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BUSINESS PLAN
Qperil.te to it Per Waste Unified Permit Hazardous Materials/Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE i i i r. It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-001225 BEREAN AUTOMOTIVE LOCATION: 4308 WIBLE RO Dale Issue Approved by Expiration Date: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Issued by: 1~~,: HMiIP ·..P~ MAP SITE DIAGRAM I FACILITY DIAGRAM Business Name: Úé\2t::il.\0· ~,\..-k kû~\J~ Business Address: 4'~~ w\b\e eò~1'. For Office Use Only First In Station: Area Map ## of NORTH {} Inspection Station: ~i.~~ ~ \.t ~Q: ~ Q S':;C-I\L. 't<e.ro,5cn c:. ti ø ~ ...... , ~\{) ,\) I - <!J ~ '~ CD ) h~ ~ ,tJ ~~ ~ :t~ - ""I;;:¡ì ~ ~~ ~ ~ S ~ ~~ ~ - .~ ~ ~ 2 <:--- \ t]i. I r, I ; "'1 I I I I I~ ~ I~ 14- I~ ~ \~ I~ I ~I " k.f.. ~ ~. ~ .-;... ~ f' t- f ~ J;J ~ ~ ~ ~ .--- ~ð .:' i: .:!'~.,--þ 1- .;>l C) ~ ~ <; ~-~'" -- !~ ò \ ~ e '\ ~--'-'--~~, ~\'0 8 (\ ~ (' ~, 'Í "0~ t ì ç- F - ~ ~ r-'\ f' - ~ ~ ef! 33 W h '-Ie. ~ I¡) :ff /~;¿s . ¡ ruSjJ C[' ~ ~~ ~~~ ~ ~Ã, "> ~ -- """ ;.,. BAKERSFIELD CITY FIRE DEPAR~~TT HAZARDOUS ~TERI..u.S SITE/FACILITY DIAG~~S . FOR.'I 5 INSTRUC'l"IONS GENERAL !NSTRUCTIONS . . ,,-. ~ Use these instructions and the attached form to complete a SITEPDIAGRA~ of the property and immediate surrounding area. and a FACILITY DIAGRAM of each facility unit or building. If the entire business can be shown in adequate detail on the Site Plan. individual Facility Plans may not be necessary. !he Inspector can assist you in maKing~this determination if there is a question. Complete the information at the top of the diagram form. to~ should be left òlank. !h!!,boX at-the bottom of the - ~~ ~:.."-: <~ srm DIAGRAM ,. . . , .,.. .' ; -, The SITE DIAG~~ should include the business and at least 3CC feet from the property line. Identify the ,items listed on the SITE DIAG~" using the symbols provided on the back. Include all items that apply. See the 'attached example. ,·,t PAC!!.I'l'Y DIAGRAM . ' Develop a FACILITY DIAG~" that will show the building interior and the immediate exterior area. Complete a separate FACILITY DIAGRAM for each floor of a multi-story building. Identify on FACILITY DIAG~"items listed under both "SITE DIA~I" and -FACILITY DIAGRAM- on the back of this page. Use the symbols provided. Include all items that apply. See the attached example. ~ '~-:¡,..,.., '" ~~ -- - 5 - - ~ '.. 1 ~.' '/2oLl Jf' '\)<>Q< ~Q- f/ln7 ? \ C2-\.v-é ~ (Inspector's Comments): -OFFICIAL GSE o~ty- ~.' ........~ ~, rJ' , . ,- -" NORTH 'v0 (ì ",t"- (t"Jv eITE/F_~CILITY FOR.:vt: 5 DeGR_~~£3J:1. Wh/Te # /2:-5 J'JY9 q SCALE: BUSI~ESS ~A~E: S c.. 0 . \\ v .ç-.ç \Lr DAT=::3 /2~/cfrFACILITY ~A.\!E: OF a~I1' = :RF S (CHECK ONE) SITE DIAGR.~! FAC:tITY DIAG~A.\! ~. ''-J . f:: £-t4~"~ "c, ¡:: -, +H..L~ [¿~ffvr . þ"''O. _"n .,.' () o o '<." .- v .. 1..-\ X~ £) \; (:> t1.--d> b l 0 0 (Q 033. I _ W k,,~ - 5A - L,~fJ~ , .~"".-..;" ," ., - '.- ." - -'."'/ . . ~.eHMMP SIT E DIAGRAM 0 Bus::'ness Name: PLA. MAP r"~ FACt LI TY DIAGRAM 0 Name of Area: -1kr\c;or' ~J...A\1l.LkL ~LAL,¢", ~ !þ / ~l / {\ f~ t\,~~eD 0' I I ~() Ä (þ~ ,11 @ A, Nor~h -- '\}) ,.... ~ ! '7 Æ::> ~ ! ~ ~~ .K ~t x' j . J( 01} I~ ? :t\Î 7 ,9- I ~ I ~ ~ lCQ. \j~ 2:-~ :x ,O~ ... - - '~ - .../ --- Area Map # of ö~ J& rtr +? ~ ~ " 1 ~ ~ !~~ (i) -s:<h ~ ~~..s (@ rØ {j (& f!ì V ~ @ (@ If) '~ ~ @ ~ @ ~ ~ ~ & &([9 - ~~rj ~\( ~ (þ~ - i , : 1 I' fA~e I¿ 1/ ~ +- trrf::,pll-.A- L >,- BEREAN AUTOMOTIVE . . ¡;// / ,,1 / ' / /i ,,, . ~ ...i , ," ~, SiteID: 015-021-001225 Manager : Location: 4308 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 15D (661) 834-3504 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad: Sit> ? 4: 'Z.ß\)~ Emergency Contact ROBERT HUMPHREY Business Phone: 24-Hour Phone Pager Phone / Title / OWNER (661) 834-3504x (661) 867-2671x () x Emergency Contact MONIKA HUMPHREY Business phone: 24-Hour Phone Pager Phone / Title / WIFE (661) 867-2671x (661) 867-2671x () x Hazmat Hazards: Fire Press ImmHlth DelHlth Period Preparer: Certif'd: parcelNo: to Phone: (661) 834-3504x State: CA Zip 93313 Phone: (661) 834-3504x State: CA Zip 93518 TotalASTs: Gal TotalUSTs: Gal RSs: No Contact : MailAddr: 4308 WIBLE RD City BAKERSFIELD Owner Address City ROBERT HUMPHREY 13819 OAK VALLEY RD CALIENTE Emergency Directives: HoþPG ø'I Q~ lð r Do h po ~ . (TYOOOTtJtin flame) ~,Ii) ·y~~rt~1y that' hav¡g ~viewed the attached 1aza,,-<,),u'<:' ma'-'£'r,'als ~ " ,'" &~ ¡lIa..·.~1ç9- ment plan forM~~~JiI/P. ". (Nat'!1(> t" >!(\~ir¡oll$' ' . .fiat It along w'~h any corrections consti&ute a comy'' __) , '. ,I ' f.J ~~'ò;i a/ ,e¡ .....;rrti~ m~ agemem plan 'tor my fad'it~ -1- 07/15/2003 f BEREAN AUTOMOTIVE f= Hazmat Inventory f== MCP+DailyMax Order . . SiteID: 015-021-001225 By Facility Unit Fixed Containers on Site "\ 9 9 DailyMax IUnitMCP 800.00 FT3 Hi 5000.00 FT3 Low -s.5_GH)-8tt~ Low GAL Low . Hazmat Common Name... specHazEPA HazardS Frm I ACETYLENE OXYGEN ,KEROSENE WASTE OIL E F P F P IH G IH G ---DH.........-L DH L /l""ø-- 0 - --=--==-F~ F I' -2- 07/15/2003 ,. . .. . . F BEREAN AUTOMOTIVE f= Inventory Item 0003 C MON NAME / CHEMICAL KEROS E NAME SiteID: 015-021-001225 ~ Facility Unit: Fixed Containers on Site ~ E ~ Days On Site 120 Facility Unit Map: Grid: CAS# 8008-20-6 STATE - TYPE Liquid Pure TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL GAL Daily Average 55.00 GAL HAZARDOUS %Wt. 100.00 Kerosene RS No CAS# 70892103 HA AR AS ES ME T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low Z D S S N S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -5- 07/15/2003 Q , ~F'BEREAN AUTOMOTIVE ~ I f= Site Emergency Factors r== Special Hazards . SiteID: 015-021-001225 9 Fast Format ì Overall Site 9 I Utility Shut-Offs 02/07/1990 A) GAS - BY OFFICE DOOR B) ELECTRICAL - BY OFFICE DOOR C) WATER - BY OFFICE DOOR D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/24/2000 -+hree PRIVATE FIRE PROTECTION - FACILITY CONTAINS OVERHEAD SPRINKLERS AND ~ FIRE EXTINGUISHERS, ONE AT DOOR AND ONE BY WELDING BOTTLES. NO FIRE ALARM OR SMOKE DETECTORS. OWNER HAS EXPERIENCE IN OXYGEN AND ACETYLENE FIRES, THEREFORE COMPLETE EVACUATION WOULD BE FIRST AN ATTEMPT TO CONTAIN FIRES, VALVE SHUT~FF W()ULD BE MADE. t,/¡ (\ L.i (DDS t \' Pq-. 31(& S~T' ~\A.\s~er a1 eV\..Lf aT 1 \ 'T NEAREST FIRE HYDRANT - AT FRONT OF BLDG. Building Occupancy Level -10- 07/15/2003 " ;J' "'" '. -- F BEREAN AUTOMOTIVE I F Training Employee Training WE HAVE¡t EMPLOYEE AT THIS FACILITY.~ WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. . SiteID: 015-021-001225 ì Fast Format ì Overall Site ì 10/24/2000 i BRIEF SUMMARY OF TRAINING: FIRST AID, EXITS, FIRE SAFETY. Page 2 r I I Held for Future Use Held for Future Use -11- '07/15/2003 ,- . CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd 1;'loor, Bakersfield, CA 93301 ¡ FACILITY NAME ~ AJ ~ ïO ADDRESS if 3{)~ W (@.tG «..d. FACILITY CONTACT idEA'" YA-yLoD INSPECTION TIME.1-G""¡n { INSPECTION DA TE'l~ /<1 ~ 2.00 ~ PHONE NO. <f5:st¡ 350'1 BUSINESS ID NO, 15-210- ()()/ 2.2 NUMBER OF EMPLOYEES l- Section 1: Business Plan and Inventory Program p. Routine D Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate pennit on hand ¡... ........ Business plan contact infonnation accurate / V / Visible address 1/ Correct occupancy V .;f Verification of inventory materials /" V Verification of quantities v r Verification of location V ,.... V /" Proper segregation of material Verification of MSDS availability v V Verification of Haz Mat training t.. V Verification of abatement supplies and procedures ,. V- Emergency procedures adequate V' V Containers properly labeled t.- V Housekeeping L.- V Fire Protection l..- V Site Diagram Adequate & On Hand L.. V C=Compliance V=Violation "'G~ -rz; A ~ ð t</ M76" tJC't. MR.e.§L. ~Yes DNo Pink - Business Copy Any hazardous waste on site?: Explain: IAJA::j11:. () ( L- Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow - Station Copy Inspector: '-----;;r--n "i ~ . ,'r -- :---- "'/'" , - BEREAN AUTOMOTIVE ~ ,,~ SiteID: 015-021-001225 / Á , /' '" /~/,;~- " Mana~er : Location :_ City .~--::..'~' - 4308, WIBLE RD BAKERSFIELD . ; ~ ..¡'~. BusPhone: (661) 834-3504 Map : 123", CommHaz : Moderate Grid: 15D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT HUMPHREY / OWNER MONIKA HUMPHREY / WIFE Business Phone: (805) 834-3504x Business Phone: (805) 867-2671x 24-Hour Phone : (805) 867-2671x 24-Hour Phone : (805) 867-2671x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 834-3504x MailAddr: 4308 WIBLE RD State: CA City : BAKERSFIELD Zip : 93313 Owner ROBERT HUMPHREY Phone: (805) 834-3504x Address : 13819 OAK VALLEY RD Fit State: CA City : CALI ENTE ' C€III~ Zip : 93518 nl"l~D Period -VI ? TotalASTs: Gal : to ,_ '. J 2000 = Preparer: fEN!ltT't TotalUSTs: = Gal . . J {i<¡¡r.;.. Certif'd: ' . ',,'<': -'::;F;RVIC¡::(') RSs: No ..., Emergency Directives: f= Hazmat Inventory One Unified List ì p== As Designated Order All Materials at Site ì Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP OXYGEN F P IH G 5000.00 FT3 Low ACETYLENE F P IH G 800.00 FT3 Hi KEROSENE F DH L 55.00 GAL Low I, \)~ \.OJ.I \ö~o hereby certify that I have (fype or pn~e) reviewed the attached hazardous materials manage- ment plan fo~Q.lW. I:\~ and that it along with (Name oITusiness) any corrections constitute a complete and correct man- agement plan for my facility. /cJ -fIJ -¿o::D Date 10/12/2000 " e - F BEREAN AUTOMOTIVE f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-001225 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit R FRONT OF SHOP Map: Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 FT3 Daily Average 2500.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS ZARD A MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HA SSESS TS f= Inventory Item 0002 ¡:::::= COMMON NAME / CHEMI CAL NAME ACETYLENE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit R FRONT OF SHOP Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 800.00 FT3 Daily Average 420.00 FT3 I ~Wt I l~O.ÖO Acetylene HAZARDOUS COMPONENTS G;l CAS # 748621 HAZARD A ESSMENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ss s -2- 10/12/2000 .. I e e F BEREAN AUTOMOTIVE f= Inventory Item 0003 i= COMMON NAME / CHEMICAL NAME KEROSENE SiteID: 015-021-001225 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit E WALL Days On Site 120 Map: Grid: CAS # 8008-20-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL ZARDO EN %Wt. RS CAS # 100.00 Kerosene No 70892103 HA US COMPON TS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -3- 10/12/2000 e e F BEREAN AUTOMOTIVE I f= Notif./Evacuation/Medical r==~:e:::,Notification Employee Notif./Evacuation SiteID: 015-021-001225 ì Fast Format l Overall Site l 08/11/19991 02/10/1994 IF A PROBLEM SHOULD OCCUR AN ATTEMPT IS MADE TO CONTAIN THE RELEASE OF ANY FLAMMABLE MATERIALS. THEN ALL OCCUPANTS ARE EASILY NOTIFIED IN THE SURROUNDING BUSINESSES BY VOICE. WE ARE IN A COMPLEX THAT HAS THE CAPABILITY OF IMMEDIATE EVACUATION. Public Notif./Evacuation 08/11/1999 3 EXITS MARKED AND ARE OBVIOUS. Emergency Medical Plan 08/11/1999 ALL MEDICAL EMERGENCYS AT THIS PLACE OF BUSINESS CAN BE HANDLED BY THE OWNER AND REFERRED TO THE MERCY HOSPITAL. -4- 10/12/2000 II e . í BEREAN AUTOMOTIVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001225 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Mitigation/Preventl Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/20/1992 j o 0 o ALL BOTTLES HAVE PROPER VALVES AND FITTINGS WITH MONTHLY MAINTENANCE. o QUICK COUPLINGS ARE USED TO PREVENT BACK FIRE AND EASE OF CONTAINMENT FOR o BROKEN HOSES. ALL BOTTLES ARE KEPT IN A BOX TO PREVENT BOTTLES FROM FALLING 0 o OR BEING ABUSED. BOTTLES ARE TURNED OFF AFTER EVERY USE AND V ALVES ARE 0 o CHECKED DAILY FOR LEAKAGE. 0 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/11 I 1999 j o 0 o SHUT OFF VALVES. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf e . -5- 10/12/2000 , .-, e e í BEREAN AUTOMOTIVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001225 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 02/07/1990 i o 0 o A) GAS - BY OFFICE DOOR o B) ELECTRICAL - BY OFFICE DOOR o C) WATER - BY OFFICE DOOR o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.I A vail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/11 / 1999 j o 0 o PRIVATE FIRE PROTECTION - FACILITY CONTAINS OVERFlEAD SPRINKLERS AND TWO FIRE 0 o EXTINGUISHERS, ONE AT DOOR AND ONE BY WELDING BOTTLES. NO FIRE ALARM OR 0 o SMOKE DETECTORS. OWNER HAS EXPERIENCE IN OXYGEN AND ACETYLENE FIRES, 0 o THEREFORE COMPLETE EVACUATION WOULD BE FIRST AN ATTEMPT TO CONTAIN FIRES, o VALVE SHUT-OFF WOULD BE MADE. 0 o o o o o o o o NEAREST FIRE HYDRANT - AT FRONT OF BLDG. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 10/1212000 ø ~ ..., ¿-¡-: e e í BEREAN AUTOMOTIVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001225 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/11/1999 j o 0 o WE HAVE 1 EMPLOYEE AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o BRIEF SUMMARY OF TRAINING: FIRST AID - EXITS - FIRE SAFETY. o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 10/12/2000 --- :1 o o 'i.: __'_ .¡, e e BEREAN AUTOMOTIVE SiteID: 215-000-001225 CommCode: EPA Numb: 4308 WIBLE RD BAKERSFIELD BAKERSFIELD STATION ~:, RECEIVEfi AUG 1 ~{ 1999 '. sPhone: p : 123 rid: 15D (805) 834-3504 CommHaz : Moderate FacUnits: 1 AOV: Manager : Location: City IC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT HUMPHREY / OWNER MONIKA HUMPHREY / WIFE Business Phone: (805) 834-3504x Business Phone: (805) 867-2671x 24-Hour Phone : (805) 867-2671x 24-Hour Phone : (805) 867-2671x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 4308 WIBLE RD State: CA City : BAKERSFIELD Zip : 93313 Owner ROBERT HUMPHREY Phone: (805) 834-3504x Address : 13819 OAK VALLEY RD State: CA City : CALIENTE Zip : 93518 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: Hazmat Common Name... One Unified List ì All Materials at Site ì p= Hazmat Inventory p== Alphabetical Order EPA Hazards DailyMax MCP ACETYLENE F P IH KEROSENE F DH OXYGEN Q. F P IH I, ~~ ~~ \ À ilID.. \O'"'Do hereby certify that I h~'-'8 rrY¡:3 Of print n£lm$) ~, r¡g¡vù~ws(Q1 ~Iì"o~ ªija©hed hazardoo~ mã1~srial$ maCalge- ml9lil~ piaú'D ~©B'~8.\n(Qj ~ha~ üí a¡©U'D~ with á1~V OOrB'®då©n~ oonsfti~ß.Hfte ~ rompie~ vW1 roB'U'~d man- agement piaJr8 ~OB' my ~cDli~. A G L G 800 FT3 55 GAL 5000 FT3 Hi Low Low 07/13/1999 .' e e SiteID: 215-000-001225 l Facility Unit: Fixed Containers on Site l F BEREAN AUTOMOTIVE p= Inventory Item 0002 = COMMON NAME / CHE~1I CAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit RIGHT FRONT OF SHOP Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 800.00 FT3 Daily Average 420.00 FT3 HAZARDOUS COMPONENTS ~I CAS # 748621 I ~Wt I l~o.åo Acetylene HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME KEROSENE Facility Unit: Fixed Containers on Site l Days On Site 120 Location within this Facility Unit EAST WALL Map: Grid: CAS # 8008-20-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 100.00 Kerosene No 70892103 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -2- 07/13/1999 ;- e e SiteID: 215-000-001225 l Facility Unit: Fixed Containers on Site l F BEREAN AUTOMOTIVE p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME OXYGEN Days On Site 365 Location within this Facility Unit RIGHT FRONT OF SHOP Map: Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 FT3 Daily Average 2500.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -3- 07/13/1999 Õ' e e Employee Notif./Evacuation SiteID: 215-000-001225 ì Fast Format ì Overall Site ì 02/10/1994 ] 02/10/1994 F BEREAN AUTOMOTIVE I p= Notif./Evacuation/Medical r=: Agency Notification CALL 911 IF A PROBLEM SHOULD OCCUR AN ATTEMPT IS MADE TO CONTAIN THE RELEASE OF ANY FLAMMABLE MATERIALS. THEN ALL OCCUPANTS ARE EASILY NOTIFIED IN THE SURROUNDING BUSINESSES BY VOICE. WE ARE IN A COMPLEX THAT HAS THE CAPABILITY OF IMMEDIATE EVACUATION. Public Notif./Evacuation 02/10/1994 3 EXITS MARKED AND ARE OBVIOUS Emergency Medical Plan 02/10/1994 ALL MEDICAL EMERGENCY'S AT THIS PLACE OF BUSINESS CAN BE HANDLED BY THE OWNER AND REFERRED TO THE MERCY HOSPITAL. -4- 07/13/1999 e e í BEREAN AUTOMOTIVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001225 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/20/1992 ¡ o 0 o ALL BOTTLES HAVE PROPER VALVES AND FITTINGS WITH MONTHLY MAINTENANCE. 0 o QUICK COUPLINGS ARE USED TO PREVENT BACK FIRE AND EASE OF CONTAINMENT FOR 0 o BROKEN HOSES. ALL BOTTLES ARE KEPT IN A BOX TO PREVENT BOTTLES FROM FALLING 0 o OR BEING ABUSED. BOTTLES ARE TURNED OFF AFTER EVERY USE AND VALVES ARE 0 o CHECKED DAILY FOR LEAKAGE. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/20/1992 ¡ o 0 o SHUT OFF VALVES o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf e e -5- 07/13/1999 e e í BEREAN AUTOMOTIVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001225 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 02/07/1990 ¡ o 0 o A) GAS - BY OFFICE DOOR o B) ELECTRICAL - BY OFFICE DOOR o C) WATER - BY OFFICE DOOR o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 02/07/1990 ¡ o 0 o PRIVATE FIRE PROTECTION - FACILITY CONTAINS OVERHEAD SPRINKLERS AND TWO FIRE 0 o EXTINGUISHERS, ONE AT DOOR AND ONE BY WELDING BOTTLES. NO FIRE ALARM OR 0 o SMOKE DETECTORS. OWNER HAS EXPERIENCE IN OXYGEN AND ACETYLENE FIRES, 0 o THEREFORE COMPLETE EVACUATION WOULD BE FIRST AN ATTEMPT TO CONTAIN FIRES BY 0 o VALVE SHUT-OFF WOULD BE MADE. 0 o o o o o o o FIRE HYDRANT - AT FRONT OF BUILDING o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 07/13/1999 i ~ e e í BEREAN AUTOMOTIVE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001225 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 02/07/1990 ¡ o 0 o WE HAVE 1 EMPLOYEE AT rHIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o BRIEF SUMMARY OF TRAINING: FIRST AID - EXITS - FIRE SAFETY o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -7- 07/13/1999 - - \ CUBT.e & NO. iI5 - ~ MISCELLANEOUS RECEIVABLES ADJUSTMENT -It DATE3-/G -:ß NEW ACCOUNT i ADDRESS CHANGS CLose ACCT I : FINANCE CHARGE , OTHER ADJ I CUSTOMER NAME ~ e Cì /'Í\ Au-+D fY\nt; 1/ -e.. MAILING ADDRESS 430 ~ W f, b \ e e¿ , CITY ~-ef",>~ì c:.\d STATE (JA- ZIP COD~:S \3 SITE ADDRESS PARCEL NUMBER (IF APpUCASLE) ADJUSTMENT I R~~~S: b~: ~ ~s.>r~C!J~ sloJ\J'v~ APPROVED BY 4~- Per Ît to Operü.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON ItttVERSE SIDE ":"'ili"~S'~:i",,___:"",,,_ This þermit is issued for the following: ::;:~:,;::::¿~~,¿;:~,;:::;,:::::':~:~~-~::ê':'Hª~rdous Materials Plan PERMIT ID# 01S-021.Q01225 ~¡",~I~lt~~~j~I~]li:::;;::':~¡~:;;!;~"~'"':;:':" round Storage of Hazardous Materials '---'.'" [J agement Program 'I~"'" T'·"·"··'''·''·" ......,.1" ." :~;::;::·:~~:;;::;::~::;'~~tr.:~~:~:~~~~,.:~1i::'- BEREAN AUTOMOTIVE ïR,t,' ~",J¡fi;¡"!]1 ;~";,,,S! Waste ...., ~ ~I'., "'"ij .. .ij ,p" 1:'. ", !> J"" ,,), ~ r ' 1, ') !f ;¡,,] " ~~~~ ft d ," LOCATION 4308 WIBLE ~~~~'~D CA ''ë1;!f;~~~~¡)1'\µig,~,," """, ~!I"~' i H """""" ~~~i~1¡~t"'~:r/ ,~~;!)¡~::!':I "r, tlP'%i.~~~(ni""';','mijim" i~~!~!!~!lmt~~~1iiÎj' d,:'::~:~¡¡"I!;;I!;¡ "';:;1" ,,¡;":;, :)l " , " i Issued by: Bakersfield Fire Department Approved by: _ OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 Expiration Date: FAX (805) 326-0576 oc.~ I 09/9.l~ 1/ - ~r~~~ 1/?ï5-00(>-~~~~~~~ '¥~I~.:("'! Overall Site with 1 Fac~ Unit fES 9 1994 General Information 1 I ¡-'--'----------------.------.---------'----.----.-'--..---.--..---------- -Sy::-------·----·-··-----·-- ·-·'·'-ì Ir~oc;~,: 4~8-~~~~E-~-----------~---~ap;-~; Hazard: M~~era~ell I' ~~'mr:~;~. i_~:~: BAKE ::~~~_~~:~::3T~~_ I O~'J __..0 7 ____.____,___,,__~~: i ~~__ 15D _._~I ~~_.:~-:-~-...~O~~-~_=_--:~~~ I r- CÜ!".tact Nal'lle ---r"-------- TItle ----..--¡-- Bus 1 rH?S=:, Phüìr¡e -'--r ~:::A+-HoUr-' 1-¡hcl!"lel f ROBERT HUMPHREY I (805) 834-3504 x (805) 867-267~ TON ua c _ (805) . ;-,r- '-, D 739 x (805) ::2/) 20':· . ~~---,,~.~~~- --~~~t 1"'1 a i 1 -~d~¡-~ 43~}8 ~ I B~~- FW - Adffl i!"1 i st-r"'at i ve D..it a ~---~~-~ ~~~~~r:-~----~-~--~----------' ! CIty: BAKERSFIELD State: CA LIP: 9~~13- I Cümm Code: 215-007 ~A~ERSF~~D_S~~TION~~__________ SIC_C~~~~~~_____jl Ovmer~: ROBEFH HUMPHREY I L II.LJj Phü!"le: (805) 83.l~-3504 Addr~e!5s: r' 0 :OX '+11G3 l"3ð¡ti {l:d:.. u:¿¡(e ItO{· St,:¡te: CA 1_:itY' ~~~;e"*-_~~p,~'r Sumfl1ar~y -,- ..-.----..-.---.---....-..--.----..-..-..------......----.....---....--- l______. ..-........------.. ---.~==~-=--==~~~------.-----------~~.----------------------,---=~~J I, "ROh.A'ZJ UJiAI"'\\,rJ"A. Do hereby cartify that I have ~ reviewed the attached hazardous matetials manaco- v ment plan for})l'f/~ ~~rbil~d that it along with ( ame õi Busin;¡us) any corrections constitutê a comp!e~e and correct man- agement plan for my facility. '.. Signature Ç2- 2;-9)1 02/0'3/'34 SCOTTI MUFFLER CENTER 215-000-001225 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form -----....-....-....-----..----..--..--..-------....-..-----..--....-----.-----.. ----..--------- 02-002 ACETYLENE Fire, Pressure, Immed Hlth Gas ----.... Page 2 J't1ax Qty J't1CP 800 High FT3 0;;'::-001 OXYGEN Fire, Pressure, Immed Hlth Gas ......--........-----------..------....------....---..- ----------.-- ..............-.-- -------..--.--...--.........-----....--......-...-............-....-......-- -- , 5000 Lc:<~'I FT3 i O;:::J09J~-:34 SCOTfllfuFFLER CENTER 21~:¡-000'-(""-"'5 02 - Fixed Containers on Si~ Page ..:5 Hazmat Inventory Detail in MCP Order -..-....-- 02-002 ACETYLENE Fire, Pressure, Immed Hlth Gas 800 High FT3 ---.. ----- CAS :tt: 74-86-2 Tr-'ade Secret: No FOr'm: Gas Type: PUr'E? Days: 365 Use: WELDING SOLDERING - Dai ly Max FT3 --~- Dai ly Aver'age FT3 -r- A'(I'(lllal 800 I 4~~ 00 I 1 .......... . , AmouYlt FT3 -. 39,600.00 ---- Stor'age r Pr-'e5;s T Temp 1----- L.ocaticlYI PORT. PRESS. CYL.INDER ,Ambient,AmbientRIGHT FRONT OF SHOP -- COYIC ---r. - 100.0% ¡Acetylene CompOYlent s r 1~1CP -"î:uide ¡High 17 ---.-...--- 02-001 OXYGEN Fire, Pressure, Immed Hlth Gas ~:;OOO L.ow FT3 ..----..---------..--.-......-..-.-----...,..- CAS #: 7782-4'+-7 Tr'ade Secr-'et: No FOr'rll: Gas Type: Pu)"e Days: 365 Use: WELDING SOLDERING Dai ly Max FT3 -¡- Dai ly Aver'age FT3 -", A'(IYlllal Amol..mt FT3 -- 5,000 I 2,500.00 25,000.00 ---- Stc1r'age r Pr'ess Temp -- L.oc·at iC''(1 PORT. PRESS. CYL.INDER t=!mbiel"lt T Ambiel"'~IGHT FRONT OF SHOP _. CCII"IC 100. 0% ~ygel"l' Cc,rnpr'essed Cornpo'(lent s -T IYlCP ¡-Guide I Low I 14 02/0'3/'::34 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page '.. CD> Notif./Evacuation/Medical ..-..........-..-......----......--..--.---.--..-----.--...- Cl> Agency Notification CALL '311 C2} EMployee Notif./Evacuation --.---- IF A PROBLEM SHOULD OCCUR AN ATTEMPT IS MADE TO CONTAIN THE RELEASE OF ANY FLAMMABLE MATERIALS. THEN ALL OCCUPANTS ARE EASILY NOTIFIED IN THE SURROUNDING BUSINESSES BY VOICE. WE ARE IN A COMPLEX THAT HAS THE CAPABILITY OF IMMEDIATE EVACUATION. (3) Public Notif./Evacuation 3 EXITS MARKED AND ARE OBVIOUS (4) EMergency Medical Plan ----..- -....-..---..--- ALL MEDICAL EMERGENCY'S AT THIS PLACE OF BUSINESS CAN BE HANDLED BY THE OtrJNER AND REFERRED TO THE WHITE: U:¡pJE Þ~eDICAL CerneR 5il01 '~J¡"'¡IT~ LÞI 832 ~::OOO. - yneX!(!,Y f/oS/'/774L -- "- 02/09/94 SCOT,fUFFLER CENTER 00 - Over~a 11 2 ~ 5-0()O--(fllj:.5 Slte Page C" .oS CE} Mitigation/Prevent/Abatemt ---....-----..---....--......--........ Cl} Release Prevention ---- ALL BOTTLES HAVE PROPER VALVES AND FITTINGS WITH MONTHLY MAINTENANCE. QUICK COUPLINGS ARE USED TO PREVENT BACK FIRE AND EASE OF CONTAINMENT FOR BROKEN HOSES. ALL BOTTLES ARE KEPT IN A BOX TO PREVENT BOTTLES FROM FALLING OR BEING ABUSED. BOTTLES ARE TURNED OFF AFTER EVERY USE AND VALVES ARE CHECKED DAILY FOR LEAKAGE. C2} Release Containment -'-'---' SHUT OFF VALVES (3) Clea'("1 Up (4) Other Resource Activation 02/0'3/'34 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page 6 <F} Site Emergency Factors -----.... -..--..--- ..---..---.. -------....---..--- <1} Special Hazards <2} Utility Shut-Offs A) GAS - BY OFFICE DOOR B) ELECTRICAL - BY OFFICE DOOR C) WATER - BY OFFICE DOOR D) SPECIAL - NONE E) LOCI-< BOX - NO <3} Fire Protec./Avail. Water ..--..----......--....-..-.. PRIVATE FIRE PROTECTION - FACILITY CONTAINS OVERHEAD SPRINKLERS AND TWO FIRE EXTINGUISHERS, ONE AT DOOR AND ONE BY WELDING BOTTLES. NO FIRE ALARM OR SMOKE DETECTORS. OWNER HAS EXPERIENCE IN OXYGEN AND ACETYLENE FIRES, THEREFORE COMPLETE EVACUATION WOULD BE FIRST AN ATTEMPT TO CONTAIN FIRES BY VALVE SHUT-OFF WOULD BE MADE. FIRE HYDRANT - AT FRONT OF BUILDING <4} Building Occupancy Level --....-- -- ., 02/09/'34 SCOTtltUFFLER CENTER 215-000-#5 00 - Overall Site Page 7 (G> T~~ëd '('Ii rig ....--..--.-----.. ----....--....--..-..--....-.---....-----.-....-..--..-..--..- (1) Pag~? 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: FIRST AID - EXITS - FIRE SAFETY (2) Page 2 as needed (3) Held for Future Use --------....---- (4) Held for Future Use ------- 02/0':;) / '34 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page B <H> RMPP DATA -..-----..-........-----..-....-..--..-----..--..........--.-- <1> Release Co~tai~ffie~t <2> Offsite Co~seque~ces ---........------....--.-..----.. <3> I~ House Capabilities <4> Pla~t Shutdow~ I~structio~ ---- -....-- -- -- ,,) _.~;' \', BAKER~LD CITY FIRE DEP'-MENT HAZARDOUS MATERIALS INVENTORY &'(ea (\ AO+omo+/ \IE? _Address 430'fS (..r.)/Ó)p' PageLofl Business Name 1) INVENTORY STATUS: Deletion ( ] CHEMICAL DESCRIPTION Check if chemical is a NON TRADE SECRET ~E SECRET ( 2) Common Name: 3) DOT # (optional) Chemical Name: AHM ( ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES / PHYSICAL Fire M Reactive [ ]' Sudden Release of Pressure ( ] HEAL~ Immediate Health (Acute) [vÍ Delayed Health (Chronic) ~ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE Pure (~ixture (] Waste [] Radioactive ( ] 6) PHYSICAL STATE Solid [] Uquid [¿¿as [ ] CHECXALL THAT APPlY 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size·Container: # Days On Site ,'¡S C)'~ 5~ ;:;; ) 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: Circle Which Months: All Year,~ A, M, J, J, A, S, 0, UNITS OF MEASJ.!RE Ibs [ ] gaJ [¡,..(" ft3 [ ] curies [ ] {)!> q' N,@ %WT /()n . AHM [ ] [ ] ( ] 9) MIXTURE: Ust the three most hazardous 1 ) chemical components or any AHM components 2) ~ COMPON"ENT V{)Se:.:r7 e , ' CAS # 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition ( ] Revision ( ] Deletion( ] Check if chemical is a NON TRADE SECRET [] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optionaJ) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [] Reactive [] Sudden Release of Pressure [ ] HEALTH Immediate HeaJth (Acute) (] Delayed HeaJth (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [] Liquid [] Gas [ ] Pure ] Mixture [ CHEC1<N..l. THAT NJPtY Waste [] Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: AnnuaJ Amount: Largest Size Container: # Days On Site UNITS OF MEASURE Ibs [ ] gaJ [] ft3 [ ] curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List the three most hazardous chemical components or any AHM components COMPONENT CAS # %WT AHM [ ] [ ] [ ] 1 ) 2) 3) d).- Representative SeøliWnOIr3Q 11B1i1 PlEQKJotv lEPCST~FOW BAKERSre...D CITY FIRE DEPA~ENT HAZARDOUS MATERIALS INVENTORY -:¡-;--¡" ";: Page_of_ I I , Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( ] Addition [ ] Revision ( ] Deletion ( ] Check if chemical is a NON TRADE SECRET [ J TRADE SECRET [ J 2) Common Name: 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 [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] CHECXALL THAT APPlY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ] gal [ ] 1\3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Ámount: 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: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location CHEMICAL DESCRIPTION ì 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ( ] TRADE SECRET [ ] 2) Common Name: 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 [ ] Uquid [ ] Gas [ ] Pure ( ] Mixture [ ] Waste ( ] Radioactive ( ] CHECKNL THAT APPlY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ] gal [ ] 1\3 [ ] a) Container: 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: Ust COMPONENT CAS # %WT AHM Î the three most hazardous 1 ) [ ] I chemicðJ components or \ any AHM components 2) ,', , [ J ¡ 3) ( ] 10) Location . I certify unaer penalty of law, that J ¡¡ave personiiTfy exammØô and am familiar WIth the mfomation submlttØd on this aild all attBcnea documents. I believe the submitted information is true. accurate, and complete. PRINT Name & Title of Authorized Company Representative Signature Date ~~ 1S8a REGIa. II lEPC STANOMO FCIW -~ BAKMFIELD CITY FIRE D~RTMENT - HAZARDOUS MATERIALS DIVISION 2130 "G" STREET . BAKERSFIELD, CA. 93301 (805) 326~3979 HAZARDOUS MATERIALS INVENTORY, FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME b~~ffij ~-\-o ~~v~ FACILITY NAME SITE ADDRESS L-\'~D 8 W ì Ð \.e \2ÐM CITY h'A'c~rS{'e.\~ STATE CA-- zlpg3'2>\'3 NATURE OF BUSINESS ~l+O~-h J'0 5£~a\./l (e.,- SKD:j \I\S~v'TIð'(\S SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR ~L>\~(2X 't' \1Ù\'.h \:1-\ l\-uh0wê:::1_ PHONE 'ð~q,~~L( MAILING ADDRESS Y'501? ,Wib\e.- eè>M CITY J?A\COß~e \ t STATE C'N-\ \Z ZIP ~T3~\3 It EMERGENCY CONTACTS ,NAME %'?:ea.:r ~JM{)V\V~~·l TITLE ôlA1(\f-/\ BUSINESS PHONE ~3q 3S'DL\ 24-HOUR PHONE (-~fo l 'L~ ì r ~1o-N~·~A ' t+v h .p k V- CA.l " .,. NAME TITLE (XAJ{\ e. r BUSINESS PHONE f-fšlol-'2Co I·' 24-HOUR PHONE l--~(o 1 ~ 2<'0 U . -. ',,~ SePlemoel 30, 19512 REGIONV LEi'C STANCAADFO' - -, - BAKERSjlLD CITY FIRE DEP_MENT r-" HAZ OUS MATERIALS INVEN RY Page_of_ I 8 usiness Name Address , CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New! ] Addition! ] Revision! ] Deletion [ J Check if chemical is a NON TRADE SECRET ! ] TRADE SECRET [ ] 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) I ] Delayed Health (Chronic) I] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid I ] Gas I ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] CHEC1<ALl. THA.T APPlY ! 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES I Maximum Daily Amount: Ibs [ ] gal [ ] ft3 [ ] a) Container: 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. 0, N. D 9) MIXTURE: Ust COMPONENT CAS # %Wf AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] , 3) [ ] ! 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] , 2) Common Name: 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 [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] : CHECK N...L THAT APPLY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ] gal [ J ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: I Largest Size Container: I # Days On Site Circle Which Months: All Year. J, F, M. Ä. M, J, J, A, S. O. N, D l 9) MIXTURE: Ust COMPONENT CAS # %Wf AHM , the three most hazardous 1) [ ] ¡ I chemical components or I r any AHM components 2) -., [ J i 3) [ ] 10) Location . , I certify under penalty ot law, trlat / have personally exarmned and am familiar WltrI trle ¡nfomation submItted on thIS and ai/ attached documents. J believe the -. "Submitted informatÍon is true, accurate, and complete. PRINT Name & Tit/e of Authorized Company RepresentatÍve Signature Date AEGIOIV l.£PCSf~FCfI" ""'-.ntw3C1 1~ I -- -------- - --~---=-; -.' ; -----. ( " , I BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action. return this form within 30 days of receipt. 2. TYPE/PRINT 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 BUSINESS NAME: 'B~'K~~ ~~lö-hVt-- LOCATION: 43D~ /AJìb'6 '12~ MAILING ADDRESS: 4307:) \IV l h\G \2l)¡.\f) CITY: ~\:::JL(S.{'el:l STATE: CA- Z!P: lÎi33\3 PHONE: BQÇß~~'35ö+ DUN & BRADSTREET NUMBER: ,SIC CODE: P'RIMARY ACTIVITY: ·Avv~ ~~iI"b Srtoq W\t-fO \26)l\lVL OWNER: MWI b fW:f\ k'Dbb.at-\v1"1f'\\Y~ MAILING ADDRESS: 43ù~ WI hk- f2ùM SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24HR. PHONE 1. \-1\01\' l \~þ.. \-\-v Mp~íÚ-l DuftJe.{'<-- 2. ~~~ \6ser-.. ' ffi\ð'\.cl ~'"6Lt- 3S"blt- 'ò\? 1- 2S~ .1. '£akersfield Fire Dept. ~ h'Wardous 1iàterials Division .. HAZARDOUS MATERIALS MANAGEMENT PLAN ,;.!'___~ ----;-- 1 SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ~ MATERIAL SAFETY DATA SHÈETS ON FILE: , BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: , . I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTfNG REQUIREMENTS OF CHAPTER 6,95 OF THE "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE 00 HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEE:D THE MINIMUM REPORTING QUANTfTŒS. OTHER (SPEC1FY REASON) SECTION 5: CERTIFICATION: \, CERTIFY THAlTHE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SA,FETY COqE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION,CONSTlTUTES PERJURY. SIGNA TURE TITLE " DATE ._..;:::> 2. " "!.::::r- ~\ I Y U¡" BAKl:.k~¡-It.LU þ,O. BOX 2057 BAKERSFIEU>, CA 93303 ,. APPLICATION FOR BUSINESS LICENSE/TAX CERTIFICATE PURSUANT TO ORDINANCES OF THE Cli"Y OF BAKERSFIELD BEREAN AUTOMOTIVE I '1 0iiAKERSFIELD C.FORNIA 3b'~~ß LICENSE' PREMISES MUST ~n"JI=m~M TO ZONING. .................11'...... APPUCANT SHOULD ALLOW TWO WEEKS FOR NECESSARY INSPECTIONS. CHANGE OF OWNERSHIP o o NEW CJ BUSINESS ~ CHANGE OF ADDRESS NAME OF FIRM DATE 10-20-1993 MAILING ADDRESS 4308 Uible Road. Bakersfield Cao 93313 LOCATION OF BUSINESS 4308 Wible Road. Bakersfield. Ca. 93313 (Separate Ucense Required For Each Location) TELEPHONE 805-834-3504 KIND OF BUSINESS OR PROFESSION Automotive Sales and Service NAMES AND ADDRESSES OF ALL OWNERS (Or Principle Officers, If a Corporation) NAME HOME ADDRESS !10N I KA S 0 HUMPHREY 13819 Oak Valley Road Caleinte Cao TELEPHONE 805-867-2671 -I , ' , 1 J B INSPECTION RECORD AUTHORIZATION DATE: H.C.I j r. b (p f11,L ITS OR ::~ c:J'( I T PLA~ BUlL FIRE DEPT. C APPLICATION CONTINUED: TYPE OF ORGANIZATION: PARTNERSHIP D CORPORATION 0 FEDERAL EMPLOYER IDENTIFICATION NUMBER INDIVIDUAL n ~ NAM~onika So Humphrey S 552-41-9411 S N DATE COMMENCED BUSINESS IN BAKERSFIELD -11 19'}3 ~~3 CALIFORNIA STATE CONTRACTOR'S LICENSE NUMBER, IF ANY NATURE OF BUSINESS FORMERLY AT THIS LOCATION Automotive Sales and Service FORMER OWNER Garcia, Gilbert and Laguana. Kenneth DBAo Scotti HuffIer Center SALES TAX PERMIT NO 5./!... {)I( A 91- ¿¡fl6rJ 5 Î Sales or Use Tax may apply to your business; contact nearest STATE BOARD OF EQUAUZAT10N OFRCE. e e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S, D. JOHNSON FIRE CHIEF 2101 H STREET BAKERSFIELD, 93301 326-3911 Dear Business Owner: This notice is meant to act as a reminder that the California Health and Safety Code, Chapter 6.95, requires any handler of hazardous materials to revise their hazardous materials business plan within 30 days of anyone of the following events: (1) A 100 per cent or more increase in the quantity of a previously-disclosed material. (2) Any handling of a previously-undisclosed hazardous material, subject to the inventory requirements of Chapter 6.95. (3) Change in business ownership. (4) Change in business address. (5) Change of business name. Any questions regarding these required revisions, please call the Hazardous Materials Division at (805) 326-3979. Sincerely yours, / ' , ~~ .r ~.?_~_~. Huey Hazardous Materials Coordinator ~ \pJUtNt / HAZARDOUS MA TEeLS INSPECTION Itersfield Fire Dept~ Ha äous Materials Division Location: ~ Business Name: q"" LJ Date Completed Business Identification No. 215-000 001 ~~ S- (Top of Business Plan) Station No. I Shift ê Inspector CAtP-i [] /q;V- Arrival Time: /C/-37 Departure Time: 14~ð Verification of Inventory Materials Verification of Quantities Verification of Location I Proper Segregation of Material Comments: .s s- 3"" I ~ 1(fl.vCo$.Q..L-, Q Verification of MSDS Availability Number of Employees: ;:¿ Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: '-.-_.,-._,..,",,-~...... Inspection Time: .·?M/V\. Adequate Inadequate D ~ .~ D ~ D -g D ~ D '~ D -fJ D ~ -{J D D ---{J D ~()P>~\-\vh~\"lff'1 ç 2--- Business Owner/Manager RINT NAME SIGNATURE White-Haz Mat Div Yellow-Station Copy ~ -------- - - ------- All Items O.K LJ Correction Needed ~ Pink-Business Copy M ~ &'i ~ ~ c u. '\, PLEASE MAKE CHECKS PAYABLE TO: CITY OF BAKERSFI ElD --.- ......_~- Previous B.l.~ce 11$~fO r"':''-'-'''~ "., ........ '<;. ~ fJJÛ~81~2 P.y.~nt -135.0'0 . . \ , .'. -'. . . . .. "', .. . ~ . - , :,. ..¡t. C~~r~~t Ch~r~~5 l'2~O~ .......-....... ._,",__ .._. ___.n___ _ _ .~_..__'....._ tOtAL eAl.A.M(~ O\iË 1.42.'O<! :" \. ,'\ flfA'EiH AlS \J}I v t~ IGfoI ~ ,'/ 'H 4,61701 ).~ <!" . . ~ETURN PAYMENTS TO èlTY OF BAKERSFII;W HAZARDOUS .P.O. BOX 2057~ BAKERSFIELD, CA 93303-2057 I ACCOUNT NO " ifi~f.tt~-~·~.ffV-~'1~HiG';: '...' ..~-,,:.' ',~~- .' ·:',:··~:,.I~'::~: HÞl4611Ql (En1u. 93:$13 ~"lØ~='" '" ...... D'~1:~' I·' , SCV'fT I IitUr. ~,';'E,A, " JOe WI elf:. 'RD I~) 8~KfRSFIELOø CA ; "Y3)92- " ti: H"a- ,I. r ci OI;.U .1-s1t. tad 4. .. n" F 4t1f $ 'S:it~(~, 't4j Ó 8....1,8 L f' ,(01â ' f'lÚ\\(. t~i~lf!;i,j~~~~~fti;';~'" '\," ~ ::i~< ¡ '~lt~Sf NO' E: T;tIS IS I. (OM!'(('jE'" ';.' "~,,,: ':;;.!::::;:" " :':'. ;~'~~: ';¡f' ~ë ~~'Jf~I~:~ lr:fiZ" r .fÃÕ\!,,'~~:~_ ~Õï93' ',:""':'?:·.."1.: ,1,42.00 ;--- "': .. # - . :: . ~". ~~--_.._- ~"".'"_ ',~..u __ ...., _ _ ._.. .. .. rct.·f:¿:,ü¡i~é.'~:t ,'t.~~}:.I.',SI:'" '; -'142.0C .. . . . ',- '. '''.' ': .þ" .c. ~_.. .~--~ ~':.,I't."'~a:. ~~~.::....":'~i.-:...'.:I<..~iJ.~_ ....;.",.,¡_... ':. ' .:.. ~7- - . '·';itìl.,:,."n~G DAR O"lJ,Ol" I 93 . .: ' , ..>' ..... ..:'. '~..<" ",.".- :, ' ,.~~:' p~.-~' 'rJQ~~lS :~'~,'~~"'r;.t~ ~,M- .', -, " "'" , '1)1' '. '.' ...~,'"..,:, "." ,,~; '" '-:0," , ; , 08,: ~~TMv~k5,' ,:~lr.±~1~~)~~i~r~~" , ' J,:2;, "':::l..;o..a,I'2' , ' :'" ' ,'~' -'7,,.,,,,.,. -' '.;,,,, ,.~..," .'" " , ÀIIUV"" l .. ï.:"t::'''''/~ " " ,"" ,',,'... '....~''". ,"".: :,,""",.. '.. , "" ' : .ft"·~~. _ :r:.·~·":'. ";.,~'~ - - ',,' "':,. '~',.":,_.. ,;....:. .:·:.......·.'·:··*::r,i~~~::.j:.:;;:'~~;-:·~¿~-.:·;:;·;~~...:- ..:- '.:':::., '-, . :,' :ti1lS' :b..~ll$:,~:\Jb, V P'(¡'N' .tif::<'f:tP·n.-, ..z'ti:tittt#S:""·F'faØft, tH,,€" SXlti. {~~',:.~'~'~ ,. 'fl',NA Nt' E:;ó'~~~ ~";~ ~" 'Ji~:;',~'~':~.::~Ò'~:;~(;·:~:~fL-';. Bt,: ,.:~ ~;~',:£~f:E~Q~,,', ,:,/,'.:,' INQUIRIES, CONCERNING THIS~ILt; I/tE"~'PHONE:' "1'l, 6-- J'9~1.".: ':, , , ., " ~"" r ' ." " " ' ~s8uðvte4ð NVOICE NUMBE'5ébH,¥ ,~O'lt=. ce.~ D13A- ~t&~ib~w,*~~ - - '-.3 , Mð'tOf'i \~ ~l~ ~ 6 ~ ~ ~~ ~ ~ ~ '~\ \~ - ~. pO ~ :.. . . ~ 08/18/92 SCOTTI MUFFLER CENTER 215-000-001225 Overall Site with 1 Fac. Unit Page 1 General Information Location: 4308 W,IBLE RD Map: 123 Hazard: Moderate Community: BAKERSFIELD STATION 07 Grid: 15D FlU: 1 AOV: 0.0 r-- Contact Name Title Business Phone - 24-Hour Phone ROBERT HUMPHREY (805) 834-3504 x (805) 867-2671 TOM LENKE (805) 393-8799 x (805) 324-2004 Administrative Data Mail Addrs: 4308 WIBLE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: Owner: ROBERT HUMPHREY Phone: (805) 834-3504 Address: P 0 BX 41163 State: CA City: BAKERSFIELD Zip: 93384- Summary RECEIVED iSfP 2 2 1992 HA7. MA.T.ÖfV. I, «o°j.n- ILH..11iA ~g...hereby certify U~t I hav~ ~~r Q,reViSWed the attached haz2,: ~x:'i..;,~; mate~iai$ mtð!n.ag~Q ment plan for and that it sl©i1g with (i\!æne 01 Buainesa) any OOrr6cti©ns constitutG a oompl~!~ ~lFUd oorrroot mana agement plan for my 1~©mty. ~ ,. " " . ~.,~'.""" ',.' :. .','.".,'- ,'~ ~nJp". ~ . '.'J' , ;, ... ~t.{'!;"~.,,, ~m Á. >"',,- . "1'-;0 ~.,~ Date ... . . 08/18/92 SCOTTI MUFFLER CENTER 215-000-001225 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 5000 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r--, Daily Average FT3 --r-- Annual Amount FT3 -- 5,000 , I 2,500.00 I 25,000.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Ambient AmbientRIGHT FRONT OF SHOP - Conc _I 100.0% Oxygen, Compressed Components ~ MCP --¡List Low I 02-002 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 800 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 800 I 420.00 I 39,600.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientRIGHT FRONT OF SHOP - Conc l 100.0% Acetylene, Components 1-= MCP --¡List High I ~ . . 08/18/92 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notlf./Evacuation IF A PROBLEM SHOULD OCCUR AN ATTEMPT IS MADE TO CONTAIN THE RELEASE OF ANY FLAMMABLE MATERIALS. THEN ALL OCCUPANTS ARE EASÍLY NOTIFIED IN THE SURROUNDING BUSINESSES BY VOICE. WE ARE IN A COMPLEX THAT HAS THE CAPABILITY OF IMMEDIATE EVACUATION. í .<3> Public Notif./Evacuation 3 EXITS MARKED AND OR OBVIOUS I <4> Emergency Medical Plan ALL MEDICAL EMERGENCY'S AT THIS PLACE OF BUSINESS CAN BE HANDLED BY THE OWNER AND REFERRED TO THE WHITE LANE MEDICAL CENTER,- 5401 WHITE LN - 832-2000. - . . 08/18/92 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL BOTTLES HAS PROPER VALVES AND FITTINGS WITH MONTHLY MAINTENANCE. QUICK COUPLINGS ARE USED TO PREVENT BACK FIRE AND EASE OF CONTAINMENT FOR BROKEN HOSES. ALL BOTTLES ARE KEPT IN A BOX TO PREVENT BOTTLES FROM FALLING OR BEING ABUSED. BOTTLES ARE TURNED OFF AFTER EVERY USE AND VALVES ARE CHECKED DAILY FOR LEAKAGE. <2> Release Containment SHUT OFF VALVES <3> Clean Up . <4> Other Resource Activation .. e . .... ~;. 08/18/92 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - BY OFFICE DOOR B) ELECTRICAL - BY OFFICE DOOR C) WATER - BY OFFICE DOOR D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FACILITY CONTAINS OVERHEAD SPRINKLERS AND TWO FIRE EXTINGUISHERS, ONE AT DOOR AND ONE BY WELDING BOTTLES. NO FIRE ALARM OR SMOKE DETECTORS. OWNER HAS EXPERIENCE IN OXYGEN AND ACETYLENE FIRES, THEREFORE COMPLETE EVACUATION WOULD BE FIRST AN ATTEMPT TO CONTAIN FIRES BY VALVE SHUT-OFF WOULD BE MADE. FIRE HYDRANT - AT FRONT OF BUILDING <4> Building Occupancy Level ~ r ~ b . . 08/18/92 SCOTTI MUFFLER CENTER 215-000-001225 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: FIRST AID - EXITS - FIRE SAFETY <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use , I /~~ ;(o~,{';;:¡¡;;".o~-:.>":'"~~'.¡,\;; .."'~~~ -,,/"" , """~ /þ/ .!';' ':;;0\ '-'-~,\\ tUii =?' . ·CJ , " J 1* ' ~~ , '..... "'-" '" I ~'" '"", ' .-,.' / \"~~ .3~é)TII MÙFt~L~. CITY of BAKERSFIELD "WE CARE" ;; '. FIRE DEPl\RTMEì'JT o S ,\ŒEDHAM FIRE CHIEF, I '\ "'-i(Jî/ Ili:t r I C¡ f5C,l ~I 2101 H STREET 5AKE,RSFIE!..D, 93301 326,3911 RECEIVED DEe ? 0 1989 HAZ. MAT. DIV. Dear Business Owner: Enclosed please find Material Management necessary to reject checked below. D Illegible Management Plan information) . a copy of your response to the Hazardous Plan (HMMP) request. We have found it your plan for the fOllowing reason( s) as (please print or type This is to be corrected and resubmitted within Section(s)01t,b8; 7ft 76 , / / / Inventory D Missing or g--- Incomplete. W~ 'u¡..-- '#- Diagram Mu>T be gJ{? II 0 Missing or ø rncomp~~~~ " (I'!' . I < days to: ~~ (y\ ...,..~_u./\JL ~~ fl~ evbt ~~, of HMMP incomplete. City of Bakersfield, Fire Department Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 30 kJ \J..Ç>_ l d- -6-<G ~ If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 G Street in person. Sincerely yours, ~.~..~/ ~ E. Huey / Hazardous Materials . , I /Q/,q/ _ {)~ ~ o.J;u.Úe4f ~ d- 01L . Coordinator REH/ed r , ,~. , ,. . c)': ~ Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 . I . " --~ . P---'HEQ f,;e 2 1 1989 hi,.. i,/¡, ... ......., ............. INSTRUCTIONS: HAZARDOUS MATERIALS MANAGEMENT PLAN /' 1f~ 1 . 2. 3. 4. To 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. . . Q (Y\.orJ e --s +4\\ ";;:. Or .,;; ¡J\>',k ~~ ~fD('I1QM; \-10 I\. -'to . \(\.. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ç'(o ~ n0\-~\(!J LOCATION: .¡, t.t ~O ç> \,J.-)\. \0 \ < Q~~ MAILING ADDRESS: C ~~) CITY:K ~ Ft- r:J STATE: LA ZIP: l S PHONE: ð~ L{ '3 Sð Lf DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: f+J~ n~~~ OWNER: '\2::.'n~., ~ .p,^-V"O MAILING ADDRESS: _~J>,-he.- ') SIC CODE: SECTION 2: EMERGENCY NOTIFICATION: CONTACT 1. \2.:k\- ~T\~"'Vf 2, \D<\ l.e I' \c..<-- TITLE BUS. PHONE 24 HR. PHONE O\,A->~r <6~ 4 ~Sõ\'{ Kt:. 7 2.L 7 I ~q~t(7C,7 32-LJ-~ I . 1. FDI590 · Bakersfield Fj.!e Ðe.pt. . ~ Hazardous Materials DiVision HAZARDOUS MATERIALS MANAGEMENT PLAN ¡, " , \ : ~ SECTION 3: TRAINING: NUMBER OF EMPLOYESS: I MATERIAL SAFETY DATA SHEETS ON FILE: i e':/ BRIEF SUMMARY OF TRAINING PROGRAM: h ~~J It td - S-}C ì rç - Fí r"é- Sþ.-.Çc7-- SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEEDTHE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SE CERTIFICATION: I, '~ ::> ~~ Uv Kp~? CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDE~S-TAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT QE INFORMATION CONSTITUTES PERJURY, , l/~ ~ ~L 7-3/~~/ \....0"""" SIGNATURE TITLE DATE 2. FD1590 1 ( t " \ .. he Bakersfield Fire Dept' Hazardous Materials Divisl HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: ~ -------.~-----------~._~ --"'\ A. A..G£NCYNOTlFICATION-PROCEDURES: .-............ {JÆf r.¡ J I 17 ? B. Œ&f.el.o-Y-EE-N.oil¡;,¡CÄr¡Ö'N~ANÒ-=EVÄCtJA T-ION: ----- --._--- -' y -vA ~ f\.ðo-tv\ \ C, PUBLIC EVACUATION: 3 '2-~L +s \,,\wlc..éS ~D~ ù\'Ul õìJS D. EMERGENCY MEDICAL PLAN: \~ ~ \LL~ -+--\-Y-~~ 3. FDl£OO · Bakersfield Fire Dept. . "- Hazardous Materikls Division ' ,. . ( ) -' . J '1'i ,¡ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. \R-EtEÂ~SEP-REVENIION:SIËËS:) C\na.\()~ S1'ðY~ v::» 'ß~~ f'cAsh C'~ ~ SM~ ' _ __ _~ __ __ ~_. " n__ _._ __ ,____.___ __ __" B. CRELEASE, CC):Nt.ÄINMENT ANDl GR-MINIMllAHO N): @SWL~ ~ VArl~ C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: 6(1 tf()ly:ø --' r4--L>O r ELECTRICAL: 5~ WATER: S~L- SPECIAL: lOCK BOX: Y~ IF YES. lOCATION: . SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY: A. PRIVATE FIRE PROTECTION: 5f(2.( ,^-\Ll..e.A''S - -h rC ~-+-t "^- ð"-(...o'""'-;. ~ 'w <" ," 'ri B. WATER AVAILABILITY (FIRE HYDRANT): ~\~ ~J1 \ ~ 4. FD1590 - ) .~ of Page NAME O~ THIS FACILITY' ST NOA 0 NO. CLASS CÒDE:- OU~ AN BAADSTREET NUMBER--- - - of BAKERSFIELD MATERIALS INVENTORY E ~ECRETS K OlJ\ v' OWNER NAME ADDRESS' ~Il/ ~ ¡!P: R;rF~R to-rNSTRUCTIONS rUt( pROPER CODES o ture cu ~~~I~fð~·NAME c'Ú¢ ZIP PHON~ It: and Agt Farll It _ 1!talierM-" i"xt~{Ç OllpOlte n ts -~e_.Jnslr-uc Ions J- ~ 4 Average Allt 2SQO J Mu Allt 1 Tr~ns Code NUllber Number C.A.S C.A.S NUle Nallle . .2 :[J~I!medÎ8teComponent Health! Component I th Halard app I YI ~(O5 F'T3 aHdt~:t pn~~~~ Number Number .A C.A.S C.A.S N aile Nalle NUle Component . Immediate Component .2 Health Component '3 [J SUddfn Re lease ° Pressure f}I C.A.S De Jared Hea th Ii ty th Halard a pp I YI Reactiv (] aHdt~:t Hazard re pn~~~f ,KF Number NUllber NUllber C,A.S C.A.S C.A.S Nalle NUle Nalle . .2 .3 Component Immediate Component Hea Ith Component [J Suddfn Release o Pressure Number [J Oetfaared Hea th C,A.S [J ty th Halard apply I Reactiv (] Phy~ical ond Hea !~heck all that re Hazard F o NUllber NUllber NUllber C.A.S C.A.S C.A.S Nalle Nalle Nalle 12 13 Component Immediate Component Health Component [J suddfn Re lease o Pressure NUllber [J De Jared Hea th C.A.S [J ty v th HaMd apply, React (] aHdt~:f Hazard re P~~~~~f o 32"!-2.òí)'{ ZT1ff17ñ~ cf=/ò-rfJ Onnrqm- Tlr the STqñfiU r e \ce ,nd a" leve that this J be $ubnitteð in Intornatlon. #í7r 2fho~/ (1", søct ;ons) la( wIth the InformatIon ble tor obtaIning the EMERGENCY CONTACTS . . BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 ld3'-lSO 5tJ'óP or @ OFFICIAL USE ONLY ID# 0012.2.5 BUSINESS ~k'iE , HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE 'FORM 2A ~ ChQp ¿S cß¿Gr r .,[. " INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT k~SWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. ~::) \J~ ~ SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: S CO.\+·\ n\)~~le~r ~I{'..~' 5 ~ '33 ~ JJ,^, \..L Lu zIP:.....53~ \ ~ BUS.PHONE: (eo~ <83L¡'-350Y_ B. LOCATION / STREET ADDRESS: ~'r'~" CITY:~<;':ers ~'-e.- \c\·, \:.,._.",_~j.t"..."¡.,..oI-:"_-~ ~ ~~.~':.,~J::;:\~-~ :'"::f~_. ..'~ , ,-, ~ '. . - , ", /'. .~. \ ;..!'" EMERGENCY NOTIFICATIONS, rl_'~:" :~ ~ ,~_.- : ": '~~~A;: ;:'-.. : ~ T.l~i._ : ,_"; '~ :: ~.} ~~ ,~: -.:~'~.:"¥.~::_ '+0.., t' A.. _. _ -.;'.~'\.:;: "~" "~: . .... - .-- '. :"" . . - .... ~ .. . ~ " of a ."'~ " will notify . required by . . .. . . ~ .. - ..' ~ ... I~ca~~:of a~ emergency involving the release or threatened release hazardous material, call 911 and 1-800-852-7550 or..1-916-427-434L.,' This your local fire department and the State Office of Emergency Ser,vices' as law.". ----........-- -. ~ ." ~'. .-. '"-''' ~ . '''. ."" '. h _ . ..... EMPLOYEES TO NOTIFY IN CASE OF Nk'iE AND TITLE A~ô~ ~\- U1"\ ~\"\Y-e-\ B. T Of'\. l~", k -e. EMERGENCY: . . ~ _. ~ . . ..' . ~~-.- -...~--~" <-......,.-., """~..., -._~---~ ~._. _..~. _,_._~_. u . ___ ._.....~......_... DURING BUS. HRS. AFTER BUS. HRS. Ph# ''PJ-:S 'i ""ß bó4 Ph# Reo"'· '2- ~ l \ Ph#~ '3'1~-81~1 Ph# ...:S2Z- 2Oett- ,. !; SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE } ,ì " A. NAT. GAS/PROPANE: . ~: ;¡~~~~I~:~~~~~~~o~.~NG~\\~~~~ ~~;~~~t~~\JV D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / ~O KEYS? YES / ~O - 2A - ~~; ¡, ~~ ¡ r ¡; ~ ] '1 i ~ 1 I:' . '", -. ..." -..: " , -- ,.,.......-.--::. ,.r _ ~ : -!.. ~. . .. .. SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE c..ç (¿ d.- .~\ rs-+ ~~ - \ 2~ r Ð~.J + ~.~~ ~ It- 4kC;/2.-S u.s. e.-d. l"U l"J 2L,~\ ¡.)~ - Ko\oe.r-\.- ~h~~ - UC-, Z- )Cr~ \ -eA:\. <-c. \ """' '^ A >'\. Å G., If'> ~~¿.o'fìo FLbJ-\. ~L-,\~ .' SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTAJ.'lCE FOR YOUR BUSINESS AS A WHOLE M-l. Ì\.4,-~ ~na.r<=ieA''--"1 ~ ¡þ:\ ~L~ 'PU«:--G ót ii\/'S\",e~~ CAt<- ~£; \-...~i\...Lc\ ~ -tiAc.-' aw(\~ ~O ~"~ ~, : ;.!~' \,-J~~ ~ l.A-~ )\.~\ c...A"L ~'^~ _ 6'3 '"to Wk...;\<, , LN ..' ' " "_ -~';, -. , - . ~ ; -~ ' . '-~.... ".''',- ..: .~ -~......~ ---.... .. . .., ;. 0, '" ::::f'~'1"' .;. ",. ~' : .:' ..;. ~ -" :, J -::,., :.'_ '; : ¡... ~ ..,;";;:~ ,.- __'_:-hP'':''~~~';: : ~,:."::tL,::=,:~:?·:~~. -_~-: ' , ," SECTION 6: '. . ~ " .................. _._-- ~- '-"~. .__....~,.... -~. EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH I~ITIAL AXD REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR ~O , JXIT,IAL A. ~~;~~~L~~~.~~~~.~~~~~~~~.~~.~~~~~~~:...........~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES --, WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . ':,' . '.' . '. . . . ~\ NO C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . .. XE.. NO D. EMERGENCY EVACUATION PROCEDURES:.................. ES' X~ E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.... ... S ~ REFRESHER ~NO ~,a , Es.. NO YES NO YES @ ',¡' SECTION 7: HAZARDOUS MATERIAL CIRCLE YES :;,.¡ NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERrAL I~ QU&'lTITJES LESS THAN 500 POUNDS OF A SOLID,55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A CO~PRESSED GAS:,..... YES~ Ð-+yqCr- ~ "2.Zo0 c......ç:ÄÇL\. <2. 'Boo C'F 'I ' I. '7()6~"'-- ~ I'\ç~r~ . 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 &.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. ';sr~I¿(~- / TITLE ~~ Y DATE 5-'Z:s~:t;}-- - 2B - ...... ",,'" . ....:::l--. ,...--.... 'ó . BAKERSr::::'D CrTr FI~:: DF.?\R7:·!:::':7 2130 ·'G- SwEET BAKERSFIELD. CA 93:01 O??~:7A~ ~SE OXL¥ ID:: BUS INESS XA)!E: ------ 'j " 'I BUS I NESS PLAl.'"\J SINGLE FACILITY L~IT F 0 R..'1\1: 3.A INS1'RUC7IONS 1. To avoiàfurther ,action. this form must be'returneà by: 2. !yp::':PRr~"'I' YOL"R ÅJ.~S~'¡ERS IN ENGr..rSH. 3. Answer t~e questions be low fc!' ¡'=:- 1:'^C'T'T ~~, ,.....,.- L"'~ "-, ,..~.. _ ...... .:...1.\ ._.... ....,....J. . ..... '='':''':''...,n 4. Be as BRIEF anà CONC:SE as possible.' ----- FACII.rrY u:;rr~ SOJn-\:t! I F AC!I.!'I'Y üNI'l' .NA.'Œ: 5 C 0 H- I ~L .tî l~- ç ,,~ SE~ON 1: ~"!'!G;'7!ON. ~='V~·H ,ON ...BA~l- .." ~O~~S _. _ ..!"'\ _...__,...... ,,",,~;.;l.t~_ ~\ \ '\3,. \+\.L.<; ~V~ Pro~~ vA Lu~S. A-v--~ 'k \-\. v'i~ - v..J ,-\-\- r...:c",,:-Yk.\¿-- \\ Þr-\,..J \ot\ Le.-- # (Q V l L\.c.. c...v u .çL\. v'\.~~. A-r ¿. vŠ' 6-Q ~. , ?rc--vt:-"'~ ~Þ<-"L-\<.... .b vL ~J, .:z,.iÆS G ~ ~-\-CA.lrJ ~e "-\ f.o.- Þrl?~ ~S.£S _ ~ '8o\t~ k-rc... /c...<t'(7LJ \.~ A :t3"ù~~.J. WÛí\,e- ~ ?{""~~ --go~ ~O~ ~.J1 ~..- ~p.r~ \ ~8u's.bD. ...~ ~~U"~~~¿;0- ~~~l~V~~ ~\I~Y ___ Sr:~TO~ 2: ~C~'T=!~~~:C'; ..!..~tlJ ::-',,~AC:;A7:C:; ?~CL-~~~S &~ ~~c: ~~ ,..~~. "- 10"'_ .._ ....._ 1..".1__ .).,~. \ ~ f\-t ro \1\a.n ~~\ ~ ~c...v rc- - ~ ~~ ~r-p\- ~ t\l\-O ~ . ~ c.o~~',J ~ (\~~<:-O~~ð .Ç¡~~~\Luh~hb--\ ~ Þ.-\\ OLe-v r~~ ~c.... ~~~ \d- "C..\.lQ.~ \,~ ~E- ~ù <iùJ^- c.\ \..0- \3J"':>\ t'\. t-{)~ _ \t} õ Uo \ L~ _ vJ & Nc. \ N p.. LD t---f> ~ ~~ 'v\.k~ -\'~ ~-Þrb\\,- \;- S\ ::tn.\""\~ l kít £.v'~\)~~^-' ''loa- VO\t.6 6Y'\r ~~ ~~'\ð- v¡Jð.e..r ðt)-'O à I-/ÐD 1¡,M- ~ rz6 A-V.,-o _~_ nc~__ .. ..----.-......- [= ?A-r\1- up- ~ I -:::::::> ~^l T V>~j -A-AM vÞ j .~.._______1"'"'1.___-._~__. J , - .,.'. '-:. , .... . . 't;. ~-. ,1".-, ,'I .~ SEC1'TO~ ~: H.':"7:.~RCOT¡S :~.ð,7:RL"\LS 'F'nR ~1iTS r~~iT f1XT.Y A. Does this r:1cility Snit co r::\'n ~ ï' . ~ n .'..;.. ..'1z:1råol1s .' at(?r lalS? . . . . . \.3 XO If YES. s e~ B. If ~O. continue with SEC7!O~ 4. B. Are' any of the hazaråous materials a bona fiåe Traåe S~c!'et \~S ~ If No, complete a separate hazardous materials inventory form marked: :\O:\-TRADE SECRF.7S O:\T.Y (white form =4A-1) If Yes. complete a hazaråous materials inventory form marked: TRADE SECRE7S OX:Y (yellow form =4A-2) in addition to the non-trade sec:'et for~, List only the trade sec:'e'ts on form 4A-~ ooç¡....... SE:':":~~~ 4: F~rVA1'E ::?E !)?C7'="C':"T:ï:\ ~ Oï"~e 0."'\ ~ \;¥-a.ò, ' ~,\,io- ~kµ<;. ~ ~"Î ~ ~r"- '>cßt'~J"',"",,-('2C~0:>c...~ fYV~v....~ Sf(Z.''''''\Ü-e...As, - l&~ -\-0 ~~,,... +rw II ~E .CO~~¡ A-re-c- _ ~o Ç..r~...5~ A. L~T"\. D"'r'"" =::..no\c..e.. ~cr- - CWv-....e...r . \...~ 'l..l'-~ I<-^~ -¿"...., o'l-y -- ~ .(2.re-~ _~e- ~...c:.... c..o~.p~ ~v{.k.Vc. ~ V-OJ\Ó \:1& ~ rs \'" _ ~& ~ A-- ~ n.çk- -tÐ co,.....k;.J -r\.rc:...~ 't '-( VA~ e.. 'S ~ (f\-f, t..V~ \ à. SEC':"!O~ 5: LOC~7:0~ Or W~1'!? S~?!Y :OR ~SE BY ~G~CY RES?O~~~S \>t 7L~ þ.,-, 'fvoY'---\- Sb '9 v\. \à v';- ~ A \..\'''\,~,-.f~--\- "'-~ ov\ :'1.. J~ ~\)L~e.,~ o..\~ l.oc...--~ 'ß~ Z::--A-c.."'-. "'=6JS\"~ \...Ù\Ì1- ~öe.. .:þ.--~.~ ~<- "'-'5 A- f)~. .- SEC7!O~ 5: tCG~770~ OF ~:::~: Sñ~-0~5 ~~ ~!S ~;7~ d:~? . ,.,- ~. ..:->.1.. G~S, PRO?:.XE·; f-J( k ......-* .. -- -.- - ,-. ~.'~ ....... ...,..... B. =:r.E:C7R I CAl :.~, '~" ""~~" ..........."-.......~"~-- .c,~~-·_r.'.......· _....."'~........ . " . 'R~ :>of ~V\ ~ 1,L:-,\ ~\ '-6 tk15 ''''(2t<;T' ~O'û -v\.. - Au... f....~ (... t.--\ . ~~ ,<%~j_":,: ~:~~.~ ~,êf~~~-='~·r\ p~ :~~~ ~~__~.~ y~\L~ ~ fk>~(\... <2-,: ~o\uu-·~(b? .1«-0 ~Ì\\:I$'..r6' .-.. ,_.... .....~~ ' --"'-- '''-" '-" . C. ~~ATZR: ~-V'. -\ ~S \'6.' CðC"-.. f u...~ ')\At; S l.e~ ~-\ ~l ~vJ ~ ~J..Q"V""S :, fb ,AAi-t C<.::> D. SP;::C:AL: _. LCC:~ B0X: \'-~ .. .. ~.- (D -= y::s, LCC'.~7:C~:: ... ..-..... s':'-~ PL;:':S'" .--,... , L r ':~::, ~:o ?!.OOR 'Or '\ 'ill......" ':"=:3 :\0 . ........'") . '- ~{SDS s.., :':ë'~'S":' - -t:::-) '\8 ,--,... ':. ::..,:¡, :om ...- , . ..,,, 'J '-' " , ,'i_. .. f 't.· 4A-' BßOßßFrs TALB' TNV' T ~iI:'-0.~';" :n~1!:' .- -----,--~'_____;o----=~- .-' 'v' . .. , I , ()UII IJB I~ It --:;- II ,\ IU.II:a 1 L loll I. f NON-Fl'HA IIAZAHnOUB ..... A FI' :::to I ~ --- oii.iiîiiiii. I ~=~IIOIlE' Oil. IIIIS I -.-- AfT E n II n II n s : ----- , "I'S PUGIIE 'n 11119. IIns: AfTE -- ----- --- -- --- -- --- --' -- ------ -- -- -.-. - - -----..' ~~ TITI EI , -- ;~/_ TIT',E. ~ . T:-ÍÒ-r\._~\~ "~ T.TLBI ~\~ !HJ ^ r. T I V I T Y: (" þ\ ~-, - - I y __'_ __. F ^ C I I. I T Y , I r I .., I. I T Y II II . 1 II ^,I E : -" . .-................... \"." F I (: I ^ I. ,išECrIÏt~ïííïX IItll. y III "^7./\1I1I II .. _!; !W !~ I! \' ! !' I fLC1 s ._,,_ ~L--. . It ., 0 0 I. II (: ^ T I II II III Till 8 '- IIY .,_fAQl,W1L!!tU T -'fIJ- _J! II UI Hi ð~ IUHHHI º ILU ^ tl ~ t5ß9='f . ,~~'\~ 'Ç("OJl~ ~ ~ p c9xY~t?P -~ W~\t-I~ ., QI.~~-\ ~~-\- If ~\,-,e~ k~· .. Id.Lj / ~~Lµ",\ I .' ,- ., -- -, --' - I~ .. _.- . ~ ~_.... -'- ----.. nil o °1' N I~ ,-. OHllnn "Ata AIJUn£89I"": (: I T Y . Z II' I I'll (J II B I I - lLr n II n .t !!!!I!~ /I ^ 1\ E : -Sc <:. s3,~3;- ~~ '~'C-s. !..__ Cl__l ,,8Ó-.Ç---S:~ I.J "3 }û\. ---1--- .. n .: IIlI"r !Hf!1 !;mUi fTc; 'PtS ------- :) ^IIIIII^I. M!H~!!L 2~ ~ - ---- --- -- --- - ---- . , !!L 2¿ðð .----. ~o :. I - - ? ^X 1111 " .J ,. ,I 7, . I ^' I '; II IIIII ,. II" , " 'III Ì) ..~) II II I II d.~27~ - f. 1 T f I ( , IIT^ s "' I I \' " " ^ , , r~\ it: I r , , , \ III I