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Home My WebLink AboutBUSINESS PLAN 8/18/2003MERCY PLAZA RESPIRA~ SiteID: 015-021-002443 Manager : DALE TAYLOR F/~C-~z-~-/~2~ BusPhone: (661) 324-9411 Location: 1329 34TH ST ..~Map : 103 CommHaz : City : BAKERSFIELD ~%%~'&~J~Grid: 19A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:4925 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title DALE TAYLOR / OWNER ROBERT MILLER / OPERATION MGR Business Phone: (661) 324-2545x Business Phone: (661) 324-9411x 24-Hour Phone : (661) 664-9264x 24-Hour Phone : (559) 781-6857x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : DALE TAYLOR Phone: (661) 324-9411x MailAddr: 2323 16TH ST 100 State: CA City : BAKERSFIELD Zip : 93301 Owner DALE TAYLOR Phone: (661) 324-9411x Address : 2323 16TH ST 100 State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: .ev~ewerj the attached ' ~ -~ ,.. i~nen'~ p~an feci23~__~~ and tha: ~t aion~j ~.vit~ ~ny ccrrections COnSt~tL, tsa complete ~nC COF~ ~an- ~ement pl~,n for ~ny -1- 08/13/2003 . Bakersfield Fire Dept. / Enironmental Services / 1715 Chester Ave V SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACI!.ITY NAME /~ _ ~ I INSPECTION DATE I INSPECTIO~,~ME ~32 ~_- ........ ~ .............................................................. .~t ............ [_ ........... : ................... ~A~'I-'I:~0NTAC~ - ' . I Business ID Number ~?_ob~o~-' /"(, I1~-~_ / ~-02~- I Section 1: Business Plan and Inventory Program i-I Routine r'l Combined ~oint Agency I~ Multi-Agency ~ CompLaint ~1 Re-inspection C V (VC_~vCi°oln~t~ncc ) OPERATION I COMMENTS ......................................................................... .............. ........................................ __~___.~s,.~ss._.~.co~:~c?o__._~_~_:o_._.__..~c_~_~ ......... 1-----.-- ........................................ -~" VlS~LE ~'"' ~ CORRECT OCCUPANCY / -~-- VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES ~"'D VERIFICATION OF LOCATION ~'~"[~ PROPER SEGREGATION OF MATERIAL ~;~r"~l-~ VERIFICATION OF MSDS AVAILABILITYE -~-'-~';,~-,~,o, 'oV~-~:r-~z;2~;;i;'~ .................................................................................................................... VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED [~ ~ HOUSEKEEPING ........................................ : ........................... ~_~ _.__/~. ~_~.~_ ._,~.¢_ ___z-~,~__~ ................................. [] [~, F,RE PROTECT,ON 0~.. ~ i--I SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ YES ~"r'~o -~dg~-~.- .............. ~ite Respo P ........... White - Environmental Se~i~s Yelt~ - ~at~n ~py Pink. Business Copy FACILITY INFORMATION ~,..Q g>~) FACILI~ ID · ~ ~ ~ ~J ~ ~ ~ ~ Year Beginning ~oo Year Ending ~o~ BUSINESS PHONE ~o2 : SITE ADDRESS ~o3 DUN & ~o6 ~ SIC CODE OPE~TOR NAME ~ ~ ~ ~ ~o9 ~10PE~TOR PHONE OWNER NAME ~ ~ ~ ~' ~ ,1, ~ OWNER PHONE 1~2 OWNER MAILING CONTACT NAME ~ h kg ~'1 ~ 117 I CONTACT PHONE 11~ CONTACT ~ILING ~ 19 CItY ~ [~ F~ ~D ,2o STATE ~ ,2, ! ZIP ~ ~ ~ 122 TITLE ~ ~ ~ ~ 125 TITLE ~~~~ ~~~ ,30 . BUSINESS PHONE ~ ~ ~ ~ BUSINESS PHONE ' Codification: Basod on my inqui~ of thoso individuals rosponsiblo for o~inin~ tho info~ation, I ~di~ undor ponal~ of j.~.n~m ~mifiar with tho information submi~d in this invonto~ and beliovo the information is truo, a~urato, and ~mploto. UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIELI~ OFF~E OF ENVIRONMENTAL SEI~ICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section I1.1 - DISCOVERY AND NOTIFICATIONS I. FACILITY IDENTIFICATION 6USINESS NAME (Same as FACILITY NAME or {:)1~, - Doing B~siness ADDRESS (For ~1 ~ ~) 476. DISCOVERY A. LEAK DETECTION AND MONITORING PROCEDURES: NOTIFICATIONS B. EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: ~ ..' :?: ..: .. :.:, ,~.~ .:. i. ~,'. ;;ENVIRONMENTAL, . C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: F~, I~ E EMERGENCy MEDICAL PLAN D. CLOSEST LOCAL MEDICAL FACILITY: /Y~ ~ O~ ~'Ac. J4o.~ Pz:'rkc. UPCF (7/99) S:~PROCEDURE MANUAL~Iew HMMP fo~m.wpd H~..~DOUS MATERIALS MANAGEME~ PLAN Section 11.2. RELEASE RESPONSE PLAN PRELIMINARY ASSESSMENT A. HAZARD ASSESSMENT AND PREVENTION MEASURES: Bio-Engineer to assess Oxygen Leak, secure leak & test atmosphere in facility to (>21%) for Oxygen enriched atmosphere. · RESP'.~NSE ACTI.ONS B. RELEASE CONTAINMENT AND MITIGATION: Oxygen Leak: 'Bio-Engineer ,to 'secure-calve & vent to atmosphere, test inside facility with Oxygen analyzer to .ensure the atmosphere is not oxygen en-riched (21%>). ..... FOEEeW:~Up ACTIONs C. CLEAN-UP AND RECOVERY PROCEDURES: Bio-Engineer to :cOntinue to vent and test until atmosphere . has.a-20.9% oxygen level.' UPCF (7/99) S:~PROCEDURE MANUAL~ HMMP fom~.wlxl HAZARDOUS MATERIALS MANAGEMENT PLAN Section II1.1 - FACILITY AND LOCALITY INFORMATION UTILITY SHUT-OFFS LOCATION OF SHUT-OFFS AT YOUR FACILITY: NATURAL GAS / PROPANE: WATER: /[,)Ot,.J'k. ~0 ice.c;[;[,, SPECIAL: LOCK BOX: YES /~_~ IF YES, LOCATION: PRIVATE FIRE.PROTECTION I WATER AVAILABILITY ^. B. WATER AVAILABILITY (FIRE HYDRANT): TRAINING A. NUMBER OF EMPLOYEES: ~.. - ~ B. MATERIALS DATA SHEETS ON FILE: ~'~ C. BRIEF SUMMARY OF T~INING PROG~M: CERTIFICATION Based on my inquiry of Iho~e individuals responsible for obtaining [he infon~ationo I certify under penalty of law that I have personnaly examined and am familiar with the information submilled and believe the Information is tree, accurate, ,,nd complete. SlGNAT ~.~_ OWNER / OPERATOR OR DESIGNATED REPRESENTATIVE DATE 477. NAME OF SIGNER (prktt) 478. TITLE OF SIGNER 479. UPCF (7/99) $:~PROCEDURE MANUAL~J4ew HMMP form.wlxl -- Ol CE OF ENVIRONMENTAL SERVICES t~,~.~,~'r 1715 Chester Ave., CA 93301 (661) 326-3979 ~"'~'~~'""~"'" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fomt per matehal per building or area) NEW ~ ~ ~ 2~ Page ADD DELETE REVISE BUSINESS NAME (~me as FACILI~ NAM~or D~A~ O~n~usin~s ~). : 3 CHEMICAL LOCATION 5OO~ ~&LC-- E~r ~~ 201~, CONFIDENTIALOHEMICAL LOOATION(EPC~) ~Y* ~No 202 205 : T~DE SECRET ~ Y~ ~No 206 CHEMICAL NAM~E ~ If Subj~ tO EPC~, refer to instmmions ~YGg~ 207 ~ COM~N ~ME ~ EHS' ~ Y~ ~No 208 CAS~ 209 FIRE CODE H~RD C~SSES (~plete if r~u~t~ by I~1 fire ~i~ 210 (Ch~ all that apply) 1 FIRE ~ 2 REACTIVE 3 PRESSURE RELISH ~ 4 ACUTE H~LTH ~ 5 CHRONIC HEALTH 216 ANNUAL WASTE ~/~ 217 t ~IMUM ~ 218 ~ AVENGE .. 219 STATE WASTE CODE 220 UNITS* ~ ga ~L ~ CU~ ~ lb LBS ~ tn TONS 221 DAYSON SITE 222 *If EHS. am~nt must be in lbs. ~ STOOGE CONTAINER ~ a ABOVEGROUND TANK ~ e P~STI~NONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR 223 (Check all that apply,) ~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g CARBOY ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p T~K WAGON STOOGE PRESSURE ~ a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOW AMBIE~ 224 STOOGE TEMPE~TURE ~ AMBIE~ ~ aa ABOVE AMBIENT ~ ba BELOW AMBIE~ ~ c CRYOGENIC 225 I 229 ..!Oo i O~ 2 , 230 231 ~Y~ ~ No 232 233 3 ~ 234 235 ~ Y~ ~ No 236 237 4 238 239 ~ Y~ ~ No 240 241 ~,.Jt 242 243 ~ Y~ ~ No 244 245 ~RINT NAME & Ti~L~'~F AUTHORIZED COMPA~ REPRESE~ATIVE URN DATE 246 UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd SITE DIAGRAM ! ! I~ACIIJTY DIAGRAM Business Name: Business Address: 4--- WATER SHUT OFF K SHUT OFF ~ ~ ~ Ai~I'ACHMENT 'h' MERCY PLAZA "A team of prd[ebsionals Wh Respiratory, & Medical Suoolies will meet your needs in a timely, friendly, and caring manner" Evacuation Plan Fire: First person on scene shall sound alarm by shouting "fire***fire***fire", that person shall then secure any electrical circuits by turning off light switches, obtain nearest fire extinguisher if time permits and combat fire. If able to combat fire, _first person on scene shall direct all fire fighting efforts until relieved'by fire department. If fire is'beyond combatmg, first person on scene shall sound alarm, shut any doors and then evacuate building. CSR is to hit fire alarm on alarm panel and call 911 to report fire (time permitting) If unable to sound alarm or call 911 due to fire spreading, CSR is to go immediately to nearest phone in area and call 911 to report fire. All employees are to evacuate building and muster at the comer of 34th Street and K Street with supervisor. Supervisor is to report to fire engine that responds to fire whether all persons are accounted for or not. The Bio-Engineer is to ensure all doors are shut (time permitting), electrical power secured at main breaker, and that the building has been evacuated. Earthquake: All employees are to seek shelter away from falling objects until shaking stops. Bio-Engineer is to secure all power, water, and gas valves. Employees are to evacuate building when safe to do so and muster with supervisor at corner of 34th Street and K Street. No employee shall reenter building until told to do so by management. All surrounding buildings shall be notified of fire and danger associated with the fact that oxygen is stored with in the building by the CSR once the CSR has reported to the supervisor that they are 'ok and that alarm has or has not been sounded. ATTACHMENT 4~- WATER SHUT OFF K ELECTRICAL~"~ ii[ SHUT OFF ,l'o' x ,IO- OXYGBN 8'TORA(iB ATTACHMENT ~C~ K R E E T EVACUATION ROUTE FIRE EXTINGUISHER