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HomeMy WebLinkAboutBUSINESS PLAN RETURN PAYMENTS TO: CITY OF BAKERSFIELD PLEASE MAKE CHECKS PAYABLE TO: P.O. BOX2057 HAZARDOUS MATERIALS DIVISION BAKERSFIELD, CA 93303-2057 ACCOUNT NO. HM 723901 CITY OF BAKERSFIELD Hazardous Materials Handling Fees Site Addr: 4105 Pierce Rd Fund SERVICE FOR 07/01/92 06/30/93 PAYMENTS AFTER 12/31/92 NOT ON THIS 'BiL~:ili HAZ MAT HANDLING FEE ~ ..~..-i~ i,i · 99i00~ Total Current Cha:~!~'6s:' -/i!.i'] Fi i 99~:~)0~ Current Charges 99.00 BILLING DATE 01/01/93 i, TOTAL BALANCE DUE 99.00 ANNUAL FEE 10% ADMIN SERV CHG AND FINANCE CHG OF 1% pER"~ONTH-WiLL BE ASSESSED. INQUIRIES CONCERNING THIS BILL, PLEASE PHONE: 326-3979 CLEARWATER POOL SERVICE HM723901. INVOICE NUMBER 2305 COLBY ST BAKERSFIELD, CA 93304 CITY COPY '...':,%'~,.0!.,~.b-X,:~o57,..' :,:~ :.~.'~:,.~.-.. /'.": ...... '. ' ' .... 'BAk~S~i~'LD'"(~A ';~.,_:_' ~-;~:,; ' ""': ."¢' :. '.' , ':.;:': ':.:.:. "' ?'-~ -:, .:' .[ '...~ [ ~'-J $ j~,. ~ r: PLEASE ~KE CHECKS PAYABLE TO: ~~05z;: ~ A'C~Q~N~'0''~'':'''~'~ ~ ~ ~ ~ ~ ~' CITY OF BAKERSFIELD RETURN PAYMENTS TO: '~ ~" PLEASE MAKE.CHECKS PAYABLE TO: CITY OF BAKERSFIELD !~h,~ ''~ ~ ' ~.! P.O. BOX 2057 'i ' : CITY OF-BAKERSFIELD BAKERSFIELD, CA 93303-2057 ACCOUNT~NO.' H~, ~,,?~'~.t~ ........ ~' ..... OUBTOMER OOPY -'~'~ P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303-2057 ADDRESS CORRECTION REQUESTED DO NOT o CLEARWATER POOL SERVICE ID Number: 215-000-00!~212 ESTER 03/09/93 q Location: NO LONGER IN BUSINESS Map: 102 Hazard: Unrated ~ Community: BAKERSFIELD STATION 03 Grid: 23B F/U: 1AOV: 0.0/ ContaCt Name Title Business Phone 24-Hour Phone- KEITH KELLEY IOWNER 1(805) 321-0674 x 1(805) 831-4605 JOHN TAYLER IMANAGER ~ (805) 321-0674 x (805) 327-4836 Summary DOING BUSINESS OUT OF HOME. NO LONGER STORING HAZARDOUS MATERIALS UNDER CLEARWATER POOL SERVICE. ALLMATERIALS USED ARE FROM SUNNYSIDE POOL SERVICE. <A> Hazmat <B> Area Plan <C> Fac. Units <D> Notif/Evac <E> Mitigation <F> Site Facts <G> Training <H> RMPP Data <I> Not Used <J> Not Used <K> Held Aside <L> Incidents <M> Inspection <N> Admn <P> Print <Esc> Exit CITY of BAKERSFIELD "WE CARE" . March 9, 1993 FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Keith Kelley Clearwater Pool Service 2305 Colby Street Bakersfield, CA 93304 Dear Mr. Kelly: Effective this date we have removed your business, Clearwater Pool Service, from our computer. You will not be billed for next years (93-94).Hazardous Materials.Handling Fee. However, please be advised that any bills prior to this date will continue to accumulate penalties and finance charges monthly. Sincerely, Esther Duran Hazardous Materials Division /ed , ' ~:E~0~ 'PAYMENTS TO: ' ' '1 ' ' ' ' PLEASE AAAKE CHECKS PAYABLE TO: , ' P.O. BOX 20SZ"~'i : ' "~" ~ ' HAZARDO~S MATERIALS.DIVISZON CITY OF BAKERSFIELD Hazardous ~a-~ertals Handling Fees ' ' .. ~. · . . ~.THZS BZLL,ZS DUE UPON RECEZPT. Z I4ONTHS'': OM THE;,BZLLZNG DATE A .,: ~0~ A0~IN SERV Cfi& AND FZNANCE CHG 0F ~S pER HONTfl INQUIRIES CONCERNING THIS' BILL, PLEASE PHONE: '" ' 'iNvOICE NUMBER CLEA~ATER POOL SERVZCE ~; 2305 COLBY ST ~ ' -~ MUST RETURN THis COPY' WITH PAYME~ ' BAKERSFZELD, CA g3304 " RETURN PAYMENTS TO: J PLEASE MAKE CHECKS PAYABLE T~? ". I CITy OF BAKERSFIELD I / P.O. BOX 2057 HAZ2~RDOU$ ~ATERIALS DIVISION CITY OF BAKERSFIELD BAKERSFIELD, CA 93303-2057 ACCOUNT NO. H~"'~ 725902 '~'.~..7' ~";D Hazardous ~a~ert~ls ~andling Fees S~te Addr:: 410~ P~erc~ Rd Fu~d 011-1I~.I~- ~.~, SERVICE FOR 07/01/92 ~ 06/30/93 .,..:'.:~ ~'/.. ~ P~'~TS A~TER 12/21/92 NOT ON THIS!B~[ :.. ~ ~LL~G DATE 0~/0~/~3 ' ~,. :: . :' :.~;:. .:' :-:' ~OT~ ~LA~CE ~UE ,,~ {> "., . ~ ., , ,.: ( :'; . ,' . , ,,:,:, ,:~ YH]$ BXLL [$' DUE UP0['~ RECEIPT. 2 ~0NTHS FR0~:L'I'HE::'B~L'L~NG DATE A i0% A~.~N SEW CHG AND FINA~CE CHG OF ~% PE~ ~ON~H U~LL B~ ~SESS~D, " INQUIRIES CONCERNING THIS BILL, PLEASE PHONE: 326'-3979 ':~, ~, ' CLEARWATER POOL SERVICE J~i725~01 VOl E NUMBER 2305 COLBY ,ST ' , BAKERSFIELD~ CA 93304 m m CUSTOME~ COPY 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 1 overall Site with 1 Fac. Unit General Information I Location: ~9OO $CHIRP~t_A · Map:.102 Hazard: Low I Community: BAKERSFIELD STATION 09 Grid: 23B F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- JOHN TAYLER MANAGER (805) 321-0674 x (805) 327-4836 Administrative Data'~- ~50~ Mail Addrs: 6000 SCHIRRA CT A D&B Number: City: BAKERSFIELD State: CA Zip: 93313-2163 Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7389 Owner: KEITH KELLEY Phone: (805) 321-0674 Address: 2305 COLBY ST State: CA City: BAKERSFIELD Zip: 93304- Summary merit plan fo~..~ ......... ,i .... //j,~mem p~an ~or my facility.. 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 2 Hazmat Inventory List in Reference Number Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-001 SODIUM BICARBONATE /~-~Solid 200 Minimal · Pressure, Immed Hlth~ LBS 02-002 CYANURIC ACID ~Solid 100 Moderate · Reactive, Delay Hlth1. LBS 02-003 MURIATIC ACID ~ Liquid '100 High · Immed Hlth, Delay Hlth/ GAL 02-004 LIQUID SODIUM HYPOCHLORITE / Liquid 100 High · Reactive, Immed Hlth~ GAL 02-005 LITHIUM HYPOCHLORITE Solid 1000 High · Reactive, Immed Hlth .LBS 02-006 CALCIUM HYPOCHLORITE Solid 500 Moderate · ' Reactive, Immed Hlth LBS 02-007 TRICHLORO-S-TRIAZINETRIONE Solid 2000 Moderate · Reactive, Immed Hlth LBS 02-00.8 SODIUM DICHLORO-S-TRIAZINETRIONE ~Solid 1000 Moderate · Reactive, Immed Hlth~ LBS 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 SODIUM BICARBONATE Solid 200 Minimal · Pressure, Immed Hlth LBS CAS #: 144558 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 200 ~ 100.00 500.00 Storage Press T Temp Location PLASTIC CONTAINER Ambient[AmbientlWAREHOUSE -- Conc Components MCP Guide 100.0% ISodium Bicarbonate IMinimal I 60 02-002 CYANURIC ACID Solid 100 Moderate · Reactive, Delay Hlth LBS CAS #: 108805 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS I Annual Amount LBS 100 ~ 500.00 700.00 StorageI Press T Temp Location PLASTIC CONTAINER IAmbient~Ambient WAREHOUSE -- Conc Components MCP ----~uide 100.0% ICyanuric Chloride IModeratel 60 02-003 MURIATIC ACID Liquid 100 High · Immed Hlth, Delay·Hlth GAL CAS #: 7647-01-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GALI Daily Average GAL I Annual Amount GAL 100 ~ 100.00 500.00 Storage Press I Temp Location. PLASTIC CONTAINER IAmbientlAmbiontlWAREHOUSE -- Conc Components MCP ---TGuide 31.5% IMuriatic Acid IHigh ~ 15 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 LIQUID SODIUM HYPOCHLORITE Liquid 100 High · Reactive, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid. Type: Mixture Days: 365 Use: ADDITIVE Daily Max GALI Daily Average GAL I Annual Amount800.00GAL 100 I 400.00 Storage Press T Temp Location PLASTIC CONTAINER Ambient//Mnbient[WAREHOUSE -- Conc Components MCP ~Guide 12.5% ISodium Hypochlorite IHigh ! 45 02-005 LITHIUM HYPOCHLORITE Solid 1000 High · Reactive, Immed Hlth LBS CAS #: 87-90-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBS Daily Average LBS I Annual Amount LBS 1,000 ] 500.00 5,000.00 StorageIIPress T Temp Location PLASTIC CONTAINER IAmbient|AmbientlSHOW ROOM - Conc Components MCp ---TGuide 29.0% ILithium Hypochlorite High ~ 42 02-006 CALCIUM HYPOCHLORITE Solid 500 Moderate · Reactive, Immed Hlth LBS CAS #: 7778-54-3 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBS Daily Average LBS Annual Amount-LBS 500 I 100.00 I 1,000.00 Storage Press T Temp Location BAG IAmbient|AmbientlsHow ROOM -- Conc Components I MCP ---~uide 65.0%. ICalcium Hypochlorite IModeratel 45 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007. TRICHLORO-S-TRIAZINETRIONE Solid 2000 Moderate · Reactive, Immed Hlth LBS CAS #: 87-90-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 2,000 I 1,000.00 10,000.00 Storage Press T TempI Location PLASTIC CONTAINER Ambient~AmbientlSHOW ROOM -- Conc Components MCP ---TGuide 99.0% ITrichloro-s-triazinetrione ' IModeratel 42 02-008 SODIUM DICHLORO-S-TRIAZINETRIONE Solid 1000 Moderate · Reactive, Immed Hlth LBS CAS #: 51580-86-0 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS 1 Annual Amount LBS 1,000 I 400.00 4,000.00 Storage~~Press T Temp Location PLASTIC CONTAINER IAmbientlAmbientlSHOW ROOM -- Conc Components MCP ---~uide 99.0% ISodi.um Dichloro-s-triazinetrione 'lModeratel 42 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 6 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 9-1-1 <2> Employee Notif./Evacuation ALL EMPLOYEES WILL LEAVE THE THE DOORS. <3> Public Notif./Evacuation THEY WILL BE TOLD TO STAY AWAY FROM BUILDING. <4> Emergency Medical Plan CALL 9-1-1 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 7 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL MATERIALS ARE CHECKED WHEN RECIEVED AT 4105 PIERCE RD. ALL MATERIALS ARE STORED ON PALLETS. <2> Release Containment KEEP SPILLED MATERIAL DRY. <3> Clean Up SWEEP, SCOOP OR VACUUM UP ALL SPILLED MATERIAL AND PLACE IN CLEAN, DRY CONTAINERS FOR DISPOSAL. FLOOR SWEEPING COMPOUNDS SHOULD NOT BE USED IN THE REMOVAL OF ACL AS FUMING, FIRE OR EXPLOSION MAY RESULT. <4> Other Resource Activation 02/03/93 CLEARWATER POOL SERVICE 215-000-0002i2 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH END OF BLDG B) ELECTRICAL - NORTH END OF BLDG C) WATER - D) SPECIAL - N/A D) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 1 DRY CHEMICAL FIRE EXTINGUISHER NEAREST FIRE HYDRANT - ABOUT 150FT RIGHT ACROSS PIERCE RD <4> Building Occupancy Level 02/03/93 CLEARWATER POOL SERVICE 215-000-000212 Page 9 00 - Overall Site <G> Training <1> Page 1 WE HAVE 8 EMPLOYEES AT THIS FACILITY. .WAREHOUSE ONLY. NO ALL DAY EMPLOYEES, THEY ARE HERE FOR ABOUT 1 HOUR IN THE AM AND 10 MINUTES IN THE PM. WE HAVE MSDS SHEETS ON FILE BRIEF SUMMARY: EMPLOYEES ARE TRAINED IN THE SAFETY AND HANDLING OF HAZARDOUS MATERIALS. THEY ARE TOLD OF THE HAZARDS AT THE TIME OF EMPLOYMENT (THE FIRST DAY OF WORK) AND AGAIN ONCE A MONTH. OR AT ANY TIME THE EMPLOYEE OR MANAGER HAVE ANY QUESTIONS ABOUT HAZARDS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 98/03/92 CLEARWATER POOL SERVICE 215-000-0002 t e Overall Site with 1 Fac. Unit AUG 11 1992 General Information Bv Location: 4105 PIERCE RD. Map: 102 Hazard: Low . iCommunlty: COUNTY STATION 64 Grid: 23B F/U: 1AOV: 0.04 Contact Name Title Business Phone 24-Hour Phone~ KEITH KELLEY OWNER (805) 321-0674'x (805) 831-4605 JOHN TAYLER MANAGER (805) 321-0674. x (805) 327-4836 Administrative Data Mail Addrs: 4105 PIERCE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93308- Comm COde: 215-064 COUNTY STATION 64 SIC Code: Owner: KEITH KELLEY Phone: '(805) 321-0674 Address: 2305 COLBY ST State: CA City: BAKERSFIELD Zip: 93304- Summary D~ I, ,~/~./~ ~J..~--~-~_~ Do hereby ~ffi~ tha I h~e reviewed ~he ~ach~ h~ardous mmerials manage- ~nt plan fot~.~,~..~;d ~hat it s~ong with any ~rre~ions ~ns~i~e e cemple~e snd ~rrec~ man- ~ement plan.f~r my f~lity, 08/03/92 CLEARWATER POOL SERVICE 215-000-000212 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 SODIUM BICARBONATE Solid 200 Minimal · Pressure, Immed Hlth LBS CAS #: 144558 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS I Annual Amount LBS 200 I 100.00 500.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbient/AmbiontlWAREHOUSE -- Conc ·Components McP List 100.0% ISodium Bicarbonate IMinimal I 02-002 CYANURIC ACID Solid 100 Moderate · Reactive, ~elay Hlth LBS CAS #i 108805 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBS Daily Average LBS Annual Amount LBS -- 100 I 500.00 I 700.00 Storage I Press T Temp Location PLASTIC CONTAINER I AmbientJAmbientlWAREHOUSE -- Conc Components I MCP List 100.0% ICyanuric Chloride IModerate] 02-003 MURIATIC ACID Liquid' 100 High · Immed Hlth, Delay Hlth GAL CAS #: 7647-01-0 Trade.Secret: No Form: L.iquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GALI Daily Average GAL I Annual Amount GAL 100 ~ 100.00 500.00 Storage Press T Temp Location PLASTIC CONTAINER IambientJambientlWaREHOUSE -- Conc Components 08/03/92 CLEARWATER POOL SERVICE 215-000-000212 'Page 3 02 - Fixed Containers on Site ~ Hazmat Inventory Detail in Reference Number Order 02-004 LIQUID SODIUM HYPOCHLORITE Liquid 100 High · Reactive, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GALI Daily Average GAL I Annual Amount GAL 100 ~ 400.00 800.00 Storage Press T.Temp Location PLASTIC CONTAINER Ambient|AmbientlWAREHOUSE -- Conc Components I MCP List 12.5% Isodium Hypochlorite ' IHigh I 02-005 LITHIUM HYPOCHLORITE Solid 1000 High · Reactive, Immed Hlth LBS CAS #: 87-90-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBs Daily Average LBS Annual Amount LBS -- ,ooo I' oo.oo I ,ooo.oo StorageIIPress T Temp Location PLASTIC CONTAINER Iambient~ambientlSHOW ROOM -- Conc Components MCP List 29.0% ILithium Hypochlorite IHigh I 02-006 CALCIUM HYPOCHLORITE Solid 500 Moderate · Reactive, Immed Hlth LBS CAS #: 7778-54-3 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBS500 I Daily Average100.00LBS I Annual Amount1,000.00LBS Storage Press T Temp Location BAG IAmbient/AmbientlsHow ROOM -- Conc Components t MCP List 65.0% ICalcium Hypochlorite ~ModerateI 08/03/92 CLEARWATER POOL SERVICE 215-000-000212 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007 TRICHLORO-S-TRIAZINETRIONE Solid 2000 Moderate · Reactive, Immed Hlth LBS CAS #: 87-90-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBS Daily Average LBS Annual Amount LBS 2,000 I 1,000.00 I 10,000.00 Storage Press T Temp~ Location PLASTIC CONTAINER Ambient~AmbientlSHOW ROOM -- Conc Components MCP List 99.0% ITrichloro~s-triazinetrione' ModerateI 02-008 SODIUM DICHLORO-S-TRIAZINETRIONE Solid 1000 Moderate · Reactive, Immed Hlth LBS CAS #: 51580-86~0 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS I Annual Amount LBS -- 1,000 ~ 400.00 4,000.00 StorageIIPress l Temp Location PLASTIC CONTAINER IAmbient~ambientlSHOW ROOM -- Conc Components MCP ---iList 99.0% Isodium Dichloro-s-triazinetrione IModerateI 08/03/92 CLEARWATER POOL SERVICE 215-000-000212 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 9-1-1 <2> Employee Notif./Evacuation ALL EMPLOYEES WILL LEAVE THE THE DOORS. <3> Public Notif./Evacuation THEY WILL BE TOLD TO STAY AWAY FROM BUILDING. <4> Emergency Medical Plan CALL 9~1-1 08/03/92 CLEARWATER POOL SERVICE 215-000-000212 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL MATERIALS ARE CHECKED WHEN RECIEVED AT 4105 PIERCE RD. ALL MATERIALS ARE STORED ON PALLETS. <2> Release Containment KEEP SPILLED MATERIAL DRY. <3> Clean Up ~ SWEEP, SCOOP OR VACUUM Up ALL SPILLED MATERIAL AND PLACE IN CLEAN, DRY CONTAINERS FOR DISPOSAL. FLOOR SWEEPING COMPOUNDS SHOULD NOT BE USED IN THE REMOVAL OF ACL AS FUMING, FIRE OR EXPLOSION MAY RESULT. <4> Other Resource Activation 08/03/.92 CLEARWATER POOL SERVICE 215-000-000212 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH END OF BLDG B) ELECTRICAL - NORTH END OF BLDG C) WATER - D) SPECIAL - N/A D) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE'FIRE PROTECTION - 1 DRY CHEMICAL FIRE EXTINGUISHER NEAREST FIRE HYDRANT - ABOUT 150FT RIGHT,ACROSS PIERCE RD <4> Building Occupancy Level 08/03/92 CLEARWATER POOL SERVICE 215-000-000212 Page 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE.?? EMPLOYEES AT THLS FACILITY. DO YOU HAVE MSDS SHEETS ON FILE? ~--0~ ~.~.~ BRIEF SUMMARY: EMPLOYEES ARE TRAINED IN THE SAFETY AND HANDLING OF HAZARDOUS MATERIALS. THEY ARE TOLD OF THE HAZARDS AT THE TI~E OF EMPLOYMENT· (THE FIRST DAY OF woRK) AND AGAIN ONCE A MONTH. OR AT ANY TIME THE EMPLOYEE O~ MANAGER HAVE ANY QUESTIONS ABOUT HAZARDS. <2> Page 2 ·as needed <3> Held for Future Use <4> Held for Future Use · R~kersfield Fire Department 'Hazard(~us Materials Division , . 2101 H Street Bakersfield, CA 9330~1 August 3, 1992 Mr. Keith KellY Clearwater Pool Service 4105 Pierce Rd. Bakersfield, Ca. 93308 Dear Mr.. Kelly: Enclosed please find the computer copy of your Hazardous Materials Business Plan that you certified as complete on June 18, 1992. This plan is not complete. You have failed to complete the highlighted sections Gl, number of employees and do you have Material Safety Data Sheets on file on page 8 of your plan. Please complete and return these sections by August 20, 1992. If You have any difficulties please do not hesitate to call our office at 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator ENCLOSURE )6/12/92 CLEARWATER POOL SERVICE 215-000-000212 J~N ~ Overall Site.with 1 Fac. Unit General Information BY-- , Location: 4105 PIERCE RD Map: 102 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 23B F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- KEITH KELLEY OWNER' (805) 321-0674 x (805) 831-4605 JOHN TAYLER MANAGER (805) 321-0674 x (805) 327-4836 Administrative Data Mail Addrs: 4105 PIERCE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93308- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: KEITH KELLEY Phone: (805) 321-0674 Address: 2305 COLBY ST State: CA City: BAKERSFIELD Zip: 93304- Summary J/.~~ Do hereby ce~ that ! have reviewed the ~ached hazardous m~te~is manage- sgement plan ~r my ta~ity. 06/12/92 CLEARWATER POOL SERVICE 215-000-000212 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 SODIUM BICARBONATE Solid 200 Minimal ~ Pressure, Immed Hlth LBS CAS #: 144558 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average LBS T Annual Amount LBS 200 I 100.00~ 500.00 Storage Press T Temp Location PLASTIC CONTAINER IAmDiont/AmDiontlWAREHOUSE -- Conc Components MCP List 100.~% ISodium Bicarbonate IMinimal I 02-002 CYANURIC ACID Solid 100 Moderate ~ Reactive, Delay Hlth LBS CAS #: 108805 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: ADDITIVE Daily Max LBS Daily Average LBS Annual Amount LBs -- 100 I 500.00 I 700.00 Storage Press T Temp Location PLASTIC CONTAINER Ambient/AmbientlWAREHOUSE -- Conc Components MCP List 100.0% ICyanuric Chloride ModerateI 02-003 MURIATIC ACID Liquid 10'0 High ~ Immed Hlth, Delay Hlth GAL CAS #: 7647-01-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL Daily Average GAL Annual Amount GAL 100 I 100.00 ] 500.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbient~AmbientlWAREHOUSE -- Conc Components I MCP List 31.5% IMuriatic Acid IHigh I 06/12/92 CLEARWATER POOL SERVICE 215-000-000212 Page 3 02 - Fixed Containers on Site Hazmat InVentory Detail in Reference Number Order 02-004 LIQUID SODIUM HYPOCHLORITE Liquid 100 High · Reactive, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL100 '1 Daily Average400.00GAL I Annual Amount800.00GAL Location Storage Press T Temp PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE -- Conc Components MCP List 12.5% ISodium Hypochlorite IHigh .I 02-005 LITHIUM HYPOCHLORITE Solid 1000 High · Reactive, Immed Hlth LBS CAS #: 87-90-1 Trade Secret: No Form: Solid Type: Mixture Days'-365 Use: ADDITIVE Daily Max LBS Daily Average LBS I Annual Amount LBS 1~000 I 500.00 5,000.00 Storage Press T Temp Location PLASTIC CONTAINER Ambient~AmbientlSHOW ROOM -- Conc Components MCP List 29.0% ILithium Hypochlorite IHigh I 02-006 CALCIUM HYPOCHLORITE ' Solid 500 Moderate · Reactive, Immed Hlth LBS CAS #: 7778-54-3 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use:ADDITIVE Daily'Max LBS500 I Daily Average100.00LBS I Annual Amount1,000.00LBS Storage 'Press T Temp Location BAG AmbientlAmbientlSHOW ROOM -- Conc Components MCP ----FList 65.0% ICalcium Hypochlorite IModerate~ 06/12/92 CLEARWATER POOL SERVICE 215-000-000212 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007 TRICHLORO-S-TRIAZINETRIONE Solid 2000 Moderate · Reactive, Immed Hlth LBS CAS #: 87-90-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE Daily Max LBSI Daily Average,LBS --,~ Annual Amount LBS 2,000 I 1,000.00 10,000.00 Storage~~Press T Temp Location PLASTIC CONTAINER IAmbient~AmbientlSHOW ROOM -- Conc Components MCP List 99.0% ITrichloro-s-triazinetrione IModeratel 02-008 SODIUM DICHLORO-S-TRIAZINETRIONE Solid 1000 Moderate · Reactive, Immed Hlth LBS CAS #: 51580-86-0 Trade Secret: 'No Form: Solid Type: Mixture Days: 365 Use: ADDITIVE -- Daily Max LBSI Daily Average LBS I Annual Amount LBS 1,000 I 400.00 4,000.00 Storage [ Press T Temp~ ' Location PLASTIC CONTAINER IAmbient~AmbientlSHOW ROOM -- Conc Components MCP List 99.0% Isodium Dichloro-s-triazinetrione ModerateI 06/12/92 CLEARWATER POOL SERVICE 215-000-~000212 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 9-1-1 <2> Employee Notif./Evacuation ALL EMPLOYEES WILL LEAVE THE THE DOORS. <3> Public Notif./Evacuation THEY WILL BE TOLD TO STAY AWAY FROM BUILDING. <4> Emergency Medical Plan CALL 9-t- 1 06/12/92 CLEARWATER POOL SERVICE 215-000-000212 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL MATERIALS ARE CHECKED WHEN RECIEVED AT 4105 PIERCE RD. ALL MATERIALS ARE STORED ON PALLETS. ! <2> Release Containment KEEP SPILLED MATERIAL DRY. <3> Clean Up SWEEP, SCOOP OR VACUUM UP ALL SPILLED MATERIAL AND PLACE IN CLEAN, DRY CONTAINERS FOR DISPOSAL. FLOOR SWEEPING COMPOUNDS SHOULD NOT BE USED IN THE REMOVAL OF ACL AS FUMING, FIRE OR EXPLOSION MAY RESULT. <4> Other Resource Activation 06/12/92 CLEARWATER POOL SERVICE 215-000-000212 Page 7 00 ~ Overall Site' <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH END OF BLDG B) ELECTRICAL - NORTH END OF BLDG C) WATER - D) SPECIAL - N/A D) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 1 DRY CHEMICAL FIRE EXTINGUISHER NEAREST FIRE HYDRANT - ABOUT 150FT RIGHT ACROSS PIERCE RD <4> Building Occupancy Level 06/12/92 CLEARWATER POOL SERVICE 215-000-000212 Page 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE 77 EMPLOYEES AT THIS FACILITY. DO YOU HAVE MSDS SHEETS ON FILE? BRIEF SUMMARY:. EMPLOYEES ARE TRAINED IN THE SAFETY AND HANDLING OF HAZARDOUS MATERIALS. THEY ARE TOLD OF THE HAZARDS AT THE TIME OF EMPLOYMENT (THE FIRST DAY OF WORK)AND'AGAIN ONCE A MONTH. OR AT ANY TIME THE EMPLOYEE OR MANAGER HAVE ANY QUESTIONS ABOUT HAZARDS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use %1~ -Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street O~ Bakersfield, CA. 93301 HAZ, M^T, 0IV. t~-,/ ' - HAZARDOUS MATEnl/~LS MANAGEMEN~ PLAN -- 1. TO ovoid further action' retuln thJ$ form within $0 days of rece'p . 2. TYPEJPRINT ANSWERS IN-ENGLISH. - - 3. Answer the questions below for the business as a whole./,/ 4... Be brief and concise as possible. '/1~_'~"~{~ SECTION 1: BUSINESS IDENTIFICATION DATA ~/ BUSINESS NAME: (";~ ~~'/~~ ~/- LOCATION: ~lfl ~ /~/~ ~E MAILING ADDRESS: ~ ~ CITY: ~'~~/~ STATE: ~ ZIP' ~3~ FpHONE: DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY' ~'/~///~ .~ G (~,>~ ~ OWNER: ~e./~ ~-~ MAiLiNG ADDRESS: F~o ~ ~6~ ~ (~4~[~/~.~ ~/- SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE FD1590 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: I, ~E'.( ~ ~'~[,[..~.? CERTIFY THAT THE ABOVE INFOR- · MATION IS ACCURATE. I ~JNDERSTAND THAT THIS INFORMATION WlLL 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. SIGNATURE TITLE DATE 2. FD1590 Bakersfield Fire Dept.~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: Bi, i. ~,~ ~ ~ £,~, ~ 4 ~ x ,~ ,~ £ ~ l~cC ~ . B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: S~CTIO~ 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: / ELECTRICAL: WATER:. - SPECIAL: LOC~ ~OX: ¥~S~ I, ¥~S. LOC^~O,' "'SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION' ~AT~ AVAILABILITY (Fl~ ~Y~A~T)' Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~-~,/~'~- ~'~-- ~-~/~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: ~,~ ~7// B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION' D, EMERGENCY MEDICAL PL. AN: iIA~AR. DOU8 MA'I'ERTALS 'I'IFFEIF~'OR¥ ~ Farm and Agriculture ~ Standard Business Page of NON - TRADE SECRET BUSINESS NAME: dkE~&u;47~ f00C ~-~U(.~OWNER NAME: ~-~ /~---~W , NAME OF THIS FACILITY: LOCATION:~ ~1~.~ ~. ' ADDREss: ~3~'~ 63~C6~ .VT- ' STANDARD IND. CLASS CODE: CITY, ,Z, IP: ~?~?d~,~,(W c~,~ CITY, ZIP:;/~//~m%S~L{~ ~9~ DUN AND BRAI)STREET NUMBER/FEDERAL ID # REFER TO INSTRUCTIONS FOR PROPE~ OODES 1 2 3 4 5 5 7 8 9 10 11 12 %13~ 14 Trane Type Max Average Annual Measure # Days Cost Cost Cost Use Location Where Names of M~xture_/~omponents Code Code A~t Amt A~t Unite on Site Type Press Temp Code Stored in Facility , wt See Inst. ruc'~ions Physical and Health (Check all that apply) ' Component # 2 Name & C.A.~S. Number [] ~ire Har~d ~ Sudden Release [2 R~ctivity ~" ~iate [] Oelay~ :~. of Pressure Health Health Component # 3 Name & C.A~H. Number Physical and Health Hazard C.A.S. Number /d ~"~- ?O -- ,~ Component # I Name & C.A.iS. Number (Check all that apply) ' -  Component # 2 Name & C.A.S. Number ~ Fire Hazard [] Sudden Release Reactivity ,]~ Immediate ~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard ' C.A.S. Number ~ & ~ 7~-~D/' ' D Component # 1 Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Humber ~ Pire H.zerd [] Sudden R. leas. I--q R.ctivity [] ~ediate ~ O.layed of Pressure Health Health Component # 3 ~ame & C.A.S. Number -- C.A.S. Number Component # i Name & C.A.S. Number i/ Physical and Health ~azard (Check all that apply) Component # 2 Name & C~A.S. Number ~ Fire Hazard ~ Sudden Release ~ Reactivity ~ Immediate ~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number EMERGENCY CONTACTS #1 #2 Name Title 24 Hr. Phone Name Tit~e 24 Hr Phone ! certify· under peanlty of law that I hayer personally examined end am familiar with the information submitted in this and 'all attached documents and that based on my inquiry of those individunls responsible for obtaining the information. ! believe tha~ the submitted information is true, accurate, and c~plete. NAME AND OFFICIAL TZTI~ OF O~NER/OPERATOR OR OWNER/OPERATOR'S AUT~ORZ~RD R~PR~SENTATIVE DATE HZONED CITY of BAKERSP'ILLI9 N 0 N-- TRAD'E S E C R E T S ' peg, j~..of._~ OF FACILITY: ZIP: 'DUN AND BRRDSTREET NUMBER frails ]y~ ~x Awreoe ~nu81 ~asu~ I ~ Cmt ~t ~t ~e L~et 1~ C~e C~e ~t ~t' Est Units m Site ly= P~I 1~ C~t .. $t~ [ ] Fir Hazard ,activity u ~la~ ~ RelHsi~ ~ea I th of Pm~re ~ Ith .................. (C~k all t~t apply) ~ ....... H~lth of P~ ~lth ....... (C~k all t~t ~pply) HeN I th of Pe~sure HeN Ith ,/ I L _ J Fire Hazard ~ Reactivity [ ] ~)ey~ ~ ~ ~dd~ Release ~ I~iat, C~t 12 Nm & C.A.S. MOB~r Hca I t h of Pr~sure HeN )th ~t 13 N~ Certtficati~ (Read and sign after coapJetlng aJJ sections/ ] certify ~dee ~)ty of la, t~t I ~ve mrsmally e~aein~ ~d aa faail~ar ,tth t~ ~n'fo~tim su~ttt~ in this ~ for '~btaming t~ mf~t~m. I ~lfeve t~t t~ sumitt~ info, tim is tree. accurate, and cmolete. · ' ' P 0 ~ox 2057 .... '~ .... CALIFORNIA ' ' -" -: .o..~ss..v,.s*,~c~o.s~ · ' BAKERSFELD CA 93303 ."' ~ ' ;' ~':'' .' ', "':' '~~' ~'~ :: ~'' '~:'"' "::;' ' '" ' .... ': / '~ * '~" .APPLICATION F0., BUShNESS LiCENSE AX CERTIFICATE. .Q ...., PURSUANT TO ORDINANCES OF THE CITY OF BAKERSFIELD . ,.? ADDRESS LOCATION OF BUSINESS ~ ~ TELEPHONE (Separate ~icenso Required For Each Location) ~,~o..us~,.sso...o..ssso, floO ~ ~e~~ ~AMES AND ADDRESSES OF ALL OWNERS (Or Principle Officers, If a Corporation) NAME HOME ADDRESS TELEPHONE -- OFFICIAL USE ONLY -- INSPECTION RECORD PLANNING DEPT. E~ FIRE DEPT. r~ BUILDING DEPT. r'~ I REQUIREMENTS - 'OR CONDITIONS: H.O.P. ,,. ,~UTHORIZATION DEPT. DATE GI APPLICATION CONTINUED: TYPE OF ORGANIZATION: PARTNERSHIP E~] CORPORATION r-1 FEDERAL EMPLOYER IDENTIFICATION NUMBER DATE COMMENCED BUSINESS IN BAKERSFIELD ~'~'_~._,/~. ~...._ CALIFORNIA STATE CONTRACTOR'S LICENSE NUMBER, IF ANY NATURE OF BUS NESS FORMERLY AT THiS LOCATION FORMER OWNER /~tJ//~1· SALES TAX PERMIT NO. /V' 0,4/~ Sales or. Use Tax may apply to your business; contact nearest STATE BOARD OF EQUALIZATION OFFICE. ESTIMATED ANNUAl ~l~n~ ~,""' ...........