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Home My WebLink AboutBUSINESS PLAN 12/27/1988 TRUCK WASH MSDS INVENTORY February 18, 1989 HAZARDOUS NON-HAZARDOUS 1. Diesel 30 gallons max. htp 1. Blue Truck Wash Soap s/m 2. Bleach 6 gallons max. giant 2. Thick Green Car Wash s/m 3. 409cleaner 32oz. giant 3. E-Z Clean landa 4. SOS PADS 3 boxes giant 4. Citrus Gel Handsoap s/m 5. Wax Shop products 32oz. htp 5. Dusqueeze dubois 6. Simple green giant NEVER EVER MIX ANY PRODUCT FOR ANY REASON. BUS~}~ESS NAME CHUCKS TRUCK PAIR CD TRUCK WASH ID NU 215-000-000631 LOCATION 3775 PIERCE RD HIGH HAZARD RATING 2 1 . OVEi~V I EW LAST CHANGE 02/26/88 BY EVAMC JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 102 GRID 23B FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) ' '"'~l-o~~ CHUCK JIMERSON, OWNER 327-5781 392-9346 PAGER GERALD WHITENER, SHP. MGR. 322-3100 327-5781 UTILITY SHUTOFFS 2A SEC 3) A) GAS - SE CORNER B) ELECTRICAL - NW CORNER C) WATER - SE CORNER D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOTIFICATION / LIC EVACUATION LAST CHANGE / ,/ BY < NO RECORDED FOR THIS SECTION > PAGE 1 12/27/88 17:29 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME CHUCKS TRUCK PAIR CD TRUCK WASH ID NU R 215-000-000631 LOCATION 3775 PIERCE RD HIGH HAZARD RATING 2 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 02/26/88 BY EVAMC 2A SEC 5) BAKERSFIELD OCCUPATIONAL MEDICAL CENTER 327-4527 COMMUNITY HOSPITAL 399-4461 PAGE 2 12/27/88 17:29 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BU~IN~S~ ~ NAME CHUCKS TRUCK PAIR CD TRUCK WASH ID NU 215-000-000631 LOCATION 3775 PIERCE RD HIGH HAZARD RATING 2 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 02/26/88 BY EVAMC ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE ~ i PURE CHASSIS GREASE 55 GAL UNKNOWN WEST SHOP WALL DRUMS OR BARRELS MET.. LUBRICANT ID PERCENT COMPONENTS HAZARD LISTS 2808.00 100.0 MOTOR OIL UNKNOWN 520 2 PURE ENGINE AND GEAR OILS .~8~GAL UNKNOWN WEST SHOP WALL ABOVE GROUND TANKS LUBRICANT ID PERCENT COMPONENTS HAZARD LISTS 2808.00 100.0 MOTOR OIL UNKNOWN ~-- 3 WASTE USED ENGINE OIL ~GAL UNKNOWN WEST SHOP WALL ABOVE GROUND TANKS LUBRICANT ID PERCENT COMPONENTS HAZARD LISTS 1598.00 100.0 WASTE OIL UNKNOWN 7- 4 PURE REFRIGERANT 12 (FREON) 6120 FT3 LOW EAST SHOP WALL METAL CONTAINERS COOLING ID PERCENT COMPONENTS HAZARD LISTS 1086.00 100.0 DICHLORODIFLUOROMETHANE LOW ~--5 PURE OXYGEN 201FT3 HIGH PORTABLE CART PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 2359.00 100.0 OXYGEN, COMPRESSED HIGH ~-- 6 PURE NITROGEN 304 FT3 MODERATE PORTABLE CART PORTABLE PRESS. CYL. CLEANING ID PERCENT COMPONENTS HAZARD LISTS 2324.00 100.0 NITROGEN MODERATE ........ PAGE 3 12/27/88 17:29 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUS-~ESS NAME CHUCKS TRUCK PAIR CD TRUCK WASH ID NU R 215-000-000631 LOCATION 3775 PIERCE RD HIGH HAZARD RATING 2 B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 02~26~88 BY EVAMC 3A SEC 2) VERBAL AND CALL 911 PAGE 4 12/27/88 17:29 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSI}qESS NAME CHUCKS TRUCK PAIR CD TRUCK WASH ID NU R 215-000-000631 LOCATION 3775 PIERCE RD HIGH HAZARD RATING 2 E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 02/26/88 BY EVAMC 3A SEC 1) THOROUGH MAINTENANCE PROGRAM, ROUTINE SPOT CHECK, AND MONTHLY MAINTENANCE INSPECTIONS PERFORMED. ALL SPILL OR LEAKS PREVENTED BEFORE THEY OCCUR HOWEVER, SHOULD A SITUATION ARISE A PRODUCT IS STOPPED FROM RELEASE. MSDS INSTRUCTIONS FOLLOWED PAGE 5 12/27/88 17:29 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BAKERSFIELD CITY FIRE DEPART[4ENT - ~ 2130 "G" S~EET JUL I 1987 . B~RS~IELD, CA 93301 AflB'd ............ (805) 326-3979 ~5~ J l .. OFFICIAL USE ONLY q U.S INESS NAME HAZARDOUS 1~4~%T E R I ALS BUSINESS PLaN AS a WHOLE - FORNI ~-a INSTRUCT IONS: " 1. Toil~avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. SECTION 1: BUSINESS IDENTIFICATION DATA dt"~/~5':~' B. '.OCATION / STREET A~DRESS: ~SL~-- ~.~¢~ ~_,~, SECTION 2: E~IERGENCY 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. ' ~. .... ~-~4 ,'~:~5 EMPLOYEES T0 NOTIFY IN CASE 0F E~ERGENCY: NAME ~D flTLE ~ DURING BUS. HRS. AFTER BUS. HRS.~ SECTION 3: LOCATION 0F ~ILI~ S~-0FFS FOR BUSI~SS AS A ~0LE D. SPECIAL: - ~P I ~' coc~ ~ox; w~~ v~s. ~OCA?~O~: , E. r~ v,s. oo~s rT CO~T~r~ Sr~, ,Z~S, V~S / ~0 . ~SOSS* WS / ~0 ~00~ ,[~S, WS / ~0 ~VS* V~S / ~0 SECTION 4: PRIVATE RESPONSE TEAN FOR BUSINESS AS A WHOLE ~,~~. s..~ ,~-~ ~~-~ ~.~..~o~7 SECTION 5: LOCAL E~RGENCY ~EDICAL ASSIST~CE FOR YO~ ~SINESS AS A W~LE SECTIO~ 8~ B~PLO~E T~INING E~P~OYERS ARE REQUIRED TO BAVE A PROSR~ ~HICH BROVIDES E~P~OYEES ~ITH INITIAL AND REFRESHER TRAININ6 IN TBE FOLLOWING ~REAS. . ~,--~ CIRCLE YES OR NO INITIAL REFRESHER ~ATERIALS:.... .................................... ~ NO ~ NO ~ETBODS FOR SAFE tt~NBLING OF HAZARDOUS ~i~. ~s~o~s~ ~c~s~ .......................... .~~oI~~o' C. PROPER USE OF SAFETY EQUIPMENT: .................. ~NO i~Es ~o D. E~ER~ENCY EVACUATION PROCEDURES: ................. ~ NO lYES NO t. .....,.o // .DOES YOUR BUSINESS HANDLE ~AZARDOUS ~TERI~L IN QUANTITIES LESS THAN 500 POUN~OF SOLID,, 55 6AELONS OF A LIQUID. OR 200 CUBIC FEET OF A CO~PRESSED ~AS: ...... ~ NO I, r> ~~~ , 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 on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPBJRTMENT 2~30 "G" STREET BAKERSFIELD, CA 98301 OFFICiAL.USE ONLY ID# BUSINESS NAME: _ BUS I NEss PLAN SINGLE FACILITY UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be rerun'ned 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH, 3, Answer the questions belo~,7 for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES / ~'~'c~~ . . - SECTION 2: NOTIFICATION ~ EVACUATION PROCEDURES 'AT THIS %~IT ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS I~IT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO 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 #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT, GAS./PROPAN~ B, ELECTRICAL: C, WATER: D, SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES',- SITE PLANS? YES / NO MSDSs9 YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page ' ~_ NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME: ~" OWNER NAME ,--~,'o~-.- FACILITY UNIT #:__ PHONE ~: ~S~--~~~ 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.0.T .CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL 0R COMMON NAME, CODE GUIDE NAME': TITLE: ~(~ ~~ SIGNATURE: DATE EMERGENCY CONTACT: TITLE: ~~ PHO ~ BUS HOURS ~5--~/ 'PRINCIPAL BUSINESS ACTIVITY: ~~ ~e~5~: AFTER BUS .RS: - 4A-1 - $CAJ~E: BUSINESS FLOOR: OF .'~:" '" DATE: / / FAClLI~ ~E' .. ~IT ~ OF