTIFY UNDER PENALTY OF PERJURY THATMY BUSINESS IS EXEMPT FROM THE REPORTING, REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODEII FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO ï!MEEXCEëD THE MINIMUM REPORTING QUANTlTfES. OTHER (SPECIFY RE..l.SON) SECTION 5: CERTIFICATION: I, ---Jb~ ce- ~y-\~ueè CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE IICALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6:95 SEC. 255dOET AL.)" AND THÄ T INACCURATE INFORMATION CONSTITUTES PERJURY. '. . . ., Q . Sl~~-~~ m~. TITLE . 4!5/QS DATE ? .., ",t ~ þ~ .. "...~-....' e Bak.ersfi~ld Fire Dept. e Hazardous Materials Division HAZARDOUS. MATERiALS MANAGEMENT PLAN Facility Unit Name: , '(\\Ü\~OXR ~ Wa..s.h SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: \-\'A \ \ A mbv.. \ o.r. Cfi.. ~~ \).'t...\~ +\1',"" \::>'f~' ~c..-u.y'~ ~~~ QW~- ~í\'~ ~bth ~rJ<... \4Q\o'h \ ... ,-. B. EMPLOYEE: NOTIFICATION AND EVACUATION: ? 'A ~'t<1 \-~ ~\~ ~ih. \,rJ'~ ~~ Q~~~L C, PUBLIC EV ACUAT!ON: '""? I fo;- . c:¡.\f:>~~ ,~ ~ I D. EMERGENCY MEDICAL PLAN: \Jt 01 \ ~bW.Ov-."\~ 'M~ ~~{~ " .... -4.. f";: .. . ' ;ol~' ::... . ";,. .... - Bakersfield Fire Dept. e Hazardous Materials Division 2" 1 ,. ~ ¡ý, -~ ."'...... .. HAZARDO'US MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: '2>Q -r~ YY\c:.(..~\Y\~ ":> t-\ A "L'Av~O '^^ Y'Y\oJ~vol... O-.WAY~ 8, RELEASE-CONTAINMENT AND/OR MINIMIZATION: ~~~ì?~ er-.. 'r..~ ;r- ~ ~~ ~r;l\ ShCJ~\ Üì.IL\'\ ~\Ov-v...1 ~,~ ~-\-ìh51j\o;.h~ C, CLEAN-UP PROCEDURES: C\ <No... s,?; \ \} a.. \0 c¡.c v-b o.-J- IZ.aJt. <Ì ¡ IZ.. \- J }. SECTION 8: UTILITY SHUT-OFFS (lOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: (.m~~ c..'hh \- öPÞ 0.:\- ~~ ~u~~ ~d.. oJ- \- ~~ìCA..- òvJ<.... ElECTRICAL: Lacv1-tl ìh YT\(;..J'v\ ~~\1i\"MJ Y"DOW"l WATER: L~ ''^-. 'rv--Å' V"'- -e.o¡ ~ 1 ~~i'h't.A-~ - vtron SPECIAL: LOCK 80X: YES/'@) iF YES, LOCAnON: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: ' A. PRIVATE FIRE PROTECTION: ~\v-e.. cb'-\(\---.~\J\'~\vu.~ \o~ &r-.~~ ~~\ ''''''''!:.\ h..- ~ ~ B. WATER AVAILABIUTY (FIRE HYDRANT): S \ ~ ~"UZ.- ó~ ~~~ ~ ~ '(\.Å'r'. \..J~ I I! __~......~ ,p, ~ _ r:. , , , - BAKE.FIELD CITY FIRED~RT,ME'NT HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVE. BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION I . CHECK IF BUSINESS IS A FARM [ ] I I ! : BUSINESS NAME (\ìo..~~ c.oVf¡>' : FACIU1Y NAME '(\ ì Oc5()Joítò. ('..c4L \,JoJ, : SITE ADDRESS ìqq\ \J,^;\-e-' 4lt"1t... ! CITY bA~"\.f~r,--\~ STATE ()b. , ¡ NATURE OF 3USINESS cÞe- WDJ.-.~ ZIP q~ðlj' i i I I ¡ SIC CODE ! i ! i i \ OWNER/OPERATOR D~\~ \\o'hìh. ìS41. I i DUN & BRADSTREET NUMBER PHONE ~~L-"l~Y~ i MAILING ADDRESS '\C\ q \ 'w'-':\t.. i CITY b~~ ~ -Ç\\..\~ \ I I ~~ STATE Qð ZIP Q3.)oC) EMERGENCY CONTACTS NAME '-=\-~~¥:- \\dat h.. TITLE O~~ BUSINESS PHONE <6ð\ ':¡l)q ~ 24-HOUR PHONE ~~ o~q NAME ~~\- ., \:\{'~\~ TITLE ()\...JJ V\~ BUSINESS PHONE 3ð~ -<¡N-ss 2.4-HOUR PHONE s.ølemow:JQ, 1 ggz REGION" I.EPC STANQAAD F-- usiness Name BAKERSFMiLD CITY FIRE DEPAIiiMENT' HAZA~OUS MATERIALS INVEN-¡:ðf4y:>",< '1 GVVCt' (W~<hddress ,G)C}/ W~I'\-t ~ne '?~- .~~~ .' ;~~~l..Of3 -j-?'-- .~': CHEMICAL DESCRIPTION .~~ ::--. '. :;: ~:- ": . - .'~.",: ." 1) INVENTORY STATUS: New ( I Addition (io1'" Revision ( ) Deletion ( I - ' Check if chemical is a NON TRACE SECRET' ( -) , TRADE SECRET ( ) Chemical Name: ~w ~'-\c:. \-<t~ f\~ ~ \.'"'~ ì-ov-~\~ A '-O'\'"rl. te. '\À ~ 3) DOT 1# (optional) '(\ A 2) Common Name: AHM ( ] CAS 1# \ 1.... ...... 0 q <¡?-~L- « -1..°)0 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire Ii.J-" Reactive (J Sudden Release of Pressure [ ] HEALTH Immediate HeaJth (Acute) () Delayed Health (Chronic) c...r- 5) WASTE CLASSIFICATION ~1.- (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid (] Uquid (¡,j' Gas ( ] Pure (J Mixture (] Waste [] Radioactive [ ] OiECX ALL mAT APPlY 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: '1.4 Average Daily Amount: '2.Ö Annual Amount: '2.. ~ç Largest Size"Container: ~ # Days On Site --L- UNITS OF MEASURE 100 [ ] gal (] 113 ( ] curies ['] 9""<::.' 8) STORAGE CODES a) Container: A b) Pressure: c) Temperature: Circle Which Months: M. A. M. J. J. A, S, 0, N. 0 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components 1) COMPONENT QJJ '(Y\~ CAS # q<;?-~L.-~ %WT '2..0 Ie, AHM [ ] [ ] [ ] 2) 3) 10) Location L\J 'o-e... g CHEMICAL DESCRIPTION 2) Common Name: 1) INVENTORY STATUS: New [ ] Addition [..J. Revision ( ] Deletion [ 1- ,~ \ ~ ( \-dlo.k '\ ~c,,1rl' 1~5, Ct'\. Check if chemical is a NON TRADE SECRET (J TRACE SECRET [ ] 3) DOT # (optional) 'Y\ \ ¡A. Chemical Name: y (J\-va,~ \) 'bY-IleA.\.-I h.. 0,\ AHM ( ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire (J Reactive (1 Sudden Release of Pressure [ ] HEALTH Immediate HeaJth (Acute) () Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION ìo-{ CI S (3-digit code from DHS Form 8022) USE CODE L/O'50 1.000 r 6) PHYSICAL STATE Solid (] Uquid (...¡' Gas [ ] Pure (J Mixture (I Waste [ I Radioactive ( ] CHEC1\ ALL mAr APPt. y 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: # Days On Site 1'2.. 9-\-~ ~ UNITS OF MEASURE 100 [ ] gal [] 113 [ ] curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: ¡Or Circle Which Months: M. A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components 1) Y\\f-'r \ COMPONENT CAS # % WT· AHM [ ] [ ] [ ] 2) 10) Location Lù ~_ ,cert¡ unaer penalty 0 law, t17ar ave pe onal yexanllneo ana am familiar WI SUbm:1;nnaâon is au~:t~ com;e~ PRINT Name & It/e of Authorized Company Ae resentaâve e mTomat/on su mitt :r ---~. )-<{.q~ Date 'ICIt......-:Ja. ''*I ~A Si atu ~ ¥ I.Ð'C lTofIIiiOW)FQUIt ;:f' '\:::. BJ.\r\.EfiJ¡FiELD Crl Y .-'~~·iE DEP'¡~' RTr"lEr~l~ H~RDOUS MATERIALS INV~ORY ~~ h q W~ ~ PagE!Z.of-.i. '~ Business Name .!<AlA ~ S Address I 11 }.J.... ¡ i CHEMICAL DESCRIPTION : 1) INVENTORY STATUS: New ( ) Addition (~ Revision [ ) Deletion [ ) Check if chemical is a NON TRADE SECRET ( ] TRADE SECRET [ ] I S \ i C.\L... SD 3) DOT # (optional) ~ (\- I 2) Common Name: i : Chemical Name: Y t \ 1f'0 \ "'(JJ YY'\ L\JbY\'Q\'''''~ ()\) AHM [ ) CAS # i I ! 4) PHYSICAL & HEALTH PHYSICAL HEALTH i I HAZARD CATEGORIES Fire [ ] Reactive ( ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( ] Delayed Helllth (Chronic) [lV' , ; 5) WASTE CLASSIFICATION YIY 1.. ¡JOÕ ~ i (3-digit code from DHS Form 8022) USE CODE I I I 6) PHYSICAL STATE Solid [ I Uquid [/Ã' Gas [ ] Pure [ ] Mixture ( ] Wate [ ] Radioactive ( ] : i CHfO<Ail. THAT A.Wlr 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Mu"'~ Dm. Amoo"', ~ Ibs [ ] gal [ ] ft3 [ ] a) Container: Average Daily Amount: 1- curies I ) b) Pressure: I I Annual Amount: ~\-s. c) Temperature: Largest Size 'Container: <1 ~,F, # Days On Site 1 Circle Which Months: M, A, M, J, J, A. S, 0, N, D ! 9) MIXTURE: ~ I Ust r~PONENT CAS # %WT AHM I I the three most hazardous 1) Y\ [ ) chemical components or any AHM components 2) [ ] I I 3) [ ] 10) Location L-\J~ S~ I CHEMICAL DESCRIPTION I 1) INVENTORY STATUS: New [ ] Addition 11""Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: ~a \ '-sh 3) DOT # (optional) V\~ Chemical Name: c.,\ U r C.O<At- ~()\~ AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ I Sudden Release of Pressure ( I Immediate Hea:1h (Acute) ( ) Delayed Helllth (Chronic) ILJ.-" 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE I 6) PHYSICAL STATE Solid [ I liquid l,..ÝGas ( ] Pure [ ] Mixture ( ] Wa.~te ( ] Radioactive [ ) I (;HE(;( ALL THAT APPlY I 7) AMOUNT AND TIME AT FACIUTY \ UNITS OF MEASURE 8) STORAGE CODES I M~mom DmLy Amoo"" ~ Ibs [ ] gal [vf ft3 ( ) a) Container: I Average Daily Amount: 5 \ \ curies [ ] b) Pressure: Annual Amount: "IDa ~ c) Temperature: Largest Size Container: - C'I I # Days On Site . ~O Circle Which Months: All Year. J. F, M, A, M. J. J. A, S, O. N, 0 , 9) MIXTURE: Ust 'f\\'A- COMPONENT CAS # %WT AHM the three most hazardous 1 ) [ ) chemical components or any AHM componenls '2) [ ) 3) ( ] 10) Location OAr wCM-h. I certify under penalty of law, that I have personally exammed and am farnllì81 WIth the mfomeùon submitted on thIS and all attacneø documents. I Del/eve t, Y\' submitted infonnation is true. accurate. and complete. PRINT Name & Title of Authorized Company Representative Signature I Date I IIIIØOI v L.EPt IrfAflilOMO J -- ~__-"""311 111m 8usiness Name BAKERSilELD CITY FIRE DEPAiTMENT' HAZØDOUS MATERIALS INVEN~RY J_ ,-þ page3 'of :3 Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( ) Addition (~evision ( Deletion ( ) I 2) Common Name:~ W ì K 'b ~ ; Chemical Name: 4) PHYSICAL & HEALTH HAZARD CATEGORIES 5) WASTE CLASSIFICATION 6) PHYSICAL STATE 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size·Container: # Days On Site 9) MIXTURE: List the three most hazardous chemical components or any AHM components 10) Location f.:..A f Check if chemical is a NON 'mADE SECRET (J TRADE SECRET ( I 3) DOT # (optional) r'\c\^J... AHM ( ) CAS # PHYSICAL Fire [I Reactive (] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) [I Delayed Health (Chronic) U- USE CODE (3-digit code from DHS Form 8022) Solid [] Liquid [\¥ Gas [ ] Pure ) Mixture (J Waste (J ŒEacALL rHAT APPlY Radioactive ( ) 30 ~p.! 2>0 'jA' :~l"o , ::'.)0 ~Id ~ UNITS OF MEASURE Ibs [ I gal [~ ft3 [ I curies [ ) 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: A Circle Which Months: All Year. J, F, M, A, M. J. J. A. S, O. N, D 1) \ COMPONENT \ "'Q) \A., TO 'f... '-I ""'\. V~h.ð AHM ( ) [ ) [ ] CAS # %WT 2) CHEMICAL DESCRIPTION 2) Common Name: 1) INVENTORY STATUS: New ( ) Addition ( ] Revision [ ] Deletion ( ] 3) DOT # (optional) 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: # Days On Site Chemical Name: 4) PHYSICAL & HEALTH HAZARD CATEGORIES 5) WASTE CLASSIFICATION 6) PHYSICAL STATE 9) MIXTURE: List the three most hazardous chemical components or any AHM components 10) Location ~"'3Q 18n Check if chemical is a NON 'mADE SECRET ( TRADE SECRET ( ) AHM ( ) CAS # PHYSICAL Fire [] Reactive (J Sudden Release of Pressure [ ) HEALTH Immediate Health (Acute) [J Delayed Health (Chronic) ( ) (3-digit code from DHS Form 8022) USE CODE Solid [] Liquid [] Gas [ I Pure [] Mixture [) Waste () Radioactive ( ) CHECK AU mAT APPlY UNITS OF MEASURE Ibs [ ) gal (] ft3 [ ] cunes [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: Circle Which Months: All Year. J. F, M, A. M. J, J. A. S. O. N, D COMPONENT CAS # %WT AHM ( ) ( ) ( ] 1) '2) 3) 3- )..C( .l1t- Datø IIIECKJIIV \ÐICITIIfiIIONIIDFCJIUII