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HomeMy WebLinkAboutBUSINESS PLAN_~ ~I 'LOS REYES AUTO SALES & REPAIRL 1428 E. TRUXTUN AVENUE _._- -- - - . _ ~I ^~ :a S`. S.- LOS'REYES AUTO SALES & REPAIRS Manager CRISANTO CATANO Location: 1428 E TRUXTUN AVE City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: SiteID: 015-021-003486 BusPhone: (661) 323-0329 Map 103 CommHaz Low Grid: 28C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CRISANTO CATANO / MANAGER FRANCES REYES / OWNER Business Phone: (661) 323-0329x Business Phone: (661) 323-0329x 24-Hour Phone (661) 203-8240x 24-Hour Phone (661) 706-3594x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact CRISANTO CATANO Phone: (661) 203-8240x MailAddr: 918 18TH ST State: CA City BAKERSFIELD Zip 93305 Owner FRANCES REYES Phone: (661) 706-3594x Address 5103 EL PALACIO DR State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Qased on my inquiry of those indiviciual~, ' 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, acc rate and com lete ENT'D FEB , p . ` _~ ~J~1V ~ 7 ~ ZOO/ Signature Date -1- 02/02/2007 `- ii F LOS REYES AUTO SALES & REPAIRS SiteID: 015-021-003486 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ "Agency Notification C~isGn~o Ca~G~o l~lll~JlVyCC 1VV1.11/L~VdUUdl.lVil ~0 nC~G ~ ~n~ ~t~Q~~~ Public Notif./Evacuation , ~~ ~~~~-e 1=,LILCI.yC11(_:y 1~1CU1C:d1 Y1di1 .~~ ~ m~ d. ~a\ ~oS~i ~QI -6- 02/02/200 ~, ;,. F LOS REYES AUTO SALES & REPAIRS SiteID: 015-021-003486 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ = xelease rrevenLion K~~e ~~~s ©~n _, ltcicaac t.V111.d1111L1C11L l 1..1Cd11 U~J ,: ~,td~ iilker v1.11G1 iCC.7VUil.:C 1-11:l.lVdl.lVil -7- 02/02/2007 ~' tr" . S. - F LOS REYES AUTO SALES & REPAIRS SiteID: 015-021-003486 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~/c~:iai nac~cxiu~ Utility Shut-Offs ~~ ~ "6 ~~~~~f~ ~~ ~ t~~'~ ~~ ~ ~~ ~°' rlic riv~c~./r~vaii. wa~,ci: -re ~c~-- ngu-she r cprne~ o~ ~-~UX~Ur~ ~ Naleu~ S~ Building Occupancy Level 12/11/2006 5 EMPLOYEES -8- 02/02/2007 ~' Fy, t F LOS,REYES AUTO SALES & REPAIRS SiteID: 015-021-003486 ~ „` Fast Format ~ raining Overall Site ~ Employee Training /~ ~ I~ ~a~ ~ rayC ~ nclu LVL L'uI.ULC VSC IlC 1lA LVL t UI..ULC UDC -9- 02/02/2007 - UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: -Business Plan. and Inventory Program _~ Prevention Services e E t: s F t n 900 Truxtun Ave., Suite 210 FiiIPE Bakersfield, CA 93301 ARTM r .Tel.:. (661) 326-3979 Fax: (661) 872-2171- FACILITY NAME INSPECTION DATE INSPECTION TIME J ADDRES~ ~ ~ ~ V r PHO~~O.O~~ ~ 3 NO OF EMPLOYEES - r ~ Y S FACILITY CONTACT ~ - r S 2 ~ BUSINESS ID NUMBER 15-021- ~S fa. 2~N~.ES f I Section 1: Business Plan and Inventory Program i .,. ~_ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V~ ( C=Compliance OPERATION V=Violation COMMENTS ^ ~ APPROPRIATE PERMIT ON HAND ~f~iS~z~ ~.I ~Z_. y~~q. "~ ~~2wL t „"~ L~J ^ BUSIrIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS (~~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS i~^ VERIFICATION OF QUANTITIES C'Y ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ~ ~,n ^ ^ VERIFICATION OF HAZ MAT TRAINING ~ 1.~- ^ CCU VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ i~ EMERGENCY PROCEDURES ADEQUATE ~ . ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ i~ FIRE AROTECTION ~GLV, i « ~~~~ K i N cl 1' ~ ^ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZ'A/R(D/~OUS WASTE ON SITE? L~7 TES ^ NO EXPLAIN: "`~' I S~~ f~1'1 ~TC~ ~ ~ (l L~ .~ ~~ ~ ~ ~~f~ 1 ~UOS ~(/~{.j (YL ~j QUES(TI~ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print)- Fire Prevention / 1s' In /Shift of Site/Station # Bust ess Site / esponsible Party (PI se nt) .'~'~ ~~ White =Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 (HMMP) :HAZARDOUS MATERIALS MANAGEMENT PLAN ' (UNIFIED PROGRAM CONSOLIDATED FORM) APPLICATION BIAS OWN9Z/OPERATORDE]vTFI('•AT10N FORM (HAZARDOUS MATERIALS FACILITY INFORMATION) w~ BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210 a s x s r r n Bakersfield, CA 93301 P/RB ~~ A~= r Tel.: 661-326-3979 '~"" Fax: 661-852-2171 /G ~ Page 1 ofPage 1 of 2 i_J ~ ~~~ L FACILITY IDENTIFICATION FACILITY ID N0. t Year Beginning too Year Ending tot B SINESS NAME (Same as FACILITY NAME or DBA- Doing Busin s As 3 USINESS PHONE toe ~' ~ 1 0~ SITE ADDRESS ~~~ . fi t03 CITY toa CA Ip ~ tos DUNN & BRADSTREET ^j© t~ SIC CODE 107 (, (4 Digit #) COUNTY ~`~ G t08 OPERATOR NAME t09 OPERATOR PHONE ttp IL OWNER INFORMATION _ _ _ OWNER NAME t11 E R PHONE OWN ttz y A W, OWNER AILING ADDRESS M tt3 ( \ ~, V " CITY tt4 STATE nn tt5 -~1''C IP ~~j ~"r~o~ t1t3 IIL ENVIRONMENTAL CONTACT C TACj NAME to CONTACT PHONE tta ~' O ~ CONTACT MAILING ~D; E~S ~~ tta CI tat STATE t2t ZIP q t22 Pr 33 ~ - PRIMARY IV. EMERGENCY CON TACTS ; -SECONDARY- AME. r 123 NAME 128 TRLE 124 TRLE 129 BUS ESS PH ~ ~ , o~ a 125 BUSINESS PHONE 130 24-H UR PHONE 126 24-HOUR PHONE 131 2~0 -~~ G~ PAGER NO. 127 PAGER NO. 132 133 V. CERTIFICATION Cert~cation: 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 in this inventory and believe the information is true, accurate, and complete. SIG T R ~ 136 DAT ~ ~ ~ '' 134 NAME OF DOCUMENT PREPARER 135 NAME OF OWNER/OPERATOR ( IGNATURE & PRINT) 137 TITLE OF OWNER/OPERATOR 138 ~~ J ~~ ~ J FD 2142 (Rev. 09105) ~~~r V (Hazardous Materials Facility Information - HMMP) Business Owner/Operator Identification . Please submit the Business Activities page, the Hazardous Materials Faci/ity Information (HMMP) Business Owner/Operator {dentification Form, and Hazardot, Materials Inventory Chemical Description Form for all hazardous materials inventory submissions. For the inventory to be considered, please complete this page, it must be signed by the appropriate individual. NOTE.• The numbering ofthe instructions fo/%ws the data a%ment numbers that are on the Business Owner Operator Form page. These data a%ment numbe. are used fore%ctronic submission and are the same as the numbering used in 27 CCR, Appendix C, the Business Section of the Unified Program Data Dictionary. P/ease numbers//pages ofyoursubmittal. This he/ps our CUPA orAA identify whether the submittal is complete and ifany pages are separated. 1 FACILITY I.D. NUMBER -This number is assigned by the CUPA or AA. This is the unique number which identifies your facility. 3 BUSINESS NAME -Enter the full legal name of the business. 100 BEGINNING DATE -Enter the beginning year and date of the report. (YYYYMMDD) - " 101 ENDING DATE -Enter the ending year and date of the report. (YYYYMMDD) 102 BUSINESS PHONE -Enter the phone number, area code first, and any extension 103 BUSINESS SITE ADDRESS -Enter the street address where the facility is located. No post office box numbers are allowed. This information must provide a means to geographically locate the facility. 104 CITY -Enter the city or unincorporated area in which business site is located. 105 ZIP CODE -Enter the zip code of business site. The extra 4 digit zip may also be added. 106 DUNN 8 BRADSTREET -Enter the Dunn & Bradstreet number for the facility. The Dunn & Bradstreet number may be obtained by calling (610) 882- 7748 or by Internet. 107 SIC CODE -Enter the primary Standard Industrial Classification Code number for primary business activity. NOTE.• /fcode is more than 4 digits, report on/y the first four. 108 COUNTY -Enter the county in which the business site is located. 109 BUSINESS OPERATOR NAME -Enter the name of the business operator. 110 BUSINESS OPERATOR PHONE -Enter business operator phone number, if different from business phone, area code first, and any extension. 111 OWNER NAME -Enter name of business owner, if different from business operator. 112 OWNER PHONE -Enter the business owner's phone number if different from business phone, area code first, and any extension. 113 OWNER MAILING ADDRESS -Enter the owner's mailing address if different from business site address. 114 OWNER CITY -Enter the name of the city for the owner's mailing address. 115 OWNER STATE -Enter the 2 character state abbreviation for the owner's mailing address. 116 OWNER ZIP CODE -Enter the zip code for the owner's address. The extra 4 digit zip may also be added. 117 ENVIRONMENTAL CONTACT NAME -Enter the name of the person, if different from the Business Owner or Operator, who receives all environmental correspondence and will respond to enforcement activity. 118 CONTACT PHONE -Enter the phone number, if different from the Owner or Operator, at which the environmental contact can be contacted, area code first, and any extension. 119 CONTACT MAILING ADDRESS -Enter the mailing address where all environmental contact correspondence should be serif,"if different from"the site address. " 120 CITY -Enter the name of the city for the environmental contact's mailing address. , 121 STATE -Enter the 2 character state abbreviation for the environmental contact's mailing"address. 122 ZIP CODE -Enter the zip code of the environmental contact's mailing address. The extra 4 digit zip may also be added. 123 PRIMARY EMERGENCY CONTACT NAME -Enter the name of a representative that can be contacted in case of an emergency involving hazardou materials at the business site. The contact shall have FULL facility access, site familiarity, and authority to make decisions for the business regardint incident mitigation. 124 TITLE -Enter the title of the primary emergency contact. 125 BUSINESS PHONE -Enter the business number for the primary emergency contact, area code first, and any extensions. 126 24HOUR PHONE - Enter a 24-hour phone number for the primary emergency contact. 'The 24-hour phone number must be one which is answered 24 hours a day. if it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the individw stated above. 127 PAGER NUMBER -Enter the pager number for the primary emergency contact, if available. 128 SECONDARY EMERGENCY CONTACT NAME -Enter the name of a secondary representative that qn be contacted in the event that the primary emergency contact is not available. The contact sha11 have FULL facility access, site familiarity, and authority to make decisions for the business regarding incident mitigation. 129 TITLE -Enter the title of the secondary emergency contact. 130 BUSINESS PHONE -Enter the business telephone number for the secondary emergency contact, area code first, and any extension. 131 24-HOUR PHONE - Enter a 24-hour phone number for the secondary emergency contact. The 24-hour phone number must be one which is answered 24 hours a day. If it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the individual stated above. ' 132 PAGER NUMBER -Enter the pager number for the secondary emergency contact, if available. 133 ADDITIONAL LOCALLY COLLECTED INFORMATION -This space may be used for CUPA's or AA's to collect any additional information necessan to meet the requirements of their individual programs. Contact your local agency for guidance. 134 DATE -Enter the date that the document was signed. (YYYYMMDD) 135 NAME OF THE DOCUMENT PREPARER (FULL PRINTED NAME) -Enter the full printed name of the person who prepared the inventory submittal information. 136 NAME OF DOCUMENT SIGNER (FULL PRINTED NAME) -Enter the full printed name of the person signing the page. The signer certifies to a familiarity with the information submitted and that based on the signer's inquiry of those individuals responsible for obtaining the information, all the information submitted is true, accurate and complete. 137 SIGNATURE OF OWNER/OPERATOR/OR DESIGNATED REPRESENTATIVE -The Business Owner/Operator, or officially designated representative of the Owner/Operator, shall sign in the space provided. This signature certifies that the signer is familiar with the signer's belief that the submitted information is true, accurate and complete. 138 TITLE OF OWNERlOPERATOR/OR DESIGNATED REPRESENTATIVE (SIGNER) -Enter the title of the person signing the page. Page 2 of 2 FD 2142 (Rev. 09105)