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Home My WebLink AboutBUSINESS PLAN 6/26/2000 Hazardous Materials/Hazardous Waste Unified Permit .~ CONDITIONS OF ~PERMIT ON REVERSE SIDE This _~=ermit is issued,,for the following; [] Hazardous Materials Plan E] Under, round S~orage of Hazardous Mat~als Permit iD #:: 015-000-000729 n Risk Management Program KOOL AUTO AIR REPAIR ~ H,,,=,~ou. w,,~ o.-s.,,'r~t LOCATION: 1215 30TH ST OFFICE OF ENVIRONMENTAL SER VICES' ' Bakersfield, CA 93301 ~ofEv~S~ic~ Voice (661) 326-3979 F~ (661) 326-0576 Exp~tionDate: '~Un~ 30~ 2OO~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... ~,,~,~,,,,?~:~,,,~,~=~,~,~,~, ......... This permit is issued for the following: ~,~ ~'?i??~i:! ;;i:!i::i ii:iiii:::iii:::ii:::ili:;:iii:::iii:;il !i !!!!i!: ~:!~Hazardo~s Materials Plan ~:,,~"~'ii=?.i.~!i~,,i?:'''~'':::~:::ii ~:iill !i~ iii?:?il}i~ii~e[ground Storage of Hazardous Materials PERMIT ID. 015-0214)00729 ~i~*ii=!;, !.~i;~'!!~-;iii:~:iiiii:i!iiii?? !!!?! :ii!: :i!!i~-i~!ii!!i,,i!!!!!!!::::,::!il}i=~iiiii~!~kii~nagement Program KOOL AUTO AIR REPAIR ~?/??{~'~' Waste LOCATION 1215 30TH ill__ : -- ".:~ '~: ~, ~ ~:~ ~ ~,:,, , ............. ~?~¢ ~%, '~'~;:; ,~F..."-.. '~ :~:,'"'.--.....~ . .... '..~,~'~ ]s~ by: Baker,field Fke Depa~ment Approv~ by: ' B~e~fiel& CA 93301 Voice (805) 32~3979 F~ (80s)~26-057b Expiration Date: ~n~ ~0~ ~000 .~ORTH SCAt,--: ~ (C:~ECR ONE} SITE ~IAGR.~[ ~.L~ ,,, :nspec~o~'s Commen~): · -OFF:C:A~ L'SZ ONLY- 4 prtnc:pie bu~ldin~ by the St~t ~umoers. 10. MSD8 Stor=~e Areas adjacent .to the Z2. Fence or Barrier prooercy. Include the a. Wire b. ~8.onr~ 3. Storm Ora/ns. Culverts. Y~ ~ralns c. 4. ~rnlna~e Canals. ~ltcaes. d. Cr~Ss. ~. Buildings b. ~8son~ consc~cc~on i~. Stors~ Tanks: . ldenclf7 the c. ~ec~ ~nsc~cc2on ~ci~ In ~l. a. ~ ~und d. ~ma Door : b. T. ~ Suopms/oa ~C~: l~on b. FI~ 9~ri~L~ 19. ~tde ~~ ' c. Pl~ S~doipe ~. ~u/de ~or ~c~c~on s~c~m ~ceri~/W~ce F - rl~OAe ~ - ~LasAve L - ~d a - 0 - Waste B - ~tlolo~AcaA ~gAe: Fl~bAe LA~d - FAC~LI~ OTAG~ (R~lr~ ~tems In addition Co the abo~e) 1. Rtse~ for Sprt~Aers 8. Fi~ Kacnp~ ~. ~C81~ays: Indicate cbs 10. l~els se~ from hl~esc Co lo.sc. Il. Inside ~oua 3Co~ge ~,' 4. Escalacor: Ifld/cace C~e - levels se~ed ~r~. 12. Inside hlgflesC Co lo.sc. ~acerlala f~ora~ ~. Elevator 11. laside aazardous Nacerlais Use/Hanoi 6. At,lc 14. S~r 9rain 7. Sky i l~cs SITE/FACILITY D I AGRA~I FORM · FL( : OF NORTH SCALE: SINESS NAME: (CHECK o~E) SI~Dr^CR~', / FACI~. DIACR.~ Inspector's Comments): -OFFICIAL USE ONLY- - SA - SITE D~AGRAM (Req[~ items) - ~ 1. Address: ]dentl~y ~Ae 9. geck (key) Box p~lnc~ple buildings by ~Ae S~ee~ numbers. 10. HSDS S~o~age Box 2. Street(s), Alleys, I1. Railroad Tracks Drivewaye,, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. b. Masonry 3. Storm Drains, Culverts, Yard Drains c. Wood 4. Drainage Canals. Ditches, d. Gates Creeks, 13. Powerllnes S. Buildings a. Frame conutruction 14. Guard Station b. Masonry construction 15. Storage Tanks: Identify the c. Metal construction capacity in gal. a. Above ground d, Accesn Door b. Undergrouud 6. Utility Controls a; Gan 16. Diking or Berm b. Electricity 17. Evacuation Route c. #star '~ 18. Evacuation Area: Identify the ?, Fire Suppression Systems: location where a. Fire Hydrauts eaployeea will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c; Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves 21. Outside Hazardous for protection systems Material Use/Handling e. Fire Pu~p 22. Type of Hazardous Material/Waste Stored 8. Fire Department Access or Used (See Below) TYPE OF HAZARDOUS MATERIAL F - Flammable E - Explosive L - Liquid R - Radiological C - Corronlve 0 - Oxidizer O - Gar P · Poison Water Reactlve T - Toxic S - Solid H - Cryogenic O - Waste B - Etiological Example: Flammable Liquid - FL FACILITY OIAORA~ (Required ltnml in addition to the above) 1. Risers for Sprinklers 8. Fire Escapee Partitions 9. Air Conditioning Unite 3. Stairways: Indicate the 10: Windows levels nerved From highest to lowest, 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. lnnide Hazardous highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access 14. Se~r Drain Inlets 7. Skylights KOOL AUTO AIR REPAIR SiteID: 0i5-021 000729 'Manager: BusPhone: (661) 325-5559 Location: 1215 30TH ST Map : 103 Com~az : Minimal City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BA~RSFIELD STATION 04 SIC Code:7538 EPA Nu~: DunnBrad: ~er~ency Cpntaqt / Title Emergency Contact / Title ~N;~'~..~.~f~N~ SHOP MANAGER MARLOWE KLEIN / OWNER BuSiness p~hone: i~661) 325-5559x Business Phone: (661) 325-5559x 24-Hour Phone : (661)~~[_~_~ 24-Hour Phone : (661) 872-0221x Pager Phon~: (~;)~~~ P~~- (~)~~? Hazmat Hazards: Fire Press ImmHlth Contact : MARLOWE KLEIN Phone: (661) 325-5559x MailAddr: 1215 30TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner MARLOWE KLEIN Phone: (661) 872-0221x Address : 12511 LENE PL State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: (Type o~ revio~ved the attached hazardous mmerials manag~ mere plan for~~ ~ ~d ~hm i~ along ~ith (~ ~ B~) any ~ions ~n~i~e a ~mp~ete and corr~ man- agement plan far my fadli~y. 1 ,, 08/22/2003 KOOL AUTO AIR REPAIR- SiteID: 015-021-000729 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpeoHazlEPA Hazardsl Frm DailyMax IUnitlMcP ACETYLENE E F P IH G 140.00 FT3 Hi OXYGEN F P IH G 140.00 FT3 LOw FREON F P IH G ,~~FT3 Min ARGON F P G -~67~6 FI3 Min ARGON/CARBON DIOXIDE F P IH G 336.00 FT3 Min 2 08/22/2003 DOL AUTO AIR REPAIR SiteID: 015~021-000729 Inventory Item 0005 Facility Unit: Fixed Containers on Site ~-.C~MMON NAME / CHEMICAL NAME Location within this Facility Unit Grid: ~ OF BLDG %%%.Map CAS# [ST T T MP =TO CONTaINeR Gasl~u~e I ~ove ~SengI , ~O~TS,AT THIS~LOC~TION Largest Container I Daily Maximum I Daily Average ~ZARDOUS COMPONENTS ~Z~D ASSESSMENTS TSecretl ~SIBi°HaZNo N No Radi°active/Am°unt I 'EPA HazardsNo/ Curies F P IH ~I/o/'NFPA USDOT~ I MCP = Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON N~E / CHEMICAL N~E ARGON Days 0n Site 365 Location within this Facility Unit Map: Grid: ~-~ SW CO~ER OF BLDG CAS~ 7440-37-1 ~ STATE -- TYPE PRESSURE, TEMPE~TURE CONTAINER TYPE ~Gas Pure '~ove A~ient ~ A~ient PORT. PRESS. CYLINDER ~O~TS AT THIS LOCATION [ Largest Container [ Daily Maximum Daily Average 336.00 FT3~ 336.00 FT3 300.00 FT3 ~ ~Z~DOUS COMPONENTS %Wt. N~SI CAS~ 100.00 Argon 7440371 ~ZARD ASSESSMENTS TSecret~ ~SIBioHaz Radioactive/Amount EPA HazardsI NFPA. ~ USDOT~' MCP No N No No/ Curies F~ P / / / Min -5- 08/22/2003 KOOL AUTO AIR REPAIR SiteID: 015-021-000729 ~ Inventory Item 0005 Facility Unit: Fixe~ Containers on Site ~U~U~ ~v~ / ~£~ FREON Days On Site 365 Location within this Facility Unit Map: Grid: ~E OF BLDG CAS# ~ 75-71-8 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average ~~~ ~ ~I :~?"~ '~ FT3 ~ ~i~' "-'~'~'~ FT3 HAZARDOUS COMPONENTS 100.00 Dichlorodi£1uoromethane N 75718 HAgARD ASSESSMENTS TSecretINO N~S I Bi°HazINO Radioactive/AmountNo/ Curies EPAF P HazardsIIH NFPA/// USDOT# MinMCP = Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 ARGON Days On Site 365 Location within this Facility Unit Map: Grid: SW CORNER OF BLDG CAS# .- . 7440-37-1 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 336.00 FT3I 336.00 FT3 300.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS~ 100.00 Argon N 7440371 HAZARD ASSESSMENTSI TSecretoRS,Bi°Haz,I ' Radioactive/Amount EPA Hazards, NFPA USDOT# MCP No N No No/ Curies F P / / / :-. Min -5- 08/22/2003 KOOL AUTO AIR REPAIR SiteID: 015-021-000729 Fast Format ~ Mitigation/Prevent/Aba~emt Overall Site -- Release Prevention 03/17/1992 KEEP ALL HAZARDOUS MATERIAL STORED IN PROPER CONTAINERS. NO SMOKING AREAS OF STORAGE. --Release Containment 06/05/1997 ALL'WELDING CYLINDERS ARE CHAINED' OR HELD IN PROPER CARTS. -- Clean Up 06/05/1997 CALL WELDING SUPPLY HOUSE, '~Z~-~---~i~-~2S OR AIR LIQUID. THEY WILL REMOVE DEFECTIVE CYLINDER. Other Resource Activation 8 08/22/2003 KOOL AUTo AIR REPAIR iRW. ,EIVED SiteID: 215-00070,00729 Manager : ~ JUN ~ 6 2000 · BusPhone: (805) 325-5559 Location: 1215 30TH ST ///?- Map : 103 CommHaz : Minimal City : BAKERSFIELD ' Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title MICHAEL BLACKFORD / SHOP MANAGER MARLOWE KLEIN / OWNER Business Phone: (805) 325-5559x Business Phone: (805) 325-5559x 24-Hour Phone : (805) 833-8783x 24-Hour Phone : (805) 872-0221x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact: ~/~~~ -~<~"'~'~'~ Phone: (~)~---~ MailAddr: 1215 30TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner MARLOWE KLEIN Phone: (805) ~27 31DO~ ~ State: CA ~ ~~ Address : 2~ ~i~,~, ,~~~_~7~ J ~ , City : BAKERSFIELD Zip : --~Z~9~-~~ Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List ~ -- As Designated Order Ail Materials at Site ~ Hazmat Common Name... ISpeoHazlEPA HazardsI Frm Daily~ax UnitlMcP ARGON F P G 336.00 FT3 Min OXYGEN F P IH G 140.00 FT3 Low ACETYLENE F P IH G 140.00 FT3 Hi ARGON/CARBON DIOXIDE F P, IH G 336.00 FT3 Min reviewed the a~ached hazardous materials rna~age- ment plan forV~e~ kl~-~lI~nd that it along with · (Name of Business) any corrections constitute a complete and correct rnan; agement plan for my facility. ~ Date 06/13/2000 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ARGON Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHWEST CORNER OF BLDG CAS# 7440-37-1 STATE i TYPE PRESSURE[TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS.'CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 336.00 FT3 300.00 FT3 HAZARDOUS COMPONENTS %wt. RN~oRS CAS# 100.00 Argon 7440371 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards I NFPA USDOT# MCP No N° No No/ Curies F PI / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on.Site OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHWEST CORNER OF BLDG CAS# 7782-44-7 Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum ~ Daily. Average FT3 ~ 140 00 FT3 140.00 FT3 HAZARDOUS COMPONENTS 100.00 Oxy et, Compressed ~ N 7782447 HAZARD ASSESSMENTS ITsecret RS BioHazl Radioactive~Amount EPA Hazards NFPA I USDOT# MCP No No No No/ ~ Curies F P IH / / / Low 2 06/13/2000 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this FaCility Unit Map: Grid: SOUTHWEST CORNER OF BLDG CAS# 74-86-2 F STATE i TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~FT3 140.00 FT3 140.00 FT3 HAZARDOUS COMPONENTS %Wt. I RSI CAS# 100.00 Acetylene Yes 74862 .,HAZARD ASSESSMENTS iTSecret RS BioHaz, Radioactive~Amount, EPA Hazards, NFPA USDOT# MCP No N°llINo No/ Curies F P IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL NAME ARGON/CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: SOUTHWEST CORNER OF BLDG ~ CAS# 7440-37-1 ~ TYPE F STATE PRESSURE TEMPERATURE CONTAINER TYPE /Gas IMixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 336.00 FT3 336.00 FT3 H~ZARDOUS COMPONENTS %Wt. ~S CAS# 75.00 Argon N 7440371 25.00 Carbon Dioxide · No 124389 HAZARD ASSESSMENTS I TSecret RS BioHaz RadiOactive/Amount EPA Hazards NFPA USDOT# MCP No N° No No/ Curies F P IH / / / Min -3- 06/13/2000 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME FREON Days On Site 365 Location within this Facility Unit Map: Grid: NORTHEAST OF BUILDING CAS# 75-71-8 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTs AT THIS LOCATION ~Largest Container Daily Maximum Daily Average FT3 122400.00 FT3 122400.00 FT3 ZARDOUS COMPONENTS Wt. I CAS# 100.00 Dichlorodifluoromethane N 75718 HAZARD ASSESSMENTS TSecret N~SIBioHazl Radioactive/AmountI EPA Hazards I NFPA USDOT# MOP No No No/ Curies F P IH / / / Min -4- 06/13/2000 F KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format ~ Notif./EVacuation/Medical Overall Site --Agency Notification 03/17/1992 CALL'911 -- EmplOyee Notif../Evacuation 03/17/1992 IN CASE OF A FIRE OR OTHER EMERGENCY MARLOWE KLEIN, OWNER, WOULD YELL TO EMPLOYEES TO EXIT BUILDING. IWOULD THEN TAKE A HEAD COUNT AND THEN CALL 911. Public Notif../Evacuation 03/17/1992 -- Emergency Medical Plan ' 06/05/1997 MEDICAL EMERGENCY WOULD BE HANDLED BY THE HOSPITAL LOCATED 1/2 MILE NORTH EAST OF BUSINESS. -5- 06/13/2000 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format ~ Mitigation/Prevent/Abatemt ,Overall Site -- Release Prevention 03/17/1992 KEEP ALL HAZARDOUS MATERIAL STORED IN PROPER CONTAINERS. NO SMOKING AREAS OF STORAGE. --Release Containment 06/05/1997 ALL WELDING CYLINDERS ARE CHAINED OR HELD IN PROPER CARTS. -- Clean Up 06/05/1997 CALL WELDING SUPPLY HOUSE, HALL BRIGGS OR AIR LIQUID. THEY WILL REMOVE DEFECTIVE CYLINDER. Other Resource Activation 6 06/13/2000 F KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 01/07/1990 A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - INSIDE SHOP C) WATER - WEST SIDE OF OFFICE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT THE BUILDING FIRE HYDRANT - NORTHEAST CORNER OF 30TH & M STREET SOUTHEAST CORNER OF 29TH AND M STREET Building Occupancy Level -7- 06/13/2000 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format ~ Training Overall Site -- Employee Training 06/05/1997 WE HAvE 1 FULL TIME EMPLOYEE AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OFTRAINING PROGRAM: EMPLOYEE KNOWS WHERE MATERIAL SAFETY DATA SHEETS ARE. HE HAS READ THEM AND UNDERSTANDS THEIR CONTENT. HE ALSO HAS BEEN TRAINED I~HANDLING OF HAZARDOUS MATERIALS IN SHOP. Page 2 -- Held for Future Use Held for Future Use -8- 06/13/2000 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Manager : ' Ill! JUN ~7997 ~ BusPhone: (805) 325-5559 Location: 1215 30TH ST ~ ~ Map : 103 CommHaz : Minimal City : BAKERSFIELD (~y~_____ Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title eH~S ri¢~iQUI~ / ~>-~~~ MARLOWE KLEIN / OWNER Business Phone: (805) 325-5559x Business Phone: (805) 325-5559x 24-Hour Phone : (805)~ -~'~x 24-Hour Phone : (805) 872-~x~ Pager Phone : ( ) - x Pager Phone() ~ Hazmat Hazards: Fire Press ImmHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazm~t Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitIMCP ACETYLENE F P IH G 140 FT3 Hi OXYGEN F P IH G 140 FT3 Low FREON F P IH G 122400 FT3 MiL ARGON F P G 336 FT3 MiL ARGON/CARBON DIOXIDE F P IH G 336 FT3 Min ' 0 I,~~t~E._ ~]~,~D hereby cerU~/~ha~ ! have ('i'~ ~ p~int n~)' reviewed the a~ach~d h~ardous mate~als man~e- mere plan for~e~~ ~,~ and ~hat i~ along ~ilh (~ of Busi~) - any corre~ions ~nsU~u~e a comple~s and corre~ man- agemem plan ~or ~ facili~. 1 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit SOUTHWEST CORNER OF BLDG CAS# 74-86-2 rSTATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 140.00 140.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS EHS CAS# %Wt. 100.00 Acetylene No 74862 -2- 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit SOUTHWEST CORNER OF BLDG CAS# 7782-44-7 rSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas PureIi Above AmbientIi Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 140.00 140.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. 100.00 Oxygen, Compressed -3- 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME FREON Days On Site 365 Location within this Facility Unit NORTHEAST OF BUILDING CAS# 75-71-8 rSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas PureIi Above AmbientI~ Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 122400.00 122400.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHSI CAS# 100.00 Dichlorodifluoromethane [No ~ 75718 -4- 05/16/1997 KeeL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ARGON Days On Site 365 Location within this Facility Unit SOUTHWEST CORNER OF BLDG CAS# 7440-37-1 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 336.00 300.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Argon No 7440371 -5- 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ARGON/CARBON DIOXIDE Days On Site 365 Location within this Facility Unit SOUTHWEST CORNER OF BLDG CAS# 7440-37-1 FSTATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas MixtureIi Above AmbientIi Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 336.00, 336.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 ~A~A~UU~ %Wt. EHS CAS# 75.00 Argon No 7440371 25.00 Carbon Dioxide No 124389 6 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format Notif./Evacuation/Medical Overall Site Agency Notification 03/17/1992 CALL 911 -- Employee Notif./Evacuation 03/17/1992 IN CASE OF A FIRE OR OTHER EMERGENCY MARLOWE KLEIN, OWNER, WOULD YELL TO EMPLOYEES TO EXIT BUILDING. I WOULD THEN TAKE A HEAD COUNT AND THEN CALL 911. -- Public Notif./Evacuation 03/17/1992 Emergency Medical Plan 03/17/1992 MEDICAL EMERGENCY WOULD BE HANDLED BY THE HOSPITAL LOCATED 1/2 MILE NORTH EAST OF BUSINESS -7- 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 03/17/1992 KEEP ALL HAZARDOUS MATERIAL STORED IN PROPER CONTAINERS. NO SMOKING AREAS OF STORAGE. -- Release Containment 03/17/1992 ALL WELDING CYLINDERS ARE CHAINED OR HEL~ IN PROPER CARTS. -- Clean Up 03/17/1992 CALL WELDING SUPPLY HOUSE, HALL BRIGGS OR HEY WILL REMOVE DEFECTIVE CYLINDER. Other Resource Activation -8- 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 01/07/1990 A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - INSIDE SHOP C) WATER - WEST SIDE OF OFFICE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT THE BUILDING FIRE HYDRANT - NORTHEAST CORNER OF 30TH & M STREET SOUTHEAST CORNER OF 29TH AND M STREET Building Occupancy Level -9- 05/16/1997 KOOL AUTO AIR REPAIR SiteID: 215-000-000729 Fast Format = Training Overall Site -- Employee Training 01/07/1990 WE HAVE 1 FULL TIME EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEE KNOWS WHERE MATERIAL SAFETY DATA SHEETS ARE. HE HAS READ THEM AND UNDERSTANDS THEIR CONTENT. HE ALSO HAS BEEN TRAINED IN HANDLING OF HAZARDOUS MATERIALS IN SHOP. Page 2 Held for Future Use HelO for Future Use -10- 05/16/1997 --, RECEIVED 02/27/92 ~ KOOL AUTO AIR REPATR 215-000-000729 Page 1 Overall Site with 1 Fac. Unit HAR 5 1992 General Information A~$'d ............ .. Location: 1215 30TH ST Map: 103 Hazard: Minimal Community: BAKERSFIELD STATION 04 Grid: 19C F/U: 1 AOV: 0.0 CHRi~ontact NameI Title i Business Phone~ 24-Hour Ph~ne- ' ENRIQUIZ . '""'...-':-' (805) 3~5-5559'x Administrative Dat'a~- Mail Addrs: 1215 30TH ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION '04 .SIC Code: 7538 Owner: MARLOWE KLEIN Phone: : (~' ~ Address: 2317 DRACENA State: CA City: BAKERSFIELD. Zip: 93304- Summary ~v~®w~d ~he a~ached hazardous materials manage- ~n~ c~rr®c~ion$ constitute a compl~, and ~rm~ man- ~m~n~ p~n for my fa~y. 02/27/92 KOOL AUTO AIR REPAIR 215-000-000729 Page 2 02 - Fixed .Containers on Site· Hazmat Inventory Detail~in Reference Number Order 02-001 ARGON Gas 336 Minimal · Fire, pressure FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 Daily, Average FT3 Annual Amount FT3 336 I 300.00 ----~ 672.00 Storage~ PressT Temp~ Location PORT. PRESS. CYLINDER IAbove IAmbientlSOUTHWEST CORNER OF BLDG -- Conc Components MCP List 100.0% IArgon [Minimal I 02-002 OXYGEN Gas~ 140 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form:-Gas Type: Pure Days: 365 Use: WELDING SOLDERING -- Daily Max FT3I , Daily Average FT3 ~ Annual Amount~FT3 140 ~ 140.00 280.00 Storage~ Press T TempI Location PORT. PRESS. CYLINDER IAbove /AmbientlSOUTHWEST CORNER OF BLDG -- Conc Components MCPj List 100.0% IOxygen, Compressed IL°w I 02-003 ACETYLENE Gas 140 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3140I~ Daily Average 140.00FT3 I Annual Amounti 280.00FT3 -- Storage Press T Temp~ Location PORT. PRESS. CYLINDER· Above ~AmbientlSOUTHWEST CORNER OF BLDG -- Conc Components · ~ MCP List 100.0% IAcetylene ' IHigh I 02/27/92 KOOL AUTO AIR REPAIR 215-000-000729 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ARGON/CARBON'DIOXIDE Gas 336 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Mixture Days: 365. Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 -- 336 I 336.00 336.00 Storage Press T TempI Location PORT. PRESS. CYLINDER Above I AmbientlSOUTHWEST CORNER OF BLDG· -- Conc Components ,MCP iList 75..0% IArgon Minimal 25.0% Carbon Dio~xide Minimal 02-005 FREON Gas 122400 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 75-71-8 Trade Secret: 'No Form: Gas Type: Pure ~ Days: 365 Use: ADDITIVE Daily Max FT3I' Daily Average FT3 I Annual Amount FT3 122,400 I ' 122,400.00 122,400.00 Storage Press T Temp ' Location PORT. PRESS. CYLINDER IAbove /AmDiontlNORTHEAST OF BUILDING -- Conc Components, MCP ---~List 100.0% [Dichlorodifluoromethane IMinimal '1 02/27/92 KOOL AUTO AIR'REPAIR 215-000-000729 .Page 4 00 - Overall Site ~ <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN CASE OF A FIRE OR OTHER EMERGENCY MARLOWE KLEIN, OWNER, WOULD YELL TO EMPLOYEES TO EXIT BUILDING. I WOULD THEN TAKE A HEAD COUNT AND THEN CALL 911. <4> Emergency Medical Plan MEDICAL EMERGENCY WOULD BE HANDLED BY THE HOSPITAL LOCATED 1/2 MILE NORTH EAST OF BUSINESS 02/27/92 KOOL AUTO AIR REPAIR 215-000-000729 Page b 5 . 00.- Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention KEEP ALL HAZARDOUS MATERIAL STORED IN PROPER CONTAINERS. NO SMOKING AREAS OF STORAGE.. ~LL WELDING CYLINDERS A~E CHAINED OR HELD IN PROPER CARTS. IF. ANY LEAKAGE SHOULD OCCUR AT VALVES. ~CALL WELDING SUPPLY HOUSE, .HALBRIGGS OR HOPPERS. THEY WILL REMOVE DEFECTIVE CYLINDER.~ <2> Release Containment <3> Clean Up <4> Other Resource Activation 02/27/92 KOOL AUTO AIR REPAIR 215-000-000729 Page 6 00 - Overall Site ~ <F>.Site Emergency Factors <1> Special,Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - INSIDE SHOP C) WATER - WEST SIDE OF. OFFICE D) SPECIAL - NONE E) ~LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT THE BUILDING FIRE HYDRANT ~ NORTHEAST CORNER OF 30TH & M STREET SOUTHEAST CORNER OF 29TH AND M STREET <4> Building Occupancy Level 02/27/9~ KOOL AUTO AIR REPAIR 215-000-000729 Page 7 00 - Overall Site ~ <G> Training <1> Page 1 WE HAVE 1 FULL TIME EMPLOYEE AT THIS FACILITY WE HAvE MATERIAL SAFETY DATA SHEETS ON FILE 'EMPLOYEE KNOWS WHERE MATERIAL'SAFETY DATA SHEETS ARE. HE HAS.READ THEM AND,UNDERSTANDS THEIR CONTENT. .HE ALSO HAS BEEN TRAINED IN HANDLING OF HAZARDOUS MATERIALS IN SHOP. <2> Page 2 as needed <3> Held for Future Use <4> Held fOr Future Use ..? ~. -~" ~0,~, CITY o~' D · -,~~ ~""~ii~ (ty~e or prin~ name) Po ~e~eb~~ oe:~ ~-' _~ that I have reviewem the attached Hazardous Naterials business Dian (~&me o¢ bus&~ess) and that. it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. sz~na~ur.e ~ate . %0w6 CITY of BAKERSFIELD NO N-- t RAD E S E C R E TS ' Pq,.,[_of LOCATION: /~./~ c~ ~ - A~RESS: ~j ~ ~~AA,J~ STANDARD IND. CLASS CODE CITY, ZIP:' - ~ ~ ~~/ CITY, ZIP~ ~ ' ~ ~~ DUN AND BRADSTREET NUHBER ~ith of P~ ~lth H~lth of P~su~ ~lth .... (C~k all t~t rely) " _ ...... H~lth of Pr~sure Health Ce~tficati~ (Read and sign after completing all.sections) . ' II~rtify ~der mlty of law t~t [ ~ve ~rsmeltyexamm~ end ii fNiliar .1th tM Jnfor~tJm su~itt~ iff this ~ ill IttKi ~ts, ~ t~t ~s~ m W i~i~ of t~l t~tvi~ll CITY of BAKERSFIELD ~lth of P~ ~lth ~lth of ~ ~lth ............. _.jL_I ._1 ..L i I i .... ! i I ,,, I ........................... (C~k eli tMt rely) ~lth of P~ ~lth ................. ' BUSINESS NAME KOOL ~UTO AIR REPAIR I0 NUMBER LOC~TION 1~1S 50TH ST HIGH HAZARD R~tTING I. OYERVIE~ LAST CHANGE 04107/88 BY TERRY JURIS CODE Z15-(~)4 SURIS BAKERSFIELD STATION 04 HAP PAGE l~3 GRID I-9£ FACILITY UNITS 1 HAZARD RATING'I RESPONSE SUMMARY 2A SEC 4: 2 FIRE-EXTINGUISHER IN BUILDING EMERGENCY CONTACTS ZR SEC CHRIS ENRIQUIZ 3?5-5559 OR UTILITY SHUTOFFS ~ SEC -~: A) N~T. 0AS: WEST GIBE 0F BUILBING; B) ELECTRICAL INSIDE SHOP~ C) ~TER: ~EST SIDE OF OFF'ICE; ~) SPECi~L: NONE~ E) LOCK BOX: NO. 2. NOTIFICATIO_N Z_~UBL. iC_EVACURTION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 1Z/27/88 t?:Zl MATERIAL SRFETY DATR SYSTEMS, INC. (805) G48-GB(~ ,iBUSINESS NAME KOOL AUTO AIR REPAIR ID NUMBER Z1S-000-OOO?ZB t. OCRTION ~IS 30TH ST HIGH HAZARD RRTIN~ 3. HRZ MAT TRAINING SUMMARY LRST CHANGE / / BY 4, LOCAL E~IERGENCY MEDICAL ASSISTANCE LAST CHANGE (~4/e?/88 BY TERRY 2R SEC 5: MEDICAL EMERGENCY {JOULD BE HRNDLED BY THE HOSPITAL LOCATED 1/Z MILE NORTH EAST OF BUSINESS PAGE Z 12/2'7/88 MATERIAL SAFETY DATA SYSTEMS, INC. BUSINESS NAME KOOL AUTO AIR REPAIR ID NUMBER 215-O(Z~-(~)OTZ9 LOCATION 1Z15 ~OTH ST HIGH HAZARD RATING 1 E. MITIGATION / PREVENTION /'ABATEMENT LAST CHANGE 04/0?/88 BY TERRY 3A SEC 1: KEEp ALL HAZARDOUS M~TERI~L STORED iN PROPER CONTAINERS, NO SMOKING AREAS OF STORAGE. ALL YELDING CYLINDERS PRE CHAINED OR HE-LB iN PROPER CARTS. IF ANY LEAKAGE SHOULD OCCUR ~T VALVES. CALL WELDING SUPPLY HOUSE, HAL BRIGGS OR HOPPERS. 'THEY WILL REMOVE DEF. CYLINDER. ' PAGE 5 t~IZ?/SB I?:Zi MA~ERI~I_ S~FETY D~TR SYSTEMS, INC. (805) 64e-GB~ ~ ~ ~BOSINESS NhHE KOOL. ~UTO ~IR REPBIR IO NUMBER 21S-000-0~07ZB ' LOC~TION 1215 30TH ST HIGH H~Z~RD'RfiTING B. FIRE PROTECTION- / ~TER SUPPLIES LRST CHANGE / / BY < NO INFORMRTION RE(~ORDED FOR THIS SECTION D. EMPLOYEE NOTIFICRTION / EVRCUATION LRST CHRNGE 04/0?/88 BY TERRY JR SEC Z: iN CRSE OF R FIRE OR O'rHER EMERGENCY MRRLOWE KLEIN; O~NER, WOULD YELL TO EMPLOYEES TO EXIT BUILDING, I WOULD THEN TRKE R HEAD COUNT RND THEN. CRLL 91I. P~GE 4 12/27/88 M~TERIRL S~FE'FY DAT~ SYSTEMS, INC. <Bm) 648-.6800 BUSINESS NAME KOOL AUTO AIR REPAIR " ID'NUMBER ~t5-0~-~7Z9 LOCRTION 1215 30TH ST H~GH H~ZARD RATING ! FACILITY UNIT R. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 04/07/88 BY TERRY ID TYPE NAME MAX AMT UNIT HRZRRD LOCATION CONTAINMENT USE ! PURE ARGON 33G FT3 NONE SE CORNER' PORTABLE PRESS. CYL. UELOING/SOLDERING ID PERCENT COMPoNENTs HRZARD LIST 1365.00 1 (Z~'. 0 RRGON NONE Z PURE oXYGEN 140 FT3 HIGH sE CORNER PORTABLE PRESS~ CYL, UELDING/SOLOERING ID PERCENT COMPONENTS H~ZARD LIST Z359,~ i00,0 OXYGEN., COMPRESSED HIGH 3 PURE RCETYL. ENE t4~ F'T3 EXTREME SE CORNER PORTRBLE PRESS, CYL., ~ELDING/9OLDERING ID PERCENT COMPONENTS HRZRRD LIST lZ41,~ 1~,~ RCETYLENE EXTREME ~ MIXTURE ~RGON-C~Z 336 FT3 LOg SE CORNER PORTABLE PRESS. CYL, UELDING/SOLOERIN6 ID PERCENT CO~ONENTS : H~Z~RD LIST t365.OO 7~.O RRGON N~E 1ZSl,~ 30.~ CRRBON DIOXIDE LO~ ~ PURE FREON N FRONT OF ~JILDI~ PORT4BLE PRESS, CYL, 40DITIVE IO PERCENT COMPONENTS HRZRRO LIST ~BG,~ I~,~ OICHLO~DIFLUORO~THANE LOU PAGE 3 lZ/ZT/88 1'7:Z1 M~ERIAL SAFETY DATA SYSTEMS, INC. (805) 6¢8-G8~ ,, - 2 30 "G" RECEIVED - - B~ERSF~gLD, CA 93301 JAN 2 7 1988 (8o5) 326-3979 Ans'd ............ ~AZARDOUS- ~TgRIA~S ~Og~ INS~UCTIONS: .............. 1. To avoid fu~the~ action, ~etu~n this form by ~. TYPg/PRINT ANSWERS IN ENGgIS~. 3. Ans~e~ the questions belo~ fo~ the business as a ~ho!e. 4. 8e as brief and concise as possible. SECTION 1: 8USI~SS ~DE~IFICAT~ON DATA B. LOCATION / sTREET ADDRESS: SECTION 2: E~RGENCY NOTIFICATIONS In case of an emergency- involving the release or threatened release of a hazardous material, call 911 and 1-800-852-78~0 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as requi~ed by .... law. gAPg0YggS T0 ~0T~FY ~ CASg 0F gAgAGg~CY: NAME AND T,ITLE ~ I' Ph~DURING~ ~ ~BUS'~HRS'~ AFTER BUS' HRS. ~. Ph~ Ph~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A W~OLE B. ELECTRICAL: C. WATER: | %3~q~ D. SPECIAL: E. LOCK BOX: YES /(~ .IF-YES; IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? ~YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO SECTION 4: PR.IVATE RESPONSE' TEAM FOR BUSINESS AS A. WHOLE~ SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTanCE FOR YOb~ BUSINESS AS A WHOLE SECTION 6: EMPLOI~E TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES"EMPL0~EES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. , CI~.CLEYES OR NO ~ .~NITIAL REFRESHER. ~ A~ METHODS FOR SAFE HANDLING OF HAZARDOUS .MATERIALs: E~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ............... ~ .......... Y/F~ NO YES NO C. PROPE USE OF sAFETY EQUIPMENT: .................. NO YES NO D. EMERGmNCY EVACUATION PROCEDURES: ............. · .... ' .. NO YES NO E. DO .YOU MAINTAIN EMPLOYEE~TRAINING RECORDS: ....... YES ~ YES NO SECTION 7: F~AZARDOUS ~ATERIAL CIRCLE YES ~.N0 - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN $00 POUNDS OF,<~ SOLID, 85 GALLONS OF A LIQUID," OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YnS~ ~ I,%~~~-~2~_~ ~ , certify that the above information is accurate. I understand that~ this information will'be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. -~0 Chapter S.98 Sec. 2S800 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPAR~q{{EKT RECEIVEi3.~WS/ 2130 "$" STREET BAKERSFIELD, CA 93301 JUN 2t 0 '{987 (805) 326-39'79 Ans'd ............ OFFICIAL USE ONLY BUSINESS NAME HAZARDOUS lVIAT E R I ALS Bus, Ess PLA AS A WHOL - 0 q2% 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 · SECTION 2: EWIERGENCY 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 ygur 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. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WI{0nE D. SPECIAL: E. LOCK BOXi YES /(j.~ I~ YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - / SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE'A: PROGR 'WHiC 'PRoVIDES'EMPLOYEES WITH'INITIAL AND REFRESHER TRAINING tN THE FOLLOWING AREAS., C~RCLE.-YES OR NO. . . : INITIAL. REFRESHER, A'.'MET~ODS 'FOR SAFE' HANDLING OF HAzARdous':'': '" ) ' ' ' MATERIALS:,..' .................................... ~) NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT:... ................ ~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES (~) YES NO SECTION ?: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES .¥GUR,.BUSI~ES~ HANDLE HAZARDOUS.·MATERIAL IN QUANTITIES LESS THAN $00 ~OUNDS OF A SOLID, 55 GALLONS OF A ~IQUID, oR 200 CUBIC FEET OF A COMPRESSED GAS: ....... YES I, ~f~i~r~.(O~_ ~(~_~'(7~ , certify that the'abO~e in~ormation'is accurate. I understand that this information ~ill 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. - 2B - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT _ FORM 3A INSTRUCTIONS 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 BELOW 4. Be as BRIEF and CONCISE as ·possible. ". SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDb~RES SECTION 2: NOTIFICATION .aaNq) EVACUATION PROCEDb~.ES AT THIS t,~.'IT ONLY · BAKERSFIELD CITY FIRE DEPARTMENT I.D. ,.~ FORM ~A-1 P~ NON--TRADE SECRETS ' HAZARDOUS MATERI ALS INVENTORY " ~OO.ESS: q%~-~ %q~ ~% ~O0.ESS: ~3[9 ~¢~e[%~ FACILITY UNIT NAME: CITY, ZIP: ~~~%~% ~, 95"5~{ClTY,ZIP:- ~~e~Q~ ~~ ' PHONE ~: ~- ~~ ' PHONE ~: ~0-~/~0 [OFFICIAL USE CFIRS CODE I ONLY 1 2 3 '~ 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION t,N THIS % BY HAZARD D.o.T' ~ODE AMOUNT AMOUNT UNIT CODE CODE FACILIT~ UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE .., t ~ _ .... ~ NAME: TITLE: SIGNATURE: DATE: EMEROENCV CONTACT: ~ TITLE: PHONE ~ BUS HOURS: AFTER BUS HRS: E ' P.~cI~[ .us~ss ACT~VITV: ~,~_~t~D/~ R~'~ ~%i~i~ a~T~..US .~S: 3~-6~e/' /