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Home My WebLink AboutES-BUSINESS PLAN 10/30/1998 A' <.,y I I I "il. ;leJ II }'. :) II rtj ,,- .......". .'i -- -, - - rlr-~ . ES INC cO CUST" ,OM GX~,e' LRD #",5 . l {/3901 WIBLE "_ j \ .. -~ II I I Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021.001862 CUSTOM CYCLE INC LOCATION ' I II ) ," ,..- ' " I J i': 7 : , Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 ' FAX (805)326-0576 3901" WIBLE '-'-~'''-,---==" This permit is issued for the following: ";t'I~~rdous Materials Plan, '" '.rsround Storage of Hazardous Materials 'Q,agement Program H''''" Waste Approved by: *~- ph Huey. " ' ffice of ental Servi es , I I Expiration Date: J-'lDe 3J), 200.0 ~=;'-;":¿i~J:~~~"\~~~~::::~l1 : £~-.;, . <::;\'~~~. I¡~¡ U.SJO~hì,,;t I: .~::r . _1,' :....:.~~~.,: Y ,~;\ i': kf' JUN ,.98 (,.-':,:' ..4;~ !~ -. 0 v' ,? .¡!: t. / :""''''.'''';'\',' .... ," €",. ,I . I.::;"tì''¡.t:::'!.t::..!.~~ ....~ Ii... .t.-. ~ .... i: ,.. of /"PßMETER! ,« J~..8-.' 67 9ì7 99 .. aU) L' ,U) f--:: ,-,: cr--' c~o (J)t- l!..JU) cere c- -..... ~ t« ~ ~. \-..r....._ "1r-."..!~g-..'tf (",r-r"!'~! ;u. ;.- ; ~ * i·".;' ¿. Þ ,~,}.-... ~~ 'I r ',it. ¡ \..11 U:' ~)L¡ ¡" r1r=n¡ !r:c.;Tr-n "I <4;·,·~~"!'~,,:,,i'1_...~t:,..r ~ ;'","'~'f'! ,/ , .' ~.J GSCU90i 933092022 .1698 07 06/06/98 RETURN TO SENDER :G AND S CUSTOM CYCLES 2i08 DELL OAK LN BAKERSFIELD CA 933.1i-.1668 ,- f AUTO IIlll"llillllil1 IIIHIIII.lI .../,'" // ',,".-. i FINANCE DEPARTMENT I CITY OF BAKERSFIELD I P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303 I ! RETURN SERVICE REQUESTED // // /~ ..~-~';:'-~'-:'- --~~:::I:":":~-::::Z~'~"""'" .~ , \.. I - e -' IJ:t{-I ~ flI\ \1'" fj,. j) \" __\)\."'ïC-\ ~- FACILITY NAME ~ + S ~"7 ~b'" ;t"k ADDRESS 110 w,'b '<6:tJ- F ACILlTY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT ~ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 933QJ;J< ç INSPECTION DATE \ 0 / ''3' ð /<{ &- PHONE NO. I I BUSINESS ID NO. 15-210- bOO - 'ÙO 1t¿';J NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program D Routine D Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate permit on hand ,; j, l. ) Business plan contact infonnation accurate ^ Visible address UU'/ 01 Correct occupancy 12 , Veritìcation of inventory materials l I~ U > ; f) e .5 S Veritication of quantities Veritìcation of location Proper segregation of material Verification ofMSDS availability Veritìcation of Haz Mat training Veritìcation of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Aoy hazardous waste 00 site?: Explain: DYes ONo Questions regarding this inspection? Please call us at (805) 326-3979 White - [nv, Svcs, Ycllo\\' - Station Copy Pink - Busincss Copy Business Site ResponsibleìParty Inspector: t. Je 6e V-. Business Name (2u~~ TRDOUS MATERIALS INVENT.V C.~LL~ IN(. Address 3C¡D/ W, j~L~ (2..D CHEMICAL DESCRIPTION /gb~ 1:t p;ge -L. of _ 3) OOT II (optional) I ) £NVENTOR Y STATUS: New [ J Addition [ J Revision [ J Deletion [ J Check if chemical is a NON Trade Secret [ ) Trade Secret [ ) 2) Conunon Name: U "7 é0 0 / L. Chemical Name: AHM [ ) CAS II 4) Physical & Health PHYSICAL HEAL 111 Hazard Categories Fire ~ Reactive [ ) Sudden Release of Pressure [ ) Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5 ) WASTE CLASSIFICATION (3-digit code ftom DHS Fonn 8022) USE CODE Mixture [] Waste~ Radioactive [ 6) PHYSICAL STATE Solid [ Liquid JP11 Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACIL1TYrç Maximum Daily Amount :::. Average Daily Amount Annual Amount Largest Size Container 5"<;" II Days on Site UNITS OF MEASURE Lbs [ ] Gal ~ ft3 [ ] Curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature G t 4 9)~: Li~ the three mo~ hazardous I) chemical components or 2) any AHM components 3) COMPONENT CASII All Year. J, F, M, A. M, 1.1. A. S. 0, N. D %wr AHM [ ] [ ] [ ] Circle Which Months: IO)LOCATION CC--JTC/'L ()C" ,J WALe fNÇ¡()E I) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) OOT II (optional) Chemical Name: AHM [ ] CAS II 4) Physical & Health ' PHYSICAL HEAL 111 Hazard Categories Fire [ ] Reactive [ ] S~ Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ftom DHS Form 8022) USE CODE ¡~~ UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[] Curies [ ] MixtW'e [ ] Waste [ ] Radioactive [ 8) STORÄGE CODES a) Container: b) Pressure: c ) Temperature 6) Pif£~IC.ÁL STATE Solid [ '"5, (, ',:::i~~, t 1Ÿ~i ,.}) M49UN.T AND TIME AT FACILITY :i~;;,,'¡': 11:':ïMàXimum Daily Amount ,~~ i,Z:~'~,' Averì,¡ge Daily AmOW1t '¡ ~tt>y;, Aní\~:~oW1t :If <:~:r" Lar,gest Sizecontainer , . ~'!~~i' '\ (", II¡,DaYS:on Site '._:c;~, I . 9) MIXTt1RE: Li~ the three mo~ hazardous I) ch~cal components or 2) any ARM components 3) Liquid r Gas [ ] Pure [ Circle Which Months: All Year, J, F, M, A, M, J, 1. A. s. 0, N. D CAS# % wr ARM [ ] [ ] [ ] COMPONENT IO)LOCA TION I certify under penalty of law, that I have personally examined and am familiar with the infonnation on this and all attached documents. I believe the submitted infonnation is troe, accurate and complete. A/~I' J ¿ Atf)/,Q (e \. PRINT Name & Title of Authorized Company Representative æK,,¿J~~ /;À~-tf Signature Date Business Name HAZARDOUS MATERIALS INVENTORY - Address . Page_of_ CHEMICAL .DESCRIPTION I ) rNVENTOR Y ST A ruS: New ( ) Addition ( ) Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ( ] Trade Secret ( ] 2) Common Name; 3) DOT 1# (optional), Chemical Name: AHM ( ] CAS 1# 4) Physical &. Health PHYSICAL HEAL rn Hazard Categories Fire ( ] Reactive ( ] Sudden Release of Pressure ( ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( Liquid ( Gas ( ] Pure ( Mixture ( ] Waste ( ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year. I. F. M. A. M.I.I. A. S. O. N. D 7) AMOUNT AND TIME AT FACILITY Maximum Daily AmO\D1t Average Daily Amount Annual AmO\D1t Largest Size Container 1# Days on Site UNITS OF MEASURE Lbs[ ] Gal [ Jft3[ ] Cmies ( ] Circle Which Months: 9)~: Li~ the three aiost hazardous 1) chemical components or 2) any AHM components 3) COMPONENT CAS# %wr AHM [ ] [ ] [ ] IO)LOCATION I) INVENTORY STA1US: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Seaet [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical &. Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [, ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION 6) PHYSICAL STA1E ' Solid [ (3-digit code from DHS Form 8022) USE CODE Liquid [ Gas [ ] Pure [ Mixtw'e [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount / Average Daily AmO\D1t Annual AmO\D1t Largest Size Container 1# Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[ ] Cmies [ ] Circle Which Months: All Year. I, F, M. A. M.I.I. A. S. O. N. D 9)~: LiR the three mo~ hazardous 1 ) chemical components or 2) , any AHM components 3) COMPONENT CAS# %wr AHM [ ] [ ] [ ] IO)LOCATION C emitÿ WIder penalty of Jaw, that I have personalJy examined and am familiar with the information on this and all attached documents. I believe the submitted information is true. accurate and complete. Date Signature PRINT Name &. Title of Authorized Company Representative u "-" u u i'- ,\ ' 6uI'V Johœon 3S01 Wible ful 3wte #5 ~d. ell 93313 (8Oõ) 834-õ503 ".. .... ~ ."".,,,...-..,,,....,_ .",;0.'. u."""""....-:-...oo.......... _..". ..."".".'n....'.~ ,,_.__ ._'. .... '. . ___. _... . ..