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HomeMy WebLinkAboutBUSINESS PLAN 4/20/2007.~ ~i ~~ , ~~, ~,1~ ~ , ~..~ ~~., ~ `~ ~. _0 z~ _ ,~ ~~ `. ~0'~~~' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A r R S F , . n 9ooTruxtun Ave., Suite 210 FARE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "RT'" r .Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME f J /~`) ~ INSPECT17ON DATE ~' ~ / d ~ INSPECTION TIME O~S O V ~'7~.~ ~ ~ ~ ~ " ADDRESS C~ 2.a ( ~J~ iT- Z.~ PHONE NO. .- 8„~ ~ tt c ~ O OF EMPLOYEES ja FACILITY CONTACT ~v~ i a ~'1 E9--rvS BUSINESS ID NUMBER 1 s-o21- ,moo ~j ROUTINE Section 1: Business Pian and Inventory Program ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT -- _ _ ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation 'COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ,_,/ ;iQ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES >~ ^ VERIFICATION OF LOCATION . a ~ ~aa'~ Lr ^ GROPER SEGREGATION OF MATERIAL I'd ^ VERIFICATION OF MSDS AVAILABILITY 11 Il ~ ^ VERIFICATION OF HAZ MAT TRAINING ~ / - IiJ ^ VERIFICATION OF, ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE (~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~O EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 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. 09/05 U-HAUL CENTER 709022 SiteID: 015-021-003404 Manager :-~ -~~.-t~t;~.~.~'~~5 Location: 6201 WHITE LN City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661) 834-6111 Map 123 CommHaz Extreme Grid: 15A FacUnits: 1 AOV: sIC coae: ~~~.3 DunnBrad : t. ~C.~~ ~~~ Q ~ ~ `~, Emergency Contact / .Title envy Contact / Title._ Emer R TODD FERREIRA / MARKET CO PRES y ~.~t~ ~~~~~~ ~/ / _ ~~~~~_' '~'~~'~~'~ Business Phone: (559) 487-1723x Business Phone: °~.'_ -1 ~~ -~..~ 24-Hour Phone (800) 238-4364x 24-Hour Phone (800) 238-4364x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact U-HAUL CO OF CALIFORNIA Phone: (559) 487-1723x MailAddr: 749 N BLACKSTONE AVE State: CA City FRESNO Zip 93701 Owner U-HAUL CO OF CALIFORNIA Phone: (559) 487-1723x Address 749 N BLACKSTONE AVE State: CA City FRESNO Zip 93701 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENT°D ~ E ~ ~ ~ ~QO~' Cased on my inquiry of those indivirauais responsible for obtaining the information, I ceriify under penalty of law that I have personally examined and am familiar ith the information submitted and beiiev a information is Yrue, accurate, a i e. / - Sign. Date 2 i -1- 02/20/2007 :F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 18000.00 FT3 Hi -2- 02/20/2007 -3- 02/20/2007 ~ U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ ~~Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF LOT CAS# 74-98-6 STATE T TYPE PRESSURE ~~~ TEMPERATURE CONTAINER TYPE ~GaS 1 Pure Above Ambient I Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest 18000100rFT3 Dai118000100m FT3 I Dai110800r00e FT3 - nr~~r~tcl~vu5 ~vl~irulvr•lv~t~~ oWt. RS CAS# 100.00 Propane Yes 74986 riL~GAKL A551;551~1L"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 02/20/2007 :F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification Employee Notif./Evacuation ~- rU1J111: 1VV Ll.L . / L' VcI C~UCl l,1 V11 Emergency Medical Plan -5- 02/20/2007 :F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ MitigationjPrevent/Abatemt Overall Site ~ ~ Release Prevention K@1~cl~e l:Uill.c1.1I1lR~ill. ~~ V 1GQ.11 Vt.J V 1.1101 AC~7VULVC Pil.: l...LVQl.l llll -6- 02/20/2007 :F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~la.l. na~ciiu~ Utility Shut-Offs a) ~GL~tiI SIC..-~ - ~'j~.3Z'. 5't' ~- ©~ ~'~4~ N ~L~~ `Ur Prrc)j=' ~rt"~ a~ ~~ ~r~ ~ S~-asu-~ Wit. j~) SP~C;~ ~l-L.. PG~b~~ ~` ~t r- L_ ~ f) ~,'~`_ c~`r~ --- U N ~'Ol. = cSh ~ ~~- lJl ~-~ • -~,~ ' ~~'jz;,i:'~t?~ ~.9~'I rz,.t.~ ~~S i i~vl l,~l (~ ~ 1~'b6'~ ~(~.~`~~~~pJ~ Fire Protec./Avail.- Water = Q l ~~ n,~~. hl ~~ F~eA (~-~-5 - Z O iv ~,-vv ~ W ~~ ~T G o (~-r~' rz. 2- c~ ~--~ ~'1.~~~,%iT ~`'l (,.v c-~ ~~ fi-z. Lc~~ _ L ~. M ~ rt,'` - O ~ ~. w S~ r~~ ~ 9- J ~ --~~-ci T '~5~~1 ~ r ~1 .~ I~9--~ ~, G~'i ~. ~. SI Q~~ '~7~ S~r~ NFL i3L a ~ ~ ~/~Jl cS'T~t2~-Gr~ v~ti fi~.r c~ ~s~`.~~{~~2 - ,9-i ~~ c~ t„I~.~~7 ~S~i~L `!~~-a6 ~?~ ~oclf`~i ~~:.r.~.~ , tsuilaing occupancy Level ~ ~ l~ -7- 02/20/2007 5tte Map °' Date: ___ READ Form C-I Rte l ( ~ =Underground y Storage `Tank ~~ =Aboveground Storage Tank O DOT Code = Haz. Mat Storage Area I a = Fire Extinguisher ® =Spill control Material A =Access to Building. ® =Fire Hydrant ® = Sewer Drain, Dry Well ® =Regrouping Area ES =Emergency Shut-off OE = Electric Shut Off 0 = Gas Shut Off OW = Water Shut Off North ~ Scale ~ {..____ZS___ ~ G~tE .1 EHt0.~ ~ ~ } ~ R' ~ ~ ~.. 0 ~' -- -- --- - (~ ~ D I W N i t ~. t~ N. -- Business Name: M '~ Business Address: I ~~- ~„ -~ : ~. c i n Al c Rn u c n C c' r~ - n S \J~ ~f" :F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ Training Overall Site ~ - P~Lll~J1VyCC 11.C1111111y rctyC ~ L1C1U 1Vi rUl.U1C Vb-C i1C1U 1VL 1'LLl~U1.C V5C -8- 02/20/2007 Unified Program SUP) Form CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN V. EMPLOYEE TRAINING All facilities which handle hazardous materials must have a written employee training plan. A blank plan has been provided below for you to complete and submit. The items listed below are required per Health and Safety Code Section 25504 (c) and Title 19 Section 2732. Facility personnel are trained as follows: ~ Familiarity with all plans and procedures specified in the Contingency Plan. ~ Methods for Safe Handling of Hazardous Materials. ~ Safety procedures in the event of a release or threatened release of a hazardous material. ~ Use of Emergency Response equipment and supplies under the control of the business. n Procedures for Coordination with local Emergency Response Organizations. Training shall be provided: Initially for all new employees. ~ Annually, including refresher courses, for all employees. Note: These training programs may take into consideration the position of each employee. Additional training should include: Internal alarminotificatian procedures. z~ Evacuation/re-entry procedures and assembly point locations. r~ Material Safety Data Sheet (MSDS) training including specific hazard(s) of each chemical to which employees may be exposed, including routes of exposure (i. e. inhalation, ingestion, absorption). VI. HAZARDOUS WASTE GENERATOR TRAINING If your business is a hazardous waste generator, you are required to provide training in hazardous waste management for all workers who handle hazardous waste at your site (22 CCR §66265.16). You are also required to document training. The items below are required. EMPLOYEE TRAINING ~cs Facility personnel will successfully complete training within six months after the date of their employment or assignment to a facility ar to a new position at a facility, ~ Employees will not handle hazardous wastes without supervision until trained. TRAINING DOCUMENTATION The owner or operator must maintain the following documents and records at the facility: r~ Job title for each position at the facility that is related to hazardous waste management, and the names of the employee(s) filling the position(s). a1 Description for each position listed above (must include required skill, education, or other qualifications as well as duties of employees assigned to the position. Description of type and amount of both introductory and continuing training given to each employee. z~ Records that document that the requirements for training or job experience have been met. ~ Current employees' training records (to be retained until closure of the facility). zir Former employees' training records (to be retained at least three years after termination of em loyment). Date: UPFP#: HAZARDOUS MATERIALS BUSINESS PLAN Employee Training Description The following describes the employee training provided for all employees who handle hazardous substances including flammable materials at U-Haul Centers. 1. Training Topic -Procedures for handling propane: Persons Trained: Center Manager and Customer Service Representatives Training Time: 1 Hour Refresher Frequency: Annually Refresher Time: 1 Hour Training Content: Proper procedures for handling and dispensing propane. Review proper methods for all propane dispensing and record keeping requirements. Review material safety data sheets and safety procedures. 2. Training Topic -Procedures for coordinating with emergency response agencies: Persons Trained: Center Manager and Alternate Training Time: 1 Haur Refresher Frequency: Annually Refresher Time: 1 Hour Training Content: Review of emergency response plan and emergency notification procedures to ensure coordination with the local fire department, paramedics and clean-up contractor. 3. Training Topic -Use of emergency response equipment and materials under the business control: Persons Trained: Center Manager and Customer Service Representatives Training Time: 1 Hour Refresher Frequency: Annually Refresher Time: 1 Hour Training Content: Annual inspection and maintenance of safety equipment Mire extinguishers) and review of procedures for proper use of safety equipment. 4. Training Topic -Emergency Response Plan implementation: Persons Trained: All Employees Training Time: 1 Hour Refresher Frequency: Annually Refresher Time: 1 Hour Training Content: Review of emergency response plan, evacuation procedures, location of emergency shut-off switches and specific responsibilities of all employees. Remind employees of the location of the emergency response plan. •~ ~ - Prevention Services UNIF~D GROGRAM INSPECTION CHECKLIST B E R s F , 0 9ooTruxtun Ave., suite 210 __ __ -_.-~,, _ _-,_n___.~_~~ ___ _ --.--- FIRE Bakersfield, CA 93301 ARfM r Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program ~j ~ Fax: (661) 872-2171 FACILITY NAME ~nl~~-~~ `S ~~ ct.c~~r,.~~ INSPECTION DA E t z ~j- ~6 INSPECTION TIME ADDRESS ~zCx c,~ ~ ~ r C ems., ~ ~ o ~ PH NE NO. X635 2627 NO OF EMPLOYEES FACILITY CONTACT ~c~2U J BUSINESS ID NUMBER g~ 15-021- / S~f,~a - ___~ Section 1: Business Plan and Inventory Program '~~+ ~" OUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND /~-~ ~1Z/Vl r'T S t'rE~ ^ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS P(.C-~x~ evr~e.T c!~`~~, r~, ~i~o~u~-~s o~r 2~oa ^ ^ CORRECT OCCUPANC'~~~ ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES ~ ~~ Gtr. ^ ^ VERIFICATION OF LOCATION ,~S t~~ 'vv-~.~i~~ ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ S ^ ^ EMERGENCY PROCEDURES ADEQUATE L ~ / /~ ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ FIRE PROTECTION P(-~`S~ ~~,~~/jC '~ W~qZ(, y/(tl(J~~-~~.~{}r ^ ^ SITE DIAGRAM ADEQUATE & ON HAND nnr-Dula ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: L~~rC- SUC.~C-~ c" ! ~~.v'r .SS ~~. rarCt~s~. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~j.J ~.s` 5 ~ Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # usiness ' e sponsible rty (PI se Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .~, ° V~~'- -.~~i` 1 ~ b W .y pwp•~4~f+ ~C a FACILITY NAME S ~~~ 5 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 -~~~ CLC+'~/~~/~ INSPECTION DATE t~- (4- r6 Section 4: Hazardous Waste Generator Program ^ Routine ~ Combined ^ Joint Agency EPA ID # G~~O~ Zq FS?1~ i ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made ~~~ , ~.,,~,~5 ~~ EPA ID Number ~ YO J Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazazdous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~ompt~ance v=v~otat~on Inspector: ~ e ~`~ S Office of Environmental Services (661) 326-3979 White -Env. Svcs. Business ite sponsible Party Pink -Business Copy ~~> B A K E R S F I E L D PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVENUE BAKERSFIELD CA 93301 (805) 326-3724 `~-~ RAUL M. ROJAS, DIRECTOR • CITY ENGINEER -' - -~ _~-~-~ ^ KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT LI BAKERSFIELD CITY FIRE DEPARTMENT ENVIRONMENTAL SERVICES SECTION ^ OTHER -AGENCY REFERRAL- THE CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT WASTEWATER DIVISION RECENTLY INSPECTED THE FOLLOWING FACILITY: BUSINESS NAME: Sneedo's Dry Cleanina BUSINESS ADDRESS: 6201 White Lane #105 CONTACT PERSON: Byron Sneedo WE FOUND THE FOLLOWING CONDITIONS WHICH ARE BELIEVED TO BE REGULATED BY YOUR AGENCY. During the wastewater inspection on September 22 and 26, 2006, we found the facility is using erchloroethvlene solvent as their Cleanina anent. Byron Sneedo. the owner. has been disposing lint into the trash since 2004. We informed him that lint should be hauled away along with the rest of the hazardous wastes unless he could determine the lint is not hazardous waste. He was not aware that perchloroethylene residue might remain in the lint and cause a potential environmental hazard. He is now aware and had indicated that he would comply with the regulations. September 27, 2006 Date Rotha Keo Industrial Waste Inspector (661)326-3249 S:\DC-1 DryCleaner Info\2006 survey&inspectionslReferral(firedept).doc !J_ ~~ L~~,( __ ___ __ .~'~~~ ~ c~~1 D22 BUSINESS OWNER/OPERATOR IDENTIFICATION KERN COUNTY ENVIItONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPC 2700 M STREET, SUITE 300 FACILITY INFORMATION BAKERSFIELD, CA 93301 661 862-8700 Faz 661 86Z-8701 Page _ of _ L IDENTIFICATION FACILITY ID# 1 BEGINNING DATE 100 ENDING DATE lol ~ o BA-Doing Basineae Ae) BUS 5 ~N (Sam ea FAC NAME -~ ~ ~n~~ ~ ~~022 3 BU SS PHONE ~~~-gay -~ Cii 102 BUfSINESSS~ITE AD~D~R(ESS -~y~ ^ to3 ,/~ 104 CI~\~~ f~ 4 ~~" ~~ CA ZIP CODE ~ ~ ~ (J /~ 105 DUN & BRADSTREET .o ~ o ~ z.24 ~ ~. ENro ~ ~ ~ o ~ 2~0 STC CODE (4 digit #) 1 W COUNTY los ~°~ 2 BUSINESS OPERATOR NAME ]09 BUS SS OP TOR PHONE tto II. BUSINESS OWNER O R N %%~~ 111 JL ~-o ~ o~ n~i ~ OWNER PHONE ._ (7 Z3 ~ -~ 112 j O ~j L GADyD~SS ,~ d tt3 CITY ua ~2~~ ~ STAT ]]s ~~ ZIP CODE ~L7 / ue III. ENVIRONMENTAL CONTACT CONT CT N 117 CONTACT PHONE t is CONTAC7jyMA~.yILING D 119 tzo CITY ___..__ STATE tzl ZIP COQ, E 122 v-~ n ' ~ '`'' ~~ ~ C~ -PRIMAR Y- IV. EMERGENCY CONTACTS -SEC ONDARY- NAME ~ ~ f V ~ ~j~~~ 123 NgN4E /~ ~ 1 ~ ~~~ Ov tea TITLE /~~ iza ~T,E tz9 BUSINESS PHONE izs BUSINESS PIIO 130 24H0 PHONE ~7 ~j r l26 !i~ U " ~~ 3 V ~~ 24HOUR PHONE r~ `r `~ ~~ J +~~ 131 PAGER # 127 PAGER # 13z ADDTTIONAL LOCALLY COLLECTED INFORMATION: 133 APN: _ _ _ _ ~ /~ / / Environmental Contact E-Mail Address: ' J ~CJLIP(~-P/1/I.Q% 2~tt~~~ ~uap ~ Certification: Based on my inquiry of those individuals responsible for obtaining the infornation, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is tme, accurate, and complete. SIGNATURE OF OWNFR/OPERATOR OR DESIGNATID REPRESENTATIVE DATE 13a NAME OF DOCIIMQ~'P PREPARER 135 NAME OF SIGNER (pmrt) t36 TITLE OF SIGNER 137 (11/02 revised) ~~r\ KC Form 2730 ~~' A , ~~ a ~M ~ ~ ~~° ~ ~ ~ ~ BUSINESS ACTIVITIES KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 FACILITY INFORMATION BAKERSFIELD, CA 93301 661 862'100 Fai 661 862'701 Page 1 of L FACILITY IDENTIFICATION FACII.TTY ID # t EPA ID # (Hazardous Waste Only) 2 BUSINESS NAME (Same F ility Name f DBA-Doing Business As) 3 v ~~~~ ~ ~5 ®~~ II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (KC Form 2730). Does your facility... If Yes, please com late these ages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include [iquids in ASTs and USTs); or the ~'SES ^ NO 4 HAZARDOUS MATERIALS INVENTORY - applicable Federal threshold quantity for an extremely hazardous CHEMICAL DESCRIPTION (xc Form z73t) substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs} UST FACILITY (KC Fmm n) 1. Own or operate underground storage tanks? ^ YES ~NO 5 UST TANK (wtepage pertank) (xc Forms) 2. Intend to upgrade existing or install new USTs? ^ YES ~NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (KC Fmm C) 3. Need to report closing a UST? ^ YES NO 7 UST TANK (ctoame portion -0ne page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS fASTsI Own or operate ASTs above a total capacity for the facility of greater than 1,320 gallons? ^ YES ~NO 8 No FORM REQUIRED TO KCEHSD D. HAZARDOUS WASTE 1. Generate hazardous waste? ^ YES ~NO 9 EPA IDNUMBER -provide at the top of this page 2, Recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)? ^ YES ~NO 10 RECYCLABLE MATERIALS REPORT (orre pa reryder) (KC Form 2732) 3. Treat hazardous waste on site? ^ YES ~ NO it ONSITE HAZARDOUS WASTE TREATMENT -FACILITY iKC Fonn 1772t) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (ate page pa unit) (KC Form 1772n) 4. Treatment subject to financial assurance requirements (for ^ YES ~NO 12 CERTIFICATION OF FINANCIAL Pertnit by Rule and Conditional Authorization)? ASSURANCE (rcc Fmm tz32> 5. Consolidate hazardous waste generated at a remote site? ^ YES ~NO 13 REMOTE WASTE /CONSOLIDATION SITE ANNUAL NOTIFICATION (KC Form t t96) 6. Need to report the closure/removal of a tank that was classified as N hazardous waste and cleaned onsite? ^ YES (~ O 14 HAZARDOUS WASTE TANK CLOSURE CERTIFICATION (KCFomt tza9) E. LOCAL REQUIREMENTS Is A copy of the facility's Contingency/Emergency Response Plan is to be included with the original submission of the Business Plan. KCEHSD is to be informed of any revisions to the plan. Please contact KCEHSD at the above number for assistance in completing the plan. (7/02 revised) KC Foam 2729 .,,, , HA7.ARDOUS MATERIALS INVENTORY - CHENIICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT UniTied Program Consolidated Form (U PCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 661 862-8700 Faa 661 862-8701 (one page per nuderial per building or area) ^ADD ^DELETE SE 20o Page - of _ L FACILITY INFORMATION BUSINESS N (Same F TTY N or DBA-Doing Business As) 3 ~ 17 22 / 20l CHE _ CAL OCATION Y ' 2 /~ ~ CHEMICAL L ATION CONFIDENTIAL EPCRA ~NO 202 ,, ~~~ .., , 1 v 1 ~ C.L~' . ~`Ll 1~t7 ^ YES I MAl~# (oPb~) 203 GRTD# (optional) 204 FACII,TTY ID # II. CHEMICAL INFORMATION 205 CHEMICAL N TRADE SECRET ^ Yes o zo6 ~ ~ ~ IFSubjeM to EPCRA, refer m inahuctions 207 COMMC~~ ^~ ~ ~-' EHS' ^ Yes / 1 r 208 CAS# ~ ~ - .... ~ 209 •If EHS if "Yes^, ell amounts below m ust be in pounds FIRE CODE HAZARD CL SES (NofcuveattyregairedbyxcEHSD) 210 HAZARDOUS MATERL4L TYPE (Check one item only) a. PURE ^ b. MIX'PURE ^ c. WASTE 21I RADIOACTIVE ^ Yes ~No 212 CURIES 213 PHYSICAL STATE ~,` 214 (Check one item only) ^ a. SOLID ^ b. LIQUID 1~c. GAS LARGEST CONTAINER ~~ 2l5 FED HAZARD CATEGORIES 216 (Check all that apply) ~, a FIRE ^ b. REACTIVE ~c. PRESSURE RFI.FASR ~ ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAII.Y AMOUNT 217 MAXIM[TM DAILY AMOUNT zls ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 t~~~ UNITS" ~. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON STTE• 222 Check one item onl ' If EHS, emourd must be in STORAGE CONITAINER ~a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUII,DING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ^ a. AMBIEI]'T ~ b. ABOVE AMBIENT' ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE 9~ AMBIENT ^ b_ ABOVE AMBIENT ^ c. BELOW AMBIEN'C ^ d CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 ^ Yes ^ No 228 229 2 230 231 ^ Yes ^ NO 232 233 3 234 235 ^ Yes ^ NO 236 237 4 23g z39 ^ Yes ^ No 2ao 241 5 242 243 ^ YeS ^ No 244 245 If more hazardous compoornts ere presort N heater Wan ly by weighld noo-arc®ogeoiS a 01Ye byweigfit 0' aarcmogmi~ attx6 additioml s6eels of paper oplaring the repaired iof°rma4on. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 If EPC Please Si Here (7/02 revised) KC Form 2731 ate: ------ ~~~~• t`r.~t~ Site Map Form C-1 round ( ~ =Under S ~ g `~~~ Storage `Tank ~~ =Aboveground Storage Tank 5 ~ O DOT bode . = Haz. Mat ~ Storage Area S a ®= Fire m Extinguisher cn ®=Spill control `S Material ~- ~~~R~~F ~~5~,'~~ C A =Access to v Building.......... _ , _ ._. _. _ _ ®-Fire I~yclrant ~ ~ ~ ®= Sewer Drain, ® Dry Well Cs (~-~' E ~ ~ rouping RA ~~t~q~ , Area enc ES =Emer o~,- ~. ~a-t~~ a a o ~~ v a y g ~' ~ Shut-off ~ ~ ®- Electric Shut Off ~ ~ .~ L flfi ®= Gas Shut Off ~ , E ®=Water Shut Off ____ .._._ r ~ ~ ~ ~ W t~ i }~ f_ L, N~ --- _--- ~-- ., ~~s ~; `x, North ~ Seale ~ Business Name: Business Address: ~.~ ~~a~t o a r - f ~~ n> i s .~ w ~"• P .y.:.3 yN ~- ; `°~ F U-HAUL CENTER 709022 Manager JULIO MATUS Location: 6201 WHITE LN City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: SiteID: 015-021-003404 BusPhone: (661) 834-6111 Map 123 CommHaz Extreme Grid: 15A FacUnits: 1 AOV: SIC Code:7513 DunnBrad:194730412 Emergency Contact / Title Emergency Contact / Title TODD FERREIRA / MKTG PRESIDENT DON SANDUSKY / SHOP MANAGER Business Phone: (559) 487-1723x Business Phone: (559) 487-1736x 24-Hour Phone (800) 238-4364x 24-Hour Phone (800) 238-4364x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact U-HAUL CO OF CALIFORNIA Phone: (559) 487-1723x MailAddr: 749 N BLACKSTONE AVE State: CA City FRESNO Zip 93701 Owner U-HAUL CO OF CALIFORNIA Phone: (559) 487-1723x Address 749 N BLACKSTONE AVE State: CA City FRESNO Zip 93701 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~ ~/ lYv (~~ F3ased on my inquiry of thase individuals ,~ ~ `~" respon°ibie fo ; t r o a asninq fhs information, I cs~rtify uncrer penalty of la~,n~ that i have personally examined and am famili_ r +Jvith the information submitted and r ; , t" ~ y ,a e ; formation is true , accurate, an . ~pl<;te. ~ ~ / ~ ~ U Signature e Date ENS ~~~ ~ ~ ~~~7_ -1- 07/16/2007 ~ F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 18000.00 FT3 Hi N° cv~°'~ ~o -2- 07/16/2007 -3- 07/16/2007 F U-HAUL CENTER 709022 SitelD: 015-021-003404 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF LOT CAS# 74-98-6 ~GdSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 18000.00 FT3 18000.00 FT3 10800.00 FT3 • tiE~GHttUUUa 1:u1~lYUlVL~1V 1 J oWt. RS CAS# 100.00 Propane Yes 74986 t1AGKKL ASSt55~1~1t;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~a `N° -4- 07/16/2007 F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/01/2007 ~ LOCAL 326-3979, STATE 800-852-7550 OR 916-262-1621, AND NATIONAL 800-424-8802. Wes. ,_ LiLLl~J1VyCC 1VV 1.11. ~ L' Vdl:Ud1~1 V11 _i_ ~ i.-. r us/11~. iVV 1.1t~~Vd1: UCL 1.1 Vll Emergency Medical Plan 03/01/2007 911 AND TWO CLOSEST HOSPITALS: MEMORIAL HOSPITAL, 420 34TH ST, 327-1792 AND KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -5- 07/16/2007 .. F U-HAUL CENTER 709022 SiteID: 015-021-003404 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention Release Containment ~.s.caii vL/ vuier xesource ticLivaLion -6- 07/16/2007 F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 03/01/2007 GAS - E SIDE OF MAIN BLDG BY GATE TO STORAGE LOT ELECTRICAL - E SIDE OF MAIN BLDG BY GATE TO STORAGE LOT WATER - ON SCHIRRA CT MIDDLE OF SITE SPECIAL - PROPANE ELECT SHUT-OFF ON POLE E SIDE OF LOT BETW EASTERN MOST BLDG AND PROPANE TANK - lOFT FROM TANK Vii./' Fire Protec./Avail. Water 03/01/2007 FIRE HYDRANT - 2 ON WHITE LN, 1 AT E DRIVEWAY 2ND W CRNR OF SITE ON WHITE LN, 1 INSIDE GATE E BETW SM OFFICE BLDG AND E STORAGE BLDG, 1 W SIDE BETW STRIP MALL BLDG AND W STORAGE BLDG, 1 END OF W STORAGE BLDG AT S END. V~~. Building Occupancy Level 03/01/2007 11 EMPLOYEES -7- 07/16/2007 r U. i• F U-HAUL CENTER 709022 SiteID: 015-021-003404 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/01/2007 ~ SEE ATTACHED ~Vl..~ rayc ~. •aciu ivi r u~uic u~c nclu 1V1 rUl.LLi.C U.7'C -8- 07/16/2007