HomeMy WebLinkAboutBUSINESS PLAN
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Manager :
Location: 5101 WHITE LN
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 13
EPA Numb:
SiteID~ 015-021-002424
AUTO CRAFTERS
'BusPhone:
Map : 123
Grid: 15B
(661) 836-3288
CommHaz :
FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact
GUY PERKINS
Business Phone:
24-Hour Phone :
Pager Phone :
/
/
(661)
( )
( )
Title Emergency Contact / Title
I
836-3288x Business Phone: ( ) - x
- x 24-Hour Phone : ' ( ) - x
- x Pager Phone : ( ) - x
Hazmat Hazards:
Period : to
Preparer:
Certif'd:
ParcelNo:
Emergency Directives: ~~. \C{
Phone: (661) 836-3288x
State: CA
Zip : 93309
Phone: (661) 836-3288x
State: CA
Zip : 93309
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact: GUY PERKINS
MailAddr: 5101 WHITE LN
Ci ty .. BAKERSFIELD
Owner
Address : 5101 WHITE LN
City : BAKERSFIELD
I, ~j r f?.')C Do hereby certify that I have
(Type or Print name)
reviewed the attached hazardous materials manage-
ment plan for ALLIr. C~1/.¡.e/f and that it along with
(Name 0 Øuslne88)
any corrections constitute aCOmplefe and correct man-
agement plan for my facility.
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SiteID: 015-021~002424 9
By Facility Unit ì
Fixed Containers at Site ì
F AUTO CRAFTERS
p= Hazmat Inventory
p== MCP+DailyMax Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax MCP
WASTE BRAKE FLUID
L
5.00 GAL UnR
,
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06/16/2003
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F AUTO CRAFTERS
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
WASTE BRAKE FLUID
SiteID: 015-02.1-002424 9
Facility Unit: Fixed Containers at Site ,9
Days On Site
365
Location within this Facility Unit
INSIDE NE CRNR OF SHOP
Map:
Grid:
CAS#
STATE - TYPE
Liquid Waste
PRESSURE
Ambient '
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
5.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
~
CAS #
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HAZARD ASSESSMENTS
Ag.Defined1:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6: Ag.Defined7:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
r- Ag .Define11
.
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06/16/2003
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SiteID: 015-021-002424 9
Facility Unit: Fixed Containers at Site 9
S
F AUTO CRAFTERS
F Inventory Item 0001
WA TE DATA
Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr.
No
Treatment UnitID: I Unit Type:
Agency-Defined Text Label
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06/16/2003
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Employee Notif./Evacuation
SiteID: 015-021-002424 ì
Fast Format ì
Overall Site ì
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F AUTO CRAFTERS
I
f= Notif./Evacuation/Medical
r== Agency Notification
r=
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Public Notif./Evacuation
Emergency Medical Plan
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06/16/2003
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Other Resource Activation
Sit~ID: 015-021~002424ì
Fast Format ì
Overall Sit,e ì
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I
F AUTO CRAFTERS
I
p= Mitigation/Prevent/Abatemt
r Release Prevention
Release Containment
r
I
I
Clean Up
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06/16/2003
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Building Occupancy Level
SiteID: 015-021-002424 ì
Fast Format ì
Overall Site ì
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F AUTO CRAFTERS
I
p= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
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Fire Protec./Avail. Water
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06/16/2003
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F AUTO CRAFTERS
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F Training
r== Employee Training
SiteID: 015-021-002424 9
Fast Format 9
Overall Site 9
Page 2·
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Held for Future Use
Held for Future Use
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06/16/2003
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1:3
CITY OF BAKERSFIEl.,O FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd J;'loor, Bakersfield, CA 93301
I/...3 -/56
¡l1J101 (
JlfIJ 0 11
5S0{)/
INSPECTION DATE I () !~, /o?....
PHONE NO. "ß %. s 'l. ~&
BUSINESS ID NO. 15-210- ,JEr-.J
NUMBER OF EMPLOYEES ~ 'Z-
FACILITY NAME ~ CflAP7r:J(.s
ADDRESS 6lD f Wt+nE u-J
FACILITY CONTACT_ Csvv ¡lJë:r#]f'I1-S
INSPECTION TIME f
Section I:
Business Plan and Inventory Program
Á- Routine
o Combined
o Yoint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate pennit on hand rJ'&J St'7E
Business plan contact infonnation accurate
Visible address
Correct occupancy
Verification of inventory materials t¡..}A.S <f'€ ~~ $C)L.()7«JvJ
Verification of quantities ç ()..A,- Mþ..:'1-..
Verification of location (^-JS (I) é N'ç- cR.NfL c»= S~
"-
Proper segregation of material I If YGUf clethes catch fire...
I
Verification of MSDS availability I STem~DRoPOR(iLL
Verification of Haz Mat training ! .
t ·9&:- hot DOt.,.SN fèJy¿
,
: ' ì.
Verification of abatement supplies and procedures "
: -
Emergency procedures adequate I ~æ" rA1'Sf." .-;- a k !
I - . -
Containers properly labeled (j(~ ~~~):;"'"
c.)'I=-
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Housekeeping - ..
I - -
Fire Protection
Site Diagram Adequate & On Hand I' Bakersfield Fir~ Department " .
-,Keeping Our Commuñity"Safe Day&- Night!
C=Compliance
V=Violation
Any hazardous waste on site?: ~ Yes 0 No
Explain: &!X.IJC.-.(!)()S ß.aAKé ~~cwJ
C.A-ooq34514~Ç ,
Questions regarding this inspection? Pleasëcall us at (661) 326-3979
f7~ \
White - Env, Svcs,
Yellow - Station Copy
Pink - Business Copy
Inspector:
Wt'\Fi25
~---.-._'--.,.--_.~--,.--~--- ._--'-"--~~-'.'.
I AMOUNT $ AMOUNT $
T . ---
···_·__···,···~_·¡-~,,·_·,,·..----r':---'--+--
CREDIT CARD NO, ~ ...,..
TTTTIII Tl'"
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,0)
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1 ~. ~
IN TAX EXEMPTION NO, ¡' ~
¡ ).:
.. 0..
~ 8
PROMO MSDS ':1 E
NO~ GIVEN I 0
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," YES NO <Ì' '
S Ii MACHINE PROPfRL Y GROUNDEO 0 0 I- 'I> >
~ ~ LOCI\!. PHONE NO. S11CK£R Z 'I Q.
INSTAlLEO U U AFF1XEOTOMACHlNE 0 0 W . 0
o EMERGENCYCLOi 0 0 SPENTSOLVENTMEETS 0 D·:ïE"j CJ
OFLIDUNOBSTRUCTEO ACCEPTANCECRrreRIA '. , ,0:11\':'...1
"C"""I U1
14, UNIT SK DOT NUMBER:W:'::' '1 ..J
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G 839 ;:·.1 ¡:
.' ...
N ,C<' .¡ :E
220 LBS, TO 2.200 LBSJMONTH ~. I"..
IN[TIALS f3 ~
GREATER THAN 2.200 LBSJMONTH ~ N j....
C/) g ,0
, It') ,\'
INITIALS Q 0 I
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I CERTIFY THAT NO MATERIAL CHANGE HAS OCCURRED USA EP A ID NO Z ~ :
EITHER IN THE CHARACTERISTICS OF THE WASTE·' <t a: \
MATERIALS Of! IN THE PROCESS GENERATING THE STATE ID NO W;¡;' .0>'
WASTE MATERIAlS, . CD I
I AGREE TO PAY THE ABOVE CHARGES AND TO BE BOUND BY THE TERMS AND ~ ~ \ 9
=~O~~ F~~A~~~ ANto~NTH~E =~g:¡ ~~:~ ~~~~~E > I- i
INDICATEO IN THE PAYMENT RECEIVED SECTION, THE INDMDUAL SIGNING THIS ffi ~ \ \'
DOCUMENT IS DULY AUTHORIZED TO SIGN AND BIND CUSTOMER TO ITS TERMS, C/) a.. ì ..0
"'T'hIs is 10 ceftify that the above-named materials 811ft properly claB81ned, øeck.gee:!, marked ano labeled. and BfØ In 0
_"condI'""'''''___Ing''''''_~reg.~_oI'''D_"ofT"""",_.' TOTAL DUE 1..0
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Print Cu~tomer,Nam .' II :
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AMEX
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EXP.DATE-
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0021477005
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MANIFEST CODE SEa #
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INVOICE #
o cODAY'S SERVlœsAlE
o ~E'IIOUS BALANCE AS F01.I.OWS
INVõiëË#
iERVICE/PRODUCTS
DESCRIPTION- (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 10.)
)US WASTE, LIQUID, N.O.S. 9 NA3082 PG III
J:' R (, #1, 7 t A Q ¡IF" 0 If ~ R R A IC F ~ 0 I I T TON ,t\ . ~ ~ r.; A I
ED FACILITY NAME AND ADDRESS
:OIlTH I '\T
CASH 0
CHECK NUMBER
TOTAL RECEIVED
SAFETY-KLEEN SYSTEMS, INC.
R£FDlrVA 9~~~4
APPLY PAYMENT TO:
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12, CONTAINERS
NO, I m&.-
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1
TOTAL
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CUSTOMER P.O. NUMBER
REMARKS! aUAN: CHARGE
UNIT PRICE
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...1 1~;::¡ S" C; n
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125.~J :.10
-
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GOOO ·OOR vtS NO
OECAL ~ PlACE 0 0
MACHINE CONDmON 0 0 ANI EGIBLE
& CI.EANUNESS RJSIBI .INK - "
LAMP ASSEMBLY 0 ilNG
CONDITION ,
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,-.:TOTAL WASTE SOLVENT/DRUMS CC
..CHARGE ~ SK.E2L
nann ~ £~9
SALES
TAX
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. . . BOXES
;~ENEÅÁ'tOR'STA't~jºNO:';;' ....
WIBLE BLVD
RSFIELD CA 93313
~A~)E~~ -I 0 GJ ohl- 1117 I
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lumble, 'South Ca¡ôllne 29201
" CUStOMER NO.
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FOR SERVICE CALL
BRANCH MANAGER
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