Loading...
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 A B C D E F G H I 2 3 4 5 6 ~' F_..., \ O ~ x „-~~ 185 -._ _..... __._..__..._-.__.-_.___.._- _._._. _........_ _ .___ __-.-__ _- -..~____~ __. ~._ . _ .r__ ._-_... .__.-.-_._ - _.._ ____e... _.._____ e_._. __~ , .... _. _- ~~. _-. _ _., _ _... ~~~. _ _ f r __ -. ~ ., 1 E 8 ~/ E ~ AB C F ~ F D E 185 UB E f o~ t 3 I AF 7 E ' -- ~ ~ ' AF TF T I i P~ i1S F i AF M ( ' i t # 4 s t E UB ~ t ~ A ! ~' r B ~ F €::~::::::: E E F ._... < : i iF j y...__.__ _.__..._ ~ ~ t..._.___._.._~ S.___.__.__.. ~ ' F ~x N! .~ 1 SCA E~ 3E UNDEFINED ABOVEGROUND ~ STORAGE TANK -USED MOTOR OIL LECTRIC MAIN >ED ABSORBENT 1NTAINING OIL [RE KTINGUISHER SED ATTERIES iATTERIES ANTIFREEZE ROTOR OIL E2ANSMISSION FLUID IiINDSHIELD HASHER FLUID Y X -~