Loading...
HomeMy WebLinkAboutBUSINESS PLANfi '~~ ~ j', KC SUPT OF SCHOOLS _ _ ~ _i~ 705 S. UNION AVENUE ~~ `Jo2 '~~~ sE~ ~ I~d~ O O ° ~.r ~:i KERN CO SUPT OF SCHS-S UNION Manager {~i4U(.. Ll/V.DC ~ Location: 705 S UNION AVE City BAKERSFIELD SiteID: 015-021-001529 852-580 BusPhone : ( 661) "rte°~ Map 124 CommHaz Extreme Grid: 06B FacUnits: 1 AOV: CommCode: BFD STA 06 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title SCOTT BOHANNON / SAFETY ADMIN RON SHEARER / DIRECTOR Business Phone: (661) 852-5800x Business Phone: (661) ~~xBS,?SBY/ 2 4 -Hour Phone ( 6 61) ~-"-~-3-~-8~•~x 3i9-SBo~ 2 4 -Hour Phone ( 6 61) r 0-'_~"- g73~0y~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact SCOTT BOHANNON Phone: (661) 852-5812x MailAddr: 1300 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner KERN CO SUPT OF SCHOOLS Phone: (661) 852-5800x Address 1300 17TH ST State: CA City BAKERSFIELD Zip 93301 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 PROG U - UST ENT CALL SCOTT BOHANNON, 852-5812, FOR INSPECTIONS. q(~ G p 1 200 f~^;,~~+ on my inquiry of those individuals resp;;nyi~le Yor ot<itaining the information, I certify undo; penalty of lavJ that 9 have personally examined a~~d am familiar with the information su~,rnitted anct ~e#ieve the information is true, ac~arate, and cnm~ ~ ;te. 7 ~~D~~~ ~ Signal , Date -1- 07/12/2007 ~. F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ - STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: KERN CO SUPT OF SCHS-S UNION Cross Street Business Type: Org Type: Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name RON SHEARER Phone : ( 6 61) -8~x Address: 8S2-oval City State: Zip: Type Name RON SHEARER Address: City Type BOE UST Fee# Financ'1 Resp: Legal Notif Date: Name: State UST # TANK OWNER INFORMATION Phone : ( 6 61) ~~ =-5$6~x $SR-vyZl State: Zip: Phone: Ttl: 1998 Upg Cert#: - x -2- 07/12/2007 ~ 7, F KERN CO SUPT OF SCHS-S UNION ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001529 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NATURAL GAS E F P IH DH G 201.00 FT3 Ext PROPANE E F P IH G 250.00 FT3 Hi GASOLINE F DH L 12000.00 GAL Mod DIESEL F DH L 12000.00 GAL Mod WASTE OIL F DH L 500.00 GAL Low ANTIFREEZE L 420.00 GAL Low GEAR OIL F DH L 250.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 250.00 GAL Low HYDRAULIC OIL L 55.00 GAL Low MOTOR OIL F DH L 750.00 GAL Min ARGON F P IH G 300.00 FT3 Min R-12 G 90.00 GAL Min WASTE OIL FILTERS F DH S 220.00 GAL UnR WASTE BATTERIES IH L 55.00 GAL UnR -3- 07/12/2007 -4- 07/12/2007 n F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0015 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME NATURAL GAS Days On Site 365 Location within this Facility Unit Map: Grid: CRNR BELLE TERR & UNION AVE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 33.52 FT3 201.00 FT3 201.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 5.00 Crude Oil No 8002059 70.00 Natural Gas Yes 74828 riE~GHKL L-1~~~J51~1t',1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH DH / / / Ext ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure -Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily 250100m FT3 I Daily 250r00e FT3 nt~c~r-ucLV U~ ~.~i~irvlv~iv 1 a °sWt. RS CAS# 100.00 Propane Yes 74986 LS1iGHtCL 1-~J~~a~Jl"1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 07/12/2007 I. 1 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE OF PROP BET FUEL ISLAND & CAR WASH CAS# 8006619 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Gasoline No 8006619 r~~tittl~ xaa~a5l~l~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE OF PROP BET FUEL ISLAND & CAR WASH CAS# 68476302 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL IIHGHlCLV U.7 1.,V1~lYV1VIJIV 1 ~J oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 I1tiGEiiCL HJ ~JP~.7.71~1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -6- 07/12/2007 -~ F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: TRANSPORTATION BLDG CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -~mbient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 500.00 GAL 500.00 GAL 200.00 GAL - tit~~KttLUU~ ~vrirvlv~lvl~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1HGHKL HJ.7~a~1~1~1V l 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: MACHINE SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 210.00 GAL 420.00 GAL 200.00 GAL nt~~tucLVU~ ~.vriruivntvia ~Wt. RS CAS# 100.00 Ethylene Glycol No 107211 i1HGl-1iCL L-~~ J~P.~J.71"1.C,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -7- 07/12/2007 P ~ F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME GEAR OIL Days On Site 365 Location within this Facility Unit Map: Grid: TRANSPORTATION BLDG CAS# 64742-57-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 150.00 GAL IlAGFjYCL V U.7 1. V1~lY V1V L~1V 1.7 owt. Rs cAS# 100.00 Gear Oil No 8020835 I1HGKtCL H~7~1;.7~71~1tS1V1J TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Location within this Facility Unit TRANSPORTATION BLDG STATE TYPE PRESSURE Liquid TMixtur~Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64742-56-9 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 150.00 GAL l1HGt1RLVU.7 1.V1~lYV1V P~1V 1.7 aWt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 1ZtiGL-1RL tiJ .7 L' w7 J1"11=,1V l ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 07/12/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: EQUIP RM C'AS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 30.00 GAL t1AGE~iCLVU~ 1:V1~1rV1V~1V15 %Wt. RS CAS# 100.00 Hydraulic Oil No 112345 riEiGKKL L~aJ~J~1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit TRANSPORTATION BLDG STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 750.00 GAL 450.00 GAL ntic~tucLVUa ~.vrirvlvalviS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 L1HGKttL 1-~ JJL~.7,J1~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 07/12/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7440-37-1 STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 FT3 300.00 FT3 300.00 FT3 nt~~t~xLVUa wlnr~lv~lvla %Wt. RS CAS# 100.00 Argon No 7440371 t1E1GHKL HSJI;JJ1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0012 ..,..,~,.,.~t ~t~.,,-, ~ ,.,,~.,r,.,,r _,~..,-, Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 90.00 GAL 90.00 GAL 90.00 GAL L1HG11CCLVU.7 1.V1~lYV1V1;,1V 1.7 %Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 ntiGtittL tip a l,a a1~11=,1v 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -10- 07/12/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Ambient ~ Ambient METAL CONTAINR-NONDRUM F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: STEAM CLEANING BAY CAS# 221 ~SolidE TWaste ~Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 220.00 GAL 110.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME WASTE BATTERIES Location within this Facility Unit STATE Liquid TYPE PRESSURE Waste -~mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Daily Average 55.00 GAL Largest Container Daily Maximum 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# ntiZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -11- 07/12/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/04/1999 ~ CONTACT FIRE DEPT AND/OR POLICE BY TELEPHONE. Employee Notif./Evacuation 04/28/2006 CONTACT EMPLOYEES BY INTERCOM AND 2-WAY RADIO. EVACUATION PLAN IS IN PLACE AND PRACTICED ANNUALLY. _. C UiJ 111r 1V V 1..11 ~ Li V CLI. UCL V 1 Vll Emergency Medical Plan 04/04/2006 CONTACT POLICE AND/OR FIRE DEPT IN CASE OF ANY MEDICAL EMERGENCY. -12- 07/12/2007 ,, F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/28/2006 ~ WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE DOUBLE-WALLED. TRAINING IS HELD ON AN ONGOING BASIS. Release Containment 04/04/2006 WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE DOUBLE-WALLED. TRAINING IS HELD ON AND ONGOING BASIS. Clean Up 04/28/2006 A SUPPLY OF ABSORBENT IS KEPT ON HAND FOR SPILLS. EMPLOYEES ARE INSTRUCTED TO CONTACT THE FIRE DEPT IN THE EVENT OF A LARGE SPILL. V1.11C 1, iCC .S"V U.L UC SiC: l.1VdL1Vil -13- 07/12/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC l:l cLl ncl.~aiu~ Utility Shut-Offs 05/11/2007 GAS - NW CRNR TRANSPORTATION BLDG ELECTRICAL - NW CRNR TRANSPORTATION BLDG WATER - NE CRNR MAINT & OPER BLDG LOCK BOX ENTR GATE & E SIDE OF TRANSPORATION BLDG Fire Protec./Avail. Water 04/28/2006 PRIVATE FIRE PROTECTION - SPRINKLER AND ALARM SYSTEM. SONITROL SECURITY SYSTEM WILL NOTIFY IF FIRE ALARM IS ACTIVATED. NEAREST FIRE HYDRANT - 6 HYDRANTS ON AND AROUND THE SITE. Building Occupancy Level 04/04/2006 120 EMPLOYEES -14- 07/12/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/28/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY AND MONTHLY SAFETY TRAINING MEETINGS WITH ALL STAFF. rctyC G i1C 1lA 1V1 rUl..u1C V.7C ilGlu 1Vl ru~lAlG 1./.7C -15- 07/12/2007 _~ Y KERN CO SUPT OF.SCHS-S UNION Manager DON~FOWLER - Location: 705 S UNION AVE City BAKERSFIELD CommCode: BFD STA 06 EPA Numb: U~~~~ SiteID: 015-021-001529 BusPhone: (661) 852-5802 Map 124 CommHaz Extreme Grid: 06B FacUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title SCOTT BOHANNON / SAFETY ADMIN RON SHEARER / DIRECTOR Business Phone: (661) 852-5800x Business Phone: (661) 852-5861x 24-Hour Phone (661) 393-1869x 24-Hour Phone (661) 589-9450x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact SCOTT BOHANNON Phone: (661) 852-5812x MailAddr: 1300 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner KERN CO SUPT OF SCHOOLS Phone: (661) 852-5800x Address 1300 17TH ST State: CA City BAKERSFIELD Zip 93301 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 ENT°D MAY 9. 1 2807 PROG U - UST CALL SCOTT BOHANNON, 852-5812, FOR INSPECTIONS. ``~ Ol uiry of those individuals in m d ~ q y on tease onsible for obtaining the information, I certify s re p under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, ac irate, and ~mplete. zy~~ ;,ign• ..~~ ate -1- 04/20/2007 'o- F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: KERN CO SUPT OF SCHS-S UNION Cross Street Business Type: Org Type: Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Open ICC Nbr: PROPERTY OWNER INFORMATION Name RON SHEARER Phone: (661) 852-5861x Address: City Type Name RON SHEARER Address: City Type BOE UST Fee# Financ'1 Resp: Legal Notif Date: Name: State UST # State: Zip: TANK OWNER .INFORMATION Phone: (661) 852-5861x State: Zip: Phone: Ttl: 1998 Upg Cert#: - x -2- 04/20/2007 T ~ ~ F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 250.00 FT3 Hi GASOLINE F DH L 12000.00 GAL Mod DIESEL F DH L 12000.00 GAL MOd WASTE OIL F DH L 500.00 GAL Low ANTIFREEZE L 420.00 GAL Low GEAR OIL F DH L 250.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 250.00 GAL Low HYDRAULIC OIL L 55.00 GAL Low MOTOR OIL F DH L 750.00 GAL Min ARGON F P IH G 300.00 FT3 Min R-12 G 90.00 GAL Min WASTE OIL FILTERS F DH S 220.00 GAL UnR WASTE BATTERIES IH L 55.00 GAL UnR -3- 04/20/2007 -4- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION SitelD: 015-021-001529 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-98-6 ~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 250.00 FT3 IIEiGHIC1JVU~ I.VL~LYVIVC~IVIS %Wt. RS CAS# 100.00 Propane Yes 74986 I1LiGf~i2CJJ H~ JJ~~.71~L~1V 1 ~ TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE OF PROP BET FUEL ISLAND & CAR WASH CAS# 8006619 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL riAGAKJ~UUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 riHGtitC1/ Ei,J .7~J.71~1~1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -5- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE OF PROP BET FUEL ISLAND & CAR WASH CAS## 68476302 STATE TYPE -~-~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL nx~r~.rcLVU~ Lvrirulv~ly 1 a %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 I1HGEiKL H. 7.7r,J.71~1t',1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: TRANSPORTATION BLDG CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -~mbient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 200.00 GAL I1tiLtiRLV U.7 ~.vl"trulv~ly 1 ~ °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 111iGHiCL HJ .7P~iJJ1"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: MACHINE SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 210.00 GAL 420.00 GAL 200.00 GAL - ti.[-~GAt~CLVUb ~v1~1rV1vL'lv1S sWt. RS CAS# 100.00 Ethylene Glycol No 107211 ru~~Htc~ r~5 ~~a~i~i~iv1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME GEAR OIL Location within this Facility Unit TRANSPORTATION BLDG STATE TYPE PRESSURE Liquid TMixture T Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 150.00 GAL L1t~GHiCL V U ~7 l.. V 1~1Y V1V ~LV 1 D °sWt. RS CAS# 100.00 Gear Oil No 8020835 I11iGt1ttL 1~J 7tSJ.71~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 04/20/2.007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0009 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: TRANSPORTATION BLDG CAS# 64742-56-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION . Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 150.00 GAL T/1TTA /Yl\TRT/'.1TTl.TT I"f 11f~GKCCLV V .7 1, V1~lY V1V L,1V 1 .7 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 riAGf1hCL A55~551~1L"~1V 1'J 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 HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: EQUIP RM CAS# ~ Liquid TMixture ~ Ambient~E-~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL ruiGril~LVU~ ~vrirvlV~lVl~ %Wt. RS CAS# 100.00 Hydraulic Oil No 112345 I1HGEiiCL Hw 7.7r,.7.71~1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -8- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ i ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: TRANSPORTATION BLDG CAS# 8020835 Liquid TMixture ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 750.00 GAL 450.00 GAL tiHGH.tCLVUS 1.V1~lYV1VJ;1V 1.7 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1HGHKL 11J JJ;b.71~1L"1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME ARGON Location within this Facility Unit STATE TYPE PRESSURE _ Gas Pure Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-37-1 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 FT3 300.00. FT3. 300.00 FT3 nr1GS-uu~vua ~.Vl~lrulvr~tvta °sWt . RS CAS# 100.00 Argon No 7440371 I1tiGt1RL 1•i. 7~J1;,J,JP7~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -9- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers at Site ~ ,.....~...__ __,,..~ ~ .._.,-...~.._ _ ~t,,..... STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 90.00 GAL 90.00 GAL 90.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 t1HGEiKL H~ Jal",aw71~1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0010 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: STEAM CLEANING BAY CAS# 221 ~SolidE TWaste -~ AmbRient~E ~ A~PeRATURE DRUM/BNARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 55.00 GAL 220.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR Daily Average 110.00 GAL -10- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME WASTE BATTERIES Location within this Facility Unit STATE TYPE PRESSURE Liquid TWaste Ambient SiteID: 015-021-001529 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 55.00 GAL %Wt. RS CAS# ru~~tircL r-~a a~~ai~i~ly 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR HAZARDOUS COMPONENTS -11- 04/20/2007 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/04/1999 ~ CONTACT FIRE DEPT AND/OR POLICE BY TELEPHONE. __ Employee Notif./Evacuation 04/28/2006 CONTACT EMPLOYEES BY INTERCOM AND 2-WAY RADIO. EVACUATION PLAN IS IN PLACE AND PRACTICED ANNUALLY. ,~ tl.L.1J111~ 1VV 1.11. ~ P~VCL I: UCL 1.1CJ11 Emergency Medical Plan 04/04/2006 CONTACT POLICE AND/OR FIRE DEPT IN CASE OF ANY MEDICAL EMERGENCY. -12- 04/20/2007 • ' 1 F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/28/2006 ~ WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE DOUBLE-WALLED. TRAINING IS HELD ON AN ONGOING BASIS. Release Containment 04/04/2006 WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE DOUBLE-WALLED. TRAINING IS HELD ON AND ONGOING BASIS. Clean Up 04/28/2006 A SUPPLY OF ABSORBENT IS KEPT ON HAND FOR SPILLS. EMPLOYEES ARE INSTRUCTED TO CONTACT THE FIRE DEPT IN THE EVENT OF A LARGE SPILL. ~,_ v 1..liGl AGe7V U1l~G ril. l.lV0.l.l Vll -13- 04/20/2007 n. F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC:1d1 1ZdGdlU.7- Utility Shut-Offs 12/13/2006 A) GAS - NW CRNR TRANSPORTATION BLDG B) ELECTRICAL - NW CRNR TRANSPORTATION BLDG C) WATER - NE CRNR MAINT & OPER BLDG D) SPECIAL - NONE E) LOCK BOX - YES ENTR GATE & E SIDE OF TRANSPORATION BLDG Fire Protec./Avail. Water 04/28/2006 PRIVATE FIRE PROTECTION - SPRINKLER AND ALARM SYSTEM. SONITROL SECURITY SYSTEM WILL NOTIFY IF FIRE ALARM IS ACTIVATED. NEAREST FIRE HYDRANT - 6 HYDRANTS ON AND AROUND THE SITE. Building Occupancy Level 04/04/2006 120 EMPLOYEES -14- 04/20/2007 . ~. ~~ F KERN CO SUPT OF SCHS-S UNION SiteID: 015-021-001529 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/28/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY AND MONTHLY SAFETY TRAINING MEETINGS WITH ALL STAFF. ra.y~ ~ nciu ivt r u~.uic vac nciu ivi ru~uic ~~c -15- 04/20/2007 ABOVEGROUND STORAGE TANKS APPLICATION. FORM FOR INSTALLATION /REMOVAL OF AN AST H H R 9 P I D P1Ra ARTS T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 INSTALL ^ REMOVE PERMIT: # ~"~'-~, -- OS ( ~ {~t...OW pcrw~:~~ dlr- ~~y FACILITY n1 L°O • T. S G~noo1S v h'I iJ ~. c~- ADDRO~ S' VN IOIJ A'v L..+ Al~e~~'~C~IQ+~~ OP+E,RATORQS NAME PERMIT TO OPERATE NO. OWNERS NAME /~ NUMBER OF TANKS TO BE INSTALLED ~ /REMOVED TANK NO. CONTENTS VOLUME S herCs hiv am .yes ~v ~.. =. r. ©~~ t'~1 ~' Soo .. ~~ . NAME OF COMPANY INSTALLING 8 / OR REMOVING TANK(S) ~E7 ~~1 MAI(L~ING ADDRESS Y ~ ~ 1 /-~, F3 ~ ~ ~ ~ ~ Q NAME & PHONE NUMBER OF CONTACT P SON r/o~! G A hriN - S DATE & TIME TANK IS TO BE IN ALLED OR REMOVED i O SIGNAT RE ~ APPLI N DATE q APPROVED` ~ DATE ~' ~~ ~ FD 2081 (Rev. os/o5) ABOVEGROUND STORAGE TANK .. GUIDELINES FOR PERMIT TO INSTALL/REMOVE AST FOR DISPENSING OF FLAMMABLE OR COMBUSTIBLE LIQUIDS AND CONDITIONS FOR CLOSURE, EXCAVATION, :<~ REMOVAL 8 DISPOSAL. SOIL SAMPLING, PRELIMINARY ~ SITE ASSESSMENTS GUIDELINES FOR PERMIT TO INSTALL AN AST FOR DISPENSING OF FLAMMABLE OR COMBUSTIBLE LIQUIDS BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210 S R R S F 1 n 13akersfield, CA 93301 ~BT~ f Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 2 of 2 ii ~ 1 x,31- ~,'1 ~ ~ ~ ~Q 4 1. Any above ground storage tank installed within the City of Bakersfield for the purpose of dispensing motor vehicle fuels must meet the requirements of section 5202.3.7 of the'California'.Fire Code„ 2p01 Ectition -and:Bakersfield Municipal Code. 2. The tank sizes shall not exceed a capacity of two thousand (2,000) gallons individual or four thousand (4,000) gallons aggregate. 3. ~ ~ :Any;above ground storage of petroleum with a cumulative capacity o[ more,than 1,320-gallon must complete a Spill Prevention, Control and - ~ 'Couritemteasure (SPCC) Plari; per Cal'rfornia Health & Safety Code Division 20 Chapter 6.67. A copy of this plan must be submitted to the Bakersfield Fire Department Office of Prevention Services. located at 900 Truxtun Avenue, Suite 210, Bakersfield, CA 93301 and can be reached at 661 - 326-3979. i ~; . 4 ~ ... _ _- '_ ~ , ~ - - APPLICATION PROCESS - ,- ~~ - 1. Provide two sets of a plot plan for the facility. This plan must include location of property lines, all buildings and openings to each building (such as windows, doors, vents, etc.), nearest road or intersection, all tanks piping, any fixed source of ignition (i.e., water heaters, forced air; AC,units, etc.), all foundations, and equipment to be installed. ~ - 2. Construction details of tank pad seismic straps or fixtures, and crash posts. 3. Certification by the manufacture that the tank meets the applicable codes. - -- 4_ Identification of the,materialsao be-stored.in the above ground storage tank. ~ , 5. Building permits for all reinforced concrete and electrical work must be obtained at the Bakersfield City. Building Department located at 1715 TruxtLn Avenue, Bakersfield, CA 661 - 326-3720. Construction cannot begin without their approved permit. "- - -" ~..- ~ ' 6. Complete any necessary application for the Air Pollution Control District for any storage or dispensing of gasoline or aviation fuel. 7. Applications must be fully completed or they will be returned: no exceptions. 8. Permit fee must be submitted with the application or the application will not be processed. 9. A final inspection must be completed before AST system is operational. This is to insure compliance with the UFC regarding placement of placards, and where applicable, the testing of emergency shut-off device, and overfill/overspill. GUIDELINES FOR PERMIT TO REMOVE AN AST .. ~. 1. Tanks may not be removed without an irispector present.• ~ ~ - " SOIL SAMPLING/PRELIMINARY SITE ASSESSMENT - - i " '. i' , • • ~ > '~ ~ . 1. Soil samples shall be obtained under the direction of a professional engineer, geologist, or authorized represerrtative,of estate-approved laboratory. 2. Samples shall be collected, at a minimum, from dgpths flf 2 and 6 feet below the tank bottom, dispensers, and product lines and from the following locations (unless waived by«the~loCal agency inspectoron site): ~ ~`~~ -.. 'M A. From the center of the tank. B. Below all dispensers. , ~ ~ ~~ " , , C. Piping -every 20 feet and/or at connections, joints, bends, etc. ! `~ ` ~ `) ' ~ , ~ , 3. Any area of obvious contamination of likely areas of contamination may be required to be sampled. 4. All samples shall be analyzed by a state certfied laboratory. 5. Soil samples shall be analyzed for all known and suspected substances to have been stored in the tank. Methyl Tertiary Butyl Ether (MTBE) shall additionally be analyzed in all soil samples taken from beneath tank systems which contained any motor vehice fuel. 6. All samples will be accompanied by aChain-Of-Custody sheet. - 7. A soil sample report/preliminary assessment shall be submitted to the Office of Prevention Services within five days after results have been received and shall contain at a minimum the following information. A. Name and location of where the tanks were disposed of. B. Name and location of where the rinseate was disposed of. C. A signed copy of the Hazardous Waste Manifest. D. A tank disposal receipt from the scraping facility. E. Copies of all lab data sheets and Chain-Of-Custody documentation. F. A plot plan showing the locations of the buildings, tanks, piping runs, dispensers, and ALL SAMPLE LOCATIONS WITH CORRESPONDING I.D. NUMBERS AND DEPTHS. FD 2081 (Rev. os/o5) JOB CARD POST CARD AT JOB SITE INSPECTION RECORD-USTs 8 H R 8 P 1 D ~~~s ~~rr~ r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 FACILITY NAME ~ ~ ~ OWNER ~ Q -0c? h ch o ADDRESS l ©~ / ADDRESS CffY BAKERSFIELD STATE CA ZIP ~ CITY T E P .3~ PRONE NO. `~ 0 ~ PERMIT NO A ©~ Tl.'1 r INSTRUCTIONS: PLEASE CALL FOR AN INSPECTOR ONLY WHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE ORDER BEGINNING WITH NUMBER 1. DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY THE PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES. INSPECTION DATE INSPECTOR TANKS AND BACKFILL BACKFILL OF TANK(S) ~- SPARK TEST CERTIFICATION OR MANUFACTURES METHOD CATHODIC PROTECTION OF TANK(S) PIPING SYSTEM PIPING & RACEWAY W/COLLECTION SUMP CORROSION PROTECTION OF PIPING, JOINTS, FILL PIPE ELECTRICAL ISOLATION OF PIPING FROM TANK(S) CATHODIC PROTECTION SYSTEM-PIPING DISPENSER PAN - - - d I _- SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION LINER INSTALLATION -TANK(S) LINER INSTALLATION -PIPING K VAULT WITH PRODUCT COMPATIBLE SEALER ~ ~ LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES ~ i ~. PRODUCT COMPATIBLE FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) LEAK DETECTOR(S) FOR ANNUAL SPACE-D.W. TANK(S) MONITORING WELL(S)/SUMP(S) - H2O TEST LEAK DETECTION DEVICE(S) FOR VADOSE/GROUNDWATER N SPILL PREVENTION BOXES ~ ~ FINAL _ MONITORING WELLS, CAPS & LOCKS ( FILL BOX LOCK MONITORING REQUIREMENTS FI`PL'' C ` A AUTHORIZATION FOR FUEL DROP CONTRACTOR ~ ~ (_ ~l~t ~tt4~L1 LICENSE NO. r CONTACT Maclo/~ C~y~,~Ctita PHONE NO. RCS ~ X97 " ~J Cv~ FD 2097 (Rev. 09/05) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING I SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ' ,. ®~ v ^ ENHANCED LEAK DETECTION ^ TANKTIGHTNESSTEST ^ LINE TESTING BAKERSFIELD FIRE DEPT. B R 5 D ~~Ra Preveation Services ARIA/ T 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 L~ TO PERFORM FUEL MONRORING CERTIFICATION ^ SB-989 SECONDARY CONTAINMENT TESTING ^ Cathodic Protection Testing SITE INFORMATION FACILITY Kern COUnty SUpt. Of SChOOIS NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 705 S. Union Ave. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK # VOLUME CONTENTS 1 87 UL 2 Diesel TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment BrUC@ W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: A25212 DATE 8 TIME TEST TO BE CONDUCTED April 4, 2007 08:00 ICC #: SIGNATURE OF APPLI e T DATE April 2, 2007 r: APPROVED BY - DATE ?~ FD 2095 (Rev. 09/05) CAL VALLEY EQUIPMENT, INC. P.O. Box 80067 Bakersfield, California 93380-0067\` ~, - ~ ~ ~ ~ / o56oso ,__ ~ 56080. RE: PERMIT -KERN COUNTY SUPT. OF SCHOOLS, 705 S. UNION AVE, MONITOR CERTIFICATION \ CITY OF BAKERSFIELD 1715 CHESTER AVENUE ~ - ~ BAKERSFIELD, CA 93303-2057 i ~ , ***EIGHTY-ONE & 00/100***DOLLARS ~ APRIL 2, 2007 ( - $81.00 r ' ~ ~, ~ / ~ ~~ ~ ~ \ ~ ~ ^ i _ ; ,, i ~ ~ ~ ~ `i i ~ ~ ~~ __ ,- 05!08!2007 15:41 6618525829 KCSOS TRANSPORTATION PAGE 01 Opa 4/24/2007 ii, 06: 16 AM PA(}E 31004 Fay( server (HMMP} BAlCE,R$FxELD FIRE DEPT. NAZARdOUS MATERIAL MIWAGF_MPNT iyWN Prevention SerVtces ubaPt~D PIL061tAM LDA7ED FflPt~ ~ 1600 Yruxtiln Avenue, Suttee 401 RIRlf Beker~tleld, G19330I CI~EM~~~ DESC~tIPTTON FORM ~~>rR o~~c~: 6b1-3z~-a~~g FAX: 6fi].~652-2171 FfAZARDOUS MATERIAL INVi=MPORY ,. ~__ . ,_ NEW 4 ADD fl DELt:I'E O REVISE zee .. . , L FA~LI~If •INFCfR~+1~1"1'IQN~ . • `. ' • , ~ . ,. eusnn's6 NnI1E (TACfl.TIw NAME or GBA) D v „ ti c ..__. i _ 1,__~ ~ C'_I___t. ~ un i NAC(LtIY Ia N0. G I o 1. o o 1 5 d 9 a~eJacAC Haase Com r ~ ODMlNA NAMfl A cA5 No. f10.E CCGr HAZAkG LLASSBS (wmpleae K reQUestve0 OY lepl nre cAfeF) TYpC ~~ atmF o Mn~tme aNYyICN. STA7! 0 SOLID C ~ G~6 FEb HA;Aap CATEOORIQS ~ FIAB L7 REACi~ (biwie d~ Th.k.PP4'~ ANNVAt tMASTg ~ MA)(iMUM V AMOUNT v DAL.Y A#10LNT ~ A 0 UHSISy 0 6M. y{, Ct! FT q L9S U Tp2$ n>s+s, ~rnamL eeu e. m au. O , STONAOE CONTAINER v A ABOVENROUNO TANK D uNnE~aGRBIING YANK 0 7ANK11/SIDEBUIID]NG ~ S7E$ OAUM 0 PIASTICJNDNMRTALLIC QP1JM f 1 , -1 (~ W NF~tftAL (EPCr+A) 0 vest no PlA~ N0. (0pnaaW 70a 6RIU NO• (ODC~Omd1 204 ~A~~iN , ~ ~ 11+AOE sEU~r o Yea D no m 7ari eHS• D Yeo O No O~ ,90a ~~YVa,aaanaotMtae.~orrmu~OA~~n >,o J11 RADIOACTIVB: D Y65 ~ Ne CIIWEB 71a ha LAR~T CONTAA~AR Q ''!~~ 1/ /~ 315 ~ S ~/ ~ ~ ~ ~ , ~.i.+ TT . PR@SSIIRE RELEASE d ALUiE HPJq.YH , O ~NIC NrALl7i nr /~ (A%'J~ AYPRAGE ~ ,~ ` tlAH.YAM6UNi V 1 ~ C AAA~~~/// Zt9 STA'71~ WASfE WDE 720 . ~t GAYS ON 6RT! ~ Q BG1X i7 TANK VYAGDN CYLII(DER O RAIL.CA!! D (,"LASS 80174E a Oi'MER 0 P~AS'TLC BOTT1k ' p TD7E 61N Tsf I ST9ttACR! PRESSURE 4 A-~9IEN'T ~J aepvB AH~lR ~ BBLeW AMBB•pft R ~~ j7~ ~ /'~ r~ 'r / ~ 'Qa STORAGE Y&IPdlAYLIRE fl a1M8tLN~Y tl ABOVE nMt~EirT tl 9BLGW AMB]EFiT tl CRYdc~CIItC aloWT HAZARGOUB COMPONENT EHS CA5 ~ z 27a 217 D vsa L) ne a2a 2~4 2 ~a ~ fl Yr'6 D No 37:t ~ ~ 3 ~+ z~s O vpa p no Z3e ~ . ~ ~ 7Da xea D Y~ a Ne 7M '; an 5 242 742 D YIhI O Ne 1AA ' 2a4 • ~ ~ ~ ' ~ ' ~ ~ 'III. •SLaNq~'A'E' ~ • . ' • • • ~ ~ ~ , . PRINT Nf1ME 11Y17RC OPi ~AVYTI0NLL4 CONP/ViY~glPpppSINTATIV! ItE .~trv~" r1cUl~fan ~~eG Gn Gf DATC ~c~'~ SM PD1144 cnae. asro» 0 CAN ~ CARBQY D SIIA D FIBER 00.UM 4 BAC BAKERSFIELD FIRE DEPT. ABOVEGROUND STORAGE TANKS Prevention Services H B R 9 F I D PCB!!' 900 Truxtun Ave., Ste. 210 ABTM T Bakersfield, CA 93301 APPLICATION FORM Tel.: 661 326-3979 FOR INSTALLATION /REMOVAL OF AN AST ~ Fax: (661) 852-2171 Page 1 of 2 INSTALL ^ REMOVE ii PERMIT: # {~~ ~~° ~ ~(l 0.) FACILITY IC S - c~ ~ as LS ADDRESS v r ~ i c~' OPERATORS NAME PERMIT TO OPERATE NO. OWNERS NAME ~ row a~ 5 ~Pu~ e NUMBER OF TANKS TO BE INSTALLED ~ /REMOVED TANK NO. CONTENTS VOLUME u YaL ~ 5 00 -o r 3 NAMCE OF COMPANY INSTALLING & / OR REMOVING TANK(S) G ? / MAILING ADDRESS ~-- ~ o L 3S'SU NAME & PHONE NUMBER OF CONTACT PERS r~1 ~~1iv ,~lC~ os~- - ~5.~3 DATE 8 TIME TANK IS T,O BE INSTALLED OR REMOVED GJ L SIGNATURE OF APP (CANT i ~ DATE ..~,~ "' Q APPROV D BY DATE a~ ob FD 2081 (Rev. os/o5) ABOVEGROUND STORAGE TANK ~ BAKERSFIELD FIRE DEPT. Prevention 13ervices 900 Truxtun Ave., Suite 210 GUIDELINES FOR PERMIT TO INSTALL/REMOVE a Asp' n Bakersfield, CA 93301 i/RB Tel.: 661 326-3979 AST FOR DISPENSING OF FLAMMABLE OR COMBUSTIBLE ,~1Rf~ 1 ( ) LIQUIDS AND CONDITIONS FOR CLOSURE, EXCAVATION, ~ Fax: (661) 852-2171 REMOVAL & DISPOSAL, SOIL SAMPLING, PRELIMINARY __ SITE ASSESSMENTS Page 2 of 2 GUIDELINES FOR PERMIT TO INSTALL AN AST FOR DISPENSING OF FLAMMABLE OR COMBUSTIBLE LIQUIDS 1. Any above ground storage tank installed within the Ciry of Bakersfield for the purpose of dispensing motor vehicle fuels must meet the requirements of section 5202.3.7 of the Cal'rfomia Fire Code, 2001 Edition and Bakersfield Municipal Code. 2. The tank sizes shall not exceed a capacity of two thousand (2,000) gallons individual or four thousand (4,000) gallons aggregate. 3. Any above ground storage of petroleum with a cumulative capacity of more than 1,320 gallon must complete a Spill Prevention, Control and Countermeasure (SPCC) Plan, per Calrfornia Health~& Safety Code Division 20 Chapter 6.67. `A copy'of this plan must tie 'submitted to the Bakersfield Fire Department Office of Prevention Services located at 900 Truxtun Avenue, Suite 210, Bakersfield, CA 93301 •and can be reached at 661 -326-3979. .-~`~ - __ . _ , -. - .. .. -; ~.~~ , t_ ~• ~• '. . APPLICATION PROCESS 1. Provide two sets of a plot plan for the facility. This plan must include location of property lines, all buildings and openings to each building (such as windows, doors, vents; etc.), nearest road~or intersection, all tanks piping; •any fixed source of ignition (i.e., water heaters, forced air, AC units, etc.), all~foundaiions, and equipment fo be installed. " 2. Construction details of tank pad seismic straps or fixtures, and crash posts. 3. Certification by the manufacture that the tank meets the applicatite codes. 4.. Identification of,the materials to be stored in the above ground storage tank.. , .. a ., ~ 4 . 5. Building permits for all reinforced concrete and electrical work must be obtained at the Bakersfield City Building Departrent located at 1715 Truxtun Avenue;.Bakersfield, CA 661 - 326-3720. Construction cannot begin without their approved permit. 6. Complete any necessary application for the Air Pollution Control District for any storage or dispensing of gasoline or aviation fuel. 7. Applications must be fully completed or they will be returned: no exceptions. 8, Permit fee must be submitted with the application or the application will not be processed. 9. A final inspection must be completed before AST system is operational. This is to insure compliance with the UFC regarding placement of placards, and where applicable, the testing of emergency shut-off device, and overfilUoverspill. GUIDELINES FOR PERMIT TO REMOVE AN AST • 1. Tanks may not be removed without an inspector'pieserit ` ` - '~ SOIL SAMPLING/PRELIMINARY SITE~ASSESSMENT • , ~ a 1. Soil samples shall be obtained under the direction of a professional engineer, geologist, or authorizedr~presentative of astate-approved laboratory. ' 2. Samples shall be collected, at a minimum, from depths of 2 and 6 feet below the tank bottom, dispensers, and product lines and from the following locations (unless waived by the local agency inspector on site): A. From the center of the tank. ' B. Below all dispensers. C. Piping -every 20 feet and/or at connections, joints, bends, etc. 3. Any area of obvious contamination of likely areas of contamination may be required to be sampled. 4. All samples shall be analyzed by a state certfied laboratory. 5. Soil samples shall be analyzed. for all known and suspected substances to have been stored in the tank. Methyl Tertiary Butyl Ether (MTBE) shall addfionally be anayzed in all soil samples taken from beneath tank systems which contained any motor vehice fuel. 6. All samples will be acxompanied by aChain-Of-Custody sheet. 7. A soil sample report/preliminary assessment shall be submitted to the Office of Prevention Services within five days after results have been received and shall contain at a minimum the following information. A. Name and location of where the tanks were disposed of. B. Name and location of where the rinseate was disposed of. C. A signed copy of the Hazardous Waste Manifest. D. A tank disposal receiptfrom the scraping facility. E. Copies of all lab data sheets and Chain-Of-Custody documentation. F. A plot plan showing the locations of the buildings, tanks, piping runs, dispensers, and ALL SAMPLE LOCATIONS WITH CORRESPONDING I.D. NUMBERS AND DEPTHS. 1 ~ Q ~ ? r- S-~~ ~ I' _ _ f FD 2081 (Rev. osro5) BILLING & PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. B E R S P I D Prevention Services P/RE 900 Truxtun Avenue, Suite 210 AL4TY T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 • - • LOCATION OF PROJECT ~. ~ ~~ PROPERTY OWNER c o k t~ ~ - STARTING DATE COMPLETION DATE - -OL NAME ~ ~ ~ ` v zo. rarr a txa~ iov` ' PROJ CT NAME v o ADDRESS o PHONE NO. Z- PROJECTADDRESS l .- tJitJl o N ClTY STATE 17 -11 A- ZIP CODE • •• CONTRACTOR NAME CA LICENSE O. g`7 ~ L 3Z •- • TYPE OF LICENSE. EXPIRATION DATE g Z 2- 3 H o PHONE NO. GG~-2 2-G/ y CONTRACTOR COMPANY NAME FAX NO. ADDRESS ~ QJQ` ,~rrva ~. o A- CI ~4- ZIP CODE Sts ^ Aiarms -New & Modifications - (Minimum Charge) $262.50 ~ • 98 Over 20 000 Sq. Ft Sq. Ft. x .013125 =Permit fee ~ ~ ^ , 98 ^ Sprinklers -New & Modifications - (Minimum Charge) $210.00 ~ 98 ^ 000 Sq. Ft Over 5 Sq. Ft x .042 =Permit fee ~ , 98 ^ Minor Sprinkler Modifications (< 10 heads) $ 93.00 [Inspection Only] ~ 98 ^ Commercial Hoods -New & Modifications $ 398.26 ~ 98 ^ Additional Hoods $ 36.00 ~ 98 ^ 84 Spray Booths -New & Modifications $458.00 98 Aboveground Storage Tanks (Installation/Insp.-1~ Time) $165.00 ~ ttp~ 82 ./~( Additional Tanks ~ $ 26.00 ~ ~ 82 Aboveground Storage Tanks (Removal/Inspection) $109.00 y"~ _ 82 Underground Storage Tanks (tnstatlation./Inspection) $878.00 (per tank). 82 O Underground Storage Tanks (Modification) $878.00 (per site), 82 ^ Underground Storage Tanks (Minor Modification) $155.00 , „_ _ 82 ^ Underground Storage Tanks (Removan $675.00 (per tank) 84 ^ Oilwell (Installation) $ 72.00 84 ^ Mandated Leak Detection (Testing) /Fuel Monit.Cert/S6989. $ 81.00 (per site) 82 ^ Tents $ 93.00 (per tent) 84 ^ After hours inspection fee $122.00 84 ^ PyroteChnlC - (Per event, Plus Insp. Fee Qa $90 per hour)- $ 62.00 + (5 hrs. min. stand -by fee /Inspection) _ $527.00 84 ^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 84 ^ Portable LPG (Propane): NO. OF CAGES? $ 66.00 84 ^ Explosive Storage $249.00 84 ^ Copying & File Research (File Researoh Fee $34.00 per hr) 25¢ per page 84 ^ Miscellaneous 84 KBF-7321 FD 2021 (Rev. 09/Q5) ~ a` ~'~ °~ 1 -ORIGINAL WHITE (to Treasury) 1-YELLOW (to File) 1-PINK (to Customer) %-~=: ~~, + KERN CO SUPT OF SCHOOLS _____________________________ SiteID: 015-021-001529 + Manager DON FOWLER Location: 705 S UNION AVE City BAKERSFIELD BusPhone: (661) 852-5802 Map 124 CommHaz High Grid: 06B FacUnits: 1 AOV: CommCode: BFD STA 06 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SCOTT BOHANNON / SAFETY ADMIN RON SHEARER / DIRECTOR Business Phone: (661) 852-5800x Business Phone: (661) 852-5861x 24-Hour Phone (661) 393-1869x 24-Hour Phone (661) 589-9450x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 852-5800x MailAddr: 1300 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner KERN CO SUPT OF SCHOOLS Phone: (661) 852-5800x Address 1300 17TH ST State: CA City BAKERSFIELD Zip 93301 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 PROG U - UST PLEASE CALL SCOTT BOHANNON, PRIMARY CONTACT, WHEN COORDINATING A FACILITY INSPECTION.. 636-4748. 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, acc e, and co let a ~~ Da ENT" ~ P R z ~ zoos -1- 04/04/2006 UNIFI~D~ fpROGRAM INSPECTION CHECKLIST _. ~{ SECTION 1: Business Plan and Inventory Program 1, Prevention Services H e_ a s F ,_ D 900 Truxtun Ave., Suite 210 Fief Bakersfield, CA 93301 ARTM ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPE ' TION DATE b ~ ~ INSPECTION TIME Y~CR. N C O n~ n. Y' k E. (,Z ! +~, 'F e N 17 E, n,'r $.~ SG Oo L S ~ O ZA ADDRESS HONE NO. NO OF EMPLOYEES 70.~ S~ U1iNI C7N7 AOC ~q 8SZ " ~/Z FACILITY CONTACT BUSINESS ID NUMBER ~ J~ 15-021- 5 Section 1: Business Plan and Inventory Program ~, ^ ROUTINE COMBINED ^ JOINT AGENCY ^ 'MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY JA ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ ~ VERIFICATION OF HAZ MAT TRAINING ~ p->z k.F~"a ~ G-~~1 e5 ~ ~v 0 ~ N ~ rr ^W ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND .~~~ j ~` - nor-ou i,, ANY HAZARDOUS WASTE ON SITE? )/ ~ES a- ^ NO EXPLAIN: ~~-~~"~ ~' ~ 5 6I~ ~~--°' y C' QUESTIONS REGARDING THIS I~N)SPECTION? PLE/~E CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention ! 1" In /Shift of Site/Station # Business Site / esp a Party (Pleas ri t) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~ INSPECTIONS B E R S F I L D BUSINESS PLAN & ~ rM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~E>~ Cpwn-ry SwP~x.~wTC~.nDc.vr y6 s~`~~ INSPECTION DATE: ~~ 6 Section 2: Underground Storage Tanks Program ^ Routine '~ Combined ^ Joint Agency ^ Multi-Agency ^ Co plaint ^ Re-Inspection Type of Tank pia ~, 6ersiass Number of Tanks Type of Monitoring Type of Piping f'a.E ~." OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations p Has there been an unauthorized release? ^ Yes No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: L'~~~~_____. Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ne esponsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ~~. -s ~`~ T~z CITY OF BAKERSFIELD FIRE DEPARTMENT ~ OFFICE OF ENVIRONMENTAL SERVICES b •y UNIFIED PROGRAM INSPECTION CHECKLIST c~„'~' s4ti,~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME_K~ rra~,.~~ ~u+yEw~>wffic_,.,,~e~,:r ~ Sc~.-.. INSPECTION DATE O Section 4: Hazardous Waste Generator Program EPA ID # C.a 1~ 9 d 1 ~ G/ ~ 3 ~S ^ Routine ~ Combined D Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment an r storage Reported release, fire, or explosion within 15 days of occurrence lb Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking SO Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area ~ "~G a Ignitable/reactive waste located at least 50 feet from property line ~/ Secondary containment provided Conducts daily inspection of tanks Used oil- not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DISC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~,=~,ompuance v-vtotacton Inspector: C..~~~'r' ~ 'r " Office of Environmental Services (661) 326-3 79 White -Env. Svcs. Pink -Business Copy e Responsible Party UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program - Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: X661) 326-3979 _ FACILITY NAME INSPECTION DATE INSPECTION TIME ---~ern_--~~u.,.-~'- -~-- - '-^--~_`-=`-~~,__ ~_~_Sc~oo~~...._.~-vim ~~~~'-~~ to oc~ ADDRESS ~ PHONE No. No. of Employees ~C~,S-----_-~__._.._(.t~-.~~._~..--~-~-=----- gsz-sou Zv FACILITVCONT T Business ID Number ,~, G~ R~ u S ~~-- Q 15-021- o®/~~~ Section 1: Business Plan and Inventory Pn~gram outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • y ^. FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: YES ^ NO EXPLAIN: 111 ` S ~ t.J f ~ ~ ~ ~ ~r/ I ~~ • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL UfS AT ~st)'I ~ 326-3979 .._.__ _ ~ 1-` ~ ~KSU ~~______- -___.._-.___...-__-_-.__-.___._..-. Inspector (Please Print) Fire Prevention tst-IMShik of Site White • Environmental Services Yellow -Station Copy usiness SiteSite R~ ble Party (Please Printj - Pink • Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Pyre Dept. Enironmental Services 1715 Chester~Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees i o s• 5 . as z - sao ~ FACILITYCONTACT -~-_--_------- -- -- --_----- --~- Business ID Number ------- -------- - S~L a ~ '3 o i-, ~--n »o ~~ 15-021- (~ / S Zvi; Section 1: Business Plan and Inventory Program outine ^ Combined O Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V OPERATION nCe t COMMENTS IV=Vioa on l ^ APPROPRIATE PERMIT ON HAND T--_-_ -- _---_-- -_----------- --- --- _-__-------_ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE `' ~f ~ ~+~ -_ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS / p ~~q ~••-}^~ - l'G{~ r li-c..'~..; ter' ,~7 ~~ ~ ~ % ,( f~~F j ) 1, ~ ^ VERIFICATION OF QUANTITIES ~ L ~, ^ ----- ------ -- VERIFICATION OF LOCATION -- _ - - -- r~,, J (~_,-~i~,,,-"~~ ~. ~Q'~-~ ~r t 'Q' - ^ - - PROPER SEGREGATION OF MATERIAL _-' -` - ` /~ j~ ` - _ J -- l - ^ VERIFICATION OF MSDS AVAILABILITYE ~ ~.~~~ ~ G ~ ---- - ~,r~.,. c. N i~j ~ O 7 ^ - --- ------- VERIFICATION OF HAT MAT TRAINING ---- - ~``,..,- ----------- ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE ~ -i ~ /~ (/ ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING '~Ki ^ FIRE PROTECTION - ~ u _._. _ ^ SITE DIAGRAM ADEQUATE Hr ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ YES ^ NO EXPLAIN: ~irs}~~-1L ~.•L QUESTIONS R~GARDING THIS INSPECTIONS PLEASE CALL US AT ~6F)') ~ 326-3979 ---1~`~~'s~ -------- ~Z ~ ------ Inspector Badge No White -Environmental Services Yellow • Station Copy usiness Site Responsible Party f ~ Pink -Business Copy ~.~ `••' • i `°'',_ J i ,r r' /