HomeMy WebLinkAboutBUSINESS PLAN 9/13/2009
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DISCOUNT TIRE CENTERS 156
Manager R:~.. N~-'~i'o+~i
Location: 1401 UNION AVE
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
SiteID: 015-021-000861
BusPhone: (661) 631-5525
Map 103 CommHaz Moderate
Grid: 29C FaCUnits: 1 AOV:
SIC Code:7538
DunnBrad:02-825-0389
Emergency Contact / Title--Vp,e<idw,'~'
'
+ Emergency Contact / Title
'
~' /
$~SbfS~ RICK HELTON /
Business Phone: () ~;~'~SC~.~~ Business Phone: (661) 496-1701x
24 -Hour Phone (~C) '~i$~-~~ 24 -Hour Phone ( ) - x
Pager Phone (9 y9 )23 z - 8336 x Pager Phone ( ) - x
Hazmat Hazards: Fire DelHlth
Contact RICK HELTON Phone: (661) 326-6450x
MailAddr: 1401 UNION AVE State: CA
City BAKERSFIELD Zip 93301
Owner ANDY ANDONIAN Phone: (714) 861-9024x
Address 15412 ELECTRONIC LN 202 State: CA
City HUNTINGTON BEACH Zip 92649
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
~'N~~ ~~~ x ~
X007
~~:<.?::^:~~E c.. my inquiry of those individuals
resf;;~n~ihle far oti:tai„ing the information, !certify
un~`+er ~ienalty of la4~: that i have personally
examined a^d am familiar with the information
submitted and haiieve the information is true,
accurate, and complete.
~~~'
~ 9-13-Z1a0~
~,gnature Date
-1- 07/11/2007
:_ - -:r
F DISCOUNT TIRE CENTERS 156 SitelD: 015-021-000861 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
STODDARD SOLVENT F DH L 25.00 GAL Mod
WASTE OIL F DH L 250.00 GAL Low
ANTIFREEZE L 55.00 GAL Low
ANTIFREEZE L 55.00 GAL Low
MOTOR OIL F DH L 110.00 GAL Min
-2- 07j11j2007
-3- 07/11/2007
R
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
STODDARD SOLVENT Days On Site
365
Location within this Facility Unit Map: Grid:
N WALL CAS#
8052-41-3
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~
Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 25.00 GAL 25.00 GAL
AZARDOUS COMPONENTS
%Wt• RS CAS#
100.00 Stoddard Solvent No H
8030306
ritiL~Ci.RL 1'iJ JL' JJ1"1L~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
W WALL CAS#
Liquid TWaste -~mbRient~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 250.00 GAL 250.00 GAL
HAZARDOUS COMPONENT
S
oWt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
rLCiL~riCCL L"lJ •7 P~J Jl"1Li1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- 07/11/2007
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
SERVICE BAY CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~
Liquid TMixture ~ Ambient Ambient DRUM/BARREL-METALLIC I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 10.00 GAL
riHGAtCLVUJ l:V1YlYV1V151V1~
%wt. Rs cAS#
25.00 Ethylene Glycol No 107211
tiHGHKL Ej~J~l;~~1~11;1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
ETHYLENE GLYCOL 365
Location within this Facility Unit Map: Grid:
BLDG CAS#
STATE TYPE PRESSURE TEMPERATURE
Liquid Mixture I AmbientAmbient
CONTAINER TYPE _
DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
tit~~tucl~~u~ ~vrir~iv~ivl5
%Wt. RS CAS#
100.00 Ethylene Glycol No 107211
riE~GKKL 1~JJt'~5~1~i1",1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-5- 07/11/2007
r `•
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
E SIDE SERVICE BAY CAS#
8020835
Liquid TMixtur~ AmbRent~E ~ AmbientT~E ABOVEOGROIUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
240.00 GAL 110.00 GAL 110.00 GAL
ru~~r~tcLUU~ ~urirulv~iv 1 a
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
t1HGKKL H.75~~~l~1tS1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 07/11/2007
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/27/2006 ~
EMPLOYEE WILL NOTIFY MANAGER ON DUTY, CONTAIN SPILL AREA, AND EVACUATE IF
NEEDED. MANAGER ON DUTY WILL NOTIFY EMERGECY RESPONSE BY TELEPHONE 911,
CLEAN-UP WASTE HAULER, AND CORPORATE OFFICE.
Employee Notif./Evacuation 03/05/1999
BUSINESS IS SMALL AND SERVICE BAYS ARE OPEN. NOTIFICATION BY SHOUTING AND
EVACUATION TO FAR SIDE OF PARKING AREA. MANAGER TO ACCOUNT FOR ALL
EMPLOYEES.
Public Notif./Evacuation 03/05/1999
SAME AS FOR EMPLOYEES.
Emergency Medical Plan 11/05/2003
BAKERSFIELD MEMORIAL HOSPITAL 327-1792.
-7- 07/11/2007
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/21/2006 ~
INSPECTED VISUALLY ON A DAILY BASIS. WASTE HAULER NOTIFIED FOR PICK UP
BEFORE DRUMS BECOME FULL.
Release Containment 04/18/2007
ABSORBANTS AVAILABLE FOR CONTAINMENT.
Clean Up
WASTE HAULER TO BE NOTIFIED FOR PICK UP OF WASTE.
11/05/2003
V1.11C 1. 1CC~UULLC L-1C: l.1Vdl.1 UI1
-8- 07/11/2007
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
a7~JCC:1d1 tld"GdlU.7'
Utility Shut-Offs 04/18/2007
ELECTRICAL - PANEL NE WALL
WATER - NE WALL
Fire Protec./Avail. Water 01/30/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - SW CRNR UNION AVE.
Building Occupancy Level 02/28/2006
6 EMPLOYEES
-9- 07/11/2007
F DISCOUNT TIRE CENTERS 156 SiteID: 015-021-000861 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 01/30/2007 ~
MSDS SHEETS IN MANAGERS OFFICE FILE CABINET.
BRIEF SUMMARY OF TRAINING PROGRAM: THERE ARE REGULAR SATURDAY MORNING
SAFETY MEETINGS PRIOR TO OPENING. EMPLOYEES ARE INSTRUCTED WHO TO CALL, HOW
TO DISPOSE OF FILTERS, OIL, AND RAGS.
rayC ~
Held for Future Use
Held for Future Use
-10- 07/11/2007
-,
;.
DISCOUNT TIRE CENTERS G SiteID: 015-021-000861
Manager PABLO GARCIA
Location: 1401 UNION AVE
City BAKERSFIELD
BusPhone: (661) 631-5525
Map 103 CommHaz Moderate
Grid: 29C FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:7538
DunnBrad:02-825-0389
Emergency Contact / Title Emergency Contact / Title
PABLO GAR CIA / STORE MANAGER RICK HELTON /
Business Phone: (661) 631-5525x Business Phone: (661) 496-1701x
24-Hour Phone (661) 703-5958x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire DelHlth
Contact RICK HELTON Phone: (661) 326-6450x
MailAddr: 1401 UNION AVE State: CA
City BAKERSFIELD Zip 93301
Owner ANDY ANDONIAN Phone: (714) 861-9024x
Address 15412 ELECTRONIC LN 202 State: CA
City HUNTINGTON BEACH Zip 92649
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 ~~)
rased on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of lav+~ that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~i~ ~z~~~ ENT'D A pR
re Date
i n
t ~ 7 2007
a
u
-1- 03/26/2007
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
STODDARD SOLVENT F DH L 25.00 GAL Mod
WASTE OIL F DH L 250.00 GAL Low
ANTIFREEZE L 55.00 GAL Low
ANTIFREEZE. L 55.00 GAL Low
MOTOR OIL F DH L 110.00 GAL Min
-2- 03/26/2007
-3- 03/26/2007
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
STODDARD SOLVENT Days On Site
365
Location within this Facility Unit Map: Grid:
N WALL CAS#
8052-41-3
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 25.00 GAL 25.00 GAL
t1E~~t1KLVU~ 1;V1~lYV1Vl'~1V1a
%Wt. RS CAS#
100.00 Stoddard Solvent .~ No 8030306
riHGl-1KL AJJ~571~1t;1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
w wALL cAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid TWaste -~mbient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 250.00 GAL 250.00 GAL
ru~~t~ttliVUS ~VinrViv~ivl,~
oWt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
tiF~GE1K1J ICJ ~ ~ 5 51~1L" 1V l
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- 03/26/2007
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
SERVICE BAY CAS#
Liquid TMixture I Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 .GAL 10.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
25.00 Ethylene Glycol No 107211
riAGHl{L A~ a~551~1J~;1V 1'S
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
ETHYLENE GLYCOL 365
Location within this Facility Unit Map: Grid:
BLDG CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum l Daily Average
55.00 GAL 55.00 GAL I 55.00 GAL
ru~~tattl~uu~ trul~lrulv>;ly t 5
%Wt. RS CAS#
100.00 Ethylene Glycol No 107211
ru~~r~tcl~ r~~ 5~5aln~ly 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-5- 03/26/2007
F DISCOUNT TIRE CENTERS
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
MOTOR OIL
Location within this Facility Unit
E SIDE SERVICE BAY
STATE TYPE PRESSURE
Liquid TMixture i Ambient
SiteID: 015-021-000861 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
.8020835
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
240.00 GAL 110.00 GAL 110.00 GAL
t1AGHxLVUS ~v1~1rv1v1';1v 15
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
nr~~r~tcL r-~5a~55ri~iv 15
TSecret ~ RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 03/26/2007
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/27/2006 ~
EMPLOYEE WILL NOTIFY MANAGER ON DUTY, CONTAIN SPILL AREA, AND EVACUATE IF
NEEDED. MANAGER ON DUTY WILL NOTIFY EMERGECY RESPONSE BY TELEPHONE 911,
CLEAN-UP WASTE HAULER, AND CORPORATE OFFICE.
Employee Notif./Evacuation
03/05/1999
BUSINESS IS SMALL AND SERVICE BAYS ARE OPEN. NOTIFICATION BY SHOUTING AND
EVACUATION TO FAR SIDE OF PARKING AREA. MANAGER TO ACCOUNT FOR ALL
EMPLOYEES.
Public Notif./Evacuation 03/05/1999
SAME AS FOR EMPLOYEES.
Emergency Medical Plan
BAKERSFIELD MEMORIAL HOSPITAL 327-1792.
11/05/2003
-7- 03/26/2007
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/21/2006 ~
INSPECTED VISUALLY ON A DAILY BASIS. WASTE HAULER NOTIFIED FOR PICK UP
BEFORE DRUMS BECOME FULL.
Release Containment 04/21/2006
ABSORBENTS AVAILABLE FOR CONTAINMENT.
Clean Up 11/05/2003
WASTE HAULER TO BE NOTIFIED FOR PICK UP OF WASTE.
Vl,i1Cl 1[CSVU.LC:C HC:l.1Vdl.lVil
-8- 03/26/2007
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
_, ,_
~Nc~.iai naaaiuo
Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - PANEL NE WALL
C) WATER - NE WALL
D) SPECIAL - NONE
E) LOCK BOX - NO
10/27/2006
Fire Protec./Avail_ Water 01/30/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - SW CRNR UNION AVE.
Building Occupancy Level 02/28/2006
6 EMPLOYEES
-9- 03/26/2007
~ - r •'~
F DISCOUNT TIRE CENTERS SiteID: 015-021-000861 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 01/30/2007 ~
MSDS SHEETS IN MANAGERS OFFICE FILE CABINET.
BRIEF SUMMARY OF TRAINING PROGRAM: THERE ARE REGULAR SATURDAY MORNING
SAFETY MEETINGS PRIOR TO OPENING. EMPLOYEES ARE INSTRUCTED WHO TO CALL, HOW
TO DISPOSE OF FILTERS, OIL, AND RAGS.
rays a
nCiu ivL ru~uiC use
nC1u 1Vi ruL61LC u5C
-10- 03/26/2007
Prevention Services
UNIFIED PROGRAM -INSPECTION CHECKLIST H ., F~ - p 9ooTruxtun Ave., Suite210
_ - == - ~ ~ FiaF Bakersfield, -CA -93301
_ SECTIO-N 1: Business Plan and Inventory Program "a"" Tel.: (661) 326-3979 . - -
Fax: (661) 872-2.171 - -
FACILITY NAME (INSPECTION DATE INSPECTION TIME-
- _ r c oc~ ti ~ - ~ ~c.,~ c,:,v ~ ,~ " l - L -OG 1 ! l~
-ADDRESS _ PHONE NO- NO OF EMPLOYEES
i y~ i C,t~i~J ~ 3 /- sszS .
FACILITY ACT :BUSINESS ID NUMBER --
L`v~ ~1, D 15-021- DDOd'c~ '
- ~ Section 1: Business Plan and Inventor Pro ram
_ - - - - Y -g - - ~~ . ~
~' L'~ ROUTINE ^ COMBINED ^ JOINT AGENCY = ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION I~
C V ~ C=Compliance OPERATION ~
V=Violation COMMENTS
~
^ APPROPRIATE PERMIT ON HAND I
I i
,_,/
IQ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
i
^ CORRECT OCCUPANCY ~~~~ ~ ~ ~~ ~ 3 L~Q~
{~ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
f L~J ^ VERIFICATION OF LOCATION
d ^ PROPER SEGREGATION OF MATERIAL
(d ^ VERIFICATION OF MSDS AVAILABILITY ~
^ VERIFICATION OF HAZ MAT TRAINING I i
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE ~i
^ CONTAINERS PROPERLY LABELED
i -
^ HOUSEKEEPING
^ FIRE PROTECTION I -
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? IdYES ^ NO
EXPLAIN: L,~ ~ S 1 1 L d~ ~-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~ -
Inspector (Please Print)
Fire Prevention / 1" In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy _ Pink -Business Copy - ~ FD 2155 (Rev. 09105
,,
.-.
4
+ DISCOUNT TIRE CENTERS _______________________________ SiteID: 015-021-000861 +
Manager DON WYATT BusPhone: (661) 631-5525
Location: 1401 UNION AVE Map 103 CommHaz Moderate
City BAKERSFIELD Grid: 29C FacUnits: 1 AOV:
CommCode: BFD STA 02 SIC Code:7538
EPA Numb: DunnBrad:02-825-0389
Emergency Contact / Title Emergency Contact / Title
PAaI f~~~c;~ / STORE MANAGER RICK HELTON /
Business Phone: (661) 631-5525x Business Phone:
24-Hour Phone (661) 333-9627x 24-Hour Phone (~6l ) ~{Q( -1~D/ x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire DelHlth
Contact RICK HELTON Phone: (661) 326-6450x
MailAddr: 1401 UNION AVE State: CA
City BAKERSFIELD Zip 93301
~
Owner ANf
Y AN$ONIAN Phone: (714) 861-9024x
Address 15412 ELECTRONIC'LN 202 State: CA
City HUNTINGTON BEACH Zip _: 92649
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
ANT D APR
~ ~ 206
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that ! have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
Sire Dat--~e ~~~
-1- 02/28/2006
~-
,a.~ UNIFIED PROGRAM INSPECTION CHECKLIST
Bakersfield Fire -Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)_326-3979
~~~ .
SECTION 1 Business .Plan and Inventory Program
•
FACILITY NAME ~ INSPECTION DATE INSPECTION TIME
__ _ _t___SCc_ _~__t_w___T.- ---~-1 dL%L . G:UdTiL~ ----- - -- - - --- - d,S / 3 y~h~'H~
ADDRESS PHONE No. No. of Employees
--- ~3/- S"s zs
--
~ i( LC/l/~ pnJ --- ---
FACILITYCONTACT Business ID Number
~/ZD~G/L /Lid 15-021- d008~/
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection
•
V
C nCe) OPERATION
p COMMENTS
on
\V=Vioa
~
/
E~J ^ APPROPRIATE PERMIT ON HAND
-J-----
~1 ^ --------
BUSINESS PLAN CONTACT INFORMATION ACCURATE
/~/~iGV GO/r~~~~ ~~J~~ ~---~'~
^ VISIBLE ADDRESS
1
D ^
CORRECT OCCUPANCY -- --
^ VERIFICATION OF INVENTORY MATERIALS
^ V
ERIFICATION OF QUANTITIES
-
^ - -- --- - ---- - -- --- -- - -- .. --- - -- -- _..._ i
.VERIFICATION OF LOCATION -- --_ .. _ _- -----
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF FIAT MAT TRAINING
f7 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
l~f ^ CONTAINERS PROPERLY LABELED
6X ^ HOUSEKEEPING
A~ ^.
---- FIRE PROTECTION
----- ---------------- ----- _._------ -- _--- - - -----
f-- '~
-------_ ---- --- ---- -- - -
^ SITE DIAGRAM ADEQUATE r~ ON HAND
ANY HAZARDOUS WASTE ON SITE: 1"J Y ES ^ NO
EXPLAIN: w~4s 1 /t ~~L..
~ N ~ ~~
•
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT Y;66') ~ 326-3979
~ t
Inspector (Please Print) Fire Prevention 1st-INShi(t of Site Busi Si sponslble Party (Please Print)
8
While -Environmental Services Yelknv - Statbn Copy Pink • Business Copy
o `s~c~N ~ -~-.2•~ c~r~r.~s
SiteID: 015-021-000861
anager DON WYATT
~ocation: 1401 UNION AVE
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
BusPhone: (661) 631-5525
Map 103 CommHaz Low
Grid: 29C FacUnits: 1 AOV:
SIC Code:7538
DunnBrad:02-825-0389
Emergency Contact / Title Emergency Contact / Title
DON WYATT / STORE MANAGER RON HARTLEY / DISTRICT MGR.
Business Phone: (661) 631-5525x Business Phone: (559) 432-3813x
24-Hour Phone (661) 333-9627x 24-Hour Phone (559) 284-3457x
Pager Phone ( ) - x Pager Phone (559) 244-8378x
Hazmat Hazards: Fire DelHlth
Contact ~~'-~' e !~
~
~ Phone:
'~~ (~-9) ^^~z~~~x
MailAddr: ~
66 ONE IUD! ~hc State: CA
City ~~ C~~,Q,j/S fIP~Q Zip 93-9-0 ~,3~u j
Owner ANOY ANBONIAN Phone: (714) 861-9024x
Address 15412 ELECTRONIC LN 202 State: CA
City HUNTINGTON BEACH Zip 92649
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
ertif' d: RSs : No
arcelNo:
Emergency Directives:
~ Hazmat Inventory One Unified List ~
~ Alphabetical Order All Materials at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ANTIFREEZE L 55.00 GAL Low
ANTIFREEZE L 55.00 GAL Low
MOTOR OIL F DH L 110.00 GAL Min
STODDARD SOLVENT F DH L 25.00 GAL Mod
WASTE OIL F DH L 250.00 GAL Low
-1- 03/31/2005