HomeMy WebLinkAboutBUSINESS PLANE-Z LUBE #107
10115_ROSEDALE HWY._ _ _f
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BUSINESS OWNER%OPERATOR IDENTIFICATION
KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unif ed Program Consolidated Form (UPCF)
2700 M STREET, surrE 30o FACILITY INFORMATION
BAKERSFIELD, CA 93301
(661) 862-8700 .Fax (661) 862-8701
Page _ of
~ I. IDENTIFICATION
FACILITY ID# ' I 1 BEGINNING DATE ,00 ENDING DATE lol
BUSINESS NAME(Same as FACII1TY NAME or DBA-Doing BucinessAs) 3' BUSINESS PHONE 1°2
~G~ Z,~~E ~ lv~ l~c~I-S8q-58 Z3
BUSINESS SITE ADDRESS l03
1 l~ 11 5 Z v5 ~ DA +..~ H-crJ~
CITY 104 ZIP CODE los
3,~ ~Z c~5 F t ~ ~'J CA °~ 33 IZ-2LoZ5
DUN & BRADSTREET lob SIC CODE (4 digit #) 107
COUNTY l os
~~ ~ tJ
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
II. BUSINESS OWNER
OWNER NAME 111 OWNER PHONE 1Iz
OWNER MAILING ADDRESS 113
350 t~.~ , ~~ K~ Ci/rJ ; ~ '~~ ~~ ~ i3
CITY 114 STATE 115 ZIP CODE 116
~~~~ ~~A C~ q2~
III. ENVIRONMENTAL CONTACT
CONTACT NAME 117
.~~s~ r4~~Q~e~ CONTACT PHONE
~i~-G~Sm-r~~Z 118
CONTACT MAILING ADDRESS 119
CITY 120 STATE 121 ZIP CODE Izz
:s ~,.~~ ~~~ C,~1 ~Z~-oy
-PRIMARY- . IV. EMERGENCY CONTACTS -SECONDARY-
NAME 123 NAME 128
S.-r~. V ~ Z~ rn t'~.~~ ~.llS~
TITLE 124 TITLE tz9
i~15~tC~ ~ft~-i~GE,n ~i~~cC~G OF `~-~~~rJl~
BUSINESS PHONE 125 BUSINESS PHONE 130
~-~~- 55c~- 13(Z `~? ~y-~~~- 13~Z
24-HOUR PHONE 126
~
` 24HOUR PHONE
`
C~~~1 ~' 13I
~~ ice(- 585 - (~ ~ ~ 3-t~~-I -555 -
PAGER # 127 PAGER # ~ r3z
ADDITIONAL LOCALLY COLLECTED INFORMATION:.
APN: --- --- -----
-
~~ 133
Environmental Contact E-Mail Address: ~
Certification: Based o inq ry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and
am familiar with the inform n ubmitted and believe the information is true, accurate, and complete.
SIGNATURE OF OWNER/OPE O ESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER l35
NAME OF SIGN (print) 136 TITLE OF SIGNER 137
`~,a ~ ` ~~t~-~ CFO
(11/02 revised)
~5 ~~~
V KC Form 2730
~~ ~~' ~
IX ~~
t• `
'1
EZ LUBE 107 SiteID: 015-021-003441
Manager 'I~bIG~ ~E/q-~a
Location: 10115 ROSEDALE HWY
City BAKERSFIELD
BusPhone: (661) 589-5823
Map 102 CommHaz Low
Grid: 19D FacUnits: 1 AOV:
CommCode: KCFD STA 65
EPA Numb:G~LBoo3-~i ~~¢"~
SIC Code:~53°~
DunnBrad:
Emergency Conta~,ct / Title Emergency Contac / Title,n,~~~
u~,t2JR~ A / DISTRICT MGR ~~ /
Business Phone: (714).556-1312x Business Phone: (714) 556-1312x
2 4 -Hour Phone ( 714 ) ~ ~ X 3~~~~ 2 4 -Hour Phone ( 714 ) 5 8 5 -~b-x (~'~ ~ `I
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire DelHlth
Contact JOSE HERRERA Phone: (714) 556-1312x
MailAddr: 3506 W LAKE CENTER DR B State: CA
City- SANTA ANA Zip 92704
Owner EZ LUBE LLC Phone: (714) 556-1312x
Address 3506 W LAKE CENTER DR B State: CA
City SANTA ANA Zip 92704
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 TANK
[3ased on my inquiry of those individuals ~~/~
responsible for obtaining the information, I certify
and ally of law that I h ~
~ <
~
'
..
ave personally
ex fined nd am familia
ith Y
~
,~
~ ~
'~
r w
the information e
~.
su milted nd believe the information is true ~4!(~~
,
ac urate, a complete.
I
1 ~D ~' ~
Si na
9 Date
-1- 01/31/2007
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
WASTE ANTIFREEZE F DH L 200.00 GAL Low
ANTIFREEZE L 135.00 GAL Low
MOTOR OIL F DH L 2880.00 GAL Min
-2- 01/31/2007
-3- 01/31/2007
F EZ LUBE 107
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE.
Location within this Facility Unit
BASEMENT
STATE TYPE PRESSURE
Liquid TWaste Ambient
SiteID: 015-021-003441 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE _
Ambient DRUM/BARREL-NONMETAL
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
200.00 GAL 200.00 GAL 100.00 GAL
rlti~ritcL~uS ~ulnrc~lv~iv"1"a
%Wt. RS CAS#
55.00 Ethylene Glycol No .107211
7.50 Diethylene Glycol No 111466
7.50 1,2-Propylene Glycol No 57556
5.00 Sodium No PROPRIETY
50.00 Water No 7732185
t1AGE~KL A~~L';~S1~1L"~1V"1"S
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- 01/31/2007
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum ~ Daily Average
135.00 GAL 135.00 GAL 75.00 GAL
tu~~xrcL~uS ~~i~irc~N~iv~l~5
~Wt. RS CAS#
55.00 Ethylene Glycol No 107211
7.50 Diethylene Glycol No 111466
7.50 1,2-Propylene Glycol No 57556
5.00 Sodium No PROPRIETY
50.00 Water No 7732185
nta~tLttL r~~~~a~i~i~lvla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-5- 01/31/2007
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
8020835
Liquid TMixture ~mbient~E ~ A~PeRATURE ~OVEOGROIINDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
960.00 GAL 2880.00 GAL 1600.00 GAL
tir~~tarcLUU~ uuriruiv~iv-1-5
%Wt. RS CAS#
0.12 Zinc No 7440666
99.00 Motor Oil, Petroleum Based No 8020835
t11-~GHKL HSJ~J.71~1tS1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
8020835
LiTAid Mixture PRESSURE TEMPERATURE CONTAINER TYPE
qu' T ~ Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
970.00 GAL 970.00 GAL ~ 475.00 GAL
nric~t~tcLUUa wi~lrulv~ly 1 ~
%Wt. RS CAS#
0.12 Zinc No 7440666
99.00 Motor Oil, Petroleum Based No 8020835
ri1-~GL-ll[L 1~J~t',~51~1iSly 1.~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 01/31/2007
- UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION
one a e er material er buildin or area
^ADD ^DELETE ^REVISE 200 Page _ of
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA --Doing Business As) 3
EZ Lube #1 a~ ,
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 2oz
Basement EPCRA
® YES ^ NO
1 MAP# (optional) 203 GRID# (optional) 2oa
FACILITY ID #
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zos
If Subject to EPCRA, refer to instructions
COMMON NAME 207 zo6
EHS" ^ Yes ®No
Waste MOtOf OII
CAS# zos .
"If EHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (complete if required by cuPA) 2to
HAZARDOUS MATERIAL
TYPE (Check one item only) ^ a. PURE ^ b. MIXTURE ®c. WASTE 211
RADIOACTIVE ^ Yes ®No 212 213
CURIES NIA
PHYSICAL STATE 21a
(Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 215
LARGEST CONTAINER 970
FED HAZARD CATEGORIES 216
(Check all that apply) _ ®a..FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e: CHRONIC HEALTH
AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT z1s STATE WASTE CODE 220
475 970 11000 221
221 DAYS ON SITE: 222
UNITS" ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS
' 365
Check one item onl " If EHS, amount must be in ourids.
STORAGE
CONTAINER ®a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR
^ b: UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ ri. PLASTIC BOTTLE ^ r. OTHER
^ c: TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN
^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223
STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a
STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225
%WT, HAZARDOUS COMPONENT-(For mixture or waste only). EHS CAS # ,
1 <.12 226 Zinc zzl ^ Yes ^ No zzfi 7440-66-6 zz9
Q 230 I 231 ^ YeS, ^ NO 232 233,
3 234 235 ^ Yes ^ NO 236 237
4 238 239 ^ Yes ^ NO 240 241
5 za2 2a3 ^ Yes ^ No zaa za5
If more hazardous components are present at greater than 1 % by weight If non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required
ADDITIONAL LOCALLY COLLECTED INFORMATION gas
If EPCRA, Please Sign Here
UPCF(1/99) OES Form 2731
Business Emergency Plan (BEP)
S~ection~A - Emer- enc Res onse Plan and Procedures
9., Y P.
State law requires your business to complete all sections of the Emergency Response Plan
Procedure listed below. "N/A" is not acceptable.
1. Your business is required by State Law to provide immediate notification of any release or
threatened release of a hazardous materials to 1) local fire emergency response personnel, 2) the
Office of Emergency Services (OES), and 3) the Local Administering Agency. Businesses within
Costa Mesa fulfill the Administering Agency notification requirement by calling 9-1-1. If you have a
release or threatened release of hazardous materials, immediately-call:
Fire/Paramedics/Police
Phone: 9-1-1
Individual responsible for calling 9-1-1: Store Manager
After. the local emergency response
Emergency Service (24 hours/day):
State Office of Emergency Services:
personnel are notified, you shall then notify the Office of
(800) .852-7550 -or- (916) 262-1621
Individual responsible for calling State OES: Store Manager
2. List the local emergency medical facility that will be used by your business in the event of an
accident or injury caused by a release or threatened release of hazardous materials.
Hospital/Clinic
US Health Works
Address City Zip Code Phone Number
1800 Westwind Drive, Bakersfield, CA 93301 661-327-9617
3: Does your business have a private on-site emergency response team? T IYes r~'INo
If yes, describe what policies and procedures your business will follow to notify your on-site
emergency response team in the event of a release or threatened release of hazardous materials.
(Attach additional pages if necessary)
All of the ernployees are trained in procedures to react to a spill or other emergency event
notify store manager or assistant. Use spill management kit, absorbent socks to contain
spill. Clean up with rags/towels and dispose of the materials with Recycling Company.
4. A business shall appoint an Emergency Coordinator and alternates to assist in initiating emergency
response and evacuations in the event of a release. The Emergency Coordinator will be
responsible for initiating actions of the business to respond to a release, or threatened release of a
hazardous material to include mitigation, control, evacuation of all facility personnel,;and meeting
with emergency response personnel upon arrival. An example Emergency Coordinator Task
Completion Sheet is attached to assist you.
- List your facility's Emergency Coordinator and alternates. .
Emergency Coordinator's Name Title
Jose Herrera Director of Training
Alternate #1-Name Title
Hugo Luevano District Manager
Alternate #2 Name Title
John Allen Area Manager
f ,
~ P`rev:ention (preventing hazards) ~ ~'
1. Briefly describe your business's standard operating procedures in the event of a released or
threatened release of hazardous materials: Describe the kinds of hazards associated with the
materials present at your facility.
Possible hazards include oil spill or antifreeze spill. All containers are closed systems that
are filed and emptied using remote connections. Spills are minimized. Spills are contained
using absorbent-socks or other materials and then recycled.
2. What preventative actions have been initiated by .your business to abate or prevent hazards
.relating to hazer-dous materials handling, use, and storage (Place a "/" in the boxes below that
apPlY)•
Drum storage and/or aboveground tank storage areas:
Isolation and separation of incompatible materials.
c Berms or diked areas to contain spills.
r Storage on non-combustible, concrete, or paved ground.
Compressed and/or cryogenic pas storage areas: .
r Cylinders stored upright and secured.
r Isolation and/or separation of incompatible gas cylinders (oxygen and flammable gases, etc).
General:
r Hazardous Materials Data Storage Cabinet and/or lock box installed at a Fire Department approved location.
>= Information in Data Storage Cabinet is updated after each disclosure and/or as necessary.
r Materials Safety Data Sheets (MSDS) are readily available for each hazardous material on the premises.
r Labeling of all materials and storage areas with the product name and associated hazards .
r Separation between outside hazardous materials storage or tanks and combustible materials (wood, brush, etc).
r Posting of "NO SMOKING" signs where appropriate:
r Posting of NFPA 704 Placard in a Fire Department approved location.
3. Mitigation (reduce the hazard) Describe what is done to lessen the harm or the damage to
person(s), property, or the environment, and prevent what has occurred from getting worse or
spreading. What is your immediate response to a spill, fire, explosion, or airborne release-from your
business?
Tanks are in the basement where there is no public access. Tanks are closed systems
where there is no manual filling or emptinq. All done via remote pipe system. Immediate
response -contain hazard and call the Fire Department then move to safety.
4. Abatement (remove the hazard)-Describe what you would do to stop and remove the hazard..
How would you handle the complete process of stopping a release, cleaning up, and disposing of
released materials at your facility? What aspects of the response are beyond your ability and need
to be handled kiy others?
All spills are contained using absorbent socks. Clean up is done with towels that are sent
for disposal or cleaned up by our Recycling Co Asbury Environmental.
5. Facility Notification and Evacuation Describe how you will immediately notify and evacuate
your facility. What communications or alarms are used? How will you operate this equipment
during power failures? Specify emergency exits, alternatives, and staging areas you have
identified.
Our Business has open pits to the basements. Emergency notification is done verbally from
employees in basement to upstairs.
6. Your business is required to keep a copy of this Business Plan; including your site maps, and your
Hazardous Materials Inventory Disclosure. Describe where copies will be located at your business
. and where other copies will be maintained:
Office file cabinets. EZ Lube Corporate office for Spills and Emergencies.
7. Records Describe where you keep other records required by this plan, such as employee
training records (including drills), release report records, .maintenance/safety records, and
emergency phone lists. (Please note: records of drills. shall be maintained for a period of three (3)
years and shall be available for review by Fire Department personnel. The records shall include the
facilitators name, title, facility location, date of drill and signature of the facilitator).
File cabinet in managers office.
Sec#ron ~B ,Em~p oyee Tralning Prog.l-a~rn
Describe the. training your. business conducts, for all employees in safety procedures in the event of a
release or threatened release of hazardous materials. By law, this training shall include, but not be
limited to, the following: new employee training, annual training, periodic refresher courses, .and
familiarization with Section B (Emergency Plans and Procedures) of this -Business Emergency Plan.
An example "Chemical Training Record"..is attached to assist you in employee training (you may use
this example or an alternative if you prefer).
Training takes place at our corporate office in Santa Ana absorbent socks & clean up are
materials displayed. Video & overhead photos are used to show how to use these items.
Store managers conduct refresher courses at the store during their monthly store meeting. All
safety issues are~discussed and reviewed.
OFFICIAL USE ONLY:
Insp. #
Issued:
Reviewed By:
Date Received:
Correction Required:
~ "F .~. ~
EZ LUBE 107
Manager HUGO LUEVANO
Location: 10115 ROSEDALE HWY
City BAKERSFIELD
SiteID: 015-021-003441
BusPhone: (661) 589-5823
Map 102 CommHaz Low
Grid: 19D FacUnits: 1 AOV:
CommCode: KCFD STA 65 SIC Code:7538
EPA Numb: CAL000301767 DunnBrad:
t' ~: ra e, --rte:: i r s
Emergency Contact / Title Emergency Contact / Title
HUGO LUEVANO / DISTRICT MGR ~ ~-~~~I;~ / AREA MANAGER
Business Phone: (714) 556-1312x Business Phone: (714) 556-1312x
24-Hour Phone (714) 376-5266x 24-Hour Phone (714) 585-6334x ~~~5
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire DelHlth
Contact JOSE HERRERA Phone: (714) 556-1312x
MailAddr: 3506 W LAKE CENTER DR B State: CA
City SANTA ANA Zip 92704
Owner EZ LUBE LLC Phone: (714) 556-1312x
Address 3506 W LAKE CENTER DR B State: CA
City SANTA ANA Zip 92704
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif~d: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT N~'~ J ~ ~ 3 ~ °L~~~
PROG H - HAZ WASTE GEN L
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under oenaity of law t hat I have personally
ex mince d am famili ar with the information
sub fitted a believe t he information is true,
accur ., and :omplete.
n ` ~]
. L~ ' `~ I
Signature Date
-1- 07/11/2007
~~
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
WASTE MOTOR OIL L 970.00 GAL Low
WASTE ANTIFREEZE F DH L 200.00 GAL Low
ANTIFREEZE L 135.00 GAL Low
MOTOR OIL F DH L 2880.00 GAL Min
-2- 07/11/2007
-3- o~/ii/ZOOS
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste I Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
970.00 GAL 970.00 GAL 475.00 GAL
- ti[-~GL~.ttl.lVU~ ~ut~lrulvr,lvl.7
%Wt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
riAL,HKL E~J JL' .7 J1~1L" 1V l ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
STATE - TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid Waste I Ambient ~ Ambient DRUM/BARREL-NONMETAL
AMOUNTS AT THIS LOCATION
Largest Co~00~00rGAL Daily 200100m GAL I Daily 100r00e GAL
r1HG1-iCtiJUUw7 1.u1~lYU1V1~,iV is
%Wt. RS CAS#
55.00 Ethylene Glycol No 107211
7.50 Diethylene Glycol No 111466
7.50 1,2-Propylene Glycol No 57556
5.00 Sodium No PROPRIETY
50.00 Water No 7732185
11HGL-1CCL L-~. 7.7P~.7.71~1L' 1V 1 .7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- 07/11/2007
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME .
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-NONMETAL
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
135.00 GAL 135.00 GAL 75.00 GAL
HAZARDOUS COMPONENTS
oWt. RS CAS#
55.00 Ethylene Glycol No 107211
7.50 Diethylene Glycol No 111466
7.50 1,2-Propylene Glycol No 57556
5.00 Sodium No PROPRIETY
50.00 Water No 7732185
tiAGHxL Aa ~l'~S~l~ll"~ly 1-5
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-5- 07/11/2007
F EZ LUBE 107 SiteID: 015-021-003441 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
BASEMENT CAS#
8020835
= STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture~ Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
960.00 GAL 2880.00 GAL 1600.00 GAL
HA6Al11JUU~ CUMYUN~N'1'S
%Wt. RS CAS#
0.12 Zinc ~ No 7440666
99.00 Motor Oil, Petroleum Based No 8020835
l11-1GtiRL li~ J .7 L' ~J .71"1L' 1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 07/11/2007
F EZ LUBE 107 SiteID: 015-021-003441 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 02/23/2007 ~
CALL 911.
Employee Notif./Evacuation
Public Notif./Evacuation
.GIIICLyClll:y 1.1C1.i1C:d1 Y1dil
-7- 07/11/2007
~:, .~
P EZ LUBE 107 SiteID: 015-021-003441
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
~ Release Prevention 02/23/2007
POSSIBLE HAZARDS INCLUDE OIL SPILL OR ANTIFREEZE SPILL. ALL CONTAINERS ARE
CLOSED SYSTEMS THAT ARE FILLED AND EMPTIED USING REMOTE CONNECTIONS. SPILLS
ARE MINIMIZED. SPILLS ARE CONTAINED USING ABSORBANT SOCKS OR OTHER
MATERIALS AND THEN RECYCLED.
Release Containment 02/23/2007
TANKS ARE IN THE BASEMENT WHERE THERE IS NO PUBLIC ACCESS. TANKS ARE CLOSED
SYSTEMS WHERE THERE IS NO MANUAL FILLING OR EMPTYING. ALL DONE VIA REMOTE
PIPE SYSTEM. IMMEDIATE RESPONSE - CONTAIN HAZARD AND CALL THE FIRE DEPT
THEN MOVE TO SAFETY.
Clean Up 02/23/2007
ALL OF THE EMPLOYEES ARE TRAINED IN PROCEDURES TO REACT TO A SPILL OR OTHER
EMERGENCY EVENT NOTIFY STORE MANAGER OR ASSISTANT. USE SPILL MANAGEMENT
KIT, ABSORBANT SOCKS TO CONTAIN SPILL. CLEAN UP WITH RAGS/TOWELS AND
DISPOSE OF THE MATERIALS WITH RECYCLING COMPANY.
V1.11CL 1CCb-VUL(.:C HC:I.LVdI.LVll
-8- 07/11/2007
~: ~,
F EZ LUBE 107 SiteID: 015-021-003441 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
oNc~.ial na~aiu~
Utility Shut-Offs
,_
L-i1.c r1vl.GL.~tiVCL11. YVCLI.Cl.
D U11u1i1c~. vc: c: u~zlncy Level
-9- 07/11/2007
-~ - - ~;
,;
F EZ LUBE 107 SiteID: 015-021-003441 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 02/23/2007 ~
MSDS ON FILE IN FILE CABINET IN MANAGERS OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: TRAINING TAKES PLACE AT OUR CORPORATE
OFFICE IN SANTA ANA ABSORBANT SOCKS AND CLEAN-UP ARE MATERIALS DISPLAYED.
VIDEO AND OVERHEAD PHOTOS ARE USED TO SHOW HOW TO USE THESE ITEMS. STORE
MANAGERS CONDUCT REFRESHER COURSES AT THE STORE DURING THEIR MONTHLY STORE
MEETING. ALL SAFETY ISSUES ARE DISCUSSED AND REVIEWED.
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-10- 07/11/2007