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i
~ADLAND TOYOTA - I,~T, ING_ --
4~U0 STATE ROAD
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`, :,
+ MADLAND TOYOTA LIFT INC _____________________________ SiteID: 015-021-003402 +
Manager JEFF EISEMAN BusPhone: (661) 393-2491
Location: 4400 STATE RD Map 102 CommHaz High
City BAKERSFIELD Grid: 14B FacUnits: 1 AOV:
CommCode: KCFD STA 64 SIC Code:5511
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
SUSAN GREEN / SERVICE MANAGER JEFF EISEMAN / GENERAL MANAGER
Business Phone: (661) 393-2491x Business Phone: (661) 393-2491x
24-Hour Phone (661) 978-3955x 24-Hour Phone (661) 393-5574x.
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press Reac t ImmHlth DelHlth
Contact MARY MADLAND Phone: (661) 393-2491x
MailAddr: 4400 STATE RD State: CA
City BAKERSFIELD Zip 93308
Owner MARY MADLAND Phone: (661) 393-2491x
Address 4400 STATE RD State: CA
City BAKERSFIELD Zip 93308
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROD H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law 4hat I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~'~~ ~ - /S
ign~ ~'
Date
~D /UC 112p~6
-1- 05/18/2006
_ _ _
~ 3~~ ~ ~1~
"~~ ~
{HMMP)~~ BAKERSFIELD FIRE DEPT`.
HAZARDOUS MATERIALS MANAGEMENT PLAN Prevention Services
e(frdIFFFCI PR~R1idd P(]rF (HATED f•pRrd) . ': r ~ ,„.
~QC) Trtthtttn. Aire.. Stttt~ 21f~
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13~i(~cr~fiel~i, GA 933C7F ~~~~
BUSIIr[ESS ACTIVITIES PAGE ~~,i' f~ r Tai.: (~~~) 32~-~9~9
(HAZARDOUS MATERIALS FACILITY INI=4RMATION) Fizz: (661} 852-2i'~i ~~
Page 'I of 1 ~ 1 ~
C FACILITY IDENTIFICATION
-
_
FACILITY ID # (For Office use only -please leave blank)
~
EPA ID #
CAL000189971
DBA /FACILITY NAME 3
Madland To ota -Lift, Inc.
IL ACTIVI TIES DECLARATION
Does our facilit ... If Yes, lease com lete...
A. HAZARDOUS MATERIALS
1. Have on site (for any purpose) hazardous materials at or ®YES ^ NO '~ CHEMICAL DESCRIPTION FORM
above 55 ga1{ons for liquids, 500 pounds for solids, or / HAZARDOUS MATERIALS MANAGEMENT PLAN
200 Cubic feet for Compressed gases (include liquids in Minimum required alanning elements:
ASTs and USTs? / Emergency Response Plan
/ Maps
2. Have any amount of an explosive material (other than ^YES ®No / Training
ammunition) on site? / Prevention
/ Certifications
B. REGULATED SUBSTANCES (RSl
Have on site RS at greater than the threshold planning ^YES ®NO / CHEMICAL DESCRIPTION FORM
quantities established by the California Accidental / RISK MANAGEMENT PLAN (RMP Submit to USEPA)
Release Prevention program (CaIARP)? / CONSOLIDATED COMPLIANCE PLAN
/ Incorporating Cal/ARP Program Elements
C. UNDERGROUND STORAGE TANKS (USTs)
1. Own or operate Underground Storage Tanks? ^YES ®NO / UST FACILITY FORM
/ UST TANK One Per Tank
2. Intend to upgrade existing or install new USTs? / UST FACILITY FORM
^ YES ®NO / UST TANK (One Per Tank)
/ UST INSTALLATION FORM One Per Tank
D. TANK CLOSURE /REMOVAL
1. Need to report closing an UST that held hazardous ^YES ®NO / UST TANK FORM (closure section-one page per tank)
materials or
2. Need to report the closure /removal of a tank that was ^YES ®NO / UST TANK CLOSURE FORM
classified as hazardous waste and cleaned on-site?
E. ABOVEGROUND PETROLEUM STORAGE TANKS
A( STs~
^YES ®NO / HAZARDOUS MATERIALS MANAGEMENT PLAN
1. Own or operate ASTs above these thresholds: / Incorporating Federal Spill Prevention Control and
any tank capacity iS greater than 660 gallons, or Countermeasure (SPCC) Elements pursuant to 40 CFR Part
the total capacity for the facility is greater than 1,320 112_
gallons?
F. HAZARDOUS WASTE EPA ID NUMBER -provide at the top of this page
1. Generate hazardous waste? ®YES ^ NO / To obtain EPA ID Number, please phone (916) 324-1781
2. Recycle more than 100 kg/mo of recyclable materials at ^YES ®NO / RECYCLING FORM
the same location it was generated?
3. Recycle more than 100 kglmo of recyclable materials at ^YES ®NO / RECYCLING FORM
an off-site location different from the point of generation?
4. Treat Hazardous Waste on site? ^YES ®NO / TP FACILITY FORM
/ TP UNIT FORM One er unit
5. Subject to Financial Assurance requirements / CERTIFICATION OF FINANCIAL ASSURANCE
^ YES ®NO
6. Consolidate Hazardous Waste generated at a remote / REMOTE WASTE /CONSOLIDATION SITE NOTIFICATION
Site? ^YES ®NO FORM
NOTE: If you checked YES to any part of Section IIA - I IF above, then in additi on to the forms requested above, please Submit
BUSINESS OWNER/OPERATOR IDENTIFICATION FORM {FD2089).
~~~~a ~p~ o ~ ~oa~
UPCF (1199) 2
T'
;~~MMP}
Hk~,~:t~~lC{S MATEFt1ALS f~T~tNQtaE~?l1=NT Pt~'aN
UItlF~7F'F=.FL,'~1i_J,`~ti~.;L17.=.'EGF.~FJA',
e~+~L~CATIC~tV
BUSS DER/C1I'ERliTC~ ~1~1Cf~T
;HAZ1kRt:3'JZ _ h1AT'EI'~~ ;LB -, _ ~ T`t 1,*!FC?R'•~."'~~ll
.'-;',.~ ,. Pi:`~,I{~Rry' FI,ELI~ FIR.~+ L}~P°T
-_`~-µ~~-%",~ Prever~fiati 5+~>r°vices
^` T ~ n T .,->~ ~OC~ Tl'L:I?LLLI31 ~$~~~, ~uit~ Zl~i
F/RF F3~k~rsf'ielcl. 4.A ~B~~11
,~ w A r~r >F
'~'~~_ .~ Tel_: (~f I) 3"?6-:3979
I. FACILTI'1" 11)ENTIFICATION
FACILITY ID# ' 1 BEGINNING DATE loo ENDING DA'I'S lol
4/ 1 /06 3/31 /07
BUSINE$$ NAME (Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE 102
Madland Toyota -Lift, Inc. (661) 393-2491
BUSINESS SITE ADDRESS to3
4400 State Road
CTI'Y 104 ZIP CODE tos
CA
Bakersfield 93308
DUN & BRADSTREET 1°6 SIC CODE (4 digit #) 107
5511
COUNTY 108
Bakersfield ,
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
Madland Toyota-Lift, Inc. (661) 393-2491
II. OWNER 1 NFORMATION
OWNER NAME 111 OWNER PHONE tt2
Mary Madland (661) 393-2491
OWNER MAILING ADDRESS 113
Same as above
CITY 114 STATE 115 ZIP CODE 116
Bakersfield CA 93308
III. ENVIROV'MENTALCONTACT''
CONTACT NAME 117 CONTACT PHONE Its
Mary Madland (661) 393-2491
CONTACT MAILING ADDRESS 1 tv
4400 State Road
CITY 12o STATE 121 ZIP CODE tzz
Bakersfield CA 93308
-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY-
NAME 123 NAME lzx
Susan Green Jeff Eiseman
TTI'LE Iza TITLE Iz9
Service Manager General Manager
BUSINESS PHONE 125 BUSINESS PHONE 130
(661) 393-2491 (661) 393-2491
24-HOUR PHONE 126 24-HOUR PHONE 131
(661) 978-3955 (661) 393-5574
PAGER # 127 PAGER # 132
V: CERTIFICATION ~
C:emricatron: a~i s~ce -on my inquiry oft osc in rvic~ual, respurst e , or o tatnmg t e m ormahon, eemty un er pena tTy of al wit lave persona y examine an
am familiar with the information submitted and believe the lnformatron is true, accurate, and complete.
SIGN TLR2E OWNER/OPEI~/yTOR OR NATED P SENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135
~"~ //~ Lf S~L~o Leslie Dinius, Western EHS Service , Inc.
NAME OF SIGNER (print) 136 T E OF SIGNER 137
Mary Madland President
UPCF (1/99 revised)
OES FORM 2730 (1/99)
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cxElvllcAL nESCRIprION
(one age r material r building or area)
^ADD ^DELETE ®REVISE 20o Page I of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION I CHEMICAL LOCATION CONFIDENTIAL 2
Service Area EPCRA
^ YES ® NO
_ I MAP# (optional) GRID# (optional) 2
FACILITY ID #
1
II. CHEMICAL INFORMATION
z s
CHEMIC L NAME
TRADE SECRET p Yes ®No 2
Acetylene If Subject to EPCRA, refer to instructions
COMMON NAME 2
EHS* ^ Yes ®No
Acetylene Gas
CAS
*If EHS is "Yes", all amounts below must be in lbs.
74-86-2
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 1
HC: FG DOT: UN1001
1
HAZARDOUS MATERIAL 2u
TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE RADIOACTIVE p Yes ®No 2t2 CURIES
PHYSICAL STATE
(Check one item only) ^ a. SOLID Q b. LIQUID ®c. GAS 214
LARGEST CONTAINER l l g
FED HAZARD CATE RI
(Check all that apply) ®a. FIRE ®b. REACTIVE ®c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e. CHRONIC HEALTH
AVERA E DAILY AM NT 1 MAXIM M DAIL A UNT 2l ANNUAL WASTE AMO NT TATE WASTE C DE 22
90 236
21 DAYS ON SITE:
UNITS* ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365
(Check one item onl) * If EHS, amount must be in ands.
STORAGE
CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM O m. GLASS BOTTLE ^ q. RAIL CAR
^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER
^ c. TANK INSIDE BUILDING O g• CARBOY ^ k. BOX ^ o. TOTE BIN
^ d. STEEL DRUM O h. SILO ® 1. CYLINDER O 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 #
1 100 226 Acetylene zz7 ^ Yes ® No zzg 74-86-2 229
2 230 231 ^ Yes ^ NO 232 233
3 23a 235 ^ YeS ^ NO 236 237
4 23s 239 ^ Yes ^ No 2ao zal
5 2a2 2a3 ^ Yes ^ No zaa za5
If more hazardous components are present at greater t an 1% by wei t if nonrarcinogemc, or 0.1% y weight if carcinogenic, attac additional s eels of paper capturing t e regmred information.
ADDITIONAL LOCALLY COLLECTED INFORMATION za
If EPCRA, Please Sign Here
UPCF (1 /99) OES Form 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one age r material er building or area)
^ADD ^DELETE ®REVISE zoo Page 2 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION t CHEMICAL LOCATION CONFIDENTIAL 2
Service Area EPCRA
~ YES ® NO
-
__
~ 1 MAP# (optional) 2 GRID# (optional)
FACILITY ID #
I
1
II. CHEMICAL INFORMATION
CHEMICAL NAME 2 TRADE SECRET ^ Yes ®No
Argon/C02 Mix If Subjec[ to EPCRA, refer to instructions
COMMON NAME
EHS* ^ Yes ®No
MIG Welder
CAS#
*If EHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
HC: NFG DOT: 956
HAZARDOUS MATERIAL 2l1 RADIOACTIVE ^ Yes ®No 212 CURIES
TYPE (Check one item only) [] a. PURE ®b. MIXTURE ^ c. WASTE
PHXSICAL STATE
(Check one item only) ^ a. SOLID ^ b. LIQUID (~ c. GAS 21a l
LARGEST CONTAINER 139
FED HAZARD CA EGORIES
(Check all that apply) O a. FIRE Q b. REACTNE ®c. PRESSURE RELEASE ®d. ACUTE HEALTH O e. CHRONIC HEALTH
VERA E DAILY AM UNT 1 AXIMU DAIL AM U ANN AL WASTE AMOUNT STATE TE OD
65 139
DAYS ON STfE:
UNITSY ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365
(Check one item only) * If EHS, amount must be in ounds.
ST RAGE
CONTAINER O a. ABOVE GROUND TANK O e. PLASTIC/NONMETALLIC DRUM Q i. FIBER DRUM O m. GLASS BOTTLE O q. RAIL CAR
O b. UNDERGROUND TANK ^ f. CAN ^ j. BAG O n. PLASTIC BOTTLE ^ r. OTHER
O c. TANK INSIDE BUILDING O g• CARBOY ^ k. BOX ^ o. TOTE BIN
^ d. STEEL DRUM O h. SILO ®I. CYLINDER O p• TANK WAGON 223
STORAGE PRESSURE O a. AMBIENT ®b. ABOVE AMBIENT O c. BELOW AMBIENT 224
STORAGE TEMPERATURE ®a. AMBIENT p b. ABOVE AMBIENT ^ c. BELOW AMBIENT O d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EH5 CAS #
1 75 zzb Argon zz7 ^ Yes ®No z2s 7440-37-1 zz9
2 25 z3o Carbon Dioxide z31 ^ Yes ®No z3z 124-38-9 233
3 234 235 ^ Yes ^ No 236 237
4 238 239 ^ Yes ^ NO 240 241
5 za2 za3 ^ Yes ^ No z4a zas
If more hazardous components are present at greater t an 1% by weig t d non<arcinogenic, or 0.1% by weight U carcinogenic, attach addiUOnal s eels of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
If EPCRA, Please Sign Here
UPCF (1/99) OES Fonn 2731
ITNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cIIEMICAL DESCRIPTION
(one page r material r building or azea)
^ADD ^DELETE ®REVISE 2 Page 3 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION 1 CHEMICAL LOCATION CONFIDENTIAL
Service Area EPCRA
Q YES ® NO
_ 1 MAP# (optional) GRID# (optional)
FACILITY ID #
~
1
II. CHEMICAL INFORMATION
CHEMICAL AME TRADE SECRET ^ Yes ®No
If Subject to EPCRA, refer to instructions
COMMON NAME
Exs* ^ Yes ®No
Base Lubrication Oil
CAS#
*If EHS is "Yes", all amounts below must be in lbs.
647-425-47
FIRE CODE AZARD CLASSES (Complete if required by CuPA) 1
HC: CL DOT: UN1270
HAZARDOUS MATERIAL 21l
TYPE (Check one item only) O a. PURE ®b. MIXTURE p c. WASTE RADIOACTNE O Yes ®No 212 CURIES
t
PHYSICAL STATE
(Check one item only) O a. SOLID ®b. LIQUID O c. GAS eta LARGEST CONTAINER 240
FED HAZAR ATEGORI 21
(Check all that apply) ®a. FIRE O b. REACTIVE Q c. PRESSURE RELEASE O d. ACUTE HEALTH ®e. CHRONIC HEALTH
AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT 1 ANN AL WAST AM UNT STATE A TE C DE 2
325 1000
1 DAYS ON SITE:
UNITS• ®a. GALLONS O b. CUBIC FEET ^ c. POUNDS O d. TONS 365
(Check one item onl) * If EHS, amount must be in ounds.
TORA E
CONTAINER ®a. ABOVE GROUND TANK O e. PLASTIC/NONMETALLIC DRUM O i. FIBER DRUM O m. GLASS BOTTLE
O q. RAIL CAR
^ b. UNDERGROUND TANK O f. CAN ^ j. BAG O n. PLASTIC BOTTLE p r. OTHER
O c. TANK INSIDE BUILDING O g. CARBOY O k. BOX ^ o. TOTE BIN
O d. STEEL DRUM p h. SILO O I. CYLINDER O p. TANK WAGON 223
STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT O c. BELOW AMBIENT 22a
STORAGE TEMPERATURE ®a. AMBIENT O b. ABOVE AMBIENT l7 c. BELOW AMBIENT O d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 100 226 Lubricating Oils (Petroleum Based) zz7 O Yes ® No 2zs 647-425-47 229
2 230 231 ^ Yes ^ NO 232 233
3 234 235 ^ Yes ^ NO 236 237
Q 238 239 ^ Yes ^ NO 240 241
5 zaz 2a3 ^ Yes ^ No zaa za5
If more hazardous components are present at greater than 1% by werg t if non-carcinogenic, or 0.1% by weight if carcinogenic, attac additronat sheets of paper capturing the regnired information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
If EPCRA, Please Sign Here
UPCF (1/99) ~ OES Form 2731
UNIFIED PROGRAM .CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cxENIICAL nESCRIPTION
(one age r material r building or area)
^ADD ^DELETE ®REVISE 20o Page 4 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION 2 CHEMICAL LO ATION CONFIDENTIAL 2
Service Area EPCRA
^ YES ® NO
MAP# (optionap 2 GRID# (optionap
FACILITY ID #
1
II. CHEMICAL INFORMATION
CHEMICAL NAME TRADE SECRET Q Yes ®No
Oxygen If Subject to EPCRA, refer to instructions
COMMON NAME 2
EHS* Q Yes ®No
Oxygen Gas (Compressed)
CAS
*If EHS is "Yes", ail amounts below must be in lbs.
7782-44-7
FIRE CODE HAZA D CLASSES (Comptete if required by CUPA> 1
HC: NFG DOT: UN1072
1
HAZARDOUS MATERIAL 2u
TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE RADIOACTNE Q Yes ®No 2t2 CURIES
zl
PHYSICAL STATE 214
(Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS LARGES'C CONTAINER I2S
FED HAZARD CATEGORIES I
(Check all that apply) ^ a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH
AVERA E DAIL UNT 2 MAXIMUM DAILY AM UNT ANNUAL ASTE AMO NT 21 TAT WASTE CODE 2
110 250
1 DAYS ON SITE: zz
UNITS= ^ a. GALLONS ®b. CUBIC FEET O c. POUNDS O d. TONS 365
(Check one item onl) * If EHS, amount must be in ounds.
STO A E
CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE p q. RAIL CAR
^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. 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 p c. BELOW AMBIENT ^ d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I I00 226 Oxygen, Compressed 227 ^ Yes ®No zzs 7782-44-7 229
2 230 231 ^ yes ^ NO 232 233
3 234 235 ^ Yes ^ NO 236 237
4 238 239 ^ Yes ^ No zao 2a1
5 zaz 2a3 ^ Yes ^ No 2aa 2a5
If more hazardous components are present at greater t an I% by weight if noncarcinogenic, or 0.1% by weight J carcinogenic, attach a dihonal s acts o paper capturing the required Information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
If EPCRA, Please Sign Here
UPCF (1/99) OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cHEMicaL DESCRirrioN
(one age r material r building or area)
^ADD QDELETE ®REVISE 20o Page 5 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION l CHEMICAL LOCATION CONFIDENTIAL
Paint Area EPCRA
^ YES ® NO
-- ~ 1 MAP# (optional) 2 3 GRID# (optional) 2
FACILITY ID # 'I
1
II. CHEMICAL INFORMATION
CHEMICAL NAME z TRADE SECRET ^ Yes ®No
If Subject to EPCRA, refer to instmctions
COMMON NAME
EHS* ^ Yes ®No
Automotive Paint
CAS#
*If EHS is "Yes", all amounts below must be in lbs.
Mixture
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
HC: FL DOT: UN1263
HAZARDOUS MATERIAL
TYPE (Check one item only) D a. PURE ®b. MIXTURE D c. WASTE 2tl
RADIOACTIVE ^ Yes ®No 212
CURIES
PHYSICAL STATE
(Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 214 2
LARGEST CONTAINER 1
FED HAZARD CATEGORIES 1
(Check all that apply) ®a. FIRE D b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH
A ERAGE DAILY AMOUNT 1 MAXIMU DAIL AMOUNT I ANNUAL WA TE AMOUNT 1 STATE W ST DE 22
30 35
DAYS ON SITE: 2
UNITS* ®a. GALLONS Q b. CUBIC FEET D c. POUNDS D d. TONS 365
(Check one item onl) • If EHS, amount must be in ounds.
T RA E
CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR
D b. UNDERGROUND TANK ®f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE p r. OTHER
D c. TANK INSIDE BUILDING D g. CARBOY ^ k. BOX Q o. TOTE BIN
^ d. STEEL DRUM D h. SILO D 1. CYLINDER D p. TANK WAGON 223
STORAGE PRESSURE ®a. AMBIENT Q b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224
STORAGE TEMPERATURE ®a. AMBIENT D b. ABOVE AMBIENT Q c. BELOW AMBIENT D d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 10 22f, Toluene zz~ p Yes ®No zzg 108-88-3 zzv
2 $0 230 Acetone 231 Q Yes ® NO 232 6']-(~-1 233
3 10 z3a Methyl Ethyl Ketone (MEK) z35 ^ Yes ®No z36 78-93-3 z3~
a 10 238 o-Xylene, m-Xylene, p-Xylene z39 Q Yes ® No Zao 1330207 zal
5 zaz za3 ^ Yes ^ No zaa 2a5
If more hazar ons components are present at greater than 1% by weight if noncarcinogentc, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing t e required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 4
If EPCRA, Please Sign Here
UPCF (1/99) OES Form 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cHE1vIICAL DESCRIPTION
(one page per material r building or area)
^ADD ^DELETE ®REVISE 20o Page 6 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION 1 CHEMICAL LOCATION CONFIDENTIAL z
Tire Service Area EPCRA
^ YES ® NO
_
i 1 MAP# (optionap 2 GRID# (optional)
I
FACILITY ID #
'~
~ j ~ 1
IL CHEMICAL INFORMATION
CHEMICAL NAME TRADE SECRET ^ Yes ®No
Sulfuric Acid If Subject to EPCRA, refer to instmctions
COMMON NAME
EHS* ^ Yes ®No
Acid (In batteries)
CAS#
*If EHS is "Yes°, all amounts below must be in lbs.
7664-93-9
FIRE CODE HAZARD CLASSES (Complete if requved by CUPA) 1
HC: CORR, W/R DOT: 1830
l3
HAZARDOUS MATERIAL 2tt
TYPE (Check one item only) ®a. PURE ^ b. MIXTURE O c. WASTE RADIOACTIVE ^ Yes ®No 2t2 CURIES
PHYSICAL STATE 214
(Check one item only) ^ a. SOLID ®b. LIQUID Q c. GAS LARGEST CONTAINER $$
FED HAZAR CATE RIES
(Check all that apply) p a. FIRE @ b. REACTIVE O c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e. CHRONIC HEALTH
AVERA E DAILY AMOUNT 21 MAXI UM DA LY AMOUNT ANN AL WASTE AMOUNT t STATE WASTE CODE
$0 110
Zl DAYS ON SITE:
UNITS• O a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 3f$
(Check one item onl) ' If EHS, amount must be in ounds.
ST A E
CONTAINER O a. ABOVE GROUND TANK ®e. PLASTIC/NONMETALLIC DRUM p i. FIBER DRUM ^ m. GLASS BOTTLE p q. RAIL CAR
Q b. UNDERGROUND TANK p f. CAN Q j. BAG p n. PLASTIC BOTTLE O r. OTHER
p c. TANK INSIDE BUILDING Q 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 224
STORAGE TEMPERATURE ®a. AMBIENT Q b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I 100 226 Sulfuric Acid 227 ^ Yes ®No 2zs 7664-93-9 229
2 230 231 ^ Yes ^ NO 232 233
3 234 235 ^ Yes ^ NO 236 237
4 z3s z39 ^ Yes ^ No zao zal
S zaz 2a3 ^ Yes ^ No zaa gas
If more hazardous components are present at greater than 1% by we~ghl if non-carcinogenic, or 0.1% by weight d carcinogenic, attac additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
If EPCRA, Please Sign Here
UPCF (1/99) OES Fotm 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cxElvllcAL nESCRirrloN
(one age er material r building or area)
QADD ^DELETE ®REVISE Zoo Page 7 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL
Service Area EPCRA
^ YES ® NO
I MAP# (optional) GRID# (optional)
FACILITY ID #
1
i
II. CHEMICAL INFORMATION
CHEMICAL NAME TRADE SECRET ^ Yes ® No
Waste Antifreeze If Subject to EPCRA, refer to instructions
C MMON NAME
EHS* ^ Yes ®No
Waste Coolant (Antifreeze)
CAS#
*If EHS is "Yes", all amounts below must be in ]bs.
107-21-1
FIRE CODE HAZARD CLASSES (Complete if requ'ved by CuPA)
HC: CL
zl
HAZARDOUS MATERIAL 21 t RADIOACTIVE D Yes ®No 212 CURIES
TYPE (Check one item only) D a. PURE ®b. MIXTURE ®c. WASTE
.
1
PHYSICAL STATE eta
(Check one item only) D a. SOLID ~ b. LIQUID D c. GAS LARGEST CONTAINER SS
ED HAZARD ATEGOR
(Check all that apply) ®a. FIRE D b. REACTIVE O c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH
A ERA E DA L AM UNT MAXIMUM AILY AMOUN t ANNUAL WA T AMOU T l STATE WASTE C DE
5 55 600 135
zz DAYS ON SITE:
UNITS* ®a. GALLONS D b. CUBIC FEET p c. POUNDS D d. TONS 365
(Check one item onl) ~ If EHS, amount must be in ounds.
STORAG
CONTAINER O a. ABOVE GROUND TANK p e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM D m. GLASS BOTTLE ^ q. RAIL CAR
^ b. UNDERGROUND TANK D f. CAN O j. BAG O n. PLASTIC BOTTLE O r. OTHER
Q c. TANK INSIDE BUILDING O B~ CARBOY O k. BOX D o. TOTE BIN
® d. STEEL DRUM D h. SILO D 1. CYLINDER D p. TANK WAGON
223
STORAGE PRESSURE ®a. AMBIENT O b. ABOVE AMBIENT D c. BELOW AMBIENT 224
STORAGE TEMPERATURE ®a. AMBIENT D b. ABOVE AMBIENT D c. BELOW AMBIENT D d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I 94 226 Ethylene Glycol 227 ^ Yes ®No 2za 107-21-1 229
2 230 23l ^ Yes ^ NO 232 233
3 234 235 ^ Yes Q NO 236 237
4 238 239 ^ Yes ^ NO 240 241
$ 242 243 ^ Yes ^ NO 244 245
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 t e required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 4
If EPCRA, Please Sign Here
UPCF (1/99) OES Form 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - cxE1vIICAL DESCRIPTION
(one page r material r building or area)
200
^ADD ^DELETE ®REVISE
Page 8 of 8
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3
Madland Toyota -Lift, Inc.
CHEMICAL LOCATION 2 1 CHEMICAL LOCATION CONFIDENTIAL
Service Area EPCRA
^ YES ® NO
l MAP# (optionap 3 GRID# (optional)
~~~
FACILITY ID # 1
H. CHEMICAL INFORMATION
CHEMICAL NAME 2 TRADE SECRET ^ Yes ®No
If Subject to EPCRA, refer to irawctions
COMMON NAME
EHS* O Yes ®No
Waste Oil
CAS#
*If EHS is "Yes", all amounts below must be in lbs.
64742-6650
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
HC: CL DOT: UN 1270
HAZARDOUS MATERIAL 21t
RADIOACTIVE Yes
O ®No 212 1
CURIES
TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ®c. WASTE
PHYSICAL STATE
(Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 21a
LARGEST CONTAINER 280
FED AZARD CATEGORIES
(Check all that apply) ®a. FIRE ^ b. REACTIVE O c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH
AVERA E AILY AMOUNT 1 MAXIMUM DAIL AM T I ANNUAL WASTE AMO NT 21 TATE WASTE DE
140 250 4000 221
I DAYS ON SITE:
UNTTS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS O d. TONS 365
(Check one item only) * If EHS, amount must be in ounds.
STORA E
CONTAINER ®a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM p m. GLASS BOTTLE O q. RAIL CAR
^ b. UNDERGROUND TANK ^ f. CAN p j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER
^ c. TANK INSIDE BUILDING O S~ CARBOY ^ k. BOX ^ o. TOTE BIN
^ d. STEEL DRUM O h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223
STORAGE PRESSURE ® a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224
STORAGE TEMPERATURE ~ a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I 100 226 Waste Oil (Petroleum Based) 227 p Yes ®No zza 64742-6650 2zq
2 230 231 ^ Yes ^ NO 232 233
3 234 235 ^ Yes ^ NO 236 237
4 238 239 ^ Yes ^ No 240 241
5 zaz z43 ^ Yes ^ No za4 gas
If more haiardous components are present at greater t an 1% by weig t if nontarcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing t e regmred information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 4
If EPCRA, Please Sign Here
UPCF (1/99) OES Form 2731
Unified Program (UP) Form
CONSOLIDATED CONTINGENCY PLAN
COVER PAGE
I. FACILITY IDENTIFICATION
BUSINESS NAME FACILITY ID #
Madland Toyota -Lift, Inc.
SITE ADDRESS CITY ZIP CODE
4400 State Road Bakersfield 93308
The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning
requirements of the following three written hazardous materials emergency response plans required in California:
< Hazardous Materials Business Plan (HSC Chapter 6.95 Section 25504 (b) and 19 CCR sections 2729-2732).
< Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52), and,
< Underground Storage Tank Emergency Response Plan and Monitoring Program 23 CCR Sections 2632 and
2641).
This format is designed to reduce duplication in the preparation and use of emergency response plans at the same
facility, and to improve the coordination between facility response personnel and local, state and federal emergency
responders during an emergency. Use the chart below to determine which sections of the Consolidated
Contingency Plan need to be completed for your facility. ff you are unsure as to which programs your facility is
subject to, refer to the Business Activities Page.
PROGRAMS SECTIONS TO BE COMPLETEQr
Hazardous Materials Business Plan HMBP Cover Page, Section I, and Site Map s
Hazardous Waste Generator HWG) Cover Page, Section I, and Site Map(s)
Underground Storage Tank UST Cover Page, Sections I and II, and Site Map s)
HMBP, HWG, UST Cover Page, Sections I and II, and Site Map s
A copy of the plan shall be submitted to your local CUPA and at least one copy of the plan shall be maintained at the
facility for use in the event of an emergency and for inspection by the local agency. Describe below where a copy of
your Contingency Plan, including the hazardous material inventories and Site Map(s) is located at your business:
In the Service Mana er's Office.
PLAN CERTIFICATION
I certify under penalty of law that I have personally examined and l am familiar with the information
provided by this plan and to the besf of my knowledge the information is accurate, complete, and true.
Printed Name of the Owner/Operator Title of Owner/Operator
Susan Green Service Mana er
Signature o Owne a or
~
° Date
~-s-
C'C~
~
,U
r~ i
i
We appreciate the effort of local businesses in completing these plans and will assist in every possible way. If
you have any questions, please contact your local CUPA or PA.
OFFICAL USE ONLY DATE RECEIVED REVIEWED BY
DIV BN STA OTHER DISTRICT CUPA PA
UP FORM (1J2000 Version) 1 UPF LAC4: 02 2730
J~
Unified Program (UP) Form
CONSOLIDATED CONTINGENCY PLAN
SECTION 1: BUSINESS PLAN AND CONTINGENCY PLAN
I. FACILITY IDENTIFICATION
BUSINESS NAME FACILITY ID #
Madland To ota -Lift, Inc.
SITE ADDRESS CITY ZIP CODE
4400 State Road Bakersfield 93308
II. EMERGENCY CONTACTS
PRIMARY SECONDARY
NAME NAME
Susan Green Jeff Eiseman
TITLE TITLE
Service Mana er General Mana er
BUSINESS PHONE BUSINESS PHONE
(661) 393-2491 (661) 393-2491
24-HOUR PHONE 24-HOUR PHONE
(661)978-3955 (661)393-5574
PAGER # PAGER #
III. EMERGENCY RESPONS E PLANS AND PROCEDURES
A. Notifications
Your business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous
material to local fire emergency response personnel, this Unified Program Agency (CUPA or PA), and the Office of Emergency
Services. If you have a release or threatened release of hazardous materials, immediately call:
FIRE/PARAMEDICS/POLICE/SHERIFF
PHONE: 911
AFTER the local emergency response personnel are notified, you shall then notify this Unified Frogram Agency and the Office of
Emergency Services.
Local Unified Program Agency: (818) 238-3475
State Office of Emergency Service: (800) 852-7550 or (916) 262-1621
National Res onse Center: (800) 424-8802
Information to be rovided during Notification:
:• Your Name and the Telephone Number from where you are calling.
:• Exact Address of the release or threatened release.
• Date, time, cause, and type of incident (e.g. fire, air release, spill etc.)
• Material and quantity of the release, to the extent known.
• Current condition of the facility.
• Extent of injuries, if any.
• Possible hazards to ublic health and/or the environmental outside of the facilit
B. Emer ency Medical Facility
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 material.
HOSPITAL/CLINIC: PHONE NO:
Industrial Medical Grou (661) 327-2225
ADDRESS:
2501 "G" Street
CITY: ZIP CODE:
Bakersfield 93301
OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY
DIV ~ BN ~ STA ~ OTHER- ~ DISTRICT CUPA PA
UP FORM (1/2000 Version) 2 UPF LAC4: 02 2730
J 5
Unified Program (UP) Form
CONSOLIDATED CONTINGENCY PLAN
SECTION 1: BUSINESS PLAN AND CONTINGENCY PLAN
C. Private Emer ency Res onse
DOES YOUR BUSINESS HAVE A PRIVATE ON-SITE EMERGENCY RESPONSE TEAM? AYES ®tvo
If yes, provide an attachment that describes 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.
CLEANUP/DISPOSAL CONTRACTOR
List the contractor that will provide cleanup services in the event of a release.
NAME OF CONTRACTOR: PHONE NO:
ADDRESS:
CITY: ZIP CODE:
D. Arran ements with Emer ency Res onders
If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or
local emergency response team to coordinate emergency services, describe those arrangements on the lines below:
No special arrangement.
E. Evacuation Plan
1. The following alarm signal(s) will be used to begin evacuation of the facility (check all which apply):
® Verbal ^ Telephone (including cellular) ^ Alarm System® Public Address System^ Intercom
^ Pagers ^ Portable Radio ^ Other (specify):
2. ®Evacuation map is prominently displayed throughout the facility.
3. p Individual(s) responsible for coordinating evacuation including spreading the alarm and confirming the business has been
evacuated:
Susan Green, Service Manager
F. Earthquake Vulnerability
Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the
vulnerability to earthquake related ground motion.
® Hazardous Waste/Hazardous Materials Storage Areas ^ Production Floor ^ Process Lines
^ Bench/Lab ^ Waste Treatment ^ Other
Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the
vulnerability to earthquake related ground motion.
® Utilities ^ Sprinkler Systems ^ Cabinets ^ Shelves
^ Racks ^ Pressure Vessels ® Gas Cylinders ® Tanks
^ Process Piping ^ Shutoff Valves ^ Other:
UP FORM (1/2000 Version)
UPF LAC4: 02 2730
I T, ~
Unified Program (UP) Form
CONSOLIDATED CONTINGENCY PLAN
SECTION 1: BUSINESS PLAN AND CONTINGENCY PLAN
G. Emergency Procedures
Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous
materials:
I. PREVENTION (prevent the hazard) -Describe the kinds of hazards associated with the hazardous materials present at your
facility. What actions would your business take to prevent these hazards from occumng? You may include a discussion of safety and
storage procedures.
Prevention begins with em~lo~e training in the Hazardous Communication Program and Illness and Injury
Program. Hazardous materials are stored in appropriate containers at suitable locations. Absorbents and fire
extinguishers are nearby if ever needed. Shojis cleaned on a periodic basis for debris and trash.
2. 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 leak, spill, fire,
explosion, or airborne release at your business?
Spill absorbent materials are available in the shop area. Hazardous waste tanks, such as waste oil, are provided
with secondary containment. Spills of hazardous material are promptly diked and the spill absorbed with suitable
absorbent. The absorbent is later disposed per hazardous waste regulations.
3. ABATEMENT (remove the hazard) -Describe what you would do to stop and remove the hazard. How do you handle the
complete process of stopping a release, cleaning up, and disposing of released materials at your facility?
Employees have been trained to notify management immediately of an~spill unless the need is imminent. The
management will contact the local emer ency response agency, i.e., the local fire department. Employees trained
in spill response procedures will immediately begin emergency response procedures for spill containment.
Personal protective equipment will be utilized as appropriate. Contaminated spill absorbent will be disposed
properly.
UP FORM (1/2000 Version) 4 UPF LAC4: U2 2730
I
Unified Program (UP) Form
CONSOLIDATED CONTINGENCY PLAN
SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN
IV. Emergency Equipment
22 CCR, Section 66265529(e) {as referenced by Section 66262.34(a)(3)} requires that emergency equipment
at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this
requirement.
EMERGENCY EQUIPMENT INVENTORY TABLE
1.
Equipment
Cate o 2.
Equipment
T e 3.
Location* 4.
Description**
PersOriai ®Cartridge Respirators Paint Area 3M Cartridge
Protective ^Chemical Monitoring Equipment (describe)
Equipment, ®Chemical Protective Aprons/Coats Paint Area
Safety ^Chemical Protective Boots
Equipment, ®Chemical Protective Gloves Shop Areas
and ^Chemical Protective Suits (describe)
First Aid ^ Face Shields
Equipment ®First Aid Kits/Station (describe)
^ Hard Hats
® Plumbed Eye Wash Stations
^ Portable Eye Wash Kits (i.e. bottle type)
^ Respirator Cartridges (describe)
® Safety Glasses/Splash Goggles Thru-out
^ Safety Showers
^ Self-Contained Breathing Apparatuses (SCBA)
^ Other (describe)
Fire igl Automatic Fire Sprinkler Systems
Extinguishing ^ Fire Alann Boxes/Stations
Systems ^ Fire Extinguisher Systems (describe)
® Other (describe) Thru-out facility Portable ABC type fire extinguishers
$plll Ig) Absorbents (describe) Shop Areas Sand type
Control ^ Benns/Dikes (describe)
Equipment ^ Decontamination Equipment (describe)
and ^ Emer'gency Tanks (describe)
Decontamination ^ Exhaust Hoods
Equipment ^ Gas Cylinders Leak Repair Kits (describe)
^ Neutralizers (describe)
^ Overpack Drums
® Sumps (describe) DetaiUCar Wash Below ground 3-stage clarifier
^ Other (describe)
Communications ^Chemical Alarms (describe)
and ®Intercoms/PA Systems Thru-out
Alarm ®Portable Radios Thru-out
Systems ®Telephones Thru-out
^ Underground Tank Leak Detection Monitors
^ Other (describe)
Additional Supplied Air Respirators Paint Area Full-face & half-face masks
Equipment
(Use Additional
Pages if
Needed.)
Use the Location Codes (LC) from the Site Map(s) prepared for your Contingency Plan.
Describe the equipment and its capabilities. If applicable, specify any testing/maintenance proceduresrntervals. Attach additional pages,
numbered appropriately, if needed.
UP FORt`1 (U2000 Version) S UPF LAC4: 02 2730
n ~
Unified Program (UP) Form
CONSOLIDATED CONTINGENCY PLAN
SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN
V. EMPLOYEE TRAINING
All facilities which handle hazardous materials must have a written employee training plan. A blank plan has been
provided below for you to completed and submit. The items listed below are required per Health and Safety Code
Section 25504 (c) and Title 19 Section 2732.
Facility personnel are trained as follows:
< Familiarity wjth all plans and procedures specified in the Contingency Plan.
< Methods for Safety Handling of Hazardous Materials.
< Safety procedures in the event of a release or threatened release of a hazardous material.
< Use of Emergency Response equipment and supplies under the control of the business.
< Procedures for Coordination with local Emergency Response Organizations.
Training shall be provided:
< Initially for all new employees.
< Annually, including refresher courses, for all employees.
Note: These training programs may take into consideration the position of each employee.
Additional training should include:
< Internal alarm/notification procedures.
< Evacuation/re-entry procedures and assembly point locations.
< Material Safety Data Sheet (MSDS) training including specific hazardous) of each chemical to
which employees may be exposed, including routes of exposure (i.e. inhalation, ingestion,
absorption).
VI. HAZARDOUS WASTE GENERATOR TRAINING
If your business is a hazardous waste generator, you are required to provide training in hazardous waste
management for all workers who handle hazardous waste at your site (22 CCR '?66265.16).
You are also required to document training. The items below are required.
EMPLOYEE TRAINING
< Facility personnel will successfully complete training within six months after the date of
their employment or assignment to a facility or to a new position at a facility.
< Employees will not handle hazardous wastes without supervision until trained.
TRAINING DOCUMENTATION
The owner or operator must maintain the following documents and records at the facility:
< Job title for each position at the facility that is related to hazardous waste management, and
the names of the employee(s) filling the positions(s).
< Description for each position listed above (must include required skill, education, or other
qualifications as well as duties of employees assigned to the position.
< Description of type and amount of both introductory and continuing training given to each
employee.
< Records that document that the requirements for training or job experience have been met.
< Current employees' training records (to be retained until closure of the facility).
< Former employees' training records (to be retained at lease three years after termination of
employment).
UP FORM (1/2000 Version) 6 UPF LAC4: 02 2730
EMPLOYEE TRAINING PLAN
Employee training is provided in the following manner:
- Initially for all new employees
New employees receive training before their initial work assignment on the following:
A. Injury and Illness Prevention
1. Safety Policies
2. Safety Rules
3. Employee Responsibilities
4. Hazard Reporting
B. Emergency Response Training
1. Emergency Response Plan
2. Emergency Evacuation Map
- Annual refresher courses for all employees
Same as above.
All employees are trained in the following procedures:
- Internal alarm/notification (verbal)
A. If not an immediate evacuatian, employees are trained to:
1. Secure all hazardous material containers
2. Shut off all ignition sources
3. Close all doors
4. Shut down utilities
S. Lower hydraulic hoists to ground level
B. Immediate evacuation, employees are trained to evacuate and to notes all non-employees
to evacuate the building.
- Evacuation/reentry procedures and assembly locations
Employees are trained to assemble at the evacuation staging area as indicated on the evacuation
map until told by local agencies it is safe to reenter.
- Location and content of the emergency response plan
Employees are informed that the emergency response plan is kept in the Service Manager's
office.
In addition, all employees who handle hazardous materials are annually trained in the following:
- Safe methods for handling and storage of hazardous materials
Must have a written Hazard Communication Program.
Hazardous substances are properly labeled, sealed, and contained.
Inventory is complete with copies of the MSDS's for each hazardous material and is
accessible to all employees.
- Location and proper use of fire and spill control equipment
Employees are informed of the location of the fire and spill control equipment.
Employees are trained on proper use of fire and spill control equipment.
;~ -~r R
- Proper use of personal protective equipment
Taught the importance and use of each appropriate personal protective equipment
(safety gloves, glasses, respirators, etc.).
Specific hazards of each chemical to which they may be exposed, including the pathways of
exposure (i.e., skin absorption, inhalation, ingestion).
Identify the most commonly used hazardous materials (components) used at the facility.
Identify physical properties.
Identify primary hazards.
Identify methods of immediate treatment.
Emergency response team members are additionally trained in the following procedures and will act as a
liaison for the fire department.
- Personnel rescue procedures
Take headcount; inform fire dept of unaccounted for personnel.
- Shutdown of operations
Identify potentially hazardous leaks and spills, report to the local fire department and Office of
Emergency Services (800) 852-7550.
-Use, maintenance, and replacement of emergency response equipment
Checkfirst aid kit on a periodic basis; replace first aid items as needed.
Inspect fire extinguishers and sprinklers on a monthly basis (as required by the local fire code).
- Refresher training
Provided annually.
- Emergency response drills
Annual practice drills are recommended.
The following training records are maintained for each employee
Facility follows training recordkeeping procedures as recommended by the state codes.
- Verification of date the training was conducted
- Current (to be maintained until facility closure) and former employees' training records (held
for three years after job termination)
- Description of introductory and continuing training
~
LEGEND
~
FE
FSS Fire Extinguisher
Fire Sprinkler System Controls ~
Corrosive Material Fire Hydrant
Gas Shutoff
® Hazardous Material Storage
St
H
W SB
EW Spray Booth
Eye Wash Station E Electric Shutoff
Water Shutoff
® orage
azardous
aste
Flammable Material E/S Evacuation Staging Area ~_
~
z Fence
P7~7 nni Combustible Material BP Business Plan ® First Aid Kit