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BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618
Manager : ~O Y~ ~'p~/~/ BusPhone: (661) 327-3727
Location: 4 P ST Map 103 CommHaz Extreme
City BAKERSFIELD Grid: 31D FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
RICK MONTOYA / OWNER ERNIE MONTOYA / OWNER
Business Phone: (661) 327-3727x Business Phone: (661) 327-3727x
24-Hour Phone (661) 323-9699x 24-Hour Phone (661) 391-9365x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
~/J,~r
Contact !°'~n/ ~~' ~l8''~~~~ Phone: (661) 327-3727x
MailAddr: 4 P ST State: CA
City BAKERSFIELD Zip 93304
Owner ERNEST MONTOYA Phone: (661) 391-9365x
Address 7605 TERRY JOHN AVE State: CA
City BAKERSFIELD Zip 9,3308
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
~N~
PROG A - HAZMAT ~ ~/ ~~
~
/
PROG H - HAZ WASTE GEN '
„~ ~ Z/~o/
Based on my inquiry of these individuals
responsible for obtaining the information, I certify
under penalty of lavr that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~~
~
/~~~~~
Dat
Si ure
-1-
06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-000618 ~
By Facility Unit ~
Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PROPANE E F P IH DH G 36000.00 FT3 Hi
WASTE OIL F DH L 110.00 GAL Low
WASTE ANTIFREEZE F DH L 55.00 GAL Low
HYDRAULIC FLUID F DH L 25.00 GAL Low
KEG ASPHALT DH S 28800.00 LBS Min
CEMENT DH S 1000.00 GAL Min
MOTOR OIL F DH L 100.00 GAL Min
-2- o6J29J2oo~
-3- 06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
NW,CRNR BLDG/PORTABLE ON TRUCKS ~ CAS#
74-98-6
~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE
I Pure Above Ambient Ambient FIXED PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
36000.00 FT3 36000.00 FT3 18000.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Propane Yes 74986
t1HG1iKL AS a~~al~l~lvla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH DH / / / Hi
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE W END OF BLDG CAS#
221
Liquid TWaste ~AmbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 110.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
11tiGtii[L 1~J .71~w7w71~1L'1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- 06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE
~ Inventory Item 0007.
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE
Location within this Facility Unit
STATE TYPE PRESSURE
Liquid TWaste ~mbient
SiteID: 0.15-021-000618 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE _
Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
nt~~tittli~u~ ~vlnrvlvrlvl~
%Wt. RS CAS#
30.00 Ethylene Glycol No 107211
t1HGdj1CL E~5 5~5~1~1~1V1a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
•No No No No/ Curies F DH / / / Low
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
HYDRAULIC FLUID
Location within this Facility Unit
INSIDE GARAGE SHOP
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
0
STATE TYPE. PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient IN MACHINE/EQUIP
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
25.00 GAL 25.00 GAL 25.00 GAL
TTT ATTTl1TTM /'•1l1T~RT1/1TTTlTTTA _. _. _. _.
17t1Gri[CLVViJ l.VllYV1V P~1V1O
%Wt. RS CAS#
100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... No .112345
riEiGHtCL 1-1. 7.7 ~.7 ~71~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-5- 06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
KEG ASPHALT Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE NE WHSE CAS#
8052424
~SolidE I Mixture PRESSURE TEMPERATURE CONTAINER TYPE
Ambient ~ Ambient DRUM/BARREL-NONMETAL
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
LBS 28800.00 LBS 14400.00 LBS
11EiGHKLVUJ 1.V1~1rV1VL'1V 1.~
cwt. Rs cAS#
Asphalt- No 8052424
tiHGHtC1J 1~J.71;.7.71~1~1V l ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Min
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
CEMENT
HENRYS PLASTIC CEMENT
Location within this Facility Unit
OPEN WHSE N SIDE OF SHOWROOM
STATE TYPE PRESSURE
Solid TMixture ~ P,mbient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
65997-15-1
TEMPERATURE CONTAINER TYPE
Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
1000.00 GAL 1000.00 GAL 500.00 GAL
nHC,r~tcl~vua trUi~irulv~ivl~
°sWt. RS CAS#
100.00 Portland Cement No 65997151
ril-~G1itCL 1-~~ JJ;J.71~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Min
-6-
06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE GARAGE SHOP CAS#
8020835
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture~ Ambient ~ Ambient DRUM/BARREL-METALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 100.00 GAL 75.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
ne-ic~ruct~ n~ ~r~aarl~ivla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-7- 06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 03/30/1999 ~
CALL 911.
Employee Notif./Evacuation 10/03/2006
YARD EMPLOYEES ARE INSTRUCTED TO EXIT THROUGH MAIN GATES. FIRE
EXTINGUISHERS ARE PRESENT IN GARAGE AND BY BATHROOM WALL IN MIDDLE OF OFFICE
SHOWROOM.
Public Notif./Evacuation
Emergency Medical Plan 10/17/2000
MINOR MEDICAL BURNS ARE TREATED WITH FIRST AID KIT. ANYTHING MORE MAJOR
WOULD BE SENT TO MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371.
-8- 06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/0.3/2006 ~
THE LPG TANK HAS A SHUT-OFF VALVE ON THE NOZZLE. THERE IS AN OFF/ON SWITCH
AT THE ADJACENT PUMP. THERE IS A MAIN POWER BREAKER SWITCH OFF/ON IN THE NE
CORNER OF THE GARAGE. THE MARKING ON THE BREAKER SAYS VAN-GAS.
iCC1CCl.7-C l.Vll l.d LlllllCllL
l.1CQ.11 V~J
V 1~11CL 1CC.y~VLLLUC a`iV 1.1 VdlrlUll
-9- 06/29/2007
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~ Special Hazards 03/30/1999 ~
LPG ON SITE.
Utility Shut-Offs 03/24/2006
A) GAS - NE CRNR OF GARAGE
B) ELECTRICAL - NE CRNR OF GARAGE
C) WATER - OUTSIDE W OF MIDDLE OFFICES
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 10/03/2006
PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS.
FIRE HYDRANT - NW CRNR P ST & BRUNDAGE LN.
Building Occupancy Level 03/08/2006
20 EMPLOYEES
-10- 06/29/2007
-~ .,
F BAKERSFIELD SHINGLES WHOLESALE SiteID: 015-021-000618 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/03/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
rayc ~
nciu tvL r ut.uic U5c
11C 1U 1VI ruL ULC U.5'C
-11- 06/29/2007
+ BA~FF'IELD SHINGLES WHOLESALE ______________________ SiteID: 015-021-000618 +
Manager BusPhone: (661) 327-3727
Location: 4 P ST Map 103 CommHaz High
City BAKERSFIELD Grid: 31D FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
RICK MONTOYA / OWNER ERNIE MONTOYA / OWNER
Business Phone: (661) 327-3727x Business Phone: (661) 327-3727x
24-Hour Phone (661) _ 24-Hour Phone (661) 391-9365x
Pager Phone ( ) 323_9 ~99x Pager Phone ( ) - x
~...~-Y
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact Phone: (661) 327-3727x
MailAddr: 4 P ST State: CA
City BAKERSFIELD Zip 93304
Owner ERNEST K MONTOYA Phone: (661)
Address T ~~ n 5 T~~`r ~'~N "``~~'' State • CA (~ ~ 39 t-q3 65
City BAKERSFIELD Zip 93312
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
~u~~ m~ ~ ~ ~ zoos
Based on my inquiry of those individuals
to®ptlnslble 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.
3 z ~ o ,6
S ~i~atlt Da~
t_____________________________________________
-1-
ov~ro
Ernie Montoya
OWnPr
ears
Koofing Contractors
327•KOOF "7663"
www.bswroofing.com
visit our showroor~`at #4 "P" Street
Free Estimates Lic. # 828481
Bakersfield, CrA
V~
~~~
-(s1~'~
~(~. y 1,000 gal Propane
~Qrl' Storage Lot ~;
Storage Sheds a Plastic Cements
Keg Asphalt ~_ C7 ~ ~~ ___ ~L_.,
Plastic Cements
Cans of spray
Storage
Bakersfield ~r~gles Dices
#4 "P" St.
Garage Motor Oil & Hydralic Fluid
Storage Sheds Shop
Waste Oil
Canopy
Bar Store 830 Brundage
Brundage Lane
' Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST >3 _` FVR s-~-; „ 9ooTruxtun 1we., suite 210
~~~ ._.~,,~ ~ _x..~ ~ ~.~. ~.~ ~~ ~ ~a~ __~.~ .~..~~.~-- _ ~; Fine ~ Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ~ rM t Tel.: (661) 326-3979
• `--~:-~ ' " Fax: (661) 872-2171
FACILITY NAME -~ ~ - INSPECTION DATE INSPECTION TIME
ADDRESS
S ~ PHONE NO. ,,,,,, Z ,~J
~ ~./ ~ O OF EMP,L/O~YEES
(../
FACILITY CONTACT
~G C ~~~~ ~ BUSINESS ID NUMBER
15-021-4101
{ Section 1: Business Plan and Inventory Program dQl
r ~~
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
-/
CJ' ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
L~l ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES ' 3
I~ ^ VERIFICATION OF LOCATION
~
E'J ^ PROPER SEGREGATION OF MATERIAL
I~ ^ VERIFICATION OF MSDS AVAILABILITY
~
L"f ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS/~~WA,S/T'E ON//~~SITE?
EXPLAIN: ~ ~~~~?! ~ i1 ~ L
^ NO
._ Cis
UES O REGARDING THIS I ECTION? PLEASE CALL US AT (661) 326-3979 (~l
n ~~v
~L ~ C.
Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/S ation # siness Site / Resp sible Party ( ease Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
-~
SECTION 1 Business Plan and Inventory Program
•
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 933r~C ' 6 ~q~r~
' _ Tel: X661) 326-3979 __ _ _
Section 1: Business Plan and Inventory Program
Ci'F~outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
•
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ~ / PHONE No. No. of Employees
-~ ---~ ---~ t --.:~_.. __ _.~._--._..--- - ----------- ----- _.. ___ _ .__ ..-~-- --.. _ __ ... -- _. _ . - - ~? 37z7 _..---~--- -- - - .
FACIUTYCON7ACT Business ID Number
15-021-pr7C~~/~
ANY HAZARDOUS WASTE ON SITE?: ~ES ^ NO
EXPLAIN: W,t~ TG` J/G
•
QUESTIONS CARDING THIS INSPECTIONS PLEASE CALL US AT ~66~ ~ 326-3979
~~ ~'-~-
'nvlnspector (Please Print) Fire Prevention 1st-InlShik of Site
a D~r~~ White - Environmental Services Yellow -Station Copy
Pink • Business Copy
_`_ _',~
Business Ite Responsi a arty (Please rin
m
g