HomeMy WebLinkAboutBUSINESS PLAN 6/20/1990
1. OVERVIEW
Lf{ST'C'HI~NGE 07/Z7/88 BY ESTER
JURIS CODE Z15-009 JURIS BAKERSFIELD ST~'FION 09
MnP PAGE iZ3 GRID iSC ....... F~CIL'~TYU~[TS' 1''~ H~ZRRO R~ITING ~
RESPONSE SUMMGRY ~;V~D
2A SEC 4) KERN SECURITY
~BS-~SSG
MA . AT. OW.
EME~ENCY cONTECTS ZA SEC ~)
ROBERT ~. JOHNSON - 8~S-BZ2S OR 8~-7~7~
UTItlTY SHUTOFFS 26 SEC ~)
~) GAS - BSCK OF BUItOI~ B) EtECTRICAt - VBUtT C) WGTER- FRONT OF
BUItOING IN PARKING 20NE D) SPECI~t NONE E) rOCK BOX ~ NO
NOTIFICATION / PUBLIC EWtCU~tI'ION
I. AST CHANGE / / BY -
PAGE I ....... 12/19./88 iS:Gl
NRTERIRL gRFETY D~T~'SYS'~S, INC~' "('8~5') '648-
NE) SITE
Bakersfield Fire Dept.
Hazardous Materials Inspection
Date Completed
H~CEtVE. D
Business Name: A v,~e~ ;~e¢ l,~ ~JUN 2 5 {990
Location: ~-~OO =
plan ID # 215-000~ooll3 % (Top right comer Business Plan)
Station No. ~ Shift C Inspector
6~x Adequate Inadequate
of Inventory Materials .f'xq(¢ (2~d [~] [~]
Verification %~.~ ~ []
Verification of ~ ~-~
o/Proper Segregation of Material
Comments: .
Verification of MSDS Availability ~
Number of Employees {:)"LO(
Verification of Haz Mat Training [-~ ~-]
Comments:
Verification of Abatement Supplies & Procedures [--] [--]
Comznents:
Emergency Procedures Posted [--] [-~
Containers Properly Labeled
CollmTlents:
Verification of Facility Diagram [--] [--]
Special Hazards Associated with this Facility:
FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
Q f Bakersfield Fire Dept.
Hazardous Materials Inspection
Date Completed __
Business Name:
Location: ~/~'~ ~3 ,,4 r",~,~- _,/d~. "~
Plan ID # 215-000-~zV/.?X' (Top right Plan)
Station No. Inspector
~'~'7'~,e'/~/~- .4,4 ~ v~.,~:~-' Adequate Inadequate
Verification of Quantities RECEIVED [-~
Verification of Location SIp 1 5 1~)I~{} [~ [-~
Proper Segregation of Material IqAZ. MAT. DIV. [--] []
Comments:
Verification of MSDS Availability [--] [--]
Number of Employees
Verification of Haz Mat Training [-~
Verifcafion of Abatement Supplies & Procedures [-] [--]
Emergency Procedures Posted [--I [-~
Containers Properly. Labeled [--] [--]
Comments: ~ .~2- _-X.4_..,7~' /d
Verification of Facility Diagram [--~ [-]
Special Hazards Associated with this Facility:
Violations:
rD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
~" ~gT~,'~X ~ Bakersfield F~re Dept.
-~,~~~ Hazardous Materials Inspection
~ Date Completed ~-//~
Plan ID ~ 215-000~d~/ZT~ (Top hght comer~Business Plan)
Adequate Inadequam
Vedficadon of Location
~oper Se~gaSon of Mamdal
Verification of MSDS Availabfli~
Number of Employees
Verification of Haz Mat Training
Comments:
VerificationofAbatement Supplies & Procedures [~] [~] ..
Comments:
Emergency Procedures Posted [-~ [-~
Containers Properly Labeled [-~
Comm n : TX-
Ve~cafion of FaciHW Dia~
Special Hazards Associated with this Facility:
Violations:
FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
. ~'~ Bakersfield Fire D~eePt.
:' ~ Hazardous Materials Inspection
Date Completed
Plan ID ~ 215-000-~//.7C (Top right co. er B~iness Plan)
.,
Ve~fica~on of Quandties
Ve~fica~on of ~ocation
~oper Se~ega~on of Mated~
Co~:
Verification of MSDS Availab~iw
Number of Employees
Verification of Haz Mat Training [~ [-~
Cornnlents:
Verification of Abatement Supplies & Procedures [-~ [~
Cominents:
Emergency Procedures Posted [--] [-~
Containers Properly Labeled [-~
Comm n : ,TF
Verification of Facility Diagram' [--] [--]
Special Hazards Associated with this Facility:
Violations:
Fl:) 1652 (Rev. 3.89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
BUSINESS NAME RMERI 'TECHNICAL INSTITUTE ID N .ER Z1B~000-001135
LOCATION 4G(~0-'31~ ASHE RD HIGH 'HAZARD RRTING
1. OVERVIEW
LAST CHFINGE 07/Z?/88 BY ESTER
JURIS CODE 21S,-00B JURIS 8AKERSFIELI] STPITION 09
MAP PAGE IZ3 ,GRID 1SC FACILITY UNITS 1 HAZARD RATING ~
RESPONSE SUM~IRRY
ZR SEC 4) KERN SECURITY
3?'7 ! MI NG RV
~B8~OS8G
EMERGENCY CONTACTS ZA SEC
ROBERT A. JOHNSON - B3S-gZZ5 OR
RAYMOND THIROUtN - 835-92Z7 OR 397-0531
UTILITY SHUTOFFS 2A SEC
A)'GAS.~,RACK OF BUiLOING 8) ELECTRICAL - VAULT C) WATER - FRONT OF
BUILOING IN PARKING ZONE O) SPECIRL - NONE E) LOCK 8OX - NO
NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION
04113/89 09:08
MATERIAL SAFETY DATA SYSTEMS, INC, <80S) G48-G800
BUSINESS NAME ~MERICAN-TECHNICAL INSTITUTE ID NUMBER 215-000-001135
LOCATION 4B00-313 ASHE RD HIGH H~ZARD R~TING
3. HAZ MAT TRAINING"SUMMA'RY
LAST CHANGE / / BY
< NO INFORMATION RECOROED FOR THIS SECTION
LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 01/~3/B8 BY EVAMC
SEC S) WHITE L~NE MEDICAL CLINIC
540; WHITE LN
8~Z-2000
PAGE 2 04-/13/89 0B:08
MATERIAL SAFETY DelTA SYSTEMS, INC. (8~5) G48-G800
BUSINESS NAME RMER] TECHNICAL INSTITUTE ID N0~R~3ER Z1S--OOO-~1135
LOCATION 4B00-313 RSHE RD HIGH HAZARD RATING 3
FACILITY UNI.T 01
A~ OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE O;/13/88 BY 'EVRMC
iD TYPE NAME MR)( RMT UNIT HAZARD
LOCATION CONTAINMENT USE
} PURE ACETYLENE ~000 FT3 EXTREME
.WELOING SHOP PORTABLE PRESS, CYL, WELDiNG/SOLDERiNG
ID PERCENT COMPONENTS HA2RRD LiST
.1241.00 100.0 Acetylene HIGH :'
Z PURE OXYGEN 20(~ FT3 HIGH
WELDING SHOP PORTABLE PRESS. CYL. WELDING/SOLDERING
ID PERCENT.COMPONENTS HAZARD LIST
Z359.O0 1OO.O Oxygen, Compresmed LOW
FIRE PROTECTION / WATER SUPPLIES
LAST CHRNGE'Oi/I~/88 BY EVAMC
SEC 4) SPRINKLER SYSTEM
SEC S) FRONT OF BUILDING OFF STREET FIRE HYDRP~NT
P~GE 3 04/1'3/89 09:08
MATERIAL SAFETY [DATA SYSTEMS, INC. (80S) G48-BS~
BUSINESS NAME AMERICAN TECHNICAL INSTITUTE ID NUMBER Z~S-000-0011~
LOCATION 4600-3]~ ASHE RD HIGH HAZARD RATING
D. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 01/t~/88 BY EVAMC
SEC ~> HEAD COUNT ON EACH STUDENT,~EMERGENCY EXITS, SIGNS POSTED ON BACK
OF BUILDING LISTING OXYGEN ~ND ACETYLENE, YELLOW MARKING ON
FLOORS
E. MITIGATION / PREVENTION / ABATEMENT ~'
LAST CHANGE 01/!3/88 BY EVAMC
SEC I) STORAGE AREA, SECURED ON CARTS~ NO SMOKING SIGNS, HANDLE WITH CARE
SIGNS, ALL STUDENTS RECEIVE SAFETY .ON ACETYLENE AND OXYGEN HANDLING, SAFETY
FILMS ~ND TESTED (WRITTEN AND HANDs ON), ALL EQUIPMENT HAVE SAFETY SHUT OFF
VALVES ON EACH CONTAINER ,.,,
PAGE 4 "04t1~189 09:08
MATERIAl_ SAFETY DATA SYSTEMS, INC. (80S) B48~GB~O
× Career Training in
~o f Today's Technology
American . oOAshe Road, Suite 313
TECHNICAL INSTITUTE Bakersfield, CA 93313 ~1E C E I V E 0
OF KERN COUNTY, INC.
(805) 835-9225 JAN 2 5 {989
A,s'd ............
January 23, 1989
Mr. Ralph E. Huey
Hazardous Materials Coordinator
City of Bakersfield
2130 "G" Street
Bakersfield, CA 93301
Dear Mr,oHuey:
Enclosed is our hazardous materials inventory for 1989. Please be advised
that with respect to the Hazardous Materials Business Plan for American
Technical Institute of Kern County, the employees to be notified in the
case of an emergency have been changed. The new persons to contact in such
anle~ent::
Phyllis-~R. Smith
(S05) 835-9225
(805) 644-9352
Robert A. Johnson
(805) 835-9225
(S05) 832-7376
If you have any additional questions, ~lease do not hesitate to give me
a call.
Very Truly Yours,
.., ~ BUSINESS NAME AMERI TECHNICAL INSTITUTE ID N R Z1S-OOO-q~fll13S
LOCATION 4G88-~1~ ~SHE RD HIGH. H~ZARD RSTING ~
~. HRZ H~tT TRAINING SUMHARY
~ '[~'~T"~HRNGE~' : / / BY
4. IrOCflL EMERGENCY MEDICflE'-RSSlrSTff~C'E'
[flST~CHflNGE' 01/13/88 BY EVflMC
PAGE 2 1Z/19/88 1S:01
MATERIAL -'"S:fiF'ETT' 'DFWfl 'ST'STEMS, '~NC. TB05) 648-6800
~USINESS NAME AME TECHNICAL INSTITUTE ID Nt~I~ER Z15-000-001135
LOCATION 4600-313 ASHE RD HIGH FIRZARD RATING 3
FACILITY UNIT 01
A. ~VERALL H~ZARDOUS MATERI~LS INVENTORY
LAST CHANGE 01/13/88 BY EVAMC
ID TYPE NAME MAX ANT UNIT HAZARD
LOCATION ...... CON~RI'NMENT ....... USE
1 PURE ~CETYLENE ' '"' 2000 FT3 EXTREME
YELDING SHOR PORTRBEEPRES'S~;'"-CYE~' YELDING/SOLDERING
ID PERCENTCOMPONENTS HAZARD LIST
1241,00 100.0 ACET¥CENE ..... EXTREME
~ PURE OXYGEN ~ FT3 HIGH
YEL. DIN6 SHOP PORIRBLE PRESS. CYL. gELDING/SOLDERING
ID PERCENT COMPONENTS HRZRRO LIST
2359.~ 1~.0 OXYGEN, COMPRESSED HIGH
FIRE PROTECTION / ~ATER SUPPLIES
....... E~'ST"C~G~'OIZ'13788 BY'EVRHC
SEC 4) SPRINKLER SYSTEM
SEC 5) FRONT OF B~JILDING OFF STREET FIRE-HYDRANT
PAGE 3 .... IZ/19/88 1S:01
MATERiAL"'SRFET¥"'B~TR, S¥STEPi~3';'rNC'L C80S')--B4~-68~
~USINESS NSME AMERI TECHNICAL INSTITUTE ID Nt R ZlS-008-0011
LOCAI'ION 4G00-~1~ ~SHE RD HIGH HAZARD RATING
D. EMPLOYEE NOTIFICATION t EVACUATION
LA'ST"'CHANGE 0;/l~/88 BY EVAMC
SEC Z) HEAD COUNT ON EACH %TtlOENT, ~tERGE'NCY E'XI'TS, '-SIGNS POSTED ON BRCK
OF 8UILOING t..ISTING"OXIASEI~ AND ACETYLENE., YELl. OW MARKING ON
FLOORS ' '
E. HII'IGAT!ON / PREVENTION /' ¢tBATEfqE~cr'
[R"~I-"CHANGE' 01/13/88 BY' EVAMC
SEC I) STORAGE AREA, SECURED ON CARTS, NO SMOKING SIGNS, H~NDLE WITH CARE
SIGNS, ALL STUOENTS RECEIVE'SAFETY ON ACETYLENE AND OXYGEN FIANOLING, SAFETY
FILHS AN[) TESTED (WRITTEN AND HANDS ON), ALL EQUIPMENT HAVE SAFETY SHUT OFF
VALVES ON EACH CONTRINER
PAGE 4 IZ/19/88 15:01
MATERIAL S~FEI'Y DATA"S¥SllE'MS;'INC.'('BOS) ~48-6800
....... CITY of BAKERSFIELD '
and lqriculture Standard Business ~-.~J~.ZARDO~TS ~I~AT 11~- ~.'r A~.~ ~ ~~~OR~'
NO N-- 'If RAn E S E C R E TS , o,~, !__of_~.. *~
BUSINESS NAME OWNER NAME NAME OF T~"~ FACILITY: ^.T.' of Kern
LOCATION: Ashe Rd. Ste. 313 ADDRESS:14482 Beach Blvd, Ste. N
CITY, ZIP: g~or~fimld_ CA 033]3 CITY, ZiP: Wp,~tmin~f~r CA
PHONE .: (805) 835-9225 P.O.g e: (714) ~94-Z404 __ - ___ -
C~e C~e Mt Mt Est Units m Stte l~ ~. l~ ~ St~ tn F~tllCy ~ I~t~ti~
c _ ~ Fire Hazard ~-~ RHCtJVJty hle~ ~ Relme ~--J ImJ~te .......
H~lth of Pr.sur~ Health '----~ ....... ~ ...................................
Cer~tficat~m (Resd and sign after ce.pieCing a~J sections)
~ Career Opportunities
Ambrican For Your Future
TECHNICAL INSTITUTE
of Kern County, Inc. t/~'~
July 13, 1988
Mr. Ralph E. Huey
Hazardous Materials Coordinator
City of Bakersfield
2130 "G" Street
Bakersfield, CA 93301
Re: Hazardous Materials Business Plan for-
American Technical Institute - Kern County
'4600 Ashe Road, Suite 313, Bakersfield, CA 93313
Dear Mr. Huey:
Please be advised that with respect to the Hazardous Materials
Business Plan for American Technical Institute - Kern County, the
employees to be notified in the case of an emergency have been changed.
The new persons to contact in such an event:
/ Robert A. Johnson
(s05) 835-9225
(805) 832-7376
Raymond Thirouin
(S05) 835-9227
(805) 397-0531
If you have any additional questions, please do not hesitate to
give me a call.
Very Truly Yours,
....
4600 Ashe Road, Suite 313, Bakersfield, California 93313 · (805) 835-9225
' : o'" BAKERSFIELD CI"Pf FIRE DEPARTMENT
-13o "G"
- B~ERSFIELD, CA 93301
(805) 326-3979--~u
0FF lC [AL~-USE ONLY 'J
,.~ - .... ID~
FORM 2A %~~'~W '
INS~UCTIONS: ...................... ,.
1. To avoid further action, return this form by
2, TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer.the questions below ~or the business as a wh01e.,-
4. Be as brief and concise as possible.
SECTION 1: BUSI~SS IDE~IFICATION DATA
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 Emergency Services as required by
.... law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NA~)AND TITLE D~URING BUS. HRS. AFTER BUS. HRS.
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
B. ELECTRICAL: F~W~'
D. SPECIAL:
E. LOCK BOX: YES ,/~ IF YES, LOCATION: '
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSM? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO ~/~
- 2A -
SECTION 4: PRIVATE RESPONSE TEAM FOR. BOSINESS AS A WHOLE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTanCE FOR Y05~ BUSINESS AS ~ WHOLE
SECTION 6: EMPLO~E T~INING~* '
EMPLOYERS ARE REQUIRED'.T'0/~VE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE .~OLLOWrNG AREAS.
CIRCLE YES 0R N0 INITIAL REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
~TERIALS: . . .. .................................... '~~ YES N0
B. PROCEDURES FOR C00RD[NATING ACTIVITIES
WITH RESRONSE AGENCIES: .......................... ~ NO YES N0
C. PROPER USE OF SAFETY EQUIPMENT: .................. N0 YES N0
D. EMERGENCY EVACUATION PROCEDURES: ................. - N0 YES
E. DO YOU ~INTAIN EMPLOYEE TRAINING RECORDS: ....... NO YES
SECTION 7: ~Z~DOUS ~TERI~
CIRCLE YES - NO - NOR
DOE'S YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES'LESS THAN $00 POUND~ 0'F A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ ~.NO
I,~ ~~ ~~L~&'l~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. 25~00 Et Al.) and that inaccurate information constitutes perjury.
SIGNATURE .TITLE~t~~*~'t--- DATE
2B -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 'G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
~ ir, I.~ -~ .... ---
BUSINESS
NAME:
BUSI NESS PLAN
SINGLE FACILITY UNIT
FORM SA
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 BELOW
4. Be as BRIEF and CONCISE as .possible.
FACILITY UNIT* / FACILITY UNIT NAME:
SECTION 1: MITIGATION,' PREVENTION, ABATEMEFr PROCEDURES
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS bh'IT ONLY ,
- 3A -
SECTION 3: HAZARDOUS .MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Itazardous 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 ~.~
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 0NLY (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
SECTION $': LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPON'DERS
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT' GAS/PROPANF,':
B. ELECTRICAL:
D. SPECIAl.:
E. LOCK BOX: YES .,'~ IF YES, LOCATION:
,' IF YES, SITE PLANS? YES / NO MSDSs? YES ./ NO
· o KEYS? ."
FLOOR PLANS. YES / NO YES NO
- 3B -
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-1 Page / of
NON--TRADE SECRETS
HAZARDOUS MATER'{' ALS I NVENTORY
pHONE *:~) P3~-VAa5 PHONE *: ,~t~_~~~0~- [OFFICIAL USE CFIRS CODE
- ~ ...... [ ONLY
1 2 3 4 5 6 7 8 9 10
TYPE MAX 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
I
TIT~E: ~ SIGNATURE: ~'~ DAT]
" . AFTER BUS HRS: .
EMERGENCY CON~ACT:~O~ ~g& TITLE: ~,'~( ~r~ro~ PHONE * BUS HOURS