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HomeMy WebLinkAboutHAZ-WASTE 6/14/1995 - \ S· [TE,,' F ;~.(: [ L I T'1- .' srre/O-1T7( D r J~GR.,,~M . :, /J . ,{ - FOR~ 5 NORTH Sr.AL::::: S¡;S r:-æss XAME: £, .. FLOOR: r--.. DATE: ¡ I_/OJ FACILITY ~AME: 3? c:2, '000 '<'D U,uIO,J UN IT ~: r...Jt;.. (CH~CK ONE) SITE DIAGRAM )C ( FACILITY DIAGRA.' r 0. C \~ ft~", 5 ,^Ç. ~ 0\ - -S\4e -(.-0-:4 1'1. Cr:, Y\sfr v.S f, 0 ~ - - "--- - A\ E:. c... ri't) -..'\ f' - If ),< r .r WI4"t"~ 'f"ðO'/'l'- tf~ c.ì\ ' lr' tiFF ~ ),'- r } I' '~', ; , o ~ , qJ ~ *~ç ~ "~'."--"" .-...-... ~ iJc9lt~ 1tJ~.\·"'s . . .___._,__.__. Jl¡J::-::-C~4~ ',)¡.{c..J'1'o,CF "".t-~ ' Ilft-i C G.- t£'~ Gë.EC.';,elc¡.<:t c: _/Y't t~ <',) Hvrov:F . 01'('" 1:""t C ' or ~ ..-....--. , ~~t-~ g~A~"~ , ,'--------- 50 f. ('"- i..... ',' ' : ~ CN'5 é) I. w<d-s,-cœl{Wl. t I - ,~~\.¿ "7 '" ì . i y:.)<y:. ~ Xx y: ~X/<:i-~ K )< X X x-',{~-x ->C-V)C~ , ~I ¡;,; ~I ~ .~ , ~I I'w), . , ,fIt.r 0 ~~rfe~ }J~\~~' - ~ --____..__.__1.0..:-_ ", '. .. ,",T ,;.:". ~; : .-p; i .. ~ -' " ,'} \ .) ~ . i .! ;.., 'I \1,:'0': "\ .' .. .'. I.: . 'r ~ . .- c ~. (Inspecto~ls Comments): -OFFICIAL OSE ONLY- , . - :')A - Per it to Operate I I , I I I I o Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS' OF PERMIT ON REVERSE SIDE . . I , , ! This pennit is issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-000079 JVS LOCATION: 328 UNION AVE Issued by: , . i . - Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date Expiration Date: June 30, 2003 \. ., i , I ,. . ; ~,' _ -:1/ trL¡7;2 e , ' S [ 7 E " .' ? ~~. (:- [ LIT-Y- FOR.:.vr 5 NORTH D [ "~G R. "~i'iI . . .. FLOOR; DATE: BUS rXESS ~MlE: UNIT =: OF SC:AL:::: i I J FAC I r T Tv "AM¡:" . b S () 1.....' ,.-. (CHECR ONE) SITE DIAGRAM )C ( FACILITY DIAGR.t\,' -_._-.. .~. ß r 0. c\<J\~h5 ,^ç fr: Ð\ .'. \ - ....\"-. "" . . .. '...,,_ ..A. ý\, (1) S'\ .._----.__.._,._.~_._--,._-,-- -' A\ I:::: c ri''O -., f' -. I _____~~S£~5~o~_____1 \f ._~ .., .. _. ....._._ ...~ ... . . \ t¡Jò.~\ \~ ,....___..__. lIiI.., ((\.~_ì .,,,~, '. .. ¡¿é·· G(Ç: c I~ - ~ . A·· v ..f!._' A- I: r t If r, ;r, r , j( '"' ! Þ. ~I Æ' iJ' ~~~ ~-~ ~ }~) ~i fÐ ~ g 'A~1;';~8 ~, ¡ ...::=:. . . ~ ~ S,f'c!l('~7-t.J' ; ~ ~ (.N'5 . Q ~ 'ér f ~~\ f . . )c)<)C Ie;: ~;(-'Fl It IC ~y,<,,-)( -~y,>,yj fOO 'fr-- @' ..- N·--,...··~ '... ,.. o .. Vì S t e..\JJO (~·t , .~\--. '., P elf {)\~~_. (~ -'1~ --.. .....-.......--...,.'......-............. \ i (Inspector's Comments): , ,': .,. or;">' ~; 1 ,,;} ¡ ; ,,: . .: ~ " . . ~ \:.. r. \ . . ..~ ", ;;: .' ,¡ -OFFICIAL USE ONLV- , . . . "." .' -- ;').'\ .. e _ CITY of BAKERSFIELD "WE CARE" January 11, 1995 FIRE DEPARTMENT M. R. KELLY FIRE CHIEF 1715 CHESTER AVENUE BAKERSFIELD. 93301 326-3911 JVS 328 Union Avenue Bakersfield, CA 93307 Dear Business Owner: Because of the annexation of the location of your business on November 1 0, 1994, the Hazardous Materials Business Plan and Inventory reporting requirements of both Federal and State IICommunity Right to Know" regulations will now be administered by the Bakersfield Fire Department Hazardous Materials Division. We have made arrangements to transfer the plans that you have previously filed with Kern County, to our office. Therefore, we will not need a new business plan and inventory from you at this time. California law does require all inventories to be updated annually and your business plans to be amended within 30 days of anyone of the following events. 1) A 100% or more increase in the quantity of a previously disclosed hazardous material subject to the inventory requirements. 2) Any handling of a previously undisclosed hazardous material subject to the inventory requirements. 3) Change of business address. 4) Change of business ownership. 5) Change of business name. You should also report any significant changes to your business plan such as contact information, telephone numbers etc. For any of these changes or any questions regarding the handling or storage of hazardous materials on your site, or for any necessary underground storage tank permits, please contact us at 1715 Chester Ave., Bakersfield, CA 93301, or call 326-3979. Sincerely yours, ~. Ralph E. Huey Hazardous Materials Coordinator JVS . , ~ -- , - / SiteID: 015-021-000079 ~ " . Manager Location: 328 UNION AVE City BAKERSFIELD <t-ö(l.' .~ \.. 8'k ~ BusPhone: Map : 103 Grid: 32A (661) 834-8401 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title DAVID BERVEL / PARTNER ANGELO ORNELAS / PARTNER Business Phone: (661) 834-8401x Business Phone: (661) 324-8401x 24-Hour Phone : (661) 822-9116x 24-Hour Phone (661) 872-0549x Pager Phone ( ) x Pager Phone ( ) x Hazmat Hazards: Fire DelHlth Contact : Phone: (661) 834-8401x MailAddr: 328 UNION AVE State: CA City BAKERSFIELD Zip 93307 Owner JVS Phone: (661) 397-0179x Address 328 UNION AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparer: TotalUSTs: Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, Ð <w ? {) ~ hereby certify Ihat i have (Type ( 1 print nama) revisw$d ~~e att~~tù®d hazamoQ,!s m~t~r!~~$ m~naQ eQ men! pm&"! fo&' JUS Md that it ~Oó1g with ~G'bv1o(j,1 ß,~) any cof'AJdion$ ool1$t¡~ui® fill oom~~~® 2~{jJ oo&'U'~ m~ó10 /7 -~8) ~ "Date -- -1- 08/22/2003 ¡ ~ ... .' . ~ . -- SiteID: 015-021-000079 9 Fast Format ì Overall Site ì 10/20/2000 F JVS I F Training Employee Training WE HAVE~ EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS EVERY 3 MONTHS. Page 2 l I I Held for Future Use Held for Future Use -8- 08/22/2003 .. - e JVS CommCode: BAKERSFIELD EPA Numb: Fl12Cl:IVED OCl f Ij 2000 fNVIRO!ll STATION" 6'iiRVICës SiteID: 015-021-000079 Manager Location: 328 UNION AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 32A (805) 834-8401 CommHaz : Low FacUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact / 'l\itle Emergency Contact / Title DAVID BERVEL / PllfLTNEr¿ ANGELO ORNELAS / P~TNéR Business Phone: (805) 834-8401x Business Phone: (805) 324-8401x 24-Hour Phone : (805) 822-9116x 24-Hour Phone : (805) 872-0549x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: ( ) - x MailAddr: 328 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner JVS Phone: (805) 397-0179x Address : 328 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List 1 All Materials at Site 1 SpecHaz EPA Hazards DailyMax MCP F DH L 220.00 GAL Low F DH L 50.00 GAL Hi p= Hazmat Inventory f== As Designated Order Hazmat Common Name. . . WASTE OIL ANTI FREEZE I, j)ftUJ D --g¿-/!1)EL Do hei'~by ceiiiiy iha~ i have (Typa or print name) reviewed the attached hazardolls materials manage- ment plan for \. V· S. and thai ii along with mamø of Business) any corrections constitute a complete and correct 10/12/2000 .. - e F JVS p= Inventory Item F= COMMON NAME / WASTE OIL 0001 CHEMICAL NAME SiteID: 015-021-000079 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NORTHEAST CORNER OF BUILDING. Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 5ò GAL AMOUNTS AT THIS LOCATION Daily Maximum 220.00 GAL Daily Average 110.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME ANTI FREEZE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NORTHEAST CORNER OF BUILDING. Map: Grid: CAS # CONTAINER TYPE [ STATE - TYPE Liquid Twaste I PRESSURE I TEMPERATURE I AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL %Wt. [EthYlene HAZARDOUS COMPONENTS Daily Average 25.00 GAL ~ CAS # 748511 Largest Container S"ò GAL TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Hi HAZARD ASSESSMENTS -2- 10/12/2000 e e F JVS I p= Notif./Evacuation/Medical [Agency .Notification = (,ruf.,'Pf.) pOll<-L- ~t-. ) ~CALELmPloYee Notif./Evacuation ~ 911 AND THEN EVACUATE THE I BUILDING. SiteID: 015-021-000079 ì Fast Format ì Overall Site ì I 1 I 04/24/1995 ctq Public Notif./Evacuation C4lL 'H I Emergency Medical Plan 06/03/1997 MERCY HOSPITAL - 2215 TRUXTUN AVE - (805) 327-3371. -3- 10/12/2000 e e F JVS I f= Mitigation/Prevent/Abatemt [Release Prevention = ~ 1-1-- ¥ ~ ~'-'-d- SiteID: 015-021-000079 1 Fast Format ì Overall Site ì o ¡: ~ ''-'''7'' ,fl ç P' 1/ Úk ,ðb9'>~ I 04/24/1995 Release Containment WASTE OIL IS KEPT IN 3 STEEL DRUMS. IF SPILL OCCURS, USE ABSORB THE WASTE OIL WITH ABSORBENTS. Clean Up U~ A-bSorb4-1+s Other Resource Activation -4- 10/12/2000 e e F JVS J f= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-000079 1 Fast Format =¡ Overall Site =¡ I 06/03/1997 A) GAS/PROPANE - IN FRONT OF BUILDING NORTHWEST B) ELECTRICAL - MAIN OFFICE NORTHWEST CORNER C) WATER - SOUTHWEST CORNER OF BUILDING. D)SPECIAL - NONE E) LOCK BOX - NO CORNER. Fire Protec./Avail. Water 04/24/1995 EXTINGUISHERS WATER SUPPLY SOUTHWEST CORNER OF UNION AVENUE AND 4TH STREET. Building Occupancy Level -5- 10/12/2000 ... . :.' '.. e e F JVS I F Training Employee Training SiteID: 015-021-000079 ì Fast Format ì Overall Site ì 06/03/1997 WE HAVE 3 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM:??????????? S ~ S~y3~.Mu Page 2 r I I Held for Future Use Held for Future Use -6- 10/12/2000 I .__:~~..:........~~~·r~··>c. ··....~.z.:,...~:;:.:;.,:...~~,.'Û'.,:...h'~..:..:.. "'t,~; .', ~i'~~~~"'¡¡";'';'·~:~·:'iL....''''IO-.-..i..w'.!':';'':~.-,"JN..'''\''__' .¡:'of'~';"~",.u"'...o\:,,- l-.-'..-::':"':.'..t~~N:l~:.t~~W.t..=.:.:.~!.t...:.:..~":"".LJ:...!::':!.: , '" . - . . CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. CLAIMANT'S NAME AND ADDRESS: JVS 328 Union Ave Bakersfield, CA 93307 (AUTHORIZED SIGNATURE OF CITY AGENCY) Date: 04-01-99 Initials of Preparer : CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This customer made a duplicate payment on this years Haz Mat bill in the amount of $178.50. We have since made an adjustment to the California State surcharge in the amount of $8.50 leaving them with a credit of $187.00. Fund Dept. Base Ell Objt Project # Invoice # Amount Date of Invoice 11 0000 123 7900 $187.00 VOUCHER TOTAL $187.00 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims. Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher. Examined & Approved for Payment Amount or writing. Is guilty of a felony. .. ;. " ;_ 8T A TEMENT OF ACCOUNT _ CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD. CA 93301-5201 (805) 326-'3979 ïO: JVS 828 UNlùN ÀVE'~ BAKERSFIELD,"~A 93307 1 J , ~ DATE: 4/01/99 \ ' CUSTOMER NO: 3942 CUSTOMER TYPE: ES/ 3942 ----------------~-~------------~-------------------------------------------- CHARGE '. DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- . '. -------------- 88001 3/01/99 BEGINNING BALANCE 2/11/99 PAVMENT 3/31/99 Charge adjustment 4/30/99 CA STATE SURCHARGE ,00 178. 50-- 8, 50-- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL ïHE NUMBER Aï THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 8, 50- DUE DATE: 5/03/99 PAYMENT DUE: TOTAL DUE: 187. 00-- $187, 00-- . REMITANI)~M.AKECHECK· CITY;:: .()¥If\~I3~$¥ 1 El..1);;; POEfd~'?Ô~7'; BAKERSF'1 ELÐ TO: 9:3303-2057 (805) 326-3979 CUSTOMER NO: 3942 CUSTOMER TYPE: ES/ TOTAL DUE: 3942 $187.00- "!'" e \ ~ CUST ~& NO. ES 3Cf4 ~ MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE 3- 1-1 -Ð NEW ACCOUNT i ADDRESS CHANGE CLOSE ACCT i . FINANCE CHARGE I . OTHER ADJ i CUSTOMER NAME ~\ \J ~ MAILING ADDRESS ~~«; ltn, 0 (\ CITY -~=D.\:-e~ Q-~\~ \c1 STATE f ~ ~v~ ZIP CODE q~sa 7 SITE ADDRESS ....;. ~:,,, PARCEL NUMBER QF APPUCASLE) ADJUSTMENT R~~S:'Õ~: ~ó ~ùrck~e ~oJ\cÁ'v~ APPAOVEDBY ~ ~ PerDlit to Operftte Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE - PERMIT ID# 015-021.000079 JVS lOCATION 328 UNION Issued by; I: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 This permit is issued for the fOllowing: rdous Materials Plan ,Jsround Storage of Hazardous Materials " agement Program Waste Approved by: #~ ph Huey, ffice of ental Servi es June 30, 2000 Expiration Date: · . -f - e JVS SiteID: 215-000-000079 Manager Location: 328 UNION AV City BAKERSFIELD CommCode: BAKERSFIELD STATIONB~6 EPA Numb: JUN ~997 usPhone: ap : 103 rid: 32A (805) 834-8401 CommHaz : Low FacUnits: 1 AOV: ..y-...., ,.-""'-""'" :IC Code:7538 DunnBrad: Emergen~ Contact / Title Emergency Contact / Title DAVID B VEL / ANGELO ORNELAS / Business Phone: (805) 834-8401x Business Phone: (805) 324-8401x 24-Hour Phone : (805) WiO¿f(¡1/ 24-Hour Phone : (805) m-~x Pager Phone : ( ) ~" x Pager Phone : ( ) ?~= '5.'/9x Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title One Unified List 1 All Materials at Site 1 SpecHaz EPA Hazards DailyMax MCP F DH L 50 GAL Hi F DH L 220 GAL Low f= Hazmat Inventory p== MCP+DailyMax Order Hazmat Common Name... ANTI FREEZE WASTE OIL ~.ll~v'jdk~e,L Do hereby ee~ify ~lf'nSl~ ~ Û1aJ~@ reviewed the et;'::::::';~;1: ;iilZardous maierfa¡i~ Maú1ag~~ menì plan for T \ I 5. . --_};-:.)I_I. . and 1hat ~~ aiond';1 WI·or,., (... ·17'~ of SuStnÐSS) ~ ßllll any corrsdions constitut~ a ~(»mplêt~ and C©IT~©~ maú1~ æ¡g®m~n~ pI ff(5) my ff81~iIi~. 5-?9-~J Os", " "I -1- OS/23/1997 " e e I F JVS f= Inventory Item 0002 === COMMON NAME / CHEMICAL NAME ANTI FREEZE SiteID: 215-000-000079 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit NORTHEAST CORNER OF BUILDING. CAS#- [: STATE --- TYPE Liquid ~Waste CONTAINER TYPE ~ PRESSURE ~ TEMPERATURE ~ AMOUNTS STORED AND IN USE Lrgst Cont.this Lac GAL DailyMax this Lac GAL DailyAvg this Lac GAL 50.00 25.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt I . Ethylene HAZARDOUS COMPONENTS ~ CAS#- 748511 -2- OS/23/1997 e e F JVS I F Inventory Item 0001 == COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 215-000-000079 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit NORTHEAST CORNER OF BUILDING. CAS=#/: 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC S Lrgst Cant. this Lac GAL DailyMax this Lac GAL DailyAvg this Lac GAL 220.00 110.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNT STORED AND IN USE HAZARDOUS COMPONENTS %Wt. EHS CAS=#/: 100.00 Waste Oil, Petroleum Based No 0 -3- OS/23/1997 " e e F JVS I p= Notif./Evacuation/Medical I [ Agency Notification Employee Notif./Evacuation SiteID: 215-000-000079 ~ Fast Format ~ Overall Site =¡ I 04/24/1995 CALL 911 AND THEN EVACUATE THE BUILDING. Public Notif./Evacuation Emergency Medical Plan 04/24/1995 MERCY HOSPITAL 2215 TRUXTUN AVENUE BAKERSFIELD, CA (805) 327-3371 -4- OS/23/1997 ...., e F JVS I f= Mitigation/Prevent/Abatemt r== Release Prevention Release Containment e SiteID: 215-000-000079 ~ Fast Format ~ Overall Site ~ I 04/24/1995 WASTE OIL IS KEPT IN 3 STEEL DRUMS. OIL WITH ABSORBENTS. IF SPILL OCCURS, USE ABSORB THE WASTE Clean Up II I Other Resource Activation -5- OS/23/1997 e e F JVS I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-000079 ~ Fast Format ~ Overall Site ~ I 04/24/1995 A) GAS/PROPANE - IN FRONT OF BUILDING NORTHWEST CORNER. B) ELECTRICAL - MAIN OFFICE NORTHWEST CORNER C) WATER - SOUTHWEST CORNER OF BUILDING. D) SPECIAL - NONE E) LOCK BOX - NONE Fire Protec./Avail. Water 04/24/1995 EXTINGUISHERS WATER SUPPLY SOUTHWEST CORNER OF UNION AVENUE AND 4TH STREET. Building Occupancy Level -6- OS/23/1997 " e e SiteID: 215-000-000079 ì Fast Format ì Overall Site ì OS/23/1997 F JVS I F Training Employee Training HOW MANY EMPLOYEES AT THIS FACILITY????????? ~:l DO YOU HAVE MSDS SHEETS ON FILE?????????? ~ '€.-S GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: y~~ Page 2 ir , I I Held for Future Use Held for Future Use -7- OS/23/1997 .;;. '~. BAKER#iELD CITY FIRE DE~TMEN INST~UCT10NS: *Cø6k ~ _ . ~ (}r- ";. ~~'~~~w~~ I . . I ï,i~h'O L ~ ,I -IN -, '- 19.:;S ,./ HAZARDOUS MATERIALS DIVISION 1715 CHESTER AV£~ BAKERSFIELD, CÄ. 93301 ~.~ CVOIC ~C[iiìer ::::C710n, íe¡Ur:¡ :~I:S 7v~i71 'Nlthin 30 Ccys of íeC9!ot. " ~. ~P=.'PRlNI ..~.f:.JSWERS IN :NG~:S¡-:. .':"'nswer ¡he auesiions below fer 7~e c:Js:ness as a wnoie. By - :e cr;ef ~:;c c:;:¡c:se CS =c$.S¡::!e. . "'" ~c.õt.__ SEC-:-ICN 1: 3USINESS IDENTIF1C;..rION DATA ., 3US¡>E~S NA,ME: ~ S :IifY~ Uili1cJú1 ~1 1'\0...\ '~':)TS ·_:::.:~;C.\J: 397) LltJ'(ft\J A\JJI., ~ <:'8m-e \ ,of ,.., I ~ :.\ 1.--- .... ,- -.. - = ::' -:: ' '-.] " I i\ ! _; I 1 '= t-" l- _' ¡ '<. _ _ ...... . 3¡;~ ï=.QfL 2!p:931J'7 PHONE:.3flL/- gL/(j J =:.;>~ ~ 3~;':"=S¡~==: \';U¡v1E=~: - SiC:::OOE: 153?f -1-':, -..-1 ( , . "-'~; '....v \ ,......-'VI-·,. Q( ~ú) Q<p ~\. {> :-' ~ '\ ; : " i r--.. I....~, 1"-'\ '- I' ¡ i : . __.l. _ CWN='!: br4\Jic\ Œ.euel 4- ~kì IJIC.ne)c5 ',/' . \:~ . ,~~::=::::. ~e 9.S V\ WULÍ . ~ \ ,-I _.. 1 "- ,-, __ _ I , _ _ .... . ,~ SEC7iCN 2: t:MERGc:NCY NOT¡~iC;"T¡CN: CONïACi iíil:: BUS. PHONE 24 HR. PHONE 1. (Ìllù\d~~ ()Wh~Q ~w-~o \ (8Cß) 83r}'~33~ 2. r-t~lð Ó2ncli;t5 OuJh'UL &4- ~ljO I ('8ð5) ~1lr ().55;}, .1. '- . " J:JélKerSnela ~ l1"e .uept. . .. . ",-'" - 4Þazardous Materials Division e HAZARDOUS M~TERIALS MANAGEMÈNT' Pì.÷N, .~,i!J ~ ~-:.....::.,._":"_..~ ,4" r , . '. , ('-, ~, ,. . :.;.,; . ~ . ~;~:...-.,." "', '':"\r . SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ~ MAiERlAL SAFETY DATA SHEETS ON F¡L=: Y 0LS 3ü:h'\\~ ïRAIN~~~~ì;'M: h1e'C-H (Ie¡(" I ~ ~ 'Sß-Iq~ Cor"~(Qna ~flw.1 GJ{kh GirYIpkyus, .~.~~~.~ yMJ1Lf ~ 50 0.ll Cl-W1 ðÆwn+ f.c.;r¿~JU1ð(J~· /M~IOD :~ a.JU ..Jú2ßLUYì..uJ hd0 ~o lJvo..Q ~ . Drw-li', ¡f) Whirl ~ I ,úmd hÛLJ +-0 <puGfC up 15 0 5' J- CldCt- lì .UfJ SEc-;-rcN 4: =XEMPTICN REQUES7: ; ,~-:::::-;-:=.; : I NC =:J C C:~J " L-v r- = :: =::: " 'r:;'¡ -''-: ' -. '. ,IV ~ US'NE~'" IS ,...·./'t:MPT FROM THE ___,"'.,. _1 '....., i _, ¡-'\ 1 "'-....II _.,.._~\.. ,¡-,I ,\ill -..J II ....,.;:) C:./\i-~ I ~=?CR:ìNG K='';'UlRE~¡\ENTS C~:::-:A?!=~ 6.~5 CF THE "CALlFORN!A HEALTH & S~.F=:··( ,::::c·=·r ~C'R Tr:= ~'2LLC'/I:NG ~=.':'.SCI\JS: \'~¡E :0 ¡\JCT ;~~,J\l:~= ~.~\:.:..;~c:c:~s MATE~IALS. '\ ~ \ Vr- :""'\~ '-1:' NC' - ....., - '\ r""" -.-, I~ , ~ '---IALS ::J,UT -~ Ir- QUAN-¡-¡E~ - NO ~. i C ~'-' ,,/""\1 ,_= .~.-,~-.I'_'-,-'::: ,/I,-,I::::-:! _' ~ _:M~ _._1 I ::¡ AJ I - ------- - -TiNrE=:\C~=CJ ~;-:= >;;-i[\j¡ML\i~=~CRT¡NG QÙANTrnES. :~~=~ (S?~¡::;::·~· .~=.:.3::>~\, SEC7ICN 5: C~RTrFIC:"TION: !, -ÙrA-U j'd 13t' -G2 U~. / CERTIFY THAT THE ABOVE INFOR- MAnCN IS ACCURATE. I UNOE~SiANO THAi THIS INFORMATION WILL BE USED TO FULFiLL. :\¡1Y FiRM'S CBLlGATlCNS UNOE~ T:-:='C.';UFORNIA HEALTH AND SAFEiY CODE" ON HAZARDCUS MATERIALS (O¡V. 20 CHAPTëR 6.95 SEC. 25500 ET AL.) AND THÄT INACCU~_'Î'TE IN RMATlON __NSTlTUTES PERJURY. /1 " if s--f7-y - 'I; 'SIGNA TURE DATE. ....,.... ,., " e7 ~ ~ .. . . . ~ .'- . - e BakersñeldFire Dept. _ Hazardous Materials Division . .. ~ ""'.......' .. .......,.... \ .-""'-".... /' HAZARDO'US MATERIALS MANAGEMENT PLAN SEC7tCN 7: MITIGATfON, PREVENTION AND ABATEMENT PLAN: .\ '"''''1 ,.. ,\ C:'- 0 RE\/ENTIC N c:........-c:. . M. i'\c:_=....."'¡:, l ~-II,..dc:.;-,~...J) L d . h...." J (J " WLQ. 0-\u~ 0 uj) \..)Glll UJuO r \(¿2cu1 '.d1JvQ ~^-UJ LÁJC.J' Uì ì CiJ'· . S OJn ~O LJ.QpJ\ ~ W&-.~OI..A-Q. +tOOR-S 1M ~Uiß.. D 5,pJJ O.Y1v'~/OQt Q;Y'd t£tç; L,\cw~ n~ud5 lfn Œ-6'Y\ l:d!Uì 1..UlS (J - '-'-'N 110 ;-r::r'C--I~""",-"" '-. uJ:1'-'·i LdL ~+lOð R- o·b~~J:XUL}3 -ttJ¡ 0~ UfJ [LQJ S rJ'¡ I tJ S=·:-:-ICN 8: UTILlTf SHUT-CrrS ~\: :.;¡¡C¡\ CF SHUT-OFFS AT YOUR FACILITY): =~=,=~~!C.~,~: ffi1'tN otÐCJ NOÇfu\IJ'f)CS* ('l)í?-~'(\eJQ '. ~ ;,,:; SoLL th ~+ Qc'il? ne,Q (1 b.!.Ü cI:! (Ýì('ð ---~'\' No'^l,O ::.- ='__,,,L: \ \\....; >~ ,.:., 7 ~ R ;., L .:; ,~, SIP R C P,A, ì\J = : ~"""'/ -Cv '(C::-/~O __ '-I.......:: I': ~~ ~ ~ '~'=~, _·:,:: ;TION: SECTION 9: PRIVATE FiRE PROTECTION/WATER AVAILABILITY: a. PRIVATE FIRE PROTECTrCN: ~\(tì 1UlAÌ{)h.v\S ]th(20) I/'.~ oJ ~,p OJ\Q.û 4:' .. U v\.Yð.ø ' , WATER AVAILABIUTY (FíRE HypRANT): 50u.:H1l)~t ~ruJ1 ~. U nt 01 1 ffiJlt QJYld L\ ll-L .'i -tcN1:r ..~- A. -.... .- . ~ . . --. ..~. -- ~ ...... --.- Hazaràous Materials Division . e HAZARD(5 Us. MATERIALS MANAGEMENT PLAN ¥ .,- .~ -::y~, ,"'$- Facility Unit Name: SECTION õ: NOTIFICÄTION AND EV ACUATION PROCEDURES: ~~~ :~T~~"fm~J~~ câ1J ~r¿;1 Wß . - - ----- -- ---"... -- - -- -=- - --~ --. ~--- ~--~ - --- -- - -- ~ ::'¡1?~r:'(== ~lC7:F;C,;TiC ~J 1~.(\lC =··':,~,C~I~.ï~ON: 1 ~. WLi Vwutl 3ill. lAp. C( m~ 9. sed' oj u 1V pM Wvtq tltJi /fY) (l!úJ)ß 6f ûJ¡ (ÞJY11111t; hCz-J. I -lJ1o}5 how W~ GJMrJ Di!i'JdJ.nJ ~ en LQ,ill) ~ (}r~ ~ ,...... '-' . """1,'''''''1' Ic ~'I 'CI' ~-'r" -'_=l. =' dutJ'I\;: q II . - - --- J. =:\/j=~G=~\JC'( N1E=);CA~ ~~.~.j\l: m~~ H-osp, ,tú-l ~~\S ~i-clVL Aw 8ú.J;< <tð f¡ e)d, GÞ CBOS)3~1-3?/11 ~ ,...,& '--- -;.. .f, \. ~ . - BAKE_FIELD CITY FIRE D$RTMENT - HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVE. BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [] BUSINESS NAME FACILITY NAME SITE ADDRESS CITY STATE ZIP NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERA TOR PHONE I MAILING ADDRESS I CITY STATE ZIP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24-HOUR PHONE NAME TITLE BUSINESS PHONE 24-HOUR PHONE Seøemoet :n 151512 REGION V l.E?C ST ANC-'PD F- BAKERSElfLD CITY FIRE DEPASTMENT HAZAous MATERIALS INVEN~RY I " '., ..,. ~~ Page_of_ 3usiness Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: 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 HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ) Sudden Release of Pressure [ ) Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ J Uquid [ J Gas [ J Pure [ ] Mixture [ ] Waste [ ] Radioactive [ J æECKALL mAT APPlY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES , Maximum Daily Amount: Ibs [ ) gal [ ] ft3 [ J a) Container: Average Daily Amount: curies [ J b) Pressure: I Annual Amount: c) Temperature: ! Largest Size Container: i I # Days On Site Circle Which Months: All Year. J. F, M. A. M. J. J. A. S. O. N. D ! I 9) MIXTURE: Ust COMPONENT CAS # %WT AHM ; the three most hazardous 1) [ ] I chemical components or any AHM components 2) ¡ ] 3) [ ] 10) Location CHEMICAL DESCRIPTION i 1) INVENTORY STATUS: New [ ) Addition [ ) Revision [ ) Deletion [ J Check if chemical is a NON TRADE SECRET [ J TRADE SECRET [ J 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ) Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ) Uquid [ ) Gas [ ) Pure [ ) Mixture [ ) Waste [ J Radioactive [ ) CHECI< AU. THAT APPlY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ) gal [ ) ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: . Largest Size Container: # Days On Site Circle Which Months: All Year. J. F, M. A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) [ ) chemical components or any AHM components 2) [ ) 3) [ ) 10) Location certify under penalty or law, that I have personallyexammed and am familiar WIth the mfom,atJon submItted on thIS and all attacnea documents. I believe the I submitted information is true, accurate, and complete. PRINT Name & Title of Authorized Company Representative Signature Date ~_Þer3Q 1S112 REœo.V LEPCSTAfir¡ OMOFCI''' Business Nam BAKERSFIELD CITY FIRE DEPARTMENT HAZAa:>OUS MATERIALS INVENeRY Page_of_ ·1'S/¿dress~g~ 14th ~eJZ$tìc:ld ~ "t/ "" CHEMICAL DESCRIPTION Deletion [ ) Check it chemical is a NON TRADE SECRET TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HAZARD CATEGORIES Fire Reactive I I Sudden Release of Pressure I ] 5) WASTE CLASSIFICATION w!6k.. Û', I (3·digit code from DHS Fo"'; 8022) 6) PHYSICAL STATE Solid [] UqUid.Þ<Í Gas [ ] Pure HEAI.TH Immediate Health (Acute) Delayed Health (Chronic) USE CODE ] Mixture [ Waste [] Radioactive [ ] a¡ECX ALL THAT APPlY 7) AMOUNT AND TIME AT FACIUTY ~L' Maximum Daily Amount: t> Average Daily Amount: Annual Amount: Largest Size·Container: # Days .On Site UNITS OF MEASURE Ibs [ ] gal ~ ft3 [ ] curies [ ] B) STORAGE. COOE~. O[a a) Container: b) Pressure: c) Temperature: Circle Which Months: J. A. S. O. N. D 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components \ . \r d, rr,\~OMPONENT 1)...l...b.L~-:)U u _)I. CAS # "IoWT AHM I] I] I] 2) 10) location CHEMICAL DESCRIPTION Chemical Name:-· Deletion I ) Check if chemical is a NON TRADE SECR~ TRADE SECRET [ ) 3) DOT # (optional) I I I I I I I 'I :' 1) INVENTORY STATUS: 2) Common Name: AHM I) CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES I] HEALTH ~ Immediate Health (Acute Delayed Health (Chronic) ~ 5) WASTE CLASSIFICATION USE CODE 6) PHYSICAL STATE Solid [] liqUid·[)<- Gas [ ] Pure ] Mixture [ Waste ~ Radioactive [ ] CHECK ALL THArAPPl'f 7) AMOUNT AND TIME AT FACIUTY ~ Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: # Days On Site UNITS OF MEASURE Ibs [ ¡ gal þ( ft3 [ ) curies [ J 8) STORAGE CODES a) Container: (J~ b) Pressure: ~ c) Temperature: Circle Which Months: J. F, M. A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components 1 ) '2) c - \ -f-COMPONENT '(1() Ctn CAS # "IoWT AHM [ ) [ ] [ ] {q-( cern unaer penalty or at ave personal yexammecl ana am Tamlllar WI SU~ed inf~rmati~Ccurate. and complete. Pr\J ((t . \J.eJ {)U \Y'\ß ,Q PRINT Name & Title of Authorized Company Representative ~_3Q 'SIn RiEœoI V L£PC STNCWIQ~" BAKERSElELD CITY FIRE DEPARTMENT H~DOUS MATERIALS INVE,.aRY .j., ",-...,.. ~ '-.-...., Page_of_ Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ) Addition [ ) Revision [ ) Deletion [ ) Check if chemical is Ii NON TRADE SECRET [ ) TRADE SECRET ( ) 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ) CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ J Liquid [ ) Gas [ ] Pure [ ] Mixture [ ) Waste [ ) Radioactive ( J CHECK AU. mitT ItPPf...'r 7) AMOUNT AND TIME AT FACIUlY UNITS OF MEASURE 8) STORAGE CODES Maximum DaJly Amount: 100 [ ] gal [ ] ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size·Container: # Days On Site Circle Which Months: All Year. J. F, M. A. M. J, J, A. S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ ) 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( ] Addition [ J Revision [ J Deletion [ J Check if chemical is a NON TRADE SECRET [ J Tl'lADE SECRET [ J 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODe 6) PHYSICAL STATE Solid [ ] liquid [ ] Gas [ ] Pure [ ) Mixture [ J Waste [ ) Radioactive [ ] CHECK AU. mAr APPlY 7) AMOUNT AND TIME AT FACIUlY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ) gal [ J ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # "IoWT AHM the three most hazardous 1 ) [ J chemIcal components or any AHM components 2) [ ] 3) [ ] 10) locaz¡on certIfy unaer penaJty OT law, that I have personally exammeo and am Tamll/ar WIth the mfomatJon suomttted on thIS and all attacl'leo documenra. I Dell eve me submitted information is true, accurate, and complete, PRINT Name & Title of Authorized Company Representative Signature Date s.:.~:J:l1aa ~., lSICST~FCJt.. I.. .., Lt., . tit 1~~!i__"µJI3i:. .. d. X ~ \S\~ ~'\ ~~ ~~ ~. ~ ~ ~ .JL)(~1i1 d.:::;~ · ~ ·~.f ~.~ hørt Smp ~ f+ßf4 <;v~ 'î~ 'J~ ç o .- 2 V) 1/) ~ 'ð ~ ,,:::> ~--+- \:5 ~ ~ ~ ~, ü-Z ,.:5 .~ ~J~ Y-, ~~dIU(¡( . '=- ¡J~~ff L_______ ,,_.---. --~__, # Ç5 :::::í lß.. (A to Y" ~UI,~?J~ tf> <;"5\') L ~ - ~J ~~~~ ~ f'/~ . C::> ç.. /' . "- oJ:Jy ~ d-/ É¥C(.. '(> . °6 /}V···./ ¢'/ ij p/ j '-;1" O/~ ð~ e , Ii , ~~ ~. U\g' ÇJ ~~.:? X d.... ':...-Q . / I \) ~ì 1---. ~ ~ 0'.'~ -¡ ~ ¿)~ ~ ~.~ !S '-Y !w I\.t.. - - --. -. ,----?..-" ", ----- ~- - - -~ .--:=-- ;/°v ~V& c7-; .~ ; Ù"(?' 1'\/'\5/94 ,J V~:) 0"15.... 0"10·..· Q()44-'{:þ '19 Ov,?r.::1'j 1 ~:;l te Wl t h .¡ II I); .. 1 I .¡; ,¡!~ 'l(:J~<'C' Gener.::1 ..n,ormatlon~ 1==============================================================================1 I 1----------------------------------------------------------------------------1 II Locatlon: :)20 UNION AV Map: 'I OJ H¿¡z: 0 'Type:'1 II I Clty : DAI<.:EI~~:)FIELD Grld: :32 :' AOV: 0,0 II I 1----------------------------------------------------------------------------1 ! I 1 ". N "1'" , II ". N ..\.. '....1 II I ¡--- Lontact . ame ------- lt,e ------ --- Lontact . ame ------- l~ e ------ , I nA\/T ''') FI!:::P\/I:::¡ / 1 I A~'(;I:::I n Or>\J':::1 A~:' ¡ II , --. ... I.. ...... ., ... ... I, ~ .. ... ..... ..."' L..... ..> , ! I Husiness Phone: (H05) O:34·..·040· x II Uusiness Phone: (005) J24....040"lx I! i! 24·..·Hour Phone: (005) :39'1....0"l'l9x II 24...·Hour Phone: (805) O'l·!....2552x I! I I ,..)- "')h . ( ) I I P "'h .) I I , r~ger r one . x. ager r .one lX, II .........................................................................................···..·....··......·..·........·...··.....··..·....·..·....11 ................................................................................................... .............. ............................ ·..1 i 11--------------------------- Administrative Data ----------------------------! I II !Vlai'j Addrs: ::-)20 UN ION AV 0&0 Number: II I I City: UAKERSFIELD State: CA Zip: 9::-)307- I I ! i Comm Code: 015-906 COUNTY/BFO-STA 6 RESPONSE SIC Code: 75::-)8 ! ! I I -------------------------------------------------------------------------- I i II Owner: .J\I~:) Phone: (80S) :39'l··..O"l'l9 II ! Address: 320 UNION AV ~)tate: CA I! II Ci·ty: HAI\Ef~~:>FJELU Z'ip: 9:3:30'/·..· II I 1----------------------------------------------------------------------------1 I I I Summary -------------------------------------------------------------------1 ! \ I II 1 I ,J A c> A 1\' I::: I::: <,':',' \.::: \/1::: U ... C..·.I I::: ,:') I::: ¡") . ·1' I:·, <,:' 1,,1 c") i") W ·1' ..,¡"j..! W A <.:' ..1"1::: Ivl c") ..,.. ..) I", '" \ C' ...... . A.. ,... ·.1'. N I.·.·) ,:',' l.! /"1 <.....)' I 1 , I' r I ~ .... .... ... .... .... 1 I .I. .. ...... , ... r A.. \ ::>... r .. . . . ..)... .. c...", U.I.... '..) I () ¡:~ c.:; :::. , I ! In c: ¡I ..I" F I.. A ..\.. .''',.! I::: I l J (:! I:: ,..) .[ ..I" ·1' 'I T I..J I::: 1\.1 I:: "'\< N I", .. I:: ~., I..J .. "', [.......! I... I·.·.) c·.·.··) . I . I .......M ....J .... ..... ..... r. ..I~. I... I~... t.. "' U .) ,Ur ,I II I II II 1 I II ! 1----------------------------------------------------------------------------1 I ==============================================================================1 e ct ~8q D l Page rø (;I 6- /Joj E-* 2- -., '1 '\ /'1 5/94 JVS 015-010-004472 a,? ,...., d C' .... ' .... a WI.. ...- -"lX~" _ ...on,.031ners 03... ~e Page 2 Hazmat Inventory Detail in Reference Number Order ._._.___._.__..._.._._.......__._.___.._____............··.·····_·····_____·..._···._·_...·._·N·····_.···_·__·__..._...._.._______..........__._.................__._.._..._._._..______....,__ 02-001 WASTE OIL > Fire, Delay Hlth Liquid 220 Low GAL .-.-...--..-.-...---..........-.....----.......................----.--..........................----....--.--....--.....------.-.--.-------......---- GA~3 :it: 22'/ Trade Secret: No Form: Liquid 'Type: Waste Days: 365 Use: WASTE ---- Do3ily Max GAL 220 ·..·1··..··.. I Do3ily Average GAL 1 'I 0,00 .... .... ¡ .... .... Annuo3l Amoun·t GAL. 450,00 ------ Storage -------1 Press I Temp -1------------ Location DRUM/BARREL-METALLIC IAmbientlAmbientlNE CRNR OF BLDG .... ... .... .... .... .... .... .... ~.. .... G on c···· ¡ ... .... .... .... .... .... ... ............. .,. .... .... .... .... .... .... .... .... .... .... Com pon en t s 100,0% ¡Waste Oil, Petroleum Based -----...------...1- MGP !Low .... .... ! Gu i de I 27 _______...._....._._............____...._.....____........_.....M..___.._._...__.___......_._......._.__.MM.______...___.__.._______..____..__..._._._.._......___._. 02-002 ANTI FREEZE > ¡:::ire, Delay I·nth L.iquid 50 Low CAI. _...._____._....__.____.___..._._________._.__._._.__.___·_·_·_·___···_······_.__··N·_··__·_·..·_·_____._·_.__"___'___"_"_'_"__ CM) #: 'frade ~)eeret: No Form: Liquid 'T'ype: Waste Days: 365 Use: WASTE ---- Do3ily M~x GAL ----1-- Daily Average GAL --1-- Annu031 Amount CAL 50 25,00 I '150.00 ------ Storo3ge ---I Press I Temp 1------------ Location ---------- DRUM/BARREL-METALLIC IAmbientlAmbient NE CRNR OF BLDG - Gone -1---------------------- 100,0% ¡Ethylene Glycol Components ---------...---1- MGP ¡Low ·····..·1 n,,';d"': .. ,.( I " .-.:: I 2'7 '\ 'I / '\ 5 / q 4 e JVS 015-010-004472 00 .... Overall ~)ite e Page ::3 <0> Notif./Evacuation/Medical ~----'---'-""'-"-'-'-'-'--'-'----'-'--'--------'--'--.--.-----.--.--.-...-.-.-.---.----...,--.--......-....-.-------.---.........- <1> Agency Notification -.---.-....--....,.--....--..-.-.....-.-..--....-. <2> Employee Notif,/Evacuation ---..-.--..--..-.-..--..--.-.....---..-.-..--....--..-,.....-.- CALL 911 AND THEN EVACUATE THE BLDG. <3> Public Notif./Evacuatlon -----....".,....--.-.--.,-..-----.--,----.-.----- <4> Emergency Medical Plan -.--.-.-.-...-.--.--.--.---.---.-.----....----....-- IVlE j<CY HO~;)P J'r A L 22 'j 5 'rrW>(TUN AVI:; o A 1< I:: i~ ~:; FIE L D, C A ( ü 0 5 ) :) 2 7 .... J ::3 '{ ' ) e .J \I~) 015····0"1 0..··004472 a 00 - Overall Site ~ Page 4- '\ '\ 1'\ 5/84 <E> Prev./Minimization/Cleanup --.--.----.--.......--..-..-,.....-.......-..--..---.--.--.....---.----....----.--...-.-.-----.-.--..---........--......--..........---.--.-.....-..---.--......-----. <1> Release Prevention ---.........--.--.----............--.---...--.- <2> Release Containment ---.-----.-.-....--.--...,---.---...-- WASTE all IS KEPT IN :3 STEEL DRUMS. IF SPILL OCCURS, USE ABSORB THE WASTE OIL WITH ABSORBfNTS. <:3> Clean Up .._ .... .... .... "_ .._ .... .... .... .... .M. .... <4> Other Resource Activation -..-....---........-....--..........-.--................--------...-.'" 11/'15/94 e JVS 015-010-004472 00 .... Over.311 ~31 te e Page 5 <F> Site Emergency Factors .-......-..---.-........---.......----.........--.--.--.-..-.--.-----..-----.-....-.--.----..-.---......--..-.-.---...-......-....-.....-............-.-.---.----...----,.. <1> Speclal Hazards .------.-.---.-.-..--.-----...- <2> Ut1l1ty Shut-Offs ,.-.------.-.--.---..----.,-----. A) GAS/PROPANE- IN FRONT OF BLDG NW CRNR H) E I... E CT f~ J CA I... MAIN OFFICE NW CRNR C) WtI,TE¡:~ ~)W CI~N¡:~ OF UI...DG D) ~3P[CJAI... NONE ¡:::) L.OCK HO)< NONE <3> Fire Protec./Avail. Water ....---.---.......--.---..-.....--.----.-----.-.- E )<T' I NGU I ~:)EH ¡:~~:) WA'TTI~ SUPP!... Y SW CRNI~ OF UNION AVE AND 4'TH S·r¡:ŒE·r. <4> Earthquake Vulnerability -.-.--...---.-.....----..-..----..---........-........--.--- '!1/15/94 e .JVS 00 o -I 5···· 0 '! 0.... 0 044 .., 2 .... Overa 11 ~:>.¡ te .-----.......................---.--.-----.........-......--"'---'--".'----''''''' <G> Training ·_____.___··_._._·····w·_.._·__·.__··..·····..··.__·._______........__...___....__..___......____.__ <1> Training Record Location .._....____.........__.._...................._.___...._w··_·u....___.._... <2> Describe Training Program -............-------.....----.....------..----..-.--.... <3> Emer. Agency Coordination ..........................-...... ............................. ............................... ................ <4> Emer. Response Equipment .........---.----...................-.........---.---..----......-.-- e p . age 6 '11/15/94 e ...JVS 0'15···010·,,004472 a 00 - Overall Site ~ 'l Page __..__....__.......''·..·____...____......____M.....____......___.__....._....__...._____...__________.....__....._.._........__......_...........__...__....__.....__.....__.._____ <H> SCHOOLS WITHIN 1/2 MILE <1> High Schools ._._ ri...... .... .... ........ .... .... .... .... .... n...... .... <2> ..Jr. High Schools -.-..........--..........---.---...............-....-.- <3> Elementary Schools --..-_...__........__......._.................-........_-_.- <4> Private & Pre Schools ---......---.-...................----.........-....-........-- '12/15/91 e JVS 015-010-004472 Overall Site with 1 e ~Rdl Page ~... General Information 1==============================================================================1 I 1----------------------------------------------------------------------------1 I II Location: 328 UNION AV Map: Hazard: Unrated I I IICommunity: "BFD" RESPONSE AREA" Grid: 1 AOV: 0.011 I 1-----------------------------------------------------------------------------1 I 11--- Contact Name ---1------ Title ------1-- Business Phone --I 24-Hour Phonel I II DAVID BERVEL I 1(805) 834-8401 >< 1(805) 397-017911 IIANGELO ORNELAS I 1(805) 324-8401 x 1(805) 871-8200 II 1 1--------------------1-------------------1--------------------1--------------1 I 1-1--------------------------- Administrative Data ----------------------------1 I II Mail Addrs: 328 UNION AV D&B Number~ : I II City: BAKERSFIELD State: CA Zip: 93307- II II Cornrn Code: 015-901 "BFD" RESPONSE AREA" SIC Code: II 1 I -------------------------------------------------------------------------- 1 I I I Owner: J VS Phone: () 1 I II Address: 328 UNIOI\! AV State: CA II II City: BAKERSFIELD Zip: 93307- II 1 1----------------------------------------------------------------------------1 I II Summary ------------------------------------------------------------------ -- ---- -- --iI II II 1 IJAPANEESE VEHICLE REPAIR SHOP WITH WASTE MOTOR OIL STORAGE IN DRUMS I I I ¡LOCATED AT THE LUBE PIT IN THE NE CRNR OF SHOP BLDG. I I ¡ II : : II II I : I 1-----------------------------------------------------------------------------1 I 1==============================================================================1 .~ 1 2 / 1 5 / 9 1 ~ JVS 015-010-004472 _nber Page 2 Hazmat I entory List in Reference Order '. 02 Fixed Containers Site - at Pln-Ref Name/Hazards Form Quantity MCP -------------------------------------------------------------------------------- 02-001 WASTE OIL > Fire, Delay Hlth Liquid 220 Low GAL -------------------------------------------------------------------------------- 02-002 ANTI FREEZE > Fire, Delay Hlth Liquid 50 Low G.AL -------------------------------------------------------------------------------- -----------.--------------------------------------------------------------------- ~ '12/15/91 .. JVS 015-010-004472 .. ~2 - Fixed Containers at S~ Page 3 . L Hazmat Inventory Detail in Reference Number Order -------------------------------~------------------------------------------------ 02-001 WASTE OIL Liquid 220 Low > Fire, Delay H1th GAL ~---~~----~~-~-------~------------------------------------------------- CAS ~: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE ---- Daily Max GAL ----1-- 220 I Daily Average GAL --1-- 110.00 1 An~ual Amou~t GAL -- 450.00 ------ Storage -------1 Press 1 Temp -1------------ Location DRUM/BARREL-METALLIC IAmbientlAmbient NE CRNR OF BLDG ---------- - Cone -1---------------------- Components --------------1- MCP --¡List 100.0% ¡Waste Oil, Petroleum Based ¡Low I -------~---------------------------------------------------------------~------ 02-002 ANTI FREEZE Liquid 50 Low > Fire, Delay Hlth GAL ----------------------------------------------------------------------- CAS ~: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE ---- Daily Max GAL ----1-- Daily Average GAL --1-- Annual Amount GAL -- 50 I 25.00 I 150.00 ------ Storage --------1 Press I Temp -1------------ Location ---------- DRUM/BARREL-METALLIC IAmbientlAmbientlNE CRNR OF BLDG - Cone -1---------------------- Components --------------1- MCP --I List 100.0% ¡Ethylene Glycol ILow I " '12/15/91 e JVS 015-010-004472 00 - Overall Site e Page 4 <0> Notif./Evacuation/Medical -------------------------------------------------------------------------------- <1> Agency Notification -----------------~----~ <2> Employee Notif./Evacuation -----------------------------~ CALL 911 AND THEN EVACUATE THE BLDG. <3> Public Notif./Evacuation -----.----------------------- <4> Emergecny Medical Plan ----~--------------------- MERCY HOSPITAL 2215 TRU><TUN AVE BAKERSFIELD, CA (805) 327-3371 -12/15/91 e JVS 015-010-004472 00 - Overall Site e <E> Prev./Minimization/Cleanup Page 5 --------------~---------~--------~--------------------------------------------~- <1> Release Prevention ---------------------- <2> Release Containment ----------------------- WASTE OIL IS KEPT IN 3 STEEL DRUMS. IF SPILL OCCURS, USE ABSORB THE WASTE OIL WITH ABSORBENTS. <3> Clean Up ------------ <4> Other Resource Activation ----------------------------.- "12/15/91 e JVS 015-010-004472 00 - Overall Site e Page 6 <F> Site Emergency Factors ---------_._---------------------~----------------------------------------------- <1> Special Hazards ------------------- <2> Utility Shut-Offs --------------------- A) GAS/PROPANE - IN FRONT OF SLOG NW CRNR B) ELECTRICAL - MAIN OFFICE NW CRNR C) WATER - SW CRNR OF SLOG 0) SPECIAL - NONE E) LOCK BOX - NONE <3> Fire Protec./Avail. Water ----------------------------- EXTINGUISHERS WATER SUPPLY SW CRNR OF UNION AVE AND 4TH STREET. <4> Held for Future use ----------------------- ·12/15/91 e JVS 015-010-004472 00 - Overall Site <8> Training e Page 7 -----~~------~~~--~-------~~-~-----~~----~-------------------------~-----------~ <1> Page 1 -~-------- <2> Page 2 as needed -------------------~ <3> Held for Future Use ----------------------- <4> Held for Future Use ----------------------- °12/15/91 e JVS 015-010-004472 00 - Overall Site <M> Events ledger "M" e 8 Page -----_._~------~----------------------------------------------------------------- ---------------------------------------------------------------------------~---- 10/11/88 ANNUAL/OK ==============~================================================================= "12/15/91 e JVS 015-010-004472 00 - Overall Site <M> Inspections List - 9 Page -------------------------------------.------------------------------------------- --------------~~---------------------------------------------------------------- 10/11/88 ANNUAL/OK -------------------------------------------------------------------------------- ----------------------~---------------------------------------------------------