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Home My WebLink AboutBUSINESS PLAN SIFE/FAC ILI TY D I A~R.~dVl " ~ · FORM 8 · NORTH SCALE: BUSINESS NAME: FLOOR: OF DATE:./ / FACILITY NAME: UNIT .,~' OF {CHECK ONE) SITE DIAGRAM f FACILITY DIAGRAM - SA - SITE/FACILITY DIAGRAM · FORM S NORTH SCALE: BUSINESS N~ME: FLOOR: OF DATE: / / FACILITY N~ME: UNIT ~: OF (CHECK ONE) SITE DIAGRAM / FACILITY DIAGR.~M (Inspector's Comments): -OFFICIAL USE ONLY- , GENERAL FIRE & SAFETY CO INC q~~G~~ ~ SiteID: ~.O9~215-000-001339 Manager : · ~ ~usPhone: (805) '~2-~-~2- Location: 3001 ARROW ST ~ Map : 102 CommHaz : Low City : BAKERSFIELD rid: 23B FacUnits: 1AOV: CommCode: COUNTY STATION 66 SIC Code:7389 EPA Numb: DunnBrad: - - Emergency Contact / Title Emergency Contact / Title JAMES W. MCNALLY / PRESIDENT ANDRA L. PERRY / OFFICE MANAGER Business Phone: (805) 327-8592x Business Phone: (805) 327-8592x 24-Hour Phone : (805) 392-8678x 24-Hour Phone : (805) 392-8981x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax IUnitJMCP ABC FIRE EXTINGUISHERS P G 3000 LBS Low BC FIRE EXTINGUISHERS P L 2000 LBS Min CARBON DIOXIDE F IH DH G 1400 LBS Min NITROGEN F P IH G 1200 FT3 Min PORTABLE FIRE EXTINGUISHERS P G 1000 LBS Min MOTOR OIL F DH L 25 GAL Min GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ABC FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit RECHARGER & SW CORNER OF 2ND FLOOR CAS# 7722-76-1 Gas Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 3000.00 1500.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt.Ii EHS CAS# 100.00 Monoammonium Phosphate No 7722761 2 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site BC FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit SW CORNER OF SECOND FLOOR CAS# 144-55-8 Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 2000.00 800.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS %Wt. HAZARDOUS COMPONENTS EHS CAS# 100.00 Sodium Bicarbonate No 144558 -3- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site CARBON DIOXIDE Days On Site 365 Location within this Facility Unit CAS# 128-38-9 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 1400.00 600.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. EHSI CAS# 100.00 Carbon Dioxide INo I 124389 -4- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site NITROGEN Days On Site 365 Location within this Facility Unit W SIDE OF DOUBLE DOOR & NE CORNER CAS# 10102-44-0 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 1200.00 1200.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Nitrogen No 7727379 5 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site PORTABLE FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit CAS# 298-14-8 Gas Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 1000.00 500.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS EHS %Wt. CAS# 100.00 Potassium Bicarbonate No 298146 -6- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit CAS# 8020835 Liquid /Pure Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 25.00 12.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS EHS %Wt. CAS# 100.00 Motor Oil, Petroleum Based No 8020835 -7- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 06/22/1992 OFFICE AREA: CALL 9-1-1. IN CASE OF TROUBLE OR DISASTER IN OFFICE AREA OFFICE PERSONNEL ARE TO NOTIFY SHOP PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY AND EXIT OUT THE EAST EXIT IN THE OFFICE AREA. SHOP PERSONNEL ARE TO EXIT BY THE SHOP EXIT NEAREST THEM AND NOTIFY THE PERSONNEL IN THE ADJOINING BLDG. -- Employee Notif./Evacuation 06/22/1992 SHOP PERSONNEL: IN CASE OF TROUBLE OR DISASTER IN THE SHOP AREA SHOP PERSONNEL ARE TO NOFITY THE OFFICE PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY. THEN EXIT OUT THE NEAREST EXIT. OFFICE PERSONNEL ARE TO EXIT OUT THE EAST OFFICE EXIT AND NOTIFY THE PERSONNEL IN THE ADJOINING BLDG. -- Public Notif./Evacuation 06/22/1992 OFFICE PERSONNEL: IN CASE OF TROUBLE OR DISASTER IN OFFICE AREA OFFICE PERSONNEL AR TO NOTIFY SHOP PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY AND EXIT OUT THE EAST EXIT IN THE OFFICE AREA. SHOP PERSONNEL ARE TO EXIT BY THE SHOP EXIT NEAREST THEM AND NOTIFY THE PERSONNEL IN THE ADJOINING BUILDING SHOP PERSONNEL: IN CASE OF TROUBLE OR DISASTER IN THE SHOP AREA THEY ARE TO NOTIFY THE OFFICE PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY. THEN EXIT OUT THE NEAREST EXIT. NOTIFY PERSONNEL IN THE ADJOINING BUILDING. Emergency Medical Plan 06/22/1992 KERN MEDICAL CENTER'S PHONE NUMBER POSTED IN SHOP/OFFICE - 326-2000 BAKERSFIELD FIRE DEPT - 911 BAKERSFIELD POLICE DEPT - 911 CALIFORNIA HIGHWAY PATROL - 911 AMBULANCE SERVICE - 911 8 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/07/1990 NITROGEN GAS - TRANSFERRED FROM STORAGE CYLINDER TO FIRE EXTINGUISHER THROUGH A PRESSURE REDUCING REGULATOR AND HIGH PRESSURE LINES. MAX 195 PSI FIRE EXTINGUISHING CHEMICAL (DRY POWDER) - WHILE REFILLING EXTINGUISHERS, PERSONNEL ARE REQUIRED TO WEAR A DUST MASK AND USE A FUNNEL WITH DUST FILTER BAG. SHOP DOOR (ROLL UP DOOR NORTH SIDE OF BUILDING) - IS REQUIRED TO BE OPEN AT ALL TIMES WHILE PERSONNEL ARE WORKING IN THE SHOP AREA. -- Release Containment -- Clean Up Other Resource Activation -9- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 09/16/1991 A) GAS - MIDWAY EAST SIDE OF BUILDING ON THE ARROW STREET SIDE B) ELECTRICAL - EAST SIDE OF BUILDING ON ARROW STREET SIDE MID DOOR C) WATER - SOUTHWEST SIDE OF THE PROPERTY LOCATED BETWEEN BACKFLOW METER AND CURB D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 09/16/1991 PRIVATE FIRE PROTECTION - PORTABLE FIRE EXTINGUISHERS FIRE HYDRANT - SOUTH SIDE OF SELECT AV MIDWAY OF OUR BUILDING Building Occupancy Level -10- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Training Overall Site -- Employee Training 06/22/1992 WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE WITH COPIES IN THE OFFICE, IN THE SHOP AND ON THE VEHICLES. BRIEF SUMMARY OF TRAINING: WE ATTENDED THE SEMINAR ON APRIL 12, 1989. HAZ MAT TRAINING THROUGH CALPORT CEMENT COMPANY TRAINING PROGRAM 5-10-91. OSHA REQUIRED SAFETY MEETINGS EVERY 10 WORKING DAYS. -- Page 2 -- Held for Future Use Held for Future Use -11- 06/18/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ---- Fast Format Type+Category+Sub-Category+8 CharID Order One Unified List INSPECTIONS Reference Dates Summary Description 11/22/1988 OK 66A 07/18/1991 JOHNSTON/EPPLEY/MACDONALD INVENTORY TO BE REVISED NICHOLAS 10/24/1989 OK -12- 06/18/1997 GENERAL FIRE & SAFETY CO IN( SiteID: 215-000-001339 Manager : JUN ~0 ]997 . ~ BusPhone: (805) 327-8592 Location: 3001 ARROW ST ~ ~ Map : 102 CommHaz : Low City : BAKERSFIELD f By~ Grid: 23B FacUnits: 1AOV: CommCode: COUNTY STATION 66 SIC Code:7389 EPA Numb: DunnBrad: - - Emergency Contact / Title Emergency Contact / Title JAMES W. MCNALLY / PRESIDENT ~ ~_~RA L. PERRY / OFFICE MANAGER Business Phone: (805) 327-8592x B~siness Phone: (805) 327-8592x F~ 24-Hour Phone : (805) 392-8678x 24-Hour Phone : ~805) 39~9~x-3~-~ Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title = Hazmat Inventory One Unified List -- MCP+Da.ilyMax Order Ail Materials at Site Hazmat Common Name.,, ISpeoHazlEPA Hazards[ Frm I DailyMax Unit MCP' ABC FIRE EXTINGUISHERS P G 3000 LBS Low BC FIRE EXTINGUISHERS P L 2000 LBS Min CARBON DIOXIDE F IH DH G 1400 LBS Min NITROGEN F P IH G 1200 FT3 Min PORTABLE FIRE EXTINGUISHERS P G 1000 LBS Min MOTOR OIL F DH L 25 GAL Min ~, JAMES W. MCNALLY DO h~sby c~Ri~ ~ha~ I hay® (l'y~ or I~nt namo) reviewed ~h~ a~ached h~a~ous m~e'~a~s manag~- GENE~L FIRE & SAFETY CO., INC. men~ plan (~of~,~) -and ~ha~ i~ alo~ ~i~h any ~rr~ions cons~i~u~S ~ ~pIs~S end ~rre~ 1 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ABC FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit RECHARGER & SW CORNER OF 2ND FLOOR CAS# 7722-76-1 r STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 3000.00 1500.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Monoammonium Phosphate INo I 7722761 -2- 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site BC FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit SW CORNER OF SECOND FLOOR CAS# 144-55-8 ~ STATE [ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 2000.00 800.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Sodium Bicarbonate No 144558 -3- 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site CARBON DIOXIDE Days On Site 365 Location within this Facility Unit CAS# 128-38-9 ~ STATE --T-- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE ~ Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 1400.00 600.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Carbon Dioxide No 124389 -4- 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ummu~ m~ / ~H~ICAL NITROGEN Days On Site 365 Location within this Facility Unit W SIDE OF DOUBLE DOOR & NE CORNER CAS# 10102-44-0 F STATE 1 TYPE PRESSURE i TEMPERATURE CONTAINER 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 1200.00 1200.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Nitrogen No 7727379 -5- 05/22/1997 F GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 = Inventory Item 0004 Facility Unit: Fixed Containers on Site PORTABLE FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit CAS# 298r14-8 STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 1000.00 500.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Potassium Bicarbonate No 298146 -6- 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 = Inventory Item 0005 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit CAS# 8020835 Liquid Pure Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 25.00 12.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt.Ii EHS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 -7- 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Notif./Evacuation/Medical Overall Site -- Agency Notification 06/22/1992 OFFICE AREA: CALL 9-1-1. IN CASE OF TROUBLE OR DISASTER IN OFFICE AREA OFFICE PERSONNEL ARE TO NOTIFY SHOP PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY AND EXIT OUT THE EAST EXIT IN THE OFFICE AREA. SHOP PERSONNEL ARE TO EXIT BY THE SHOP EXIT NEAREST THEM AND NOTIFY THE PERSONNEL IN THE ADJOINING BLDG. -- Employee Notif./Evacuation 06/22/1992 SHOP PERSONNEL: IN CASE OF TROUBLE OR DISASTER IN THE SHOP AREA SHOP PERSONNEL ARE TO NOFITY THE OFFICE PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY. THEN EXIT OUT THE NEAREST EXIT. OFFICE PERSONNEL ARE TO EXIT OUT THE EAST OFFICE EXIT AND NOTIFY THE PERSONNEL IN THE ADJOINING BLDG. Public Notif./Evacuation 06/22/1992 OFFICE PERSONNEL: IN CASE OF TROUBLE OR DISASTER IN OFFICE AREA OFFICE PERSONNEL AR TO NOTIFY SHOP PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY AND EXIT OUT THE EAST EXIT IN THE OFFICE AREA. SHOP PERSONNEL ARE TO EXIT BY THE SHOP EXIT NEAREST THEM AND NOTIFY THE PERSONNEL IN THE ADJOINING BUILDING SHOP PERSONNEL: IN CASE OF TROUBLE OR DISASTER IN THE SHOP AREA THEY ARE TO NOTIFY THE OFFICE PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY. THEN EXIT OUT THE NEAREST EXIT. NOTIFY PERSONNEL IN THE ADJOINING BUILDING. Emergency Medical Plan 06/22/1992 KERN MEDICAL CENTER'S PHONE NUMBER POSTED IN SHOP/OFFICE - 326-2000 BAKERSFIELD FIRE DEPT - 911 BAKERSFIELD POLICE DEPT - 911 CALIFORNIA HIGHWAY PATROL - 911 AMBULANCE SERVICE - 911 8 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/07/1990 NITROGEN GAS - TRANSFERRED FROM STORAGE CYLINDER TO FIRE EXTINGUISHER THROUGH A PRESSURE REDUCING REGULATOR AND HIGH PRESSURE LINES. MAX 195 PSI FIRE EXTINGUISHING CHEMICAL (DRY POWDER) - WHILE REFILLING EXTINGUISHERS, PERSONNEL ARE REQUIRED TO WEAR A DUST MASK AND USE A FUNNEL WITH DUST FILTER BAG. SHOP DOOR (ROLL UP DOOR NORTH SIDE OF BUILDING) - IS REQUIRED TO BE OPEN AT ALL TIMES WHILE PERSONNEL ARE WORKING IN THE SHOP AREA. -- Release Containment -- Clean Up Other Resource Activation 9 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 09/16/1991 A) GAS - MIDWAY EAST SIDE OF BUILDING ON THE ARROW STREET SIDE B) ELECTRICAL - EAST SIDE OF BUILDING ON ARROW STREET SIDE MID DOOR C) WATER - SOUTHWEST SIDE OF THE PROPERTY LOCATED BETWEEN BACKFLOW METER AND CURB D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 09/16/1991 PRIVATE FIRE PROTECTION - PORTABLE FIRE EXTINGUISHERS FIRE HYDRANT - SOUTH SIDE OF SELECT AV MIDWAY OF OUR BUILDING Building Occupancy Level -10- 05/22/1997 GENERAL FIRE & SAFETY CO INC SiteID: 215-000-001339 Fast Format ~ Training Overall Site -- Employee Training 06/22/1992 WE HAVE/~ EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE WITH COPIES IN THE OFFICE, IN THE SHOP AND ON THE VEHICLES. BRIEF SUMMARY OF TRAINING: WE ATTENDED THE SEMINAR ON APRIL 12, 1989. HAZ MAT TRAINING THROUGH CALPORT CEMENT COMPANY TRAINING PROGRAM 5-10-91. OSHA REQUIRED SAFETY MEETINGS EVERY 10 WORKING DAYS. -- Page 2 -- Held for Future Use Held for Future Use -11- 05/22/1997 06/12/92 GENERAL FIRE & SAFETY CO INC 215-000-0~I3'39 Overall Site with 1 Fac. Unit General Information Location:.3001 ARROW ST Map: 102 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 23B F/U: 1 AOV: 0.0 Contact Name Title Business Phone ~ 24-Hour Phone- /---- --- -J-AM'~S W''MCNALLY ]Pre$ident0ffice Manager I(805) 327-8592 x 1(805) 392-8678 /-'~NDR/~i~ FERRY (805) -'-~ ~'~ , ~ Administrative Data Mail Addrs: '3001 ARROW ST D&B Number: - - City: BAKERSFIELD State: CA Zip: 93308- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 7389 'Owner: JAMES W. MCNALLY Phone: ('805) 392 -8678 Address: 6600 PALM TREE CIRCLE State: CA City:. BAKERSFIELD 'Zip: 93308- Summary I, James W. McNal 1 y Do hereby cett~ that I have reviewed the attached hazardous materials manage- ment plan forG~n~ral ,Fire & Sa~that it ~dong with (Name of Bualnea~) -- any corrections constitute a complete and correct man- agement plan for my facility. 06/12/92 GENERAL FIRE & SAFETY CO INC 215-000-001339 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 NITROGEN .Gas 1200 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 10102-44-0 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: AEROSOL/INFLATION Daily Max FT3 Daily Average FT3 I Annual Amount FT3 1,200 I 1,200.00 4,800.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~AmbientlW SIDE OF DOUBLE DOOR & NE CORNE - Conc Components MCP List 100.0% INitrogen IMinimal I 02-002 ABC FIRE EXTINGUISHERS Gas 3000 Low · Pressure LBS CAS #: 7722-76-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBSI Daily Average LBS I Annual Amount LBS . 3,000 ~ 1,500.00 6,000.00 StorageIIPress T Temp Location PLASTIC CONTAINER IAmbient~AmbientlRECHARGER & SW CORNER OF 2ND FLO Conc Components MCP List 100.0% IMonoammonium Phosphate ILow I 02-003 BC FIRE EXTINGUISHERS Liquid 2000 Minimal · Pressure LBS CAS #: 144-55-8 · Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBSI Daily Average LBS I Annual Amount LBS 2,000 I 800.00_ 4,000.00 Storage Press 'T TempI '- Location PLASTIC CONTAINER AmbientlAmbientlSW'CORNER OF SECOND FLOOR -- Conc Components I MCP List 100.0% ISodium Bicarbonate [Minimal I 06/12/92 GENERAL FIRE & SAFETY CO INC 215-000-001339 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 PORTABLE FIRE EXTINGUISHERS Gas 1000 Minimal · Pressure LBS CAS #: 298-14-8 Trade Secret: No Form: Gas Type: Pure' Days: 365 Use: STORAGE/IN STORAGE Daily Max LBS Daily Average LBS ] Annual Amount LBS 1;000 I 500.00, 3,000.00 Storage Press T Temp .Location PLASTIC CONTAINER IAmbient|Ambientl -- Conc Components MCP List 100.0% IPotassium Bicarbonate IMinimal I 02-005 MOTOR OIL Liquid 25 Minimal · Fire, Delay Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL 25 I 12.00_ 50.00 storage Press T Temp Location METAL CONTAINR-NONDRUM JM~rtbient/~bi. entI -- Co.nc Components MCP List 100.0% IMotor Oil, Petroleum Based IMinimal I 02-006 CARBON DIOXIDE Gas 1400 Minimal · Fire, Immed Hlth, Delay Hlth LBS CAS #: 128r38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: AEROSOL/INFLATION Daily Max1,400LBSI~ Daily Average600.00LBS I Annual Amount3,000.00LBS -- Storage Press T Tempi Location · PORT. PRESS. CYLINDER Above I Ambientl - Conc Components I MCP List 100.0% ICarbo'n Dioxide IMinimal I 06/12/92 GENERAL FIRE & SAFETY CO INC .215-000-001339 Page 4 O0 - Overall Site <D> Notif./Evacuation/Medical <l>'Agency Notification OFFICE'AREA: CALL 9-1-1. IN CASE OF TROUBLE OR DISASTER IN OFFICE AREA OFFICE PERSONNEL ARE TO NOTIFY SHOP PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY AND EXIT OUT THE EAST EXIT IN THE OFFICE AREA. SHOP PERSONNEL ARE TO EXIT BY THE SHOP EXIT NEAREST THEM AND NOTIFY THE PERSONNEL IN THE ADJOINING BLDG. <2> Employee Notif./Evacuation SHOP PERSONNEL: IN CASE O~ TROUBLE OR DISASTER IN THE SHOP AREA SHOP PERSONNEL ARE TO NOFITY THE OFFICE PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT'TYPE OF EMERGENCY. THEN EXIT OUT THE NEAREST EXIT. OFFICE PERSONNEL ARE TO EXIT OUT THE EAST OFFICE EXIT AND NOTIFY THE PERSONNEL IN THE ADJOINING BLDG. <3> Public Notif./Evacuation OFFICE PERSONNEL: IN CASE OF TROUBLE OR !~i$~57E~ IN OFFICE AREA OFFICE PERSONNEL AR TO NOTIFY SHOP PERSONNEL THEN MAKE THE EMERGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY AND EXIT OUT THE EAST EXIT IN THE OFFICE AREA. SHOP PERSONNEL ARE TO EXIT BY THE SHOP EXIT NEAREST THEM AND NOTIFY THE PERSONNEL IN THE ADJOINING BUILDING CASE OF TROUBLE OR ~~R' IN THE SHOP SHOP PERSONNEL: IN AREA THEY ARE TO NOTIFY THE OFFICE PERSONNEL THEN MAKE THE E~RGENCY PHONE CALL FOR THAT TYPE OF EMERGENCY. THEN EXIT OUT THE NEAREST EXIT. NOTIFY PERSONNEL IN THE ADJOINING BUILDING. <4> Emergency Medical Plan KERN MEDICAL CENTER'S PHONE NUMBER POSTED IN,~SHOP/OFFICE - 326-2000 BAKERSFIELD FIRE DEPT - 911 BAKERSFIELD POLICE DEPT - 911 CALIFORNIA HIGHWAY PATROL - 911 AMBULANCE SERVICE - 911 06/12/92. GENERAL FIRE & SAFETY CO INC 215~000-001339 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention NITROGEN GAS - TRANSFERRED FROM STORAGE CYLINDER TO FIRE EXTINGUISHER THROUGH A PRESSURE REDUCING REGULATOR AND HIGH PRESSURE LINES. MAX 195 PSI FIRE EXTINGUISHING CHEMICAL (DRY POWDER) - WHILE REFILLING EXTINGUISHERS, PERSONNEL ARE REQUIRED TO WEAR A DUST MASK AND USE A FUNNEL?WITH DUST FILTER BAG. SHOP DOOR (ROLL UP DOOR NORTH SIDE OF BUILDING) - IS REQUIRED TO BE OPEN AT ALL TIMES WHILE PERSONNEL ARE WORKING IN THE SHOP. AREA. <2> Release containment <3> Clean Up <4> Other Resource Activation 06/12/92 GENERAL FIRE'& SAFETY CO INC 215-000-001339 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - MIDWAY EAST SIDE OF BUILDING ON THE ARROW STREET SIDE B) ELECTRICAL - EAST SIDE OF BUILDING ON ARROW STREET SIDE MID DOOR C) WATER - SOUTHWEST SIDE OF THE PROPERTY LOCATED BETWEEN BACKFLOW METER AND CURB D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. water PRIVATE FIRE PROTECTION - PORTABLE FIRE EXTINGUISHERS FIRE HYDRANT - SOUTH SIDE OF SELECT AV MIDWAY OF OUR BUILDING <4> Building Occupancy Level 06/12/92 GENERAL FIRE & SAFETY CO INC 215-000-001339 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE ?5 EMPLOYEES AT THIS FACILITY? DO YOU HAVE MATERIAL SAFETy DATA SHEETS ON FILE? Yes, with copies in the office, in the shop, and on the vehicles. BRIEF SUMMARY OF TRAINING: WE ATTENDED THE SEMINAR ON APRIL 12, 1989. HAZ MAT TRAINING THROUGH CALPORT CEMENT COMPANY TRAINING PROGRAM 5-10-91. OSHA required safety meetings every lO Working days. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use attached Hazardous Flaterials business plan for Genera~F{re&Rs~,, (name of business) .... and that it along with the attached additions er corrections constitute a comDlete and correCt Business Plan for my facility. ~ated August 12, ~991 CITY of BAKERSFIELD RECEIVED NON--T~AD~ 8 EClaTS H'AZ[MAT. D~~ ~--°~'- ~oca~IO~: 3001 Arrow St. ~DDRESS: 6600 Palm ~ee Circle STanDARD I~D. ChASS CODE CITY, ZIP: R~Fi~7~. ~A 9,~,~08 CITY, ZIP: R~.qF~,~7,d ~ 0.~.~ DUN AND BRADSTREET NUMBER ~lth of P~ ~lth ~lth of ~ ~lth P~ical ~ ~lth ~zi~ C.A.S. ~ 7722-76-1 ~t It ~ & c.A.S. ~ ABC Fire Ext. Dry Ch~ical - ~-~ (Mono~oni~ Phosvhate) ~lth of P~su~ ~lth - (C~k ,il t~t rely} Bp Fir~ Ext. Dry Ch~ical H~ I th of Pr~sure H~ Ith J~es W. McNal~ - ~esident . CITY of BAKERSFIELD Fare a.d aqriculture '~-~ Standard 8us~.,, NON--'tRADE SECRETS . BUSINESS NAME: General Fire & Sa£et~ ,.~t, OWNER NAME:J~r/r~e.q W_ M~.3]~rT. 7.~, NAME OF T[~"i~ F_A_C..I. LI_T_Y: LOCATION: 3001 Arrow ~gt, - ~ ADDRESS: 6~00 Palm Tree ~irele STANDARD IND. CLASS CODE CITY, ZIP: Bakers~ield~ CA 93308 CITY, ZIP: '~TP~-~'J~7.~ ~ 9~0~ DUN AND BRADSTREET NUMBER P~o~E ~: .... 3.27-85')2 327-8593 PHONE ~: ,~.9~-86~8 ~ --- - --- -- - ~--d Fire Hazard ~--a R~tt~tty ~_a bll~ ~_d ~ bi~ ~--a i~tatl iPotassi~ Bic~bo~te) ~lth of P~q ~lth (C~k all tat fl~lth of Pr~sure H~lth Certificati~ (Read and sJ~ after coapletln~ aJJ sectJons)~ ~ ;; '' I(~'- R{ COUNTY ~'I Rig PARTPIigNT tiAZARDOUS MATIgRI ALS B U Rig A~3 Business Phone:..3~-F~ ID $ /3~f DATE 7 /~/~/ Key ,ap Sec. ALL ITEMS OK: [ ] VTOLATIONS ~Or~: [ ] J0L 23 199l O - Does Hot ~pply 1 - In Compliance 2 - Co~ection Needed 3 - VerSify Named 4 H.O.V. 5 - Citation ~ - Referred To (Specify) .............. EMERGENCY RESPONSE PROCEDURES PREVENTION & CLEANUP PROCEDURES A. Local Agency Notification Plan / E. Housekeeping & Work Area Safety B. Employee Notification & Evacuation w/ F. Fire Extinguishers & Fixed Systems C. Release Mitigation Procedures ~./ O. Minimization & Cleanup Equipment D. Emergency Medical Assistance H. Emergency Fire Water Supplies HAZARDOUS MATERIALS TRAINING INVENTORY & DIAGRAM VERIFICATION I. Employee Training Records P// M. Utility Connections & Shutoffs J. MSDS Availability & Familiarity ~,/ N. Aboveground Tank & Container Labeling K. Personal Protective Equipment 1,/ O. Quantities, Locations. & Separations L. Hazardous Material Permits 1~ P. Other Comments: / ........... 2 2 1991 KCFO HMCi3 Clearance Granted [ ] Re-Inspection Required [ ] On__/__/ P.E. Started // : ~/_ _ Completed /~ : /'~ Total Time~: /~ No. of Facilities [ ,~¢~,~c tot/ / - - Company Representat iv.. Mi les on Inspection Printed Name ~ 06/21/91 GENERA~FIRE & SAFETY CO INC 215 0-001339 Page 1 Overall Site with 1 Fac. Unit General Information Location: 3001 ARROW ST Map: 102 Hazard: Low Ident Number: 215-000-001339 Grid: 23B Area of Vul: 0.0 Contact Name Title Business Phone i 24 Hour Phone] JAMES W. MCNALLY ~~ (8'05) 327-8592 x I (805) 392-8678~ WALTER B. HELMS ~a~ ~7~ (805) 327-8592 x (805) 831-3651~ Administrative Data Mail Addrs: 3001 ARROW ST D&B Number: - - City: BAKERSFIELD State: CA Zip: 93308- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 7389 Owner: JAMES W. MCNALLY Phone: ( ) - Address: 6600 PALM TREE CIRCLE State: CA City: BAKERSFIELD Zip: 93308- Summary 06/21/91 GENERA~FIRE & SAFETY CO INC 215~0-001339 Page 2' Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP /02-002 ABC FIRE EXTINGUISHERS Gas 3,000 Low Pressure LBS 02-003 BC FIRE EXTINGUISHERS Liquid 2,000 Minimal' Pressure LBS ~ 02-001 NITROGEN Gas 1,200 Minimal Fire, Pressure, Immed Hlth FT3 02-004 PORTABLE FIRE EXTINGUISHERS Gas 1,000 Minimal Pressure LBS 06/21/91 GENERA~FIRE & SAFETY CO INC 215~0-001339 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ABC FIRE EXTINGUISHERS Gas 3000 Low Pressure LBS CAS #: 7722-76-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS 3,000 I 1,500.00 I 6,000.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbient/AmbientIRECHARGER & SW CORNER OF 2ND FLO -- Conc Components MCP List 100.0% IMonoammonium Phosphate ILOw I 02-003 BC FIRE EXTINGUISHERS Liquid 2000 Minimal Pressure LBS CAS #: 144-55-8 Trade Secret: No Form: Liquid' Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBS ~ Daily Average LBS I Annual Amount LBS 2,000 I 8oo.oo I 4,000.00 Storage Press T TempI Location PLASTIC CONTAINER Ambient/AmbientlSW CORNER OF SECOND FLOOR -- Conc Components. MCP List 100.0% Isodium Bicarbonate Minimal I ~02-001 NITROGEN Gas 1200 Minimal Fire, Pressure, Immed Hlth FT3 CAS #: 10102-44-0 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ~ Daily Average FT3 ! Annual Amount FT3 1,200 I 1,200.00 I 4,800.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove /Ambient W SIDE OF DOUBLE DOOR & NE CORNE -- Conc Components MCP List 100.0% INitrogen IMinimal I 06/21/91 GENE FIRE & SAFETY CO INC 215 0-001339 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 PORTABLE FIRE EXTINGUISHERS Gas 1000 Minimal Pressure LBS CAS #: 298-14-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBS ~ Daily Average LBS T Annual Amount LBS ...... 1,ooo I oo.oo I ,ooo.oo Storage Press T Temp Location PLASTIC CONTAINER IAmbient~ambientl -- Conc Components MCP List 100.0% IPotassium Bicarbonate IMinimal I BUSINESS NAME GENERAL FIi& SAFETY CO INC ID N~BER 215-000-001339 LOCRTION 3001 ARROW'~ WH HAZARD RATING 2 1 . .OVE l~V I E r~ LAST CIIANGE 01/05/89 BY ESTER JURIS CODE 215-001 JURIS BAKERSFIELD STATION O1 MAP PAGE 102 GRID 23B FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) WE ARE AWARE OF THE LOCATION AND SHUT:OFFS FOR GAS, ELECTRICITY, AND WATER SUPPLY TO OUR BLDG. WE iIAVE EQUIPMENT AND TRAINING TO IIANDLE SMALL FIRES, SHOULD THEY OCCUR. EMERGENCY CONTACTS 2A SEC 2) JAMES W. MCNALLY - 327-8592 OR 392-8678 TED SMITH - 398-3542 or 327-8592 UTILITY SltUTOFFS '2A SEC 3) A) GAS - MIDWAY E SIDE OF BLDG ON TIlE ARROW ST SIDE B) ELECTRICAL - E SIDE OF BLDG ON ARROW ST SIDE MID DOOR C) WATER - S W SIDE OF THE PROPERTY LOCATED BETWEEN BACKFLOW METER & CURB D) SPECIAL - NONE E) LOCK BOX - NO 2 . NO'I'I FICATION / P'UBL I C EVACUATION LAST CHANGE / / BY Office Personnel " In case of trouble or disaster in office area office'persohnel are to notify shop personnel then make the emergency phone call for that type of emergency phone call for that type of emergency and exit out the east exit in the office area. Shop personnel are to exit by the shop exit nearest them and notify the .~ NO,.I~FORMATIDN RECORDED FOR THIS SECTION > personnel in vne aajo~nsng ouz~azng. Shop Personnel In case of trouble or disaster in the shop area are to notify the office personnel then make the emergency phone call for that type of emergency. Then exit out the nearest exit. Office personnel are to exit out the east office exit and notify the personnel in 'the adjoining building. PAGE I 01/05/89 17:09 MATERIAL SAFETY DATA' SYSTEMS, INC. (805) 648-6800 BUS~NESS NAME GENERAL FIO& SAFETY CO INC ID N~ER 215-000-001339 LOC~TION ' 3001'ARROW ~T HIGH HAZARD RATING 2 3 .. }{AZ MAT TRAINING SUMMARY LAST CHANGE / / BY ~ As of this date we have not had any actual Haz Mat training; However, we are · registered'to take the 2 hr. semina~ on April 32, 1989. We attended the seminar on April 12, 1989. Haz-Mat training through CalPort Cement Company training program 5-10-91. < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY .MEDICAL ASSISTANCE LAST CHANGE 01/05/89 BY ESTER 2A SEC 5) KERN MEDICAL CENTER'S PHONE NUMBER POSTED IN SHOP/OFFICE - 326-2000 BAKERSFIELD FIRE DEPT - 911 BAKERSFIELD POLICE DEPT - 911 CALIFORNIA HIGHWAY PATROL - 911 AMBULANCE SERVICE - 911 PAGE 2 01/05/89 17:09 MATERIAL SAFETY DATA· SYSTEMS, INC. (805) 648-6800 BUCci.NESS NAME GENERAL & SAFETY CO INC ID ~BER 215-000-001339 LOCATION 3001 ARROW ST HIGH HAZARD RATING 2 ~FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 01/05/89 BY ESTER ID TYPE NAME MAX AMT UNIT IIAZARD LOCATION CONTAINMENT USE ! PURE NITROGEN 1200 FT3 MODERATE W SIDE OF N DOUBLE DOOR METAL CONTAINERS OTHER ID PERCENT COMPONENTS HAZARD LIs'rs 2324.00 100.0 NITROGEN MODERATE. 2 PURE AMMONIUM PHOSPHATE 3000 LBS UNKNOWN RECHARGER PLASTIC CONTAINER[S] OTHER ID PERCENT COMPONENTS HAZARD LISTS 3009.00 100.0 AMMONIUM PHOSPHATE, DIBASIC UNKNOWN 3 I~XXXXX~ ff~;'~ H I OH ~ g~X~.~Jtl~PX]~gA ~ No Long~r~ ~esent ~XXXX~~X~~X HAZARD L I STS ~]~X~X~~~X. H I GH 4. ~re CO2 ~t~erse 1400 lbs. High 8-100 lb. CO2 ~linders'full Hazed Lists 6- 75 lb. a02ayli~erzfull Sigh ~st Wall of Shop ~ea next to exit recharge room. B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 01/05/89 BY ESTER 3A SEC 4) PORTABLE FIRE EXTINGUISHERS FOR FIRE PROTECTION. 3A SEC 5) FIRE HYDRANT LOCATED ON S SIDE OF SELECT AVE MIDWAY OF OUR BLDG. PAGE 3 .. . . 01/05/89 17:09 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ~B~oI~ESS NAME GENERAL FIRE & SAFETY CO INC ID MBER 215-000-001339 LOCATION 3001 ARROW ST HIGH HAZARD RATING 2 D . EMPLOYEE NOTIFTCATION / EVACUATION LAST CHANGE 01/05/89 BY ESTER 3A SEC 2) OFFICE PERSONNEL ARE TO EVACUATE THE BLDG THROUGH THE MAIN OFFICE DOOR ON THE NE SIDE OF BLDG. SHOP PERSONNEL ARE TO EVACUATE THE BLDG THROUGH THE SHOP ROLL UP ON THE N AND NE SIDES OF BLDG. EMERGENCY PHONE NUMBERS ARE POSTED IN BOTH THE OFFICE AND SHOP AREA. E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 01/05/89 BY ESTER 3A SEC 1) NITROGEN GAS - TRANSFERRED FROM STORAGE CYLINDER TO FIRE EXTINGUISHER THROUGH A PRESSURE REDUCING REGULATOR AND HIGH PRESSURE LINES. MAX 195 PSI .' FIRE EXTINGUISHING CHEMICAL (DRY POWDER) - WHILE REFILLING EXTINGUISHERS, PERSONNEL ARE REQUIRED TO WEAR A DUST MASK AND USE A FUNNEL WITH DUST FILTER BAG. SHOP DOOR (ROLL UP DOOR N SIDE OF BLDG) - IS REQUIRED TO BE OPEN AT ALL TIMES WHILE PERSONNEL ARE WORKING IN THE SHOP AREA. PAGE 4 01/05/89 17:09 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ""'1.7-~ '"~' ~:'.,-'--:' ~.' ' 5~~.~ ( ~ue or print name ) 'RECEIVED FEB 1 4 _~.~ that Z ha~-e ~e~.'~e;ced the ,~z. U~. D~V. attached Hazardous Haterials business plan ~or General Fir¢ &,q~?] On Zn~ ..... (name o£ businesst and that it along with the attached additions o~' corrections oonsti~ ~ ~ ~u~e a complete and correct Business Plan ~or my facilit~~. f sz~na~ure ~/~- date CITY of BAKERSFIELD F~r, ~d. lqriculture '~.a Standard Business ~ ~~~0~ ~~~ ~~ ~ ~~0~' NON- ~' R A D ~ S ~ C R ~ ~ S ' ~m~ .J_ o~ ~... LOCATION: 3001 Arrow St. ADDRESS: 6600 Palm Treg ~i~7.~ STANDARD IND. CLASS CODE CrTY, ZIP:, Bakers$ield~ CA 93308 CITY. ZIP: Bakersfield. CA 93308 DUN A~D BRADSTRgET PHOHE ~: (805) 327-8592 327-g,~gZ PHONE e: 392-8678 __ - __- - C~e C~e ~t ~t Est Units ~ Site 1~ ~ T~ ~ ._7.1_s_1_.22~__I 2~oo J ~,oo ~a ass ~ ~-3' ~ P~ic.I ~d HH~th ~z.~ C.A.S. ~ 10102-44-0 ~t mi C.A.S. ~ ~lth of P~ ~lth ' ~taS ~&C.~.S.~ ~P~ical ~ Mlth Hazl~ C.A.S. i ~t Il ~ i C.A.S. i ~-~ ~t. ~ & C.A.S. ~ ~ FtqHazl~ ~--~ ~tivtty'~-~r-~ hll~ :~ ~ ~i~ ~--u Motor Oil ~lth of ~ ~lth ,P~ca] ~ ~lth bzl~ C.A.S. ~ 7722-76-1 ~t mtW~ s C.A.S. ~ (C~k Ill t~t ~ly) . ABC Fire Extin~is~er ...... - ~_~ [-~ ~-~ ~-~ ~t. ~sc.A.s. ~ ~lth of P~ H~lth ~t. ~ ~ C.A.S. ~ /~ '~on~on~~ ~o~te) :~~L_.~~~___l 4000 l~>~l ass l zol z l~ la7 1~~.~/~-~'2~*~~ ... B~c,~ ~ H.~t, ~,,~ ' C.A.S. ~ ~-SS-S ~t mt ~S~A.S. ~ Fire - r--~ r--~ r--~ r--~ C~t 12 ~&C.A.S. ~ ~ ~ Fire Hez4rd ~--~ ~tiv~ty ~--~ ~ia~ ~--~ ~d~ ~lme ~--J I~tltl ~ Ch~miaal H~ith of P~su~ ~ith. ~ . ~t n ~ & C.A.S. ~ /~ (Sodi~ Bicgrbo~te~ Certific~ti~ (Re~d and s~ a/t~r co~pJet~,nR a~] sections) I certify ~der ~ity of 1~ t~t I ~ve ~rsmmlly exmmin~ ~ aB f~ilimr mith t~ tnf~timlSU~itt~ in thts~ roll ~tK~ ~ts. ~ t~t ~s~ m W i~iW d t~e tMtYt~is ~stble for o~taining t~ inf~tim. I ~)ieve t~t t~ su~itt~ in~ti~ ~s t~. ~curate. ~mtm. ~ ). ~ ~ . N~2'SRa'oTTiEi;l'Titll-)T ~er/o~ra:or Og-~r/o~ra[~ s autmrlz~ reer~a:lve ~re ~ . . ~li'li~d CITY of BAKERSFIELD Far, and Aq~iculture ~ Standard eus~..s T ~AZARDOU~ HAT.RI A~S I ~V~T.ORY' NON--'I?RADE SECRETS BUSINESS NAME: General Fire & Safety Co. OWNER ................ NAME- J~es W. McNally NAME OF T~ FACILITY: LOCATION: -,~ggl Arrow St. ADDRESS: 6600 Palm Tree ~ircle ........ ~ ..... ' CITY, ZIP: Bakersfielg, 6~ S~U8 CITY, ZiP: · ~a~s~,[~7./ ~J OgZO8 DUN AND BRADSTREET NUMBER ~ ~ X~U~XO~ ~ ~OP~ CO~ ~r~ ,n t~t ,~y) PK Chemical~or (Potassi~ Bicarbo~te} · i(C~k il1 t~t I~}y) : Painhu~?~a~e ~lth of P~ ~lth ~t ~__~_L L .......... 1 I I I ,I, I !_ I ........................... Hfllth of P~su~ ~lth H~lth of Pr~sure H~ith Certlficati~ (Read and sJgn after coepJetlflg all sections) · for o~aining t~ inf~tl~, [ ~lieve t~t t~ su~itt~ info~ti~ is tr~, accurate, ~ete. ?~BUSINESS NAME GENERAL FIRE & SAFETY CO INC ID NUMBER 215-000-001339 LOCATION 3001 ARROW ST HIGH HAZARD RATING 2 1. OVERVIEW LAST CHANGE 01/05/89 BY ESTER JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 102 GRID 23B FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) WE ARE AWARE OF THE LOCATION AND SHUT-OFFS FOR GAS, ELECTRICITY, AND WATER SUPPLY TO OUR BLDG. WE HAVE EQUIPMENT AND TRAINING TO HANDLE SMALL FIRES, SHOULD THEY OCCUR. EMERGENCY CONTACTS 2A SEC 2) JAMES W. MCNALLY - 327-8592 OR 392-8678 ~X~X~XX - ~X~XO~~XXWalter B. Helms 327-8592 or 831-3651 UTILITY SHUTOFFS 2A SEC 3) A) GAS - MIDWAY E SIDE OF BLDG ON THE ARROW ST SIDE B) ELECTRICAL - E SIDE OF BLDG ON ARROW ST SIDE MID DOOR C) WATER - S W SIDE OF THE PROPERTY LOCATED BETWEEN BACKFLOW METER & CURB D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY Office Personnel In case of trouble or disaster in dffice area office'~ersohnel~ are~to~9otify shop personnel then make the emergency phone call for that type of emergency phone call for that type of emergency and exit out the east exit in the office area. Shop personnel are to exit by the shop exit nearest them and notify the ,~ NO~.I~FORMATIDN RECORDED FOR THIS SECTION > personnel in ~ne aajo~n~ng ou~a~ng. Shop Personnel ~ case of trouble or disaster in the shop area are to notify the office personnel then make the emergency phone call for that type of emergency. Then exit out the nearest exit. Office personnel are to exit out the east office exit and notify the personnel in the adjoining building. PAGE 1 01/05/89 17:09 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME GENERAL FIRE & SAFETY CO INC ID NUMBER 215-000-001339 LOCATION 3001 ARROW ST HIGH HAZARD RATING 2 D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 01/05/89 BY ESTER 3A SEC 2) OFFICE PERSONNEL ARE TO EVACUATE THE BLDG THROUGH THE MAIN OFFICE DOOR ON THE NE SIDE OF BLDG. SHOP PERSONNEL ARE TO EVACUATE THE BLDG THROUGH THE SHOP ROLL UP ON THE N AND NE SIDES OF BLDG. EMERGENCY PHONE NUMBERS ARE POSTED IN BOTH THE OFFICE AND SHOP AREA. E . ~IITIGATION / PREVENTION / ABATEMENT LAST CHANGE 01/05/89 BY ESTER 3A SEC 1) NITROGEN GAS - TRANSFERRED FROM STORAGE CYLINDER TO FIRE EXTINGUISHER THROUGH A PRESSURE REDUCING REGULATOR AND HIGH PRESSURE LINES. MAX 195 PSI FIRE EXTINGUISHING CHEMICAL (DRY POWDER) - WHILE REFILLING EXTINGUISHERS, PERSONNEL ARE REQUIRED TO WEAR A DUST MASK AND USE A FUNNEL WITH DUST FILTER BAG. SHOP DOOR (ROLL UP DOOR N SIDE OF BLDG) - IS REQUIRED TO BE OPEN AT ALL TIMES WHILE PERSONNEL ARE WORKING IN THE SHOP AREA. PAGE 4 01/05/89 17:09 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME GENERAL FIRE & SAFETY CO INC ID NUMBER 215-000-001339 LOCATION 3001 ARROW ST HIGH HAZARD RATING 2 FACILITY UNIT 01 A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 01/05/89 BY ESTER ID TYPE NAME MAX ANT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE NITROGEN 1200 FT3 MODERATE W SIDE OF N DOUBLE DOOR METAL CONTAINERS OTHER ID PERCENT COMPONENTS HAZARD LISTS 2324.00 100.0 NITROGEN MODERATE 2 PURE AMMONIUM PHOSPHATE 3000 LBS UNKNOWN RECHARGER PLASTIC CONTAINER[S] OTHER ID 'PERCENT COMPONENTS HAZARD LISTS 3009.00 100.0 AMMONIUM PHOSPHATE, DIBASIC UNKNOWN 3 PURE HALON 900 LBS HIGH S SIDE OH SHOP AREA ID PERCENT COMPONENTS HAZARD LISTS 1143.16 100.0 HALON 1001 HIGH B . FIRE PROTECTION / WATER SUPPL I'ES LAST CHANGE 01/05/89 BY ESTER 3A SEC 4) PORTABLE FIRE EXTINGUISHERS FOR FIRE PROTECTION. 3A SEC 5) FIRE HYDRANT LOCATED ON S SIDE OF SELECT AVE MIDWAy OF OUR BLDG. PAGE 3 . 01/05/89' 17:09 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME GENERAL FIRE & SAFETY CO INC ID NUMBER 215-000-001339 LOCATION 3001 ARROW ST HIGH.HAZARD RATING 2 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY As of t~is ~te we have not ~d any actual Haz Mat traini~. However, we are r~gis~e~ed~'to take the 2 hr. semina9 on April 12, 1989.~ < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 01/05/89 BY ESTER 2A SEC 51 KERN MEDICAL CENTER'S PHONE NUMBER POSTED IN SHOP/OFFICE - 326-2000 BAKERSFIELD FIRE DEPT - 911 BAKERSFIELD POLICE DEPT - 911 CALIFORNIA HIGHWAY PATROL - 911 AMBULANCE SERVICE - 911 PAGE 2 01/05/89 17:09 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 2. ~PE/PR~ ~S~ERS ~N ~. Ans~ee ~he ques~&ons belo~ fo~ ~he business as a 4. Be as br~e~ ~d concise as possible. ' .~ .... ... S~0~ ~: B~SI~SS ~DE~CAT~ON DATA B. LOCAT~0N / STREET ADDRESS: '~0~. ~n~,~ S~. CI~: BaAersfield~ CA ZIP: .9,~.~ BUS.PHONE: (805) .%27-R,fi,92 SE~ION 2: ~RG~ NOTIFICATIONS In case of an emergency involvinM the release or threatened release of a hazardous material, call 91! and 1-800-8~2-78~0 or 1-916-427-4341. This will notify your local fire department and the State Office of EmerKency Services as required by EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. ,~m~,~' ~77 .... P~~* Ph~ 327~,8~ Ph~ 392-8678 B. Ted Smith~Sem~Ccg Mg~a~r PhS 327-8s~2 Ph# ~98-9~77 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WMOLE 'A. NAT. GAS/PROPANE: M~7_~,~, ~C',<~d~. ~ bu~7.~4~f ~ ~h~ ~.c S~. s~g, B ELECTRICAL: ~7.~+ ~ ~.~t .~i~ ~ B~,i~i~C ~ ~ ~ ~ -~ ~ ~- ~ C WATER: ~ +~ ~.,~ ~ .... ~ ~-~d~ th~ ~on~- ~+~ A~ .... ~ h~7~,,~ ~+~ E. LOCK BOX: YES ,/ NO IF YES. LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / FLOOR PLANS? YES / NO KEYS? YES / NO SECTI.O,'; z: PR!'t;ATE RESPONSE TS.U4 70R BUSINESS AS ,4 NHOLE We are aware of the location and shut-offs for Gas, Electrical, and water supply to our building. We have equipment and training to hahdle small fires should they occur. SECTION 5: 50CAL EMERGENCY MEDICAL ASSISTANCE FOR YOf~ BUSINESS AS A WHOLE Kern Medical Center's phone'number posted in Shop/Office. Bakersfield Fire Dept. phone number posted in Shop/Office. Bakersfield Police Dept. phone number posted in Shop/Office. California Highway Patrol phone number posted in Shop/Office. Ambulance Service phone number posted in Shop/Office. SECTION 6: EMPLOYEE T~AINING EMPLCYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E>!PIO'~ES WITH iNiTIAL REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO iNITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS M~TERIALS: ....................................... YES NO YES ~0 B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO .... E.,Gs.,C~ EVACUATION PROCEDURES: ................... E. DO YOU }~INTAIN EMP£OYEE TRAINING RECORDS: ....... YES NO YES NO SECTION 7: ~tAZARDOUS ~W3%TERI~kL CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS }~TERIAL IN QUANTITIES LESS THAN 50O POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES MO I, James W. McNall~ , certify that the above information is accurate. I understated ~hat ~his information will be used to fulfill my firm's obliM~tioms under the new California Health and Safety code on Hazardous M~terials (Div. ZO Chapter 6.98 Sec. Z~O0 Et Al.) and that inaccurate information constitutes perjury. ' SIGNATU~./?/pY~ TITLE President DATE 8=19-88 BAKERSFIELD CITY FIRE DEPARTMENT 2~30 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSI NESS pLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. TO avoid further action, this form must'be ~eturned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NAME: SECTION 1: MITIGATION, PRE?~ENTION, ABATEMENT PROCEDURES' N~rROGEN~GAS . T~ansfered from storage cylinder. to fire extinguisher through a "~ .... pressure reducing regulator and high pressure, l~nes'. MAX !95 PSI FIRE EXTINGUL~HING. CHEMICAL (DR~ POWDER) ~ ?~n~le refilling 'extinguishers, personnel ~re required to wear a dust mask and us~ a funnel with dust fi~ter bag-i · SHO~ DOOR (~oll up door North Side of building-) ~'. · ~ Is ~equired to be open at.all.times while pJrso~nel~are working in the shop area. ~ SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS b~IT' ONLY' Office personnel are to e~acuate the b~ildin~ through the main'office door on the Northe~st?~side of building.' '~ Shop personnel are to evacuate ~he' building through the sh~p rollup on the North and Northeast side of building. Emergency phone numbers are ~osted in both the office.and shop areas. - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS b~'NiT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of'the hazardous materials a bona f~de Trade Secret YES N__O_O 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 form marked: TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade ~ecret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Portable Fire Extinguishers SECTION 5: LOCATION OF WATER SB~PLY FOR USE BY EMER6ENCY RESPONDERS Fire Hydrant locat,d on south side of Select Avd.-midway of our building. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS b~IT O~Y. A. NAT. GAS/PROPANE~ Natural Gas~Mid-way east side of building on the Arrow St. side. B. ELECTRICAL: Electrical room east side of building on:Arrow St. side mid door. "C. WATER: .... On the south west side of the property located between the backflow meter & the curb of Select Ave. D. SPECIAL: Note: Fire Hydrant located on Select Ave. directly across from building. E. LOCK BOX: YES / NO tF YES, LOCATION: IF YES, Si~: PLA, S;N ~ YES ,' '?:,..0MSDSs? VES / NO FLOOR PLANS? YES / NO KEYS? YES / NO BAKERSFIELD CITY FiRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA . 93301' use 0NL¥ BUSINESS NAME: BUSINESS 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. $. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT~ FACILITY b~IT NAME: SECTION 1: MITIGATION, PREVES~ION, ABATEMES'r PROCEDb~ES SECTION 2: NOTIFICATION .ajVD EVACUATION PROCEDI~ES AT THIS L~."IT OILY - 3A - BAKERSFIELD CITY FIRE DEPARTMENT " i,D. # FORM 4A-I Page l',~ O N -- T R A D ~.. S i~. C 1~ ~.. T S HAZARDOUS MATERI ALS INVENTORY BUSINESS NA~E: G~n.~7. ~ ~ ,q~f~y ~_. ~n.~. OWNER NA~E: J~es W. McNally FACILITY UNIT ~:_~ ............ ADDRESS: 3001 Arrow St. ADDRESS: 6600 Palm Tree Circle FACILITY UNIT NANE: CITY, ZIP: Bakersf~eld~ CA 93308 CITY,ZIP: Bakersfield, CA 93308 PHONE ~: (805)32~-8592 PHONE ~: (805~392-8678 ~OFFICIAL USE CFIRS __{ o~.~ Y I 2 3 4 5 6 7 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD CODE A~OIjNT A~OUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMD.N--NA~E CODE - - West Side df North ' Nitr~n ~_ P 1200 7200 FT-3 13 99 Double Door. Nitrogen Gas ~ ~ NFLG ~ Fire 'Siliconized ~ni~ Phosph~. M 3~00 15,000~ LBS 10 99 Extinauisher Recharae (ABC Chemical~ __ ORMA ............ ~ South Side of ~~ ............... N~NE: ~8 ~. ~N~ TITLE: ~8~ SIGN~ D~TE:~-~-~ E~ERGENCY CONTACT: J~ ~. ~7.7.~ TITLE: PHONE JRS: Z~7-~5~ .... AFTER B~ HES= 3~-~7~ ~ERGENCY CONTACT: ~ S~ TITLE: S~ M~ . PHONE ~ BUS HOURS:3~7-~5~ PRINCIPAL BUSINESS ACTIVITY: %~8 ~ ~~ F~ P~o~o~ E~~ ~FTER BUS HES: 3~-~377 BAKERSFI ELD CITY FIRE DEPARTMENT INSTRUCTIONS FOR BUSINESS PLAN AS a WHOLE ~ SECTION 1: BUSINESS IDENTIFICATION DATA List business name, actual location, and phone number. SECTION 2: EMERGENCY NOTIFICATIONS List two employees who are knowledgeable about the materials' and .processes used by the business as a whole. These persons must have the authority to make decisions for the business in the event of an emergency. ~ SECTION 3: LOCATION OF UTILIT~ S~UT-0FFS Lts~ location of shut-offs using compass points and known or obvious landmarks.. ......... '"~ .... '~"" .ITEM D: List shut-offs to special features of.the business. EX~t~PLE: Manual and fusible link shut-offs on bulk storage . .~:...~i.~.~..... tanks. .. .. ITEN E: Lock Box: If you have a lock box, list its location using compass points and obvious land~arks. Circle the items contained in the lock box. ' -' " SECTION 4: PRIVATE RESPONSE TEAM Summarize the capabilities of the business to handle a minor emergency. Be specific. SECTION 5: LOCAL EMERGENCY ,~EDICAL ASSISTANCE Summarize plan for handling medical emergencies occurring at' your business. List local medical facilities capable of handling emergencies Involving Hazardous Materials used at .' your business. Be specific. SECTION 6: ENPLOYEE TRAINING CtP~l~or No SECTION 7: HAZARDOUS ~4ATERIAL Ctrcle~r No or NONE Sign, date, and return before the due date, to avoid further action. - 2 - ';. v BAKERSFIELD CITY FIRE DEPART~ 2130 "O" STREET '~ BAKERSFIELD, CA 93301 (805) 326-3979 0FFIC[AL USE ONLY ID~ BUSINESS HAZ A~RDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1.. To avoid further action,' return this form by ~-~{- 2. TYPE/PRINT ANSWERS IN ENGLISH. -9. Ans_wer the questions below for the business as a whole. 4. Be as b~ief and concise as possible. ' .. SECTION 1: BUSI~SS IDE~IFICATION DATA 8. LOCATION / STREET ADDRESS: '35~ ~,~ .q~, - CI~: Bakersf~'eld, C~ ZIP: .93,~0~' BUS.PHONE: (805) SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7§50 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. .' EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. }IRS. AFTER BUS. B. Ted Smith~Sev?~i'o~, Han~2~.~ Ph~ $27-85.q~. Ph# 398-9,~77 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A W~{0LE E. LOCK BOX: YES ./ NO IF YES, LOCATION: IF YES, DOES IT CONTAIS SITE PLANS? YES / NO ~SDSS? YES / NO FLOOR PLANS? YES / 20 KEYS? YES / - 2A - SE,,C'TTO,'~ .~: PR[VAT~ RESPO:;SE T~.%.~ ?OR BI;SI)~ESS AS A W~OLF. We are aware of the location and shut-offs for Gas, Electrical, and water supply to our building. We have equipment and training to handle small fires should they occur. 5: LOCAL EBERGE)fCY .W.;DICAL ASS[STAb'CE FOR vOriR BUSIL'ESS AS A WHOLE _ . Kern Medical Center'~ phone'n~ber posted in Shop/Office. Bakersfield Fire Dept. phone n~ber posted in Shop/Office. Bakersfield Police Dept. phone n~ber posted in Shop/Office. California Hig~ay Patrol phone n~ber posted in Shop/Office. Ambulance Service phon~ n~ber posted in Shop/Office. SECTION 6: EMPLOYEE TRAINING ..,~T~AL AND E>~PLOVERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLO'fEES WITH r~' ~ REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDO~S }~TERIALS: ............................... . ........ YES' NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YE_S NO C. PROPER USE OF SAFETY EQUIPMENT: ~ YE~ NO YES 'NO D. E?,IERGE~,TC'; EVACUATION PROCEDURES: ................. · 'YE§ NO VES ~0 E. DO YOU >~INTAIN E~IPLOYEE TRAINING RECORDS: ....... '~E§ NO YES NO SECTION 7: HAZARDOUS .MATERIAL CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS )~TERIAL IN QUANTITIES LESS THAN ~00 ?OUNDS OF A SOLID, 8S GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, Ja~e8 W. McNall~ . certify that the above information is accurate. [ understzmd that this information will'be used to fulfill my firm's obll~at!ons under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. '$ rG:¢AT~R~ ;,~F-~ ~]~_. TITLE Preoident DATE~ BAKERSFIELD CITY FI RE DEPARTMENT INSTRUCTIONS FOR BUSINESS PLAN SINGLE FACILITY UNIT GENERAL INFORMATION The use of this form is required only if your business has been requested to by the.Bakersfield City Fire Department or your business is complex/large enough that sufficient detail cannot be provided.on a Business Plan (Form 2A) by itself. The number of separate ~actllty units will be provided by the Bakersfield City Fire Department. Contact the department for additional guidance prior to proce6ding with this form. ,. Type/print in facility unit number and name. Give each facility unit a common name, and a one or two digit number. Example : South #2. NOTE: An inventory form (4A-l, 4A-2, or 4A-3,'as appropriate) must be made for each separate facility unit. SECTION 1: MITIGATION, PREVENTION, ABATEMENT Explain procedures to prevent the release or spill of hazardous materials in this facility unit. Describe plan to contain and clean up if a spill should Occur. SECTION 2: NOTIFICATION .~q] EVACUATION Describe procedures for immediate notification and evacuation of this facility unit. SECTION 3: HAZARDOUS MATERIAL Ctrcle~or No SECTION 4: PRIVATE FIRE PROTECTION Describe on-site fire protection for this facility unit. !ncluding sprinklers. extinguishers, alarm systems and private response teams. SECTION 8: LOCATION OF WATER Give the locatiou of the closest.fire department water'~supply. -'3 ,~ BAKERSFIELD CITY FIRE DEPART~T 2130 "6" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSI 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 FACILITY UNIT LISTED BELO{q 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NAME: .. . . SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES' N~TROGEN. GAS Transfered from storage cylinder to' fire extinguisher through a pressure reducing regulator and high Pressur. e..l'ine8~ MAX 195 PSI FIRE EXTINGUISHING .CHEMICAL (DRY POWDER) ~' r~ile refilling 'extinguishers, personnel dre required to wear a dust mask and use~ a funnel with dust fi~ter ba.gi SHOP DOOR ~Roll up door North Side of bu~ilding) "'~ . "' ' Is r. equired to be open at~'~all..times while p&rso'nnel· ar.e working in the shop area. .' .' .... : SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT' ONLY' Office personnel are to evacuate the building t. hrough the main'office door. on the Northeast side of building.' Shop personnel are to evacuate the building through the sh~p roll up on the North and Northeast side of bui'iding. Emergency phone numbers are posted in both the office .and shop areas. - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS L~IT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4, B. Are any of'the hazardous materials a bona f~de Trade Secret YES NO If No, complete a separate hazardous materials Inventory form marked: NON-TRADE SECRETS ONLY (~vhite form If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form ~4A-2) fn addition to the non-trade ~ecret form. List only the trade secrets on form 4A-2'. SECTION 4: PRIVATE FIRE PROTECTION Portable Fire Extinguishers SECTION 5: LOCATION OF WATER SUPPLY FOR USE 8Y EMERGENCY RESPONDERS Fire Hydrant located on south side of Select Ave. midway of our bui!.ding. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE~ Natural Gas-Mid-way east side of building on the Arrow St. side. B. ELECTRICAL: Electrical room east side of building on Arrow St. side mid door. ! 'C. WATER: On the south west side of the property located between the backflow meter & the curb of Select Ave. D. SPECIAL: Note: Fire Hydrant located on Select Ave. directly across from building. ' NO IF YES LOCATION: E. LOCK BOX: YES., , IF YES, SITE PSANS? YES , ~0 MSDSs? YES "NO FLOOR PLANS? YES / NO KEYS? YES ./ NO RSFIELD CITY FIRE DEPARTMENT{~ ZARDOUS MATERIALS INVENTORY ~ INSTRUCTIONS FOR FORMS 4A-l, 4A-2 AND 4A-3 GENERAL INFORMATION: Important: If you require more inventory forms than the one provided, you .should make photocopies of the forms prior to entering any information on them. The additional copies must be on the same color paper as the original. Information must be typed/printed in English. Make a copy for your records. Complete business name and address information. If they have been required, the number of separate facility units will be determined by the Bakersfield City Fire Department. Give each facility unit a common name, and a one or two digit number. NOTE: An inventory form must be made for each separate facility unit. FORM 4A-1 Non-Trade Secrets (White Form). Non-Trade Secret Materials in one facili%y unit FORM 4A-2 Trade Secrets (Yellow Form). Trade Secret Materials tn one facility unit. FORM.4A-3 Farm, Agriculture(Green Form). Farm, Agriculture disclosure only. 1. TYPE /CODE: For the purpose of this entry, there are three types of hazardous materials: P = Pure M = Mixtures of pure substances W = Wastes. Also identify the material by the three digit waste code. located on the State of California Uniform Hazardous Waste Manifest. A copy of these codes is attached to the instructions. Insert the proper code~ln .the space provided. Example W-122 2. MAXIMUM AMOUNT: Type in the maximum numberof units of the material that is PRESENT AT ANY ONE TIME. (Refer to the "Unit" section of these instructions.) 3. ANNUAL AMOUI~W: Type/print in the total estimated amount of the material that will be used within the year. 4. L~IT: For this purpose there are only slx units of measure... "lbs" = POUNDS, for materials stored as solids "gal" = OALLONS, for materials stored as liquids "ftC" = CUBIC FEET, for materials stored as gas "Ton" = TONS, for materials stored as solids. Equal = 2,000 pounds. "Cur" = CURIES, for radioactive materials, "Bbl' = BARRELS for liquids,' stored in barrels, Equals = 42 Oals. Enter the appropriate unit in the space provided. 5. CONTAINER CODE: List the appropriate container code (from the back of the inventory form) in the space provided. 6. USE CODE: List the appropriate use code (from the back of the inventory form) In the space provided. - 4 - 7. LOCATION IN TItlS BUI NG,'FACILITY UNIT: Br'i.,~fly indicate the [ocatl,.)n ,)f ~he material ~ithin the building/facility unit using compass points and obvious landmarks. 8. PERCENTAGE BY WEIGHT: Indicate the concentration of each pure substance as a percentage of total weight. In the case of mixtures and wastes enter the maximum expected concentration of the three most Hazardous Components. Round off %. SEE EXA~IPLE at end of instructions. 9. CHEMICAL OR COMMON NAME For Pure Substances Enter the "Product Name" portion of the D.O.T. shipping name. If there Is no D.O.T. shipping name or it is N.O.S. (Not otherwise specified) then enter the manufacturer's name and the trade or common name (Chemical Name). For Mixtures Enter th~ manufacturer's name and the trade or product name. Below that line enter the product's three (3) most hazardous components. 'List the components by the "Product Name" portion of their D.O.T. shipping name. If that is not available then use their standard chemical name. For Wastes . ' Enter the "Product Name" portion of the D.O.T. shipping name. If that is not available enter the common name of the ~aste. Below that line enter the waste's three (3) most hazardous components. List them by the "Product ~ame" portion of their D.O.T. shipping name. If that ts not available then use their standard chemical name. 10. HAZARD CODE: From the list of codes on the back of Form 4A-l, 4A-2, or 4A-3, find the appropriate code and enter it in the space provided' If a product possesses multiple hazards, enter the most serious or life threatening hazard.'~ DO NOT MAKE ANY ENTRIES IN THE BOX MARKED "FOR OFFICIAL USE ONLY" Enter the name, title, and phone numbers of the person completing the form. E,MERGENCY CONTACT: Enter the name, title and phone numbers of t~o persons who are knowledgeable about' this facility unit. PRINCIPAL BUSINESS ACTIVITY: Enter the type of business or primary function of the organization. EXAMPLE: ' .... ....... '1' " .... ' ' ' '° ~t ANOUNT ANOUK UNIT CODI COOl [AClLI?T UNIT VT, CLINICAL Or CONNOR IANI COOl OUlOI P'~I 200 20,000 GAL 6 ! S.#. ~_URR ROaN ~ ~00 ~IBXR I"LLQ H SS 10,000 ~ S 24 8.W. ~RI~'R ROC~ 4 DURHBAX PS~ DICH~R~I~L O,O OZB'LPllYL 0-3 S, 13 6-~ICR~RO-~ P~IDYL PNOH~RO'Z'HX~ OPJqS ~-144 500 2,000 ~ ! 40 tl.B. COR~BR ~T 7 20 ~DI~ IITPROXZD! ClU4? [ 20 POT~BZ~ ~ANID! PS~ 10 ALLTL C*w~ ~,~U~pB FLLO BAKERSFIELD CITY FIRE DEPARTMENT I .D. # FORM 4A-1 Pa~e ,. NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ~Z ~'~'.~. ~ .~f~ ~_~ r~ OWNER NAME: J~es W. McNallu FACILITY UNIT ADDRESS: 3001 Arrow St. ADDRESS: 6600 Palm Tree Circle FACILITY UNIT NAME: CITY, ZIP: Bakers~eld~ CA 93308 CITY,Z/P: Bakersfield, CA 93308 PHONE ~: (805)32~-8592 P[{ONE $: (805}392-867~ " ~OFFICIAL uS'~ ~FIRS'-~'S~ I 2 3 4 5 6' q 8 9 10 ~'YPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARO rODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHENICAL OR COMMON NA~E CODE West Side of North P 1200 7200 FT-3 13 99 DoYle Door. Ni~ogen ~ NFLG Fire Siliconized ~i~ Phosp~te M 3000 15,000~ LBS 10 99 Extin~isher R~~ (ABC ~e~cal ORMA South Side of M 900 900 LBS Shoo ~ea Ha~on I301 NFLG ,,, NAME J~es W. McNally TITLE: ~esident SIO DATE:8-1 EMERGENCY CONTACT: J~ W. ~M~7. Ym TITLE: PHONE IRS: 327-8592 AFTER B HRS: EMERGENCY CONTACT: Ta~ ,q~g~h TITLE: S~goe M~cg~ PHONE ~ BUS HOURS: PRINCIPAL BUSINESS ACTIVITY:Sa~es ~ S8~go8 Fg~8 ~ot8otgon ~g~ae~t AFTER BUS NRS: {tAKERSFIEI, D CITY FIRE DEPARTMENT TRADE SECRETS Il'AZ ARI')~]US bIATE 1~ I ALS I N~./ E'DITOR~2' tiiISINESS NAME: OWNER NAME: FACILITY IINiT .,,DDRESS: ADDRESS: FACILITY UNIT NA~,IE; I 2 3 4 5 6' 7 8 9 1D , ~'PE MAX ANNiIA[, CONT USE I. OCATION IN Tills ~; BY IIAZAI;I, ,. 2DE AMOiINT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CIIE'MICA[. OR CO[,IMON NA[.ii__ ~i.'-,~lE: TITLE: SIGNATURE: DA~ E: ............. ~[.IERGENCY CONTACT: TITLE:' PIIOHE it BUS HOURS: AFTER Oils HRS; i i/ERGENCY CONTACT: 'TITLE: PIIONE it BUS iiOURS: . . ,.I,'INCIPA[. BUSINESS ACTIVITY: AFTER BUS HR$; BAKERSFIELD CITY FIRE DEPARTMENT I1. # F(~RM 4A-3 page .', FARM & AGRI CULTUI~ E HAZARDOUS i~IAT E R I ALS I'N'VENTORY I{IISINESS NAME: OWNER NAME: FACILITY UNIT ; \DDRESS: ADDRESS: FACILITY UNIT NAME:__ I' I'FY, ZIP: CITY,ZIP: I'IIONE ~: PHONE #: ' .. [OFFICIAL USE CFIR~ I ONI. Y 1 2 3 7 .~8By 9 I 0 '','I"E MAX ANNUAL LOCATION IN TillS iIAZARI~ "t~DE AMOI1NT AMOUNT FACILITY UNIT WT. CHEMICAL OR COMMON NAME C[IDE "..{ ~ - TITLE: SIGNATURE:__ DATE: '.~II']RGENCY CONTACT: TITLE: PilONE ~ BUS HOURS: AFTER BUS HRS: 'iERGENC',' CONTACT: TITLE: PHONE # BUS HOURS: '.'IN~'IPAI, IIIISINESS ACTIVITY: AFTER BUS ttRS: WASTE CODES USE ON FORM~ 4A-l, 4A--2, ON 4A-3. UNDER ITEM 1 "TYPE/CODE". 711. Llflul(~a with cyanides ~ 1000 Ma. IL 725. Liquids with mercur~ ~ 20 Ma. IL 741. LIQuids with halogenated organic 726. Liquids with nickel ~ 134 Ma. IL · 721. Liquids wllh arsenic ~ 500 Ma. IL 727. Liquids wllh selenium ~ 100 Ma. IL compounds ~ 1000 Ma. IL 722. Liquids with cadmium ~ 100 Ma. IL 726. Liquids wllh thallium ~ 130 Ma. IL 751. Solids or sludges with halogenated organic' 723. Liquids with chromium (VI) ~ 500 Ma. IL 731. Liquids wllh oolychlorinaled blphenyls ~ compounds ~ 1000 Mg. IKg. 724. Liquids wllh lead ~ 500 Ma. IL 50 Ma. IL 791. Liquids with pH Nanreefrlcte¢l Wes'tls Inorganics 18 I. Other Inorganic solid waste 34 I. Organic liquids (nonsolvents) with halogens 111. Acid solution 2 ~ pH ~ 7 with metals (anti° Organics 342. Organic liquids wllh metals (aaa Ill.) 343. U_nepeclfled orqanlc liquid mixture many, arsenic, barium, beryllium, cadmium, 211. Halogenated SolvenlS (chlorolorm, melhyl 351. urganlcaolldswllhhmogans chrnmlum, cobalt , copper, lead, mercury, chloride, perchloroelhylene, etc.) . 352. Other organic molybdenum, nickel, selenium, silver, 212. Oxygenaled solvents (scalene, cutanol, Sludges thallium, vanadium, and zinc) ethyl acntale, etc.) 411. Alum and gypsum eludes 112. Acldsolullonwllhout metals 213 Hydrocarbon solvents (benzene, hexane, 421. Llmesludge ! 13. Unspecified acid solution Sloddard, etc.) ' 431. Phosphate sludge 214. Unspecllled a~lvenl mixture 121. Alkaline solution (pH ~ 12.5) with metals 221. Wasle oll and mixed oll 441. ~ulfur sludge 451. _Degreaslng sludge (see 11 llu 222. Off/water sel~)arallon a. ludge 461. I-alnt sludge 122. Alkaline eO lion wllhout metals 223. Unspecified oil-contamlng waste 123. Unsl~eclfled alkaline solution 23I. Pesticide rinse water 471. Paper sludge/pulp 461. Tetraethyl [eadsludge 131. Aqueous solution (2 ~pH ~ 12.5) contain. 232. Pesllcldes and other waste assoclaled with 491. Unspeclfled sludge waste lng reactive anions (ezlde, bromate, pe.~tlclde production chlorate, cyanide, fluoride, hypochlorlla, 241. Ta~k bottom waste Miscellaneous nflrlle, perchlorate, end sulfide artlc, ns~ 251. Still halloas with halo~enaled organics 511. Empty pesllclde conlatnars 30 gal. or more 132. Aqueous solution wllh metals (ese 111.) ' 252. Olher still bottom weals 512. Other amply conlalners 30 gallons or more 133. Aqueous solution with total organic' residues 261. Polychlorlneled blphenyls and malarial 513. Empty containers less than 30 gallons 10 percent or more containing PCBs 521. Ortlllng Mud 134. Aqueous solution with tolal organic residues 271. Organic monomer waste (Includes unreacted 531. Cheml-caliolletwaste leas than 10 percent resins) 541. Pholochemlcalslphotoprocessing 135. Unsoecllled aqueous aolullon 272. Polymeric resin waste 551. Laboralor~ waste chemicals 141. Off-speclflcallon, aged, or surplus Inorganlcs 281. Adhesives 561. Detergent and soap 151. · Asbestoa-conlainlng waste · 291. Lalex wasle 571. Fly ash, boltom aah, and'ralort ash 161. FCC waste ' 31 I. Pharmaceutical waste 581. Gas scrubber waste f62. Other spenl catalyst 321. Sewage sludge 5gl. Oagflouse waste I 71. Metal sludqe (see 11 I.) 322. Biological waste other than sewage sludge 611. Contaminated soil · 172. Melal dust (see t 11.) and machining waste 33 I. Off-$pecillcallon, aged, or surplus organics 812. Household wastes CONTAINER CODES TYPE uoog~ 01 Undergrouud Tank P = Pure 02 Aboveground Tank M = Mixtures of pure 03 Fixed Pressurized Tank substances 04 Portable Pressurized Cylinders W = Wastes (Also add 05 Insulated Tank (Includes Cryogenics) appropriate waste 06 Drums or Barrels - Metallic code) 07 Drums or Barrels - Non-Metallic 08 Carboy(s) 09 Glass Container(s) 10 Plastic Container(s) 11 Box(es) UNIT CODES ., 12 Bag(s) 13 Metal Containers (Not Drums) LBS = Pounds 14 In Machinery or processing equipment TON ~ Tons (2,000 lbs) 15. Bin(s) GAL = Oallons 99. OTHER - Specify on separate sheet BBL ~ Barrels (42 gals.) Ft3 ~ Cubic Feet CUR - Curies USE CODES O1 Additive 23 Herbicide 02 Adhesive 24 Insecticide 03 Aerosol 25 Instructional 04 Anesthetic 26 Lubricant 05 Bactericide 27 Medical Aid or Process oB Blasting 28 Neutralizer 07 Catalyst 29 Painting 08 Cleaning 30. Pesticide 09 Coolant 31. Plating 10 Cooling 32. Preservative 11 Drilling 33. Refining 12 Drying 34. Sealer 13 Emulslfler/Demulstfter 35. Spraying 14 Etching 36. Sterilizer 15 Experimental 3?. Storage 16 Fabrication 38. Stripper 17 Fertilizer 39. Washing 18 Formulation 40. Waste 19 Fuel 41. Water Treatment ~ 20 Fungicide 42. Welding Soldering 21 Ortnding 43. Well Injection 22 Heating 44. 0tl Treatment , " 99. OTllER-Speclfy on HAZARD CODES EXPL - Explosive ORMA - Anesthetic, Irritant CMI,Q - Combustible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) FLGS - Flammable Oas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive FLSL - Flammable Solid WATR - Water Reactive NFLG - Non-Flammable Gas ETIO - Etiological Agent OGPX - Organic Peroxide PYRO - I'yrol)horJc, Hyperi~olic or spontaneously coml)ustibie OXID - Oxidizer CRYO - Cryogenics