California Environmental Repor ng System (CERS)

SAM'S SMOG CHECK (CERSID: 10292989)

Facility Information
Submitted Jan 21, 2016
Submitted on 1/21/2016 8:17:32 AM by SOREN MINASIAN of SAM'S SMOG CHECK (GLENDORA, CA)
Business Activities
Business Owner/Operator Identification

Hazardous Materials Inventory

Submitted Jan 21, 2016
Submitted on 1/21/2016 8:17:32 AM by SOREN MINASIAN of SAM'S SMOG CHECK (GLENDORA, CA)
Hazardous Material Inventory (2)
Site Map (Official Use Only)
Annotated Site Map (Official Use Only) (Web graphic, 295KB)

Emergency Response and Training Plans

Submitted Jan 21, 2016
Submitted on 1/21/2016 8:17:32 AM by SOREN MINASIAN of SAM'S SMOG CHECK (GLENDORA, CA)
Emergency Response/Contingency Plan
Emergency Response/Contingency Plan (Web graphic, 304KB)
Employee Training Plan
Provided In Submital Element: Emergency Response and Training Plans

Printed on 1/21/2016 8:17 AM

Submi al Summary

California Environmental Repor ng System (CERS)

Site Iden

Business Ac vi es

ca on

SAM'S SMOG CHECK

CERS ID

10292989

1061EARROWHWY#A-6
GLENDORA,CA91740

EPA ID Number

CAL000275537

County

LosAngeles

Submi al Status
Submi edon1/21/2016bySOREN MINASIANofSAM'SSMOGCHECK(GLENDORA,CA)

Hazardous Materials
Doesyourfacilityhaveonsite(foranypurpose)atanyone me,hazardousmaterialsatorabove55gallonsforliquids,500poundsforsolids,or200
cubicfeetforcompressedgases(includeliquidsinASTsandUSTs);orisregulatedundermorerestric veinventorylocalrepor ngrequirements
(shownbelowifpresent);ortheapplicableFederalthresholdquan tyforanextremelyhazardoussubstancespeci edin40CFRPart355,Appendix
AorB;orhandleradiologicalmaterialsinquan esforwhichanemergencyplanisrequiredpursuantto10CFRParts30,40or70?

Yes

Underground Storage Tank(s) (UST)

Doesyourfacilityownoroperateundergroundstoragetanks?

No

Hazardous Waste
IsyourfacilityaHazardousWasteGenerator?

Yes

Doesyourfacilitytreathazardouswasteon-site?

No

Isyourfacility'streatmentsubjectto nancialassurancerequirements(forPermitbyRuleandCondi onalAuthoriza on)?

No

Doesyourfacilityconsolidatehazardouswastegeneratedataremotesite?

No

Doesyourfacilityneedtoreporttheclosure/removalofatankthatwasclassi edashazardouswasteandcleanedon-site?

No

Doesyourfacilitygenerateinanysinglecalendarmonth1,000kilograms(kg)(2,200pounds)ormoreoffederalRCRAhazardouswaste,orgenerate
inanysinglecalendarmonth,oraccumulateatany me,1kg(2.2pounds)ofRCRAacutehazardouswaste;orgenerateoraccumulateatany me
morethan100kg(220pounds)ofspillcleanupmaterialscontaminatedwithRCRAacutehazardouswaste.

No

IsyourfacilityaHouseholdHazardousWaste(HHW)Collec onsite?

No

Excluded and/or Exempted Materials

Doesyourfacilityrecyclemorethan100kg/monthofexcludedorexemptedrecyclablematerials(perHSC25143.2)?

No

DoesyourfacilityownoroperateASTsabovethesethresholds?Storegreaterthan1,320gallonsofpetroleumproducts(neworused)in
abovegroundtanksorcontainers.

No

DoesyourfacilityhaveRegulatedSubstancesstoredonsiteinquan
Releasepreven onProgram(CalARP)?

No

Addi onal Informa on

Noaddi onalcommentsprovided.

Printedon1/21/20168:17AM

esgreaterthanthethresholdquan

esestablishedbytheCaliforniaAccidental

California Environmental Repor ng System (CERS)

Business Owner Operator

Facility/Site

SAM'S SMOG CHECK

CERS ID

10292989

1061EARROWHWY#A-6
GLENDORA,CA91740

Submi al Status
Submi edon1/21/2016bySOREN MINASIANofSAM'SSMOGCHECK(GLENDORA,CA)

Iden

ca on

SorenMinasian
Operator Phone

Business Phone

(626)963-9075

(626)963-9075

Beginning Date

Ending Date

Dun & Bradstreet

SIC Code

Business Fax
Primary NAICS

7537

Facility/Site Mailing Address

Primary Emergency Contact

1061EARROWHWY#A-6
GLENDORA,CA91740

SORENMINASIAN
Title

OWNER
Business Phone

24-Hour Phone

(626)963-9075

(818)970-9063

Owner

Secondary Emergency Contact

SORENMINASIAN
(626)963-9075
1061EARROWHWY#A-6
GLENDORA,CA91740

GEORGEYOUSEFI
Title

BROTHER-IN
Business Phone

24-Hour Phone

(626)966-3882

(626)966-3882

Billing Contact

Environmental Contact

SorenMinasian
(626)963-9075
1061EARROWHWY#A6
GLENDORA,CA91740

SorenMinasian
(626)963-9075
1061EARROWHWY#A6
GLENDORA,CA91740

Name of Signer

Signer Title

Document Preparer

SORENMINASIAN
Addi onal Informa on

Locally-collected Fields
Someorallofthefollowing eldsmayberequiredbyyourlocalregulator(s).

Property Owner
Phone
Mailing Address

Printedon1/21/20168:17AM

Pager Number

Assessor Parcel Number (APN)

Number of Employees

1
Facility ID

LACoFA0003259

Pager Number

Hazardous Materials And Wastes Inventory Matrix Report

CERS Business/Org.
Facility Name

SAM'S SMOG CHECK

SAM'S SMOG CHECK

Chemical Loca on

CERS ID

inside metal cabinet on east side of shop

Facility ID

10292989
LACoFA0003259

Status

Submi ed on 1/21/2016 8:17 AM

1061 E ARROW HWY # A-6, GLENDORA 91740

DOT Code/Fire Haz. Class

Max. Daily

Quan es
Largest Cont.

Avg. Daily

55

Common Name

Unit

Used lubrica ng oils

Gallons

CAS No

State

Storage Container

Pressue

Liquid

Plas c/Non-metalic Drum

Ambient

70514-12-4
DOT: 9 - Misc. Hazardous
Materials

Days on Site: 365

Used Oil Filters (Drained)

Pounds

CAS No

State

Storage Container

Liquid

Steel Drum

Type

Waste

Printed on 1/21/2016 8:17 AM

165

Federal Hazard
Categories

Component Name

Hazardous Components
(For mixture only)
% Wt
EHS CAS No.

- Fire

Waste Code

Temperature

Type

Waste

Annual
Waste
Amount

Ambient
1
Pressue
Temperature

Waste Petroleum Hydrocarbons

100 %

Mixture

Waste Code

223

Days on Site: 365

Page 1 of 1