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Home My WebLink AboutBUSINESS PLAN 4/28/1994 04/26/94 ALS ROAD SERVICE INC 215-000-001 1~7~¥ '3 79~4 'age 1 Overall Site with 1 Fac. Unit General Information I Location: 4615 E BRUNDAGE LN Map:103 Haz:3 Type: 3 Community: COUNTY STATION 41 Grid: 34D F/U: 1 AOV: 0.0 Contact Name Title i Business Phone i 24-Hour Phoneq GEORGE A. HOWELL I (805) 322-3999 x (805) 366-7810[ ALLEN E. HOWELLI (805) 322-3999'x (805) 395-1215/ Administrative Data Mail Addrs: 4615 E BRUNDAGE LN D&B Number: 08-220-8281 City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-041 cOUNTY STATION 41 SIC Code: 7538 OWner: GEORGE A. HOWELL Phone: (805) 322-3999 Address: 5901E BRUNDAGE LN State: CA City: BAKERSFIELD Zip: 93307- Summary ~,;~ ~,/'~//DO hereby certify that I have reviewed the a~hed h~ardous mate~als manage- ment plan for~ ~~ ~nd that it along with · ' ' (~of~sine~) any corre~ions ~nstitute a complete and ~n~ man- agement plan for my facili~. 04/27/92 ALS ROAD SERVICE INC 215-000-001337 Page 1 Overall Site,with 1 Fac. Unit General Information ' Location: 4615 E.BRUNDAGE LN Map: 103 Hazard: Moderate Community: COUNTY/STATION 41 Grid: 34D F/U: 1AOV: 0.0 Contact Name~ Title Business Phone 24-Hour Phone- GEORGE A. HOWELL (805) 322-3999 x (805) 366-7810 ALLEN E. HOWELL (805) 322-3999 x (805) 395-1215 Administrative Data Mail Addrs: 4615 E BRUNDAGE LN D&B Number: 08-220-8281 City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-041 COUNTY STATION 41 SIC Code: 7538 Owner: GEORGE A. HOWELL Phone: ~) JF~f Address: 5901 E BRUNDAGE LN State: CA City: BAKERSFIELD Zip: 93307- Summary RECEIVED o11992 reviewed the attached hazardous met~lal~.elalleOe- any corrections constitute a complete an(l'~ man- agement plan for my facile. 04/27/92 ALS ROAD SERVICE INC 215-000-001337 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 ~IESEL FUEL Liquid 1000 Low ]. , Fire, Delay Hlth / GAL ~AS #: 68476-34-6 Trade Secret: No / / Form: Liquid. Type: Pure Days: 37 ~se: FUEL .\~ Daily Max GAL Daily Average GAL -q-- Annual Amount GAL ,000 I---\_/ ,000.00 Storage Press ~mp .600.00 ! Location ABOVE GROUND TANK IAmbient/Ambie~tlRIGHT SIDE OF GATE ,j/,_ ~_, -- Conc MCP List ~00.0% IDiesel Fuel No.1 ILow I 02-002 MOTOR OIL Liquid 300 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form:Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount800.00GAL 300 ~ 200.00 Storage I Press T Temp' Location DRUM/BARREL-METALLIC I Ambient/AmbientlIN SHOP -- Conc Components MCP ~List 100.0% IMotor Oil, Petroleum Based [Minimal I 02-003 WASTE OIL Liquid 500 Low ~ Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily. Max GALI Daily Average GAL [ Annual Amount GAL -- 500 I 50'.00 500.00 StorageIIPress T Temp Location ABOVE GROUND TANK IAmbient/AmbientlBEHIND SHOP ON SLAB -- Conc. Components MCP ---TList 100.0% IWaste Oil, Petroleum Based ILow ' 04/27/92 ALS ROAD SERVICE INC 215-000-001337 Page 3 02 - Fixed Containers on Site Razmat Inventory Detail in Reference Number Order 02-004 OXYGEN Gas 550 Low · Fire, PresSure, immed Hlth FT3 CAS #: 7782-44-7 ~Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount550.00FT3 550 I 550.00 Location Storage Press T Temp PORT. PRESS. CYLINDER IAbove ~AmbientliN SHOP STORAGE -- Conc Components MCP List 100.0% IOxygen, CompresSed ILow '1 02-005 ACETYLENE Gas 550 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily· Average ~FT3 I Annual Amount550.00~FT3 -- 550 ~ 550.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove ~AmbientllN SHOP STORAGE -- Conc Components MCP List 100.0% IAcetylene IHigh I '' 04/27/92 ALS ROAD SERVICE INC 215-000-001337 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation CALL FIRE DEPT & STAY'AWAY FROM ANY HAZARDOUS MATERIALS. <3> Public NOtif./Evacuation CALL 911 AND ASK FOR INSTRUCTIONS <4> Emergency Medical Plan AMBULANCE OR HOSPITAL. 04/27/92 ALS ROAD SERVICE INC 215-000-001337 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <l>'Release Prevention ALL OIL & GREASE PICKED UP WITH ABSORBENT. WASTE OIL IF ANY IS PUT INTO TANK. OIL RECOVERY PUMPS OUT WHEN NEEDED. WE HAVE VERY LITTLE USED OIL AS WE DO NOT SERVICE UNITS HERE. ~ .~F~Y~AN~ ACETYLENE STORED IN SEPARATE AREAS (.~DRY ABSORBENT oN HAND FOR sP~LLED PRODUCTS --__ ~ ~OLVENT'S· _ OR ETC. CONTAINERS A~. ~ <2> Release ontal <3> Clean Up <4> Other Resource Activation 04/27/92 ALS ROAD SERVICE INC 215-000-001337 Page 6 00 - Overall Site Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - NORTHEAST CORNER OF PROPERTY C) WATER - PUMP OPERATED FROM MAIN ELECTRICAL BOX D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN ALL BUILDINGS FIRE HYDRANT - ACROSS STREET.NORTH OF BRUNDAGE LANE <4> Building Occupancy Level 04/27/92 ALS ROAD SERVICE INC 215-000-001337 ' Page 7 00 - Overall 'Site <G> Training <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE MSDS SHEETS POSTED ON BULLETIN BOARD AND VERBAL EXPLANATION IF REQUESTED. SAFETY MEETINGS TO INFORM EMPLOYEES OF ANY DISCREPENCIES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~ ..' "0~":..' .... ,. ~X ~u~ ~?,'~.':'~.: .... ?-~_. ".' ..... / ~<'.~ ,' .','~':' 5 ,~ -....,.p~ .: ....... ~ ...... .... .~' "~'"'ii~ -- ' ..... RECEIVED ~tx~e or ~rin~ name) JAN 1 9 1989 attached Hazardous Haterials business ulan for {name of business/ and that. it along with the attached additions or corrections Constitute a complete and correct Business Plan for m,v facility. ' /~i~na~ure - - date ' J-st q' oo B~JSIN~SS NAME ALS ROAD SERVICE INC I BER 215-000-001337 LOCATION 4615 E BRUNDAGE LN HIGH HAZARD RATING 3 1 . OV~RV~Ervg LAST CHANGE 12/29/88 BY ESTER JURIS CODE 215-041 JURIS COUNTY STATION 41 MAP PAGE 103 GRID 34D FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM. EMERGENCY CONTACTS 2A SEC 2) GEROGE A. HOWELL - 322-3999 OR 366-7810 ALLEN E. HOWELL - 322-3999 OR 395-1215 UTILITY SHUTOFFS 2A SEC 3) A) GAS - NONE B) ELECTRICAL - NE CORNER OF PROPERTY C) WATER - PUMP OPERATED FROM MAIN ELECTRICAL BOX D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOTIFICATION / PUBLIC ESrACUATION LAST CHANGE / /-~//dY BY PAGE 1 12/29/88 11:25 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME ALS ROAD SERVICE INC ID NUMBER 215-000-001337 LOCATION 4615 E BRUNDAGE LN HIGH HAZARD RATING 3 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / /~/ /fY BY < NO INFORMATION RECORDED FOR THIS SECTION 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE ~ BY ESTER 2A SEC 51 AMBULANCE OR HOSPITAL. PAGE 2 12/29/88 11:25 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME ALS ROAD SERVICE INC I [MBER 215-000-001337 LOCATION 4615 E BRUNDAGE LN HIGH HAZARD RATING 3 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 12/29/88 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE DIESEL FUEL 500 GAL MODERATE IN YARD BY GATE ABOVE GROUND TANKS FUEL ID PERCENT COMPONENTS HAZARD LISTS 1178.03 100.0 DIESEL FUEL NO.1 MODERATE 2 PURE MOTOR OIL 200 GAL UNKNOWN IN SHOP METAL CONTAINERS LUBRICANT ID PERCENT COMPONENTS HAZARD LIS. TS 2808.00 100.0 MOTOR OIL UNKNOWN 3 WASTE WASTE OIL 500 'GAL UNKNOWN BEHIND SHOP ON SLAB DRUMS OR BARRELS MET.. WASTE ID PERCENT COMPONENTS HAZARD LIS%S 1598.00 100.0 WASTE OIL UNKNOWN 4 PURE OXYGEN 460 FT3 HIGH IN SHOP STORAGE PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 2359.00 100.0 OXYGEN, COMPRESSED HIGH 5 PURE ACETYLENE 736 FT3 EXTREME IN SHOP STORAGE PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 1241.00 100.0 ACETYLENE EXTREME PAGE 3 12/29/88 11:25 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME ALS ROAD SERVICE INC ID NUMBER 215-000-001337 LOCATION 4615 E BRUNDAGE ,LN HIGH HAZARD RATING 3 B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 12/29/88 BY ESTER 3A SEC 4) FIRE EXTINGUISHERS IN ALL BLDGS FOR FIRE PROTECTION. 3A SEC 5) TWO FIRE PLUGS ACROSS STREET N OF BRUNDAGE LN. D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 12/29/88 BY ESTER 3A SEC 2) CALL FIRE DEPT & STAY AWAY FROM ANY HAZARDOUS MATERIALS. PAGE 4 12/29/88 11:25 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 B~JSINESS NAME ALS ROAD SERVICE INC ID MBER 215-000-001337 LOCATION 4615 E BRUNDAGE LN HIGH HAZARD RATING 3 E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 12/29/88 BY ESTER 3A SEC 1) ALL OIL & GREASE PICKED UP WITH ABSORBENT. WASTE OIL IF ANY IS PUT INTO TANK. OIL RECOVERY PUMPS OUT WHEN NEEDED. WE HAVE VERY LITTLE USED OIL AS WE DO NOT SERVICE UNITS HERE. PAGE 5 12/29/88 11:25 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CITY of BAKERSFIELD F~rm ~nd Aqriculture Standard ~u$iness NON--TRADE SECRETS ' ' _ ~,~, / o~ ~e C~e Mt Mt Est Units m SI~i T~ ~s TW ~ St~ tn FKiilty~. ~ I~t~ti~ Mlth of Pm~. With .............. -- ..... ~lth of Pm~ ~lth ...... : .... H~lth of Pr~sure Health .............. Certlficatim (Reed and sJKn after colpJetJnE ali sections] I cirtafy ~der ~lty of 1~ t~t ~ ~ve ~rsmellye~emin~ ~ II f~iliir with t~ tnf~Mtim su~itt~ in th'is ~ ell IttK~ ~ItS. ~ t~t Ms~ m W i~tW of t~e tMtvl~ls ~siblI CITY of BAKERSFIELD BUSINESS NAME: ~ R NAME' NAME OF T~. FACILITY: ~.OCATIO.: ADDRESS: STA.DA,~ ~.~'. c~ss ~o~ CITY, ZIP: CITY, ZIP: · DUN AND BRADSTREET NUMBER PHONE ~: PHONE {: - ~ ~0 INSTRUCTIONS FOR PROP~ COD~S :Trams Type ~ax Average Annual Neasure I ~s Cmt Cmt Cmt Use L~at$~ Nhene ~ by Na~s of Nixture/Com~ts 'Code Code AmC AmC Est Units ~ Site Fy~ Prell T~p C~e .. Stored tn Fac~ltty Nt See Instructi~s ~ 1 P l ~o, i o-~o I o-~o 1~ ~1 ~J~~ 1~ ~J ~ ~ ~ ~ ..... = ....................... Physical and Health Hazard C.A.S. Numar C~nent II Na~ I C.l.5. Number IC~k all tha~ apply) ........................................................................ [ d [-] Reactivity :--~ Delayed ~ Release [ ] I~tate C~mt 12 NaN & C.A.S. Number Hem I th of Pr~'ssure HN Ith .................................................................. Capmmt 13 Name & C.A.S. Number .... l._l ............. 1 ............ ~_1 .......... ,L21,.[2,..1_.,1.:_].,_,12 ........... --, ....... ~ .... ZL']]i21Z222.,, ...... ,ii .......................... PbysJcat and Health Nezard C.l.S. Nu.~r Cm~t I! Na~ I C.l.S. Number (~heck all t~t ag~ly) .............................................................. r--q r--n r--n C~t I~ Na~ & C.l.S. Numar [~] Ffre Hazard [--] Reactivity c_d ~lay~ c_d ~ddm Release ~--~ Imitate Health of Pr~sure H~lth ............ C~Dmet 13 Na~ & C.A.S. Number _,Z ...... t ............ 12 ....... ,_L ....... 5 .... 1"~1 1 l~~l_~lL ......................... 2 ...... ~ ....... _ ...... PhyMcal and Health Halard C.I.S. Nue~r ~t II la~ ~ C.I.S. Nue~r (C~k all t~t a~ly} ~ J Fire Hazard ~--~ Reactivity c_~ Delayed Sudd~ Release -- I~tate Health of Pressure Neal:h ...... C~t 13 Nam & C.A.S. rhysical and ~ealth Hazard C.I.S. Nua~r C~ffit I~ Na~ & ~.1.5. Nue~e (Check all that ~_d Flee Hazard ~_d Reactivity ~-- Delayed ~--~ ~dd~ Release ~_d Health of RresSure Health C~t I~ Na~ & :.A.S. Number R~': ................................... TtiIi ........................ ]l-fl~'~ ........ N~ ............................... Certification (Read and sJRn after compJetJnR ail sections) I certify under ;~atty of la. that I have oersonally examined and a~ familiar etth t~ tnforaatJm subattt~ Jn tMs and all ettac~ d~ue~ts, and t~t based m ~ inquiry of t~se Individuals resp~sJble for obtainJn9 the jnfor~tl~, ! believe t~t t~ submitted Jnfor~atJm Js true, accurate, end cm;lete. R~;~lE~H[~6F~;~7~~6~E;~7~;~;~F~I;~;~F~;E[~H;~ 51~R~[~;; ....................................................... O~;'51~E;~ ............................. KERN COUNTY FIRE DEPARTNENT BAKERSFIELD, CA 93308 (805) 861-276~ JIIN KCFD HMCU OFFICIAL USE ONLY 2. TYPg/PR~T A~S~gRS ~ 3. Ans~e~ the questions belo~ fo~ tAe business as a ~hole. ~. Be as b~Je~ and concise as possible. SECTION 1: BUSINESS IDE~IFICATION DATA B. ~OCAT,O~ / S TRgBT. AD BR~SS: ¢~/~. ~~ ~~ SECTION 2: E~RGENCY NOTIFICATIONS In case of an emergency involving the release or'~hreatened release of a hazardous material, call 911 and 1-800-852-~550 or 1-916-A2?-~3A1, This ~ill ~otify your local fire department and the 'State Office of Emergency Services as required law, EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME ~ND TITLE ~ -M ......... DURING BUS-, HRS. AFTER BUS. HRS. S~CTION 3: LOCATION O~ ~ILt~ S~-OFFS FOR BUS[~SS,AS A ~OLE A. ~AT. 6AS/PROPAnE: B. ELECTRICAL: ~~ ~ ~ ~_ /V.~. 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 KEYS? YES / NO -Over- HMCU-4 SECTION 4: PRIV RESSd~[~; TE~ 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 INITIAL AND REFRESHER TRAINING' IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: ....................................... YES NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES .NO C. PROPER'USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO D. EMERGEN~CY_E_~V~ACUATION PROCEDURES: ................. YES ~IQ YES NO - ------~.-' b-6-~ MA ~ ~N~E~E-~T~i.N i NG~RE~-0RD-S.~-.-<~....=r~yE S~~yEs~ I,~~.~_. ~ /~,~:, 'certify that the above .info~mation is'accurate.. I undevs~nd that this info~mation will be used to fulfill my fi~m's obligations unde~ the new California Health and Safety code on Hazardous Materials (Div. 20 Chapte~ 6.95 Sec. 25500 Et Al.) and that-inaccurate info~mation constitutes perjury. SIGNATUR~/_.,~,~/~~.. TITLE HMCU-4 2130 "G" STREET BAKERSFIELD, CA 93301 0FF[C[AL USE ONLY ID~ BUSINESS v BUSI NESS PLAN SINGLE F.~CI LI TY UNIT FORM INSTRUCTIONS 1...To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer -,~ ...... question~ below for !;? ?ACiLITY U~,:~'~'~ LISTED 41 Be as BRIEF and CONCISE as possible. ' -. SECTION 1: MITIGATIONt PREV~)~ION~ ABATEMENT PROCZDURES SECTION 2: NOTIFICATION ARq) EVACUATION PROCEDL-R, ES AT THIS UNiT ONLY SECTTOY 3: h.'AZARD,qL':S .W:~TERIA.iS FOR THTS L'.TTT OYLY A. Does ibis Facility Unit contain Hazapdous MaZeria!s? ...... YES 0 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 i~azardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardaus materials inventory form marked: TRADE SECRETS ONLY (yellow form =4A-2) in addition to the non-trade .......... s6'cret-form.---L-ist only the trade-secrets-on-form. 4A=2 ........ SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATaR SUPPLY FOR USE BY EX[ERGENCY RESPO)~ERS SECTION fi: LOCATION' OF UTiLiTY SHUT-OFFS AT THIS L.'~.',IT OYL¥. :l, .x:-!~ . SAg.' c'~OP.-~N~. C. WATER: O. SPECIAL: E. rOCK_. BOX: .VE~ ..... ." NO iF YES, LOCATION: i~" v~S STM PLANS? YES /' .":0 MSD.~.s? YES ." .YO - 3B - : KERN COUNTY FIRE DEPARTMENT I.D. # FORM 4A-1 page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ' ADDRESS: .c~.~.'~"~..~.,~.~.~_a..~c_ c~L~..~z.~-~ ADDRESS:,~/ /5~~~~FACILITY UNIT NAME: CITY, ZIP: ~~~ ~. ~ ~~ CITY,ZIP: ~~~~ ~~ PHONE ~:~ _ ~ ~ - ' PHONE ~: ~ ~~.~ 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 COD~5 AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT..CHEMICAL'z -, OR COMMON NAME .CODg GUIDE , , .,NAME: TITLE: ~~ SIGNATURE: ~ /J ' " -' ~ ~ ' ' DATE ~PHO~E ~ ~US ~OURS: EMEROENCY TACT: ~~ ~~ TITLE: ~~ ~ ~ ~ ~~ ~ ~_/~/ff AFTER BUS HRS: ~ " "~EMERGENCY CONTACT:~ ~~ TITLE: ~_~~ PHONE 8 BUS HOURS: ~ PRINCIPAL BUSINESS ACTIVITY: ~~~ ~~ ~&, ~ AFTER BUS HRS: ~~ " . CONTAINER CODES cODEs " 01. Underground Tank :. P = Pure 02. Aboveground Tank M = Mixtures of pure 05. Fixed Pressurized Tank substances 04. Portable Pressurized Cylinders W = Wastes (Also add 05. Insulated Tank (Includes Cryogenics) appropriate waste 06. Drums or Barrels - Metallic code) 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11 Box(es) UNIT CODES 12 Bag(s) 13 Metal Containers (NOt Drums) " LBS = Pounds 14 In Machinery or processing equipment TON = Tons (2,000 lbs) 15 Bin(s) GAL = Gallons 99 OTHER - Specify on separate sheet BBL = Barrels (42 gals) Ft8 = Cubic Feet CUR = Curies USE-~CODES .......................... ._ ~ 01. Additive 23 Herbicide 02. Adhesive 24 Insecticide 03. Aerosol 25 Instructional 04. Anesthetic 26 Lubricant 05. Bactericide 27 '.Medical Aid or Process 06. Blasting 28 Neutralizer 07. Catalyst 29 Painting 08. Cleaning $0 Pesticide 09. Coolant 31 Plating 10. Cooling 32 Preservative 11. Drilling 33 Refining 12. Drying 34 Sealer 15. Emulsifier/Demulsifier 35 Spraying '14. Etching 36 Sterilizer 15. Experimental 37 Storage 16. Fabrication 38 Stripper - 17. Fertilizer 39 Washing 18. Formulation 40 Waste 19. Fuel 41 Water Treatmen~ I 20. Fungicide 42 Welding Soldering -----Zl_.~G~inding ............. . ..... 43 Well Injection ' 22. Heating 44 0il Treatment 99 OTHER-Specify on BAZARD CODES EXPL - £xp]osive ORMA - Anesthetic, Irritant CMLQ - C0mbnstible Liquid ORME - Hazardous Waste CMSL - Combustible Solid ORMS - Other regulated Material B,C,and D CRMT - Corrosive Material PSNA - Poison A (Gas) FLGS - Flammable Gas PSNB - Poison B (Liquid or Solid) FLLQ - Flammable Liquid RADI - Radioactive . , FLSL - Flammable So]id WATR - Water Reactive NFLG Non-Flammable Gas ETIO - Etiological Agent ~:i/!"~,;'' OG?X - Organic Peroxide PYRO - Pyrophoric, HypergolJ. c or spontaneously combustible 6XID~_~Oxidtzer CRYO - Cryogenics KERN CDUNT¥ fIRE DEPARTMENT BAKERSFIELD, CA 03308 i (J: '~> ' '~ l-~ KCFD HMCU AL'S ROAD SERVICE INC. iD= ~~7 U01 ~' ~'~ ~ ' ' ~ Od'i --. BUSINESS PLAN AS A wHOLE 7 I~S~UCTIO~S: 2. TYPE/PRINT ANSWERS I~ E~GLISH. 3. Answer the questions belo~ for the bus~ness as a ~hole. 4. Be as-brie~ and concise as possible. SECTI0~ 1: B~SI~ESS IDE~IFIC~TIO~ D~T~ CITY: ~~_~f ZIP: F~07 BUS.PHONE: (g~) ~-~ ~ 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% 'D TITLE Du IN us. RS. US. A.~~ _~ . Ph~ ~-~~ Ph~ ~ ~ SECTION 3: LOCATION OF UTILITY SMUT-OFFS FOR BUSINESS AS A W[IOLE A. NAT. GAS/PROPANE: ~'3-z.e~-._..F~ . C WATER: ~__~,_ ff /~- ' 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 KEYS? YES / NO -Over- HMCU-4 SECTION 4: PRIV~?RESpoN~E 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 INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: .................... % .................. YES NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES ND YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES~ YES<Z~ I, _ ~ ~2~ , certify that the above information is accurate. I unders~nd that t~is information will be used to fulfill my firm's obliMations 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 per3ury. HMCU-4