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Home My WebLink AboutUNDERGROUND TANK-C-11/6/90,.~,,,,.~.,.~, TR'ACT.~"i.: NO. '/4'9 t , ~- t',~ ~ ~ ,,. ,..,,., ~,/ 04!/5~/90 DOLEMAN HOMES '2i5~000', ~age i Overall Site with 1 Fao. Unit ' '- General Information · Location: 6000 AMBERGROVE ST Map: 125 ,Hazard: MOderate Ident Number: 215-000-000~47 Grid: 210~ Area.of Vul: 0.0 Contao~ Name ~ Title .i Buslness Phone ........ F.24 Hour Phone- JEFF WILLIAMS .' .... VICE PRESIDENT 1(805) 526-1141 x J(805) 664-1656 LOREN ROSEN ~GENERAL SUPER 1(805~ 526-1141 x ~(805) 664-1947 Administrative Data Mail Addrs: 5251 OFFICE PARK DR D&8 Number: City: BAKERSFIELD State: CA Zip: 95509- Oomm Code: 215-0i5 BAKERSFIELD STATION 15 SIC Code: Owner: TOM COLEMAN Phone: (1805) 526-1141 Address: P 0 BOX 9566 State: CA City: BAKERSFIELD Zip: 95589- Summary 04/50/90 COLEMAN HOMES 215-000-000447 Page 2 Hazmat Inventory List in MOP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MOP 02-001 PROPANE Gas 364 High Fire, Pressure, lmmed Hlth FT3 04/50/90 OOLEMAN HOMES 2i5-000~00W47 Page 02 - Fixed Containers on Site .Hazmat Inventory Detail in MOP Order 02-00i PROPANE Gas 364' High Fire, Pressure, Immed Hlth F'T5 CAS ~: 74-98-6 Trade' Seoret: No Form: Gas -Type: PUre Days: 565 Use: HEATING Daily Max FT3 l" : ..... Daily Average FT5 [ Annual Amount FT5 564 I 182 I 564 Storage T Press T Temp --T-' i , Looatio'n PORT. PRESS. CYLINDER lAhore IAmbien'tl'6000 A'MBERGROVE ST -- Oono ~ Components T-- MOP --~lst 100.0~ Propane I High 04/30/90 OOLEMAN HOMES 215-000-000447 Page 4 O0 - Overall Slge <D> Nogif./Evacuag'ion/Med~cal <1> Agency No'bifloat~on CALL gl1 <2> Employee Notif./Evaoua,tion ALL EMPLOYEES HAVE VOICE PAGERS AND WILL BE CONTACTED IN PERSON OR BY VOICE PAGER TO EVACUATED AREA <3> Public Notif./Evaouatlon FIRST NOTIFY PROPER AUTHORITIES FOR ASSISTANCE THEN WITH OUR EMPLOYEES START A DOOR TO DOOR EVACUATION. <4> Emergency Medical Plan 008 SITE TRAILER HAS FIRST AID DITS AND EMERGENCY PHONE NUMBERS POSTED. TAKE ANY INJURED PARTIES TO MEMORIAL URGENT CARE CENTER AT ASHE & MING AVES. IF TRANSPORTABLE. 04/50/90 COLEMAN HOMES 215-000-0( Page 5 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention HAVE PROPANE SUPPLIERS MAKE MAINTENANCE INSPECTIONS AT TIME OF REFILLS TO ~NSURE TANK IS IN SAFE OPERATING CONDITION. <2> Release Containment CALL PROPANE SUPPLIER. SHUT OFF ELECTRICAL POWER AT TEMPORARY POWER POLE 8Y MEANS OF MAIN BREAKER. 45> Clean Up WITH PROPANE NONE NEEDED OR AS REQUIRED BY LOCAL AGENCIES. <4> Other Resouroe Activation 04/50/90 COLEMAN HOMES 215-000-000447 · Page 6 O0 - Overall Site <F> Site Emerge. noy Faotors <l> Speoial Hazards <2> Utillty Shut-Otfs A) GAS - VALVE IS AT.TACHED TO TANK 8) ELECTRICAL - ON TEMPORARY POWER POLE ADJACENT TO TRAILER C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO <5> Fire Proteo./Avail. Water PRIVATE FIRE PROTEOTION- FIRE EXTINGUISHER IN JOB SITE TRAILER FIRE HYDRANT - NONE CLOSE <4> Held for Future use .04/50/90 OOLEMAN HOMES 215-000-00047 Page- O0 - Overall Site <G> Training <1> Page 1 WE HAVE 15 EMPLOYEES AT THIS FACILITY . WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROGRAM: PROPANE SUPPLIER DEMONSTRATED PROPER FILLING AND HANDLING PROCEDURES WITH ALL EMPLOYEES THAT WILL POSSIBLY BE USING FACILITY PRESENT. WEEKLY SAFETY MEETINGS WITH'.EMPLOYEES, CAL OSHA AND HAZARDOUS MATERIALS DISCUSSION~ <2> Page 2 as needed <3> Held for Future. Use <4> Held for Future Use Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street · ~.)~[~/-' Bakersfield, CA. 93301 RECEJYEO J~N 9 1990 · HAZARDOUS MATERIALS MANAGEMENT PLAN tN_STRUCTJONS; ' 1. To avoid further action, return this form within 30 days of receilbt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible, SECTION ]"BUSINESS IDENTIFICATION DATA ~ PRIMARY ACTIVITY: (~ "'- I SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 2, L~rz~ '~~ c.~. s~Pr, · '~;).(.,,. l~q I 1, Bakersfield Fire De' Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS:' ~.~ 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 DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, ~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS {DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. , &,,,z:. /- '~---SIGNATURE TITLE DATE FDI 5~0 Bakersfield Fire Depl Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~ -rT'- c SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: IAi I L-. (-. ~-.- ~ L,../-.' B. EMPLOYEE NOTIFICATION AND EVACUATION: '~L. L.. 1:?.Tv1 t::::~L..O¥~'~_.,.~ C. PUBLIC EVACUATION' Bakersfield Fire Dep~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT pLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ~-tl~-~.~ ~'~0~::)~'1~ ,'---~ ~ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES' ~ I ~l~ ~0~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ELECTRICAL' _~ ~l~l~P~-~r~-.'~ WATER'. NOt~ '~' ~F~ L.. I ~. ~,,,~ SPECIAL: LOCK BOX: YES/~ IF YES, LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A, PRIVATE FIRE PROTECTION' F,F~--~ ~x-I'l~k~er~.~M~ !ki ':~'-~)~ %IT~ ~--r-~+lL~. B. WATER AVAILABILITY (FIREHyDRANT) CITY of BAKERSFIELD Farm andAgticulture ~ Standard Business,.H,i~:_AZARDOUS MAT ERZALS Z NVENTORY NON--TRADE SECRETS P~ge ........ of__ LOCATION; ADDRESS; ~:~_~.~1 ~¢¢~4~~ STAN . : CITY, ZIP CITY. ZIP:~~ ~ ~~ DUN AND BRADSTREET NUHBER PHONE ~: PHONE fl: REFER TO~~N5 FUR HRUP~ CODES - - - - [~ge ~mx Avfr)ge Annual ~easure I ~V) Cent Cent Cent Us Location?ets. of wixtu?Componen~s coae come Amt ~,~Am[. Est Un)ts on u~ce Type Press femp Code S~ored )n ~ac~imcy See Instruct)OhS Physical(Check aHandthatHealthapply)Hazard C.A.a. Number ~- ~-~ Component l1 Name & C.A.S. Number Component 12 Name I C.A.S. Number ~FireHazard ~ Reactivity ~ Delayed ~Sudd~n. Release ~ Immediate Health or ~ressure Health Component l) Name I C.A.S. Number Physical ind Health ~alard C.A.a. Humber Component Il Name & C.A.S. Number (Check al/ that apply) Component t2 Name ~ C.A.S. Number ~ Fire Hazard ~ Remctivit) ~ Oe~ayed ~ Sudan Release ~ Im~%~i¢¢¢ Health of Pressure Component 13 Name I C.A.S. Number Physical and Health ~alard C.A.a..Number Component II Name I C.A.a. Number (Check all that apply) Component ~2 Name & C.A.a. Number ~ Fire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ Immediate Health of Pressure Health Component I3 Name $ C.A.S. Number Physical led Health Uazard C.A.S. Number Component I1 Name I C.A,S. Humber (Check ali that APP/H Component 12 Name I C,A,S. Number ~ Fire Hazard ~ RemcLivity. ~ ~layed~alth ~ SuddenofPressureRelease ~ Component 13 Name I C,A,S, Humber rLifi;atioq .(Re~ ¢.nd.~fgn af~¢¢ compl~Sfog.all secLipn~) .,cerp(y,unoer pena~cX ~I ~a~ [n~c ]navepersonald. exa~In~qo~ ~i~ar,~it~ the in~or~Mpn ~u~iLted in this lnd all .'s?~matl~n/~e,*atcacnea aocumenc), anq c~ oaseOaccurace,On.my analnquirYcomp/ece,gr'[n°se inalvlauams~ responsible rot obLa~ning cne Information,. I believe Chats?the OHM A~ MP PL MAP SITE DIAGRAM FTI FACILITY DIAGRAM I--I A~ea Ma.~ ~ of --- North Name of Area: ~.~,~-. Bakersfield Fire D~ --~t'.' ~7~X~, Hazardous Materials Division. TO: BUILDING DEPT. ' , .~- .. LOCATION ~1 D F%/cE ~~ ~. STATUS OF HAZ MAT REGULATIONS I, F-1 Required to Complete a HazardOuS Materials -' BuSiness Plan azard us Materials Business Plan comPlete " II, E] Risk Management & Preventi°n.Pro.gram Required [-'] Risk Management & Proyention Program Requirements are being met - OK to issue permit, ["-] Risk Management and PreventiOn Program has been approved. OK to issue Certificate of.Occupancy. III, J-"l. No'Hazardous Material Requirements, IV, E] All Hazardous Materials Reporting Requirements complete. Comments: . HazardoUs'Materials D~i~ion . :: Date FD~6,55'Rov1./90 · :' Bakersfield Fire t. ~;,~'~' ~//~'~ Hazardous Materials Di~sion R E .CE IV E [I ~~~ HAZARDOUS MATERIALS COMPLIANCE STATEMENT JAN" 9 1990 ~ (To be completed by Building Permit Applicant and/or Site Plan Review Applicarlt) ,. · , 'A_ns~.,.... .... ,., BUSINESS NAME ~_.~ ~L.~. ~ AI~J ~-O' ~~ LOCATION .~,-~ t C)~'F' j~ '¢~1i~.,~::: ,.~.. · ~AJ~'bc'~SI='ii~/..j..~,.' C/h.i_.'l PLEASE READ ALL Of: THE INFORMATON CAREFULLY, FAILURE TO COMPLY WITH THE HAZARDOUS MATERIALS REGULATIONS MAY RESULT IN CIVIL LIABILITIES OF UP TO $2000,00 FOR EACH DAY IN WHICH THE VIOLATION OCCURS. YES NO Will the Applicant or future building occupant be ~equired to complete (3 Hazardous Materials Business Plan? I'-1 (NOTE) If you handle, store, use or dispose of, reportable quantities of any : · hazardous substance, you are required by California Law to complete a : Hazardous Materials Business Plan. Forms con be obtained from the Bakersfield . _ . ~, . . Fire Department, Hazardous Materials Division, 2130 G Street. ' Typical every day hazardous materials you may find in your facilities may include, but not limited to: compressed gases; fuels - all types; solvents; oils (new and · -" -.; .?:... waste); thinners; caustic or corrosive moterials; poisonous or toxic materials; and ' radioactive materials. -,~,' <:~.,~/ - · :;:c-~;. '.. - :"YES' Will the applicant or future building occupant be required to comPlete a Risk Manage- .' .-. ~,i-~.~!;D' :~..~ ment and Prevention Program? (NOTE) If you handle, store, use or dispose Of reportable quantities of any extremely hazardous substance you must develop a,Rlsk Management and Prevention Program. THIS PLAN MUST BE APPROVED BY THE LOCAL ADMINISTERING AGENCY BEFORE YOU COMMENCE OPERATIONS AT THIS FACILITY. The list ofregulated chemicals is contained in Appendix A of port 355 of Subchapter J of Chapter I of Title 40 of the Code.of Federal Regulations. This list of chemicals isavailable at the Bakersfield Fire Deportment, Hazardous Materials Division, 2130 G Street. Will the applicant or rupture building occupant be ~equired to obtain a permit from the YES NO Kern County Air Polution Control District? F1 Location within 1,000 feet of outer boundry of the following: YES NO. School -(any school, public or private used for the purposes of education of r'"'l children Kindergarten or any of grade 1 to 12, inclusive) Hospital- [-'1 Long Term Care Facility- r-'l Check here if none of the above apply to this project, r-1 o~ ~usiness~, , . . . FD 1654