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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 7/1/2004 BUSINES WNER/OPERATOR IDENT CATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 IIIIIIIIIIIII Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 47 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 1E . I. IDENTIFICATION Page 1 of 1 FACILITY ID1 1 BEGINNING DATE loo 101 FA000485] 1 151 - 0 1 101 - 10 0 4 1616 9 02/08/2006 ENDING DATE 02/08/2007 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE IO2 AHERN RENTALS (661)833-2000 BUSINESS SITE ADDRESS 103 BUSINESS FAX 102a 2113 TAFT HWY BUSINESS CITY 104 ZIP CODE 105 COUNTY _ 108 BAKERSFIELD CA 93313 Kern County DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS ]old None specified BUSINESS MAILING ADDRESS 108a 2113 TAFT HWY • BUSINESS MAILING CITY 1086 STATE 108c ZIP CODE 108d BAKERSFIELD CA 93313 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE no STEVE AGERTON II. BUSINESS OWNER OWNER NAME 111 O 112 AHERN RENTALS O_ . OWNER MAILING ADDRESS. 113 2113 TAFT HWY OWNER MAILING CITY 114 STATE 115 ZIP CODE 116 BAKERSFIELD CA 93313 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 STEVE AGERTON O- CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a SteveAA @ahern.com CITY 120 STATE 121 ZIP CODE 122 -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE 129 STORE ANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 (661)833-2000 (702)631-4250 24-HOUR PHONE 126 24-HOUR PHONE 131 (661)833-2000 (702)858-2025 PAGER# 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION 133 APN: Certification: Based on my inquiry of those individuals responsible for obtaining the information,1,certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 Electronic Signature 01/19/2010 NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 STEVE AGERTON - IIIIIII IIIIIIII IIII 48 IE Kern County Environmental 2700 "M" Street, Suite 300 Health Services Department UNIFIED-HAZARDOUS Bakersfield,CA. 93301 Certified Unified Program Agency MATERIALS /WASTE Phone: (661)862-8700 FACILITY PERMIT NUMBER: FA0004851 Facility Name: AHERN RENTALS Owner: AHERN RENTALS Location: 2113 TAFT HWY 2113 TAFT HWY BAKERSFIELD BAKERSFIELD, CA 93313 ; ISSUED FOR THE FOLLOWING ACTIVITIES: Hazardous Materials Above Ground California Accidental Hazardous Waste Underground Tanks Business Plan -Storage Tanks Release Program(RMP) Generator/Tiered Site-ID# Site ID# ID# Classification Treatment State UST ID# Size(gal) Content 004669 NONE Small Quantity NONE CAL 000 271 892 THIS PERMIT IS GRANTED SUBJECT TO THE CONDITIONS LISTED ON THE BACK Issue Date: 07/01/2004 Expiration Date: 06/30/2007 -POST ON PREMISES - NONTRANSFERABLE SUMMARY OF CONDITIONS . All Facilities: Hazardous Waste Generator Facilities: 1. The facility will be considered in violation and operating without a 9. Generators of hazardous waste are responsible for the safe permit if annual fees are not received within 30 days of the invoice management of such,including generation,accumulation,recycling, date. storage, treatment, transportation, and disposal in accordance with California Health and Safety Code,Chapter 6.5 and California Code 2. The facility owner must advise the Environmental Health Services of Regulations,Title 22. Department within 30 days of transfer of ownership. Underground Storage Tank Facilities: 3. The owner and operator must meet all applicable requirements of Chapter 6.5, 6.67, 6.7, 6.75, and 6.95 of the California Health and 10. The permit holder shall comply with the monitoring,response,and Safety Code, California Code of Regulations, and Kern County plot plans approved by Kern County Environmental Health Services Ordinance Code. Department.The underground storage tanks must also be monitored according to the applicable requirements in the California Code of 4. The Hazardous Material Inventory and Release Response Plan must Regulations,Title 23,Division 3,Chapter 16. be prepared and kept current at the site by the owner or operator at all times. 11. A copy of the facility's underground storage tank leak prevention monitoring program(including monitoring plan,response plan,and 5. All -releases__of_hazardous_materials -must_be--reported to. this -- - _-- -- plot plan);.as approved-by this Department,-must be-maintained-on. Department within 24 hours if contained within the facility site. boundaries or immediately if outside the facility property or beyond your control. 12. All equipment installed for leak detection shall be operated and maintained in accordance with the manufacturer's instruction, Above Ground Storage Tank Facilities: including routine maintenance and service checks(at least once per - - - - -year)for operability or running condition. - -- --- - - -- 6. The facility must maintain a Spill Prevention Control and Countermeasure (SPCC) plan on site for all aboveground storage 13. A report documenting the maintenance,monitoring,and any changes tanks that are subject to the Aboveground Petroleum Storage Act to the underground storage tanks shall be submitted to this (California Health and Safety Code,Division 20,Chapter 6.67). Department each year on the form provided along with the permit or another approved by this Department. 7. The SPCC Plan must be certified by a Registered Professional Engineer once every three years. 14. The facility owner and operator shall ensure that the facility has adequate financial responsibility insurance coverage,as mandated for California Accidental Release Program Facilities: all underground storage tanks containing petroleum, and supply proof of such coverage to this Department. 8. The facility must notify this Department at least five calendar days before implementing any changes of any processes subject to the 15. The owner and/or operator must report any significant unauthorized California Accidental-Release -Prevention.program. Completed release from underground storagetanks within 24 hours of discovery. documentation must be submitted within 60 days. This permit is the property of the Kern County Environmental Health Services Department and may be suspended or revoked for due cause BUSINE WNER/OPERATOR IDEN ; ATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 . FACILITY INFORMATION ' (661)862-8700 Fax(661)862-8701 Page 1 of I 1. IDENTIFICATION FACILITY ID# I BEGINNING DATE loo lof FA0004851 1 151 - 0 1 0 - 0 0 4 6 6 9 02/08/2006 ENDING DATE 02108/2007 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 BUSINESS PHONE - 102 AHERN RENTALS 661 833-2000 BUSINESS SITE ADDRESS 103 BUSINESS FAX 102a i 2113 TAFT HWY BUSINESS CITY 104 ZIP CODE 105 COUNTY 108 BAKERSFIELD CA 93313 Kern County DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107a None specified None specified BUSINESS MAILING ADDRESS 108a 2113' TAFT HWY BUSINESS MAILING CITY 108n [STATE lose ZIP CODE load ,i BAKERSFIELD CA 93313 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 STEVE AGERTON II. BUSINESS OWNER OWNER NAME 111 1O.WNERPHONE 112. AHERN RENTALS O_ OWNER MAILING ADDRESS 113 2113 TAFT HWY OWNER MAILING CITY 114 STATE 115 ZIP CODE 116 BAKERSFIELD CA 93313 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 O- CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a SteveAA @ahern.com CITY 120 STATE 121 ZIP CODE Izz -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- .NAME 123 NAME 128 STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE 129 STORE ANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PFIONE 130 (661)833-2000 (702).631-4250. 24-HOUR PHONE 126 24-HOUR PHONE 131 (661)833-2000 (702)858-2025 " PAGER# 127 PAGER# 132 O- O- ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 APN: - - - - Certification: Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER . 135 02/26/2009 NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 STEVE AGERTON HAZARDOUS MTtERIALS INVENTORY - CHE CAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form(UPCF) 2700 M STREET,SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD,CA 93301 (661)862-8700 Fax(661)862-8701 (one page per material per building or area) ❑ ADD ❑ DELETE ❑ REVISE 200 Page of I. FACILITY INFORMATION BUSINESS AME(Same as FACIL NAME or DBA—Doing Business As) 3 r` -fFL CHEMICAL LOCATION 201 CHEMICA L CATION CONFIDENTIAL EPCRA 202 [:1 YES ;NO MAP#(optional) 203 GRID#(optional) 204 F ILITY ID# II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ Yes No 206 r'a - E/G If Subject to EPCRA,refer to instructions COMMON NAME 1b 207 208 EHS* El Yes No CAS# 209 *If EHS is"Yes",all amounts below must be in lbs. FIRE CODE HAZARD CLASSES(Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL 211 212 213 TYPE(Check one item only) Ka. PURE. ❑ b. MIXTURE❑ c. WASTE 'RADIOACTIVE ❑ Yes No CURIES PHYSICAL STATE, 214 215 LARGEST CONTAINER (Check one item only) E] a. SOLID [I b. LIQUID 1wc. GAS / �� 7r7— FED HAZARD CATEGORIES 216 (Check all that apply) a. FIRE;5b. REACTIVE fg�c. PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ❑a.GALLONS *5<b. CUBIC FEET ❑ c.POUNDS ❑d.TONS "'1 DAYS ON SITE: .'-'-'- (Check one item only) '*If HS,amount must be in pounds. STORAGE CONTAINER 223 ❑ a. ABOVE GROUND TANK ❑ e. PLASTIC/NONMETALLIC DRUM ❑ i. FIBER DRUM ❑ m. GLASS BOTTLE ❑ q. RAILCAR ❑ 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 1. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE 224 ❑ a. AMBIENT b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE ga. AMBIENT ❑ b. ABOVE AMBIENT El c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT. HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# 1 226 227 228 229 1 ❑Yes ❑ No 230 231 232 233 2 ❑Yes ❑ No 234 - 235 236 237 3 ❑Yes.[:] No 238 239 240 - 241 4 ❑Yes ❑ No 242 - 243 244 245 5 ❑Yes ❑ No If more hazardous components are present at greater than I%by weight if non-carcinogenic,or 0.1%by weight if carcinogenic,attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA.Please Sign Here (5/2008 revised) KC Form 2731 Haza ins Materials Inventory- Chemical Des ' tion You must complete a separate Hazardous Materials Invery—Chemical Description page for each hazardous material( dous substances and hazardous waste)that you handle at your facility in aggregate quantities equal to or greater than 500 pounds,55 gallons,200 cubic feet of gas(calculated at standard temperature and pressure)or the federal threshold planning quantity for Extremely Hazardous Substances,whichever is less. Also complete a page for each radioactive material handled over quantities for which an emergency plan is required to be adopted pursuant to 10 CFR Parts 30, 40,or 70. The completed inventory should reflect all reportable quantities of hazardous materials at your facility,reported separately for each building or outside adjacent area,with separate pages for unique occurrences of physical state,storage temperature and storage pressure. (Note: the numbering of the instructions follows the data element numbers that are on the Unified Program Consolidated Form(UPCF)pages. These data element numbers are used for electronic submission and are the same as the numbering used in Division 3,Electronic Submittal of Information.) Please number all pages of your submittal. This helps the Kern County Environmental Health Services Department(KCEHSD)identify whether the submittal is complete and if any pages are"separated. I FACILITY ID NUMBER-This number is assigned by KCEHSD. This is the unique number which identifies your facility. 3 BUSINESS NAME-Enter the full legal name of the business. 200 ADD/DELETE/REVISE-.Indicate if the material is being added to the inventory,deleted from the inventory,or if the information previously submitted is being revised. NOTE: You may choose to leave this blank if you resubmit your entire inventory annually. 201 CHEMICAL LOCATION-Enter the building or outside/adjacent area where the hazardous material is handled. A chemical that is stored at the same pressure and temperature,in multiple locations within a building,can be reported on a single page: NOTE:This information is not subject to public disclosure pursuant to HSC§25506. 202 CHEMICAL LOCATION CONFIDENTIAL-EPCRA-All businesses which are subject to the)emergency Planning and Community Right to Know Act(EPCRA)must check"Yes"to keep chemical location information confidential. If the business does not wish to keep chemical location information confidential check"No". 203 MAP NUMBER-If a map is included,enter the number of the map on which the location of the hazardous material is shown. 204. GRID NUMBER-If grid coordinates are used,enter the-grid coordinates of the map that correspond to the location of the hazardous material. If applicable,multiple grid coordinates can be listed. 205 CHEMICAL NAME-Enter the proper chemical name associated with the Chemical Abstract Service(CAS)number of the hazardous material. This should be the International Union of Pure and Applied Chemistry(1U PAC)name found on the Material Safety Data Sheet(MSDS). NOTE:If the chemical is a mixture,do not complete this field;complete the"COMMON NAME"field instead. 206 TRADE SECRET-Check'Yes"if the information in this section is declared a trade secret,-or"No"if it is not. State requirement: If yes,and business is not subject to EPCRA,disclosure of the designated trade secret information is bound by HSC§25511. Federal requirement: If yes,and business is subject to EPCRA,disclosure of the designated Trade Secret information is bound by 40 CFR and the business must submit a"Substantiation to Accompany Claims of Trade Secrecy"form (40 CFR 350.27) to USEPA. 207 COMMON NAME-Enter the common name or trade name of the hazardous material or mixture containing a hazardous material. 208 EHS-Check"Yes"if the hazardous material is an Extremely Hazardous Substance(EHS),as defined in 40 CFR,Part.355,Appendix A. If the material is a mixture containing an EHS,leave this section blank and complete the section on hazardous components below. 209 CAS#-Enter the Chemical Abstract Service(CAS)number for the hazardous material. For mixtures,enter the CAS number of the mixture if it has been assigned a number distinct from its components. If the mixture has no CAS number,leave this column blank and report the CAS numbers of the individual hazardous components in the appropriate section below. _ 210 FIRE CODE HAZARD CLASSES-Fire Code Hazard Classes describe to first responders the type and level of hazardous materials which a business handles.'This information is not currently required by KCEHSD..A list of the hazard classes and instructions on how to determine which class a material falls under are included in the appendices of Article 80 of the Uniform Fire Code: If a material has'more than one applicable hazard class,include all. 211 HAZARDOUS MATERIAL TYPE-Check the one box that best describes the type of hazardous material:pure,mixture or waste. If waste material,check only that box. If mixture or waste,complete hazardous components section. 212 RADIOACTIVE-Check"Yes"if the hazardous material is radioactive or"No"if it is not. 213 CURIES-If the hazardous material is radioactive,use this area to report the activity in curies. You may use up to nine digits with a floating decimal point to report activity in curies. 214 PHYSICAL STATE-Check the one box that best describes the state in which the hazardous material is handled:solid,liquid or gas. 215 LARGEST CONTAINER-Enter the total capacity of the largest container in which the material is stored. 216 FEDERAL HAZARD CATEGORIES-Check all categories that describe the physical and health hazards associated with the hazardous material. PHYSICAL HAZARDS HEALTH HAZARDS Fire:Flammable Liquids and Solids,Combustible Liquids;Pyrophorics,Oxidizers Acute,Health(Immediate):Highly Toxic,Toxic,Irritants,Sensitizers,Corrosives, Reactive:Unstable Reactive,Organic Peroxides,Water Reactive,Radioactive other hazardous chemicals with an adverse effect with short term exposure Pressure Release:Explosives,Compressed Gases,Blasting Agents Chronic Health(Delayed):Carcinogens,other hazardous chemicals with an adverse effect with long term exposure 217 AVERAGE DAILY AMOUNT-Calculate the average daily amount of the hazardous material or mixture containing a hazardous material,in each building or adjacent/ outside area. Calculations shall be based on the previous year's in of material reported on this page. Total all daily amounts and divide by the number of days the chemical'will be on site: If this is a material that has not previously been present at this location,the amount shall be the average daily amount you project to be on hand during,the course of the year. This"amount should be consistent with the units reported in box 221 and should not exceed that of maximum daily amount. 218 MAXIMUM DAILY AMOUNT-Enter the maximum amount of each hazardous material or mixture containing a hazardous material,which is handled in a building or adjacent/outside area at anyone time over the course of the year. This amount must contain at a minimum last year's inventory of the material reported on this page,with the reflection of additions,deletions,or revisions projected for the current year. This amount should be consistent with the units reported in box 221. 219 ANNUAL WASTE AMOUNT-If the hazardous material being inventoried is a waste,provide an estimate of the annual amount handled. 220 STATE WASTE CODE-If the hazardous material is a waste,enter the appropriate California 3-digit hazardous waste code as listed on the back of the Uniform Hazardous Waste Manifest. 221 UNITS-Check the unit of measure that is most appropriate for the material being reported on this page:gallons,pounds,cubic feet or tons. NOTE:If the material is a federally defined Extremely Hazardous Substance(EHS),all amounts must be reported in pounds. If material is a mixture containing an EHS,report the units that the material is stored in(gallons,pounds,cubic feet,or tons). 222 DAYS ON SITE-List the total number of days during the year that the material is on site. 223 STORAGE CONTAINER-Check all boxes that describe the type of storage containers in which the hazardous material is stored. NOTE:If appropriate,you may choose more than one. 224 STORAGE PRESSURE-Check the one box that best describes the pressure at which the hazardous material is stored. . 225 STORAGE TEMPERATURE-Check the one box that best describes the temperature at which the hazardous material is stored. 226 HAZARDOUS COMPONENTS 1-5(%BY WEIGHT)-Enter the percentage weight of the hazardous component in a mixture. If a range of percentages is available,report the highest percentage in that range. (Report for components 2 through 5 in 230,234,238,and 242.) 227 HAZARDOUS COMPONENTS 1-5 NAME-When reporting a hazardous material that is a mixture,list up to five chemical names of hazardous components in that mixture by percent weight (refer to MSDS or,in the case of trade secrets,refer to manufacturer). All hazardous components in the mixture present at greater than 1%by weight if non-carcinogenic,or 0.1%by weight if carcinogenic,should be reported. If more than five hazardous components are present above these percentages,you may*attach an additional'sheet of paper to capture the required information. When reporting waste mixtures,mineral and chemical composition should be listed. (Report for components 2 through 5'in 231,235,239,and 243.) 228 HAZARDOUS COMPONENTS 1-5 EHS-Check"Yes" if the component of the mixture is considered an Extremely Hazardous Substance as defined in 40 CFR,Part 355, or "No" if it is not. (Report for components-2 through 5 in 232,236,240,and 244.) 229 HAZARDOUS COMPONENTS 1-5 CAS-List the Chemical;Abstract Service(CAS)numbers as related to the hazardous components in the mixture. (Repeat for 2-5.) 246 LOCALLY COLLECTED INFORMATION-Currently,no additional information is required by KCEHSD. (5/2008 revised) KC Form 2731 HAZARDOUS M-TtERIALS INVENTORY,,- CHE CAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form(UPCF) 2700 M STREET,SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD,CA 93301 (661)862-8700 Fax(661)862-8701 (one page per material per building or area) ADD ❑ DELETE ❑ REVISE 200 Page of I. FACILITY INFORMATION BUSINE) NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 CHEMICAL LOCATION 201 CHEMICAL L CATION CONFIDENTIAL EPCRA 202 ❑ YES NO FA , 1 MAP#(optional) 203 GRID#(optional) 204 ILITY ID# _ H. CHEMICAL INFORMATION CHEMIC2�1 ME 205 TRADE SECRET ❑ Yes 206 9/ If Subject to EPCRA,refer to instructions COMNIGIN NAME 207 208 f� EHS* ❑ Yes "�No CAS# 209 *If EHS is"Yes",all amounts below must be in lbs. FIRE CODE HAZARD CLASSES(Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL � 21t 212 213 TYPE(Check one item only) l� PURE El b. MIXTURE❑ c. WASTE RADIOACTIVE ❑ Yes No CURIES PHYSICAL STATE 214 215 (Check one item only) ❑ a. SOLID [:1 b. LIQUID Oc. GAS LARGEST CONTAINER �J� �,F FED HAZARD CATEGORIES C 216 (Check all that apply) -ER-'a. FIRE 1�k b. REACTIVE V�c. PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 er� UNITS* ❑a.GALLONS b. CUBIC FEET ❑ c.POUNDS ❑d.TONS 221 DAYS ON SITE: 222 (Check one item only) /*If EHS,amount must be in pounds. STORAGE CONTAINER 223 ❑ a. ABOVE GROUND TANK ❑ e. PLASTIC/NONMETALLIC DRUM ❑ i. FIBER DRUM ❑ m. GLASS BOTTLE ❑ q. RAILCAR ❑ 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 ❑ In. SILO ML CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE - El a. AMBIENT b. ABOVE AMBIENT ,❑ c. BELOW AMBIENT 224_ STORAGE TEMPERATURE a. AMBIENT ❑ b.. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# 226 .227 228 229 1 O.Yes ❑ No 230 231 232 233 2 ❑Yes ❑ No 234 -235 236 237 3 ❑Yes ❑ No 238 239 240 241 4 ❑Yes ❑ No 242 243 244 245 5 ❑Yes ❑ No If more have rdous 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 information. 246 ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Sin Here (5/2008 revised) KC Form 2731 Haza�s Materials Inventory- Chemical Des ion You must complete a separate Hazardous Materials Inve>Tory-Chemical Description page.for each hazardous material(h p dous substances and hazardous waste)that you handle at your facility in aggregate quantities equal to or greater than 500 pounds,55 gallons,200 cubic feet of gas(calculated at standard temperature and pressure)or the federal threshold planning quantity for Extremely Hazardous Substances,whichever is less. Also complete a page for each radioactive material handled over quantities for which an emergency plan is required to be adopted pursuant to 10 CFR Parts 30, 40,or 70. The completed inventory should reflect all reportable quantities of hazardous materials at your facility,reported separately for each building or outside adjacent area,with separate pages for unique occurrences of physical state,storage temperature and storage pressure. (Note: the numbering of the instructions follows the data element numbers that are on the Unified Program Consolidated Form(UPCF)pages. These data element numbers are used for electronic submission and are the same as the numbering used in Division 3,Electronic Submittal of Information.) Please number all pages of your submittal. This helps the Kern County Environmental Health Services'Department.(KCEHSD)identify whether the submittal is complete and if any pages are separated: 1 FACILITY ID NUMBER-This number is assigned by KCEHSD. This is the unique number which identifies your facility. 3 BUSINESS NAME-Enter the full legal name of the business. 200 ADD/DELETE/REVISE-indicate if the material is being added to the inventory,deleted from the inventory,or if the information previously submitted is being revised. NOTE: You may choose to leave this blank if you resubmit your entire inventory annually. 201 CHEMICAL LOCATION-Enter the building or outside/adjacent area where the hazardous material is handled. A chemical that is stored at the same pressure and temperature,in multiple_locations within a building,can be reported on a single page. NOTE' information is not subject to public disclosure pursuant to HSC§25506. 202 CHEMICAL LOCATION CONFIDENTIAL-EPCRA-All businesses which are subject to the Emergency Planning and Community Right to Know Act(EPCRA)must check"Yes"to keep chemical location information confidential. If the business does not wish to keep chemical location information confidential check"No". 203 MAP NUMBER-If a map is included,enter the number of the map on which the location'of the hazardous material is shown. 204 GRID NUMBER-If grid coordinates are used,enter the grid coordinates of the map that correspond to the location of the hazardous material. If applicable,multiple grid coordinates can be listed. 205 CHEMICAL NAME-Enter the proper chemical name associated with the Chemical Abstract Service(CAS)number of the hazardous material. This should be the international Union of Pure and Applied Chemistry(iUPAC)name found on the Material Safety Data Sheet(MS DS). NOTE:If the chemical is a mixture,do not complete this field;complete the"COMMON NAME"field instead. 206 TRADE SECRET-Check"Yes"if the information in this section is declared a trade secret,or'No"if it is not. State requirement: if yes,and business is not subject to EPCRA,disclosure of the designated trade secret information is bound by HSC§25511. Federal requirement: if yes,and business is subject to EPCRA,disclosure of the designated Trade Secret information is bound by 40 CFR and the business must submit a"Substantiation to Accompany Claims of Trade Secrecy"form (40 CFR 350.27) to USEPA. 207 COMMON NAME-Enter the common name or trade name of the hazardous material or mixture containing a hazardous material. 208 EHS-Check"Yes"if the hazardous material is an Extremely Hazardous Substance(EHS),as defined in 40 CFR,Part 355,Appendix A. If the material is a mixture containing an EHS,leave this section blank and complete the section on hazardous components below. 209 CAS#-Enter the Chemical Abstract Service(CAS)number for the hazardous material. For mixtures,enter the CAS number of the mixture if it has been assigned a" number distinct from its components. If the mixture has no CAS number,leave this column blank and report the CAS numbers of the individual hazardous components in the appropriate section below. 210 FIRE CODE HAZARD CLASSES-Fire Code Hazard Classes describe to first responders the type and,level of hazardous materials which a business handles. This information is not currently required by KCEHSD. A list of the hazard classes and instructions on how to determine which class a material falls under are included in the appendices'of Article 80 of the Uniform Fire Code. 'If a material has more than one applicable hazard class,include all. 211 HAZARDOUS MATERIAL TYPE-,Check the one box that best describes the type of hazardous material:pure,mixture or waste. If waste material,check only that box. If mixture or waste,complete hazardous components section. 212 RADIOACTIVE Check"Yes'if the hazardous material is radioactive or"No"if it is not. 213 CURIES-If the hazardous material is radioactive,use this area to report the activity in curies. You may use up to nine digits with a floating decimal point to report activity in curies. 214 PHYSICAL STATE-Check the one box that best describes the state in which the hazardous material is handled:solid,liquid or gas. 215 LARGEST CONTAINER-Enter the total capacity of the largest container in which the material is stored. 216 FEDERAL HAZARD CATEGORIES-Check all categories that describe the h sical and health hazards associated with the hazardous material. PHYSiCAL'HAZARDS HEALTH.HAZARDS Fire:Flammable Liquids and Solids,Combustible Liquids,Pyrophorics,.Oxidizers Acute Health(Immediate):Highly Toxic,Toxic,Irritants,Sensitizers,Corrosives, Reactive:Unstable Reactive,Organic Peroxides,Water Reactive,Radioactive other hazardous chemicals with an adverse effect with short tern exposure Pressure Release:Explosives,Compressed Gases,Blasting Agents Chronic Health(Delayed):Carcinogens,other hazardous chemicals with an adverse effect with long term exposure 217 AVERAGE DAILY AMOUNT-Calculate the average daily amount of the hazardous material or mixture containing a hazardous material;in each building or adjacent/ outside'area.'Calculations shall be based on the previous year's inventory of material reported on this page. Total all daily amounts and divide by the number of days the, chemical will be on site. If this is a material that'has not previously been present at this location,the amount shall be the average daily amount you project to be on hand during the course of the year. This amount should be consistent with the units"reported in box 221 and should not exceed that of maximum daily amount. ' 218 MAXIMUM DAILY AMOUNT-Enter the maximum amount of each hazardous material or mixture containing a hazardous material,which is handled in a building or adjacent/outside area at anyone time over the course of the year. This amount must contain at a minimum last year's inventory of the material reported on this page,with the reflection of additions,deletions,or revisions projected for the current year..This amount should be consistent with the units reported in box 221. 219 ANNUAL WASTE AMOUNT-If the hazardous material being inventoried is a waste,provide an estimate of the annual amount handled. 220 STATE WASTE CODE-If the hazardous material is a waste,enter the appropriate California 3-digit hazardous waste code as listed on the back of the Uniform Hazardous . Waste Manifest. 221 UNITS-Check the unit of measure that is most appropriate for the material being reported on this page:gallons,pounds,cubic feet or tons. NOTE:If the material is a federally defined Extremely Hazardous Substance(EHS),all amounts must be reported in pounds. if material is a mixture containing an EHS,report the units that the material is stored in(gallons,pounds,cubic feet,or tons). 222 DAYS ON SITE-List the total number of days during the year that the material is on site. 223 STORAGE CONTAINER-Check all boxes that describe the type of storage containers in which the hazardous material is stored. NOTE:if appropriate,you may choose more than one. . I 224 STORAGE PRESSURE-Check the one box that best describes the pressure at which the hazardous material is stored. 225 STORAGE TEMPERATURE-Check the one box that best describes the temperature at which the hazardous material is stored. 226 HAZARDOUS COMPONENTS 1-5(%BY WEIGHT)-Enter the percentage weight of the hazardous component in a mixture. If a range of percentages is available,report the highest percentage in that range. (Report for components 2 through 5 in 230,234,238,and 242.) 227 HAZARDOUS COMPONENTS 1-5 NAME-When reporting a hazardous material that is a mixture,list up to five chemical names of hazardous components in that mixture by percent weight (refer to MSDS or,in the case of trade secrets,refer to manufacturer). All hazardous components in the mixture present at greater than 1%by weight if non-carcinogenic,or 0.1%by weight if carcinogenic,should be reported. If more than five hazardous components are present above these percentages,you may attach an additional sheet of paper to capture the required information. When reporting waste mixtures,mineral and chemical composition should be listed. (Report for components 2 through 5 in 231,235,239,and 243.). 228 HAZARDOUS COMPONENTS 1-5 EHS-Check"Yes" if the component of the mixture is considered an Extremely Hazardous Substance as defined in'40 CFR,Part 355, or "No" if it is not. (Report for components 2 through 5 in 232,236,240,and 244.) 229 HAZARDOUS COMPONENTS 1 75 CAS-List the Chemical Abstract Service(CAS)numbers as related to the hazardous components in the mixture. (Repeat for 2-5.) 246 LOCALLY COLLECTED INFORMATION-Currently,no additional information is required by KCEHSD. (5/2008 revised) KC Form 2731 HAZARDOUS'M ERIALS INVENTORY - CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form(UPCF) 2700 M STREET,SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD,CA 93301 (661)862-8700 Fax(661)862-8701 (one page per material per building or area) ADD ❑ DELETE ❑ REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME(Same as FACILILITY.NAME or DBA—Doing Business As) 3 li C4 i2 5 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 ❑ YES NO FACILITY D# 1 MAP#(optionaq 203 GRID#(optionaD 204 z H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ YesNo 206 If Subject to EPCRk refer to instructions COMMON NANM 207 208 1 f EHS* ❑ Yes E!bNo CAS# 209 *If EHS is"Yes",all amounts below must be in lbs. FIRE CODE HAZARD CLASSES(Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL, 211 212 313 TYPE(Check one item only) PURE [] b. MIXTURE[3 c. WASTE RADIOACTIVE ❑ Yes �No CURIES PHYSICAL STATE 214 215 (Check one item only) ❑ a. SOLID ❑ b. LIQUID c. GAS' LARGEST CONTAINER FED HAZARD CATEGORIES 216 (Check all that apply) pg:m FIRE O'b. REACTIVE 'AK[c. PRESSURE RELEASE ❑ d. ACUTE HEALTH ❑ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT Y219 STATE WASTE CODE 220 22AYS ON SITE: 727 UNITS* ❑a.GALLONS ;=b. CUBIC FEET ❑ c.POUNDS ❑d.TONS (Check one item only) *If EHS,amount must be in pounds. STORAGE CONTAINER 223 ❑ a. ABOVE GROUND TANK ❑ e. PLASTIC/NONMETALLIC DRUM ❑ i. FIBER DRUM ❑ In. 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 j5je4. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE El a. AMBIENT . ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 STORAGE TEMPERATURE a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT(For mixture or,waste only) EHS CAS# 226 227 228 229 I ❑Yes ❑ No 230 231 232 233 2 ❑Yes ❑ No 234 235. 236 237 3 ❑Yes ❑ No 238 239 240 241 4 ❑Yes ❑ No 242 243 244 - 245 5 ❑Yes ❑ No If more hazardous components are present at greater than I%by weight if non-carcinogenic,or 0.1%by weight if carcinogenic,attach additional sheets of paper capturing the required information. 246 ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA,Please Sign Here (5/2008 revised) KC Form 2731 Haza s Materials Inventory- Chemical Des ' ' tion You must complete a separate Hazardous Materials Inver Chemical Description page for each hazardous material(h�L3rdous substances and hazardous waste)that you handle at your facility in aggregate quantities equal to or greater than 500 pounds,55 gallons,200 cubic feet of gas(calculated at standard temperature and pressure)or the federal threshold planning quantity for Extremely Hazardous Substances,whichever is less. Also complete a page for each radioactive material handled over.quantities for which an emergency plan is required to be adopted pursuant to 10 CFR Parts 30, 40,or 70. The completed inventory should reflect all reportable quantities.of hazardous materials at your facility,reported separately for each building or outside adjacent area,with separate pages for unique occurrences of physical state,storage teperature and storage pressure.. (Note: the numbering of the instructions follows the data element numbers that are on the Unified Program'Consolidated Form(UPCF)pages. These data element numbers are used for electronic submission and are the same as the numbering used in Division 3,Electronic Submittal of information.) Please number all pages of your submittal. This helps the Kern County Environmental Health Services Department(KCEHSD)identify whether the submittal is complete and if any pages are separated: 1 FACILITY ID NUMBER-This number is assigned by KCEHSD. This is the unique number which identifies your facility. 3 BUSINESS NAME-Enter the full legal name of the business. 200 ADD/DELETE/REVISE-indicate if the material is being added to the inventory,deleted from the inventory,or if the information previously submitted is being revised. NOTE: You may choose to leave this blank if you resubmit your entire inventory annually. 201 CHEMICAL LOCATION-Enter the building or outside/adjacent area where the hazardous material is handled. A chemical that is stored at the same.pressure and temperature,in multiple locations within a building,can be reported on a single page. NOTE:This information is not subject to public disclosure pursuant to HSC§25506. 202 CHEMICAL LOCATION CONFIDENTIAL-EPCRA-All businesses which are subject to the Emergency Planning and Community Right to Know Act(EPCRA)must check"Yes"to keep chemical location information confidential. if the business does not wish to keep chemical location information confidential check"No". 203 MAP NUMBER-If a map is included,enter the number of the map on which the location of the hazardous material is shown. 204 GRID NUMBER-If grid coordinates are used,enter the grid coordinates of the map that correspond to the location of the hazardous material. If applicable,multiple grid coordinates can be listed. 205 CHEMICAL NAME-Enter the proper chemical name associated with the Chemical Abstract Service(CAS)number of the hazardous material. This should be the International Union of Pure and Applied Chemistry(IUPAC)name found on the Material Safety Data,Sheet(MSDS). NOTE:If the chemical is a mixture,do not complete this field;complete the"COMMON NAME"field instead. 206 TRADE SECRET-Check"Yes"if the information in this section is declared a trade secret,or"No"if it is not. State requirement: If yes,and Business is not subject to EPCRA,disclosure of the designated trade secret information is bound by HSC§25511. Federal requirement: If yes,and business is subject.to EPCRA,disclosure of the designated Trade Secret information is bound by 40 CFR and the business trust submit a"Substantiation to Accompany Claims of Trade Secrecy"form (40 CFR 350.27) to USEPA. 207 COMMON NAME-Enter the common name or trade name of the hazardous material or mixture containing a hazardous material. 208 EHS-Check"Yes"if the hazardous material is an Extremely Hazardous Substance(EHS),as defined in 40 CFR,Part 355,Appendix A. If the material is a mixture containing an EHS,leave this section blank and complete the section on hazardous components below. 209 CAS#-Enter the Chemical Abstract Service(CAS)number for the hazardous material. For mixtures,enter the CAS number of the mixture if it has been assigned a number distinct from its components. if the mixture has no CAS number,leave this column blank and report the CAS numbers of the individual hazardous components in the appropriate section below. 210' FIRE CODE HAZARD CLASSES-Fire Code Hazard Classes describe to first responders the type and level of hazardous materials which a business handles. This information is not currently required by KCEHSD: A list of the hazard classes and instructions on how to determine which class a material falls under are included in the appendices of Article 80 of the Uniform Fire Code. -if a material has more than one applicable hazard class,include all. 211 HAZARDOUS MATERIAL TYPE-Check the one box that best describes the type of hazardous material:pure,mixture or waste. If waste material,check only that Box. if mixture or waste,complete'hazardous components section. 211 RADIOACTIVE-Check"Yes"if the hazardous material is radioactive or"No"if it is not. 213 CURIES-.If the hazardous material is radioactive,use this area to report the activity in curies. You may use up to nine digits with a floating decimal point to report activity in curies. 214 PHYSICAL STATE-Check the one box that best describes the state in which.the hazardous material is handled:solid,liquid or gas. 215 LARGEST CONTAINER-Enter the total capacity of the largest container in which the material is stored. 216 FEDERAL HAZARD CATEGORIES-Check all categories that describe the physical and health hazards associated with the hazardous material. PHYSICAL HAZARDS HEALTH HAZARDS Fire:Flammable Liquids and Solids,Combustible Liquids,Pyrophorics,Oxidizers Acute Health(Immediate):Highly Toxic,Toxic,Irritants,Sensitizers,Corrosives, Reactive:Unstable Reactive,Organic Peroxides,Water Reactive,Radioactive other hazardous chemicals with an adverse effect with short term exposure Pressure Release:Explosives,Compressed Gases,Blasting Agents Chronic Health(Delayed):Carcinogens,other hazardous chemicals with an, adverse effect with long tern exposure 217 AVERAGE DAILY AMOUNT-Calculate the average daily amount of the hazardous material or mixture.containing a hazardous material,in each building or adjacent/ outside area. Calculations shall be based on the previous year's inventory of tmaterial reported on'this page. Total all daily amounts and divide by the number of days the chemical will be on site. If this is a material that has not previously been present at this location,the amount shall be the average daily amount you project to be on hand during the course of the year. This amount should be consistent with the units reported in box 221 and should not exceed that of maximum daily amount. 218 MAXIMUM DAILY AMOUNT-Enter the maximum amount of each hazardous material or mixture containing a hazardous material,which is handled in a building or adjacent/outside area at anyone time over the course of the year. This amount must contain at a minimum last year's inventory of the material reported on this page,with the reflection of additions,deletions,or revisions projected for the current year. This amount should be consistent with the units reported in box 221. 219 ANNUAL WASTE AMOUNT If the hazardous material being inventoried is a waste,provide an estimate of the annual amount handled. 220 STATE WASTE CODE-if the hazardous material is a waste,enter the appropriate California 3-digit hazardous waste code as listed on the back of the Uniform Hazardous Waste Manifest. 221 UNITS-Check the unit of measure that is most appropriate for the material being reported on this page:gallons,pounds,cubic feet or tons. NOTE:if the material is a federally defined Extremely Hazardous Substance(EHS),all amounts must be reported in pounds. If material is a mixture containing an EHS,report the units that the material is stored in(gallons,pounds,cubic feet,or tons). 222 DAYS ON SITE-List the total number of days during the year that the material is on site. 223 STORAGE CONTAINER-Check all boxes that describe the type of storage containers in which the hazardous material is stored. NOTE:If appropriate,you may choose more than one. 224 STORAGE PRESSURE-Check the one box that best describes the pressure at which the hazardous material is stored. 225 STORAGE TEMPERATURE-Check the one box that best describes the temperature at which the hazardous material is stored. 226 HAZARDOUS COMPONENTS 1-5(%BY WEIGHT)-Enter the percentage weight of the hazardous component in a mixture. if a range of percentages is available,report the highest percentage in that range. (Report for components 2 through 5 in 230,234,238,and 242.) 227 HAZARDOUS COMPONENTS 1-5 NAME-When reporting a hazardous material that is a mixture,list up to five chemical names of hazardous components in that mixture by percent weight (refer to MSDS or,in the case of trade secrets,refer to manufacturer). All hazardous components in the mixture present at greater than 1%by weight if non-carcinogenic,or 0.1%by weight if carcinogenic,should be reported. if more•than five hazardous components are present above these percentages,you may attach an additional sheet of paper to capture the required information. When reporting waste mixtures,mineral and chemical composition should be listed. (Report for components 2 through 5 i 231,235,239,and 243.) 228 HAZARDOUS COMPONENTS 1-5 EHS-Check"Yes" if the component of the mixture is considered an Extremely Hazardous Substance as defined in 40 CFR,Part 355, or "No" if it is not. (Report for components 2 through 5 in 232,236,240,and 244.) 229 HAZARDOUS COMPONENTS 1-5 CAS-List the Chemical Abstract Service(CAS)numbers as related to the hazardous components in the mixture. (Repeaffor 2-5.) 246 LOCALLY COLLECTED INFORMATION-Currently,no additional information is required by KCEHSD. (5/2008 revised) KC Form 2731 BUSINES WNER/OPERATOR IDENT CATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 I. IDENTIFICATION Page or FACILITY ID# BEGINNING DATE FA0004851 1 151 - 0 1 1011 0 0 4 6 6 191 02/08/2006 ENDING DATE 0210812007 101 BUSINESS NAME(Same as FACB.rrY NAME or DBA-Doing Business As) 3 BUSINESS PHONE 102 AHERN RENTALS 661 833-2000 BUSINESS SITE ADDRESS 103 BUSINESS FAX 1028 2113 TAFT HWY BUSINESS CITY 104 ZIP CODE 105 COUNTY 108 BAKERSFIELD CA 93313 Kern County DUN&BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAICS 107a None specified BUSINESS MAILING ADDRESS \ loss 2113 TAFT HWY BUSINESS MAILING CITY lost STATE 108e, ZIP CODE 1084 BAKERSFIELD CA 93313 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 STEVE AGERTON II. BUSINESS OWNER OWNER NAME 111 O 112 AHERN RENTALS ()- OWNER MAILING ADDRESS 113 2113 TAFT HWY OWNER MAILING CITY 114 1 STATE 115 ZIP CODE 116 BAKERSFIELD CA 93313 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 O- CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a SteveAA @ahem.com CITY 120. STATE 121 ZIP CODE 122 -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE 129 STORE ANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 (661)833-2000 (702)6314250 24-HOUR PHONE 126 24-HOUR PHONE 131 (661)833-2000 (702)858-2025 PAGER# 127 PAGER# 132 O- O- ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 APN: Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally, examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGNATURE OF OWNERIOPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT,PREPARER 135 �Larino�uc bignwl�uw 02/04/2008 NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 Steve Agerton BUSINESS NER/OPERATOR IDENTI ATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 ❑ NEW BUSINESS ❑ OUT OF BUSINESS ❑ REVISE/UPDATE(EFFECTIVE 08/22/2007)_ Page 1 of 1 I. IDENTIFICATION FACILITY ID# BEGINNING DATE 00 ENDING DATE FA0004851 1 5 - 0 1 0 = 0 0 4 6 6 9 02/08/2006 02/08/2007 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) BUSINESS PHONE AHERN RENTALS (661)833-2000 BUSINESS SITE ADDRESS 2113 TAFT HWY CITY ZIP CODE 105 BAKERSFIELD 104 CA 93313 DUN&BRADSTREET 106 SIC CODE(4 digit#) COUNTY 108 Kern County BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 STEVE AGERTON II. BUSINESS OWNER OWNER NAME I I I OWNER PHONE .AHERN RENTALS Q- OWNER MAILING ADDRESS 113, 2113 TAFT HWY CITY a STATE ZIP CODE BAKERSFIELD CA 93313 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE CONTACT MAILING ADDRESS 119 CITY 120 STATE 12 ZIP CODE -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 18 STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE STORE ANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE (661)833-2000 (702)631-4250 24-HOUR PHONE 126 24-HOUR PHONE 131 (661)833-2000 (702)858-2025 PAGER# 127 PAGER# O- O- ADDITIONAL LOCALLY COLLECTED INFORMATION: APN: Environmental Contact E-Mail Address: SteveAA @ahem.com Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTAT DATE 134 NAME OF DOCUMENT PREPARER 08/22/2007 NAME OF SIGNER(print) 136 TITLE OF SIGNER Steve A Agerton BUSINES WNER/OPERATOR IDENT ATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 0 NEW BUSINESS OUT OF BUSINES REVISE/UPDATE(EFFECTIVE 02/08/2006) Page I of 1 I. IDENTIFICATION FACILITY ID# BEGINNING DATE 100 1 ENDING DATE FA0004851 1 5 - 0 1110 1 - 0 0 4 6 6 9 02/08/2006 02/08/2007 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 BUSINESS PHONE luz AHERN RENTALS (661)833-2000 BUSINESS,SITE ADDRESS 2113 TAFT HWY CITY ZIP CODE BAKERSFIELD CA 93313 DUN&BRADSTREET lub SIC CODE(4 digit#)` COUNTY Kem County BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE STEVE AGERTON H. BUSINESS OWNER OWNER NAME 111 OWNER PHONE AHERN RENTALS Q- OWNER MAILING ADDRESS 2113 TAFT HWY CITY STATE ZIP CODE BAKERSFIELD CA 93313 III. ENVIRONMENTAL CONTACT CONTACT NAME CONTACT PHONE CONTACT MAILING ADDRESS CITY 120 STATE ZIP CODE -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE STORE ANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE (661) 833-2000 (702)631-4250 24-HOUR PHONE 126 24-HOUR PHONE (661) 833-2000 (702)858-2025 PAGER# 127 PAGER# ADDITIONAL LOCALLY COLLECTED INFORMATION: APN: Environmental Contact E-Mail Address: Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGNATURE OF OWNERIOPERATOR OR DESIGNATED REPRESENTAT DATE NAME OF DOCUMENT PREPARER 02/08/2006 NAME OF SIGNER(print) TITLE OF SIGNER Steve A. Agerton � M i BUSINESO WNER/OPERATOR IDENT INCATION Kern County Environmental Health Services Department 2700 M Street,Suite 300 Unified Program Consolidated Form(UPCF) Bakersfield,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 NEW BUSINESS 0 OUT OF BUSINES REVISE/UPDATE(EFFECTIVE 04/08/2005) Page 1 of 1 I. IDENTIFICATION FACILITY ID# BEGINNING DATE ENDING DATE FA0004851 1 5 - 0 1 101- 101 0 4 6 6 9 03/01/2005 02/28/2006 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 1 BUSINESS PHONE AHERN RENTALS (661)833-2000 BUSINESS SITE ADDRESS 2113 TAFT HWY CITY ZIP CODE BAKERSFIELD CA 93313 DUN&BRADSTREET lub SIC CODE(4 digit#) COUNTY Kern County BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE STEVE AGERTON II. BUSINESS OWNER OWNER NAME OWNER PHONE ilz AHERN RENTALS ()- OWNER MAILING ADDRESS 2113 TAFT HWY CITY STATE ZIP CODE 114 1 BAKERSFIELD CA 93313 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE TIT O- CONTACT MAILING ADDRESS CITY 120 1 STATE 121 ZIP CODE -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME jzj NAME STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE STORE ANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE (661)833-2000 (702)631-4250 24-HOUR PHONE 126 24-HOUR PHONE (661)833-2000 (702)858-2025 PAGER# 127 PAGER# O' O' ADDITIONAL LOCALLY COLLECTED INFORMATION: APN: Environmental Contact E-Mail Address: Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGNATURE OF OWNERIOPERATOR OR DESIGNATED REPRESENTAT DATE NAME OF DOCUMENT PREPARER 04/08/2005 NAME OF SIGNER(print) 136 TITLE OF SIGNER Steve Agerton • I AAA ., BUSINESS ACTIVITIES vT KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 M STREET,SUITE 300 `Unified Program Consolidated Form(UPCF) BAKERSFIELD,CA 93301 -- ---�---- FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 Page 1 of I. FACILITY IDENTIFICATION FACILITY ID# 1 EPA ID#(Hazardous Waste Only) 2 '_� CAL000271892 BUSINESS NAME(Same as Facility Name of DBA-Doing Business As) 3 Ahern Rentals JI.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 lete these pages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 HAZARDOUS MATERIALS INVENTORY— gallons for liquids, 500 pounds for solids, or 200 cubic feet for CHEMICAL DESCRIPTION(KC Fonn 2731) compressed gases (include liquids in ASTs and USTs); or the X YES ❑ NO 4 CONSOLIDATED CONTINGENCY PLAN applicable Federal threshold quantity for-an extremely hazardous (KC Fonn 2733) substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is SITE MAP(KC Fonn2734) required pursuant to 10 CFR Parts 30,40 or 70? B.UNDERGROUND STORAGE TANKS(USTs) UST FACILITY(KC Fonn A) 1. Own or operate underground storage tanks? ❑YES X NO 5 UST TANK(one page per tank)(KC Fonn B) 2. Intend to upgrade existing or install new USTs? ❑YES X NO 6 UST FACILITY UST TANK(one per tank) UST INSTALLATION- CERTIFICATE OF COMPLIANCE(one page per tank)(KC Form C) 3. Need to report closing a UST? ❑YES X NO 7 UST TANK(closure portion—one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS(ASTs) Own or operate ASTs above a total capacity for the facility of greater than 1,320 gallons? ❑YES X NO 8 NO FORM REQUIRED TO KCEHSD D.HAZARDOUS WASTE 1. Generate hazardous waste? X YES ❑ NO 9 EPA ID NUMBER—provide at the top of this page WASTE GENERATOR FORM(KC Fonn 2735) 2. Recycle more than 100 kg/month of excluded or exempted recyclable materials(per HSC 25143.2)? ❑YES X NO 10 RECYCLABLE MATERIALS REPORT(one per recycler)(KC Fonn 2732) 3. Treat hazardous waste on site? ❑YES X NO 11 ONSITE HAZARDOUS WASTE TREATMENT—FACILITY(KC Fonn 1772f) ON SITE HAZARDOUS WASTE TREATMENT—UNIT (one page per unit)(KC Fonn 1772u) 4. Treatment subject to financial assurance requirements(for []YES X NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE(KC Fonn 1232) 5. Consolidate hazardous waste generated at a remote site? [:]YES X NO 13 REMOTE WASTE/CONSOLIDATION SITE ANNUAL NOTIFICATION(KC Fonn 1196) 6. Need to report the closure/removal of a tank that was classified as [:]YES X NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION(KC Fonn 1249) E. LOCAL REQUIREMENTS 15 Have Regulated Substances(RS)stored on site at greater than the threshold REGULATED SUBSTANCES quantities established by the California Accidental Release Program ❑YES X NO 15 REGISTRATION(KC Form 2736) (Cal ARP)? A RS is any substance listed in Section 2770.5 of CCR Title 19, Division 2,Chapter 4.5. RISK MANAGEMENT PLAN(when required) 41 AdShk BUSINESS OWNER/OPERATOR IDENTIFICATION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 M STREET,SUITE 300 Unified Program Consolidated Form(UPCF) BAKERSFIELD,CA 93301 FACILITY INFORMATION (661)862-8700 Fax(661)862-8701 ❑NEW BUSINESS ❑OUT OF BUSINESS ❑REVISE/UPDATE (EFFECTIVE / / ) Page of I.IDENTIFICATION FACILITY ID# 1 BEGINNING DATE 100 ENDING DATE 101 BUSINESS NAME(Same as FACILITY NAMEor DBA—Doing Business As) 3 BUSINESS PHONE 102 AHERN RENTALS 661-833-2000 103 2113 TAFT HIGHWAY CITY 104 ZIP CODE 105 BAKERSFIELD CA 93313 DUN&BRADSTREET 106 SIC CODE(4 digit#) 107 COUNTY log Kern Count BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 STEVE AGERTON 661-833-2000 II.BUSINESS OWNER OWNER NAME 111 OWNER PHONE 112 DON F. AHERN 702-368-6793 OWNER MAILING ADDRESS 113 4241 ARVILLE CITY 114 STATE 115 1 ZIP CODE 116 LAS VEGAS NV 89103 III.ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 STEVE AGERTON 661-833-2000 CONTACT MAILING ADDRESS 119 2113 TAFT HIGHWAY CITY 120 1 STATE 121 ZIP CODE 122 BAKERSFIELD CA 93313 -PRIMARY- IV.EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE 129 STORE MANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 661=833-2000 702-631-4250 24-HOUR PHONE 126 24-HOUR PHONE 131 661-833-2000 PAGER# 127 PAGER# 132 661-979-0814 702-858-2025 ADDITIONAL LOCALLY COLLECTED INFORMATION: - 133 APN: 1'84-160-24-00-8 Environmental Contact E-Mail Address: Certification: Based on my inquiry of those individuals responsible for obtaining the information,I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true,accurate,and complete. SIGN E OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 03-24-04 JENNIFER HANSEN NAME OF SIGNER(print) 136 TITLE OF SIGNER 137 DON F. AHERN PRESIDENT Business Owner/Operator Identification CONSOLIDATED CONTINGENCY PLAN KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Form 2700 M STREET,SUITE 300 COVER PAGE BAKERSFIELD,CA 93301 661 862-8700 Fax 661 862-8701 Page of I. FACILITY IDENTIFICATION FACILITY ID# EPA ID#(Hazardous Waste Only) 2 = CAL000271892 BUSINESS NAME(Same as Facility Name of DBA-Doing Business As) 3 AHERN RENTALS The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning requirements of the following two written hazardous materials emergency response plans required in California: ❖ Hazardous Materials Business Plan (HSC Chapter 6.95 Section 25504 (b) and 19 CCR Sections 2729-2732), ❖ Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52), and, This format is designed to. reduce duplication in the preparation and use of emergency response plans at the same facility, and to improve the coordination between facility response personnel and local, state.and federal emergency responders during an emergency. A copy of the plan shall be submitted to this Department and at least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency: Describe below where a copy of your Contingency Plan, including the hazardous material inventories, Training Records, and Site Map(s), are located at your business: STEVE AGERTON'S OFFICE LOCATED AT 2113 TAFT HIGHWAY,BAKERSFIELD,CA.93313 EPA FILE PLAN CERTIFICATION I certify under penalty of law that I have personally examined and 1 am familiar with the information provided by this plan and to the best of my knowledge the information is accurate, complete, and true. Printed Name of Owner/Operator Title of Owner/Operator DON F.AHERN PRESIDENT Signature ner/Oper Date 03/24/04 We appreciate the effort of local businesses in completing these plans and are available to assist in any manner. If you have any questions, please contact this Department at (661) 862-8700. ADVISORY The site-specific Contingency Plan is the facility's plan for handling emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials or waste that could threaten human health and/or the environment. The contingency plan shall be reviewed, and immediately amended, if necessary, whenever: ❖ The plan fails in an emergency ❖ The facility changes in its design, construction, operation, maintenance, or other circumstances in a way that materially increases the potential for fires, explosions, or releases of hazardous waste or hazardous waste constituents, or changes the response necessary in an emergency ❖ List of emergency coordinators changes ❖ List of emergency equipment changes Submit a copy of any updates or changes to this Department. II. EMERGENCY CONTACTS PRIMARY SECONDARY NAME 123 NAME 128 STEVE AGERTON BRUCE BILYEU TITLE 124 TITLE 129 STORE MANAGER CONSTRUCTION MANAGER BUSINESS PHONE 125 BUSINESS PHONE 130 661-833-2000 702-631-4250 24-HOUR PHONE 126 24-HOUR PHONE 131 661-833-2000 PAGER # 127 PAGER # 132 661-979-0814 1 702-858-2025 III. EMERGENCY RESPONSE PLANS AND PROCEDURES A. . Notifications Your business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous material to local fire emergency response personnel, this Department, and the Office of Emergency Services. If you have a release or threatened release of hazardous materials, immediately call: FIRE/PARAMEDICS/POLICE/SHERIFF PHONE:911 AFTER the local emergency response personnel are notified, you shall then notify this Department and the Office of Emergency Services. Kern County Environmental Health Department:' (661) 862-8700 or after hours, call Dispatch at (661) 861-2521 State Office of Emergency Service: (800) 852-7550 or(916) 262-1621 National Response Center: (800) 424-8802 Information to be provided during Notification: ❖ Your Name and the Telephone Number from where you are calling. ❖ Exact address of the release or threatened release. ❖ Date, time, cause, and type of incident (e.g. fire, air release, spill etc.) Material and quantity of the release, to the extent known. ❖ Current condition of the facility. ❖ Extent of injuries, if any. ❖ Possible hazards to public health and/or the environment outside of the facility. B. Emergency Medical Facility List the closest emergency medical facility that will be used by your business in the event of an accident of injury caused by a release or threatened release of a hazardous material HOSPITAL/CLINIC: PHONE NO: MERCY MEDICAL CENTER 661-663-6100 ADDRESS: 400 OLD RIVER ROAD CITY: ZIP CODE: BAKERSFIELD, CA. C. Private Emergency Response DOES YOUR BUSINESS HAVE A PRIVATE ON-SITE EMERGENCY RESPONSE TEAM? ❑ Yes X No If yes, provide an attachment that describes 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. CLEANUP/DISPOSAL CONTRACTOR List the contractor that will provide cleanup services in the event of a release. NAME OF CONTRACTOR: PHONE NO: ASBURY ENVIRONMENTAL SERVICES 310-886-3400 ADDRESS: . 2100 NORTH ALAMEDA ST. CITY: ZIP CODE: COMPTON, CA 90222 D. Arrangements-with EmergencV Responders If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements in the space below: N/A E. Evacuation Plan 1. The following alarm signal(s) will be used to begin evacuation of the facility (check all which apply): X Verbal X Telephone (including cellular) ❑ Alarm System ❑ Public Address System ❑ Intercom ❑ Pagers ❑. Portable Radio ❑ Other (specify): 2. ❑ Evacuation map is prominently displayed throughout the facility. 3. X Name of individual(s) responsible for coordinating evacuation including spreading the alarm and confirming the business has been evacuated: STEVE AGERTON-STORE MANAGER F. Earthquake Vulnerability Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. ❑ Hazardous Waste/Hazardous Materials Storage Areas El Production Floor ❑ Process Lines F] Bench/Lab El Waste Treatment ❑ Other: Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. ❑ Utilities ❑ Sprinkler Systems ❑ Cabinets ❑ Shelves ❑ Racks ❑ Pressure Vessels ❑ Gas Cylinders ❑ Tanks ❑ Process Piping ❑ Shutoff Valves ❑ Other: G. Emergency Procedures Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materials/wastes: 1. PREVENTION (prevent the spill/release) - Consider the types of spills/releases associated with the hazardous materials/wastes present at your facility. What actions does your business take to prevent these spills/releases from occurring? You ma include a discussion of safety and storage procedures. WE HAVE CERTIFIED CONTAINMENT STORAGE ONSITE. THEY HAVE LIDS. 2. MITIGATION (stop the release/spill) - Describe what actions are taken to reduce 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 leak, spill, fire, explosion, or airborne release at your business? WE WOULD CONTACT ASBURY ENVIRONMENTAL SERVICES TO CLEAN UP CONTAINMENT AREA. 3. ABATEMENT (clean up the spill/release) - Describe what you would do to clean up the spill/release. How do you handle the complete process of cleaning up and disposing of released materials at your facility? ASBURY ENVIRONMENTAL SERVICES WOULD BE CONTRACTED IMMEDIATELY FOR SPILL CLEAN UP. • • i �p I IV. Emergency Equipment 22 CCR, Section 66265.52(e) [as referenced by Section 66262.34(a)(3)] requires that emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMENT INVENTORY TABLE 1. 2. 3. 4. Equipment Equipment Category Type Location Description* Personal ❑Cartridge Respirators Protective; ❑Chemical Monitoring Equipment(describe) Equipment, ❑Chemical Protective Aprons/Coats Safety ❑Chemical Protective Boots Equipment, X Chemical Protective Gloves ONSITE RUBBER GLOVES and ❑Chemical Protective Suits(describe) First Aid X Face Shields ONSITE IN SHOP Equipment X First Aid Kits/Stations(describe) ONSITE IN SHOP AND OFFICE ❑Hard Hats X'Plumbed Eye Wash Stations ONSITE IN SHOP X Portable Eye Wash Kits i.e.bottle type) ONSITE IN SHOP ❑ Respirator Cartridges(describe) X Safety Glasses/Splash Goggles ONSITE ALL EMPLOYEE'S ARE ISSUED ❑ Safety Showers ❑ Self-Contained Breathing Apparatuses(SCBA) ❑Other(describe) Fire ❑Automatic Fire S tinkler Systems Extinguishing ❑ Fire Alarm Boxes/Stations . Systems X Fire Extinguisher Systems(describe) ONSITE (1)OFFICE (4)IN SHOP ❑Other(describe) Spill ❑ Absorbents(describe) Control ❑ Berms/Dikes(desc(be) Equipment ❑ Decontamination Equipment describe and ❑ Emergency Tanks(describe) Decontamination ❑ Exhaust Hoods Equipment ❑Gas Cylinders Leak Repair Kits(describe) ❑ Neutralizers(describe) ❑Overpack Drums ❑Sums(describe) ❑Other(describe) Communications ❑Chemical Alarms(describe) and X Intercoms/PAS stems OFFICE TO SHOP Alarm ❑ Portable Radios Systems X Telephones TELEPHONES ❑ Underground Tank Leak Detection Monitors ❑Other(describe) Additional Equipment (Use Additional Pages if Needed.) Describe the equipment and.its capabilities. if applicable,specify any testing/maintenance procedureslintervals. Attach additional pages, numbered appropriately,if needed. V. EMPLOYEE TRAINING All facilities which handle hazardous materials must have a current written employee training plan. The items listed below are required per Health and Safety Code Section 25504 (c) and Title 19 Section 2732. Training shall be provided: ❖ Initially for all new employees. ❖ Methods for Safe Handling of Hazardous Materials. Note: These training programs may take into consideration the position of each employee. 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. ❖ Procedures for Coordination with local Emergency Response Organizations. Additional training should include: ❖ Internal alarm/notification procedures. ❖ Evacuation/re-entry procedures and assembly point locations ❖ 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 ❖ Facility personnel will successfully-complete training within six months after the date of their employment. or assignment to a facility or 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: ❖ 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). ❖ Description for each position listed above (must include required skill, education, or other qualifications as well as duties of employees assigned to the position. 4• Description of type and amount of both introductory and continuing training given to each employee. ❖ 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). Former employees'training records (to be retained at least three years after termination of employment). • MOBILE CO STATION I ON ENTRY TAFT HWY, FORMER MAILBOX WELL ARCO CHEVRON JACK IN STATION STATION THE BOX N RESTAURANT GRAVEL CONCRETE SHALLOW DRAINAGE MIKULS TRUCK STDP AREA FOR STORNIWATER ASPHALT z z / ——————————_ z STORMWATER I __ SEPTIC GRAVEL m RETENTION r TANKS a ` POND I COVERED PARKING A 1 I >o i a \ / I o GATE I m 2-STORY OFFICES :< n =< GAS METER SEPTIC y SYSTEM !�¢ WAREHOUSE ;< z CESSPOOLS ROLL-UP DOOR I VACANT LAND ` (TYP. FOR 7) ;< (OWNED BY SITE ( LANDLORD) (� ASPHALT CONCRETE GENERATOR LEASED FOR FARMING (0'NNED BY I LANDLORD) I I X :< GRAVEL , X ;< it X FIDERRiCK OLD ;< 3 ACRES AOF VACANT LAND (OWNED BY SITE LANDLORD) COUNTY LAND BEYOND GENERALIZED SITE LAYOUT LEGEND CB & I INDUSTRIAL <- ARROWS INDICATE PUMPKIN CENTER, CA APPROXIMATE SURFACE SCALE PPROVED BY DRAWN BY: WATER DIRECTION N.T.S.NTS J.K.S. DATE APRIL 2002 DESIGNED BY REVISED rprll =4. ZOO? 7:OC: m. Drawing: 148.^? 501.C':":':..0:`:G PROJECT NUMBER �lI #fir' DRAWING NO. N158 295 4 x;-., Uf)i4rv�r��:;r Mr FI I;l l RF 2 • • �oo�- � � 8 'I� �l HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form(UPCF) 2700 M STREET,SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD,CA 93301 (661)862-8700 Fax.(661)862-8701 (one page per material per building or area) X ADD ❑DELETE ❑REVISE 200 Page_of I. FACILITY INFORMATION BUSINESS NAME(Same as FACILITY NAME or DBA—Doing Business As) 3 AHERN RENTALS CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 2113 TAFT HIGHWAY BAKERSFIELD,CA ❑ YES ❑ NO 1 MAP#(optional) 203 1 GRID#(optional) 204 FACILITY ID# z %, II.CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ❑ Yes No 206 WASTE OIL If Subject to EPCRA,refer to instructions COMMON NAME 207 208 EHS* ❑ Yes ❑ No CAS# 209 *If EHS if"Yes',all amounts below must be in pounds FIRE CODE HAZARD CLASSES(Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL 213 TYPE(Check one item only) ❑a.PURE C1 b.MIXTURE ❑c.WASTE 211 RADIOACTIVE ❑Yes ❑No 2t2 CURIES PHYSICAL STATE 215 (Check one item only) ❑ a.SOLID ❑b. LIQUID ❑ c.GAS 214 LARGEST CONTAINER 55 GALLONS 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 1 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 800 GALLONS 221 DAYS ON SITE: 222 UNITS* X a.GALLONS ❑b. CUBIC FEET ❑ c.POUNDS ❑d.TONS (Check one item only) *If EHS,amount must be in pounds. 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 ❑ 1. CYLINDER ❑ p. TANKWAGON 223 STORAGE PRESSURE X a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT 224 STORAGE TEMPERATURE X a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT(For mixture or waste only) EHS CAS# 1 226 WASTE OIL 227 ❑Yes ❑ No 228 229 2 230 231 ❑Yes ❑ NO 232 233 3 234 235 ❑Yes ❑ NO 236 237 4 238 239 ❑Yes ❑ NO 240 241 5 242 243 ❑Yes ❑ No 244 245 If more hazardous components are present at greater than I by weight if non-carcinogenic,or 0.1%by weight if carcinogenic,attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Sign Here �. l• HAZARDOUS WASTE GENERATOR KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Form 2700 M STREET,SUITE 300 BAKERSFIELD,CA 93301 (661)862-8700 Fax(661)862-8701 Page of I. FACILITY INFORMATION FACILITY ID# ��+. EPA ID#(Hazardous Waste Only) 2 CAL000271892 BUSINESS NAME(Same as Facility Name of DBA-Doing Business As) s #OF EMPLOYEES A AHERN RENTALS 10 II. TYPE OF GENERATOR PLEASE CHECK THE BOX THAT APPLIES B RCRA GENERATOR NON-RCRA GENERATOR (FEDERAL WASTE) (CALIFORNIA WASTE ONLY) LARGE QUANTITY GENERATOR (>1000 KG HAZARDOUS WASTE PER MONTH SMALL QUANTITY GENERATOR (>100 KG BUT<1000 KG HAZARDOUS WASTE PER MONTH) El CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR X (<100 KG HAZARDOUS WASTE PER MONTH) III. WASTE STREAM IDENTIFICATION PLEASE COMPLETE THE TABLE BELOW. (SEE INSTRUCTIONS ON THE BACK FOR CODES AND EXPLANATIONS) PROCESS C WASTE DESCRIPTION D WASTE ID E AMOUNT F G STORAGE H DISPOSAL 1 UNITS PER YEAR METHOD METHOD OIL C HANGES WASTE OIL 221 800 GAL 55 GAL DRUM D I certify that the information provided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR NAME OWNER/OPERATOR TITLE K OWN PERATOR SIGNATURE DATE L ENVIRONMENTAL HEALTH SER�&S DEPARTMENT RES&CE MANAGEMENT AGENCY STEVE McCALLEY;R.E.H.S., Director DAVID PRICE Ill, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Development Department BAKERSFIELD,.CA 93301-2370 Engineering&Survey Services Department Voice:(661)862-8700 as? a' Environmental Health Services Department Fax,(661)862.8701 Planning Department TTY Relay:(800)735-2929 Roads Department e-mail:eh @co.kem.ca.us March 25, 2004 Augie Amour ReMax Realty 4630 California Ave Bakersfield, CA 93309 Subject: Hazardous Materials Business Plan Ahern Rentals, Inc 2113 Taft Highway Bakersfield, CA Dear Mr. Amour: This Department has received the Hazardous Materials Business Plan from Ahern Rentals. The permit will be issued after a routine inspection is completed and passed. The time frame for completion of these activities is about 30 days. If you have any questions,please contact Laurel Funk at(661) 862-8763. Thank you for your cooperation in . this matter. Sincerely, Steve McCalley, Director By: Laurel Funk Hazardous Materials Specialist II Unified Hazardous Materials/Waste Program CC. Ahern Rentals, Inc. i . : � . .. ENVIRONMENTAL HEALTH SERVICES DEPARTMENT -RESOURCE MANAGEMENT AGENCY MATTHEW CONSTANTINE,R.E.H.S.,Director (�DAVID PRICE 111,RMA DIRECTOR 2700"M"STREET,SUITE 300 RECEIVED Animal Control,Department BAKERSFIELD,CA 93301-2370 Community and Economic Development'Dcpartment Voice: (661)862-8700 ` Engineering and Survey Services�Department Fax: (661)862-8701 r`%a:,+ i' Environmental Health Services,Department T1•Y Relay: (800)735-2929 FEB 1 9 2009 Planning;Department Web: www.co.ktm.ca.us1cl1 Roads;Department E-mail: eh{yco.kern.vau.s January 16,2009 ENVIRONMENTAL HEALTH COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 01/12/2009 Facility ID: FA0004851 File#: 004669 Facility Name:AHERN RENTALS Inspection Type Site Address:2113 TAFT HWY BAKERSFIELD, CA 93313 © Routine ❑ Reinspection ❑ Complaint Phone: (661)833-2000 PROGRAMS INSPECTED: I@ Business Plan ® HW Generator ❑ UST ❑ AGT ❑ CalARP REINSPECTION REQUIRED: ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑ CaIARP VIOLATION YES NOMA VIOL.# BUSINESS PLAN REQUIREMENTS �1 O ❑ BP01 Inventory of hazardous materials is accurate,up to date,and complete[HSC 6.95,25504, Title 19 CCR 2729]. ❑ O BP02 Site layout/facility maps are accurate[HSC 6.95,25504;Title 19 CCR 2729]. ❑ O B1303 Hazardous materials are stored in properly labeled and non-detoriated containers[HSC 25124(b)(3)(A&B)]. ❑ ❑x ER01 Contingency Plan is complete,,updated,and maintained on site[HSC 6.95,25504;Title 19 CCR 2731 Title 22 CCR 66265,53-54]. ❑ O ER02 Facility is operated and maintained to prevent/mitigate fire,explosion,or releases of hazardous material or waste which could threaten human health or the environment[Title 22 CCR 66265.31;Title 19 CCk2731]. ❑ © ER03 Business has equipment required to,or appropriate for,safely handling hazardous materials[Title 22 CCR 66265.32&.34]. ❑ 0 . TR01 Facility has a training programi appropriate for the size and complexity of business and nature of hazardous materials handled[Title 19 CCR 2732;Title 22 CCR 66265.161. ❑ O TR02 Training documentation is maintained on site for current personnel.[Title 19 CCR 2732;22 CCR 66265.16]. COMMENTS: Go to http://www.co.kern.ca.us/eh/cupaorogram.asp for forms and information. GPS Coordinates: Latitude: Longtitude: INSPECTOR: LAUREL D FUNK DATE: 01/12/2009 Page 1 of 4 FACILITY NAME: AHERN RENTAL ADDRESS: 2113 TAFT HVn* FA ID: FA0004851 BAKERSFIELD,CA 93313 FILE ID:004669 HAZARDOUS WASTE GENERATOR EPA ID NUMBER: CAL 000 271 892 VIOLATIONS YES NO/NA VIOL.# GENERATOR REQUIREMENTS ❑ © GR01 Generator has an EPA Identification number to treat,store,dispose,transport,or transfer hazardous waste[Title 22,CCR 66262.121. ❑ © GR02 The facility has made an appropriate waste determination for hazardous based on own knowledge or analysis or other[Title 22,CCR 66262.11] ❑ © GR03 Facility Personnel demonstrate awareness of proper legal)hazardous-waste handling procedures.[Title 22,CCR,66262.34(d)(2)]. ❑ © GA01 Hazardous waste has not accumulated for more than 901180/270 days(depending upon volume/circumstances)without the facility having a hazardous waste storage permit [Title 22,CCR,66262.34(a).] ❑ © GA02 Empty containers or inner liners greater than 5 gallons have dates when emptied and are managed properly within one year of date emptied[Title 22,CCR,66261.7(f)]. ❑ © GA03 Universal waste Is not accumulated at facility for more than one year[Title 22,CCR, 66273.15(a);66273.35(a)]. ❑ © GA04 The facility disposes used oil filters within 180 days of generation(or one year if less than 1 ton are accumulated)[Title 22,CCR,66266.130(c)(4)]. ❑ © GA05 The facility disposes lead-acid!batteries within 180 days of generation(or one year if less than 1 ton are accumulated)[Title 22,CCR,66268.81(a)(6)] ❑ © GC01 Hazardous waste storage containers are in good condition[Title 22,CCR,66262.34(a)(1) I (A)]• Qf l O ❑ GCO2 Containers holding hazardous waste are closed/sealed except when adding/removing (f LLL waste[Title 22,CCR,66262.34(a)(1)(A)].] ❑ © GC03 The facility documents weekly Inspections of hazardous waste storage area/containers [Title 22,CCR,66265.15(d)and!66262.34(a)(1)(A)]. ❑ © GC04 The facility documents daily inspections of tanks where hazardous waste is stored[Title 22,CCR 66262.34(a)(1)(A)]. ❑ GC05 The facility has adequate secondary containment for hazardous waste tank systems[Title 22,CCR 66262.34(a)(1)(A)]. ❑ O GC06 Containers utilizing satellite accumulation rules are at or near the point of generation [Title 22,CCR 66262.34(e)(1)(A)]. ❑ © GC07 Satellite wastes are managed according to the regulations(complete labeling, accumulation times,55-gallon or 1 quart volume limits,etc.).[Title 22,CCR,66262.34(e)]. ❑ O GR04 Manifests or LDRs are properly completed and/or retained by generator for 3 years[Title 22,CCR 66262.23(a)(1);66263.42;66263.24;66262.34(a)(4)]. ❑ © GRO5 The facility filed an exception report to DTSC after not receiving the signed TSDF copy of a manifest within 35 days[Title,22,CCR,66262.421. ❑ O GR06 The facility has copies of bills of lading or receipts for removal of hazardous wastes[HSC 25160.2-Consolidated manifests/66266.81(a)(6)(B)-lead acid batteries/66266.130-oil filters].The facility shall maintain copies of receipts for at least three years. ❑ Q GR07 The facility submitted a hazardous waste recycling report[HSC 25143.101 ❑ © GTO1 The facility is conducting on-site treatment of hazardous waste with a tiered permit[HSC 25189.5(d)] ❑ © GT02 Authorized,licensed,and certified hazardous waste haulers are used to transport hazardous waste to appropriate facilities[H&S Code Chapter 6.5 Section 251631. ❑ © GT03 Hazardous wastes are sent to authorized disposal facilities[HSC 25189.5]. ❑ O GT04 Hazardous waste is not disposed to ground,water,or air[HSC 25189.5]. INSPECTOR: LAUREL D FUNK DATE: 01/12/2009 Page 2 of 4 • • ;.: r , FACILITY NAME: AHERN RENTAL ADDRESS: 2113 TAFT Ho FA ID: FA0004851 BAKERSFIELD, CA 93313 FILE ID:004669 VIOLATIONS YES NO/NA VIOL.# GENERATOR REQUIREMENTS ❑ O GL01 Containers of hazardous waste are properly labeled(Includes appropriate accumulation date,the words"HAZARDOUSWASTE,"the waste composition/physical state,the hazardous properties,and name/address of generator)[Title 22,CCR,66262.34(f)]. ❑ © GL02 Containers of excluded recyclable materials are properly labeled[HSC 25143.9(a)]. ❑ © GL03 Containers of universal waste are properly labeled.[Title 22,CCR,66273.14 for SQH or 66273.34 for LQH]. ❑ © GL04 Containers of drained used oil filters are labeled with the words"DRAINED USED OIL FILTERS"[Title 22,CCR,66266.130(c)(3)]. ❑ © GL05 Accumulation dates are marked on spent lead-acid batteries[22CCR 66266.81] ❑ GL06 Tanks/containers of used oil destined for recycling are clearly marked with the words "USED OIL"[HSC 25143.9(a)]. ' ❑ ID GL07 Empty contaminated containers are clearly marked with the date they were emptied[Title 22,CCR,66261.7(f)]. INSPECTOR: LAUREL D FUNK DATE: 01/12/2009 Page 3 of 4 ;r�,;,. > . .. ,.,. ,. � � ,.., . . FACILITY NAME: AHERN RENTAL ADDRESS: 2113 TAFT HVo FA ID: FA0004851 BAKERSFIELD,CA 93313 FILE ID:004669 SUMMARY OF OBSERVATIONS/VIOLATIONS ❑ No violations of underground storage tank,hazardous materials,or hazardous waste laws/regulations were discovered. KERN CUPA greatly appreciates your efforts to comply with all the laws and regulations p Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required,please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than$2,000 or more than$25,000 for each violation. Your facility may be reinspected anyitime during normal business hours.If a second reinspection becomes necessary due to non compliance,a reinspection charge of$85.00 per hour may be charged to the facility. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The Issuance of this Summary of Violations does not preclude the CUPA from taking administrative,civil,or criminal action: FACILITY NAME: AHERN RENTALS ADDRESS: 2113 TAFT HWY FA ID: FA0004851 BAKERSFIELD, CA 93313 FILE ID:004669 VIOLATIONS VIOL.NO VIOL.TYPE CORRECTIVE ACTION REQUIRED BP01 MINOR VIOLATION Update inventory of hazardous materials. Add welding gases to inventory GCO2 MINOR VIOLATION The facility shall immediately close/seal all containers and ensure that containers remain closed except when adding or removing hazardous waste. waste oil container was open. Corrected during inspection. INSPECTION COMMENTS: INSPECTOR: LAUREL D FUNK SIGNATURE OF FACILITY REP: DATE: 01/1212009 Certification: I certify under penalty of perju hat this acility has complied with the corrective actions listed on this inspection form. f/ Signature of Owner/Oyer or: Title:� Date: G-- Page 4 of 4 �� i II i f. ENVIRONMENTAL HEALTH VICES DEPARTMENT REARCE MANAGEMENT AGENCY MATTHEW_CONSTANTINE,R.E.H.S.,Director DAVID PRICE IH,RMA DIRECTOR 2700"M"STREET,SUITE 300 Animal Control Department BAKERSFIELD,CA 93301-2370 Community and Economic Development Department Voice: (661)862-8700 Engineering and Survey Services Department Fax: (661)862-8701 Environmental Health Services Department TTY Relay: (800)735-2929 Planning Department Web: www.co.kem.ca.us/eh ' Roads Department E-mail: eh @co.k&n.ca.us January 16, 2009 CERTIFIED UNIFIED PROGRAM AGENCY(CUPA) HAZARDOUS MATERIAL INSPECTION FORM Date: 01/12/2009 Facility ID: FA0004851 File* 004669 Facility Name: AHERN RENTALS Inspection Type Site Address: 2113 TAFT HWY BAKERSFIELD, CA 93313 0 Routine ❑ Reinspection ❑ Complaint Phone: (661)833-2000 PROGRAMS INSPECTED: 19 Business Plan 9 HW Generator ❑ UST ❑ AGT ❑ CaIARP REINSPECTION REQUIRED: ❑ Business Plan ❑ HW Generator ❑ UST ❑ AGT ❑ CalARP VIOLATION YES NO/NA VIOL.# BUSINESS PLAN REQUIREMENTS 19 ❑ BP01 Inventory of hazardous materials is accurate, up to date,and complete[HSC 6.95, 25504, Title 19 CCR 2729]. ❑ 0 BP02 Site layout/facility maps are accurate[HSC 6.95,25504;Title 19 CCR 2729]. ❑ 0 BP03 Hazardous materials are stored in properly labeled and non-detoriated containers[HSC 25124(b)(3)(A&B)]. ❑ O ER01 Contingency Plan is complete, updated,and maintained on site[HSC 6.95, 25504;Title 19 CCR 2731 Title 22 CCR 66265.53-54]. ❑ 9 ER02 Facility is operated and maintained to prevent/mitigate fire,explosion,or releases of hazardous material or waste which could threaten human health or the environment[Title 22 CCR 66265.31;Title 19 CCR 2731]. . ❑ ❑D ER03 Business has equipment required to,or appropriate for,safely handling hazardous materials[Title 22,CCR 66265.32&.34]. ❑ 9 TR01 Facility has a training program appropriate for the size and complexity of business and nature of hazardous materials.handled [Title 19 CCR 2732;Title 22 CCR 66265.16]. ❑ © TR02 Training documentation is maintained on site for current personnel. [Title 19 CCR 2732;22 CCR 66265.16]. COMMENTS: Go to http://www.co.kern.ca.us/eh/cupaprogram.asp for forms and information. GPS Coordinates: Latitude: Longtitude: INSPECTOR: LAUREL D FUNK DATE: 01/12/2009 Page 1 of 4 FACILITY NAME: AHERN REN ADDRESS: 2113 TAr FA ID: FA0004851 BAKERSFIELD, CA FILE ID: 004669 HAZARDOUS WASTE GENERATOR EPA ID NUMBER: CAL 000 271 892 VIOLATIONS YES NO/NA VIOL.# GENERATOR REQUIREMENTS ❑ 0 GR01 Generator has an EPA Identification number to treat,store,dispose,transport, or transfer hazardous waste [Title 22,CCR 66262.12]. ❑ 0 GR02 The facility has made an appropriate waste determination for hazardous based on own knowledge or analysis or other[Title 22, CCR 66262.11] ❑ O GR03 Facility Personnel demonstrate awareness of proper(legal) hazardous-waste handling procedures. [Title 22,CCR,66262.34(d)(2)]. ❑ 0 GA01 Hazardous waste has not accumulated for more than 901180/270 days(depending upon volume/circumstances)without the facility having a hazardous waste storage permit [Title 22,CCR, 66262.34(a).] ❑. 17 GA02 Empty containers or inner liners greater than 5 gallons have dates when emptied and are managed properly within one year.of date emptied[Title 22,CCR, 66261.7(f)]. ❑ O GA03 Universal waste is not accumulated at facility for more than one year[Title 22,CCR, 66273.15(a);66273.35(a)]. ❑ 0 GA04 The facility disposes used oil filters within 180 days of generation(or one year if less than 1 ton are accumulated)[Title 22,CCR,66266.130(c)(4)]. ❑ 19 GA05 The facility disposes lead-acid batteries within 180 days of generation(or one year if less than 1 ton are accumulated)[Title 22,CCR,66268.81(a)(6)1 ❑ O GC01 Hazardous waste storage containers are in good condition [Title 22,CCR, 66262.34(a)(1) (A)]. 0 ❑ GCO2 Containers holding hazardous waste are closed/sealed except when adding/removing waste [Title 22, CCR, 66262.34(a)(1)(A)].] ❑ 0 GC03 The facility documents weekly inspections of hazardous waste storage area/containers [Title 22, CCR,66265.15(d)and 66262.34(a)(1)(A)]. ❑ 0 GC04 The facility documents daily inspections of tanks where hazardous waste is stored[Title 22,CCR 66262.34(a)(1)(A)]. ❑ 0 GC05 The facility has adequate secondary containment for hazardous waste tank systems[Title 22,CCR 66262.34(a)(1)(A)]. ❑ 0 GC06 Containers utilizing satellite accumulation rules are at or near the point of generation [Title 22, CCR 66262.34(e)(1)(A)]. ❑ 0 GC07 Satellite wastes are managed according to the regulations (complete labeling, accumulation times, 55-gallon or 1 quart volume limits,etc.). [Title 22,CCR, 66262.34(e)]. ❑ O GR04 Manifests or LDRs are properly completed and/or retained by generator for 3 years[Title 22,CCR 66262.23(a)(1);66263.42;66263.24;66262.34(a)(4)]. ❑ 0 GR05 The facility filed an exception report to DTSC after not receiving the signed TSDF copy of . a manifest within 35 days[Title 22,CCR,66262.42]. ❑ 0 GR06 The facility has copies of bills of lading or receipts for removal of hazardous wastes[HSC 25160.2-Consolidated manifests/66266.81(a)(6)(B)-lead acid batteries/66266.130-oil filters].The facility shall maintain copies of receipts for at least three years. ❑ 0 GR07 The facility submitted a hazardous waste recycling report[HSC 25143.10] ❑ 0 GT01 The facility is conducting on-site treatment of hazardous waste with a tiered permit[HSC 25189.5(d)] ❑ 0 GT02 Authorized, licensed,and certified hazardous waste haulers are used to transport hazardous waste to appropriate facilities [H&S Code Chapter 6.5 Section 25163]. ❑ 0 GT03 Hazardous wastes are sent to authorized disposal facilities [HSC 25189.5]. ❑ 9 GT04 Hazardous waste is not disposed to ground,water,or air[HSC 25189.5]. INSPECTOR: LAUREL D FUNK DATE: 01/12/2009 Page 2 of 4 FACILITY NAME: AHERN REN�S ADDRESS: 2113 TAF FA ID: FA0004851 BAKERSFIELD, CA 93 FILE ID: 004669 VIOLATIONS YES NO/NA VIOL.# GENERATOR REQUIREMENTS ❑ 9 GL01 Containers of hazardous waste are properly labeled(includes appropriate accumulation date,the words "HAZARDOUS WASTE,"the waste composition/physical state,the- hazardous properties,and name/address of generator)[Title 22,CCR,66262.34(f)]. ❑ O GL02 Containers of excluded recyclable materials are properly labeled[HSC 25143.9(a)]. ❑ 19 GL03 Containers of universal waste are properly labeled. [Title 22,CCR,66273.14 for SOH or 66273.34 for LQH]. ❑ GL04 Containers of drained used oil filters are labeled with the words "DRAINED USED OIL FILTERS"[Title 22,CCR,66266.130(c)(3)]: ❑ GL05 Accumulation dates are marked on spent lead-acid batteries[22CCR 66266.81] ❑ 19 GL06 Tanks/containers of used oil destined for recycling are clearly marked with the words "USED OIL"[HSC 25143.9(a)]. ❑. GL07 Empty contaminated containers are clearly marked with the date they were emptied[Title 22,CCR, 66261.7(f)]. INSPECTOR: LAUREL D FUNK DATE: 01/12/2009 Page 3 of 4 FACILITY NAME: AHERN REN S ADDRESS: 2113 TA WY FA ID: FA0004851 BAKERSFIELD, CA 93'3T'3 FILE ID: 004669 SUMMARY OF OBSERVATIONS/VIOLATIONS ❑ No violations of underground storage tank, hazardous materials, or hazardous waste laws/regulations were discovered. KERN CUPA greatly appreciates your efforts to comply with all the laws and regulations p Violations were observed/discovered as listed below. All violations must be corrected by implementing the corrective action listed by each violation. If you disagree with any of the violations or corrective actions required, please inform the CUPA in writing. ALL VIOLATIONS MUST BE CORRECTED WITHIN 30 DAYS OR AS SPECIFIED. CUPA must be informed in writing with a certification that compliance has been achieved. A false statement that compliance has been achieved is a violation of the law and punishable by a fine of not less than$2,000 or more than$25,000 for each violation. Your facility maybe reinspected any time during normal business hours If a second reinspection becomes necessary due to non compliance,a reinspection charge of$85.00 per hour may be charged to the facility. You may request a meeting with the Program Manager to discuss the inspection findings and/or the proposed corrective actions. The issuance of this Summary of Violations does not preclude the CUPA from taking administrative,civil,or criminal action. FACILITY NAME: AHERN RENTALS ADDRESS: 2113 TAFT HWY FA ID: FA0004851 BAKERSFIELD, CA 93313 FILE ID: 004669 . VIOLATIONS VIOL. NO VIOL.TYPE CORRECTIVE ACTION REQUIRED BP01 MINOR VIOLATION Update inventory of hazardous materials. Add welding gases to inventory GCO2 MINOR VIOLATION The facility shall immediately close/seal all containers and ensure that containers remain closed except when adding or removing hazardous waste. waste oil container was open. Corrected during inspection. INSPECTION COMMENTS: INSPECTOR: LAUREL D FUNK SIGNATURE OF FACILITY REP: DATE: 01/12/2009 / r C"A0- Certification: I certify under penalty of perjury that this facility has complied with the corrective actions listed on this inspection form. Signature of Owner/Operator: Title: Date: Page 4 of 4 ENVIRONMENTAL HEALTH SEAES DEPARTMENT RAURCE MANAGEMENT AGENCY STEVE McCALLEY, R.E.H.S., Director DAVID PRICE Ill, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Development Department BAKERSFIELD,CA 93301-2370 ` Engineering&Survey Services Department Voice:(661)862-8700 'x" `" Environmental Health Services Department Fax:(661)862-8701 Planning Department TTY Relay:(800)735-2929 Roads Department e-mail:eh @co.kern.ca.us CERTIFIED UNIFIED PROGRAM AGENCY INSPECTION REPORT Date: Type of Inspection: Routine ❑ Re-inspection ❑ Complaint Programs Inspected: Business Plan/UFC Article 80 ❑ AST HW Generator ❑ UST ❑ Cal ARP Envision Facility ID#: F/`l�D00 Y81 Business Plan#: Facility Name: A h r r,) /&,,to IS Facility Location: 0?//3 H&Z City: 8,4ee-526-e-/cf C-Comp liant NA-Not A licable I-Class I Violation II-Class II Violation M-Minor Violation C NA Code GENERAL REQUIREMENTS I II M COMMENTS TRAINING Facility has training program appropriate for size of busi- TRO1 ness and nature of hazardous materials handled(Title 19, §2732). TR02 Training documentation is maintained for current personnel (Title 19,§2732). CONTINGENCY/EMERGENCY PLAN Contingency plan is complete,updated and maintained on ER01 site(HSC 6.95,§25504,Title 19 CCR,§2731,Title 22 CCR,§66265.53-54). Maintains and operates facility to minimize a release of ER02 hazardous waste to the environment which could threaten human health(Title 22 CCR,§66265.31). / ER03 Maintains all required or appropriate equipment(Title 22 V I CCR,§66265.32-.34). BUSINESS PLAN Inventory of hazardous materials is complete(HSC 6.67, BPO1 §25504,Title 19 CCR§2729). c✓ � � v BP02 Site layout/facility maps are accurate(HSC 6.67,§25504, Title 19 CCR§2729). ABOVE GROUND STORAGE TANKS #of Tanks: Total Volume: bbls or gal Product Stored: ❑ Diesel ❑ Gasoline ❑ Crude Oil ❑ ATO1 I SPCC Plan prepared as required(HSC 6.67,§25270) Re-inspection Required: ❑ No ❑ Yes ❑ Business Plan/UFC ❑ HW Generator ❑ UST ❑ AST ❑ Cal ARP CONSENT: Consent to conduct inspection,which may involve obtaining photographs,review and copying of records,and sampling to determine compliance with the Certified Unified Program Agency requirements. Facility Rep Signature Title Inspector Signature POST INSPECTION INSTRUCTIONS: • Within five days of correcting all violations,sign and return to the above Agency address,Attention: Signature(Violations have been corrected as noted) Date ENVIRONMENTAL HEALTH 580 4113 2097(8/03) I • •� �`, a d '. - -, *r. HAZARDOUS WASTE GENERATOR _ Waste Type Amount Lbs/Gal Month/Year BP#: Oil Antifreeze [ yr EPA ID#: r_ ;�q G DO U 12 99;Z. Filters Solvent Tiered Permit: E] CESW [I CESQT E] CA E] PBR Sludge C-Compliant NA-Not A licable I-Class I Violation II-Class II Violation "M-Minor Violation C NA Code HAZARDOUS WASTE REQUIREMENTS ]E LIT M COMMENTS Recordkeeping/Docu mentation GRO1 Generator has an EPA ID number GR02 Hazardous waste determination made for all wastes 13 Analysis ❑Generator knowledge ❑Other GR03 Facility personnel demonstrates training/awareness GR04 Manifests/LDR complete/retained for three years GR05 TSDF signed copy of manifest available within 35 days of waste shipment GR06 Bills of lading/receipts available GR07 On-site recycling reported using Recyclable Materials Report Container/Tank Management GCO1 Containers are in good condition GCO2 Containers are closed except when adding/removing GC03 Containers inspected and documented weekly GC04 Tanks inspected and documented daily GC05 Tanks have appropriate secondary containment GC06 . Satellite containers at or near point of generation GC07 Satellite wastes managed as required Accumulation Time Limits GAO] Waste is accumulated less than 90/180/270 days GA02 Empty containers managed within one year GA03 Universal waste accumulated less than one year GA04 Used oil filters off site within 180 days(1 year if<1 ton) GA05 Lead-acid batteries off site within 180 days(1 year if<1 ton) Labeling/Marking. GLOI Containers are properly labeled GL02 Excluded recyclable materials marked properly GL03 Universal waste container properly labeled GL04 Used oil filters marked"drained used oil filters" GLO5 Date written on spent lead-acid batteries GL06 "Used oil'marked on all used oil tanks/containers GL07 Empty containers are marked properly Treatment,Transport and Disposal GT01 Treatment conducted with authorization/permit GT02 Waste sent with authorized transport(gen.eligible) GT03 Waste disposed of to authorized point/party POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report for regulatory citations and corrective actions Signature(Violations have been corrected as noted) • Within five days of correcting all violations, sign and return to the Agency at: Kern Co. Environmental Health Services Dept., 2700 "M" Street, Suite 300, Bakersfield, CA 93301, Attention: Date ENVIRONMENTAL HEALTH 580 4113 2081(8/03)PAGE 1 CODE Description of violation[Regulatory/statutory citation]Corrective actions to be taken for minor violations(marked in the W'column on front) GRO1 The facility failed to obtain an EPA ID number[Title 22,CCR,66262:12]. For a California EPA ID#, contact'the Department of Toxic Substances Control at 1-800-618-6942 or download the application form at www.dtsc.ca.gov/PublicationsForms/GISS FORM 1358.odf For an EPA ID#, call 415-495-8895. GR02 The facility failed to make a waste determination for the waste noted on the front of this form[Title 22,CCR,66262.11]. Make a determination of the waste based on your knowledge(you can use MSDS or other documents for•help)or have the waste sampled and sent to a state-certified laboratory for analysis. GR03 Facility personnel did not demonstrate that t hey w ere f amiliar w ith p roper w aste h andling p rocedures. [Title 2 2,C CR, 66262.34(d)(2)]. P rovide appropriate training to personnel. GR04 The facility failed to complete or maintain hazardous waste manifests and/or Land Disposal Restriction notifications as required[Title 22, CCR, 66262.23(a)(1), 66262.34(a)(4)]. The facility shall complete and maintain manifests as required by law. The facility shall determine if its waste is subject to LDR requirements and, if so,ensure that a LDR is prepared and submitted with each shipment of waste. GR05 The facility failed to file an exception report to DTSC after not receiving the signed TSDF copy of a manifest within 35 days [Title 22,,CCR, 66262.42]. Make a copy of the manifest and send it with a letter to DTSC, PO Box 400, Sacramento, CA 95812-0400 stating what you are doing to find out why you have not received the final,signed copy of the manifest. Include a signature and your findings in the cover letter. GR06 The facility failed to have copies of receipts for the removal of hazardous wastes[HSC 25160.2-Consolidated manifests/66266.8 1(a)(6)(B)-lead acid batteries/66266.130-oil filters]. The facility shall maintain copies of receipts for at least three years. GR07 The facility did not submit a recycling report[HSC 25143.10]The facility shall complete and submit the form 'Recyclable Materials Report."The form can befound at: www.co.kern.ca.us/eh/pdfs/GeneratorForms/KCForm2732RecyclableMaterials d[ .p GCO1 The facility failed to maintain containers holding hazardous waste in good condition [Title 22, CCR, 66262.34(a)(1)(A)]. The contents of the containers noted shall immediately be transferred to a container in good condition. GCO2 The facility failed to keep containers closed except when adding/removing waste[Title 22,CCR,66262.34(a)(1)(A)]. The facility shall immediately close all containers and ensure that containers remain closed except when adding or removing waste. GC03 The facility could not demonstrate that containers were being inspected weekly[Title 22,CCR,66265.15(d)and 66262.34(a)(1)(A)]. The facility shall develop and implement a plan that ensures that all containers holding waste are inspected weekly and the inspections are documented. GC04 The facility could not demonstrate.that tanks were being inspected daily[Title 22,CCR,66262.34(a)(1)(A)]. The facility shall keep a log showing that tanks holding waste are inspected daily. GC05 The facility failed to provide adequate secondary containment for waste tank systems[Title 22,CCR,66262.34((a)(1)(A). Submit a schedule for the construction of or engineering assessment of a secondary containment system that meets the requirements of Section 66265.193(b-n. GC06 Containers utilizing satellite accumulation rules were not at or near the point of generation[Title 22,CCR,66262.34(e)(1)(A)]. The facility shall move the satellite container to a location that is at or near the point of generation. GC07 Satellite wastes were not managed according to the regulations [Title 22, CCR, 66262.34(e)]. The facility shall ensure that the waste is handled, labeled and/or removed as required in the regulations.The waste shall be removed within one year or within 90/180/270 days of waste being added.'- GA01 The facility accumulated waste for greater than allowed time limits (Storage without a permit) [Title 22, CCR, 66262.34(a)]. The facility shall immediately arrange for the removal of the waste,and shall submit a copy of the manifest or bill of lading to KCEHSD,demonstrating removal within the stated time frame.' GA02 The facility failed to properly handle contaminated containers within 1 year[Title 22,CCR,66261.7(f)]. See GA01 above for corrections. GA03 The facility held universal wastes for greater than one year[Title 22,CCR,66273.15(a)or 66273..35(a)]. See GA01 above for corrections. GA04 The facility held drained used oil filters for greater than 180 days/one year[Title 22,CCR,66266.130(c)(4)]. See GA01 above for corrections. GA05 The facility held lead acid batteries for greater than 180 days/one year[Title 22,CCR,66268.81(a)(6)]. See GA01 above for corrections. GLO1 The facility failed to properly label all containers. Containers,contents and missing information are noted on the front of this page[Title 22,CCR, 6626234(f)]. The facility shall clearly mark all containers with the following: 1)the words 'Hazardous waste,"2)composition and physical state, 3) hazard property,4)name and address of the generator,and 5)accumulation start date. GL02 The facility failed to mark tanks/container(s)of excluded recyclable materials properly[HSC 25143.9(a)]. The tanks/containers of materials shall be clearly marked with the words 'Excluded recyclable material"instead of'hazardous waste." GL03 The facility failed to mark a container of universal waste properly [Title 22, CCR,66273.14 for SQH or 66273.34 for LQH]. The facility shall immediately mark all containers holding universal waste with the words 'Universal Waste-"and the appropriate contents. 'GL04 The facility failed to mark a container of drained used oil filters with the words"drained used oil filters"[Title 22,CCR,66266.130(c)(3)]. The facility shall mark all filter containers with the words 'drained used oil filters." GL05 The facility failed to mark the date on which the battery was received[Title 22,CCR,66266.81(a)(6)(D)]. The facility shall immediately mark the date on each battery. GL06 The facility failed to mark a tank/container of used oil destined for recycling with the words"used oil"[HSC 25143.9(a)]. Clearly mark all tanks and containers with the words 'used oil." GL07 The facility failed to mark contaminated containers with the date emptied [Title 22, CCR, 66261.7(x]. Clearly mark all containers with the date emptied. GTO1 The facility failed to obtain a permit or other authorization for treatment of hazardous waste[HSC 25189.5(d)]. GT02 The facility failed to use a registered transporter/used a transporter or consolidated waste when they were not eligible[HSC 25165(a)/25160]. GT03 The facility disposed of hazardous waste at an unauthorized point[HSC 25189.5(a)]. ENVIRONMENTAL HEALTH 580 4113 2081(8/03)PAGE 2 COMMENTS PAGE (Optional) u q Envision Facility ID#: BP#: / 6 Violation COMMENTS/NOTES Code# se irS Violations were observed/discovered as listed above. All violations.must be corrected by implementing the action 1 isted by each violation. If you disagree with any of the violations or proposed action,please inform KCEHSD in writing. All minor violations must be corrected within 30 days or as specified. KCEHSD must be informed in writing, certifying that the violations have been corrected. A false statement that the violations have been corrected is a violation of the law and is punishable by a fine of not less that$2,000 or more than$25,000 for each violation. Your facility may be reinspected at any time. You may request a meeting with the KCEHSD Program Manager to discuss the inspection findings and/or proposed corrective actions. The issuance of this Inspection Report does not preclude KCEHSD from taking administrative, civil, or criminal action as a result of the violations or that have not been corrected within the time specified. Facility Rep Signature Title Inspector Signature Date ENVIRONMENTAL HEALTH 580 4113 2081(8/03)PAGE 3 �� 1 APPENDIX G to Part 112- Tier 6ualified Facility SPCC Plar, This template constitutes the SPCC Plan for the facility, when completed'and signed by the owner or operator of a facility that meets the applicability criteria"ih"§'11Z3(g)(1). This template'meets the requirements of 40 CFR part 112..Maintain a complete copy of the Plan at the facility if the facility is normally attended at least four hours per day, or for a,facility attended fewer th n.fo.ur,houa per day, at the nearest field office. r� �` V L JUL 2 6 2010 Facility Description Facility Name Tac p�F, ,'� J NI Facility Address � Er fFFC i°MLI�i.F'a, =ALTH sr�ne� City ws�rt�� State ZIP 331 County Tel. Number ra` �_ 8 :,� cao 0 Owner or operator Name /D6,l. Owner or operator Address y� y/ 6a�N A4vr�� 57-k' ET City BAs 11KCA-1- State �J��A�;� ZIP County e4ARR Tel. Number (70ZV31L_ 1. Self-Certification Statement (§112:6(ax1)) The owner or operator of a facility certifies that each of the following is true in order to utilize this template to comply with the SPCC requirements: I Dkix-es 0 Fasa ; certify that the following is accurate: 1. 1 am familiar with the applicable requirements of 40 CFR part 112; 2. 1 have visited and examined the facility; 3. This Plan was prepared in accordance with accepted and sound. industry practices and standards; 4. Procedures for required inspections and testing have been established in accordance with industry inspection and testing standards or recommended practices; 5. 1 will fully implement the Plan; 6. This facility meets the following qualification criteria (under §112.3(8)(1)): a. The.aggregate aboveground oil storage capacity of the facility is 10,000 U.S, gallons or less; or is an onshore oil production facility with no more than two producing wells per single tank battery, each of which produce ten barrels or less of crude oil per well per day if the facility has an injection well; or, is an onshore oil production facility with no more than four producing wells per single tank battery, each of which produce ten barrels or less of crude oil per well per day and with no injection wells at the facility; and b. The facility has had no single discharge as described in §112.1(b) exceeding 1,000 U.S. gallons and no two discharges as described in §112.1(b) each exceeding 42 U.S. gallons within any twelve month period in the three years prior to the SPCC Plan self-certification date, or.since becoming subject to 40 CFR part 112 if the facility has been in operation for less than three years (not including oil discharges as described in §112.1(b) that are the result of natural disasters, acts of war, or terrorism); and l c. There is no individual oil storage container at the facility with an aboveground capacity gr f1viate r than 5,000 U.S. gallons. 7. , This Plan does not from any requirement of 40 part 112 as allowed by' §112:7(a)(2) (environmental equivalence) and §112.7(d) (impracticability of secondary containment) or include an exemption/measures pursuant to §112.9(c)(6) for produced water containers and any associated piping and appurtenances downstream from the., container;. 8. This Plan and individual(s) responsible for implementing this Plan have the full approval of management and I have committed the necessary resources to fully implement this Plan. I also understand my other obligations relating to the storage of oil at this facility, including, among others: 1. To report an oil discharge to navigable waters or adjoining shorelines to the appropriate authorities. Notification information is included in this Plan. 2. To review and amend this Plan whenever there is a material change at the facility that affects the potential for ran oil discharge, and at least once every five years. Reviews and amendments are recorded in an attached log [See Five Year Review Log and . Technical Amendment Log in Attachments 1.1 and 1.2.] 3. Optional use of a contingency plan. A contingency plan: a. May be used in lieu of secondary,containment for qualified oil-filled'operational equipment, in accordance with the requirements under §112.7(k), and; b. Must be prepared for flowlines and/or intra-facility gathering lines which do not have secondary containment at an oil production facility, and; c. Must include an established and documented inspection or monitoring program; d. an oil spill contingency plan following the provisions of 40 CFR part 109; and a written commitment of manpower, equipment and materials to expeditiously remove any quantity of oil.discharged that may be harmful. If applicable, a copy of the contingency'plan and any additional documentation will be attached to this Plan as Attachment 2. By completing this Plan template, I certify that I have satisfied the requirement to prepare and implement a Plan under §112.3 and all of the requirements under§112.6(a). I certify that the information contained in this Plan is true. Signature Title: ,�Qoawc-r / lwxz. £iL Name ►/rb G'. A t ry Date: _/ 7 /200 II. Record of Plan-Review and Amendments Five Year Review (§112.5(b)): Completo a review and evaluation of this SPCC Plan at least once every five years. As a result of the review, amend this Plan within'six months to include more effective prevention and control measures for the facility, if applicable. Implement any amendment as'soon as possible, but no later than six months following Plan amendment. Document completion of the review and evaluation, and complete the Five Year Review Log in Attachment 1.1. If the facility no longer meets Tier I qualified facility eligibility, the owner or operator must revise the Plan to meet Tier II qualified facility requirements, or complete a full PE certified Plan. v.� Table,G-1 Technicadwendments ffil 12.5 a , c and 1 a 2 This,-SPCC Plan will be amended whe ere.is a change in the facility design, nstruction, . operation, or maintenance that materially affects the potential for a discharge to navigable waters or adjoining shorelines.'Exampies include adding or removing containers, reconstruction, replacement, or installation of piping systems, changes to secondary containment systems, changes in product stored 'at this facility, or revisions to standard operating rocedures. Any technical amendments to this Plan will be re-certified.in accordance with Section I of this Plan template. 912.6(a)(2)][See Technical Amendment Log in Attachment 1.2 III. Plan Requirements 1. Oil Storage Containers %112.7(a)(3)(i)): Table G-2 Oil Storage Contalners*and Capacities This table includes a complete-list of all oil storage containers,(aboveground containers and FRL completely buried tanks )with capacity of 55 U.S. gallons or more, unless otherwise exempt from the rule. For mobile/portable containers, an estimate number of containers, types of oil, and anticipated capacities-are provided. Oil Storage Container (indicate Type of Oil Shell'Capacity whether aboveground(A) or completely (gallons) buried 8 6-4:5 Otr/04 Soo 00 0 a 60, Aso Total Aboveground Storage Capacitya 3 a S d gallons. Total Completely Buried Storage Capacity gallons Facility Total Oil Storage'Capacity 3a2 50 gallons. aCounts toward qualified facility applicability threshold 2. Secondary,Containment and Oil Spill Control (§§1 12.15(p)(3)(1) and (ii), 112.7(c) and 112.9(c)(2)): Table G-3 Secondary Containment and Oil Spill Control Appropriate secondary containment and/or diversionary structures or equipment is provided for all oil handling containers, equipment, and transfer areas to prevent,a discharge to navigable waters or adjoining shorelines. The entire secondary containment system, including walls and floor, is capable of containing oil and is constructed so that any discharge from a primary containments stem, such as a tank or pipe, will not escape the containments stem before 'Aboveground storage containers that must be included when calculating total-facility oil storage capacity include: tanks and mobile or portable containers; oil-filled operational equipment(e.g.'transformers); other oil-filled equipment, such as flow-through process equipment.-Exempt containers that are not included in the capacity calculation include: any container with a storage capacity of less than 55 gallons of oil;.containers,used exclusively for wastewater treatment; permanently closed containers; motive power containers; hot-mix asphalt containers; heating oil containers used solely at a single-family residence; and pesticide application equipment or related mix containers. 2 Although the criteria to determine eligibility for qualified facilities focuses on the aboveground oil storage containers. at the facility,the completely buried tanks at a qualified facility are still subject to the rule requirements and must be .addressed in the template; however,they are not counted toward the qualified facility threshold. a Use one of the following methods of secondary containment or its.equivalent: (1) Dikes, berms, or retaining walls sufficiently,impervious to contain oil; (2)Curbing; (3) Culverting, gutters,or other drainage systems; (4)Weirs, booms, or other barriers; (5)Spill diversion:ponds; (6) Retention ponds;or(7) Sorbent materials.. {� „t,.� _ 1 (�a Y. Y r ' .' � {y 1 Table G-4 below identifies the tank And d containers at the facility with the tential for an oil discharge; the mode of failure; the flow directi potential quantity of the discha�,and the,secondary containment method and containment capacity that is provided. Table G-4 Containers with Potential for an Oil Discharge Area Type of failure Potential Direction of Secondary Secondary (discharge discharge flow for containment containment, scenario) volume uncontained methods capacity (gallon_s) (gallons) discharge Bulk Storage Contaainers and Mobile/Portable.Container / �J a Aa s A Soo W De'a'A's VA"001 / 0 9 Oil-filled Operational Equipment e. ., hydraulic equi ment, transformers ° Piping, Valves, etc. Product Transfer Areas(location where.oil is loaded to or from a container,'pipe or other,piece of equipment) P o C fr 0A1,10 I 3JQ o 5--rW �OL6,;a ,a LL VA Ah ,EC A Aln�z_*L& > P AA) /-000 1 5d -r I'D611,13L41N 11)1111_11i1> V o Other Oil-Handling Areas or Oil-Filled Equipment(e.g. flow-through process vessels at an oil production facility) a Use one of the following methods of secondary containment or its equivalent: (1) Dikes, berms, or retaining walls sufficiently impervious to contain oil; (2)Curbing; (3)Culverting, gutters, or other drainage systems; (4)Weirs, booms, or other barriers;..(5) Spill diversion ponds; (6) Retention ponds; or(7) Sorbent materials. b For storage tanks and bulk storage containers, the secondary containment capacity must,beat least the capacity of the largest container plus additional capacity to contain rainfall or other precipitation. For oil-filled operational equipment: Document in the table above if alternative measures to secondary containment (as described in §112.7(k)) are implemented at the facility. 3. Inspections,.Testing, Record keeping and Personnel Training(§§112.7(e) and (f), 11 2.8(c)(6), 112.1 2(c)(6)): Table G-5 Inspections, Testing, Recordkeeping and Personnel Training An inspection and testing program is implemented for all aboveground storage containers and piping at this facility. j§1 12.8(c)(6), 112.12(c)(6)J The following is a description of the inspection and testing program (e.g. reference"to industry standard utilized, scope, frequency, method of inspection or test, and person conducting the , inspection) for all aboveground storage containers and.piping at this facility: S F 1 A-1TAdN/f,/S \(/_/oN>MLY .� u-s ec'T-e od JfiC�t ,/� ��� _ + r. k. ... �. t. ... Inspections, tests, and records are conducted in accordance with written.procedures developed for the facility. Records of inspections and tests kept under usual and customary business practices will suffice for purposes of this paragraph. 112.7 e A record of the inspections and tests are kept at the facility or with the SPCC Plan for a period 0 of three years. 1 12.7 a See Inspection'Log and Schedule in Attachment 3.1J Inspections and tests are�signed by the appropriate supervisor or inspector. [§112.7(e)] ❑ Personnel, training, and discharge prevention procedures §112.7 f Oil-handling personnel are trained in the operation and maintenance of equipment to prevent 0 discharges; discharge procedure protocols; applicable pollution control laws, rules,'and regulations; general facility operations; and,.the contents of the facility SPCC Plan. 1 12.7 f A person who reports to facility management is designated and accountable for discharge 0 prevention. [§112.7(f)] Name/Title: Discharge prevention briefings are conducted for oil-handling personnel annually to assure 0 adequate understanding of the SPCC Plan for that facility. Such briefings highlight and describe past reportable discharges or failures, malfunctioning components, and any recently...developed precautionary measures. [§112.7(f)] See Oil-handling Personnel Training and Briefing Log in Attachment.3.4 4. Security (excluding oil production facilities') §112.7(8): Table G-6 Implementation and Description of Security Measures Security measures are implemented at this facility to prevent unauthorized access to oil 0 handling, processing, and storage area. The following is'a description of how you secure and control access to the oil handling, processing.and storage areas; secure master flow and drain Valves; prevent unauthorized access to starter controls'on oil pumps; secure out-of-service and loading/unloading connections of.oil pipelines; address the appropriateness of security lighting to'both prevent.acts of vandalism and assist in the discovery of oil discharges: &op I4&,esGA2rt c A Zn> 7/vs I,Aoprzfi 0Pra1lTr_oA3 c,F Kew Oi ) F�1/Lr-�i� CvniJi?zir�f s. /r1-1- A7p. /inl,� POWA X Adfi, S'rli,-r PO�LO,J AT .tl�(.lT. Act, /- dA,4N Fi4Gtt.zTt.A S An'-- MON�T�2fz,� /Pu f' Rr..Nwrrc S'6/v5Z-V G S -rWx. -A4,7c,a r i314Ck �-o A er.✓ri9A. LOcAT�O� v, tln�:t l��c e or�paNta s L°00 0AATE O.=FZC&S, 5. Emergency Procedures and N.otifications (§112.7(a)(3)(iv) and 112.7(a)(5)): Table G-7 Description of Emergency Procedures and Notifications The following is a description of the immediate actions to betaken by facility personnel in the. 0 event of a discharge to navigable waters or adjoining shorelines [§112.7(a)(3)(iv) and 112.7(a)(5)]: S C AT1-A c 4 �ZY jF'D 1��zu, �$5�o.uSfL Cot�U���zak.s ..tit. �. . x' � , 6. Contact List (§112.7(a)(3)(vi V. Table G-8 Contact List Contact Organization/ Person Telephone Number National Response Center (NRC) 1-800-424-8802 Cleanup Contractor(s) Key Facility Personnel . Designated Person Accountable for.Discharge Office: Prevention: GG!• F33 - zoo 0 �t Sr u Ala c' 11 N Cie Emergency: 6 6(- qi 7 -cA Office: G!- 8,33-Zoo a C z� z �Ra �• Emergency: L G!_ 7 . o Office: Emergency: Office: Emergency: State Oil Pollution Control Agencies Other State; Federal, and Local Agencies Local Fire Department Offl AT T. �1-324 Local Police Department 4r.1- 3.27- 7111 y i Hospital a.2 /5- cur ASR. ��l G�2-5-000 Other Contact References (e.g downstream water . intakes or neighboring facilities) 7. NRC Notification Procedure (§112.7(a)(4) and (a)(5)): Table G-9 NRC Notification Procedure In the event of a discharge of oil to.-navigable waters or adjoining shorelines, the following '. information identified in Attachment 4 will be provided to the National.Response Center immediately following identification of a discharge to navigable waters or adjoining.shorelines See Discharge Notification.Form in Attachment 4]: 1 12.7 a 4 • The exact address or location and phone • Description of all affected media; number of the facility; . Cause of the discharge; • Date and time of the discharge; Any damages or injuries caused by the • Type of material discharged; discharge; • Estimate of the total quantity discharged; Actions being used to stop, remove, and • Estimate of the quantity discharged to mitigate the effects of the discharge; navigable.waters; • Whether an evacuation may be,needed;.and • Source of the discharge; Names of individuals and/or organizations who have also been contacted. 8. SPCC Spill Reporting Requirements (Report within 60 days) (§112.4): Submit information to the'EPA Regional Administrator (RA) and the appropriate agency or agencies in charge of oil pollution control activities in the State in which the facility is located within 60 days from one ��. . ', .� , .i of the following discharge events: • A single discharge of more than 1 ,000 U.S. gallons of oil to navigable waters or adjoining shorelines or • Two discharges to navigable waters or adjoining shorelines each more than 42 U.S. gallons of oil occurring within any twelve month period You must submit the following information to the RA: (1) Name of the facility; (2) Your name; (3) Location of the facility; (4) Maximum storage'or handling capacity of the facility and normal daily throughput; (5) Corrective action_and countermeasures you have taken, including a description 'of equipment repairs and replacements; (6) An adequate description of the facility, including maps, flow diagrams, and topographical maps, as necessary; (7) The cause of the reportable discharge, including a failure analysis of the system or subsystem in which the failure occurred; and (8) Additional preventive measures you,.have taken or contemplatedIo minimize the possibility of recurrence NOTE: Complete one of the following sections (A, B or C) as awrooriate for the facility tvpe. A. Onshore Facilities (excludir9production) (§§112.8(b) and 112.12(b) and (d)): The owner or operator must meet the general rule requirements as well as requirements,under this section. Note that not all provisions may be applicable to all owners/operators. For example, a facility may not maintain completely buried metallic storage tanks installed after January 10, 1974, and thus would not have to abide by requirements in §§112.8(c)(4) and 112.12(c)(4), listed below. In cases where a provision is not.applicable, write WK. Table G-10 General Rule Re uirements'for Onshore Facilities Drainage from diked storage areas is restrained by valves to prevent a discharge into the drainage system or facility effluent treatment system, except where facility systems are designed to control such discharge. 1 12.8 b i and 1 12.12 b 1 NI Valves of manual, open-and-closed design are used for the drainage of diked areas. §§112.8b) 2 and 112.12b 2J N The containers at the facility are compatible with materials stored and conditions of storage such as pressure and temperature. [§§112.8(c)(1) and 112.12(c)(1)J Secondary containment for the bulk storage containers (inc^luding.mobile/portable oil storage containers) holds the capacity of the largest container plus additional capacity to contain precipitation. Mobile or portable oil storage containers are positioned to prevent a discharge as described in 112.1(b). §112.6 a 3 ii If uncontaminated rainwater from diked areas drains into a storm drain, or open watercourse the following procedures will be implemented at the facility: (§§112.8(c)(3).and 112.12(c)(3)J A/ • Bypass valve is normally sealed closed p° • Retained rainwater is inspected.to ensure that.its presence will not cause a discharge to navigable waters or adjoining shorelines • Bypass valve is opened and resealed under,responsible supervision p • Adequate records of drainage are kept [See Dike Drainage Log in Attachment 3.31 p For completely buried metallic tanks installed on or after January 10, 1974 at this facility (§§112.8(c)(4) and 112.12(c)(4)1 Nl • Tanks have corrosion protection with coatings or cathodic protection compatible with local soil conditions. • Regular leak testing is conducted. For partially buried or bunkered metallic tanks (§112.8(c)(5) and§1 12.12(c)(5)1. N/A • Tanks have corrosion protection with'coatings or cathodic protection compatible with 0 local soil conditions. Each aboveground container is tested or inspected for integrity on a regular schedule and whenever material repairs-are made. Scope and frequency of the inspections and inspector qualifications are in accordance with industry standards..Container supports and foundations are regularly inspected. [See Inspection Log and Schedule and Bulk Storage Container Inspection Schedule in Attachments 3.1 and 3.2] [§1 12.8 c 6 and§1 12.12 c 6 i Outsides of containers are frequently inspected for signs of deterioration, discharges, or accumulation of oil inside diked areas. [See Inspection Log and Schedule in Attachment 3.1] [§§112.8c 6 and 112.12c 6 For bulk storage containers that are subject to 21 CFR part 110 which are shop-fabricated, constructed of austenitic stainless steel, with a manhole and have no external insulation, formal visual inspection is conducted on a regular schedule. Appropriate qualifications for personnel performing tests and inspections are.documented. [See Inspection Log and'Schedule and Bulk Storage Container Inspection Schedule in Attachments 3.1 and 3.2] [§112.12 c 6 ii Each container is provided with a system or documented procedure to prevent overfills for the container, Describe: OVA-& Crow �o,�TAtn1/1taN� A>ri�c�,tA r� i�a/'• Table G-10 Geopi Rule Re uiretnents for Onsh Facilities Liquid level sensing devices are regularly tested to ensure proper operation [See Inspection Log and Schedule in Attachment 3.1]. [§112.6(a)(3)(iii)] Visible discharges which result in a loss of oil from the container, including but not limited to seams, gaskets, piping, pumps, valves, rivets, and bolts are promptly corrected and oil.in diked areas is promptly removed. 112.8(c)(10)and 112.12(c)(10)] Aboveground valves, piping, and appurtenances such as flange joints,.expansion joints, valve glands and bodies, catch pans, pipeline supports, locking of valves, and metal surfaces are inspected regularly. [See Inspection Log and Schedule in Attachment 3.1] j§§112.8(d)(4) and 1 12.12 d 4 Integrity and leak testing are conducted on buried piping at the time of installation, modification, construction, relocation, or replacement. [See Inspection Log and Schedule in Attachment 3.1] 112.8d) 4 and 112.12d4 B. Onshore Oil Production Facilities (excluding drilling and workover facilities) (§112.9(b), (c), and (d)): The owner or operator must meet the general rule requirements as well as the requirements under this section. Note that not all provisions may be applicable to all owners/operators. In cases where a provision is not applicable, write "N/A". Table G-11 General Rule Requirements uirements for Onshore Oil Production Facilities At tank batteries, separation and treating areas, drainage is closed and sealed except when Q " draining uncontaminated rainwater. Accumulated oil on the rainwater is returned to storage or disposed of in accordance with legally approved methods. [§.1.12.9(b)(1)] Prior to drainage, diked areas are inspected and [§112.9(b)(1)]: • Retained rainwater is inspected to ensure that its presence will not cause a discharge to navigable waters • Bypass valve is opened and resealed under responsible supervision p • Adequate records of drainage are kept [See Dike Drainage Log in Attachment 3.31 p Field drainage systems and oil traps, sumps, or skimmers are inspected at regularly scheduled intervals for oil, and accumulations of oil are promptly removed [See Inspection Log and Q Schedule in Attachment 3.1 1 12.9 b 2 The containers used at this facility are compatible with materials stored and conditions of Ia storage. §1 12.9 c 1 All tank battery, separation, and treating facility installations (except for flow-through process L] vessels) are constructed with a capacity to hold the largest single container plus additional capacity to contain rainfall. Drainage from undiked areas is safely confined in a catchment basin or holding pond. §112.9(6)(g)] Except for flow-through process vessels, containers that are on or above the surface of the p ground, including foundations and supports, are visually inspected for deterioration and maintenance needs on a regular schedule. [See Inspection Log and Schedule in Attachment 3.1 §112.9 c 3 New and old tank batteries at this facility are engineered/updated in accordance with good Q engineering practices to prevent discharges including at least one of the following: (i) adequate container capacity to prevent overfill if regular pumping/gauging is delayed; (ii) overflow equalizing lines between containers so that a full container can overflow to an adjacent container; (iii) vacuum protection to prevent container collapse; or (iv) high level sensors to generate and transmit an alarm to the computer where the facility is subject to a computer ATTACHMENT 1 --Five Year Review and Technical Amendment Logs ATTACHMENT 1.1 — Five Year Review Log I have completed a review and evaluation of the SPCC for this facility, and will/will not amend this Plan as a result. Table G-13 Review and Evaluation of SPCC Plan for Facility Review Plan Amendment Name and signature of person authorized to review this Date Will Amend Will Not Amend Plan ❑ ❑ ❑ a � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ATTACHMENT 1.2 — Technical Amendment Log Any technical amendments to this. Plan will be re-certified in accordance with Section I of this Plan template. Table G-14 Description and Certification of Technical Amendments = Review Description of Technical Amendment Name and signature of person certifying this Date technical amendment ATTACHMENT 2 — Oil Spill Contingency Plan and Checklist: An oil spill contingency plan and written commitment of resources is required for: • Flowlines and intra-facility gathering lines at oil production facilities and • Qualified oil-filled operational equipment which has no secondary containment. An oil:spill contingency plan meeting the provisions of 40 CFR part 109, as described below,and.a written commitment of manpower, equipment and materials required to expeditiously control and remove any quantity of.oil discharged that may be harmful is attached to this Plan: Complete the checklist below to verify that the necessary operations outlined in 40.CFR.part 109,- Criteria for State, Local and Regional Oil Removal Contingency Plans - have been included. Table G-15 Checklist of Development and Implementation Criteria for State, Local and Regional Oil Removal Contingency Plans(§109.5)a (a) Definition of the authorities, responsibilities and duties of all persons, organizations or agencies 0 which are to be involved in planning or directing oil removal operations. (b) Establishment of notification procedures for the purpose of early detection and timely notification Of an oil discharge including: (1) The identification of critical water use areas to facilitate the reporting of and response to oil discharges. (2) A current list of names, telephone numbers and addresses of the responsible persons (with alternates) and organizations to be notified when an oil discharge is discovered. (3) Provisions for access to a reliable communications system for timely notification of an oil 0 11 discharge, and the capability of interconnection with the communications systems established under related oil removal contingency plans, particularly State and National plans (e.g., NCP). (4) An established, prearranged procedure for requesting assistance during a major disaster or when the situation exceeds the response capability of the State, local or regional authority. (c) Provisions to assure that full resource capability.is known and can be committed during an oil discharge situation including: (1) The identification and inventory of applicable equipment, materials and supplies which are available locally and regionally. (2) An estimate of the equipment,:materials and supplies which would be required to remove the maximum oil discharge to be anticipated. (3) Development of agreements and arrangements in advance of an oil discharge for the acquisition of equipment, materials and supplies to be used in responding to such a discharge. (d) Provisions for well defined and specific.actions to be taken after discovery and notification of an 0 oil discharge including: (1) Specification of an oil discharge response operating team consisting of trained, prepared and 0 available operating personnel. Table G-15 Checklist of Development and Implementation Criteria for State, Local and Regional Oil Removal Contingency Plans (§109.5)a (2) Predesignation of a properly qualified oil discharge response coordinator who is charged with 0 the responsibility and delegated commensurate authority for directing and coordinating response operations.and who knows how to request assistance from Federal authorities operating under existing national and regional contingency plans: (3) A preplanned location for an oil discharge response operations center and a reliable. communications system for directing the coordinated overall response operations. (4) Provisions for varying degrees of response effort depending on the severity of the oil discharge, (5) Specification of the order of priority in which the various water uses are to be protected where 0 more than one water use may be adversely affected as,a result of an oil discharge.and where response operations may not be adequate to.protect all uses. (6) Specific and well defined procedures to facilitate recovery of damages and enforcement measures as provided for by State and local statutes and ordinances. a The contingency plan must be consistent with all applicable state and local plans, Area Contingency Plans, and the National Contingency Plan (NCP). ATTACHMENT 3 — Ins ectionsAlke Drainage and Person ng o Lgs P , ATTACHMENT 3.1 — Inspection Log and Schedule Table G-161rispection Log and Schedule This log is intended to document compliance with §§112.6(a)(3)(iii), 112.8(c)(6), 112.8(d)(4), 112.9(b)(2), 112.9c . 3 ,.112,9dr1 , 112.9d 4 , 112..12. c 6 and 112.12d 4), as applica ble., Date of Container/ Describe Observations Name/ Records. Inspection Piping / Scope (or cite Signature of maintained Equipment Industry Inspector separately Standard a 0 a Indicate in the table above if records of facility inspections are maintained separately at this facility. ATTACHMENT 3.2 -,Bulk Storage Container Inspection.Schedule - onshore'facilities' (excluding production): To comply4ith integrity inspection requirement for bulk storage containers, inspect/te.st each shop-built aboveground bulk storage container on a regular schedule in.accordance with a recognized container inspection standard:based on the minimum requirements in the following table. Table G-17 Bulk Stora a Container Inspection Schedule Container Size and Design Specification Inspection requirement" Portable containers (including drums, totes, and Visually,inspect monthly for signs of inter modal bulk containers (IBC)) deterioration, discharges or accumulation of oil inside diked areas 55 to 1,100 gallons with sized secondary,containment, Visually inspect monthly for signs.of 1;101 to 5,000 gallons with sized secondary deterioration, discharges or accumulation of containment anda means of leak detectiona oil inside diked areas plus any annual ., . inspection elements per industry inspection standards 1,101 to.5,000 gallons with sized secondary Visually inspect monthly for signs of containment and no method of leak detectiona. deterioration, discharges or accumulation of oil inside diked areas,"plus any annual inspection elements'and other specific integrity tests that may be required per, industry inspection standards. a Examples of leak detection include, but are not limited to, double-walled.tanks and elevated�containers where a leak can be visually identified. ATTACHMENT 3.3 Dike Drainage Log � .. ry� r .. u r J i z ��:4. - p�, Table G-18 Dike Drainage Lo Date Bypass Rainwater Open Drainage Observations Signature of valve inspected to bypass activity Inspector_ sealed be sure no oil valve and supervised closed -(or sheen) is reseal it visible following drainage ❑ D ❑ ❑ ❑- ❑ ❑ o ATTACHMENT 3.4 -.Oil-handling Personnel Training and Briefing Log Table G-19 Oil-Handling Personnel Training and Briefing Lo Date Description / Scope Attendees ATTACHMENT 4 - Discharge Notification Form In the event of a discharge of oil to navigable waters or.adjoining shorelines, the following information will be provided.to the National Response Center [also see the notification information provided in Section 7 of the Plan]: Table G=201nformation provided to the National Response Center in the Event of a Discharge Discharge/Discovery Date Time Facility Name Facility Location (Address/Lat- Long/Section Township Range) Name of reporting individual Telephone # Type of material discharged Estimated total Gallons/Barrels quantity discharged Source of the discharge Media affected ❑ Soil ❑ Water (specify) ❑ Other(specify) Actions taken. Damage or injuries ❑ No'❑ Yes Evacuation needed? ❑ No ❑ Yes (specify) (specify) Organizations and individuals ❑ National Response Center-800=424-8802 Time contacted ❑ Cleanup contractor (Specify)Time O Facility personnel (Specify) Time ❑ State Agency (Specify) Time Other (Specify) Time SPILL RESPONSE GUIDELINES 1 . 'Determine the severity of the spill or leak and CALL 911 if there' are injuries or a spill/leak is of a significant.quantity to pose a:human health threat that would warrant Fire Department Hazardous Materials Team presence. Do not put yourself at risk. 2. Provide medical attention to the injured, begin First Aid as necessary, and follow universal precautions. Move to fresh air, as soon as possible. 3. Know all of the Chemicals in your work area. 4. Identify the chemical that is spilling. 5. Restrict the area. Shut off electricity, gas service, and other, sources of ignition. Prohibit smoking. 6. If necessary, evacuate the area to a safe location upwind that is safe from potential exposure. 7. If you do not know all of the hazards of the chemical, read the MSDS. MSDSs are located in the front, office and the paper machine .control room. 8. If such action can be performed without risk of injury, contain. the released chemical. The best method for liquid spills are absorption with absorbent logs, speedy dry, or towel logs will work well. 9. If such action can be performed without risk of injury, block nearby storm_drain inlets, to stop flow of oil offsite. 10. Control access to the affected .onsite area(s) including vehicular barricades and traffic control as needed. I 11 . When containment is achieved, refer' to MSDS for proper clean up information. 12. Inform appropriate people. (Team Leader or Safety Director). 13. All spills need to have a Chemical Spill / Release .Notification form completed. (See Attachment A) . 14. Any liquid spill that exceeds 25 gallons to the environment must be reported to the Environment Department or to EH&S personnel on weekend calls, any required agency reports will be made by the Environmental Department or EH&S person on weekend calla Note: Only attempt to contain and .stop the discharge if containing or stopping the discharge will involve a simple and safe action such as closing a valve. Direct contact with oil products should.be avoided. As part of our housekeeping- program always clean up stained spots from past spills around the mill. It is suggested that each person inspect their areas to ensure that all small leaks of any kind, i.e.:. oil drops from lift trucks;.stock or lube spills,.be cleaned as soon as noticed. ENVIRONMENTAL TRAINING ATTENDANCE FORM Trainer's Name: Signature: • I, I MONTHLY INSPECTION CHECKLIST FORM General Inspection Information Tanks Inspected (ID #s): Inspection Date: Inspector Name: y Inspection Checklist Y SIY: "SK^z`'Si"7.kt . I' ` r•;w' '.`xi:. '.. .e Ay.. -�"• "''�-. -"?,`'^'F .0 2 .ti .. :.GV:- n4Y; ,5_s,qd'`e es• $'A € v.��' `+`n - v{ 'i�a' C=^=a`r �T. i°'`Y,�.',.'. h. . altem � �.� Status tx ? ; Cornmentss w � 1.0 Tank Containment 1.1 Water in secondary _Yes _ No _N/A containment? 1.2 Debris or fire hazard nearby or =Yes` No N/A in containment area? 1.3 Containment egress pathways : _Yes —No —N/A clear and access to tank and containment unabated? 1.4 Containment structure in —Yes _ No _N/A isatisfactory condition? 2.0 Leak Detection 2.1 Visible signs of leakage around tank, floor, Yes No N/A containment, or ground? 3.0 Tank Attachments and APPU rtances 3.1 Tank liquid level gauge readable and in good condition? i Item a �,St tusi r 4 Comments S r RM a � >,„ _., : _ Nwie? .a x x.. r.: lx... _ ._fix 3.2 Tank openings properly _Yes — No _N/A sealed? 4.0 Tank Foundation and SuPPO rts 4.1 Evidence of tank settlement or Yes _No _N/A . foundation washout? ~ 4.2 Cracking or spalling of Yes _No _-N/A concrete or asphalt pad . beneath? 4.3 Tank supports is satisfactory _Yes _ No _N/A condition? 4.4 Water able to drain away from _Yes _-No _N/A tank? 4.5 Grounding strap secured and _Yes _No N/A in good condition? 5.0-Tank External Coating 5.1 Evidence of paint chipping and �Yes — No _N/A srust? 6.0 Tank Shell/Heads 6.1 Noticeable shell/head Yes _No N/A distortions, buckling, denting or bulging? 6.2 Evidence of shell/head Yes — No N/A corrosion or cracking? - f � 4�Mai �' ���_ T� �� "����t3;. 'c? `Y NOW, 's Win.`?` 1 Item ". _ s a, a $tatUSY� .: � COm{11e11tSt � � 7.0 Level and Overfill Prevention Instrumentation 7.1 Is the tank liquid level sensing —Yes —No _N/A device operating as required? ` 7.2 Are overfill prevention devices —Yes —No _N/A. in proper working condition? 8.0 Other Condition 8.1 Are there other conditions that. _Yes _No _N/A should be addressed for continued safe operation or that may affect the facility SPCC plan? Additional comments: �.. - - _ i PLAN REVIEW AND AMENDMENT LOG Management Review Management is to review the SPCC Plan at least every five years and document the review on the form below (40 CFR §112.5(b)). Full approval is extended,by management at a level with authority to commit the necessary resources toward spill prevention. MANAGEMENT APPROVAL Potlatch is committed to the prevention of discharges of oil to navigable waters and the environment, and maintains the highest standards for spill prevention control and countermeasures through regular review, updates, and implementation,of this Spill Prevention Control and Countermeasure Plan for the Consumer Products Facility. Authorized Facility Representative (Printed Name): Signature: Title: Date: Personnel directly responsible for the management of the facility have reviewed this SPCC Plan and are committed to implementing the SPCC Plan as.described herein, including: 'U�`�r'L'Y:f 7�?� � Signatu Prmted�Name Title Date� "3ffZ].CY9 i K R ."w. ,kr ': YaT . hS�6ws 'r? rsY� . ' 4 Non-Technical Amendments (P.E. certification not required): Non-technical amendments that do not require P.E. certification should be documented on the form below. Examples of changes may include: Telephone number, name change, non-technical text changes, facility reconfiguration that does not materially affect the potential for oil discharge. Technical Amendments (P.E. certification is required): An amendment is required when there is a change that materially affects the facility's potential to discharge oil (67 Federal Register 47091). Technical amendments that require P.E. certification should be documented on the form below. Examples of changes may include: commissioning or decommissioning containers and/or piping systems, replacement of containers and/or piping systems, reconstruction of containers and/or piping systems, movement of containers and/or piping systems, construction or demolition that may alter secondary containment structures, changes to the product or service, and addition/deletion of standard operation or maintenance procedures relating to the discharge measures. Technical amendments affecting, various pages within the SPCC Plan. can be P.E. certified on those pages, certifying those amendments only, and will be documented on the log form below. A Professional Engineer will certify technical amendments in accordance with 40 CFR §112.5©. Amendments made will be prepared within six (6) months of the change and implemented as soon as possible, but no later than six (6) months following preparation of the amendment. T. e r. 1. 4 PLAN REVIEW AND AMENDMENT LOG. . � z �' i� ,�''��' �$ 01, r Amendment ; Certification � ' �3."�kGi���i Amendmentl� � �� ? � � Required � Descrip�tionof � iPagesERequlred �!Re"view,Dater-- APPLICABILITY OF SUBSTANTIAL HARM CRITERIA 1. Does the facility transfer oil over-water' to or from vessels and does the facility have a total oil storage capacity greater than or equal to 42,000 gallons? 'Explanations of the above-referenced terms can be found in Appendix C to this part. If a comparable formula to the ones contained in Attachment C-111 is used to establish the appropriate distance to fish and wildlife and sensitive environments or public drinking water intakes, documentation of the reliability and analytical soundness of the formula must be attached to this form. Yes No x 2. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and, within any storage area, does the.facility lack secondary containment' that is sufficiently large to,contain the capacity.of the largest aboveground oil storage tank plus sufficient freeboard to allow for precipitation? Yes No x 3. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and is the facility located at a distance' (as calculated using the appropriate . formula in Appendix C or a comparable formula) such that a discharge from the facility could cause injury to fish and wildlife and sensitive environments?3 3For further description of fish and wildlife and sensitive environments, see Appendices 1, 11, and 111 to DOC/NOAA's "Guidance for Facility and Vessel Response Plans: Fish and Wildlife and Sensitive Environments" (see Appendix E to this part, section 13, for availability) and the applicable ACP.. Yes No x 4. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons and is 'the facility located at a distance' (as calculated using the appropriate formula in Appendix C or a comparable formula such that a discharge from the facility. would shut down a public drinking water intake? Yes No x :. d •APPLICABILITY.OF SUBSTANTIAL HARM CRITERIA 5. Does the facility have a total oil storage capacity greater than,or.equal to 1 million gallons and has the facility experienced a reportable oil spill2 in an amount greater than or equal to 10,000 gallons within,the,lasf 5 years? Yes .No x CERTIFICATION I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document, and that based on my inquiry of those individuals Iresponsible for obtaining information, I believe that the submitted information is true, accurate, and complete. Signature Name (Please type or print) Title Date f ENVIRONMENTAL HEALTH SERVICES DEPARTMENT ROc�URCEMANAGEMENTAGENCY MATTHEW CONSTANTINE, R.E.H.S., Director DAVID PRICE III, RMA DIRECTOR 2700"M"STREET,SUITE 300 Community and Economic Development Department BAKERSFIELD,CA 93301-2370 Engineering&Survey Services Department Voice: (661)862-8700 Environmental Health Services Department Fax: (661)862-8701' Planning Department TTY Relay: (800)735-2929 Roads Department e-mail:eh @co.kern.ca.us August 20, 2007 STEVE AGERTON AHERN RENTALS 2113 TAFT HWY BAKERSFIELD, CA 93313 Owner ID: OW0003923 -Password: 3ggg19xr NOTICE OF' 'VIOLATION HAZARDOUS MATERIALS BUSINESS PLAN AND CHEMICAL INVENTORY ANNUAL REVIEW The mandatory annual review of your business plan,and chemical inventory.was due by March 1, 2007. In accordance with Section 25505(3)(d) of Chapter 6.95 of the California Health& Safety Code (HSC), businesses that use, handle, store, or generate hazardous materials are required to review and report any changes to their hazardous materials inventory on an annual basis. As of this date, this Department has not received the information required by law. Failure to comply with the requirements outlined in Section 25514(b) and 25514.5(b) may subject you and/or your business to civil or administrative penalties up to $5,000.00 per day for each day the violations exist. If you have closed or sold your business you must notify the Department in writing and provide the following information: • Date of sale or transfer • The name of the new owner or operator • New owner or operator's mailing address • New owner or operator's telephone number In addition, if you have closed the business, please provide date of closure and documentation demonstrating that all hazardous materials and hazardous wastes were properly disposed. Instructions for Completing Your Annual Business Plan and Inventory Update: 1) Review your existing plan. A copy of a facility's business plan is required to be kept onsite. 2) Make necessary revisions. You may complete your review online,or by submitting a hard copy. For.hard copy submittals, revisions may be made on the printout. Federal (Tier II) reporting forms are NOT acceptable. (over �) Notice of Violation—Razardous Materials Business Plan Review and Chemical Inventory Annual Review Page 2 August 20, 2007 3) Submit revisions. You may submit your revisions online or via hard copy. To submit your revisions via hard copy, please mail them to the Department at the address shown at the top of the first page. 4) ALL facility information must be reviewed and submitted even if there are no changes. 5) TO AVOID ENFORECEMENT PENALTIES YOU MUST SUBMIT YOUR UPDATE TO THE DEPARTMENT WITHIN THIRTY(30) DAYS OF RECEIPT OF THIS . NOTICE. Online: Access the Department's website at http://www.co.kerii.ca.us/eh/and click on the "Business Plan Update" link located under,the Hot Topics section in the left"navigation bar. To login, use the Owner ID and Password assigned to you, located in the top right corner of the first page of this letter. Upon login, a list of all the linked facilities will be available for updating. After you have reviewed your information and made any necessary changes, click the "Submit Facility" button and follow the prompts to submit your update to the Department. You must follow all of the prompts in the "Submit Facility"portion of the update in order°for your electronic submission to-Teach the Department. Hard Copy: The Department strongly recommends that you complete your updates online. Doing so will expedite your'return to compliance. You may request a hard copy by checking the box on the enclosed facilities list and returning it to the Department. Utilizing this method of updating your information extends your length of non- compliance. The violation will not be abated until the update is actually received, reviewed and accepted by the Department. As always, the Department is available to assist you. If you have any questions, please call (661) 862-8700. Sincerely, Joe Canas Hazardous Materials Specialist IV Unified Hazardous Materials/Waste Program Enclosure(s) 004669