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Per Permit I D #:: 015-000-001030 SOUTHERN AUTO SUPPLY I I I I I I - ! it Operftte to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit Is Issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program Ò Hazardous Waste On-Site Treatment LOCATION: 35 UNION AVE Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (66í) 326-3979 FAX (661) 326-0576 Expiration Date: Issue Date June 3JJ, 2003 " . - , "'- . .' .,~ NORTH ---------- (5/T£ fO -¡r- ! (j 3 (j' DIAGRAM , / }u5~ £ I FLOOR: OF S l../e 1,£1. #- 1030 t. I ~6+M~A41 :ÞI~Ñ [I .... -f/-.n.L.~--- ._. ~-------_..__.,._-___,..._._.__J II, ~.. ( ----. -,. SITE/FACILITY FORM 5 '5 .~ . .. SCALE: BUSINESS NMIE: Sou.\-k.uJ ~1o ~ DATE: 7 /nJ37 FACILITY NAME: ~~",^-e.. (CHECK ONE) SITE DIAGRA~ ~ FACILITY DIAGRAM I ¡.A 01.. 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","t- :.:::::::9 I ! i .J I ~ I ~ I sw I ~ , ~ ~ ----- ~ ' ~ ~ ~..) ~~ -=a ~~ ~ ~ ---+~~~----.. , ---..".\ ~" ~ v )-.....¡.; ~ UI V\'< ~~ I \ '\. \"t¡ I, \ SO(rY!+fZI<..JV f1uTC S:~~Pf-f '/--r ¿¡tV} ON Æ-V<- r~¡ LilY p,-f.l IV ~ Tb"eyh S- p- /ð3 ð I ìU~ éÒ ~ ~ ,,( '~ .,' ."'- , \ ~1 i" ; ~;.. ,.Þ'-~.} ~ 'jr/ð 3ð DIAGRAM , / !lJ5¡:; £ SITE/FACILITY' FORM 5 '. NORTH OF SCALE: ._ BUSINESS NAME:Sou+k.e..u ~-tO ~PP'ý FLOOR: DATE: 7 /n,J9>7 FACILITY NAME: ~~'M'€.. UNIT~: OF (CHECK ONE) SITE DIAGRA~ ~ FACILITY DIAGRAM !---~~,.- -~-_._--_.. i - d-- I I . Inspector's Commen':s): -----"- -_..-_..-- -------¡ I I I i ! I ) II:. I: 1: J1 Ii! i.!: Ie 'Ii I!I ¡': ~ ]~I i i i I I i ¡ II , I ~"!'" :~.AP ._____~ dTi ¡ I I, " ! - --..--" I,. II; i , I ¡ ~ ¡ Vv1 oìÜ ~? 0 tAl (2..-y- I. I ~e~+M~A.¡íl :~,~ l f/-r¿,L~-.-_~ ~------ _ -- -________________________ " ~ u~'o0 p.\)e.. -- ~ v ~ ~ Û\ fI'., i=1 w/{w(?---------- ~fG' '__u. ._.__ ."...______._..__..________ {: (/)1 i ¡ ì I "Q,"'''' T ~ s~ 'Sow,t ð,IC:: c,;;;!Is ~~.s ~ "\'- \t (!", 0, » ])dZlJIAj ~ I J.-tJt. -::¡ IASc.-V1D , S1rßf\)~ ~(tÞ V\ --- { L_____,. ... -..----..--,. --.----.-- ._..-~..- ._.. -.-.__.._----~._~_...._- I' " 1 V St· .. ___n... . .___ - .._____..__ ______________.. ._____..___..____]' I -OFFICIAL USE ONLY- - 5A - Per... it . , to Operote Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ":~I~ardous Materials Plan . ··..~rground Storage of Hazardous Materials ..." gement Program Waste 35 UNION PERMIT ID# 015-021.001030 SOUTHERN AUTO SUPPLY LOCATION " Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, ffice of ental Servi es Approved by: Expiration Date: June 30, 2000 Z' - w CITY OF BAKERSFlEl.D FIRE DEPARTMENT OFFICE OF ENVIRONMENT AI.. SERVICES UNIFIED PROGRAM INSPECTION,CHECKLIST 1715 Chester Ave., 3rd F'loor, Bakersfield, CA 93301 FACILITY NAME <;i;,,~ 41Ð 5i., ~1 ADDRESS ~? f,{ All f);V Av ç FACILITY CONTACT Rla C4-ß~ INSPECTION TIME 30 flt{~ INSPECTION DATE /0111/ oz....- PHONE NO. 3Z-if- to' g . BUSINESS ID NO. ~- 015 -OZ/-{)ô/03ð NUMBER OF EMPLOYEES ( <?) Section 1: ~ J Routine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection AluÞJt, ~1tÞ~~ M ih~1.I1J1.,5 '\ OPERA nON C v COMMENTS Appropriate peonit on hand II Business plan contact infoonation accurate IJ Visible address ¡ bV~/"~ mŸ'1 .J , Correct occupancy Veri fication of inventory materials 11 Verification of quantities ,/ Verification of location I Proper segregation of material VI/ Verification of MSDS availability 1,/ Verification of Haz Mat training Iv' I;, fJP1) -~~ Verification of abatement supplies and procedures ~ , Emergency procedures adequate ¡ Containers properly labeled ¡ Housekeeping j Fire Protection ¡ Site Diagram Adequate & On Hand ¡ C=Compliance V=Violation Any hazardous waste on site?: Explain:-( tJ w~~ l§iyes ONo Questions regarding this inspection? Please call us at (661) 326-3979 . White - Env. Svcs, Yellow - Station Copy Pink - Business Copy siness Site Responsible Party Inspector:6.11 ()Oßé ~Æ- ./ ·c I:; .#' -- SOUTHERN AUTO SUPPLY RF.rEIVED e SiteID: 215-000-001030 Manager : PHIL STRAUSER Location: 35 UNION AVE City BAKERSFIELD /BY: usPhone: ap : 103 Grid: 32C (661) 324-4018 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / . Title PHIL STRAUSER / MGR DON MCMURTREY / OWNER Business Phone: (661) 324-4018x Business Phone: (661) 322-5011x 24-Hour Phone : (661) 832-9232x 24-Hour Phone : (661) 322-3464x Pager Phone : ( ) - x Pager Phone . ( ) - x . Hazmat Hazards: Fire DelHlth Contact . Phone: ( 661) 324-4018x . MailAddr: 35 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner SOUTHERN AUTO SUPPLY INC Phone: (661) 324-4018x Address : PO BOX 2426 I State: CA I City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List 9 ·All Materials at Site 9 F Hazmat Inventory f== MCP+DailyMax Order SpecHaz EPA Hazards Hazmat Common Name.. . DailyMax MCP 129.00 GAL Mod 100.00 GAL Low 100.00 GAL Low 2250.00 GAL Min 1270.00 FT3 Min SOLVENTS F DH L ANTIFREEZE F DH L WASTE OIL F DH L GREASE/OILS F DH L FREON R-12 F DH G It :Ph,¿ J i i> hi· 5!tf,,~~~ Do hereby certify that I have l'fYpe or ~nt name) reviewed the attached hazardous materials manage- ment plan forSotf~LeûJ J. J.. ~~þ and that it along with ~ame ofL~9II) any corrections constitute a complete and correct man- agement plan for my facility. ,~~ +/;).};;Joha ona " ~e { I 12/15/1999 :;. ;- e e F SOUTHERN AUTO SUPPLY f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME SOLVENTS SiteID: 215-000-001030 ì Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 8030306 STATE - TYPE Liquid Pure PRESSURE -Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR -NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 129.00 GAL Daily Average 65.00 GAL %Wt. RS CAS # 100.00 Naphtha Solvent No 8030306 HAZARDOUS COMPONENTS HAZ ASSE NT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ ' Curies F DH / / / Mod ARD SSME S f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit E END BLDG IN,DISPLAY Map: ' Grid: CAS # 107211 STATE Liquid TYPE Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 100.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -2- 12/15/1999 }". i' e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0005 ¡= COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 215-000-001030 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit No~~ w~~ f- t!-ðlJJJer () F BL"D6 Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 55.00 GAL US C MP NENTS %-Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDO o 0 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GREASE/OILS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit E END OF BLDG DISPLAY Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 2250.00 GAL Daily Average 1100.00 GAL HAZARD US COMP NENTS %-Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 o 0 HAZ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ARD ASSESSMENTS -3- 12/15/1999 ;. .. e e F SOUTHERN AUTO SUPPLY F Inventory Item 0003 = COMMON NAME / CHEMICAL NAME FREON R-12 SiteID: 215-000-001030 ì Facility Unit: Fixed 'Containers on Site ì Days On Site 365 Location within this Facility Unit ~ END BLDO IN DISPLKl , W<Z.~+ ~b 'B 1..!) G, 'IN oFF-'/Œ£ Map: Grid: CAS # 75718 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient· CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 95.25 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1270.00 FT3 Daily Average 317.50 FT3 %Wt. RS CAS # 100.00 Dichlorodifluoromethane No 75718 HAZARDOUS COMPONENTS TSecret RS BioHaz ,Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -4- 12/15/1999 ~.. e ,e SiteID: 215-000-001030 9 Fast Format 9 Overall Site 9 06/13/1990 ] 01/27/1998 F SOUTHERN AUTO SUPPLY I ' f= Notif./Evacuation/Medical r=: Agency N~tification LCALL 911 Employee Notif./Evacuation EMPLOYEES KNOW IF AN EMERGENCY OCCURS GET OUT OF BLDG AND FAR AWAY FROM SPILL OR FIRE. Public, Notif./Evacuation Emergency Medical Plan -5- '12/15/1999 I. ,:"SO~ AUTO SUPPLY · i I f= Mitigation/Prevent/Abatemt Rèlease Prevention e SiteID: 215-000-001030 9 Fast Format 9 Overall Site 9 01/27/1998 WE KEEP ABSORBANT IN STORE TO PUT ON ANY SPILLS THAT MIGHT OCCUR IN BLDG. Release Containment Other Resource Activation I I I l I I Clean Up -6- 12/15/1999 )., e e F SOUTHERN AUTO SUPPLY I f= Site Emergency Factors ~ Sþecial Hazards SiteID: 215-000-001030 ì Fast Format ì Overall Site ì I Utility Shut-Offs 01/27/1998 A} GAS - N EXTERIOR WALL B} ELECTRICAL - N EXTERIOR WALL C} WATER - SE CORNER (FRONT) AT CURBSIDE D) SPECIAL - NONE E} LOCK BOX - NO Fire protec./Avail. Water 01/27/1998 PRIVATE FIRE PROTECTION -FIRE EXTINGUISHERS - CHECKOUT COUNTER, NE CORNER OF BLDG, RESTROOM, CENTER OF BLDG S, AT PARTS COUNTERN OF BLDG, WAREHOUSE AT REAR OF BLDG ~. AT FRONT OF BLDG.· NEAREST FIRE HYDRANT - 1ST AND V ST NE SIDE ON V ST. Building OccupancýLevel -7- 12/15/1999 !)--" e e F SOUTHERN AUTO SUPPLY I F Training Employee Training SiteID: 215-000-001030 9 Fast Format 9 Overall Site 9 01/27/1998 WE HAVE 16 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. GIVE A BRIEF IAA l) IV...J" PROGRAM:???????? Page 2 [ I I Held for Future Use I I I Held for Future Use -8- 12/15/1999 ;-- -=-- 1.._.' e e SOUTHERN AUTO SUPPLY RE MAR Z~ 1~~g 'Bus Phone: Map : 103 Grid: 32C Manager : Location: 35 UNION AVE City BAKERSFIELD ,¡ß--Y:/ \ f. CommCode: BAKERSFIELD STATIÒN 06 EPA Numb: SIC Code: DunnBrad: SiteID: 215-000-001030 (805) 324-4018 CommHaz : Moderate FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title PHIL STRAUSER / MGR DON MCMURTREY / OWNER Business Phone: (805) 324-4018x Business Phone: (805) 322-5011x 24-Hour Phone : (805) 832-9232x 24-Hour Phone : (805) 322-3464x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: ( ) - x MailAddr: 35 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner SOUTHERN AUTO SUPPLY INC Phone: ( ) - x Address : PO BOX 2426 State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: f= Hazmat Inventory f== As Designated Order One Unified List ì All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards GREASE/OILS SOLVENTS FREON R-12 ANTIFREEZE F DH F DH ~, '?~-I 1 c:,tr-AUse ( to¢) hereby cõnify that i h9,He crYpGorpfint~) F DH r®~i~woo ~U1® ~ij~f¡~©1 hazardous ma1eV'iais mar-age- m®li1~ lQ)lali'\l ~1{j)'{)o)~Avh ~1i'D(Q1 ~&ìaì D~ ~lôü1g with «~O'I~) tany œv-U'ooD©[il$ ©(Ç)Iíü$~i~~~® ~ oompleìe and ooU'r~C\1 m~wn- ag)sm~~~ ~~~W1) ~©ij' Ml1 ~©mity. 0J~ 3'~L1 10<::1 ~ -1- DailyMax MCP L 2250 GAL Min L 129 GAL Mod G 1270 FT3 Min L 100 GAL Low ÂJJ. L.)~...;.., é)\.Q 02/18/1999 .... ~- .~ e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GREASE/OILS SiteID: 215-000-001030 ì Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit E END OF BLDG DISPLAY Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 2250.00 GAL Daily Average 1100.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME SOLVENTS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 8030306 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 129.00 GAL Daily Average 65.00 GAL %Wt. RS CAS # 100.00 Naphtha Solvent No 8030306 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS -2- 02/18/1999 ':' ~ ~ e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME FREON R-12 SiteID: 215-000-001030 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 75718 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 95.25 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1270.00 FT3 Daily Average 317.50 FT3 HAZARDOUS COMPONENTS %'Wt. RS CAS # 100.00 Dichlorodifluoromethane No 75718 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 107211 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 100.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 100.00 GAL %'Wt. RS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -3- 02/18/1999 -- -~- '. e e SiteID: 215-000-001030 ì Fast Format ì Overall Site ì 06/13/1990 1 01/27/1998 F SOUTHERN AUTO SUPPLY I p= Notif./Evacuation/Medical ~ Agency Notification CALL 911 Employee Notif./Evacuation EMPLOYEES KNOW IF AN EMERGENCY OCCURS GET OUT OF BLDG AND FAR AWAY FROM SPILL OR FIRE. Public Notif./Evacuation Emergency Medical Plan -4- 02/18/1999 r~ . -. e e SiteID: 215-000-001030 ì Fast Format ì Overall Site ì 01/27/1998 F SOUTHERN AUTO SUPPLY I p= Mitigation/Prevent/Abatemt Release Prevention WE KEEP ABSORBANT IN STORE TO PUT ON ANY SPILLS THAT MIGHT OCCUR IN BLDG. Release Containment r I I Clean Up Other Resource Activation -5- 02/18/1999 ~ ,. e e SiteID: 215-000-001030 ì Fast Format ì Overall Site ì I F SOUTHERN AUTO SUPPLY I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs 01/27/1998 A) GAS - N EXTERIOR WALL B) ELECTRICAL - N EXTERIOR WALL C) WATER - SE CORNER (FRONT) AT D) SPECIAL - NONE E) LOCK BOX - NO CURBSIDE Fire Protec./Avail. Water 01/27/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - CHECKOUT COUNTER, NE CORNER OF BLDG, RESTROOM, CENTER OF BLDG S, AT PARTS COUNTER N OF BLDG, WAREHOUSE AT REAR OF BLDG AND AT FRONT OF BLDG. NEAREST FIRE HYDRANT - 1ST AND V ST NE SIDE ON V ST. Building Occupancy Level -6- 02/18/1999 ..,' ==-' .I" e e F SOUTHERN AUTO SUPPLY I F Training Employee Training SiteID: 215-000-001030 ì Fast Format ì Overall Site ì 01/27/1998 WE HAVE 16 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM:???????? Page 2 [ I I Held for Future Use Held for Future Use -7- 02/18/1999 .;J ,~ ~RDOUS MATERIALS INVEN.Y 805mcss Name :5ð u tL-..e..æ..Al (d,io )U#fAddrcss 3.> () AJ/QI!.2 Avt? CHEMICAL DESCRIPTION Page I of I 933CJ? - - I) INVENTORY ST A ruS: New ( ] Addition LX] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ( ] Trade Secret ( ] 2) Conunon Name: ¿J A~-+e.... c> ì L 3) DOT # (optional) Chemical Name: AHM ( ] CAS # 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire p(Íieactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3~git code ftom DHS Form 8022) 6) PHYSICAL STATE Liquid [~] Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME AT FACn..m Maximum Daily Amount 110 Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal r;< ] ft3 [ ] Curies [ ] Circle Which Months: USE CODE Mixture ( ] Waste 0'1 Radioactive [ ] 8) STORAGE CODES l a) Container: 1M e.. 4- A " b) Pressure: c) Temperature i)r () 1M All Year. J. F. M, A. M, J. J. A. s. O. N, D 9)~: Li~ the three mo~ hazardous chemical components or any AHM components COMPONENT I ) CAS# I) '1M. o +-0 v ~ '6 L 7e.TYD f?.¡)¡1.{ (5tJ/£ 55ð..:>.f835"'" 2) 3) AHM ( ] [ ] [ ] 10)LOCATION %Wf / CJZ) . I) INVENTORY ST A ruS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3~git code ftom DHS Form 8022) 6) PHYSICAL STAlE Liquid [ Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Large~ Size Container # Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[ ] Curies [ ] Circle Which Months: 9) MIX11JRE: Li~ the three mo~ hazardous I) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) T emperatw"e All Year, J, F, M, A. M, J, J, A. s. 0, N, D CAS# %Wf AHM [ ] [ ] [ ] I O)LOCA TION I certify under penalty of law, that I have personally examined and am familiar with the in1òrmation on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. PRINT Name & Title of Authorized Company Representaúve Signature Date ~ ..' ..... ~OUS MATERIALS IN~YENTO~ Address Business Name CHEN.UCALDESC~ON Page_of_ I) INVENTORY STA ruS: New ( ] Addition [ ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret [ ] Trade Secret ( ] 2) Common Name: 3) OOT II (optional) Chemical Name: ARM [ ] CAS II 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACn.ITY Maximwn Daily Amount Average Daily Amount Annual Amount Largest Size Container /I Days on Site UNITS OF MEASURE Lbs ( ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9)~: Li~ the three mo~ hazardous 1 ) chemical components or 2) any ARM components 3) COMPONENT CASII %wr AHM [ ] [ ] [ ] USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M. A. M. J, J, A. s, 0, N, D 10)LOCATION 1) INVENTOR Y STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) OOT II (optional) Chemical Name: ARM [ ] CAS II 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amo\mt Annual Amount Large~ Size Container II Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[] Curies [ ] Circle Which Months: 9)~: Li~ the three mo~ hazardous 1 ) chemical components or 2) any ARM components 3) COMPONENT IO)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M. A. M. J, J, A. S, 0, N, D CASII %wr ARM [ ] [ ] [ ] I certitÿ under penalty of law, that I have personally examined and am tàmiliar with the information on this and all attached doc:uments. I believe the submitted infonnation is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date ~ -~ e - SOUTHERN AUTO SUPPLY SiteID: 215-000-001030 Manager : Location: 35 UNION AV City BAKERSFIELD JAN 2 6 1998 BY: BusPhone: Map : 103 Grid: 32C (805) 324-4018 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title PHIL STRAUSER / MGR DON MCMURTREY / OWNER Business Phone: (805) 324-4018x Business Phone: (805) 322-5011x 24-Hour Phone : (805) 832-9232x 24-Hour Phone : (805) 322-3464x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Emergency Directives: F Hazmat Inventory One Unified List 9 p== MCP+DailyMax Order All Materials at Site 9 Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP SOLVENTS F DH L 129 GAL Mod ANTIFREEZE F DH L 100 ~ GAL Low GREASE/OILS F DH L ..2250 44-é:4 GAL Min FREON R-12 F DH G 10'0 ~ FT3 Min ~D BbO \)é.S.\-\H~L A ©© rn®r~Q¡w ©~~ñ¥y ~h@l~ 0 Î1<a1V~ (Y~ {If priM nama) V'(9vi~w@d ~h~ attached ~~~rooVJ$ mêl~srõé&i$ ffl~ú'Ota@@- mem plaliî ~Ofi' ~ ~ ~m«) ~~~~ ~ ®~@f/@ wõRU'v (f\!Arne of 19usir.osa) ~ny oofr~i©i"i$ const¡~u~ø ~ oom~~®~® &100 OOW®~ m~~- ~@\Smên~ (01!aln ~or MY ~©m~. 6>C~~ ) - /5 -9 g- ~ -1- 11/21/1997 , ~ e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME SOLVENTS SiteID: 215-000-001030 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 8030306 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 129.00 GAL Daily Average 65.00 GAL %Wt. EHS CAS # 100.00 Naphtha Solvent No 8030306 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0004 F== COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 107211 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 100 ~. gO c::~ -...,. Daily Average laC) ~ GAL %Wt. EHS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -2- 11/21/1997 .' e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0001 = COlVIMON NAME / CHEMI CAL NAME GREASE/OILS SiteID: 215-000-001030 l Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit E END OF BLDG DISPLAY Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum ~50 ~ ~n_GAL HAZARDOUS COMPONENTS Daily Average I/D.:::J ~GAL %Wt. EHS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 A T TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD SSESSMEN S p= Inventory Item 0003 F= COlVIMON NAME / CHEMI CAL NAME FREON R-12 Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY Map: Grid: CAS # 75718 PRESSURE Ambient CONTAINER TYPE PORT. CYLINDER Largest Container ~ Jt. FT3 AMOUNTS AT TH S 0 D~jly Maxim.um ñ::b ~o FT3 Daily Average /~ ~OO FT3 %Wt. EHS CAS # 100.00 Dichlorodifluoromethane No 75718 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -3- 11/21/1997 e e SiteID: 215-000-001030 ì Fast Format l Overall Site ì 06/13/1990 1 06/13/1990 F SOUTHERN AUTO SUPPLY I p= Notif./Evacuation/Medical r=: Agency Notification LALL 911 Employee Notif./Evacuation EMPLOYEES KNOW IF AN EMERGENCY OCCURS GET OUT OF BUILDING AND FAR AWAY FROM SPILL OR FIRE. Public Notif./Evacuation Emergency Medical Plan -4- 11/21/1997 e e F SOUTHERN AUTO SUPPLY I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001030 l Fast Format l Overall Site l 06/13/1990 WE KEEP ABSORBANT IN STORE TO PUT ON ANY SPILLS THAT MIGHT OCCUR IN Release Containment r I I Clean Up Other Resource Activation -5- 11/21/1997 ~ e e F SOUTHERN AUTO SUPPLY I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-001030 l Fast Format l Overall Site =¡ I 06/13/1990 A) GAS - NORTH EXTERIOR WALL B) ELECTRICAL - NORTH EXTERIOR WALL C) WATER - SOUTHEAST CORNER (FRONT) D) SPECIAL - NONE E) LOCK BOX - NO AT CURBSIDE Fire Protec./Avail. Water 06/13/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - CHECKOUT COUNTER, NORTHEAST CORNER OF BUILDING, RESTROOM, CENTER OF BUILDING SOUTH, AT PARTS COUNTER NORTH OF BUILDING, WAREHOUSE AT REAR OF BUILDING AND AT FRONT OF BUILDING FIRE HYDRANT - 1ST AND V ST NORTHEAST SIDE ON V ST. Building Occupancy Level I I I -6- 11/21/1997 ~ ,,' ,f - e SiteID: 215-000-001030 ì Fast Format ì Overall Site ì 10/14/1991 A;-' SOUTHERN AUTO SUPPLY /1' / ;/ F Training Employee Training WE HAVE 16 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: Page 2 Held for Future Use Held for Future Use ¡ -7- 11/21/1997 .. . -'i SOUTHERN AUTO SUPPLY -- SiteID: 215-000-001030 Manager : Location: 35 UNION AV City BAKERSFIELD ARR 2 3 1997 BusPhone: Map : 103 Grid: 32C (805) 324-4018 CommHaz : Moderate FacUnits: 1 AOV: . / / / By/ CommCode: BAKERSFIELD STAT "ON-06'-- EPA Numb: SIC Code: DunnBrad: >-- Emergency Contact / Title Emergency Contact / Title PHIL STRAUSER / MANAGER DON MCMURTREY / OWNER Business Phone: (805) 324-4018x Business Phone: (805) 322-5011x 24-Hour Phone · (805) 832-9232x 24-Hour Phone · (805) 322-3464x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · .' ,.i Hazmat Hazards: Fire ", DelHlth Agency-Defined Topic Title p= Hazmat Inventory One Unified List , f== MCP+DailyMax Order All Materials at Site, Hazmat Common Name... specHazEPA Hazards Frm I DailYMax}unitMCP SOLVENTS F DH L 129 GAL Mod ANTIFREEZE F DH L 4320 GAL Low GREASE/OILS F DH L 4154 GAL Min FREON R-12 F DH G 1270 FT3 Min ~ ßbb Ù!&~k 1'1\ Do hersby ctPJúi¡~ ~Û"ù~~ ~ htalve , 0 ((11Ç1Þ O~ print name) rsviswed the attached hazardous ma~~rig¡is manage- ment nlan 10& ú:J1~. 4\T(oand thai ¡~ al©n~ with I" (of usmss) any corrections roú1$~¡~ute a complete and oorfsct man- agement p!~n ~~b" my ~l8lcm~. ~~~ ~1-4~ -1- e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME SOLVENTS SiteID: 215-000-001030 9 Facility Unit: Fixed Containers on Site 9 Location within this Facility Unit E END BLDG IN DISPLAY Days On Site 365 CAS# 8030306 STATE Liquid TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Lrgst Cant. this Lac GAL DailyMax this Lac GAL DailyAvg this Lac GAL 129.00 65.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE %Wt. EHS CAS# 100.00 Naphtha Solvent No 8030306 HAZARDOUS COMPONENTS -2- - - F SOUTHERN AUTO SUPPLY f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME ANTIFREEZE SiteID: 215-000-001030 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY CAS# 107211 STATE Liquid TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cant. this Lac GAL DailyMax this Lac GAL DailyAvg this Lac GAL 4320.00 2160.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Ethylene Glycol No 107211 -3- e e F SOUTHERN AUTO SUPPLY p= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME GREASE/OILS SiteID: 215-000-001030 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit E END OF BLDG DISPLAY CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 4154.00 2077.00 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 - F SOUTHERN AUTO SUPPLY f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME FREON R-12 SiteID: 215-000-001030 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit E END BLDG IN DISPLAY CAS# 75718 STATE Gas TYPE Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 1270.00 635.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 A 0 %Wt. EHS CAS# 100.00 Dichlorodifluoromethane No 75718 HAZ RD US COMPONENTS -5- e e F SOUTHERN AUTO SUPPLY SiteID: 215-000-001030 9 Fast Format 9 Overall Site 9 06/13/1990 1 06/13/1990 I f= Notif./Evacuation/Medica1 ~ Agency Notification CALL 911 Employee Notif./Evacuation EMPLOYEES KNOW IF AN EMERGENCY OCCURS GET OUT OF BUILDING AND FAR AWAY FROM SPILL OR FIRE. Public Notif./Evacuation Emergency Medical Plan -6- e e SiteID: 215-000-001030 9 Fast Format 9 Overall Site 9 06/13/1990 F SOUTHERN AUTO SUPPLY I p= Mitigation/Prevent/Abatemt Release Prevention WE KEEP ABSORBANT IN STORE TO PUT ON ANY SPILLS THAT MIGHT OCCUR IN Release Containment [ I I Clean Up Other Resource Activation -7- e e F SOUTHERN AUTO SUPPLY I p= Site Emergency Factors ~ Special Hazards SiteID: 215-000-001030 9 Fast Format 9 Overall Site 9 I Utility Shut-Offs 06/13/1990 A) GAS - NORTH EXTERIOR WALL B) ELECTRICAL - NORTH EXTERIOR WALL C) WATER - SOUTHEAST CORNER (FRONT) AT CURBSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 06/13/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - CHECKOUT COUNTER, NORTHEAST CORNER OF BUILDING, RESTROOM, CENTER OF BUILDING SOUTH, AT PARTS COUNTER NORTH OF BUILDING, WAREHOUSE AT REAR OF BUILDING AND AT FRONT OF BUILDING FIRE HYDRANT - 1ST AND V ST NORTHEAST SIDE ON V ST. Building Occupancy Level -8- · , e e F SOUTHERN AUTO SUPPLY I F Training Employee Training SiteID: 215-000-001030 ì Fast Format ì Overall Site ì 10/14/1991 WE HAVE 16 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: Page 2 r I I Held for Future Use Held for Future Use -9- ¡, ......"o;--...j' . . ~~(Ç~D'¥1fL, SOUTHERN AUTO SUPPLY 215-000-00103 í OCT 11 1995 ~age Overall Site with 1 Fac. Unit I' t. General Information l~ I 1 ~ 09/11/95 Location: 35 UNION AV Map:103 Haz:3 Type: 3 City . BAKERSFIELD Grid: 32C F/U: 1 AOV: 0.0 . ,.....-- Contact Name Title ,.....-- Contact Nate Tit~ PHIL STRAUSER / vV\'/JAJ41.ov' -~f)N ~~~Q r~Æ / ovJ Business Phone: ( ) 324-40 8x . usines one: ~~$õlU 24-Hour Phone : ( ) 832-9232x 24-Hour Phone : (~~ ~~ Pager Phone . ( ) - x Pager Phone : ( - x . Administrative Data Mail Addrs: 35 UNION AV D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: SOUTHERN AUTO SUPPLY INC Phone: cqðš53cP ~ Address: P 0 BX 2426 State: CA City: BAKERSFIELD Zip: 93305- Summary ,~ SWrJ5.e¡-DO hereby certify that I have (Type or print name) reviewed the attached hazardous materials mal':age- ment plan for So{)~fZJ'JIl-}O ~~ that it along with ( in...), any corrections constitute a complete and correct man- ag9me~ -- 9- --- (O-~~ ~ 0. e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 SOLVENTS ? 129 Moderate ~ GAL 02-004 ANTIFREEZE ? 4320 Low ~ GAL 02-003 FREON R-12 ? 1270 Minimal ~ FT3 02-001 GREASE/OILS ? 4154 Minimal ~ GAL e e I 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 SOLVENTS ~ ? 129 Moderate GAL CAS =It: Trade Secret: No Form: Unknown Type: Pure --- Days :3<e ~ Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 129 I 0.00 I 630.00 - Cone l Components 100.0% Naphtha Solvent 02-004 ANTIFREEZE ? ~ CAS =It: Trade Secret: No Storage [ pressJT Te~p.~ Location METAL CONTAINR-NONDRUM I¡:)WA61€JUT ~vu.!5féPT I E END BLDG IN DISPLAY r=-= MCP --yGuide IModerate 27 4320 Low GAL Form: Unknown Type: Pure Days: .:3tb~use: COOLANT/ANTIFREEZE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 4,320 I 0.00 I 12,960.00 Storage PLASTIC CONTAINER r Press.IT Temp ~ Location ~BIE'AfTI¿Wlgl0U II E END BLDG IN DISPLAY - Cone l Components ~ MCP ~uide 100.0% Ethylene Glycol Low 27 02-003 FREON R-12 ? 1270 Minimal ~ FT3 CAS =It: Trade Secret: No Form: Unknown Type: Pure Days:3b~se: COOLING ---- Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,270 I' 0.00 I 7,938.00 Storage L pressfT~Temp.~ Location PORT. PRESS. CYLINDER ¥H'\I{B(e¡J-rttl-lfM~feJU7TE END BLDG IN DISPLAY - Cone l Components 100.0% Dichlorodifluoromethane r; MCP --yGuide Minimal I 12 .~... e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-001 GREASE/OILS ~ ? 4154 Minimal GAL CAS #: Trade Secret: No Form: Unknown Type: Pure --- Days : ~S Use: LUBRICANT ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 4,154 I. 0.00 I 13,105.00 Storage f^ press_Jr hTemp =.L Location METAL CONTAINR-NONDRUMi'J~E7~f~~BlePll E END OF BLDG DISPLAY - Conc l .. Components 100.0% Motor Oil, Petroleum Based ~ MCP --p;uide Minimal I 27 e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 00 - Overall Site <D> Notif./Evacuation/Medical Page 5 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EMPLOYEES KNOW IF AN EMERGENCY OCCURS GET OUT OF BUILDING AND FAR AWAY FROM SPILL OR FIRE. <3> Public Notif./Evacuation <4> Emergency Medical Plan .. ~ ~ .. e e 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 6 <1> Release Prevention WE KEEP ABSORBANT IN STORE TO PUT ON ANY SPILLS THAT MIGHT OCCUR IN BUILDING. <2> Release Containment <3> Clean Up <4> Other Resource Activation a' _ . e - 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards .- <2> Utility Shut-Offs A) GAS - NORTH EXTERIOR WALL B) ELECTRICAL - NORTH EXTERIOR WALL C) WATER - SOUTHEAST CORNER (FRONT) AT CURBSIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS - CHECKOUT COUNTER, NORTHEAST CORNER OF BUILDING, RESTROOM, CENTER OF BUILDING SOUTH, AT PARTS COUNTER NORTH OF BUILDING, WAREHOUSE AT REAR OF BUILDING AND AT FRONT OF BUILDING FIRE HYDRANT - 1ST AND V ST NORTHEAST SIDE ON V ST. I <4> Building Occupancy Level ~ .'. ~ e . 09/11/95 SOUTHERN AUTO SUPPLY 215-000-001030 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 16 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 <3> Held for Future Use <4> Held for Future Use . .~. . . BAKERSFIELD CITY FIRE DEPARTMENT 2130 "Gu STREET BAKERSFIELD, CA 93301 (805).326-3979 Dq-¿q~87 ¿.)" ." -;. , '11 . ;:.5 tti 1'7- O~ ;JJ y- ~'.'! ~~ V~ .,. " .~ OFFICIAL USE ONLY 10# I 30<'6Gt , U01030 USINESS NAME '-t HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ~. (bðJ¿ 3 ~ - ~r2f2. C~ J . i I JNST~UCTIONS: tI. { I 3. I 4. I I I I I . SECTION 1: BUSINESS_IDENTIFICATION DATA A. BUSINESS NAME:J:)OV+ ,^e.f2.tV 14010 <ðu()p/"I . I 3~ UNtOJJ A O'€. ZIP: q~~oì To avoid further actio~, return this form by TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business Be as b~ief and concise as possible. , as a whole. B. LOCATION I STREET ADDRESS: CITY: '"'ßKE.'1-)d, BUS.PHONE: ( !ð{) ~t4- t.4c/cg 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 ~y6ur local fire department and the State Office of Emergency Services as required by . law. k ..' " t,·'''...· 1f;""... ')/;' EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: ~AME AND TITLE DURING BUS. ARS. AFTER BCS. ARS. A. --:::p~\ \ stR~u~eï~~ M("P-, PhI ".>~4-Ll.O\g PhI ~'3;;l..,..9~3:;>'" B.~·~ PhI :sa4-Q 0\ ß PhI ~-~ SECTION 3: LOCATIOn OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/P.aerAN,~: NDfL+l1 £x/ef2../O!2" WAil B. ELECTRICAL: '5~lrJe- V" \.,00""" 0/ C. WATER: ~ S'Ð ......-H ~p.s-¡- ~fGNe-~ (Ç'ItoWT) A -r- ~(.."eð 3/»{!f D. SPECIAL: . E. LOCK BOX: YES ~IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES I NO FLOOR PLANS? YES I.,NO KEYS? YES / NO - 2A - . - .. ~ . I' . ,f . .:;; " SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE 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: . . . . . , . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:..... ..................... C. PROPER USE OF SAFETY EQUIPMENT:.,. , " .. , ....... . : 0, EMERGENCY EVACUATION PROCEDURES: ., , ..., .......... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:,.... . . I~ITIAL YES@ YEsj' YES YES :_ YES 0 REFRESHEn YES ® i YES YES YES YES SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POV~F A SOLID, 5 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: . . , . " ~ NO I J ' c... /llCJ ~ J certify that the above information is accurate. I unoerstand that this informat on will be used to fulfill my firm's obligations under the new California Health and afety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNATURE ~/? DATE 7'þfl.1'7 - 2B - .. ~ . 3...lJ\[;\Sr:=~_~ ¡~ :7"(" ? T~::: DE? \l\7;'~:::-;7 r? p .. 2:.~n "{~" :-;7:\EE7 8AKE~Së~=L~, CM G3301 ~::-::- - ,,' -\;:. : ':~ L :J\"~ ',' i~;: ------ BUS EESS \"A~!E: BUSI0J"ESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid furthe~ ac~:on. this form must be returned by: 2. TYPE.'PRIXT '{OCR AXStvE;ZS IX E:-IGI:'ISH. 3. Answer t::e ques~:ons below for n::: FACILITY :';XIT LIS7ëD 3EI.mo¡ 4. Be as BRIZ= ~nd COXC:S~ as possible. FACILITY wTT~ ~c, I//¡/JIJIl! FACILITY UNIT :lA.'fE: $Of/íJlEÆN//fI/'11J JUP~Y(//#IÒ/1l) SëCTION 1: ~ITTGA7TO~. ?~~~'IT:O~, ABATE~E:7T P~OCZTIt~ES J W.¿: I(£[P A/J$aAIJIM/¡ -'it!. S'7'a/fE- rei ¡9uí' dlV ANY G/p/¿..!.. S //I~~ /J),IGH-r ~ccut?' 1M {J1J/1..!J1k'6 SEC7:0:; 2: :~OT:P'-:C~7'!O~ .~.~0 ~~,·.~C:'·.~.7:0~~ ??OCë'ûT~ES ~T T::IS r~··~7-:' (j~:7..·t ~¡9L()YGIf j /{lVdW 11 ¡:¡-)y' ðME¡¿t,.~NCY ð (!,0U~ 5 Gð'í' ~(r7 oJ=- tìt;/l..tPIN~ ..t,FAf{ /ffAh9'ý ,fRoM sill).,,, IbA ;:¡lil! . .J " "" S:::CTHJ:; 3: HA7.ARoor;::; \fAT:=:RIALS FOR TfnS T~TT aXLY A, Does this Facility Unit ~on~ain Hflz~pdous ~nte~i~!~?"",. ~s _,en . .. ~". If YES, se~ a. If NO. continup. with SECTTOX 4. B. Are any of the hazardous mate!:"Íals a bona fide Tr~de Secret YES r£) If No, complete a se~arate hazardous materials inventory form marked: ~OX-TRADE SECRETS OXLY (will te form =4A-l) If Yes. complete a hazardous materials inv~ntory form mark~d: TR~DE SECRETS O~LY (yellow for~ #4A-2) in aùdition to the non-t~ade sec~~t for~. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE: PROTECTTO~ r/~t%'E)I/tV~YS#¡;It¡' o/-IEó/<'ð(/r C()LI¿vr'E~ NIJ.P.l/J·d!ItIT C ol.lN 'rEI? ð f ¡JWhf) ¡Me... II--í ¡(~7-r 1f.OdM. ,,)ourf{ EA-,Jr.i C.!?N71fA., ð J- etJll,lJ~M3 S ;tl7-If-/ \~.".. t¡r~7-5 c.qf)lI/rE~ I//d-(trl...) ~.f ~(}I4.P¡1tJ6 ~\, Y.Úf1~~)!f.@.!!.Jit? ør ¡fe~ve H fJU/t."IJ/NG <>t iiI ÇÆotrAtðf ßW.f.()/IV' - ...... .'. \.' SECTIOX 5: LOCATION OF WATER Sü??!Y FOR USE gy ~GE:TCY RES?O~~ERS P/f(é; ¡.¡yofMN¡ /..(j~Æ7'E(J t1T / sr .;-1/ s-r; 1v'()~7'iI"';E/JSf'" SIDE 0# 1/-.5'/' SECT.rmr-J!i~ !OC~TTO~ OF TITILITY SHUT-OFF'S AT mrs G:\TT nXLY. A.(XXf. G::::PROPA~ë:: . /1/ Ó A 7/1.- € If ,rl 6o/l/!/ E It of-- tJU/1./J/Â/& 8. ELECTRICAL: . \ /V'ó~rH -1Z1J.5¡ C-ðlllfl£1e óf ßUIt.. {)jA/6 C. ~"¡ATER: 5 o-vrld - E Pi! Cqf(Nf:~ ô,f 1.. ðr A r Co~lI/tf IV. t:;J= PUIì.J./~~ o&$oAj r)lE CQ)~(!J /l-r'u¡Ý/(J/</. '" 0, SPSC:.-\;:': i:.. I..cr;.\ 3(1X. \':::s 'G r-;:- YES, l8r \T::O~~: it- \'[5, s~-:-::: =~()nR p r:...\:"~~" '..r- ...... , ,'.,) '.'(ì \I<:~<::';~ ,..... : . ) Dr . '.~'': . ,.1.1.' ..-,... \() ...~...~.:: ...... ..-,.. ~ . " "on .- ~ ". I ,,! .- 1t/'I\.'~¡\oJ1.· J..l.ItJi..I \.,,~ 1), l' J.l\J.., uÀ..l.. r~",'\",,,,'1........~ ¿ Page ·of~l. \: . ,:~- 1. D. # FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY . ~ .BrIN~SS NAME: £,,~ ,..g.,IiõS~U"".") OWNER NAME:' .!ð" T""£~ III 4.1"0 S'''"I'Ly 7:.I'Ic-. FACILITY UNIT #': . A DRESS: z..r V ~ ,o'¡ Ave. ADDRESS: "Po tiJC .2-'-/.--vl.. FÂCILITY UNIT NAME: . £ITY, ZIP: ,19,41c..E'It~,:'.E&...~ CAt- Q3·3o I CITY, ZIP: ~AK té ,(J FIE J....1) t!Ai- C~~. r 11' ONE #: AfJr ~2-~ 40/H PHONE #: (30.í) $2-7.D 2. 88 10FFICIAL USE CFIRS CODE - ONLY 1 I 2 3 4 5 6 7 8 9 10 T Y'fjE MAX ANNUAL CO NT USE LOCATION IN THIS % BY HAZARD D.O.T I S; OmE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE I /8/3 /:2tJ, t GAL O:J , rfb llJ¿nJl, Cf;EM ¡c/ft..S f//(¡! E ¡:) r;.J ¿;/L.. $71Jf2T1rJ(J, ~¿'¡j If) I I 4{)~ jl),J ?qš (fAt.. I'1b7AL.\~ 1.¿ L Oc,A-rEt) fA S-r ~Þ7-l56 /ð/¿5 ') ó(<g'D<¡j ¡-L » ¡/t.ASTI¿) P/-IPan.. L )~5~ I !f}gs /l'lé71lL. 2C ENb 0 f IJIJ/d./J live; ({}4é-ì4~£ / ð/L~ <) {)3 ¿13{, ~~:'If.. ç:¿ I /10. AJ.5,7 !;/lL 1J'iJ;-r/H.. ()f I ÍJI f) I J ¡9" ¡t} Y fi ~ ll-J· ~o¿¿/eU7s. ~ I an?:; 0 O;;L jJ~L P¿1I5711- ;21\ I IS I ~ fog,s ø/J !.- µerAc. ð~ ..J=. Ik' wEST EN8 ~¿)Lt/é;-A.lß / r,ct... ILAS,77ß J~ 1":;' D \ , 3'6// 0¡JL N ",'rilL (JR ð:f /lUff. tJ jN~ /;'/ .:5D¿t/6")Jr~ , "c¿ ftAS'ì1c.. 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TITLE: ¡¡':¡;'s.~ ,nW PHONE # BUS HOURS: ,3:z,...:J..,+o III i'RI NCIPAL BUSINESS ACTIViTY: /'I v "T"o rJfl ~ l.s w Ifo 1.~5À4(~ fI e ~~, L AFTER BUS HRS: B~4..;ì 3C/-/? , - 4A-l - ----- - - - ----- -- -- - - - ~ ';;" - .. .. ..,. -'..... _. -." ..... ... .À ~ _ ... J 1...LI -J .. . .,.&~~j".LLI~~J. . ~I 1. O. # FORM 4A-1 Page _ of ~.. 1 NON-TRADE SECRETS \ ~ '- ~. . HAZARDOUS MATERIALS INVENTORY , >,,\. ~ BU SINRS:S NAME: OWNER NAME: FACILITY UNIT #~ AD DRE'SS: AODRESS: FACILITY UNIT NAME: CI TV, ZIP: CITY,ZIP: i I "11 ONE # : PHONE # : 10FFICIAL USE CFIRS CODE ONLY I I 2 3 4 5 6 7 8 9 10 TYp¡£ MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T C O,mE' AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE I ~J,7 41,8, ~AL ¡t1ETfl-I- ( (' &t;E5 / t?E//J6~ -rFt. PLA';¡TlL O~ I~ :;{Cj GA¿ M~1I1. 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