HomeMy WebLinkAboutBUSINESS PLAN .... ~' I TE/FACI LI TY DIA
FoRM 5 /~5~
NORTH SCALE: BUS INESS N~L~E: FLOOR: OF
DATE:~ ,~8/87 FACILITY N~E: Sutliff-Downen~ Inc. UNIT ~: OF
, (CHECK ONE) SITE DIAGRAM x FACILITY DIAGR.~
(Inspector's Comments): -OFFICIAL USE ONLY-
/NO~RTH SCALE: ~o ~,,~oo ~u~; FLOOR: OF
'"~','~ '-' b~rE:ff .~8/'87 FACILITY N~ME: 'Sutliff-Downen~ Inc.. UNIT =: OF
(CHECK ONE) SITE DIAGRAM ~ FACILITY DIAGRAM
~{Inspector's Comments): -OFFICIAL USE ONLY-
- 5A -
,BUSINESS LICENSE NO." -. ' . I:;~T~ '''~ PERMIT REQUIRED PERMIT NO.
~BUSlNESS:OWNER ' 'B0SlNESS MGR:/RESPONSlBLE ' '
BUSINESS_ PHONE" ..~-~¢~4~ ~HOMEPHONE. . . . · . - .:-' . .
NO..OFF, LOORS -:' . , , · - ., SQUAR6FOOtAGE" . '.
"' ' "' " '' ' : ' ~/ ' : . I'
BAKERSFIELD FIRE DEPARTMENT .............. ~ ...............
/3/~ BUREAU OF FIRE PREVENTION ~'~'- 3 (~ -~
Date APPLICATION Apl~lication No.
In conformity with provisions of Pertinent ordinances, codes and/or regulations; application is made'
by: ~ ~ ,~ .~.
~-'-~-~-~'1. ~ . , ~ -
Name of Com~ny ' ~ Address
to display, store, install, use, o~rate, sell or handle materials or pr~esses involving or creating' con-
ditions deemed hazardous to life or pro~r~ as follows:
....... ,__
~ ~ Authorized Repre~ntative
.~.~ ..... ~.~.~../~.~...~ ............ .~ ......... b..~.~..~ ......... .................................... . .......
(Z[~) Fire
RESOURCE MANAGEMENT AGENCY
EnvironmentaJ Health Services Department
RANDALL L. ABBOTT STEV~ McCALLEY, REHS, DIRECTOR
DIRECTOR Air Pollution Control District
DAVID PRICE III WmLIAM J. RODDY, APCO
ASSISTANT DIRECTOR
Planning & Development Services Department
TED JAMES, AICP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
PERMIT FOR PERMANENT eL~)gbS~ PERMIT NUMBER A 1358-05
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACILITY
FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: Co~crOR:
Sutcliff & Downen Jo Ann Downen Groundwater Resources, Inc.
2931 Pierce Road 2931 Pierce Road 5400 Aldrin Ct.
Bakersfield, CA Bakersfield, CA Bakersfield, CA 93313
Ltcense gA 520 765'
Phone: (805) 322-7510 Phone: (805) 835-7700..
PERMIT FOR CLOSURE OF ~ PERMIT ExpIREs February 28, 1991
2 TANK(S) AT ABOVE APPROVAL DATE November 28, 1990
LOCATION' APPROVED BY '~~ ~-
Brian Pitts
Hazardous Materials Specialist
.......................................... 2 .................................... POST ON PREMISES ................................................................................
CONDITIONS AS FOLLOWS:
1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work (i.e., City Fire and Building
Departments).
2. Permittee must notify the Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment in place to
arrange for required inspections(s).
.3. Tank closure activities must be per Kern County Environmental Itealth and Fire Department approved methods as described in Handbook UT-30.
4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials.
5. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience
prior to working unsupervised.
6. If any contractom other than those listed on permit and permit application are to be utilized, prior approval must be granted by the specialist listed on the
permit. Deviation from the submitted application is not allowed.
7. Soil Sampling: ·
a. Tank aize lesa than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths of
approximately two feet and six feet.
b. Tank alze greater than 1,000 to 10,000 gallons - a minimnm of four samples must be retrieved One-third of the way in from the ends of each tank
at depths of approximately two feet and six feet.
c. Tank size greater than 10,000 gallon,a - a minimum of six samples must be retrieved one-fourth of the way in from the ends of each tank and beneath
the center of each tank at depths of' approximately two feet and six feet.
8. Soil Sampling (piping area):
A minimum of two sample~ must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the .dispenser area.
2700 "M" .STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636.
FAX: (805) 861-3429
PERMI"IFOR PERMANENT ~ PERMIT NUMBER A 1358-05
OF UNDERGROUND HAZARDOUS ADDENDUM
SUBSTANCES STORAGE FACILITY
9. Soil Sample analysis:
a. ,MI soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xy]ene, and total
petroleum hydrocarbons (for gfisoiine).
b. All soil samples retrieved from beneath diesel tanks-and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene.
e. All soil samples retrieved from benenth waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease.
d. All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease.
e. All soil samples retrieved from beneath tanks and appurtenances that contain unlmown substances must be analyzed for a full range of substances
that may have been stored within the tank.
10. The following timetable lists pre- and post-tank removal requirements:
.... ACTIVITy DEADLINE;
Complete permit' application sl~bmitted At least two weeks prior to closure
to Hazardous Materials Management Program
Notification to inspector listed on permit of date "D. vo working days
and time of closure and soil sampling
Transportation and tracking forms sent to Hazardous No later than 5 working days for transportation and 14 worlfing
Materials Management Program. All hazardous waste days for the tracking form after tank removal
manifests must be signed by the receiver of the
. hazardous waste
Sample analysis to Hazardous Materials Management · No later than 3 working days after completion of analysis
Program
11. Purging/Inerting Conditions:
a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700)
b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700)
e. No emission shall result in odors detectable at or beyond property line. (Rule 419)
d. No emission'shall endanger the health, safety, comfort or repose of any person. (CSH&SC 41700)
e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal.
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks.
Representatives from this department respond tojob sites during tank removals to ensure that the tanks are safe to remove/close and that the overall job performance
is consistent with permit requirements, applicable laws and safely standards. The following guidelines are offered to clarify the interests and expectations for this
department.
1. Job site safety is One of our primary concerns. F. xeavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-OSHA
regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule, workers are not permitted in improperly sloped
e.xeavations Or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed function. For example, backhoe buckets
are never substituted for ladders.
2. Properly licensed contractors are assumed to understand the requirements of the permit issued. The ]ob foreman is responsible for knowing and abiding by
the conditions of the permit. Deviation from the permit conditions may result in a stop-work order.
3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste manifests and analyses documentation are
necessary for each site in order to close a ease file or move it into mitigation.' When contractors do not follow ihrough on necessary paperwork, an
· . unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will increase.
~a 1358-05. pt c
..... i J~m L. Downen REC[IVEEI
.. -. JAN 0 5 1989
Ans'd .............
Do hereb5~ cert~ ~-- '
. _~ that I have ~evie~em the
attached Hazardous Naterials business plan ~.
for SUtliff_Downen~ Inc.
(name of business)
and that. it along with the attached additions
or corrections constitute a complete and correct
Business· Plan for my facilit.v.
....... ~
. ,F~
-. ~1~,: I ~~
BUSINESS NAME SUTLIFF DOWNEN INC ID NUMBER 215-000-000080
LOCATION 2931 PIERCE RD HIGH HAZARD RATING 3
1 . OVEI:~V I EW
LAST CHANGE 02/23/88 BY EVAMC
JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01
MAP PAGE 102 GRID 23D FACILITY UNITS 1 HAZARD RATING 3
RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE 'TEAM
EMERGENCY CONTACTS 2A SEC 2)
WAYNE N. SUTLIFF, VICE PRES. 322-7510 393-1972
JIM L. DOWNEN, PRES. 322-7510 397-8166
UTILITY SHUTOFFS 2A SEC 3)
A) GAS - SOUTH OF OFFICE AND FRONT OF BLDG. B) ELECTRICAL - SOUTH OF OFFICE
AND NW CORNER OF SHOP C) WATER - PIERCE RD PROPERTY LINE FRONT OF SHOP #2
D) SPECIAL - NONE E) LOCK BOX - NO
2 . NOTIFICATION / lOUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION.>
pAGE 1 12/13/88 1.1:.39
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME SUTLIFF DOWNEN INC ID NUMBER 215-000-000080
LOCATION' 2931 PIERCE RD HIGH HAZARD RATING 3
3 . HAZ MAT TRAINING SUMMARY
< NO INFORMATION RECORDED FOR THIS SECTION >
4 . LOCAL EMERGENCY MEDICAL .zkSS ISTANCE
LAST CHANGE 02/23/88 BY EVAMC
2A SEC 51 MEMORIAL HOSPITAL
420 34TH ST
327-1792
PAGE 2 12'/13/88 11:39
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME SUTLIFF DOWNEN INC ID NUMBER 215-000-000080
LOCATION 2931 PIERCE RD HIGH HAZARD RATING 3
FACILITY UNIT 01
A . OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 02/23/88 BY EVAMC
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
.~1 PURE CLEANING SOLVENT ~%~GAL EXTREME
BEHIND BLDG. 2 ABOVE GROUND TANKS CLEANING
ID PERCENT COMPONENTS HAZARD LISTS
1203.03 100.0 CLEANING SOLVENT EXTREME
/2 PURE MOTOR OIL -- 4-~0-GAL UNKNOWN
... SOUTHSIDE SHOP 2 DRUMS OR BARRELS MET.. LUBRICANT
ID PERCENT COMPONENTS HAZARD LISTS
2808.00 100.0 MOTOR OIL UNKNOWN
PURE WASTE MOTOR OIL -r~O~GAL UNKNOWN
BEHIND SHOP 2 METAL CONTAINERS WASTE
ID PERCENT COMPONENTS HAZARD LISTS
1598.00 100.0 WASTE OIL UNKNOWN
B . FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 02/23/88 BY EVAMC
3A SEC 4) FIRE EXTINGUISHERS
3A SEC 5) FRONT OF OFFICE BUILDING ACROSS PIERCE RD.
PAGE 3 12/13/88 11:39
MATERIAL SAFETY. DATA sYSTEMS, INC. (805) 648-6800
BUSINESS NAME SUTLIFF DOWNEN INC ID NUMBER 215-000-000080
LOCATION 2931 PIERCE RD HIGH HAZARD RATING 3
D . EMPLOYEE NOTI F I CAT ION / EVACUATION
LAST CHANGE 02/23/88 BY EVAMC
3A SEC 2) TELEPHONE AND WORD OF MOUTH. MOVE EMPLOYEES TO STREET.
E . MITIGATION / PREVENTION '/ ABATEMENT
LAST CHANGE 02/23/88 BY EVAMC
3A SEC 1) CHECK CONTAINERS FOR LEAKS, PUMP TANK OR DRUM, CALL 911
PAGE 4 12/13/88 11:39
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
CITY of BAKERSFIELD
Pa~e .... of
~OCATION:~[~;~' ~- ' ADDRESS: I~q ~F ~, STANDARD IND. CLASS coDE
CITY, ZIP:~g~d 9~¢~ CITY, zzv:~{4~ q,FgaF 'PUN AND BRADSTREET NUMBEff
~ZS rO rNSrRUCrrONS FOR PROP~ CODES.
Trans Type ~ax Averaqe ~nuai ~asure I ~s C~t C~t C~c Use L~at~ ~re ~ by Napes of ~ixture/Comoon~ts .
Cone CoDe Ant Ant Est Units ~ ~lte TVpm Fres~ Teed C~e .. Store~ in Facility Nt See [nstructi~s
?~ysical and Health Hazard ~.A.S. Nuabev C~ent II ~a~ ~ C.I.S. Nuabev
r--n r--n r--n ' COa~t I~ Na~ & C.A.S. Number
Fire Hazard ~--J Reactivity ~ ~lay~ ~d ~dd~ Release ~--a I~iate
Hea Ich o~ Pressure H~ Ich
~ .' CM~C I] NaM & C.A.S. Nueber
Fire Hazard ~ d Reacttvtty ~ d ~
~eaith o~ Pressure ~ealth
(Ch~k ali that apply) '
Health of Pressure ae~lt~ ................ 2__2 ................................ . ........ L ........
(Ch~k all that apply)
~ a Fire Hazard Reactivity ~--~ Oelay~ Sudd~ Release ~--~ I~tate
~ea J th of Pressure He~ ltd ..................... : .............. ~--~ .................................
CM~K~ 13 NaN & C.A.S. Numar
%rtificaci~' (Read and sign after completing al~ sectluns)
I certify under ~alty of lap tMt I 'have ~ers~ally exaain~.and aa faeiHae ~ith the tnfor~ttm_su~ thtl and~11 att~c~ d~u~ts, and that based ~ =y inquiry of t~se individuals resp~sibla ' '
for obtaiain9 the infarcted, ! believe t~t the subaittee inroraatt~ ia true, accurate, and co~ k / ~ / / / ·
BAKERSFIELD, CA 93301 '
(805) 326-3979
l ' OFFICIAL USE ONLY
USINESS NAME
HAZARDOUS MATERI ALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCT I 0NS:
1. To avoid fur'ther action, return ·this form by'
2. TYPE/PRINT· ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME:
Ina.
B. LOCATION ./ STREET ADDRESS:
CITY: Daker.~FJ eld: Ca. ZIP: 93308 · BUS.PHONE: (80~
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened ffelease 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 DURING BUS. HRS. AFTER BUS. HRS.
A.W~ayn~. N. Sut]JFC: V~na P"r~.~_ Ph# ~?p-?5]D Ph# 393-]97P
B. Jim L. Downen: Pres. Ph~ 3PP-75]O Ph~ 397-8166
SECTION 3: LOCATION OF ~ILI~ S~-0FFS FOR BUSI~SS AS A ~OLE
D. SPECIAL:
E. LOCK BOX: YES /~ IF YES', LOCATION:
IF YES,' DOES ~T CONTAIN SITE P~ANSq YES / NO MSDSS? YES / NO
F~00R PLANS'?. YES / NO KEYS? YES / NO
- 2A -
SECTION 4: PRIVATE RESPONSE TEAM FOR'BUSINESS AS A WHOLE
Call ~! 911
Call fire Department
{}~~ the injured to memorial hospital Emergency ward.
SECTION: 5: LOCAL. EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS' AS A' WHOLE
Memorial Hospital Emergency ward.
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
· ~ NO YES. NO
MATERIALS
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......... ' ................ _~_ NO YES NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO YES NO
D EMERGENCY EVACUATION PROCEDURES: ................. NO YES NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES
YES
NO
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES ORf~
DOES YOUR BUS'I'i~rEss'"- HANDLE HAZARDOUS--MATERIAL IN QUANTITIES:LESS THAN-$00~ POUND~v0F~A.~..
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED-GAS:...'...
I, f~m I., Pownen , certify that the above, information'is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code onHazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.
SIGNATUR TITLE
BAKERSFIELD CITY- FIRE:: DEPARTMENT
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/-PRINT YOUR ANSWERS tN ENGLISH.
3. Answer the questions .belo~ for :THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF .and CONCISE as .possible.
FACILITY UNLT# 1 ~ 2 FACILITY UNIT NAME: ,q!!tlif£_l~Own~n
SECTION 1: ,.MITIGATION, PREVENTION, ABATEMENT PROCEDP'RES
Check containers for leaks
Pump tank or drum
Call 911 --
.'SECTION 2: NOTIFICATION .%ND EVACUATION PROCEDURES AT THIS uNIT ONLY
Telephone and word of mouth.
move employees to s~reet
- 3A -
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 ,larked:
· 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
Fire extinguishers
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Front of office building across pimrce road.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. N~T GAS/PROPAN~
Shop # 1 south side of office
Shop # 2 front of building
B ELECTRICAL:
Shop # 1 south side of .office
Shop~ ~ 2 N.W. Corner of shop.
C. WATER:
Pierce road property 1-ine front of shop # 2
D. SPECIAL: None.
E, LOCK BOX: YES / NO IF YES, LOCATION: None.
IF YES, SITE PLANS? YES / NO MSDSs? YES /' NO
FLOOR PLANS? YES / NO KEYS? YES / NO
BAKERSFIELD CITY FIRE DEPARTMENT
I,D. # FORM 4A-1 Page ~of,~___.
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NAME: ~:~_~!!ff-Do.~nn; Ina.: OWNER NAME: Cn~pn~t, ion FACILITY UNIT #:~
ADDRESS:~9~] P~ae '~oad ADDRESS: FACILITY UNIT NAME:
CITY, ZIP: Bakersfield. Ca. 92qO8 CITY,ZIP:
PHONE ~:_ (80~ 3Pp-~]O '~- , ..... PHONE ~: {OFFICIAL USE CFIRS CODE
'-[ ONLy
1 2 3 4 5 6 7 8 9 10
TY~E ~AX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD DJO.T
CODE A~OUNT AMOUNT UNIT CODE CODE FACILITY UNIT . WT. CHEMICAL OR COMMON NAME CODE GUIDE
~ ]60 3. OO ]bs ]O 1~ outside Buildin~ 2 1OO Parco Lubrite 2 CRMT
NAME: Wa~e N. Sutliff ~, TITLE: Vice PreSident SIGNATURE:/~~ ~~ DATE:'
EMERGENCY CONTACT: Wa~e N, Sutliff TITI, E: Vice President ~ P~0N~-' us
AFTER BUS HRS: ~97-1972
E~RGENCY CONTACT: Jim L' DOWm.~n , TITLE: .... Pres5dent . PHONE ~ BUS BOURS: ~22-7~10
PRINCIPAL BUSINESS ACTIVITY: 0i1 Too] ~e~t~] AFTER ~US BRS: ~97-8166
':~ "~' - 4A- 1 -