HomeMy WebLinkAboutBUSINESS PLAN 11/16/2005
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VICTORY LAtffi Q~I~ _OIL CHANG'
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UNIFIED PROGRAM INSPECTION CHECKLIST
BAKERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
SECTION 1: Business Plan and Inventory Program
.
FACILITY NAME
t1 A 'f'''''- I $ ~ ,// It-e- S.> Lull e
ADDRESS
~?DI
FACILITY CONTACT
M A --r--1' J..+ ~ y
i.,
~ ROUTINE
Section 1: Business Plan pnd Inventory Program
o COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT
ORE-INSPECTION
C V (C=ComPlianCe)
V=Violation
o VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
~O
~O
.
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
f)"" bo.....Jc.
ell:\.
"See
~s
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
o
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
o VERIFICATION OF HAZ MAT TRAINING
o CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
6 '(oJ IJI$.H€:-l( ~ '"
SITE DIAGRAM ADEQUATE & ON HAND
d'VES
o NO
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: ~..A~~ 01 L
.QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention /l.'ln / Shift 6f Site/Station #
-"--
White - Prevention Services
Yellow - Station Copy
Pink - Business Copy
,FD2049 (Rev. 02105)
- - - -------:;
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LANE QUICK OIL CHANGE
anager
ocation: 3901 WIBLE RD 8
City BAKERSFIELD
CommCode: BFD STA 07
EPA Numb:
Emergency Contact
JOE POPPER
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNER
(661), 833 -1995x
(661) 5SS '. ~2:'4xnOMi:
(661)
C Eo'- '-
Hazmat Hazards:
Contact : JOE POPPER
MailAddr: 3901 WIBLE RD 8
City BAKERSFIELD
Owner
Address
City
JOE POPPER
11915 COTNER AVE
BAKERSFIELD
Period
Preparer:
ertif'd:
arcelNo:
to
Emergency Directives:
SiteID: 015-021-000372
BusPhone:
Map : 123
Grid: 13A
(661) 322-5544
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title
/
Business Phone: ) x
24-Hour Phone ) x
Pager Phone ) x
Fire DelHlth
Phone: (661) 322-5544x
State: CA
Zip 93309
Phone: (661) 588-9254x
State: CA
Zip 93312
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
-1-
08/19/2005
,-..-
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=--
- -----
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PerDlit
'"
to Operate
, Hazardous Materials/Hazardous W aste Unified Permit'
, CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
, ':;tllzardous Materials Plan
round Storage of Hazardous Materials
Qagement Program
Waste
3901
PERMIT ID# 01S-021.o00372
VICTORY LANE QUICK OIL C
LOCATION
Issued by:
í \
WIBLE
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
*~
ph Huey,
ffice of ental Servi es ,
June 30, 2000
Approved by:
Expiration Date: "
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CONDITIONS"ØE~~~å~iffile~iiã¡~tiÊBSESIDk......
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, ,"'/ /<2?.....,.. :', ::;;:;;"'!";p~iJndergroundStorageof Hazardous MaterIals
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Issued by:
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Bakersfield Fire Department " '
OFFICE OF ENVIRONMENTAL'SERVICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576
Approved by:
Issue Date
Expiration Date:
.. June 30, 2003
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VICTORY LANE QUICK OIL CHANGE
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SiteID: 015-021-000372
Manager
Location: 3901 WIBLE RD 8
Ci ty BAKERSFIELD '
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(j\;\ '!.,
BusPhone:
Map : 123
Grid: 13A
(661) 322-5544
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 07
EPA Numb:
SIC Code:
DunnBrad:
E gency Conta
NANC OTTON
Business one:
24-Hour Phon
Pager Phone
Title
.x
Emergency Contact
R D PIERCE
Busine Phone:
24-Hour pn
Pager Phone
Title
OWNER
833-1995x
-2111x
x
Hazmat Hazards:
Owner
Address
City
DALE PIERCE
1328
Fire DelHlth
Phone: (661) 32 5~4X
State: CA
Zip 93309
Phone: ( 661) 833 -199 5x
State: CA
Zip ~q33dj
Contact : ""3"~~ R:>~p-e....--
MailAddr: 3901 WIBLE RD 8
City BAKÈ,RSFIELD
Period
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs:
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
(l tu.) ù Lbn. ~ - 140m e..-
'3Ð 0 ÇbW-ex
11915 C,J)ìI\Ì ex-- AVL
~K€-r§1 -¿w ~
q~~ld
',:5D~e~Ì1 Lu ~DPpel Do hereby C~liif\l that' have
ype or Þ:lnt nÐIYI0) , ' ¡
reviewed the attached hazardous materials manage-
ment plan 10y v; r,íDf~ kl1 ~ j" and that it alonn with
(Namø 0 SuaimllUl) ~
any COi7sdions constitute fa! compl~e and corrsct man-
agement plan ior my facility.
t.'V0 Th,U PhQò'ì~
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10/17/2003
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F ViCTORY LANE QUICK OIL CHANGE
f= Hazmat Inventory
~ MCP+DailyMax Order
.
SiteID: 015-021-000372 =¡
By Facility Unit =¡
Fixed Containers on Site 9
SpecHaz EPA Hazards DailyMax MCP
F DH L 1000.00 GAL Low
F DH L 70.00 GAL Low
F DH L 2000.00 GAL Min
Hazmat Common Name...
WASTE OIL
TRANSMISSION FLUID
MOTOR OIL
o hr (Vi! W /0..1\ k XIV ~ fa lied a..'
an fA.,pPf(( Á-ev~ ¡ ;¿ {)O ~tJtJ ICtN K
?Lve !JtA. ¡ (1 () n he. Y/ d :;0 C¡ct '- .
5 13 (! () A/Ve l e>-r BfA ,-/1//19
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10/17/2003
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F VICTORY LANE QUICK OIL CHANGE
I '
F= Notif./Evacuation/Medical
r=: Agency Notification
LALL 911.
SiteID: 015-021-000372 ì
Fast Format ì
Overall Site ì
11/29/2000 ]
Employee Notif./Evacuation 01/19/1990
Ç~V-L
ONLY THREE EMPLOYEES WHICH WILL MEET.AT THE REFUSE PICK UP POINT TO CHECK
Public Notif./Evacuation
11/29/2000
ALL LOCAL PUBLIC WILL BE NOTIFIED BY OUR PERSONNEL.
Emergency Medical Plan
11/29/2000 1
I CALL
911.
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-6-
10/17/2003
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.
LANE QUICK OIL CHANGE
.
...
F VI CTORY
I
F Training
Employee Training
,$
WE HAVE \ EMPLOYEES
SiteID:
015-021-000372 9
Fast Format 9
Overall Site 9
11/29/2000
AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: CLEAN UP ALL OIL SPILLS AS THEY HAPPEN.
IMMEDIATELY CLEAN ANY BODY CONTACT OF HAZARDOUS MATERIALS: STUDY MATERIAL
SAFETY DATA SHEETS AS THEY COME IN, OR ARE UPDATED.
[ Page 2
I Held fõr Future Use
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-9-
10/17/2003
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VICTORY LANE QUICK OIL CHANGE
--
~ SiteID 015-021-000372
/BUSPhone: (80S: 322-5544
~//~ Map: 123 CommHaz: Low
Grid: 13A FacUnits: 1 AOV:
Manager :
Location: 3901 WIBLE RD 8
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 07
EPA Numb:
SIC Code:
DunnBrad:
I
1-
Emergency Contact / Title Emergency Contact / Title
NANCY COTTON / RONALD PIERCE / OWNER
Business Phone: ( ) - x Business Phone: (805) 833-1995x
24-Hour Phone : (805) 397-1438x 24-Hour Phone : (805) 746-2111x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire DelHlth
Contact : FlECEIII~O Phone: ( ) - x
MailAddr: 3901 WIBLE RD 8 State: CA
City : BAKERSFIELD Nov 2 0 ItA.., Zip : 93309
Owner RONALD DALE PIERCI'NfllRnAl "VflU Phone: (805) 833-1995x
Address : PO BOX 1328 ~~RVICE8 State: CA
City : SHAFTER Zip : 93263
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
, - -- --- .--
- -
Emergency Directives:
One Unified List ì
All Materials at Site ì
F Hazmat Inventory
p== As Designated Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
WASTE OIL
MOTOR OIL
TRANSMISSION FLUID
F
F
F
DH
DH
DH
L
L
L
1000.00 GAL
2000.00 GAL
~o.oo GAL
l.çð~ 00
Low
Min
Low
I, Rt:jl1eJci flte:"~" Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage~
I
ment plan for II/C~'1 _ .L.a./) <P, and, that it along with
Øl...l~(Na~f ~usin~ "^~ 7'<....
any corrections constitute a complete and correct man-
agement plan for my facility.
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Signature
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/1-'2/1-Ø 0
Date
10/24/2000
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f VICTORY LANE QUICK OIL CHANGE
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
WASTE OIL
--
SiteID: 015-021-000372 ì
Facility Unit: Fixed Containers on Site ì
Location within this Facility Unit
Days On Site
365
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1000.00 GAL
Daily Average
300.00 GAL
T
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARDOUS COMPONEN S
N
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSME TS
f= Inventory Item 0002
¡:= COMMON NAME / CHEMI CAL NAME
MOTOR OIL
Facility Unit: Fixed Containers on Site 9
~ - - .- - --~ - -
Days On Site
365-
Location within this Facility Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
2000.00 GAL
Daily Average
1300.00 GAL
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD ASSESSMENTS
-2-
10/24/2000
e
e
F VICTORY LANE QUICK OIL CHANGE
p= Inventory Item 0003
F= COMMON NAME / CHEMICAL NAME
TRANSMISSION FLUID
SiteID: 015-021-000372 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
[ ~TA~E I TYPE ~ P~ESSURE ----r TEM~ERATURE I
=L1qu1d __pure ~mb1ent ---1 Amb1ent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
70.00 GAL
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
'Daily Average
50.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
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
- -- --, ~ -~------ --- - -
-3-
10/24/2000
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F VICTORY LANE QUICK OIL CHANGE
I
p= Notif./Evacuation/Medical
r=: Agency Notification
LL 911
SiteID: 015-021-000372 ì
Fast Format ì
Overall Site ì
01/19/1990 1
01/19/1990
Employee Notif./Evacuation
ONLY THREE EMPLOYEES WHICH WILL MEET AT THE REFUSE PICK UP POINT TO CHECK
Public Notif./Evacuation
01/19/1990
ALL LOCAL PUBLIC WILL BE NOTIFIED BY OUR PERSONNEL
Emergency Medical Plan
01/19/1990 1
I CALL
911
-4-
10/24/2000
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F VICTORY LANE QUICK OIL CHANGE
I
f= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-000372 ì
Fast Format ì
Overall Site ì
01/19/1990
CLEAN UP SMALL SPILLS IMMEDIATELY. ALL TANKS ARE CHECKED DAILY.
~ Release Containment
L:L NEW TANKS. TANKS ARE
INSPECTED DAILY.
01/19/1990 ]
Clean Up 01/19/1990
SMALL SPILLS WE USE ABSORBENT MATERIALS. LARGE SPILLS WE WOULD HIRE A
VACUUM TRUCK.
Other Resource Activation
I
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-5-
10/24/2000
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F VICTORY LANE QUICK OIL CHANGE
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
A) GAS - ON NORTHEAST CORNER ADJACENT BUILDING
B) ELECTRICAL - AT PANEL BOX INSIDE SHOP
C) ON NORTH SIDE OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
SiteID: 015-021-000372 ì
Fast Format ì
Overall Site ì
I
01/19/1990
Fire Protec./Avail. Water
01/19/1990
PRIVATE FIRE PROTECTION - WE HAVE 9 FIRE EXTINGUISHERS
FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY
Building Occupancy Level
-6-
10/24/2000
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F"VICTORY LANE QUICK OIL CHANGE
I
F Training
Employee Training
4¡
WE HAVE'~EMPLOYEES AT THIS FACILITY
SiteID: 015-021-000372 ì
Fast Format ì
Overall Site ì
01/19/1990
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: CLEAN UP ALL OIL SPILLS AS THEY HAPPEN.
IMMEDIATELY CLEAN ANY BODY CONTACT OF HAZARDOUS MATERIALS. STUDY MATERIAL
SAFETY DATA SHEETS AS THEY COME IN, OR ARE UPDATED. .
Page 2
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Held for Future Use
Held for Future Use
--'
-7-
10/24/2000
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VICTORY LANE QUICK OIL
CHANGE / ~, -",~
/,V4 6 1999
/ B¿Y:_
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STATION 07
SiteID: 215-000-000372
Manager
Location: 3901 WIBLE RD 8
City BAKERSFIELD
usPhone:
ap : 123
rid: 13A
(805) 322-5544
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title
NANCY COTTON /
Business Phone: ( ) - x
24-Hour Phone : (805) 397-1438x
Pager Phone : ( ) - x
Emergency Contact
RONALD PIERCE
Business Phone:
24-Hour Phone :
Pager Phone :
/ Tttle
/ OWNER
(805) 833-1995x
(805) 746-2111x
( ) - x
Hazmat Hazards:
Fire
DelHlth
Contact :
MailAddr:
City :
3901 WIBLE RD 8
BAKERSFIELD
,
RONALD DALE PIERCE
: PO BOX 1328
: SRAFTER
Phone: ( )
State: CA
Zip : 93309
-
x
Owner
Address
City
Phone: (805) 833-1995x
State: CA
Zip : 93263
Period :
Preparer:
Certif'd:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
I, jfoJtalrl P.'eJ"lC:.f' Do h~~by Cl9iÎi1y ~h~ I havs
(TVfJ3 ~ namo)
reviewed the att~ched haz2i'doos materials manage-
/'
ment . plan for t!, c1ò/Å 1/ Á. ~ Þi P, and tha~ it along with
(~Of BuoIneœ)
any corrections constitute a compls~e and correct man-
agement plan for rAY faciliW·
~
I /-r~ -77
ûate
-1-
10/12/1999
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Hazmat Common Name...
speCHazEPA
F
F
F
SiteID: 215-000-000372 1
By Facility Unit 1
Fixed Containers on Site 1
Hazards Frm I DailyMax unitlMCP
F VICTORY LANE QUICK OIL CHANGE
p= Hazmat Inventory
p== As Designated Order
WASTE OIL
MOTOR OIL
TRANSMISSION FLUID
DH
DH
DH
L
L
L
1000 GAL
2000 GAL
70 GAL
Low
Min
Low
-2-
10/12/1999
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F VICTORY LANE QUICK OIL CHANGE
p= Inventory Item 0001
= COMMON NAME / CHEMI CAL NAME
WASTE OIL
SiteID: 215-000-000372 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1000.00 GAL
Daily Average
300.00 GAL
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
p= Inventory Item 0002
F= COMMON NAME / CHEMI CAL NAME
MOTOR OIL
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
. GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
2000.00 GAL
Daily Average
1300.00 GAL
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD ASSESSMENTS
-3-
10/12/1999
/
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F VICTORY ,LANE QUICK OIL CHANGE
p= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
TRANSMISSION FLUID
SiteID: 215-000-000372 l
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
~ _7·Q",:"O 0 GAL
Daily Average
I,:(() 50.00 GAL
%Wt. RS CAS #
100.00 Transmission Fluid (Petroleum-Based) No 0
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
Nò No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
-4-
10/12/1999
· .,... .. >";;. '.
e
e
F VICTORY LANE QUICK OIL CHANGE
I
f= Notif./Evacuation/Medical
r=: Agency Notifi.cation
CALL 911
SiteID: 215-000-000372 l
Fast Format l
Overall Site l
01/19/1990 1
01/19/1990
Employee Notif./Evacuation
ONLY THR~E EMPLOYEES WHICH WILL MEET AT THE REFUSE PICK UP POINT TO CHECK
'-I
Public Notif./Evacuation
01/19/1990
ALL LOCAL PUBLIC WILL BE NOTIFIED BY OUR PERSONNEL
Emergency Medical Plan
01/19/1990 ]
I CALL
911
-5-
10/12/1999
!'> ~ ", ~ -":>
-
e
F VICTORY LANE QUICK OIL CHANGE
I
f= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 215-000-000372 9
Fast Format 9
Overall Site 9
01/19/1990
CLEAN UP SMALL SPILLS IMMEDIATELY. ALL TANKS ARE CHECKED DAILY.
INSPECTED DAILY.
01/19/1990 ]
r: Re1.ease Containment
L:L NEW TANKS. TANKS ARE
Clean Up 01/19/1990
SMALL SPILLS WE USE ABSORBENT MATERIALS. LARGE SPILLS WE WOULD HIRE A
VACUUM TRUCK.
Other Resource Activation
-6-
10/12/1999
.... . ;"~.
e
e
F VICTORY LANE QUICK OIL CHANGE
I
f= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
SiteID: 215-000-000372 ì
Fast Format ì
Overall Site ì
I
01/19/1990
A) GAS - ON NORTHEAST CORNER ADJACENT BUILDING
B) ELECTRICAL - AT PANEL BOX INSIDE SHOP
C) ON NORTH SIDE OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 01/19/1990
PRIVATE FIRE PROTECTION - WE HAVE 9 FIRE EXTINGUISHERS
FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY
Building Occupancy Level
-7-
10/12/1999
· ...;~ ''¡J ',if._ r,¡,
e
e
F VICTORY LANE QUICK OIL CHANGE
I
F Training
Employee Training
WE HAVE 1 EMPLOYEES AT THIS FACILITY
SiteID: 215-000-000372 ì
Fast Format ì
Overall Site ì
01/19/1990
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: CLEAN UP ALL OIL SPILLS AS THEY HAPPEN.
IMMEDIATELY CLEAN ANY BODY CONTACT OF HAZARDOUS MATERIALS. STUDY MATERIAL
SAFETY DATA SHEETS AS THEY COME IN, OR ARE UPDATED.
Page 2
[
I
I
Held for Future Use
Held for Future Use
----------
I,
-8-
10/12/1999
,;,~' ,~
"1~..." >.
~
04/13/92
VICTORY
. .
LANE QUICK OIL CHANGE 215-000-000372 RECEIVED Page
Overall Site with 1 Fac. Unit
.JUN 04 \992
1-
General Information
, - ....... ........
, . " '...~, .. ,. -.
Location: 3901 WIBLE RD 8 Map: 123 Hazard: Low
Community: BAKERSFIELD STATION 07 Grid: 13A FlU: 1 AOV: 0.0
- Contact ,Name Title Business Phone - 24-Hour Phone
NANCY COTTON ( ) - x (805) 397-1438
RONALD PIERCE OWNER (805) 833-1995 x (805),746-2111
Administrative Data
Mail Addrs: 3901 WIBLERD 8 D&B Number:
City: BAKERSFIELD State: CA Zip: 93309-
Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code:
Owner: RONALD DALE PIERCE Phone: (805) 833-1995
Address: P 0 BOX 1328 State: CA
City: SHAFTER Zip: 93263-
Summary
(Ç)¥-/
~,RI9Iî~[j . .f!ey;-e. Do hereby ee~~ ~hat~ hav¡g¡
ype or fI11nt MMO) ,
I'sviGwed the attachsG ilúzardous maisrials msnagso
men~ plai'\ foU' VI;t;;;1 J.~ ~fid thaîlt along with
- (Na;\1t'J of Busino8l1)
~ny oorredio81G constitute a complaîs and oorrsd man-
~smsn~ ~lan ~i' mY' ~~ciU~~.
"
~
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~
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..
04/13/92
. e
VICTORY LANE QUICK OIL CHANGE 215-000-000~72
02 - Fixed Containers on Site
Page
2- .
Hazmat Inventory Detail in Reference Number Order
02-001 WASTE OIL
~ Fire, Delay Hlth
Liquid
1000 Low
GAL
CAS =It: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: .365 Use: WASTE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
1,000 I 300.00 I 3,600.00
Storage
ABOVE GROUND TANK
r Press T Temp ~
Ambient Ambient
Location
-Conc l Components
100.0% Waste Oil, Petroleum Based
~ MCP ---rList
Low I
02-002 MOTOR OIL
~ Fire, Delay Hlth
Liquid
2000 Minimal
GAL
CAS =It:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
----Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
2,000 I 1,300.00 I 15,600.00
Storage :-l Press ì Temp ~I
ABOVE GROUND TANK Ambient Ambient
PLASTIC CONTAINER 'Ambient Ambient
Location
- Conc l Components
100.0% Motor Oil, Petroleum Based
r; MCP ~List
Minimal I
02~003 TRANSMISSION FLUID
~ Fire, Delay Hlth
Liquid
70 Low
GAL
CAS =It:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL
70 I 50.00 I 75.00
Storage :-l Press ì Temp :l
ABOVE GROUND TANK Ambient Ambient
PLASTIC CONTAINER Ambient Ambient
Location
- Conc _I Components
100.0% Transmission Fluid (Petroleum-Based)
~ MCP ---rList
Low I
·...
04/13/92
. .
VICTORY LANE, QUICK OIL CHANGE 215-000-000372
00 -Overall Site
Page
3-
<D> Notif./Evacuation/Medical
/
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ONLY THREE EMPLOYEES WHICH WILL MEET AT THE REFUSE PICK UP POINT TO CHECK
IN.
<3> Pubiic Notif./Evacuation
ALL LOCAL PUBLIC WILL BE NOTIFIED BY OUR PERSONNEL
<4> Emergency Medic~l Plan
CALL 911
~
04/13/92
VICTORY ~E QUICK OIL CHANGE 215-0~000372
00 - Overall Site
Page
4-
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
CLEAN UP SMALL SPILLS IMMEDIATELY. ALL TANKS ARE CHECKED DAILY.
<2> Release Containment
ALL NEW TANKS. TANKS ARE INSPECTED DAILY.
I <3> Clean Up
SMALL SPILLS WE USE ABSORBENT MATERIALS. LARGE SPILLS WE WOULD HIRE A
VACUUM TRUCK.
<4> Other Resource Activation
...
04/13/92
. .
VICTORY LANE QUICK OIL CHANGE 215-000-000372
00 - Overall Site
Page
5-
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ON NORTHEAST CORNER ADJACENT BUILDING
B) ELECTRICAL - AT PANEL BOX INSIDE SHOP
C) ON NORTH SIDE pF BUILDING
D) SPECIAL -NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - WE HAVE 9 FIRE EXTINGUISHERS
FIRE HYDRANT - NORTHWEST CORNER OF PROPERTY
<4> Building Occupancy Level
,..
~ . ~~
04/13/92
/"
. e
VICTORY LANE QUICK OIL CHANGE 215-000-000372
00 - Overall Site
Page
6-
<G> Training
! <1> Page 1
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: CLEAN UP ALL OIL SPILLS AS THEY HAPPEN.
IMMEDIATELY CLEANANV BODY CONTACT OF HAZARDOUS MATERIALS. STUDY MATERIAL
SAFETY DATA SHEETS AS THEY COME IN, OR ARE UPDATED.
<2> Page 2 as needed
! <3> Held for Future Use
.,
<4> Held for Future Use
I
~
· Bakersfield Fire De'
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
RECEIVED
JAN It 1989
Ans'd.
...........
HAZARDOUS MATERIALS MANAGEMENT PLAN
_ ,_ ~QD7 -~ d-. ,_ -il0j ~ L
INSTR~CTlO~S:;~ ,_~:~:;'~ · ,~:._'-.~~_:_o~9~.:,?;~~, ~o· ~ 'f'efl Gr. ¿
1. To avoid further action, return"thisform within:'30,ddys-of r.eceipt: ::_ ",<'-,: _::
2. TYPE/PRINT ANSWERS IN ENGlisH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible,
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SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: Victory Lane Quick Oil Change
LOCATION: 3901 Wible Rd #8 Bakersfield, Ca 9'3'309
MAILING ADDRESS: Same
CITY: Bakersfield' STATE: ~ ZIP: 933n9 PHONE: 805 833-1995
DUN & BRADSTREET NUMBER: SIC CODE: 570 class B
PRIMARY ACTIVITY:
Oil changes
OWNER':, Ronald Dale Pierce
MAILING ADDRESS:
POBOX 1128 Sha.Tter, OR 93?h3
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS. PHONE '::;-2~cHR~'P~ONE
805 397"':14-38
1. Nancy Cotton
2. Ronald Pierce
Owner
805 833-1995
805 746-2111
1 .
FDIS'"
\.....
u ;v,~ 3 ''J J",
, Bakersfield Fire Dept. ,
. Hazardous Mate'rials Division.
,HAZARDOUS MATERIALS MANAGEMENT PLAN
" p :#"I~, f;, i,
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, SECTION':3/ TRAININ,G:
\
, NUMBER OF ÉMPLOYESS: 3
MATERIAL SAFETY DAT.A SHEETSQN FILE: Yes
",
"
"€ ,- .; ~ ~
BRI~F SUMMARY OF TRAINING PROGRAM:
. Clean up all oil spills as they happen. Immediately clean any
bodyèontact of hazardous materials. Study matetlal safety da:t.a
sheets as they come in, or are updated.
.. ~. .
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.' 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 &
~SA~ETY'CODE" FOR THE FOLLQWING REASONS':
, ,
WE DO NOT-HANDLE HAZARD~OUS MAIERIALS.
WE DO HANDLE HAZARDOUS MATERIALS,.:BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
I, Ronald Pierce, CERTIFY THAlTHE ABOVE INFOR-
MATION 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 SEC. 25500 ET AL.) AND THAT
INACC-URATEINFORMATIÒN CONSTITUTESP-ERJURY. ~c::, -':- ' .
~"""'~~~
", "'~"-
, , GNATÜRE
." :.:¡ -J- -: ~,f~.: " . f
ÒTHËR(SPECIFY REASON)
SECTION 5: CERTIFICATION:
'¿!)IÞ-"".e' t/'
TITLE
,2. '
-.,
12-~ c¡-- :>ii
DATE
'~ -í?{ ~'~' :!
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FD1590
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,Bakersfield Fire Dept.
Hazardous Materials Divisi.
'"HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
Victory Lane Quick Oil Change
SECTION~ó:' " ÑOTIFICÃýfoN -A:ND' EVACUA110N PROCEDURES:
i
l
. - .--
.. Q. ._,(.1
~,' --,. --
,-: .:" :2..:.-!..~~. ¡
A. AGENCY NOTIFICATION PROCEDURES: Call 911
- _. . ,......
---~.
.... r ~. _
--:;.':.~... -, .... "--'~'-:: ,-.\'
which will meet at the refuse pick up point to check in.
I
I
I
Only three employee's,
I
I
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I
B. _ EMPLOYEE NOTIFICATIONAND ~VACUATlON:
." ---},.,.... " 41· -
: --' - -." "- , ........... --... -......, ... --. .. - -.- -
r. . . -. ~
~. ....... ....\,. ,
~
-, ,
~
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...
C. ,PUBLI_C _~XAÇU~ TION~"_ 18-1 !o~al ,:p~þlic will be notified ÇJby our
personal"."" , ,-, ~ .. .,- -, o. -", ,--. "
c~ ,E- C',___:~ _: . .::c- _~.: ,.... ':'-"
_._ '.___... __ _ c. _~::;. .-"
D. EMERGENCY MEDICAL PLAN: Call 911
~. - --'- --.:::;. --'
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--.... ..... ...------
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3. ,
R)1 &;\)
Bakersfield Fire Dept.
. Hazardous Materials DivisiO.
"' -
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HAZARDOUS MATERIALS MANAGEMENT PLAN
c- ." r . - t:"' :.. f"'. . .... - ""<\ì ".
SECTION 7: MITIGATIO'N:-PR'EVENTION'-AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS: Clean up small spills immediately.
'ßl::I:" tanks are checked daily.
l~~ ___.,".~
B.
RELEASE CONTAINMENT AND/OR MINIMIZATION:
, All new tanks.
Tanks are inspected daily.
,
,
0~'- - Þ,- ...
............ _.__'w
C.
CLEAN~Uf PßOÇf~~_R§?:
Smal~ spilfs we us~ absor~~~ mat~rial.
r"o, -' ". . : ., þ - . . F ," ~ r-.
..... _. _. ~........ ,. '- ....
Large spills we would hire a vacuum truck.
SECTIONS: UTILITY SHUT-OFFS(LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURÄL:GAŠ'/PROp:ÁNi"~-': 'O~~N~i:tn~it~~-t -6~i-ner adjacent bui?-?:,in~: __'
ELECTRICAL: At panel box inside shop.
VVATER: On North side of building.
SPECIAL:
LOCK BOX: YES@
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, ..
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'",
IF YES, LOCATION:
_. -- ---,- .....
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: 9 fire extinguishers.
"
I
I
, B.
VV A TER A V AILABILlTY (FIRE HYDRANT): North West corner of property.
4.
FD1"
CITY of BAKERSFIELD
"
n.HAZARDOUS MATERIALS INVENTORY
Farm and Agticulture 0, Standard Business 1:1
NON-TRADE SECRETS Page
BUSINESS NAME' ~:!-~torRLane~tlickOilChange OWNER NAME: Ronald D Pierce NAME OF THIS FACILITy_:Quick lube
. L9CATION' .J<;1a! i~.Luh; uc.d., ,ADDRESS' g;Q~'f Q!:aa~e E~ 1)28 STANDARD IND. CLASS CODF:37CL.cl B
~Ab~È HP:~ð~e8'5~IM.5 Ca ',9])u9 '~À6~~ ~~PÜ05 74ß-hi1 ¡jJj~ì995 ' DUN AND BRADSTREET NUMBER-·' aB.S-_ --'-
REFER TO-rNSTRUCTIONS f-UH ~ROPER CODES - - - -
1 8 9 10 11 12 13 u
I Oys Cont Cont Cont Use loc~tion Whe[e 'by Na~es of ~ixture{ço onents
on SIte Type Press Temp Code Stored In FacIlIty WtSee Instruc I S
3 5 02 1 0 See map Waste oil .
'\;'
of f '.~
~ I
I 4
Tr~ns Average
Code Amt
N 300
, Physical ond Health Ha~ard
,(Check all that apply)
C.A,S. Number
Component 11 Name & C.A.S. Number
0 Component 12 Name & C.A.S. Number
Immediate,
Health
Component .3 Name & C.A.S. Number
See map
Component 11 Name & C.A.S. Number
0 Component f2 Name & C.A.S. Number
Immediate
Health
Component .3 Name & C.A.S. Number
See map.
Component .1 Name & C.A.S. Number
o Component 12 Name &,C.A.S. Number
Immediate
Health
Component '3 lame & C.A.S. Number
'Motor Oil
o Fire Hazard o Reactivity o .oela{ed o SUdd(" Re 1 ease
Hea th o ., }ressure
N 1,300
Pht~iC~1 Hd ~ea1th Haiud
I ec a t at apply
o Fire Hazard o Reactivity o Dela{ed o suddf" Re I ease
Hea th , 0 Pressure
I'
Transmission fluid
o F i reHazard
o Reactivity
o De Jared 0 Sudden Re 1 ease
Hea th of Pressure
Physical snd Health Halard
(Check all that apply,
C,A.S. Number
Component.1 Name & C.A.S. Number
o Fire Hazard. 0 Reactivity
o De Jared 0 Sudden Re 1 ease
Hea th Of Pressure
, Component.2 Name & C.A.S. Number
o Immedlate
Health
Component 13 Name & C.A.S. Number
EMERGENCY CONTACTS #1 Ronald Pierce OWnern 811-199S 74~-?111
Rãme ,'t Ie, Z4lf'fì'ñone
Certifiç3tio~ (Reed and $ign afler c9mp7~ting. Ç177 sections]
I certify un~er penaJtx 0 la~ th4t I have persona Iy examlneQ,~"d ~m famIlIar with the informatIon $ubmítte~ in this ~nd a11
attaçhed dQcy~ents, anQ t at based on my Inquiry Q those IndIVIduals responsjble for obtaIning the InformatIon, 1 bel~leve that the
subnntted lnforllatlon IS true, accurate, and complete. - /
, Ronald Pierce Owner ' - , ~~ -~
Ra~ë-anõl5fifTir-ritle of ownér/oPffãtor UR owner7operator's aut~-represeñtatlve -
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ame
Title
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