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Home My WebLink AboutBUSINESS PLAN 3/12/2003i AFRO COLOURS 4300 WIBLE ROAD, SUITE C i ,, ~, ~ . e CITY OF BAKERS FIE"" OFFICE OF ENVIRONMENTAL ~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION (//6 -();)/ -OÒ.;>(j£ C/ £5(/7317 Page _ Of ¡ FACILITY ID # 1 Year Beginning ! I ~OO~ ;- BU,SINESS NAME. (Same as FACIL[TY (E C?r DBA- Do~n9 Business As) . ~ ~.__ß,er.Q-1.bloua..s _ 3 ±y-!'\ &v\*e(.(rL ~5-d , SITE ADDRESS L\ 300 \JJ do \.e.. 4G ! CITY B(Å~S~le-'C¡ · DUN & 0 c... 0 d- i BRADSTREET 3d - Ó :...; d'd- I : COUNTY \<.Vf ! OPERATOR NAME A Ro /,'. :,' :.-" . .,1. FACILITY IDEN1,lFICATION. . ~01 3 I BUSINESS PHONE I lÆLe" qÎq 1 J ?/i 102 103 104 'Ii CA I ZIP I Cf 3öl ~ 105 106 SIC CODE (4 Digit #) 107 1~3ø- ; OWNER NAME , 108 109 OPERATOR PHONE (pftJ (- q7q - 7/39 110 '<,'~.:(i!'F.~~,,,,.:_.,:;:<~.;,,;::·:'':''''i'_,,, ~"'^.~~',, '¡ .: "'...~'}" ,~I if ,,_f.:.r~ 'r ,,'~ ' TO~' f}()WNERIÑFORMA TION;,¡!~(~fr :)~;¡! ;. ./',:'!!! ,~h<"""""",<.><" .,¡__,>V,"'>';,': _\ ... '~> ,....... . , : ·I"':"^';~_~__¡:'~'_; De ~ Sc.....~.\..O~ ~ C+, 111 I OWNER PHONE It le. \ 9;1 ~~c..¡"3 0 112 , 113 114 I STATE C~115 ZIP 116 : -2i0~.\fV:·~;f~j2~;:::?{~'¥J${{9':~d:/;:JiL':~-;'\::;; 'i: ~ - :.~:. <'. .IRQNME~rA~~fc.O~¡, l 'iY ;~:i":;'(;:;: ~:'j,?, ·).'}1:'é' \';,4·,2~1h~{~ ":;4,~~~-ß;~:-~;]"~:;,),:-" ! CONTACTNAMEyY\OY\u(L D~ [os SOJ\,{oS ! CONTACT MAILING L 0 ! ADDRESS S os- ~t\.. c+ ! CITY \ba t<ees(¡ e d. 1171 CONTACT PHONE (PhI -<=6/d -~43D118 119 :~'>;',X;\f:f~'-:"~~f(V::n~Jil:hC::;' : ..;~,);:A RGENC~;,GÇ)NT " :', 'k"~''';f:.,.,.''fj:t>.-;~: ·'-,i;::~ÜW<..:'~n~:1< »:..-,~ 123 i NAME :v GU-\.Li V\(Ä G4'WIe'L-- , ( 125 ! TITLE tfurYIttVl ~SOU(tt'5 126 : BUSINESS PHONE (¡ ø ( - g 7:;- - gL( -3 () 127 : 24-HOUR PHONE (¡ ø (- '37;¡; - <f)V ó ò ZIP C(3 3 ()'W 122 , , . . ê()NDA~Ÿ.L<> ~~"~ ~,,: ,,; ;' <~"" -~ -~.','; .~.""- -:,' ~ :',:' ~¿,¡>. }/:Æ ¡ NAME ~hR\ ó~~ 6t\W\e.?- i TITLE le(l.tlj-to~ yv'\(i/f\Cto.f,r l BUSINESS PHONE ~(p l-q 1q-7t3q : 24·HOUR PHONE {f fll - ú '3:3 -(5""3 ( r------- ! PAGER # It f.t ( - "3 - 76<6 130 131 132 128 : PAGER # (P·:¡íij~:Y¡;':~~.~!II=I~~i,lq'~.."¡'~~[.}:;·,:';·:::~;¡:;¡~,; 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGN TURE OF 0 E DATE 134 NAME OF DOCUMENT PREPARER 135 J-/ -It -63 t,/-tt2i 6A-rYle-z- 136 TITLE OF OWNER/OPERATOR 137 UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd e 411ERO~ COLOURSv AUTOManvE PAINT REPAIR SPECIAUSTS Manuel De Los Santos Owner 661-979-7139 - " J & M Enterprises 5205 Lyra Ct. Bakersfield. CA 93306 I · I e CITY OF BAKERSFIEIA OFFICE OF ENVIRONMENTAL SJ!{VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section 11.1 - DISCOVERY AND NOTIFICATIONS (91 I. FACILITY IDENTIFICATION BUSINESS A~;;~ as t:1~\:~; ~BA - ~g Bu53;W\ f3 n*~rr(i 5eS ) 3 ADDRESS (For local use only) 476, F AbILITY 10 # Wlbl~ s\{ ~C- bQ~eeSHtld LA- 03313 DISCOVERY . . I,' , " A. LEAK DETECTION AND MONITORING PROCEDURES: (\0 LeAIL- Dect-\oY' VV\.Orf\.l-toí. Ou)l'\t~ c\- \'Y\-QJ'\~~.IS ~'l-\o\ +- T/I\Sf¥c+or fA-Cl\'\~ e-u't~ VVÎ.ORY\ln~ LAfCiY\ ctRR-iu4-· , ! ~. '~'I ";:-.;:::<1'::',.:- ,,' _~'.. ".'.,',:,," ~ ";' :,}ll:NOTIFICATIONS ", , , , ,,,' ,,"', ,;. "', ,','- ' '- ", , " , I B. ,EMERGENCY AND AGENC;' NOT~FICATION PROCEDURES: ...\.. /I'.. c-AS¿, ().f- 8(fV\€íg-t:f\ú;{ CDe. I wa~ CCtl~ JM<¿ ~S L\Gt€d b-e(OlAJ ~\lA+ ~,€- Œ;-\~ Ev\Uío(VV\-en.-to.C 6e¡e¡)¡'4e-5 Or:{¡ct '\7\ AS . 02ovided. \ cl -= q q and - ~(ke.. 1){ E:~V'\U~)'~V\~\ 5enJíees \-_~{JI). -'B'Sd-ÎS6~ 3~ :; Q ,*\ or- ßt-\~e{?(\~(d $ --.t:k:?;;¿)1; -Yj''ìC~l'\v¡o~meflCt..-(. or;(ICe ~,'''; _".~:..\._ ,:.I:\Y;l:.:;/ ~~ ~~ ,..,-~<~£,~:,~.,~."."";,{ ,- "....," ':. ."~~~"~::,1'~~,.",\"·:·"'. ::'/ f;"..~;J.\'V,::ENVIRONMENTAL MANAGEMENT, " , . ,. ;1;..," ,{."~\'"'., ' '"''¡-''''' _.,' ,', ,_' ."\'. .' ~". : ....~..'1>~~!!...-. . C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: (Y\.CvV\,fA:(C c.?~ ::SeL(I\E'. PE'. lo~ S~v\407!. cqZ-e # e ! ,Ç~i~nc\l~ t>ð.rz...\-~e":J <-X'^a-l- wtl\ þ~ (Z.~~Dv\S\~\e. .(o~ cJett~\. VVf ¡ VW+\tYII'1, p'~ð'f'e6£. b : a!AJ6~q}6Z~Úr? .Fot2. e;V\VlOI'l Me,,{Ct l ff20\P~ rrl S. c..\-\-Iti~ 0NIfV'f!"t \,trvn-o~'1 Wt~n Cl~ -e It: W ( Ii e. I ,. ¡" ýLe.d:.r./(f1d, Envll?lól.{-ft'$ (.ù(l( p-ll ~~ Ut"á4- ~5ol'2+- +o+AK't> (",C{,(e. I ¡(left , n [, Vie "tV ~¡r ( I I of ¿::Yhe6t> ~5f(j)1~¡ul,(l? ' I 'I' - ,<.:,. \', "', " ' EMERGENCY MEDICAL PLÂN , ," " ' D. CLOSEST LOCAL MEDICAL FACILITY: 6a.!<ef-s(ïeld tt-b\~-t- \\csp ~L (g(g\ - 3\ \5~ ,-\lP01+crO AiJe... \6a..¥e~Çl<€ ~cL CA- '"300 ~ \.eo Lrf¡ey e'lt~¡?t AI' evnetl!6enci~fi) I UPCF (7199) S:\PROCEOURE MANUALlNew HMMP form,wpd H~DOUS MATERIALS MANAGE"-T PLAN Section 11.2 - RELEASE RESPONSE PLAN PRELIMINARY ASSESSMENT A. HAZARD ASSESSMENT AND PREVENTION MEASURES: 1==!¡L\I'YI610le rna-k:riúls I ckMI cCt,L ~ C( ¡(e iY\ (). vne-t«L- S-bf{ifje lJ.,1'\\-t Wl 'Dð'Oí +- \Ct{;c.(.,-.. lú..r¿je( ÚM-\ð\Î!f\<eæ5 CU{l..e 6e~L~d " ~ ~e 5A/,N\~ é\.r[fA. vJhl(h Cl~t ~\o-t EttGt'-fa -rA\\ Oll'(.í +- SpH(. sarti¡ é1t.ti(Jrt![qt ; l"dI.tJ'I'~ [iR-e E~-liVlí ;~~r , H-A-ZtlRd ¿fAewriad., 5(1,' (,l Kí {~ IJ.'sed, '¥a!:)5 L\I~CI.*- CtV¿e 50itd. 30 ,V\to e.... c,(jY\-+Ct.tVler /..J{4'~ t\.. Lid i I s40(ec1 CðVl-kl ¡ Ylfrs ,':.' ;<.'<'RÉSÞ,ONSÊ~ÁèTIONS~:;\~~i,.,' ~ -. 'h ·r~· :',. . ' . '. "t. . 'I'~ .", B. RELEASE CONTAINMENT AND MITIGATION: thew\ÌcL.{¡l sf,' {t Kt+ \5 (]Y\. lA~d fol2. ()JIN( ?f;.lbts-e of &u..{< eft ~WI i (J't ¿ $, I¡,",';' ..,' :. }', FOLLOW-UP ACTIONS .. , . C. CLEAN-UP AND RECOVERY PROCEDURES: 6Wf/eJ?5 ()ß.e ~¥(frl61ï:;1-e kte- C(f'A'Y'- ~ or:: Sfl/(~ ¡ I1nd wilf be U5íi7j lV\"uÙ W1\-eÁ-e... "6e~()(ce. t -?PV -76,;) -16h~ ðv<- 6J1e.s '5e~vi ce.. I\,l \. Cövt\ávr'lV\a*ed WttS~t:. Oi Sfð6{{"L 3 a;;> - 8' ;;) 58' \\/\zafit\ou s Wa61e. i S pI ck'-e.ci ~ Þy m ¡ 1'\ i W A-~rk.. 6ef v,'ee- - I-~ tíO - ì 5d -15'~~ UPCF (7/19) S:IPROCEDURE MANUAl\New HMMP form.wpd - e HAZARDOUS MATERIALS MANAGEMENT PLAN Section 111.1 - FACILITY AND LOCALITY INFORMATION UTILITY SHUT ..()FFS LOCATION OF SHUT-OFFS AT YOUR FACILITY: NATURAL GAS I PROPANE: ÐR,\\J-( W A.1 ,=>ot&-t- "Side. OP- oç('C~ ~ P\ef ELECTRICAL: ..5o(A~ G^"_&t-:,Gt'\d ()~ Oç(·C't. ~Ie,st nest + fò 61t$ ~+ opt.- WATER: ~ G~ liM d ()~ (JC{fæ L(JVI.~l~ J' V\ft¡-t' ~() G¡'ee...frieAl ~ .()~~ SPECIAL: LOCK BOX: YES t!§J . IF YES. LOCATION: PRIVÀTE FIREPR()TECTION I WATER AVÂlLABILlTY A. PRIVATE FIRE PROTECTION: (¡ Ke.., t:;'¡(+;V\~IA·.&nt¡(~ on s'r\e B. WATER AVAILABILITY (FIRE HYDRANT): f=tz())1+ or: OçC¡ce... B\d.s' I 0'\"1 c4r<b o~ wible e<.d , , TRAiNiNG ' ... ';" -;,. A. NUMBER OF EMPLOYEES: L{- B. MATERIALS DATA SHEETS ON FILE: V¡-eS !1Î€')l+ 4-0 ttAloRde-us stO(Aif-- W'\i+ ~'. BRIEFSUMMARYOFTRAININGPROG~: i{'(;l\\p/OYffS S~'d A~l!jue OV\ "S,'--!e Ot'1d ?tncl Mw¡ ::;fl\l5 0(. ~'lPV\iC.4L~ 4'k>e"( ~/d. "\..-o{I{"t- OLù~fR5 I l"OY\%iV\ ~ill v.>~",...... Q..~e,,"lcAL 5pill '11'+1 CA.ll q It fo( M\\.( Et'Y\{(5tf\Cvf ' é)wV\f.t2";; C{¡u ¡{i¥~6/1:)f.(. KJI'Z OM-( Q¡l1d cU( clé'/{11. ~ CERTIFICATION, ,- DATE 477. .Lf -~/- 03 478. TITLE OF SIGNER 479. J Oc.ù UPCF (7199) S:\PROCEDURE MANUAlINew HMMP fonn.wpd ~'" CJ ADD o DELETE --~._~.._._-~-- ~-_._-- ';.:=;;.;, ¡ .--..- CHEMICAL NAME e CITY OF BAKERSFIE~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o REVISE (on. farm per mat.nat ~r btldding 'fi/-ree¡ Page L of ,.' "; ,..:.;,,:¡,;'~(;;';>~~'~:_':~,~:.(j?<f¡!.:'."¡.<,:. " '.:.___~_______"_~'_.__"__"'_____"__h______'_ -_. "1. FA-aUT\' INfØßl1ATiONi:,,:' 200 " " , . :'" " ".' :. ......:_<t:::<,.;:i·:-':,·:·_:':':·~> ._ ,'. ',. '.': :. - .:'.. _ ':'>.," '", '::">'.:. --ãiJSI';¡~SS NAM~:(Sem~~'F:~~ILI~ NA;;ëõr D~ .Dci~~ BusIness ~)'" ~~~T~<;>:::g~::: :;~~-~- -¡'ACILITY ~-I- , 'T-'~ . ¡ i 1[ MÄP # (optional) , - ! ' I · ~J!IL~l L i i. . ' ,.,;",:,' . ."".,.',:::(:.' "ê:': ")';;'):' <'''~CHEr.1I£~\i~;~g~ATI()N. '". 3 203 , 201' CMEMICAL LOCATION 0 ~ ! CONFIDENTIAL (EPCRAj Yes po' No 202 GRID i (optional) --- --"--'"--204 " ":>./: , . ;'.~" . -~ DYes .NO 20S If Subjecllo EPCRA. refer to instructions ,;.h;;¡ ,,'-, .,> . "'~(}?;;:".'. ßlende( / eleA~èOAf e taJe ( 205 ' I I 207 : I EHS' ~ ..I~~'~~'h_:-"'N:: I, . ! COMMON NAME CAS # :- FIRE CODE HAZARD CLASSES (Complete If rtlQUestecl by local fire chief) ~'-'--'--'----' 210 o P PURE 215 '-TYPE - ---- PHVSICAL STATE o s SOLID FED HAZARD CATEGORIES , (Check ell thet apply) [ ANNUAL WASTE . AMOUNT )¡¡{, FIRE i STORAGE CONTAINER (Check a8 that apply) o m MIXTURE o w WASTE 211 RADIOACTIVE 0 Ves )1( No o 9 GAS 214 LARGEST CONTAINER \. ~V\H(JY\.- )(r LIQUID o 2 REACTIVE o 3 PRESSURE RELEASE 04 ACUTE HEALTH o 5 CHRONIC HEAlTH 217 I MAXIMUM 218 I AVERAGE I DAILY AMOUNT I DAILV AMOUNT UNITS' Jt 118 ~L..;;J.- 0 d. CU FT 0 Ib LSS 0 In TONS . If EHS. amounl must be in lba. o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM De PLASTIC/NONMETALLIC DRUM ~CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG O~ BOX o I CYLINDER o m GLASS BOTTLE o n PIoASTIC BOTTLE 00 TOTE BIN o P TANK WAGON , I STORAGE PRESSURE o 118 ABOVE AMBIENT o be BEL.OW AMBIENT 212 CURIES ·--..--'--~3- ----- 216 219 ' STATE WASltî8ï.E DAYS ON SITE 3&cs- 220 22' 222 o q RAIL CAR o r OTHER 223 224 : , 225 " .~ ; ;!}('~' -:.", '; " ·'~H':· ,,' ':'</;~. +.. ~.~'.:., ,{, ~'_".:<;':'.;.' "I', R"''''''(jš:OO 'PONE ""', ,.': ',' I?9l;q~'j'!:" t.t~,._~M"'i.1:/':':'h''-''~ ""-,.,1,.; o aø ABOVE AMBIENT o ba BELOW AMBIENT 1 ; 226 I ~_""n'+--__--+- I__'_L~ . :_,3.._~_ 234 \ '4 i 238 I I , I ¡_.J.. ., . ,.2421 L"",'·.."·.'n"':,'¡r,@,:H\i';;:i!,'ih:um'¡¡;';:;·,"";:"';¿;;i;¡;"~ '...,','.::,'::,',~ ,..!'.,:", \ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE l_~' tt~ ¡ ~ 6.41IJ1 e 2- JIVl,ifr1 Ctj.f..,e oVes ONo 228 i '" 10'. o,,:T 235 ! 0 Yes 0 No 236. ~ 239 I 0 Y. 0 No 240 \ ---L I 243 I 0 Yes 0 No 244 I - -_. .-.--' 233 237 241 245 S:\CUPAFORMS\OES2731.TV4.wpd (OtiS ,form psr material per builfllng or area) ~" 0 ADD 0 DELETE 0 REVISE 200 Page ;j}: of ~ £1' ____________'.__.._" ,',' ,', _..,.,---.".~ " "",~,..¡, ",'[.:ii't",::"" '" :" --:;'-----::~7'~~---·-----:-;:_ -_.c..,---.,..---'-'---..---'--::---:-=---\-¡ . ,':;'",,' , "',,",,, :', '", , I. FAClLlT'f.lNFØiVJATIQN '1:, ii,:' ___'-'-__,__,_-'-___, --¡jUSINESS ÑAME (Same as FACILITY NAME ai DBA - Dclng BusIness As) . _Ae&,-,~l~(l~ __J~- £'nt~'((P:IG~~ CHEMICAL LOCATION n a.! L Wl?fir; ¡) r "",," ,) ""... 1.1 On~f\ ~ (;Or' t't'( 01"' c:o~t.o-õ C\'-'::"'f -¡;ACilif'TiDiì~T i ;- 11 MAP t (optional) i -- '..;j', ,.",:,::,;."j"J:!:,:,;J.CttE~ä~AM~r.1ATI,()N, ¡¡,,~:;::,r; " -, _~EMlCAL NAM~_AC - 36,5 , COMMON NAME C 1t'.ft((CO 1-1' +. CITY OF BAKERSFIELD OAE OF ENVIRONMENTAL .VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 3 ---------------- 203 201! CHEMICAL LOCATION 0 Yes rv'f No 202 CONFIDENTIAL (EPC~A) pi- GRIDtI (optional) ----------,-.--- 204 ;.: .,::):i~m'i;:·~·~ :.';'::;:'t::,'·?· ,: .., 205 I TRADE SECRET 0 Yea ;rNa 206 I If Subject to EPCRA, refer to Instructions ~________ ___n____ : EHS' 0 Yes j8I No 208 2;t' ·lf~H~ il'Yel" allII1IOWI!I1Ie1ow DlUIi be III k k '3',5 cjf'I/IC VðC- CAS # :... FIRE CODE HAZARD CLASSES (Complete if requested by OO fire chief) TYPE ~p PURE o m MIXTURE o w WASTE 21\ RADIOACTIVE 0 Yes ~o 214 LARGEST CONTAINER 1.5 etll (JY\.. PHYSICAL STATE o s SOLID ~ LIQUID ogGAS -----, : FED HAZARD CATEGORIES (Check all tha! apply) !ÃÑNUAL WASTE , AMOUNT ~FIRE )õ2 REACTIVE 217 : MAXIMUM ~ DAILY AMOUNT o 5 CHRONIC HEALTH o 3 PRESSURE RELEASE 0 4 ACUTE HEALTH ~E DAILY AMOUNT o It LBS 0 tn TONS ~-_. UNITS' Jë' ga GAd 0 d, CU FT . If EHS. amount mU$! be in fils. STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK Db UNDERGROUND TANK o ç TANK INSIDE BUILDING o d STEEL DRUM 0.. PlASTIC/NONMETALLIC DRUM 'jiJð CAN o 9 CARBOY 0" SILO o I FIBER DRUM OJ BAG o k BOX 0, CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o II TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE ,"" .';1:,·, :' '-"~,:,~:;" ¡ '.-- ; ",';....' %WT:,';;:,': -;·;.,¡Vi',:\;; 1 ! c._,_~___.. 2: 230 , I .__.__~__w._. I 3: it :_ _-1__1 4 I 238 . ---¡-- , 5 242 . eta AMBIENT o aa ABOVE AMBŒNT o ba BELOW AMBIENT o aa ABOVE AMBIENT o be BELOW AMBIENT : 0 Yes 0 No 228 I i -+ 231 I 0 Yes 0 No 2:32 ¡ I . ~ 235 I 0 Yes 0 No 236 L I, 239 I 0 Yes 0 No 240 I I ~ ' 243 ¡ 0 Yes 0 No 2 ' ,,'i:-':dr¡'í:,,~¡;!~:: . I C! Jl K/~1- .----.--. UPCF (7/99) J-1/I/VJ14 c¡ e;e v .--'-'--- 210 ------~ 212 CURIES 215, 216 219 STATE WASTE CßDE .,.id DAYS ON SITE ?::J.p ç 222 220 221 o q RAIL CAR o r OTHER 223 224 ¡ o ç CRYOGENIC 225 '~;:, " ;a¡.;;;·,y, .';~(r ,. , ;:,::~V¡~>;'__';\¡:::,;>,,' "Çf.,~:"t:' ,¡í.. ...J 229 233 237 241 245 ¿( -ð(~cJl S:\CUPAFORMS\OES2731.TV4.wpd ~- DADO CHEMICAL NAME COMt.1ONNAME e CITY OF BAKERSFIE. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avel, CA 93301 (661) 326...3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION fan.lDrm par material par building or araa) Paga ~ at '!:.í- :'~~~--~~.,:~,:.·E~--·'-"·_-'_·'-·--~--·-"-·~~~·----_._- - "I D DELETE D REVISE 200 -~_._-_...---_.~'_._-- " .. , "'>:<\,:;:;:,', .. '", ". \ ,. ".-.:, ',';.":;yt.;: ".. .. '.. "~~(;,!;< ,.'.',;!>p:.,)~ "., , -.;;., , .' .."., . ,'"'' J,FACíUTVINFØ~TI~N --ŠusiÑËSS ÑÄMe' (Same'all FACilITY NAMe or oBA . Doing BUllinllllll As) ,_,A_e~--~.2- :S~ ~f\t~(p~~S_____._--- CHEMICAL lOCATION nOp-.4h ~C.ðfN'( ()f &kCp qlt:;A- :-FAëllITY~--~: ! 11 MAP#(optlonaJ) .~... ........1, ¡,...I, ":i¡;J,'·· :,;;i;é';;(~'¡:~~~!~oo.. .', . ....;;'1: 3 .--------------.. o Yes ¢ No 202 203 201: CHEMICAL LOCATION , CONFIDENTIAL (EPCRA) GRID j (OPtJønsl) ..-'-------2õ4" " ~;;;:: \: .. '~-~ '!;:;'j;:¡k .. ! .:I( Yes 0 No 206 ' I If Subject to EPCRA, refer to instNdifns 207 1--,------,..----'------' I EHS' 0 Yes Øo 208 I I 209 I ·\fENS is'Yes,' alllIIIOIIIIIS be~,1IIIIJt NÍDI1». j CAS # ~ FIRE CODE HAZARD CLASSES (Complete " requested by local nre chief) E)<e fh P +- ?-01¡tJ efl + f2edvtceR- ~ PURE 2~DIOACTIVE +-- 214 ¡LARGEST CONTAINER , o Yes ?(NO \ 5c-1 (I rJi'^', .-...-,..--- o m MIXTURE o w WASTE --tyPE PHYSICAL STATE ------ I FED HAZARD CATEGORIES , (Check all thellllply) ANNUAL WASTE AMOUNT ------- STORAGE CONTAINER (Chack all thst spply) o s SOLID ~ LIQUID DgGAS 210 212 Cû~----'--213- ....i_. 215, o 3 PRESSURE RELeASE 04 ACUTE HEALTH o 5 CHRONIC HEALTH -~----_._-_. 216 )41 FIRE 0 2 REACTIVE 217 I ~~~,M ~AMOU!T UNITS' 1(98 GAL...3 0 cf CU FT . If EHS, amount mull. be In IDS. 218~E DAilY AI.IOUNT o Ib LBS 0 In TONS o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIOE BUilDING o d STEEL DRUM o e PLASTiC/NONMETAlliC DRUM .-H.' CAN o 9 CARBOY o h SilO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON i L--- I STORAGE PRESSURE o ea ABOVE AMBIENT o oa BELOW AMBIENT STATEWASTEC~ 220 221 i DAYS ON SITE 222 "3(p~ 219 o q RAIl. CAR o r OTHER 223 224 i I 'r-~----L---~L ! 2 230 i I I 234 I I 238 ' -1--- . 3 ! :_.,J____ o Yes 0 No 228 231 I 0 Yes 0 No 232 , I 235 I 0 Yes 0 No 236 I i 239 I 0 Yes 0 No 240 . T ' 243 ! 0 Yes 0 No 244 i 225 .il!i;,·'.,.:¡;'¡'~sil,:·" !,: !i:~;,: ., .' !!Í;: 229 233 237 241 . .--- .-......... f/l1,4 // á .3 'tIC ,I S:\CUPAFORMS\OES2731.TV4.wpd .' e CITY OF BAKERSFIE_ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 200 (one Iorm per material per building or anla) Page ~ of g1 , ,..,....-...,.".-----~"-_..-..-------....-... ,.....-'----¡-',-- . -'I,' of: ___.____. I ~,.. o REVISE o DELETE DADD _._--,-"_.__._-,_._.._-...----.._._~ .', :' ~ . ,. -' . ,,. :; :. ::,.:::>;~",t t··'>';-,· . ",: ,; . ,,".¡:;,:. ',:.' . ',' ":.<; >1·,;,'iY~ ,<.,,-;t;:;;:;.:~;;:,- .~' "'",. ",I. F~cìLiTY tNfØ.v.ATlON -"'ŠUSINËSS NAME (S~rii~ ~s 'i:Àê'LITY NAME orDBA:DCling BUSln_As)' ' .,',1\~~__~'t \V\ e Y\t-~_ en~S ~.y CHEMICAL LOCATION nof\-th ~ Cofl\r:'r of &It.ep ':.Á(eA ~FÀëïÜmí)#r[l..1 I 1(1. TT! ,. i 'i~P Ø(opoone~ ! ";¡;·,¡)!i".::(:' ,···..<:;:,¡;'n. ,: '" ' t"::";:i.::'h':;::i:¡,(!~...Î. ÇHÈ",IÇ,~¡~~9~ATlON, ' :.~~--- - . ,"y' ''-':'., --.--.----.------- 2011 CHEMICAL LOCATION D Ves ~ No 202 CONFIDENTIAL (EPCRA) pi 203 GRJD ø (optional) -------204 ~ I 205 ! TRADE SECRET ~ 0 No 206 1_ If SUb~~_E~CRA, r~~ ~~ inSlructio.~,-_ 207 , I EHS· 0 Ves ¡¡(Nt; 208 2091:·~EHSi'.Y~. ~_Þbeto~,mustbeln~ ,I . ¡',< . ;:?~r;:~~-:l .'" ..':. o m MIXTURE D w WASTE 211 RADIOACTIVE Dves ~o 2-;"cüRres--- ~ LIQUID o iii GAS 214 LARGEST CONTAINER , ~ ({Ii q-f\ ------- 02 REACTIVE D 3 PRESSURE RELEASE D 4 ACUTE HEALTH o 5 CHRONIC HEALTH CHEMICAL NAME . Ißlerde ( G~6e CoM-- ßl~,Jer COMMON NAME CASØ - FIRE-CODE HAZARD CLASSES (Complete if requested by local fire chief) --tYPE p PURE ,---" ._--- PHVSICAL STATE D S SOLID I FED HAZARD CA TEOORIES i ¡Check allll1atapply) r- ANÑUAL WASTE : AMOUNT jL...1 FIRE 217 MAXIMUM DAIL V AMOUNT UNITS· Jil. 9a GAL \ D cf CU FT . If EHS, amount must be in Ibs, 218 AVERAGE DAILY AMOUNT D Ib LBS D In TONS .---- i STORAGE CONTAINER (Check all thet apply) D a ABOVEGROUND TANK D b UNDERGROUND TANK D ç TANK INSIDE BUILDING o d STEEL DRUM De PLASTIC/NONMETALLIC DRUM ~CAN D iii CARBOV o h SILO o i FIBER DRUM OJ BAG Ok BOX o t CYLINDER D m GLASS BOTTLE D n PLASTIC BOTTLE D 0 TOTE BIN D p TANK WAGON 210 213 215. 216 219 STATE W"ASTE CODE %( DAVS ON SITE 3<CS- 220 221 222 D q RAIL CAR D r OTHER 223 STORAGE PRESSURE ~ a AMBIENT D aa ABOVE AMBIENT D ba BELOW AMBIENT 224 , I I '---"-+ , 2 ; !'_ ,...L__,__ .' 3 ' ~ i I I 231 I Dves D No 232 235 ~ Ves D No 23B '30 I 0,.0 No '" I 230 i 2~ I 23B r- 242-1 ;-,.._~- i 4 I rH---r' i 5 ' I--~ !l''''NA~:]!~if ~ !+If f'51Y ,111 Arl (j q-er 225 .'::~!:r'r:i6As,#\' , 229 233 237 241 245 C-/ô f -ð3 I ._"""~ '~"'I\\ S:\CUPAFORMS\OES2731.TV4.wpd ~ 0 ADD 0 DELETE 0 REVise 200 (on~:: per '§nal P: bUllding~) _,....'w__'_.~___.._"--~;.~<,::::;;~........- "'. 'f~';~,;'" '-'::~~:-?;;: "', '. .:;:"?'~-'-~:----'~---'-'-"'---~-"'- _._....- ~-'. ,,;:..: I. FA,CiuTY INf.iØþATION'·,,¡·u '--eusiÑËss ÑÄME(SalT\eaSf'ACU:I1'/NAME or DåA -Doln!låUSln~Âs) 3 ,.AerftO _~~___~~,m e t\\ e (qn«~ ______'.___-,-__________.____'__________ CHEMICAL LOCATION n 02.1 ¡..ùP*"/1 i-'. (' £'1 CO.ð. 2011 CHEMICAL LOCATION 0 Y .,,( Il1o 202 . Dn'tf\ ~ CAJr(\fr C;-- <:9~LCfJ c;l~,", ' CONFIDENTIAL (EPCRA) es pl -FACILITY-IÕ~]'-~.· . , " f~,' ,II!. i 1! MAP#(optloMI) 203 i GRID # (optional) '---'-----204- , ,I --~-JiliiL "I ¡ ii, ,f.:"¡'" ' " t" ;, :;;:'~l' '''''':'; ,.:~.", ·:.-'...;··_,,_~·:'Ír;ij:i"¡:;;'/,; ~ _'. :_'~:' '-',',,: t,>. ",:. <,H"..' .! ,., ,. ,·,"",",:::.";:i,,. ",,,;,¡,,'; I'·:;:!.:;: II.C:HE"~.I~f,'~ATION .',,' . ';' ß';:';¡, '::;::;1:: 205 i ,oTRADE SECRET 0 YØ$ .ïit'NO 206 2~- If SUb~ect IO_~CRA. r~er ~~ inSlructio:s__ I EHS" 0 Yes ~1IIo 208 209 ì "1f EHS is·Yes,' all _ belowlIIIISI be ill Ibt. I ' ' e CITY OF BAKERS FlEe OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION CHEMICAL NAME \ \ '1 t~l: lAr<'e~nt ¡(e duter COMMON NAME fZedvtcere CAS 1# - FIRE CODE HAZARD C.....SSES (Complete If requested by local fire chief) 210 o w WASTE 211 RADIOACTIVE O~;;;'- ~ 212 ------. '-tyPE 'rj¡I' P PURE o m MIXTuRE PHYSICAL STATE 'fJI LIQUID .....RGEST CONTAINER \ 5~(l(ffl OgGAS o s SOLID 214 ---' i FED HAZARD CATEGORIES ¡ (Chedc all that apply) !ANÑÜAl WASTE . AMOUNT ~ FIRE o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEAL Tri o 5 CHRONIC HEALTH 218 I AVERAGE I DAILY AMOUNT o Ib LBS 0 In TONS 217 MAXIMUM DAILY AMOUNT ]A gal GAl f) 0 cf. CU FT "If EHS. amount must be in Ibs. _~_w___.. UNITS" STORAGE CONTAINER (Check all that apply) o I FIBER DRUM OJ BAG Ok BOX 0, CYLINDER o m G.....SS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN o p TANK WAGON o 8 ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o e PlASTIC/NONMETALLIC DRUM .JIiirf CAN o g CARBOY o h SILO STORAGE PRESSURE o 8a ABOVE AMBIENT o ba BELOW AMBIENT CURIES '--~ï3-- 215 -------.- 216 219 STATE WASTE CODE ~t DAYS ON SITE "3 &c::;- 220 221 222 o q RAIL CAR o r OTHER 223 224 ----1 D a. ABOVE AMBIENT ðg~~I:~M~i~; o be BELOW AMBIENT 225 i Dyes ONo ~ 229 231 o Yes 0 No 232 I 233 , 235 OVesONo 236 I 237 239 1_- 241 1 I --,+- 2 i 230 '..-, , ...1----.... 226 .; 3 ! 234 1111 A11ú 1.e~ - UPCF (7i99) o c CRYOGENIC ::,;i:;:'êÅ$¥ ' .' ;-.'" ," [/ ';;)/-03 S:\CUPAFORMS\OES2731.TV4.wpd e CITY OF BAKERSFIE'- OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o DELETE o REVISE 200 (one form per materi,' per building or area) Page (L 01 ~ ;:,~~'~___----::-:--_'___'._'__'__~_""'_'R__~_'___'~'~ ~.: '~~;:"'i>" . i ___.~. i ~. DADD _...,.,._.~,-_.._-_....'_"_"_._-- ..:~'..::::,:>~i, "',!. . ; ::\"',. ".':.';Y..::;~'~;t{<, ·~:-!'~C\.;r::!~:;..' "'-' ';... , ., ,,' ,,:\'ii. . ' . ,.,., ,'. "'I. F~cìLlT"t' 11\Jf,º~ATÏON ·'·'ãiJsIÑÊsS NAME (Š8me as FACILITY NAME or DBA - Doing Business All) _.A_e.~___~~5 ~c\-. vY' eV\\-e.({>(,7~:5 CHEMICAL lOCATION n Q.lI_ U,Je~~i ", r On~f\ ~'C<JI<,I'f( C.,.- ,-FÄëllITY-~ [][J1TiT: ! i i ~. ',' ;", :-~:: :::~:)>-:,: ,.,';:i¡;;r¡;!.T;r;:::::,'.:< ,,:.::,;::.:;;.;~;:'i~¡}:)~Y":/,-:;'~.:-'-::;L::: " ..-< ~i. " ~," .~'j!;; ;'" " c, ..¡, ¡" . 'f . . i.: ,..' ·t'i(i :'.! .--~---- 3 -----------------. 201' CHEMICAL lOCATION D nn I CONFIDENTIAL (EPCRA) Yes pi No 202 203 f GRID II (optional) ---, .------- 204 1 i~' . <¿·~¡1)r :'. ': ; ¡ ;.~:,\i,:f!~r;· : J 205 I' TRADE SECRET J(yes 0 No 206 I II Subject to EPCRA, refer to instrudlons I 201 Ii EHS' I 209 I &h.cp ct~ '1 MAP # (option'l) I , .':y~¡:,->.,;~HEMï~~t!i~~~AT,Ô~ " ,';', ,', '., ¡ ~,". >.'-, ,",,' . '" 'j .< . :' ".:' '. > '.' '; '.: .: ': . " ,: . 'i¡,,~;" ,1. . ~;·,'/x,y,!~;?"", ' CHEMICAL NAME ? , , .--- COMMON NAME ¿ ÙInCi'NCtfer --_.._--.---~--_. Ft5 h- eye. Dyes ~NO 208 .'. . , I -¡f EHS is'Yel, . alllIIIØIIIIII below _ be ill Ills. ' . ,,', "I CAS' , i- F1RE COOE HAZARD CLASSES (Complete if requested by local fire ct1ief) '-fyPE DYes ~p PURE D w WASTE D m MIXTURE RADIOACTIVE 211 o --..--- 214 LARGEST CONTAINER \~l / PHYSICAL STATE liQUID DgGAS o 5 SOLID ---" : FED HAZARD CATEGORIES (Check all 'hit Ipply) I ANNUAL WASTE , AMOUNT 01 FIRE D 2 REACTIVE o 3 PRESSURE RELEASE D 4 ACUTE HEALTH o 5 CHRONIC HEALTH 211 MAXIMUM DAilY AMOUNT ~gaGAll DcfCUFT . If EHS, lmount must be in Ibe, ~ AVERAGE _ DAilY AMOUNT o Ib lBS 0 In TONS UNITS· .---- STORAGE CONTAINER (Check all that apply) o ì FIBER DRUM OJ BAG D k BOX o I CYLINDER o m GLASS BOTTLE D n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUilDING o d STEEL DRUM De PLASTIC/NONMETALLIC DRUM )iJlCAN o 9 CARBOY o h SilO 210 212 CURIES -----2"i"3"' --'--- 215 216 219 STATE WAS'\"E CODE 220 If(rz( DAYS ON SITE 222 3(e1S- 221 o q RAil CAR D t OTHER 223 STORAGE PRESSURE 0, ba BELOW AMBIENT o 88 ABOVE AMBIENT i ,_...,+---- 231 DYes 0 No 232 : 2 230 [.~,...._.L..__. 224 I ..J 229 233 231 241 245 . 3 ¡ 234 -,.-t-- I 4 i ~"-+- '~ (- ;PRINTNAME , i.~~#rZ f21+ 235 0 Yes 0 No 236 {1M A 11_(( f e IC . .___ J_,.....", ''1''1'( ". .~j!.~\" <;;';I}~f'¡f6¡4~;:'2: ' ¿/- ;;)-1 - 63 S:\CUPAFORMS\OES2731.TV4.wpd e CITY OF BAKERS FIE. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~,., DADD o DELETE o REVISE (one Iorm per material per ouilding.:;"s! 200 Page l: of .Cî :_:.:. '_, '"',::Y:i!-:_~.:,, ..'--,-'~ni:J!;~:!;'~,: :':: ' .':_~ ~~~~;::-~,: ~,:::',;'~--~-:~;:-~-" ___._ø._'_~'·_· ___.__n____.__+-.¡ ,I. FACiLITY IfIlf:Ø~,.,ATION"",: , ". :" " ,'.: ! -,---._-,-- 3 ' _.,_._.w_._~_,_,.___·____·· ,-,:-." . . ,'< " .' . , ~: ..'- .,:..: ":.".- .'- -, - - :. .,'" ...~..>.- . . '....ËÏUSIÑÊSS NAME (ŠÕme as FAClll1'Y NAME or DBA· Doing Business As) .."A~__~____~ ì:..fll.. e f\\(i P(ì~$.,__________ ------._--------- ~tLOfl akA 1; MAP f (cøtlonaf) 2011 CHEMICAL lOCATION 0 r7'í CONFIDENTIAL (EPCRA) Yes ,.;. No ~02 ---203 GRID # (OPtìona,~ -'----'-------204 . ~ ';~¡¡;i;r(···: :i :;,; :; ~ "', - : " ; ~ .. :".~;~::_:,__::'-,".",.., '.;' ::'".:""i:'~:(:1'::;"':':~';"'" " "": ' '·':);:;;'11.. CHElltlcA~ï\f:C)RMATION '.:'" . I" '.' :-- ,,',"'. : -.: ,'': ~ ! -I. .... ," :,':, "\, '.'" ,: . , " . , .. . DYes 0( No 2'06 If Subject to EPCRA, refer to instructions 20n------------,·....,-'-----' EHS' 0 Yes ~o 208 --, . "";,,,. ".: )1 . ; "[' :; ~~:;: '. --::;; CHEMICAL NAME LA C!. q lA. er ~ { ~(\(( ------- COMMON NAME '-th ~~tîe,(' . ,_._.~--_._- CAS/I ~ FIRE CODE HAZARD ClASSeS (Complete if requested by local Rre ctlleI) 209 -lfEHS is·Ye..· ¡ IIIIIOIiDIs beioW_ be ÍD Ibs. i , . ." ' ~. 'J 210 ''''TYPE ~ P PURE o m MIXTURE o w WASTE --------,-- 211 ! RADIO¡t¡,CTIVE o Yes ~o 212 CURIES --------zi3- .-.",~'.""-'---' ----'------- PHYSICAL STATE o s SOLID ¢ LIQUID o 2 REACTIVE OgGAS 214 i LARGEST CONTAINER , S 6411~~ 215 --------.--- ----,---- FED HAZARD CATEGORIES (Check en thaI apply) ANNUAL WASTE AMOUNT ~ FIRE o 3 PRESSURE RELEASE 04 ACUTE I1EALTH o 5 CHRONIC HEALTH 216 --,'..-----. 217 I MAXIMUM DAILV AMOUNT UNITS' Œ( ga GAL <6 0 cf, CU FT . If EHS, amO'Jnl muSI lie in 1!Ia. 216 ! AVERAGE I CAlLY AMOUNT I o III lBS 0 to TONS 219 STATE WASTE C~ol 220_ DAYS ON SITE 222 3~ 221 STORAGE CONTAINER o a ABOVEGROUND TANK 08 PLASTIC/NONMETALLIC DRUM o ¡FIBER ORUM o m GLASS BOTTLE o q RAil CAR m (Clleck all tllat apply) o D UNDERGROUND TANK ;Ji!í CAN OJ BAG o n PlASTIC BOTTLE o r OTHER o c TANK INSIDE BUilDING o 9 CARBOY Ok BOX o 0 TOTE BIN o d STEEL ORUM o h SILO O! CYLINDER o ø TANK WAGON STORAGE PRESSURE ~ a AMBIENT o aa ABOVE AMBIENT o Da BELOW AMBIENT 224 STORAGE TEMPERATURE o sa ABOVE AMBIENT o DS BELOW AMBIENT o c CRYOGENIC 225 t ; ~__.~_,._L-____,,__~. ~2 230 i ' I !.-."..-.-+~.._---.._'--_t_ . 3 ¡ 234 i :-,."-..1..--. : 238 i 233 o Yes 0 No 232 ~- 237 o Yes 0 No 236 I 239 o Ves 0 No 240 ~ 241 243 245 -- ----- /¡I{ /hII ti j e Ie. S:\CUPAFORMS\OES2731.TV4.wpd ~. DADO o OELETE .--~,--,-.-----'~'_.'-- LITY Ulf ISAKEK~r I1!.LIJ O~E OF ENVIRONMENTAL saVICES 1715 Chester Ave., CA 93301 (661)~6-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one 101m per material per ouddlng or Iltea) Page t of q __~______.___.,:"",_,,_._._~_._,~_______,"_~~__.____~~L-'I ", ,·:'t:,r-:;r! ,_; ! 3 "",::,(,;1, ,.'. '., .¡ 205 I TÀAÔE SECRET Dyes (NO 206 I If Subject to EPCRA, refer to Instructions 20+---'---'..--··---· i EHS' D Yes ~ No 208 I 2091,;;~f~~~!.'Y~'IÐ_U~_be~~ 'I 210 o REVISE 200 ~", . . ':!. ._+ .'-' .:.',~.~ ·:':i~j/~):-:,·':·\!_"!;.;~¡ir\¡:,-'..'· '< ~.,'>\."': ., ' . ' "'."..\;,,.."!... '..,.. '.' ..,. . I. FAdUtv I~ØRMATION --BUSINESS ÑAME (Samll n :ÂêILITY NAMËÖr DBA '. Ooin~Bu~ln~ As) , n-,ae ¡.¿G (:,()( O(,{ (.:':~-:! ~ t1'\ ~~ \e( P n ~ 5 _____,_ CHEMICAL LOCA110N n '" II. I ¡J(!':i\ ,1.. ~, r 01"1'\" ~ lAJrl\("( 0'\' -FACILITYIOij"-:-.--rT, ! -.-T-:-r-ï¡ ¡ ¡ 1~.JIl:i,!' I . . . '. ':~i:!!;?;!':": ", ">:iiiii!:}': t., ' 0:,;,;.< &~UP ·:.t¡h~ 11 MAP 1/ (optlonaf) i .,:i,~.~:.',-:·,-':;7·_ .' :--,-.-:,·:.,,;sJj¡~¡r~;~<:' :. .:.:', ,;, '·':;:U.'CHEr.tiCA.l.JNFoRMATlON '. >'Y'~';"\; ;.-.. ''- :.," " . -,_,' 'y. "', ;. :"",,,1.",,,.,.><: :.,. ..... .. 201; CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 1 GRID 1/ (optionBf) ,I, );t:·~:, ,": . ~ ;:Ufi·", '~, ,y' .' ~* .~tiL¡zer ~¿'t'~er CHEMICAL NAME COMMON NAME CAS 1/ FIRE CODE HAZARD CLASSES (Camplellllf l'IIC¡\jested I>y local fire Gtllef) -------~--- D Yes ¢ No 202 -------204 --tyPE /Sl1'p PURE o m MIXTURE D w WASTE RADIOACTIVE D Yesji'NO LARGEST CONTAINER \ ~ctl/ óY\.. 211 PHYSICAL STATE o s SOLID o 2 REACTive D 3 PRESSURE RELEASE D 4 ACUTE HEALTH D 5 CHRONIC HEALTH FED HAZARD CATEGORIES (Check all that apply) ! ! ANNUAL WASTE AMOUNT pi 1 FIRE ')111 LIQUIO DgGAS 214 217 MAXIMUM DAILY AMOUNT ¡t ge GAL / 0 çf CUFf . If EHS, amount musl bllln lbe. 218 AveRAGE i DAILY AMOUNT o Ib LBS 0 tn TONS UNITS' , STORAGE CONTAINER (Check all/hat apply) DB ABOVEGROUND TANK Db UNDERGROUND TANK DC TANK INSIDE BUILDING D ø STEEL DRUM I ; 011 PUl.STIC1NONMETALlIC DRUM ~CAN D II CARBOY D II SILO o i FIBER DRUM DjBAG D k BOX D I CYLINDER o m GLASS BOTTLE D n PI.AS11C BOTTLE 00 TOTE BIN D p TANK WAGON 212 ; CURIES -----ž-\3 215. 216 219 STATE WASTE COOE _ LU, I DAYS ON SITE 3lQS- 220 222 221 o q RAIL CAR D r OTHER 223 STORAGE PRESSURE 224 D Ba ABOVE AMBIENT D ba BELOW AMBIENT ;",,':):;;:1::, '%v'¡t''j;i " I i ~~,_l 22j , : 2 : 230 . ,+---~I , , ,_A' ..--\----~ I 2381 Dyes ONO'~ D Yes D No 2321 235 ¡Dyes D No 238 b A tyl'e' L. UPCF (7199) 231 239 D Yes 0 No 240 243 o Yes 0 No 244 pv\ClVlG1je r 225 '·1¡¡!::'!;':!.[~~",::¡Y'· ,", :,..... . ::;:~f!;-:..: 229 233 237 241 245 ¿! ~I - 0 3 S:\CUPAFORMS\OES2731.TV4.wpd ~ o ADD o DELETE C".'>ê:' ¡.: "»,;:;;,>~/' . .<.;~.<.....>.,~<Lr_3~i::\,:'·:.~, . e CITY OF BAKERSFIEIA OFFICE OF ENVIRONMENTAL ~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o REVISE 200 ,~~;. ,'~" ~ '. ",.><,;" . ·::',::k,~F\':, :<:'-:':,~' , : ',''(- :-,,;' " ;... 'I. FACILfTY 1t-.r:¡º~,"'ATION' ~ \ ~ ~ "'f "'",', " ~;;;:: ' . , ":--."}~' , N 'U\,.'.i¿ >k' o , ".' .\~.,~ '; .«, BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Ae yQ-O e.o(our2S :s~vv\. ~\'\.~{.(~Cl~é'S CHEMICAL LOCATION nOf\{n. 'W~.{-c<'~I'é'( o+=- &~~ areA I 1 MAP # (optional) 2011 CHEMICAL LOCATION I CONFIDENTIAL (EPCRA) GRID # (optional) (one form per material per building or area) Page 1- of .~ I i , . I 3 DYes ¢NO 202 <H;}~~'ì. CHE~I£~f.)¡~~~~MAT'ßN<.~'· , , CHEMICAL NAME VJ ~ ~'_'''Üj\-et'' COMMON NAME CAS # 207 o Yes ~NO 208 209 ,:'/lfEHS is'Yes; an amoùnts below must be inlbs.: i "i'.; . " . ., ". ,. " .. :,1 EHS' FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) DYes No TYPE o P PURE PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all thai apply) ANNUAL WASTE AMOUNT ~1 FIRE o m MIXTURE w WASTE 211 RADIOACTIVE 210 212 I CURIES 213 I LIQUID o 9 GAS 214 LARGEST CONTAINER 1 6 6'tLl VY\.., 215, 216 219 STATE WA CODE 220 l.{{q l DAYS ON SITE 222 3loS- o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 221 STORAGE CONTAINER (Check all that apply) 223 STORAGE PRESSURE o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING ~STEELDRUM ~ a AMBIENT 217 MAXIMUM DAILY AMOUNT '~ þ\ DKga GAL 0 d CUFT r'lf EHS, amount must be in Ibs, 218 AVERAGE DAILY AMOUNT '('APr.1-- o q RAIL CAR o r OTHER 224 ""èO'2-- UNITS' o Ib LBS 0 tn TONS De PLASTIClNONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON 226 227 o Yes 0 No 228 229 230 231 DYes 0 No 232 233 234 235 OYesONo 236 237 238 239 DYes 0 No 240 241 242 243 245 C.1..h~¡ ~'( GA/1'1e-¿ o aa ABOVE AMBIENT o ba BELOW AMBIENT 1'V\ CiV' ct -e ,. UPCF (7/99) t{-èJ(-Ò5 S:\CUPAFORMS\OES2731.TV4.wpd "It »OS' e e SITE DIAGRAM r X 1 A ~l . FACILITY DIAGRAM r Business Name: --H.e.Ro CO oaf S Business Address: -::s 4, W\ E V\.-\ert'ttj Ee 'S ( :j;J () tYl1?5 ~ ' v "-- xxx x;< ð,& '- C> '- ~' "'"ð 1- ~ ./)(. 'IV.... - -¡¡, \\.. \U l.- ~1 ~ ~ ~ ~ , ~ " ~ t¡~' ,-~ , , ".. . ~ AVMPÞ'£Cf ~ olIYJs:- oW7~ ~.)þJç- #11> <?i.ì! \4 ~ 0 ~'d '- ~ 15 ~~ ' V \ .- ~* ._~ \.4.. 4' .~ ..t: ~ ~~ .- ,~ ~ '" "J. ~~ ~ s: v L.: .- ~1 gj -¿: 6 ~ ~ 'Y ~ ~ '\.. ">t- o ø C¡ ')( ~ ~~ ~ ç( "I- 'ì \~ 'f..- -" .- 0 cL <:J v Œ () i. ~ '"'(Åoo'{-i t>J(-t I +- ç P }YJÒ}Î . ?)q~w1Mv1~ -+' \/Y) ~~)ot<=;¡' , >7 J?' w ¿¡. ¡,ro 1'1210 ?F17()1 t~ ! N ~¡))jcJs;- P-::J.' J-jO ~) \A)O\yy ~~(}U , + ~~ ~- o..£:)-ò ~§ "£ I I \ -4-1 '\{Í , 'f- ~ ~r{. "0 g,o ~¡() ~ Q.I '2 ~ ">- ,.":::! ..v ~ \:t :;, ~ o.ß \rv ..5ì <:)::'-d ~ .~Q)C\) c-á!- .~~ , <[ '::;:, ;...~ , fACILITY DIAGRAM W to. . - 8m: DIAGRAM c:J BI,Ii.... Name: _ Business Addrea: . :¡'1 ~ o ~ ~ t :~ e! -- . t~ /d..Þ #/;1 0{ ¿/d7$/ ð/S--tJ~/- ÓÓ.2{/b<l ~3-/lf/} 'I\.CY~ Bakersfield Fire Dept. UNIFIED PROGRAM IN!llECTION CHECKLIST Enuonmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 £5//7317' Tel: (661)326-3979 FACILITY NAME ! INSPE710N ~E INSPECTION TIME ""'t;: -~~;. e--· ..--. --_. -=-=_=-.--.-~~~~;~:~~,.-~~_ FACILITYCONTACT ----~---------~------..-.- -~'-'._~'-- . --- - Business ID Number 15-021- ~ Section 1: Business Plan and Inventory Program o Routine ¡Lcombined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS Hft1 Ol K ~rr1 () f 1 c ,-, '-HflY"HO\----- 5$0 o 0 ApPROPRIATE PERMIT ON HAND -----...---~------.---------~-.----.------.---~-------- --.----___. .___.___.___..__.._____ m -, -..- _._---~ --. . .-----.--.- -- --_.,-----.... -. o 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE -_._---_._._-----~--_._-------,---------_._-- ..- -.---...-- ,-.----.. _._-~- _ _h.._...__._~______ ._ ._._.________u.___ ___u..n____ . _. _.._ ---,-, o 0 VISIBLE ADDRESS -·-·---------~-__~________.____._.u____.._.__________.___ _______~._________ . u.._....___ _______. _.___ .._. ____.u ______ _______m _____ _ .__._.._.___.._______ ,-, ..,- o 0 CORRECT OCCUPANCY ----·-·-------------·----·-·---______.___.___._._m_________.__._____.,. .. ",..,..f-..-----,--------, - ------..-..--------.-.--- _.__.__.n_____ __. _._.___..___ _..___.____ ____._ o 0 VERIFICATION OF INVENTORY MATERIALS -------,~~_..___f~,r.¿Lm__.. _~, _________ ..m..,,__,_ " ___... _____3Q___~'-:____..,__..____"_______...__, _..._____ ". .._~~-'-~-~..._,._-~~ "-,~~--~,- ..~- -----.------.------..-------.----.----.-------.- ....--.-.--.---- o 0 VERIFICATION OF QUANTITIES -_._---_.._-_._---~._---------------_._----_.._._---- -. --.--------....- o 0 VERIFICATION OF LOCATION _______..______U_____________~_______.___________.________________~__._ o 0 PROPER SEGREGATION OF MATERIAL --.----------------.------------.-.-~--- .-------.--.--.-----.--....-....-.-..--.- -- ·_·___·______u_____.. .__...._.._ ._. __ _..n____.___._._._ __n_.___ _____. _.._._________n . ...__ o 0 VERIFICATION OF MSDS AVAILABILlTYE ------------·---__________U.___._______._____..________ _n....______...._____.. ____....__ _ ___....._. _.__..____.__________ .__ _... __.___n..__"_n___.__..__.___._____._.. ._. _____._u.__ _ __ ..__ ___ o 0 VERIFICATION OF HAT MAT TRAINING ------,...----...--....~____...'__h__,.._,__,_.._ ___, _.u,__".. ____ _,___________.... __,..____..__m__' '.. ...______...__.. ....._m___'.. .. _..___ " o 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES . -------.----------..-----,---"....... __'_'__'h...._ ,----... ..'._.._____'____'______,.._____,..,__.....".., .,-, , _,_ ,__,,_ m '_____m_'__, o 0 EMERGENCY PROCEDURES ADEQUATE ..--------'--------'.......,-----_,__...__..________..u..__.."__________,... _u______,__,_~-..,-..---..-..-- ___ ,.....,___,_ ....'" ,________ _ ," '_ _ o 0 CONTAINERS PROPERLY LABELED I ·..~·~~:;i::~~~ON=·.·.-~·~-- ~...--..~...-j~.==-=....- =~<= .=.=..-..=_.,.. ........~..~.. o 0 SITE DIAGRAM ADEQUATE & ON HAND I ANY HAZARDOUS WASTE ON SITE?: ~ES o No EXPLAIN: QU~S~~::;,THISI==~_ON~:LE;: CAl~~T.(661) 326-3979 M.I^ n :1k~~~. Inspector Badge No,. U - -¥-'~siness Site Responsible Party White - Environmental Services Yellow - Station Copy Pink - Business Copy · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME AGf?.ò Co u:)ur¿s INSPECTION DATE 3/1 7-1 ò'5 Section 4: Hazardous Waste Generator Program EP A ID # o Routine Pf-' Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination has been made ÆvL ( <rC4-o\. S ot<.. EP A ID Number (Phone°.J:U Q 12 4 178 rto obtain EP A ID #) ~ ~Gt) - ~ l ~ - 6<=t4 C- Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Detennines if waste is restricted &om land disposal C=Compliance V=Violation tJ l rJéS Pink - Business Copy tL Inspector: Office of Environmental Services (661) 326-3979 White - Env, Svcs, CHEMICAL LOCATION ~ 201 CHEMICAL LOCATION - 0 a t N So' t)t;;;- tV fA) C RNR... ðt- .s~ ' CONFIDENTIAL (EPCRA) - Yes No 202 FACIUTY 10. ~rr~-' f-- '-~--1TMAP . (oø/Jonal) -.... ,.,-, .- - -2õ3"-äRiöii{opï&'aÏ)--- 204 " ...'.,.'.:,'~,';,=~.:.'.;..,,'~.~,.,'.f'.!'.~.".~.,'.'~,.',...'.',',::' i LL~ : ILCHEMICAL'--I';F-ORM"A'TlON --"'-~-'-,,'-' . , ,. '~'" I -v. '. "', . n '" ,::.:::: :~~i~~:~: i~;\.:":':::'~:5 ¡ 205 : TRADE SECRET a Yes a No 206 If Sulljec:l to EPCRA. refer to insIIudIaIs CITY OF BAKERSFIEJ.Q. <4Þ1CE OF ENVIRONMENTALWRVICES 1715 Chester Avel, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~EW DADO o DELETE. D REVISE 200 -.-.. ...~----_. "_.~,-_.__. . .__. __._. _., ..._ _. _... u_ .___~.___..___ .. .. ,: :,...i; "(~~~:r~i~ I. FACILITY INFORMATION BUSINESS NAME (SIm.. FACILITY NAMëãtDïiA .ciCiñg·ãUsinëïs-Ãs1---' ",. -- 'n_ -, " A t::rë.o CO,ou'2~ .* ..".--.---- ......---.-- .. .-- ...... ....- .- '." ----- CHEMICAL NAME ~rr j)A-'Ñ r ---.. -----------. ..- P'" ------ - ..-~f"-,--- COt.G.()N NAME ! EHS' I , - ...------------,- . ..... --.---. -- ..... .- . --. (OM (0"" per m.ter/M per buit1ing or al1la) Page d .";" .' ~." . .~ ~, : ~'.:f·.~¡~:·~·. ·./tt;~~:·:· 3 DYes aNo 208 ' CAS' 209 FIRE CODE HAZARD CLASSeS (CompIeIe if requesteclby IOc:II tInI c;¡¡;r------ - - ---- ,_,"u_, --'- ---,-, TYPE lit..w WASõ: .. , ... R-.OtOACTIVE a Yes s;rNo 213 ..---.--.-- ---.-. .------.-- OPPURE a m t.lXT\JRE ----!---.---..--.....--- --- 210 212 ¡ CURIES , PHYSICAL STATE 3ò 214 ; LARGEST CONTAINER )'iÄ LIQUID o . saUD .D II GAS --..--------.-- - ---..---.-- -----.-- FED HAZARD CATEGORIES (Check all II1a\ apply) ¡ ANNUAL WASTE ; AMOUNT ~FIRE I&s CHRONIC HEALTH 220 : a2REACTIVE o 3 PRESSiJRE RELEASE 04 ACUTE HEAlTH _.__,_ _...._ .-."..---------_._.__0______--- 217 I MAXIMUM "'? t!"\ 218 i AVERAIJE. " ........ ,OAILYAMOUNT '~y ; OAILYAMOUNT ~ --L __.___.___L.-._..___.....____._..__ ____ _._ UNITS" g IJII GAL 0 d CU FT 0 Ib LBS 0 In TONS . I EHS. IIIIOUI1I mUll be in l1li. STORAGE CONTAINER (Check as /hat IþpIyJ o i FIBER DRUM OJ BAG Ok BOX a I CYlINDER o a ABOVEGROUND TANK a b UNDERGROUND TANK a c TANK INSIDE BUILDING ~ STEEL DRUM a e PlASTICJNONMETAlUC DRUM OtCAN o II CARBOY o h SILO Om GlASS some a n PlASTIC Bome 00 TOTE BIN a P TANK WAGON ___."_. ._. . __"' .._ ..____0_-.___- STORAGE PRESSURE pt.. AMBIENT a be BelOW AMBIENT a aa ABOVE AMBIENT 215 . 216 . 219 ¡ STATë WASTE CODe I 221 i DAYS ON SITE I 3'~ 222 : a q RAIL CAR a r OTHER w[ 224 ! STORAGE TEMPERATURE þG AMBIENT " ~r~jà~?~r~:'~::~~~~~~~Nr;{,~~;;;:'. ,..._____..____..,_.... __..u_____~.. ~-~~-9-~-,~-L 231 I a Yes a No 232 ! --....-+----.--------.---... '..---..-.- ........ -. ---.-¡---.-....-.---.... -;- -··----~~.·--~==-=-·~,·-,~:~~:i: ~I . '..'.,',.'..',':,:,.','~;.,'~,-,...,:,,',f..;·,..;t;.'l'.'·:I""":'."'..S".'IG:;·'NA'·:'TU·"·RE' .:':, ' .' _'.';,.:"',.'~,',;,,',',' :,:.' :.J" . ,"... ~ ~ . -- .'- ·'..,1,'N.'~,...'.:f,.~...,.,:t,',~,~,.~.~~,¿~,:.,. . . '~:-:.:'.-;/- ;.::;~:~~ ~'.' ';. :.....~;.:.~.., ::~- .,', , "~- ' ", ,. ŠiðÑÃTURE '._,-- ..----.------------....-.-...--.- . .--- ..... ....-....--.- a sa ABOVE AMBIENT o ba BelOW AMBIENT ! 1 2 2301 I I 3 ! 234 , i 4 238 5 242 -----_._- _.--- ._. ..... -------- -...---.- ... .... ._... _H' _".. __.._.__._.....__..__....., _.. a c CRYOGENIC ; 229 : 233 237 ; , U'i 245 ! I I UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd