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HomeMy WebLinkAboutBUSINESS PLANid -- - _ Y ,~~ ,~ ECONO_L_UBE N.T_ITNE -- ==-~~ -i' 2901 BRUNDAGETLAIVE ~, ,- -. l ~~`1 ~c ~~ ~~ !+ ~ ~ti ~, ~~~_ ;~~ 93] 95 ~~ ~.~~ -„~_ ~I '`? ~ . ~..~~~ ~'wr~.. ~~ ~~-:'-C~-'~r'~:_ ~~ ~.SC.~ t9-.~.~ U-~L~ ~ _ ~~~ ~ ~~' ~' _ _, ~~ , ~° ^ .i ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 Manager P~C2~~-- BusPhone: (661) 322-7511 Location: 2901 BRUNDAGE LN Map 102 CommHaz Low City BAKERSFIELD Grid: 36C FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DORA OAJACA / OWNER Business Phone: (661) 322-7511x ~ Business Phone: / MANAGER (661) 322-7511x 24-Hour Phone (661) 994-9345x ~ 24-Hour Phone ( ) - x Pager Phone ( ) - x ~ Pager Phorie ( ) - x Hazmat Hazards: Fire DelHlth Contact DORA OAJACA Phone: (661) 994-9345x MailAddr: 10923 VISTA DEL RANCHO AVE State: CA City BAKERSFIELD Zip 93311 Owner DORA OAJACA Phone: (661) 994-9345x Address 10923 VISTA DEL RANCHO AVE State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers Tot alUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG U - UST ~61/ I,'G sad on my Int~Ulry of th0ae individu~=~ls responsible for obfasning the information, ! certify undar penalty of law that I have personally e,~camined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signatu Date -1- 07/11/2007 ~" 5 4 F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: •• FACILITY/SITE INFORMATION Business Name: ECONO LUBE N TUNE-BRUNDAGE Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper JIM ALBITRE ICC Nbr: 5248968-UC PROP RTY OWNER INFORMATION Name ~3~-~23~Z'-- ~~6~ ~.r~~`- Phone Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name SAi~-~•ia T,~pFZ ~~ ~~~ Phone Address: City State: Zip: Type CORPORATION (661) 322-7511x (661) 322-7511x BOE UST Fee# 33107 Financ'1 Resp: INSURANCE Legal Notif Tank Owner Mailing Address Date:08/04/2099 Phone: (166) 175-11 x Name:DORA OAJACA Ttl:FRANCHISEE State UST # 1998 Upg Cert#: N/A -2- 07/11/2007 ~ 5 1 -4- 07/11/2007 ~ ~_ i n F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Hazanat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 500.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 120.00 GAL Low GEAR OIL F DH L 70.00 GAL Low MOTOR OIL F DH L 555.00 GAL Min WASTE OIL FILTERS F DH S 55.00 GAL UnR -3- 07/11/2007 i i ~ ,~ F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ ;Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ ' COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SE PARKING LOT CAS# 221 STATE T TYPE ~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid I Waste i Ambient ~ Ambient I UNDER GROUND TANK ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 300.00 GAL i ---•-- t~uaGHxLVU~ wlnrVlvl;ivl5 %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ~ riAGHtC1J A~SL"~~S1~1J;1V'1'S T Secret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ = COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Days On Site I 365 Location within this Facility Unit Map: Grid: SE WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM i AMOUNTS AT THIS LOCATION ~ Largest Container Daily Maximum Daily Average 120.00 GAL 120.00 GAL 40.00 GAL I i I1L~GEiKLVU~ 1.V1~1rV1VL'1V15 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 ~ I11-~GHKL L~.7Jr,J.71~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/11/2007 ,~ L. 1 F ECONO LUBE N TUNE-BRUNDAGE Inventory Item 0004 COMMON NAME / CHEMICAL NAME GEAR OIL 10-30W Location within this Facility Unit LUBE PARTS STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-001227 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 70.00 GAL 30.00 GAL r~~r~tcLVU~ ~vi~irvlv~lvt~ oWt. RS CAS# 100.00 Light Machine Oil No 8020835 t1HGL~KL 1~55r;~51~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: E WALL CAS# Liquid TMixture I Ambient~E ~ AmbientT~E METAL CONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 240.00 GAL 555.00 GAL 275.00 GAL titiGH1CLV V.7 1.V1~lYV1V~1V 1.7 $Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ru~~si.tcL xaa~aari~lVla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -6- 07/11/2007 ~ s F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS t- T %Wt. RSA CAS# ri1~GHKL 1'~JJL" AJL~1L"ilV 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -7- 07/11/2007 t,. F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/29/2000 ~ CALL 911, NOTIFY OWNER IF HE IS NOT ON SITE AND NOTIFY APPROPRIATE AGENCY AS REQUIRED. Employee Notif./Evacuation 04/03/2006 VERBAL ALERT TO GET CLEAR OF BLDG, MEET AT SE CRNR OF PARKING LOT. Public Notif./Evacuation 09/07/1999 VERBAL ALERT TO NEIGHBORING BUSINESS/RESIDENCES TO KEEP CLEAR OF BLDG. Emergency Medical Plan SAN JOAQUIN, 2615 EYE ST, 395-3000. 07/20/2006 -8- 07/11/2007 .. C ~M' F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/20/2006 ~ ALL TANKS SEALED AND CONTROLLED THROUGH AIR PRESSURE VALVE ASSY. THREE FIRE EXTINGUISHERS. WASTE OIL DRAINS FROM PITS DIRECTLY TO UNDERGROUND WASTE TANK. GREASE SWEEP, RAGS, MOP, AND BUCKET. Release Containment 09/29/2000 GREASE SWEEP WITH OIL ABSORBENT TO TEMPORARY CAN, THEN BACK TO PRIMARY HOLDING TANK. Clean Up 09/07/1999 APPROVED DETERGENT, MOP AND BUCKET TO STAINED FLOOR. Other Resource Activation 09/29/2000 RESPONSE TO APPROPRIATE CONTRACTOR SHOULD SITUATION WARRANT. -9- 07/11/2007 ~ Y_ 1 JF F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ _ Fast Format ~ ~~Site Emergency Factors Overall Site ~ JLJCC:1d1 ndGdl_u.7" Utility Shut-Offs 04/03/2006 A) GAS - NONE B) ELECTRICAL - NE CRNR C) WATER - SE CRNR D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/22/2006 PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, MULTIPLE GARDEN HOSES AND TAP WATER. FIRE HYDRANT - NE CRNR OF LOT CRNR BRUNDAGE LN & STEPHENS DR. Building Occupancy Level 12/22/2006 4 EMPLOYEES -10- 07/11/2007 ., ~ ~ -- F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ _ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/20/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: QUARTERLY SAFETY MEETINGS INCLUDES OSHA- REQUIRED PERSONAL SAFETY, HAZARDOUS MATERIAL HANDLING & EMERGENCY MANAGEMENT. ra~c c. aiclu 1V1 r ul..u1C Vw7C uclu 1V1 rul..ulC lJSC -11- 07/11/2007 '' ~i F EGONO LUBE N TUNE-BRUNDAGE Manager ALICIA LOPEZ Location: 2901 BRUNDAGE LN City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: Map 102 Grid: 36C SIC Code: DunnBrad: SiteID: 015-021-001227 (661) 322-7511 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title DORA OAJACA / OWNER ALICIA LOPEZ / MANAGER Business Phone: (661) 322-7511x Business Phone: (661) 322-7511x 24-Hour Phone (661) 994-9345x 24-Hour-Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact DORA OAJACA Phone: (661) 994-9345x MailAddr: 10923 VISTA DEL RANCHO AVE State: CA City BAKERSFIELD Zip 93311 Owner DORA OAJACA Phone: (661) 994-9345x Address 10923 VISTA DEL RANCHO AVE State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG U - UST ENfi'® ~~'B ~ ~ 2QO7 Based on my ir-quiry pf tha~~+ t~d.iuiduaks responsible for rabt~;inii~g the infc~rrr~ati~n, t certify under penalty of ia4v that i haver p~r~,or~aiky examined and am f€~rriifiar with the infprFnation submitted and believe the information is true, accur , and complete. ~ ~ ~~~~~~oa e /-~~ S a re -1- 01/30/2007 F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ - STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: ECONO LUBE N TUNE-BRUNDAGE Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper JIM ALBITRE ICC Nbr: 5248968-UC PROPERTY OWNER INFORMATION Name ALICIA LOPEZ Phone: (661) 322-7511x Address: City Type CORPORATION State: Zip: TANK OWNER INFORMATION Name ALICIA LOPEZ Phone: (661) 322-7511x Address: City State: Zip: Type CORPORATION BOE UST Fee# 33107 Financ'1 Resp: INSURANCE Legal Notif Tank Owner Mailing Address Date:08/04/2099 Phone: (166) 175-11 x Name:DORA OAJACA Ttl:FRANCHISEE State UST # 1998 Upg Cert#: N/A -2- 01/30/2007 -4- O1j30/2007 1` ~ ~ F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 500.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 120.00 GAL- Low GEAR OIL F DH L 70.00 GAL Low MOTOR OIL F DH L 555.00 GAL Min WASTE OIL FILTERS F DH S 55.00 GAL UnR -3- 01/30/2007 F ~CONO LUBE N TUNE-BRUNDAGE ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit SE PARKING LOT STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-001227 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 221 TEMPERATURE ~~~ CONTAINER TYPE - Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 500.00 GAL 500.00 GAL 300.00 GAL - ns~~ti.tcl.~~u5 wlnr~lv~ly 15 %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ril-~GHKL A5 ~155J1~1CS1V l J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ ~ Curies F DH / / / Low ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Location within this Facility Unit SE WALL Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CA5# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 120.00 GAL 120.00 GAL 40.00 GAL • titiGHtCL V u J wl~trvly l:,lv 1 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 riHG1~KL 1~47.7~5.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 01/30/2007 F'ECONO LUBE N TUNE-BRUNDAGE SitelD: 015-021-001227 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GEAR OIL Days On Site 10-30W 365 Location within this Facility Unit Map: Grid: LUBE PARTS CAS# 64742-57-0 Liquid TMixture~Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 70.00 GAL 30.00 GAL rlr~~r~ru~uu~ ~vlnrulv~.ly 1 %Wt. RS CAS# 100.00 Light Machine Oil No 8020835 riAGHttlJ f~JJl"~~~1~1C~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: E WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~ fixture Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 240.00 GAL 555.00 GAL 275.00 GAL rlt~~ril:cLVU~ ~;ul~lrvivr~ivl~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riE~GHiCL H.7Jl;J.71~11;1V l.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -6- 01/30/2007 F`ECONO LUBE N TUNE-BRUNDAGE ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME I WASTE OIL FILTERS Location within this Facility Unit STATE TYPE PRESSURE Solid TWaste ~ Ambient SiteID: 015-021-001227 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# t1E~GHKL A~a1;a71~1iS1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -7- 01/30/2007 F'ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/29/2000 ~ CALL 911, NOTIFY OWNER IF HE IS NOT ON SITE AND NOTIFY APPROPRIATE AGENCY AS REQUIRED. Employee Notif./Evacuation VERBAL ALERT TO GET CLEAR OF BLDG, MEET AT SE CRNR OF PARKING LOT. 04/03/2006 Public Notif./Evacuation 09/07/1999 VERBAL ALERT TO NEIGHBORING BUSINESS/RESIDENCES TO KEEP CLEAR OF BLDG. Emergency Medical Plan 07/20/2006 SAN JOAQUIN, 2615 EYE ST, 395-3000. -8- 01/30/2007 F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/20/2006 ~ ALL TANKS. SEALED AND CONTROLLED THROUGH AIR PRESSURE VALVE ASSY. THREE FIRE EXTINGUISHERS. WASTE OIL DRAINS FROM PITS DIRECTLY TO UNDERGROUND WASTE TANK. GREASE SWEEP, RAGS, MOP, AND BUCKET. Release Containment 09/29/2000 GREASE SWEEP WITH OIL ABSORBENT TO TEMPORARY CAN, THEN BACK TO PRIMARY HOLDING TANK. Clean Up APPROVED DETERGENT, MOP AND BUCKET TO STAINED FLOOR. 09/07/1999 Other Resource Activation RESPONSE TO APPROPRIATE CONTRACTOR SHOULD SITUATION WARRANT. 09/29/2000 -9- 01/30/2007 F ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~JCC:1d1 ridGdIUS Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NE CRNR C) WATER - SE CRNR D) SPECIAL - NONE E) LOCK BOX - NO 04/03/2006 Fire Protec./Avail. Water 12/22/2006 PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, MULTIPLE GARDEN HOSES AND TAP WATER. FIRE HYDRANT - NE CRNR OF LOT CRNR BRUNDAGE LN & STEPHENS DR. Building Occupancy Level 12/22/2006 4 EMPLOYEES -10- 01/30/2007 ~. ~= ECONO LUBE N TUNE-BRUNDAGE SiteID: 015-021-001227 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/20/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: QUARTERLY SAFETY MEETINGS INCLUDES OSHA- REQUIRED PERSONAL SAFETY, HAZARDOUS MATERIAL HANDLING & EMERGENCY MANAGEMENT. rayc ~ . 1 J t . 11G 11i 1V1 t'Ul~u1C U.7C riclu tVL r ULUIC U5C -11- 01/30/2007 + ECONO LUBE N TUNE ___________________________________ SiteID: 015-021-001227 + Manager ALICIA LOPEZ Location: 2901 BRUNDAGE LN City, BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 322-7511 Map 102 CommHaz Low Grid: 36C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact ~ / Title Emergency Contact / Title DORA OAJACA / OWNER ALICIA LOPEZ / MANAGER Business Phone: (661) 32.2-7511x Business Phone: (661) 322-7511x 24-Hour Phone (661) 994-9345x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact DORA OAJACA Phone: (661) 994-9345x MailAddr: 10923 VISTA DEL RANCHO AVE State: CA City BAKERSFIELD Zip 93311- Owner DORA OAJAC~Gt, Phone: (661) 994-9345x Address 10923 VISTA DEL RANCHO AVE State: CA _ City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives : ( ~~ ) `/ ~p PROG A - HAZMAT r ~ ` PROG H - HAZ WASTE GEN PROG U - UST ~5 ~yr~~ g 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 and believe the information is true, accurate, and complete. Signature ®ate ENT J U ~. ~ 0 2Q06 ~~~~ ~ t______________________________________________________________________________+ -1- 04/03/2006 ,~ r ~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTI®N 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmentai Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSP C~N DATE INSPECTION TIME -----~c~no __ u~~~ T~~-~-- ------- - --- ------------ - ----- ------- - - 3 -- ©-~ - --- ----------------- ADDRESS ~~ _ IJ~VYlt.1~c L --- ----- ---....---------------------------- P~~~~S~ I - No. of~E/rpPloYees - ~- (, I/ _ FACILITYCONTACT Business ID Number C t~Li~ 15-02 l - Section 1: Business Plan and Inventory Pn~gram ^ Routine ombined D Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C V \V=Vioatlo~nce~ OPERATION ^ L1V APPROPRIATE PERMIT ON HAND ^ ~ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS I~' ^ CORRECT OCCUPANCY LX ^ VERIFICATION OF INVENTORY MATERIALS ~/^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION n~ ^ PROPER SEGREGATION OF MATERIAL µ~ © VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ^ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ®/EMERGENCY PROCEDURES ADEQUATE LU' ^ CONTAINERS PROPERLY LABELED f~O HOUSEKEEPING LL7 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITEp~}: Cd YES f ^ IVO (r~ EXPLAIN: ~`~! Lt ~/ ~~ y' ~ ~l~ rilhr~ ~ [ ~'?1 ~~ irs QUESTIONS ARDING T S I ECTION~ PLEASE CALL US AT ~G6'I ~ 3ZB-3979 Inspector Badge No., White -Environmental Services Yellow -Stefan Copy L(C_ ~~.___...(_ Bu Hess Site Responsible Party Pink -Business Copy r ~~ ~ ~ ~~ ~W y'1 ~~ ~ ~~ -~ ~i _WE cAR`;~~ ~.~~i FACILITY NAME ~~nn CITY OF BAKERSFIELU FIRE DEPART'MF,NT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 ~- /~~ 7e1nc INSPECTION DATE 2 d Section 2: Underground Storage Tanks Program ^ Routine Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection Type of Tank ~e1lIR' S Number of Tanks Type of Monitoring _ Type of Piping 1Q,V1-r OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on the Permit fees current Certification of Financial Responsibility CL Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No j~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S)~0 qu1• ~l~ Teo ~1~. Type of Tank ~~f; ~ ~(a. ~,l AGGREGATE CAPACITl~' 0~1 Number of ~['anks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling (s tank used to dispense MVF? If yes, Does tank have overtilUoverspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 while -Env. Svcs. v~ Business Site Respc sible Party Pink - Bueiness Copy UNIFIED PROGRAM INSPECTION CWECKLIST SECTION 1 Business ,Plan and Inventory Program • - Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 _ FACILITY NAM ~., ~nsrtc i i~n~~ c mare, i ivrv ~ iwic __ _ 1 ~ ADDRESS PH E No. No. of E ployees Business ID Number FACILITYCONTACT ^ ~~~ C~ l i ~'1q -.1 ~ 'L~}- 15-021- 6b (227 Section 1: Business Plan and Inventory Program outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection C V \V=voatoncCel OPERATION COMMENTS D O APPROPRIATE PERMIT ON HAND - • ------------- _----...- ----..------____. -._...._-....-- -.. I--_--- ---- -._ -- ----..__----. -_......_ - _ ..-- ----- - --- - ----- -- ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WAST~E.ON SITE?: ~ES ^ NO EXPLAIN: o" (~ ~ 1 u 2 O ~ l+. • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~G6'I ~ 326-3979 ~~ f~~~~~ _~``- -~ ------ -- -~~°- Gam, 3 L.-- - -- -- -- - = - - Inspector (Please Print) ~ Fire Prevention 1st-In/Shift of Site White • Environmental Services Yellow -Station Copy Ulc, OQIu~ li~ Business i espo ible Party (Please Print) Pink • Business Copy. ~S~~S~3d Bakersfield Fire Dept. ;~,-1,Ji"~"iFIED PROGRAM INSPECTION CHECKLIST - Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY" NAME INSP CTI DATE INSPECTION TIME ~-.-. 7 ~(( c-~ _ -- ~S..ChL-- - ~~-~-~--~---~-~~ --- __ - --- -__...._. _ PHO E No. No. of Employees ADDRESS FAL:ILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine ~ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ~ V=Vio atonnce l OPERATION Lam/ ^ APPROPRIATE JPERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS CIV ^ CORRECT OCCUPANCY i~ ^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES U/ ^ VERIFICATION OF LOCATION l.lJ ^ PROPER SEGREGATION OF MATERIAL LV ^ VERIFICATION OF MSDS AVAILABILITYE La,l~ ^ VERIFICATION OF HAT MAT TRAINING C~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Lam" ^ EMERGENCY PROCEDURES ADEOUATE ^ CONTAINERS PROPERLY LABELED ~^ HOUSEKEEPING ---,f -- - - --- _------------ --- ----...----...-------- ----------- --- U ^ FIRE PROTECTION ^'~ ^ SITE DIAGRAM ADEQUATE & ON HAND COMMENTS ANY HAZARDOUSfWASTELON SITE(: NOTES ^ NO EXPLAIN: t,~(j S ` L ~ ~ I QUESTIQNS ~EGARDIN T S INSPECTIONS PLEASE CALL US AT ~F)G'I~ 326-3979 _. Inspector Badge No., "'" ~ Business Site Responsible Party White -Environmental Services Veltow -Station Copy Pink -Business Copy .. r~ "'" O ,...._ _ ~~ Q~tiLD pl,P = ~~~~ ~ ~ C(TY OF BAKERSFIELD FIRE DEPARTMENT O ~`~~ ~ M~ OFFICE OF ENVIRONI~IEN1'A1, SERVICES '~ y~~, UNIFIED PROGRAttiI INSPECTION CHECKLIST __w~ ";~~,,~'~ 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 FACILITY NAME L- CCU\G Lu~l~ } ~ UICP INSPECI'fUN DATE ~ ~ C ~ Section 2: Underground Storage 'Tanks Program ^ Routine ~ Combined ^ Joint Agency ^Molti-Agency ^ Complaint ^ Re-inspection Type of Tank ~~~l=- Number of Tanks I Type of Monitoring [~ Llt-~ Type of Piping ~lil (~- OPERATION C V COMMENTS Proper tank data on file Proper owner,•""operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No ~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERAT[ON Y N COMMENTS SPCC available SPCC: on file with OES Adequate secondary protection Proper tank placarding/labeling - Is tank used to dispense MVF? Ifyes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: " Office of Environmental Services (661) 326-3979 white -Env. Svcs. i ,.-;+ eusines ' e Responsible tarty Pink -Nosiness Cnry