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Home My WebLink AboutBUSINESS PLAN TE/FACILITY DI R~%~4 /~/ ~o~ ~ ~ F~O DATE: / / FACILITY N~ME; ,UNIT ~: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM ~ l(Inspector's Comments): -OFFICIAL USE ONLY- I. Address: Identify the 9. Lock (key) Box principle buildings by the Street nunbers, lO. MEDE Etornge Box 2. Street(s), Alleys, 11, Railroad Tracks Driveways, ~nd Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street na~en. . b. Masonry 3, Stora Drains, Culverts, Yard Drains c. Wood 4. Drainage Canals. Ditches, d. Oaten Creeks, 13. Powerllnes S. Buildings a. Frame construction 14. OUard Station b. Masonry construction IS. Storage Tanks: Identify the c. Metal construction capacity la gal. a. Above ground d. Access Door b. Underground 6. Utility Controls n. Gan 16. Diking or Bern b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identify the ?. Fire Suppression Systems: location where a. Fire Hydrants enployeec will meet. b. Fire Sprinkler lO. Outside Hazardous Connections #ante Storage c. Firs Standpipe 20. Outside Hazardous Connections Material Storage .d. Water Control Valves 21. Outside Hazardous for protection 8yotan8 Material Use/Hnndling e. Fire POnp 22. Type of Hazardous Materiel/Masts Stored 8. Fire Departaent Access or Used (See Below) F '- Flasmable R .- Kxploslve L - Liquid · R - Radlological C - Corrosive 0 - Oxidizer O · Oas P - Poison # - Mater Reactive T - Toxic S - Solid M - Cryo~enio O - Waste E - Htiologlcal Example: Flaw-able Liquid - FL ~A~IL~TY DIAGRAM (Required liens la addition to the. abo~e) 1. Risers for Sprinklers 8. Fire Kscapes 8. Partitions 9. Air Condltlonlnf Units 3.'Stairways: Indicate the 10. #lndouz levels served fron highest to lowest. II. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served frae ~, la. Inside Hazardous' '- highest to lowest. ~,_ Materials Storase 5. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access t 14. Sewer Drain Inlets 7. Skylights ~- ; SITE/FACILITY DIATR NORTH SCALE: BUS INESS NAME: FLOOR: OF DATE:./ / FACILITY N~E: .UNIT ~'. 0F (CHECK ONE) SITE DIAGRAM v/' FACILITY DIAGR.~ (Inspector's Comments): -OFfiCIAL USE ONLY- SITE DIAGRAIW ( items) 1. Address: Identify the 9. Lock (key) Box principle buildings by the Street numbers. 10. MSDS Storage Box {' 2. Street(s), Alleys, 11. Railroad Tracks Driveways, and Parking ii Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. b. Masonry 3. Storm Drains, Culverts, Yard Drains c. Wood 4. Drainage Canals, Ditches, d. Gates Creeks, 13. Powerllnes S. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15, Storage Tanks: Identify the ~ c. Metal construction capacity~ln gal. a. Above ground d, Access Door ~ b. Underground 6.'Utlllty Controls a. Oas 16. Diking or Berm b. Electricity 17. Evacuation Route c. water 18. Evacuation Area: Identify the 7. Fire Suppression Systems: location where a. Fire Hydrants employees will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Stnndplpe 20. Outside Hazardous Connections Material Storage d. Water 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 Below) TYPE OF HAZARDOUS MATERIAL F = Flammable E .= Explosive L = Liquid ' R =. Radiologlcal C = Corrosive 0 = Oxidizer O = Gas P = Poison W = Waier Reactive T = Toxic S = Solid H = Cryogenic O = Waste B = Etiological Example: Flammable Liquid = FL FACILITY DIAGRAM (Required items in addition to the. abo~e) 1. Risers for Sprinklers 8. Fire Escapes Partitions 9. Air Conditioning Units 3.'Stairways: Ind!cate the 10. Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12, Inside Hazardous '- highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access 14. Sewer Drain Inlets 7, Skylights = ---> Bakersfield Fire Dep ; Hazardous Materials Inspection ~s'd ............ Date Completed Bus~e~ N~e: ~f/~ ~o koca~on: /f~. ~~a~/~ Plan ID ~ 215-000~o g e~ (Top right comer Business Plan) Station No. ~' SN~ ~ Inspector Adequate Inadequate Verification of Inventow Materials / Verification of Quantities Verification of Location ~oper Se~egafion of Material Co~B: VeNfication of MSDS Availabfli~ Nmber of Employees Verification of Haz Mat TraiNng Co~B: Ve~cafion of Abmemem Supples & Procedures Co~B: ~e~ency Pr~edms Posted Gontainers Properly Labeled Co~B: re.cation of Faci~ Dia~m Speci~ Haz~ds ~sociated ~th tNs Fac~: Violafiom: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office ~. B~lrersfield Fire Dept. HAZARDOUS MATERIALS DIVISIOI Date Completed Business Name: ~' ~ ~%~~ Location: /~1 ~e~o/¢~ ~ Business Identification No. 21~000 o o o ~ ~ o Cop of Business Plan) Station No. ~ Shift ~ Inspe~or ~~.~ By_, Adequate Inadequate Verification of Invento~ Materials ~ Verification ~ Qu~tities ~ Verification of Locaion ~ Proper Segregation of ~aterial ~ Comments: Number of ~loye~s Verification d H~ Uat Training ~ Comments: ~z ~ ~/~ ~/~.~ ~~ , Verification of Abaeme~ Supplies & Procedures ~ Comments: Emergency Procedures Posted ~ Containers Properly Labeled ~ Comments: Verification of Facility Diagr~ ~ Special H~ards Associated with this Facility: Violations: ~ All Items O.K. I~] "~ ~~ ~z.~ Correction Needed ~ Busines~ bwner/Mana~er FD 1652 (Rev, 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy "~j Overall oite with 1 Fac. Unit : v ~ General Information iLocation: 1801 BRUNDAGE LN Map: 102 Hazard: Low Ident Number: 215-000-000880 Grid: 36D Area of Vul: 0.0 ..... Contact Name I 'Title I Business Phone ~ 24 Hour Phc, ne- HAROLD MUSICK ~ ] (805) 323-7500 x ~(80~) ~9D-q 7~9 THOMAS MATKIN (805) 324-6081 x (805) 325-8226 Administrative Data Mail Addrs: 1801 BRUNDAGE LN D~B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: HAROLD MUSICK Phone: (~) ~-~ Address: 6107 PEMBROKE AV State: CA City: BAKERSFIELD Zip: 93308- Summary JUl. 13 1990 ............ ~'~ 0o hcr.gby ~. ) ce~i~ ~hat ~ haw reviewed the ': ~ a~Lct:~d ;~:.?.;..c~ ~,u~ materials manage- "~"'J~.~~ .... ~'~d tha~ i'~ along w~h a;emen~ plan for rny 06/28/90 MU~KS AUTO PRO 215-0~)0-000~ Page 2 Hazmat Inventory List in Reference Number Order 02 - Fixed Cor~tair~ers or~ Site Pln-Ref Na~e/Hazards Form Quant ity MOP 02-001 MOTOR OIL ~ 55 Mir~imal ' ~ -~ GAL 02-002 OXYGEN ~ 249 Low FT3 02-003 GEAR OIL 0 55 Low GAL 02-004 GREASE 0 120 M i r~i ma 1 GAL 02-005 TRANSMISSION FLUID 0 55 Low GAL 02-006 ACETYLENE ~ 130 H i gh FT3 02-007 WASTE OIL ~ 55 Low GAL 02-008 TRANSMISSION FLUID ? 100 Low GAL 06/28/90 MU~]KS AUTO PRO 215-000-(i Page 3 00 - Overall Site <D> Notif. /Evacuatiorl/Medical <1> Agency Notificatior~ <2> Er~ployee Notif./Evacuation 3A SEC 2) FIVE 2OFT DOORS OPEN AT ALL TIMES. MEET IN FRONT OF' BLDG. 3 MEN EASY TO ACCOUNT FOR. CALL 911. <3> Public Not if./Evacuation <4> Er~erger, cy Medical Plan 3A SEC 5) MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. 06/28/90 MU~KS AUTO PRO 215-000-000~ Page 4 O0 - Overall Site <E> Mit igat ion/Prevent/Abatement <1> Release Prevention 3A SEC 1) LUBRICANTS STORED IN DRUM WITH PUMP TO 'rAKE OUT QUART AT A 'rIME. IF SPILLED WE WOULD WASH DOWN FLOOR WITH WATER. COMPRESSED GASES STORED IN CYLINDERS, CHAINED AND USE PROPER VALVES AND FITTINGS. <2> Release Cor~tair~rsler~t <3> Clean Up <4> Other Resource Activation 06/28/90 MU~KS AUTO PRO 215-000-000~ Page 5 O0 - Overall Site <F> Site ErnergerJcy Factors Special Hazards <2> Utility Shut-Offs 2A SEC 3) A) GAS - R BEHIND OFFICE AT METER B) ELECTRICAL - SW CORNER OF' REAR BLDG C) WATER - R ON BRUNDAGE AT FRONT CENTER OF LOT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water 3A SEC 4) 3 FIRE EXTINGUISHERS FOR FIRE PROTECT I ON. 3A SEC 5) FIRE HYDRANT LOCATED DIRECTLY ACROSS STREET. <4> Held for Future use 06/28/9[) MOP'KS AUTO PRO 215-00D-000~ Page 6 00 - Overall Site <G> Training < 1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE'? BRIEF SUMMARY OF TRAINING: _~_~%~Z~ <2> Page 2 as r, eeded <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ri Standard Business ,~ NON--TRADE SECRETS Page of __ - REFER TO~N~I~UUI~uN~ 'ku~ ~uP~ CODES -- '1 2 3 4 , 6 , 8 9 10 ,1 12 ,l~yw~ Names of Mixture/ComPonents/ Trans tnt Max Avfr)ge Annual Measure I Qy) Cont Cont Cont Us Location. Whece. Code coat Amt Amt Est Units on 5~te Type Press )omo Co~eStored In ~aclmlty See Instructions Phvsical'an~'Health Hazard C.A,S. Number Component ti Name i C.A.~. Number (Check al/ that apply) Component t2 Name ( C.A.a. Number ~'e Hazard ~ Raactivit, ~aa~ ~ Suddeno, PressureRelease . Im~i~ Component 13 Name S C.A.S. Humber Physical ~nd ~e~lth ~aNrd C.A.S. Numbe~ Component II Hame & C.A.~. Number (Check al/ that apply) Component 12 Name ~ C.A.S. Number ~,e Hazard ~ Reactivit, ~~ ~ Suddenof PressureRelease 0 Im~?.i~ Component 13 Hmme $ C.A.S. Number Physical and Health Uazard C.A.S. Number Component II Name I C.A.S. Number (Check all that apply) Component 12 Name ~ C.A.a. Number ~ Hazard ~ Reactivity ~~ ~ Sudden Re,ease , of Pressure Component 13 Name I C.A.S. Number Physical lad Health )aTard C.A.S. Nueber Component II Name I C.A.S. Number (Check all that apply) ~Hazard "Reactivity , ,,ayed ~p~ . Im,~i~C°mp0nent '~ Name, C.A.S. Number Component 13 Name $ C,A.S, Number Name m Z4 Hr Phone ' ' erificaion (Read and sfgn af~pr comp)~f g a)l sectfons) .,certify.un,er pena)~) o~)a~ that I have pe(sonajmy, examlnqo~qo Qm~ ~mi)laF. ~itb the informer(on ~u~mittCd in this.~nd all ~t~acned.aocumen~), anQ t~ac Desto on.my Inqu~ry Qr.~nose ~naw~auams responsible tot obtaining the information. I belteve that the N~'e ,,.0 o~i~iam ~,lle pt owned/opera,or O" owner/operator's aut,orized r,oresentative CITY of BAKERSFIELD Fare andAgticulture t1 Standard Business ~HAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS Pacje ......... of__.. LOCATION: ~ ~4u~¢~ ~ ' ' ADDRESS; ~ p~'~ ~_ STANDARD IND. CLASS CODE: ' CIIY. ZIP:~~,~/~ ~; ~ CITY. ZIP: ~<~,~// ~ ~ DUN AND BRADSTREET NUMBER ..................................... PttONE ~: ~ ~<~' ' P ON ~' ~ -~ - - - Irans !Y~e ~ax Aver)ge Annual ~easure I ys {onL ~ont Cont Us Loc4tion. Where. Code ~oae Amt Am~ EsL Units on Ire )Ype ~ress lemp Co~e See Instructions Stereo In ~aClll~y PhYsical and Health Hazard C.A.S. Humber Component II Name I C.A,S. N~mber (Check m11 that apply) ~ Fire Hazard ~ Reactivity ~~ ~ Sudden Release ~ Immediate Component I~ Name I C.A.S. Number of Pressure Health ~ Component 13 Name I C.A.S. Number Physical mod Health ~a~mrd C,k.S. Number Component II Name I C.A,S. Number (Check 41/ that apply) Coeponen[ Name Number ~Hazmrd D Remctivity D Delayed ~ Release Hem/[h of Pressure Component 13 Name I C.A,S. Number Physical and Health Ualard C.A.S, Number : Component II Name I C.A.S, Number (Check 8/I that Apply) ~:: ' Component I~ Name I C,A,S. Number ~ Fire Hazard ~ Reactivity ~ Belayed ~ Sudden Release ~ Immediate Hearth of Pressure Health - Component 13 Name I C.A.S. Number Physical and Health Ualmrd C.A,S. Number Component II Name I C,A.S. Number (Check 411'that mpp/yl Component I~ Name I C,A.S. Number ~ Nre Hazard ~ Reactivity ~ Oelmyed ~ Sudden Release ~ Health' of Pressure Component 13 Hame ~ C,A,S,'Humber Hame ~tle 24. Hr PhOne Name Tl[le .cer~mty unoer penmmty gl)a~ cnq~ I navepe~sonaltY, examlnqQ{flo~m tammmla[vIc~ne )nlormat)pn ~u~mittgd in this.~nd mil )~'~acned.docgment~, an~ c~ac oaseo on.my Inquiry gL~nose ~no~vloumms responsible tot obtaining ~ne ~n~ormaclon, I bem~eve tha~ the ;UD~I~80 inlormmuo~ IS crum, accurate, aha compmece, ~e-end oficimi title or o~flCr/opermtor UH owner/operator's aut~orited representative 519~ture '*'~ ' RECEIVED ~ BAKERSFIELD CITY FIRE' DEPART)lENT 2~o "G" S~EET JUL 3 ! i987' (805) 326-3979 OFFICIAL USE ONLY - _~" RECEIVED INS~UCTIONS: .... ~ JAN ll 1988 1. To avoid furthe~ action, ~etu~n th~s fo~m by AflB'd ....... 2. TYPE/PRINT ANSWERS I~ ENGCIS~. · ..... 3. Answer the questions below ~o~ the business as a who~e. 4. Be as brief and concise as possible. B. LOCATION / S~"EE~ ADDRESS: /~/ ~~ SECTION 2: E~RGENCY NOTIFICATIONS In case of an emergency involving the eelease oe threatened release of a hazardous mateeial, call 91I and 1-800-85~-75~0 or 1-918-42~-4541. This ~ill notify your local five depaetment and the State Office of Emeegency Sevvices as required la~. E~PLOYEES T0 NOTIFY IN CASE 0F E~ERGENCY: NA~E AND TITLE --__ DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE ' A. NAT. GAS/PROPANE: B. ELECTRICAL: .~,~h D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS.'? YES / NO MSDSS? YES / N0 FLOOR PLANS? YES / NO KEYS? YES / N0 - 2A - SECTION 4: PRIVATE REsPoNSE TEAM FOR BUSINESS AS A WHOLE SECTION 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 IN'ITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER< A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...- .................................... ~i~E~NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... (YE~ NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. Y~ NO YES NO D EMERGENCY EVACUATION PROCEDURES: ................. (~> NO YES NO E DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: '~;'->~'~ YES NO ....... ,_ ..~.~i" ~ ~ SECTIONT:HAZARDOU~]~iTERIAL~.~,~,/~.~_____~~~- CIRCLE WS o~ No ~~0~ ~~ DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A , I understand that this info~mation will be used to fulfill my fi~m's oblizations unde~ the new California Health and Safety code on Hazardous ~ate~ials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate info~mation constitutes pe~3u~y. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY uNIT F 0 RlV~ 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: ?4ITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES 'AT THIS L~IT ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR TNIS UNIT ONLY A. Does this Facility Unit contain Hazardous Mater~a!s? ...... ~ 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 #~A-2) in addition to the non-trade sec~ret form. List .only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION $: LOCATION OF WATER SuppLy FOR USE BY EMER6ENCY RESPONDERS A. NAT. C~AS/'PROPANE'] B. ELECTRICAL: C. WATER D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, SITE PLANS? YES f NO MSDSs9 YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO ' TITLE: 8 ItJNATURB I DATE: ' ' ¥-5: ' ' ~,vll'ni. ,,~i,~SS ACTIVITY~ ~ ~4~. " AFTER BUS. IlRSf . - - 4A-I - June 15~ 1990 TO: Nina Mayer~ Accounts Receivable FROM: Ralph E. Huey~ Hazardous Materials Coordinator SUBJECT: Protreat Technology Corp Ninn~ account # HM 648201~ has a new address of 3700 Enston Drive~ Suite 19~ Bakersfield~ Ca. 93309. Thanks for your cooperation.