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Home My WebLink AboutBUSINESS PLAN 7/20/2007(610Z/£- W)99IZO Sd.0 se- --lI —V!d AdoJ UOSCIS- mo11aA s-!—s UOR-- d -N!4M IO£E6 u! J!wJ 7aW1S H IQ I Z •SaO!^uS A uOQM d'ldaO W!d PJaUSMJVS (palou se palOmma uaaq aney suO!w!ln iw wyL) am.aCS :ol a9ed syLlO.c dOOa wnyv pue ue!IS•suO9a!OUayl.lo lle 8mpauoOlO S,(ePSw41!M Sq A,.q p,. fs)vOi101mn.41 p.0 ,j :SN0I133N1SNI N0lJ03dSNI 1SOd � uopatlsul :u1e1Gx I , a daaunl- ! 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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 "VERIFICATION OF.ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY' PROCEDURES ADEQUATE (CCR: 273..1) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFG: 27035)" '3030007 x� " r HOUSEKEEPING (CFC: 304.1) FIRE - PROTECTION,. (CFC: 903 & 906) 3030032 Y ` i� t l °.. SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 NY HAZARDOUS WASTE ON SITE? YES ❑ NO Si nature ofRecei t'" Explain:, Ins ector: p dwi5) �n4 t!^sSrnK° ��s 4il POST INSPECTION INSTRUCTIONS: " Correct the violation(s) noted above by :$ r d .�Y ' I . • Withm 5 days of correcting all of the violations;sign and return a copy of this page I to: rsi gnature; (that all violations have been corrected as noted) ..E Bakersfield Fire Dept Prevention Services, 2101 H Street, California 93301 f Date White - Busin`ess Copy Yellow — Station Copy, Pink- Prevention` Services FD2155 (Rev, 9/2017 ") BAKERSFIELD FIRE DEPT. v — Prevention Services R..__ H_ R, 5 F I L n UNIFIED PROGRAM INSPECTION CHECKLIST ` FIeE.... 2101 H Street :.,... :. �:. y.:.:. ,fv, ..n:+ �. .., :..... .+, al ..w;•. C .w 4w�t+?v�:fv'ip } ?::O:iG :,.., ., v: .. .... G:Y�:'Fl`R ...i•:inu Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program f 4901 Tel.: (661) 326 -3979 5 C f Fax: (661) 852 -2171 FACILITY NAME 1/ INSPECT ON DATE INSPECTION TIME f`,tas`d , ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER � ''�'t" � '� ��.,�.r�1s'r - ?.c"� �1 F�'rtJ: �. o''�'�''1` ��`•�� I.'s i •• �«- {'��d 3f �j 0'76 Consent to Inspect Nam" ,..-'-o/T'I Or ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance) OPERATION V= Violation COMMENTS ® ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) fJ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Imo` ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) LAN' ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (OCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Q ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) LI ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑'' ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) 127 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 3 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) El ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) C ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) RK ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ®"YES ❑ NO A Explain: Signature of Receipt: rVno1 11Vnrh.l:11V1V ",7i m 1:1!V1V6 r VK K-E1 UMN-1 V -U iv1YLIA1V1, E: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance 74.5.4 r Signature (that all violations have been corrected as noted) _r Date Pink Prevention Services Copy FD2155 (Rev 1/14) BAKERSFIELD FIRE FIRE PMEVE TION INSPECTION p E N B .�� E R S Fi iE�1L D F IRE Prevention Services ....................' h o� _PAR FM i r 2 �. 101 H Street. , • � Bakersfield,, 93301. • DISTRICT, BLOCK NO. DATE_ FEE' FACILITY ADDRESS' t:'= `: *emu� '-.-J � t�„ �1. �`.., CITE(;STATE.ZIP FACILITY NAME ,fY, MAN IGER S NAME' k , ' PH<NO. ..,� { . ..: 'i F•' 1...•.U ''r�4 l{1-i" .:Yi+l 1 l�r-J.,;., :4. _J i L -.- 1"f 5y Il. '�i 1,r }i 1 .N,1,. :.f'i'. ,: ,:.': 7, } -.Y.. • { .. i •.• " ...•. :. •+`M :.' -.iriw '.-. i .. .X 4.. i:jam BUSINESS OWNER'SA;ME AND ADDRESS CITY,STATE,ZIP PH NO. BE. p IF DIFFERENT FROM ABOVE)NAME,ADDRESS q��FV . CITY,STATE,ZIP, PH NO. RISER DATE OCC TYPE. OCC LOAD NO.OF FLOORS HIGH RISE BLDG 0 YES lf' NO 1 r t CORRECT ALL:,VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. 1 Remove and safely dispose of a.11 hazardous refuse and dry vegetation on the,above premises (CFC COMBUSTIBLE WASTE,,%DRY VEGETATION 3 O 4.1.1) 2 Provide non-combustible containers with tight fitting lids for the storage of combustible.waste and rubbish pending its safe disposal. (CFC 304.3.1) COMBUSTIBLE STORAGE 3. Relocate combustible storage to provide at least 3:feet.clearance around motor fuse:box/fire door CFC 605.3) 4` Relocate fire extin wisher s so.that the will be in a conspicuous location hanging on b ackets with the 9 ( ) y p top, to the extinguisher not more than 5 feet above-the floor. (CFC 906.5 &,906.9) is 5 Proved „ EXTINGUISHERS Provide,and i n sta I I (amount) approved (type-& size) portable fire extinguisher to-be immediately,accessible for use in (area) __________________ (.CFC TABLE .906.3(1)) 6. Re-charge all fire extinguishers:• Fire extinguishers shall' be serviced at least once each ear, and/or- after each use., b a-person having j ' y - p = g a valid license or-certificate. (CCR TITLE 19: 575.1) i 7 • Rrovlde and maintain-"EXIT" sign(s) with.letters 5 or more inches in height over each required exit SIGNS, (door/window) to fire escape. (CFC 1011.5.1) g• Provide and maintain appropriate.-rwmbers,.on;a, contrasting background and visible from the street to indicate the correct address of the--building.. (CFC 505.1) 9. Repair all,:{cracks/holes/openings) in laster in-.I.ocatioh _�.• P �. ) -------------------- - ---------- FIREDOORS�. Plastering sha.11,return the surface to its on in•al fire'resistive-condition. : CFC 70.3.1 FIRE SEPARATIONS .—.o,. 10 Remove/repair (item & location) • ', . Self- 1 in _ -------------- -- ----------------------- ----®- c os g doors shall be designed, to close b gravity.,.' g y'g y, or by. hey action of a mechanical device, o•r by•:an.• approved-smoke and heat s.ensi.tive.'device..'..Self-closing doors shall have•no attachment capable' of preventing the operation of the closing device., (CFC 703.2) 11. Remove.all obstruction.frorn hallways:. Maintain all means of.egress.free of any storage. (CFC 1`028.3) EXITS'.. �P Provide a contrasting colored and.permanently installed electric'H-ght over nor near required exit. (location) __ ____ __ ___�_____ to clearly indicate it as an exit. (CFC 1006.3) STORAGE 13, Remove all storage and/or other obstructions from fire escape Landings and stairways stair. shafts. (Fire• esca es -stair.shafts'are to:be mai-ntained..free.from obstructions at all times. . .. p- / -' are _ - - = ) (CFC 1028.3) 14 Extension cords shall not be.used in lieu of-perm ane'nt•,approved,wiring.. Install additional approved electrical outlets'where needed: .(CFC 605.5) ELECTRICAL APPLIANCES. ' 15 Remove 'mult.i `le:attachment Cords from specific electrical 'convenience outleti :one plug er outlet CF.0 P _ P ( P 9 P ) ( 605.4) OUTDOOR BURNING. 16 Recreational fires or•open burning. '(CFC 307.1) • FIREWORKS 17 Violations of Section (CFC 3308.1') & 8.44:040 (B.M..C.). . l OTHER r �, t:r r t 7 i...- ) ,ti t - ti ! + '�'ti� ijy•r r P,..s+ lt ,Ic ,• J:`{ ' i? ' f i J- �r ,.r 7 1't Y �` �t ' }t L', t- 3>,.•, f f ' �G.:.. rl'. t J1� y J t � i y -0 k 4�::.,,}�'F rr t F � t I. CUSTOMER: C CALIFORNIA FIR LEGEN Si nature Please Frint C.F. . C OR E n .., +( g ) ( Name Legibly,Title) C.B.C. CALIFORNIA BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: N.F.P.A. NATIONAL FIRE PROTECTION : . NO.: N P _.a �,t , n.-. - - �;�-_. - .ASSOCIATION. (Signature) TMs` of N.E.C.` NATIONAL ELECTR C CODE „LL... Fn 2022(Rev. ` White- Customer/Orig nal Yellow - Station.Copy `Pink Prevention.Services Operil.te to it Per Waste Unified Permit Materials/Hazardous Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE . ~e I ~ Hazardous MaterIals Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Slte Treatment Permit 10 #:: 015-000-002027 BIG BRAND TIRES LOCATION: 5333 WHITE LN Date Issue Approved by: ExpiIation Date: .'.' .'. ~'.'.; , ' ~ . . ,. ," . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 . FAX (661) 326-0576 Issued by: ~ . ~ SITE DIAGRAM '1 . FA IAGRAM ~. 1 Bulineu Name: 1ft:, jj ¿¡¡µ{) pitt.. bJ ~ Business Address: 5..333 wHIT£. J-/I/ JIJIT£· ~ ~ L£'£ r-J 1::> ~~ ~1¡ ~~ ~\ ~t- í-Zt! CS~~ ~~'t a..:~~ ~ ''7'- ~~ \tI ~ ~ ") .j~\- ~~~ ~~ ð:,z,"l. ..., \n ...... N ~ I 't wi Þ\~I \u . \(--1 I ® fiu E"TIN61.)/SH-l~ ® It.,,2.t:.-Tµ(.P'(,; S'~'r off @ 5Aft,7YW£;J ï,a.v~ @ 61-Y6£JV/~C£JYd¡.Jttwtrt/)~'J- ~ uA-ST'r., DIL/fit.-TU./8¡t.A{.l. /Í.VIÀ / ANil '/l.t<fE j3{J¡¡...¡lft.5 @P) ~ lJAkrA- S ~ ft. ¡Jt;...v:J CM0701\. DI'- ® 'S?¡l-N/c-~~ S~Tf.'" SI~T OFF "-1 \.&1~ ~1 ~~ "" ~~ .J_ ';) ~ ~ I "'1 tš tQ.~ I '" ~~ ¢~ ~~ I ~ ~\ ct @@ 'o:t: c-J ~ ~ w '-.) S. ,,¿ ~ - ~ .)...<or! 4:~ QQ.g "-¡ '" ¥J1J tI t:f)rv l.I..l-tJ f"1 '\ I ðF~/t::€.. f ~w l200M Co ~tf'.o!ll ,f..UA /)cJ,N\Psr t f\.-. ~wt»"pI'.l.t;'B --,........... _____ P' ..,l4 7 ~~\vl 'f f'I\ E6-n..v(:, ~y\.f. A- J P f''I Â-l,w¡" 71 ,,~ IV (.t.~ SSM- If, fíUlfrOtv~-; IIi .,A.JAN4- t;Wr of& J'iÇ.Ir4- S N-I.C; ~ SITE DIAGRAM ~ FAcn.rrÅIAGRAM I Business Name: 8/~ 'JUA,),{J 7itf.r t"ð II ot:J Business Address: 5.3 3~ ~/'¡'I'" LAJ Sf) /7Z J4 1 < > ts - ~ '- (/) -... ~ "- ~-¢ ~ 3~ "i \- -9.~ '.l 4. '>~ VJ '\~ .l. ~ ':¡, u... ~ C~K ~ :::¡:, €) ~ A¡)7"OMDì/¡/E, c:t. -1 ~ ~ <t ~ t:4... ~ J) 't VI~ .S-) ~ ~~ ~ ~ \~~ ~~ - <:\:. ~~ ~w ~ Ç) ~N 0=- V1 , ...... -±: V) jyu.. ~ \Jrvt-v8f 1/2 ~ \ð " - -, - - - '- L1 ~ .J 00 ~ . ~ð - oe - ¿ . ~ ~ .) ~ ~ ~ ~~~ -~ IMOSS'IZ19 ft BIG BRAND TIRES . . / ~, ~,f)..;:,~., ~/' ."'4fo~...' ,// SiteID: 015-021-002027 '.~ -~~.." Manager : Location: 5333 WHITE LN City BAKERSFIELD CommCode: BAKERSFIELD STATION 13 EPA Numb: Ø\'.,ø BusPhone: Map : 123 Grid: 15D (661) 832-6184 CommHaz : Low FacUnits: 1 AOV: SIC Code:7534 DunnBrad:18-629-0003 Emergency Contact / Title Emergency Contact / Title TIM MCCONAGHY / STORE MANAGER WES JOHNSON / ASSISTANT MGR Business Phone: (661) 832-6184x Business Phone: (661) 832-6184x 24-Hour Phone : (661) 397-0731x 24-Hour Phone : (661) 831-9224x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : CRAIG WORKMAN, GENERAL MANAGER Ma i lAddr : 1666 COf.1l-ŒRC IAL -M~E 'OS \J fA A\w),. Ci ty : eXNARD Ú>""",\ ~ ~ 'ì3~ 1..;¿, Phone: (O.Å~ 3~"~ State: CA ~"..3' Zip : 930:j.Q Owner Address City MAJCO INC : "i 9 Q º ...cºHHl!!R~IJH... N}];j; : BXNAAD ~W\-e 4\$ ~ þ..>1ë, Phone: State: Zip : (~C1) 486-4 ]q~X CA 9as 3ßts ~ 930a... 'X\3\ Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, Cr4\\~ ~~ÀLW'A;> Do herab /1'f\l h ( ype ~r print name) Y CS ,. y t at ! haYS reviewed the attached hazardous rnr.¡terials manage- ment plan for ß~~" ·'..i'.c~ :h-"'~ I . .,_.-,.-_,._,,~,J' '; (I ;dt il along with ( l'I,mt! 01 f3V81f':I>S6) ~ any corrections constitute a complete and correct man- agement plan for my facility. ~-~- ts'..~.~ D3.~ß . -1- 07/15/2003 \'-- --. .i __n _ - + BIG BRAND TIRES ===================================== SiteID: 015-021-002027 + Manager : / Location: 5333 WHITE LN City BAKERSFIELD BusPhone: Map : 123 Grid: 15D (661) 832-6184 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code:7534 EPA Numb: DunnBrad:18-629-0003 +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title TIM MCCONAGHY / STORE MANAGER IZZY RYIZ W~~ J~~$O~ ASSISTANT MGR Business Phone: (661) 832-6184x Business Phone: (661) 832-h1A4x 24 -Hour Phone : ( 661 ) 397 - 073 1x 24 - Hour Phone : ( 6 61 )(¡ .. Pager Phone : ( ) - x Pager Phone : ( ~g3j -1zzd x +---------------------------------------+------------------------------~-------+ I Hazmat Hazards: Fire Press ImmHlth DelHlth I +------------6~~t~~O~~---------------------------------------------------+ Contact : Wlk~IN1 P~l~Y, GENERAL MANAGER Phone: (805) 486-4749x MailAddr: 1000 COMMERCIAL AVE State: CA City : OXNARD Zip : 93030 +------------------------------------------------------------------------------+ Owner MAJCO INC Phone: (805) 486-4749x Address: 1000 COMMERCIAL AVE State: CA City : OXNARD Zip : 93030 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No +------------------------------------------------------------------------------+ Emergency Directives: +==============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... SpecHazlEPA Hazards I Frm I DailyMax IUnitlMCpl +--------------------------------+-------+-----------+-----+----------+----+---+ ACETYLENE E F P IH G 55.00 FT3 Hi MOTOR OIL F DH L 195.00 GAL Min OXYGEN F IH DH G 220.00 FT3 Low SAFETY KLEEN SOLVENT L 15.00 GAL Mod WASTE ANTIFREEZE F DH L 55.00 GAL Low WASTE BRAKE FLUID L 55.00 GAL UnR WASTE OIL F DH L 110.00 GAL Low WASTE OIL FILTERS F DH S 55.00 GAL UnR ~==============================================================================+ -1- 03/21/2002 It e + BIG BRAND TIRES += Inventory Item +== COMMON NAME / ACETYLENE ===================================== SiteID: 015-021-002027 + 0007 =============== Facility Unit: Fixed Containers at Site + CHEMICAL NAME ==============================+================+ I Days On Site I 365 +----------------+ I CAS# I 74-86-2 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 55.00 FT3 55.00 FT3 50.00 FT3 +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Acetylene Yes 74862 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHaz Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I M~P I No No No No/ Curles F P IH / / / Hl +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit ??????????? Map: Grid: 0005 =============== Facility Unit: Fixed Containers at Site + CHEMICAL NAME ==============================+================+ I Days On Site I 365 +----------------+ I CAS # I 8020835 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE ===~=+ I Liquid I Pure I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 120.00 GAL 195.00 GAL 150.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Motor Oil, Petroleum Based No 8020835 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ ITsecret RSIBioHaz Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I M~P I No No No No/ Curles F DH / / / Mln +=======+===+======+====================+=============+=========+========+=====+ += Inventory Item +== COMMON NAME / MOTOR OIL Location within this Facility Unit ??????????? Map: Grid: -2- 03/21/2002 - e_ + BIG BRAND TIRES += Inventory Item +== COMMON NAME / OXYGEN ===================================== SiteID: 015-021-002027 + 0006 =============== Facility Unit: Fixed Containers at Site + CHEMICAL NAME ==============================+================+ I Days On Site I 365 +----------------+ I CAS# 7782-44-7 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ Largest Container I Daily Maximum I Daily Average I 220.00 FT3 220.00 FT3 175.00 FT3 +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS# I 100.00 Oxygen, Compressed No 7782447 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecret RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F IH DH / / / Low +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit ??????????? Map: Grid: += Inventory Item 0008 =============== Facility Unit: Fixed Containers at Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- SAFETY KLEEN SOLVENT I Days On Site I 365 +----------------+ I CAS# I Location within this Facility Unit ?????????? Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Mixture I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container Daily Maximum I Daily Average I 15.00 GAL 15.00 GAL 15.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Naphtha Solvent No 8030306 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ ITsecretl RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies / / / Mod +=======+===+======+====================+=============+=========+========+=====+ -3- 03/21/2002 e e + BIG BRAND TIRES ===================================== SiteID: 015-021-002027 + += Inventory Item 0002 =============== Facility Unit: Fixed Containers at Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE ANTIFREEZE I Days On Site 365 +----------------+ I CAS# I 107-21-1 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I PLASTIC CONTAINER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 55.00 GAL 55.00 GAL 15.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I RS I CAS# 30.00 Ethylene Glycol No 107211 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecretl RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / Low +=~=====+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit ???????????? Map: Grid: += Inventory Item 0003 =============== Facility Unit: Fixed Containers at Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- WASTE BRAKE FLUID I Days On Site I 365 +----------------+ I CAS# I Location within this Facility Unit ?????????? Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 55.00 GAL 55.00 GAL 15.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ %Wt. I RSI CAS # I Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 +=======+==================================================+===+===============+ +=======+==~+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecret RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies / / / UnR +=======+===+======+====================+=============+=========+========+=====+ -4- 03/21/2002 e e + BIG BRAND TIRES += Inventory Item +== COMMON NAME / WASTE OIL ===================================== SiteID: 015-021-002027 + 0001 =============== Facility Unit: Fixed Containers at Site + CHEMICAL NAME ==============================+================+ I Days On Site I 365 +----------------+ I CAS# I 221 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 55.00 GAL 110.00 GAL 75.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I RSI CAS# 100.00 Waste Oil, Petroleum Based No 0 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHazl Radioactive/Amount I EPA Hazards NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / Low +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit ???????????? Map: Grid: += Inventory Item 0004 =============== Facility Unit: Fixed Containers at Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE OIL FILTERS I Days On Site I 365 +----------------+ I CAS# I 221 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Solid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 55.00 GAL 55.00 GAL 25.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I I Rsl CAS# I +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F DH / / / UnR +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit ??????????? Map: Grid: -5- 03/21/2002 e e + BIG BRAND TIRES ===================================== SiteID: 015-021-002027 + +============================================================~==== Fast Format + += Notif./Evacuation/Medical ==================================== Overall Site + +== Agency Notification =========================================== 07/06/2000 + OUR SHOP IS MAINTAINED AND CLEANED ON A DAILY BASIS. VISUAL INSPECTIONS OF ALL WASTE BARRELLS ARE PERFORMED THROUGH OUT THE DAY. THERE ARE NO ELECTRONIC MONITORING DEVICES. +==============================================================================+ +--- Employee Notif /Evacuatl'on ----------------------------------- 07/06/2000 + --- . ----------------------------------- FOR MINOR SPILLS, MANAGER AND ASSISTANT MANAGER ARE NOTIFIED AND IN HOUSE CLEAN UP PROCEEDURES ARE PERFORMED. FOR A MAJOR SPILL CALL 911, NOTIFY ALL EMPLOYEES AND CUSTOMERS VERBALLY OR THROUGH INTERCOM. NOTIFY CORPORATE OFFICE AFTER REDUCING THE SOURCE OF THE SPILL. +==============================================================================+ +---- Publl'C Notl'f /Evacuatl'on ------------------------------------ 07/06/2000 + ---- . ------------------------------------ TIM MCCONAGHY, STORE MANAGER IS IN CHARGE. IZZY RUIZ, ASSISTANT MANAGER IS 2ND IN COMMAND. TOM GONZALES, MECHANIC IS 3RD. TIM WILL MAKE ALL NOTIFICATIONS. IZZY AND TOM WILL OVERSEE CLEANUP AND SHOP. +==============================================================================+ +----- Emergency Medl'cal Plan ------------------------------------- 07/06/2000 + ----- ------------------------------------- CALL 911 WHEN NECESSARY FOR MAJOR MEDICAL. MINOR MEDICAL - VALLEY MEDICAL GROUP, 5401 WHITE LN, 836-4000 OR BAKERSFIELD FAMILY MEDICAL (URGENT CARE) 4580 CALIFORNIA AVE, 327-4411. +==============================================================================+ I, (Typ&orprinlname) Do hereby certify that J havs reviewed the attached hazardous materials manage- ment plan for (Name of Business) and that it along with any corrections constitute a complete and correct man.. agement plan for my facility. Signature Dale -6- 03/21/2002 e e + BIG BRAND TIRES ===================================== SiteID: 015-021-002027 + +============~~=============================~~==================== Fast Format + += Mitigation/Prevent/Abatemt =================================== Overall Site + +== Release Prevention ============================================ 07/06/2000 + WASTE BARRELS ARE STORED ON CONTAINMENT PALLETS TO PREVENT SPILLAGE TO GROUND AREA. VISUAL INSPECTIONS ARE PERFORMED THROUGHOUT THE DAY. MONTHLY SAFETY MEETINGS ARE HELD TO PREVENT ACCIDENTS AND DISCUSS HAZ MAT HANDLING. +==============================================================================+ +--- Release Contal'nment ------------------------------------------ 07/06/2000 + --- ------------------------------------------ REDUCE OR SHUT OFF SOURCE OF SPILL. INTERCEPT SPILL WITH ABSORBANT. CALL 911 IF NECESSARY. FOLLOW CLEANUP PROCEDURES. +==============================================================================+ +---- Clean Up ---------------------------------------------------- 07/06/2000 + ---- ---------------------------------------------------- WE USE KITTY LITTER, CLEAN SWEEP AND RAGS FOR MOST SPILLS. CLEANUP MATERIALS ARE STORED IN OUR SPILL CONTAINMENT KIT ON SITE. CRANES WASTE OIL INC (1-800-272-6330) HANDLES OUR WASTE ON A MONTHLY BASIS OR SOONER IF NEEDED. MISSION LINEN HANDLES OUR RAGS. +==============================================================================+ +===== Other Resource Activation ==============================================+ I I +~=============================================================================+ -7- 03/21/2002 · , , ~ e e + BIG BRAND TIRES ===================================== SiteID: 015-021-002027 + +================================================================= Fast Format + += Site Emergency Factors ======================================= Overall Site + +== Special Hazards ===========================================================+ I I +==============================================================================+ +--- Utl'll'ty Shut-Offs -------------------------------------------- 07/06/2000 + --- -------------------------------------------- A) GAS - NONE B) ELECTRICAL - E WALL INSIDE SHOP BY STAIRS/SE WALL BY BATHROOM C) WATER - W SIDE CORNER OF PROPERTY BY HYDRANT D) SPECIAL - NONE E) LOCK BOX - NO +==============================================================================+ +---- Fl're Protec /Aval'l Water ----------------------------------- 07/06/2000 + ---- .. ----------------------------------- PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS IN BLDG. ENTIRE BLDG HAS A BUILT IN SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - LOCATED ON PARKING LOT/SIDEWALK W SIDE OF PROPERTY ON WHITE LN. +==============================================================================+ +===== Building Occupancy Level ===============================================+ I I +==============================================================================+ -8- 03/21/2002 ... ,- . .~ e e + BIG BRAND TIRES ===================================== SiteID: 015-021-002027 + +================================================================= Fast Format + += Training ===================================================== Overall Site + +== Employee Training ============================================= 07/06/2000 + WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE IN OFFICE HAZ MAT FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE MONTHLY SAFETY MEETINGS FOCUSING ON EQUIPMENT USE/CLEANUP (HOUSEWORK)/ACCIDENT PREVENTION. AMONG TOPICS DISCUSSED ARE HAZ MAT RELATED TOPICS INCLUDING HANDLING/PREVENTION/MSDS SHEETS AND CLEANUP. +==============================================================================+ +=== Page 2 ===================================================================+ I I +==============================================================================+ +==== Held for Future Use =====================================================+ I I +==============================================================================+ +===== Held for Future Use ====================================================+ I I +==============================================================================+ -9- 03/21/2002 " ì; ~ - CITY OF BAKERSFIELD - OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS "~' :~' - '." ~ :,,. ". " EMENTPLAN , .. , (' . ,', . . 'ß-.. .~G INSTRU€TI0NS:" '!,' , ~ "-.f c\ \. ~ /- ' ; . , , ' . \ ,~ vþ7 ' ': To avoid' further ~~'~ion, ret~ thi~ fo~ wi'thin 30 days' òf recei~t: "~ .~~ " TYPE/PRINT ANSWERS IN ENGLISH': .> . '".~ -;!!: '¡,~ ~ ", " " Answer the questions below for the business as a whole. Be as brief and concise as possible. You may also attach Business Owner / Operator Form and Chemical Description Form(s) ,,~o the front of this plan inst~ad of cO,mpleting SECTION I. below for initial submission. . ", .:; J\ .~¡.. ,_ \: ',' t" . .; ~ .' '.: _:,¡ . ì . ..'.. 1 \ .. ._, . ,', .... "f,., t _ . 1. 2. 3. 4. 5. ., SEC,\ION"I,: " BU~~SS IDENTIFIC,i\ !ION DATA, "" '... " ,; ",'., I i" .', ..' ',\ ~f' BU~OOS'~~~:" 8/(¡,"'ð¡i>NJO 7i;1f,Ú .#Ó~' "',,' '. "',:.. , ~O¿:TION:'.:i3 i :3" t.Jfl.I:;£ ',,'ï.t ...r eJ/1Ì: >4 ,. MAIL~~'ADD~SS:,j J "3 wH-, ri" ~' . 'siITZ';4 CITY.:·ffA~flft:Þ., ',~ . ':' STATE:¿;" .' ZIPfJA'"1paONE: ""I-Id,J,-'/;Y . -- ! .Â. \~. ~'" ; , PRIMARY 'ACTIVITY: .,l'/"~'~·I1Vfo iJt;"II/~£ L(:~,(,"<' . .'~" ',,' , .. .' .' ~ .!... ~~~:~'~~r~o'I'~(,. '.' ., MAILING ADDRESS: IO(!)O ~~þt1lAlIAL JIvE., ;'.. . . :" 'PHO~:\ &b~tfl, ·.~'Ýf OJl1V~ t;4 9Jc3o EMERGENCY NOTIFICÂ TION'· . t' Y, ":' ~ ') .; . t: ..:';' ~ 1 . CONTACT ,"'" ". ',' tITLE.,' ~ BUS. PHONE' '!" , 24 HR. PflÙNE 1.-17 ~ Ø\"(DAJ...."II'I"'S'7l)~l~: '''I- lJ) ·'IIt¡ 1~/-'9'7-ð)JI 2...ra~K,)~ ,4&,. < S~tJAL yM~~. '''/..fJ) -l.ltc.¡ ,1,/"8'7J- W"3 "¡' . . . (. ¥,." '" ':'~" ¡ ',' " c-""', ' ..... , ~~ ~ " , . t" . ~ f , . \:. ~" ',~ '¡-:;' ". " -', ," .,., : ''''~'. ':',. \. - - HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: ()VA. .5~~ IS ~~tv 1\4,,.)¿() AAJ ð Ct"tAAJl~ d~ ,4. ~,4tl.,~ BA-&Is. VISLJA-/.,; IÄJJ.pu:ttØ.v~ ¿J~ ,4u" /;J,Aln", ¡J/M..c.tu~ AJ.,£ ..; l""A.~ to T/lW -ocJT 7ìIt.- J)¡+'f. 7j¡.u¿ ¡l.U PO ¡;:ac"T/UJ/tJ Ie" tif,D~,nR.IJJ' /Jell/as. B. E~LOYEE AND AGENCY NOTIFICATION: Æ¿... ,., 1~4. s.p/~ - fAAAJlrf-tL ( MST ¡II¡#I..J.,4IJ/.4.. ~ ,u()7iF'J~ "I'/lJ /,.J ,I,tJs£ ~ v" f!uat¡JvALS I'ML ~,e,e",,~(J). 1&A- A I+\A3bA.. .s(J,&,,~ ~" 71 l'- "å)T,,1f', ,,¡,¿ ,í~~ ~ CO~TOtMf~$ -y'u.I~oA.. ¡11M) I~¿'M'''. ;"P~71PY ~ (¿;~ø~,o,.'Il. Cr);t£" II/;n./-. 'KtDJê.'tl"Jl,· iPIt S'¿>aJ~L c,c ¡lie S"11u,. ,. , , c. ENVIRÔ~NTALRESPONSEMANAGEMENT::" . ", ".,'7i~, ¡Ij 'ÚA,)A6W~$"l)~' ~A-CL I~ 1"-3 ~A.6~. ;Z-:uf-I it.'l è - AôJr-. ,!,A~. '5, ~ ,t:1,itJ", &>~IA4.JS). h~ ¿'AJ~- Ml¿~, '" tf st~ .. 7í," t"AJtu ",~k k AJD"'1'1e/l-hIl~.3 /I , " ,:', '~"l:,If~~' 1'Þ,4A. (;.'tu... ~¥'A.Ja C"t,.MJ,-t.)P J4¡..)'o S'~t. '.; >i " ';. 'Í' ~,. , , 1· :. , , , . " ~. . .... ') ';- (, /' . "~', D. EMERGENCY MEDICAL PLAN: C/HA.., q II INI~ AltCtM,,",A.V. - n.~A-~tðlu-c... Ii4 , '" I) .... tif. t.ð, u..t.-: V'A ~t 'r' f'Y1, IJ It x.. tP It 0 û fJ ~'" tJ/ ~1J.I1t. ~ " ¡', -, , · '0 " "." +," "'''l- i'JI,-'t:JDO" ~. " ..... L " ,,( ". '."", ~..; ~ ~,' '::~ > l '. ~; "- . " .; V : ;; ~ '_:'. L ';. ' ( ., ., . : .8~/¡¡.¡) H...I£.Y ",t()I(.h.{u1l643T c.øc.cJ if í""fo c ~,. J4v,- '''1- I~'","" II " ,,~' , HAZ1lbOUSMATEWALSMANAGEMÈ~PLAN SECTION II.2: RELEASE RESPONSE PLAN . ........:·~~~::~7;:V~::~~:~~AJr I~ "" "1õ -,4i¡¡iPi- Sfl'u,'¡"~ 'jl> ¿tWwAtJO~. (/1$V,oL 1~.sPt'~hdA.J1 A-t.£ ~ ~Fo~ ~ ¡O Tf!.A,,&J 0 ",. i11t, .vAct. tHOAJ ~t' ~rur'. ¡1ItU'µ~ ¡4A.£ I~ rR:>, ./a¡;wr '¡kc~,,)"'n ~I-JD Ò IJWSS iMII.·IH"r)~,o".AJ6. B: RELEASE CONrAINMENTANJ)/OR MJ;TIGATION:" " , 2f.Ì)()C£'- ~\i¿ slAJr O~¡:' .:rt>~û.t p;= i."",-, ."I,,4J~pr ¥1(Lk " . .- .,'"... . ".." ." ";" ..' , , ' ,... , w ,'rJJ ",fa ·Sol....ðAAJT. C,4.t.c... q 11,1" µ~CI.Js,tjA,,'r', r~uoc...J c~-' vp" ~~~b'c>~.' .. , ".'" -)' " '.. 'r , ~. . < \ i:. :' " ~." C. CLEAN-UP AND RECOVERY PROCEDURES: /,IJ t us t. Lt tt'f( l.A rT1.tf.", I ",tAu ~~ f.,t. ~ ~ '-'0 1tNø3 Ji>A. lUeS r 6.p,u..~. (.((4.:> &)Pt\4~n.c....Jk..,S ¡M,t., S1ÞA-C.o ,,0 ðc)t\... ..sPIu-.. COAJ'h4-i'&'\~~ I~T DI.J S',rc" ~~_ ~ANt-~ ~Ttf)It- I 1"'(,. (, ,-ft:Jø· 2.1¿-¿,.r8c) l'fAJJOc.L~ øcJl.... oa.A&1I: cAJ 14 fI1I)AJ77-It,~ ' 8ASIJ OA. SC>tJAJ t If- I ~ pttt) tt:J. ,." S ¡I04J. L.I~ritJ ~ú~\ CIJA. .(M S UTILITY SHUT -OFFS lLOCA TION OF SHUT -OFFS AT YOUR FACILITY), .' · . ,'~. PRIV ATE FIRE PROTECTION/W A TER AVAILABILITY A. PRIVATE FIRE PROTECTION: 1 ~ I7ItL[ 'I71A4J,,'SIH ItS I,J ~/c.b I¡Ú(. - SCt. hf.c.,¡ult' (//I,f..~~. Z~T7tf.£ IJ()/~¡IP' tMJ A- 41)/"'" IÙ S'"f¡LINA.LSL çjf-'~rr,l1, B. WATER AVAILABILITY (FIRE HYDRANT! tDtt4rr~ t),J P~!lAJ(. UJ{ /$IDLw.J~ - ~tsr.s,ð(. ð~ PM t\J..,,.,¿ (),.) úJ''¡'' 7t..~ ;(,;~'-- - Si L ~ ,t Ò tM.~ 3 HA1PRnOUSMATEIDALS MANAGEMtlT PLAN SECTION III: TRAINING \ NUMBER OF EMPLOYEES: S- MAtERIAL SAFB'I'Y DATA sÎlliETS ON FILE: I~ O~FItJt.... J~ _ - { lI<4è-"" AT ~ ¡ ",' ,} ~' , , , ,BRIEF SUMMARY OF TRAINING PROGRAM: . : ., -'.. I , " ,~ . ~ . .... , - ,', -.fUt ./M/£'è "'ð~'*t, SiIJ,,"7Y:'P/£l~S'lbws'ÎJ6 c1.J,. ", i6(~I~t~~ ~'- /~"~4J vI(í~~t.~O~L)1 ~~r"'r: ',' PIfW¡;¡'T1iJ~,. 'Âtitj)èJ"". -jl:l.ptCS·, ~/J(.,"$St.O' ii£. 'í/I,2;.ÌM t4r I~ri() 7ð~L&""IA~c-úìJIÄi'" I, //,1.,jOU,J,' I"Ât~'/~/"" ;. t'\S~.s ... SrJt£T"S AJJ/) ÚtA4J ,;1. > '.' ,.' . " ~.. ; . , '.¡. ., . ,i. "', ,'. , .' t .-:;. 1''11 .'.' ,,':. . ".~ . ".:' ~# .~- '.' ~ .\ ('. '. ~ 1" , \ " :, ., . ,.' ::..: ~¡' , . ·f t', \,,, ':, .. 1· '.~- .. ';:. .} ,,', OERTIFICATION .\ 0 ,,' .,',' ;. -, "e, "':.. " I,JI,;L.l ~., . :lW/.J'f· ;> " '; "biRTŒY'THAT"THE ~~~ INFORMATION ¡, IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25,500 ET AL.) AND ',. ,~::n:ACCURA..... T.'Ern:~."".'.:'.f,:......,.T~.O~.CONS~1TU.,.....,T~SPE~~. . I. ;.."'."., (,,' SI[¿~' IJ¡Þ'.' .... "¿i¿ff-'r'1~;'fIL"" i~~;OO :i .. . i '¡ ¡<." .; ;1 "','1.' ;. ; .~. .~ ,. ~ '. "\. ¡ ~. " ..., , '" ,~ :;. _.. "I ", ~ . , . "'. ,""" . ·10. ~ :' -.... "," "', '.' " " " , . J " " . - ,. ." ,¡:~ ". ~ ."1.. '.~ -:;- ..:. , . 'j ,... ._' I ,~ . " ." ,~' ¡,;- . ';- 1 ," , , . , > ';J ~ 4 \" ~ J . CITY OF BAKERSFIELD OFe:E OF ENVIRONMENTAL S_VICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION , BUSINESS Page _ Of ." ....;\<:?<--~:--. , .,", -'. :;./;¡~tWc';;:I.FÁCIl.íTvU);ENTIFICA TI()NS'" "' ..;-"_.:--,;/c.'..-'>"''',:.,^--.,-<-:,,"'' ".,:,';'. .'.< ""'i"" ",', .,.", .".:,.".. ',-:.- 1 Year Beginning 100 ! Year Ending I I 3 i BUSINESSJ;ti~NE LI ð"~ I r,&, 1- t, ~.. rp tr T I E z,am¡;:;~]6AME1r;ttin9øes: As)¡Jo 101 102 . · SITE ADDRESS S 3 3 3 Wilt rJ£. t.."J /3,4. U.l\!flL~ '~"(,Z9- DOt:) 3 COUNTY X£I.Ñ : OPERATOR NAME "",4:tZ 0 S-c.J 1Tt- 14 103 · CITY 104 I CA I ZIP e; 1 St!Jt; I 106 I SIC CODE 1.'~ ~ ~ J I (4 Digit #) J ~ .., 105 · DUN& ¡ BRADSTREET 107 108 110 : OWNER NAME '",.~O IAJe,.., ; OWNER MAILING ~ 'Â . · ADDRESS lot:JO ~~f,tL(""- /'laic..,. () 11 ,.~Ù 111 ! OWNERPHONE~Or."i6.1{'1/1 112 113 114 STATE C~ 115 I ZIP ..91 t:) &0 117 I CONTACT PHON~- 'If' "'17ft, I CONTACT MAILING ADDRESS · CITY 119 ; 24-HOUR PHONE 127 24-HOUR PHONE ZIP 9Jò30 :'·.·'.,i;;.sÊGONDAfiY~,>, I" ¡4,..)A'lll 1- P..J) "'If I-P?J- P~3 122 129 130 131 132 PAGER # 128 PAGER # RTII=iêATION.. -;9~:"'·, ~.<,;~<:.~.'" '_:'-?:':'f.>;;:,;v,·/! ".,< !,,.,. 133 Certification: Based on my inquiry of those i , and am familiar with the information sub ; ¡vi duals responsible for obtaining the information, I certify under penalty of law that I have personally examined in this inventory and believe the information is true, accurate, and complete. DATE 134 NAME OF DOCUMENT PREPJ1ER ~-,¡-()O /,L)JUlM1 1t,J1J 136 TITLE OF OWNER/OPERATOR ~.Nt"M.... fPlAv~ttL , 135 137 UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd e CITY OF BAKERSFIELre OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W D REVISE 200 DADD D DELETE (one form per material per buifding or area) Page 01 ~A1JòDông:ri;;' tð # Oe; CHEMICAL LOCATION ,.~:-_..:.-::- ~ J . . COMMON NAME CAS # '2. '2-1 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE o P PURE o m MIXTURE PHYSICAL STATE o s SOLID ~ LIaUID FED HAZARD CATEGORIES r)(1 FIRE o 2 REACTIVE (Check all that apply) 4vw WASTE RADIOACTIVE o 9 GAS 211 I I I 214 I o Yes 0 No 202 204 210 DYes .0 213 212 ! CURIES ! LARGEST CONTAINER S5 (¡I+I.", STI.rc... .)It. cJ.N\ 215 o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 o 3 PRESSURE RELEASE ANNUAL WASTE AMOUNT MAXIMUM DAILY AMOUNT 7 S- (",. '- lID 4AL.. 218 AVERAGE DAILY AMOUNT 217 12«) tI~ UNITS' ~a GAL 0 á CUFT 0 Ib LBS 0 In TONS . II EHS. amount must be in Ibs, 223 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING ~ STEEL DRUM o e PLASTIC/NONMETALLIC DRUM 01 CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON 219 STATE WA~ r::t 221 I DAYS !~~ 220 \ 222 i o q RAIL CAR o r OTHER o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE PRESSURE ~a AMBIENT ~a AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE o aa ABOVE AMBIENT o c CRYOGENIC 225 J1øLtuW\ BA-S6ð 2 230 231 Dyes 0 No 232 235 DYes 0 No 236 239 Dyes 0 No 240 243 Dyes 0 No 244 3 234 4 238 5 242 22-1 233 237 241 245 UPCF (7/99) , -,1·-'0 S:\CUPAFORMS\OES2731.TV4.wpd ~ .. CITY OF BAKERSFIEL~ OFl'!tE OF ENVIRONMENTAL S'lmVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W o REVISE 200 DADD D DELETE CHEMICAL LOCATION CHEMICAL NAME COMMON NAME ANnFrtU.,fL -l4JAtre. ; CAS# FIRE CODE HAZARD CLASSES (Complete If requested by local fire d1ief) ¡ TYPE (one form per material per building or area) Page of Dyes D Nò 202 204 210 D P PURE 213 D m MIXTURE ~w WASTE 211 RADIOACTIVE Dyes ~ LIQUID DgGAS 214 LARGEST CONTAINER D 2 REACTIVE tJ 3 PRESSURE RELEASE D 4 ACUTE HEALTH D 5 CHRONIC HEALTH 220 PHYSICAL STATE D 5 SOLID FED HAZARD CATEGORIES (Ched< all thaI apply) ')r.1 FIRE ANNUAl WASTE AMOUNT 217 I MAXIMUM ...... DAILY AMOUNT -.1 ~ UNITS· ~ ga GAL D cf CU FT . If EHS. amount must be in Ibs, 218 AVERAGE DAILY AMOUNT o Ib LBS D In TONS Ir J' 0 212 i CURIES b,1,utt\. 215 216 219 STATE WASTE CODE 221 DAYS ON SITE 3f¡,S- 222 STORAGE CONTAINER (CheCk all that apply) 223 ~ PLASTIClNONMETALLlC DRUM Of CAN D 9 CARBOY D h SILO o i FIBER DRUM OJ BAG o k BOX o I CYLINDER D m GLASS BOTTLE D n PLASTIC BOTTLE o 0 TOTE BIN D P TANK WAGON D a ABOVEGROUND TANK D b UNDERGROUND TANK Dc TANK INSIDE BUILDING D d SteEL DRUM o q RAIL CAR D r OTHER STORAGE PRESSURE D ba BELOW AMBIENT 224 )1it'a AMBIENT D aa ABOVE AMBIENT STORAGE TEMPERATURE IJO(;) 226 Jt.",¡.u¿è .- t.J~r£ 227 o Yes !¥'No 228 229 I I 2 I 230 231 Dyes 0 No 232 233 i 3 234 235 D Yes 0 No 236 237 I I 4 238 239 Dyes D No 240 241 I 242 243 245 J4µ.Af K. " ~,¡..OC> UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ~W DADD D DELETE ! CHEMICAL LOCATION COMMON NAME CAS # e CITY OF BAKERSFIEL4 OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION D REVISE 200 ! FIRE CODE HAZARD ClASSES (Complete if requested by local fire chief) TYPE o P PURE PHYSICAL STATE o s SOLID 'Ac.- 217 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING ~STEEL DRUM o m MIXTURE (one form per material per building or area) Page Òf o Yès 0 N6 202 204 210 j .; WASTE 211 RADIOACTIVE ~IQUID 214 LARGEST CONTAINER CURIES 213 o g GAS o 2 REACTIVE tJ 3 PRESSURE RELEASE o 5 CHRONIC HEAlTH 215 216 219 222 o 4 ACUTE HEAlTH MAXIMUM DAILY AMOUNT AVERAGE DAILY AMOUNT I S- II".L.,. 22O! 221 o q RAIL CAR o r OTHER 223 r 6Ac.... 218 UNITS· ~a GAL 0 á CUFT 0 Ib LBS 0 In TONS . If EHS, amount must be In Ibs, STORAGE PRESSURE «"a AMBIENT 224 De PlASTIClNONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o I FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON STORAGE TEMPERATURE o aa ABOVE AMBIENT o ba BELOW AMBIENT BAA£.£ fi,c.:Þ1 b - ~,AS~ 230 I 3 I I 4 234 238 i 5 242 'I','" "I ,,~~: : PRIN L~~ 231 DYes 0 No 232 235 DYes 0 No 236 239 o Yes 0 No 240 243 DYes 0 No 244 233 237 241 245 UPCF (7/99) ~.,2 -DO S:\CUPAFORMS\OES2731.TV4.wpd .. CITY OF BAKERSFIELIa OFPltE OF ENVIRONMENTAL S.VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W DADD 200 CHEMICAL LOCATION CHEMICAL NAME COMMON NAME w~1'L OLt... Æ"n:;e.J ¡ CAS# FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE w WASTE 211 RADIOACTIVE o Yes ~NO o P PURE o m MIXTURE (one (ann per material per buHding or area) Page of DYes 0 No 202 204 210 212 ' CURIES ! 213 PHYSICAL STATE ~ 5 SOLID S~ (;-14(., blWM 215 o I LIaUID 214 LARGEST CONTAINER o 9 GAS FED HAZARD CATEGORIES (Check all that apply) ~ 1 FIRE o 5 CHRONIC HEAlTH 216 o 4 ACUTE HEAlTH o 2 REACTIVE o 3 PRESSURE RELEASE ANNUAl WASTE AMOUNT MAXIMUM I"" ~ DAILY AMOUNT ~ ~ ~ga GAL 0 d CUFT . If EHS. amount must be in Ibs, 218 AVERAGE DAILY AMOUNT o Ib LBS 0 In TONS 2S- 217 22.() UNITS· STORAGE CONTAINER (Check all that apply) . De PLASTlClNONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING ~ STEEL DRUM o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON 219 ST~ WASTE CODE ¿. 2., I DAYS ON SITE '3,,3'"' 222 220 221 o q RAIL CAR o raTHER 223 STORAGE PRESSURE o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 ~ a AMBIENT STORAGE TEMPERATURE .a( a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 225 o c CRYOGENIC 1/00 226 W!ð1f,. I I I 2 I 230 I i 3 234 i I ! 4 238 I 242 227 DYes r¡tNO 228 231 DYes 0 No 232 235 OVesONo 236 239 Dyes DNa 240 243 229 233 237 241 245 j,...J.a> UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd MSDS GIVEN o o o :Q o o o o o o o o - ~ 1301 G~rvais Street - Suite 300. ~J:Jf:,¡ , " ;;;}J Columbia, South Carolina 29201':': '. .. 2. ' . ,,:: t ' ¡, , . : 1- '. ......', , "'", 1Imq.¡IBBD. CUSTOMER NO. I,: ,.I, ,,·,··"'·.1 ""..,'¡ .. , ~..,.' " .', :0002304715 AL E 6 A PROD, PIC PRODUCT TAX .0125 .,':1,- . NO. {:;·;;<'·W:i. ~ - :: .~\;~~, - ¡;i::.~,~ - .', - - - - " j,~WASTEi"~ "'!MIN?ë" 'a.OÜ ~. . ,; : 139~;9 b 7,;,','¡d <?,':c...:;.. {~ ' .. SALES':(; '·!.TAX·"" ;'.'9:0;, tJ b " i .' ?~ ".: 130.50 l;'~o It: -.. ¡ VOJoJ I VIVIL-I I'" I IVIIJI-I' ~: p,';::: ·t:.;·~, 2..;_90001 ~ SERVICE! PRODUCT DEPT )0 bOOO ]Q,,000D1 (An. ~ : .";, /",.. - r " i?~ - ,I, .. , , P' );: :"':. _·t~~;: .~~::);~:,' j-. '.<': :;: ;',' :. - '., ,-' . d' . .,., .," ,,-"" ,..... ,'. . ".,' "\0 .' :,>' '. .', , , '. ',' i':,' ,,~.;{ . "":¡ .,': -' .;,'.... .:" \-.:.·,~;t i...~.., ::'. ·r-, , '. - =+ I~ - - .. í é:( en w ..J_ <to: enQ: '" O~ z¡¡; <tf; W<o O~ >~ a: a: W~ en " }~,.~' .~~- .~',\'. ... " GÖOO p¡X¡¡¡:;;-.' ,,~., " YES. . NO ,. . - YES NO ,':' .,'"" ·.~tDECAlSINPLACE"~' '--:-0' ',:.MACHINEPROPERLYGROUNOEO ~. 0 ~ TOTAL-SERVICE/PRODUCTS 'MACHINECONOITION .~..·.'A;]:.,.r,..'¡:;'.~NOLEGlBLE":\;'_" '.: .'" LOCAL PHONE NO STICKER Z &CLEANUNESS . '::..,_:~:FUSI~~}~~ ,:,i;;,:, ,D, ~",_AFFlXEDTOMACHINE 0 W lAMP ASSEMBLY "':'. Ô :,'·~kGENCYClOS;~{¡ "0 '. 0 :~·.SPENTSOLVENTMEETS 0 ~ CONOITION " "'. -':~ OF UO UNOBSTRUCTEO . , " ¡,~j' __ ACCEPTANCE CRITERIA " ·..·,·,,',':w,... ,....: """,' ....'. 0 12, CONTAINERS 13., W NO, .' TYPE -I "( DM" ~ . ,..., 0 Z 220 LBS, TO 2,200 LBSJMON :1. .;;'.' INITIALS GREA1ER 11iAN 2,200 LBSJMON11i INITIALS SAf:fTY-KlEEN FRESNO. ,APPLYPAYMENTTO: , . ' ,~: INVOICE # AMOUNT$ ~ I AMOUNT $ TÖTACDUE ç +. ' BEVIOUS. _ . ' ,MANIFEST,CO .', ,i: SEQ # ...." ,BEDIT -+ I .. ""'1. 0 ,,:. '".;,q 2!f . :ABDNO . . .,.'....,.......;,..".........,...., ~ ,...':.,,:.,." ..." .. ....,....... ,." ...." .'" .... CBEDIT CABD NO....".... '"·C.'."",,,,·..," ~ I " ~ , ~' <¡,. -7 USi"OMËBRÊFEBENèÊ'jr', .." . , .' . h fF()AMATfON r-~ ("'I~:J Yi·jf 'r;~r7V;rnè'r:- ~'!nlr : , HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION .. CITY OF BAKERSFIELIa OFftf::E OF ENVIRONMENTAL SftVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ¿W DADD D DELETE 200 (one fonn per material per building or area) Page of CHEMICAL LOCATION DYes 0 No 202 204 ftL ~ . , J.b. ..... - - ~ COMMON NAME ~ () n>.c. () It,., - AJ w ¡ CAS# FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 PHYSICAL STATE ~PURE 0 m MIXTURE o s SOLID ~IQUID OW WASTE 211 I RADIOACTNE OYes.o 212 I CURIES 09 GAS 214 ¡ LARGEST CONTAINER I2-D ~14/.".. 1,) 'A-(... 213 TYPE 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT ~FIRE 02 REACTNE o 3 PRESSURE RELEASE 04 ACUTE HEALTH o 5 CHRONIC HEALTH 216 217 MAXIMUM DAILY AMOUNT 14S- dM.- 218 AVERAGE DAILY AMOUNT /s-"OfØAt- 219 STATE WASTE CODE 220 ; UNITS' ~a GAL 0 d CUFT . If EHS. amount must be in Ibs, o Ib LBS o In TONS 221 DAYS SITE___ ~ 222 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM De PLASTlClNONMETALLlC DRUM Of CAN 09 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTILE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON o q RAIL CAR 223 gr OTHER / : It4E.M~ ~MI"'~I ~"'_ b.tVtAA. I STORAGE TEMPERATURE STORAGE PRESSURE o aa ABOVE AMBIEt>IT o ba BELOW AMBIENT 224 DO r.\ö'n)A.. DIl.- I I 2 230 231 DYes 0 No 232 233 i , 3 234 235 OVesONo 236 237 I I 4 238 239 DYes 0 No 240 241 I 242 243 DYes 0 No 244 245 1 u-iM ¿..; ·øcJ ' UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ¿W DADD D DELETE CHEMICAL lOCATION v . CITY OF BAKERSFIEL~ OFPrCE OF ENVIRONMENTAL S~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION D REVISE 200 CHEMICAL NAME 0'-'( '£N COMMON NAME ; CAS# 77f~- "ý.. 7 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) \tl·;':-,Ç¡jfW¥~'fi~~i,:;~;ojJi\~;' )\7t;"~).:: ",ICAUINFORMA TlO ~~'~~¥'F i;·'~"".f" (_'i}j~~".N':....'.;-'~.;'.",<..; o m MIXTURE o Yes ~o 2 ¿() cr (one form per material per building or alÐa) Page of o Yes 0 No 202 204 210 TYPE Aè'Þ PURE 212 CURIES 213 PHYSICAl STATE o s SOLID ÞG FIRE FED HAZARD CATEGORIES (Check all that apply) ANNUAl WASTE AMOUNT UNITS· STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUilDING o d STEEL DRUM o w WASTE 211 RADIOACTIVE 215 o 2 REACTIVE 1(3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 219 STATE WASTE CODE 220: ~a ABOVE AMBIENT o ba BELOW AMBIENT o I LIQUID ~GAS 214 LARGEST CONTAINER 216 221 DAYS ON so¡... I 3'~ 222 217 MAXIMUM Z '" ~ ø' 218 AVERAGE J DAilY AMOUNT ...... """ DAilY AMOUNT o ga GAL )( cf CU FT 0 Ib lBS 0 In TONS . If EHS. amount must be in Ibs, o q RAil CAR o r OTHER 223 o e PLASTlClNONMETAllIC DRUM o f CAN o 9 CARBOY o h SilO o i FIBER DRUM OJ BAG Ok BOX ~CYlINDER o m GLASS B01TlE o n PLASTIC BOTTlE o 0 TOTE BIN o p TANK WAGON STORAGE PRESSURE o a AMBIENT 224 STORAGE TEMPERATURE ~AMBIENT o aa ABOVE AMBIENT , 0 ba BELOW AMBIENT o c CRYOGENIC 225 oK"",;¡V -ÚM'4- 1 I 2 230 231 o Yes 0 No 232 233 : i 3 234 235 OYesONo 236 237 I I 4 238 239 o Yes 0 No 240 241 I 242 243 245 UPCF (7/99) ~,,;'-t!:Jo S:\CUPAFORMS\OES2731.TV4.wpd ------ ~~ - tit CITY OF BAKERSFIELÐtt OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W D REVISE 200 DADD D DELETE CHEMICAL LOCATION COMMON NAME CAS # ?t/-f'/. -2- FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) (one foim per material per buDding or area) Page . _", Of . . 0 Yes 0 N~ 202 204 TYPE o Yes J(No 212 CURIES 210 ! . 213 215 216 220 222 o m MIXTURE o w WASTE P PURE 211 RADIOACTNE LARGEST CONTAINER s-s~ PHYSICAL STATE "9 GAS o s SOUD o I LIQUID 214 ~ FIRE o 5 CHRONIC HEALTH I I FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT " PRESSURE RELEASE 0 4 ACUTE HEALTH , ~ ,. ~ 218 AVERAGE ~.¡ ...,.... DAILY AtIOUNT 02 REACTNE 217 MAXIMUM DAILY AtIOUNT o ga GAL ~cf CU FT . If EHS. amount must be In Ibs, SO~ o Ib LBS o In TONS UNITS· STORAGE CONTAINER (Check all that apply) o e PLASTlClNONMETAlLIC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX "'"' CYLINDER o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o m GLASS BOTILE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON STORAGE PRESSURE -traa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC o a AMBIENT STORAGE TEMPERATURE , 0 ba BELOW AMBIENT o aa ABOVE AMBIENT 219 STATE WASTE CODE 221 DAYS ON SITE__ ,,:) o q RAIL CAR o r OTHER 223 I ! \ 22~ I I 2251 I A GG,r't'1-&1'I4 230 231 DYes 0 No 232 233 3 234 235 OYesONo 236 237 4 238 239 DYes 0 No 240 241 I 5 242 243 DYes 0 No 244 245 £¡µ 'If,lv ¡11 MM r-L. UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd . CITY OF BAKERSFIELQa OFl'It:E OF ENVIRONMENTAL SIftVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W D REVISE 200 DADD D DELETE CHEMICAL LOCATION CHEMICAL NAME COMMON NAME ¡ CAS# FIRE CODE HAZARD CLASSES (Complete if requested by local fire Chief) ; TYPE o p PURE .lit m MIXTURE PHYSICAL STATE o s SOLID .2(j LIQUID FED HAZARD CATEGORIES Ie FIRE o 2 REACTIVE (Check all thaI apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOUNT o Yes à{No 212 CURIES 213 o w WASTE 211 RADIOACTIVE (one (ann per material per budding or alUa) Page of o Yes 0 Nó 202 204 210 o 9 GAS 214 LARGEST CONTAINER If* ~þ(, ð~ 215 tJ 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH IS- 218 AVERAGE DAILY AMOUNT IS- UNITS' ~a GAL 0 d CUFT If EHS. amount must be in Ibs, o Ib LBS o In TONS 223 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING )C.d STEEL DRUM o e PLASTIClNONMETALlIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON 216 219 STATE WASTE CODE 220, 221 DAYS ON SITE 222 o q RAIL CAR o r OTHER STORAGE PRESSURE 1rCa AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 o C CRYOGENIC STORAGE TEMPERATURE . 0 ba BELOW AMBIENT R a AMBIENT o aa ABOVE AMBIENT 225 I I 2 230 231 DYes 0 No 232 233 I 3 234 235 OVesONo 236 237 i I 239 I 4 238 o Yes 0 No 240 241 I I 242 243 245 I ¿.J 'D~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd . d'O)( e St-~Æ ~ ~ 64 \~ ~'I;r? . . ,. CITY OF B FIELD FIRE DEPARTMENT OFFIC OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME'E'6 ~O hã~ ADDRESS 533'3 vJHtW'LrJ FACILITY CONTACT -rJM. M l!.c..a1v'A&/tV¡ INSPECTION TIME f) 3Ç pIA ðQ")P M.- L 5 I\..{,( N . Business Plan and Inventory Program INSPECTION DATE 11- Zif-c¡q PHONE NO. )(' 3 ~ - {p J fl.f BUSINESS ID NO. 15-210- 1\Jt.W 73(15 (IJ~S NUMBER OF EMPLOYEES ;5 Section 1: fS{ì. Routine o Combined 0 Joint Agency 0 Multi-Agency 0 Complaint 0 Re-inspection OPERATION C V COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate ~ "F.iJ.5¡tJË)J Visible address Correct occupancy Verification of inventory materials Verification of quantities Proper segregation of material Verification of location Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures GAiJ' Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation £ÞA tÞ C4L 0C0 /1 D3/'7 Any haza\"~!Jus waste on site?: ,~Yes. 0 No Explain: {)J!tStF Dll - uJA~ 7fE fHJ 11 F~ White - Env, Svcs', Yellow - Station Copy . Pink - Business Copy qt;¡ Business Site Responsible Party Inspector: ~ Questions regarding this inspection? Please call us at (805) 326-3979 01/03/2008 15:13 COB 661-832-01 94 BBT 9 1/3/2000 1;06;01 PM PAGE PAGE 01/01 31003 r~n Gorvor BIG BRlOOj TIRE STORE Mal::1ager : TIM MCCONAGHY T.,ocation: 5333 WHJ:'l'B LN City BAKERSFIELD COlllmCode : BFD sn 13 EPA Numb; SiteID: 015-02~-002027 BusPhone : Map : 123 G:ddl l.SD (661) 832-6184 commHaz : High Faconits: 1. AOV: SIC ,Code: 7534 DunnBrad:~8-629-0003 Em.erg'ency Contact TIM MCCONAGHY Business Phone: 24~Hour Phone : Pager Phone / Title / STORE MANAGER (661) 832-6184x (66'1) 37B-0784x () x Emergency contact ERNESTO ROSALBS Business Phone: 24-Hour Phone Pager Phone / Title / SALl!:SMAN (661) S32-6184x: (661) 364-7863x () x ImmHlth DelHlth Hazmat Hazards: Fire Press Con.ta.ct : CRAIG WORKMAN Ma.:llAddr: B05 VIA ALONDRA City CAMARILLO Period Preparer: Certif'd: PaxcelNo: to Phone: (805) 388-0223X31. State: CA Zip 93012 Phone: (805) 388-0223x State: CA Zip 93012 'I'otalASTs: = Gal TotalUSTSI .. Gal. RSs: No Owner Address city MAJ'CO me 805 va ALONDRA CAMARILLO Emergency Directives: PROG A - aAZMA'l' PROG H - HAZ WASTE GEN ~asedSl~~Y InquIry of those IndivIduals ::' ....." Nf obtaining the rnfotmatJon I certify un er penalty of law that I have personally mcgmlnoa and am fill3/' wtth the Information !ubmlttGd t.lncl 1M! thQ Information Is true AOCUl'tlltol &J.'I pIeto. I ~ v -1- 10/03/2007 ." ....... F BIG BRAND TIRE STORE p= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-002027 9 By Facility Unit 9 Fixed Containers at Site 9 IspecHazlEPA Hazards I Frm I DailyMax IUnitlMCP E F P IH G 55.00 FT3 Hi F IH S 10.00 LBS Hi F IH DH G 220.00 FT3 Low F DH L 110.00 GAL Low F DH L 55.00 GAL Low F DH L 55.00 GAL Low F DH L 195.00 GAL Min L 55.00 GAL UnR F DH S 55.00 GAL UnR F DH L 55.00 GAL Low Hazmat Common Name. . . ACETYLENE BATTERIES OXYGEN WASTE OIL WASTE ANTIFREEZE TRANSMISSION FLUID MOTOR OIL WASTE BRAKE FLUID WASTE OIL FILTERS WASTE TRANSMISSION OIL ~ -2- 10/03/2007 '.., " -3- 10/03/2007 .. F BIG BRAND TIRE STORE p= Inventory Item 0007 F= COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 015-021-002027 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 74-86-2 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 55.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 55.00 FT3 Daily Average 50.00 FT3 %Wt. I 100.00 Acetylene HAZARDOUS COMPONENTS [J;] Yes CAS # 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0009 == COMMON NAME / CHEMICAL NAME BATTERIES Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # [ ST~TE I ~YPE ~ P~ESSURE --r TEM~ERATURE -, =SOlld __Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 10.00 LBS 10.00 LBS CONTAINER TYPE BOX Daily Average 10.00 LBS %Wt. RS CAS # 35.00 Battery Acid No 7664939 10.00 Nickel Oxide No 1313991 5.00 Cadmium Oxide (EPA) No 1306190 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi HAZARD ASSESSMENTS -4 - 10/03/2007 :. F BIG BRAND TIRE STORE p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-002027 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 220.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 220.00 FT3 Daily Average 175.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0001 Facility Unit: Fixed Containers at Site 9 = COMMON NAM~ / CHEMICAL NAME WASTE OIL AND WASTE TRANSMISSION OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 75.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -5- 10/03/2007 , , . F BIG BRAND TIRE STORE f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE SiteID: 015-021-002027 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 15.00 GAL %Wt. RS CAS # 30.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -6- 10/03/2007 . ' F BIG BRAND TIRE STORE p= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-002027 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 8020835 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 195.00 GAL Daily Average 150.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME WASTE BRAKE FLUID Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 15.00 GAL %Wt. RS CAS # Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS -7- 10/03/2007 F BIG BRAND TIRE STORE f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS SiteID: 015-021-002027 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 221 STATE - TYPE Solid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 25.00 GAL %Wt. I HAZARDOUS COMPONENTS ~I CAS # HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -8- 10/03/2007 . ' SiteID: 015-021-002027 1 Fast Format 1 Overall Site 1 04/19/2006 F BIG BRAND TIRE STORE I p= Notif./Evacuation/Medical Agency Notification OUR SHOP IS MAINTAINED AND CLEANED ON A DAILY BASIS. VISUAL INSPECTIONS OF ALL WASTE BARRELLS ARE PERFORMED THROUGHOUT THE DAY. THERE ARE NO ELECTRONIC MONITORING DEVICES. Employee Notif./Evacuation 10/12/2006 FOR MINOR SPILLS, MANAGER AND ASSISTANT MANAGER ARE NOTIFIED AND IN-HOUSE CLEAN-UP PROCEDURES ARE PERFORMED. FOR A MAJOR SPILL CALL 911, NOTIFY ALL EMPLOYEES AND CUSTOMERS VERBALLY OR THROUGH INTERCOM. NOTIFY CORPORATE OFFICE AFTER REDUCING THE SOURCE OF THE SPILL. Public Notif./Evacuation 02/27/2007 TIM MCCONAGHY, STORE MANAGER IS IN CHARGE. ERNESTO ROSALES, ASSISTANT MANAGER, IS SECOND IN COMMAND. PETE VALDEZ, MECHANIC, IS THIRD. TIM WILL MAKE ALL NOTIFICATIONS. ERNESTO AND PETE WILL OVERSEE CLEAN-UP. Emergency Medical Plan 10/12/2006 CALL 911 WHEN NECESSARY FOR MAJOR MEDICAL. MINOR MEDICAL: VALLEY MEDICAL GROUP, 5401 WHITE LN, 836-4000 OR BAKERSFIELD FAMILY MEDICAL, 4580 CALIFORNIA AVE, 327-4411. -9- 10/03/2007 . ' SiteID: 015-021-002027 9 Fast Format 9 Overall Site 9 04/19/2006 F BIG BRAND TIRE STORE I f= Mitigation/prevent/Abatemt Release Prevention WASTE BARRELS ARE STORED ON CONTAINMENT PALLETS TO PREVENT SPILLAGE TO GROUND AREA. VISUAL INSPECTIONS ARE PERFORMED THROUGHOUT THE DAY. MONTHLY SAFETY MEETINGS ARE HELD TO PREVENT ACCIDENTS AND TO DISCUSS HAZMAT HANDLING. Release Containment 04/19/2006 REDUCE OR SHUT OFF SOURCE OF SPILL. INTERCEPT SPILL WITH ABSORBENT. CALL 911 IF NECESSARY. FOLLOW CLEAN-UP PROCEDURES. Clean Up 10/12/2006 WE USE KITTY LITTER, CLEAN SWEEP, AND RAGS FOR MOST SPILLS. CLEAN-UP MATERIALS ARE STORED IN OUR SPILL CONTAINMENT KIT ON SITE. CRANES WASTE OIL INC 800-272-6330 HANDLES OUR WASTE ON A MONTHLY BASIS, OR SOONER IF NEEDED. MISSION LINEN HANDLES OUR RAGS. Other Resource Activation -10- 10/03/2007 . ' SiteID: 015-021-002027 9 Fast Format 9 Overall Site 9 F BIG BRAND TIRE STORE I f= Site Emergency Factors Special Hazards Utility Shut-Offs 04/19/2006 A) GAS - NONE B) ELECTRICAL - E WALL INSIDE SHOP BY STAIRS/SE WALL BY BATHROOM C) WATER - W SIDE CRNR OF PROP BY HYDRANT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/26/2007 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS AND SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - PARKING LOT SIDEWALK W SIDE OF SITE ON WHITE LN. Building Occupancy Level 12/08/2006 14 EMPLOYEES -11- 10/03/2007 .. . . F BIG BRAND TIRE STORE I F Training Employee Training SiteID: 015-021-002027 9 Fas t Format 9 Overall Site 9 01/26/2007 MSDS SHEETS ON FILE IN OFFICE HAZMAT FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE MONTHLY SAFETY MEETINGS FOCUSING ON EQUIPMENT USE, HOUSEKEEPING, AND ACCIDENT PREVENTION. AMONG TOPICS DISCUSSED ARE HAZMAT-RELATED TOPICS, INCLUDING HANDLING, PREVENTION, MSDS SHEETS, AND CLEAN-UP. Page 2 Held for Future Use Held for Future Use -12- 10/03/2007 B ~ BIG BRAND TIRES - - - 5333 WHITE LN u 1 \~~ ~I ~~~ ~--- ~~i ~ ~ ~~~J U ~_, ~'- r i~•l BIG BRAND TIRE STORE Manager TIM MCCONAGHY Location: 5333 WHITE LN City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-002027 BusPhone: (661) 832-6184 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: SIC Code:7534 DunnBrad:l8-629-0003 Emergency Contact / Title Emergency Contact / Title TIM MCCONAGHY / S TORE MANAGER ERNESTO ROSALES / SALESMAN Business Phone: (661) 832-6184x Business Phone: (661) 832-6184x 24-Hour Phone (661) 378-0784x 24-Hour Phone (661) 364-7863x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CRAIG WORKMAN Phone: (805) 388-0223x31 MailAddr: 805 VIA ALOND RA State: CA City CAMARILLO Zip 93012 Owner MAJCO INC ^ "* '*'~'' Phone: ' 7S ~s ~ ~ ~ ~ (805) 388-0223x * "z T Address ~ 0~ ~ AT ATT~ gz r ,jLl dp,be State: CA City -0~3~RB- ~"~yr};Lw~p ~ ~j~CIL Zip 93030 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN /~f ~3ased ~~ on my inquiry of those individuals responsible far obtaining the informati ~r on, I certify under penalty of laa~ that I have personall ex y amined and am familiar it ~ the information suar lifted and believe t i formation is true, ac rata, and plete. Signature -~ ~"' ~~ " DO ~ Date -1- 07/09/2007 F BIG BRAND TIRE STORE SiteZD: 015-021-002027 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 55.00 FT3 Hi BATTERIES F IH S 10.00 LBS Hi OXYGEN F IH DH G 220.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low WASTE ANTIFREEZE F DH L 55.00 GAL Low TRANSMISSION FLUID F DH L 55.00 GAL Low MOTOR OIL F DH L 195.00 GAL Min WASTE BRAKE FLUID L 55.00 GAL UnR WASTE OIL FILTERS F DH S 55.00 GAL UnR -2- 07/09/2007 -3' 07/09/2007 F BIG BRAND TIRE STORE SitelD: 015-021-002027 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 FT3 55.00 FT3 4I 50.00 FT3 riHGAl[LVU~ l:Vl~lt'V1VJJ1V17 %wt. RS CAS# 100.00 Acetylene Yes 74862 t1L~GAKIJ A.7.7L' J51~1~1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME BATTERIES Location within this Facility Unit STATE TYPE PRESSURE Solid TMixture 1 Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.00 LBS 10.00 LBS 10.00 LBS r1H~Httl~VUa ~V1nrVivr~lvl5 %Wt. RS CAS# 35.00 Battery Acid No 7664939 10.00 Nickel Oxide No 1313991 5.00 Cadmium Oxide (EPA) No 1306190 t1HGEittL F~5 JL' ~ J1~1L' 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi -4- 07/09/2007 ~ F BIG BRAND TIRE STORE ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-002027 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient- PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 220.00 FT3 220.00 FT3 175.00 FT3 t1ti~t~ttL~u~ ~vl~irvlv~lvla oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1HGEiKL 1~5~1;J~1~11i.1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# l ~ 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container - Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 75.00 GAL riliGEitCLV U.7 1. V1~lY V1V 1',1V 1 J %Wt . RS CAS$# 100.00 Waste Oil, Petroleum Based No 0 IIHGKCCL H. 7.7L~.7J1`71J1VliJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07j09/2007 F BIG BRAND TIRE STORE ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Location within this Facility Unit STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-002027 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 107-21-1 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 15.00 GAL r~~r~tcLVU~ ~Vinrviv~lvl~ ~Wt. RS CAS# 30.00 Ethylene Glycol No 107211 t11~GE~KL f~. 7~r,J~1~1r,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00_ GAL tiliGHtCLVU.7 1.V1~lYV1VL"1V 1.7 °sWt . RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 t1EiGtitC.L 1~.7.7~.7.71~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 07/09/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8020835 Liquid TMixture ~AmbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 195.00 GAL 150.00 GAL - t111GKKLVU~ 1:V1~lYV1V~1V1~ oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1AG1'~ttL HJSt',b51~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDO'I'# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE BRAKE FLUID Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE Liquid TWaste ~ Ambient ~ Ambient CONTAINER TYPE _ DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average _55.00 GAL 55.00 GAL 15.00 GAL tlEiGHKLVU~ 1~V1~lYV1ViS1V1D %Wt. RS CAS# Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 riEiGL•ittL 1~iA .7L' .7.71~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -7- 07/09/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 221 STATE T TYPE ~~ PRESSURE ~f" TEMPERATURE ~~ CONTAINER TYPE Solid I Waste I Ambient I Ambient I DRI7M/BARREL-METAT,T,ZC I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL HAZARDOUS COMPONENTS owt. RSA CAS# t1HGEittL H~ ~r,~~1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -$- 07/09/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/19/2006 ~ OUR SHOP IS MAINTAINED AND CLEANED ON A DAILY BASIS. VISUAL INSPECTIONS OF ALL WASTE BARRELLS ARE PERFORMED THROUGHOUT THE DAY. THERE ARE NO ELECTRONIC MONITORING DEVICES. Employee Notif./Evacuation 10/12/2006 FOR MINOR SPILLS, MANAGER AND ASSISTANT MANAGER ARE NOTIFIED AND IN-HOUSE CLEAN-UP PROCEDURES ARE PERFORMED. FOR A MAJOR SPILL CALL 911, NOTIFY ALL EMPLOYEES AND CUSTOMERS VERBALLY OR THROUGH INTERCOM. NOTIFY CORPORATE OFFICE AFTER REDUCING THE SOURCE OF THE SPILL. Public Notif./Evacuation 02/27/2007 TIM MCCONAGHY, STORE MANAGER IS IN CHARGE. ERNESTO ROSALES, ASSISTANT MANAGER, IS SECOND IN COMMAND. PETE VALDEZ, MECHANIC, IS THIRD. TIM WILL MAKE ALL NOTIFICATIONS. ERNESTO AND PETE WILL OVERSEE CLEAN-UP. Emergency Medical Plan 10/12/2006 CALL 911 WHEN NECESSARY FOR MAJOR MEDICAL. MINOR MEDICAL: VALLEY MEDICAL GROUP, 5401 WHITE LN, 836-4000 OR BAKERSFIELD FAMILY MEDICAL, 4580 CALIFORNIA AVE, 32.7-4411. -9- 07/09/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/19/2006 ~ WASTE BARRELS ARE STORED ON CONTAINMENT PALLETS TO PREVENT SPILLAGE TO GROUND AREA. VISUAL INSPECTIONS ARE PERFORMED THROUGHOUT THE DAY. MONTHLY SAFETY MEETINGS ARE HELD TO PREVENT ACCIDENTS AND TO DISCUSS HAZMAT HANDLING. Release Containment 04/19/2006 REDUCE OR SHUT OFF SOURCE OF SPILL. INTERCEPT SPILL WITH ABSORBENT. CALL 911 IF NECESSARY. FOLLOW CLEAN-UP PROCEDURES. Clean Up 10/12/2006 WE USE KITTY LITTER, CLEAN SWEEP, AND RAGS FOR MOST SPILLS. CLEAN-UP MATERIALS ARE STORED IN OUR SPILL CONTAINMENT KIT ON SITE. CRANES WASTE OIL INC 800-272-6330 HANDLES OUR WASTE ON A MONTHLY BASIS, OR SOONER IF NEEDED. MISSION LINEN HANDLES OUR RAGS. Other Resource Activation -10- 07/09/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rc~ial nac.aiu~ Utility Shut-Offs 04/19/2006 A) GAS - NONE B) ELECTRICAL - E WALL INSIDE SHOP BY STAIRS/SE WALL BY BATHROOM C) WATER - W SIDE CRNR OF PROP BY HYDRANT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/26/2007 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS AND SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - PARKING LOT SIDEWALK W SIDE OF SITE ON WHITE LN. Building Occupancy Level 12/08/2006 14 EMPLOYEES -11- 07/09/2007 ~ BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/26/2007 ~ MSDS SHEETS ON FILE IN OFFICE HAZMAT FILE. BRIEF SUNIl~IARY OF TRAINING PROGRAM: WE HAVE MONTHLY SAFETY MEETINGS FOCUSING ON EQUIPMENT USE, HOUSEKEEPING, AND ACCIDENT PREVENTION. AMONG TOPICS DISCUSSED ARE HAZMAT-RELATED TOPICS, INCLUDING HANDLING, PREVENTION, MSDS SHEETS, AND CLEAN-UP. rayc ~ Held for Future Use nciu i.v.L r u~uLC t~SC -12- 07/09/2007 _ -_ Y ~ _ _ ii :~ BIG BRAND TIRE STORE Manager TIM MCCONAGHY Location: 5333 WHITE LN City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SiteID: 015-021-002027 BusPhone: (661) 832-6184 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: SIC Code:7534 DunnBrad:18-629-0003 Emergency Contact / Title Emergency Contact / Title TIM MCCONAGHY / STORE MANAGER ERNESTO ROSALES / SALESMAN Business Phone: (661) 832-6184x Business Phone: (661) 832-6184x 24-Hour Phone (661) 378-0784x 24-Hour Phone (661) 364-7863x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth De1Hlt~i Contact CRAIG WORKMAN Phone: (805) 388-0223x31 MailAddr: 805 VIA ALONDRA State: CA City CAM:ARILLO Zip 93012 Owner MAJCO INC Phone: (805) 388-0223x Address 1000 COMMERCIAL AVE State: CA City OXNARD Zip 93030 Period to TotalASTs: = teal Preparers TotalUSTs: = dal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN [3ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am fa 'liar with the information t ENl"D F E B 2 6 20 rue, s milted and beli the information is 07 a curate, a com e ~r ~~O •g ature Date -1- O1/26/2~07 F BIG BRAND TIRE STORE ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-00207 ~ By Facility Unit ~ Fixed Containers at Sits ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~CP ACETYLENE E F P IH G 55.00 FT3 f~. OXYGEN F IH DH G 220.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low WASTE ANTIFREEZE F DH L 55.00 GAL how TRANSMISSION FLUID F DH L 55.00 GAL Low MOTOR OIL F DH L 195.00 GAL 1r+tn WASTE BRAKE FLUID L 55.00 GAL UiR WASTE OIL FILT RS F DH S 55.00 GAL t7nR t3a rr ~cutS ~Nw,,~ - ~- i ~ s l~ • tai -2- 0l/26/z~o~ _3_ O1/26/~007 F BIG BRAND TIRE STORE SiteID: 015-021-00202'7 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Sites 365 Location within this Facility Unit Map: Grid: "" CAS# 74-86-2 ~GasATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 FT3 55.00 FT3 50.00 FT3 - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 riHGHttL Ei7~JJJ~1~1tS1V 1.5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / H1 ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit Facility Unit: Fixed Containers at Sits ~ Days On Sits 365 Map: Grid: CAS# 7782-44-7 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas I Pure -Above Ambient Ambient PORT. PRESS. CYLINDER,,.,.,.,.,,, AMOUNTS AT THIS LOCATION Largest Co220100rFT3 Daily 220100m FT3 I Daily 175r00e FT3. riEiGHKL V U .7 1~U1~1Y V1V I;1V 1 ~ sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 IlEiL~EitCL ti.7 ~1;.7.71~11;1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / LeW -4- 0l/26/~~07 _ ! F BIG BRAND TIRE STORE SiteID: 015-021-00202'7 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Sits 365 Location within this Facility Unit Map: Grid: "" CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily M10?OOm GAL I Daily A~5r00e GAL rsti~tucl~~ua ~:vlnrvlvl,ty 1 ~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1AGA1.CU 1~.7~L',~~1~1JJ1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Lacy ~ Inventory Item 0002 Facility Unit: Fixed Containers at Sits ~ COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Sits 365 Location within this Facility Unit Map: Grid: CAS# 107-21-1 Liquid TWaste -~mbRient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 15.00 GAL, riEiGli[tLVUJ 1.V1~lYV1Vi51V 1.7 oWt. ~ RS CAS# 30.00 Ethylene Glycol No 107211 riti~s-a.rxL r-~~ ~~~al~i~ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Li~~r -5- Ol/26/2b07 F BIG BRAND TIRE STORE SiteID: 015-021-00202'1 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average 55.00 GAL 55.00 GAL 55.00 GAL I3L~GL-1.CCLVU.S 1,V1~lYV1VJ;1Vl~ %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 IlEiGH.[CL H.' ~.7~.7~7L~1J~.1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M'C No No No No/ Curies F DH / / / Lr~w ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixture ~ Ambient 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 55.00 GAL 195.00 GAL 150.00 GAL riAGHKLVUA 1.V1~lYV1VL'ilVT.7 owt. Rs cAS# 100.00 Motor Oil, Petroleum Based No 802035 i'1HLGHtCL H.75L" a.71~1L"-1V 1.7- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MiC1~ No No No No/ Curies F DH / / / Min -6- 01/26/2007 n F BIG BRAND TIRE STORE ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE BRAKE FLUID Location within this Facility Unit SiteID: 015-021-00202' ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 15.00 GAL ru~~rucLVUa ~vinruivniv l ~ %Wt. RS CAS# Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 11235 t1AGH1[1J 1~JaL'~~1~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UR ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Location within this Facility Unit STATE TYPE PRESSURE Solid TWaste ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 221 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / UnR -7- 01/26/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 04/19/2045 OUR SHOP IS MAINTAINED AND CLEANED ON A DAILY BASIS. VISUAL INSPECTIONS OF ALL WASTE BARBELLS ARE PERFORMED THROUGHOUT THE DAY. THERE ARE NO ELECTRONIC MONITORING DEVICES. Employee Notif./Evacuation 10/12/2045 FOR MINOR SPILLS, MANAGER AND ASSISTANT MANAGER ARE NOTIFIED AND IN-HOUSE CLEAN-UP PROCEDURES ARE PERFORMED. FOR A MAJOR SPILL CALL 911, NOTIFY ALL EMPLOYEES AND CUSTOMERS VERBALLY OR THROUGH INTERCOM. NOTIFY CORPORATE OFFICE AFTER REDUCING THE SOURCE OF THE SPILL. Public Notif./Evacuation 04/19/2005 ~1LN45,'~ /Zo~SA-c,fS TIM MCCONAGHY, STORE MANAGER IS IN CHARGE. ~""-~BTz~, ASSISTANT MANAGER, ~S SECOND IN COMMAND. MECHANIC, IS THIRD. TIM WILL MAKE ALL NOTIFICATIONS. AND ~6Io! WILL OVERSEE CLEAN-UP. ~l~E Y4~LF~~~ 9 9 Emergency Medical Plan 10/12/2045 CALL 911 WHEN NECESSARY FOR MAJOR MEDICAL. MINOR MEDICAL: VALLEY MEDICAL GROUP, 5401 WHITE LN, 836-4000 OR BAKERSFIELD FAMILY MEDICAL, 4580 CALIFORNIA AVE, 327-4411. -8- 01/26/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~ ~ Release Prevention 04/19/2005 ~ WASTE BARRELS ARE STORED ON CONTAINMENT PALLETS TO PREVENT SPILLAGE TO GROUND AREA. VISUAL INSPECTIONS ARE PERFORMED THROUGHOUT THE DAY. MONTHLY SAFETY MEETINGS ARE HELD TO PREVENT ACCIDENTS AND TO DISCUSS HAZMAT HANDLING. Release Containment 04/19/2005 REDUCE OR SHUT OFF SOURCE OF SPILL. INTERCEPT SPILL WITH ABSORBENT. CALL 911 IF NECESSARY. .FOLLOW CLEAN-UP PROCEDURES. Clean Up 10/12/2005 WE USE KITTY LITTER, CLEAN SWEEP, AND RAGS FOR MOST SPILLS. CLEAN-UP MATERIALS ARE STORED IN OUR SPILL CONTAINMENT KIT ON SITE. CRANES WASTE OIL INC 800-272-6330 HANDLES OUR WASTE ON A MONTHLY BASIS, OR SOONER IF NEEDED:. MISSION LINEN HANDLES OUR RAGS. vLner xesource r~cLivaLion -9- 01/26/2007 F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Format ~ ~ Site Emergency Factors Overall Sites ~ aYCC:1d1 tld'Gci1.Ci.5' Utility Shut-Offs 04/19/20n6 A) GAS - NONE B) ELECTRICAL - E WALL INSIDE SHOP BY STAIRS/SE WALL BY BATHROOM C) WATER - W SIDE CRNR OF PROP BY HYDRANT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water O1/26/20b7 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS AND SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - PARKING LOT SIDEWALK W SIDE OF SITE ON WHITE LN. Building Occupancy Level 12/08/20f'J5 14 EMPLOYEES -10- 01/26/2007 ~~ F BIG BRAND TIRE STORE SiteID: 015-021-002027 ~ Fast Forme ~ ~ Training Overall Site ~ ~ Employee Training Ol/26/20tl'7 ~ MSDS SHEETS ON FILE IN OFFICE HAZMAT FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE MONTHLY SAFETY MEETINGS FOCUS1I~G ON EQUIPMENT USE, HOUSEKEEPING, AND ACCIDENT PREVENTION. AMONG TOPICS DISCUSSED ARE HAZMAT-RELATED TOPICS, INCLUDING HANDLING, PREVENTION, MSDS SHEETS, AND CLEAN-UP. Page z riela =or r~uture use Held for Future Use -11- Ol/26/~007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Te_1: (661)_326-3979 _____ __ _ FACILITY NAME ~- WSPECTION GATE INSPECTION TIME ADDRESS PHONE No. No. of Employees s333-----_~-~?a~-~__~...__~----------- --- _. -- ----------- .._ ._. __. ~~-6~~~- ---~~------- -- FACILITYCONTACT Business ID Number ~ ~, 15-021- bL~2oz-] Section 1; Business Plan and Inventory Program outine O Combint3d ^ Joint Agency ^Mu1ti-Agency O Complaint ^ Re-inspection • C'3' ^. FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEQUATE S ON HAND ANY HAZARDOUS WASTE ON SITE7: ~IYES ^ NO ExPLAIN:__ //VQ_~ G/ ~r~ fi'N~. I~~'~ /SI L. • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT 66'I 326-3979 ~. n clot (Please Print) Fire Preventi 1st-INShift of Site While - Envirommenlal Services Yelbw - Statbn Copy „- siness Site Responsible PaAy (Please Prinq Pink - 8uainees Copy n U ~~- `'~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES -'~ UNIFIED PROGRAl1'1 INSPECTION CHECKLIST s W~''"A~~,~~ 1715 Chester Ave., 3~d I' Ioor, Bakersfield, CA 93301 FACILITY NAME_ ~9 IJf~"~~ ~i~P _ ADDRESS ~33~ ~: Q~ FACILITY CONTACT wT"~w, MC. ~. INSPECTION TIME I~0 Section 1: Business Plan and Inventory Progra INSPECTION DATE ~~~~ _ rH~NE Nt. $32' IAN BUSINESS [D NO. IS-210- bb2.D27 NUMBER OF EMPLOYEES i i m ~.~~(~ ,f~ Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ~1 °' t Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material x Verification of MSDS availability U V~O'1 16 2 Verification of Haz Mat training ~' Verification of abatement supplies and procedures Emergency procedures adequate X Containers properly labeled ~(' Housekeeping Fire Protection X Site Diagram Adequate & On Hand ,~ C=Compliance V=Violation 1 Any hazardous vote on site?: (~Y No ~,,/y~ ~~ • Explain: t~G. S 1 ~- ©i ~T 1.~~15'~ h'~.t.~~ i 'U `x" ~~ --\\ ~..{G/~ Questions regarding this inspection'! Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy 6~ BusinesspSite Responsible Party Inspector: 1~ •~R~~ T~ i. + BIG BRAND TIRES _____________________________________ SiteID: 015-021-002027 + Manager Location: 5333 WHITE LN City BAKERSFIELD BusPhone: (661) 832-6184 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:7534 EPA Numb: ~ ~~~ DunnBrad:l8-629-0003 ------------------------------------------- ---- Emergency Contact / Title Emergency Co ac / Title TIM MCCONAGHY / STORE MANAGER WES JOHNSON / ASST MANAGER Business Phone: (661) 83.2-6184x Business Phon (661) 832-6184x., 24-Hour Phone (661) 397-0731x 24-Hour Phon (661) 831-9224x ~='~z Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CRAIG WORKMAN Phone: (805) 388-0223x31 ~MailAddr: 805 VIA ALONDRA State: CA City ~ CAMARILLO Zip 93012 Owner MAJCO INC Address 805 VIA ALONDRA City CAMARILLO Phone: (805) 388-0223x31 State: CA Zip 93012 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No ----- + ----------------------------- Emergency Directives : ~ ~~}~ ~„ 9 ~~ PROG A - HAZMAT PROG H - HAZ WASTE GEN ~a~,~d Qn my inquiry oaf those individuals resppnsible fpr Abtainirg the Information, I certify under penalty of iaw ±h&t 1 have personally examined and am fami{iar with the information submitted and be~i~ave the information is true, accu , and cornp .~,/ ,r a Sign. re Date Big Brand Tire Store 5333 white lane Bakersfield Ca. 93309 , Emergency contacts Tim Mcconaghy store manager t Business phone 661-832-6184 24 hr phone 661-378-0784 cell Ernesto Rosales salesman Business phone 661-832-6184 24 hr phone 661-364-7863 cell -1- 03/14/2006