HomeMy WebLinkAboutBUSINESS PLAN 9/10/2003 HaZardous Materials/Hazardous Waste Unified Permit
.~ ~CONDITIONS. OF PERMIT ON REVERSE SIDE
: '~, -" T~Is _hermit is issued for the followinq:.
I~ Hazardous Materials Plan
13 Underground Storage of Hazardous Materials
Permit ID #:: 015-000-00t396 [] Risk Management Program
ELECTRICAL []
K
C
LOCATION: 325.19TH ST ~' * .*,- -
OFFICE OF ENVTR ONMENTAL SER VTCES '
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301 . , . '. %,..:'.:..~, ' '' Ofl4ccofE~~ices'''~'
Voice (661) 326-397~ . ~ ,~: ,....,. ,. ~ .
,: .FAX (661) 326-0576 ':: ~X'i~i~ii0n~Date:
- . - . ~
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
~,,~=~*=:,,~,:?~=?~,~,=?~m~,, =:= This permit is issued for the following:
...... ,~,~? ?,?'.~.,:~::~,~:~:~,~?.:,~,~:,,~,,~;,~,~::z:?.:,:..,':E~Hazardous Materials Plan
:~ ~, ,,;~,,,=~,,~ .,~,,~,, ~, .... ~ !~pde:[ground Storage of Hazardous Materials
,,~'"~ ,, :_~;,,,'.::;~,~:~,,?~i~i!~ ..:~;:;::~::,.~::: ~ .~:::::?~,,,~=~;~,~,. kMa0agement Program
K C ELECTRICAL :~'"'?' ~; ? ~iii~ ':iiill :~!!!!:::::::::?:::::::::::::: ::;;;: :: ::;,,, ", ;i?;i'~:~i ~.~.ii:.~iii~a~d~s Waste
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.... %=,,..-... "....--;~:.'::=.?:~*,~,,=~=~.~.~,~.~.:~-~Y"..' ;* ,, ~ ,~ / ~,~F~~:''
]ssu~ by:
O~CE OFE~RO~AL S~CES ph Hu~,~~ I
1715 Chewer Ave.,' 3rd Floor ce of ~~
B~e~el~ CA 93301
Voice (80~) 32~3979
F~ (805) 32~-05Z~ Expiration Date: ~un~ ~0, ~000
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SSESSORS EA.P I~0. ~.-...1~ ....
SITE/FACILITY D I AG R~klVl
FORM $
I,
(CHECK ONE) SITE DIAGRAM FACILITY DIAGRA~
(Inspector's Comments): -OFFICIAL USE ONLY-
- SA -
APPRE~E
K C ELECTRICAL SiteID: 015-021-001396
Manager : BusPhone: (661) 324-0105
Location: 325 19TH ST .~ Map : 103 CommHaz : Moderate
BAKERSFIELD 9%' Grid: 30D FacUnits: 1 AOV:
City
:
-CommCode: BAKERSFIELD STATION 0 SIC Code:1731
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JERRY MELSON / TRAINING DIRECT ~/.~
Business Phone: (661) 324-0105x Business Phone: (~ 324-0105x
24-Hour Phone : (661) 366-7743x 24-Hour Phone : ( ) - x
Pager Phone : (661) 203-1125xCELL Pager Phone : ( ) - x
HaZmat Hazards: Fire Press ImmHlth
Contact : JERRY MELSON Phone: (661) 324-0105x
MailAddr: 401 19TH ST State: CA
City : BAKERSFIELD Zip : 93301
Owner ELECTRICAL WORKERS TRUST Phone: (661) 325-9471x
Address : 3008 SILLECT AVE 100 State: CA
City : BAKERSFIELD Zip ': 93308
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
I, ~rr~ Z'./'ff~-~// Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for/~,,',~ ~. ~/ecr,",c.~/.and that it along with
(Nome of Busl~e~)
any corrections constitute a complete and correct man-
agement Plan for my facility.
1 08/22/2003
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3'" Floor, Bakersfield, CA 93301
ADDRESS ~ZC I~~E a ~/ PHONENO. ~2~'°10~
FACILITY CONTACT ~_ca~ ~ ~Q BUSINESS ID NO. 15-210-
~SPECTION TIME / ~ m,~ - NUMBER OF EMPLOYEES
1: Business Plan and lnventoff Program
ine ~ Combined ~ Joint Agehcy ~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate pe~it on. ~and
Business plan contact info~ation accurate / //
' Visible address
Co~ect occupancy ~"
Verification of invento~ materials
Verification of quantities
Verification of location
Proper segregation of material ~ a
Verification of MSDS availability
Verification of abatement supplies and procedures ~ ' ~
Emergency procedures adequate
Containers properly labeled
Housekeeping ~,Z
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Ques~ons reg~ding mis ~ea~? ~ie~e eal~ u~ at (66t) 326-3979 d B~siness S~te ResPonsible Party
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301
FACILITY NAME ld--.(--t ~___L(z."~-/6,JL. INSPECTION DATE c~//°/
ADDRESS ~2-5"' Icl "'rq'l,/ qO I ['~'-t~ PHONENO.
FACILITY CONTACT_ti'lAM ~_~o/0 BUSINESS IDNO. 15-210- 490!
INSPECTION TIME lO, d~t ~O. NUMBER OF EMPLOYEES ~:~
Section 1: Business Plan nnd Inventory Program
Routine {~ Combined [~] Joint Agency 1~ Multi-Agency ~ Complaint {~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials [/
~q
Verification of quantities L/
Verification of location ~"
Proper segregation of material //'
Verification of MSDS availability
Verification of Haz Mat training ~ 'hz/
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled ~,'
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~ Yes ~No
Questions regarding this inspection? Please call us at (661) 326-3979 Business~R,e~p°nsibl~ P~ny
JOINT APPRENTICESHIP AND TRAINING COMMITTEE
LOCAL 428 401 - 19th STREET
911 20th Street BAKERSFIELD, CA 93301 KERN COUNTY CHAPTER
3008 Sillect Drive, Suite 103
Bakersfield, CA 93301 ((~(~ 1 ) 324-0105 Bakersfield, CA 93308
October 8, 2001
Bakersfield Fire Department
Enviromental Services
1715 Chester Avenue, Ste. 300
Bakersfield, CA 93301
Dear Mr. Ralph E. HUey,
Please find enclosed the updated site diagram fdr the
HHMP program. The diagram has been reduced to a 8~ x 11
size paper. The location of service equipment has also been
added. There is no automatic sprinkler system.
Please let me know if there are any further adj~ustments
needed.
Sincerely,
e~rry L.~els~n~~
Train±rig D±rector
April 27, 200 !
Electrical Workers Trust
KC Electrical Apprentice
F~RE CHIEF 325 19th Street
RON FRAZE Bakersfield, CA 93301
ADMINISTRATIVE SERVICES
2101 "H" Street Dear Business Owner:
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661)395-1349 Enclosed, please find a copy of the site diagram or facility diagram that you had
SUPPRESSION SERVICES previously submitted as part of your Hazardous Materials Management Plan
2101 "H" Street (~). The diagram(s) submitted, have been rejected, because: 1) Diagram
Bakersfield, CA 93301
VOICE (661)326-3941 needs to be on 8 W' x 11" size paper; location of utilities; automatic sprinkler
.FAX (661) 395-1349 system?
PREVENTION SERVICES
1715 ChesterAve. Please have the diagram(s) re-drawn and re-submitted by May 25, 2001. I have
Bakersfield, CA 93301
VOICE (661)326-3951 also included a copy of the Site and Facility Diagram Instructions, and a blank
FAX (661)326-0576 form for your convenience. If you have any questions, please contact
Esther Duran at (661) 326-3658.
ENVIRONMENTAL SERVICES
1715 Chester Ave. $'i'= ,,~O
Bakersfield, CA 93301
VOICE (661) 326-3979 Thank you for your assistance.
FAX (661) 326-0576
TRAINING DIVISION Sincerely,
5642 Victor Ave.
Bakersfield, CA 93306
vOiCE (664) 399-4697 RALPH E. HUEY, DIRECTOR
FAX (661)399-5763 OFFICE OF ENVIRONMENTAL SERVICES
Esther Duran, Accounting C erk II
Office of Environmental Services
EDXdb
Enclosures
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Site Diagram
K C ELECTRICAL APPRENTICE .~'~ SiteID: 015-021-001396
Manager : BusPhone: (661~) 324-0105
Location: 325 19TH ST Map : 103 CommHaz : Moderate
City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 04 SIC Code:1731
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JERRY MELSON / TRAINING DIRECT /
Business Phone: ~6I.?) 324-0105x Business Phone: (661) 324-0105x
24-Hour Phone : (661,) 366-7743x 24-Hour Phone : ( ) - x
C~'~.%l~'Pkone : (6617) 2~03~.-t1-2.'5~x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact : 3erry Melson Phone: ( ) - x
~'MailAddr: 401 19TH ST State: CA
City : BAKERSFIELD Zip : 93301
Owner ELECTRICAL WORKERS TRUST Phone: (661)325 -9471x
Address : ~025 WES~-~WIi~D DR 3008 Sillect, Ste. 100State: CA
City : BAKERSFIELD Zip : X~R~% 93308
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif 'd: RSs: No
Emergency Directives:
---- Hazmat Inventory One Unified List
-- Alphabetical Order Ail Materials at Site
Hanmar Common Name... ISpocHazlEPA HazardsI Frm I DailyMax UnitlMcP
ACETYLENE F P IH G 2640.00 FT3 Hi
F P G 967.00
OXYGEN
I,__~~ Do hereby ossify thru I have
reviewed the a~ached hazardous materials mar~e-
merit plan lot/(C f/~,&/~a~ thai il aion~ with
.... (Na~ ~t
sn~ oorr~ions ooostilute a ~mplete and corre~ man-
a~ement plan for my
: ~,... , .%:.
1 08/13/2001
K C ELECTRICAL APPRENTICE
i~ Notif./Evacuation/Medical
i~ Agency Notification
o
o
i~ Employee Notif./Evacuation
o
ALARM ALL PERSON OF FIRE AND LOCATION °
TURN OFF ALL VALVES °
EXIT THROUGH APPROPRIATE DOOR °
o
i~ Public Notif./Evacuation
o
o
i~ Emergency Medical Plan
o
IF POSSIBLE AND INJURED WOULD BE TRANSPORTED TO THE NEAREST EMERGENCY °
FACILITY BY PERSON ON HAND, IF NOT WE WOULD CALL 911 AND THE PARAMEDICS o
WOULD DISPATCH INJURED TO APPROPRIATE FACILITY. °
o
-2- 08/13/2001
K C ELECTRICAL APPRENTICE
Mitigation/Prevent/Abatemt
i/~/~ Release Prevention
o
o
i/~i~ Release Containment
o
SHUT OFF ALL STATION VALVES IF TIME, THEN MAIN VALVES o
IF NOT ABLE TO ACCESS WORK STATION - TURN OFF MAIN VALVES ON NORTH WEST END o
OF WELDING LAB THEN TURN OFF BOTTLES OUTSIDE. °
o
o
o
i~6 Other Resource Activation
o
EXIT - FIRE INSIDE - THROUGH WEST DOOR OR ROLL UP DOOR; o
FIRE AT BOTTLES - EXIT THROUGH NORTH DOOR THEN THROUGH NORTHWEST DOOR OR °
NORTH ENTRANCE DOOR. o
o
IMMEDIATELY CALL 911 AND EXPLAIN THE TYPE OF FIRE °
OXYGEN o
ACETYLENE o
INHOUSE MATERIAL FIRE °
-3- 08/13/2001
K C ELECTRICAL APPRENTICE ~~/~~/~ SiteID: 015-021-001396
Site Emergency Factors ~~~~~~ Overall Site i
i~ Special Hazards
o
o
i~i~ Utility Shut-Offs ~b/~b/~~~i~6~~bb~ 04/23/1997
o
A) GAS - SEPARATE SOURCE FOR EACH BUILDING o
B) ELECTRICAL - MAIN POWER DISCONNECT - REAR CLASSROOM SOUTHEAST WALL
401 19TH STREET o
C) WATER - SEPARATE SOURCE FOR EACH BUILDING °
D) SPECIAL - NONE o
E) LOCK BOX - NO o
o
i~ Fire Protec./Avail. Water 6/~/~6/~/~/~6~6~6~66~666~ 01/07/1990
O
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS THROUGHT THE BUILDING
o
o
o
FIRE HYDRANT - SOUTHEAST CORNER OF V AND 19TH STREET °
o
i/~i~i~ Building Occupancy Level
o
o
-4- 08/13/2001
K C ELECTRICAL APPRENTICE
Training/~/~/~/~/~/~/~/~/~/~/~/~/~/~/~/~/~~~~~ Overall Site i
i~ Employee Training ~/~i~/~/~/~~/~~/~/~ 04/23/1997
o
WE HAVE 9 EMPLOYEES o
o
WE HAVE MATERIALS SAFETY DATA SHEETS ON FILE °
o
BRIEF SUMMARY OF TRAINING PROGRAM: OUR PROGRAM GOES OVER ALL COMPONENTS AND o
GASES WE USE, AND INSTRUCTS THE PARTICIPANTS ON THE HAZARDS AND SAFE °
HANDLING OF THESE ITEMS. ALSO INSTRUCTS PERSON ON FIRE EVACUATION o
O
o
i~ Held for Future Use ~~/5/5/5~/~/~/~/~fi~/5~/~/~/~~
o
o
i~ Held for Future Use
o
o
-5- 08/13/2001
K C ELECTRICAL APPRENTICE II~,* ~i-~,~ .... SitelD: 215-000-001396
Manager : J//~ ~PR 2'1 1997 /I//~usphone: (805) 324-0105
Location: 325 19TH ST L~..~' ~ k~/Map : 103 CommHaz : Moderate
City : BAKERSFIELD ' Grid: 30D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 04 SIC Code: 1731
EPA Numb: DunnBrad:
Emergency Contact, / Title Emergency Contact / Title
....... ~ .... ~ / TRAINING DIRECT ~Tic .... / ~
Business Phone: (805) 324-0105x Business Phone: (805) 324-0105x
24-Hour Phone : (805) ~x~lq3 24-Hour Phone : (805) ~li~a~aB~x
Pager Phone : (~)~D- -~5~x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Agency-Defined Topic Title
---- Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... SpooHazlEPA HazardsI Frm DailyMax lUnitlMcP
ACETYLENE F P IH G 2640 FT3 Hi
OXYGEN F P IH G 1967 FT3 Low
that I have
reviewed the atL'.-~c!3ed hazsrdous materials manage-
ment plan fo~'~..C.~_~- ~/~'c_~c~~ it along with
"-'~'{~arne el Business)
any corrections constitute a complete and correct man-
agement plan for my facility.
-1-
K C ELECTRICAL APPRENTICE SiteID: 215-000-001396
= Inventory Item 0002 Facility Unit: Fixed Containers on Site
ACETYLENE Days On Site
365
Location within this Facility Unit
OUTSIDE SOUTHWEST OF BLDG CAS#
74-86-2
Gas PureIi Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS STORED AND IN USE
Lrgst Cent.this Loc FT3 DailyMax this Loc FT3 DailyAvg ~his Lo6 FT3
2640.00 1320.00
DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3
HAZARDOUS COMPONENTS j
%Wt. EHSJ CAS#
100.00 Acetylene No J 74862
-2-
K C ELECTRICAL APPRENTICE SiteID: 215-000-001396
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
OXYGEN Days On Site
365
Location within this Facility Unit
OUTSIDE SOUTHWEST OF BLDG CASS
7782-44-7
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS STORED AND IN USE
Lrgst Cent.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3
1967.00 492.00
DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3
' %Wt. I HAZARDOUS COMPONENTS EHSI CASS
100.001Oxygen, Compressed No I 7782447
-3-
K C ELECTRICAL APPRENTICE SiteID: 215-000-001396
Fast Format
F Notif./Evacuation/Medical Overall Site
Agency N°tificati°n
-- Employee Notif./Evacuation 01/07/1990
ALARM ALL PERSON OF FIRE AND LOCATION
TURN OFF ALL VALVES
EXIT THROUGH APPROPRIATE DOOR
Public Notif./Evacuation
Emergency Medical Plan 01/07/1990
IF POSSIBLE AND INJURED WOULD BE TRANSPORTED TO THE NEAREST EMERGENCY
FACILITY BY PERSON ON HAND, IF NOT WE WOULD CALL 911 AND THE PARAMEDICS
WOULD DISPATCH INJURED TO APPROPRIATE FACILITY.
-4-
K C ELECTRICAL APPRENTICE SiteID: 215-000-001396
Fast Format
~Mitigation/Prevent/Abatemt Overall Site
Release Prevention
~ Release Containment 01/07/1990
SHUT OFF ALL STATION VALVES IF TIME, THEN MAIN VALVES
IF NOT ABLE TO ACCESS WORK STATION - TURN OFF MAIN VALVES ON NORTH WEST END
OF WELDING LAB THEN TURN OFF BOTTLES OUTSIDE.
-- Clean Up
Other Resource Activation 01/07/1990
EXIT - FIRE INSIDE - THROUGH WEST DOOR OR ROLL UP DOOR
FIRE AT BOTTLES - EXIT THROUGH NORTH DOOR THEN THROUGH NORTHWEST
DOOR OR NORTH ENTRANCE DOOR
IMMEDIATELY CALL 911 AND EXPLAIN THE TYPE OF FIRE
OXYGEN
ACETYLENE
INHOUSE MATERIAL FIRE
-5-
F K C ELECTRICAL APPRENTICE SiteID: 215-000-001396
Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 01/07/1990
A) GAS - SEPARATE SOURCE FOR EACH BUILDING
B) ELECTRICAL - MAIN POWER DISCONNECT - REAR CLASSROOM SOUTHEAST WALL @
401 19TH STREET
C) WATER - SEPARATE SOURCE FOR EACH BUILDING
D) SPECIAL - NONE
-- Fire Protec./Avail. Water 01/07/1990
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS THROUGHT THE BUILDING
FIRE HYDRANT - SOUTHEAST CORNER OF V AND 19TH STREET
Building Occupancy Level
-6-
K C ELECTRICAL APPRENTICE SiteID: 215-000-001396
Fast Format
~ Training Overall Site
-- Employee Training 04/24/1990
WE HAVE 9 EMPLOYEES
WE HAVE MATERIALS SAFETY DATA SHEETS ON FILE
OUR PROGRAM GOES OVER ALL COMPONENTS AND GASES WE USE, AND INSTRUCTS THE
PARTICIPANTS ON THE HAZARDS AND SAFE HANDLING OF THESE ITEMS. ALSO
INSTRUCTS PERSON ON FIRE EVACUATION PROCEDURES.
Page 2 I
-- Held for Future Use I
Held for Future Use I
-7-
March 30, 1990
TO: Nina Mayer, Accounts Receivable
FROM: Ralph E. Huey, Hazardous Materials Coordinator
SUBJECT: Kern County Electrical Apprentice
Ninm, account # 475901 should have a mailing address of 401 19th
Street, Bakersfield, Ca. 93301.
Thanks
,ECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO
If Yes, see B.
If NO, continue with SECTION 4
B. Are any of the hazardous materials a bona fide Trade Secret? YES ~
If NO, complete a separate Hazardous materials inventory
form marked- NON-TRADE SECRETS ONLY (white form #4A-1)
If YES, complete a hazardous materials inventory form marked-
TRADE SECRETS ONLY (Ye]Iow form ~4a-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION 4 Fire Extingushers at location
One located Outside in Welding Cage
One located Inside Welding Shop on Northwest Wall
One located Inside Workshop on Southwest Wall
SECTION 5:0ntd~%~eo~6~A~%r-~s~%~Y~e~6RW~JE-- ----------- ---- -- BY EMERGENCY RESPONDERS (Fire Hydrant)
ApprQximately 350 Feet from location
(Fire Hydrant located Southeast corner of V & 19th Street.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NATURAL GAS/PROPANE:
Located Outside South Wall of Shop B~ilding
8. ELECTRICAL:
Located Inside ~uthwest Interior Wall
C. WATER:
Located on ground, outside West Welding Shop Wall
O. ;~ SPECIAL: Enclosed chain-link fence with locked gate '('Both employees have key)
Actual Oxygen & Acetylene Tanks on Outside West wall of Welding Shop.
E. LOCK BOX: YES / NO IF YES, LOCATION:
I~'~YES, SITE PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 3B -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 'G' STREET
BAKERSFIELD, CA, 93301
(805) 326-3979
"ii
~ OFFICIAL USE ONLY ~'~
~ ID#
II BUSINESS NAME
,
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 3A
INSTRUCTIONS
1. To avoi'd further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY.UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible
FACILITY UNIT # FACILITY UNIT NAME' Welding Lab
SECTION 1: HITIGATION,.PREVENT%ON, ABATEMENT.PROCEDURES ,.
In Case of Internal Fires:
1.) Shut off all station valves if time, then main valves.
2.) If not able to access work station - Turn off Main Valves on North West end of
Welding Lab. Then turn off bottles outside. '"
3.) Exit - 1. Fire Inside: Through west door or roll up door.
2. Fire At Bottles: Exit through north door then through northwest
door or north entrance door.
4.) Immediately Call 911 and explain the type of fire 1. Oxygen
2. Acetylene
3. Inhouse material Fire
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THE UNIT ONLY
1. Alarm Ail Persons of Fire and Location
2. Turn off Ail Valves.
3. Exit Through Appropriate Door.
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
All student's and[,~nstructors are capable of administering C.P.R. & First Aid.
These courses are part of our apprenticeship program.
SECTION ,5,.:, , LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
If ,pessible,the injured would be transported to the nearest emergency facility by
persons' on'nana. If not we would call 911 and the paramedics would dispatch injured
to, a,pprop~riatc facility.
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EHPLOYEES
WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS
MATERIALS.
A. NUMBER OF EMPLOYEES AT THIS FACILITY 6
B. 'DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS
MATERIAL YOU HANDLE ~, Yes '.
C. GIVE A BRIEF SUMHARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM:
Our program goes over ~11 componets and gases we use, and instructs the
participants on the hazards and safe handti~g of these items. Also instructs
persons on fire evacuation procedures.
SECTION 7: EXEMPTION REQUEST
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY
CODE FOR THE FOLLOWING. REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT .THE QUANTITIES AT NO
TIME EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 8; CERTIFICATION
I, , certify that the above information is
accurate. I understand that this information will be used to fulfill my
firm's obligations under the new California'Health and Safety code on
Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that
inaccurate information constitutes perjury.
SIGNATURE TITLE Tr~n~g n~ector DATE 4/26/89
+: ., BAKER~,~-,~_LD CITY FiRE D6PAH['M~.NI~
"~' ~2130 'G' STREET
'~ ~ BAKERSFIELD, CA. 93301
(805) 326- 3979 io3-~o ~ ~~
001396
~~ BUSINESS NAME
HAZARDOUS MATERIALS RECEIVED
..... BUSINESS PLAN'AS A WHOL~ '~PR 2'~
FORM 2A H~7~-~A~T,
DIV.
INSTRUCTIONS;
1. To avoid further ac[~on, Fe~u~n [h~s f~om w~h~n 30 days of Fece~.D~,
2, TYPE/PRINT ANSWERS [N ENGL[SH.
3. AnsweF ~he ques[~ons below for %he bus,ness as a whole.
Be as b~ef and concise as possible.
SECT[ON 1: BUSZNESS ZDENT[F[CAT[ON OATA
A. BUSINESS NANE: ~e~ County [[ec~ca[ kpp~e~ce ~us~
B, LOCATION '/'STREET ADDRESS: 325 ~0~ ~9~h
CITY:. ~ake~s~e[d ZIP: 9330[ . BUS. PHONE:'(805)
SECTION 2: ENERGENCY NOT[F[CAT[ONS
In case of an emergency ~nvolv~ng [he release or [hrea~ened release
a hazardous ma~er~al, call 911 and 1-800-852-7550 or 1-916-427-4341. ThSs
w~11 no%~fy you~ ~ocal f~re deDar~men[ and ~he S~a~e Off~ce of Emergency
Services as re~u~red by law.
EHPLOYEES TO NOTZFY ZN CASE OF EHERGENCY:
NAHE AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. ~e Hauls, T~a~ 9~ec~o~ .PH~ 324-0~05 .PH~ 872-2390
Susa~ ~u[[a~a, Secretary 324-0[05 398-[25[
SECTION 3: LOCATION OF UT[L[TY SHUT-OFFS FOR BUS[NESS'AS A WHOLE
A. NATURAL GAS/PROPANE: Separate source ~o~ each
B, ELECTR[CAL: Ha~n ~o~e~ 9~scon~ec~ - ~ea~ classroom Sou~heas~ ~a[[ ~ 40[ [9~h.
C, WATER: .. Separate source ~o~ each
D. SPECIAL: None
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO NSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
CITY of BAKERSFIELD
NON--~ITRADE SECRETS
' Page .... of
BUSINESS NAME: Electrical'Apprenticeship Sch~ER NAME: Electrical Workers Trust NAME OF T~ FACILITY: '
LOCATION: 401 19th Street ADDRESS: hO2b Westwind Ur. STANDARD IND. CLASS CODE /7 ~'/
CITY, ZIP: _. _p,~lzew~-F-io]d- Cm. 03.~0] CITY, ZIP: .BakersZield, Ua. ~3301 DUN AND BRADSTREET NUMBER
P.ONE #: 342-0105 PHONE #: 325-947], __ - -
~ ~ Y~S~UCTIO~ ~OR PROP~ C~D~
~ 2 ~ 4 5 6 ? 8 9 10 I1 12 I~ 14
Trams Ty~ ~x Average ~nual ~asure I ~ Cat ~t ~t ~e L~tt~ W~e' tN~t' Nam of Mtxtu~/~ts
C~e C~e Mt ~t Est Units m Site TyM Pr~s I~ C~e .. · Stoe~ tn Facility ~ Inst~cttms
(C~k all t~t apply)
Fire ~azerd c--J ReKtivity c--a ~la~~~ ReiHse ~--a i~tate
Health of P~re HMIth
~t 13 ~&C.A.S.
~ Fire Hazard [--] ~ctJvity [--] Mlo~ ~ ~m lol~ [-] I~lato ~t 12 Nm & C.A.S. ~
H~lth of P~ ~lth ............................
P~ical md HNIth Haza~ C.l.S. i ~t II h L C.l.$. ~
(C~k all t~t apply)
~t 12 Nee&C.A.S. ~
~_d Fire Hazard [ ~ Reactivity ~--a ~la~ [ ~ ~dd~ Rel~se ~--~
Health of Pr~sure HHIth
Cat 13 Rm&C.k.S. ~
P~icol ~ HNlth ~zard C.A.S. Numar Ca.mt I1 Nm & C.A.5. NW
(C~k all t~t cooly) ......................
r--n r--~ ~--~ r--~ r--~ C~t 12 Nm & c.A.s. Ndm~r
~ ~ Fire Hazard ~--a R~ct~vity ~lay~ ~--~ ~ddm Release ~_d
Health of Pr~sure Health ....... - ......
CerttHcattm (Read and s~Kn after completing aJ] sectJons)
[ certify under ~alty of la= t~t I ~ve ~rsmally exaa~n~ and aa fae~l~ar v~th t~ ~nfor~t~m ~ttt~ tn th~s a~ all ettac~ d~u~ts, ~d t~t ~s~ ~ W ~nqu~w of t~e t~ty~als r~s~ble
SITE/FACILITY D I AGR~u~I
FORM
NORTH SC~\LF_: ~: /0' BI.;SINESS NAME: . . --
(CHECK ONE) SITE DIAGRAM / FACILITY DIAGR~
l(Inspectov's Comments) -OFFICIAL USE ONLY-
- 5A -