HomeMy WebLinkAboutUNDERGROUND STORAGE TANK~/
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~~CALIFORN_ IAAVENUE--MOBIL
4456 CALIFORNIA AVENUE
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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.
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-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~
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ADDRESS
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r2=~-o6 NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
15-021- 00 1 ~ 6
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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
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IiX ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
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^ VERIFICATION OF INVENTORY MATERIALS
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LtY ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
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^ VERIFICATION OF MSDS AVAILABILITY 1
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LAY ^ VERIFICATION OF HAZ MAT TRAINING
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^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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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
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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
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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`--- -_......_----- -...__. __.._. __ _ ----. _ .-- -..... --- --
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^ VISIBLE ADDRESS
>~C ^ CORRECT OCCUPANCY I
~' ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^
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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 --- --- - - --- -
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- ^ CONTAINERS PROPERLY LABELED
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^ - - - --- - --- _
HOUSEKEEPING t- --
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE $c ON HAND
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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