The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN (2).HASHIMS AUTOMOTIVE H ; 126 UNION AVENUE ~~ __ ~~~~ ~.ti~ r~ .~ HASHIMS AUTO SiteID: 015-021-001568 Manager JOHN HASHIM Location: 126 UNION AVE City BAKERSFIELD BusPhone: (661) 324-4773 Map 103 CommHaz High Grid: 32C FacUnits: 1 AOV: CommCode: BFD STA 06 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN HASH IM / MANAGER / Business Phone: (661) 324-4773x Business Phone: ( ) - x 24-Hour Phone (661) 324-4773x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact JOHN HASHIM Phone: (661) 324-4773x MailAddr: 126 UNION AVE State: CA City BAKERSFIELD Zip 93307 Owner LEONA HASHIM Phone: (661) 324-7696x Address 1819 ALTA VISTA DR State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT EIVT'D ~ E P ~ s C1~ ZO01 PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK of chase individuals C3ased on my inquiry the informatio responsible for obta+n~n9 ersona ly that I have p ~ J under penalty of Iav mined and am familiar with the information true exa e bmitted and beli , the information is le~ su accurate, and comp --'~` ~~`~-0~ -° Date ignature -1- 07/11/2007 _S F HASHIMS AUTO SiteID: 015-021-001568 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE s~°r ~~~ E F P IH G 110.00 FT3 Hi HOT TANK MIX '~- IH DH L 66.00 GAL Mod DIESEL F DH L 400.00 GAL Low OXYGEN - ~~ F IH DH G 282.00 FT3 Low WASTE OIL F DH L 100.00 GAL Low ENGINE OIL F DH L 55.00 GAL Min -2- 07/11/2007 .` -3- 07/11/2007 F HASHIMS AUTO ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit SHOP SiteID: 015-021-001568 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 FT3 110.00 FT3 55.00 FT3 r~~,titu~vu~ ~.vrirvlv~lvla •°sWt. RS CAS# 100.00 Acetylene Yes 74862 riHGEjtCL A~71!;551~1iS1V-17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HOT TANK MIX Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE SHOP CAS# 1310-73-2 Liquid TMixtur~ Ambient~E ~ AmbientT~E IN MACHINE/EQUIPPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 66.00 GAL 66.00 GAL 66.00 GAL nriGtitclJVUJ ~.vl"1rv1valvtS ~Wt. RS CAS# Sodium Hydroxide No 1310732 ruyaruct~ n JJ~JJr1~lvta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -4- 07/11/2007 F HASHIMS AUTO SiteID: 015-021-001568 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: CTR BACK OF PROP CAS# 68334305 Liquid TMixtur~ Ambient~E ~ AmbientT~E -~VEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 400.00 GAL 400.00 GAL 350.00 GAL r1t~ZARDOUS COMPONENTS SWt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 t11~GHtCL H~7.7L' .7w71~1L' 1V l iJ 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 OXYGEN Location within this Facility Unit SHOP STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 141.00 FT3 282.00 FT3 141.00 FT3 ruiGS-~~cl~vu~ ~.urirvlVr,lVl~ $Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I1riGtitCL tiJ X71;.7 J1~11;1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 07/11/2007 F HASHIMS AUTO SiteID: 015-021-001568 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SHOP tau CAS# „~"_ I 2 21 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 100.00 GAL 50.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 nt~~titcli ~a~r~55ivil;ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ENGINE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SE BACK DOOR CAS# 8020835 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 27.00 GAL - I1tiGtiiCLVl1J l..Vl"lYV1V L'1V1A %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ritiGEitCL EiJ A~.7.71~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -6- 07/11/2007 F HASHIMS AUTO SiteID: 015-021-001568 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ t'1y Cllt:y 1VV 1.111C:d 1.1 V11 Employee Notif./Evacuation 04/19/1995 FRONT REAR AND SIDE DOORS ARE ALWAYS OPEN DURING BUSINESS HOURS 8:00 A.M. TO 5:00 P.M. rw.J111: 1vVl.1t . / rrVdC:Udl.1Vi1 Emergency Medical Plan 03/27/2007 MEMORIAL HOSPITAL, 420 34TH ST, 327-4647 -7- 07/11/2007 F~HASHIMS AUTO SiteID: 015-021-001568 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention , Release Containment 04/28/2006 DIESEL TANK HAS TWO SHUT-OFF VALVES AND ARE OFF AT ALL TIMES UNLESS IN USE. HAVE LARGE AMOUNT OF SAND TO SPREAD ON SPILL AND HAVE 42-GAL DRUMS TO CONTAIN SAND SPILL.. -~"°,~ Clean Up 03/27/2007 ADVANCED CLEAN-UP TECHNOLOGY, 4548 WESLEY LN, 392-7765 V1.11G1 itG .7VLLIVC 1'il~l~.LVQl~l V11 -8- 07/11/2007 F HASHIMS AUTO SiteID: 015-021-001568 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 ridGd.LU~S' Utility Shut-Offs 01/31/2007 A) GAS/PROPANE - FRONT OF 126 TEXAS SIDE OF 130 FURNITURE CTR B) ELECTRICAL - REAR OF 126 TEXAS SIDE OF 130 FURNITURE CTR C) WATER - R FRONT CRNR 126 TEXAS SIDE OF 130 FURNITURE CTR D) SPECIAL - NONE E) LOCK BOX - NONE Fire Protec.jAvail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS NEAREST FIRE HYDRANT - BEH SHOP TEXAS & LIGGETT ST. 12/28/2006 al.ll l11111y VI:V U~lCLlll~y LCVC1. -9- 07/11/2007 Yf F HASHIMS AUTO SiteID: 015-021-001568 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/28/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: HASHIMS AUTOMOTIVE HAS BEEN IN BUSINESS 41 YEARS AND I HAVE TRAINED MANY MACHANICS DURING THIS TIME. AT THE PRESENT, I HAVE A MACHANIC, JOHN, WHO HAVE BEEN WITH ME OVER 17 YEARS. I HAVE TAUGHT HIM SAFETY FROM DAY ONE AND HAVE HAD A GOOD TRACK RECORD. ONCE A MONTH WE HAVE A WALKTHROUGH AND CHECK WELDING EQUIPMENT, ~'~F, , ::'~~ ~-~ IL.~3k~F~-, FLOOR JACKS , CAR STANDS , ELECTRICAL PLUGS AND CORDS AND SAFETY PREVENTION EQUIPMENT. rayc ~ Held for Future Use -~ ~ _- iaciu ivi i~ u~.uic vac -10- 07/11/2007 T U6/U!/LVUO lb:U( PEfA *. -. bbl6bGi5fU1 At,KiV VU L'i1J LC.Y1 ~~~ LYf UUZ/ UU6 CONSOLIDATED CONTINGENCY PLAN KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Untried Prc-gram Form 2700 M STREET, SUffE 300 ' ~~ COVER PAGE BAKERSRELD, CA 933Q1 (681) 882-5700 Fax (661)862-8701 ~~ Pane of ' I. FAGILITY IDENTiFiCATION FACILITY ID # / ~ Q ~ / ~ ,.` ~ ~ ~ EPA ID tr (Hazardous Waste Onfy) z as The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning requirements of the following two written hazardous materials emergency response plans required in Cal'rfornia: Q Hazardous Materials Business Plan tHSC Chapter 6:95 Section 25504 (b} and 19 CCR Sections 2729-2732}, 4 Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52), and, 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. A copy of the plan shall be submitted to this Department 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, Training Records, and Site Maps}, are located at your business: ' PIJ~N CERTIFICATION certify under penalfy of law fhat !have personally examined and ! am familiar with the information provided by this plan and to the best of my knowledge the informatian is accurate, complete, and true. Printed Name of Owner! Operator Title of Onrner/Operator / N Signature of Owner! Oq for Date ~ - We appreciate the effort of local businesses in completing these plans and are availabCe to assist in any manner. If you have any questions, please contact this Department at (66'I) 862-8700. ENT'Q MAR 27 ZOQT ~~pq << BUSINESS OWNER/OPERATOR IDENTIFICATION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT iTnified Program Consolidated Form (iTPCF) 2700 M STREET, SUITE 300 FACILTTY INFORMATION BAKERSFIELD, CA 93301 (661 862-8700 Fax (661 862-8701 Page _ of I. IDENTIFICATION FACILITY ID# l a 2 / ~o s 6 s I BEGII~INING DATE loo ENDING DATE 1°I ~ g7 BUSINESSAA NAME(Same as FACII_TfY NAME or DBA-Doing Business As) ' BUSINESS~/~P~GH~ONE 7 1°2 BUSINESS STTE ADDRESS `, ~ l03 l~~ /'~G CITY 104 ZIP CODE 105 ~t~ CA D & BRADSTREET lob SIC CODE (4 digit #) 107 los COUNTY /l CO~i BUSINESS OPERATOR NAME l09 BUSINESS OPERATOR PHONE 110 ~ZY- -~3 II. BUSINESS OR'NER OWNER NAME 111 OWNER PHONE t lz OWNER MAILING ADDRESS 113 z ~tirati vc 114 CITY STA T E 115 ZIP CODE 116 <// ~l~,l' ~C~ ~ y A - (.T III. ENVIltONMENTAL CONTACT CO TACT NAME 117 CO TA T PHONE 118 CONTACT MAILING ADDRESS 119 CIT 1'-0 IFLC~ STATE 1'-1 ZIP CODE 12' ~~ -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME lz3 c~~t~ NAME lzs TITLE 124 ~~~ \ TITLE Iz9 BUSINESS HONE 125 BUSINESS PHONE 130 2 -- 24-HOUR HONE 176 24-HOUR PHONE ~ 131 2 PAGER # 127 PAGER # 132 ADDITIONAL LOCALLY COLLECTED INFORMt1TI0 ~l 133 APN: ~~~-~~~ -Q~- ~O -~ Environmental Contact E-Mail Address: Certification: 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 and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 N A ME OF DOCUMENT PREPARER 135 ~~ AA / NAME OF SIGNER (print) 136 TITLE OF SIGNER l37 (11/02 revised) KC Form 2730 UtSlU~!/"GUUti 1ti:U7 1'~Aa 6ti18tiL8~7U1 11ri1(1V UU ririJ llriY7~ ~ ~/. UV3/UU6 r __, __..~.:a._. ADVISORY The site-specific Contingency Plan is the facility's plan for handling emergencies and shall fie implemented immediately whenever there is a fire, explosion, or release of ~ hazardous materials or waste that could threaten human health and/or the environment. The contingency plan shalt be reviewed, and immediately amended, if necessary, whenever. 4 The plan fails in an emergency Q The facility changes in its design, construction, operation, maintenance. or other circumstances in a way that materially increases the potential for fires, explosions, or releases of hazardous waste or hazardous waste constituents, or changes the response necessary in an emergency Q List of emergency coordinators changes d List of emergency equipment changes Submit a copy of any updates or changes to this Department. II. EMERGE NCY CONTACTS PRIMARY SECONDARY NAME 123 G QI ~1 NAME 128 T1TLE~ ~~ 124 TITLE 129 BUSINESS PHO~ 3 125 7 BUSINESS PHONE 130 r ~ t 24-HO R PHONE ~-7 126 cS~~~ / 24-HOUR PHONE 131 PAGER # 127 PAGER # 132 Ill. EMERGENCY RESPON SE 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 Department. and the Office of Emergency Services. if you have a release or threatened release of hazardous materials, immediately call: EiRE1PARAMELfICSlPOLICEI5HERIFF PHONE: 911 AFTER the local emergency response personnel are notified, you shall then notify this Department and the Office of Emergency Services. Kern County Environmental Health Department: (661) 862-8700 or after hours, call Dispatch at (66i) 861-2521 State Office of Emergency Service: (800) 852-7550 or (916) 262-1621 National Response Genter: (800) 4248802 Information to be provided during Notification: 4 Your Name and the Telephone Number from where you are calling. 4 Exact address of the release or threatened release. 4 Date, time, cause, and type of incident (e.g. fire, air release, spilt etc.) 4 Material and quantity of the release, to the extent known. 4 Current condition of the facility. 4 Extent of injuries, if any. 4 Possible hazards to public health and/ or the environment outside of the facility. 08/0x/2006 16:08 F,Afi 6618628x01 BERN CO EHS DEPT r o_ I~OD4/UU8 B. Emer enc Medical Faciii List the closest emergency medical facility that will be used by your business in the event of an accident of injury caused b a release or threatened release of a hazardous material 1-iOSPITAUCLINtC: ' P N :Z ~ - A SS: CI - ZIP C ~~~~ _ O C. Private Emer enc Res onse DOES YOUR BUSINESS HAVE A PRIVATE ON-SITE EMERGENCY RESPONSE TEAM? ^ Yes ^ No If yes, provide an attachment that describes what policies and procedures your business will follow to notify your on-site emer en res nse 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. NA OF C TRAt',~TOR: L ~~ P N NO: Z _ ~~. ADD S CIT ~ ZIP CO E: ~~ D. Arran ements with Eme enc Res onders If you have made special (i.e. contractual) arrangements wKh any police department, fire department, hospital, contractor, or Stale or local emergency response team to coordinate emergency services, describe those arrangements in the spaces below: l ~! E. Evacuation Plan 1 _ The following alarm signal(s) will be used to begin evacuation of the facility (check al! 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. Name of individual(s) responsible for coordinating evacuation including spreading the alarm and confirming the business has been evacuated: ~(~Lfj(,/ ~ f ~/Y~ F. Earthquake Vulnecabili Identity 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: 08/07/2006 16:08 FA% fi618628701 BERN CO F.HS DEPT ~uuaiuun IV. Emergency Equipment 22 CCR, Section 66265.52(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 EQUfPMEN T INVENTOR Y TABLE 1. Equipmerrt Cat o 2. ~ Equipment T e 3. Location 4. Descri tion* Personal ^ Cartridge Respirators Protective, ^Chem'~al Monitoring Equipment (describe Equipment, ^ Chemical Protective Aprons/Coats Safety ^ chemical Protective Boots Equipment, ^Chemical Protective Gloves and ^ Chemical Protective Suits (describe ' First Aid ^Faoe Shields Equipment [] First Aid KitstStations (describe) ~ ^ Hard Hats -QPlumbed Eye Wash Stations ^ Portable Eye Wash Kits (i.e. bottle t ^ Respirator Cartrid describe) ^ Safety GlassesJSplash Goggles f~ ~'~ LIZ.. ^ Safely Showers ^ Self-Contained Breathing Apparatuses {SCBA) ^ Other describe Fire ^ Automa6C Fire Sptlnkler Systems Extinguishing Q Fire Alarm Boxesl5tations SyS6EmS ^ Fire Extinguisher Systems describe) ~ ~'j ^ Other (describe) Spill ^ Absorbents (describe) COntr01 ^ BermstDikeS (describe) Equipment ^ Decontamination Equipment describe) and ^ Emergency Tanks (describe) Decontamination ^ E,d,aust Hoods Equipment ^ Gas Cylinders Leak Repair Kits (describe) ^ Neutralizers (desuibe) ^ Qverpack Drums ^ Sumps (describe) ^ Other (describe) Communications [] Chemical Alamos (desaibe) and ^ Intercoms/ PA S tams Alarm ^ Portable Radios Systems ^ Telephones ^ Underground Tank Leak Qetection Monitors ^ Other (describe) Additional Equipment (Use Additional Pages iiF Needed.) ` Describe the equipment artd its Capabilifies. if appfrcable, specify any testingimainfenance pruceduresrfntervats_ Attach additional pages. numbered appmpriatety, i(needed. 08/07/2006 16:08 FA% 6618628701 BERN CO EHS DEPT 1006/008 G. Emer enc Procedures Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materials/wastes: 1. PREVENTION (prevent the spill/release) -Consider the types of spills/releases associated with the hazardous materiats/wastes present a t your f acility. W hat a ctions d oes your b usiness t eke t o p revent t hese spills/releases f rom occurrin ?You ma inGude a discussion of saf and store a rocedures. 2. MITIGATION (stag t he releaselspill) - Q ascribe what a ctions a re taken to reduce the h arm o r the d amage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate res nse to a leak, s ifl, fire, ex losian, or airborne release at ur business? 3. ABATEMENT (clean up the spill/release) -Describe what you would do to clean up the spill/release. How do you handle the com lefe rocess of cleanin u and dis osin of released materials at our facili ? 8!0712006 16:09 FAg 6618628701 KERN CO EHS DEPT l~ 007/008 CONSOLIDATED CONTINGENCY PLAN KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Form 2700 M STREET, sutTE 30o SITE MAP BAKERSFIELO, CA 93301 t6611862~8700 Fax !6611862-8701 of I I. FACILITY IDENTIFICATION FACILITY ID # ~ ~ ~ ~ ~ ~.1 ~ l b ~ ~ EPA ID # (Hazardous Waste Oniy) 2 3 BUSINESS NAME (Same as Facibty Name of DBA Qoing Business As) (f T A RESS 7Q3 CITY ~~ ZIP CODE ~~ 1b ~ ~v~ ~ rF~ D TE MAP DRAWN MAP # SUB-FACILITY # ~f needed) ~S ~ For Site Map i--- ---- -----? ~ 7' - - ~-/ n' -i --~3~'--I C ~ ~ • N p ~ ~ Q, N ~ ~ (n m o ` \ F-~3c~=--1 ,dat~Cw~F y . F-- S"6 ~--I r~ _ ~ ~ ~ ~ ~~ ~~ 1 ~ ~~ ~ ~ ~ ~ ~ - ~~ v~ n~ - ~~ oa rf~,t~lvEcG~Y ~~ + Loading Areas Parking Lots Internal Roads Storm and Sewer Drains Adjacent Property Use Locations and Names of Adjacent Streets and Alleys Enhance and Exit Points and Roads Evacuation Routes For Storage Map Location of Each Storage Area Location of Each Hazardous Material Handling Area Location of Emergency Response Equipment NORTH vui v,i cvvu lv. ua rnn uutovco~vl t~tv~ vv nno Lrrl - r ,. ~UVO/ VVO HAZARDOUS WASTE GENERATOR KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Form 2700 M STREET, SUITE 300 BAKERSFIELD, CA 93301 G61 862-8700 Fu 661)862-8701 Pa a of I. FACILITY INFORMATION FACILITY ID # ~ S Z ~ O ~ ~ ~ ~ EPA ID # (Hazardous Waste Qnty) Z BUSINESS NAME (Same az Facility Name of DBA-Doing Business As) ~ # OF EMPLOYEES n II. TYPE OF GENERATOR PLEASE CHECK THE BOX THA'T' APPLIES B RCRA GENERATOR FEDERAL WASTE) NON-RCRA GENERATOR CALIFORNIA WASTEONL LARGE QUANTITY GENERATOR (> 1000 KG HAZARDOUS WASTE PER MONTIi SMALL QUANTITY GENERATOR (> Ip0 KG BUT <IOOD KG HAZARDOUS WASTE PER MONTH) ~ ~ CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR ~ (<I00 KG HAZARDOUS WASTE PER MONTH) ~ ~ III. WASTE STREAM I DENTIFICATION PLEASE COMPLETE THE TABLE BELOW. (sEE uasTRUCTIONS ON rHi; BACK FOR coDES Alen EXPLANATIOxs} PROC65S C WASTE DESCRIPTION D WASTE ID E AMOUNT F PER YEAR UNITS G STORAGE H METHOD DISPOSAL I METHOD I certify that the information provided herein is true and accurate to the Best of my knowledge. OWNER/OPERATOR NAME ~ OWNER/OPERATOR TITLE K OWNERIOPERATOR SIGNATURE DATE L ~; BUSINESS ACTIVITIES KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUTTE 300 FACII.ITY INFORMATION BAKERSFIELD, CA 93301 (bbl)862-8700 Fax (bbl 8b2-8701 ' Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # / ~ ~ Z ( ~ cv s- b ~ 1 EPA ID # (Hazardous Waste Only) '- _ a / BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) ' r~s ~ II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (KC Form 2730). Does your facility... If Yes, please com lete these ages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for arty purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the ^ YES ~'NO 4 HAZARDOUS MATERIALS INVENTORY - applicable Federal threshold quantity for an extremely lrazazdous CHEMICAL DESCRIPTION (rcc Form 2731) substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? , B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (xC Form A) 1. Own or operate underground storage tanks? ^ YES .~ NO $ UST TANK (one page per tank) (KC Form B) 2. Intend to upgrade existing or install new USTs? ^ YES ~NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (xC Form C) 3. Need to report closing a UST? ^ YES (ENO 7 UST TANK (closure portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above a total capacity for the facility of greater than 1,320 gallons? ^ YES [~NO 8 NO FORM REQUIl2ED TO KCEHSD D. HAZARDOUS WASTE 1. Generate hazardous waste? _ ~ .YES ~NO 9 EPA IDNUMBER -provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)? ^ YES ~NO 10 RECYCLABLE MATERIALS REPORT (one per recycler) (xC Form 2732) 3. Treat hazardous waste on site? ^ YES [~NO 11' ONSITE HAZARDOUS WASTE TREATMENT -FACILITY (xC Fortn 1772t) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (xC Form 4. Treatment subject to fmancial assurance requirements (for ^ YES ~ NO 12 1772u) CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (xcFnrm 123z> 5. Consolidate hazazdous waste generated at a remote site? ^ YES ~,NO 13 REMOTE WASTE /CONSOLIDATION SITE ANNUAL NOTIFICATION (xC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^ YES }~~NO 14 HAZARDOUS WASTE TANK CLOSURE hazazdous waste and cleaned onsite? CERTIFICATION (xc Fomt 12a9) E. LOCAL REOUIlZEMENTS 16 A copy of the facility's Contingency/Emergency Response Plan is to be included with the original submission of the Business Plan. KCEHSD is to be informed of any revisions to the plan. Please contact KCEHSD at the above number for assistance in completing the plan. (7/02 revised) KC Form 2729 H A., H R S P I D ~;- F/RE ARTM Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~s~IIMS ~ INSPECTION ATE 2 aG INSPECTION TIME zZS w~i~r ADDRESS ~ ~ - ~ l o ~~ ~~ ,~~ t{--_` PHONE N NO OF EMPLOYEES FACILITY CONTACT - ~ ~t~~ S ~~ BUSINESS ID NUMBER 15-021- ~ S~ ..Section 1: Business Plan and Inventory Program - _ ~ a~~ - - _ _ __ - ROUTINE ^ COMBINED ^ JOINT AGENCY ^ .MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ ' BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ~NTrI,/ r/ ~ ~ (r $ ~~~~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL C'1 V ^ VERIFICATION OF MSDS AVAILABILITY ^ -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 WASTE ON SITE? L7 Yt5 ^ NO EXPLAIN: ~ ~ STS ®< <-~ QUESTIONS REGARDING THIS i~N3~TION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # u ine s Site I Res Bible Party (Please Print) White -Prevention Services Yellow - Station'Copy Pink -Business Copy FD 2155 (Rev. 09/05 iT f " a » ~, + HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 + Manager BusPhone: (661) 324-4773 Location: 126 UNION AVE Map 103 CommHaz High City BAKERSFIELD Grid: 32C FacUnits: 1 AOV: CommCode: BFD STA 06 SIC Code:7538 EPA Numb: DunnBrad: Em ency Contact / "i=rLT Emergency Contact / Title sR-dP MARK SHIM HOP MANAGER JOHN HASHIM / MECHANIC-~~ Busines o 661) 324-4773x Business Phone: (661) 324-4773x" 24-Hou one - 3x 24-Hour Phone (661) 588-7877x P r Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 324-4773x MailAddr: 126 UNION AVE State: CA , City BAKERSFIELD Zip 93307 Owner ~ LEDN R f ffl"SNr~ Phone: x(661) 324-7696x Address 1819 ALTA VISTA DR State: CA City :-BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: s PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK ENr~ APR 2 g 2~D6 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ature ate -1- 03/08/2006