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HomeMy WebLinkAboutBUSINESS PLAN 9/13/2009 f -, _. ~; ` ~. _~ ~- =, .:, 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