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Home My WebLink AboutBUSINESS PLAN FOR! N~~.~ I' ~M £SSAG £ A.M. DATE ~ **'"- ~ TiME P.M. M OF PHONE NO, ~ ITELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH SIGNED ASSOCIATED I.l-A23,34 ~,~,~=,~ ~.~. PLEASE MAKE CHECKS PAYABLE TO: RETURN PAYMENTS TO: C~T¥ oF BAKErSFIeLD ' STATEMENT' OF ACCOUNT P.O. BOX 2057~ /l" ' ' ' '"" ~'': CITY OF BAKERSFIELD BAKERSFiELDj;]CA~3303_2057 ACCOUNT NO. HE/+:~ 5 01 A C:c oun.t ..: 0~.1_ ~l'~.Z.,..: .... . S'i.~'e' Add.re 5~ .. .,,, . . . . . . ~7.~''o .. NO~'ICE DA~E ~¢-/~ .92 ... .:.. :. · . ... " ": ' ' " -:J .... *'. . '' ' -': "7:" ..... .- ". '" '.'-'. ";._.~'. , . .::.~;... ~... :H.AR:GE,S-,:~I E: :A~SsEsSE~ M0~HLY...0N".THE.:'.BALANCE :,. ...... ""'" .... ' ' RECEIVED F E !~ 1 ~ l,~.q2 Ans'd .... : ....... Feb. 17,1992 Bakersfield City Fire Department 2130 G Street Bakersfield, Ca. 93301 Attn: Valerie This is to notify~you that '"Holmes Specialty" a~ent for Harrisburg~ Inc., has moved from 3950 Pierce'P. oad to 4031 Alken Street, B-4, Bakersfield, Ca. 93308. ?his move was completed on August 20, 1991. Sincerely, Mi~chael E, HOlmes 04/05/91 ' ~RRISBURG INC 215-000-00~0~ Page 1 Overall Site with 1 Fao. Ur, it Ger~eral Ir~formati Locati,z,n: 3950 PIERCE RD Map: 102 Hazard: Lc, w Ider, t Numbe~-: ~15-000-000650 Grid: 2~B A~ea c,f Vul: 0.0 fidmir, ist rative Data Mail Addrs: 3950 PIERCE RD D&B Number: City: BAKERSFIELD State: CA Zip: 9,~d)B- Corem Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owr, er: HARRISBURG INC Phc, ne: (. ) - Address: 12000 W LITTLE YORK State: TX City: HOUSTON Zip: 77041~ Summary j [)4/(])5/91 HARRISBURG INC 215-000-(')0(I)650 Page 2 Hazr~at Inver, tory List in MCP Order 02 - Fixed Cor~tainers c,n Site Pln-Ref Na~e/Hazards Fc, rr~ Quar~t ity MCP O~-t) } 1 WOVEN BRAKE 'L I N I NG ? 2,000 Moderate LBS O0 - Overall Site <D> Notif. /Evacuatior~/Medical <1> Ager~cy Notificatior~ <2> Employee Notif. /Evacuatior~ VERBAL NOTIFICATION, CALL 911. <3> Public Not if. /Evacuatior, , <4> ErNerger, cy Medical Plar, LOCAL HOSP I ]"AL. 04/05/91 HARRISBURG INC 215-000-000650 Page 4 00 - Overall Site <E> Mit igat ior,/Prever, t/Abater~t '<1> Release Prever, tion ASBESTOS BRAKE BLOCKS - NO DRILLING OR CUTTING ALLOWED. NO SPILL POSSIBLE, WOVEN PRODUCT STORED IN A CARDBOARD CONTAINER. PIPE DOPE - PE]'ROLEUM GREASE IN PLASTIC OR METAL CONTAINERS. WILL NOT FLOW UNDER'NORMAL T~EMPERATURE AND HEAT IS SPILL HAPPENS, IT IS DUE TO A CRACKED CONTAINER, MATERIAL TRANSFERRED TO A NEW CONTAINER. <2> Release Cor, tairm~er, t <3> Clears Up <4> Other Resource Activation 04/05/91 ,~RR I SBURG INC 215-000-~ Page 5 00 - Overall Site <F> Site Er~ergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - MID WAY NORTH WALL ON THE OUTSIDE B) ELECTRICAL - INSIDE WAREHOUSE ON SOUTHWEST CORNER C) WATER - SOUTHWEST CORNER OF THE PROPERTY BY PIERCE RD D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - ????????????? · <4>" Held for Future use 04/05/91 HARRISBURG INC 215-000-000650 Page 6 O0 - Overall Site ~ <G> Trair~irsg <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY ~ DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held ~for Future use <4> Held for Future Use March 8~ 1991 Dear Business Owner: Enclosed you will find a computer printout of the Hazardous Materials Management Plan that is currently in our ccmputer~ we have highlighted the areas that need to be revised. Also due to a change in the law that went into effect January~ 1989~ we need to have a new inventory form (enclosed) filled out. This form along with the computer printout must be filled cut and returned to our office by April 8~ 1991. If you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Yours~ Ralph E. Huey Hazardous Materials Coordinator R£H:vp Enclosures 01/16/91 HA~I ~BURG INC 215-000--~ Pa~e Ov~ll Site with 1 Fac. Unit Ger, eral Information Locatior,: ~9~_) PIERCE RD Map: 102 Hazard: Low Ident Number: 215-000-000650 Grid: 23B Area of Vul: 0.0 BOB GILMORE I} ( ) 32'7-4191 x ( ) - TEVE SHORT ( ) 327=4191 x I( ) Administrative Data Mail Addrs: 3950 PIERCE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93308- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: HARRISBURG INC Phone: ( ) - Address: 12000 W LITTLE YORK State: TX City: HOUSTON Zip: '7'7041- Summary .\ 01/16/91 I~A~I SBURG INC 215-000-000650 Page 2 Cia ~ I r, ver~t or'y L i st i r~ I~ICP 02 - Fixed Contairle~-s on Site Plri-Ref Narne/Haza~'ds Fc,~-rn Quarlt ity MCP 02-001 WOVEN BRAKE LINING .o 2,000 Moderate LBS 16/91 [SBURO INC 215-(:)(])(])-(:)(])(')65(i Page 3 (]0 - Overall Site <D> Not if. /Evacuat iors/Medical <1> Agency Notificati,-,r~ <2> Er,lployee Notif. /Evacuat VERBAL NOTIFICATION~ CALL 911. <3> Public Notif. /Evacuatinn <4> E~erger~cy Medical Plar~ LOCAL HOSPITAL. 01/16/91 HArrISBURG INC 215-000-00065( Page 4 00 - Overall Site <E> Mit igat ion/Prevent/Abater~t <1> Release Prevention ASBESTOS BRAKE BLOCKS - NO DRILLING OR CUTTING ALLOWED. NO SPILL POSSIBLE, WOVEN PRODUCT STORED IN A CARDBOARD CONTAINER. PIPE DOPE - PETROLEUM GREASE IN PLASTIC OR METAL ~ONTAINERS. WILL NOT FLOW UNDER NORMAL TEMPERATURE AND HEAT IS SPILL HAPPENS, IT IS DUE TO A CRACKED CONTAINER~ MATERIAL TRANSFERRED TO A NEW CONTAINER. <P_> Release Containr~ent Clean Up <4> Other Resource Activation I NC ~ 15-000-00065~ Page 5 01 / 16/91 HP~I SBURG ~ O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - MID WAY NORTH WALL ON THE OUTSIDE B) ELECTRICAL - INSIDE WAREHOUSE ON SOUTHWEST CORNER C) WATER - SOUTHWEST CORNER OF THE PROPERTY BY PIERCE RD D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - .oo-~.ooo0.o.oo.o.o~.~. FIRE HYDRANT <4> Held for Future use ~)1 / 16/91 HA ISBURG INC 215-000-00065( Page 6 00 - Overall Site (G> Trainir~g <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 as r~eeded <3> Held for Future Use <4> Held for Future Use BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further 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 B. LOCATION / STREET ADDRESS: 3950 PIERCE ROAD CITY: B.~fERSF!ELD ZIP: 93308 BUS.PHONE: ( 805 ) 327~.419_1 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: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. BOB G!'I~DRE Y~AGE~ Ph# 327~19~ Ph# 327~4191 B. STEI~ SHORT SALES"P~P, Ph# 327'..41g1' Ph# 327~.4191 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A ~OLE A. NAT. GAS/PROPANE: MID~!~AY'NORTH WALL ON T~. OITffS!'DE B. ELECTRICAl: !'NST'DEiI~AREH~JSE ON' S'?'~ COPNER C. WATER: S~.~J; CO~NER OF THE, PROPERTY' BY' PIERCE D. SPECIAL:''''~:~r- E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A ~rIOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE ~oc~ I~osP/1-&A 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 Y~ATERIALS:...- .................................... YES NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO .YES NO E. DO YOU ~%AINTAIN EMPLOYEE TRAINING RECORDS: ....... YES N~ YES NO SECTION ?: ltAZ/kRDOUS MATERIAL CIRCLE YES OR NO. DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, BOB GID.~ORE.~ , 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 DEPARTMENT 21:30 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT FORM INSTRUCTIONS 1. To avoid further action, this form must:be returned b~,:'- 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY ~SIT LISTED 4. Be as BRIEF and CONCISE as possible. FACILI~ L~IT~ FACILI~ %~IT N~: SECTION 1: ~ITIGATION, PRE~NTION, ABATEME~ PROCED~ES. ASBESTOS. BP~ BLOCKS .- NO.DRILLING.OR U~T!NG ~LOI~D "' NO SPILL POSSI'BLE, W¢.~N PRODUCT STOR~D PIPE ~PE - P~RaL~I~ G~SE IN'P~STIC ..OR b~T~ WILL NOT FLO!~ I..B~ER 'NOP~."T~3~E~E IF SPILL ~[~PENSi IT' IS DI~ ':TO: A' MA~RIAL *~ANSFE~D ~TO A ~w' SECTION 2: SOTIFICATIO~ A~ EV~CUATIO~ PROCEDURES AT THIS - SA - SECTION 3:. HAZARDOUS~4ATERIALS FOR THIS UNIT 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-t) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) ~n addition to the non-trade secret form. List on],y the trade secrets on form 4.4-2. SECTION 4: pRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS ~T THIS' UNIT ONLY. A. NAT. GAS/PROPAN~'i 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 -. ' ~ ~ '.~ .... .~:'!,-'-~;~, ~'~-'9.~..';.~,.,..-.~,.~,~[ ,,: .. . .. ' .........." "' ~ ' ' - ' ' ' ' ' " -' ' ........ . ~:~-.,~ ..... ~?,~;~,---~.~' --- . ~A~ERSFIELD 'City FIRE DEPARTMENT .- .... .' ' ' '" ': "' "' '"' I .D. '._.' -'-'--~-.;::~':.*,~:~'~'i--:._ ,,~,~,,: .... · · · ' . ' FORM 4A,E ' .' -". .... .','.-' "" ' ' '. '" / ' "' "page ' :'. "of,,':' ' ..'" ;':~'~:~'~;~)~.{i.?:/;.:,--?-:~..:., HAZ A'RDOUS ~ATERI ALS -I:NVENTORY ' : BUSINESS NA~E:'-;?~ISB~fi~ iNC. O~NER NA~E: '~ISB~G,/ iNC. FACILITY UNIT ADDRESS:""~'"-~;!/~"~(:'::~3~50'.'~IERCE ~. ADDRESS: " 12,000 W. LI'I"rLE YO~AciLITy UNIT .NAME: CITY, ZIPi .;~".-;.;?~..B~FIELg.,~. 9~08 CITY,ZIP: HOUSTON, '1'~5 7'/041 y' . '' · [713J 462-4110 [-' PaONE ~.: ..... --~'.~".'-(805~)'327-4191 P~ONE *: OFFICI~L USE CFIRS · '-: ~-~.4~ :. :'~,~]%';ki'C? ,.,, -' ",, ~ ~ ~. TYPE; MAX.:?:*:; ;~cANN~-lL?!;!~;-!!~;il~:!~¥ CONT 'USE LOCATION IN THIS I BY HAZARD D O'.T -C,ODE. *AMOUN~:?~IMOON~;UN-IT',,CODE CODE FACILITY UNIT ' . WT CHE'MICAL OR COMMON NAME CODE-i GUIDE' .....[~. , 2.,00:~} ,~{0~O~,~ ",~?,.. ,1!. "/~i ' CEdE oF W~HouSE ' WOrN B~ LINfNG ·,~~.~ O~ .... ..;. .......... ,.,, ~,,~,.~ ~ .~gJ~-.~..,,~,, :t~ . 50t CmYSOTILE (mI~ :ASBESTOS). .. ~y~' ~ .,~- .... . . · ' ~-~'-~-~',~ ,~:~'~ ~'.~5';'~ :a~.?,:,- ' · , -' ,~. ];; ' '~L: ~BOB 6~ ~ .. .... Ti~ ................... ~I0~~ D~ ~'/ , EMERGENCY CONTAC. T: BOB:G~O~ TITLE: B~ M~AGER PHONE * BUS ROURS:3Z7-'4191· '. . · ,.._._ ~.[. ; :...;. · . ~..-SHORT' AFTER BUS HRS: 32'7-4191 igNEROENCy"CON~ACT?''S TITLE: S~ES ~P. PHONE , BUS HOUR~:327-.4191. " IPRINCIPAL BUSINEgS ACTIVITY: S~ES ORG~IZATION ' AFTER. BUS HRS:. 3Z7~4191' "' ; . ~,:-.~ .*' '- -i.: . ... ~ '..:-':" ,:.~?<L':?~,~./.:, '" · - 4A~2 - . ~ , . · ~.,,,.,. ,'" -:: . '...'. _.' '-.... .': :.'-..:::~ t: :.':: :. :." ::,v . .. '. :, ,. .:. BAKERSFIELD CITY FIRE DEPARTMENT -, I.D. { FORM 4A-2 page 1 of 2 TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME: HARRISBURG~ INC. OWNER NA~IE: H/L~RISBURG, INC. FACILITY UNIT #:~ ADDRESS: 3950 PIERCE kD. ADDRESS: 12,000 W. LITTLE ¥0RK FACILITY UNIT NAME: CITY, ZIP: BAKERSFIELD~C A. 93308 CITY,ZIP: HOUSTON. TEXAS 77041 PHONE #: (805) 327-4191 PHONE #: (713J 402-411£! ~OFFICIAL USE CFIRS CODE I ONlY 1 2 3 4 5 6 7 8 9 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T / 12~ COPPER F~ ~S ~7440-S0-8 ~'~[[~ 12% PO!~DE~D LE.~ CAS ~7439-92-1 62 % PETROLED{ GP~ASE O.mQ M3~ 200 1455 c~ 10 26 S.E. COP~R OF WkR~EHOU ;E ZINC BASED ~E~D LI~RIC&~ ~Q 50% ZINC DUST CAS ~744-66-6 50% PETROLEb~ GP~ASE M 30 75 G~ 15 26 S.E. COEUR OF W~¢~HOU ;E LF~D BASED ~ L~RIC~ /~ 60~ PO~E~D ~ ~S ~7459-92-1 2~ COPPER F~ ~S ~7440-50-8 58% PBTROLB[~ G~ASB ~Q 'M ~ 300 3694 ~ 10 26 S.E. CO~R OF W~HOU ;E ~ET~LIC BASE ~ L~RI~ ~Q ZINC DUST CAS ~744-66-6 COPPER F~ ~S ~7440-50-8 NAM~ BOB GILMOP.E TITLE :BP.~ M~AGER SIGNATURE: DATE :7z10-87 EMERGENCY CONTACT: BOB GIDfO~ TITLE: BPkNQ{ ~ANAGER P~ONE ~ BUS ~OURS: 327-4191 AFTER BUS HRS: 327.4191 EMERGENCY CONTACT: sT~ SHORT TITLE: S~S ~P. PHONE ~ BUS HOURS: 327-4191 PRINCIPAL BUSINESS ACTIVITY: S~ES ORG~IZATION AFTER BUS ~RS: 327-4191 SITE/FACILITY D I AG R/kYI FoRM 5 NORTH SCALE: BUSINESS N~E: FLOOR: OF 1" = 100' HAP~ISBURG, INC, 1 1 DATE: 7./ 1987 FACILITY N~ME: UNIT ~:1 OF 1 N/A , · (CHECK ONE) SITE DIAGRAM X FACILITY DIAGR.%M InSpector's Comments): -OFFICIAL USE ONLY- SITE/FACILITY D I AG R.Zklvl / FORM 5 ' - ' NORTH SCALE: BUSINESS NAME: FLOOR: OF 1" = 20' HAKRISBURG', INC. 1 1 DATE: 7/10~7 FACILITY NAME.: UNIT ~: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.%M X 8zot~ (Inspector's Comments): -OFFICIAL USE ONLY- - - SA -