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Home My WebLink AboutBUSINESS PLAN (2)EIUSB¥ AIR CONDITIONIN Bake~dield, CA 9SS0Z A~rov~ Voice (661) 326-3979 EXP~tion Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .... ,~;=,~,~"~!~';;~?'.i:~?!?!I?!?!~,, ,~ · This permit is issued for the following: '.~,~;E'.......' .,,..' ..,.' ...-'.....'....-??.-...,..? ./.,.' .; ,' J ~' .?.~ii~,~' · lssu~ by: O~C~ O~ ~XO~L S~ ~CES 1715 Chewer Ave., 3rd Floor B~e~iel~ CA 93301 Voice (805) 32~3979 F~ (805) 326~576 MARK LARWOOD COMPANY ,4-17 KERN BLOCK 10,=1" ALLEY -' (Power liSes above alley) ELECTRICAL WATER GAS '"'- O ~OO~''' GATE .OFFICE ~ REST RoOM ( STEEL DOOR ~A~c STORAGE YARD REFRIGERANT OXY" ACET. A/c ~ TRAINING SHOP ARAREA AREA ROLL UP DOOR ALTA VISTA PARKING OFFICE ~~'0oLER WOOD DOOR " ~ C02 WOOD DOOR OIL GLASS PAINT PROPANE A/C ' OFFICE BUILDING MASONARY BLOCK COMPOSITION ROOF 1111 ALTA VISTA BUSBY AIR CO~ITIONING & MATING BUSBY AIR CONDITIONI HEATING == SiteID: 015-u~ u 074 Manager : BusPhone: (661).872-9025 Location: 1111 ALTA VISTA DR ~'~_,~p~_~ : 103 CommHaz : Minimal 'City : BAKERSFIELD id 29A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad:10-304-4756 =+ Emergency Contact / Title Emergency Contact / Title JAY BUSBY /OWNER. MIKE SMITH / PARTNER Business Phone: (661) 872-9025x Business Phone: (661) 872-9025 24-Hour Phone : (661) 871-9025x ,24-Hour Phone : (661) 587-5800x Pager Phone : ( ) - x Pager Phone : ( ) - x +~ ...................................... + ...................................... Hazmat Hazards: ~ Fire Press ImmHlth DelHlth ............................................. ~ ..... .................... ~ ..... '_+ Contact : Phone: (661) 872-9025x MailAddr: 2714 SILVER DR State: CA City :. BAKERSFIELD Zip : 93306 Owner JAY W BUSBY Phone: (661) 871-9025x Address : 2714 SILVER DR State: CA City : BAKERSFIELD Zip : 93306 .................. . Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives:~ 'l += Hazmat Inventory One Unified List +== Alphabetical Order All Materials at Site ................................ + ....... + ........... + ..... + .......... + .... +- - -+ Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCPl ................................ + ....... + ........... + ..... + .......... + .... +- - -+ ACETYLENE E F P IH G 40.00 FT3 Hi CARBON DIOXIDE P IH G 489.00 FT3 Min OXYGEN F IH DH G 60.00 FT3 Low REFRIGERANT P IH G 1339.00 FT3 Low -1- 07/28/2003 ~BUSBY-AiR COnDITIoNING'& HEATING SiteID: 015-021-000074 + M~ager_: ............. BusPhone: (661) 872-9025 f~ocation: iill ALTA VISTA DR ~ Map : 103 CommHaz : Minimal ~-C~- ' :?BAKERSFIELD ~-~ Grid: 29A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad:10-304-4756 Emergency Contact / Title ~_%er~en~v_~_~_o~.9~~' / · T~_i~ JAY BUSBY / OWNER ~W' . .~ ~ · -~ .W~6~ER Business Phone: (661) 872-9025x SMiTH/BUSInESS MIKE PARTNE~R~ ,K 24-Hour Phone : (661) 871-9025x ~ BuSiNESS. PHONE:(66%.)8~2~90'25K Pager Phone : ( ) - x _ !~4_HOUR. PHONE:~(661,)871_4163 ....................................... +__~ ....... + Hazmat Hazards: Fi ........... ............................... ~ ............... z .............................. + Contact : Phone: (661) 872-9025x MailAddr: 2714 SILVER DR State: CA City : BAKERSFIELD Zip : 93306 .............................................................................. + Owner JAY W BUSBY Phone: .(661) 871-9025x Address : 2714 SILVER DR State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ........................................... £ .................................. + Emergency Directives: += Hazmat Inventory == One Unified List + +== Alphabetical Order = All Materials at Site + .......... ~ ..................... + ....... +. ........ ~__+ ..... + .......... + .... +---+ Hazmat Common Name... ISpecHazlEPA Hazardsl Frm I DailyMax IUnit{MCPl ................................ + ....... + ........... +- + + .... +- - -+ ACETYLENE E F P IH G 40.00 FT3 Hi~ ~CARBON D~OXIDE P IH G 489.00 FT3 Min ~F~~-- E F P IH G 553.00 FT3 Hi REFRIGERANT P IH G 1339.00 FT3 Low I, ~.~h~v, O0 hereby ceRi~ th~ ! have reviewed the a~ached haza~ous mate~als manage- ment plan for~ ~ - - and th~ it along with ' ~(Na~ B~sine~) any corrections constituq'e a complete and co~ect man- agement plan for my facili~. + 03/21/2002 BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 += Inventory Item 0004 Facility Unit: Fixed Containers on Site +== COMMON NAME / CHEMICAL NAME ~ =+ ACETYLENE I Days On Site ] . 365 -Location within this Facility Unit Map: Grid: +- -+ .~W' ~QRNER OF SHOP I CAS# ? '~-~..,,,__~__ 74-86- 2 '~2-': =~ ~= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER + AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 250.00 FT3 40.00 PT3 40.00 PT3 +=========== :+ =% ............. += ~ HAZARDOUS COMPONENTS ~===+ + ==+===% +===4 + HAZARD ASSESSMENTS ===~ ~ ........ + ..... ITSecretl RSIBi°HazI Radi°active/Am°unt I EPA Hazards I NFPA I USDOT# MCP INo No No No/ Curies F P IH / / / Hi ~===~ + ~ + ~ k=====+ += Inventory Item 0002 Facility Unit: Fixed Containers on Site +== COMMON NAME / CHEMICAL NAME ~ CARBON DIOXIDE Days On Site 365 Location within this Facility'Unit Map: Grid: + -+ ~CO~ER.f ..~ ~ OF SHOP CAS# --~/ 4 =========+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER += ~ ~ 4 + .... :=====+ += =+ AMOUNTS AT THIS LOCATION ....... Largest Container I Daily Maximum I ~Daily Average 163.00 FT3 489.00 FT3 489.00 FT3 =+---- F----= ----+ + HAZARDOUS COMPONENTS ==+===+ 100.00 Carbon Dioxide No 124389 +-- + + ==+ +===+= =4 HAZARD ASSESSMENTS ===~ ~= ....... + ..... [TSecretNo N~SIBi°HaZlNo Radi°active/Am°unt I EPANo/ Curies P HazardsIIH NFpA/// IUSDOT# MinMCP +===+: ~ ~ ~ + ~=====+ -2- 03/21/2002 ~USB~ AIR CONDITIONING & HEATING - SiteID 015-021-000074 + += Inventory Item 0003 Facility Unit Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME + + PROPANE Days On Site . 365 I Loc~a~ion within this Facility Unit ' Map: Grid: + ................ ~ xw CO~NmkOF SHOP ' I CAS# I :~ ........... ~ ............................. + ................ +i += STATE =+= TYPE'~=+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE ..... + Gas I Pure ~ove Ambient I Ambient I PORT. PRESS. CYLINDER I ..................... +~OUNTS AT THIS LOCATION .......................... + Largest Container I ~Daily Maximum Daily Average I 182.00 FT3 I ~ 553.00 FT3 I 553.00 FT3 } .... ~---= == HAZARDOUS COMPONENTS .............. +===4 ............. + wt. I RsI CAS t 100-001Propane · ~ IYesl 749861 ....... ~===4 ...... ~ .......... HAZARD ASSESSMENTS ===+=-- .... 4 ....... + ..... + TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi +===4 ~ + ~ ~ +=====+ += Inventory Item 0001 Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME ~ + REFRIGERANT I Days On Site 365 Location within this Facility Unit Map: Grid: + ................ + SE CORNER OF SHOP I CAS# + ~ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE + Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I ~ +-~ + + ~ ~--+ AMOUNTS AT THIS LOCATION ~ Largest Container Daily Maximum I Daily Average 134.00 FT3 1339.00 FT3 I 1339.00 FT3 + ~ + + HAZARDOUS COMPONENTS .... +===4 + %Wt.I I RS . CAS# 100.00 Chlorodifluoromethane No 75456 4 +===~ + +===4 ~ HAZARD ASSESSMENTS ===4 ~~-+=====+ ITSecretl RSIBioHaz} Radioactive/Amount I EPA Hazards NFPA I USDOT# [MCP No No No No/. Curies P IH / / / Low ~===4 ~ + ~ 4 + + -3- 03/21/2002 + BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 + ~ Fast Format + += Notif./Evacuation/Medical Overall Site + +== Agency Notification = 10/10/2000 + CALL 911. + +=== Employee Notif./Evacuation 10/10/2000 + VERBALLY. ..... Public Notif./Evacuation 10/10/2000 + CALL 911 AND VERBAL. + + + ..... Emergency Medical Plan 05/07/1992 + I KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000. I + =+ 4 03/21/2002 + USBY AIR CONDITIONING & HEATING == SiteID: 015-021-000074 + .......... Fast Format += Mitigation/Prevent/Abatemt Overall Site +== Release Prevention -- 12/19/1991 PROPER STORAGE, FIRE EXIT, 911 FOR MAJOR_FIRE. +=== Release Containment --~ + .... Clean Up ---+ + ~ + ..... Other Resource Activation ---+ -5- 03/21/2002 + BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 ~ == Fast Format += Site Emergency Factors Overall Site +== Special Hazards +=== Utility Shut-Offs 08/29/i997 A) GAS - N END OF BLDG B) ELECTRICAL - N END OF BLDG C) WATER - N END OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO ' + .... Fire Protec./Avail. Water 10/10/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - APPROXIMATELY 200 FT N AND 400 FT S ON ALTA VISTA. Building Occupancy Level -6- 03/21/2002 + BUSBY AIR CONDITIONING & HEATING - SiteID: 015-021-000074 ~ Fast Format += Training Overall Site +== Employee Training -- 08/29/1997 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROCEDURES: PERIODIC SAFETY MEETINGS: A) ELECTRICAL, B) LADDER SAFETY, C) MSDS REVIEW, D) MISCELLANEOUS SAFETY +=== Page 2 ........ + .... Held for Future Use Held for Future Use + 7 03/21/2002 10'Fl" ALLE~ (Power lines above alley) ELECTRICAL WATER GAS '00 GATE ' oFFICE ~,~ ~ REST ROOM STEEL DOOR ' ' ~ STORAGE YARD TRAINING SHOP 7."AREA AREA 'l ROLL UP DOOR FA PARKING OFFICE OXY. ~COOLER ACET.002 ~ WOOD DOOR 'n~ . PAINT ' ~' OFFICE BUILDING MASONARY BLOCK COMPOSITION ROOF 1111 ALTA VISTA BUSBY AIR CONDITIONING & HEATING BUSBY AIR CONDITIONING & HEATING/x~-~~~,b~0"~-'*;' SiteID: 015-021-000074 Manager : ~/~~.~/ 9200~;P~o~;;,. 29A (~3~ 872-9025 Location: 1111 ALTA VISTA DR CommHaz : Minimal City : BAKERSFIELD ~~ Gri~: FacUnits:- 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad:10-304-4756 Emergency Contact. / Title .Emergency Contact / Title JAY BUSBY ~ OWNER ~ ~RI~SC~ Business Phone: ~)· 872-9025x Business Phone: (~5) 872-9025x 24-Hour Phone : [~P3) 871-9025x 24-Hour Phone : (805) 50~ 8229~ Pager Phone : (~w~!) - x Pager Phone : Hazmat Hazards: Fire Press Im~lth Contact : Phone: ( ) - x MailAddr: 2714 SILVER .DR State: CA City : BAKERSFIELD Zip : 93306 Owner JAY W. BUSBY Phone:· (~{ 871-9025x Address : 2714 SILVER DR State: CA City : BAKERSFIELD Zip : 93306 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... ISpecHaz, EPA Hazardsl Frm DailyMax Unit MCP REFRIGERANT P IH G 1339.00 FT3 Low CARBON DIOXIDE P IH G 489.00 FT3 Minl PROPANE F P IH G 553.00 FT3 Hi ACETYLENE F P IH G 40.00 FT3 Hi ~, ~,...~t_~ ~,~:~,,,~, Do hereby certify that I have reviewed the attach-'e'd hazardous materials manage- ment plan ;or~._T~f:~c~ ~ d that it along .~,ith (Name ~ Business) any corrections constitute a complete and correct man- agemem plan for my facility. · ,.;,, .... ' / Da,~/ 09105/2000 BUSBY AIR CONDITIONING &,HEATING SiteID: 015-021-000074 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME REFRIGERANT Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER OF SHOP CAS# FSTATE ~ TYPE I ~ PRESSURE i TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average HAZARDOUS COMPONENTS %Wt. oRS CAS# 100.00 Chlorodifluoromethane N 75456 HAZARD ASSESSMENTS TSecret NoRSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No No No/ Curies P IH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers 'on Site -- COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On site 365 Location within this FacilitY Unit Map: Grid: NW CORNER OF SHOP CAS# rSTATE [ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum' Daily Average tf~ ~ FT3 489.00 FT3 489.00 FT3 HAZARDOUS COMPONENTS %Wt. oRS CAS# 100.00 Carbon Dioxide N 124389 HAZARD ASSESSMENTS ~TSecretl oRS BioHazl Radioactive/Amount I EPA Hazards ~ NFPA USDOT# MCP No N No No/ Curies P IH / / / Min -'2- 09/05/2000 BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~[V~VlU~ ~Vl~ / ~1 ~.IA_.Ij ~vt~ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid:. NW CORNER OF SHOP CAS# 74'-98-6 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LocATION Largest Container I Daily Maximum I Daily Average /~ FT3 553.00 FT3 553.00 FT3 HAZARDOUS COMPONENTS 100.00 Propane Yes 74986 HAZARD ASSESSMENTS TSecret }No N~S BioHazINo Radioactive/Amount, s/ Curies FEPAp HazardsiH NFPA/// IUSDOT# HiMCP ---- Inventory Item 0004 Facility Unit: Fixed Containers on Site %...:Utvu. vIU.I.~I J.~l./-U. Vl~, / %...i'"l~-,lVlJ-%...../"~,L.~ JNZ-U. Vlr,, ACETYLENE Days. On Site 365 Location within this Facility Unit Map: Grid: NW CORNER OF SHOP 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 ~--O FT3 40.00 FT3 40.00 FT3 HAZARDOUS COMPONENTS %Wt. Ry~eRSs CAS# 100.00 Acetylene 74862 HAZARD ASSESSMENTS TSecretl oRS BioHazNo N No Radioactive/Amount I EPA Hazards1NO/ Curies F P IH NFPA/// USDOT# I MCPHi -3- 09/05/2000 f BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 05/07/1992 CALL 911 Employee Notif./Evacuation 05/07/1992 VERBALBY -- PuBlic ~ot±f./Svacuat±on 05/07/1992 CAL5 911 ~ V~RBAL Emergency Medical Plan 05/07/1992 KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000. -4- 09/05/2000 f BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 12/19~1991 PROPER STORAGE, FIRE EXIT, 911 FOR MAJOR FIRE. Release Containment Clean Up Other Resource Activation -5- 09/05/200'0 BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 Fast Format ~ Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 08/29/1997 A) GAS - N END OF BLDG' B) ELECTRICAL - N END OF BLDG C) WATER - N END OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 08/29/1997 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - APPROXIMATELY 200 FT N AND 400 FT S ON ALTA VISTA Building Occupancy Level -6- 09/05/2000 BUSBY AIR CONDITIONING & HEATING SiteID: 015-021-000074 Fast Format ~ Training Overall Site -- Employee Training 08/29/1997 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROCEDURES: PERIODIC SAFETY MEETINGS: A) ELECTRICAL, B) LADDER SAFETY, C) MSDS REVIEW, D) MISCELLANEOUS SAFETY -- Page 2 --Held for Future Use Held for Future Use -7- 09/.05/2000 USB AIR CONDITIONING & HEAT~G --~//Iii SiteID: 215-000-000074 Manager : ~ j_~J ~,>~ ~usPhone:~ (805) 872-9025 Location: 1111 ALTA VISTA DR~I-Bv~3 ~ap : 103 z : CommHa Minimal FacUnits 1 AOV: City : BAKERSFIELD ~~rid: 29A : CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad:10-304-4756 Emergency Contact / Title Emergency Contact / Title JAY BUSBY / OWNER DANNY ~~ZL~4~/ EMPLOYEE Business Phone: (805) 872-9025x Business Phone: (805) 872-9025x 24-Hour Phone : (805) 871-9025x 24-Hour Phone : (805) 589-8229x Pager Phone : ( ) - x Pager Phone : ( ) - .x Hazmat Hazards: Fire Press ImmHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site --Hazmat Common Name... ISpeoHazlEPA Hazardsl Frm I DailyMax UnitlMcP PROPANE ~ F P IH G 553 FT3 Hi ACETYLENE F P IH G 40 FT3 Hi REFRIGERANT P IH G 1339 FT3 Low CARBON DIOXIDE P IH G' 489 FT3 Min · ~(Type or print harrY) reviewed ~h~ attached h~_~ardous materials manage- ment p~n o ~ tha~ along any corrections constitute a complete and co~e~ man- agement plan ~or ~' ~acili~. -1- 05/22/1997 BUSBY AIR CONDITIONING' & HEATING SiteID: 215-000-000074 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site PROPANE Days On Site 365 Location within this Facil'ity Unit NW CORNER OF SHOP CAS# 74-98-6 ~ STATE TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 I DailyAvg this Loc FT3 553.00I 553.00 Dail~Max Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Propane No 74986 -2- 05/22/1997 BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 = Inventory Item 0004 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this Facility Unit NW CORNER OF SHOP CAS# 74-86-2 F STATE -- TYPE i PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cdnt.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 40.00 40.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. Acetylene EHS CAS# 100.00 No 74862 -3- 05/22/1997 BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 = Inventory Item 0001 Facility Unit: Fixed Containers on Site REFRIGERANT Days On Site 365 Location within this Facility Unit SE CORNER OF SHOP CAS# STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Pure ] Above Ambient I Ambient PORT PRESS CYLINDER Gas. . . A~OUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 1339..00 1339.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Chlorodifluoromethane No 75456 -4- 05/22/1997 BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site CARBON DIOXIDE Days On Site 365 Location within this Facility Unit NW CORNER OF SHOP CAS# rSTATE ] TYPE PRESSURE I TEMPERATURE C'ONTAINER ' 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 489.00 489.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. " EHS CAS# 100.00 Carbon Dioxide No 124389 -5- 05/22/1997 BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 Fast Format = Notif./Evacuation/Medical Overall Site -- Agency Notification 05/07/1992 CALL 911 --- Employee Notif./Evacuation 05/07/1992 VERBALLY -- Public Notif./Evacuation 05/07/1992 CALL 911 AND VERBAL Emergency Medical Plan 05/07/1992 KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000. -6= 05/22/1997 BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 12/19/1991 PROPER STORAGE, FIRE EXIT, 911 FOR MAJOR FIRE. Release Containment -- Clean Up '' Other Resource Activation -7- 05/22/1997 BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 12/19/1991 A) GAS - NORTH END OF BUILDING B) ELECTRICAL - NORTH END OF BUILDING C) WATER - NORTH END OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 12/19/1991 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - APPROXIMATELY 200 FEET NORTH AND 400 FEET SOUTH ON ALTA VISTA Building Occupancy Level -8- 05/22/1997 f BUSBY AIR CONDITIONING & HEATING SiteID: 215-000-000074 Fast Format ~ Training Overall Site -- Employee Training 05/07/1992 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURES: PERIODIC SAFETY MEETINGS: A) ELECTRICAL, B) LADDER SAFETY, C) MSDS REVIEW, D) MISCELLANEOUS SAFETY -- Page 2 -- Held for Future Use Hold for Futuro Uso 9 05/22/1997 ,:1 04/27/92 BUSBY AIR CONDITIONING & HEATING 215-000-000074 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1111 ALTA VISTA DR Map: 103 Hazard: Minimal Community: BAKERSFIELD STATION 02 Grid: 29A F/U: 1 AOV: 0.0 · Contact Name Title .BuSiness Phone I 24-Hour Phone- JAY BuSBy IOWNER (805) 872-9025 x (~o~-)~,~-~z~ DANNY BRIMSOM IEMPLOYEE (805) 872-9025 x I.(805)~ Administrative Data Mail Addrs: 2714 SILVER DR .D&B Number: 10-304-4756 City: BAKERSFIELD State: CA Zip: 93306- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: Owner: JAY W. BUSBY Phone: Address: 2714 SILVER DR State: CA City: BAKERSFIELD Zip: 93306- 04/27/92 BUSBY AIR CONDITIONING & HEATING 215-000-000074 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02~001 REFRIGERANT Gas 1339 Low · Pressure, Immed Hlth' FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Day's: 365 ~ Use: COOLANT/ANTIFREEZE Daily Max FT3 Daily Average FT3 Annual Amount FT3 1,339 I 1,339.00 I ~,339.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove /AmbientlsE CORNER OF'SHOP -- Conc Components MCP List 100.0% IChlorodifluoromethane 02-002 CARBON DIOXIDE Gas 489 Minimal · Pressure, Immed Hlth FT3 CAS'#: Trade Secret: No °Form: Gas Type: Pure Days: 365 Use: CLEANING -- Daily Max FT3 ~. Daily Average FT3 ] Annual Amount FT3 489I 489.00I 489.00 Storagei Press T Temp~ Location PORT. PRESS. CYLINDER IAbove |AmbientlNW CORNER OF SHOP - Conc Components MCP List 100.0% ICarbon Dioxide IMinimal I 02-003 PROPANE Gas 553 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use:'HEATING ~ Daily Max FT3I Daily Average FT3 I Annual Amount FT3 553 ~ 553.00 55.3.00 Storage~ Press T Temp~~ Location PORT. PRESS. CYLINDER IAbove ~AmbientlNW CORNER OF SHOP -- Conc ComponentS I MCP List 100.0% IPropane. IExtreme I 04/'27/92 BUSBY AIR CONDITIONING & HEATING 215-000-000074 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ACETYLENE Gas 40 High ~ Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING S0LDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 40 I' 40.00 40.00 Storage I Press T Temp~ Location PORT. PRESS. CYLINDER IAbove ~AmbientlNW CORNER OF SHOP -- Conc Components MCP List / 100.0% Ihcet¥1ene IH~h -'-']' 04/27/92 BUSBY AIR CONDITIONING & HEATING 215-000-000074 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical · <1> Agency. Notification CALL 911 ' <2> Employee. Notif../Evacuation VERBALLY · <3>. Public Notif./EvaCuation / <4>' Emergency Medical.Plan KERN MEDICAL cENTER - 1830 FLOWER ST - 326-2000. 04/27/92 BUSBY°AIR CONDITIONING & .HEATING 215-000-000074 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention PROPER STORAGE, FIRE EXIT, 911 FOR MAJOR FIRE. <2> Release Containment <3> Clean Up ~ <4> Other. ResoUrce Activation 04/27/92 BUSBY AIR CONDITIONING & HEATING 215-000-000074 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards / <2> Utility Shut-Offs A) GAS - NORTH END OF BUILDING B) ELECTRICAL - NORTH END OF BUILDING C) WATER - NORTH END OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FIRE HYDRANT - APPROXIMATELY 200 FEET NORTH AND 400 FEET SOUTH ON ALTA VISTA <4> Building Occupancy Level 04/27/92 BUSBY AIR CQNDITIONING & HEATING 215-,080-000074 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURES: <2> page 2 as needed <3> Held for Future Use <4> Held for Future Use ~' .... J,A.Y B:~'.S'B Y ' · ( t-5~De or prink name ) D° hereby., cert'_fy, that I have ~evi-. ~wea' the attached. Hazardous Flaterials business plan for ~USBY AIR CONDTTTONTNC. ~. MRATTNC, (name of Business) and that it along with the attached additions er corrections constitute a complete and correct Business Plan for my facility. na~;Ur'e - ~// - ' - date - CITY of BAKERSFIELD ~O N-- TI~,AD E S E C ~ E T-C; ' paq. .... of .... c~v, z~v: Bake~sfield~ CA ~O~ CITY, ZIP: a r le DUN AND BRADSTREET NUMBER "~-~,' ~ "-',~ ~',~ ~.~.s. ~ 110~, 00 ~, ,~ ~ ~ c.,.s. ~ 10(~ Chlorodifluoromethane blth of Pm~ blth ......... - ~-, -- -- r~. ~--~ ~t ~ ~&C.A.S. ~' ~lth of ~ ~lth - *~t e3 ~&C.A.S.~ ~--IL'~_~&~~~~'~[~~l 22 INW Corner Shop 10C~ Prop~e - r--~ - r--~ ~t ~ ~&C.A.S. ~ ., ~lth of P~su~ ~ith ~te~ ~&C.A.S.~ p~.~ ~ ~t~ ~,~ C.A.S. ~ ~-~~ ~t t~ ~ & C.A.S. ~ HHIth of Pr~sure ~lth. . ;.~,6~,c,c.,,c,s ,,J~ BuSh[ ' O~e3 · "87[-95g3' ,, O,~y Brinson E~mlp~ee 589-8229 Cert~fic~ti~ (Re~d and s~gn after co.pier,nE ali sectJ.ons) ' - 2130' "G" STREET 'BAKERSFIELD, CA' 9330'1 S£Plh 1987 (805) 326-3979 ID~ HAZARDOUS ~TERIALS BUSINESS PLAN AS A ~HOLE FO~ 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: E~RGENCY NOTIFICATIONS In case of an emergenc~ involving the release or threatened release of a hazardous material, call 911 and 1-800-852-~550 or 1-918-42~-4341. This ~ill notify your local fire department and the State Office of Emergency Services as required by la~. 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 NItOLE A.~ROPANE: '~ /~'~ ~zO r~ /~c~/~__--,O.,~/~t~-'~ C. WATER: ~/O~ ' ~'~9 ~ [~/-~ /~ ~ D. SPEGIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANSV YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO 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 PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING~IN THE FOLLOWING AREAS,' CIRCLE YES OR NO INITIAL REFRESHER. A, MATERiALS:,,,-METHODS FOR SAFE HANDLING OF HAZARDOUS /,.?_,~_.,~_. ~ .................................... K¥~) NO NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ..... i .................... ~ ~ YES ~ C. PROPER USE OF SAFETY EQUIPMENT: ................... ~ ~)NO .~ NO D. EMERGENCY EVACUATION:PROCEDURES:.· ................. Y(~S) NO NO E.' DO YOU ~INTAtN .EMPLOYEE TRAINING RECORDS: ....... YES (~ YES (~ SECTION ?: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOURjBUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500' POU~- OF A SOLID, 55 GALLONS OF^A LIQUID, OR 200.CUBIC FEET OF A COMPRESSED GASi....[. (YEf) NO L~ A )¢L'~/O~.~' , certify that the above information is. accurate. I unde~stan~i t~t this i~formation will 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. BAKERSEIELD CITYFIRE 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~FACII, ITY' UNIT LISTED BEL'0W 4. Be as BRIEF and CONCISE as possibl'e. FACILITY UNIT# FACILITY UNIT NAME: '.' · SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDbq{ES I SECTION 2: NOTIFICATION AND EVACUATION PROCEDbqlES AT THIS UNIT'0NLY - SA - (SECTION.'3:~: HAZARDOUS MATERIALS FOR ~THiS UNiT ONLY .A Does ~this~'Fac±lity Unit conta'in Hazardous Materials? ..... ,/~ If 'YEs see B If~NO, continue with SECTION 4. B. ~'-Are any of the ha. zardo.us materials a bona fSde Trade Secret YE~ If NO, ~comptete a separate hazardous .materials inuentory form ?marked: ,NON-TRADE SECRETS ONLY (white form ¢4A-t) 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 %fade secrets on 'form.4A-2. SECTION 4: PRIVATE FIRE. PROTECTION SECTION 5: LOCATION OF WATER SUPPLY 'FOR USE BY EMERGENCY.:RESPONnDERS / SECTION~ LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT A .~./PROPAN~"~ B. ELECTRICAL: C..WATER: D. SPECIAL: E. LOCK BOX: YES ./ NO It; YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES,/ NO KEYS? v-~aS ./ NO - 3B - BAKERSFIELD cITy FIRE DEPARTMENT I.D. # FORM 4A-1 Page , '~,,~,of NON--TRADE SECRETS : HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ~ ? ,DF OWNER NAME: ~'-'~'-,4-V' : FAC.ILITY UNIT ADDRESS: 1~ 1~' ' ~ ~,~ ADDRESS: ZT/~ ~,~. ~ FACILITY UNIT NAME: CITY, ZIP: ~( ~_~.~c-~ . ~~_ CITY,ZIP: ~~~ PHONE ~: ~Z~C3~ PHONE *': -~-~/~~ OFFICIAL USE CFIRS CODE ONLY . 1 2 3 4 5 6 7 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY ~AZARD D.0.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY. UNIT . WT. CHEMICAL OR COMMON ~AME~ CODE GUIDE / r EMERGENCY CONTACT: TITLE: O~~-- ~ O PHON~-* BU~OURS: AFTER B~RS: .EMERGENCY CONTACT: /~~,/ ~/~~ ' TITLE: ~pWC~/~ . PHONE * BUS HOURS: · PRINCIPAL BUSINESS A~TIVIT~: AFTER'BUS HRS: ~7~--~/ - 4A-1 - SITE/FACILITY D'I AGR~ ~ -- ;~.ooR: IO~' / NORTH SCALE: BUS I NESS Nz-%'ffE: /~(3.5/,~./ ~"~,.¢/'3//~ ' (CHECK ONE) SITE DIAGRX~I FACILITY DIAGR.~ .. l(Inspector's Comments): -OFFICIAL USE 0NLY- I -5A - S£TE DIAGRAN (Requlre~ 1. Address: Identify the 9. Lock (key) Box principle buildings by the Street numbers, lO. MSDS Storage Box 2. 'Street(s), Alleys, Il, Railroad. Tracks Drlveways,~and Parking Areas adjacent [o the 12. Fence or,Barrier property. Include the .a. Mire · street names. b. Masonry ~3. Store Orelns. Culverts, Yard Drains c. #end 4. Drainage Canals, Oltchsa, d,'Gates Creeks, 13.'Powerllnee 5. Buildings a. Frans construction 14. Guard Station b. Masonry construction IS. Storage Tanks: Identify the c. Metal construction capacity in gal, a. Above ground d. Access Door ~ · b. Underground 6. Utility Controls a. Gsa 16. D/king or Berm b. Electricity I?. Evacuation Route c. Mater 18. Evacuation Area: ' Ideati~y the ?. Fire Suppression Systees: locatloe where a. Fire Hydrants employees will meet° b. Fire Sprinkler lO. Outside Hazardous Connections Mas~s Storage c. Fire Standpipe ~0. Outside Hazardous Connections Materiel Storage d. Mater Control Valves 21. Outside Hazardous for protection systems Material Use/Handling e. Fire Pump 22. Type ~f Hazardous Material/Waste Stored S. Fire Departeent Access or Used (See ' Below) TYPE OF HAZARDOUS F -Flamsable g - Explosive ~ L - Liquid R - Radlologlcal C - Corrosive 0 - Oxidizer O - O&a P - Poison M - Mater Reactive T - Toxic S - Solid 'g - Cryogenic ' D - MaSts B - Etiological Example: Fla~Jabls Liquid - FL FACILITy DI~GRA~ (Required Items La addition to the. abo~e) Risers for Sprlnkler~ 8. Pits Escap~a Partitions 9, Air Conditioning Units 3. Stairways: Indicate tho 10. Mlndo~a levels served from highest to lowest, ll. Inside Ha=ardous Masts Storage 4. ~scalator: Indicate the levels served from Ii. Inside Hazardous highest to lowest. Materials Storage Si Elevator 13. Inside Hazardous Materials Uee/llandll'ng 6..Attic Access 14. SMr Drain Inlets 7. Skylights