Loading...
HomeMy WebLinkAboutBUSINESS PLAN (2) 'S.ITE/FACILITY D~AGR,Alv--z NORTH,:,' .... '.SCALE:' ' ,.'. :BUSINESS NAME: ~o~/ K-~/~me,~'~C;FL00R: 0F ( Inspector,.s Comments)/ ..... .;..,..' -OFFICIAL USE ONLY- TE/F~CILIT¥ D R~ NORTH ·SCALE: ,.BUSINESS NAME: FLOOR: OF · DATE: / / FACILITY NAME: : .... UNIT #: OF '(CHECK ONE) ':'SITE DIAGRAM FACILITY DIAGRAM HAZARDOUS MATERIALS DIVISION Date Completed Business Name: ~ ~[ ~: ~qt~'~l)Cqevx~ i - , t I~P..GE. iVED Location: ~lu~ E.. ~8~ ~T Business Identification No. 215-000- 000'7(~ ;5 (Top of Business Plan) HAZ, MAT. DIV. Station No. ~ Shift "~ Inspector "--~..,.~'~,~,-~db.~ __ . Adequate Inadequate ~\.~ ~'~-~ rification of Inventory Materials  Verification of Quantities Verification of Location Proper Segregation of Material Comments: Verification of MSDS Availablity Number of Employees Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted ~ ~~_~ ~~~ Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: All Items O.K. ~ Correction Needed ~ Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy - Date Completed Business Identification No. 215-000- ~0~ 5 ~op of Business Plan) Station No. ~ Shift ~ Inspector ~.,~~~ , Verification of Locaion Proper Segregation of Materi~ Comments: Verificaion of MSDS Availabli~ Number of EmPloyees ,? '"' Verification d H~ Mat Training comments~ Verification of Abaement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special H~ards Associated with this Facility: Violations: All Items O.K. J~] Correction Needed J~] Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy C & G EQUIPMENT RENTAL 1304, TELI~GRAPH AVE. BAKERSFIELD. CA 93305 GOLDA DOYAL Feb, PHONE ~0~?f -8954 2130 G Street Bakersfield, Ca. 93303 Valarie:L As per our telephone conversation 1/25/91 I am sending this letter to confirm the fact that Mid-Valley Bit Service is no longer in business. Every thing remains the same except the business name is now Doyal Equip/ Inc. D/B/A C&G equipment Rental: Business location is still 516 E 18th St. Bakersfield,'Ca. 93305. Mailing address is still 1304 Telegraph Avenue Bakersfield, Ca. 93305. Bottles are in the same location in shop at 516 E. 18th Street, Bakersfield, Ca. 93305. 02/0~,/91 ,. C & OIPMENT RENTAL 2_15-000- }763 RECEIVED Page 1 Overall Site with 1 Fac. Unit ~ ~U g ~ ~ HAZ. MAT. DIV. Location: NO LONGER IN BUSINESS Map: 103 Hazard: Unrated Ident Number: 215-000-000763 Grid: 19C Area of Vul: 0.0 Contact Name Title t~ Business Phone ~ 24 Hour Phone] ~ec ~ ~,'~ (~)3~-- ~x Administrative Data Mail Addrs: 1304 TELEGRAPH AV) D&B Nurnber: City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: Owner: GOLDA & C.W. DOYAL Phone: (~-) g Address: 1304 TELEGRAPH AV State: CA City: BAKERSFIELD Zip: F Summary 1, ~ De h.~mby c~fli~ that ~ haw h~.~,~., .... ,:, materials reviewed the a~ached ' ' - ' -,--~ that it ~ong w~th ment plan fo~~ ~ ~c 02/07/91 C & G EQUIPMENT RENTAL 215-000-0(')0763 Page 2 Haz~at Inventory List in MCP O~der 02 - Fixed Contair~ers or~ Site Plr~-Ref Na~e/Hazards For~ ~uar~t ity MCP 02-001 ~~ ~ L ~ ~ ? 110 Low GAL 02-002 ~.~G~ ~ ~ ~ ? 110 M i r, i ~a 1 GAL 02107191 C & UIPMENT RENTAL 215-000- )763 Page 3 O0 - Overall Site <D> Notif. /EYacuation/Medical <1> Agency Notification CALL 911 <2> Er~ployee Notif./Evacuation NOTIFY VERBALLY; CALL 911 <3> Public Notif./Evacuation VERBAL <4> Er~ergenc¥ Medical Plan NEAREST HOSPITAL (MEMORIAL HOSPITAL - 42[) 34TH ST - 327-1792) 02/07/91 C & G EQUIPMENT RENTAL 215-000-000763 Page 4 00 - Overall Site <E> Mit igat ion/Prevent/Abatemt <1> Release Prever, tic, n S~.D - '' , OJ.L; DRY lip WTT~ <2> Release Contair~ment <3> Clear, Up <4> Other Resource Activation C~/07/91 ~ C & QUIPMENT RENTAL 215-000- )763 Page 5 O0 - Overall Site <F> Site Emergerfcy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - POLE IN BIG YARD NORTHEAST OF SHOP BUILDING C) WATER - NONE IN USE AT SHOP/YARD D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ?????????????? FI RE HYDRANT - ?????????????? <4> Held for Future use 02/07/91 C & G EQUIPMENT RENTAL 215-000-000763 Page 6 O0 - Overall Site <G> Trair, ing < 1 > Page 1 WE HAVE ?? EMPLOYEES AT '[HIS FACILITY ~ ~ DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? ~$ BRIEF SUMMARY OF TRAINING: ~~ ~ 5 ~ ~~ <2> Page~. ~' as r~eeded <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD Farm and Ag[iculture Fi Standard Business [~/I-IAZARDOUS HATER[ALS -r NVENTORY -- . NO.N--.TRADE '.~,ECRETS . Names of ~ixture/Com~one~ts Trans tyre Hax Average ; Annual Measure I ~YF Cont Cont Cont Use [ocation. Whe[e. Code cooe Aat Am~ Est Un~Ls on 5~ce Type Press Tema Code SLored ~n ~ac~cy See Physical and ,edith Hazard ~ C.A.S. Number Component I1 Name S C.A.S. Nu~e; '- ' / (Check ail [hal apHy) ' ~ Fire Hazard a Reactivity :~ B Delayed B Sudden Release ~ [m~i~c°=p°nenL 12 ,a=e I C.A.S. ,u,ber ~ Health of Pressure .; C°mp°nenL 13 Name S C.A.S. Number Physical and Health Hazard ~ C,A,S. Number Component II Name S c,A.s, Numar- (Check al/ that apply) ~ame C,~.S. Number ~ Heal[h of PressureHeal[~ , :, Componenk 13 Ns~e ~ C.~.S, Number Physical and Health Hazard '~ C,X.S. Number ComponenC 11 Name & C,A,S. Number (Check 811 ChaC apply) Component t2 Name & C.A.S, Number ~ Fire Hazar~ ~ ReacCivi[y ~ Delayed ~ Sudden Release ~ ]mmediaCe Hem ICh of Pressure HeaICh Componen~ 13 Name & C.A,S, Number Physical mhd Health Ualard ; C.A.S. Number Component I1 Name t C.A,S. Number (Check all.[haC apply/ Component I~ Name & C.A.S. Number' ~ Fire Hazard 0 Reactivity ~ Delayed ~ Sudden Release ~ Im~i~ Health of Pressure ~ Component 13 Name & C,A,S. Number I  er[i[i~a[ioq ,(Re~ ~.n~.~fgn af~c compl~Cfpg,al? secaipn~) , , cer[]ty under pena~[X ~l~a~ [n~[ t nave~ersonaj~.exa~lnq~qo~ ~a~i~lar.~i[b the jntor~s[ton ~u~i[[f0 in [his ~nd all a[~acned,d0cg~en[~, sn0 [Bat based on.ay inquiry Qr.cnose ~no~vloua~s responsiD/e tor obtaining the tnrorma[ton. [ believe that AuD~[eo l~ror~aHo~ Is [rue~ accurl[e~ and co~p/ece. . ' February ?~ 1991 Golda Doyal C & ~ Equipment Rental 1304 Telegraph Ay Bakersfield, Ca. 93305 Dear Ms. Doyal: Enclosed you will find a computer printout of the Hazardous Materisls Management Plan that is currently in our computer, we have highlighted the areas that need to be revised. Also due to a change in the law that went into effect January, 1989, we need to have a new inventory form {enclosed) filled out. These forms must be filled out and returned to our office by February 25, 1991. If you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH:vp Enclosures {~kBAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page "of NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: C&G EQUIPMENT RENTAL OWNER NAME:GOLDAj/C_W. DOYAT, FACILITY UNIT #: ADDRESS: l~l ~th Street ADDRESS: l~Q4 Telegraph AvenueFACILITY UNIT NAME: CITY, ZIP:_ Bakersfield.'Oa. ~}30i CITY,ZIP: Bakersfield, Ca, 93]0~ PHONE {: 871-a954 P.ONE #: 871-8954 [OFFICIAL USE CFIRS CODE { ONLY 1 2 3 4 5 6 7 8 9 10' TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T. ,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT ~T. CHEMICAL OR COMMON NAME CODE GUIDE P 110 600 gal 6 99 Southwest corner ya~'d 100 'JPC AW Hydraulic '~__ ll0 _ 600 __gal 6 26~ Southwest/cor.yard 100 Ch~,~ron ~otor oil NA~E ~olda/C.W. Doyal TITLE: President SIONATURE:,~~ ~~_./~, DATE: EMEROENCV CONTACT:_ C W Doyal TITLE: - PH6NE ~ B~S HOURS:871-8954TM AFTER BUS HRS: 871-8954 - ,EME~E.CV CONTACV: RoMer Chaffin {son) TITZE: .. PHONB m ~US HO~aS: ~71-8~22 · ~INCI~A~ BUSINESS ACTIV~TV: Equipment Rental(Forklifts) AFTEa BUS. HRS: SITE/FACILITY D I,AGRAM' FORM 5 NORTH SCALE: BUSINESS NAME: FLOOR: OF C&G EQUIPN~,NT RENTAL · DATE: ?~,/t0/87 FACILITY NAME: .... UNIT -~: OF (CHECK ONE) ~'~ITE DIAG'R~M ZX FACILITY DIAGR~uM : · Inspector's Comments) ~ ....... . -OFFICIAL USE ONLY- : "WE CARE" March 6, 1989 TO: Nina Mayer, flCcounts Receivable FROM: Ra'Iph E. Heuy, Hazardous Materials Coordinator ~, :. SUBJECT: Hazardous Materials Handling Fee .. " ~ C & G Equipment Rental, account number HM-(~?B3 uas bill {or '5 this ~iscal year and ue have been notiqied that this company has ;~ not handled Haz Mat since July, 1888. Thereqore, please delete -' ;. the billing from the billing list. They should oue nothing for '"' Fiscal year 1988 - 1989. -- · ' !.. ~ BAKERSFIELD CITY FIRE DEPARTMENT [~ E C E { V E U ~~ 2130 "G" STREET" .JUL 13 1987 BAKERSFIELD, CA 93301 ? (8~5) 326-3979 (i)3- Ans'd ............ USINESS. NAME ~ HAZARDOUS MATERI ALS /'/'- ,'-2:~-! BUS'I NE'ss'., PLAN AS/.i A~../~wHOLE:.~ '".'. , FORM 2A INS UCTIONS: 63 1. To avoid further action, return this form by 2..TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a Whole. 4. Be as brief and concise as possible, SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS.'NA~E: C&G EOUTP~2~Nm REN*AT, CITY:' g~k'e~{'%eld, 'Oai' ZIP: 9}501 BUS.PHONE.:, (805) 525-0368 SECTION 2: E~RGENCY NOTIFICATIONS . 'In'case"0/ an~emerEenc~,i6volving the release o~threatened release of a hazardous material, call 9/1'and 1-800-852-7550 or 1-9~6L~27-4341. This' Will notify your local fibre department and the State offibe of Emerged~ SerPices law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME ANp TITLE DURING BUS. HRS. AFTER BUS. HRS. B. Roger Chaffin' (son) Ph~ 871-8422 PhS~ 871-8422 SECTION 8'f LOCATION OF' ~ILI~~ S~-OFFS' FOR BUSI~SS":AS''A ~OLE A. NAT. GAS/PROPANE none in uss ~t sHoD/yard B.. ELECTRICAL: Pole in bi~ yard ~rtb-mamt C.'WATER: none in use .at Sh0p,/yarC D. SPECIAL: E. LOCKBOX: YES /~ IF YES, LOCATION: ............. - IF YES, DOES IT CONTAIN SITE PLANS? YES / NO .MSDSS? YES / NO FLOOR PLANS? YES / N0 KEYS? YES / N0 - 2A - SECTION 4: PRIVATE.RESPONSE TEAM FOR BUSINESS AS A h~IOLE .' NONE CTION 5: LOCAL EMERGENCY MEDICAL ASSIST~CE FOR YO~'BUSINESS AS A WHOLE NEAREST HOSPITAL CIRCLE YES_.OR NO ..~j.~' . · //' INITIAL REFRESHER ' A."~'MET~ODSi"[OR SAFE. HA~G OF HA'ZARDOUS~ .... ' :' :", ~TERIALS:..... ......... ~ .....~.~ ....... ~ES NO YES NO B. PROCEDU~R COORDINATIN~ITIES ~ ,. ' . ..~,., . W~T. ~S~O~S~.A~C~S~ .......... ~ V~S '~O?:'::'' VZS ~O ' C. PROPER U~~.t ....... ...YES.~ NO, YES NO E.. D©YOU,.~INTAIN'.' ..'... yES:':,NO"' YES 'N0'. . SECTION' ~: ~Z~DOUS ~TERI~ . . .. . ~. . . f [ ~ , . CIRCLE :~S"OR NO .... ..: : DOES YOUR BUSINESS. HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500' POUNDS SOL'ID,'5'8" G~LLONS' 0F A LIQUID,' OR 200 CUBIC FEET"OF A COMPRESSED GAS: ...... YES "I:'~f~"' ~' ]~'~~ ..... , ~certify that the'aboVe information is accurate. I understand t-~t tht~ fnfo~mation.will be used to fulfill my firm's obligations unde~ the new California Health .end, Safety code on Hazardous. Materials (Div. 20 Chapter 6.9~ Sec. 25500 E.t Al.) and t~at"thaccdrate ~nformation'constttut~s ~'erJury, S'I6NATURE '~~/~ ~"~M TITLE f~~ '":,' .... :'DATE BAKERSFIELD CITY F~RE ~'DEPARTMENT 2130 "G" STREET :BAKERSFIELD, .,CA 93301 -- :~:: OFFICIAL USE ONLY :BUSINE,SS NAME: :: ,' ,~ :. S..~.NGLE FACI LI TY ~UNI FORM 3A .:-. INSTRUCTIONS : ~1'. To avoid further action, thls form must be returned by: 2. ~TYPE-/PRINT:YOUR ANSWERS IN ENGLISH. · 3.,' Answep the questions /below for THE FACILITY ~N.I.~ LI.STED BELOW 4. Be ~s BRIEF and COSC[,SE ;as possible. F~ClLI,~ -~IT~ ,y~wd .,'.'., ~ F~ClLI~ ~IT S~E: ¢. .SECTION 1: MITIGATION, PRE~NTION, ABATEMENT PROCEDb~ES Store ProPerly~,'. keeP'.caPs, sec.ured Oh"drums. o~.~.il .... vacume:.pump'{S"c'ie'~n'[~-'${'ii' dry-up with saw dust. ' ~.? -:'' ~. .~. ~,~ ...... : ..  SECT-ION'2: NOTIFICATION AS~EVACUATION PROCEDURES 'ATTHIS b~IT ONLY Notify. verbally; Call 911 ~ - 3A - XXX~CTION 3: HAZARDOUS MATERIALS' FOR THIS UNIT ONLY' ~X~. Does this Facility Unit contain Hazardous Materials? ...... YES - ~:' '. XX .,If YES, se~'B. ~f. NO,-continue with SECTIO~ 4. "B. Are'.ahv. of the hazardous materials a bona fide Trade Secret ~-~S NO If No,."co~ple~ea "sepa'~ate hazardous materials invent~y form 'ma;~NON/TRADE sECRETS 'ONLY (White form ~,~1)' If Yes, C~P~te a 'hazardous materials inventor~'orm marked: TRADE"SECRETS~LY (yellow fo'rm ~4A-2) in addit~;bn to the'non-trade · ,sec~et" - ~fo~L~.'.onl~ the trad~ .secrets on'~rm'~-2, SECTION 4: PRIVATE FIRE~TECTION .......... -..,. ...... _: ...... ,~- ................. ..:.... ,... ~... XX ///" . . ...::,...,,. :. ~ : ,'; . ~' : ................ SECTION ~':LOCATION.OF NATER SUPPLY'F~,'~E BY E~RGENCY RESPO~ERS / SECTIOS O: LOCATIOS OF UTILI~ S~T-OFFS ~T T~IS B~IT O~LY. A. NAT. GAS/PROPAN~'~ / . . .B. ELECTRICAL: .... . .. ~ .. 'C'. WATER: · /..' ' IF YES, SITE