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Home My WebLink AboutBUSINESS PLAN 6/23/1987 COPYHazardous, CON Permit ID #:: 015-000.000467 term C C DOUGLASS MFG INC · .LOCATION: 231 21ST ST - Issued by: H~ous ~flals Plan U~e~rou~'Stom~'of H~ffious ~als ' RiskManage~tP~mm" : ': -'. H~ous Was~ O~eT~ .: '" ':¥[}'"'::: :', ~- : :;: '~77.">,:": :: -' ~ . ' · , ".. :-~. · .,~.- .,'2 -:.,'q"?:;,'~- v:' Bakersfield Fire Department ~ ~ 7:: :...:i: ::~. '.::::":':,':,:'.' ...... '.: '. ->.~ ,/ ~ .. ·. OFFICE OF ENVIRONMENTAL sER VICES:'~. ": : :-'-'::? ~7~q r~,~.or Ave 3rd Floo~:' :" Bakersfield, CA 93301 . · - .:." . , ' ";'.S."J ."' ' ' -:0~f~;~ic~ . : -Voice (661) 326-3979 ~ · '... F~ (661) 326-0576 'Exp~tion Date: '~~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SI, DE ., ** ,~,~,~,,**,** This permit is issued for the following: . ~,,~i"ii~??i}~:~ '}~ii:ii':'::;;:,i};;;ii:~i;~:~:;i':i i;?,']',?-!~!!~Hazardous Materials Plan ,[>.." ~, ............ ./.,.. ~.~:.,...%,:?, ,,, . ,, ~..~,,,~ ; ,...': '~i~i:,.-,.--"'%.'~k .,~lE~4~ ;:~,4 'h,,.,,.." *":~i ~'( !~ ii , ~ '"'..,..=,'%~P' '"iii~iEi~ .... ¢' ~ ~ ~ ..... ~ :~..,'., .: .,,' ,.. ,- ,.. ,. , ~ ,~ L,~a~m Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Office of ~gi.~mental ServiCes Expiration Date: June 30, 2000 .~ /? T~/FA¢I~TTY D ? ~ NORTH SCA~E: ·. BUSINESS N~E: FLOOR: 0F ~.~, Douglass Mf~., Inc. DATE: 6 ./~/ 87FACILITY N~E: .UNIT ~: 0F ~kersfteld · . (CHECK ONE)- SITE DIAG~ X FAClLI~ DIAGR~ (Inspector's Con,eats): -OtFICIAL USE'ONLY- '' I .. [ ' ~/ TE/FA¢ILITY D Ri~dVl NORTH 'SCALE: BUSINESS N&~E: FLOOR: 1 OF 1 C.C. Douglass Mfg., Inc. . DATE:-6 /23/ 87FACILITY NAME: UNIT $:1 OF i Bakersfield (CHECK ONE) SITE DIAGRA.~ FACILITY DIAGRAM X ~,~ / '~ ' / ~o~ . (Inspector's Comments): -0FFIC[AL USE ONLY- C C DOUGLASS MFG INC i~iA{ 2 8i997 SiteID: 215-000-000467 = BusPhone: (805) 327-0258 Manager : Location: 231 21ST ST -,~. - ...... -- -~ Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 30B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:3713 EPA Numb: DunnBrad: rgency ~ontact // Title Emergency Contact / Title ORAH DOUGLASS / PRESIDENT CLINT DOUGLASS / CHAIRMAN Business Phone: (805) 327-0258x Business Phone: (805) 327-0258x 24-Hour Phone : (805) 871 ~097-~f~73/0 24-Hour Phone : (805) 834-6884x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth ,~-~Ag~:nc~y~e.~ined~opic--~T-i~Le ~-_~ .... ~ ...... ~_--_~._= ........ .~_ - ~ Hazmat Inventory One Unified List F-- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax IUnitIMCP ACETYLENE F P IH DH G 200 FT3 Hi THINNER F DH L 55 GAL Hi PRO ANE . FP IH G 24 FT3 ~DFL-END ~~ ~ P III DII L 55 ~AL ZINC CIIROMATE P~*~P.. F DII ~ ~g OXYGEN F P IH DH G 300 FT3 LOW CARBON DIOXIDE P DH G 1500 FT3 i, (~jO /-&y*~ Do hereby cer~i~ tha~ ~ have reviewed the a~ached h~ardous materials manage- any corrections ~nstltute a ~mple~e and ~rrect man- agement plan for my facili~. -1- 04/25/1997 C~C~ D~~ON 1) ~ORY STA~S: N~ [ ] A~U~ [ ] R~aou [ ] ~1~ [ ] Ch~ if ~ ~ a NON T~ 5) W~ C~S~CA'rlON q-NM (3~t ~ m D~ Fora 8022) USE CODE _ Av~e D~y A~omt _ ~ Cm~ [ · J b) ~: '/ i) LN~NTORY STA~JS: New/ ] A~or~ [ '~ Re',,=;o= ( '~ ~iecon [ ] Ch~k gch~ is a NON U~ S~ [ ].T~ S~ [ .1 2) Cow. on N~e: .. _ 3) ~T ~ (op~o~) . CheYeNne: .~[ ] C~ ~d Ca~gon~ F~e [ ] R~cuve [ ] S~dm~ Rei~ of ~s~ [ ] ~ H~ (Ac~) [ J ~y~ H~ (C~c) [ } ~ ~).WAS~ C~S~CaTION (3~: :~e ~om D~ Fora 8022) USE CODE ~ 6) P~SIC~STA~ Solid.[ 'j Liqmd[ ] 6~{ ] P~{ ] ~-[ ']--Wg~-[~] .... 7¢ .a.MOL~T ,&~ ~ AT F.AC~Y L~5 OF N~SL~ 8) STOOGE CODES Av~age Daily .~o~t C'mes [ ] b) ~: L~gest S~e Con~ ~ Days on Site Ca-cie x~%ci Mon~: .~ Y~, ;,.F, 5q.& M, L J, & S, O, N, D 9) ~~:' List CO~ONE~ C~ % · ~ ~x~ mo~ ~do~ 1 ) [ ] I0)L~AUON believe ~e su~ ~bmuon is ~, ~mte m~d complem. PRINT Name & Title of Autl~onz~:[.Comoany Relx'e..qentanve Siglmtu~ DI~ ,-- ~' ~ .~ Page ~ C C DOUGLASS MFG INC 215-000-000467 11/17/92 overall Site with 1 Fac. Unit General information Map: 103 Hazard: Moderate Location: 231 21ST ST Grid: 30B F/U: · ~1 AOV: 0'.0 community: BAKERSFIELD STATION 04 ~ Contact Name Title Business Phone ---- 24-Hour Phone- DEBORAH DOUGLASS PRESIDENT '(805) 327-0258 x (805) 871-4897 CLINT DOUGLASS ~d~~4~J (805) 327-0258 x (805) 834-6884 Administrative Data D&B Number: Mail Addrs: 231 21ST ST State: CA Zip: 93301- City: BAKERSFIELD SIC code: Comm code: 215-004 BAKERSFIELD STATION 04 Phone: ( ) - owner: CLINT DOUGLASS State: CA Address: 908 SAN CARLOS WAY Zip: 93309- City: BAKERSFIELD summary RECEIVED ~ H~? ~T. ~tV. reviewed the attached h~md~.,us'matertals manage- . · m ...~ . ~ ~r~ns ~smme a ~mpl~e and ~rr~ me~- 11/17/92 C C DOUGLASS MFG INC 215-000-000467 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference. Number Order 02-001~GASOLINE ~ ~Liquid ' 500 Moderat~ ~Fire, Immed Hlth, Delay Hlth GAL /~ CAS ~~.''8006-61-9 Trade Secret: No ~~~~ 1,000.00 Storage /f I Pre~ T~ I Location UNDER G~K IAmbientlAmbie~ND OF SHOP/GATE A ~~ ~ ~ , MCP List Gasoline Components -~ --~orate I 02-002 XYLENE Liquid 55 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 1330207 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL , Daily Average GAL ,~ Annual Amount GAL " 55 ' J 25.00 I 330.00 Storage IIPress T Temp Location DRUM/BARREL-METALLIC IAmbient/AmbientlSOUTHEAST END OF SHOP -- Conc Components MCP List 77.0% Xylene, Mixed Moderate 20.0% Ethylbenzene Moderate 02-003 ACETYLENE Gas 200 High · Fire, Pressure, Immed Hlth, Delay Hlth FT3 CAS #: 74-86-2 Trade Secret: No . Form: Gas Type: Pure Days: FT3 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 20.0 I 200.00 I' 1,800.00 Storage j Press T Temp I Location PORT. PRESS. CYLINDER AmbientlAmbient SOUTH SIDE OF SHOP BY 20TH ST GA -- Conc Components MCP List 100.0% /Acetylene IHigh .I 11/17/92 C C DOUGLASS MFG INC 215-000-000467 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 CARBON DIOXIDE Gas 1500 Minimal · Pressure, Delay Hlth. FT3 CAS #: 128389 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 -- 1,500 I 1,500.00 I 32,400.00 Storage Press T TempI Location PORT. PRESS. CYLINDER I Ambient~AmbientlSOUTH END OF SHOP/GATE B -- Conc Components MCP List 100.0% Icarbon Dioxide Minimal I 02-005 OXYGEN Gas 300 Low · Fire, Pressure, Immed Hlth, Delay.Hlth FT3 CAS #: 7782447 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 Annual Amount FT3 300 I 200.00 I 4,800.00 Storage Press'T Temp Location PORT. PRESS. CYLINDER Ambient~AmbientlSOUTH END OF SHOP/GATE B --.Conc Components MCP List 100.0% Ioxygen, Compressed Low I 11/17/92 C C DOUGLASS MFG INC 215-000-000467 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-006 THINNER Liquid '55 High · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL B 55 I 25.00 I 330.00 Storage ~~Press T Temp Location DRUM/BARREL-METALLIC IAmbientlAmbientlSOUTHEAST END OF SHOP -- Conc Components MCP List 30.0% Acetone Moderate 15.0% Toluene Moderate 10.0%. n-Propanol Moderate 10.0%. n-Butyl Acetate Moderate 5.0% Xylene, Mixed Moderate 5.0% Methanol. High 02-007 ZINC CHROMATE PRIMER Liquid 55 Moderate · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max'GAL Daily Average GAL Annual Amount GAL 55 I 35.00 I 500.00 StorageIIPress T Temp Location METAL CONTAINR-NONDRUMIAmDientJAmDientlNORTH END OF WAREHOUSE -- Conc Components MCP List 25.0% Naphtha Solvent Moderate 15.0% Naphtha Moderate 5.0% Methyl Ethyl Ketone Moderate 3.0% Ethylene Glycol Low 11/17/92 C C DOUGLASS MFG INC 215-000-000467 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-008 PROPANE Gas 24 High W Fire, Pressure, Immed Hlth FT3 CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max FT3 Daily Average FT3 Annual Amount FT3 24 { 16.00 I 96.00 Storage Press T TempI Location PORT. PRESS. CYLINDER AmbientlAmbientlSOUTHEAST END OF SHOP -- Conc Components MCP List 100.0% IPropane IExtreme I 11/17/92 C C DOUGLASS MFG INC 215-000-000467 Page 6 00 - Overall Site <D> Notif../Evacuation/Medical <1> Agency Notification CALL 911 OFFICE OF EMERGENCY SERVICES 1-800-852-7550 <2> Employee Notif./Evacuation THE EMPLOYEES WILL BE NOTIFIED BY 1 OF 2 METHODS: 1) BY DIRECT WORD FROM THE SHOP SUPERINTENDENT OR 2) OVER OUR INTERCOM SYSTEM WHICH OUR SHOP SUPERINTENDENT CAN OPERATE FROM 2 LOCATIONS IN THE SHOP OR FROM OUR FRONT OFFICE AND CALL 911. .<3> Public Notif./Evacuation <4> Emergency Medical Plan MEDI-CENTER - 820 34TH ST - 325-6334 MEMORIAL HOSPITAL - 420 34TH.ST - 327-1792 11/17/92 C C DOUGLASS MFG INC 215-000-000467 Page. 7 00~- Overall Site <E> Mitigation/Prevent/Abatemt <1> Release' Prevention THROUGH PROPER INITIAL AND REFRESHER TRAINING, PROCEDURES FOR PROPER HANDLING OF HAZARDOUS MATERIALS, PROPER USE OF SAFETY EQUIPMENT, WHAT PROCEDURES TO FOLLOW IN THE EVENT ~OF AN EMERGENCY AND ACTUAL EMERGENCY EVACUATION PROCEDURES WE HOPE TO DECREASE THE CHANCES FOR ANY SERIOUS PROBLEMS. <2> Release Containment 1) CALL FIRE DEPARTMENT - ASK THEIR ADVICE 2) GET MSDS SHEETS 3) DEPENDING ON HAZARDOUS MATERIAL - EVACUATE SHIP IF REQUIRED 4) TRY TO CONTAIN SPILL IF FIRE DEPARTMENT SAYS OK 5) IF.A GAS IS LEAKING - FLIP NO SWITCHES - EVACUATE TRY TO SHUT OFF VALVE: DYKE OFF WITH SAND IF LIQUID <3> Clean Up 1) CALL FIRE DEPARTMENT 2) LET FIRE DEPARTMENT ANALYZE SITUATION 3) FOLLOW THEIR ADVICE PUT IN CONTAINER - LABEL HAZARDOUS - HAVE PROPER HAULER TAKE AWAY <4> Other Resource Activation 11/17/92 C C DOUGLASS MFG INC f215-000-000467 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - IN ALLEY FOR SHOP/INSIDE FENCE AT SOUTH END OF BUILDING FOR OFFICE B) ELECTRICAL - JUST INSIDE SHOP FROM GAS METER/INSIDE FENCE NEXT TO GAS METER FOR QFFICE C) WATER -/3 SHUT-OFFs IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIYATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - ?????????~ <4> Building Occupancy Level 1~/17/92 C C DOUGLASS MFG INC 215-000-000467 Page 9 00 - Overall Site <G> Training <1> Page 1 WE HAVE 20 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SAFETY TRAINING IS PART OF OUR ORIENTATION FOR, NEW HIRES. PERIODIC SAFETY MEETINGS ARE HELD FOR ONGOING REVIEW. PROTECTIVE EYEWEAR IS REQUIRED IN SHOP AREA. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON March 18, 1992. BAKERSFIELD, 93301 FIRE CFtlEF 326-3911 C.C. Douglas Manufacturing, Inc. 231 21st Street Bakersfield,' CA 93301 Attn: Ms. Debbie Douglas Dear Ms. Douglas, This is to inform you that this department has reviewed the results for the. site investigation of the unauthorized release associated with the closure of the tank located at the above stated address. Based upon laboratory data submitted and with the provisions that the information provided to this agency was accurate and representative of existing conditions it is the position of this office that no further action is required'at this time. Be advised that this letter does not relieve you of any liability under the California Health and Safety Code, or any other Federal, State,. County, .and/or City law and/or ordinance for past, present, or future oPerations. 'Nor does it relieve the property owner of the responsibility to clean up existing, additional, or previ.ously. unidentified conditions at the site which cause or threaten to · cause pollution or nuisance or otherwise pmse a threat to water quality or public health. In addition, any future changes in site use may. require further assessment or mitigation. It is the property owners responsibility to notify this department of any changes in site usage. If you have any questions regarding this matter., please contact me at (805)-326-3797. //Hazardous Ms'al Specialist Underground Tank 'Program C I'i'Y Of BAKERSFIELD ::]~HA ZAR DOg S MATERIALS INVENTORY Farm andAgticulture Fl' Standard Business NON--TRADE SECRETS PaDe BUSH 'SS NaHE:i' C,,.C. DoL4s$ v~~_ owner NaHE: · , Z DRESS' ~oN ~, c~,-m~. ,,~,,/ .- ~'~"~"~"Bl~aDstree¥ NuHBi~R . L C T~0N' ~l -~L~a-.~i ~ O .... ;, · ,.y / 9~O~L DUN AN PHON. IL : ~,~'~~~' R~i~E~' '7,0-~NSTi~i~.i~--FOR-TaROPER CODES,!. - '~ '. ' 8 'i Cunt Coot Store(I' In kac~l~tT. lr~ns !yfla ;~ax AvfrHe Annual Heasure Code tome. ~kllt A11t Est Units Physical and Health Hazard C,A,S, Number (Check 'all that apply} "Fire Hazard ~.Reactivity on mype Press lamp 7~- gG-~ Collponent II Name I C.A,5. Humber Component 12 Name I C.A,S, Number Health of Pressure Component 13 Name I C.A.S. Nullber c,A,s umber j~A~'x~vr~ ' Compone, nt'li ~Name.& C.A,S; NUmber CompOnent K Fire Hazard [] Reactivity [] D~.laa/~d' FI SUdod?nprRee~s%ar~ee Fl lmm~eda?tth · Component 13. Name l.C.A.5. Humoer · , . '1 h Ha ar C A'S. Humber v~;'7-'V~'e-' Component II Name & C.A.S. Humber , '_ . . · Fire ,azarJ [] Reactivity! I-1 (Check all that app 'i ~'--y~c~o Fire Haze [] Reactivity F! Oelayed [] Sudden Release Fl immHeedailattheCOmponent 12 Name Re and f naf r corn 1 ting all ' c ions) t, hjs.lndi'li ertifi atio a th tl~av~Tpe(s°ne fi exa111n?,~ ii familia( it ~,tinlor. matl n · "~.~.ltted Iai0! ~atl0n IS true, accurate~ ano complete, g?/-'~,~5'7 2I i CITY ot-' BAKEH I-IELL) '~-" '"'~"~J ! ] AZARDOUS MATERIALS INvENToRY Farm andAgticu!ture Fl' Standard Business NON--TRADE SECRETs ~' '---- UAUC n,; ;HYS FACILITY: 'HONE ": ~~ ' ]~ ~O.~"STRUCT~ONS~ROPp CODES lrans !yOn il4aX Av~r.ag, Annual Hens.urn i tl~e (~ont Cent Cent Us Location.¥he[e. COde ~oee :Ant Ret Est Units on ~ype PresS Temo Co3e Sterne'tn eacHtt ~vsical and Health Hazard , C.A,5, Number ~+~¢~ Coaponen~ II Name I C.A,5. Number C~eck ail that apply) i ' Component 12 ~aee I C.A,S. Number ~ Fire Hazard: ~ Reactivity ~Oelayed ~ Sudden Release ~ ~ Health' of Pressure Co~ Naeel C.A,S, Number Physical and Health ~a~ard C,A.S. Number ??~-~' Component II ,Name t C.A.a. lumber ~Check 811 :ha~ 8pp/H Component I~ Name I C-.A.S.-Number Hazard~ ' ~ Fire . } ~ Reactivity ~ Delayed '~SuddenRelease immediate Health ~ of Pressure Health Component 13 Name I C;A.S. Number Physic ~r~ard . C.A,5, Number I~-?~-~ ~. Component.Il Name ~ C, Humber ~Chec . ~ '~ R acti ~ Delayed ~Sudden Release ~ [m~i~C°mp°nent'12 Name &C,A,5. Number ~ Fire HaZer ' ;: Hen/Ch' of Pressure Component 13 Name I C.A,5, Number ~. ~-.~ Component II Name I C,A,a, Number r~~P~1" ' i Component ~FireHaza ~ ReaCtivity' ~ Oelayed '~SuddenRelease Health of Pressure Health Component 13 Name EHERGENCY CONTACTS ~1~i~ 2~t~I ' r If e onslble for i ce y : fl m tn ulr '~ ~hose ~n~lVl~U41S r sp tntormat~on. N~ ~- ~ ~~r ope~[0r's authorized reorese,U~ ' iLASS MFG INC. RECEIVED ~ Page 1 04/03/91 ~ Ove~'all Site. with 1 Fac. Ur, it JUl 1 5 1991 Gerler& 1 ' I r~fc, rmat i or~ HAT. MAT, DiV. Locati.or~: ~231 21ST SI Map: 1(])3 Hazard: ~oderate Ider~t Number: 215-000r000467 Grid: GOB Area of Vul:~ 0.0~ ~ DEBORAH DC~VER~I~5 ~~. (805) 327-0258 x ( 5 CLINT DOUGLASS ~ (805) ~c7-.)c~8 x Administrative Data Mail' Addrs: 231 21ST ST D&B Nurnber: City: BAKERSFIELD State: CA 'Zip: 9330i- Cornm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: CLINT DOUGLA~ PhOne: ( ) - ~ Address: 908 SAiq CARLOS WAY. State: CA City: BAKERSFIELD Zip: ~_~- F 'Summary . I I (]4/03/91 C OUGLASS MFG INC 215-(.')(')(i )467 Page 2 Hazmat~ Irlventory List~ in MCP O~der (])2 -, Fixed Cor, tainers ,-,n Si~e Pl rs-Ref 'Name/Hazards Form Quant ity MCP -)~.-L)L)~ ACETYLENE ~ o ]- ~-(-(-) H i gh FT3 02-008 THINNER ~ 55 Hi gh GAL D2-O~])l GASOLINE ~H~S ~' I'~ ~ ~~~ ~ 7 ~]C)~'} . Mc, derate · GAL. }2-002 XYLENE ~ . . ~ 55 Moderate GAl_ -02-007 ZINC CHROMATE PRIMER ~ ? 55 Moderate ' 02- 005 0 X Y G E N ? 300 L O w FT3 02-004. CARBON DIOXIDE _~ ? 1,~(.L)')' Mir~imal FT3 04/03/91 . '. MFG INC 215 Page 3 00 - Overall Site <D> Not if. /Evacuat ion/Medical <'1> Ager~cy Notificatior~ THE EMPLOYEES WILL BE NOTIFIED BY 1 OF' 2 METHODS: 1) BY DIRECT WORD FROM ]'HE SHOW' SUPERINTENDENT OR 2) OVER'OUR INTERCOM SYSTEM WHICH OUR SHOP' SUPERINTENDENT CAN OPERATE FROM 2 LOCATIONS IN THE SHOW' OR FROM OUR FRONT OFFICE AND CALL 911. <3> Public Notif. /Evac.uatior, <4> Er,lerger~cy Medical Plar~ MEDI-CENTER - 820 34TH ST - 325-6334 MEMORIAL HOSPITAL -. 420 34TH ST - 327-1'792 (_')4/[)3/91 C · DOUGLASS MFG INC 215'-[)( ~67 Page 4 00 - Overall Si.te <E> M i t i gat i or~/Prever~t/Abat erslt <1> Release P~evention THROUGH PROPER INITIAL AND REFRESHER TRAINING, PROCEDURES FOR PROPER HANDEING OF HAZARDOUS MATERIALS, PROPER USE OF SAFETY EQUIPMENT, WHAT PROCEDURES TO FOLLOW IN '[HE EVENT OF AN EMERGENCY AND ACTUAL EMERGENCY EVAC[JATION'PROCEDURES WE HOPE TO DECREASE ]-HE CHANCES FOR·ANY SERIOUS PROBL. EMS. <2> Release Cor, tairm~er, t <3> Clear~ Up. <4> 'Other Resource Activatior~ 04/03/r~1 JGLASS M,FG INC 21 Page O0 .- Overall Site <F> Site Erllerger~cy Factors <1> Special' Hazards <2> Utility Shut,-Offs, A) GAS - IN ALLEY FOR SHOP/INSIDE. FENCE AT SOUTH END OF BUILDING FOR OFFICE 'B) ELECTRICAL - JUST INSIDE SHOP FROM GAS METER/INSIDE FENCE NEXT TO GAS .ME]"ER FOR OFFICE C) WATER - 3 SHUT-OFFS IN ALLEY D) SPECIAL - NONE ' E) LOCK BOX - NO <3> 'Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - ?????????? FIRE HYDRANT - ?????????? <4> Hel'd for' Future use 0 0 - Over.all Site <G> TrairsirJg < 1 > Page ~ 1 WE HAVE 20 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF, SUMMARY OF <2> Page 2 as needed ' <3>' Held for Future Use <4> Held for Future Use - September 5, 1990 Ms. Deborah Beaver C C Douglass Mfg., Inc. 231 21st Street· Bakersfield, Ca. 93301 Dear Ms. Beaver: Enclosed you will find a computer printout of the Hazardous Materials Management Plan that is currently in our computer, we have highlighted the sreas 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 September 28, 1990. 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 SECT!OX 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY -~'~- A. Does this Facility unit contain Hazardous Materi ' o a.:s ....... YES NO If YES, see B. If NO, continue with SECTION 4c' ' B. Are any of tile 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 (yellow 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 : ' .... ' -..~: ..... :-.~ :~:-. ....... ,q ~-~.- · :. SECTION 5: LOCATION OF WATER: sUpPLY FOR USE BY EMERGENCY RESPO~q)ERS " ~" SECTION 6: LOCATION OF UTiLiTY SH%~f-OFFS AT THIS b~IT OXLY. " A. NAT. GAS/PROPANE": B, ELECTRICAL: D. SPECIAL: E rOCK BOX: YES NO tF YES, LOCATION: iF YES, S, ,,: PLANS? YES / .YO MSD.gs? ¥::.-~ ");O FLOOR PL-\NS? YES .," .YO KEx.'SO YES '" ~<0 - :38 - ?, '-' BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY ID# BUSINESS N~ME: C.C, Douglass Mfg.. Inc, BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A · o 1. To avoid 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 B~ELOW 4 Be as BRIEF and CONCISE as possible .... ' "- ...... : FACILITY UNIT~ 1 FACILITY UNIT N~ME: C.C' DOuglass M~g:., incl''>'':':' '.' SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDb~RES ' ' .¥ /./'~ .... · Through proper initial and re.fre.sher training, ~.proceedures-f~i. of hazardous. 'materials'; ' proper' use-'of -'safetY-:equiPment';~'What~:'~p~bc'8~eddr'es~tO' . follow in the event of an emergency and-actual· emergency eVacuation pr~ceed- ures we hope to decremse the chances for any serious, problems. SECTION 2: NOTIFICATION .~\~3 EVACUATION PROCEDb~RES 'AT THIS L~'IT ONLY The employees will be notified by 1 of 2 methods, l) by direct word from the shop superintendent or 2)' over our intercom system which our shop super- intendent can' operate from 2 locations in the shop or from our front office. " - 34. - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Doug Nelson Deborah Beaver Clint Douglass SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Medi-Center Memorigl Hospital 820 34th Street /4.20 34th Street akersfield, CA Bakersfield, CA SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH 'PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS-FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.... .................................... ~ NO :(~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES IZH RESPONSE'AGENCIES: .......................... NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ECf~ NO · NO D. EMERGENCY EVACUATION PROCEDURES: ................. (~ ~ ~NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES N~ YES (~ SECTION 7: HAZARDOUS MATERIAL CIRCLE'YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, $$ GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, Deborah Beaver ~ .certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligation~ under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.98 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. sIGNATuRE ~]-z ~J~ ITLE V.P./Mm.nager DATE ~ "=?" BAKERSFIELD CI~ FIRE DEP~T~ENT " ..~ 2130 "G" STREET .f' BAKERSFIELD, CA 93301 /' (805) 326-3979 OFFICIAL USE ONLY f BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 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 NAME: C.C. DOUGLASS MFG.,' INC. B. LOCATION / STREET ADDRESS.: 231 2ist Street~ CITY: Bakersf~ld, CA ZIP:. 93~0i BUS.PHONE: ( 805 ) 327-02~8 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. Dou~ Nelson Ph# ~27-07~8 Ph# 366_59~ B. Deborah Beaver Ph# 327-0258 Ph# ~99-3624 C. Clint Douglass ._ ~27-0258 834-6884 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: in alley for shoD/ inside fence afl sou~h end of bu~]d~r~'for off, ce B. ELECTRICAL:~us% inside ~hoo from ~as meter/ins~bc~ence next tn ga.~ mater Far ~f~e C. WATER: ~ shufi-offs in alley D. SPECIAL: E. LOCK BOX: YES / ,~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO 2A - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # 95-2078058 FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY i of '1 BUSINESS NAME: C.C. Douglass Mfg,, Inc. OWNER NAME: Clint DouMlass FACILITY UNIT #: 1 ADDRESS: 2_32 gist Street ADDRESS: 908 San Carlos Way FACILITY UNIT NAME: Bakersfield CITY, ZIP: Bakersfield.. CA 9_3_301 CITY,ZIP: Bakersfield: CA 9_3309 PHONE ~: '327-025~ PHONE #: ~_34-6~84 [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 . WT. CHEMIqAL OR COMMON NAME CODE GUIDE {}')M 500 gal 1000 ga: gal 01 19 West end of shop just inside _~ate"A" {~ Gasoline (Re~lar & Unle~ed) .~FLLQ 06 Southeast end of ~op 77 Xylene ~ FL~ 330 gal 29 Southeas~ end of shop ~ p 2100Cylc.F. 3®6 Cylc.F. FT3 04 42 just inside gate "B" {$O Acetylene / ~/~ ~ FLGS 5 cyl 75 c'yl South end of shop insid ~ C~bon Dioxide / ~ NF~ P 300 C.F. 4320 C.F, FT3 04 42 Gate "B" to West p 3 cyl 12 cyl FT3 04 42 South end of shop insid {~ Oxygen ~Q~ ~ NF~ 100 C.F. 400 C.F, Gate "B" to West _ P 55 gal 330 gal gal 06 08 Southeast end of shop 7 Thinner --P 10 gal ' 85 gal gal 13 , 29 East side of paint boot 7 Reducer (Acrylic Entel Reta~er) FL~ -- P 2 gal ~ gal gal 13 08 Southeast end of shop 6 Solvent (W~ & Grease Remover) FLLQ North end of warehouse M 50 gal 500 gal gal 13 29~ Ease end of Prime booth 11 Zinc C~omate Primer CM~ NAME:. be_bo, rah Beaver TITLE: V.P./Man~er SIONATURE: , T I TLE: Shop Superintendent EMERGP. N'~V CONTACT: Doug Nelson E~ERGE~NC ONTACT: Deborah Beaver TITLE:..y.P./ Mana~zer PRPNCIPAL B~SINESS ACTIVITY: Truck'Body M~Dufaet~in~ DATE: 6/23/87 PHONE # BUS HOURS: 327-02~8 AFTER BUS HRS: 366-5944 PHONE # BUS HOURS: __327.0258 AFTER BUS HR$: . 39_9.-_3_52b~