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Home My WebLink AboutBUSINESS PLAN (2)~ _. _ _ _ _ _ ~. ' TEXACO EXPRESS LUBE. ~ , C~ I ~~ q~ ~117~ 01 ~~ 1 r •;, i r P" r..r G1 ..y ~!~ r i 1 ~~' ~C ~~ Prevention Services UNLFIED PROGRAM INSPECTION CHECKLIST ' a E R 3 r , , „ 900 Truxtun Ave., suite 210 m::~~ _~~~~ _._~_~~_w__~ ~_.~ ~ ~ __...~ -~.. Fii~rF Bakersfield, CA 93301 AR1M T CFrT1~1Ai '1 • R~~cinncc Dhn ~nri Invnntnrv Drnnram TeL: (661) 326-3979 • - - T t'1X: (bb1J 25/6-"L1/1 FACILITY NAME INSPECTION DATE INSPECTION TIME r coq - ~z G J~~ o 6~ ,~ ~~ ~~~ ADDRESS _ PHON NO. NO OFEMPLOYEES FACILITY CONTACT t ~ BUSINESS ID NUMBER ~~~~~ 15-021- c~Si Q~ ~f> Section 1: Business Plan and Inventory Program ~ (I~(~-~ .. I~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ~' ^ APPROPRIATE PERMIT ON HAND ~` ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE aL~' ~ !7 C~' ^ VISIBLE ADDRESS [!7 ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS z ~ k1DD ~itA~/Shi<ss~v~/ F~~~ l~/~ a<c l~ ^ VERIFICATION OF QUANTITIES @" ^ VERIFICATION OF LOCATION IrX ^ PROPER SEGREGATION OF MATERIAL d ^ VERIFICATION OF MSDS AVAILABILITY , ltd' ~ ^ VERIFICATION OF HAZ MAT TRAINING D ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED l~ ^ HOUSEKEEPING Q ^ FIRE PROTECTION ,, ,/ Y~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: R QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 r Inspector (PI a e rint) Fire Prevention / 1~' !n /Shift of Site/Station # Business Sit / Responsi le Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~y x ~~ys ~ ~ . iu ~~ BUSINESS OWNER/OPERATOR IDENTIFICATION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (LTPCF) 2700 M STREET, SUITE 300 FACILITY INFORMATION BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661)862-8701 Page _ of I. IDENTIFICATION L FACILITY ID# 1 BEGINNING DATE 100 ENDING DATE 101 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~ 3' NE 102 BUSINESS PH O ~ g BUSINESS SITE ADDRESS 103 l~So l ~~~ tT~ I-~tJ~ CITY 104 ~I~K~~2SC-t~.I~ CA ZIP CODE 1os OI~~Oq-~~~2 DUN & BRADSTREET 106 SIC CODE (4 digit #) to7 COUNTY ` 1 toa K ~>J BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 11° ~s cry- 2 i~ ~rJ A (~ (~ I - $ 3 ~ ~02y S II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE nz ~.~.. L-L~43 ~ t_i/C `~- ~ y - 55 ra , ~ 3 ~ Z OWNER MAILING ADDRESS 1 is 350 ~, LIAK~ C.~>~~ ~ ~~ ~T~i'J CITY 114 STATE 115 ZIP CODE t t6 ~~ >s~ ~ ~ A C ~ 92. ~o~{ III. ENVIRONMENTAL CONTACT CONTACT NAME 117. ~oS~ r4 ~ ~ Q~ ~A CONTACT PHONE us fly -55(0-1 ~i2 CONTACT MAILING ADDRESS 119 3 5 0 ~ l~ . t-A K ~ C~-~ T~ ~ sT~. 1"3' CITY u0 STATE 121 ZIP CODE Izz ~.~>J~ ~~~ C.~ ~2~-0~1 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME tea TITLE tea TITLE tz9 ~I~T`~tLc vv~Pr~.C~rGf.n ~~~~L'T~~ OF `~-1:~~1J11~i. BUSINESS PHONE 125 BUSINESS PHONE tso ~-,~- 5~~- ~3~Z -~-~y-~S(~- ~3-tZ 24-HOUR PHONE u6 ` 24-HOUR PHONE ~ I ~ 131 (~ ~- ~~l- 585 - Co ~ ~ ~l y - 5435 - PAGER # tz7 PAGER # tsz ADDITIONAL LOCALLY COLLECTED INFORMATION:. / ts3 APN: ___ __ __ _ _ ~ ~~ _ Environmental Contact E-Mail Address: ~ Certific ion: Based n my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am famili with the i ormation submitted and believe the information is true, accurate, and complete. SIGNATURE OF R/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 REPARER 135 NAME OF DOCUMENT P ~~~"~ (P // v~ ~ f'~..G~.~ro N not !36 TTTLE OF SIGNER t37 ~~ ~' 2~.~D c,2Cti~~T ~ C-~~ (11/02 revised) ES ~3'~~ ~.~~ ~i8 ~ KC Form 2730 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 i FACILITY NAME INSPECTION DATE INSPECTION TIME '~ ~ ~o~ x:.1.1.5.. -_..1._~Xc~.c~~_. -4'=:x>~tr~ 5.1-k.~~ .- -------- -~-- -- -- --- - - 3- ' ~i =~' ~1- 3----- -~ ~ ---- - - ~oo PHONE No. No. of Employees ~ - ~ __ ____ ______ ___ 537- ~~45 ..3 FACILITYCONTACT ~ i Business ID Number ~ (Y1~~ fa, ...~ ls-o2l-0009/ - ~ Section 1: Business Plan and Inventory Pn~gram outine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection '~ ~I ® ® V ^ ^ ^ \V=V'loapolnnce~ OPERATION APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS COMMENTS ® ^ CORRECT OCCUPANCY ® ^ VERIFICATION OF INVENTORY MATERIALS l~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ® ^ PROPER SEGREGATION OF MATERIAL ® ^ VERIFICATION OF MSDS AVAILABILITYE Q ^ VERIFICATION OF HAT MAT TRAINING ~I ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE G~ ^ CONTAINERS PROPERLY LABELED (~ ^ HOUSEKEEPING ^ FIRE PROTECTION I~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: YES ^ NO / EXPLAIN: W A-T ~~ ~~` L~T C~7 / QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 3X)-3979 --~~~-~-a--_.------ _..--- ---.----~-~-~-------. Inspector Badge No. White -Environmental Services Yellow - Statbn Copy Busl ess Site Responsible Parry Pink -Business Copy UNIFIED .PROGRAM INSPECTION CHECKLIST E,'$'+s~Y',:~~„_~~,1.~~~~.~.3fli't.frw-'.?zfk 3~5~,'.S.C'ii'<kna~.-..~~ft&.o3-.i :,~~~..r.-:~„1..: ., _:.~w. '.-,^...5.~ ..~".'f... ei :~l:.1'.,. ~~~. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~~t~ 900 Truxtun Ave., Suite 210 ~R>r~I ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE ' INSPECTION TIME 2'~ . A-c~ ~ ~, ,ss ~ ,D-Z~~~s d ADDRESS J D ` ~ ~ l 1 'K. HO~ ~ O. ~7(/ -I L (~i e O O ~ PLOYEES FACILITY CONTACT SINESS ID NU M BER U 15-021- ~9( Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (c=ComPliance~ OPERATION V=Violation COMMENTS CFY ^ APPROPRIATE PERMIT ON HAND IY ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE (H' ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES l~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL 1, C9" ^ VERIFICATION OF MSDS AVAILABILITY Y ^ VERIFICATION OF HAZ MAT TRAINING l~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND P R OCEDURES _ / L7 ^ EMERGENCY PROCEDURES ADEQUATE C~ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING Ll~ ^ FIRE PROTECTION LAY ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? L~IYtS ^ NO EXPLAIN: ~'"S Tnz-~9 I L! _-. .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 328-3979 ~ ' In clot (Please Print) Fire P evention / 1" In /Shift of Site/Station # a. G-.+~. White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) EZ LUBE 109 SiteID: 015-021-003439 Manager HUGO LUEVANO BusPhone: (661) 837-0245 Location: 6501 WHITE LN Map 123 CommHaz Low City BAKERSFIELD Grid: 16B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: CAL000301833 SIC Code:7538 DunnBrad: w fl ~1"4~~ 1 Emergency Contact / Title Emergency Contact / Title HUGO LUEVANO / DISTRICT MGR ~~ / AREA MANAGER Business Phone: (714) 556-1312x Business Phone: (714) 556-1312x 24-Hour Phone (714) 376-5266x 24-Hour Phone (714) 585-6~~x ~~Jr Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact JOSE HERRERA Phone: (714) 556-1312x MailAddr: 3506 W LAKE CENTER DR B State: CA City SANTA ANA Zip 92704 Owner EZ LUBE LLC Phone: (714) 556-1312x Address 3506 W LAKE CENTER DR B State: CA City SANTA ANA Zip 92704 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H- HAZ WASTE GEN ENT'D J U L 3 4 2~Q~ PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those indoviduals respensibie for obtaining the information, I certify under penalty of law that I have personally ®xamir,ed ~, dam familiar with the infarm~tion submit ed a believe the information is true, acc rate, nd :omplete. ~~ Signature Date -1- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed. Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE MOTOR OIL L 970.00 GAL Low WASTE ANTIFREEZE F DH L 200.00 GAL Low ANTIFREEZE L 135.00 GAL Low GEAR OIL F DH L 55.00 GAL Low TRANSMISSION FLUID F DH L 55.00 GAL Low MOTOR OIL F DH L 2880.00 GAL Min -2- 07/11/2007 -3- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: BASEMENT CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 970.00 GAL 970.00 GAL 475.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ru~,Ltatc.v t~~5~5ain~lvl5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Location within this Facility Unit BASEMENT STATE TYPE PRESSURE Liquid TWaste ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE _ Ambient - DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 200.00 GAL 200.00 GAL 100.00 GAL ntiG[i.ttLVU~ ~vrirvlv~lyl5 ~Wt. RS CAS# 55.00 Ethylene Glycol No 107211 7.50 Diethylene Glycol No 111466 7.50 1,2-Propylene Glycol No 57556 5.00 Sodium No PROPRIETY 50.00 Water No 7732185 ri1~iGEiKL H. 7A~.7.71~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: BASEMENT CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 135.00 GAL 135.00 GAL 75.00 GAL nt~~tuclJ~u~ ~vrirvlv~lvlS %Wt. RS CAS# 55.00 Ethylene Glycol No 107211 7.50 Diethylene Glycol No 111466 7.50 1,2-Propylene Glycol No 57556 5.00 Sodium No PROPRIETY 50.00 Water No 7732185 t1AGE~bCL A55~551~1J"~1V'1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME GEAR 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# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL nt~~rucL~ua ~vrirulv~ly l a oWt. RS CAS# 100.00 Light Machine Oil No 8020835 IIHGHKL 1-1J JL' iJJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Inventory Item 0006 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 TMixture ~mbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ti[~GHKLVUJ wi~lrVlvL"1V1J %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 riAGAJ.(.L 1;A~1';5J1~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit BASEMENT STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 960.00 GAL _ 2880.00 GAL 1600.00 GAL nxc~tit~LVUa ~.vi~trVtv~lvta %Wt. RS CAS# 99.00 Motor Oil, Petroleum Based No 8020835 0.12 Zinc No 7440666 I1tiGHiCL lia JL~.7.71~1L,1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -6- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/23/2007 ~ CALL 911. _ , ,... r~u~~ivycc ivv~.ii . ~ ~Vdt:udl.lull ~_ ru~.lllt,: 1vvl.lt . / ~Vdl;Udl.1CJ11 P~lllCiyCllUy 1~1CU1Cd1 rlan -7- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 02/23/2007 POSSIBLE HAZARDS INCLUDE OIL SPILL OR ANTIFREEZE SPILL. ALL CONTAINERS ARE CLOSED SYSTEMS THAT ARE FILLED AND EMPTIED USING REMOTE CONNECTIONS. SPILLS ARE MINIMIZED. SPILLS ARE CONTAINED USING ABSORBANT SOCKS OR OTHER MATERIALS AND THEN RECYCLED. 9 Release Containment TANKS ARE IN THE BASEMENT WHERE SYSTEMS WHERE THERE IS NO MANUAL PIPE SYSTEM. IMMEDIATE RESPONSE THEN MOVE TO SAFETY. 02/23/2007 THERE IS NO PUBLIC ACCESS. TANKS ARE CLOSED FILLING OR EMPTYING. ALL DONE VIA REMOTE - CONTAIN HAZARD AND CALL THE FIRE DEPT Clean Up 02/23/2007 ALL OF THE EMPLOYEES ARE TRAINED IN PROCEDURES TO REACT TO A SPILL OR OTHER EMERGENCY EVENT NOTIFY STORE MANAGER OR ASSISTANT. USE SPILL MANAGEMENT KIT, ABSORBANT SOCKS TO CONTAIN SPILL. CLEAN UP WITH RAGS/TOWELS AND DISPOSE OF THE MATERIALS WITH RECYCLING COMPANY. v~..uci. ncavui~.c til.l.1VG1.1.1V11 -8- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~CC:..~dl na.udius V1.11.L 1.y ~711UL-V11.`7.- i~ 1~1~.c rtvl.c~.. ~1'iVd11. Wdl..Cl Building Occupancy Level 12/11/2006 10 EMPLOYEES -9- 07/11/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/23/2007 ~ MSDS ON FILE IN CABINET IN MANAGERS OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: TRAINING TAKES PLACE AT OUR CORPORATE OFFICE IN SANTA ANA ABSORBANT SOCKS AND CLEAN-UP ARE MATERIALS DISPLAYED. VIDEO AND OVERHEAD PHOTOS ARE USED TO SHOW HOW TO USE THESE ITEMS. STORE MANAGERS CONDUCT REFRESHER COURSES AT THE STORE DURING THEIR MONTHLY STORE MEETING. ALL SAFETY ISSUES ARE DISCUSSED AND REVIEWED. rayc c nciu ivt L-u~.utc ~7c nciu ivi ru~u~..c vac -10- 07/11/2007 1. EZ LUBE 109 SiteID: 015-021-003439 Manager !~-~tC1o ~iiE,r ~,~~ Location: 6501 WHITE LN City BAKERSFIELD BusPhone: (661) 837-0245 Map 123 CommHaz Low Grid: 16B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb : Cdr L o p p3 Z~1S33 SIC Code:~538 DunnBrad: Emergency Conta~u~o / / Title DISTRICT MGR Emergency Contact Sa~,J f Title ~ ~ ~ T,., ~~ ~ c / ~ u~q,~p N ~ Business Phone: (714) 556-1312x Business Pho~e (714) 556=1312x 2 4 -Hour Phone ( 714 ) ~~0-5 2 4 -Hour Phone ( 714 ) 5 8 5 X Ln ~'~ ~l Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact JOSE HERRERA Phone: (714) 556-1312x MailAddr: 3506 W LAKE CENTER DR B State: CA City SANTA ANA Zip 92704 Owner EZ LUBE LLC Address 3506 W LAKE CENTER DR B City SANTA ANA Phone: (714) 556-1312x State: CA Zip 92704 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK [3ased on my inquiry of those individuals responsible for obtaining the information, I certify under natty of law that I have personally exam' ed nd am familiar with the information subm tted nd believe the information is true, accu,r , an complete. ~-~~ Date TotalASTs: _ TotalUSTs: _ RSs: No ~~r~ ~~ ~ ~~ .. ~J Gal Gal -1- 01/31/2007 _ _ __ P EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Hazmat Inventory By Facility Unit ~ j ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE ANTIFREEZE F DH L 200.00 GAL Low ANTIFREEZE L 135.00 GAL Low GEAR OIL F DH L 55.00 GAL Low TRANSMISSION FLUID F DH L 55.00 GAL Low MOTOR OIL F DH L 2880.00 GAL Min ~~~ ~~~~~ -2- 01/31/200 -3- 01/31/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: BASEMENT CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 100.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 55.00 Ethylene Glycol No 107211 7.50 Diethylene Glycol No 111466 7.50 1,2-Propylene Glycol No 57556 5.00 Sodium No PROPRIETY 50.00 Water No 7732185 riAGHK1J A~~1";~~1~1L'~1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 01/31/2007 F EZ LUBE T09 SiteID: 015-021-003439 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: BASEMENT CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 135.00 GAL 135.00 GAL 75.00 GAL r1ti~HtcLVUS ~V1~irVivl,lvt~ %Wt. RS CAS# 55.00 Ethylene Glycol No 107211 7.50 Diethylene Glycol No 111466 7.50 1,2-Propylene Glycol No 57556 5.00 Sodium No PROPRIETY 50.00 Water No 7732185 t11jGHKL I~JJL" ~7w71~1L"1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME GEAR 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# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL LIHGHCCLVU.7 1..V1~lYV1VJ;1V 1.7 °sWt. RS CAS# 100.00 Light Machine Oil No 8020835 t1EiGHCCL tiJ ~J;J~1~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 01/31/2007 F EZ LUBE 109 SiteID: 015-021-003439 ~ ~ Inventory Item 0006- Facility Unit: Fixed Containers at Site ~ ,,.,......._~ .._..,-. ~ ....,,..r....._ ~__..... 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 l 55.00 GAL tiF~GL-1tCLVUJ ~vinrviv~iv~l5 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 riAGF~YCL A~51';5~1~1L~1V i~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit BASEMENT STATE TYPE PRESSURE Liquid TMixture ~-Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Co960~00rGAL Daily2880ioOm GAL I Daily1600r00e GAL t1t~G.~1tCLV U.7 l..vl~lrvly ~lv 1 %Wt. RS CAS# 99.00 Motor Oil, Petroleum Based No 8020835 0.12 Zinc No 7440666 riL-~G1~iiKL 1~aJt',JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -6- 01/31/2007 UNIFIED. PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION ^ADD ^DELETE ^REVISE L°° Page _ of I. FACILITY INFORMATION BUSINESS NAME_(Same as FACILITY NAME or DBA-Doing Business As) 3 EZ l uhP #1 n4 ; CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Basement EPCRA ® YES ^ NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION - CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 2os If Subject to EPCRA, refer to instructions COMMON NAME 207 zo6 EHS* ^ Yes ® No Waste Motor Oil , CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by cuPA) ~ 2to HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ^ b: MIXTURE ®c..WASTE 21t RADIOACTIVE ^ Yes ®No 212 CURIES N/A 213 PHYSICAL STATE (Check one item only) . ^ a. SOLID ®b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 970 215 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 216 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 475 970 11 000 221 221 DAYS ON SITE: 222 UNITS` ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE. CONTAINER ®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 BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I., CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT, HAZARDOUS COMPONENT (For mixture or waste only). EHS CAS.# ', 1 <,12 22s Zinc - z27 ^ Yes ^ No 22a 7440-66=6 22s Q 230 I 231 ^ Yes ^ NO 232 233 3 234 235 ^ YeS ^ NO 236 237 4 z3s 23s ^ Yes ^ No 2ao eat 5 242 243 ^ Yes ^ NO 244 245 If more hazardous components are present at greater than 1 °/ by weight If non•carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required ADDITIONAL LOCALLY COLLECTED INFORMATION zas n u vii , caoc .~iy~~ ~. wic UPCF (1/49} OES Form 2731 Business Emergency Plan (BEP) Section A - Emergency _R~esponse(Plan,and Procedures State law requires your business to complete all sections. of the Emergency Response Plan Procedure listed below. "N/A" is not acceptable,, - 1. Your business is required by State Law to provide immediate notification of any release or threatened. release of a hazardous materials to 1) local fire emergency response personnel, 2) the Office of Emergency Services (OES), and 3) the Local Administering Agency. Businesses within Costa Mesa fulfill the Administering Agency notification requirement by calling 9-1-1.'If you have a release or threatened release of hazardous materials, immediately call: Fire. /Paramedics/Police Phone: 9-1-1 Individual responsible for calling 9-1-1: Store Manager _ After the local emergency response personnel are notified, you shall then notify the Office of Emergency Service (24 hours/day): State Office of Emergency Services: (800) $52-7550 -or- (916) 262-1621. Individual responsible for calling State OES: Store Manager 2. List the local emergency medical facility that will be used by your business in the a"vent of an accident or injury caused by a release or threatened- release of hazardous materials: Hospital/Clinic US Health Works Address .City Zip Code Phone Number 1800 Westwind Drive, Bakersfield, CA 93301 661-327-9617 3: Does your business have a private on-site emergency response team? rlYes rlNo If yes, describe what policies and procedures your business will follow to notify your on-site emergency response team in the event of a release or threatened release of hazardous materials. (Attach additional pages if necessary) . All. of the employees are trained in procedures to react to a spill or other emergenc ey vent notify store manager or assistant. Use spill management kit, absorbent socks to contain ~i11. Clean up with rags/towels and dispose of the materials with Recycling Company. 4. A business shall appoint an Emergency Coordinator and alternates to assist in initiating emergency response and evacuations in the event of a release. The. Emergency Coordinator wilt be responsible for initiating actions of the business to respond to a release, or threatened release of a hazardous material to include mitigation, control, evacuation of all facility personnel, and meeting with emergency response personnel upon arrival. An example Emergency Coordinator Task Completion Sheet is attached to assist you. List your facility's Emergency Coordinator and alternates. Emergency Coordinator's Name Title Jose Herrera Director of Training Alternate #1 Name Title Hugo Luevano District Manager Alternate #2 Name Title John Allen- Area Manager ,- ,~.,_. ,. , Preventionf(preuenting hazards). 1. Briefly describe your business's standard operating .procedures in the event. of a released or threatened release of hazardous materials: .Describe the kinds of hazards associated- with the materials present at your facility. Possible hazards include oil spill or antifreeze spill. All containers are closed systems that are filed and emptied using remote connections. Spills are minimized.. Spills are contained using absorbent socks or other materials and then recycled. 2. What preventative actions have been initiated by your business to abate or prevent hazards relating to hazardous materials handling, use, and storage (Place a "/" in the boxes below. that applY)• Drum storage and/or aboveground tank storage areas: r, Isolation and separation of incompatible materials. r Berms or diked areas to contain spills. r Storage on non-combustible, concrete, or paved ground. Compressed and/or cryogenic gas storage areas: r Cylinders stored upright and secured. r Isolation and/or separation of incompatible gas cylinders (oxygen and flammable gases, etc). General: r Hazardous Materials Data Storage Cabinet and/or lock box installed at a Fire Department approved location. >~ Information in Data Storage Cabinet is updated after each disclosure and/or as necessary. ~ Materials Safety Data Sheets (MSDS) are readily available for each hazardous material on the premises. r Labeling of all materials and storage areas with the product name and associated hazards . r? Separation between outside hazardous materials storage or tanks and combustible materials (wood, brush, etc). r Posting of "NO SMOKING" signs where appropriate: r Posting of NFPA 704 Placard in a Fire Department approved location. 3. Mitigation (reduce the hazard) -Describe what is done to lessen the harm or the .damage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate response to a spill, fire; explosion, or airborne release from your business? Tanks are in .the basement where there is no public access. Tanks are closed systems where there is no manual filling or empting. All done via remote pipe system. Immediate response -contain hazard and call the Fire Department then move to safety. 4. Abatement (remove the; hazard)~Describe what you would do to stop and .remove the hazard. How would you handle the complete process of stopping a release, cleaning up, and disposing of released materials at your facility? What aspects of the response are beyond your ability and need to be handled by others? All spills are contained using absorbent socks. Clean up is-done with towels that-are sent for disposal or cleaned up by our Recycling Co Asbury Environmental. 5. Facility Notification and- Evacuation -Describe how you will immediately notify and evacuate your facility. What communications- or alarms are used? How will you operate this equipment during power failures? Specify emergency exits, alternatives, and staging areas you have identified. Our Business has open pits to the basements. Emergency notification is done verbally from employees in basement to upstairs. 6. Your business is required to keep a copy of this Business Plan, including your site maps, and your Hazardous Materials Inventory Disclosure. Describe where copies will be located at your business and where other copies will be maintained. Office file cabinets. EZ Lube Corporate off. ice for Spills and Emergencies. ., -. 7: Records Describe where you keep other records reauired by this plan, such as employee training records (including drills), release report records; maintenance/safety records, and emergency phone lists. (Please note: records of drills shall be maintained for a period of three (3) years and shall.be available for review by Fire Department personnel. The records shall include the facilitators name, title, facility location, date of drill and signature of the facilitator). File cabinet in managers office. ~S.ection 'B Ernpaoyee Training aPrograrn Describe the training your business conducts for all employees in safety procedures in the event of a release or threatened release of hazardous materials. By law, this training shall include, but not be limited to, the following: new employee training, annual training, periodic refresher courses, and familiarization with Section. B (Emergency Plans and Procedures) of this Business Emergency Plan. An example "Chemical Training Record" is attached to assist you in employee training (you may use this,example or an alternative if you, prefer). Trainina takes place at our corporate office in Santa Ana absorbent socks & -clean up are materials displayed. Video & overhead photos are used to show how to use these items. Store managers conduct refresher courses at the store durinq_their monthly store meetinq_ All safety. issues are discussed and reviewed. OFFICIAL USE ONLY: Insp. # Issued: Reviewed By: Date Received: Correction Required: