HomeMy WebLinkAboutBUSINESS PLAN ITE DIAGRAM Z]/ FACIZiTy DIAGRAM
c--,'r. ,~¢, 44o~e3 "(~¢'. N. (805) 834-00o0
ROBERT S. WENN
President i;~.;~~ J~ 0
TES Electrical 5306 Aldrin Court
Construction, l~c. Bakersfield, CA 93313
08/18/92 TES ELECTRICAL CONSTRUCTION INC 215-000-000413 Page 1
Overall Site with 1 Fac. Unit
General Information
Location: 5306 ALDRIN CT Map: 123 Hazard: ~oderate
/
Community: BAKERSFIELD STATION 05 Grid: I5D· F/U: I~OV: 0.0
/
Contact ~Name Title Business Phone · · 24qHourAPhane~
IROBERT S. WENN~ PRESIDENT 1(805) 834-0900 x 1~(80~) ~-~
WOLFGANG E. POTH VICE PRESIDENT (805) 834-0900 x 1~5) 399-8843
Administrative Data
Mail Addrs: 5306 ALDRIN CT D&B Number:
City: BAKERSFIELD State: CA~ Zip: 93313-
.Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code:
Owner: ROBERT S. WENN Phone: (805) 834-0900
Address: 5306 ALDRIN. CT State: CA
City: BAKERSFIELD Zip: 93313-
Summary
RECEIVED
SIP 5 1V92
HAZ. MAT. DIV.
~o~~_~?~ Do hereby
rr~~ ~ha~ g have
r~vi®~ ~h® ~ch'sd hazardous ma~ m~n~e-
08/18/92 TES ELECTRICAL CONSTRUCTION INC 215-000-000413 Page 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 GASOLINE Liquid 6000 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: 8006-61-9 Trade Secret: No
Form: Liquid Type: Pure Days: 365' Use: FUEL ~
Daily Max GAL Daily Average GAL I Annual Amount GAL
6,000 I 600.00 '7,200.00
Storage~ Press I Temp Location
UNDER GROUND T~NK Ambient~Below I NW SIDE OF PROPERTY
-- Conc Components ~ MCP List
100.0% IGasoline IModeratel
08/18/92 TES ELECTRICAL CONSTRUCTION INC 215-000-000413 Page 3
O0 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
BAKERSFIELD CITY FIRE DEPT - NON EMERGENCY 326-3979 - EMERGENCY 9-1-1.
<2> Employee Notif./Evacuation
VERBAL NOTIFICATION.
<3> Public Notif./Evacuation
VERBAL NOTIFICATION
<4> Emergency Medical Plan
DEPENDING ON CITUATION - EITHER CALL AN AMBULANCE IF NECESSARY OR TAKE
INJURED PARTY TO HIS OR HER PHYSICIAN OF CHOICE.
08/18/92 TES ELECTRICAL CONSTRUCTION INC 215-000-000413 Page 4
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
REMOTE SHUTOFF OUTSIDE OFFICE DOOR.
<2> Release Containment
WASH DOWN SURFACE AREA WITH DRY SWEEP PRODUCT AND CALL IF NECESSARY KERN
ENVIRONMENT SERVICES 589-5220.
<3> Clean Up
WE WOULD CALL KERN ENVIRONMENTAL SERVICES AT 589-5220.
<4> Other Resource Activation
08/18/92 TES ELECTRICAL CONSTRUCTION INC 215-000-000413 · Page 5
O0 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - LEFT OUTSIDE OFFICE DOOR, WEST SIDE OF BLDG
B) ELECTRICAL - LEFT OUTSIDE OFFICE DOOR, WEST SIDE OF BLDG
C) WATER - LEFT OUTSIDE OFFICE DOOR, WEST SIDE OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS & HOSE BID & WATER FAUCET ON
WEST SIDE OF BLDG NEAR PUMP.
NEAREST FIRE HYDRANT - ???????????? /~¢rO~3 ~/~ =~.~r~
<4> Building Occupancy Level
08/18/92 TES ELECTRICAL CONSTRUCTION INC 215-000-000413 Page 6
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 6 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS AVAILABLE.
BRIEF SUMMARY OF TRAINING PROGRAM: 1 SAFETY MEETING PER MONTH.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
!
~ rm and Agricul2ure~ Standard Business
?: '):? ... NON - TRADE SECRET
I 2 3 4 5 6 7 8 9 10 11 12 %13~ 14
~s ~e ~ Average ~nual Measure ~ Da~ Cunt Cunt Cunt Use Location ~ere N~s of M~ture/C~nents
Code C~e ~2 . ~ ~t Un,ts on Site ~ Press ~ Code Stored in Facility ~ See Inst~c2~ons
PU~tcal and H~lth mza~ C.A.S. N~er ~0 ~ -- ~ / -- Co. orient
. (Check all t~ apply)
.~ ~ , Compunet ~ 2 N~ & C.A.S. er .
of Pre~su~ H~lth . H~lth ) Component ~ 3 N~ & C.A~. N~
Ph~tcal and H~lth ~za~ C.A.S. N~er Co~onent ~ 1 N~ & C.A.S. N~er
~.. [Check all t~t apply)
. · [ Co~onent 9 2 N~ & C.A.S. N~er
;~--:. of Pressure ' H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~er
Ph~tcal' and H~l~h ~za~ C.A.S. N~er Co~onent ~ 1 N~ a C.A.S. N~er
u- [Check all t~t apply)
",': Co~onent ~ 2 N~ a C.A.S. N~er '
j. . of Pressure H~lth H~lth Co~onent
: Ph~tcal and Hmlth ~zard C.A.S. N~er Component ~ 1 N~ & C.A.S. N~er
;._ (Check all t~t apply)
Co~on~t ~ 2 Name & C.A.S. N~er
' ~ F~ Hazed ~ Sudden Release ~ R~ctiv~ty ~ I~,diat- ~ Delay~
(." of Pressure H~lth H~lth Co~onent ~ 3 N~ a C.A.S. N~
b.? N~ Title 24 ~. Phone N~e Title 24 ~ Phone
;~,.' C~tlftcatton (~ ~ SIGN AFTER COMPLETING ~L SECTIONS)
f'? 'I certif~ ~der p~lty of law t~t I ~ver ~rsonally ~in~ ~d ~ f~li~ with the info~ation sub~tted In ~ ~d 911 attac~ents ~d ~at ~sed on ~ in~i~ of those
'~..:,i~d~v~d~ls res~ble for obtaining the ~nfo~tion. I believe that the su~itted info~ation
e Bakersfield Fire Dept.
HAZARDOUS MATERIALS DIVISION
Date Completed .~'.
B'usinessName: T~5 ;~/,,c-~,"-,'~! L--~,,~,~.
Location: ,~-~O (~ ,/~11/,,~/¼ ~..?L,
Business Identification No. 215-000 /'~00 ~13 (Top of Business Plan)
S a, on,o. /.] S,i, ns eo o,
Adequ~e Inadequate
Verification of Invento~ Materials ~
Verification of Quantities ~
Verification of Loc~ion~
Proper Segregation of ~aterial ~
Comments:
Verification of MSDS Availabli~ ~
Number of Employees ~
Vorificatioa of H~ Mat lraiain~ ~
Commonts:
Verification of Ab~ement Supplies & Procedures ~ ~O~~
Comments:
Emergency Procedures Posted ~
Containers Properly Labeled ~ ~/~
Comments:
Verification of Facility Diagram ~
Special H~ards Associated with this Facility:
N'O'r'~
All Items O.K. I~]
.~.,~/-~'~ 7'/~~ _ _. Correction Needed ~
Business Owner/Manager
FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy 'Pink-Business Copy
02/1'~/r92 TES ELEC' CAL CONSTRUCTION INC 21~.)0-000413 Page 3
- Fixed C~ntaine~s ~rs Site
Hazr~at Ir~ver~to~y Detail ir~ b~CP ~de~~
Liquid ~~ I~c, de~at e
G~SOLINE
Fi~e, Im~ed Hlth, Delay Hlth
CAS ~: 8006-61-9 T~ade Secpet: Nc,
Fc,~m: Liquid Type: Pu~e Days: 365 Use: FUEL '
Daily Max GAL --F-- Daily Ave~age GAL T Annual Amour~t GAL --
Sto~-age F P~ess 7 Temp -] Locatior~
UNDER GROUND TANK ~Ambier, t~Below~NW SIDE OF PROPERTY
-- Con~ ~ .~ Co~ponents ~-.-- ~CP ..... ~{ist
100.0%~Gasolir~e ~Mode~-ate~
09/04/91 TEe ELECTRICAL CONSTRUCTION INC 215-000-000413 Page 1
Overall Site with 1 Fac. Unit RECEIVED
General Information $~P 2 4 1991
Location: 5306 ALDRIN CT Map: 123 Hazard: Moderate ·
Ident Number: 215-000-000413 Grid: 15D Area of Vul: 0.0
/~Contact Name Title. Business Phone 24 Hour Phone-
Administrative Data
Mail Addrs: 5306 ALDRIN CT D&B Number:
City: BAKERSFIELD State: CA Zip: 93313-
Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code:
Owner: ROBERT S. WENN Phone: (805) 834-0900
Address: 5306 ALDRIN CT ' State: CA
City: BAKERSFIELD Zip: 93313-
Summary -,
09/04~/91 TES ELECTriCAL CONSTRUCTION INC 2 ~0-000413 Page 2
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
<2> Employee Notif./Evacuation
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
~9/04~,/91 TES ELEC~CAL CONSTRUCTION INC 215~0-000413 Page 3
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
~9/04'~91 TES EL~.C~CAL CONSTRUCTION INC 215~0-000413 Page 4
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility_ ~S_hut-_offs
<3> Fire Protec./Avail. Water
<4> Building Occupancy Level
~9/~4491 TES ELEC AL CONSTRUCTION INC 215 -000413 Page 5
00 - Overall Site
<G> Training
<1> Page 1
__<~2>. P_ag_e__ 2__9s- ne___ed__e~ ...............
<3> Held for Future Use
<4> Held for Future Use
° CITY of BAKERSFIELD
MATERIALS
INVENTORY
Farm and Agriculture [-] Standard Business ~AZARDOUS
NON--TRADE SECRETS Pa~e _~__ of~'
LB~US~.]~HI~,S. NAHE:'Y~ .~.,'~~;,'~/'~'~//OWNE" NAME: ~,?z3,~,~'~/D.~ ' NAHE OF THIS FACILITY: , ~
ucA~tu,;~ ~ ~ ADDRESS: . STANDARD IND. CLASS CODE~
-~- - ..... REFER TO~NSTRUC~ON~R~ROPER CODES
I ~ I I 5 ~ II I~ 13 Ha~es of .ixture/C~e~onents
Codelrtns coDe[Yam ~axAet AvF PgeAet AnnUalEst Hfia~pr eunlts onl ~[, G~nt ~Rt ~, t ocqt i on.~he ( e.
. Stored Iff ~aci/Ity
Press lamp See instruct~ons
....... -- .. ..........
,P~I and Healt~ Hazard C,A,S. Humber' Component ~1 .Name i C.A,S. Number
Compoflen~ 12 Name I C,A,S. Number
~ire Hazar~ ~ Reactivit~ ~ Delayed ~ Sudden Release ~ Immediate
Hearth of Pressure Health
Component t3 Name I C.A.S. Number
Physical lad Pealth Hazard C,A.S. Humber Component II Name I C.A,8. Number
· (Check al/ that ApplH
Component tZ Name I C.A.S. Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ lmmpdiAt~
Hen Ith of PressureHealth
Component 13 Name I C.A.S. Number
Physical and Health Hazard C.A.5. Number Component II Name I C,A.S, Number
ICheck ali that apply)
~ Fire Hazard ~ Reactivity ~. D~layedHea/th ~ Suddenof PressureRelease . ~ lmmediateHealth Component I~ Name I C.k.S. NuBber ~ _
Component 13 NiAe I C,A.~, Number
Physical Ind Health Hazard C,l.S. Number. Component II Hlme I C.A,S, Number
(Check 411 that applyl
11 Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ iB~t~e Component Ii Name I C.A.6. Humber
Hem/Ch of Pressure
Component I] Name I C.A,S. Number
EMERGENCY CONTACTS fll
N)~e Title ~r Phone ~ie Ti[I~ li H~-F~6~
~erti~i~tioq ,(Re~ and sign af~pr compl~fc]g.~ll, secqfpn~)
.certify under pen4~[~ ot~a~ t~{[ ] havepersona/~y, eXaaln{~QqoQm lamiltlr ~ltbthe~fllO(alt!pn Iu~mittp~ in thts.lnd
ac[aCn~,d~c~ent~ In~ t~l[ oaseo On.ay Inquiry ~I.[AQSe I~OlVIOUIIS r~Aslbl~ lot ob[il~l~ [~8 I~lOrAi[lO~. I b~lleVe
Bakersfield Fire Dept.
RECEIVED
Hazardous Materials Division
2130 "G" Street DEC 2 6 1990
Bakersfield, CA. 93301
H,,~ ~aT. P~V.
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1, To avoid further action, return ~is form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be 13riel and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
MAIL. AD DRESS:
DUN & BRADSTREET NUMBER: ~27'~Z ":': ........ SIC C-ODE:
SECTION 2: EMERGENCY NOTIFICATION:
NTACT TITLE BUS. PHONE 24 HR. PHONE.
Bakersfield Fire .Dept,
Hazardous Materials Divis '
'HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
B.. RELEASE CONTAINMENT AND/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
"- SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): ·
NATURAL GAS/PROPANE: ~,'~'~ ': '~:
ELECTRICAL: /"~/~, ;, ' .~'"'" ~,./~'Z '~//
SPECIAL:
LOCK BOX: YESfI~Q, IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: /Vf
B. WATER AVAILABILITY (FIRE HYDRANT):
Bakersfield Fire Dept~ .
Hazardous Materials Division
.~,;.,, ~. ;:~:i;~ 'HAZARDOUS MATE,~IALS MANAGFMENT PLAN.
.Vhq ~-'O-'TI(DN,.~: TRAINING:
NUMBER OF EMPLOYESS: --?""
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF~RAINING PROGRAM:
o ............. ~.,---;:::',..:-~...:4':'-~-' ._-.'i ~---'" "~:' ' ' ':'"' '~'~' .... ~"? ' ~ '
. ~. .::. : ..;_,,.." .
, :.. _.; . ; -.- j-., -. , ~, '-'~,- ..
.... I cERTIFY UNDER PENAL~ OF PERJURY ~AT MY BUSINESS
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF.T~IFORNIA H~L~ &
.... SAF~Y CODE" FOR THE FOLLOW~.,~,
~";'W~ANDLE HA~OUS MATERIALS, BUT THE QUANTITIES Ar
/ OTHER (SPECIFY REASON)
SE~/~F~,: CERTIFI A~ON: . .' ~' '' .. :
I, //o [~ ~ ~~~ CERTIFY THAT THE ABOVE INFO R-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAF~ CODE"
ON HA~RDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
ATE INFORMATION CONSTITUTES ~'ERJURY.
SIGNATUEE TITLE DATE
Bakersfield Fire Dept,
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION b: NOTIFICATION AND EVACUATION PROC~:DURE$:
A. AGENCY NOTIFICATION PROCEDURES:
B. EMPLOYEE NOTIFICATION AND EVACUATION'
· C. PUBLIC EVACUATION:
D, EMERGENCY MEDICAL PLAN:
..... CITY of BAKERSFIELD
F~AE '2~EF 22~'3~ '
Dear Business Owner:
Enclosed please find a copy of your response to the Hazardous
Material Management Plan (HMMP) request. We have found it
necessary to re.ject your plan for the following reason(s) as
checked below.
~ Illegible Management Plan (please print or type
information).
-Section(s)3~1 ~'%~]~1~7¢ of HMMP incomplete.
~..~ Inventory Missing or ~Incomplete.
Diagram Missing or Incomplete.
This is to be corrected and resubmitted to:
City of Bakersfield, Fire Department
Hazardous Materials Division
2130 G Street
Bakersfield, CA 93301
If additional copies of any forms are needed they can be picked up
from the Hazardous Materials Division at 2130 G Street in person.
Sincerely yours,
Hazardous Materials Coordinator~
REH/ed