HomeMy WebLinkAboutBUSINESS PLAN SITE/FACILITY D'r AG~-~
· , ~None SLOAN PURGE PRODUCTS CO'.
DATE: 7/~4/81FACILITY UNIT
: (CHECK ONE) SITE DIAGRA~ gx , FAClLI~ DIAGR.~ x
fl
'
~ % .3.1~2 ANTONINO AVB.
" ANTONINO AV~ .
i~ ~?~.:...,~.:...
,,. ,.. .."~Z : '- SA - ..
. . .- ... .... .
BUSINE88 PHONE . ....... ~.,-- HOME PNONE '
V OLAT ON NO~ CE SSUED? ~' :S'.. /.t ['~ :-5 ' OCCUPANT LOAD .. ". ." .' , ' .
HAZARDOUS MATERIALS INSPECTION~
VERIFICATION OF INVENTORY MATERIAr-~
VERIFICATION-OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL.
COMMENTS:
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF MSDS AVAILABLE
H~Z~RDOHS gW~RI
,BU'SINESS PLAN AS A ~HOLE
0007 "
1. To avoid further action, return this form by
2. TYPE/PRINT A~SWERS IN ENGLISH.
8. Answer the qt~estions below for the business as a whole.
4. Be as brief and concise as possible. ~
SECTION 1: BUSINESS ~ IDE~IFICATION DATA
A~ BUSINESS NAME: SLOAN PURGB PRODUCTS CO.
..LOC r O / ST EEZ
CITYBAK~RSFIELD~ qA, ZIP: 9ssaa BUS.PHONE: (~). 522-279~
SECTIOff 2: ~RGENC~ ~OTIFIC~TIONS
In case of an emergency involving the release o~ threatened release of a
hazardous late~ial,~ call 911 and 1-800-852-~550 o~ 1-918-42~-4341. This ~ill notify
iou~ local fire department and the State Oggice of Eme~genc~ Sevvices as required by
'" .... '~:~;~ ';"' ~ ....... , 1-'~,,~ c: .... :',- ;r~,- ', ..... ........ , ~
ENPLOYEES TO. OTIFY" IN CASE OF ~ERGENCY:
N~E AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
'.~?~ARco S. S'LOAN~ Ph~ ,..~ 322-2798 Ph~
B. RODNEY D. SLOAN Ph~ 322-2798 Ph~
SECTION 3: LOCATION~ OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE
A. NAT. GAS/PROP~NE:'S.E. CORNER iff BDLG.
' "B. ELECTRICAL: ~ST ~ALL OF Stt0P- INSIDE
C. ~ATER:S.E, CORNER OF 8DLG.- OUTSIDE
D. SPECIAL: NON~'
E. LOCK BOX: YES /_ NO IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? 'YES / NO ~SDSS? YES / NO.
2A - ".
SECTION 4: PRIVATE~RESPONSE T~EAN~FOR BUSiNEss AS A WHOLE
-~11 cyl~fn'd-e'r's~Iap'ff~i~n~aptS~o~ed-;~t0f~ge.rack to prevent tipping over.
Fire extinguishers in prQPer places.
Cy%~de~g wou,ld be shut-off in case'~°f, an".emergency.
SECTION 5: LOCAL EMERGENCY ~EDICAL ASSIST~CE FOR YO~ BUSINESS'AS 'A W~OLE
M~RCY HOSPITg~ AND VARIOUS CLINICS CAN PROVIDB ANY EMERGENCY S~RVIC~
~ MAY R~Q~IRE,
SECTION 6: EMPLOYEE T~INING
'EMPLOYERS ARE REQUIRED TO hAVE A PROGRAM WHICH~pROvIDEs EMPLOYEES ~I~H INITIAL AND
'REFRESHER 'TRAINI, NG~IN THE"FOLLOWING',AREAS~' - '-'
CIRCLE YES ORNO INITIAL... REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS: . . NO NO'
B. PROCEDURES FOR COORDINATING ACTIVITIES · -.~
WITH RES~0NSE AGENCIES: ..... ......... ' ........... ~NO Y~ NO
C. PROPER USE OF SAFETY EQUIPMENT:~ ....... ,.~.. ..... ~N0 YES NO
D. EMERGENCY EVACUATION pROCEDURES: .... /~///~ ....... YES NO YES NO
E, DO YOU. ~INTAIN EMPLOYEE TRAINING REC~DS:,...,,.' YES~ YE~['~ ~,~,~
SECTION 7: ~Z~OUS ~TERI~
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED.GAS: ...... YES~
~ ~~/ , certify that. the above information is accurate.
~~st~nd tha~th~-inf~rmation ~ill be used to ~ulflll my firm's obligations under
the ne~ California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6,95
Sec. 25500 Et Al.) and that inaccUrate information constitutes perjury.
.
- 2B -
BAKERSFIELD cITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICiAl, USE ONLY
ID#
BUSINESS NAME: Q
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM~ SA
INSTRUCTIONS 1. To avoid further action, this form mtlst be returnedby:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. ALso, el' the questions below for THE FACII,[TY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNITe 1 FACILITY UNIT N~E: SLOAN PURGE PRODUCTS CO.
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
Ail cylinders kept in approved storage rack to prevent tipping over.
Fire extinguishers in proper places.
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY
Verbal orders to evacuate premises with personal follow up.
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... I-?ES. NO
If YES, see B.
If.NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret~.Y~S.~.fNO"
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 for~ marked:
TRADE SECRETS ONLY (yellow form #4A-2)in addition ta the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION ~ ~
2 Portable extinguishers plus hose bib service.
Water on South and East sides of building..
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RE,PONDERS
North-East corner of Pierce Road and An(ohino Ave.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT TH~'S UNIT ONLY.
GAS/PROPANE:
A. t~AT. ' ,' '"
South-East ~orner of building outside.
B. ELECTRICAL:
West wall inside shop.
C. WATER:
South-East corner of building - Outside.
D. SPECIAL:
None
E. LOCK.BOX: YES /(NO,: IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO MSDSs? ~'£S / NO
FLOOR PLANS? YES / NO KEYS? YES / XO
I.D. ~ ' ' FORM 4A-1 Page
NON--TRADE SECRETS
HAZARDOUS HATERI ALS INVENTORY
uu~lN~s$ NAME: o~w~a PURGE PRODU~,o CO. OWNER NAME:MARLO'RODNEY'WANDA SLOAN FACIbI'I'Y UWI'I'
ADDRESS: 3~ao ~.~.q.~A~ ADDRESS: 318 RF~.CH gm FACILITY UNIT NAME:
CITY, ZIP:~AK~T~tn ~A o~n~ CITY,ZIP:gA~R~FI~T,n'. ~A
PHONE ~:-J22~2798.. , PHONE ~: ~,x_6859___ {OFFICIAL ONLY_____ USE CFIRS CODE
1 2 3 4 5 6 ~ 8 9 10
TYPE ~X ~gL ~O~T [HSE LOC~TIO~ I~ T~IS · BY ~g~RD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE ~GUIDE,
M 85 170 FT~ 04 16 Portable uni~ on cax t 100 Oxygen OXID
g 55 110 FT3 04 04 ~emt side-out~id~ lO0 Ac,tal~ne FLGS
~ 330 'l 4d00 FT3 04 04 " " " ~0-0- I .... ArS6fi ;, NFhG
~AN~: ~HARLO S, S~OAN' TITLE :PReSIDeNT SIGNATURE - ' DAI~ :7-14-87
EME'RGENCY CONTACT: MARLO S. S~OAN TITLE: PRESIDENT PHONE *-BUS HOURS: 805-~22~27~8
RODNBY D. SEDAN · VIU~-PR~SID~NT AFTER BUS HRS: ~23=6859
EMERGENCY .CONTACT: - TITLE, .. PHONE ~ BUS HOURS: 322-2798
PRi'NCIPAL BUSINESS ACTIVITY: ~'anufaotur~ Silic0nm B~adO~r Part~ AFTER BUS HRS: ~23~6859
- 4A-1 -_