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Home My WebLink AboutBUSINESS PLAN ................... TE/FACILI TY DI NORTH SCALE: BUS[NESS NAME :~'~-~.~d/~/~,~~ FLOOR: OF. (CHECK ONE) SITE DIAGR.%X[ '/ FACILITY DrAGR.~>t ' ~ HIILHIAI$ ST. Inspector's Comments): -OFFICIAL USE ONLY- - 5A - SITE/FACILITY DI AGR~ FORM 5 , ](Inspector's Comments): -OFFICIAL USE ONLY- City~ °f Bakersfield TRAI~ISMITTAL SLIP ~/ D~e ........... _~..-....~..i~ ...................... -- ~iYg~::ur-~' ~ ~ati- ~'/o~ ~e Please :-- l-1 Return [] See Me I-I Follow Up [] Prepare Answer Copy to: ............................................................................................................ Memo: ...................................................................................................... BYRNES & WII,~Y A PROFESSIONAL CORPORATION ~07 NO1RTH GAItFIELD AVENUE POST OFFICE BOX IO31 JOHN B BYRNES, JR. TEL. (818) 289-3551 VALIERE BYRNES WILEY AL~IAIV~BRA, CA[-IFOI~NI~ ~802-~03~ (2i3) ~83-~943 LORRAINE DALY WEGNER FAX. (8~8) 289-0~85 Jun~ 29, ~993 RECEIVED . JUL 0 9 P.O. BOX 2057 HAZ. MAT. DIV. BAKERSFIELD, CA 93303-2057 RE: RE: ACCOUNT NO.: HM418201 Dear Sirs: This letter is written on behDlf of International Fertilizer and Feed Company, (.IFFCO). IFFCO closed its doors to business on May 28, 1993. IFFCO'S resources are inadequate to pay the creditors in full. IFFCO had hoped to be able to sell the real property which would have per~.itted payment to the creditors in full. This has not happened. The property is still listed for sale, but prospects are not good. IFFCO owes you $303.53. IFFCO proposes to pay you 40% of that amount $121.41 in settlement of the claim. This offer is being made prorata to all trade creditors to avoid any preferential treatment. You may accept this proposal by signing the copy of this letter and returning it to the undersigned. Upon receipt of your signed copy of this letter, a check will be sent you by return mail. Thank you for your anticipated cooperation. Very truly yours, BYRNES & WILEY ~ THE ADDRESSEE HEREBY ACCEPTS THE OFFER AND AGREES TO ITS TERMS. DATED: JSB/ra Enclosure JSB/KA/IFFCOMRG. LTR 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000 Overall Site with 1 Fac. Unit General Information Location: 1516 E BRUNDAGE LN Map: 103 Hazard: Minimal Community: BAKERSFIELD STATION 06 Grid: 32D F/U: 1 AOV: 0.0 Contact Name Title i Business Phone i 24-Hour Phoneq KARENA. HUGUES GENERAL MANAGER (805) 327-7029 x (805) 366-0219 OHN S. ~BYRNES JR. OWNER (818) 289-3551 x (818) 283-2943 Administrative Data Mail Addrs: P O BX 70007 D&B Number: City: BAKERSFIELD State: CA Zip: 93387- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: JOHN S. BYRNES JR. Phone: (818) 289-3551 Address: 307 N GARFIELD AV State: CA City: ALHAMBRA Zip: 91802- Summar, y · ~1 ~r ' · :~ /I ~ [ ..,~ ~R I 0 199~ -I, ~r~//.//;~- Do hereby ~di~ th~ I.ha~ KCFD HMOU r~ew~ the a~chsd h~$~ous mate~als mere plan for ~ :: ~O~and tha it along sn~ ~rre~i0ns ~nsfi~ute a ~mgl~te ~nd 00~ ~n- s~ement plan ~or m~ RECEIVED 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-002 AMMONIATED PHOSPHATE Solid 2000000 Low · Delay Hlth LBS 02-003 MONOAMMONIUM PHOSPHATE Liquid 2000000 Low · Delay Hlth LBS 02-006 AMMONIUM SULFATE Solid 4000000 Minimal · Delay Hlth LBS 02-005 MURIATE OF POTASH Solid 2000000 Minimal · Immed Hlth, Delay Hlth LBS 02-009 POTASSIUM SULFATE Solid 1000000 Minimal · Delay Hlth LBS 02/25/93 INTERNATIONAL FERTILIZER FEED C0 215-000-000697 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 AMMONIATED PHOSPHATE Solid 2000000 Low · Delay Hlth LBS CAS #: 7722761 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 2,000,000 ~ 500,000.00 3,200,000.00 Storage;~Press T Temp Location BIN IAmDient.IAmDientlNORTHWEST CORNER BIN D -- Conc~ components MCP ---~uide 100.0% IAmmonium phosphate, Monobasic Minimal 02-003 MONOAMMONIUM PHOSPHATE Liquid 2000000 Low · Delay Hlth LBS CAS #: 7722761 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBSI Daily Average LBS I Annual Amount LBS 2,000,000 ~ 1,250,000.00 14,500,000.00 Storage PreSs T Temp~ Location BIN AmbientlAmbientlSOUTHWEST BIN A AND SOUTHEAST BI -- Conc~ Components MCP ---~Guide 100.0% IAmmonium Phosphate, Monobasic Minimal I 5 02-006 AMMONIUM SULFATE Solid 4000000 Minimal · Delay Hlth LBS CAS #: 7783'-20-2 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS ~ Daily Average LBS Annual Amount LBS 4,000,000 I 3,000,000.00 12,000,000.00 Storage ~ Press T Temp' Location BIN I Ambient[AmbientlALL BINS -- Conc Components MCP ---~Guide 100.0% IAmmonium Sulfate. IMinimal ~ 7 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-005 MURIATE OF POTASH Solid 2000000 Minimal ~ Immed Hlth, Delay Hlth LBS CAS #: 7447-40-7 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER. Daily Max LBSI Daily Average LBS I Annual Amount LBS 2,000,000 ~ 1,000,000..00 15,000,000.00 Storage I' Press T TempI Location BIN I Ambient~AmbientlNE BIN C AND CENTER BIN E -- Conc Components MCP ---/Guide 100.0% IPotassium Chloride IMinimal I 7 02-009 POTASSIUM SULFATE Solid 1000000 Minimal ~ Delay Hlth LBS CAS #: 7778805 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 1,000,000 ~ 300,000.00 5,000,000.00 Storage ~Press T Temp Location BAG Ambient/AmbientlsouTHEAST CORNER -- Conc Components MCP ~Guide 100.0% IPotassium Sulfate IMinimal I 7 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBALL OR VISUAL NOTIFICATION. EVACUATE BLDG AT CLOSEST EXIT AND PROCEED TO THE EVACUATION AREA. CALL 911. <3> Public Notif./Evacuation EVACUATION ROUTES ARE POSTED IN THE RECEPTION AREA. ALL EMPLOYEES HAVE BEEN INSTRUCTED TO LOCATE, ASSIST, AND PERSONALLY ESCORT ALL PERSONS ON THE PREMISES TO THE CENTRAL GATHERING AREA. <4> Emergency Medical Plan DIAL 911 AT NEAREST PHONE. KERN MEDICAL CENTER 1830 FLOWER STREET BAKERSFIELD, CA. (805) 326-2000 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FERTILIZER PRODUCTS ARE DRY, BULK AND ARE STORED IN CEMENT BINS. <2> Release Containment RELEASE OF DRY SOLID FERTILIZER WOULD BE CONTAINED BY SWEEPING UP SPILLED PRODUCT AND RETURNING IT TO ITS BIN. <3> Clean Up SPILLED PRODUCTS ARE CLEANED UP BY SWEEPING AND RETURNED TO THE APPROPRIATE BIN <4> Other Resource Activation 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards 11-29-88 A BETTER LABELING SYSTEM NEEDS TO BE USED TO KEEP BETTER TRACK OF WHAT PRODUCT IS IN EACH BUILDING <2> Utility Shut-Offs A) GAS - 50 FT WEST OF OFFICE BUILDING B) ELECTRICAL - SOUTHWEST CORNER OF WAREHOUSE ON NORTH WEST CORNER OF COTTONWOOD AND BRUNDAGE C) WATER - 50 FT WEST OF OFFICE BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - HAND HELD FIRE EXTINGUISHERS FOR FIRE PROTECTION. FIRE HYDRANT - 150 FEET WEST OF LAKEVIEW AND BRUNDAGE INTERSECTION <4> Building Occupancy Level 02/25/93 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL EMPLOYEES HAVE RECEIVED MSDS INSTRUCTIONS ON EACH PRODUCT. ALL EMPLOYEES KNOW WHERE TO FIND THE MSDS SHEETS AND HOW THEY ARE FILED ALL EMPLOYEES HAVE RECEIVED INSTRUCTION ON THE HANDLING AND CLEAN UP PROCEDURE ON EACH PRODUCT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1516 E BRUNDAGE LN Map: 103 Hazard: Minimal Community: BAKERSFIELD STATION 06 Grid: 32D F/U: 1 AOV: 0.0 iContact Name ,~ Title i Business Phone i 24-Hour Phone- DEE A. ALLEN 1~4/~/~-~ (805) 327-7029 x (805) 366-6234 Administrative Data Mail Addrs: P O BX 70007 D&B Number: City: BAKERSFIELD State: CA Zip: 93387- COmm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: JOHN S. BYRNES JR. Phone: (~/~/ Address: 307 N GARFIELD AV State: CA City: ALHAMBRA Zip: 91802- Summary RECEIVED OCT 0 9 1992 HAZ. MAT. DIV. 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 DIAMMONIUM PHOSPHATE Solid 600000 Minimal · Delay Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS i Daily Average LBS ~ Annual Amount LBS Stria I Press T Temp Location BIN I Ambient[AmbientlNORTHWEST BIN D -- Conc~ Components MCP --TList 100.0% IAmmonium Phosphate, Dibasic Minimal I 02-002 AMMONIATED PHOSPHATE Solid 20000 Low · Delay Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS ~ Daily Average LBS I Annual Amount LBS -- [ 20,0"~ $~ -~ ~ , o~ ooo. ~-oo, ooo ~ ~-oo , oo~ Storage Press I Temp Location BIN IAmDiont[AmbiontlNORTHWEST BIN CORNER D --.Conc Components MCP ~List 100.0% [Ammonium Phosphate, Monobasic IMinimal I 02-003 MONOAMMONIUM PHOSPHATE Liquid 1000000 Low · Delay Hlth LBS CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 USe: FERTILIZER Daily Max'LBS ~ Daily Average LBS ~ Annual Amount LBS Storage IIPress T Temp Location BIN Iambient[AmbientlSOUTHWEST BIN A AND SOUTHEAST BI -- Conc Components MCP List 100.0% IAmmonium Phosphate, Monobasic [Minimal [ 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 UREA Solid 600000 Moderate · Delay Hlth GAL CAS #: Trade Secret: No Form:. Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max GAL Daily Average GAL I Annual Amount GAL 600,000 I -30'0'7099'r0'0 [ 4,200,000.~ Storage ~~Press T Temp Location BIN IAmbientlAmbientlNORTHEAST BIN C -- Conc Components -- MCP ---/List 100.0% IUrea Moderatel 02-005 MURIATE OF POTASH Solid 600000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 7447-40-7 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS Daily Average LBS ] Annual Amount LBS ~0 0OJ '6,nnO, ~ 200, ........... ,o00,0O0 /, o ?o/ 00 / ,oo ooo StorageIIPress T Temp Location BIN IAmbientJAmbientlNE BIN C AND CENTER BIN E -- Conc Components MCP List 100.0% JPotassium Chloride IMinimal I 02-006 AMMONIUM SULFATE Solid 4000000 Minimal · Delay Hlth LBS CAS #: 7783-20-2 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 4,.000,000. ~ 3,000,000.00 12,000,000.00 Storage ~ Press I Temp Location BIN I/~nbientJAmbientlALL BINS -- Conc Components . MCP List 100.0% Jammonium Sulfate JMinimal J 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007 PHOSPHATED POTASH Solid 34000 Low · Delay Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS Daily Average LBS r Annual Amount LBS Storage Press T Temp Location BAG Ambientl/~tbientlSW CORNER -- Conc Components MCP List 100.0% IPhoSphated Potash IMinimal I 02-008 SODA ASH Solid 200000 Low · Delay Hlth LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBS Daily Average LBS T Annual Amount LBS nuu,uu~ .~nn nnn 00' J . ~ 4nn nnn nn Storage Press T Temp Location BAG IAmbient/AmbientlNORTHEAST CORNER -- Conc Components MCP List 100.0% ISodium Carbonate IL°w I 02-009 POTASSIUM SULFATE Solid 1000000 Unrated · Delay Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max LBS ~ Daily Average LBS T Annual Amount LBS -- 1,000,000 I 300,000 00 / ~ nnn nnn nn Storage Press T Temp Location BAG Ambient/AmbientlSOUTHEAST CORNER -- Conc Components I MCP List 100.0% IPotassium Sulfate IMinimal [ 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-010 MONOAMMONIUM PHOSPHATE Solid 600000 Low · Delay Hlth LBS CAS #: Trade Secret: No 0~0~ Form: Solid Type: Pure Days: 365 use: FERTILIZER Daily Max LBS Daily Average LBS ¥ Annual Amount LBS ~ ~ ! .4,vv0, ...... Storage IIPress T Temp Location BIN IAmbient/AmbientlSOUTHWEST BIN A -- Conc Components MCP List 100.0%. IMonoammonium Phosphate [Minimal I 02-011 MONOAMMONIUM PHOSPHATE Solid 600000 Low · Delay Hlth LBS CAS #: Trade Secret: No 0~/ FOrm: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS I Daily Average LBS T Annual Amount LBS / Storage I Press T TemPI - Location BIN Iambient/AmbientlSOUTHEaST BIN S. -- Conc Components MCP List 100.0% IMonoammonium Phosphate IMinimal I 02-012 SALT Solid 100000 Minimal · Delay Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max LBS I Daily Average LBS ~ Annual Amount LBS -- Storage Press T Temp Location BAG Ambient/AmbientlNORTH WALL -- Conc Components MCP List 100.0% JSalt Minimal { 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 6 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBALL OR VISUAL NOTIFICATION. EVACUATE BLDG AT CLOSEST EXIT AND PROCEED TO THE EVACUATION AREA. CALL 911. <3> Public Notif./Evacuation EVACUATION ROUTES ARE POSTED IN THE RECEPTION AREA. ALL EMPLOYEES HAVE BEEN INSTRUCTED TO LOCATE, ASSIST,'AND PERSONALLY ESCORT ALL PERSONS ON THE PREMISES TO THE CENTRAL GATHERING AREA. <4> Emergency Medical Plan DIAL'911 AT NEAREST PHONE. KERN MEDICAL CENTER 1830 FLOWER STREET BAKERSFIELD, CA. (805) 326-2000 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 7 00 - overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FERTILIZER PRODUCTS ARE DRY, B~ AND ARE STORED IN CEMENT BINS. <2> Release Containment <3> Clean Up SPILLED PRODUCTS ARE CLEANED UP BY SWEEPING AND RETURNED TO THE APPROPRIATE BIN <4> Other Resource Activation 08/,18/92 INTERNATIONAL FERTILIZER FEED C0 215-000-000697 i Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards 11-29-88 A BETTER LABELING SYSTEM NEEDS TO BE UsED TO KEEP BETTER TRACK OF WHAT PRODUCT IS IN EACH BUILDING <2> Utility Shut-Offs A) GAS - 50 FT WEST OF OFFICE BUILDING B) ELECTRICAL,'- SOUTHWEST CORNER OF WAREHOUSE ON NORTH WEST CORNER OF COTTONWOOD AND BRUNDAGE C) WATER - 50 FT WEST OF OFFICE BUILDING D) SPECIAL - NONE E) LOCK BOX - NO \ <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - HAND HELD FIRE EXTINGUISHERS FOR FIRE PROTECTION. FIRE HYDRANT - 150 FEET WEST OF LAKEVIEW AND BRUNDAGE INTERSECTION <4> Building Occupancy Level 08/18/92 INTERNATIONAL FERTILIZER FEED CO 215-000-000697 Page 9 00 - Overall Site <G> Training <1> Page 1 WE HAVE 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE · ALL EMPLOYEES HAVE RECEIVED MSDS INSTRUCTIONS ON EACH PRODUCT. ALL EMPLOYEES KNOW WHERE TO FIND THE MSDS SHEETS AND HOW THEY'ARE FILED~ ALL EMPLOYEES HAVE RECEIVED INSTRUCTION ON THE HANDLING AND CLEAN UP PROCEDURE ON EACH PRODUCT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use P. O. BOX 70007 BAKERSFIELD, CA 93387 (805) 327-7029 August 12, 1991 Howard H. Wines III, Supervisor Hazardous Materials Bureau 56~12 Victor Street B~ker~field~ CA 93308 RE: IFFCO Dear Mr. Wines: We are in receipt'of your letter of July 29, 199I directed toward our QDC Transloading facility, Respectfully, we take issue with your conclusion. You have cited Section 25503.7 of the Business and Professions Code concerning storage of hazardous materials. We take issue with the conclusion that we are storing materials. The activity at that facility falls directly with in the provisions of Section 25501.2 which reads: "For purposes of the 'inventory requirements of this chapter, "store" as used in subdivision (h) of Section 25501, does not include the storage of hazardous materials which are in transit or which are temporarily maintained in. fixed facility for a period of less than 30 days during the course of transportation." Ail rail cars that come through our QDC facility are "in transit" and we merely facilitate delivery. As such we do not even fall into the requirement of the need for a hazardous'materials plan, We, at IFECO, desire to cooperate and are very concerned about the environment. We note your conclusions that "The Hazardous Materials Bureau has interpreted that section to include the continuous storage of successive railroad cars at the same facility for more than 30 days." There must be a Kern county legal opinion or ordinance regardiAg these matters. If there is, please provide me a copy of them. Prior to IFFCO paying a fee which we feel we are not obligated to pay, we desire a full clarification of the matter. Thank you for your anticipated response to our inquiry and review of the matter. ~.._pectfully, Dee A. Allen International Fertilizer Et Feed Company Storage and Distribution of Agricultural and Industrial Products (t,v~e or prinn name) Do hereb~ certi£i that I have .reviewed the ~'~ ............ attached Hazardous ~laterials business plan INTERNATIONALFERTILIZER&FEEDCO: for (name of business) and that it along with the attached additions or corrections constitute a complete and correct Bus~ness Plan for mM facilit.v. -/ . ~USINESS NhME INTERN[ FERTILIZER FEED CO IO NUHBE 1.5-OO~-~697 .i LOCRTION 1S1B E BRUNDRGE LN HIGH FFRZk~RD RRTING 1 r.iRP PF~GE 'lC3 GRID 320 Fr~CILI'FY UNITS I HAZRRO Rr~TiN6 RESPONSE SUM'I~RY 2~ SEC zt) FiLL .... PLOYE~J RR rF1H]..,]f:)F( U~-T'H UTZLZTY SHUT-OFFS FIRE EX'I'Z NGUT SHERS. EMERGENCY CONTRCTS ZA SEC Z) DEE R. FiLLEN - 32'Z-702~ OR 3~G-~}Z34 UTILITY SHUTOFFS Z~ SEC 5) '~) GRS - SOFT Y OF OFFICE BL~ B) ELECTRICRI_ - SN CORNER OF NAREHOUSE ON CD~R DF COTTDN~OOD RND 8RUNDR~E C) [-JRTER - SOFT ~ OF OFFICE BLDG '~',~CIAL -NONE E) LOCK BOX - NO ~"' - - Z. NOTIFICRTION / PUBLIC EVRCUR'FION LktST CHRNGE- / / BY < NO INFORMRTION RECOROED FOR THIS SECTION > PRGE I IZ/ZT/B8 16:ZB MRTERIRL SRFETY DRTR SYSTEMS, IN(;. (BeS) B48-B800 '/ BUSINESS NRi'!E INTERN,CI~NAL FERTILIZER FEED CO ID ZiS-e~)¢-¢.~)¢697 · LOE~T!ON 151B E BRUND~GE LN HIGH HRZflRD RATING :5. HRZ M4T TRAINING SUMMARY LAST '" "c BY 4.. LOCAL EMERGENCY ME[]ICAt. ASSISTANCE [_(qST CHANGE 0~I14/88 BY ESTER SEC 5) DIAL 9~t RT NEAREST PHONE. KERN MEDICAL CENTER - 1830 FLOWER ST - 3ZB-ZG09. P~GE Z 1Z/E?/S8 16"''~.~ MATERIAL SAFETY DaTA SYSTEHS. INC. <8~S) 648-6800 BUSINESS NAME INTERNATIONAL FERTILIZER FEED CO ID NUMBER Z15'-'~0-0~0697 LOCATION 1518 E BRUNDRGE LN HIGH HAZARD RATING 1 FACILITY UNIT 01 L~ST CHRNGE ~s/14/~e BY ESTER /-~ ID TYPE NRME M~X RMT UNIT HRZRRD LOCRTION CONTR~NMENT USE ~- PURE DIRMMONIUM PHDSPHRTE 5~ TON UNKNOUN SE CORNER BIN B BINES] FERTILIZER ID PERCENT COMPONENTS HRZRRD LIST -1~77,~ I~.~ RMMONIUM PHOSPHRTE, DI~SIC UNFNOgN ~ PURE RMMONIRTED PHOSPHRTE ZO TON UNKNOWN N~ CDRNER B)N D BIN[SI FERTILIZER ID PERCENT COMPONENTS HRZRRD LIST -)07~.00 l~0 RMMONIUM PHOSPHRTE, MONOBRS)C UNKNOWN 5 PURE MONORMMONIUM PHDBPHRTE ~ TON UNKNOUN SU CORNER BIN Z BIN[SI FERTILIZER ID PERCENT CO~ONENTS HRZRRD LIST -~078.~ 100=~ RMMONIUM PHOSPHRTE, MONOBRSIC UNKNOWN ~ PURE URER 3ee TON UNKNOWN SE CORNER BIN B BIN[SI FERT)LIZER ID PERCENT COMPONENTS H~ZRRD LIST -1075.~ tOO~ UREA UNKNOYN ~- PURE RMMONIRTED PHOSPHATE ~O TON UNKNOgN N~ CORNER BIN D BIN[SI FERTILIZER I0 PERCENT COMPONENTS HAZARD LIST -'1078.~ 1~,O AMMONIUM PHOSPHATE, MO.NO~SIC UNKNOWN ~., PURE AMMONIUM SULFATE Z~ TON LOY ALL BINS BIN[Gl FERTILIZER ID PERCENT COMPONENTS " HAZARD t..IST t911.~ 1OO. O AMMONIUM SULFATE LO~ ~ 7,, PURE PHOSPHRTEO POTASH t7 TON UNKNOYN S~ CORNER BAG[SI FERTILIZER ID PERCENT COMPONENTS HAZARD LIST -I~79.~ I~.O PHOSPHRTED POTASH UNKNOYN MATERIAL SAFETY DATA SYSTEMS, INC, (80S) G48-68~0 BUSINESS NAME INTERNATIONAL FERTILIZER FEEO CO ID NUMBER Z15-~-~0697 LOCRTION t51B 'E BRUNDAGE LN HIGH HAZARD RATING B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 89/14/88 BY ESTER SEC 4) HAND HELD FIRE EXTINGUISHERS FOR FIRE PROTECTION. 38 SEC 5) FIRE HYDRANT ;SOFT W OF LRKEVIEW AND BRUNDRGE INTERSECTION. D. EMPLOYEE NOTIFICRTION / EVACURTION LAST CHANBE 09/14/88 BY ESTER SEC Z> VERBRLL OR VISUAL NOTIFICATION. EVACURTE 8LDG AT CLOSEST EXIT AND PROCEED TO THE EVRCURTION AREA. CALL 91;. PAGE 4 1Z/Z?/88 1$:~G MRTERIRL SRFETY DATR SYSTEMS, INC. (805) 648-G8¢/~ BUSINESS NRME INTERNBTION~L FERTILIZER FEED CO ID NUMBER ZtS-OOO-O~Gg? LOCRFION 1S1G E BRUNDRGE LN HIGH HRZ~RD R~TiNG 1 E, MITIGATION / PREVENTION / RBRTEMENT L~ST CHRNGE 09/14/88 BY ESTER SEC 1) FERTILIZER PRODUI~TS ~RE DRY, BLUK ¢iND FiRE STORED IN CEMENT 'BINS. SPILLED PRODUCTS RRE CLERNED UP BY SWEEPING RND RETURNED TO THE ~PPROPRI RTE BIN, PRG£ S lZ/Z?/~38 tG:ZG MP~TERIRL S~FETY DRTF~ SYSTEMS, .'[NC. (805) G48-GS(i~) 'CITY of BAKERSFIELD INtErNATIONAl FER?ILIZER FEED BUSINESS NAHE: ' ' ' ' .... ' ...... OWNER CITY, ZIP:~J&/~,C~/ff; ~'~ CITY, ZIP: ~/J~'. ~A~ ~/~ DUN AND BRADSTREET NUMBER ~32_ PHONE ~: 3a~,-2~g'- PHONE ~: ~/F-~Fg' ~/ ---- - -- Ph~ictl md H~lth Hazard C.%.S. ~.__~~ ..... C~t II h (C~k *11 t~t a~ly) , ~ _ ~ Fire Hazard u _ J Reactivity ]l~ ~- ~ ~ Rel~se I~tltl Health of P~re ~lth ~/ . ~t I] ~ i C.A.S. ~_~ .XY~-~~ l.~m l ~~.~ ~ ~..L_~_~.LgJ~~~~Z''~_ .~~~_ {C~k M1 t~t appTy) ~ ~ FI~ ~z~rd u J ~ct~vtty--- ~-- la~ [ ] ~ hl~--- ,~lett ~lth of P~su~ ~lth P~tcal ~ ~lth ~zard C.A.S. ~ , A~ ~t II ~ Health of Pr~sure H~lth .... ~t I~ .... ~ZZLL22Z_ZZ ..... ,.~ .......... ]' ~ .t ~ [ .... z .... ~ .................... {C~k ell t~t a~ly) ....................... C~t I~ ~ ~ - ~ Fire Hazard ~ R~ctivity ~-- ~ ~le~ ~--~ ~dd~ Rel~se ~ ~ I~$ete Health of Pr.sure Health MfRG[NCY C~TACTS ~IR ~ ' .......... ~M~ ................ 7 ........... TI~I~ ...................... Certtficati~ (Read and Si~ after compJetJ~E ali seotJo~s) certify under ~lty of la~ t~t I ~ve ~rs~llyexa~in~ ~nd ~ f~aili~r with t~ tnfon~tim su~it~ tn this ~ fo~ obtaininq 3~ infor~ti--. I ~lieve t~t t~ su~itt~ in'o. ti. i, true, accurate, and c.~let,. ~ ~ ~ //~//~ CITY of BAKERSFIELD , Fare and Agriculture "~ Standard eusiness ~ I-I,i~ZARDOUS MA'rla:-RI A~S I ~V~T.ORg' ., · N O N -- 'r R A D E S E C R E T S ' Page ~of eusr.zss NAd~TERNATI0NALFERTILIZER& FE[D~LNNS.NAME:: NAHg OV T~ COCATION:~ ~ Aoo~gs5.--- - STANDARD INO. CCASS CODE ClTY, ZiP: ' ' ~ CITY, Z~: ' ' ~ 'l -- OUN AND 8RADSTREET NUHBgR ' ~ ~0 ~O~O~ ~OR PROP~ COD~ ~ns ~y~ ~x Average ~nual ~asuve I ~ C~t ~t ~t ~e L~t~ W~e t ~ Ne~ of ~xtu~/~ts ~e c~e ~t ~t Est Un~ts m Sfte Ty~ ~g Trna C~e · Stor~ ~n Facility . Nt ~--d Fire Hazard c--d Reactivity ~d ~la~ ~--d ~ Relfl~e ~--d i~tatl ..... ' Health of P~surb ~lth · HNith of P~ ~lth (C~A ~ll t~t ~I~) -- P~ical ~ H~lth Hazard C.A.S. NUlNV Ca.et II Nm & C.l.S. N~ (C~k all t~t a~ly) ~ ....................... c ~ Fire Hazard ~ ~ RHct~v~ty ~--~ ~lay~ ~ ~ ~dd~ Releas ~--~ I~Iate Health of PeKsure Health .............. ~ ............................................. Certificati~ (Re~d and sign after compJet~ng all sections) I certify ~der ~alty of la. that I ~ve ~rsmallye~aem~ and aa fa'eiliar .ith t~ infor~tim~u~itt~ tn Lhts a~a11 ettac~ d~u~ts, and t~t ~s~ m W ~n;ui~ of t~e t~tviduals r~sible N 0 N ,~,:;~.~ss .A~TERNATIONAL FERTILIZER & FEED C"O:o..~ ~ 2 ) ( S 6 7 ~_ J Fire Hazmrd ~ J R~activity-- ~la~ u-- ~ Rel~se [ ] I~tmt, , Health of Pr~rm ~lth (C~k mil t~t H~lth of P~su~ ~lth ........ ~ J ~Jre Hazard ~--J Reactivity u_--~)a~ ~ ~ ~d~ Re)~se u_~ Health of Prflsure H~lth , . e ~ ............... (C~k ell t~t a~ly) ~-- J Ft~e Hazard ~ R~ctivity la~ u ~dd~ Release ~--J l~tate Health of Pr~$ure Health ~t Certlficati~ (Reed and sikh after coepletJn~ all sections) certify under ~]ty of la, t~t ) ~ve,~rs~elly eqmin~ and am familiar vtth t~ infor~ti~jtt~ in th~ m11 mttmc~ ~ts, ~ t~t ~s~ ~ ~ i~ut~ of t~e (~tvt~al~ r~sible CIT}: of BAKERSFIELD ' '~ ~-~ ARDO' rat,, snd A0ri¢~l~re ~ Standard *~s,~e. ~ HAm US MATERI ALS I NVENT.OR? NO N-- U' RAI) E S E C R EU:S BUSZNESS NAM NAM~ O~ T~ ~]oc~T~o.:. _~T[R.NATIONAL~ FER ILIZ. ER & F '"ADDRESS: . ~ ~, ~'.~/~~ STANDARD IND. CLASS CODE ' ' * e ~ ~ I~S~UCTIO~ FOR PROP~ COD~ --- ~ranl [y~ ~ Averaqe ~nuaJ ~a~urt I ~ Cat ~t ; ~t ~e L~tt~ ~e ~ ~ ~ of ~t~tu~/~ts' ~alth of P~re ~lth ........... P~ical ~ ~lth Hazard C.l.5. (C~k all t~t H~lth of P~ ~lth P~tcat ~ H~lth Haza~ C.A.S. (C~k ail t~t ' ~ Fire Hazaed [--] Reactivity ~--~ ~la~ [--~ ~d~ ~ealth o~ Pr~sure H~ith ' ' ~ .......... C~t P~ical ~ H~lth ~zard C.A.S. L ~ Fire Hazard ~--~ R~ctivity ~ ~ ~lay~ ~--~ ~dd~ Release ~--~ I~tate Health of Pr~sure Certificati~ (Read and sign after ce.plating all sections/ CITY of BAKERSFIELD LOCATION: I~l& ~. ~ ~ ~ ADbRESS: PHONE ~ ~ x~S~vcrxo~ ro~ s~os~ cos~ r~ 2 3 4 5 1 Ty~ ~x Averaqe ~uzl Physical H~lth Hazard ~ ~ Firm Hazard ~ J Reactivity -- la~ u-- ~ealth of Pr~rm H~lth of Health of P~ical ~ H~lth ~zard C.A.S. Heelth of CertificatJ~ (Re~d and si~n after compJettnR all sections) j- BAKERSFIELD CIW DEPA TMEwr RECE!VED '~' -' 2130 "O" S~EET B~RSFIELD, CA 93301 JUL 1~ 1987 OFFICIAL USE O~LY 3USINESS N~E HAZARDOUS MATERI ALS BUSINESS PLAN AS A ~NHOLE F 0 RI~[ 2A INSTRUCTIONS: " 1. To avoid further action, return this form by RECEIVED 2. TYPE/PRrNT ANSWERS 4. Be as brief and concise as possible, SECTION 1: BUSINESS IDE~IFICATION DATA A~B'fl ............ 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: NAME AND TITLE~ ~ y/~ DURING BUS. HRS. AFTER BUS. HRS. B. Ph# Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A W~IOLE A. NAT. GAS/PROPANE: 0-~t ~/~5/P; O .~, ce ~1;, [~ C. WATER: ~ 'm;.~/~~ ~; f~.~ ~ D. SPECIAL: '~ ~ ' / E. LOCK BOX: YES/~IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYSP YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SEI~TION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE 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 MATERIALS:...' .................................... B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES ~0 YES ~ C. PROPER USE OF SAFETY EQUIPMENT: .................. YES D. EMERGENCY EVACUATION PROCEDURES: ................. NIP.. NO E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.~ ..... YES SECTION 7: HAZARDOUS MATERIAL CIRCLE DOES YOUR' BUSY,~B'SS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POU~F A SOLID, ~5 GALLONS OF m LIQUID, OR 200 CUBIC FEET OF m COMPRESSED GAS: ...... /A~'ES/ NO I, ~J//~.'//~~-----~, certify that the above information is accurate. I und6r'stan~ha~t-t--~is 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. 2130 "6" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY iD# BUSINESS NAME: BUS I 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 BELOW 4. Be as BRIEF and CONCISE as possible. SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION ANq] EVACUATION PROCEDURES AT THIS b~'NIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT'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 ~ 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 SECTION $: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS b~IT ONLY. A. NAT. GAS/PROPANe,' /~O/W/~ D. SPECIAL E. LOCK BOX: YES IF YES, LOCATION: .................................. _If_y_ES_ :_ S__I_TE__ p. _L_ANS? YES.. /._NO. MSD_$_s?..' .... Y_ES_ FLOOR PLANS? YES / NO KEYS?' , YES BAKERSFIELD CITY FIRE DEPARTHENT~~'~--"'"~'~'~ D ~ FORM 4A-1 Pa~e NON--TRADE SECRETS HAZARDOUS i~IATER I AI..S INVENTORY ~ , ~ ONLY 2 3 4 5 6 7 8 9 10 Pr' MAX ANNUAL CONT USE LOCATION IN THIS % BY [{AZARD ' CODE . ~ , CtlE~IOAL OR COMMON NA~IE ~ ........ ERGENCY CONTACT: TITI, E: ~, ~ ' PUONE ~ BUS UOURS: ..... ~7~_~: ...... EFr;ENCY CONTACT: TITLE: PHONE ~ BUS HOURS: ~¢;CIPAI, BUSINESS ACTIVITY:~ ' ~~., fi __ AFTER }IllS. HRS: ...................................... BAKERSFIELD CITY FIRE DEPARTMENT. 2130 "G" STREET BAKERSFIELD, CA 93301 OFF.!C~AL USE ONLY ,: iD# ' BUSI NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be retu~'ned by: 9 TYP~,,RINi YOUR .... IX ENGLISH. * the o. Answer questions .below,; for THE FACII, ITY UNIT LISTED BELOW ,1. Be as BRIEF and CONCISE as possible. SECTION 1: MITIGATION, PREVENTION~ ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNiT ONLY SECTION $: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit ~-~' '/~ES7 con~,.,~n Hazardous MaterialsS.. ..... If YES, see B. ' If NO, continue with SECTION 4. B. Are aBy of the hazardous materials a bona fide Trade ~ If No, complete a separate hazardous materials inventory I 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 ad¢lition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION '4: PRIVATE FIRE PROTECTION \ \ SECTiI, ON 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6:' LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. N.~T. OAS./PROPAN~J': ' C. WATER:/( E. LOCK BOX: YES ./(~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - SB - BAKERSFIELD CITY FIRE DEPARTMENT D. # FORM 4A-1 Page 7~- of NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY .DD~RESS: /~ ~~~ / '- ADDRESS: ~2~~~, FACILITY UNIT NAME: 'IiO:NE~ ~: , -~2--~M/ PHONE ~: ....... [OFFICIAL ONLY USE CFIRS CODE ~ 2 3 4 5 6 7 8 9 PE[ MAX ANNUAL CONT USE LOCATION IN THIS % BY IIAZARD I),0 T DE_ AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL 0R COMMON NAME ~ CODE .hiE: TITLE: ~g~~ SIGNATURE: DATE: ~E-,~GENCY CONTACT: ~~//~d TITI,E: ~;~ ~~, __PHONE * BUS HOURS:_3~7, ~ AFTER BUS HRS: ~RGENCY CONTACT: TITLE: PHONE ~ BUS HOURS: IN-CIPAL, :". BUSINESS ACTIVITY: ~/lZ. ~e/W~7__ AFTER BUS. HRS: ~ A 1 - SITE/FACILITY DIAGRAM FORM 8 NORTH SCALE: BUSINESS NAME'...~..-/ /, . _- , , FLOOR: / 07. '/;. 1"- ~ ' .:z,,,,/.,,,~.,,,,~/. ~/;,/~ (CHECK ONE) SITE DIAGR.~! FACILITY DIAGRAZ '/ .v BAKERSFIELD CITY FIRE DEPART~ENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY iD~ BUSINESS NA;4E: BUS I NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PR!NY YOUR J. NSWERS IN ENGLISH. 3. Ans~er the questions belm,~ for THE F:ICI!,!TY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# ~ FACILITY UNIT NAME: ~zg-~; ~//~.~ SECTION 1: MITIGAT!ON~ PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION 'Ahq3 EVACUATION PROCEDURES AT THIS 5~iT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT 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 ~4A71) 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 SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS./PROPAN~' _-/7~// 0. SPECIAL: ' O E. LOCK BOX: YES / IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES ,/ NO FLOOR PLANS? YES t NO KEYS? YES / NO - 3B - NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ~:JSiN~SS NAM ' 0~NE,~ NAM~..~'~~,~, _~Z FACiLiTY U~* · HONE ~: ~~ PHONE ~: ~/~--~-y~/ OFFICIAL USE CFrRS CODE ' / ' ONLY 2 3 4" 5 6 7 8 ~ 9 [ I0 'PC{ MAX ANNUAL CONT USE LOCATION IN THIS % BY ] HAZARD D.O,T 'j).~=_[AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT ~T CHEMICAL 0R COMMON NAME ! ~0DE I ,ME:~.~//~ _ ,, - TITLE: ~..~ .~/. SIGNATURE: ~../~//~_ - - 'DATE: ~EROENCV CONTACT: ~a~/N~ ~f~'~: ~ ~Z _ PHONE * BUS "OURS:_~ .] ~:ROENCY CONTACT:~ . 9 TITLE: PHONE ~ ~US HOURS: - BAKERSFIELD CITY FiRE DEPARTMEXT. 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY iD~ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRtN? YOUR ANSWERS IN ENGLISH. 3. Ans~er the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. SECTION 1: MITtGATION~ PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION ASq] EVACUATION PROCEDURES AT THIS UNiT ONLY 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 ~ 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 secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E,~fERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS.,"PROPAN~J] ' C. WATER D. SPECIAL: 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 · D.' # FORM 4A-1 Page ~ 9f NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY '~USINESS NAME.~ . OWNER NAME: . ~ FACILITY U, ,D,~RESS :_ /...C/~ ~;~*~'~e/,'", - ' ADDRESS: //~'~ ,g'~-~/',-/.~.:/~ FAC ~ 'HONE ~:__ .TX~.~-'-~ ' PHONE *: ~/~--~g~ -.~/ ' ' [OFFICIAL USE CFIRS cODE ..... / [ ONLY 2 ~ 4 5 0 7 8 0 10 CE ~X ~N~U~L CONT USE LOC~TIOS IN THIS · BY H~ZARB B,O.T DE ~ AblOU~T ~OUST UNIT CODE COB~ F~CILITY U~IT ~T, CHEmiCAL OR CO~ON S~E .... COBE GUIOE I ~ / 7 ! ~ / 7 ~~ ~ /~o ; .~ ~ 7SIGN 'RE:~ DATE: tERGENCy CONTACT: TI~j,E: ~~, __PH0 ~ ~ BUS HOURS: ~ AFTER BUS HRS: ..~ ~[RG~SCY COSTACT: TITLE: PHONE ~ BUS ~OURS: 'INCIPAL B~SI~ESS ~CTIVIT~: ~FTER BUS. lt~S: - 4~--I -