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HomeMy WebLinkAboutBUSINESS PLAN 5/12/1994 ITE DIAGRAM ~ FACILITY DIAGRAM Business Name: ~-' I N.,/I 5 ~/ )-- ~ }B/ F__ 'For' Office Use Only First In Station: Area Map # of Inspection Station: NORTH RETURN PAYMENTS TO' · '. ' , . " : .... ' ' ': ' , PLEASE MAKE CHECKS PAYABLE TO: CITY;OF BAKERSFIEI+D' ' 'STATEMENT OF-ACCOUNT' .,,. ".' ' P.O.-BOX2O57'.~' .;. '11 "" ' . ;-' ' ] · . ' ':' ' ,,': '"CITY OF BAKERSFIELD · ' BAKERSFELD CA93303-2057 'ACCOUNT NO ' ~N~6'~;9[ "~' ' ~- ' ' ',"' · ' . . ':'.. ' , ]..~..;] ::.-, ..... ';,;. .... ,: ..... '.' :..) ' .~ ,'. ~ ";-' '..' · ,.. , . .... , . - . ..;..' ~; .', : / - . · . . . . . , ;. .... ,..':A~in-S, erv'ihg', ," .,' .. :",, .ll.~'O'O'. ..... :. ..~.. RETURN PAYMENTS TO: CITY OF BAKERSFIELD STATEMENT OF ACCOUNT P'EASE ~A,KE CHECKS PAYABLE TO: P.O. BOX 2057 cITy OF BAKERSFIELD' BAKERSFIELD, CA 93303-2057 ACCOUNT NO. ~' "',?, ' ,. ., ~ PRINTED ON REGENESIS~ POST ~NSUMER RECYCLED PAPER REMITTANCE COPY 05/12/94 FINISH LINE 215-000-.000058 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2907 BRUNDAGE LN Map:102 Haz~2 Type: 3 Community: BAKERSFIELD STATION 03 Grid: 36C F/U: 1 AOV: 0.0 i contact Name i Title iBusiness Phone 24-Hour PhOne- TOM ELLISON MANAGER (805) 633-0622 x (805) 836-2303 BRUCE SHERLEY MANAGER (805) 832-2636 x (805) 323-5396 Administrative Data Mail Addrs: 2907 BRUNDAGE LN D&B Number,: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 7538 Owner: GREGORY A FOSTER Phone: (805) 633-0622 Address: 2907 BRUNDAGE LN State: CA City: BAKERSFIELD Zip: 93304- Summary I. ~r-v-,-.~ ~J S ~.r Do hereby certify that I have (Type or prfn{'name) reviewed the attached hazardous materials manage- ment plan for_ (r~m, of~u,i,,,,) _and that it along with any corrections constitute a complete and correct man- agement plan for my facility. 05/12/94 FINISH LINE 215-000-000058 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qt¥ MCP 02-001 WASTE OIL Liquid 110 Low · Fire, Delay Hlth GAL 02-002 TRANSMISSION FLUID Liquid 40 Low · Fire, Delay Hlth GAL 02-003 ANTIFREEZE Liquid · 165 Low · Fire, Delay Hlth GAL 02-004 MOTOR OIL Liquid 85 Minimal · Fire, Delay Hlth GAL. 05/12/94 FINISH LINE 215-000-000058 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 WASTE OIL Liquid 110 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL I Daily Average GAL I Annual Amount GAL 110 ~ 75.00 450.00 Storage Press T Temp ' Location DRUM/BARREL-METALLIC IAmbient[AmbientlSW CORNER OF BLDG / -- Conc~ Components MCP ---TGuide 100.0% IWaste Oil, Petroleum Based Low ! 27 02-002 TRANSMISSION FLUID Liquid 40 Low · Fire, Delay Hlth GAL CAS #: 0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT -- Daily Max GALI Daily Average GAL I Annual Amount GAL 40 ~ 25.00 150.00 Storage ~ Press T TempI Location BAG I Ambient~AmbientlCENTER OF SHOP AREA -- Conc Components MCP ---~uide 100.0% ITransmission Fluid (Petroleum-Based) ILow ! 27 02-003. ANTIFREEZE Liquid 165 Low · Fire, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE --'Daily Max GALI Daily Average GAL I Annual Amount GAL 165 i 110.00 720.00 Storage~~Press T Temp Location DRUM/BARREL-NONMETAL .IAmbientlAmbientlSW CORNER OF BLDG -- Conc Components MCP ---TGuide 100.0% IEthylene Glycol ILow [ 27 05/12/94 FINISH LINE 215-000-000058 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 MOTOR OIL Liquid 85 Minimal · Fire, Delay Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL -- 85 ~ 50.00 300.00 Storage Press T TempI Location METAL CONTAINR-NONDRUM Ambient~AmbientlCENTER OF SHOP AREA -- Conc~ Components I MCP ---rGuide 100.0% IMotor Oil, Petroleum BasedIMinimal I 27 05/12/94 FINISH LINE 215-000-000058 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification NOTIFY FIRE DEPARTMENT, HAZARDOUS MATERIALS DEPT AND OWNER OR MANAGER. <2> Employee Notif./Evacuation TWO EMPLOYEES. EMPLOYEES ARE TRAINED IN HAZARDOUS MATERIALS MANAGEMENT. THEY KNOW ALL EVACUATION EXITS AND KNOW WHO TO CONTACT IN CASE OF EMERGENCY OR SPILL. ~ <3> Public Notif./Evacuation VERBALLY NOTIFIED, EXIT THROUGH BIG ROLL UP DOORS. <4> Emergency Medical Plan KERN MEDICAL CENTER, 1830 FLOWER ST., 326-2000 05/12/94 FINISH LINE 215-000-000058 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention STORED IN SAFE CONTAINERS. <2> Release Containment KEEP CLEAN UP EQUIPMENT NEAR HAZARDOUS MATERIAL. TRAIN EMPLOYEES IN CLEAN UP AND CONTAINMENT. <3> Clean Up USE CLEAN SWEEP AND PUT IN SAFE CONTAINER. <4> Other Resource Activation 05/12/94 FINISH LINE '215-000-000058 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards · <2> Utility Shut-Offs A) GAS - NW CORNER OF BLDG B) ELECTRICAL - SE CORNER OF BLDG C) WATER - NE CORNER OF PROPERTY/LOT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS NEAREST FIRE HYDRANT - ON THE STREET NW OF FRONT OF PROPERTY <4> Building Occupancy Level 05/12/94 FINISH LINE 215-000-000058 Page 8 00 - Overall Site <G> Training <1> Page 1 ~E~M S WE HAVE ~ PLOYEE AT THIS FACILITY. WE HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED IN HAZARDOUS MATERIAL MANAGEMENT. THEY KNOW ALL EVACUATION EXITS AND KNOW WHO TO CONTACT IN CASE OF EMERGENCY OR SPILL. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street [By_ · f~~ ~\ Bakersfield/CA. 93301 ~.. INSTRUCTIONS: ~ 1. To avoid further action, return this form within 30 days of receipt. 3. Answer the questions below for the business as a whole..~ ~ I 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME' ~] ~1 ~ H ~) ~ LOCATION' '~0~ I~~~ c ~. MAILING ADDRESS: ~O~ G DUN ~ BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: ~ ~ ~ 0 ~ ~ ~'~ ~ SECTIO~ 2: EMERGENCY NOTIFICATION: CONTACT ' TITLE BUS. PHONE 24 HR. PHONE FD159~ Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ~. MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: / SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: ,, ~---'~F~..% ,o ~,--f ~. ~"~5 JFFW' CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. :20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. TITLE DATE 2', FD1590 Bakersfield Fire De~'p~. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: /L- / k-/I 5 J-I £ I k-) ~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION' C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: ,' - -.-~ :i:'- ,-~ '~-~':~---<:;": :~ .;" , Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION' C. CLEAN-UP PROCEDURES: -'.. ~ ~~, SECTION 8: UTILITY SHUT-OFFS ~'.I_OCATION OF SHUT-OFFS AT YOUR FACILITY)'. SPEOlAL: ~ ~ ~ ~ LOOK BOX: YE~ IF YES, LOOATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A, PRIVATE FIRE PROTECTION: ...~ :'~ c~ B WATER AVAILABILITY (FIRE HYDRANT)' 4. CITY OF~ BAKERSFIELD ~AZARDOU$ NATERIALS INVE~R¥ ~-~ Parm and Agriculture~Standard Business .'~'~ Page__of NON - ~E SEC~ LOCATION: ~O~ %~~c ~. ~ ~ INS~u~IONS ~R PROP~ ~DES" i 2 3 4 5 6 7 8 9 10 11 12 13 14 I ~s ~e ~ Average ~nual ~asure ~ Da~ Cont Cont Cont Use Locat$on ~ere % ~ N~s of M~t~e/C~nents Code C~e ~t ~ ~t Un, ts on S~te ~ , Press ~ Code S~d ~n Facility' ' ~ See Inst~ctions (Cheek all t~t apply) Co~onat ~ 2 N~ & C.A.S. N~er I¢ ' '~ 5 ~ ~ Ft~ ~az=d ~ Sudden ~lease ~ R~ettvtty ~ Im~iate Delay~ . ~ ~ . (Check all t~t apply) , ~ Co~on~t 9 2 N~ & C.A.S. N~er ~ FI~ Haz=d ~ Sudden ~lease ~ R~ct~vity ~ I=~a~ Dei~y~ ;". ,' of Pressu~ ':, H~lth H~lth Co~onent ~ 3 N~ '& C.A.B. N~ ~ (Check all t~t apply) . ',v Co~onent ~ 2 N~ a C.A.S. N~~ I F~ Raz=d ~ Sudden ~lease ~ ~ct~vtty ~ I~ia~ Oelay~ . _ of Pressure H~l~h H~lth Co. orient ~ 3 N~ & C.A.S. N~ .. Ph~tcal and R~lth ~zard C.A.S. N~er Co~onent ~ i N~ m C.A.S. N~er /O0 ~.,~ ~ ,_ ., (Check all t~t apply) of Pressure H~lth H~lth Co~on~t ~ 3 N~ & C~A.S. N~ .. N~ Title 24 ~. Phone N~e ..~. Title 24 ~ Phone c~tif~=ation (~ ~ SIGN A~T~R CO~LETING ~L SECTIONS) . I c~t~f~ ~der ~nlty of 1~ t~t I ~ver ~onally ~ ~d ~ f~li~ with the'~fo~t~on su~it~d ~n ~is ~d all attached d~ ~d ~at ~sed on ~ ~n~ of ~ndivid~ls res~le for ob~i~ng the ~nfo~tion. I believe t~t ~e suited lnfo~t~on is t~e, ack,ate, and c~plete.. ' N~ ~FICI~ T~ DF ~~R OR ~OP~R 8 Au'~'~ ~P~'~ ~ ~:,,, D~