HomeMy WebLinkAboutBUSINESS PLAN RECEIVED
SiTE/FACILITY DIAGRAM
....... FORM 5 ,. , -
" JUL I § 1990
"' "~ -,,I/I"C'.,.'. HAZ. MAT. DIV.
.NORTH SCALE: BUSINESS NAME: , ' ...... ".'.,.F[..O. OR: OF /
j~ ~.~),¢~-I~q ,Pool- .~ ..,,.,,, ... ..... u~r ~: . or
):' . .~ :-.,_:' , ,~
(Inspector'S Comments/~ , -OFFICIAL USE ONLY- -
ED ARIEY OL CONSTRUCT N COMPANY
STATE CONTRACTORS LIC. - 512041, 554201
"Oldest Pool Service in Bakersfield"
· Service
P.O. Box 194'4 93303.. ~., ~ ·Repair
-- --'Pool Inspections
Bakersfield, CA 9330 · Construction
(805) 327-0034
· January 13, 1992
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CALIFORNIA
9 3 3 0 3 RECEIVED
JAN 1 7 1992
TO Whom It May Concern, HAZ~ MA!. DIV.
Please notice that our business has changed· location
and therefore has a new address. Our previous address was
1818 16th STREET
BAKERSFIELD, CA. 93301.
Our new address is 518 SUMNER STREET
BAKERSFIELD, CA 93305.
Our telephone number remains the same and so does our
mailing address at P.O. BOX 1944
BAKERSFIELD, CA 93303.
Please make these changes to our business license and
any other items that may need to be updated. Thank you.
Ann M./Tripp
(Secretary)
ED ARIEY POOL SERVICE
518 SUMNER STREET
BAKERSFIELD, CALIFORNIA
93305
Certificate ~ 05383-589-1-0
A Tradition of Excellence Since 1964
january 17, 1992
Mr. Ed Ariey
Ed Ariey Pool Construction Company
P.O. Box 1944
Bakersfield, Ca. 93303
Dear Mr. Ariey:
We are in receipt', of your letter advising us of your new
location, however you will need to revise your Hazardous Materials
Managemen~ Plan. Since you are in new location a new facility map
will need to be drawn, new utility locations and new fire hydrant
locations listed as well as anything else that has changed.
Please take a look at your plan in general and be sure all the
information is correct, make the necessary changes, draw a new map,
date and sign the computer printout and return to 2130 G Street,
Bakersfield, Ca. 93301 by February 15, 1992.
If you have any questions, please don't hesitate to call
326-3979.
Thank You,
Valerie Pendergrass
Hazardous Materials Division
ENCLOSURES
II:l. IJ UIi T l-lrlc
, ,.~, :, 2130 'G' STREET
BAKERSFIELD, CA. 93301
(805) 326-3979
/~-o~
OFFICIAL USE ONLY / ~
' 00 3
ID#
BUSINE$8 NAME
I
HAZARDOUS MATERIALS
BUSINESS PLAN A8 A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action, return this from within 30 days O.f. receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH. ' "
3. Answer the questions below for 'the busi. ness as'a whole,
4. Be as brief and concise as possible.
SECTION 1: BUSINFSS IDFNTIFICATION DATA
A. BUSINESS NAME:
B, LOCATION / STREET ADDRESS:
SrCTION 2: FMrRGrNCY NOTIFICATION8
In case of an emergency involving the' release':or threatened release of
a hazardous material, c-]l 911 and 1-800-852-7550 or 1-916-427-4341. This
.i ~ ~ noti fy your local 'ft re department and 'the State ~Offtce'of' Emergency
Services as required by' 13..
EMPLOYEES TO NOTIFY IN CASE. OF EMERGENCY:
NAHE AND TITLE DURING' BUS.' HRSi ,AFTER BUS. HRS.
~. _~ o ~ A~ ~.~,H. , '5 ~q-,. 005 ~ PH.. ~ ~ [ql'I qOq
SECTION 3: lOCATION OF UTII ITY SHUT-OFF5 FOR
B ELECTRICAL' ~C~c b~ .%~g
C. WATER: ~gh;~ buix~n~
D. SPECIAL: -~ E ~/~
E. LOCK BOX: YES /[NO] [F YES, LOCA~'QN: . ' ' '
IF YES, D~ES IT CONTAIN SITE PLANS? YES / NO NSDSS? YES / NO
..... FLOR PLANS? 5YES / NO KE~S? YES / NO
SECTION 4: PRIVATF RESPONSF TEAM FOR BUSINFSS AS A WHOI
SEC ENERGFNCY NEDZCA' ASSISTANCE. FOR YOUR BUS[NESS AS A W.OI E
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOyEEs
WITH INITIAL AND REFRESHER TRAINING IN THE SAFE .HANDLING OF HAZARDOUS
HATERIALS. -, ' '.
A. NUMBER OF EMPLOYEES AT THIS FACILITY
B. -DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS
MATERIAL YOU HANDLE ? " . ,,~.
C. GIVE A BRIEF SUHMARY OF YOUR HAZARDOuo MATERIALS TRAINING PROGRAM:
O
SFCTION 7: FXFNPTION RFoUFST .,; .:.,
I CERTIFY U~DER ~EN~LTY OF ~ERJURY T~T NY B~slNEs$ IS EXEMPT FEON T~E
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA,HEALTH.AND SAFETY
CODE FOR THE FOLLOWING. REASONS:
HAZARDOUS
MATERIALS.
//~ ~-. ; ,. ' ...:.,~ ~ : ~ )". . , .
~ O~R (~eI~Y R~8ON) " "'" ' '
.......... , '"'" ; F" ~ '~'.~ ' ,"~ ~, ~,~ ti" [.';~" : '(. ~ ~}. ~'~
$~CTION 8: C~I~IO~IiO~ ' ' * ' .... ' ......
...? . ,
~, '~ h~[~" ~.'x'~" .,,.,.~'" .., ., . ..... ,..... , ,., ....
' '~ "> ~' : i' ~"~ 5 ~ i~';:' · '. }' .-:~'
'~:' ' .... ~ '"''"' 3
SlONATgEE ' TITLE ~qn tD DATE
BAKERSFIELD CiTY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, :CA. 93301
OFF~CTAL US~ ONLY -
BUS I NESS PL~kN
2. ~PE/PRINT YOUR. ~SWERS. IN ENGLISH.
~. Answer the questton~'below for THE FACiLI~.sU~iT?LISTED..BELOW, ;. .-
SECTION l: MITIGATION, PRE~ION, ABATEME~ PROCED~ES .
SECTION Z: NOTIFICATION ~ EVACUATION PROCEDURES AT THIS ~IT ONLY
· - SA
SECTION 3: HAZARDOUS MATERIALS FOR THIS [INIT ONLY
~ Do~s this Fa¢~litg Unit con~.a~n Ha~,rdOus
If NO. continue ~ith SECTION ~.
;~?e any of the hazardous ma~e?.ia~s a boaa fide Trade ~e,.':'et. YES'O)
form marked: NON-TRADE sECReTs' O~LY> (~hite form ~4A-1)
If Yes. complete a hazardous materials inventory fo~m marked:
T~DE SECRETS ONLY (~ello~ form ~4A-a) tn addition to the ho~Ltrade
SECTION 5: LOCATION OF ~ATER S~PLY FOR USE BY EMERGENC~ RESPO~ERS"
C. ~ATER:
O. SPECIAL:
E. LOCK BOX: YE~' ~F'YES~ ~LOCATION:~[ .' 5ix ~,)i[ ~ ~ .',,..
IF VES, SITE PLANS? VES / Na MSDgs?"' Y~S "NO "
FLOOR PLANS? YES / ~0 KEYS? YES /
CITY o.f BAKERSFIELD
NON-- tRADE SECRETS . o
CITY. ZIP: ~~q~/~/~(~.~/ CITY. ZlP:r.~ff.q~/~ ~~0~ DUN AND BRADSTREET NUNBER
Health of P~I~ ~lth
Health of Pra~re Nellth
for Dbt~ntng TM tflforMtt~l. ~lifve t~t tM/~lu.tttN' iflfomti~ ~s t~, IC~rltl, ~d CN~tI.. .
CITY of BAKERSFIELD
NON--TRADE SECRETS
~ith
k ail t~t a~ly)
SITE/FACILITY DIAGRAM
FORM $
NORTH SCALE: ?~_USINESS NAME: / ..... . .FLOOR: .OF
(CHECR ONE) SITE DIAGRAM FACILITY DIAGRAM
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(Inspector's Comments}: 70F~ICIAL USE ONLY-