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Home My WebLink AboutBUSINESS PLAN 6/3/2008 , I ~ I I \" i [L I 'LE TOY MOTORS I II! L__ul~~~Ol ,-W.IBLE RD~ft~~_._ \ [6' j,\ ", !: Ii I' Ii I) , Ii "I:; Ii' 11 ii. 1\': Ii II (6~ '.)1' --- .2-D ':).-k:> ~ , : --- J ,:- ... ..r ,'~ .::; it to Operftte .1 i Hazårdous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID # 015-021-002161 LE TOY MOTORS LOCATION Issued by: 3901 This permit is issued for the following: ItJ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: 93309 FES 2 6 2001 Issue Date 'June 30, 2003 ~ .-- . ?,~~(S~ .;;LIb I , SITE DIAGRAM rZ.J FACILITY DIAGRAM f~;:r~~f:t::>'. BUSineSSName:~--\~~ ~10Ð; " ",J Business Address:~ 0 I,.dl~.) ::J;,K ~~I~~ ,(;4 C\'"A1.0~, 2CX:ú ~I\Ll~W\ ~t -V ~ v<J <:_ t -" t:= J... ..s <S '\ t\\) ,~1\t' l~ f.t\ ú í t)W\~i $., .,.a.~~~\~~1"') ç..\ \J \ ðt J \J~ Q.C 1 u~o , C) I \ QV\~, ~t . cat;.~IfO\ ,OD~OW ('/\0\<:1" 0\ \. r--- \Y ~ ø.:r() c- tb -- <\\ ~~ E Æ\ ~ ~ , sf , '-J '[tv I __, 0\\ , 6l),~ ~~ g, F .!:\. A\. , , ::> <-. --~--. GV\d, Î<\V~O V~\'1~ s;.J~ 01(1 Z !:-~G ~ ~, ~ ~f ,<::I<' C' ,tP j~ '~ - -<6 ')I 'VI \V fP " -,3> .~'€.. o \J1o\L~' r\ oÙ V\ t\l1 Î v wY\. LL.: ~ !i\ .".. < ."'" or ,,,,,y = ~~' ~·T - -- ----~......"~ ~ < 0(4.\ \J G:- .~ V\ 'I ,-,~ ,! N !.)(\& ~'l :n. \ \-\ C\I\ .... ~ t: - fP (\1 ~ I I -I , - .r~~ \'.¡(\11'l!L --.U~- \OvjW\Ct6VJ . ß\J~\1I\Vy\. 1'1áANØi\. ~ ~~ 0 \ (...il~!{d ~ç t! ' . ' ~~-b~' CA· 4- A -~ ~~d~l~) wi.., ~~J ~ N ~II.~ f\\\$'Þ\ ~ Æ j" '---''p (~, - - ... - -~~o~,.-~~--- E~¿~i~ . -* 'I \. \\ - ~ ì , ',16 ~4-, , l-tt ,\ I L \ ~, ~ .- £- f- 9"'-' ~ ~-~' ~ - ~. ~ ~ ~ ~ ~,{LtlW ; -- --~,~,~,---- --'~-- ,,- \ .......,:;;,,;- ~ ~ ~ ~ - --~I-/~ -t:: W(-:- w 'v\ \~ \ 4N\ (\~ ~~~\ ~\~~ N I 1 " ~ ,~~,,;. ~ UNIFIED PROGRAM INSPECTtON CHECKLIST :;: .'1.. '/I.F. ........ ...... -- BAKERSFIELD "FIRE DEPJ' Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661)872-2171 l'I.'3!,,":j.~"'~~,~:~-1.~~l,\;~r.-~;:~',~t-""~:_,--'~)I",R~'-;".;: :'f'-~~~lt::;:',".f~'1'~',,::.r,~~:.r:~'....::~;:, ;''!"''''',,:,':':~--.,-',1''-':,' ~_::<~!,/.,,"., .,p;...:.:., ,'".'.:,,,"'.l:,,"\;'-.:' i~ ',,,; ~--.:;-' ',- .-. SECTION 1: Business Plan and Inventory Program FACILITY NAME L~ --ray ADDRESS ~i()1 ('1\010 P- S CO \ BL~ ~~ 3 ~ -b~~1 00 INSPECTION TIME FACILITY CONTACT 11 o ROUTINE Section 1: Business Plan and Inventory Program --------"--------.------ COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT ORE-INSPECTION C V (C=Compliance) V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND o Business PLAN CONTACT INFORMATION ACCURATE o VISIBLE ADDRESS o CORRECT OCCUPANCY o VERIFICATION OF INVENTORY MATERIALS fNT'D MA R 1 2 coal o VERIFICATION OF QUANTITIES o VERIFICATION OF LOCATION I ,--...1 .../- o PROPER SEGREGATION OF MATERIAL o VERIFICATION OF MSDS AVAILABILITY o VERIFICATION OF HAl MAT TRAINING ..,-r- o VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES o EMERGENCY PROCEDURES ADEQUATE -!i CONTAINERS PROPERLY LABELED t\10e~ LA bl~~ 0" cc-+..b7e:- \1"""* \o.\'~ o HOUSEKEEPING o ~ FIRE PROTECTION ~ 0 SITE DIAGRAM ADEQUATE & QN HAND ~ \o<:...C\.~ .{' ~ ~ S;w:-t-. ~~ . ~h. Q .,.. or e\.C(..4-,::>">. ~Q,lDu:.TL ~'k!_~h ANY HAZARDOUS :ASTE ON srfp EXPLAIN: va ~". e "" \ .J -dJ,YES €~ I +~'J o NO ~ __(\N+_~€r._Q -4_~......_______________ c ~ ~~'..r~ Inspector (Please Print) Fire Prevention 11" In I Sh' of Site/Station # QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 White - Prevention SelVices Yellow - Slation Copy Pink - Business Copy FD2049 (Rev. 02/05) ~ ., -- . ~ ..~~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME L~. -'To '/ fV\OJ" ~~ INSPECTION DATE 3 / l' / () ? EPA ID # ~f\L.. 000 f o'f8-b b Section 4: Hazardous Waste Generator Program o Routine ~ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination has been made .-.........., ~ EP A ID Number ~ v Authorized for waste treatment and/or storage ......... ""-oJ Reported release, fire, or explosion within 15 days of occurrence :-...... ..J Established or maintains a contingency plan and training ---- ..J Hazardous waste accumulation time frames ........... ~ ... _\ +, Y"'-<- f'1' ~ ~ or\. ~~l "" '-J'. I' Containers in good condition and not leaking .---........ .. --...... oJ , Containers are compatible with the hazardous waste Containers are kept closed when not in use ............ oJ Weekly inspection of storage area -~ Ignitable/reactive waste located at least 50 feet from property line N/I\. Secondary containment provided - .., . Conducts daily inspection of tanks ---........ .3 Used oil not contaminated with other hazardous waste ........... ~ Proper management of lead acid batteries including labels "'-.... -..J -e..x c,k"'''',;t_ PC-all (1._ --.... ...... Proper management of used oil filters ...J Transports hazardous waste with completed manifest -tJ.. r(1~)~ C rDl "" ~- .s Sends manifest copies to DISC ~ rC1""- <. l. Gr",~p(,. Retains manifests for 3 years - - ~ ceM I...\"'" ~I'.,.'>>"'oo, - Retains hazardous waste analysis for 3 years ~ i'c:J\A.-\ 'l. C- ." "\ ... \. Retains copies of used oil receipts for 3 years ---...., ...J. Detennines if waste is restricted from land disposal ......... ....J '\\0 IS C=Comphance V=VlolatJOn ~ -vf:0- ---.. Business Site Responsible Party Inspector: e'ft' f'2....k. r- ~ Office of Environmental Services (661) 326-3979 While - Env. Svcs. Pink - Business Copy r~i' ~ 7' (\) (J+e C"'-C\ '" ~.~ s 50,/&1 + LE-TOY MOTORS --------------------------------------- --------------------------------------- SiteID: 015-021-002887 + Manager : BINDESH PATEL Location: 3901 WIBLE RD 2 Ci ty . BAKERSFIELD BusPhone: Map : 123 Grid: 14B (661) 396-8100 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code: EPA Numb: C~Lcoo \eu.8'c:'Ce:> DunnBrad: +=======================~======================================================+ +============7==========================+======================================+ Emergency Contact / Title Emergency Contact / Title / / Business Phone: () x Business Phone: () x 24 -Hour Phone : () x 24 -Hour Phone : () x Pager Phone : () x Pager Phone : () X +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press React ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : BINDESH PATEL Phone: (661) 396-8100x MailAddr: 3901 WIBLE RD 2 State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Owner BINDESH PATEL Phone: (661) 396-8100x Address : 3901 WIBLE RD 2 State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Parce1No: +------------------------------------------------------------------------------+ Emergency Directives: PROG H - HAZ WASTE GEN ENrD'MAR 12 2007 +==============================================================================+ -1- 06/07/2006 f\ 5' + LE-TOY MOTORS ======================================= SiteID: 015-021-002887 + += Hazmat Inventory ========================================= By Facility Unit + +== MCP+DailyMax Order ============================== Fixed Containers at Site + +--------------------------------+-------+-----------+-----+-"---------+----+---+ I Hazmat Common Name... ISpecHazlEPA Hazards I Frm I DailyMax /Unit/MCpl +--------------------------------+-------+-----------+-----+----------+----+---+ OXYGEN/ACETYLENE TORCH E P R G FT3 Hi USED OIL F DH L 200.00 GAL Low RACING FUEL F IH L 25 . 00 GAL UnR ~~,~ \ ~~ ~~i'~ ~~~ ~"\ ~\~~ ~ S~ s..s GfK.... a,fj <-- ,.p L +==============================================================================+ -2- 06/07/2006 " l' , -3- 06/07/2006 + LE-TOY MOTORS ======================================= SiteID: 015-021-002887 + += Inventory Item 0002 =============== Facility Unit: Fixed Containers at Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ OXYGEN/ACETYLENE TORCH I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ I CAS# I +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Gas I Mixture I Above Ambient I Ambient I PORT. PRESS. CYLINDER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest ~ontainerFT3 I Daily Maximum FT3 I Daily Average FT3 I +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ %Wt . RS CAS # Oxygen, Compressed No 7782447 Acetylene Yes 74862 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHazl Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I M~P I No No No No/ Curles P R / / / Hl +=======+==~+======+====================+=============+=========+========+=====+ 0001 =============== Facility Unit: Fixed Containers at Site + CHEMICAL NAME ==============================+================+ I Days On Site I 365 +----------------+ I CAS # I 221 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +===========~==============+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container II Daily Maximum I Daily Average I 55.00 GAL I 200.00 GAL 200.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RS I CAS # I 100.00 Waste Oil, Petroleum Based No 0 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ /Tsecretl RSIBioHazl Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curles F DH / / / Low +=======+===+======+====================+=============+=========+========+=====+ += Inventory Item +== COMMON NAME / USED OIL Location within this Facility Unit Map: Grid: -4- 06/07/2006 ~ + LE-TOY MOTORS ======================================= SiteID: 015-021-002887 + += Inventory Item 0003 =============== Facility Unit: Fixed Containers at Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ RACING FUEL I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ I CAS # I +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Mixture I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container .1'1 Daily Maximum I Daily Average I 25.00 GAL 25.00 GAL 25.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RS I CAS # I +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSI BioHazI Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curles F IH / / / UnR +=======+===+======+====================+=============+=========+========+=====+ -5- 06/07/2006 '" + LE-TOY MOTORS ===============:======================= SiteID: 015-021-002887 + +====~============================================================ Fast Format + += Notif./Evacuation/Medical ==================================== Overall Site + +== Agency Notification =======================================================+ ,+=ELWJAt~~~~~=L/dj(~==~I!:1I!~n~=i<<iLr:d2b~====+ +--- Employee Notl' f /Evacua.tl' on ---------------------------------------------==+ --- . --------------------------------------------- {)~~/NC. S-YSIC ^- +==============================================================================+ +---- Publl'C Notl'f /Evacuatl'on -----------------------------------------------=+ ---- . ----------------------------------------------- +LAr;/d~~Y:J:~/qI=fldK~=BI.$LLC~~~,~t==========+ +===== Emergency Medical Plan =================================================+ ~.. ~.. .CZ:::' P / / +===- =--__ =_= ========l======================================================+ -6- 06/07/2006 :i + LE-TOY MOTORS ======================================= SiteID: 015-021-002887 + +====~============================================================ Fast Format + += Mitigation/prevent/Abatemt ===~=============================== Overall Site + +== Release Prevention ========================================================+ +StiAl;;'==~~L3/~~=J!JAl~==Q-&L-Ilg1==LA&CE:SBkL.lJft . +=== Release Contalnment ======================================================+ +==~. .~-------------------------------------------------------------------+ t=- -------------------------------------------------------------------- +==== Clean Up ================================================================+ +~J::i1bb=JSJ?ILL~6!~==~~=~!ZG;==0~~~~tlli:==~C=+ +===== Other Resource Actlvatlon ==============================================+ +===~~===========================================~=======================+ -7- 06/07/2006 ,'- .? + LE-TOY MOTORS ======================================= SiteID: 015-021-002887 + +================================================================= Fast Format + += Site Emergency Factors ======================================= Overall Site + +== Special Hazards ===========================================================+ +===~~~.=========~~====~==================================================+ +=== Utility Shut-Offs ========================================================+ +tlLnBT~t1Jl:=C{)~IJJL:~JIiUl=Qfl==;r:=EOJ&=A=U==================+ +---- Fl're Protec /Aval'l Water -----------------------------------------------+ ---- ... ----------------------------------------------- all/ +:(f!:~~~Ilt6J1JJf~_t:?:~~~:~~~!~~~:~~~~~:+ +----- BUlldlng Occupancy Level ------------------_____________________________+ +~J' ~____________________________________________________________________+ ---I~)f==-------------------------------------------------------------------- -8- 06/07/2006 ..\ .~' i' ii. + LE-TGY MOTORS ======================================= SiteID: 015-021-002887 + /' +===7S============================================================ Fast Format + += ,Training ===================================================== Overall Site + / +~= Employee Training =========================================================+ ,/I ~ / +_____ fA ~ ~~C'_/jJL ~___~A- JJ JI ~ !~_________________________________+ -____I~~={dr~_~--t~-__-#=l~~~J~=~------------------------------------ +=== Page 2 ===================================================================+ +==============================================================================+ +==== Held for Future Use =====================================================+ +==============================================================================+ +===== Held for Future Use ====================================================+ +==============================================================================+ -9- 06/07/2006 ,~ _,. , ';f '1r.------:;,...". , - - LE TOY MOTORS z;::/- SiteID: 015-021-002161- Manager : Location: 3901 WIBLE RD 5 City BAKERSFIELD BusPhone: Map : 123 Grid: 13A (661)' 396-8100 - CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title BINDESH PATEL , / OWNER, / Business Phone: (661) 396-8100x Business Phone: ( ) - x 24:"'Hour Phone : ( ) - x 24-Hour Phone : ( ) - x , Pager Phone : ( , ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire - ' DelHlth ~.----- _......,.....-,....- / ~_. ::-- ' - - -- -.... ~.. -..,; ~-,,:- ,,---.--. _ n Contact : Phone: (661) 396-8100x MailAddr: 3901 WIBLE RD 5 State: CA City : BAKERSFIELD Zip : 93309 Owner BINDESH PATEL Phone: (661) 396-8100x Address : 3901 WIBLE RD 5 State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP AUTOMATIC TRANSMISSION FLUID~- MOTOR 01L--~"""""'" ' WASTE OIL WASTE ANTIFREEZE -F ' F F F DH DH DH DH L L L L , --70.00 GAL -70.00 GAL 200.00 GAL 200.00 GAL Low Min Low Low r'\ _ ~ +-n Do hereby certify that I have' I \"'::I'''I~k\ .IÂ'~ , _ I (Type or pnnt name) , reviewed 'the attached hazardous materials manage- 1.f....~\ 1>./~\\f\~\~nd that it along with ment plan for '(Name of iness) . I te and correct man- any corrections constitute a camp e agement plan for my facility. ,[ 12/06/2000 Date " . ~, ~" -- ...-- .,. e e SiteID: 015-021-002161 9 Facility Unit: Fixed Containers at Site 9 F LE TOY MOTORS p= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION,FLUID Days On Site 365 Location within this Facility Unit INSIDE N SIDE OF SHOP Map: Grid: CAS # 64742-56-9 STATE Li,quid TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 70.00 GAL AMOUNTS AT THIS LOCATION . D~Üly Maximum 70.00 GAL Daily Average 70.00 GAL , , _,_' ___ HAZA,RpOUS_COMPONENTS CAS # %Wt. - , RS 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low p= Inventory Item 0002 F== COMMON NAME / CHEMI CAL NAME MOTOR OIL Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit INSIDE N SIDE OF SHOP Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 70.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 35.00 GAL : ' HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZAR A SE SMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min D S S -2- 12/06/2000 ;-.. "i ~ " e e 'i, SiteID: 015-021-002161 ì Facility Unit: Fixed Containers at Site ì F LE TOY MOTORS p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit INSIDE N WALL OF SHOP Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 100.00 GAL -' -- - U - %Wt. - . - -I.~""'-~-'-- RS CAS # 100.00 Waste Oil, Petroleum Based No 0 , HAZARDO S COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit INSIDE N WALL OF SHOP Map: Grid: CAS # 107-21-1 [, ~TA~E I TYPE ~ P~ESSURE ~ ,TEM~ERATURE~ CONTAINER TYPE = Llquld __waste -L Amblent ---1 Amblent ~ ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL ,100.00 GAL HAZAR US C MP ENTS %Wt. RS CAS # 30.00 Ethylene Glycol No 107211 DO 0 ON TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS , -3- 12/06/2000 _l ---.. e e i· "i CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATEIDALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this fonn within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. -4.-- Be-as briefänä·-cÖhcisêãs-pöss"ifjl~ - . ~.-- - .., 5. You may also attach Business Owner / Operator Fonn and Chemical Description Fonn(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA L£- "\ ~ II1otov & LOCATION: 3Qo' w1btL, tZci. .f ~ MAILING ADDRESS: f\~ tt bw'\Q.., - CITY: Q:,~~1 ,vA ' STATE: (A ZIP:~PHONE:~loo \) PRIMARY ACTIVITY: AI)~ 0 v'Pfl oJ \~ OWNER: Ç6 \ NOGS\1 '?J¡t ----~ MAILING ADDRÊSS: àJ-\otT~ ~41~~ - C+ ~ A BUSINESS NAME: PHONE: 301~~q.9t ~~. C\A·.'q\~I~ EMERGENCY NOTIFICA nON CONTACT .1.l 1. ~ oW c;[Ól \ 2. t' \ t\ \JO\\J \~\ ~ TITLE ~~Vt1.~ '\ ~~. \.UltÍ\.. BUS. PHONE 24 HR. PHONE ~'\b'~IOO ~t\b1rœ '60S- 2(:r~ i ~O~-ì b~C1 1 I , , e e , l~ ,t-- . .iì'i, HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.I: DISCOVERY AND NOTIFICATIONS' \ A. LEAK DETECTION AND MONITORING PROCEDURES: ~ OiJ oj W 11\ \ yt\, c,.-\ ~ Vf CO'" \iI\1W-N t . V~ OM\, ~~ _ . . CD S~\\\ (~10',\ 4b~?JI-L:,~ .~.'\~ . . O\~ Q,{ ~ ~_'.::::-_..=~.,.dS "'" .,-::_~ ~ ._~ .-----.~-".,.,..---.-,.-_. - , - ,~ -. ., -- ~.,......-~ -';~'-=-~~~~~"'-"""='~""'-""---:.' "" -.-----::?_._--~... ~:::,..-=--;...~~- B. EMPLOYEE AND AGENCY NOTIFICATION: f:'\ ~;W ~~-t\ ~·~-~b~~ J " \JJ '{;\ \ \ Dc\\h ~~~o ~ - '7 b ~l-\. '» ~?l1l) ~ (~ll "'ð~ViAfl ~~ , , '~ G> ~ ~ ~ - ,-l§SC1) t.ltb- 1i.160 . C. ENVIRONMENTAL RESPONSE MANAGEMENT: 6) s,q~~ -'> l~"\~) 1-<;,<;,'1 - %b-I%O- ID . .- . ~~ ~~~""~~~~---~~:'''--=:.---~---:=~~~~~--=~-....~~-: ::-~-:~:- -":- - >...:.~~.~- I ~- ........-==--..,...,;-'-,-=....::;;,.-~~'~~"=">-~-~~~- '--'--- ---=:--:: D. EMERGENCY MEDICAL PLAN: ' ~.\~' l\~J . ~ ,VV\ G OV'-' L0'\~ i.J\k"6\., _ ~, 2 . ~.. . .../~ " .}-" ......." 7 . . HAZARDOUS MATEIDALS MANAGEMENT PLAN SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: cD \'\Vt- tdì~~ I ® a; ht ðVb~ ~ <;0, q k'~ I vuttY¡'¡\I]·"\..¡. s,p\ n \_ ® OV~ tQ~\~ ~~0V~ tDV1h~/~ J \ B. RELEASE CONTAINMENT AND/tJR MITIGATION: - - - " - :--:::-:- ~-:~ -:- _____--------.. ~.---- _-_6 '._____ C. CLEAN-UP AND RECOVERY PROCEDURES: S"'~ Y--ltvn . Cm-~ . ~\ UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: a S _~:~C0;:~I\\-~ (~~ l__ '~~t- _ '_dll\J~~ ~I<f~ SPECIAL: LOCK BOX: YES~ IF YES, LOCATION: -- - --- - PRIVATE FIRE PROTECTION/W A TER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 3 e e , . -'~: ..,,\-. V· " . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: ,.2..... MATERIAL SAFETY DATA SHEETS ON FILE: \.V\,_ , . -=~....,.~= BRIEF, SUMMARy OF TRAINING PROGRAM: Þ CM"L 1J tw\UN~Ø-~ t',vL <b llA rv~h ",~JV1~ .~__ ......_Ii:~~~l~::'~~tOMi01~ .~U\Î]~kt- ; ~~ ~~..~t0~~~~¿t~f:~~~" aill- D\ \ L .- - ® ~V'X~, c\ ~ 0,\ -Ù Q\&cJaJ . ~ ~~ WlOf Up. CERTIFICM-f0~~ ~~ U")~/\A.~ CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND 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 SEe. 25500 ET AL.) AND -- '-~T---- SIGNATURE TITLE DATE 4 e ?-DYeb [ ;;:lIto J CITY OF BAKERSFIELD FIRE DEP A T OFFICE OF ENVIRONMENTAL SERVICES úNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME L& -TO~ ADDRESS '310/ W'ßU!f- F ACILITY CONTACT INSPECTION TIME ""'-0 ìt'<2<; ~r \d3~13A: r¡fJ/'~/ ß r-JV 'J ( INSPECTION DATE U /'1- -z..../ ~ PHONE NO. 3"6 - gloo ' BUSINESS ID NO. 15-210- Nez,..; NUMBER OF EMPLOYEES - Section 1: Business Plan and Inventory Program ~outine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate penn it on hand Business plan contact infonnation accurate Visible address Correct occupancy , Verification of inventory materials Verification of quantities "ß j'I\-->-~~ OY\.J ,.';5 fl. ./ Verification of location Proper segregation of material <:D Ie· TOf Motors .~1!2 Verification of MSDS availability Laxus Verification of Haz Mat training I /;I~ I ,/, /1 Verification of abatement supplies and procedures L-- ~ . f- Bindesh Patel Emergency procedures adequate I Owner Containers properly labeled ¡ c Ph: (661) 3.96:-8100 3901 Wible Rd. #5 Fax: (661) 396-8111 Bakersfield, CA 93309 Housekeeping I - -, -'- ----- - ----~---- ..- -- ---~-~ --~ ""'" , , Fire Protection Site Diagram Adequate & On Hand - C=Compliance V=Violation Any hazardous waste on .!1te?: ~es 0 No Explain: ~ TÉ ,0 II- ~ ~ ~-c.&:; ~~ Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. ' Yellow - Station Cópy Pink - Business Copy Inspector: W f NC"--S ;~:~, '~\ :-Î~~.~\'~~~~ ~ '"<-..~---.~~.^-;....:..::~~~.;......._~ :.;.....;: ....---..,:::.::; ~..~;..' ( "~. 1 - , ~ j .....-. -.......... ~""~~;;."I,:...:. '-J: ....~ f"ý-';':,".'- ...:-..-~ ^ r, ,.:.'''':.,--...·..:5t.: ::--'-:'~:'''~->-: :""'--':..-:""-":" .-',..- :~<" ..:~ .,.:.. ,:-,~..í- ~ .......~ - '7D '70 zøo '2aú "v\.^ ~~.,.... - t,...r.p.<; <f(5- 0\ c:..- ~rt:=- A_Ç_ ~:~.~~ ..':',~~ ;~-~._..., _7" ':~---, ,:':~-¡{\<i-'1.-'-,{L.~ " :0:;.-- ~ t" ..A? a CITY OF BAKERSFIELQa OFl'ft::E OF ENVIRONMENTAL SflftVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS !VIA TERIALS INVENTORY CHEMICAL DESCRIPTION o REVISE 200 (one form per material per building or area) Page of ._---~---~---------_.,_._._-~.--- _...-..~'-' ~_._...__.. _._._--_.,._-------~_.~ , ~ , ,( /~~ty.;',~, . ·"'·,~"<t,.,::~\., . ,~,;~ ~" . -.-', .:", , , . ,;" ,..,,,, ,.' ,"FACILITY INFf.)RMATION BUSINESS NAME ( ame as A I ÑA"MEoroaA:ï5ëífiïgBÜSfrÏëSš·Ãš)"---· LG-- Tc'...~__._.('1.~_~.._,._____._.. _ t ,,~ , "ð 201: CHEMICAL LOCATION f" s: ~ {;> E (J"J- :::: ~- ¡ CONFIDENTIAL (EPCRA) [rrl "-"[MAP #'{òP¡~----------'----------203 --r-GRiÖIí(o¡;'ïiona/)--- Iv;i;;~~ft1y;~::~z:-:.~j;_·[;~~~t~~~Q~;H~~~ TÎ~:,"-~~è~~:'-~_;~.·~l:1.tif::i'.\è', 205 ¡ TRADE SE CHEMICAL NAME A I ""f\..V '\t) ~~f c.... ~ ""'l. <;.~ ............. fi I.;l t;> i If Subject to EPCRA. refer to instructions --....-.---------.''''....-........ ...,.., ..-" ,.., ,.,-'.., -..........-..-.,.,..---- ......·..'"207·" EHS· -.- -.-.------... .~.-.~.. ....-.... -.----... "-'" -. - ..,.----... CHEMICAL LOCATION DYes 0 No 202 204 COMMON NAME ----~- ....- ---.-..---------------- _.,--~ --. ------ .--...-----.-...---.--- CAS # 209 ---.------------...-.-.---------.-- FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE 0-;;;- MIXTURE 0-:- WASTE-'-2-:-~ul_;:~IOACTIV;'--- 0 Yes - Ø,NO , ---~-----,--------------,---- o 9 GAS 214 i LARGEST CONTAINER__? () _,__.,__.,___.L...____ ___________,____ PURE PHYSICAL STATE .~IQUID o s SOLID DYes 0 No 208 .~IRE o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 ------- FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT ---,----------------...-- ---~,_._.-~---_._-_.,---_.-_..__._--_._---_._-- 217 ¡ MAXIMUM 218 ¡AVERAGE ' I DAILY AMOUNT L DAILY AMOUNT --L, ____,___. '_'___...~-,...----..----'-'u-..--..---'-- UNITS· 0 ga GAL 0 cf CU FT 0 Ib LBS 0 tn TONS , . If EHS. amount must be in Ibs, STORAGE CONTAINER (Check all that apply) ~ABOVEGROUNDTANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON _...__,_.u.__._. .__ ......<________._______ STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT .-------.----.---------------.---+-..----. .._._- ..-----.--.-....-.--.-..---..---- 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAIL CAR o r OTHER 223 224 o ba BELOW AMBIENT o c CRYOGENIC 225 STORAGE TEMPERATURE o aa ABOVE AMBIENT ,'j1~~~q~y~~:~~q~~9:N~fN1',;:;L" 226 2 230 3 234 4 23B 5 242 227 DYes 0 No 228 .---.----...----.-.---------- 231 o Yes 0 No 232 _______.________.__...m__________._...._____.__.____________ _.___._______. 235 DYes 0 No 236 -----------.---.---..--.-------------..-.-- .- .-- -_.---_._~. ...-------..----. - ~_..._~._-- 239 o Yes 0 No 240 ----------------.-------.. ..._._------_._--~_.- ....-- --.-.-.-..-- _.-.-------- 243 0 Yes 0 No 244 229 233 237 241 245 -*.--------.----.----.-----.-- .------------.."- UPCF (7/99) S:\CUPAFORMS\OES2731.TV4,wpd .. CITY OF BAKERSFIELDa OFPI{:E OF ENVIRONMENTAL SmtVICES 1715 Chester Ave., CA 93301 (661) 326-3979 í HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o REVISE 200 (one fomr per material per building or area) Page of " " I. FACILITY INFORMATIÔÑ: \ ~i 3 ....______n____'_.. _n ",,_..__, ,,____, -0-'-----,,-.. ..¡__' .. . r ~r.. ¿, . ~ ,J':) 2011 CHEMICAL LOCATION f"'l :> t I) ~ 0.....- ~ ~~ ! CONFIDENTIAL (EPCRA) --Cl-J-i-MAP #(oPfronary -=_~=~=-=~===~~ÕT~r=GRíÕ_#(6pIÎronary-' , ' ,-:>\ ':, "",:-.~ -,' '<.>~ ." "''';, {.-, ",: þ'..> "','/ -' 0" Jodi; ~~:~rt!I"qAL INFORMA~I()~,';: "/'<J,Ú,,y:, " --..------------------'--..-------~ T 0 Yes 0 No 206 I If Subject to EPCRA. refer to instrudions , '...._n.. ,-, ....--..,.---- -, ....--2Õ'j--' i EHS' ¡ ..-.--------- ._---~_._. --- ,.---..-------- '^. . ... ,"' ..0 . . . BUSINESS ame as orÕBA:5ëiirïgBusirÏëSS-ÃŠj------- .." L-E' ,.. 'TVt¿______~~~,_____.._.. --~... ..-...., ..-. ....- .. CHEMICAL LOCATION ,fJSf ()E o Yes DNo 202 204 CHEMICAL NAME MoØ~ t/)tL- --.-.-.----- ---.---- ----_.-_.------- ----~. COMMON NAME o Yes 0 No 208 .___.._____.____...__.___._.,_____ __.______ _____._ _.______.~ ...___.___ . _'_n__ CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) --------..---,--------,----,-----,..--..-~ ..------------------- TYPE o Yes 0 No PURE o m MIXTURE o w WASTE 2'; ¡ RADIOACTIVE PHYSICAL STATE ~IQUI~ -----j---.-----.-----.---.-------- I __ 0 9 GA~..____,214_.L~~~~=~~:~AINER___..___ ?O o s SOLID FED HAZARD CATEGORIES, (Check all that apply) ANNUAl WASTE AMOUNT ,,g., FIRE 0 2 REACTIVE 0 3 PRESSURE RELEASE 0 4 ACUTE HEALTH 0 5 CHRONIC HEALTH '-----,--.,- .._-----,--- ---..,------,-.-------....--- ...._-----, 2171 =~~~UNT '7 9 ___~..:...L~~~~!~~~~__,___~_~,____, UNITS' ~a GAL 0 d CU FT 0 Ib LBS 0 tn TONS . If EHS, amount must be in Ibs, STORAGE CONTAINER (Check all that apply) ~ABOVEGR6UNDTANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o e PLASTIClNDNMETALLlC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON --.--.-.--..--. --,.._-~-----_._-.""._-------_.. STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT -----_._.._.-._------_._---_..-~.... ..----------- ------.------...---..----.. STORAGE TEMPERATURE o ba BELOW AMBIENT o aa ABOVE AMBIENT 226 -.-----...-.--..------.----- 2 230 --~-----_._.._-----------_._--------_..-----. 3 234 ------...-..-------.-.-.-------.. -.-- .--,-"" --.-. _ ~..- ...---........-.------..---. 4 238 -,----_._---------_.._-~--..._._.._---_.__.,. .~ -..- ,5 242 n_.__.____._____~._._______. _"___"n_ .___ _."_.' .____._...___.__. 212 I CURIES 210 I 213 I 215 I' 2161 220 I 222 219 STATE WASTE CODE 221 DAYS ON SITE o q RAIL CAR o r OTHER 223 224 o c CRYOGENIC 225 233 237 241 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ._"___'__M__~_'..__M__'____'M_._.._..__.__._._.M. ___M ___~ ::~~):>N:.'~iir", ,..'.'" '., ..~.,'~,. " 'LF':ètLlTY INFORMATIO~( :J' "":"':", BUSINESS ame as LITY NAMÊoi[iBA:ï5õiiïgËïüsiîïëš-Š-ÄSj------- ------ -- ,. " , . ,- --" '., ____m______, ,_.'."'m________ L-€- -- ~, ~~____:_____,_____________________ _, ,m__' ..____,__" ______,____, . .__ ._¡___U____ IN'> ,œ @r~}~:'":¡:,: ~~=--~-~='"' l~:':.=~:g:~i~~) ",_ d ,,?:'.:_< ,jÌl.:_~I:IEMICALINFORMATION_,,} " CHEMICAL LOCATION .. CITY OF BAKERSFIELIa ' OFl'K:E OF ENVIRONMENTAL SlIWVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o REVISE 200 (one form per material per building or area) Page of CHEMICAL NAME UA~ -;t; COMMON NAME 3 I , I DYes 0 No 202 204 .--.-------..-.------..------.---.---.-...--.-----. DYes 0 No 206 If Subject to EPCRA. refer to instructions C)tL- , I ____,____L- 207 ! I EHS· -...--------------.------ . ..-. --- -..- -.- - -. ..---.----- -. _ _·_·M'·_____ _._______....__._...___ _. __._ ___.._____ .--.-..____....______ ... --"-'-'- CAS # 209 "- FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE o P PURE PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT ~FIRE ~ STORAGE CONTAINER (Check all that apply) ;s.e.ABOVEGROUND TANK Db UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM . - ,., ________~___.__._M________.__________~___'_ DYes 0 No 208 I2J{LIQUID ~-WASTE-'--;-:-;J--R:~~IOAC~~~------~~~_-9 No 212 I CURIES I o 9 GAS 214 i LARGEST CONTAINER ~~ .....,______.L._,__ ____,_,___,_,___,______ 215 ,Om MIXTURE .D 2 REACTIVE o 4 ACUTE HEALTH o 5 CHRONIC HEAlTH o 3 PRESSURE RELEASE ,----------- 217 'I' MAXIMUM , DAILY AMOUNT ...L....- ' --.-- - ----. -,._--- -_._-~----------_.__._--_._-_._~- .-z.ðO 218 I AVERAGE , L'I.",^ LDAILYAMOUNT ~ -_._-~- --..-_._.-._.~-~_._---_._~---_.. ..----.-*-- o Ib LBS 0 tn TONS UNITS· OgaGAL OdCUFT . If EHS. amount must be in Ibs, De PLASTlClNONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER , 0 m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN Op TANK WAGON ....-.-..-.--...-. "-- -.------. --.--......---------- STORAGE PRESSURE !t~ A~~E~~_______~_~~BO~..:.~.':'S.I~NT__ , 0 aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 STORAGE TEMPERATURE 226 2 230 3 234 _________.. _. ...~..________~____________._._.. .~__ . _~. ~. __ n' ..._M_.______.__.. __.__ --..---------------.------..-.--...----.-.------...--. - ...-- ---._- _...-.-.._----~-_.- 4 238 5 242 o ba BELOW AMBIENT ..--- _._.._-_._-_......_-_._---~---- 216 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAIL CAR o r OTHER 223 224 229 233 237 241 245 UPCF (7/99) 227 DYes 0 No 228 ------------.--..-..- ...--.----.--------.----. 231 DYes 0 No 232 .-.-----.------.-..-......-----..--....--..-.-------....-- ----.-.----- 235 Q Yes 0 No 236 - .-..-.-------..- 239 DYes 0 No 240 243 DYes 0 No 244 S:\CUPAFORMS\OES2731.TV4.wpd a CITY OF BAKERSFIELQâ OFIIK::E OF ENVIRONMENTAL S.VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o REVISE 200 (one form per material per building or area) Page of I í ! ¡ CHEMICAL LOCATION i FACILITY 10 # I . I. FACILITY I"'FORMA TION ~...._. ..... ..-.-.---..--. -...._-. ---- --- ~ o Yes 0 No "---.------ -'----1-'---'--- Å I . I ," .t:::: .II ./"Ö 20111 CHEMICAL LOCATION , VI """J' ,A'.w...., Q'r.' S r"I:líI ,... CONFIDENTIAL (EPCRA) I[IJ; --1-MÄP#'(oPbOñaQ ,', ,,=,-,==~_:'~-~~=_~03 lRIÕ~(oP~iona~. - , . .' "/;::~tV·~.'."::!ìl. C~.~Nnq~~_I~E~~~~~!~?_~:.<.jI.:L_.' .,.~_ ~'>:Ii~ll¡¡¿Xk~?;; \ 205 TRAD 0 Yes 0 No 206 Â:..j~t F72C1!:;.'2.Œ. If Subject 10 EPCRA, refer 10 Inslrudions _._____________.______.____..0_._ - --------- - ----ær-¡ - L:HS' ..,... - -----------------, - --- -- , --- .-. ,.. -----..--., 209 - Cf~' CHEMICAL NAME W""r:; -rr= COMMON NAME CAS # -----_._._-~_.._-_.._--_._------- 212 CURIES FIRE CODE HAZARD CLASSES (Complete if requested by local fire Chief) --- ~ WAS~-'-2~:T;:~IOACTIVE 0 Yes 0 No ------·,1,,·..----·---·"----· o GAS 214 ¡ LARGEST CONTAINER ~~"\ g, ~ _,_..,__,.L_ ___________ 215 TYPE o P PURE 0 m MIXTURE -..- PI;iYSICAL STATE o s SOLID ~UID DYes 0 No 208 ~CUTE HEALTH 05 CHRONIC HEALTH 216 ---- FED HAZARD CATEGORIES (Check all thaI apply) ANNUAL WASTE AMOUNT o 2 REACTIVE o 3 PRESSURE RELEASE 01 FIRE ---~--_. ..---.---------..---------..--------- ------",------ ...., ...."\11'\ '217 :1 MAXIMUM ~ _~_L DAILY AMOUNT UNITS' 0 9a GAL 0 cf CU FT . If EHS. amount must be in Ibs, 218 I AVERAGE ( J"\ 1 DAILY AMOUNT V 0 .._____.L,....,...._,_.._..._..._.._..__..___,_,.. o Ib LBS 0 In TONS 2.ðo --- STORAGE CONTAINER' (Check all /hat apply) ~ABOVEGRÓUNDTANK o b UNDERGROUND TANK Dc TANK INSIDE BU!~DING o d STEEL DRUM o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o e PLASTIC/NONMETALLIC DRUM Of CAN , 0 g CARBOY o h SILO ----~ ---_.__._---_.._~ ._,.._,---_._,-------_._--~------- \ STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT ..._-_._------------------_.-~.. "..-- ".'.--- ----.--- ---.------.----- STORAGE TEMPERATURE 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAIL CAR Dr OTHER 223 224 o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 ;{'ÂŽÁ~q~ð'~,~é~~9@~~T~:·,..,~:tD~;·':..":'u~~=c -~---~- --- .----'" D_'æ 9" :-1== ----,~,---~---- ........ ......-...- - : -I ~:::,:':~l ,..-..,..--..,.... ,..,........,-L. -, ---,------..-.. I 239 I 0 Yes 0 No 240 ------,-..---..---,--------..-- on..,....__..__,,'____.. -,-, -- .--r...... _______________~~..J 0 Yes ~~_, 244 .'-' ,.~;..-.\<,'>.), :}:-.). ;'y. /'.~' :'- .,Y(:;:::;":'· ~"'" . IG'NÂTlÍR'E ' ", ' , ' ',", i« 226 2 230 3 234 4 238 5 242 _______n.u._..____"_.~_______________·_· _. .... ,'" .' - ,:..:.->.~ ,< . - '-, '-..', '.-', ' ...... _.._.___'_____m.____.______.___.__ ----.-------..----..----- .-------..-.--- ..--- _.~- ~ -.- - ..p-----. ..-----.-. ._.~. ..--..-.- --.----- --.--. ---~--_.,-- 229 233 237 241 245 UPCF (7/99) \, S:\CUPAFORMS\OES2731.TV4.wpd