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HomeMy WebLinkAboutBUSINESS PLAN~~ ~, ;~ GARY KNERR, DDS ~~ `-' ~ 2613 G STREET - - - _.__ ~ ~. KNERR DDS GARY SiteID: 015-021-002300 Manager GARY KNERR Location: 2613 G ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: BusPhone: (661) 322-1948 Map 102 CommHaz Minimal Grid: 24D FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title GARY KNERR DDS / OWNER / Business Phone: (661) 322-1948x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact GARY KNERR Phone: (661) 322-1948x MailAddr: 2613 G ST State: CA City BAKERSFIELD Zip 93301 Owner GARY KNERR DDS Phone: (661) 322-1948x Address 2613 G ST State: CA City BAKERSFIELD Zip 93301 "Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~~~Y 'd t' U ~ ~ 4l z~o~ F~asecl or, my inquiry of those individuals respnr;sii:le i~'?r eita~~,inq the information, !certify _ under penalty of la~=1 t!-at I have personally examined anci am fam~'~ar u:+ith the information sut~mitt d anc~ ti~lia~~~ the information is true, accur= ~ ,and r ,r ete. - ry Signature ~~~~`~ s p ( ~ a/ ate -1- 07/12/2007 F KNERR DDS GARY ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002300 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 07/12/2007 F KNERR DDS GARY ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit UTILITY RM STATE TYPE PRESSURE Liquid TWaste ~ Ambient SitelD: 015-021-002300 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL t1AG1iK1JVU~ C:V1~lYVNl"~1V'1'~ - %VWt . . - -. - _ -- - ~ - _ - - - - -. RS - - CAS # Silver No 7440224 ri1~GLitCL HJ 71'~ ~ 71~11"~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/12/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/19/2007 ~ 911 = Employee Notif./Evacuation 04/19/2007 VERBAL NOTIFICATION AND EXIT THROUGH FRONT OR SIDE DOORS. Public Notif./Evacuation 04/19/2007 VERBAL NOTIFICATION AND EXIT THROUGH FRONT OR SIDE DOORS. Emergency Medical Plan 04/19/2007 TRANSPORT TO HOSPITAL -5- 07/12/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/19/2007 ~ SECONDARY CONTAINMENT FOR WASTE FIXER Release Containment 04/19/2007 ---- _ SECONDARY CONTAINMENT ~- ~- - - - - - - - ~ - - - _ ~- - - -"-- --__- __ - -_ -_ Clean Up CALL COMPANY THAT PICKS UP THE WASTE CONTAINER. 02/27/2007 V1.11C1 lCC.7VUil.:C L'iL L1VGL l.1 V11 -6- 07/12/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aYc~:la.L ncx~aiu5 Utility Shut-Offs GAS: N SIDE OF BLDG ELECTRICAL: W SIDE OF BLDG WATER: E SIDE OF BLDG 04/19/2007 Fire Protec./Avail. Water 02/27/2007 FIRE EXTINGUISHER W WALL OF DARKROOM. STA 1 ON H ST. Building Occupancy Level 04/19/2007 4 EMPLOYEES -7- 07/12/2007 r F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/27/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: EXIT DIAGRAM ON WALL IN HALLWAY. Page 2 Held for Future Use ~ nela =or r~uLUre use -8- 07/12/2007 KNERR DDS GARY Jam,,` Manager ~~~'` ~C /",~ ~ Location: 2613 G ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: SiteID: 015-021-002300 BusPhone: (661) 322-1948 Map 102 CommHaz Minimal Grid: 24D FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title GARY KNERR DDS / ~/~~ ~ / Business Phone: (661) 322-1948x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact GARY KNERR DDS Phone: (661) 322-1948x MailAddr: 2613 G ST State: CA City BAKERSFIELD Zip 93301 Owner GARY KNERR DDS Phone: (661) 322-1948x Address 2613 G ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN {used on my inquiry of those individuals responsible far obtaining th information, I certify under penalty of law t. t I have personally examined and a i ' f ENT'D ~E~ m am ar with the information 2 ~ 007 submi ed and b iev. the information is true, accu nd c pl . e. _ ,.~ z ~ G 9~ Dat -1- 02/02/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 02/02/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ ~ Inventory Item 0001 Facility .Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: UTILITY RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL - HAZARDOUS COMPONENTS oWt. RS CAS# Silver No 7440224 17.tiGtiiCL HJ JP~J.71~1r+1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/02/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site a .Agency Notification rmployee NoLir.~~vacuation ,^ r U1I1ll.: 1VV 1.11. /.GVdC.:Udl,lUil rJlllCl.yC11C:y 1~1CU1Ud1 Y1dl1 -5- 02/02/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ,~ Mi_tigation/Prevent/Abatemt Overall Site ~ xelease Prevention xelease containment = ~- ` ~ ~ ~L° ~~ ~ t.~ V1.11C1 J.CC~VUI_LC LiUl.lVdl.lUil -6- 02/02/2007 F KNERR DDS GARY SiteID: 015-021-002300 ~ Fast Format ~ ;,-~ Site Emergency Factors Overall Site ~ .7LJCCr 1d 1 1"ld'G dL U~ Utility Shut-Offs ~°I - ,, . r s.i.c rtv~.c~ ..~ r~vaii . ~rvc«ci DlA11 U111y Vla:I,L~Jd11C:y LC V C1 -7- 02/02/2007 ~~ F KNERR DDS GARY SiteID: 015-021-002300 ~ - -_ _ _ Fa ~t Fnrma t- ~ Training Overall Site ~ ~IR~J1U~/e@ 1Ld1111i1~J ~. c .~- l~ ~ ~~ ~/L. V~ v rctyC G Held for Future Use Held for Future Use -s- 02/02/200 ~'fe''`:---cn~~ + KRAGEN AUTO PARTS 4290 ______________________________ SiteID: 015-021-003416 + Manager 'UEr3131E iN1A VC3RE`I Location: 4500 GOSFORD RD 9 City BAKERSFIELD Bus Phone : ( ~ ~ I) X13 5 - OSZI f Map 123 CommHaz High Grid: 17D FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title 1~OrjERT W)N7~~~S / p15TR~LT SArGTy M fl,17T SEGVR~TH / Business Phone: (555 ) ~3~f -a~~(ox Business Phone: (gpp) 8~1l~ -~~~x 24-Hour Phone (~~q ).2~U -~?y x 24-Hour Phone (gDO ) ~y~ -a~~~ x Pager Phone ( IV~~t ) - x Pager Phone (iV~t1 ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact 3E CO/REG DEPT C/O CSK AUTO INC Phone: (760) 602-8700x MailAddr: 1905 ASTON AVE 100 State: CA City CARLSBAD - Zip 92008 Owner CSK AUTO INC Phone: (602) 631-7203x Address PO BOX 6030 State: AZ City PHOENIX Zip 85005 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TALK./ ~~ (~~'o ~$ (~~'~ \ 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. ,~ S gnat re Dat ~ ~~~ 1 4 206 -1- 05/-01/2006 ~H~pl BAKERSFIELD FIRE DEPT. HAZARDOUS MATERIALS MANAGEMENT PLAN Preveatioa Services ~~D ~OG~ °'^~D ~ 900 Truxtun Ave., Suite 210 ~~tt Bakersfield, CA 93301 i ~* ~.~/4T~ AM>r/ Tel.: (661) 326-3979 I~ . B!S/DES`Spyyl~F3tlOPB~ATORpB~R1RC,p110NFp~lUI ,. ~ Fax: (661) 852-2171 ~/~ ' . (HAZARDOUS MATERIALS FACILITY INFORMATION) ,~ Page 1 of 2 ~3 ~11~ . I. FACILITY IDENTIFICATION ~ FACILITY ID NO. t Ysar 5/25 tpo Year Ending 5/25/07 tot BUSINESS NAME (Same u FACILRY NAME ar DBA- Ooinp Btdnsaa As) s BUSINESS PHONE toe Kragen Auto #4290 (661) 835-0501 f A ~ ~ ~ ord Road 45 O G os Bakersfield to. CA 3313 ~ Oo~~~''~~1~~ ~ a~o~iE 5531 ~ ~ouNTY ern t0° TOR CQutoiTC. tpa OPERATOR HONE (602) 631-7203 tip .:.. .; ... 11: ONYNER INFORMATION.: ~ ~: OWNER NAME ttt OWNER PHONE tt2 CSK Auto, Inc. (602) 631-7203 OWNER MAILING ADDRESS ,ts P.O. Box 6030 CITY to STATE tts IP na Phoenix AZ' 85005 . II I. ENVIRONMENTAL CONTACT . CONTACT NAME to CONTACT PHONE ,ta 3E Company/ Regulatory Department, c/o CSK Auto, Inc. (760) 602-8700 CONTACT MAILING ADDRESS na 1905 Aston Avenue CITY t7a STATE 721 ZIP to Carlsbad CA 92008 - PRIMARY -` Iv. EMERGENCY CON TACTS -SECONDARY- NAME 123 NAME 128 Robert Winters ADT Security (Available 24/7/365 with current phone list) TITLE 124 TITLE 129 District Safety Manager Store Manager BUSINESS PHONE 125 BUSINESS PHONE 130 (359)739-2726 (800)848-2872 24-HOUR PHONE 126 24~IOUR PHONE 131 (559)270-7824 (800)848-2872 PAGER NO. 127 PAGER NO. 132 N/A N/A oOC ~J 133 . • : . , . ;:.. .. ~ V. CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personaly examined and am familiar with the information sutxnided in this inventory and bel"lave the information is true, accurate, and complete. SIGNATURE OF KiNER 138 DATE 134 NAME OF DOCUMENT PREPARER 135 G' ~ 5/25/06 Meghan C. Sadlowski, Agent for CSK Auto, Inc. NAME OF ER/OPERATOR (SDIGNATURE 8 PRINT) 137 TITLE OF OWNER/OPERATOR 1~e Meghan C. Sadlowski, Agent for CSK Auto, Inc. Regulatory Compliance Specialist, 3E Company ~Ot FD 2142 (Rev. 09/05) i~O `~ i `" 1 ~~~ HAZARDOUS MATERWLS MANAGEMENT PLAN ri SITE & FACILITY DIAGRAM Page 2 of 2 SITE DIAGRAM ~s BAKERSFIELD FIRE DEPT. FACILITY DIAGRAM ~~ } BUSiness Name: Kragen Auto Parts #4290 ' Business Address: 4500 Gosford Road, Bakersfield, CA 93313 A B C D E F G H 1 2 3 4 5 ALLEY I E ~' SED MOTOR R cuKBUSTtet,E uQ L to, ANT D B ES ast ~CT1vE alac~wc EXIT MAIN ® ~ EXIT ~„ VAC NT ® ~ d al BUI ING ® RESTAU ANT ® ~ ~ 1--~I '~. ~' t HOUT I--I A MAIN ENTRANCE E ERGENCY - AS EMBLY HYDRAN DRAIN GOSFOR ROAD I CAL 3E NORTH Please indicate direction of North FD 2170 (Rev. os/off Preventioa 8esvices ~I!` 900 Truxtun Ave., Stixite 210 AIT~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-21? 1 ~g33 ~ UNIFIED- PROGRAM INSPECTION CHECKLIST' SECTION 1: Business Plan and Inventory Program ~~~y¢~ Prevention Services „ A ~~ : E R s r , ~ 900 Truxtun Ave., Suite 210 _ _ ~ FiRE `~ Bakersfield, CA 93301 p aRrM ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPE ION D TE INSPECTION TIME ~ ~~2 ~` !7 ~ ~~ ADDRESS - ~' ~~ 2-61 ~ PHONE NO. zz~ ~9~ NO OF E LOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ®15..p 2) ..00 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 ^ CORRECT OCCUPANCY ~Q ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _~r D I ^ EMERGENCY PROCEDURES ADEQUATE . Oo, ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ~~ ANY HAZARDOUS WASTE ON SITE? ~ YES ^ NO EXPLAIN: ~~ S}N ~' ~E"'t' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention./ 1" In /Shift of Site/Station # Business Site / Responsible P y (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 y' ~,i, ,t'r' ~ 1~ 1 FACILITY NAME ~ n E 12 ~, INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # ~'x ~ ~. p ^ Routine "~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number x£,,.....p ~" Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line /~J Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste Proper management of lead acid batteries including labels ~ Proper management of used oil filters -!, Transports hazardous waste with completed manifest Sends manifest copies to DTSC ~~~QSo ;~ D ~,~~~ Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years ~ ~/4~ Determines if waste is restricted from land disposal ~,=~.ompuance v-vtotanon Inspector: ~~~'~~'-'S Office of Environmental Services (661) 326-3979 White -Env. Svcs. '~'4y` T~`" CITY OF BAI{ERSFIELD FIRE IDEPARTMENT ~~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~' ~ gTNIFIED PROGRAM INSPECTION CHECKLIS °-~~~g~w 1715 Chester Ave., 3'd Floor, Bakersfield, CA 9330 Pink -Business Copy ~/j~ ~` Business Si esponsible Party