HomeMy WebLinkAboutBUSINESS PLAN (2)~ . _
~ ~~ ~~ KRAGEN AUTO PARTS #797
~~ 1701 S. CHESTER AVENUE
~~ --~
_ _ ~ __
UNIFIED. PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
•
Prevention Services .
R ERs,, , „ 900 Truxturi Ave., Suite 210
.FIRE Bakersfield; CA 93301
ARTM r Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILI NAME ~ qn n - f ~ r I ~~ CTION D~~ IN ~ CThO~ TIME ~'
ADDRESS
l7
C
S
'~ PHONE NO. 6x~' NO OF EMPLOYEES
0 l
H~s
.
E -~.~
FACILITY CONTACT BUSINESS ID NUMBER
15-021- ~
(f
i=.',~T LJ - ,
!~j
,Section 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
^ ~ VISIBLE ADDRESS
~ Have B ~
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
I~ ^ VERIFICATION OF LOCATION (~
V
~' ^ PROPER SEGREGATION OF MATERIAL
$ ^ VERIFICATION OF MSDS AVAILABILITY •
~( ^ VERIFICATION OF HAZ MAT TRAINING
~' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
~' ^ HOUSEKEEPING
^ FIRE PROTECTION E~aW~w~s Og ~~
L~/ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ^ NO
IN: • - - - r
n r. r n _ie. n
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~J~Q.~~
Inspector (Please Print) Fire Prevention / 1°` In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECIfLIST
SECTION 1: Business Plan and Inventory Program
C.
BAKERSFIELD FIRE DEPT
Prevention Services
r• ~1R~ D 900 Truxtun Ave., Suite 210
~trfer ~ Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPEC ION DATE INSPECTION TIME
ADDRESS HONE NO. O OFEMPLOYEES
O ! a ~,~ C~t-~i' ~ 39~- 8'~l
FACILITY CO ACT USINESS ID NUMBER
15-021- ~~ ~'~ '~
e_/~ ~ ; .~-~-1-
Section 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
~^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE
cad ^ VISIBLE ADDRESS .
^ CORRECT OCCUPANCY
~
-
/
E~ ^ VERIFICATION OF INVENTORY MATERIALS
C~~ ^ VERIFICATION OF QUANTITIES
~^ VERIFICATION OF LOCATION
I~^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PRO DUKES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING LAJ ~ Q ` ` L ~~ `~
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE ~ ON HAND
ANY HAZARDOUS W STE ON SITE? t a ^ YES E~nND
EXPLAIN: - ~' ~' ~ ~ `~'~~ ,v r a
~~ q ~~,~~ Sb~1I
V-
i
.QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Insp ctor (Please Prin Fire Prevention / 1" In /Shift of Site/Station # Busi s chool Site Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)
c
~` .;: '_~
^r. j .
+ KRAGEN AUTO PARTS 0797 ______________________________ SiteID: 015-021-002467 +
Manager ROBERT WINTERS
Location: 1701 S CHESTER AVE
City BAKERSFIELD
BusPhone: (661) 397-8471
Map 124 CommHaz High
Grid: 07A FacUnits: 1 AOV:
CommCode: BFD STA 05
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
ROBERT WINTERS / DISTRICT MGR ADT SECURITY /
Business Phone: (559) 688-5641x Business Phone: (800) 848-2872x
24-Hour Phone (559) 496-8266x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire React ImmHlth DelHlth
Contact 3E CO/REGULATORYrSyi~e jo0 Phone: (760) 602-8700x
MailAddr: 1905 ASTON AVE State: CA
City CARLSBAD Zip 92008
Owner CSK AUTO INC Phone: (602) 631-7203x
Address PO BOX 6030 AVE State: CA
City CARLSBAD Zip 92008
t ~ 2ooS rZ 3r Zoos
j ~
~ ~
"
Period
to Gal
TotalASTs : J = J~
j
Preparers ,
TotalUSTs: = Gal
Cer,-tif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
ENT°D APR 2 0 2006
Based on my inquiry of those individuals
respvnsibla for obtaining the information, I certify
under penalty of law tha4 I have personally
exarnin~d and am familiar with the Information
submitt®d and believe the information is true,
accurate, and complete.
_ ~2~ Zaoe
Signatur Date
-1- 03/07/2006
T. ~ r.
(HMMP)
HAZARDOUS MATERIALS MANAGEMENT PU1N
UNIFIED PROGRAM CONSOL~ATED FORMS
CHEMICAL DESCRIPTION FORM
HAZARDOUS MATERIALS INVENTORY
^ NEW ^ ADD ^ DELETE ®REVISE 200
BAKER8FIELD FIRE DEPT.
Prevention Services
e .s r 900 Truxtun Avc., Ste. 210
'alt Bakersfield, CA 93301
Alf/ Tel.: (661) 326-3979
,Fax: (661j 852-2171
(One /orm per material, per DuildfnQ, or area.)
o.~...~ ..~ ~
BUSWESS NAME (Same as FACILITY NAME or DBA -Doing Business As)
Kragen Auto #0797
CHEMMJII LOCATION 201 CHEMICAL LOCA7>ON
Auto Center CONF~ENTIAL (EPCRA) 0 Yesy~d(
FACILITY ID No. 1 MAP No. (oWlonsQ 203 GRID NO. toptlon.q
1 F-6
CHEMICAL NAME 205
TRADE SECRET 0 Yes ®No
COMMON NAME 207
EHS• ®Yss ^ No
Lead-Acid Batteries
CAS No. 2~
•u EHS b'Y.s,• au amounn below must be
k, lbs.
FIRE CODE HAZARD CIASSE5 (Compbb N nquesbd by bcal 11n ohkQ 21
WRII, CORK
TYPE 211
RADIOACTNE: 0 Yes 2/ CURIES
~ No 21
0 p PURE ®m MURURE ^ w WASTE 0
LARGEST CONTAINER 21
PHYSICAL STATE ^ s SOLID >D 1 LIOUID ^ p GAS 214
10.5 (electrolyte)
z1
FED HA2ARp CATEGORIES ^ 1 FIRE ®2 REACTNE ^ 3 PRESSURE RELEASE ®4 ACUTE HEALTH 0 5 CMRONK: HEALTH
(CheGc aN llmt sPPIY)
ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE
AMOUNT N/A DAILY AMOUNT 892.5 DAILY AMOUNT N/A CODE N/A
221 z2z
D UNRS 0 pa GAL
'u EHS, amoud moat bs in ros.
^ d CU FT ®ro LBS 0 m TONS DAYS ON SITE
365
STORAGE CONTAINER
Ien.es el- ensf sppryJ 0 a ABOVEGROUND TANK 0 t CAN O k BOX D p TANK WAGON
^ b UNDERGROUND TANK ^ p CARBOY 0 I CYLINDER 0 q RAIL CAR
^ c TANK INSIDE BUILDING 0 h SILO Battery Case
0 d STEEL DRUM D i F18ER DRUM ^ ~ ~ eQTT~
D e PLASTK:/NONMETALLK: DRUM O j BAG ^ o TOTE BIN
22
STORAGE PRESSURE & a AMBIENT ^ as ABOVE AMBIENT ^ Da BELOW AMBIENT
2z
STORAGE TEMPERATURE ® a AMBIENT 0 as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC
%WT ~ `' ~~ HAZARDOUS COMPONENT EHS.'?" ~~ CAS # . ~': '
1 35 ~g Sulfuric Acid Electrolyte (37.5% Sulfuric Acid) ~> & Yes 0 No 22e 7664-93-9 22
z 34 z3o Lead 23t o Yas ®No 232 7439-92-1 ~ 2
3 31 234 Lead Dioxide 235 ^ Yes ~ No 238 1309-60-0 23
4 238 239 ^ Yes O N° 240 241
S 242 243 0 Yss 0 No 244 24
PRINT NAME ti TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 2
Sean Boykin, Agent for CSK Auto, Inc. 3/27/06
(HMMP) =^s'
HAZARDOUS MATERIALS MANAGEMENT PLAN
UNIFIED PROGRAM CONSOLIDATED FORMS
CHEMICAL DESCRIPTION FORM
HAZARDOUS MATERIALS INVENTORY
^ NEW O ADD O DELETE ®REVISE 200
BAKERSFIELD FIRE DEPT.
Preveation Services
~ 900 'ilrwctun Avc., Ste. 210
Eltt Bakersfield, CA 93301
wu Tc1.: (661j 32b-3979
~- Fax: (661) 852-2171
(One form per material, per building, or area.)
BUSINESS NAME (Same ss FACILRY NAME or DBA -Doing Bwiness As)
Kragen Auto #0797
CHEMICAL. LOCATION 201 CHEMICAL LOCATION
CONF~FJlTIAL (EPCRA) D Yey6(
Stockroom
FACILfTY 10 No. 1 MAP No. (optanan 203 GRID N0. (oytwnsq
1 I-2
CHEMICAL NAME 205
TRADE SECRET ^ Yes ®No
COMMON NAME 207
EHS' ^ Yea ®No
Used Absorbent Containing Oil
CAS ~' 209
'M EHS Is'Yes; a0 amounts below must be
In Ws.
FIRE CODE HAZARD CLASSES (Complete i! ragtMSiW by lot:al 1ln oTiM) 21
IRR
TYPE 211 21 CURIES 21
^ p PURE ^ m MU(TURE J~ w WASTE RADIOACTNE: ^ Yea N No
0
LARGEST CONTAINER 21
PHYSICAL STATE l8 s SOLID ^ 1 UOUID 0 8 GAS 214
55 gal.
21
FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTNE D 3 PRESSURE RELEASE ®4 ACUTE HEALTH O 5 CHRONIC HEALTH
(Chstll all that apply)
ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 218 STATE WASTE
AMOUNT 550 DAILYAMOUNTSSO DAILYAMOUNr27S CODE 343
221 222
^ UNRS ^ ya GAL
.8 EMS, amourd must ba in IDs.
^ d CU FT rH to LBS D to TONS DAYS ON SfTE
3 65
2z
STORAGE CONTAINER ^ k BOX ^ p TANK WAGON
(CMee ell mef ePDh) D a ABOVEGROUND TANK 0 f CAN
D b UNDERGROUND TANK ^ y CARBOY D I CYLINDER O q RAIL CAR
^ e TANK INSIDE BUILDING ^ h SILO
~ d STEEL DRUM O I FIBER DRUM 0 n PLASTIC BOTTLE
^ s PLASTIGNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN
22
STORAGE PRESSURE ® a AMBIENT ^ as ABOVE AMBIENT ^ Da BELOW AMBIENT
?2
STORAGE TEMPERATURE ® a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 0 c CRYOGENIC
%WT
"HAZARDOUS COMPONENT
ENS. `:`
; .:.•.., .
CAS #
1 25 22B Waste Petroleum Hydrocarbons 22T D YsstD No 228 Mixture 22
z 75 23o Oil Dri Absorbent 231 D Yea t9 No z32 N/A ~ 2
3 234 235 D Yea D No 238 23
4 238 238 ^ Yes 0 No 240 241
S 242 243 0 Yes 0 No 244 24
_..._ ::
„
•= 111. 51fNATURE ~.
....
PRINT NAME ti TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 2
Sean Boykin, Agent for CSK Auto, Inc. 3/27/06
FU 2744 (KEV. 09/U5)
(HMMP)
HAZARDOUS MATERIALS MANAGEMENT PLAN
UNIFIED PROGRAM CONSOLIDATED FORMS ~-t
~/tt
CHEMICAL DESCRIPTION FORM
HAZARDOUS MATERIALS INVENTORY
^ NEW ^ ADD O DELETE ®REVlSE 200
BAKER$FIELD FIRE DEPT.
Prevention Services
900 Tlruxtun Ave.- Ste. 210
Bakersfield CA 93301
T'el.: (661) 326-3979
Fax: (661j 852-2171
(One form per material, per building, or area.)
Panw1 of 2
BUSINESS NAME (Same u FAGLRY NAME rx DBA -Doing Businsas As)
gen Auto #0797
CNEMICAI. LOCATION 207 CHEMICAL LOCATK)N
CONF~ENTLAL (EPCRA) 0 Ys7aQ
etail Sales Floor
FACILITf ID No. 1 MAP No. (opNon•0 203 GRID NO. (optton•q
1 D-5
CHEMICAL NAME 205
TRADE SECRET ^ Yss ®No
COMMON NAME 207
EHS' O Yss ®No
Windshield Washer Fluid
CAS No. 209
'11 EHS Is'Yes,' s9 srrwrnts below rtsut bs
in Ws.
FIRE CODE HAZARD CLASSES (Complete it requss7sd by kxal tin disf) 27
F1IB, IRR, OHH
TYPE 217 27 CURIES 27
^ p PURE ®m MU(TURE ^ w WASTE RADKUICTNE: D Yes N No
0
LARGEST CONTAINER 27
PHYSICAL STATE ^ s SOLID ®1 LIOUID ^ y GAS 274
1
27
FED HAZARD CATEGORIES ®1 FIRE ^ 2 REACTNE D 3 PRESSURE RELEASE ®4 ACUTE HEALTH ®5 CHRONIC HEALTH
(Cltsdc aM that appy)
ANNU/U
WASTE 217 MAXIMUM 278 AVERAGE 219 STATE WASTE
.
AMOUNT O DAILYAMOUNT250 DAILY AMOUNT 125 CODE N/A
221 222
^ UNRS 81 0a GAL
.p EHS, amastt roust be in Ibs. p ~( CU FT ^ tb LBS D to TONS DAYS ON SRE
365
2z
STORAGE CONTAINER
(eN.eh N- tnN •ppry) ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON
O b UNDERGROUND TANK O p CARBOY D I CYLINDER O q RAIL CAR
^ c TANK INSIDE BUILDING ^ h SILO
^ d STEEL DRUM D f FIBER DRUM ®n PLASTIC BOTTLE
D s PLASTICMONMETALLK: DRUM ^ j BAG ^ o TOTE BIN
22
STORAGE PRESSURE & • AMBIENT ^ ea ABOVE AMBIENT ^ be BELOW AMBIENT
22
8TORAGE TEMPERATURE ® a AM81t_N'T ^ es ABOVE /WBIENT ^ Da BELOW AMBIENT D c CRYOGENIC
%WT '': ,;
`: ~ HAZARDOUS COMPONENT
,
EHS ':~,
.
~~ CAS # ~':
1 30 ~g Methanol 227 D YeslD No 228 67-56-1 2Z
2 230 237 D Yp D No 232 2
3 234 235 D Yes D No 238 23
4 238 239 ^ Yes ^ No 240 241
S 242 243 ^ Yes ^ No 244 2
...
.
.":
,,;.:.. .: . 111. SIfNATURE. : '~ ,,
;
..
,
PRINT NAME b TRLE OF AUTHORIZED COMPANY REPI'tESENTATNE SIGNATURE DATE 2
Sean Boykin, Agent for CSK Auto, Inc. ~ 3/27/06
"v FD 2144 (Rev. 09/05)
BAKERSFIELD FIRE DEPT.
(HMMP) '~ ~ Prevention Services
HAZARDOUS MATERIALS MANAGEMENT PLAN lam! 900 'lYuxtUn Ave. ~ Ste. 210
UNIFIED PROGRAM CONSOLIDATED FORMS ~~tt Bakersfield CA 93301
CHEMICAL DESCRIPTION FORM w~rr rel.: (661) 326-3979
HAZARDOUS MATERIALS INVENTORY ~ Fax: (661) 852-2171
^ NEW ^ ADD ^ DELETE ®REVISE 200
(One lorm per material, per building, or area.)
Paeet of 2
BUSINESS NAME (Same es FACILRY NAME or DBA - Oorc+p Business As)
Kragen Auto #0797
CHEMICAI. LOCATION 201 CHEMIGLL LOCATION '
Retail Sales Floor CONFmENTIAI (EPCRA) ^ Ys~
FACILITY ID No. 1 MAP No. (optlonN) 203 GRID NO. (optbns~)
1 G-3
CHEMICAL NAME 205
TRADE SECRET ^ Yes ®No
COMMON NAME Z07
EHS• ^ Yss ®No
Motor Oil
CAS No. 209
.a EHS is •Yss,' ~ ee+ouxs bsb« must be
in Ibt
FIRE CODE HAZARD CLASSES (Complab i(requesbd by local ffn Wel) 21
CLIMB, IRR
TYPE 211 21 CURIES 21
^ p PURE ®m MO(TURE ^ w WASTE RADIOACTIVE: ^ Yes ~ No
0
LARGEST CONTAINER 21
PHYSICAL STATE ^ s SOLID ®1 LIOUID ^ p GAS 214
.25
21
FED HAZARD CATEGORIES ®1 FIRE ^ 2 REACTNE ^ 3 PRESSURE RELEASE ®4 ACUTE HEALTH ^ 5 CHRONIC HEALTH
(Check ar that apply)
ANNUAL WASTE 217 MAXIMUM 218 AVERAGE
DAILY AMOUNT 219 STATE WASTE
CODE
µ10U 0 DAILY AMOUNT 1044 522 N/A
221 222
^ UNTTS >9 ya GAL
.B EHS, amount must be in Ibs.
^ ~ CU FT ^ ro LBS ^ to TONS DAYS ON STTE
365
2z
STORAGE CONTAINER ^ k BOX ^ p TANK WAGON
(cn.c- NI rnsr eppry) ^ a ABOVEGROUND TANK ^ t CAN
^ b UNDERGROUND TANK ^ p CARBOY ^ I CYLINDER ^ q RA0. CAR
^ c TANK INSIDE BUILDING ^ h SILO
^ d STEEL DRUM ^ I FIBER DRUM ®~ PLASTIC BOTTLE
^ e PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN
22
STORAGE PRESSURE & a AMBIENT ^ sa ABOVE AMBIENT ^ De BELOW AMBIENT
22
STORAGE TEMPERATURE ® s AMBIENT ^ sa ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC
%WT '; .
' ' ~ ~ HAZARDOUS COMPONENT
,
- EHS.:°.:
..
..
., .
CAS #
'
1 1.1 ~g Zinc Alkyldithiophosphate 227 ^ Yss ® No 228 68649-42-3 22
z 93 23o Fuel Additive 231 o Yas ®No 232 64742-65-0 ~ 2
3 234 235 ^ Yes ^ No 238 23
4 238 239 ^ Yas ^ No 240 241
5 242 243 ^ Yss 0 No 244 2
....,.
'~~ III. SIfNATURE:~ ~: ~ ''
PRINT NAME d TTfLE OF AUTHORIZED COMPANY RFpRESENTATIVE SIGNATURE DATE 2
Sean Boykin, Agent for CSK Auto, Inc. 3/27/06
" ~ FD 2144 (Rev. 09/05)
BAKER$FIELD FIRE DEPT.
HAZARDOUS MATERHIAL3PMANAGEMENT PLAN ;. ,,,~ Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS l~-h..t 9OU TYL1Rtllri AVC., SIC. 210
r~tt Bakersfield, CA 93301
CHEMICAL DESCRIPTION FORM w~rr rel.: (661) 326-3979
HAZARDOUS MATERIALS INVENTORY ~ Fax: (661) 852-2171
^ NEW ^ ADD 0 DELETE ®REVISE 200
(One Iorm per material, per 0ulldlr-p, or area.)
PAew1 eT 2
BUSINESS NAME (Same ss FACILITY NAME or DBA - Ooinp Business As)
gen Auto #0797
CHEMICAL LOCATION 201 CHEMICAL LOCATION
CONFmENTIAI (EPCRA) ^ Yes,~Q
Retail Sales Floor
FACILITY ID No. 1 MAP No, (optlonaf) 203 GRID N0. (optbnsl)
1 G-5
CHEMICAL NAME 205
TRADE SECRET 0 Yes ®NO
COMMON NAME ~ 207
EHS• ^ Yes ®No
Automatic Transmission Fluid
CAS No. 209
•II EHS Is ^fa; eM amount: bskrw must be
in Wa
FIRE CODE HAZARD CIASSE3 (Compleb H Iaqussbd Dy local fire d~ 21
IIZR, CLIIIB, OHH
TYPE 211 21 CURIES 21
^ p PURE ®m MU(TURE ^ w WASTE RADIOACTIVE: ^ Yes ®No
0
LARGEST CONTAINER 21
PHYSICAL STATE ^ s SOLID ®I UOUIO 0 p GAS 214
.25
21
FED HAZARD CATEGORIES ®1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ®4 ACUTE H EALTH ^ 5 CHRONIC HEALTH
(Check aM amt aPWY)
ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE
AMOUNT O DAILY AMOUNT 1 S O DAILY AMOUNT 7S coDE N/A
221 222
^ UNfTS ~ pe GAL
.0 EHS, amount mint bs ie Ibs. ^ d CU FT ^ Ib LBS ^ to TONS DAYS ON SRE
365
22
STORAGE CONTAINER
(cMelc w tnst sppyl ^ o ABOVEGROUND TANK ^ t CAN ^ k BOX ^ p TANK WAGON
^ b UNDERGROUND TANK ^ p CARBOY ^ I CYLINDER ^ q RAIL CAR
^ c TANK INSIDE BUILDING ^ h SILO
D d STEEL DRUM ^ i FIBER DRUM ®~ PLASTIC BOTTLE
^ s PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN
22
STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ be BELOW AMBIENT
ZZ
STORAGE TEMPERATURE ® s AMBIENT ^ as ABOVE AMBIENT 0 ba BELOW AMBIENT ^ c CRYOGENIC
%WT ~' ,.
~ HAZARDOUS COMPONENT
EHS.'':
:.
~ ~ CAS #
1 97 ~g Mineral Oil, Petroleum Distillates 227 ^ Yes No 228 64742-65-0 ~
2 230 231 ^ Yas ^ No 232 2
3 234 235 ^ Yes ^ No 238 23
4 238 239 ^ Yes 0 No 240 241
S 242 243 ^ Yes 0 No 244 2
' ~ 111. SIfNATURE `
PRINT NAME 6 TTTLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 2
SEan Boykin, Agent for CSK Auto, Inc. 3/27/06
FD 2144 (Rev. 09/05)
BAKERSFIELD FIRE DEPT.
(HMMP) 3
Prevention Services
HAZARDOUS MATERIALS MANAGEMENT PLAN t~ s F 900 Truxtun Ave. ~ Ste. 210
UNIFIED PROGRAM CONSOLIDATED FORMS ~~tt Bakersfield, CA 93301
CHEMICAL DESCRIPTION FORM ~~rr rel.: (fi61j 326-3979
HAZARDOUS MATERIALS INVENTORY ~ Fax: (6b 1j 852-2171
^ NEW ^ ADD ^ DELETE ®REVISE 200
(One lorm per material, per Duildiny, or area.)
BUSINESS NAME (Same a FACILRY NAME a OBA - Ooinq Business As)
Kragen Auto #0797
CHEMICAL. LOCATION 201 CMEMMAL LOCATION
Retail Sales Floor/ Stockroom CONF~ENTUIL (EPCRA) ^ Ye~Q
FACILITY ID No. 1 MAP No. (optlon•0 203 GRID N0. lop-bn•A
1 C/D-5
CHEMICAL NAME 205
TRADE SECRL:T ^ Yes ®No
COMMON NAME Z07
EHS• ^ Yes l9 No
Antifreeze
CAS No. 2os
•Ir EHS is •Yes,' aN amounts bsla•r moat be
~ Iba
FIRE CODE HAZARD CLASSES (Compleb it requssbd by local M d'isf) 21
IRR, CLIIIB, OHH
TYPE 211 21 CURIES 21
D p PURE t9 m MULTURE ^ w WASTE RAOIOACTNE: ^ Yes ~ No
0
LARGEST CONTAINER 21
PHYSICAL STATE ^ s SOLID ®I LIOUID ^ q GAS 214
21
FED HAZARD CATEGORIES ®1 FIRE ^ 2 REACTNE ^ 3 PRESSURE RELEASE ®4 ACUTE HEALTH ®5 CHRONK: MLALTH
(Cheek ap that apply)
ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 218 STATE WASTE
AMOUNT O DAILY AMOUNT 151 DAII-Y AMOUIJT 75.5 CODE N/A
221 222
^ UNRS L9 t>a GAL
'q EHS, anaurrt must bs in Ibs. ^ d CU F7 ^ ro L.BS ^ to TONS DAYS ON SITE
365
22
STORAGE CONTAINER
(er~ea .rr roar •ppryl ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON
^ b UNDERGROUND TANK ^ q CARBOY ^ 1 CYLINDER ^ q RAR CAR
^ c TANK INSIDE BUILDING ^ h SILO
O d STEEL DRUM 0 i FIBER DRUM ^ n ~T-o ~TT~
^ s PLASTICMONMETALLIC DRUM O j BAG O o TOTE BIN
ZZ
STORAGE PRESSURE ® • AMBIENT ^ as ABOVE AMBIENT ^ Da BELOW AMBIENT
T2
STORAGE TEMPERATURE ® e AMBIENT ^ w ABOVE AMBIENT ^ be BELOW AMBIENT ^ c CRYOGENIC
9/oWT ~~':
' ~ ~' HAZARDOUS COMPONENT
- EHS. ": ..
: .. • ..,
CAS #
1 8 ~g Diethylene glycol 2s>• ^ Yes ® No zee 111-46-6 22
2 96 z3o Ethylene glycol 231 o Yes t9 No 232 107-21-1 2
3 234 235 ^ Yes ^ No 236 23
4 239 239 ^ Yes O No 240 241
5 242 243 ^ Yss ^ No 244 2
. .< ILL SIfNATURE. . ' '~, ` ;
PRWT NAME d TITLE OF AUTHORIZED COMPANY REPRESENTATNE SIGNATURE DATE 2
Sean Boykin, Agent for CSK Auto, Inc. „~' 3/27/06
~'/ FD 2144 (Rev. 09/05)
ALIF^RNIA ANNOTATED SITE MAP BUSINESS NAME: KRAGEN AUT^ #797 SITE ADDRESS: 1701 S. CHESTER AVE. Map #:1
BAKERSFIELD, CA 93304
A B C D E F G H I
1
2
3
4
5
6
7
1 SCA E~
3E UNDEFINED
Y
X~
ABOVEGROUND
STORAGE
TANK - USED
MOTOR OIL '
ELECTRIC MAIN
USED ABSORBENT '
CONTAINING OIL
FIRE
EXTINGUISHER
USED
BATTERIES
BATTERIES
ANTIFREEZE
MOTOR OIL
TRANSMISSION FLUID
a WINDSHIELD
J WASHER FLUID
CALIF^RNIA ANNOTATED SITE MAP BUSINESS NAME: KRAGEN AUT^ #797 ~ SITE ADDRESS: 1701 S. CHESTER AVE. Map #:1
BAKERSFIELD, CA 93304
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