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Home My WebLink AboutBUSINESS PLAN ITE DIAGRAM ( I FACILITY DIAGRAM Business Name: f'~J ,D d 5~/ca ~.. ~--c~'c.- . :. Business Address: For Office Use Only First In Station: Area M(:D # of Insoection Station: NORTH '~ HM827201 Account Number ACCOUNTS RECEIVABLE ADJUSTMENT February 10, 1995 Date New A==ount New Addrese Esther Duren Close A,~ount From Service Chan;le Other Adjustments X Fire Department- Hazardous Materials Division Department/Dlviaicn INDUSTRIAL ELECTRONICS Billing Name 1330 30TH STREET Billing Address Site Address Parcel # (if Applicable) Landlord Name & Addrese (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 110.00 0 <110.00> 1-11-95 Remarke: THIS BUSINESS IS NO LONGER THERE. SINCE THERE IS ANOTHER BUSINESS ATTHIS ADDRESS WE WILL WRITE OFF THIS ACCOUNT. Page: 1 Account Billing/Collection Activity Inquiry SUTL108 Acct : 827201 Cyc St: CL Bill St: CO Cyc: 5 Rt: 1 Seq: SSN : Parcel: 002-240-05-00-9 Svc Cls :e Name : INDUSTRIAL ELECTRONICS ~ Svc Add: 1330 30TH ST Amt due: 110.00 Current Period Postings Lst Pmt: Type Desc Date Amount Receipt # Pmt Dte: -- Prior Bills -- Date Balance 01/01/95 110.00 Enter '/' For Bill History,'P' To Print Report, '/C' For Credit and Deposit History or 'XX' To Exit 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1330 30TH ST Map:103 Haz:2 Type: 3 City : Bakersfield Grid: 19C F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title DALE MINYARD / OWNER RUSS BRUCKER / MANAGER Business Phone: (805) 324-4181x Business Phone: (805) 324-4181x 24-Hour Phone : (805) 397-1206x 24-Hour Phone : (805) 872-1115x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 1330 30TH ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: Owner: DALE MINYARD Phone: (805) 324-4181 Address: 1330 30TH ST State: CA City: BAKERSFIELD Zip: 93301- Summary ~ 8 1995 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers at Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 WASTE OIL Liquid 55 Low ~ Fire, Delay Hlth GAL 02-002 ARGON Gas 334 Minimal ~ Fire, Pressure, Immed Hlth FT3 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 3 02 - Fixed Containers at Site Hazmat Inventory Detail in MCP Order 02-001 WASTE OIL Liquid 55 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL Daily Average GAL Annual Amount GAL -- 55 I 55.00 I 440.00 Storage~~Press T Temp Location DRUM/BARREL-METALLIC IAmbientlAmbientlNE CORNER OF PROPERTY -- Conc Components MCP ---~uide 100.0% IWaste Oil, Petroleum Based ILow ! 27 02-002 ARGON Gas 334 Minimal · Fire, Pressure, Immed Hlth 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 -- 334 I 334.00 [ 334.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~AmbientlINSIDE ON W WALL OF SHOP -- Conc Components IIArgon ~ MCP ~Guide 100 · 0% IMinimal I 12 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical ' <1> Agency Notification TELEPHONE IN OFFICE FOR' EMERGENCY NOTIFICATION. <2> Employee Notif./Evacuation WORD OF MOUTH IS SUFFICIENT BETWEEN OFFICE & SHOP. <3> Public Notif./Evacuation EVACUATION MEETING PLACE IS ADJACENT TO LIQUOR STORE. VACANT PROPERTY TO THE NORTH & EAST. <4> Emergency Medical Plan FIRST AID KIT IN SHOP. INJURED TO BE TRANSPORTED TO SAN JOAQUIN HOSPITAL. 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WASTE OIL STORED IN SECURED FENCED AREA COMPRESSED GAS CYLINDERS CHAINED FOR SUPPORT. <2> Release Containment ABSORBENT MATERIALS AVAILABLE FOR SPILLS OVERPACK DRUM ALSO AVAILABLE. <3> Clean Up NONE LISTED. <4> Other Resource Activation 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 6 00 - Overall Site <F> Site Emergency Factors <1> SpeciaI Hazards <2> Utility Shut-Offs A) GAS - NONE LISTED B) ELECTRICAL - OUTSIDE W WALL OF BLDG C) WATER - NONE LSTED D) SPECIAL - NONE E) LOCK BOX - N/A <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS INSIDE SHOP & OFFICE. NEAREST FIRE HYDRANT - ??????????? <4> Building Occupancy Level 02/07/95 INDUSTRIAL ELECTRONICS 215-000-001505 Page 7 00 - Overall Site <G> Training <1> Employee Training WE HAVE 2 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: NONE LISTED. <2> Page 2 <3> Held for Future Use · INDUSTRIAL..:. /. ELECTRO CS ~'~'~ .'.'1330- 30TH STREET ; ,-" BAKERSFIELD, CALIFORN/A 93301 "' 324-4181 /~ DALE MINYARD <4> Held for Future Use HAZARDOUS MATERIALS DIVISION j~ JUN 2, 8 1994 IL.it I715 'CHESTER':A,V£:'.' I ' '-' · BAKERSFIELD, CA. 93301 ]By..~ HAZARDOUS MATERIALS MANAGEMENT PLAN 1. To avoid further action, return this form within 30 days of receipt. · 2. TYPE/PRINT ANSWERS IN ENGLISH. BUSINE~o NAME: I~dS~t~c ~'~T~c$ LOCATION: ( '~O ~O ~ ~ MAILING ADDRESS: CITY: STATE: ~ ZIP' ~'3'3o1 PHONE: '~'Z4-d/°o ! DUN &. BRADSTRE'ET NUMBER' SIC CODE: PRIMARY ACTIVITY: OWNER: "~,'~c ~ MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE .: .. .. '~3akersfield Fire Dept. ", '~ ~zardous 1V~aterials Division - '¢. '~ -~ HAZARDOUS MATERIALS MANAGEMENT PLAN ' : SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF'SUMMARY oF TRAINING PROGRAM: SECTION 4: 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 & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE O0 HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5' CERTIFICATION: 1, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL. BEUSEDTO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CAUFORNIA HEALTH AND SAFETY CODE!' ON HAZARDOUS MATERIALS (DIV., 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT '" INACCURATE INFORMATION-CONSTITUTES PERJURY. SIGNATURE TITLE DATE .... B ~k~rsfielcl Fire Dept Hazardous Materials Division HAZARDO'Us MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS' C. CLEAN-UP PROCEDURES' SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY')' NATURAL GAS/PROPANE: WATER' ' SPECIAL: LOCKBOX: YES/NO 'IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECT[ON: ~'~?..,? ~-~'r, Jr_.,w,~cz~ ,,~s,~ B. WATER AVAILABILtTY (FIRE HYDRANT): ' · . .... .. $ j Bakersfield Fire Dept. '" HazardoUs Materials Division ~ ~' ~" ? HAZARDOUS MAIERIALS MANAGEMENT· PLAN Facility Unit Name: ' SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES' A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE' NOTIFICATION AND EVACUATION: O. EMERGENCY MEDICAL PLAN: BAKERS F. LD-CITY FIRE DEPARTMENT .. H OUS MATERIALS INVEN RY Pag~--of.L_ Jsmess Name Address '~ ..V/'/ CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New ~ Addition [ ] Revision { ] Deletion.[ ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE[ SECRET [ 2) Common Name: ~J~'T~ (~) ! ~- 3) DOT # (optional) Chemical Name: AHM [ ] CAS 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive{ ] Sudden Release of Pressure [ ] ImmeaiateHeaJth (Acme) [ ] Delayed HeaJth (Chronic) [ 5) WASTE CLASSIFICATION ' *~-'~-"/ (3-digit code fi'om DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] L~quid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste ~1~ Radioactive [ ] ' 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8). STORAGE CODES Ma~amum Daily Amount: . ~"~"' lbs [ ] gal [ ] ~t3 [ ] a) Container: Average Daily Amount: ~.~ curies [ ] b) Pressure: AnnuaJ Amount: c) Temperature: Largest Size'Container: # Days On Site ~'~'~::~" Circle Which Months: All Yea~, J, F, M, A, M, J, J, A, S, O, N, O 9) MIXTURE: List COMPONENT CAS # % w'r AHM the three most hazardous 1) [ chemical components or [ ] any AHM components 2) 3) [ ] ~ CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ i Check if chemical is ChemicaJ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Heaitl~ (Acute) [ ] Delayed HeaJth (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code fTom OHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] W~ste. [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY ~,~ ._~ UN TS OF MEASURE 8) STORAGE CODES Maximum OaiiyAmount: Ihs [ ] ga~ [ ] /t3 [ ] a) Container: Average Oa~i¥ Amount: "'~"'~) curies [ ] b) Pressure: Annual Amount: ~ c) Temperature: I_~'gest Size ContaUner'. ~-~"'/'~- · ~ Days On Site ~'7~,~" Circle Which Months: All Year, J, F, M, A, 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most haze. rclous 1) [ ] chemicaJ components or [ ] any AHM components 2) 3) ( 1 cJocurrlerl~s. ~ cer~fy unaer penalty of taw, ulat I have personafly examined aha am familiar wl~ ~e ~ntomaDon submitted information is ~e, accurate, anct complete. - . . ~ -Si.~n~re . Date PRIl~t'Name & TTtle of Authorfz/ed Com~any RepresentatJve BAKER )FtELD .CITY FIRE ENT HAZARDOUS MATERIALS DIVISION ].7].5 CHESTER 'AVE. BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM BUSINESS NAME FACILITY NAME SITE ADDRESS / "2..~ ~ ..¢'/'1,~ ,~ '/" CITY STATE ZiP NATURE OF ~3USINESS ;: SIC CODE · .DUN &'BF~DSTREET NUMBER ~'~(~ c~ /'~, Cv Y~) PHONE owNER/OPERATOR MAILING ADDRESS ciTY STATE ZIP EMERGENCY CONTACTS NAME ~'~')A L-E; /4.? ;,,,/¢~,/Z.~ TITLE ~ BUSINESS PHONE ~ ~ - ,/--Jr ! ~ I 24-HOUR PHONE BUSINESS PHONE ~ 24-HOUR PHONE