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Home My WebLink AboutBUSINESS PLAN 10/30/2001 Per .. ð:: it Operil.te to Hazardous Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF PERMIT ON REVERSE SIDE This oermit is issued for the following: 6?J Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-001028 SOUTHERN AUTO SUPPLY LOCATION: 4100 WIBLE RO Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date Expiration Date: June 3D, 2003 Per.uit to Operöte Hazardous Materials/HazardousW aste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021.001028 This permit is issued for the following: ':;~@~rdous Materials Plan , '~e.røround Storage of Hazardous Materials "Qagement Program mm'" Waste SOUTHERN AUTO SUPPLY LOCATION ",' Issued by: I k Ii' I Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 4100 WIBLE Approved by: *~' ph Huey, ffice of ental Servi es Expiration Date: June 30, 2000 ·, NORT!-{ ~ ~ ~l \J.~ ~. 1 I I <;', (It S:: ":rE /"'E' AC I L I Tx'" :O~M 5 - .::) ( \. G R.A.1\1 3 SCAL':::: 8:}S r :-:':.SS Nf\;'¡E: ~~U T";'-/:,e/V' A~ ;n:J FI.COR: / OF I UNIT =: OF DATE: '1.11 S7 S 1F :\C: r.. tTY :;¡\¡\Œ; SirE I.D. 1028 (CHECK ONE) SITE DIAGRA~ . ~. ~ ~ ~ ~~ a)1f/ rttF .J.. tV' !) ~ ~ ~ ~ ..... ~/ -- ~ ~- ~ ~ '~ ~ ~~ ~ ,~ ~ q: ~ \ wÄT5tL :S¡'¡VToFF ~ ~ ~ ~ ~ ~ > '-'J ~ ~ ....~... ~ t= I.e. r; Hi'D. ~ cs;.. ,..) ~ ¡....- 'totO ("U/(jI,..E- Æ{)_ FACILITY OIAGRA~ p~ - ~ 7<~1'J'-.?" ':x .5':>';~ .>( ~ » <!!..fJð'''' L,wJc.. (,..' ¡;a:CTÆ(c4 I~ bfV£O ~ ~~ ~~ ~~ V\ ~~~ ~~~ ~~ ~:t ~~ l -', ",. -"'''''-,/,,,, ' :-~ '. // I " __ Þf ié1._0_h~· D~G~¡AM 3 µ '/6,;2.. ~ I f1) Sf? 7 I ,;::~ -f <~ ;"" 't< ~ITE/FACILITY FORM 5 NüRTH SCALE: BUS r NESS NMŒ: S{f)U T¥é,e~4urtØ DATE: 7//{7 ß''lFACILITY NAME: FLOOR: I'OF / I UNIT ::: OF (CHECK ONE) SITE OIAGRA:'vI ¿"..-- FACILITY DIAGRAM tu l - --.fI.Æ!!!H J '14,1l./) PG~€ \ V¡ffÇ- f(r: '-t;r ! ~\~~~~ w/ßtE £¡) ) V ' , . #' \ \ 4-1 ð() '--t \ ' /1 I' ,fA ~, I' \\. t " ~\ ~ @ \ Gr;.s ~"""rHEIûV \ ~ S71l1ì~¡./ ~ A~r() .$'IA¡:P¿ Y ~ ~ ~ ')1 ~ ~ y ~y' .J"' yl 6' ~ XI 'z. X t"X ~yv ,;, ~cl) ß¿¡/¿¿,)IH6- MhrFlflA¿. '>-7óR./+6--£ ~ ~ - YA ~¿} rrnspectorls Comments): ~ ¡ í I ---- I J -OFFICIAL USE ONLY- - 5A - _~.. t ""~ @!7/,\, ~_ _ I '" t .\ "---- ----- C't¥6~/ct!~t7~A'~ C¿;t.lN~~-I~¡r-~:~£4- -~ ~ -- ;-~''''~" 'j.. .~. ':. ~ ~',' ~~\ ~~:r~ . :, \j . NORTH - SITE/;FACILITY , FORM-5 ¡J /ðð í.J ¡J - If r' D:eGRAM ~3 c...¡ . -# lO~ ~ /105:, 7 FLOOR: / OF / UNIT~: OF . , SCALE: If I BUS I ~lESS NM!E: ~ _~./ . /1 / ~ J.o ,.r¿)¿¡rH'E'£;1/ ,.yUTt? DATE:-¡I/.578"1FACILITY ~f\¡\1E; SAM" (CHECK ONE) SITE DIAGRA~ FACILITY DIAGRAM ~ w A- 11 iJ() w,1) ~ l?} , - ------II I . I -' ¿- '.... \t ~ ~ ~ if - -~ ,} X ~ ~ { \ ~. - ~ 9Z.~~ ßtþ¿'- Sfrr -: _ I2J. ~~ c"fC'" \P c.%1f>tY ~s1"ItV . ~otJ I e~""N1C")'<l - r t:~~/Y~ etfi... I ~'Y~: If I . ~,' : ~~ft¿~ -¥ ~ -- - - - - - ¡t?êT~t... ',.&'/i/.2/tS ø~ J.r' -¡ , I. J I 1- \... t I, ~ ~~. ~ ". ; EH¡)~Y¡Ç' I ¿ß)¡I¡,I' -ltft>pF - /1ccG51 .' 1- lfôôF ~uN'r .4,d:, ¿¿~/r$ \ \ rInOPectO." Com.e.to), -OFFICIAL USE ONLY- """l I I - 5A - ~- ! , i UN-ïFIED PROGRAM IN'ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ADDRESS :.::,'J. INSPECTION DATE INSPECTION TIME Â-4Tö__5 w:?-e..L.--'t----------'------'u--~-"-------, 0-2-<... -0 L Ó _~~ºð_,__ ~,:... PHONE No, No, of Employees 4 (00 Wt ~L£ £Þ______,_______,____~______ ~ ·~..-.l--!')-EP- Business ID Number .......<-' ~ (.M 15-021-ð-l1Ø FACILITY NAME So , ,'S~çtion-1:Bûshîêss, PlanandlnvêritóryProgram L1 Combined tJ Joint Agency L1 Multi-Agency L1 Complaint L1 Re-inspection C V ( c=comPliance) V=Violation - r/ L1 ApPROPRIATE PERMIT ON HAND ~----~----~--------------------~------ --_._-_.~-~---~-,---_.---------_._---------_.__._._-----.--.---------------.-- aJ"i L1 BUSINESS PLAN CONTACT INFORMATION ACCURATE Q!' L1 VISIBLE ADDRESS OPERATION COMMENTS --.----- --.-------.-----.-- -----------------------.-----.----.--.-------------------.-.---.-...---------.- - -- .-------- ------------------.--------..- ~- _._~~-_._-_._---~_..~--------_.~-~_.__._--_._---_._-- -.-..---.------ -.--.-.-.-.--- .--- L1 CORRECT OCCUPANCY -- ----~-----_._---~---- ---_._..-------_._~-----_._~._-----------_._------------------_._~._._-----_._--- ri' 0 VERIFICATION OF INVENTORY MATERIALS ¿ L1 VERIFICATION OF QUANTITIES ~ - -----------_.~~_._---_._-~~--_.~- ------~----------------------~-------_._-_._-_._---_.-----~-._~----_..__..-- rzf L1 - VERIFICATION OF LOCATION I!f" L1 PROPER SEGREGATION OF MATERIAL rd' L1 VERIFICATION OF MSDS AVAILABILlTYE -~~~--~--~----------~----_._---_.. .-----.-- -~._~~_.._-------~-- ------.---.-------------------------------.------- GJI'" L1 VERIFICATION OF HAT MAT TRAINING ~~ --_._~-----_.._-_._----_._--~-- -----~-_.__.---------_._--------¥-_._--~_._----_.__._-._----------_._-~~--- c;r L1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ L1 EMERGENCY PROCEDURES ADEQUATE-----------'----- ----------------.--.-- --- -.-----.-- --.-----.-.--. -----------.--.--------------.------ -_.-.-. -.---.---.-'-.-- -----~------------_.._------------_._._._._-------------.--- ----------.-..---.---- ----------..-----------.------------------ ----_._----~~-"_._-_..------- _._------_._---_."-------_._------_._---_._~_._-_._~--._------------ ~ L1 CONTAI~~RS ~'OPERL Y LABELED - ,---------------'-- --,----,---------,----------------- -.------------,---------- rJ/ L1 H~USEKE~;ING ----------~~~~=~_=_-_-~' ====-==-=--=~_-~_~===~=~~~=-~_-_~~=~-~~.~- ¡::;ý'" L1 FIRE PROTECTION 0/' L1 -S~E DIAGRAM ADEQU~~-& ON HA~;-------------- _____________:.._______'~m_________________'_______ ANY HAZARDOUS WASTE ON SITE?: L1 YES ~No / EXPLAIN: --/ I QUESTIONS REGARD~G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~' %-A ~ '-() ~ £13 y... -;; ~----_._------~ -----~---_. -- Inspector Badge No, White w Environmental Services Yellow - Station Copy s Site Responsible Party w--~ _._--~~--~ -1G ,~ e //] (/' e ø SOUTHERN AUTO SUPPLY SiteID: 015-021-001028 Manager : Location: 4100 WIBLE RD City BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: BusPhone: Map : 123 Grid: 13C (661) 834-4800 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad:95-269-9155 Emergency Contact / Title Emergency Contact / Title DON MCMURTREY / PRESIDENT MARTY HAENELT / MANAGER Business Phone: (661) 327-0288x Business Phone: (661) 834-4800x 24-Hour Phone : (661) 322-3404x 24-Hour Phone : (661) 837-1841x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: (661) 834-4800x MailAddr: 4100 WIBLE RD State: CA City : BAKERSFIELD Zip : 93313 Owner SOUTHERN AUTO SUPPLY INC Phone: (661) 327-0288x Address : PO BOX 2426 State: CA City : BAKERSFIELD Zip : 93303 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No EmergeI1cy Directives: One Unified List 9 All Materials at Site 9 SpecHaz EPA Hazards DailyMax MCP F DH L 500.00 GAL Low F DH L 400.00 GAL Min F DH L 1358.00 GAL Min F DH L 122.00 GAL Mod F DH L \ \C>..Ö~ 'Low f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name. . . ANTIFREEZE FREON GREASE/OILS UNKNPWN SOLVENTS (WASTE OIL , ("{'\ \ \ \ ~ \.- Do hereby certify that ihave I \' \0...0(" ;¡;h ~~'\("\~ , cry or print name) reviewed the attached hazardous materials manage- , f f;()Uo.\\...~v.. ~~ ~~fnd that it along with ment plan 0 (Nama 0 USllleIIS) any corrections constitute a complete and correct man- agement plan for ~y facility. ,-, &~1-Q! ~ "'-&- \ ignalUl'e \~-~,....c\ Date 10/23/2001 ; e e F SOUTHERN AUTO SUPPLY f= Inventory Item 0004 F= COMMON NAME / CHEMICAL ANTIFREEZE NAME SiteID: 015-021-001028 ~ Facility Unit: Fixed Containers on Site ì Location within this Facility Unit FRONT DISPLAY AREA Days On Site 365 Map: Grid: CAS# 107211 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low , HAZARD ASSESSMENTS f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME FREON Facility Unit: Fixed Containers on Site ì Location within this Facility Unit FRONT DISPLAY AREA Days On Site 365 Map: Grid: CAS# 75718 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 200.00 GAL %Wt. RS CAS# 100.00 Freon 12 No 75718 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -2- 10/23/2001 i e e F SOUTHERN AUTO SUPPLY f= Inventory Item 0001 = COMMON NAME / CHEMICAL GREASE/OILS SiteID: 015-021-001028 ì Facility Unit: Fixed Containers on Site ì NAME Days On Site 365 Location within this Facility Unit W FRONT DISPLAY Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1358.00 GAL Daily Average 680.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME UNKNOWN SOLVENTS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit FRONT DISPLAY AREA Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 122.00 GAL Daily Average 61.00 GAL %Wt. RS CAS# 100.00 Naphtha Solvent No 8030306 HAZARDOUS COMPONENTS N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSME TS -3- 10/23/2001 i ':' 'Î e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0005 F== COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001028 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 t.ºçation ~within ,this Facility Unit Map: , WHËRE IS IT LOCATED?????????????? 'Cu.~'S.~A..~ ~o.e,.\- <:'Q,"Ç,,",'!...~ ~........ ~~e... C;c.",\.~ ~,ck. Grid: CAS # 221 STATE -TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 110.00 AMOUNTS AT THIS LOCATION Daily Maximum \\(:) HAZARDOUS COMPONENTS Daily Ave rage_ ~C) %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 10/23/2001 -", í' e e F SOUTHERN AUTO SUPPLY I p= Notif./Evacuation/Medical r=: Agency Notification LALL 911. Employee Notif./Evacuation SiteID: 015-021-001028 9 Fast Format 9 Overall Site 9 01/18/2000 1 01/18/2000 ALL EMPLOYEES HAVE BEEN INSTRUCTED TO GET OUT OF BLDG & FAR AWAY AS POSSIBLE IN CASE OF SPILL OR FIRE. Public Notif./Evacuation 01/18/2000 SIGN POSTED INSIDE BETWEEN THE SOUTHERN ENTRANCE AND EXIT DOOR ON THE W SIDE OF THE BLDG. Emergency Medical Plan 01/18/2000 NEAREST HOSPITAL. -5- 10/23/2001 ¡, 1; - i e e F SOUTHERN AUTO SUPPLY I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001028 ì Fast Format ì Overall Site ì 01/18/2000 SPILLS VERY SELDOM HAPPEN, IF THEY DO THEY ARE IN SUCH SMALL QUANTITYS THEY DONT CREATE A PROBLEM. WE HAVE ABSORBENTS IN STOCK TO HELP CLEAN UP SPILLS. Release Containment 01/18/20QO LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE CONTAINER TO AWAIT PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. Clean Up 12/13/1990 LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE CONTAINER TO AWAIT PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. Other Resource Activation -6- 10/23/2001 €, ~ ~' 'i' e e F SOUTHERN AUTO SUPPLY I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-001028 , Fast Format ì Overall Site ì I 01/18/2000 A) GAS - S FRONT CORNER OF BLDG B) ELECTRICAL - INSIDE S SIDE OF BLDG C) WATER - FRONT OF BLDG AT CURBSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/18/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED NE, NW, SE AND SW OF BLDG. Building Occupancy Level -7- 10/23/2001 t', .~~ ~- - .¡; e F SOUTHERN AUTO SUPPLY I F Training Employee Training WE HAVE 25 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. e SiteID: 015-021-001028 ì Fast Format 9 Overall Site ì 01/18/2000 BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE INSTRUCTED TO MAKE SURE ALL CONTAINERS ARE TIGHTLY SEALED BEFORE MOVING THEM AND TO KEEP THEM FROM SPARKS OR FLAMES. INCASE OF ANY ACCIDENTS TO REPORT THEM IMMEDIATELY TO THE SUPERVISOR IN CHARGE. Page 2 [ I I Held for Future Use Held for Future Use -8- 10/23/2001 ~ - - CITY OF BAKERSFIEl¡D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f<'loor, Bakersfield, CA 93301 -:::¿-, FACILITY NAME ~~C.,.", t1dv S....I'¡P~ ADDRESS ~ too W,' bIt!.. eI FACILITY CONTACT _() «6'" 1\,Ll: MfAr-[- V'(" r ~_ INSPECTION TIME ~o IAA [I.,. INSPECTION DATE {I) .,/0 - 0 ( PHONE NO. ¥3 4 - </~è) BUSINESS ID NO. 15-210- 00 loz..B NUMBER OF EMPLOYEES :3 ~ Section 1: ~utine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pem1it on hand lei , Business plan contact infol11"1ation accurate Iv Visible address vi Correct occupancy 1/ Verification of inventory materials ¡/ , .I Verification of quantities Verification of location ¡/ Proper segregation of material ,/ Verification of MSDS availability ,/ Verification of Haz Mat training / Verification of abatement supplies and procedures ¡/ Emergency procedures adequate ~ Containers properly labeled ,/ Housekeeping ./ Fire Protection ,/ / Site Diagram Adequate & On Hand ( C=Compliance V=Violation Any hazardou~ waste on site?: ~ 0 No Explain: WO-.(:-t~ I') ì I II 0 ~_ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow - Station Copy Pink - Business Copy .J .. ," e .r JAJ:t /:;/ /BY: '''-..7 -- STATION 07 - ~~ -1",-'. ..:;;, I ~ SOUTHERN AUTO SUPPLY SiteID: 215-000-001028 Manager : Location: 4100 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 13C (80S) 834-4800 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD EPA Numb: SIC Code: DunnBrad:95-269-9155 Emergency Contact / Title Emergency Contact / Title DON MCMURTREY / PRESIDENT MARTY HAENELT / MGR Business Phone: (80S) 327-0288x Business Phone: (80S) 834-4800x 24-Hour Phone . (80S) 322-3404x 24-Hour Phone : (80S) 837-1841x . Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: ( ) - x MailAddr: 4100 WIBLE RD State: CA City . BAKERSFIELD Zip : 93313 . , Owner SOUTHERN ,AUTO SUPPLY INC Phone: (80S) 327-0288x Address : PO BOX 2426 State :. CA City : BAKERSFIELD Zip : 93303 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: F Hazmat Inventory One Unified List ì f== MCP+DailyMax Order All Materials at Site ì Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP UNKNOWN SOLVENTS F DH L 122.00 GAL Mod ANTIFREEZE F DH L 500.00 GAL Low GREASE/OILS F DH L 1358.00 GAL Min FREON F DH L 400.00 GAL Min I, (\\o..'("\." \\o..t.'f"-~\\- 00 hereby certify that I have (Tyþe or print name) reviewed the attached hazardous materials manage- ment plan for~c.....\."-,, ~~ ~~~fnd that it alonq w¡~h (Nama 01 Bu!; eas) ,- any corrections constitute a complete and correct man- agement plan for tRy facility. ~'\LL-~ ~onatu'8 -1- ~ \").-").~-~. , . Düre 12/15/1999 I~ , ,¡:.,'::_,.. :! ,. F SOUTHERN AUTO SUPPLY f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNKNOWN SOLVENTS e - SiteID: 215-000-001028 ì Facility Unit: Fixed Containers on Site ì Location within this Facility Unit FRONT DISPLAY AREA Days On Site 365 Map: Grid: , CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER· TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 122.00 GAL Daily.Average 61.00 GAL u P NENT %Wt. RS CAS # 100.00 Naphtha Solvent No 8030306 HAZARDO S COM 0 S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site ì Location within this Facility Unit FRONT DISPLAY AREA Days On Site 365 Map:' Grid: CAS # 107211 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 250.00 GAL %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA US DOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -2- 12/15/1999 -:. .... e ;"f SOUrHERN AUTO SUPPLY F Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GREASE/OILS e SiteID: 215-000~001028 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit W FRONT DISPLAY Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 1358.00 GAL Daily Average 680.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS F Inventory Item 0003 = COMMON NAME / CHEMIcAL NAME FREON Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility'Unit FRONT DISPLAY AREA Map: Grid: CAS # 75718 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average , 200.00 GAL HAZARDOUS COMPONENTS ~ No CAS # 757181 I 1::~¡oIFreon 12 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min , HAZARD ASSESSMENTS , -3- 12/15/1999 , ~ ,~ e e :'fSOUTHERN AUTO SUPPLYtsëëtsëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001028 i íëëëëëëëëëëëëëëëëëëëtsëëtstststsëëëëtsëëëtsëëëëëëëëëëëëëëëëëëtstsëëëëëëëëëë Fast Format i íë Notif.lEvacuationlMedicàl tsëtsëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Agency Notification tsëëëëëëëëtsëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/20/1991 i o 0 o CALL 911 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡r íëëë Employee Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09120/1991 i o 0 o ALL EMPLOYEES HAVE BEEN INSTRUCTED TO GET OUT OF BUILDING & FAR AWAY AS 0 o POSSIBLE IN CASE OF SPILL OR FIRE. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡r íëëëë Public Notif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/20/1991 i o 0 o SIGN POSTED INSIDE BETWEEN THE SOUTHERN ENTRANCE AND EXIT DOOR ON THE \VEST 0 o SIDE OF THE BUILDING. ~~~C ~\(3.~'S. ~C~,~ ~~ 0 ~~tt..~~~~, ~~~l~,\' ;ëë~~~~~ëë~~~~ëë~~~ë~ë~~~"1Fëë~¡ë~ë~~~~~ë~~~~f' '-o~~~~ , íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/20/1991 i o ' . 0 " , o NEAREST HOSPITAL ; ': 1. "" o o .. 0 åëëëëëëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ëë~ëëë~ëëëë~ëëëëëëëë~ëëëë¡r , , '.".- ,- , , J, , ' ,.t.. .' _, \0 f.-.-;-'J .' t, ~¡' e e , ' ". - c "'1 .. -.' ". e e '~-í SOUTHERN AUTO SUPPLY ~~~~~~~~ëë~~~~~~~~ëëëë~~~ëë~~~ SiteID: 215-000-001028 i í~ëëë~~~~~~~~~ëë~~~~~~~~~~~~~~~~ëëëë~~ëëëëëë~~~~~~~~ëëëëëëëëë~~~ëë Fast Format i íë Mitigation/Prevent/ Abatemt ~~ëë~~~~~ëë~ëë!~~~ë~~ëë!ë~ëëëëëë~~~ Overall Site i íë~ Release Prevention ~~~~~~~~~~~ëëëë~~~~~ëëëëëëëëëëëëë~~ë~~~ë~ëëë 12/13/1990 i o 0 o SPILLS VERY SELDOM HAPPEN, IF THEY DO THEY ARE IN SUCH SMALL QUANITYS THEY 0 o DON'T CREATE A PROBLEM. ' WE HAVE ABSORBENTS IN STOCK TO HELP CLEAN UP SPILLS 0 00· åëëëëëëëëëëëëëëëëë~ëëëëë~~~ëëëë~~~ëëëëë~ëëëëë~ëëë~ëëëë~~~~~~~~~ëë~~~~ëë~~~~~~~~Jf íë~~ Release Containment ~~~~~~~ë~ëëë~~ëë~ëëë~ë~ë~~~~ëë~ëëë~ëë~~ëë~ 12/13/1990 i o 0 o LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE 0 o CONTAINER TO A W AID PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. 0 o 0 åë~ë~~~~~~~~~~~~~ëë~~~~~~~~~~~~~~~ë~ëëë~ë~ë~ë~ë~~ë~~ëëëë~ëëëëëëëëë~ë~ë~ëë~ëëëëëJf íëëëë Clean Up ~~~~~~~ë~ë~~~ëë~~~~~ë~ë~ë~ë~~~~ë~ë~~~ë~ë~~~ëëëëëëëëë 12/13/1990 i o 0 o LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE 0 o CONTAINER TO A WAIT PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. 0 o 0 , , , åëëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ë~ë~ëëëëëëëë~ëëëëëëëëëëë~ë~ë~~ëJf íëëëëë Other Resource Activation ~ëë~ëëëëëëëëeëëëëëëë~ëëë~ëëëëëë~ëëëëëëëëëëi ' o 0 ... . o ·'0 åëëë~ë~ëë~ëëëëëëëë~ëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëë~ëëëë~ëJf ,." , ;' ......- (. . ":'. >'.i' , " e e ...... :-:. ,. '.. ",,' ..~ ; ~": ,Lc- ,;1_' ; .: ;:~.~>->':;,.: '':'.' . ...., ,Ô-) ;: /):{;~?,:;j:/\: .- . : .'- ", .12/1.-5./1999", ' : ,~' . . .;. ¡; ~ '.' . .' .,\ , , .,..,.'-'.... ~ ,- ~~. : .,. . '" (. .~~ ',.. )": " " " ,~ e e ;;"'i SOUTHERN AUTO SUPPLY ëëè!ëëëè!ëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001028 ¡ ~ëëëëëëëëëëëëëëëè!ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ . íë Site Emergency Factors ëëëëëëëëè!ëëëëëëëëëëëëëëëëëëëëëëè!ëëëëëëë Overall Site ¡ íëë Speciàl Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o ~O~L 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë.f íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/08/1990 ¡ o ' 0 o A) GAS - SOUTH FRONT CORNER OF BUILDING o B) ELECTRICAL - INSIDE SOUTH SIDE OF BUILDING o C) WATER - FRONT OF BUILDING AT CURBSIDE o D) SPECIAL - NONE o E) LOCK BOX - NO o 0 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë.f íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/08/1990 i o 0 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER'S LOCATED NORTHEAST NNORTHWEST 0 o SOUTHEAST AND SOUTHWEST OF BUILDING ' 0 0 0 0 0 0 0 .,....... 0 0 ., ,. o FIRE HYDRANT - SOUTHWEST OF BUILDING ON ~LE RD ' ' . o 0 ,..',..._, I , ,,:t. . . ',. :.:-:., . åè!ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëè!ëëëëè!ëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëëëëëë.f -,'. '. íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëëë~~ëëëëëëëëëëi,:: . . o . 0 I : ", .-, . . o "S- , 0 ,','... . ..'-,: åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëeëëëëëëëëëë~f" .', o . .' ~ .' .' ~ -6- 12/15/1999 .' .r e . /' ~¡~ /.... <? . i ~()UTHERN AUTO SUPPLY ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001028 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ , / íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ // íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 12/13/1990 ¡ o ~ 0 o WE HAVE }6 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE INSTRUCTED TO MAKE SURE ALL 0 o CONTAINERS ARE TIGHTLY SEALED BEFORE MOVING THEM AND TO KEEP THEM FROM ' 0 o SPARKS OR FLAMES. INCASE OF ANY ACCIDENTS TO REPORT THEM IMMEDIATELY TO THE 0 o SUPERVISOR IN CHARGE. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 ' o o , , åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëëëëëëëëf '. íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡' . o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf :; , .. ~-. ' " .. ,., , , " , .. .... .'~.. - ""'1, -'~ ~ . . , .. '.. " ',. -7- 12/15/1999 SOUTHERN AUTO SUPPLY e 0 ~(Ç~Õ~'¥~ ~ ! Y "B/Y) 4' ¡};..-- « SiteID: 215-000~001028 Manager : Location: 4100 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 13C (805) 834-4800 CommHaz: Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad:95-269-9155 Emergency Contact / Title Emergency Contact / Title DON MCMURTREY / PRESIDENT MARTY HAENELT / MANAGER Business Phone: (805) 327-0288x Business Phone: (805) 834-4800x 24-Hour Phone · (805) 322-3404x 24-Hour Phone · (805) 837-1841x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title f= Hazmat Inventory One Unified List 9 f== MCP+DailyMax Order All Materials at Site 9 Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP UNKNOWN SOLVENTS F DH L 122 GAL Mod ANTIFREEZE F DH L 500 GAL Low GREASE/OILS F DH L 1358 GAL Min FREON F DH L 400 GAL Min I, ~b \)E~\-\1.tL')A Do hereby CSi1iiy that I have (TVII8 Of' print I1Inrmt) reviewed the attached hazardous materials manage- ment plan for SouT.»f:W tJvJõ and that it along with (Name of BusÍl1&Sl) any corrections constitute a complete and correct man- agement plan for my facility. 'v kD\~ t/-/7 -9J Dale -1- r¡. . '. e - F SOUTHERN AUTO SUPPLY p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNKNOWN SOLVENTS SiteID: 215-000-001028 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit FRONT DISPLAY AREA CASt STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER NTS ED U Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 122.00 61. 00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOU STOR AND IN SE HAZARDOUS COMPONENTS %Wt. EHS CASt 100.00 Naphtha Solvent No 8030306 -2- " '. e - F SOUTHERN AUTO SUPPLY f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ANTIFREEZE SiteID: 215-000-001028 9 Facility Unit: Fixed Containers on Site 9 Location within this Facility Unit FRONT DISPLAY AREA Days On Site 365 CASt 107211 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 500.00 250.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt. EHS CASt 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS -3- i'- ."Î e e F SOUTHERN AUTO SUPPLY f= Inventory Item 0001 = COMMON NAME / 'CHEMICAL NAME GREASE/OILS SiteID: 215-000-001028 9 Facility Unit: Fixed Containers on Site 9 Location within this Facility Unit W FRONT DISPLAY Days On Site 365 CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 1358.00 680.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE %Wt. EHS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS -4- e e F SOUTHERN AUTO SUPPLY f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME FREON SiteID: 215-000-001028 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit FRONT DISPLAY AREA CASt 75718 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 400.00 200.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS ~ CASt 757181 I l~~~öoIFreon 12 -5- ';' e e SiteID: 215-000-001028 9 Fast Format 9 Overall Site 9 09/20/1991 1 09/20/1991 F SOUTHERN AUTO SUPPLY I f= Notif./Evacuation/Medical r=: Agency Notification L:ALL 911 Employee Notif./Evacuation ALL EMPLOYEES HAVE BEEN INSTRUCTED TO GET OUT OF BUILDING & FAR AWAY AS POSSIBLE IN CASE OF SPILL OR FIRE. Public Notif./Evacuation 09/20/1991 SIGN POSTED INSIDE BETWEEN THE SOUTHERN ENTRANCE AND EXIT DOOR ON THE WEST SIDE OF THE BUILDING. Emergency Medical Plan 09/20/1991 NEAREST HOSPITAL -6- 4 - - F SOUTHERN AUTO SUPPLY I r= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001028 9 Fast Format 9 Overall Site 9 12/13/1990 SPILLS VERY SELDOM HAPPEN, IF THEY DO THEY ARE IN SUCH SMALL QUANITYS THEY DON'T CREATE A PROBLEM. WE HAVE ABSORBENTS IN STOCK TO HELP CLEAN UP SPILLS Release Containment 12/13/1990 LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE CONTAINER TO AWAID PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. Clean Up 12/13/1990 LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE CONTAINER TO AWAIT PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. Other Resource Activation -7- 'I.,' '0. e - F SOUTHERN AUTO SUPPLY I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-001028 9 Fast Format 9 Overall Site 9 I 05/08/1990 A) GAS - SOUTH FRONT CORNER OF BUILDING B) ELECTRICAL - INSIDE SOUTH SIDE OF BUILDING C) WATER - FRONT OF BUILDING AT CURBSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 05/08/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER'S LOCATED NORTHEAST NNORTHWEST SOUTHEAST AND SOUTHWEST OF BUILDING FIRE HYDRANT - SOUTHWEST OF BUILDING ON WIBLE RD Building Occupancy Level -8- c' 'J ,'" ,(¡;. e e F SOUTHERN AUTO SUPPLY I F Training Employee Training SiteID: 215-000-001028 9 Fast Format 9 Overall Site 9 12/13/1990 WE HAVE 16 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE INSTRUCTED TO MAKE SURE ALL CONTAINERS ARE TIGHTLY SEALED BEFORE MOVING THEM AND TO KEEP THEM FROM SPARKS OR FLAMES. INCASE OF ANY ACCIDENTS TO REPORT THEM IMMEDIATELY TO THE , SUPERVISOR IN CHARGE. Page 2 ~ I I Held for Future Use Held for Future Use -9- Þ' <___~ - - --~œô"i~ v 215-000-~O 1 /8 OCT 11 9 rnJraqe 1 Fac. Unl. t, 1 95 JYI' ~ 09/11/95 SOUTHERN AUTO SUPPLY Overall Site with 1 General Information By= Location: 4100 WIBLE RD City : BAKERSFIELD Map:123 Haz:3 Type: 3 Grid: 13C FlU: 1 AOV: 0.0 Contact Name Title 'JaÑ \i\.(:..~v...'R ~~ I ~~\2.S ,~~""" Business Phone: (\b'S"") ~;)., _<:::>iI-~~ x 24-Hour Phone (%oS"") 3~ - 3~X Pager Phone : () x Contact Name MARTY HAENELT Business Phone: 24-Hour Phone Pager Phone I (805) (805) ( ) Title ",^""'---~~\ 834-4800x 872 911gx~~\-\ x t Administrative Data Mail Addrs: 4100 WIBLE RD City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STA,TION 07 Owner: SOUTHERN AUTO SUPPLY INC Address: P 0 BX 2426 City: BAKERSFIELD D&B Number: 95-269-9155 State: CA Zip: 93313- SIC Code: Phone: (805) 327-0288 State: CA Zip: 93303- Summary I. \\\0.. ~ ~~"",f<' \\ Do hereby certify that I have '&ypø 4r p nt name) reviewed the attached hazardous materials manage- ment plan for~~~~~ ~~~ that it along with any corrections constitute a complete and correct man- agement plan for my facility . ~&~.~ \~~~-~ ~1UIe óZ" .. e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 UNKNOWN SOLVENTS ? 122 Moderate ~ GAL 02-004 ANTIFREEZE ? 500 Low ~ GAL 02-003 FREON ? 400 Minimal ~ GAL 02-001 GREASE/OILS ? 1358 Minimal ~ GAL e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 UNKNOWN SOLVENTS ~ ? 122 Moderate GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days : '~'-oS- Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 122 I 0.00 I 612.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location ~~~\~ ~~~,~FRONT DISPLAY AREA - Conc l Components r; MCP ~uide 100.0% Naphtha Solvent Moderate 27 02-004 ANTIFREEZE ? 500 Low ~ GAL CAS #: Trade Secret: No Form: Unknown Type: Pure Days: .~\.oS- Use: COOLANT/ANTIFREEZE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 500 I 0.00 I 4,000.00 Storage PLASTIC CONTAINER r Press.T Temp ~_ Location ~w....~~~.....~ t.\~~~~4FRONT DISPLAY AREA - Conc -I Components Iî MCP ~uide 100.0% Ethylene Glycol Low 27 02-003 FREON ? 400 Minimal ~ GAL CAS #: Trade Secret: No Form: Unknown Type: Pure Days: '~'-.Q~ Use: COOLING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400 I 0.00 I 2,550.00 Storage [ press,T Temp ~ Location METAL CONTAINR-NONDRUMI~~~~~-~ ~~~~~~~FRONT DISPLAY AREA - Conc l 100.0% Freon 12 .:~ Components r; MCP ----rGuide Minimal I 12 i,. .. e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-001 GREASE/OILS ~ ? 1358 Minimal GAL CAS #: Trade Secret: No Form: Unknown Type: Pure Days: ~\.pS- Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 1,358 I 0.00 I 5,332.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location ~""'-~'\~'^--\ ,\=\"",'\.;,~......\l- W FRONT DISPLAY - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP -----p;uide Minimal I 27 <~ _ ~ r. e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL EMPLOYEES HAVE BEEN INSTRUCTED TO GET OUT OF BUILDING & FAR AWAY AS POSSIBLE IN CASE OF SPILL OR FIRE. <3> Public Notif./Evacuation SIGN POSTED INSIDE BETWEEN THE SOUTHERN ENTRANCE AND EXIT DOOR ON THE WEST SIDE OF THE BUILDING. <4> Emergency Medical Plan NEAREST HOSPITAL ~ ~\ ~ e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention SPILLS VERY SELDOM HAPPEN, IF THEY DO THEY ARE IN SUCH SMALL QUANITYS THEY DON'T CREATE A PROBLEM. WE HAVE ABSORBENTS IN STOCK TO HELP CLEAN UP SPILLS <2> Release Containment LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE CONTAINER TO AWAID PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. <3> Clean Up LIQUID SPILLS ARE ABSORBED WITH A DRY ABSORBANT AND THEN EMPTIED INTO A SAFE CONTAINER TO AWAIT PICK UP FROM A LICENSED HAZARDOUS WASTE DISPOSER. <4> Other Resource Activation ~ 4~ ~ ~ e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards I <2> Utility Shut-Offs A) GAS - SOUTH FRONT CORNER OF BUILDING B) ELECTRICAL - INSIDE SOUTH SIDE OF BUILDING C) WATER - FRONT OF BUILDING AT CURBSIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTI~GUISHER'S LOCATED NORTHEAST NNORTHWEST SOUTHEAST AND SOUTHWEST OF BUILDING FIRE HYDRANT - SOUTHWEST OF BUILDING ON WIBLE RD <4> Building Occupancy Level .....:; . :. ,;; e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001028 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 16 EMPLOYEES AT THIS FACILI~Y WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE INSTRUCTED TO MAKE SURE ALL CONTAINERS ARE TIGHTLY SEALED BEFORE MOVING THEM AND TO KEEP THEM FROM SPARKS OR FLAMES. INCASE OF ANY ACCIDENTS TO REPORT THEM IMMEDIATELY TO THE SUPERVISOR IN CHARGE. I <2> Page 2 <3> Held for Future Use <4> Held for Future Use · Bakersfield Fire Ifpt. ¡/ Hazardous Materials Inspection IS" éJC.i-11 Date Completed A""I-ð S ....,p{, Business Name: S ð t.-{ -Ii 'f!P;- µ Location: - '-j I t90 l(J c 101 'E t9ð;' 0 :J..ð-' Plan ID # 215-000 (Top right corner Business Plan) Station No. 7 '6 ~ Lu, ~ vq. ..5 C- Shift Inspector RECEIVED OCT 1 7 1991 HA7 MAT. DIV. Adequate Inadequate Verification of Inventory Materials [Sf ~ rn M Verification of Quantities Verification of Location Proper Segregation of Material Comments: Of(-- Verification of MSDS Availability Number of Employees J ~ o o o o ~ Verification of Haz Mat Training o Comments: D o Verification of Abatement Supplies & Procedures Lf] Comments: o Emergency Procedures Posted o &1' Containers Properly Labeled Comments: o o Verification of Facility Diagram o Special Hazards Associated with this Facility: Violations: o FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office 10/23/90 SO.ERN AUTO SUPPLY 215-000-.028 Overall Site with 1 Fac. Unit R E eEl V E 0 Pa 9,e NOV 3 0 1990 1 General Information ........... Location: 4100 WIBLE RD I Ident Number: 215-000-001028 I r- CC'Y'lt act Name BRYAN MANN MARTY HAENELT Map: 123 Hazard: Moderate Grid: 13C Area of Vul: 0.0 Title I Bus i Y'less PhclY'le --r 24 HCll.n~ Phclne (805) 834-4800 x I (805) 832-5190 (805) 834-4800 x (805) 872-9119 Administrative Data I I D&B Number:o..'5-~\c~~ \SS' 'II State: CA Zip: 93313- SIC Code: I PhclY'le: (C¡(:)S)'?>~\ -(:)~Y>~ II State: CA I I Zip: 93303- I I 1\ I II , II II I Mail Addrs: 4100 WIBLE RD City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION 07 Owner: SOUTHERN'AUTO SUPPLY INC Address: P 0 BX 2426 City: BAKERSFIELD SUfl1rIlary ~~~ }Jer' ~ ~ ~,fAtJ C10 ".-..}: ~/ ....71 \~/ ~ I, "'<::>"0(;" \.-- ~~""~\\- Do t1ereby certify that ~ haY~ (Typs & print naml&) l7.oy·,e'wð-' ~:-f'.\ -.:Ittar.!le"¡ ,-.. "':0'" ,.',., .-, "Tlatðr,'als manago ag ,-,U \: i':. ..n '..,. ~,; ~ ,..'.,:';\ t,.:, .';'¡~1 I "" ",0 ment plan fa¡~~\'œ£~_. ~y'-'~:¡nd that it along, with \.',;;~,;',';;:. ...¡'¡ ~:.!!tf;~:.-f.::-) any correctIons cO·1sí:ilutÐ a complete and correct man· agement plan for my facilíty. ~*.~ Ignature \\-ð~-'\C) Date '-'·---7_ II ~._~(#",. .' ~ '.' ,_,~ .. ~_ 10/23/'30 SOUTHERN AUTO SUPPLY 215-000-001028 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pin-Ref Name/Hazards F Clt~m 02-002 UNKNOWN SOLVENTS ? ·1.1 "" Page 2 Quarlt i ty MCP 122 MCldet~at e GAL 500 LClw GAL 1,358 M i rlÌ fila I GAL 400 Mirlimal GAL 02-004 ANTI FREEZE ? 02-001 GREASE/OILS ? 02-003 FREON ? _I .: 10/23/'30 SO~ERN AUTO SUPPLY 215-000-~028 00 - Overall Site Page 3 <D> Notif./Ev9cuation/Medical <1> Agency Notification CALL '311 <2> Employee Notif./Evacuation ALL EMPLOYEES HAVE BEEN INSTRUCTED TO GET OUT OF BUILDING & FAR AWAY AS POSSIBLE IN CASE OF SPILL OR FIRE. <3> Public Notif./Evacuation S \~ '<\ ~()S\- \ \\ So \ ~ E: 'Q:,{2~ ~ ~ '\'\E.. ~~'-'- "'" ~~ ~....:> ___Q".....:I c... ~ ' ~ '" &. ~"X \ .... ~CD~ C,)~ \"~E: \...>.:>e:., <:;\~~ ~~ ~\\t2. ~\",)\~~\.....)c:,. <4> Emergency Medical Plan NEAREST HOSPITAL 10/23/9Ç> SOUTHERN AUTO SUPPLY 215-000-001028 00 - Overall Site Page 4 <E} Mitigation/Prevent/Abatemt <1} Release Prevention SPILLS VERY SELDOM HAPPEN, IF THEY DO THEY ARE IN SUCH SMALL QUANITYS THEY DON'T CREATE A PROBLEM. WE HAVE ABSORBENTS IN STOCK TO HELP CLEAN UP SPILLS <2> Release Containment \ ',,\ ,;,\Q. s.~\\\'2) o...,,~ a...'o':>c~e..& ~,\."" 0-. &", o...~~~~~",- \- ~~ ~"'- e.""'~~. ~"'- ~ 0... ~~~~ C'..c~ \-o..~",~, \~ O-'-'-.)c....." \- ~·'L\:.- '-'-~ Ç-"övv.... 0.... \ ~ ~ ~"''':.~~ ~~ zo..."'Ç"-~C:>,-,- ';;. \..)..J o...~ \e.. ~ ;~ ~(:::) s.~ ~ . <3> CleaY"1 Up so.:.~~ ~~ Q... ~C)V ~ <4} Other Resource Activation -' . i 10/23/'30 SO.ERN AUTO SUPPLY 215-000-_028 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards (2) Utility Shut-Offs A) GAS - SOUTH FRONT CORNER OF BUILDING B) ELECTRICAL - INSIDE SOUTH SIDE OF BUILDING C) WATER - FRONT OF BUILDING AT CURBSIDE D) SPECIAL '- NONE E) LOCK BOX - NO I <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER'S LOCATED NORTHEAST NNORTHWEST SOUTHEAST AND SOUTHWEST OF BUILDING FIRE HYDRANT - SOUTHWEST OF BUILDING ON WIBLE RD <4} Held for Future use 10/23/'30 SOUTHERN AUTO SUPPLY 215-000-001028 00 - Overall Site Page 6 <6> Tra i n i rig <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY \~ DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? ~~~ -,V"\ ö~ç,' c..~ BRIEF SUMMARY OF TRAI NI N6: r- ~\ " <:> \ \ ('\ .I. .......... \, '" (0-'....... " ..-;:.. 'fY"'." OD,,\ e..~'::. C>...'Ç" ~ "'-v-- ~ ~'{''^--~'<t.6< '~C) ",0.."'..... :::>\..>.:.,_ 0.... \ \ Q.c:,,,,,, ~<::""''''''~'.s ~'(' ~ \. ~~ "" \-\~ '::.<ii!..""-.. \~ ~c::,,,~ ~C)~" ~\"'~"""- c...""-~ .\¡-(.;::, ¥...~~ \-\--<;!..,^,,- ~,{,O""'-. S~","v...'3, C:>~ ~\o..""-'~s. YO ""t. 'A. C-e>..."':. ~ ~~, c...~,\ o...<::..~ "'-~~"" \..s, \c:, "f'~~ö~~ ~~~'M.. ',^"",^~&':"<:>..~\\ ~ \~~ ~I...>...'~"""~c,, ~'" c-\r-..<:)...~~. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 4t' . '*":!, .~ .:~ e e BUSINESS NAME SOUTHERN AUTO SUPPLY LOCATION 4100 WIBLE RD ID NUMBER 215-000-001028 HIGH HAZARD RATING 3 .::iI.., "" 1i::::::U '....",1· I¡::::::: n:::;;~~ '1"",,1'::11::: ¡¡:::::::: 11,,11,,11 LAST CHANGE 11/29/88 BY VAL JURIS CODE 215-005 JURIS BAKERSFIELD STATION 05 MAP PAGE 123 GRID 13C FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) JIM LEONARD, MGR - 834-4800 OR 837-0763 MARTY HAENELT - 834-4800 OR 872-9119 UTILITY SHUTOFFS 2A SEC 3) A) GAS - S FRONT CORNER OF BLDG B) ELECTRICAL - I/S S SIDE OF BLDG C) WATER - FRONT OF BLDG AT CURBSIDE D) SPECIAL - NONE E) LOCK BOX - NO 4_ LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 11/29/88 BY VAL 2A SEC 5) NEAREST HOSPITAL 1ia1ph W~ ~ Ctu±o ~~ CJvIJ- -to ~ ~ O~ L»úL \. ~kt.D .I)~ ~~ ~cL rrJ.M - ~h ~vð- . ~~.~ ~~ JrmqI/L- ~ PA.GE 1 11/29/88 17:06 MATERIAL-SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SOUTHERN AUTO SUPPLY LOCATION 4100 WIBLE RD FACILITY UNIT 01 10 NUMBER 215-000-001028 HIGH HAZARD RATING 3 A_ OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 11/29/88 BY VAL ID TYPE - i'~At1E LOCATION MAX AMT UNIT HAZARD CONTAINMENT USE 1 PURE GREASE/OILS W FRONT DISPLAY PLASTIC CONTAINER[S] 10 PERCENT COMPONENTS 2808.00 100.0 MOTOR OIL HAZARD LISTS UNKNOWN 1358 GAL UNKNOWN LUBRICANT 2 MIXTURE UNKNOWN SOLVENTS FRONT DISPLAY AREA PLASTIC CONTAINER[S] 10 PERCENT COMPONENTS 1203.02 100.0 NAPHTHA SOLVENT 122 GAL EXTREME CLEANING HAZ:!~RD LISTS EXTREME 3 PURE FREON 'FRONT DISPLAY AREA METAL CONTAINERS ID PERCENT COMPONENTS 1086,04 100.0 FREON 12 400 GAL LOW COOLING HAZARD LISTS LOW 4 PURE ANTI FREEZE FRONT DISPLAY AREA PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 2802,00 100.0 ETHYLENE GLYCOL 500 GAL UNKNOWN COOLANT HAZARD L,IST~) UNKNOWN B_ FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 11/29/88 BY VAL 3A SEC 4) FIRE EXTINGUISHER'S LOCATED NE NW SE AND SW OF BLDG 3A SEC 5) FIRE HYDRANT - SW OF BLDG ON WIBLE RD PAGE 2 11/29/88 17:06 '....... ->=.- ,. ,'\ MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 - ~-- . -:.4 !>~ .. - e BUSINESS NAME SOUTHERN AUTO SUPPLY LOCATION 4100 WIBLE RD ID NUMBER 215-000-001028 HIGH HAZARD RATING 3 D_ EMPLOVEE NOTIFICATXON / EVACUATION LAST CHANGE 11/29/88 BY VAL 3A SEC 2) ALL EMPLOYEES HAVE BEEN INSTRUCTED TO GET OUT OF BUILDING & FAR AWAY AS POSSIBLE IN CASE OF SPILL OR FIRE. IE:;::: .u !I"·'1i::n:: '"11''' :::n:: 1I:::::;ii :te'l: ....II"'" :::n:: 1[:::11 W","!! ", ", ", PREVENTION / ABATEMENT LAST CHANGE 11/29/88 BY VAL 3A SEC 1) SPILLS VERY SELDOM HAPPEN, IF THEY DO THEY ARE IN SUCH SMALL QUANITYS THEY DON'T CREATE A PROBLEM. WE HAVE ABSORBENTS IN STOCK TO HELP CLEAN UP SPILLS PAGE 3 11/29/88 17:06 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ~ r:-.i' I ,"t . '. . , i BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 R E C E ! VI 0 DEC 2 9 1988 OFFICIAL USE ONLY A 'J nlly,u............ lO# , BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2.' TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4: Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA' A. BUS ¡NESS NAME, Scu. \- \......- "'- (\~ . S '" ~ \" B. LOCATION / STREET ADDRESS: L\\a~ "~\-e..' ~ .\ CITY: ~CJ,.\.~'t"S\\e..\Q ZIP:'\ ~~ \~ BUS.PHONE: )~~~-'-\lsD~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material. call 911 and 1-800~852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office ,of Emergency Services as required by law. E~PLOYEES TO NOTIFY IN CASE OF NAM~ND VTLE A. illC1.. r "" \\c,. ~ 'C"""\ Q.. \ \: \ B. ~Y'\~~ ~~a&. S EMERGENCY: DURING BUS. HRS. AFTER B~S. HRS. m{:,..ÇL, Ph#~~'4. - "-\ ~ c ~ PhI ~'\ ~ - ~ \ \. ~ Ph#~~'-\ -~~Da Ph# ~ .~\- C\i.~ö SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE ~. ~~~~~;¡::t~~1'z~~~~~\~ ~;~~~~\~~~-:, \~ ~~~ D. SPECIAL:' " " , ," E. LOCK BOX: YES /® IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO I 1'- - 1;\ " · -- ~ c¡ i ~ ~ SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Na\..)~ SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE \...J..J "', ~ '- ~ V'\ \L. \'<\ ~ ~ ~ c:..c.. \ ~ \ " ~ ~ ~ SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH ,PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAI~ING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~TERIALS: . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:...,.,....,.....,......... C. PROPER USE OF SAFETY EQUIPMENT:.................. D. EMERGENCY EVACUATION PROCEDURES:.............,... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... INITIAL REFRESHER YES ®.> YES ® YES ® ~NO YES ®:> YES ~ i5 NO NO YES YES YES YES SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO QR NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL 'IN' QUANTITIES LESS THAN, 500 PO[~F A SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:... ... YES NO I, ~a..,,~ \.$:).~ ~E?~ \ ~ , certify that the above information is accurate.' t understand'that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNATURE~...~ ~ , '. \' , TITLE """ (;J.. '" ~~ ~ " DATE 'do \d.\ \~~ ,. .. - 2B - '" - ~ ,., BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL CSE ONLY ID# BUSINESS :-:AME: ------ BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned by: 2. TYPE/PRIXT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. , , F ACIL lTV OHITtS?" \,.,; ,~s,. FAClL lTV UNIT MAIlE: ~,,~~<'_ ~~\c, c;",. ",,\ '\ SECTION 1: MITIGATION. PREVENTION, ABATEMENT PROCEDURES $...)" 0... -\- s ~ \ \ \ ~ ~ ~ ~Q... V ~ ~ '("' ~ ~<:;;. \. ~ ~ ~ \ ~ c v..A... <::;-.. "'- JJ.. ~c::. ~ ~~ \ \ \-""'~ \- -\'"'~'-\ ~'('~ s <ì:........... \- ~'ç::, "Q..~ \ ~"'c::.\a\4it.:",^-.. Co. \ ~~..... ~ 0-.. '" '-\ cs. ~ \. \ \ I '-.J ~ '-.)... So 't- \.).,J -(L \t... Q.. ~~ \, --.. S\cc..::. \.... -\-~~ t:) "'- ~:~~ ,~ 0.. \0 ~ \' ~~ '^- -\= s. "'-- ..L~ SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY \\ ~ \\ ~"""~\~'\ ~~S <k'~~~~',\~, ~',\-" ~"'~ ~~Ù~ ~ u.....S~ \-~Q.. ~~~'('~s. \- ~~S~\~\~ ~;,-\-\ ~'" ~~~ ~'V~"'\- c.~ ~ ~~,~.. a",~~ ~'--- \- ~\ ~~Q... ~~,,\~\~ Q,." c ~ "" 0...1...>...) ~ '-\ ~ ~ '" "" c 1.....0 ~ ~ ~ ~ \- ao " ~~e..,\ ~Ö<;:;t~\~\~ . - 3A - · -- , " " '] " Ð SECTION 3: HAZARDOUS MATERIALS, FOR THIS UNIT ONLY A, Does this Facility Unit contain Hazardous ~aterials?. , ® NO .If YES. see B. If NO, continue with SECTION 4, 8, Are any of the hazardous materials a bona fide Trade Secret YES ® If No, complete a separate hazardous materials inventory furm marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes. complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIR~ PROTECTION~. . \ \ f\ \.)..)~ ~".iè:... ~,~~ Q.')(.-\.\Y""-~\')""'\~\...~"'S cc..~'\-~òl ,....... \~~ ~o-;\-~~c:...~~'/ ~Q~\.",",~'~~\-" ~~\.~~¿,.~\' j,~':"&' \-\.... ~ <;c........\.-~~\L~-\- c::..Q,~ ~~'\"'~ e:,.ç:; ~\-...."- ~..:.., \~~"'~ SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS ~~\'-~~'Ls\- I::.~ 'o~',\Q.~,^-~ ~............. ~',~\~ \<-&. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GASiP.fi.~"..~Æ-·: Sc:.........\..,,""-'~s. ~ t:..c~ ~ ~<- c \..>....\~/,~Q.. ~ \ ~v.:,\~,~~ , B. ELECTRICAL:, \ \ ("' \ V"\~'\&'L) 0., ~~(""C~\~~\'\ \S ""t\, I \...J...)o... \ \ ~~.:,,,~,,,&.,~,,,,-\~{'" ~Ii!..s\- ~.ç ~~'-~ &'0<:)" j C'í"\ ~ ~~\\ ~~ b~,\&,~~ ~~',\~~",-~ \0 SC) '^ \.~ l" WATER: 0.. ~ ,-~','c~ ~&~ , "" ,,'("'-C '-"- \- ~S· 0, SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, SITE PLANS? YES I NO FLOOR PLANS? YES I NO MSDSs? YES I NO KEYS? YES I NO - 3B - i Ii , , ~. -~~~. ~ . BAKERSFIELD CITY FIRE DEPARTMENT I ,D. # FORM 4A-l Page \ of ~ NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME :~\,),.\~~,,"'- ~.....~ C: \ OWNER NAME :<sC)",\"'~~~ ~~ ~.......\~,,-, ~~LFACILITY UNIT #: £~ ADDRESS: 4 \~C:. ~--...~ .:>"-. ~ \' '-'\ ADDRESS: Ç>.C\ ~¿~'y'~U"'\ C}LITY UNIT NAME: CITY. ZIP: 'e:> -, \J..~~"'~S, "\ ~~~\~ CITY. ZIP: t'-..."" \, ~- ,\.;" ~ \c\l ~ "',\,:~.{'.~ PHONE #: ~'~4. -L\~aD PHONE #: '^ ~à~\ C)~~X rOFF IrC I AL USE CFIRS CODE ... ONLY 1 2 3 4 5 6 - 7 8 9 10 TYPE MAX ANNUAL' CO NT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE \~ ~\ ~\i. \ a~ I....;)Q...~T ~\OE" ~~ S \o..~ \.~'^-~ ~"....~~ ,i=L '~d- <:'<L>('"\.4-r- \:)~'":>~\<::>..,,\ E: <:J.... \. \... e.." - G:c.. \ f6~ E......\- '!o'~e: cO¡;: Cc..o;......,e.-r ~"'òI c;.\I..s....~ I C~\CY'o;~Y"-...\-<¡;, ),C) '5(:) ad.. ".."'\\... .;,~ c::,ç A ~~\e. \) ,~L Ç'\.....,. ,<:.. 5 SO Lß$ ~~~4\ d.-~ SO.....I.¡-\-.-c;.~&"!, ò~ (\,,":>\~ Ç) , ß öà,\ s:,:.~ \\oe..-,<¡) I\- R~",,~~~ \ ~L ~\.,,,- ic. \(::) o~ to...\ e.b.'("" ~C«'\- 'v--. E:. ')( ~ T p., 'r\ \. ~ ~ t¿" ~ e.f E: \- '" '-\ \ c:. \ ~ c..c \ \.\a~ SDOC Go F\L ç>\c:..""~~c ?L '6 \CI { \:3> D~ SO,"" \-\--e..o"",,\- ~\aE: 00;;:- Ro..~,c:o.. \o~ \-\!~. ~' <.I I 'Se."", \~ "'"' \-~ T~L ~a (;~~ 'ó'\~ ~\. 3\..\ Ç:I.,\~\e \-\ ' '\ \ve.,;;, ,\ _r> -- · \C>-'I~, sC>.....\-~<L"""::>,.. ~\~E" c,0;;:- 'ç: "- \..).. -... t::> -L\S ~ac G.~L (V\~~ 0\ ~ .,c:, \e. G:- ß R~¥..€ P\~L ·O\~ ,< ~S \ \S- \c, J \3 \ Q\ N.C>"'~~~í.&e. o-Ç 'Ç" u.. ~ \ ~a,\ ~Å.~~\-'\ve.S \=L ~~L ~~:t"r Ç\~~\~ ¥\ L~~ $:) I\\\ur-\-~\.J...)~,,> -\- c:.c... "'~ (" r\~o....... ,~ t"\. _ \'. \ _.,... .... \0. C. N\=\...G \..\C(:) ~s...-c \'C'\~~\ \D <::>~ ~,-,,", \& ~ '^-l'\ - .~ - \Q ~~ I~~.....~n ~....\\ I "X>~I.--.,,>,ðte. r<'\~ \~c.n<e.. Ç"L ~':~~~Òt;);,\ S\ saG G:~\... fI \ C>.'"S~~c:: ~, Ç\";<.}e. J:, ~Or~ t a\L~ \\..":. e... . n. 03 so.......\-\--<L""-~;- c;.,ðl.e. a"r H'~'~O ~ Q.. ~ 'S"'\ ~ ~ S \?.- 0... '-\ \~ ~O ß.~L (Y'\ ~ \0.\ ".),~ Ne.....'t" Ñ.o......\-\--... ~ "x.\-\- - \~L e \0 '...... .ç '1'"0..... \- c'i' -\"'" <L ~(>.. \- "'- T ~o...V'\.~\¡~,~~,,·c"'- "Ç\.....:,~ Boo '"' I ~co ~~L p~",,\- ,~ ~lo "\- "~-e.. s.c.~ \-". c.c:u..'l"\ \e. ~ ~L L~$ It;) J ti-\ Sc>~\'''''',&¡¡" ~~ G: ,... Q.. 0...'5 eo l a ,\s \=L \Co ~6D I~t:~ ã.~ ç\ ~"'::,\E!. <?,; \3, No.... ~"'~o..... + ""\òLe. \-\o..~~ ~C:> ~~D UQ~ ('<'-.....~....\ CJ% c~ ~ ,-:.\e.. ~ c.... \ Q...~ '" ~ ~ FL ~",,"'6"" \~(:) \1::>/,\1 Ç<",-<::.\,- e..,~ c:s:......~ c>' f\''Oo\e.. $ Cc.., <:\ ~~-{e..~' .~-L--, '-\5 L~~, ~....~ o £3, )..\c.--\-\... s',ck c~ Ç\.\~ \e... t) ~cc:....Ç>~ 'D"î~:f:c. ' ". , ' -- t."""'-' . ......... f'\ .". t'\ l\\ NAME: \\\n.......\..,. \.}.r.",,",-o\"t- TITLE: V'Ir'\{)... _~~ 'C'" SIGNATURE: \\\... ~ ~C'\ ~J~ DA TE : \'à. - -J."\ - ~ 't EMERGENCY CONTACT: {'t"\.........L ~o~""\~ 'l'r\t...."'--o...~ E: _ t?HONE # BUS HOURS: ~'~'-->... -~ ~a~ T LE: , AFTER BUS HRS: ~\~ ë"'\\\~ EMERGENCY CONTACT: \::.\ ,,"",~,\c... ~ :e ::: & s.. TIT L E : PHONE # BUS HOURS: ~~"'- ~ ~bt:"ì PRINCIPAL BUSINESS ACTIVITY:~~ e..~a..\~~ ~~\-c......~\ ~, ~'-~ 'Yo...-~~ AFTER BUS HRS,: ,~'~ \ -~ ~'S l-.... .- - 4A-l - R^KERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUS I N E S S N A ME . ~'-" \-\'"',~:,"'- \\..'* c;~~\ '-' c.~~-- ,~ 1. D, # Page I , i '"""\ '""'\ ! ~of~i I I OWNER NAME ·SC'. \-\...Ç..~ ~ ~ ~'-'--~\'-' '\ 'r FACILITY UNIT #. S ~ \ . -u.. ...... _co ~ ADDRESS: ~O ~ ~ ~\c\~ Q ADDRESS: ~ ,(, ~C<. )( d...~ ~\. - FA ILÌTY ÚNIT NAME: ,CITY, ZIP: ~~,c;,V-," ~ ~?J~\~ CITY, ZIP: Þ.. 0", \.¡ '" _<' L. ~\ðJ '-\"""'....., PHONE #: ~:'1~- ~~DD PHONE #: ~À\-Dc';;)..~'6. TOFF I,.C I AL USE CFIRS CODE ~ ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY U.NIT WT. CHEMICAL OR COMMON NAME, CODE GUIDE ,q:';):I\1. ~c....\\,,~~..-\- '5,&~ S \ ' -\- \ <:..<:... ,\0 ~S \Sa G~ L .~!-~} e::,'t.., ~ç ç\ \ ,,:>\e.. \-\ e:. v 1L",- <:"0," '\ c'S.~\I ~ - coo..\~..... v-.. 'it ~ T pc..ç \... '~~'C~. \ Ñô"~"""""<='''>-\- <;"clt. c.\ ~~ X".~ '\ - SQ '\ 0.... '-\. \0 \'~a G:~\.. $\Il.~\ ()~ <::>\ ~ ~":> \e. \\ c. C>.. ~ \c \'<:. ~L - l~ N<:>{"\"'~~<;, -\- <¡, ,&e. ~~\... a~ 'S¿\$Q..~\-~ '- ~CJ..M~ Å..~~ \0 '\C'\ (t\ .L \ ~r;.. ~'~e. ~ ~ ~'=.\=L ~ ß¡t\L \~ \ ~c.... \'<-.-.;><>",,--\- ""<!ll! 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E : ,tV"'\. ~ ""- c::1... ~-r-' \ PHONE # BUS HOURS: t:¡r. ::'\..1. - '-\~C Q, I ~ EMERGENCY I PRINCIPAL ~ \ CONTACT: Ç\\,"\',~ ~~(',.&s" TITLE: BUSINESS ACTIVITY:W"c.\~c::..C>.\~ ,~",~.',\ "ç; Ç\......~ ~<:....~~cp - 4A-l - AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: ~'\ Á- '\. \ \~ ~~~-~~C)o ~~\-~"?:.Sö " , ¡ '. :I~ . ,_~. ';" '., :.a, !W' . ¡ ;' " .' , , '.' - ~. " .' ì ' ;:: ;" (i,:,;" : ":'; , ;,: . r :;~::~,:;,::>( :j,i;::'r/JiJ:,):tli ~~' ~''¿fJ'',' 'Õ' "r";"'~' """, ..,,' ,', ""¡',"''';' :'~, . . '._' . '~, . " . - . . -, . '. ~ . , , , , S:!:-rE/FA~IO~':~ -::J:!:#0;2 6". J' /}U 5PJ'7 BUSrX~Ss NA;\iE: ~~u7?f:"e/j/ ~rt:J, FLOOR: / Of I '. ' 'I ":' . ~.,,'-!', ~ .-:. . -. . ~- .~ . ¡ '.... , ~9,RTH .. SCALE: "'it; :¡¡::,:::. DATE'~;~\d.:\\~}~FACrLrTY ~iAME: '", r,' j:; ,:):;': {.L ,; ':,,[,,', (CHECK ONE) ¡'¡I:::, ~ Lt 1 :! i: ,: ". '" I ¡;:¡ i:: Iy;, ¡'.- " " ,.f,f', , i ï ~~~' 1 'j.!:¡'J"~,',._~:,..,. . ,~i.é ';4~~ UNIT ~: OF S !TE 0 IAGRA~r ¿,..--' FACILITY DIACRA~ lJ' N. -- ·';·~t ' .. , ,,':, ,VIlC #1 :~r , 1-'" . -:Co,. ";' T! ' , i -'i .. , : ; .. " ~",-~"'b/ßt~ K¡) 'V, ~-" .. '.."~' ., ' ' , . ,~ -_1 " ';' , 'to ;, tIJ #' ~ 4/ ó() ;'~ ~ ~, ~ ~" Gt9.s , smíl~N \\. " ~ ~ ~ ~ @ !' . \ ~~rHEM ' : Al-lro ~iA~¿Y' I.. . ' , , , , ' , , '\ ~ 'I , ~ ~ f~ y ~'~ ,,~x "z. ~ , ' A ! !:-y ~y 'fry " ' " , , i, " ,: ;', ~E.R. ~\'^A.o.'<\c.~ . ';~;~~~~" -..-- ,,), !~.~Y'\e..;' >1é'RA-G-€ yr¡ /l./) < I ,:: (/n;sp,;-~,tor s '1'-:" '(" I'::' , Commen Cs ) : -CFFICIAL USB ON~Y~ " , i \ I ¡ ¡ ¡ ! ¡ , ' " , - SA ; '''. ie' , ' i"J,... . . . " ~ .'" . j' , ,':.,f':'~,':;.;:~;,~;lj:;:f£JA:~\'" '"1 ':ì··'f~¥J;~~I¡Wi7t" il¡'iii~~~' , ..', ""~,:":--:i'7TU~:.' ~:',;/:::~::.; SITE/F~CIr..ITY C:rÄGRA...'1:~ :',;,:: :", ".,:, " ,;,:;·:"',:".:';r'i':..FO~:,1 .3';""',:.';~#t,:~,l q'¿~ ,,":'.., :',' " ,',' ..,,",~,:,·"'·,·:::l""\1V" ,I"C',' ';, ,': ,..,'...',,,; h ··'''~·'''ÎI\ø,,. .. , ';""'r>, f:1 .' ~ :'¡ 1 " , : I, t: 111 f ;' , ~~"..V\. '~~, ·RF I, t,'·I'. :i NORTIC" "·.SC~t.;:; ',', ü,ni,!Y:¡~W!:~"¡: ~. I " ¡¡/!;'i:~J¡;-1 i ~Ar_·\'~'d.ì/~~ ':: ":,1,,, !:,.I ' " .1 BUS UiESS ......";.., 'r: ;,': .,' OF' ¡. FACILITY r: ,...,. {¡¡J'¡:'~r;';;,'i; "";,"'1',,1,,(,11..,; "(CHECX '~:;' ·.:....~H : 'I' ,: ¡ 1 ' ( . ONE) SIn: 0 IAGRA.'l '!..:, ,;;', " ¥AC;~ITY DIAG~~ "':,'/ 'V, ,,' , , " ,'. , " ~ ~ -.. ' ' -' , -.~.... > .:...... -, ~,.. ,: .. ',.¡.'...'r," : '::;;.:' , t:-; ,;,,;~]:~"'t~;~';~: ':;,' :''-.0 Ñ ~"'t'f,..'~..... ' ,I' .,". ~ I; ,',.~~, , < \ ,,' ~ ';." " ~, ~,' . ',,", :,',:, ',,,.i~-;:;"" " , {'1: ;'. ~ ~ I :: ,< ',::. ¡ .~ . . ". " . "i,:, ,i,'; ý, I,;: :;'èi~i;~-){; ,;.:/;Ò:;,:; )h:~:~::'~":'¡; ";:":;",,< .,:i(~!!~ ii" ~ '" " '" ,. ,", ,'., ,~"~,,)..,,,,], ,,,,i "......,',', ')"'!'" '~''''(·!f;"vtWftØlIG_L..'' ," ¡, . ..'".~ _._,'..~':' '/'"i~7-;.~'riW~~:'~;' :';~:;:;,.;\;,'~'/m};:j;\,\i;;:~:;¡:i;';f;;~i;~~;;:~I:~{~tt~i:\+,;~'¡;":'\~:~:::" ~ ¡, ;',;!/: ;', ' '- "l" ~rIMr; (ii;': ~~~j;::~~i; ;:~~t;j"'~.'..:,!"'.;,1,,',.~,',',::,.,I'.(,'"f¡r,:,1,}r,f.;~,·,¡,¡_i,:,¡j,~~¡,',.,¡!:,!;,~,~,rl'¡~dO~,¡i:::l,{,¡:,r,:i,t.;_!.,'~,~.".,:,:~.;,i,:,.,~.:,;,':.~,.,'¡,'~,~,~",.!,,',¡,Î,~,.,;,:,',~.',;,:, ¡~ 1j,~,'_',',:"'·"~'.':1"';.'.;,',>," ,:W!~,tf:::,I~,'i,,;:'¡~)';:': " . ' . _ " . "~',,' .. ,,_ ,'", .~ .' '" <,·,A"·,:'·..':':~,:' ,\ ", :~ ~ '1-'" ·_,::X)·,> . :r,:~':r;;~h,~; ";~ t -; ~ r- '. ) '" .~,I· , ~ -; ''j ,;..... .- ," --'. '~'¡~'~~-~~f¡':'~:~: r~n:l'~ ·h· (',.t' "" !,..' t ,...." ¡-, t.':;",;\"",·(~~, . , .' f: ~ 'I. ~.': \,' ~ -!:~ '~'~~~::'1 ? .~.' -~.. '" '.;: ..-.r'~ " r ~... f.ììì ( . "C 3':' ,-""./ ""'" J'- "~. -' - () e BAlŒR!iFI ELIf CITY FIRE DEPAR.!NT ,Cf -;;¡q - '6 7 " 2130 "G" STREET BAKERSFIELD, CA 93301 () (805).326-3979 . t;;)3 -13 v @ J:,JSP 11 eX::;: 001028 --'--1 ~~ c:rJ2f2-Gt- lJ 1 OFFICIAL USE ONLY ID# USINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4, Be as brief and concise as possible, SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: ~ 1.¡"rl,.fG~,.J fju "/0 :s Vr'¡;JL ý B. LOCATION / STREET ADDRESS: C lTY : ' ¿$If K e-¡e..s ¡:: lIE r-:2) 4/00 W,BLE- ¡ßd. ZIP: 7331 .3 BUS.PHONE: (.f'l.?S) ý.)4 - 4J 00 h~;SE(;~ON 2: EMERGENCY NOTIFICATIONS ~ . In case of an emergency involving the release or threatened release of a . hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office,of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE }¡ ~..ILL) DURING BUS. HRS. A. Jí 1'-1 L ¡::;-¡// /V;q¡2~ ''7cr/..... Ph# B:J ~, 4--!J¿>t? B. tY~¡erþ' ¿~B:¡Y£.LI Ph# 8.$4- -4Bt9~ Ph# AFTER BUS. HRS.- ~.1>~ - ()r\.o~ 8'1 '2- .. 911'1 Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPMl&: ~c1. r~IONT uA..lÝe~ oPf1ull....:¥(\/r B, ELECTRICAL: ·r""S,DE:. c;.CH....1-i S('Ue. op" 8L-ù<i- C. WATER: preeN"- or t3L....:DGf 19-..... @..(J~B S¡J>£ D. SPECIAL: ~ ~ E. LOCK BOX:, YES /~ IF YES, LOCATION: , IF YES, DOES ' IT CONTAIN SITE PLANS? YES / ~O FLOOR PLANS,? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - . ·1'- . i" .~~.~~ ~.--" . e 9 ''7~ - Ie ~ ,i 0:;- .. ç¡ " SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE /t~ SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE .~ ¡VE.Ar¿fßf f/c>5 P SECTION 6: EMPLOYEE TRAINING' E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~ATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.... ..........,....... .... C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . : D. EMERGENCY EVACUATION PROCEDURES:.. ..,.. ...... .... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. .... .. INITIAL REFRESHER YES YES YES YES (ti) ~ ~ ~ YESi" YES 0 YES YES N YES YES @ SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POU~ A SOL~5 GALLONS OF ~IQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS;,.",. ~NO IJ ~ ~c/~/~é?~ . certify that the above information is accurate. , I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. 'SIGNATURE~~-;ITLE v~ DATE 514) /2'7 ~_., - 28 - '\ . . ~.:~" -~ '. !" SECTION 3: ';;R<\ZARDOUS MATERIALS FOR THIS UNIT ONLY A, Does this Facility Unit contain Hazardous ?vfaterials?,..,., @J NO If YES. see B. If NO, continue with SECTION 4. B. Are ,any of the hazardous materials a hona fide Trade Secret YES ~. If No., complete a separate hazardous m~terials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-l) If Yes, complete a hazardous materials inventory formolarked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION ;;/¡¿;: Ex 1/Ì¥C-VJiI/2/l./f ÁOC!,,Lt--rEf) N()/(l'f/.:..E¡:¡sr 1V(}~rH.wE$Ï "'-., ¡t'Jf.l7' h·E-AJr + SourH -W~$r o;jø ÌJt)11.. PÎIJ.& SECTION 5: LOCATION OF WATER-SUPPLY FOR USE BY ÐTERGENCY RESPONDERS 'ff()Ú'rlðl- blt:ST b.t èVIi..()IIVCe ðN t!JIOt.ê I<() SEC~re~ LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A, (~\T. GÞ§JPROPAN~'·. ,. 5C.H.)rJl. (,¡VIES r CdvAAlé/(. ol.lr"fi~¡;. ()rf tJtllt..f)/AlG. B, ELECTRICAL: , ~EII/1Ef{ ð d- (J V /" f) /;VC fo urH ) I tf)/E' , )IN .>IPé . :) , -:- C. WATER: " F;eO/l/r,e,t'{JiV/~t!IIy~ ðN' wE"""'- 5/118 0/1/ c5/lJéw/Jhl< . \ C. Ó U AN e ¡¿ ðA/ ¿V //J J. E A Þ S C/lr'//1 ¿).:f- L. D. SPECIAL: E. LOCK BOX; YES(ijp IF YES ¡ LOCATION; IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES ¡"NO MSDSs? YES ¡ KO KEYS? YES / ~O - 3B- {: ~ ¡. e . !' . ,7' ~ -.~ ~;~ - ~l BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NA:v!E:'_c-, /..' '--: - - ------ BUSINESS PLAN SINGLE, FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3, Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. I I FACILITYUNIT# .J3 WIBJ..E FACILITY UNIT NAME: ,foUT-HEP.:A/ A 1/1'0 ftJ.lJl'l.Y , I SECTION 1: MITIGATION, PREVENTION, ABATEME~~ PROCEDu~ES 51 Ù-L.j I/E/}y-,- .5ïi/..bðM.- ji~/rt:/V If' 'ÍJlliý~~(} í;-JE/<.G/iVf.v~¡'¡fMI9"l. plllfiJI.iryJ' '/ fJ€-Y /)ð"'/'- d Æ E.A1'"E /f /¡¿tJlJ~ £)IfC, 'Ù¡8', Hit (/ E 1f(),5 oR.fJfAlrs ' 111/ ~/ (j ~/< ~ 1-It?~¡O CJ...EJJtV J}{J 5PJJ.Â.5 SECTION 2: NOTIFICATION AND EVACUATION PROCEDl.;~ES AT THIS UNIT ONLY f!J..{'/;Mpt.,tJY£J /'¡lì.lPt: IJEE.AI )Å/Jr/?/)c;r£~í() 6-lfr O1J.~O¡t: ... ¡ ~ ..... . r ... . ßVILtJllI/tr +~191è. IiW4Y,I4S./b~';IIJt.fi" IN Cfi-J/F (J'g' .Ifll../:¡ Grr FJÆE - 3A,- FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERI A.LS'.:.J NVENTORY '_J.J ~ 1'6 ð)f' if4-).-G:. BUSINESS NAME:,$'Sun.fS12A/ Avro5t.J~~LI{ (ú)IBLe) OWNER NA~(.J ~4¡/./.r;J'"v{!¡d"" Tr/c- ' FACILITY UNIT #: ADDRESS: 4/00 4Jt iJLE ~. ADDRESS: . -f,<.ro w,DÁC. ,-e.JT' I FACILITY UNIT NAME: ,C,ITV, ZIP: ¿:/,¡¡t.-Ke.pt.S.P.¡E-L.']) CA-L '13313 CITY, ZIP: Á'19K:EYf?.:sFJ~> C!M-.2 9':;':1" ~ PfUJNE #: rt<J~-) cP34 - ~gðð PHONE #: f?o..¿J ~:g!)..7-oy93 10FFICIAL USE CFIRS CODE ONLY ~" ..' I. D. # ~ S \)S ~V'-~ .- .. _.,..- ....- -,_. . " . ~ .. 6..- ..' # t-I Page _ of ~ .. I 3 ANNUAL AMOUNT 456 CONT USE UNIT CODE CODE 7 LOCATION IN THIS FACILITY UNIT 8 % BY WT. 9 10 HAZARD D.O.T CODE GUIDE 1 ' 2 TYPE I, MAX com ·ÂMOUNT , ICJ /32--_ GilL MeTAL 63 CHEMfC/Jt...5 E/lTII£1t.. ~JlJfèí)µ~ /¿¿¡IJ) \ Sr-A () .';27Jt7 METAl- r 6' \:"\1d5ð 5,O?;v G/JL ~L1~~ 2t t4~E t.tJ~¡:;-rG{j r.:::¡¡¿ElJf£ /o/¿s 1~OD FL- ." / /00 301) LBS ~~¡;~ 2C WE.s; ¡Iv flftJN~ ( &Æ£Ase / t!)/¿S ;-L / 38-'\';); d>;).Y\ð' GtJ,L ~~-:~/~ 09 ()f' ßl/;k.IJIII/~ IN to' $o¿{/£#T3 \~o~·or PF¿ ¡Lj, / ~5.!o 1~11¿ ~~;~c. Ó ð" {)/.JI'~I9V ¡:h~r;~ ~ SJJLUé#r5 - TFL If) '> 33, (.0 /70. QAL. ~::~ tf9 I 7 ~¿¡J£Nrs FL ~ '3, IS, G4L P-ft:íAl ()~ ~".. \ (,;;;;¿I/CAlï5 TL ¡Ó> Pf. &,4L ~1;~ If \ ßc/ùj {!~L _ \ 3 g /~() !;IlL ;:£~ () f \ \ Sò¿¿JG1¡/TS/ t2JÆ&J.YIle5 íPCPL c4 (J, 1-'-1 (JIJL ~~;/~ 6 Y \ \ t!øæ¡{()S/¡//f . ¡Pt.-I... ß4, I //3:':3 {¡At.. I~:-:~ {J I I ¡(JìJí)/í'¿¡ÝES "~I ,..L\; íf?rL '3)400 á,·š{o iß5 fJ16J1¡¿ !() I h-ó¡./ (. do/-l-~CJ!j:ð'l ~)~)¿G 1.\) ç;(J(J .iLO&lJ ~ft0 l{)lpSTI,- {JC¡ I /Jt-IT/ ¡CI2bE2£ "'.ll~'·'·:/'~~o¿- p¿ )(). 2.. 5b ,'1 GAL HIITDl. 29 \ I j};/ N T5 ír'L lAO/ '1 /9'1 GAL ;L~:~ ó( ( I ßMk'ð ¡-¿UI!) 5 Ihl"l.. / r NAME: A/~ m<::-mc:./Æ..-r¡e~ TITLE: -V. ð---;t:e...s \ SIGNATURE: ...4"~ Y7?~ DATE: 7/~ "J}?" EMERGENCY CONTACT: ;:h m .L~Ñ¡9f2..:D T I TI.E: .sTO~e.. -YJ1¡ ¡e.. PHONE # BU~HOURS: ,Rd4--4~.r;; (S'-t.: 7j t' AFTER BUS HRS: ð":s-zI. - :2-2- 7.r EMERGENCY CONTACT: ßI9~ry" ' ~IZ ¡./eJ. r "T ITLE.: ~r ~ PHONE # BUS HOURS: ?i?4- - Jf~oo PRINCIPAL BUSINESS ACTIVITY:/77...rro }IC7/J'¿7X' !.dJ,tøLeS"/Jt-e,¡.. ~TI<1I'- AFTER BUS HRS: ¿;7.2-- 7//7 ., -,. . . CHEMICAL OR COMMON NAME íFL - - 4A-l - - ~ f'Þf\h ¡'".d\ù.1.' _I. l..,I!jU _ V J..j..1 .a.',J, &.\U UbI ¡s..\..l j,'.1uH'" ~r ..., ...~ I I! I I I .n. # ( FORM 4A-l Page of - NON-TRADE SECRETS ~ HAZARDOUS MATERIALS INVENTORY -.t' BU:SINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: GI"TYr ZIP: CITY,ZIP: \'fHONE #: PHONE # : IOFFICIAL USE CFIRS CODE ONLY 1 ' 2 3 4 5 6 7 8 9 10 TY1?E MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T .,Ç;.Û'I!JE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE ~O ~O 14AL Wle-nl-L ();¿ (' ( cictJg / &h?t;-A../71. í¡tf''- Pú;"!.T/L )0 ~~ I&A-L Ml.1~L 31 J .~ ß!$j)/.4/lJ/L / é:J - I ~?t-j ,¡:J¿ pL/f;;Jìc.. .', , -, - - - ~ ~ ( /Jv ftJ Y1~ / / NAME: TITLE: SIGNATURi?' Á .,4/ /v ~ -LA .............. DATE: 9/~U7 EMERGENCY CONTACT: TITLE: " PHO~Ë # B~~OURS:' / -/ AFTER B HRS: I EM·ERGENCY CONTACT: TITLE: PHONE # BUS HOURS: PR'INCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: ;:i' ! - 41\-1 -