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[ "~' ' ~- ' ' ',"' · '
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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~