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HomeMy WebLinkAboutUNDERGROUND STORAGE TANK~/ ,~~ ~~~, ,, , ,; ~ %„ ~i ~. - r, ,~ `~ .,W.y - - - ~ (UNDERGROUND STORAGE TANKS) ~~CALIFORN_ IAAVENUE--MOBIL 4456 CALIFORNIA AVENUE FILE # - - - :~ ~, ~~ _ ~ ~ ~,~g DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 Manager RICK HELTON Location: 4456 CALIFORNIA AVE City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 859-1159 Map 102 CommHaz Low Grid: 35A FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact RICK HELTON Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / _ Title _ _- _.. (661) 859-1159x (661) 589-8747x ( ) - x Emergency Contact =1'O`E~ S E 1 TZ Business Phone: 24-Hour Phone Pager Phone Fire DelHlth Contact ~=~~':;=' ~ ~_ ~~ 'i~i:~.:~~ Phone: (661) 859-1159x MailAddr: 4456 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93309 Owner AKH CO INC Address 5800 S EASTERN AVE City COMMERCE Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK Sased 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 Date Phone: State: Zip / Title / r-~ ~~t: -F~Ei~~~~aE~~ (661) 859-1159x (559) 276-1498x (888) 365-6384x (323) 725-0099x CA 90040 TotalASTs: = Gal TotalUSTs: = Gal RSs: No NM~'l ~~~® APR 1 ~~~~ -1- 03/26/2007 F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 110.00 GAL Low WASTE ANTIFREEZE F DH L 55.00 GAL Low MOTOR OIL F DH L 200.00 GAL Min WASTE OIL FILTERS F DH S 55.00 GAL UnR -2- 03/26/2007 -3- 03/26/2007 F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NW CRNR OF BLDG CAS# 221 STATE Liquid TYPE TWaste PRESSURE ~mbient ~ TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL r1tiG,c~ru~VUa ~Vl~irvlvrlvl~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1HGLitCL L-~~aL' ~J1~1~1V 15 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 WASTE ANTIFREEZE Location within this Facility Unit OUTSIDE NW CRNR OF BLDG STATE TYPE PRESSURE Liquid TWaste -~mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 107-21-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1HGHKLVU.7 LV1~lYV1VP,1V15 ~Wt. RS CAS# 30.00 Ethylene Glycol ~ No 107211 I'IHGH.CCL tiJ .72',w7.71"liS1V 1 A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 03/26/2007 F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SW CRNR OF SHOP CAS# 8020835 LiTAid Mixture Ambient~E AmbientTURE CONTAINER TYPE qu~ T ~ ~ ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 100.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 r3tiGriR1I HJ JL~A.71.1P~1V 1 A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NW CRNR OF BLDG CAS# ' 1221 ~SolidE TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS sWt. RSA CAS# HAZARD A SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -5- 03/26/2007 F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/20/1999 ~ STORE MANAGER OR PERSON IN CHARGE WILL BE RESPONSIBLE FOR NOTIFYING THE LOCAL AGENCIES. Employee Notif./Evacuation 12/20/1999 EMPLOYEES WILL BE NOTIFIED BY SHOUTING AND WAVING OF THE ARMS. EMPLOYEES WILL EVACUATE THE BLDG THROUGH THE CLOSEST, SAFEST EXIT. ALL EMPLOYEES WILL MEET AT A PRE-DETERMINED STAGING AREA AWAY FROM THE BLDG. Public Notif./Evacuation 12/20/1999 ALL CUSTOMERS WILL BE NOTIFIED BY SHOUTING AND WAVING OF THE ARMS AND WILL BE EVACUATED THROUGH THE CLOSEST SAFEST EXIT. L~lllC l.y Clll.:y 1'1C lAl l: C11 r1Ct11 -6- 03/26/2007 F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/20/1999 ~ EMPLOYEES ARE TO REFER TO MSDS, WHEN IN DOUBT A HAZARDOUS MATERIALS. SAFETY GLASSES AND RUBBER GLOVES ARE TO BE USED WHEN HANDLING HAZARDOUS MATERIALS. Release Containment 12/20/1999 FIRE EMPLOYEES WILL ATTEND TO EXTINGUISH THE FIRE PROVIDED IT IS SAFE TO DO SO. LEAKS OR SPILLS EMPLOYEES WILL ATTEND TO CONTAIN THE SPILL AND STOP ANY LEAKS THAT OCCUR. IN THE EVENT THAT A FIRE AND OR LEAK CANNOT BE CONTROLLED THE MANAGER IN CHARGE WILL CALL 911. Clean Up 12/20/1999 THE RELEASE WILL BE CLEANED UP BY EMPLOYEES USING APPROVED HAZARDOUS WASTE CONTAINERS OR A LICENSED HAZARDOUS WASTE CONTRACTOR WILL BE CALLED IN TO CLEAN UP. Other Resource Activation -7- 03/26/2007 F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ special riazaras Utility Shut-Offs 01/30/2007 A) GAS - N/A B) ELECTRICAL - SHOP AREA S SIDE E C) WATER - SIDE OF BLDG N SIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water NEAREST FIRE HYDRANT - FRONT OF SHOP 100FT E OF BLDG. 12/21/2006 Building Occupancy Level 12/21/2006 7 EMPLOYEES -8- 03/26/2007 ,., - .- F DISCOUNT TIRE CENTERS 144 SiteID: 015-021-001967 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/27/2006 ~ MSDS SHEETS ON FILE. rayc c. nclu 1VL t'ILI,LLIC VSC i1c 1u 1V.L L' ULUtC VSC -9- 03/26/2007 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST e E R s F , D 9ooZYuxtun ave., suite 210 -------= ~-~°- ~~~ ~--------- ~-- FiRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program !! ''Rr"' r Tel.: (661) 326-3979 .I ~ Fax: (661) 872-2171 FACILITY NAME r / INSPECTION DATE INSPECTION TIMF~ I t Lou ~ ~ Tt2~ G~~-r.,i~ tt' 859 - t ts9 /SM~n~ ADDRESS y~15~ ~.A~~~o2N~+,,f~ AcV~ PHONE NO. r2=~-o6 NO OF EMPLOYEES ~ FACILITY CONTACT BUSINESS ID NUMBER 15-021- 00 1 ~ 6 T2o ; Ft-~€.rr~,4~ ~, - - Sec#ion 1. Business Plan and inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS (~ ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE c O6 - / IiX ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ,~~, // ^ VERIFICATION OF INVENTORY MATERIALS L ~7' - / LtY ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~/ L 7 ^ VERIFICATION OF MSDS AVAILABILITY 1 ~ j LAY ^ VERIFICATION OF HAZ MAT TRAINING G Y ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ / L4~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING C~^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES?P,, p m~ S~ ~J p^~NO EXPLAIN: ~ ~~ ~ 1'~v l t~Q ~-7`~`" ~<I~ `~~11 Ayn~ QUQESTIONS REGA~2DING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 i ,,~E-~~~ ~ ~- Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # usi ess Site R sp i le Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLISTS= TBw:'•h`.;-'?6'.~'3~27N!fi3S~A+-.....:'.'2'i8;*s7.lNu°#.Yr" IT"9iesY/TA ~.~ ""'~~. d"4.. E, _F.. :,, ..3)t ;~~. ice.. _'., 5.:..:', "5 . ,.'_3~~: 6-.:~.6~'•,••tl. SECTION 1: Business Plan and Inventory Program EAKERSFIELD FIRE DEPT B Rapt D Prevention Services F~R~ 900 Trtixtun Ave., Suite 210 ~~rrr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME (~15c..vN~1. T'~a.z C~~~~~ ~1'~`1 INSPECTION DATE !l~-ZZ-off INSPECTION TIME 3~ !S ADDRESS - HONE NO. C~ O OF EMPLOYEES FACILITY CONTACT ~.C)`( ~L~~Ii~I~ USINESS ID NUMBER 15-021- 001 ~I~(o~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V / C=Compliance OPERATION l V=Violation COMMENTS ~f ^ APPROPRIATE PERMIT ON HAND , Ldp ^ BUSIt18SS PLAN CONTACT INFORMATION ACCURATE L~ ^ VISIBLE ADDRESS lLd' ^ CORRECT OCCUPANCY ly^ VERIFICATION OF INVENTORY MATERIALS " ^ VERIFICATION OF QUANTITIES - !~' ^ VERIFICATION OF LOCATION ' ^ PROPER SEGREGATION OF MATERIAL C 7 , ~ / t!J ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C,~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES [~" NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3879 ~ i ~~ ~- ~ ~l~d~j ~ ~~ Inspector (Please Print) Fire Prevention / i61 In /Shift of Site/Station # Busin ite/ ite Responsible Party (Please Prat) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 fRev. 02/05) UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 SECTION 1 Business Plan and Inventory Program i~ FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees --- Sys G G~F~~~ A _~~ __-- -- ---- --------- -- --------- gS9__ I ASS - --. _? FACILITYCONTACT Business ID Number ~ ~ 6 15-021- .ODI X67 Section 1: Business Plan and Inventory Program -Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ~ V=V o adonnce l OPERATION COMMENTS ^ APPROPRIATE JPERMIT ON HAND ---- ^ ---- ~ ---------------------------------------------- BUSINESS PLAN CONTACT INFORMATION ACCURATE --... -- iL--+-- - ---'1`--- -_......_----- -...__. __.._. __ _ ----. _ .-- -..... --- -- ~l ~ ~i~d/~ ~ ~'/~~~ ^ VISIBLE ADDRESS >~C ^ CORRECT OCCUPANCY I ~' ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ~ VERIFICATION OF MSDS AVAILABILITYE _ _ ___ N~ ~ Q ~ `f"~3> ~~~ ~~'`/ ~f7>SR.S' ^ VERIFICATION OF HAT MAT TRAINING ~; ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE --- --- - - --- - , ~ - ^ CONTAINERS PROPERLY LABELED 1~. -- ^ - - - --- - --- _ HOUSEKEEPING t- -- ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE $c ON HAND i ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: ~~~. /}/G ~' iF7 L TK~c.f n w / rilr~ F.~~ 2F QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 Inspector Badge No., White -Environmental Services Yellow - Staten Copy Bus' ess ite esp sible rty Pink -Business Copy