HomeMy WebLinkAboutBUSINESS PLAN 3/14/1990 : :.~-:~:~,"......::, % S ITE / FACFoRMI L I TYS D I AG~M ~ ~ ~
NORTH SCALE: BUSINESS NAME: ~HOA E~W~?~%LE FLOOR:
DATE: / / FACILITY N~E: G~OA C~I~I,~aL ~~NIT ~:
(C[{ECK ONE) SITE DIAGRAM FACILITY DIAGR.%M ~'-. '~
< EPI PT~I' ' C-H£tM,Cm a- r
~ O0
o OFF,CF-..
o 0 OFFICe
~SPLA'r'
Room
(
(rnspectoc's Comments): -OFFICIAL USE ONLY-
SITE/FACILITY DIAGRAM
~o~ ~ ~ / 72
NORTH SCALE: BUSINESS NAME: SHOA ~b~6R~lS~ FLOOR: ~ OF ~
~'= 2.%"
DATE: / / FACILITY N~ME: ~oA C~g~ ~%~o~NIT ~: ~ OF ~
(CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M /
3 7
0o,~ ~ ~ ,
0 0 OFFICE
,
Comments): -OFFICIAL ~SE ON~Y-
SITE/FACILITY DI,~GRAM
~o~ ~ ~
NORTH SCALE: BUSINESS NAME: ~Q~ ~-~RP~/~ FLOOR: ~ OF ~
DATE:06./o2/~6 FACILITY N~E: 5NO~ CA/~M~3L UNIT ~: / OF /
(CHECK ONE) SITE DIAGRAm! FACILITY DIAGR.%M /
(Inspector's Comments): -OFFICIAL USE ONLY-
Utilities General AcCount Maintenance PUTLS801
Acct Nbr: 386601 Bill Stat: IA Transfer-from: Page 1 of 6
Cyc Stat: CL Acct Cyc Stat: CL Transfer-to: Due: 0.00
1. Customer Name: SHOA ENTERPRISES
2. Social Sec Nbr: 3. Telephone:
4. Service Address: 4400 ASHE RD - STE 208
5. Service City: BAKERSFIELD 6. State: CA 7. Zip: 93313
8. Parcel ID:
9. Bill Cycle: 5 20. Water Svc Class:
10. Route Nbr:
11. Comments :
12. Prev Acct: HM00172 23. Misc Services: 23.1 Fl0 HAZ MAT HANDLING
13. Service Date: 23.2
14. Fund no: 24. Closing Date: 10/09/90
1§. Bill-to Addressl: P O BOX 2461
16. Bill-to Address2:
17. Bill-to City: BAKERSFIELD 18. State: CA 19. Zip: 93303
Enter Save(S), Cancel(XX), Next Page(/), or Field # to Change
ALT-F10 HELP I ADDS VP I FDX I 9600 E71 I LOG CLOSED PRT OFF I CR I CR
e Bakersfield Fire Dept.
Hazardous Materials Inspection
Date Completed
Business Name:
~oc~on: q~00 A~-- ~,' * ~o~
Plan ID # 215-000- o0o 17~.(Top fight comer Business Plan)
Station No. c] Shift ~__ Inspector
Adequate Inadequate
Verification of Invento~ Materials
Verification of Quantities ·
tV~afion of Location
~/~operSe~egafionofMatefiM ,-=~e V'~' [~ _
Verification of MSDS Availabfli~
Nmber of ~ployees
Verification of Haz Mat Trai~ng
Co--mm:
Verification of Abatement Supplies & Procedures [~ [-]
Comment~:
Emergency Procedures Posted []
Containers Properly Labeled ~ [--]
Comments:
VerificatioI1 of Facility Diagram []]]]
Special Hazards Associated with this Facility:
Violations:
FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
~ Melake S. Bekele
= '" RECEIVED
~ZyDe or pr~nz name)
MAR ? 1 1989
Do herebT: eert~ ~-- '
_~., that I have reviewea the HAZ. MAT. OIV.
attached Hazardous Haterials business plan
for , SHOA ENTERPR,ISES
(name of business)
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
' ~-Y-~sign~nur.e - - ' / ate
~ CITY of BAKERSFIELD :" "~
NON--'I'RAI) E SEC RE~?S
' ~ge 1... of ~._
eus~,~ss ,A~: SHOA ENTERPRISES o~ ~a~g: Tesfa ~. ~ossne , ~g o~ ~S r~c:c:,v: SHOA ENTERPRISES
LOCATION: 4~UU ~SBO ~O~0~ ~. ~U~ ADDRESS: 4400 ~ShO ~0~ 8~. 20~ ~;TANDARD IND. C~ASS CODE
C~TV, ZXP7 ~akefst-ield, 93313 CITY, ziP: gaKerstiel0 93313 ~u~ AND BRADSTREET NUMBER
~.o,~ ~: (~Ub} 397-06~ P~omg ,: (805) 327-5974 1J_ - 4 8 7 -2 8 9 2
~c,] ~t~t~t~ ~,,~ Petroleum Naphta
(C~k ell tbt iRly)
.... ~--~ it ~ ~&C.~.S. ~
~lth of ~ ~lth
p~,~,~ ~ ~]th ~,,~ C.A.S. ~ 3254-63-5 it tt ~ & c.a.s. ~
.... r--~ ~t ~ ~&C.A.S. ~
~lth
~lth
~L2s~ L J i I .................
UI P [100 lb bs LBS 1 Dam: 06 I ll8]sw acea of plant 100 SODIUM HYDROXIDE
(C~k oll t~t rely)
~lth of Pr.sur~ ~lth .... - ......
.,,~,*~.,,~,~ ,, ~e~ake s. ~eke~e Ge"era~ ~ana~ec '~) 397'6~i3 ,, David ~ossne Asst. ~ana~ec (8O5) 397-06~3/589-4902
'~/ Melake S. BekeleZGen. USc. ' ~ff~~ ~_~
BAKERSFIELD CITY FiRE DEPARTMENT
el30 "O" S~EET JUL { 4 1988
B~ERSFIELD, CA 93301
(805) 326-3979 ~'d ............
0FF[CLAL USE 0~LY
S N~E
g~sI SEaS PhAS
1. To avoid ~urther action, return th~s ~oem by
2. TYPE/PRIST ASS~ERS IS ENGLISH.
3. Answer the questlons belo~ ~or the business as a ~hole.
4. Be as brief and concise as posslble.
8ECTIO~ 1: B~SI~ESS IDE~TIFIC~TIO~
A. B~SINESS SA~E: SH0g
B. LOC~TIOS / STREET ABDRESS: gg00 ~she ~oad, Su~e 208
CITY: Bakersfield ZIP: 93313 ~us. PuosE: (805) 397-0613
In case o~ an e~ergenc~ ~nvolv~ng the release or threatened release of a
hazardous ~aterial, call 011 and 1-800-852-g$~0 or 1-01~-427-4~41. Thls ~ill not~
~our local fire department and the State Office of Emergenc~ Services as requlred b~
la~.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. Melake S. Bekele, Ged. Mgr. Ph#(805! 397-0613 Ph# Same
B. David Wossne~ Asst. Mgr. Ph# (805)'397-0613 Ph# (805) 589-~902
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: N0~
B. ELECTRICAL: Main source shut-off is on ].eft-~aad side of plant.
C. WATER: NO
D. SPECIAL: ---
E. LOCK BOX: YES /~ IF YES, L'OCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS9 YES / NO
- 2A -
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
~.l'?fire - we have small fire extinguishers all over the building.
All employees and ~]oyers are alert, at all times.
We also have a medical kit in building for minor injuries.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
We have sprinkler system in case of fire; e~loyees who work in lab area wear protective goggles
and gloves when working with chemicals; short walls built about tanks for protection in case of
spillage; fire exti'nguishers throughout building; medical kiet on premises; e~ployee with CPR
training.
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. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:..,' .................................... ~ NO YES NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... YES NO YES NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. (]Y~NO 'YES NO
D. EMERGENCY EVACUATION PROCEDURES: ................. f__yES~'~]~Iil,~ YES NO
E, DO YOU ~',tAINTAIN EMPLOYEE TRAINING RECORDS: ....... YESN~ YES NO
SECTION ?: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A cOMPRESSED GAS: ...... YES NO
I, Melake S. Bekele , certify that the above information is accurate.
I understand that this information 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. 25800 Et Al.) and that inaccurate information constitutes per3ury.
BAKERSFIELD CITY FiRE DEPART?'IE>;T
2130 "G" STREET
BAKERSFIELD, CA 93301
~. ~.A~. USE
ID#
BUS I.NE~F
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCT I 0NS
I. To avoid further action this form 'must be returned
2. TYPE.,"PR!NT YOUR ANSWERS IN ENGLISH. ~ . ~.,,~ ,.
3. Ans~.~ev the questions below for THE FACII. ITY UNIT LISTED 'P~E.!,0W
~. Be as BRIEF ar:d CO:~C~S~ as possible.
FACILITY UNIT-~ FACILITY b'NIT N;C~{E: SHOA ENTERPRISES
SECTION l: MITIGATION, PRk~5'TION, ABATE~IEs'r PP0CEDB~ES
There is a 2 ft. Containing block under the Production Area to contain any
spill. If any spill occur, i~t will' be shoveled into a drum for dispos~lo
~"'"'~"N PROCEDL~ES AT THIS L%'iT O~LY
SECTION 2: ~OTIFICATiO~ AN~ =~ .....
This is a six-people operating business--three people at the office and three
at the back. In case of any fire, we have two exit doors in the front side
and four exits at the back. For immedia{e' notification, as a ruIe every office
door must be open. Also, we ,have interoffice communication.
- 3A -
SECTION $: HAZARDOUS MATERIALS FOR THIS L.'NIT O~LY
· .~at~.~a_s .......
.A Does this Facility Uait contain Hazardous ~ ~.'
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES
If No, complete a separate hazardous materials inventory
" form marked: NON-TRADE SECRETS ONLY (white form ~4A-!)
If Yes, complete a hazardous materials inventory form marked:
TR4DE SECRETS ONLY (Fellow form =~A-Z) in addition to the non-trade
secret form. List omly the trade secrets on form
~CTTON 4: PRIVATE FIRE PROg"fCTTO~
Ibe~eva~evs~rinklers in the front s~de of the building (office). There are
fire extinguishers in the manufacturing area, store, lab and in the office--
there is a wol. len fire and first aid blanket box.-- ~, :. ..-
SECTION ~: LOCATION OF WATER SL~PLY. FOR USE BY EMERGENCY RESPONDERS
Four fire hydrants located S. W. of building.
SECTIO.M 6: LOCATIO5? OF b-f'ILI_V7 SHTJT-OFFS AT /'HIS L~'IT OlaY.
A. XAT. " ~,' ~ ~ '":
~A,.. P~.OP.,N ~.
NO
B. ELECTRICAL:
Left-hand side of building..
C. WATER:
NO
O. SPECIAL:
NO
E. LOCK BOX:.YES .'~ iF YES, LOCATIOX:
IF YES SITE ~r ~','oo 'Y=S / 770 "' ,,,,_,
FLOOR P..A..,~° YES' :fO KEYS? VES
' BAKERSFIELD CITY FIRE DEPARTMENT
I.D. -~ FORM 4A-1 PoKe 1 of 1
NON--TRADE SECRETS
HAZARDOUS MATERI ALS I Nh~E-NTO RY
BUSINESS NAME: SHOA ENTERPRISES OWNER NAME: yesfa M. Wossne FACILITY UNIT #:
ADDRESS: 4400 Ashe Road, Suite 208 ADDRESS: 4400 A~he Rd, Ste, 208 FACILITY UNIT NAME:
CITY, ZIP: Bakers.f..ield, CA 93313 cIzY,'ZIP:Bakersfield, CA '93313 _
PIIONF. -~:.. (805) 3~7-06i3 ' PHONE ~: [805) 327-5974 iOFF~CIA'~ ~SE "CFi'RS CODa-
[..
} I Petroleum Naphta
P 330 Gallo '~ S.W. area of .plant ~100 KWIK-DRY (ASHLAND) CMLI~. ,.__
P 55 Gallo~ ! S. W. area of plant 99 I IS0PROPYL ALCOHOL [LGS
_ .., ~ _ .... ~ ~100 , .......... , _ ~,..
I ' i I{*replaced by n°nhazard°us
, NORFOX NBCI ,.
--~P 200 Gal'10ni I'S w. area of plant I 75 k FH...:.P~O~IC ACID CRMT
P 100 .. , B , : .. S. W. area of plant 100 SODIUM HYDROXIDE CRMT
'
NAME Melake S. Bekele TITLE: General Manager SIGNATURE: DATE:
~-z~r,.z~'~.' ~o~.:?^~: David Wossne ?TT:,-z: Asst. Manager
-- ,,~,~ : ~;s :~n,,:.~: ~805)397-0613
A?TE[~ BUS }ii:S: (805) 589-4902
EMEROENCY CONTACT: Melake S. Bekele TITLE: General Manaqer PHONE ~ BUS HOURS: (805) 397-0613
PRIN(~IPAI, BI!SINESS ACTIV.VTY: AFTER BUS HRS: (805) 397-06]_3, _
SITE/FACILITY DIAGRAM
FORM
NORTH SCALE: BUSINESS NAME: ~4o~% ~,~¥'a,-~--~ FLOOR:
DATE:~7/I¥/~ FACILITY NAME: ' ~-.~ UNIT #: ! OF
(CHECR ONE) SITE DIAGRAM FACILITY DIAGR.~ v/
l(Inspector's Comments): -OFFICIAL USE ONLY-
.,.
- SA -
S£TE DIAGRAM
I. Address: Identify the 9. Lock (key) Box --
principle buildingm
by the Street numbers. 10. MSD$ Storage Box
2. Street(s), Alleys, I1, Railroad Tracks
Driveways, and Parking
Areas adjacent to the 12. Fence or Barrier
property. Include the a. Mire
street na~ea.
b. Masonry
3. Storm Drains, Culverts.
Yard Drains c. Wood
4. Drainage Ca~als, Ditches. d. Gates
Creeks,
13. Powerllnes
S. Buildings
a, Frame construction 14. Guard Station
b. Hasonry construction I$. Storage Tanks:
Identify the
c. Metal construction capacity In gal.
a. Above ground
d. ACCESS Door
b, Underground
6. Utility Controls
a. Gas 16. Diking or Berm
b. Electricity 17. Evacuation Route
c. Water 18. Evacuation Area:
- Identify the
?. Fire Suppression Systems: location where
a. Fire Hydrants employees will
Hero
b. Firs Sprinkler 19. Outside Hazardous
Connections Mazte Storage
c. Fire Standpipe 20. Outside Hazardous
Connections Material Htorage
d. Mater Control Valves 21. Outside Hazardous
for protection systems Material
Use/Handling
e. Fire Pump 22. Type of Hazardous
Material/Waste
Stored
8. Fire Department Access or Used (See
~elow)
TYPB of HAZAKDOUS MATERIAL
F - Flammable g - ~xploslve L - Liquid R - Radlologicsl
C - Corrosive 0 - Oxidizer 0 - Gas P - Poison
W - Mater Reactive T - Toxic g - Solid 'H - CryogenJc
O - Masts B - Etiological
Example: Flammable Liquid - FL
FACILITY D[AGRA)~ (Required IteMs la addltlou to the. abo~a)
1. Risers for SprLnkierl e. Firm gacapea
2. Partitions 9. Air Conditioning Unite
3, Stairways: Indicate the 10. Windows
levels served from
highest to lo-est, ll. Inside Hazardous Masts
Storage
4. Escalator: Indicate the
levels served from 13. Inside Hazardous
highest to lo.est. Materials Storage
5. Elevator 13. Inside Hazardous
Materials Use/Handling
6. Attic Access
14. 3ewer Drain Inlets
?. Skylights
BAKERSFIELD CITY FIRE DEPARTMENT
I.D, ~ FORM 4A-I .[>age 1 of
NON--TRADE SECRETS ·
HAZARDOUS MATERI ALS I N'%rE NTO RY
BUSINESS NAME: SHOA ENTERPRISES OWNER NAME: Tesfa M. Wossne FACILITY UNIT
ADDRESS: 4400 Ashe Road, Suite 208 ADDRESS: 4a00 Ashe Rd. Ste. 208 FACILITY UNIT NAME:
CITY, ZIP: Bakersfield, CA 93313 ciTY,ziP:Bakersfield, CA 933]3
PIIONE =: (805) 397-0613 PHONE m: (805 327-597a iOFFICIAI, USE CFIP, S CODE
[ O N L Y
TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~SBy ~lAZARD D.O.~'
CODE AMOUNT AMOUNT UNIT CODE CODEI FACILITY UNIT WT. CHEMICAL OR COMMO~ NAME COD~IGUIDE
t ' Petroleum Naphta
P 330 Gallo i S.W. area of plant, 100 KWIK-DRY (ASHLAND) CML0
P 55 Gallo ! S -W. area of plant 99 ISOPROPYL ALCOHOL FLGS
..... ' I ' '" ' ...... --' '- . ,100 ~- " "~ :':;: ......... :'-
i (*replaced by nonhazardous
, , , NORFOX NBC)
----~P 200 ~aIlgnt' 'S. W. area of plant 75 PF~OSPF!0RIC ACID CRMT
' ' '::' .J ~ L-: . . ' : :'- ~'
P 100 LB S.W. area of plant 100[ SODIUM HYDROXIDE CRMT
NAME: Melake S. Bekele TITLE: General Manager s GNATURE: DA' E:
EMERGENCY COt,:TAC7: David Wossne ?;T:,E: Asst. Manager ?,qot~r .- ~us }~o~:~: (805)397-0613
AFTEF, BUS HP, S: (805) 589-~go2
EMERGENCY CONTACT: Melake S. Bekele T~TLE: General Manaqer PHONE ~ BUS HOURS: (805) 397-0613
PRIN(~IPAI, BUSINESS ACTIVITY: AFTER BUS HRS: (805) 397-0613
EXIST. WALLS
~_ ~.OD~CT
I
~STO RX ~ E_
' ~ EXIS~ SPACE ~ REMAIN
ELEC. ~ EXIST. WALLS
(EXIST)
LAB
...........
- .
RECE~O FLOE' O
OFFI~
, IOL6", , 14Lo"48"'i6,, 24L0"
N
FLOOR PLAN 4~o5 so. FT. (eoe OFFICE, 15:597 W.H.) I/8II
BI
B-2 OCCUPANCY .,
MATERI AL'SAFETY o~v~s~or~ OF ASHLAND OIL, INC.
DATA SHEET ,.o. ,ox ~. COlUMbUS. 0~0 .~. ~., ~-~
· ~ ON ~K~N: THOROUGHLY ~A~H ~XPOS~O AR~A N~TH ~OAP AND MATER. ~HOV~
CONTAmINATeD ~LOTHZNG. LAUNDER ~ONTAH~NAT~D ~LOTH~NG B~ON~ R~-U~.
~N EY~: ~LU~H N~TH LA~G~ AHOUNT~ O~ NAT~R~ L~T~NG UPP~ AND LO~R OCCASIONALLY ~ G~T HED[CAL ATTENTION.
· F SNALLONED: DO NOT ~NDUCE VOH~T~NG, KEEP PERSON NARHv GU~ET, AND GET HED~CAL
ATTeNTiON. A~P~RAT~ON O~ ~AT~R~AE ~NTO TH~ LUNG~ OU~ TO VOmiTiNG CAN CAU~
CHEH~CAL PNEUHONZTZS NH[CH CAN BE ~ATA~ .
· F BREATHED: ~F AFFECTED~ REHOVE INDIVIDUAL TO FRESH A~R. ~F BREATHING
DZFF/CULT~ ADMINISTER OXYGEN. IF BREATHING HAS STOPPED GIVE
RESPIRATION. KEEP PERSON ~ARM~ QUIET AND GET MEDICAL ATTENTION.
S~CTZON V~-REACTZVZTY ~ATA
....................................................... .? ...........................
HAZARDOUS POLYMERIZATION: CANNOT OCCUR
STABILITY : STABLE
ZNCOMPATAB~L~TY : AVOID CONTACT ~ZTH: , ~TRONG OX[D;Z;NG AGENTS.
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED:
'~MALL SPILL: ABSORB LIQUID ON PAPER/ VERMICULITE, FLOOR ABSORBENT, OR cT'HER
ABSORBENT MATERIAL AND TRANSFER TO HOOD.
LARGE SPILL: ELIMINATE ALL IGNITION SOURCES (FLARES, FLAMES INCLUDING PILOT ~"
LIGHTS/ ELECTRICAL SPARKS). PERSONS NOT NEARING PROTECTIVE EGUIPMENT
SHOULD BE EXCLUDED FROH AREA OF SPILL UNTIL CLEAN-UP HAS BEEN COHPLETED.'
STOP SPILL AT SOURCE· B~KE AREA OF SPILL TO PREVENT SPREADING, PUMP LIQUID
TO SALVAGE TANK. REMAINING LIQUID MAY BE TAKEN UP ON SAND'/ CLAY, EARTH,
FLOOR ABSORBENT. OR OTHER ABSORBENT HATERIAL AND SHOVELED INTO CONTAINERS.
· ~-~ PREVENT RUN-OFF TO SEWE~S~ STREAHS OR OTHER BODIES OF WATER.IF RUN-OFF
· OCCURS· NOTIFY PROP. ER AUTHORITIES AS REQUIRED· THAT A SPILL HAS OCCURED.
WASTE DISPOSAL HETHOD:
BMALL SPILL: ALLOW VOLATILE PORTION TO EVAPORATE IN HOOD. ALLO~ SUFFICIENT TIME
FOR VAPORS TO COMPLETELY CLEAR HOOD DUCT WORK. DISPOSE OF REMAINING
HATERIAL IN ACCORDANCE WITH APPLICABLE REGULATIONS.
LARGE SPILL: 'DESTROY BY LIQUID INCINERATION.
CONTAMINATED ABSORSENT MAY BE DEPOSITED ~N A LANDFILL IN ACCORDANCE WITH
LOCAL~ BTATE AND FEDERAL REGULATIONS.
.................................................................
RESPIRATORY PROTECTION: ~F TLV OF ~HE PRODUCT OR ANY COHPONENT IS EXCEEDED, A
NIOSH/MSHA JOINTLY APPROVED AIR SUPPLIED RESPIRATOR IS ADVISED IN,ABSENCE
OF PROPER ENVIRONMENTAL CONTROL. OSHA REGULATIONS ALSO PERMIT OTHER
NIOSH~MSHA RESPIRATORS UNDER SPECIFIED CONDITIONS. (SEE YOUR SAFETY .
EQUIPMENT SUPPLIER). ENGINEERING OR ADMINISTRATIVE CONTROLS SHOULD SE
I~PLE~ENTED TO REDUCE EXPOSURE.
.VENTILATION: PROVIDE SUFFICIENT MECHANICAL (GENERAL AND/OR LOCAL EXHAUST)
VENTILATI.ON TO HAINTAIN EXPOSURE BELO~ TLV(S).
PROTECTIVE GLOVES: WEAR RESISTANT GLOVE~ SUD~ A~':~ ~BUNA-N
~ EYE. PROTECTION: CHEMICAL SPLASH GOGGLES ~IN COMPLIANCE W~TH OSHA REGULATIONS
ARE ADV~SEDj HOWEVER, OSHA REGULATIONS ALSO PERMIT OTHER TYPE SAFETY
GLAS'SES. (CONSULT YOUR SAFETY EQUIPHENT SUPPLIER)
OTHER PROTECTIVE EQUIPMENT: TO PREVENT REPEATED OR PROLONGED SKIN CONTACT· WEAR
IMPERVIOUS CLOTHING AND BOOTS.
-- SECTION IX-SPECIAL PRECAUTIONS OR OTHER COHMENTS
CONTAINERS OF THIS HATERIAL HAY BE HAzARDous WHEN EHPTIED. SINCE EMPTIED
CONTAINERS RETAIN PRODUCT RESIDUES (VAPOR~ L~QUID/ AND./OR SOL~D)·'ALL
HAZARD PRECAUTIONS GIVEN IN THIS DATA SHEET MUST BE OBSERVED.
', THE
~NFORMAT~ON ACCUMULATED HEREIN IS BELIEVED TO BE.ACCURATE BUT IS NO[
WARRANTED TO SE WHETHER ORIGINATING ~ITH ~SHLAND OR NOT. RECIPIENTS ARE
· .' ~. .ADVISED TO CONFIRH IN ADVANCE OF NEED THAT THE INFORMATION ~S CURRENT.·
''"', .. APPLICABLEs' AND SUITABLE TO THEIR 'CIRCUHST'ANCES.
~?::...:," ':, ._ -' .. · .. ~ ·
LAST PAGE--SEE ATTACHMENT P~GE ENCLOSED--LAST PAGE
~::? MATERIAL SAFETY DIVISION OF ASHLAND OIL. INC. ~'~ ..
'-:,:' DATA SHEET ..0. Box 2219. COLUMBUS. 0HI0 .3216- [614) 889-3333 ' '
00S880 KN[K DEl 66 PASE
- ] ACCEPTED BY O. ~. H.A. AS E~S[NTZALLY. 8IHILIAR TO O. S. H.A. FORH 20
'. 2~-HOUR EHERGENCY ~ELEPHONE: 606-32~-tt33 (LOCATED AT A~HLAND~ KENTUCKY)
ASHLAND PRODUCT NAME : KWZK DR~ 66
A~LAN~ CHemiCAL CO. ~ATA ~H~T NO:
· 33~ A ROBERT~ LANE LATE~T REViSiON DATE: t 2/77- 773~8
BAKERSFZELD, CA 93302 PRODUCT : 2~95000
ATTN : CHR[~ JEVR~S ~NVO[CE: ACCLOC
~NVO~C~ OAT~:
~ ZNTERCONPANY HA~L ~.~
-
SECTZON [ PRODUCT
...................................................................................
GENERAL OR 'GENERIC ID: AL[PHAT[C HYDROCARBON
HAZARD CLA~S~F~CATZON: (tO) 'CONBUSTZBLE (t73.
SEOTTON 'ri HAZARDOUS COMPONENTS
Z NGREDI ENT PERCENT P EL '~
NIOSH RECOMMENDS A TLV OF 3SO MC/CUM.
SECTION III-PHYSICAL DATA
PROPERTY REFINEMENT ME, ASUREMENT
· N~TIAL BOILING POINT FOR PRODUCT GOD. O0 DES F
8 760.00 MMHG ..
'.VAPOR PRESSURE FOR ~RODUCT ( i2o00 MMHG
VAPOR DENSITY AIR = i
SPECIFIC GRAVITY !
F
~VAPORATION RATE (ETHER = i) 36.00 ' '
SECTION IV-FIRE AND EXPLOSION DATA
FLASH POINT(CLOSED C'UP) iOO. O0 DEC F ~-.
(. 37.77. DEC C)
LO,ER EXPLOSIVE LIMIT (PRODUCT) i.O Z i~' .~'
EXTINGUISHING MEDIA: REGULAR FOAM OR CARBON DIOXIDE OR DRY CHEMICAL -'
HAZARDOUS DEcoMPOSITiON PRODUCTS: MAY FORM TOXIC MATER~ALS';:~ CAR~ON DIoxIDE AND
· CARBON MONOXIDE~ VARIOUS HYDROCARBONS~ETC.
~PECIAL FIRE~IBHTING PROCEDMRES: SELF-CONTAINED BREATHING APPARATUS'~ITH A ~ULL
FACEP[ECE OPERATED IN PRESSURE-DEMAND OR OTHER POSITIVE PRESSUREMODE.
UNUSUAL FIRE ~ EXP'LOSION HAZARD~-=-VAPORS ARE HEAVIER THAN AIR AND MAY TRAVEL
ALONG THE GROUND OR BE MOVED BY VENTILATION AND IGNITED BY HEAT~ PILOT
LIGHTS~ OTHER FLAMES AND IGNITION SOURCES AT LOCATIONS DISTANT FROM
MATERIAL HANDLING POINT.
NEVER USE ~ELDING OR OUTTING TORCH ON OR NEAR DRUM(EVEN EMPTY) SECAUSE
PRODUCT (EVEN JUST RESIDUE) CAN IGNITE EXPLOSIVELY.
SECTION V-HEALTH HAZARD DATA
'PERMISSIBLE EXPOSURE LEVEL: SOO PPM '
EFFECTS'OF OVEREXPOSURE: FOR PRODUCT
EYES - CANCAUSE SEVERE IRRITATION, REDNESS~ TEARING~ BLURRED VISION.
SKIN - PROLONGED OR REPEATED CONTACT CAN CAUSE MODERATE IRR[TATION~ DEFATTING~.
· 'BREATHING -EXCESSIVE INHALATION OF VAPORS CAN'CAUSE NASAL AND RESPIRATORY
IRRITATION~ D~ZZINESS, ~EAKNESS, FATIGUE, NAUSEA~ HEADACHE, POS~LE
' .-~' UNCO,~CI OUSNE SS , AND EVEN ASPHYXIATION.
'."SWA'LLOWING - CAN CAUSE GASTROINTESTINAL IRRITATION~ NAUSEA~ VOMITING~ AND
..: PNEUHONITIS"~HICH CAN BE FATAL. .- "
CONTINUED ON PAGE: ~
RECEIVED
,~ BAKERSFIELD CITY FIRE DEPARTMENT
, NON--TRADE SECRETS
AnBd ....... E-AZARDOUS EATERI ALS I
BUSINESS NAr1E: SHOA ENTErPrISES OWNER NAME: Yesfa M, ~ossne FACILIT)' UNIT ~:~
ADDRESS: 4400 Ashe Road, Suite gO~ ADDRESS: 4400 Ashe Rd. Ste. 208 FACILITY UNIT NA)IE:
C)TV, ZIP': Bakersfield, CA 93313 ciTY,ZIP:Bakersfield, CA 93313
n))n)JE ~. (805) 3~7-0613 PilONE ~: (.805)327-5974 )OFFICIAI. USE cF)ns come
] 2 ~ 3 4 5 ~ 6 7 8 9 ~
TYPF r. IAX,~ ANr,7I)AL CO~T)USE LOCATION IN TIIIS t BY~ IIAZARI)
. Petroleum hta
.~ ~ Gallo ' S.W. area of Plant lO0 KWIK-DRY (ASHLAND) '/~, ' ; CMLQ
.....~ , Gallorm , . S. W. area of plant 99 ISOPROPYL ALCOHOL /2~0,~/ FLGS
100
) (*replaced by nonhazardous
, , NORFOX NB~ )
;~ 200 Gallon S.W. area of plant 75 PHnSPFOPIC ACID ~~ , CRMT
~P lO0 LB I i S. W. area of plant ~lO0 I SODIUM HYDROXIDE J~O.~ ~ CRMT
~A~E: ~elake S. Bekele TITLE: ~eneral ~ana~or SlG~THRE: II~TE:
;,FT~[: [~US Ut:S: (805) 589-4902
EHERGEf~CV CONTACT: Helake S. Bekele TITLE: GeneFal BanaqeF PltONE t BUS ~OUES: (805) 397-0~13
BAKERSFIELD CITY YlRE DEPARTf{ENT
'I.D. ~ FORM 4A-2 page. 2 of 1
BUSINESS NAiqE: SHOA ENTERPRISES OWNER NAME: Tesfa M, Wos. sne FACILITY UNIT. #:
ADDRESS: .., 4400 A;hO ~OOd; ~i~ Y~ AODRESS: ~00 Asho ~oad, S~o. 20~ YACIL[TY UNIT
C;TY. ZIP: Bakersfield, Ca 93313 c]TY,zzP; Bakersfield, ~A 933~3
P,oRE ~: (~05) 397-0613 PRONE ~: (~05)327-597~ ;; {OFFICIAL USE CFIRS COOE
OH~Y
'tYPE { ?4AX j ANNiIAI. CONT 'USE LOCATION iN THIS ~ BY HAZARD D.O.T
~3OBE ;A~OUNT] A~OUNT UNiT ~C~DE CODE FACILITY UNiT ~VT. CIIE'~ICaL OR COMMON NAME CODE GUIDE
M 450.. $AL S.W. area of nlant 80 ~WI~- ~V fASHI AN~) CMl
']5 DIOPROPLENE GLYCOL METHYL ETHER CMLQ
(*replaced by nonhazardous
'. NORFOX NBC)
NAME: ~elake S_ Bekel~ TITLE: .Beneral Manoger SIGNATURE: DATE:
2i,iERGEHCY CONTACT: David Wossne TI?I,Z: Asst. Manager ~HOHE ~ BUS ;tOURS:
AFTER BUS HRS: (805) 327-507a
EMERGENCY CONTACT: M'elake S. Bekele TIT~2: General Manaqer PHONE .) BUS HOURS: (805) 397-0613
PRINCIPAL BUSINESS ACTIVITY: AF?ER 3US ]IRS: (805) 397-0613
BAKERSFIELD CITY FIRE DEPARTNENT R E C E I V [ D
213o "G" STREET
~ ~' BAKERSFIELD, CA O330 JUN 3 1987
(805) 326-3979
Aes°d ............
l OFFICIAL USE ONLY
USINESS NAME
HAZARDOUS MATERT ALS
BUS 1' NESS PLAN AS A Tn/HOLE
FORM 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.
A. BUSINESS NAME: SHOA ENTERPRISES _
B. LOCATION / STREET ADDRESS: 5880 District Boulevard, Suite #23
CITY: Bakersfield zIP: 93313 BUS.PHONE: (805) 397-0613
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Eme, EM~cy Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. Fenote S. Yekie, Chief Chemist Ph# '(805) 397-0613. Ph# (805) 836-3201:
B. Melake S. Bekele~ President Ph# (805) 397-0618 Ph# (805) 589-4902
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: NO
B. ELECTRICAL: -, The main source shut-off is on the riqht side of the center store qate.
c. WATER: NO
D. SPECIAL: --
E, LOCK BOX: YES /~ IF YES, LOCATION: NO
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
SECTION 4: PRIVATE RESPONSE TEA/4 FOR BUSINESS AS A WHOLE
'~mall fire - w~ have small fire extinguishers all~over the building.
A~°~l'd~es and employers are alert at all times.
we atso nave a meolcal git in building for minor injuries.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
We have sprinkler system~in case of fire; employees who work in lab area wear @~otective
gog.gles and gloves when working with chemicals; short walls built about tanks for protec-
tion in case of spillage;"fire extinguishers throughout building; medical kit on.premises;.-
employee with CPR training.
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. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:...- .................................... ('~ES~ NO YES NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... YES NO YES NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. Y~ NO YES NO
D. EMERGENCY EVACUATION PROCEDURES: .................~ NO YES NO
E]
DO YOU MAINTAIN E~PLOYEE TRAINING RECORDS: ....... YES ~ YES NO
SECTION ?: HAZARDOUS NATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES N~
I, ~~- ~ ,~ek-"-I~- · , certify that the above information is accurate.
I understand that this information 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.
BAKERSFIELD CITY FIRE DEPARTMENT
2~30 "G" STREET
BAKERSFIELD, CA 93301
0FFi~
~.LA~ USE ONLY
ID#
BUSINESS NAME:
BUSINESS PLAN
· SINGLE FACILITY UNIT
FORM 3A
INSTRUCT IONS 1. To avoid further action, thls form .must be returned by:
2. T~'PE/PR!NT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE ~ACiLITY UNiT LISTED BELOW
4. Be as BRIEF and CONCISE as .possible.
" FACILITY UNIT# FACILITY b~NIT NAME: ~S'HOA CHEMICAL DIVISION
SECTION 1: ~ITIGATION, PREVENTION~ ABATEMENT PROCEDURES
There is a 2 ft. containing block under th~ production area to contain any
spill. If any spill occur, it will be shoveled into a drum for disposal.
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT. THIS b~WIT ONLY
This is a six-people operating business--four people at the office and two
at the back. In case'of.any'fi, ce, we have three exit doors in the front side
and four exits at the back. For immediate notification, as a rule every offi. ce
d~or must be open. Also, we have interoffice communication.
- 3A -
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... (~ NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES NO
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form #4A-l)
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 trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
There are sprinklers in, the front side of the building (office). There are
fire extinguishers in the manufacturing area, store, lab and in the office--
both upstairs and downstairs. There is a woolen fire and ffrst aid blanket box.
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
There is one water supply 100 yds. east of the building.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS,/PROPAN~'~
NO
B, ELECTRICAL:
At the back of room 7 on facility diagram right of the main gat~.
c. WATER:
NO
D. SPECIAL:
NO
E. LOCK BOX: YES ///~ IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS? -YES / NO
- 3B -
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # ~ FORM 4A-1 Page ] of 1
NON--TRADE SECRETS
HAZARDOUS lVIATE R I ALS I NVENTORY
BUSINESS NAME: SHOA ENTERPRISES OWNER NAME: Tesfa M, Wos£n~ FACILITY UNIT #:
ADDRESS: 5880 Di$%rict El[VD, Suite #23 ADDRESS: 5880 Dist~ic% BLVD.S23=~ FACILITY UNIT NAME:
CITY, ZIP: Bakersfield, CA 93313 CITY,ZIP: Bakersfield. CA 933]3
PHONE ~: (805) 397-0613 PHONE ~: (805] 327-~97~ {OFFICl~L USE CFIRS CODE
{
ONLY
1 2 3 4 5 6 7 8 9 10
TYPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T
,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT . WT. CHEMICAL OR -COMMON NAME CODE GUIDE
~~~ AN~
P 55 Gal lor S.E. Corner of Rm 7 99 ISOPROPy~ ALCOHOL j FLGS
P IlO Gallo[ S.E. Corner of Rm 7 100 ~, GLYCOL ETHER EB
~~~ --'G~l'~ S.E. Corner u~Bm 7 100~ '~--$~HbOROEHANE
~ ~bb ~ S.E. Corner of-R~7~ --~'0--~~A~'E Fl GS
/
P 200 LB S.E. Corner of Rm 7 75 ~HOSPHORIC ACID ,CRMT'
P 200 LB S.E. Corner of Rm 7 100 / TETRA POTASSIUM PYROPHOSPAT CRMT
/
P lO0 LB S.E. Corner of Rm 7 1~ SODIUM HYDROXID[ CRMT
/
EMERGENCY CONTACT: Fenote S. Tekie TITLE: Chemical Engineer PHONE
" ~/~-~1-~l~ AFTER BUS HRS: (805) 836-3201
jEMERGENCY CONTACT: Melake S. Bekele TITLE: P. res~dent . PHONE m BUS HOURS:.. (805) 397-0618
',PRINCIPAL BUSINESS ACTIVITY: AFTER BUS. HRS: (805) 589-4902
- 4A-1 '
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A- pag of
TRADE SECRETS
HAZARDOUS lV[ATE R I ALS INVENTORY'
BUSINESS NABiE: SHOA ENTE[~D[~ISES OWNER NAME: Tesfa ~. ~ossae FACILITY UNI'T
ADDRESS: 5880 Oistcict BLVD, Suite ~23 ADDRESS: 5880 Distcict BLVD ~23 FACILITY UNIT NAME:
CITY, ZIP: Bakecsfield~ CA 93313 CITY,ZIP: Bakecsfield, CA 93313
PHONE *: (805) 397-0613 PHONE ~: (805) 327-5974 OFFiCiAL USE CF~RS CODE
ONLY ·
1 2 3 4 5 6 7 8 9 10
TYPE ~AX ANNUAl, CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T
CODE A~OUNT AMOUNT UNIT CODE CODE FACILITY UNIT ~T. CHE'MICAL OR COMMON NAME CODE GUIDE
· ~ '1000 GAL S. Cente~ of ~m. 7 80 KNIt-DRY (ASHLAND) C~LQ
15 GLYCOL ETH[R ED C~LQ
NA~E: Fenote S. Tekie TITLE: Chemical Enqineec SIGNATURE: DATE:
EMERGENCY CONTACT: Fe~O<~ S. Tekie TITLE: Chemical Engineec PHONE { BOS HOURS: (805) 397-0613
AFTER BUS HRS: (805) 836-3201
EMERGENCY CONTACT: ~alake S. ~aka]~ TITLE: P~esidant PHONE ~ BUS HOURS: (805) 397-0618
PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS:
- 4A-2 -'