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Home My WebLink AboutBUSINESS PLAN 4/21/2004 I Per Operil.te Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT it t. ;.~:\ . '''~'i''r·ff?':/7?;;r;;~·~'r.-~'/'j'~--:',f~''';¡,O''''. /"i~~~iC}~~'jt,f';: :~':i~-~: ,..:'~' . "'., \, '... ""'; -' ;.~,,:.... . " ~~. ., . ':" 1 .' , " i .-,ji~~.,t,.·~,'''-,:,'~_:''~~'£' ~;.';j"/,,:,/ /-" .:}{,~;:, 'Y1 - ,_ J-"', '" '.. !- . ,~ / {!," ,.~Øt~.;.. it ~":L~ i:'''''··, ,~'",'" ... rr-"t( ;f2j~~;~::i;~~;;'; c, :t, ¡, ." '$':' \- ," .... _'J..~' \ \ \'~'#.~~1\~~~;:'i.( "~,....~'" " ~. '\. " \:: ...... ''t'' THIS PERMIT IS ISSUED FOR THE FOLLOWING: .. )(Hazardous Materials Plan _ ~Underground Storage of Hazardous Materials o California Accidental Release Program '" XHazardous Waste Generator and/or Treatment o Above ground Storage Storage of Petroleum o Paint Spray Booth o Industrial Hood Suppression System ",?o._ ..... " .. ."~ ..,"'" .,",( , ~:f~ ,.¡ ',·f1, 60&&6 "I~ '0131::1S1::13>1"18 0"101::1 NOS11M 669& . ""'L , ~ -..j. .' ~ :,' .;, 6# 8 ÐNIA 1:1 &9&000-1.?;o-S 1.0# 01 .llWI::I3d " ' ':. .." r , .,.". ''( t ; :; \, \~:"">'}'" ~~: h. ,-,o..f' Issued by: Bakersfield Fire Department OFFICE OF PREVENTION SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 852-2171 Approved by: 4aRfß- ~- ph Huey. Director ' Prevention Services ~'<>"--\"~' B " II: B II S P ,"aiLD ~,,,. ,';' f.~~~ ~'!..~T ~ 'r..,:,:~::. ~·,:"t... I ~""",-',-"'''"'--- ;~;~:r~./- ~- ,- .' --~.;...--~------- - _J I Expiration Date: dune 30, 2006 A11736 '\ -~(\, .! F111~s ~ ',I tI ~ i I l ! \ ~~-~~ · It .- ., FLYING B #9 SiteID: 015-021-000363 = Manager : Location: 3699 WILSON RD City : BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: BusPhone: Map : 123 Grid: lID (661) 831-6075 CommHaz : Low FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Con~jr~t:J c-~_ Title FAWZI lCA"IALI ~ ¥Tr DEALER Business Phone: (~~aq 24-Hour Phone : (~lx 3~1 Pager Phone :, (~oq) 456 -~~x ;3"3 'J- Út l1]lNUF f"\- Emergency Contact JERIES AYOUB Business Phone: 24-Hour Phone : Pager Phone : 1311 ^' ::, ~ 6{/~ ¥3%1~ q 4~ 7- (~ (~ (66' ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : RUSSELL ALLRED & ASS. RECEIVER MailAddr: 218 IIHII ST City : BAKERSFIELD Period : Pre parer: Certif1d: ParcelNo: to Phone: (661) 396-8195x State: CA Zip : 93304 Phone: (661) 396-8195x State: CA Zip : 93304 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address : City RUSSELL ALLRED RECEIVER 218 IIHII ST K : BAKERSFIELD Emergency Directives: NOTE** Facility went into receivership on 10-22-01 All bills and correspondance go RUSSELL ALLRED & ASSOCIATES 218 S. H ST. BKFD. CA. 93304 661-396-8195 i{\N+ Nt>W\16 1< 111 t -.s ¡' Î S,}\/ó1fJ ~ ~ ~,' :t-v\' 6 --{. -J':J¿.J /~ - --- -1- 04/21/2004 - e f; FLYING B #9 SiteID: 015-021-000363 ì T FORM ) STORAGE CONTAINER DATA US A Last Action Type: FACILITY/SITE INFORMATION Business Name: FLYING B #9 Cross Street : Business Type: Org Type: Total Tanks : 4 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JERIES AYOUB Phone: (661) 831-6075x Address: City : State: Zip: Type : TANK OWNER INFORMATION Name : JERIES AYOUB Phone: (661) 831-6075x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:11/03/2000 Phone: (661) 396-8195x Name:RUSSELL ALLRED RECEIVER Ttl:RECEIVER State UST # : 1998 Upg Cert#: 00730 -2- 04/21/2004 tit e . F 'FLYING B #9 p= Hazmat Inventory ~ MCP+DailyMax Order SiteID: 015-021-000363 By Facility Unit Fixed Containers on Site SUPREME UNLEADED GASOLINE UNLEADED PLUS GASOLINE UNLEADED GASOLINE WA£~E-MeTeR'"-OI-I:J- (MQ~QR-e'I-r W:AS..TE-O~,L-RI,L:r.ERS_ . JJQ 0orbAiC- \bNP-- \ F F F F F F IH DH IH DH IH DH DH DH DH L L L L L S ì ì ì DailyMax IUnitlMCP 12000.00 GAL Mod 12000.00 GAL Mod 12000.00 GAL Mod 1000.00 GAL Low 55.00 GAL Min 200.'00 GAL UnR Hazmat Common Name... speCHazEPA HazardS Frm I /O()O l' Jo (ow~.tv L f'\... .1., ~ tAch {)I~ p¡;-/ T '0 J:::>;';;> ''''' ~'S~NC~-Þ, % \~l A/;vt{Ðk' -3- 04/21/2004 -- e F' FLYING B #9 f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME SUPREME UNLEADED GASOLINE SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit IN MIDDLE OF LOT, UNDERGROUND Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container l2000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum l2000.00 GAL Daily Average 7000.00 GAL %wt. I 100.00 Gasollne HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: '- Ag. Define11 -4- 04/21/2004 e e F FLYING B #9 SiteID: 015-021-000363 9 f= Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Tank ID#: 1 Installed: 10/1994 Additional Info: Last Action Type: Location In Site: IN MIDDLE OF LOT, UNDERGROUND TANK DESCRIPTION Mfr: Xerxes Capacity: 10000 Gals Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:SUPREME UNLEADED GASOLINE TANK CONSTRUCTION TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): FIBERGLASS Material(s) : Lining : EPOXY LINING Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1994 Drop Tube : Striker Plate: Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1994 TANK LEAK DETECTION Dbl Wall: AUTOMATIC TANK GAUGING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -5- 04/21/2004 e e F FLYING B #9 SiteID: 015-021-000363 l f= Inventory Item 0001 Facility Unit: Fixed Containers on Site l STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/10/1994 Date: 05/09/0300 Name:RUSSELL ALLRED Prmt Number: 0363 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:RECEVER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :11/21/1994 CP CERT. : MANWAY INSP. : 12/29/1999 UST MONIT. CERT:05/20/2003 -6- 04/21/2004 e e F FLYING B #9 f= Inventory Item 0005 === COMMON NAME / CHEMICAL NAME UNLEADED PLUS GASOLINE SiteID: 015-021-000363 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND TANK-OUT OF SERVICE Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 7000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 HAZARD A SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag~Define10: - Ag.Define11 FAILED 1994 TIGHTNESS TEST-OUT OF SERVICE I -7- 04/21/2004 e e F FLYING B #9 p= Inventory Item 0005 STORAGE CONTAINE Last Action Type: Location In Site: UNDERGROUND SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì R DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Tank ID#: 2 Installed: 10/1994 Additional Info: TANK-OUT OF SERVICE TANK DESCRIPTION Mfr: Xerxes Capacity: 1QOOO Gals Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:UNLEADED PLUS GASOLINE TANK CONSTRUCTION TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 Type : DOUBLE WALL Material(p): FIBERGLASS Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1994 Drop Tube : Striker Plate: Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: 1994 TANK LEAK DETECTION Dbl Wall: AUTOMATIC Installed: Installed: Exempt: No TANK GAUGING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -8- 04/21/2004 e e F FLYING B #9 SiteID: 015-021-000363 ì f= Inventory Item 0005 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : FIBERGLASS I i- PIPING LEA~ DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/10/1994 Date: 05/09/0300 Name:RUSSELL ALLRED Prmt Number: 0363 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Ttl:RECEIVER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :11/21/1994 CP CERT. : MANWAY INSP. : l2/29/1999 UST MONIT. CERT:05/20/2003 -9- 04/21/2004 e e SiteID: 015-021-000363 9 Facility Unit: Fixed Containers on Site 9 F FLYING B #9 p= Inventory Item 0006 F= COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit UNDERGROUND TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 7000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ' CAS# I 8006619 I~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.DefinelO: - Ag.Define11 -10- 04/21/2004 I e e . F FLYING B #9 p= Inventory Item 0006 STORAGE CONTAINER DATA Last Action Type: Location In Site: SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Tank ID#: 3 Installed: 10/1994 Additional Info: UNDERGROUND TANK TANK DESCRIPTION Mfr: Xerxes Capacity: 10000 Gals Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:UNLEADED GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : SINGLE WALL Material(p): FIBERGLASS Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1994 Drop Tube : Striker Plate: PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: Installed: Installed: Exempt: No 1994 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No , I I, I I -11- 04/21/2004 e e F FLYING B #9 SiteID: 015-021-000363 ì f= Inventory Item 0006 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION ' UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : Mtl : FIBERGLASS & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 11/10/1994 DISPENSER CONTAINMENT Type: DISP. PAN LIQUID SENSOR & ALARM OWNER/OPERATOR SIGNATURE Date: 11/03/2000 Name:RUSSELL ALLRED RECEIVER Prmt Number: 0363 Ttl:RECEIVER Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :11/21/1994 CP CERT. : MANWAY INSP. : l2/29/l999 UST MONIT. CERT:05/20/2003 . ., -12- 04/21/2004 e e F FLYING B #9 f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL SiteID: 015-021-000363 , Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit MIDDLE BLDG STORE ROOM Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 1000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1000.00 GAL Daily Average 200.00 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 Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined5: Ag.Defined8: Ag.Defined9: Ag.Define10: I- Ag. Define11 .~ -l3- 04/21/2004 e e SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì WASTE DATA F FLYING B #9 p= Inventory Item 0002 Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr. No 2400.00 Treatment UnitID: I Unit Type: Agency-Defined Text Label -l4- 04/2l/2004 e - F FLYING B #9 SiteID: 015-021-000363 9 f=' Inventory Item 0002 Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: MIDDLE BLDG STORE ROOM TANK DESCRIPTION Mfr: Xerxes Capacity: 1000 Gals Compart Tank: N No. Of Comparts: Tank ID#: 4 Installed: 10/1994 Additional Info: Tank Use: OIL Matl Name:WASTE MOTOR OIL TANK CONTENTS Petrol Type: OTHER-DESCRIBE Cas #: 221 TANK CONSTRUCTION Type : SINGLE WALL Material(p): FIBERGLASS Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1994 Drop Tube : Striker Plate: PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Sgl Wall: INTERSTITIAL MONITORING Dbl Wall: Installed: Installed: Exempt: No 1994 Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -15- 04/21/2004 F FLYING B #9 p= Inventory Item 0002 e e SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì STORAGE CONTAINER DATA UST FORM B and AGENCY-DEFINED)' Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : Installed: UnderGround GRAVITY DOUBLE WALL FIBERGLASS AboveGround Piping PIPING LEAK DETECTION UnderGround Piping AboveGround Piping INTERSTITIAL MONITORING Date: 11/03/2000 Name:FAWZI-KAYALI Prmt Number: 0363 TANK/LINE TEST :11/21/1994 CP CERT. : MANWAY INSP. : 12/29/1999 UST MONIT. CERT:02/l6/1998 DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Ttl:OWNER Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED PASSED HAZ. SUBSTANCE 062622 -l6- 04/21/2004 e e F FLYING B #9 f= Inventory Item 0004 == COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-000363 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit STORAGE ROOM 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 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESS S Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag .Definell -17- 04/21/2004 · e e F FLYING B #9 f= Inventory Item 0008 === COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit STORAGE AREA BEHIND SHOP Map: Grid: CAS# 221 STATE - TYPE Solid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 100.00 GAL %Wt. I HAZARDOUS COMPONENTS G CAS# HAZARD A E MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR SS SS TS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -18- 04/21/2004 .. e e F~ FLYING B #9 p= Inventory Item 0008 SiteID: 015-021-000363 ì Facility Unit: Fixed Containers on Site ì WASTE DATA Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr. No Treatment UnitID: I Unit Type: Agency-Defined Text Label -19- 04/21/2004 CITY OF BAKERSFIELD] IHTE - ~C~!omer Master Malntenance- .'11" Ocioœr 10, 3J0311:33AM -~--e Home I Emalll New'Window I .. . - ~----T-----r--~-51343-'-¡r- 66i-~832-=9427-r---~------ :;~~if_~=~=:m~-~=-:-;~~f:__m-f-'~_m.~~ ... 1(Iffi,W!Do §mY!.W \I1I1h ~ I! I~~I_, ..m____ ~~11_ lit ~~ ~~~_~_~_~_J. __,_____ ,_ __ 1¡Iffi,W!Do ~ I!,--- ---- --- -------- -- --------,---------, if --l __!92'71:.J _ _ =t= :fiLy~.___J)_A!UE~___E -- ---- - _Rl_16 42___ - __u_____________ WI~ --- -n m7J1I III _~_~,J _ :,_____ _ _ ,-------- ã!"III!&"..,.., _m'm I I~o ~ I! m~ __.____~u__ ---- -¡-----'¡:- -î060'ä'- i--8'ÖŠ-~665-1937 _______hh_________ I i~"';;':D;;¡~~,:_;:'~:_~~:. ---..~. -.' ml'~---:::-- ",; i. i-.=.-,:,,,-C ' .. - . _mm~ rl "~~y;'; - öiN,~ . - mmmmm mmmmm .=~miF"""-Ir--''' ,,,,.- II SO, mm- "" , rt~~;~~:::~:~~.~?:::::,::__::::_:__,__u,__,__''''===,._..._"'u__._.,~3...._ ,:,' .L___~___u~__________n____.____. FLYING B #9 ----------'-'---'--------~i 661-832- 9427 , - ~ ' /ð-/o-o3 ~, 0:rv ~ 10 ~/ð-oE ~~.~~ 0G~~ ~ ;7 /-J /f) ðð 5 ~/ì2C)/7 H Iì'l 0 18 s.s 00 r S.S 00 .:L. U-700 J I¡~I ~ CustomerType Balance Odober 10, aJ0311:33 ÞM ,¥ 'CustomerlD: e 51343 FLYING 8#9 ES ENVIRONMENTAL SERVICES Customertype: Pa\Off amount: I' --, -. - ---.----..,.--.---- ---;---'---'-~i , ,00 ! L~P;;d~~i~~'~~:~~":"-:"=:~', ~:-==-~=Jr:=:=~~::;::::-~~~~:~::¿IJ t~~1~fI~~:-:-~;~~~~~=~=~=0_jE~~:~~~;::~~=:~~~~j ClickOK for detail infonnàion Cancel - ii !CustomerType Balance Detai Display Odol:er 10, ;1)03 11:36 ÞM ..' "êustomerID: e 51343 FLYNGB#9 - Customer.type: ES ENVIRONMENTAL SERVICES, Balances Current balance: , ,00 Loan balance: ,00 Totat ,00 Pending balance: $1,00 Deposit balance: ,00 Tran5act~on TransactJ.on Open PendJ.ng Co.:1e Descr .lpt 1.0n Date Arrotmt Amnll1t ti1 ·~I:~~ . j. ::-1/15/03 ¡SSOOl'~I¡CA STATE SURCHARGE' :r 17.00 r¡-U:OO-i, E=~E~-~~f;;;:F1~~~~~~::r-~-_--f~EE~:::B~ . = Pending activity II Cancel Î' Î .. CITY OF BAKERSFIEL~ "!)FFlCE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSTRUCTIONS: HAZARDOUS MATEmALS MANAGEMENT PLAN /-ITE :5/3 ~3 I. To avoid further action, return this fonn within 30 days of receipt. 2. TYPEIPRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner I Operator Fonn and Chemical Description Fonn(s) to the ftont of this plan instead of completing SECfION I. belòw for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA ( BUSINESS NAME: ~ l V\lj ß -:tt cr LOCATION: 3<0 q q ü) \.l~ C N Ql MAILING ADDRESS: 3 <n c¡ q w \. bo N (J, i CITY: ~'t.çA ! STATE:~ZIP:q330rPHONE:~lol~ S3J.~qc.¡\2 7 PRIMARY ACTIVITY: C,(I ~ OWNER: Ällr(d ~ AS!J{) ~(C1Jr ~ ~ MAILING ADDRESS: J. \ ~ __~ . H (I t I,,,, L PHONE: ~li (. 31ftJ ~ 'ill qs- 6\ I B u ,{ c.. ~ 0 I 131cJd ' r Jt 9 J 3 ð Lj EMERGENCY NOTIFICATION CONTACT l. ßho.~o 1ft( 2. Ghd ~\fliM, TITLE BUS. PHONE 24 HR. PHONE ßhl ~,J.t'r ~I ~1}f ~iI" G.to.i' Cf 3,)'" 94 ?.f A~~\. IIhttfJ\. {I tJJ l ~ ~ 3d.- q C( z ì d.()'l- .3-,J, r~ () 33 ì ¿;){Jr .- q 5" - (31" " I /6 -I¿y - 08 H I'lToo:5 JllJJo/7 1::/00/8 ~~~ ..s 50<) I .s ..S" -0 C) 2.. ó.-rOéJ / ~ 7ð-- I 0 - D .3 ~i&'L-·' ': ~~~~I //,36'/ . , -:1". ' .;- _ , . ~ ..~: /-J5 -o..E' · ' e HAzt'RDOUS MATERIALS MANAGEMENT PLAN " SECTION ILl : DISCOVERY AND NOTIFICA TrONS ( A. LEAK DETECTION AND MONITORING PROCEDURES: èÒ\l\.\.l~ oJ~ "'l~ L.. ~ T lLtA..lL UVtl)V\ \. ~, LÌCtdlt. l2.<OG+- 'TL)' '3 sO B. EMPLOYEE AND AGENCY NOTIFICATION: ,L tI\ éC1.5 L a ~ ~pll ( ¿Ll (( ß Fa ~ct I{ (~,' ( C. ENVIRONMENTAL RESPONSE MANAGEMENT: ti S L . t \. ~'l ~ '- it{ {\~ (j. c} ~i1 \ G il.K-f J;.«.\( 91\c1l( 5'fiLls , ~FfL {)Ì'\.L5 tu,a éal( ql( '. D. EMERGENCY MEDICAL PLAN: H (ð.t"LS t M C~f\~aJ l 2 HAzeDOUS MATERIALS MANAGE&T PLAN 'i' Î SECTION Il.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: I1U l:~l0'1cL~ -\-('C.ll~L4 0"'- c;~cL(\ t;r t d~ t- wkù ..\-c ~ tLÜ l £^ Q.lA. e. t1A L fYj, (i.LV¡ B. RELEASE CONTAINMENT AND/OR MITIGATION: k l \\'i ~\. \LC 0':,(1:.- a.~ d./I\ a-bsc rbct0..( t- p (OPO ly Ðl~VQ.s~l &--t ( \, C. CLEAN-UP AND RECOVERY PROCEDURES: tl~'{ h...\.cV- ëJt4.k, Wtlt ~L P (~Ql (U\ drv~ -+(Qýf r()flU . (Jl ':1f(}Ç;;l{J UTILITY SHUT -OFFS (LOCA nON OF SHUT-OFFS AT YOUR FACILITy) NATURAL GAS/PROP ANE: . S c. (, ELECTRICAL:' " ((' $ I ..\.L . WATER:' ~.A (- fÃ.h1J-<.V SPECIAL: LOCK BOX: YES/NO s, t(. W\ltf Ù\£L~ IF YES, LOCATION: PRIV A TE FIRE PROTECTIONIW A TER AVAILABILITY B. WATER A V AILABILITY (FIRE HYDRANT): ¿ LL1 ~l~ e l ~'( Wo-- -+ctl A. PRIVATE FIRE PROTECTION: 3 I, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER TIlE "CALIFORNIA HEALTIl AND SAFETY CODE" ON HAZARDOUS MATERIALS (DN. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATIQN CONSTITIITES PERJURY. ~ SIGNA T" , HAzlmous l\'fATERIALS MANAGE&T PLAN SECTION (If: TRAINING NUMBER OF EMPLOYEES: d- MA TERlAL SAFETY DATA SHEETS ON FILE:, "-l t ~ BRIEF SUMMARY OF TRAINING PROGRAM: ALL tlhl~ t,^-coL-J ~ow {o Vt.a.J t- (}t'\ÁLft5 ~a.K.J " ( CERTIFICATION LE S{T£ TITLE 5- 9 - ð 3 DATE· -., ( IIAZ MAT MNOMNT PLAN &. INSTRUC 4 , ~ . \ ( c <- _ CITY OF BAKERSFIELD e OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS LVIA TERIALS FACILITY INFORL"IA TION INSTRUCTIONS BUSINESS OWNER / OPERATOR FOAAI L F ACIUTY IDENTIFICATION: Enter the reporting period (year beginning and ending) for the facility information. Enter the business name and site address and phone number of your business. Do not use P.O. box numbers. Enter theDun & Bradstreet or federal tax identification number for your business. Enter the Standard Industrial Classification (SIC) number for your business. Each type of business has a Standard Industrial Classification code number. Some common SIC codes are listed on the back of this page. Other SIC codes may be obtained from your worker's compensation insurance forms, the State of California Employment Development Department, or by calling our office at (661) 326-3979. Enter the name and phone number of the person responsible for operating the business. II. OWNER INFORMATION: List the legal business owner or corporation name and provide the headquarter address or residential address if owned by an individual and phone number. III. ENVIRONMENTAL CONTACT: Identify the person who is primarily responsible for environmental compliance at the business.'; This person may be either the business owner, one of the emergency contacts, an environmental manager, or consultant. IV. EMERGENCY CONTACTS: List the name, title, and phone numbers of two people at the business who can respond if the Bakersfield Fire Department requires additional information or other assistance. These contact persons must have keys or access to all areas of the facility, be available for emergency call-outs, and have decision-making authority to call on other resources (such as hazardous waste clean-up companies) as necessary. v. CERTIFICATION: The business owner or operator must sign, date, and also identify the document preparer. COMMON STA_RD INDUSTRIAL CLASSIFlC.-,ON (SIC) CODES,.. . o III Wh~at production 0724 Cotton ginning 5821 Eating places ' , ( 0115 Corn production 0541 Grocery store 5813 Drinking p1a~es (Alcohol servi~e) 01 J I Cotton production 1541 Dry cleaners 5983 Fuel oil dealers 0139 Field crops, except cash 2911 Oil refineries grams 5984 LPG dealers 3441 Welding/fabrication- 0161 Vegetables & melons 7342 Pest control structural 0172 Grapes 7532 Auto top, body, 3443 Welding/fabrication - upholstery repair 0173 Tree nuts boiler Autq paint shops 0174 Citrus fruits 3569 Machine shop 7533 Auto exhaust repair 0175 Deciduous tree truits 4222 Cold Storage 7536 Auto glass replacement 0179 Other tree fruits & nuts 492? Compressed gas supplier 7537 Auto transmission 0192 General fanns, primarily 5093 Automobile salvage repalI" crop ( 5169 Chemical supply 7538 General auto repair .. 0241 Dairy fanns 5511 Motor vehicle dealers 7542 Car washes 0252 Chicken eggs (new & used) 8071 Chemical laboratory 0253 Turkey eggs 5521 Motor vehicle (used only) 2851 Paint manufacture 5531 Auto & home supply stores 0291 General fann, primarily livestock & animal 5541 Gasoline service stations specialties l 2 ST.-\ I'E WAS 11:: CODE - e 220 [I' the: haLan.Jous mate:rial is a waste:. e:nter the appropriate California )-digit hazardous wast~ code: as listed on the: back of the Uniform Hazardous \Vaste Manifest. A list of common State: Waste Codcs are included on page 4 of these instructions, UNITS 221 Check the: unit of measure that is most appropriate for the: material being reported on this page: gallons. pounds. cubic tèet or tons. NOTE: If the material is a federally detinedExtremeJy Hazardous Substance (EHS). all amounts must be reported in pounds. If material is a mixture containing an EHS. report the units that the material is stored in (gallons, pounds, cubic feet. or tons). DA YS ON SITE 222 List the total number of days during the year that the material is on site. STORAGE CONTAINER 223 Check all boxes that describe the type of storage containers in which the hazardous material is stored. NOTE: If appropriate, you may choose more than one. STORAGE PRESSURE 224 Check the one box that best describes the pressure at which the hazardous material is stored. STORAGE TEMPERATURE 225 Check the one box that best describes the temperature at ~hich the hazardous material is stored. HAZARDOUS COMPONENT 1 - 5 (% by weight) 226, 230, 234, 238, 242 If a range of percentages is available, report the highest percentage in that range. HAZARDOUS COMPONENT I - 5 Name 227,231,235,239,243 When reporting a hazardous material that is a mixture, list up to five chemical names of hazardous components in that mixture by percent weight (refer to MSDS or, in the case of trade secrets, refer to manufacturer). AJI hazardous components in the mixture present at greater than 1 % by weight if non- carcinogenic, or 0.1 % by weight if carcinogenic, should be reported. If more than five hazardous components are present above these percentages, you may attach an additional sheet of paper to capture the required information. When reporting waste mixtures, mineral and chemical composition should be listed. HAZARDOUS COMPONENT 1 - 5 EHS 228, 232, 236, 240, 244 Check "Y" for yes if the component of the mixture is considered an Extremely Hazardous Substance,as ~ defined in 40 CFR, Part 355, or "N" for no, if it is not. HAZARDOUS COMPONENT 1 - 5 CAS 229,233.237,241,245 List the Chemical Abstract Service (CAS) numbers as related to the hazardous components in the mixture. III. SIGNATURE: Please print name. title, sign and date each chemical description form. 246 If you have any questions please call us at (661) 326-3979 3 e e CALIFORNIA \V ASTE CODES Cnd.: D,:sl:rintinll [Ill)r~all Il:S III :\':Id solution .2 < pH < 7 with mc:tals (;lntimony. arsenic, barium, beryllium. l:admium. chromium. cobalt, copper. lead. mc:rcury, molybdenum, nickel, selenium, silver, thallium. vanadium and zinc) 112 Acid solution without metals 113 Unspecified acid solution 121 Alkaline solution pH > 12.5 with metals (see III) 122 Alkaline solution without metals 123 Unspecified alkaline solution 131 Aqueous solution (2 < pH < 12.5) containing reactive anoins (azide, bromate, chlorate, cyanide, fluoride, hypochlorite, nitrite, perchlorate and sulfide anions) 132 Aqueous solution with metals (see Ill) 133 Aqueous solution with total organic residues 10% or more 134 Aqueous solution with total organic residues less than 10% 135 Unspecified aqueous solution 141 Off-spec, aged, or surplus inorganics 151 Asbestos containing waste 161 FCC Waste J 62 Other spent catalyst 171 Metal sludge (see Ill) 172 Metal dust and machining waste (see 111) 181 Other inorganic solid waste Organics 211 Halogenated solvents (methylene chloride, chlorofonn, TCE, TCA) 212 Oxygenated solvents (acetone, butanol, MEK) 213 Hydrocarbon solvents (stoddard solvent. xylene) 214 Unspecified solvent mixture 221 Waste oil and mixed oil 222 Oil/water separation sludge 223 Unspecified oil - containing waste 23 I Pesticide rinse water 232 Pesticide and other waste associated with pesticide production S,\CIJP.-\FORMS\II'\7.MAT FACILITY INFO INST, v , ., CoJl: Descriptil)1l ( 241 Tank bo[(om waste 251 Stili bottoms with halogenated organics 252 Oth.:r still bottom waste 261 PCB's and material containing PCB's 271 Organic monomer waste (includes unreacted resins) 272 Polymeric resin waste 281 Adhesives 291 Latex waste 311 Pharmaceutical waste 321 Sewage sludge 322 Biological waste other than sewage sludge 331 Off-spec, aged or surplus organics 341 Organic liquids (nonsolvents) with halogens 343 Unspecified organic liquid mixture 351 Organic solids with halogens Sludges 411 Alum and gypsum sludge 421 Lime sludge 431 Phosphate sludge 441 Sulfur sludge 451 Degreasing sludge 461 Paint sludge 471 Paper sludge/pulp 48 I Tetraethyl lead sludge 491 Unspecified sludge waste (" Miscellaneous 511 512 513 521 531 541 551 561 571 581 591 611 612 Empty pesticide containers 30 gal or more Other empty container 30 gal or more Empty containers less than 30 gal Drilling mud Chemical toilet waste Photo chemical/photo processing waste Laboratory waste chemicals, Detergent and soap Fly ash, bottom ash, and retort ash Gas scrubber waste Baghouse waste ' Contaminated soil from site clean-ups Household wastes l 4 ~;~ 11.._,. 'f! R S ,I' ~I. () ': 'IR6 ART. T ~ ,.-. . CITY OF BAKERSFIELOe OFFICE OF ENVIRON~IENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 FACILITY INFORMA nON Business ActivIties I, FACILITY IDENTIFICATION F-\CILlrY 10 ~ IFQ( ",fiee use only, p'"ase leave Olank) R'i \~, ß -tt: 1 OBAiFACILlrYNAME '3~ <:¡ C, \ Ûh l~o i'i pJ. (8 ~(d. ... -.. -. -. -..- - -..- Page oJl EPA 10 d I ~Â~ Q33c7 II. ACTIVITIES DECLARATION ".--.---.-- ..-- .. ..--.. -... _.- -.. .-..-----..-------. . _. n' __ _ _ ."__ ______. ----.. - .... - ... . - ....--.--------.------ Does Your Facility... If Yes. Please Complete... Ä,' HAZARDOUS MA TERIALS'-·-'· ,-- - -- '----(Qì(Ês 'ÖÑo .--~-~._~---.-u..-ë5Ë·S' FORM 2i~1 (ëhem'C31 D~;;:;~t¡;;; F~)u ------ 1, Have on site (for any purpose) hazardous materials at or V' CONSOLIDATED COMPLIANCE PLAN above 55 gallons for liquids. 500 pounds for solids, or 200 Minimum required olanninQ elements; cu ft (or compressed gases (include liquids in ASTs and . Emergency Response Plan USTs)? ! . Maps Have any amount of an explosive material (other than ' OYES ¡~, 5 . Training ammunition) on site? . Prevention . Certifications 8. REGULAT"Ë6-süäsTANCË~f(R'Š)'-" -·-------~--·o·yE5 tDHO·----;--;¡----OES FORM 2-731- (ëh~-i~ïD~~-;rionF~~)·_---_·'--~_· Have on site RS at greater than the threshold planning V' RISK MANAGEMENT PLAN (RMP Submil to USEPA) quantities established by the California Accidental V' CONSOLlDA TED COMPLIANCE PLAN Release Prevention program (CaIARP)? , . Incorporating CalARP Program Elements C',-ÜNDERGRÖUNÖ-STÕRÄGÊ-Ì'ANK?ÚÜSTš¡·---·---'~Š·ÖNO - --¡-;-~-'---ÜŠT-FAélLITynFÖRM-' ...______n_ -- _._--~ 1 Own or operate Underground Storage Tanks? V' UST TANK FORM (one per tank) , Intend to upgrade existing or install new USTs? OYES ONO 8 ~ V' UST FACILITY FORM v USTTANKFORM V' UST INSTALLATION FORM (one per tank) ; OYEŠ- ONO --9~-USTTÃÑKFÕRM(d~~;"-Sedion~eP;"~;;;kr----' '-ÖYËsc5Ño---;-¡-~------ëoÑ'Š-õLiDÂTËD CÕMP'ÜÄÑCË PLÃÑ- --,-- . Incorporating Federal Spill Prevention Control and Countermeasure (SPCC) Elements pursuant to 40 CFR Part 112 .~.._._. ... _ _.... _._~ ._M .____.___._.____ EPA ID number·-provide on this page To obtain EPA 10#. please phone (916) 324-1781 RECYCLING FORM . - - - - __'n _._-~._-.- .. ~ ...-- -.-.-. 2. . - ---..-----..-.. -..---.-- D, TANK CLOSURE I REMOVAL 1, Need to report closing a UST that held hazardous materials or waste? 2, Need to report the closurel removal of a tank that was classified as hazardous waste and cleaned onsite? OYES ONO ,,- E~'Af30VEÒROÜÑÕPËTRoCËu~i S-rÔRÄGETAÑKS(ASTs) Own or operate ASTs above these thresholds: any tank capacity is greater than 660 gallons or the total capacity ;: (or the facility is greater than 1,320 gallons. - ..--- -. ..- . --~. .--..-.- ------_.._--~._.~_.._.__. F. HAZARDOUS WASTE: 1. Generale hazardous waste? 2. Recycle more than 100 kg/mo of recyclable materials at the same location it was generated? Recycle more than 100 kg/mo of recyclable materials at OYES ONO an offsite location different from the point of generation? Treat Hazardous Waste on site? OYES ONO OYES ONO 3. 4, OYES ONO ¡ OYES ONO I OYES ONO ~~ i G, PERMIT CONsòÜöÃiiCiNZÖÑE:---n'-,..... _..n ' --- -----l-ÖVËS'-(jNÖ·- Intend to consolidate other CallEPA agency permits? ! (If yes. please complete Section III and attach) 5. Subject to Financial Assurance requirements? 6. Consolidate Hazardous Waste generated at a remote 10 i V' 12 13 14 V 15 V' V' 16 V' 11 I v , ..... ,.i.... ,_, 18 V' TANK CLOSURE FORM V' v RECYCLING FORM TP FACILITY FORM (DTSC Form 1772) TP UNIT FORM (one per unit) CERTIFICATION OF FINANCIAL ASSURANCE REMOTE WASTE I CONSOLIDATION SITE NOTIFICATION FORM ... '_hU .. ... .... ... . .. _. . ...._... ...... ------... ------.-.-.. CONSOLlDA TED COMPLIANCE PLAN . Incorporating all other environmental permit requirements per 27 CCR 10410 ·E: , IOU checked YES to any part of Sections IIA·IIG above, then in addition to the forms requested above. please Submit OES Form 2730, ~'-" ..' UPCF (1/99) S:ICUPAFORMS\ACTlVITY,wpd ,-'~ ~ ,,(~,~;;,~" i/ AI". , ........ --"""'0. --- - - CITY OF BAKERSFIEL~ OFFICE OF ENVIRONl\IlENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 I. FACILITY IDENTIFICATION 'FAÒi.iTY tD ~ (For òfflëë use only ':pleasëiëå~ë iiiånk) . ...__._ _ .___u._ ......__._._..__. ___._......_..... 50.\\.\<- DBA/FACILITY NAME . "._ . _. N. _. (, FACILITY INFORMATlO~i Business Activities Addendurr . Page 01 ._----- EPA ID, ~ ... .--.---- 2 ___..___.._.._ _.. .______________...__._......_.____.___..__._____._.______. ._._...__.___0.__'"' __.. .._-- -------.---.------ -----.---.. Is your Facility Compliance Plan subject to review by... ; for satisfying the conditions of these permits? ·1.i~-OËPARTMEÑTõFTÕXiCŠ-üëŠ-TANéEšCÕÑ;:Rõi.--·--ëWEs ONO- ---;;---- '·STÃÑDAROiiËoPERMIT-"- -- --.-.---------' . All Modifications III. CONSOLIDATED PERMIT ACTIVITIES ..------ .-..- .._- . V' Non-RCRA HAZARDOUS WASTE FACILITY -- OYES ONO OYES ONO "ï.' sÁÑ' JOÃÖÜiÑVÄLLEvÜÑiFïËõ-ÃÎR·POLLUTION --·--~NO CONTROL DISTRICT aYES ONO : V' AUTHORITY TO CONSTRUCT V' PERMIT TO OPERATE -T -šTATEWATëR-RËSõüRCËSëõÑTRõL·ãë5ÃRO--- ;NTRAL VALLEY REGIONAL WATER QUALITY CONTROL dOARD OYES ONO OYES ONO ¡V' ¡V' ¡ :V' OYES ONO V' RCRA HAZARDOUS WASTE FACILITY -.----.--. .-_. .--------- --. -----. WASTE DISCHARGE REQUIREMENT (WDR) __ GENERAL PERMITS SPECIFIC PERMITS (~ OYES ONO ! V' NATIONAL POLLUTION DISCHARGE , ELIMINATION SYSTEM (NPDES) --KCÃÜFORÑiÄÏÑTÉGRÄTEDWÃSTEMÄNÁGÈMENTBõ~ ÖVES OÑõ----.7--REGISTAATIOÑ PERMIT ;--Cï<Ë'R·Ñ-EõuÑ'Tv R-ÉSOURCE MÃNAGEMEÑT AGËNÓ-----.. OYES ONO V' OYES ONO ¡eI j , OYES ONO ;V' I I OYES ONO !V' OYES ONO :V' aYES ONO V' ENVIRONMENTAL HEALTH SERVICES PERMITS Domestic Water Well Permit ' Haz Mat Monitoring Well Permit Septic System Permit Public Swimming Pool Permit Food Facility Construction Permit Solid Waste Local Enforcement Agency (LEA) Related Permits OYES ONO V' Medical Waste Related Permits ....____. _, ___ ,._,_...,_.. _..,______,___'__.,__.._....,_. ,_,._._,_____,..:...._...,..,__ ___......._,__....-1__,____.._,_____,.,....,.. ..,.-----..-,..-.-----,--------- M, CITY OF BAKERSFIELD WASTE WATER DIVISION : OYES ONO ¡ V' INDUSTRIAL WASTE WATER DISCHARGE I PERMIT NOTE: V' If you checked YES to any part of Sections III-H to (II-M above. then please address all applicable permit requirements in the Facility Compliance Plan. S,ICUPA10RMSIAdldyad_,wpd ~t.l0Q8 <- CITY OF BAKERSFIELD OFFe: OF ENVIRON:\IENTAL S_VICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page _ 0' . '- ~..- ....... ..- _... "' -..-. -.-- I. FACILITY IDENTIFICATION '-FACILITY 10 # 1 Year Beginning 100 Year Ending '01 - . . ..-... . ..... BUSINESS NAME (Same as FACILITY NAME or ~BA. Do,ng B~siness As) Ft\{\~~ \3, ~ " SITE ADDRESS 3~ct ~ tu-\. ~S<OC\( Qd. Ç3'Lt.J . 3 BUSINESS PHONE tD fo l; ~ 3~' qq ¿ ì 102 103 -.... ..--. . . _~.. no.___·.··__ .. u_... . . - ..-.. - ...'_....... .--.-..... ____~~_..__~A _. .zl~ ....ft')3ù ,_. ,___... _ _. 106 SIC CODE , (4 Digit #) 105 ¡ CITY I DUN & BRADSTREET I ' _..._____..____,___.__ -_____...... ,.,.'''-..-----0 I _.-...... . ._----.-- --- 107 ...---..--.-.-..--..- -- ..._- ._._-_..-.--- ,... .. COUNTY 108 -."....-- -".-. -..-----.-------.. ----------.-----....------.------ O"~ERA_TOR NAME Fl 'it ~~ ß ~1 109 OPERATOR PHONE F( '( I k '~ ß #-? 110 II. OWNER INFORMATION . ~:~~_E.~. ~~~~.~ __A l1!{dit.A.~_(\.{Jo.JL~____ ____.____. ___~~_:>~E~ .~.H_?_~~ .v~~L:. _3~~2-'- q ç 112 OWNER MAILING \ , 1\ I AD~~~~~_____..ii.L<1š' ~ ' ,If oS\: !_ --ß~U. I III. ENVIRONMENTAL CONTACT I ~::~;~~ :t:~h~'~=- - Jg/, l~( \ ________ ---- _____-'~_CONT~~-~~~~i~I:_~3~:__~~g ;:; AD~~_~~S__ 3 ~ ~ l1____£!.bJ1i~'L._.__ Al_____,__. __u__.__ ______ ._______,__._ C_J:_v.____ß~~ __.______. __________.__~~~TAT:.èJt..~,_'2~.___ _____:~!1.]J(JJ_.__~.. -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- ;-iMj=~ß~--ßl-;-~;lr -=-~_~~¡=';;E ß~~(~=_---5j~~-=:~=-_=__==-- ,,'. ¡TIT~~... .'..., fu~l:.--._--_-----_-.--.-----.u-.-----~~~L!~~~~--,-.-,A~s_t~_,_. _.J!\_~.~.____.,,~. _,.._,_________ ._..'m..~~_ ¡BUSINES_S, ~~?N~,_~!LL:_~,2.~ ~_~H <:2. ___..._, ___" 1~~'¡ .s.U,S~~_E~~PHO~~, J'e~L~.,~J.~_' 1.<{ '1..1, ._ _ _, .'.. 131 124-HOUR PHO~~.._&.O!l-~-,-.~1.~---().32ì--.--~~~-¡.~~~~~~~.~.!:-?~~----_~c1.:..__~ç<ø- . rJ.f:~___,.. h. _. _ _,__ ~~2_ I' ' ' " -' !PAGER # 128 ' PAGER # 113 , --------...------- 114 : STATE ¿ It '~5_ ZIP If "3J (J c( 116 133 ~ 9-03 V. CERTIFICATION .Certificatio: s on my inquiry of those individuals responsible for obtaining the Information. I certify under penalty of law that I have personally examined 'and am famili r with the Information submitted in this inventory and believe the information is true. accurate. and complete. ¡SIGNATURE ·oÞ'Öw'Ñ·ËRiOPERATÒFi" ...-"-,, '.-. ...-.----, '--T ÕATË·-,--- - .--- ··--;3~-~·ÑÃMEÕï= -DOCUMÊNT PREPÄ-RËR --- ,m -..----;-;5-- I - _H_..._____ '36- j - riTLE OF' OiÑNERióPEAATOR ¡NAMES OF ÒWNÈ"RïõPE-RATÒFf(priñt) ..-,---, ,-.., .... ." ...... -..-.. 137 ..-...... .. ... ... ! , -, rCF (7/99) S:\CUP AFORMS\OES2730.T/4.'Npá eeiness Owner/Operator Identifi9n . .' Please ~UOIT1I! Ihl! BUSlnas:! ~çrovlnes page, the BUSiness Owner/Operator Idenliflcaåon page (OES Form 2730). and Hazardous Materials· Chel}1ical Oesétìpnon pages (OES Form 2731) for all hazardous materials inventory submissions. For the inventory to be considered complete -. rt1IS page must oe ~Igned by the Jppropnate IndiVIdual, \ote: the numoenng of t/1e Instructions follows lt1e data ~Iement numbers that are on the UPCF pages, These data dfèment number'3 are used , " (' Jr electronic submiSSion and are the same as lt1e numbenng used in 27 CCR. Appendix C. the Business Section of the Unified PrQ9ram Data Dicdona Please number all pages of your 5uomlttal. This helps your CUPA or AA identity whether the submittal is complete and if any pages are separated, " F~ClITY 10 NUMBER· This nùmber is assigned by the CUPA or AA, This is lt1e unique number which identifies your facility, J, BUSINESS NAME· Enter lt1e full l89al name of the business, 100, BEGINNING OA TE . Enter the b89inning year and date of the report. (YYYYMMOO) 101, ENDING DA TE . Enter the ending year and date of the report. (YYYYMMDD) 102, BUSINESS PHONE - Enter the phone number. area code first. and any extension. , 103. BUSINESS SITE ADDRESS· Enter the street address where the facility is located. No post office box numbers are allowed. This informa!lon must provide a means to geographically locate the facility. 104, CITY· Enter the city or unincorporated area in which business site is located. 105, ZIP CODE· Enter the zip code of business site. The extra 4 digit zip may also be added. ; 106, DUN & BRADSTREET· Enter the Dun & Bradstreet number for the facility, The Dun & Bradstreet number may be obtained by calling, (610) 882·7748 or by Internet. 107, ,SIC CODE· Enter the primary Standard Industrial Classification Code number for primary business activity. NOTE: If code is more than 4 digits. report only the first four. 108. COUNTY· Enter the colJnty in which the business site is located. 109. BUSINESS OPERATOR NAME - Enter the name of the business operator. 110. BUSINESS OPERA TOR PHONE· Enter businëss operator phone number. if different from business phone, area code first. and any extension. : 11 i. OWNER NAME· Enter name of business owner, if different from business operator. 112. OWNER PHONE· Enter the business owner's phone number if different from business phone, area code first. and any extension. 113.' OWNER MAILING ADDRESS - Enter the owner's mailing address if different from business site address. 114. OWNER CITY - Enter the name of the city for the owner's mailing address. 115. OWNER STATE - Enter the 2 character state abbreviation for the owner's maDlng address. 116. OWNER ZIP CODE - Enter the zip code for !he owner~ address. The extra 4 digit zip may also be added. 117, ENVIRONMENTAL CONTACT NAME - Enter the name of the person, if different from the Business Owner or Operator, who receives all environmental correspondence and will respond to enforcement activity. ' 118. CONTACT PHONE - Enter the phone number. if different from Owner or Operator. at which the environmental contact can be contacted, code first. and any extension. 119. CONTACT MAILING ADDRESS - Enter the mailing address where all environmental contact correspondence sliould be sent. if different site addresS. 120. CITY - Enter the name of the city for the environmental contact=S mailing address. 121. STATE - Enter the 2 character state abbreviation for the environmental contact=s maißng address. . 122. ZIP CODE - Enter the zip code for the environmental contact=S mailing address. The extra 4 digit zip may also be added.. . 123. PRIMARY EMERGENCY CONTACT NAME - Enter the name of a representative that can be contacted in case of an emergency invoÌVing hazardous materials at the business site. The contact shall have FULL facility access, site familiarity, and authority to make decisions for the business r89arding incident mi!lga!lon. 124. TITLE - Enter the title of the primary emergency contact. 125, BUSINESS PHONE - Enter the business number for the primary emergency contact. area code first, and any extensions. 126. 24-HOUR PHONE - Enter a 24-hour phone number for the primary emergency contact The 24-hour phone number must be one which is answered 24 hours a day. If it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the individual stated above. 127. PAGER NUMBER - Enter the pager number for the primary emergency contact, if available. . 128. SECONDARY EMERGENCY CONTACT NAME . Enter the name of a secondary representative that can be contacted in the event that the primaty emergency contact is not available. The contact shall have FULL facility access, site familiarity, and authority to make decisions for the busIness r89arding incident mitiga!lon. 129. TITLE - Enter the !lUe of the secondary emergency contact. ' 130, BUSINESS PHONE· Enter the business telephone number for the secondary emergency contact, area code first. and any extension: 131, 24·HOUR PHONE - Enter a 24-hour phone number for the secondary emergency contact. The 24 hour phone number must be one which is answered 24 hours a day. If it is not the contact's home phone number. then the service answering the phone must be able to immediately contact the individual stated above. 132. PAGER NUMBER - Enter the pager number for the secondary emergency contact, if available. . 7, ~ .- ~ , 133, ADDITIONAL LOCALLY COLLECTED INFORMATION· This space may be used for CUPAs or AAs to collect any' addH¡óñal information necessary to meet the requirements of their individual programs. Contact your local agency for guidance. 134. DATE - Enter the date that the document was signed. (YYYYMMDD) 135. NAME OF DOCUMENT PREPARER . Enter !he full name of the person who prepared the inventory submittal information. 136. NAME OF SIGNER - En~r the full printed name of 111 ;lerson signing the page. The signer certifies to a familiarity with the information submitted and that based on the signer=s inquiry of those individuals responsible for obtaining the information. all the information submitted is true. accurate and complete. SIGNATURE OF OWNERI OPERATOR OR DESIGNATED REPRESENTATIVE - The Business Owner/Operator. or officially desIgnated representative of the Owner/Operator. shall sign in the space provided. This signature certifies that the signer is familiar with the information submitted and that based on the signer=s inquiry of those individuals responsible for obtaining the information it is the signer=s belief that the submitted informalion is true, accurate and completo. 137. TITLE OF SIGNER - Enter the title of the person signing the page. ~ area , from the 'c t CITY OF BAKERSFIELD OF. OF ENVIRON~IENTAL S.VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ONEW DADO giEVISE 200 o DELETE J. FACILITY INFORMATION BUS"INESS"NAME-'tSåme'"as"FACILITŸ"'NÄMÈ c);'ÖeA ~ Ooi-,;gïjûs7ness As')- --." -.. .-------- ------. .-.--. -. . - --~ _...~. . - -.--.----. -.. . . - .....-..-. CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAl.: (EPCRA) 2Ò:i ." GRiò ii (opÙ,naï¡ --" FA~'L_I~ '~#~:~J=.~__~I~~~=--,~.~~._~ ~Øïõ:öbona~-'-'---"'- ..-...------------ oQ (o,,~ .'Ofm (Jet ,"alenal /Jer öulk1l11g or .Jfea Pa<¡e of .._--- -- -----...-.-.". Dyes DNa 202 --, '--'--------2õ.ï II. CHEMICAL INFORMATION CHEMICALNA~---·---..·_-_..-·-.... .... '. ..--".'-'" -..._-- ... .--.--.-,--..---------- . "-i05--tRÄöËsEëRÊi'''-·D~~ O-;;-o-;~-- ~6..5 \ l\,\ , , II SubJect 10 EPCRA. reler 10 inslruC1ions ___,____,_.. ",___,___ _O..._~_ ______._.___.__________._________.,_.___________.___..." - -----,--'-.- 207 ' _~~~::~~~ èò ~~ l (~ EHS· D ~es D~_ CASØ 'FiRECÕOËHAzAAÕClAššË-ŠfCoinplele if requested by locaIlit~ ciiiëij- -------- 209 oJ( EHS is·Yes. . aJlIIIIOWIU below mu51 be ÚlIbs, 210 -----.----....--------" -......--..--.------- -'0 yes -cf ~-_.---;;;-. ëÜRiËs" -- ------Žïr 215 , ' .n____ _._..___._'_'__..____.;;:;~-------- TYPE 0 P PURE ßor m MIXTURE D w WASTE 211 RADIOACTIVE I PHYSICAL STATE ~laUID 214 LARGEST CONTAINER D 9 ,GAS D s SOLID ..---.------------------.-- ------.---....-..--- -- _. --..-- ---.---..- _.__._-------~ I FED HAZARD CATEGORIES , (r"-ck all !hat apply) ID/'REACTIVE Q).(' CHRONIC HEAlTH --..---.--------.-- c;r( FIRE D 3 PRESSURE RElEASE (]...r1CUTE HEAlTH 218 , AVERAGé ! CAlLY AMOUNT o Ib LBS 0 In TONS , WASTE r 217 MAXIMUM CAlLY AMOUNT UNITS· . rn-(a" GAL 0 d CU FT . If EHS. amount must be in Ibs. .----...- 221 CAYS ON SITE 222 I-~ I STORAGE CONTAINER ' :~eCk -:Ilhal apply) 216 219 STATEWASTECOOE 220 -------- .---------- o a ABOVEGROUND TANK ' ~DERGROUNDTANK D c TANK INSIDE BUILDING o d STEEL DRUM o e PlASTICINONMETALLlC DRUM OlGAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX o I CYLINDER Om GLASS BOTTLE o n PLASTIC BOTTLE D 0 TOTE BIN o p TANK WAGON o q RAIL CAR Or OTHER 223 o aa ABOVE AMBIENT o ba BELOW AMBIENT -----..--.---------.--.--.----------------..--- 224 -.---------.. .--..----------------. STORAGE PRESSURE ¡g.<"'AMBIENT ty( AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o C CRYOGENIC 225 %wr HAZARDOUS COMPONENT EHS CAS # ;'-.-~ .~-~_',~~~' ~8¡-'Q t ~ .~-- Ul~}~~J;:~{ .~=~~=~'~=.-.:-~~'=::7 l-~~':~' No 228_L~~.~~~~-~_.____,__~_ I =t ' , 2, _2~~.~_ ___..P,~~~__..__uN{tdcL___._____.,_._.__m.....-~~.~..~~,N~-2~~_f _. ___. __.____....... 233 i ·~w .._ -;:f=:~=~~~-Q~~~~==:=- -=~=: ..:~~·~j~;=;·~t··_=._. ~=-.-==- :~ I¡,~_~_________ ~421___ _ ~\_((lr¡) (.\.K_l.:-__ ~~L__ J~ q¡S.____~___~:~~~_D N~_~~l_..__.~....._,____.__-.:... 'r, / ; ..A~,~.I ! 5- q - 03 'f'1 _. ..._ p... ". ..__.... ". ~. .... .... ... , .0- .__ .__ .__"._ STORAGE TEMPeRATURE i pØ''''YNAME & rïi'i.eõFAuTHORIZeÕCOMPANVREPRESËÑTATIVè" I ..... ... . ",. - ., ._-- ---ÕÅ~ 246-- .- ..-.. - - - .. ....----_. S:\CUPAFORMS\OES2731.TV4.wpd JPCF (7/991. e e Hazardous Materials Inventory· Chemical Description 00 YOu '?1\J'i1 .:O,.,UI.1I1} I j1fO.lr.HJI ~..I":~I((jOUS ."1..1Ct)n,IIS '''·..''nrorl.. CttðmlCdl CasCrtpllon page ~O( d.1Cn ndl.1(f'jOuS malorral (hazardOuS 'iUo,tances .J"d rta.zJrdOus waste) th8t yOu "d,,<lI., II I""r '.";'''''/ " "I<¡r......" 'IUd""""~ '''IUd' '0 ,"¡r....lor 'I1d" seo ;JOund~, S5 -lallons, 200 cuOOC feel 01 '1')3 (calcul..ted JI il.]nd..rd :emp"r.]lur"..1I<I pr....ure) f)( 'n.) 'f1l1fi( 11 'n(J'~"lld JI.ln,lIn4] '1u.Jnl¡(y (or :'(IOtmøly Halarr10us SuDsl.Jflces. 'Nhlcr"lever IS IdSS. Also comø1ete cJ paqø (or daCn radlodctl'¥'8 malenal han(jled over ,¡u.I""Io... 'or "",en 111 ,.m'('J""C'1 ;)1,," ,s r"<1U"O<.l '0 ~e 'dopled pursudnllo 10 CFR Parts, JO, ~O, or TO, rl1e completed ,nvenlory il10uld renecl JII reportaOle quanUlles 1)1 n.l.lart10ui :n,'!OnJI'j .It lour !~h':lhly. -epcrteJ ~.p"(,JI.ly !cr 'Jelen tJulk:!lnq ¡Jr 0ulSlde .JdjacenC .Jrea, 'Nllh ,.para.. pages ror unIQue \JCcurrences.J1 ;:¡nY'5IQI 'tate. 510rage tomper~lur~ I~l.! ¡ton!).. ;)r.."ur.., ,Nota: tl1" "umO"''"'J "I:M ,"'(lucttons (olfo~ Ih" oJat.] -Jlamen, numbers lI1al .]rl) on lI1e UPCF ;Jages, rl1ese ,1.01.] -llemenl numbers Jre us8d 'or oJl~CI«)n,c 5uO""11s,on Jnd Jre lI1e :lam" JS 'M numoenn( used ,n 27 CCR, Appendix C, ,I1e Bus,ness Section olll1e Un,fittd Program Oa..] Dictionary,) Please numO"r ,If )Jq"5 of jour .uOrn,ltal. rhls I1elps your Ct;P'" or AA ,denl,ly wl1"II1er lI1e suOm,ltal '5 complele and ,I.]ny pa(es are separatad, I FACILI ry :0 NUMBER, rl1,s numOer '5 JS51(nad oy 'I1e CUPA or AA rl1,s is Ihe unIQue numOðr w"'cl1 ,denlofies your facility, J, BUSINESS NAME· Enter ,/1Q rulllegal name of ,I1e JUS,neS5, 200, ADO/OELETEI REVISE. Indlcale ,f Ihe malenal '5 Jeln( added 10 the ,nvenlory. deleled from the ,nventory. or if the inlormation previously suOm,lted is 08.ng revised. NOTE: You may cl100se to leave 1I1,S blank ,I you resubmll your en lire inventory annually, 201, CHEMICAL LOCA TtON . Enler lI1e bUIlding or outs,del adjacent area where Ihe hazardous malerial is Mndled, A chemical llIat is Stored at lhe same pressure and temperalure. ,n mulfiple locations wltl1,n a budding, can be reported on a single ;Jage, NOTE: This inlormalion is not subjeclto puOlic disclosure pUr5uanllo HSC §25506, 202, CHEMICAL LOCA TtON CONFIDENTIAL· EPCRA . All buSinesses which are subject to the Emergency Planning and Community Rigl1t 10 Know Act (EPCRA) must Cl1eck 'Yes- 10 ,<eep cl1emlCa/location inlormallOll confidential. If the business does not wish 10 keep chemicallocalion informalion confidential check ~No', 203, MAP NUMBER· II a map '5 included, enler ,I1e numOðr of 'I1e map on which lI1e localion 011118 I1azardous material is sl1own, 204, GRIO NUMBER. II gnd coordinates are used, enler ,he 1nd coordinales of the map lhat correspond 10 the location of tl1e hazardous material. II applicable. multiple grid' coordinales can De lisled, ' 205, CHEMICAL NAME. Enler the proper chemical name associated with Ihe Chemical Abstract Service (CAS) number of Ihe hazardous material. This shOuld be llIe Intemalional Union of Pure and Applied CI1em1slly (IUPAC) name lound on Che Material Safety Oala Sheet (MSDS), NOTE: If Ihe chemical is a mixture. do not complete Ihis field: complele Ihe "COMMON NAME" field instead. 206, TRADE SECRET· CI1eck "Yes· if the ¡nlormation in Chis section is declared a trade secret. 0( ·No· if il is noL State requirement: If yeS. and business is not subjed 10 EPCRA. disclosure of llIe designated trade secret infonnation is bound by HSC §25511, Federal requirement: If yes. and business is ~ubject to EPCRA, disclosure of the designated Trade Secret information is bound by 40 CFR and Ihe business must submit a "SubStal1tiation 10 Accompany Claims of Trade Secrecy" form (40 CFR 350.27) to USEPA. . 207. COMMON NAME· Enler llIe common name or trade name of llIe hazardous materialOf' mixture containill9 a hazardous material. 208. EHS . Check "Yes· if the hazardous malerial is an Extremely Hazardous Substance (EHS). as defined in 40 CFR, Part 355, Appendix A. If the material is a mixture , containing an EHS. leave IhiS seclion blank .011<1 complete the section on hazardous components below, 209, CAS" . Enter Ihe Chemical Abstrad SeNice (CAS) num08r 10( the hazardous material. For mixtures. enter llIe CAS number of the mixture if it has been assigned a number distinct from its components. If the mixture has no CAS number, leave this column blank and repOt1 the CAS numbers of the individual hazardous components in the appropriate section below, 210, FIRE CODE HAZARD CLASSES. Fire Code Hazard Classes describe to first responders Ihe type and level of hazardous materials which a business handles. This Inrormation shall only be provided illl1e local fire chiel deems it necessary .011<1 requests 1/18 CUPA or AA 10 collecl it. A list of llIe hazard classes and instructions on I10w 10 delermine wl1ich class a materiallalls ull<ler are included in llIe appendices of Article 80 of the Uniform Fire Code. If a material has more than one , applicable hazard class. include all. Contact CUPA 0( M for guidance. 211, HAZARDOUS MATERIAL TYPE. Check lhe one box that besl describes the type of hazardous materiat pure, mixture or waste. If waste material. check only that box. If mixture or waste. complete hazardous components section. 212. RADIOACTIVE· Check ·Yes· if llIe hazardous malerial is radioactive Of' ·No· if it is noL 213. CURIES. If Che hazardous material is radioactive. use this area to report llIe adivity in curies. You may use up to nine älgits with a fIoaUng decimal point to report activity in curies. 214. PHYSICAL STATE _ Check llIe one box llIat best describes the state in which the hazardous material is handled: solid, liquid or gas. 215. LARGEST CONTAINER· Enter the total capacity of the largest container in which the material is stored. 216. FEDERAL HAZARD CATEGORIES· Check all cat cries that descnbe llIe h ical and health hazards associated with llIe hazardous material. PHYSICAL HAZARDS HEALTH HAZARDS Fire: Flammable U uids and Solids. Combustible L' uids. horics. Oxidizers Acute Health (Immediate): Highly Toxic. Toxic, Irritants. Se/lSitizers, Corrosives, Reactive: Unslable Reactive. 0 anic Peroxides. Waler Reactive. Radioadive other hazardous chemicals with an adverse effed with short term ex ure Pressure Release: Explosives, Compressed Gases. Blasting Agents Chronic Health (Delayed): Carcinogens. oilier hazardous chemicals with an adverse effect with 10 term ex sure 217. AVERAGE DAILY AMOUNT. CalCulate llIe average dally amount of llIe hazardous material or mixture containing a hazardous material. in each building 0( adjacenV outside area. Calculations shall be based on the previous year's inventory of material reported on this page, Total all daily amounts and divide by the number of da~ the chemical will be on site. If this is a malerialChat has not prllYÎOUsly been present at this locallon, the amount shall be the average daily amount you project to be on hand during the course of the year. This amount should be consistent willi the units reported in bo,x 221 and should not exceed that of maximum daily amounL 218. MAXIMUM OAIL Y AMOUNT. Enter llIe maximum amount of each hazardous material 0( mixture containing a hazardous material. which is handled in a building 0( adjacenVoutside area at anyone time oyer the course of the year. This amount must contain at a minimum last yeai"s inventory of llIe malerial reported on this page. with lhe renedion of additions. deletions. or revisions projected fO( the cu"ent year, This amount should be consistent with llIe units reported in box 221. 219. ANNUAL WASTE AMOUNT -If the hazardous material being inventoried is a waste. provide an esllmate of the annual amount handled. 220, STATE WASTE CODE .If the hazardous material is a waste. enter the appropriate California 3-digit hazardous waste code as listed on the back of the Unifonn Hazardous Waste Manifest. ' 221. UNITS. Check Ihe unit of measure that is most apprO)riate for the material being reported on Ihis page: gallons, pounds, cubic leet or tons. NOTE; If the material is a federally defined Extremely Hazardous Substance (EHS), all amounts must be reported in poull<ls. If material is a mixture col1taining an EHS. report the units that Ihe malerial is stored in (gallons. pounds, cubic reel 0( tons). 222. DAYS ON SITE· List lI1e tOlal number 01 days during the year llIat the malerial is on site. 223, STORAGE CONTAINER. Check all boxes lI1at describe the Iype of storage conlainers in which the hazardous malerial is stored. NOTE: If appropriale. you may cl100se more lI1an one, 224, STORAGE PRESSURE· Check the one box tl1al best describes the pressure at which lI1e hazardous materia"s stored, 225, STORAGE TEMPERATURE· Check llIe one box thai best describes the temperature at which lhe hazardous malerial is stored, 226. HAZAROOUS COMPONENTS 1.5 (% BY WEIGHT) . Enler Ihe percentage weight of Che hazardous component in a mixlure. If a range of percentages is available, report the highest percenlage in that range, (Report for components 2 through 5 in 230. 234. 238. and 242,) 227, HAZARDOUS COMPONENTS ,.5 NAME. When reporting a hazardous materiallllat is a mixture, list up to five chemical names of hazardous components in that mixlure by percent weight (refer to MSOS or. in lhe case of trade secrets. refer 10 manufacturer), All hazardous components in the mixture present al greater than 1 % by weighl if non.carcinogenic. or 0.1 % by weight if carcinogenic. shOuld be reported. If more than five hazardous components are present above these pnrcentages, you may attach an addilional sheet of paper 10 capluro Ihe required inlormalion, When roporting waste mixtures. mineral and chemical composition sl10uld be listed. (Report for components 21hrough 5 in 231. 235, 239. and 243,) 228, HAZAROOUS COMPONENTS 1.5 EHS . Check ·Yes· if Ihe component of the mixture is considered an Extremely Hazardous Subs lance as defined in 40 CFR, PJrt J55, or ·No· ,~il is nol. (Report for componenlS 2 Ihrough 5 in 232. 236. 240. and 244,) r 229, HAZARDOUS COMPONENTS t.5 CAS. Lisl'lhe Chemical Abstract Service (CAS) numbers as related 10 Ihe hazardous componenls in the mixture. (Repeat lor 2-5.) 246, LOCALLY COLLECTED INFORMA nON. This space may be used by the CUPA or AA 10 collect Jny addilional information necessary 10 meellhe requirements of llIeir indiv,dual programs, Conlact the CUPA or AA (or guidance, UPCF (1/99) 7 DES Form 2731 ( .. c (. ... .,," e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE., BAKERSFIELD, CA (661) 326-3979 SITE AND FACILITY DIAGRAM INSTRUCTIONS FOR HAZARDOUSMATERIALS~AGEMENTPLANS These instructions explain the use of the site diagram and the facility diagram. Nonnally, small and medium size businesses will only have to submit a site diagram. If you have subdivided your business into smaller areas because of the complexity or size, then you will be completing and additional detail map, facility diagram, for each of these areas. Include instructions that show the route to your business if it is in a remote location. All diagrams must be on 8 12 x 11 paper and dr~wn using a straight edge tool. SITE DIAGRAM INSTRUCTIONS ,The site diagram is used to show your business and to indicate the businesses that immediately surround your property, usually within 300 feet. If you will be showing specific area detail on facility diagrams, use the site diagram to show an overall layout of the plant. If you will not be submitting facility diagrams, the site map must include all of the following infonnation: 1. Check the box on the top left comer of the fonn provided that indicated "Site Diagram". 2. ' Print the name of your business, as shown in your HMMP, on the top of the diagram. 3. Label the location of the hazardous materials and identify them by name and type of hazard (ie. Flammable liquid, corrosive solid). 4. 5. I I 6. 7. Label the location of utility shutof~points for gas, electric and water services. Label the location of fire hydrants. Label portions of the building protected by automatic sprinkler systems. Label the directiòn representing north on the diagram. (The diagram fonn provided includes a north arrow). , '... 8. e e All labeling and identi tìcation on the diagram must be legible and easily understandable at the scale submitted. Diagrams must be sufficiently legible to produce a legible copy. \ Try to avoid the use of abbreviations or symbols. If you must use them, provide a legend explaining your system. Maps may be returned for correction if you fail to follow these instructions. FACILITY DIAGRAM INSTRUCTIONS Facility diagrams are supplements to the site diagram. Use them to show the subdivision details of a large business. 1. Check the box in the upper right hand corner of the fonn provided that indicated' "Facility Diagram". 2. Print the name of your business as shown on your HMMP: Print the name of the area that this map represents. This name should be the same name that you used on this area's inventory report. 3. Indicate which area the diagram represents and the total number of facility diagrams that you are including. Ifa map represented the first of four areas, it would be labeled #1 of 4. 4. Follow instructions (3 -8)* for site diagrams regarding the specific details to be included on each facility diagram. UNDERGROUND STORAGE TANK FACILITIES PLEASE NOTE: * If you operate an Underground Storage Tank (UST) facility, the facility diagram shall also specify the location(s) of the UST continuous leak monitoring system and/or the location(s) where the UST monitoring will be performed. (, 2 ., ,. "ij . N / e e FACILITY DIAGRAl\' [ SITE DIAGRAM [_J Business Name: Business Address: t . , " . S:\I'ROCEDIJRE MAN\J^L·dia¡¡romiNI,wpd