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Home My WebLink AboutBUSINESS PLAN (2) SITE/FACILITY D I. AGRAM FORM 5 '. NORTH SCALE:~/q, .-.~-.J ~:-,BUSINESS NAME: FLOOR: (CHECK ONE) SITE DIAGRAM ~ FAC'ILI~ DIAGR.~M Inspector's Comments): -OFFICIAL USE ONLY- SITE DIAGRAM (Requll )items) "'~l,,.:,.~,~ '~ 1. Address: Identify the 9. Lock (key) Box ~., principle buildings ' ~' by the Street numbers. 10. MSD$ Scorage Box 2. Street(A). AlleyA. 11. RailroAd TrackA Driveways, end Parking Areas Adjacent to tho 12. Fence or Barrier property. Include the a. Wire b. Masonry ~ 3. Store Drains, Culverts, Yard Den/ne c. ~ood 4. Drainage Canals, Ditches. d. Gates Creeks. 13. Powerllnes 5. Buildings a. Frame construction 14. Guard Station b; Masonry construction 15. Storage Tanks: Identify the c. Metal construction capaclty In gal. a. Above ground d, Access Door b. Underground 6. Utility Controls . a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identify the ?. Fire Suppression Systems: location where a. Fire ~ydrante employees mill meet. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe 20. Outside ltazardous Connections ~aterlel Storage d. Water Control Valves 21. Outside Hazardous for protection systems Hatarial Uee/Handl e. Fire Pump 22. Type of Hazardous Material/Waste Stored 8. ~tre Department Access or Omed (See ,~. TYPE OF HAZARDOUS HATERIAL F - Fishable K. - Explosive L - Liquid R - Radlologlcal C - Corrosive 0 - Oxidizer G - Gas P · Poison W - Water Reactive T - Toxic , S - Solid H - Cryogenic D - Waste B - Etiological Example: Fishable Liquid - FL FACILITY DIAGP~ (Required Items tn addition to the above) 8. Fire Escapes 1. Risers for Sprinklers ~: 3. Partitions 9. Air Conditioning Units 3. Stalrmays: Indicate.the 10. Wlndo~ levels served from highest to lowest. Il. Inside Hazardous Waste · ~ Storage 4. Escalator: Indicate the levels served from 1~. Inside Hazardous highest to lowest. Materials StorAge S. Elevator 13. Initde Hazardous~ Materiels Use/Handling 6. Attic Access 14. Se~r Drain Inlets 7. Skylights JULY 17, 1991 DB Pump 12850 Allen Ln. Bakersfield, CA 93312 TO: HAZARDOUS MATERIAL DIVISION BAKERSFIELD FIRE DEPT. 2130 G. St. Bakersfield, CA 93301 DB Pump Vacated the shop at 1320 30th ST. Bakersfield, CA over a year ago. We are now at 12850 Allen Ln. Bakersfield, CA 93312. THANK YOU 04/03/91 ~ D B PUMP COMPANY 215-000-000809 Page 1 //~ Overall Site with 1 Fac. · Unit ~ Ger~eral Ir~formatior~ L,-,cation: 1320.30TH ST Map: 1(:)3 Hazard: Low ..1 Ident Number: 215-000-000809 Grid: _19C Area.of Vul: 0.0 Contact Name ,,,~ ........ I' ~ Ti'tie I ,-- Business Phc, ne j 24 Hour Phc, ne] GORDON DOLE 1(805) 393-8087 X I;805) 861-08i4/ WILLIE HAYES I ~(805) 861-0814 x }(805,) 871.1,457~ Administrative Data' Mail Addrs: 1320 30TH ST ~ D&B N(m~ber: City: BAKERSFIELD State: CA Zip: 93301- Corem Code: 215-004 BAKERSFIELD STATION 04' SIC-Code: Owner: GORDON DOLE Phc, ne: ( ) - Address: 1320 30TH SI' State: CA .City: BAKERSFIELD " Zip: 93301- , ~ //" agement plan for my facility. Signat~e" ~ - D~ 04/03/91 D ~B PUMP COMPANY 215-000-000809~ Page'~ 2~ Hazmat InverJtory List in MCP Order (.~ - Fixed Cor}tainers on Site P lr~-Ref Name/H~zards Fc, rrn Quar~t ity MCP O2-OO1 HYDRALIC OIL *. ~o Low ) ,, GAl_ 02-002 30W MOTOR OIL ~ 55 Mir~imal GAL D B PUMP' COMPANY· 215-0oo-0(zx1)809 Page 3 O0 - Overall Site <D> Not i~. /Evacuat ior~/Medical <1> .Agency Notificatio~'f <2> Er,lplnyee Not if./Evacuatior, ALERT ALL INSIDE PERSONNEL VERBALLY AND CALL 911 <3> Public Nntif. /Evacuatior~ <4> E.r~erger~cy Medical Plar~ COMMUNITY HOSPITAL, r~(])]. []LIVE DR., 399-4461 04/03/91 D B PUMP COMPANY 215-000-000809 Page 4 O0 - Overall. Site <E> Mit igat ior,/Preverst/Abatemt <1> Release Preverst ,-,~ USE OF' ALL CLEANING SOLVENTS DONE IN BACK OPEN WORK AREA OR BY .ENTER WAY OF GARAGE DOOR. IN CASE OF SPILL, LIQUID IS COVERED WITH.OIL SORB PELLETS, THEN CLEANED UP' AND DISPOSED <2> Reiease~ Cor, tairm~er, t <3> ~Clear~ Up <4> Other Resource Act i vat i or, 04/03/91 D B PUMP cOMpANY 215-000-000809 Page 5 00 - Overall Site <F> Site Er~erger~cy Factors ~ <i>~ Special Hazards <2> 'Utility Shut -Offs A) GAS'- SOUTHEAST CORNER OF BUILDING B) ELECTRICAL. - NORTH INSIDE WALL OF OFFICE C) WA]'ER - SOUTH OF FENCED ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS 'FIRE HYDRANT - 75 FT SOUTH OF .FRONT BUILDING ACRoss STREET <4> Held fc, r Future use 04/03/91 D B PUMp-COMPANY 215-000-000809 Page 6 O0 - Overall Site <G> TrairJir~g <1> Page 1 WE HAVE ?? EMPLOYEES ~AT '[HIS FACIL,ITY DO YOU HAVE MATEIAL~ SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 as r~eeded ~ ~ <3> Held for Future Use' <4>' Held f. or Future Use ..~/~... BAKERS F i ELD, CA 9 ~ 3O 1 RECF U O OCT 2 2 19 Z BUSINESS , PL~ AS A WHOLE I. To avoid further ac~ion, r~turn ~his form~ by 2. ~E/PRI~ ~SWERS IN ~IGLISH. 3. Answe~ the questions below for the business as a whole. 4. 8e as brief ~d concise as ~ossible. SE~ION !: BUS.SS ~~!CA~0~ OATA SECTION 2: ~TMnERGE~t'C?'~ .N'OTIFYCAT!0NS In cnse of an emergency invoivin~ the release or' threatened release hazardous material, cat! gl! and 1-800-852-TSU0 or 1-916-427-4341. This will notif~ your loc~i fir~ deparcmenc and :he State 0f~ce of EmerSency Services as required law. NAME AND TIT~E Bb~ING 8US. ~RS. Ar~ BUS. SECTION 3: LOCATION OF UT!LIT? SHUT-OF?$ FOR BUSINESS AS A W~OLE A. NAT. GAS/PROPANE: ~O~x*T~ ~M,~- C~)~%(O,~! f~¢ ~;~/~Z)l~/,.)<v B. ELECTRICAL: tUfo~,~ it3~,,~¢-. ~AA~ '¢~: C. WATER: ,,$,o0r1¢ O~ f-.~fJoif) ~.~.~£A~)~-~ D. SPECIAL: E LOCK BOX: YES ~F YES " [~' YES,"'OOES ~m c~ ....... SiTE PLANS? YES ~ ~'0 MSOfiS? VrS ~ .,0 FLOOR PLANS: YES ' .,~ KEY? SECTION 4: PRIVATE RESP(]NSE TEAM ~,R ~I;Si.XESS AS A WHOLE .~.. . SECTION ~: LOCAL ~ERGEN~f ~EDICAL ASS[STANC~ FOR B. PROC~Db~ES FOR COORDINATING A~iVIT!~S ~ W~ RESPONSE AGE~iCiES: .......................... ~0 ~S ~ C. PROPER USE OF SAFE~f ' ~ ~-- NO NO D. ~ERGE};Cf ~ACUAT!ON PROCESL~ES: ................. %0 E. O0 YOU ~NTAIN EMPtOYEE '~A~I'~NG RECORDS: ....... . ~S ~ SECTION 7: ~Z~DOUS C:RCLE ~S 0R NO DOES YOL~ BUSi}iESS ~A~LE HAZARDOUS >L~TEE:AL IN QUANT!.TIES.'LESS' ~X ,~00 ~OLCTDS OF A SOLID, ~ GALLONS 0F A LiQUiD, 0R ZOO CUBIC FEET..OF..::A~CoMpRESSED' GAS:. ..... I, iD tLLf~- ~'~q~-$ certify that the above information is, accurate. [ understand that this informal!on wii! be Used to fulfill ~y firm's obligations .under the new Caiifornia Henit~ and Safe?7 code on ~aznrdous ~cerimis (Div. 20 ~" . "~.9~ Sec. ~00 Et Al.) and tkmc in~c=urn~e information constitutes perjurY. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY ID# BUSINESS NAME: . . BUS I NESS 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. FACILITM UNIT~ I FACILITY UNIT NAM'E: .~g PO [~} P SECTION 1: MITIGATION~ PRE~ION, ABATEMES~ PROCEDD~ES SECTION ~: NOTIFICATION A~ EVACUATION PROCEDURES AT THIS B~IT ONLY SECTION 3: ttAZARDOUS MATERIALS FOR THIS [iNIT ONLY A. Does this Facility Unit contain Hazardous Mater~a!s? ...... 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 (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 SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMErgENCY RESPONDERS SECTION ~: LOCATION OF UTILI~ S~-OFFS AT THIS %~IT ONLY. A. NAT. GAS/PROPANE'] B. ELECTRICAL: E. rOCK_ BOX:·:.~ vr's ...... ~."~/... IF YES, LOCATION: ,,../.:? ~. ~,~ IF YES, S~TE PLANS? ~ . NO MSOSs? .,.~ ..,, ,,,.,~ FLOOR ~r~%NS° YES / NO KEVS? ~.,_.. ¥0 BAKERSFIEI, D CITY FIRE DEPARTf4ENT I.D. ~ FORM 4A-1 Page of NON--TRADE SECRETS HAZARDOUS MATERI ALS" I NVENTORY -~" ~ oWNER NAME: ~,~n~.~ ...... FACILITY UNIT BUSINESS NAME: ~' ~ ..... ~,, ~.u~} ADDRESS: ~m~a~uunnv ......... FACILITY UNIT NANE: I ONLY I 2 3 4 5 6 7 8 9 I0 TYPE MAX ANNUAL CONT UgE LOCATION IN THI9 · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE NAMe: TITHE: ~~ SIONATORg: ~ : ,. AFTER BUS HRS: EM~,ROENCY CONTACT: ~O~PO~ O~C~ TiTLE:V/C~-~g~FDe~~ . PHONE { BUS HOURS: