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HomeMy WebLinkAboutBUSINESS PLAN 11/16/2005 j I :1 ..(j) .~\ 1 II /D2J .. ~ ~~~ (L '" n ~>l g r~~ W~~ l' ~ VICTORY LAtffi Q~I~ _OIL CHANG' ~ f ~~;I ~ 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$.H€:-l( ~ '" SITE DIAGRAM ADEQUATE & ON HAND d'VES o NO ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~..A~~ 01 L .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 f..1.\t\.D (jva~q,..J ',-($ Inspector (Please Print) Fire Prevention /l.'ln / Shift 6f Site/Station # -"-- White - Prevention Services Yellow - Station Copy Pink - Business Copy ,FD2049 (Rev. 02105) - - - -------:; "~"""".~. ,~~- o~ 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 ,-..- ,- ._.-.----------+ =-- - ----- -~--..~ ----- -4~~ - 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: " :.. "... -.,'. .' . . ~ ' . ,'.,' :,~:;~'tt:9}_J "'-.. Ii ~, ¡:;~t r .:.. ,;':,.~,.:'~ .'.. .. ...... . .... ..... ",;·'if¿~i~~~h/.' };!Tr~ . ·f}':"'.', Hazardous Matériâ.ls1HazâFdous:"Wa'ste~~Unified ::Bermit:' ,: CONDITIONS"ØE~~~å~iffile~iiã¡~tiÊBSESIDk...... .' '.. ··";1;:A'"'~\I~t.,J.i%~("·,'.;:rflff!':~I";'~!:: peon. ;:;j~~:~_ng: " ,/,',.r ".' :'i,""~.''''~'.:,ItIHazardousMaterlalsPlan' , , ,"'/ /<2?.....,.. :', ::;;:;;"'!";p~iJndergroundStorageof Hazardous MaterIals '<-:-/ . , O,RlskManagementProgram, .' 0 Hazardous Waste On-~Ite Treatment 'p.".'..'" . '" " ,." "'," . . , . , . , e'r ~ Issued by: , -' " ' . " -. : '.- ~ '-' .'~ . 'i' -;: , ." ".",~. ',~ 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 -/ -\ .C" ~ ~ 't '" ~ o -:2. _ V, c.. 7<:),(. LI4.1.JE QUI C~ 0,," __ 6-(~ v6 £" 3~o I lA/,!!;£(: 120 ):" Act t. ITY Dtt4.(Ç.Æ.A#1 :z c::> F 2- Sm~: (·D. :tt31¿ rfI -< 'it' ~ ...J ~ Ç) r 01 c¡ ~5D (,4,- S . <;)~ I;)~ () 't -"'~ vp \. DJIIIIl \ ) J ) ... ~ ~ ~ 'it IQ ) --A ,/ /~ ,'¡¡'¥\ .... r. JI e -- VI c. -r oli.. LA. AJE QU1c.K. Qc.. C 1-t14¡v6é 3C¡OI, t.vJ'dL6",.t?O. 1=''''<:'1#..17''1' D,A?..e. ~ Sn:E (. D..:t:F 372.. lof z... . J=(Æ..e H'({). Q- vc.JiATE.e.. ":) HvrDFP /~<7t\"5 ßI '$ .(v1oFF v 0° <I {ty " -t.€lTR/C1='F J;.. SHuTO fl.£.?..( ~o?(J- bct'^ ¥ l Q¥ QO ~O'L -A uP 1 o(V 0° " J OFF'<:'15. .... f)' tf oev 0° "- ~ ~ o f y VI ~ (IV r: LooR-. ~ .¿ J ) Q l~ «:I (.:;> ~ ..... ~ .¿ ) 3 "- - u -·--·1 I 1- --, '. ö~:r,A ' . J .;¡.A ,'t\i of .~. I' 'e..\I' ;¡ -- , I f ~f./7'~"'~' - . I I ., , ., \ POII' I ~ '.' '@ I I . ] r I <~ I 1··..1 1~ I I I .'Ç I ·1 ,I I ® " I, I I ~ , I I I ~~ . . I - . \ .~ W :,,~ ,ly tþ, '~, '~, . '. I I ~'ð ;U I . '" I ! , :z~ ~k I #-Is> 8ær.1Nle inletf J/" I . ~,. ;~+ )C. tJ~" L-t. F,~~ ~ > :: K iN ~',. .~-~.; ~ó) I I 1 , '... n. p.ç I I £ $..0 l , b J-k lv~ I i I I I .. "==' z:r~.-:,;,~ -~~/ . VICTORY LANE QUICK OIL CHANGE . /"lh." /' c:.--' ~ SiteID: 015-021-000372 Manager Location: 3901 WIBLE RD 8 Ci ty BAKERSFIELD ' ~ 1..~\\1 (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~ ~~ 1- 52S'ðJC1dSL) g~QfQ. ~lø l- '7L}'(- idtcrs t:LLL b~l' 8~3-lFU15 ßù6¡)ì~~ ~o/,Ø1 iò~~7-f)3 Dare -1- 10/17/2003 .,.. ~> '---../ . 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 -rv~ YhòrlJR.. o/L Ca)7rtJ Id/~O " -2- 10/17/2003 ':; ~ h--''''~~ . . " 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. '\ -6- 10/17/2003 / .-.... ~ 0\ <, ~..-~ . 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 , '-.. I Held for Future Use -9- 10/17/2003 i' I~' e 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. J,' ,\ ;' ", ., - . "" , Signature -1- /1-'2/1-Ø 0 Date 10/24/2000 ,j - 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 {. e e 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 · r. e e 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 I I I I -5- 10/24/2000 ¡'i ~ e e 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 ... ;¡ 'i:~ ~ e e 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 r I I Held for Future Use Held for Future Use --' -7- 10/24/2000 ,..~,7..__ _ ~~,. e e VICTORY LANE QUICK OIL CHANGE / ~, -",~ /,V4 6 1999 / B¿Y:_ ("../ 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 .. i\ _ __. 'i e e Hazmat Common Name... speCHaz EPA 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 " . .; e e 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 / " e e 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~~. " ~ .:;-- I T) - 9 2.. ~ I .. 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, \ð~'- \~k: (j) {~' 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, ~~ !')~) - "' , 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. .. ~. . ,..... v ~___.. r>.' . "" v ~ ~.. ,< . _>, :!rc _.': , -:.:~ ~ r~ r, '. '... .. - -'-," - ........ -'~' , --... 0_( _ , ' .' 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?{ ~'~' :! "'- '~ ,., "",,\, "'I FD1590 -~E f;þ~... r. ~ ..' 1 . ,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 ¡ I B. _ EMPLOYEE NOTIFICATIONAND ~VACUATlON: ." ---},.,.... " 41· - : --' - -." "- , ........... --... -......, ... --. .. - -.- - r. . . -. ~ ~. ....... ....\,. , ~ -, , ~ ..;r_.___ :-- ... 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 ~. - --'- --.:::;. --' ....-- --.... ..... ...------ :: ... ,..::~':.~~' r"'· :::(:" #...:~_ ....."...,.. r-.. -:".'- ,::~s G --, - --.. - 3. , R)1 &;\) Bakersfield Fire Dept. . Hazardous Materials DivisiO. "' - . ~.. 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@ ''!:"" ",o~ . , .. ',,- '~ '""', ' '''', '"\.,. '", 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 - " tt2~~ncy (;oU,on ame Title 3Wir~·' I y. - Æ9 -ð'C¡ UnnfQñëõ ,