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HomeMy WebLinkAboutBUSINESS PLANGENERAL TREE SERVICE 4811 HIIVIBER AVENUE rS + GENERAL TREE SERVICE ________________________________ SiteID: 015-021-002913 + Manager CONWAY LOPEZ Location: 4811 KIMBER AVE City BAKERSFIELD BusPhone: (661) 323-3155 Map 124 CommHaz High Grid: 03B FacUnits: 1 AOV: CommCode: KCFD STA 41 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title / / Business Phone: ( ) - x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CONWAY LOPEZ Phone: (661) 323-3155x MailAddr: 4811 KIMBER AVE State: CA City BAKERSFIELD Zip 93307 Owner CONWAY LOPEZ Phone: (661) 323-3155x Address 4811 KIMBER AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT ENT~~UN28 2006 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 sub tted believe the information is true, acc te, nd c plete. s-z~ ~ ~~ Si ature ' ~!~ Date ~~ -1- 06/07/2006 ~, ~~~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironynental services .. ~ : _ _ .~~~ ;. ~ 1715 Chester Ave SECTION 1 Business Plan and Invento Pro ram rY 9 Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ----------~.:~-----5_~~ZVcc.~ - __ _ _ __ 11_ ~t 2~~.-- --- --- - ADDRESS ~i~ j1 PHONE No. No. of Employees 2S ~. ~. G~-t wl {31.2 Business 4D Number FACILITYCONTACT ------- --- ---- ------------- 15-021- Section 1: Business Plan and Inventory Program outine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection C V IV=Voa6oinncel OPERATION COMMENTS ^ ^ APPROPRIATE )PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~~ ~ ~ ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ ~ VERIFICATION OF INVENTORY MATERIALS ~~~ ~~~~.~~ ^ ^ VERIFICATION OF QUANTITIES Z 2~4' C~- ZX ~(~~ ^ ^ VERIFICATION OF LOCATION [ ~,' ~ ~ L ~ OF ~~,~ ^ ^ PROPER SEGREGATION OF MATERIAL -- __ -- - - _ _ ---- ^ ^ VERIFICATION OF MSDS AVAILABILITYE ~ "~ o'~ ---- -- -- - - - -- "ti ~L . __ _ _ _. __4 - ----- -- ~~ ^ ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES~~ ` ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING -- --..._i - .. - - - --- ---- - ----- -- - -- - - ---- --- - ^ ^ FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~O EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66~ ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shift of Site Business Site Responsible Party (Please Print) rn N White -Environmental Services Yellow -Station Copy Pink -Business Copy ~O f .. _ .. ~ ~' .~ ~ ~~er~ ee erv~ce~~ 4811 Kimber Ave. • Bakersfield, CA 93307 Fully Inwred • Worker's Comp. • lic. #672270 Conway P. Lopez ~~ ~ ~ Owner -Certified Arbwist (661) 3Z3~3155 • Pax (661) 323-2218 gtsconway@aol.com WE-6624A i ' - B /~/RL ARTM T CITY OF BAKERSf [ELD OFFICE OF ENVIROYMEIYTAL SERVICES l715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW ^ A00 ^ OELETE ^ REVISE 200 ...,}w J. ~~.. ' `'"'~'~ ''~'~" _ I. FACILITY INFORMATION _ _____... _.9._. ~ . - ...- -- - --- -• . BUSINESS ( eat A 1 fVAMErar DBA • Dofn Busnsii b) - ~~~'~~L `~-~~ CHEMICAL LOCATION I^>S[fa~~. S ~ C2n12 UC S~F(esP I , CHEMICAL NAME _ (one lomr psr mateAal psi twidfny or area) Page - ~ .-. sr. .. ..._._. ~---------- 3 201_ CHEMICAL LOCATION - ^ Yes ^ ~ 202 CONFIDENTIAL (EPCRA) ~ _ _. -203~~~ GtiID Jf (oppfpnan _._ 204 ILCIiEMICALINFORMATION ---'-`~-- ~ .-•:~~~~~~-~ ~' ~' ~`~ COMMDNNAME CAS N FI CODE HAZARD ( ' requested py local en Cf~ieij '--- ---- - ~_- . - - 205 TRADE SECRET'. ' ^ Yes ^ No 206 H SuDjseU to EPCRA, refer to instnktfor}s .. _.~--- ._ T07 __ I EHS~ ^ Yes ^ No 208 . 208 If fiHS ii„~ti;. t8 abbe . ~ 210 TYPE ~~RE ^ m MIXTURE ^ w WASTE -• L' : ~R..DIOACTMc'-- ^ Yes- ^ No 212 CURIES 213 PHYSICAL STATE ^ s SOLID ^ I LgU10 mat o•~ GAS LARGEST CONTAINER p,,1 215 , 214 Ou - FED HAZARD CATEGORIES (Check all Mat apply) ~~ ^ 2 REACTIVE __.~ ~9-PRESSiJRE RELEASE ^ 4 A~'UTE HEALTH ^ 5 CHRONIC HEALTH 216 -- .- -' ----- --- --- ANNUAL WASTE I AMOUNT ~ 217 MAXBiA1M i f>r-aYAMOUNr tad 218 ~ AVERAGE 219 j STATE WASTE CODE 220 - / oaiLYAMOUNr ~ ~d ^ UNTTS' ^ ya GAL I~d CU FT - - _ - ^ ID LBS ^ to TONS 221 i OAYS ON SITE 222 M EHS, amount must be in Tbs. STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICJNONMETALUC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a9 that apPfY1 i ^ D UNDERGROUND TANK ^ f CAN Ci j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ e TANK INSiOE BUILDIhIG ^ D CARBOY ^ k BOX ^ 0 70TE BIN ^ d STEEL DRUM ^ h SILO ~CYUNDER ^ p TANK WAGON L ---- -~ _ -....-- --.. _-..... - ---•---- •------- - ~ STORAGE PRESSURE ^ a ANENT ~aa ABOVE AMBIENT ^ tw BELOW AMBIENT 224 ~~~ TEMPERATURE ~ AMBIENT ^ as ABOVE AMBIENT ^ Da BELOW AMBIENT ^ e CRYOGENIC 225 ~ :Fj3 } ') :. 3F .~~~~96VYT: '~.S '! T ~w~. 2 A Tr, . .. ~ y .. ~... : t3:ii ~t.. ' - r 1 ' a" ; ~ ~' HATARDOUS COMPONENT ~ 'EHS - Y ' r ;~*= zC ~t r~"~" ~ ; - ; ,,,; t r ' 1 228 227 ^ Yes ^ tJo 228 ~ 229 ' 2 , 230 I 231 I I ^ Yes ^ No 232 i ~ ; 3 ~ ~ 234 I 235 ~ T ^ Yes ^ No 236 ~ 237 4 238 - ~-.-.-... -._~.~ -._~-... _..~..._ ..--.. ....-.---_.-.. .. ... 239 - - -_.-- -.. ^ Yes ^ No 240 _~ ~ 24t S 242 _~.-_...___.__.._--- • - - -- 2'f3 - ^ Yes ^ No 244 { II 245 ~ '..`fir,: ... :}, ~ ~i.^..3"'1!. ~` _ _ f } 1 - ~. ~ .. , - . ~ ~ "~ ~ . A ,.;'~' a ; "A ' '~ • ~ ~:%'.: ?. ~TS~7",>' eta .t . ,t,, 5 }' ~ ~4r SIf3NATURE - - ~; Isr I . P (~..'.':... .!- • D ~III• .~ ~. ~' _ 's ~r `~~~ r ~'v~ ~y .tt7~ PRI NA A 3 A c~,uu-Tr irt~" --~---' - -"- ns _ 248 UPCF (7/99) S:ICUPAFORMS10ES2731.TV4.wpd CITY OF BAKERSf IELD OFFICE OF EiYVIROYMENTAL SERVICES 1715 Chester Ave., CA 9330 [ (661) 326-3979 ..~ HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one brm per meleAel per p~yy~ or area ~NEw O ADO ^ DELETE ---- ^ REVISE -. .._----• ---__ ~ ~_.........._.. P'q° - 0/ - T '" ~ '~` ' I. FACILITY INFORMATION .... ~ -.. __ BUSIN ( e a A Ill NAAA~ar~ A --Ddnq 8wnw MI 3 CHEMICAL LOCATION (Y~}S t t) ~' s ~ ~ 2(J2 ~~~ s'1~'jP IOt C~O~IOEMLt~TE CRA) ^~' ^ Yes ^ No ~ ~ACI ` I I - ~ -- ~- t (oD --- 203 GRID +1 optionM 20a '~• •,.• ~~ 11. CHEMICAL INFORMATION ~ s. ; ~ . • • ~ • =~ • ~ •• ~+~- ~• ' .. " ~ • CHEMICAL NAME --- zos TRADE SECRET a Y~ Q No 2p6 ,~ / ©7~ ~"C3~ r Subject to EPCRA, rofer ro insDtxslons COMMON NAME I ~~ ^ Ya ^ No 208 i CAS If 209 Mf BHS is~u;! 18 L „ "• bsj ~ ~ Fr 210 - ~~ PURE ^ m MUR1)RE ^ w WAS'O_ -• :.' ~ •--R..DIOACTIVc -- D Yes ` D No 212 CURIES 2t3 PHYSICAL STATE ^ s SOLID ^ I UOUID ,~ GAS 214 ~~ CONTAr~R ~~~ 215 , FED HA2AAD CATEGORIES D 1 FIRE ^ 2 (tEACTiVE ~PRESSiJRE RELEASE ^ 4 A~1TE HEALTH ^ 5 CHRONIC HEALTH 216 (Check a>i Mat appy) ~ ANNUAL WASTE _.~ 217 I 4~ ~ _--- -' 218 ~ ~$ - 219 j STATE WASTE CODE 220 DAIIYAMDUNi DAIIYAM~UNT UNITS' ^ ys GAL ~~ CU FT ^ ID LBS L7 to TONS 22t ! DAYS ON SRE 222 • r ENS, amount must De In Tbs. STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ s PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ; (CAeck aI Mat appy) D D UNDERGROUND TANK D f CAN Ci j BAG D n PLASTK: BOTTLE ^ r OTHER ^ e TANK iNS10E BUILDING ^ 9 CARBOY ^ k BOX ^ o TOTE BW ^ d STEEL DRUM ^ h SILO ~t:YLINOER ^ D TANK WAGON f i STORAGE PRESSURE `. ^ a AMBIENT _ _-_....- ~ ABOVE AMBIENT ..-_-....-_~----_.._.._....- ^ Da BELOW AMBIENT - - ---_ ... .r -- -- 224 i STORAGE TEMPERATURE ~ AMBIENT ^ as ABOVE AMBIENT ^ ba BElAW AMBIENT ^ e CRYOGENIC 225 ~ l~ ~~:~~96VYf~~s ~ ~`~'''~DOUSCOMPONENT •^•, ~~i~`=Y-~" ~EHS :~.,;-~%~~`y :CAC r.'~~:. - , _ , t ~ ~ 2Z7 ~D Yet D No 228 ~ 229 2 i 230 ~ ----....-., ... --...-.._..... _. -. ...- __ -__. _ 231 - ' ^ Yes D No 232 ~ ~ i 1 3 ~ ~ - ~ ~- _ _ D Yes (] No 238 ~ 277 ; -~ I_! .. - - . - - -._. --- - _...---•- -~...- - • - • --.....-----..... -- -.... _ _ --.. ___ --- - .----- 239 r--- - - D Yes D No 240 - - 241 ~ ~ ~ S 242 243 D Yes D No 244 245 ~: ~ ~: ><~'`t ~.: ,, ..:::L:t,:.`,'. ~, ~ a ~ ~Q 81ONATURE±- ~ ~ ~ ~'.~~. ~ ~ ~~~~~ ,` ~~;.. ~a . .. t ,. . PRI A D A ~SI~iNA~IR~- - . OA 248 L---- _ _ - _.._ _.. - - -.._. _. . ~ ~... 72 ~..-- - - --- - - _- ---- - ,~ e r/Rt ~Rfr s UPCF (7/99) S:ICUPAFORMS10ES2731.Nd.wpd '~ ~ ~ ~ D G Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >3 A r> a s F,_ 9o0Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 v aRtM Tel.: (661) 326-3979 J~aO+'^ ^~ SECTION 1: Business Plan and Inventory Program ~_ Fax: (661) 872-2171 FACILITY NAME N ~ 2a ~ ~ ~~~ INSPEC ON DA E ~ ~'3, Joy INSPECTION TIME ~ . ~ S ~.~~ ADDRESS ~ ~ ~ ~ j L ' PH ~ 2 v~ S NO OF'EMPLOYEES ~ ' x 11 6U ^ ~; ' I FACILITY CONTACT ER BUSINES S ID NUMB 15-021- ©Q Z~ 1 ~~ ROUTINE Section 1: Business Plan and Inventory Program. ~OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^~ APPROPRIATE PERMIT ON HAND Cal` -~ty~ Ny'^ q ~t •~,~~ ~!~ 0 v~ C ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ~l ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~@+ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~~~n (c(,~~ ^ PROPER SEGREGATION OF MATERIAL ,1 ~oo ^ ^ VERIFICATION OF MSDS AVAILABILITY N ~ ^ ^ VERIFICATION OF HAZ MAT TRAINING ~ N ,)-a w j "t'/ 1 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~ ~r.a,,.,~ ~v--•~ 1 g ydl l -'~ ~ HOUSEKEEPING ~Ltgt ~.-. a1~ Caa.. FQ~~ G,tis C " t.crd- Q1 ~ FIRE PROTECTION ~(~ ~ ~ s,~, t S~ • t S /V a ~Ca ~~ J ~ G "~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND s ANY HAZARDOUS WASTE ON SITEv .,YES ^ NO EXPLAIN: ~~°''°~~ e-- ®`~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 f Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Business Site Responsible Party (Please Print) White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~,~~.,++ rl ~Ln F~ e'`\ CITY OF BAKERSFIELD FIRE DEPARTMENT ~ OFFICE OF ENVIRONMENTAL SERVICES b •y UNIFIED PROGRAM INSPECTION CHECKLIST k~,"~gti~r 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAMEfa ~ rye rg~ ri"~~ -~~r.y ~G~ _ INSPECTION DATE ~ /3~ f e, Section 4: Hazardous Waste Generator Program EPA ID # ^ Routine I~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number N a o ~ ~ (~'•~ 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 I~ D ~ ~a (~ ~ 1a~}~ Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers aze kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line /~ /~ Secondary containment provided /V~dl ~~cOv~c~c ~ CD ~ Conducts daily inspection of tanks '~d~ W~ g~"o. Ol `s Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels N C z t~ Ptd ~ r Cd .-c~'c, t ^"~ ~' Proper management of used oil filters ' o • h4 r- L ) Transports hazazdous waste with completed manifest p lv--.•~ r~ 'I~~'°+s dr"bi®/~ Sends manifest copies to DTSC q v~e ,,~ {,,--~ ~ ~ ~„~ ~ Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal h,,.~ ,~ ~=~ompnancep v=viotanon Inspector: `,~~~ "~~ Office of Environmental Services (661) 326-3979 usiness Site Responsible Party White -Env. Svcs. Pink -Business Copy