HomeMy WebLinkAboutBUSINESS PLAN 7/7/2003 ..$:.¢/c.¢ !
ITE DIAGRAM l '~]
Business Name: .~./-~ ~
Business Address: ,~Tg 7/
FACILITY DIAGRAM
S:~PRO(~EDUR~
ALTEC AUTOMOTIVE
SiteID: 015-021-002164
Manager :
Location: 2631 M ST
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 01
EPA Numb: C~£ ~00~ 43 ~
BusPhone:
Map : 103
Grid: 19C
(661) 325-1053
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:7538
DunnBrad:502-82-7966
Emergency Contact / Title
JUDY RODGERS / MANAGER
Business Phone: (661) 325-1053x
24-Hour Phone : (661) 834-8195x
Pager Phone : ( ) - x
Emergency Contact / Title
TIM PADDOCK / OWNER
Business Phone: (661) 325-1053x
24-Hour Phone : (661) 303-1949x
Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Contact :
MailAddr: P~2 ~/ z~. _~¢~a- ~/
City : BAKERSFIELD
Phone: (661) 325-1053x
State: CA
zip : ;/
Owner TIM PADDOCK
Address : 13400 SILVERTON
City : BAKERSFIELD
Phone: (661) 588-4057x
State: CA
Zip : 93312
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
-1- 06/16/2003
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bak~26-3979
HAZARDOUS ~[~ '
MATE~~-)iG~E5 IENrT' PLAN
INSTRUCTIONS:
avoid further action, retum this form within 30 days of receipt ~.
2. TYPE/PRINT ANSWERS IN ENGLISH·
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
5.
You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
BUS.SS
LOCATION:
MAILING ~D~SS:
CITY:
P~~Y ACTIVITY:
STATE:
OWNER:
/
MAILING ADDRESS: fid
EMERGENCY NOTIFICATION
CONTACT
TITLE
BUS. PHONE
24 HR. PHONE
gg/-_Yo_.e
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. 1' DISCOVERY AND NOTIFICATIONS
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LEAK DETECTION AND MONITORING PROCEDURES:
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EMPLOYEE AND AGENCY NOTIFICATION:
fZ/,/ ~ a ~ ~,~,c,~ .~
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ENVIRONMENTAL RESPONSE MANAGEMENT:
EMERGENCY MEDICAL PLAN:
2
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN
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HAZARD ASSESSMENT AND PREVENTION MEASURES:
~LEASE CONTENT A~/OR MITIGATION:
C. CLEAN-UP AND RECOVERY PROCEDURES:
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GAS/PROPANE: Dr'la
/.
ELECTRICAL: ,Joorz4~ ~ ~Lr_r~ r.~,.z/{ -- .a
WATER: _<"~;dda ~4 .*'~.d ~ ~
SPECIAL:
LOCK BOX: YES~) IF YES, LOCATION:
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
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PRIVATE FIRE PROTECTION:
WATER AVAILABILITY (FIRE HYDRANT):
3
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
'-7~'3~,~ao*/~' _~'~ - --~daoc~___. CERTIFY THAT THE ABOVE INFORMATION
I,
IS ACCURATE./T'I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY
CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
SIGNA~ TITLE
DATE
CITY OF BAKERSFIELDi
OFFYEE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
BUSINESS OWNER / OPERATOR IDENTIFICATION
FAClLrI'Y INFORMATION
Page __ Of __
I. FACILITY IDENTIFICATION
, FACILITY ID# '/J,~ ~i,i i~',~ i~'~¢,1 Year Beginning
BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3
SITE ADDRESS
CiTY ,~-~' 'E-, ,o41, CA
DUN & lO6
BRADSTREET ..~"~,~. -.~.,~ - ~ .~
Year Ending
BUSINESS PHONE
lol
102
103
SiC CODE
(4 Digit #)
105
107
COUNTY
108
lO9 OPERATOR PHONE
II. OWNER INFORMATION
110
OWNER NAME
OWNER MAILING
ADDRESS
,,1,] OWNER PHONE
112
113
CITY
~,4 i STATE ~ ,,5 ZIP
116
CONTACT MAILING
ADDRESS
III. ENVIRONMENTAL CONTACT
-~ CONTACT PHONE _~'~"/-.5-,~.~)~ .~
119
120 i STATE ~ 12, ZIP ~'~'~._7,/~ ~22
-PRIMARY-
TITLE ~c.tJyl
_ BUSINESS PHONE
24-HOUR PHONE
PAGER ~
IV. EMERGENCY CONTACTS
-SECONDARY-
123
125
126
127'
BUSINESS PHONE _~'/~- _~,~ ~'-~/~ ~'-_'~,
.-HOUR PHONE
128
PAGER #
129
130
131
132
133
V. CERTIFICATION
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined
and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete.
SIGNATURE Of OWN~J~RATOR
NAMES OF OVV~OPE~&-~OR (print)
DATE 134 NAME OF DOCUMENT PREPARER
135
136 TITLE Of OWNER/OPERATOR 137
UPCF (7~99) S:\CUPAFORMS\OES2730.TV4.wpd
C
CITY OF BAKERSFIELI~
OF E OF ENVIRONMENTAL I ERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one form per matenal per bu#ding Drama)
NEW [] ADD [] DELETE .~REVISE 200 Page
.... ' -~ I. FACILITY INFORMATION
3
201t CHEMICAL LOCATION J-'] Yes ~No 202
] CONFIDENTIAL (EPCRA)
203 [ GRID # (opl/ona/) 204
205 TRADE SEC~E~ [] Yes [~No 206
If Subject to EPCRA. refer to instn,~ctions
207
. EHS* [] Yes [~'No 208
209 i *lfEHSis'Yes,'allammmtsbelowmustbei~a~.
5 - -
FIRE CODE H~RD C~SSES (~plete ~ ~umt~ ~y I~ am ~
~PE ~ p PURE ~m M~EE ~. WASTE ~. { ~OiOA~NE ~Y~ ~o 2~2
FED H~ ~RIES ~ ~ FIRE ~ 2 R~I~ ~ 3 ~ESSURE ~L~E ~ 4 AC~ H~ ~ 5 CHRONIC H~L~ 2~6
(~ all that apply)
217 219 STA~ WAS~ ~DE
~/
DAYS ON SITE
ANNUAL WASTE MAXIMUM 218 I AVERAGE
AMOUNT /~,.~ ~. / DALLY AMOUNT ~,~ / DALLY AMOUNT ~ ~ /
UNITS* [~ ga GAL [] cf CU FT [] lb LBS [~ tn TONS * ff EHS, amount must be in lbs.
STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM ['-] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223
(Check all that apply)
[] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE~ [] r OTHER
[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN
~d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON
STORAGE PRESSURE ~ AMBtENT [] aa ABOVE AMBIENT [] ba 8ELOWAM~IENT 224
(~ aAMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225
STORAGE TEMPERATURE
4 238
227 [] Yes ~[No 228
231 [] Yes [:~No 232
235 []YesE~No 236
239 [] Yes [] No 240
243 [] Yes [] NO 244
CAS # .
237
241
245
PRINT ~AME''& TiTL~' 0F AuTHoRizi=D C,~ANy. RE~PRESE~TATiVE .:,-'! ': ,;.qr : si, G;~A;rU!~,~_ .. <,
! -
OATE
245
~ CITY OF BAKERSFIELl~
OFI~CE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
H~RDOU~ MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one form per material per bu#ding or area)
[] NEW []ADD[]OELET~ ~'.~V,SE 200 Pa~a ~ o~ ~
' I. FACILITY INFORMATION "
BUSINESS NAME (Same as FACILITY NAME ~ DBA - Dong Business As) 3
CHEMICAL LOCATION ~ --/ - , -- / ~ /'*/, 201t CHEMICAL LOCATION [] Yes [;~'No
~7~h ~.~ ~ ~ ~/ ~~ ~ CONFIDENTIAL(EPC~)
FACIL~ ID ~ t _1~ ~ -- ~ . ~__ 1~ ~P g (OP~O/ ~ ' ~3 GRID ~ (op~naO
205 ~DE SECRE~
202
[]Yes ([~No 206
CHEMICAL NAME
CAS ~
~1~ ~0~ ~ ~88fi8 {~l~ If ~u~t~ ~ I~l tiro ~i~
If Subject to EPCRA. refer to instructions
2O7
: EHS° []Yes ~No 208
209 i *lfEHSis'Yes"aJlaa~mtsbel°wmustl~in'll~
~'PE [] p PURE ~ MIXTURE [] w WASTE 211 I RADIOACTIVE []Yes [~-No 212 : CURIES
PHYSlCALSTATE [] a SOLID ~LIQUID [] g GAS 214 LAEGESTCONTAINER
FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [-I 3 PRESSURE RELEASE [~4 ACUTE HEALTH [] 5 CHRONIC HEALTH
(Check all that apply)
210
213
215
216
ANNUAL WASTE ,/.,,/,~ 217 I MAXIMUM 218 AVERAGE
AMOUNT , ,~p / DAILY AMOUNT ~.~',~' / DALLY AMOUNT
UNITS' ~ga GAL [] cf CU FT [] lb LBS [] tn TONS
* If EHS, amount must be in lbs.
219 STATE WASTE CODE
DAYS ON SITE
STORAGE CONTAINER [] a ABOVEGROUND TANK [] · PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTrLE [] q RAIL CAR 223
(Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE~ [] r OTHER
[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN
d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON
STORAGE PRESSURE /,~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224
[] aa ABOVE AMBIENT [] ba BELOWA[V~IENT [] c CRYOGENIC 225
STORAGE TEMPERATURE
..,:;, .. ::.:: ::'~V?: !-
3 i 234
,~a AMBIENT
:. :.:.:-' ..:.~ :.:.:. ::~/,.:~:.:.~:~i~.~ou~coj~/~0~E~:!~.:2:::~: :: ~.. :., .....
I--] Yes ~No 232
[] Yes [:~o 236
CAS #
77~'/I-.~' ', _
237
23~ [] Yes {~10 240 /~// -- y~ ~ 241
243 [] YeS ~ 244 245
DATE 2~