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HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE This _~ermit is issued for the following; [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-000779 [] Rlak Management Program OXFORDS CYCLE SUPPLY [] Hazardous WasteOn-SiteTreatment. LOCATION: 425 CALIFORNIA AVE D OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: (~_~__p~hu~,fi~-, ~s~-¢ r~te Bakersfield, CA 93301 o~of£~r~i~--.~, Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: June 30. 2003 OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 Manager : BusPhone: (661) 323-3146 Location: 425 CALIFORNIA AVE ~C11"2003 Map : 103 CommHaz : Moderate City : BAKERSFIELD .~, Grid: 3lB FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TONY OXFORD / SON ~ ~7~ TOM KENON / Business Phone: (661) 5B~q'3/'0'x~ Business Phone: (661) 837-2151x 24-Hour Phone : ( )~o~ ~q~qx 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 323-3146x MailAddr: 425 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Owner RICHARD & MARGARET OXFORD Phone: (661) 324-8418x Address : 2501 ELM ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives: _ ..... F ~.~,~1 ~/ !, .~.~c~ ~ ~.,~,~.6 oA~,~ Do hereby certify that I have reviewed the a~ached h~ardous mmefials manag~ ment plan forOH~r~s ~ ~ ~ ~-,~d that it ~ong with (~e of any ~emions conaituts a compile and ~rr~ man- agement plan for my facility. 1 09/15/2003 OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 ~ Hazmat Inventory By Facility Unit -- MCP+Dail~ax Order Fixed Containers on Site Hazmat Common Name...~ . ~ SpocHazlEPA Hazardsl Frm DailyMax ]UnitlMCP ACETYLENE ~-~ ~['~O~J ~ ~ F P IH G 135.00 FT3 Hi OXYGEN F P IH G 281.00 FT3 Low WASTE OIL F DH L 55.00 GAL Low ~GON F P IH G 336.00 FT3 Min 2 09/15/2003 -3- 09/15/2003 OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 9 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location'within this Facility Unit Map: Grid: W WALL OF SHOP CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 135.00 FT3 I 135.00 FT3 68.00 FT3 100'001Acetylene Yes 74862 HAZARD ASSESSMENTS [TSecretl ~SlBi°HaZNo N No Radi°active/Amount I EPA HazardsNo/ Curies F P IH NFPA/// I USDOT# MCPHi ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: W WALL OF SHOP CAS# 7782-44 -7 rGSTATE-q-- TYPE PRESSURE TEMPERATURE CONTAINER TYPE as /Pure Above AmbientIi Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 281.00 FT3I 281.00 FT3 140.00 FT3 HAZARDOUS COMPONENTS io SI 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS ITSecretl oRSlBioHaz Radioactive/Amount I EPA Hazards NFPA I USDOT# I MCP No N No No/ Curies F P IH / / / Low 4 09/15/2003 OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER OF SHOP CAS# 221 F STATE -- TYPE PRESSURE --[ TEMPERATURE I CONTAINER TYPE Liquid Waste I Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container. I Daily Maximum I Daily Average 55.00 GALI 55.00 GALI 25.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N iTSecretI RS,BioHazl HAZARD AiSESSMENTS I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No No/ Curies F DH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within thiS~Facility Unit Map: Grid: E & W WALLS OF SHOP CAS# 7440-37-1 F STATE I TYPEPure Above PRESSURE I TEMPERATURE ] Ambient Ambient CONTAINER TYPE . . Gas PORT PRESS CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 336.00 FT3I 336.00 FT3 168.00 FT3 HAZARDOUS COMPONENTS 100.00 Argon N 7440371 HAZARD ASSESSMENTS ITSecret] oRSlBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F P IH / / / Min -5- 09/15/2003 F OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 03/05/1999 CALL 911 AND/OR BAKERSFIELD FIRE DEPT OFFICE OF ENVIRONMENTAL SERVICES AT 326-3979. -- Employee Notif./Evacuation 03/05/1999 EMPLOYEES INSTRUCTED TO CALL FIRE DEPT IMMEDIATELY IN EVENT OF FIRE AND ALSO INSTRUCTED IN EVACUATION PROCEDURES. Public Notif./Evacuation 03/05/1999 VERBAL. Emergency Medical Plan 03/05/1999 KAISER PERMANENTE. ~ ~ I~ - C~ [-- -6- 09/15/2003 F OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 03/05/1999 SOLVENTS AND ACID STORED NEAR OPEN WINDOW FOR VENTILATION. WELDERS LOCATED AND OPERATED AWAY FROM FLAMMABLES. EMPLOYEES INSTRUCTED IN SAFETY PROCEDURES FOR HANDLING HAZARDOUS MATERIALS. EMPLOYEES INSTRUCTED IN LOCATION AND USE OF CHEMICAL FIRE EXTINGUISHERS. --Release Containment 03/05/1999 SHUT OFF VALVES - USE ABSORBENT. -- Clean Up 03/05/1999 USE SHOVEL TO PUT IN BARREL AND HAVE HAULED AWAY. Other Resource Activation 7 09/15/2003 F OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 03/05/1999 A) GAS - BACK YARD B) ELECTRICAL - BACK OF SHOP C) WATER - SIDEWALK ON T ST D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/05/1999 PRIVATE FIRE PROTECTION - 5 TRIPLEX DRY CHEMICAL FIRE EXTINGUISHERS. FIRE HYDRANT - ON OPPOSITE SIDE OF CALIFORNIA AVE OPPOSITE SHOP. Building Occupancy Level 8 09/15/2003 OXFORDS CYCLE SUPPLY SiteID: 015-021-000779 Fast Format ~ Training Overall Site -- Employee Training 03/05/1999 WE~HAVE 1 EMPLOYEE AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: READ MATERIAL SAFETY DATA SHEETS. Page 2 I Held for Future Use [ Held for Future Use -9- 09/15/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 0~3'~ UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~a Floor, Bakersfield, CA 93301 FACIL1TYNAME 0~0~ C~CL~ ~/~SPECTIONDATE 5/t~[~ ~ ADDRESSq~S C~,~O~ 6Ye PHONENO. ~W ~8 / Z~7 FACILITY CONTACT Top~ ~6o~ BUSINESS IDNO. 15-210- 00077 ~SPECTION TIME ~0, ~[~ NUMBER OF EMPLOYEES ~ Section I: Business Plan and Inventory Program ~ Routine [~ Combined I~ Joint Agency [~ Multi-Agency [,~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy 7( Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability '-~ Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ,~. Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation ~ ~' {~ Any hazardous waste on site?: ~ Yes I~ No ~ G Y" ....~__ Explain: C"9..- ('~J~LLO,k,3~ ~k-4L/'q~}t0?ff L~b,~l~- Questions regarding this inspection? Plea8~ call us at (661) 326-3979 B~siness~Si-te Responsible Party White - Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Al)DRESS PHONE NO. 7 7..% Z FACILITY CONTACT ~ BUSINESS ID NO. 15-210- INSPECTION TIME.~~-- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program \[~l Routine ~~~ [~ Combined [~ Joint Agency [~ Multi-Agency ~.~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate · Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material v/ Verification of MSDS availability Verification of Haz Mat training ! Verification ofabatementsuppliesandprocedures 0 L/ ~~.'~ Emergency procedures adequate d ~/~~ Containers properly labeled Housekeeping /! Fire Protection Site Diagram Adequate & On Hand '/ C=Compliance V=Violation Any haza. rfious w_ as. te,on ~ite?: / [~ No Explain: ~v']]~]{)/~ ~ _~'~,Ct~ g;~/ Questions regarding this inspection? Please call us at (661) 326-3979 e Party White- Env. Svcs. Yellow - Station Copy Pink- au~iness Copy Inspector: MISCELLANEOUS RECEIVABLES ADJUSTMENT ; ADDRESS CHANGE CLOSE ACCT i 'FINANCE CHARGE !. - ( ~ t / .. MAILING ADDRESS L~~__- ~.~I: ~0~ ~( 0,_ ~V ~ C'~ ~~C%~ C_[~ STATE ~~- ZIP CODE~~O~ SITE ADDRESS PARCEL NUMBER ADJUSTMENT ICHG DATE'i CHARGE CODE ADJUSTMENT AMOUNT ~/"IS-' ! . ; : I REM.~KS: ~~ .~'~ ~o,"'o.~%'e OXFORDS CYCLE SUPPLY ~-~~.~w~-}! SiteID: 215-000-000779 1999' Manager : BusPhone: (805) 323-3146 Location: 425 CALIFORNIA A~V~_~.~.~ Map : 103 Com~az : Moderate City : B~ERSFIELD - .~ Grid: 3lB FacUnits: 1 AOV: CommCode: B~ERSFIELD STATION 06 SIC Code: EPA Nu~: DunnBrad: Emergency Contac~ ~/ Title Emergency Contact / Title TO~ OXFORD Business Phone: - x Business Phone: (~) 24-Hour Phone : ( ) - x 24-Hour Phone : ( Pa~er Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press Im~lth DelHlth Contact : Phone: ( ) -. x MailAddr: 425 C~IFO~IA AVE State: CA City : B~ERSFIELD Zip : 93304 O~er RICED & ~G~ET OXFORD Phone: (805) 324-8418x Address : ~Ig T ST, ~~/ ~/~ ~' ~/ State: CA City : BAKERSFIELD Zip : Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List --As Designated Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax IunitlMcP ARGON F P IH G 336 FT3 Min OXYGEN F P IH G 281 FT3 Low ACETYLENE -~._. /, ~ _ . F P IH G 135 FT3 Hi WASTE OIL,~ Do hereby ce~i~ ~ ~H L 55 G~ Low ~n~ OXFORDS CYCLE SUPPLY SiteID: 215-000-000779 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: E & W WALLS OF SHOP CAS# 7440-37-1 ~ TYPE STATE PRESSURE I TEMPERATURE CONTAINER TYPE /Gas ~Pure I Above Ambient, Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 336.00 FT3 168.00 FT3 HAZARDOUS COMPONENTS %Wt. oRSI CAS# 100.00 Argon N 7440371 HAZARD ASSESSMENTS TSecretl RSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MOP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NA~ / ~±~>u~ N~l~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: W WALL OF SHOP CAS# 7782-44-7 r STATE [ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 281.00 FT3 140.00 FT3 HAZARDOUS COMPONENTS 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS TSecretI ~S BioHazI Radioactive/Amount I EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F P IH / / / Low 2 0211811999 OXFORDS CYCLE SUPPLY SiteID: 215-000-000779 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: W WALL OF SHOP CAS# 74-86-2 r STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 135.00 FT3 68.00 FT3 HAZARDOUS COMPONENTS I 100.00 Acetylene N 74862 I TSecret RS BioHazI HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER OF SHOP CAS# 221 STATETYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid WasteIi Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 55.00 GALI 25.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based HAZARD ASSESSMENTS TSecretI RSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No No No No/ Curies F DH / / / Low 3 02/18/1999 OXFORDS CYCLE SUPPLY ~~~~~~~ SiteID: 215-000-000779 i~~e~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Fast Format Notif./Evacuation/Medical ~~~~~~~~ Overall Site i~ Agency Notification ~~~~~~~~~ 02/27/1991 CALL 911 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 326-3979 EMPLOYEES INSTRUCTED TO CALL FIRE DEPT. IMMEDIATELY IN EVENT OF FIRE E~PLOYE~S INSTRUCTED IN EVACUATION PROCEDURES. £~ Public Notif./Evacuation ~~~~~~~~ 02/27/1991 VERBAL £~ Emergency ~edical Plan ~&~~~~&&~~~ 02/27/1991 -4- 02/18/1999 OXFORDS CYCLE SUPPLY ~~~~~~~ SiteID: 215-000-000779 i~ Mitigation/Prevent/Abatemt ~~~~~~~ Overall Site i~ Release Prevention ~~~~~~~~~ 02/27/1991 SOLVENTS AND ACID STORED NEAR OPEN WINDOW FOR VENTILATION. WELDERS LOCATED AND OPERATED AWAY FROM FLAMABLES. EMPLOYEES INSTRUCTED IN SAFETY PROCEDURES FOR HANDLING HAZARDOUS MATERIALS. EMPLOYEES INSTRUCTED IN LOCATION AN USE OF CHEMICAL FIRE EXTINGUISHERS. i~ Release Containment ~~~~~~~~~ 02/27/1991 SHUT OFF VALVES - USE ABSORBENT USE SHOVEL TO PUT IN BARREL AND HAVE HAULED AWAY -5- 02/18/1999 OXFORDS CYCLE SUPPLY ~~~~~~~ SiteID: 215-000-000779 Site Emergency Factors ~~~~~~~~ Overall Site A) GAS - BACK YARD B) ELECTRICAL - BACK OF SHOP C) WATER - SIDEWALK ON T ST D) SPECIAL - NONE E) LOCK BOX - NO PRIVATE FIRE PROTECTION - 5 TRIPLEX DRY CHEMICAL FIRE EXTINGUISHERS FIRE HYDRANT - ON OPPOSITE SIDE OF CALIFORNIA AVE. OPPOSITE SHOP. -6- 02/18/1999 OXFORDS CYCLE SUPPLY ~~~~~~~ SiteID: 215-000-000779 Training ~~~~~~~~~~~ Overall Site i~ Employee Training ~~~~~~A~~~~ 02/27/1991 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: READ MATERIAL SAFETY DATA SHEETS i~ Held for Future Use ~~~~~~~~~~~i i~&~ Held for Future Use ~~~~~~~~~~~i -7- 02/18/1999 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ............. ..,.,,,~,..._..~,?~,,=~:~?~,~,~ ......... This permit is issued for the following: LOCATION 425 ~*. *'* * B~ersfield F~e D~ment Approv~ by: F g'~;~~ ' O~CE OF E~RO~AL 1715 Chewer Ave., ~rd Floor B~e~fiel& CA 9~30t Vo,ce (,o,),~,,z, June 30, 2000 F~ (~05) 326-0576 Expiration Date: / 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 1 Overall Site with 1 Fac. Unit General Information Location: 425 CALIFORNIA AV Map:103 Haz:3 Type: 3 City : Bakersfield Grid: 3lB F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title TONY OXFORD ~ /~--~ ~ ~/ Business Phone: ~--~~-x Business P o . - 24-Hour Phone : (~) ~7-2-=235~ 24-H~ : (805) 837~0248x~ Pager Phone : ( ) - x P~ger Phone : ( ) - x Administrative Data Mail Addrs: 425 CALIFORNIA AV D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93304- Co~ Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: RICHARD & ~RGARET OXFORD Phone: (805) 324-8418/ Address: 116 T ST State: CA City: BAKERSFIELD Zip: 93304- Sugary ~, )'Yl~r¢~r~.f' O×?,~_Do hereby certify that I have ((l:Xjpe or print name) reviewed the ~t't~c~;d haz.~rdous materials manage- ment plan for~_~, c w z~ s and that it along with (Name of I~usiness) ~,1 ~;~ ] )/ any corrections constitute a complete and corr~'~ man- agement plan for my facility. "Sign~6re / /Date 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 ACETYLENE Gas 135 High · Fire, Pressure, Immed Hlth FT3 02-002 OXYGEN Gas 281 Low · Fire, Pressure, Immed Hlth FT3 02-004 WASTE OIL Liquid 55 Low · Fire, Delay Hlth GAL 02-001 ARGON Gas 336 Minimal · Fire, Pressure, Immed Hlth FT3 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 ACETYLENE Gas 135 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 -- 135 ~ 68.00 405.00 Storage ~ Press I Temp~ Location PORT. PRESS. CYLINDER IAbove ~AmbientlW WALL OF SHOP -- Conc Components MCP ---TGuide 100.0% IAcetylene IHigh ~ 17 02-002 OXYGEN Gas 281 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 Amount FT3 281 ~ 140.00 843.00 Storage Press I Temp~ Location PORT. PRESS. CYLINDER Above ~AmbientlW WALL OF SHOP -- Conc Components MCP ---~uide 100.0% IOxygen, Compressed ILow ~ 14 02-004 WASTE OIL Liquid 55 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL 55 ~ 25.00 55.00 Storage ~ Press T Temp} Location METAL CONTAINR-NONDRUMIAmbient~AmbientlSE CORNER OF SHOP -- Conc~ Components~ MCP ---~uide 100.0% IWaste Oil, Petroleum Based ILow ! 27 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 ARGON Gas 336 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3336 I~ Daily Average168.00FT3 ] Annual Amount2,016.00FT3 -- Storage ~ Press I Temp~ Location PORT. PRESS. CYLINDER IAbove }AmbientlE & W WALLS OF SHOP -- Conc~ Components MCP ---~uide 100.0% IArgon Minimal I 12 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 326-3979 <2> Employee Notif./Evacuation EMPLOYEES INSTRUCTED TO CALL FIRE DEPT. IMMEDIATELY IN EVENT OF FIRE EMPLOYEES INSTRUCTED IN EVACUATION PROCEDURES. <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan KAISER PERMANTE 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention SOLVENTS AND ACID STORED NEAR OPEN WINDOW FOR VENTILATION. WELDERS LOCATED AND OPERATED AWAY FROM FLAMABLES. EMPLOYEES INSTRUCTED IN SAFETY PROCEDURES FOR HANDLING HAZARDOUS MATERIALS. EMPLOYEES INSTRUCTED IN LOCATION AN USE OF CHEMICAL FIRE EXTINGUISHERS. <2> Release Containment SHUT OFF VALVES - USE ABSORBENT <3> Clean Up USE SHOVEL TO PUT IN BARREL AND HAVE HAULED AWAY <4> Other Resource Activation 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - BACK YARD B) ELECTRICAL - BACK OF SHOP C) WATER - SIDEWALK ON T ST D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 5 TRIPLEX DRY CHEMICAL FIRE EXTINGUISHERS FIRE HYDRANT - ON OPPOSITE SIDE OF CALIFORNIA AVE. OPPOSITE SHOP. <4> Building Occupancy Level 01/27/95 OXFORDS CYCLE SUPPLY 215-000-000779 Page 8 00 - Overall Site <G> Training <1> Employee Training WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: READ MATERIAL SAFETY DATA SHEETS <2> Page 2 <3> Held for Future Use <4> Held for Future Use 04/14/92 OXFORDS CYCLE SUPPLY 215-000-0005 age 1 Overall Site with 1 Fac. Unit JUL ] 1992 lU/I~ . General Information 8~ I Location: 425 CALIFORNIA AV Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 06 Grid: 3lB F/U: 1AOV: 0.0 y.RD Contact Name Title , Business Phone , 24-Hour Phone- 1(805) 325-4714 x 1(805) 872-2356 -- ~,://~9~v-~"~"~;/ ~ (805) 323-3146 x 1(805) ~ Administrative Data Mail Addrs: 425 CALIFORNIA AV D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: RICHARD & MARGARET OXFORD Phone: (805) 324-8418 Address:/ll6 T ST State: CA City: BAKERSFIELD Zip: 93304- Summary I~, ~ Oo h®mby ce~¥'thal ~ h~ve r~viewed ~h~ a~ached bazar°us m~ plan fo~ and ~ha~ i~ alon ~i~h malaga- any ~rr~io~ ~ns~u~ a comp~ and corr~ man- ~m~nt plan for my 64/14/92 OXFORDS CYCLE SUPPLY 215-000-000779 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 ARGON Gas 336 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily ~Average FT3 ~l Annual Amount FT3 336 ~ 168.00 2,016.00 Storage ~ Press T Temp~ Location PORT. PRESS. CYLINDER IAbove ~AmbientlE & W WALLS OF SHOP - Conc · ComPonents MCP List 100.0% IArgon Minimal I 02-002 OXYGEN Gas 281 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 Amount FT3 -- 281 ~ 140.00 843.00 Storage~ Press T Temp~ Location PORT. PRESS. CYLINDER Iabove JAmbient~W WaLL OF SHOP -- Conc Components MCP ----TList 100.0% IOxygen, Compressed ILow 02-003 ACETYLENE Gas 135 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 Amount FT3 135 ~ 68.00 405.00 Storage I Press l'Temp I Location PORT. PRESS. CYLINDER Above ~Ambient W WALL OF SHOP -- Conc Components ~ ~ MCP . List 100.0% IAcetylene IHigh 64/14/92 OXFORDS CYCLE SUPPLY 215-000-000779 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 WASTE OIL Liquid 55 Low ~ Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid ' Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL I Daily Average GAL I Annual Amount GAL 55 I 25.00 _ 55.00 ~Location Storage Press T Temp I METAL CONTAINR-NONDRUM Ambient~AmbientlSE CORNER OF SHOP -- Conc Components MCP List 100.0% Iwaste Oil, Petroleum Based ILow I 64/14/92 OXFORDS CYCLE SUPPLY 215-000-000779 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 326-3979 <2> Employee Notif./Evacuation EMPLOYEES INSTRUCTED TO CALL FIRE DEPT. IMMEDIATELY IN EVENT OF FIRE EMPLOYEES INSTRUCTED IN EVACUATION PROCEDURES. <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan KAISER PERMANTE 64/14/92 . OXFORDS CYCLE SUPPLY 215-000-000779 Page 5 00 - Overall Site <E> Mitigation/Preven%/Abatemt <1> Release Prevention SOLVENTS AND ACID STORED NEAR OPEN WINDOW FOR VENTILATION. WELDERS LOCATED AND OPERATED AWAY FROM FLAMABLES. EMPLOYEES INSTRUCTED IN SAFETY PROCEDURES FOR HANDLING HAZARDOUS MATERIALS. EMPLOYEES INSTRUCTED IN LOCATION AN USE OF CHEMICAL FIRE EXTINGUISHERS. <2> Release Containment SHUT OFF VALVES - USE ABSORBENT <3> Clean Up USE SHOVEL TO PUT IN BARREL AND HAVE HAULED AWAY <4> Other Resource Activation 64/14/92 OXFORDS CYCLE SUPPLY 215-000-000779 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut~Offs A) GAS - BACK YARD B) ELECTRICAL - BACK OF SHOP C) WATER - SIDEWALK ON T ST D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 5 TRIPLEX DRY CHEMICAL FIRE EXTINGUISHERS FIRE HYDRANT - ON OPPOSITE SIDE OF CALIFORNIA AVE. OPPOSITE SHOP. <4> Building Occupancy Level ~4/14/92 OXFORDS CYCLE SUPPLY 215-000-000779 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE 'BRIEF SUMMARY OF TRAINING: READ MATERIAL SAFETY DATA SHEETS <2> Page 2 as needed <3> Held for Future Use <4> Held for~Future Use .. CITY off' BAKER SFIEL D ~,',~~:':? ~:~-~""~ &~s#) ~= ~ FiRE DE~RTMENT 2101 ~ STREST O E ~';EEDP~M BAKERSFIELD 9330t F~RE ,_,H,E, 326-3911 Dear Business Owner: Enclosed Dlease find a copy of your response to the Hazardous Material Management Plan (HMMP) request. We have found it necessary to re.ject your plan for the following reason(s) as checked below. ~--~ Illegible Management (please print or type Plan information). ~eotion(s) ~ '~ ~-3~.~ / of HMMP incomplete. Inventory Missing or ~ Incomplete. Diagram Missing or Incomplete. This is .to be .corrected and resubmitted within 30 days to: City of Bakersfield, Fire Department Hazardous Materials Division ~ - ~ ~,,~,~--~. 2130 G Street If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 G Street in person. Sincerely yours, ~rdo~s Materials Coordinator REH/ed . ~ ~ RECEIVEO 10/23/-90~'- OXFC~S CYCLE SUPPLY 215-000-000779 Page l Overall Site with 1 Fac. Ur, it ~0~ O~ ~0 General Informati I Locatiorl: 425 CALIFORNIA AV Map: 103 Hazard: Moderate Idertt Nurabe~: 215-000-000779 Grid: 3lB A~ea of Vul: 0.0 Contact Name ~ *Title t ~, Busir~ess Phor~e .~ 24 Hour Phor~e] 'TONY OXFORD j j (805)~'~.~%l]~-~ ~: (805)~-~-~' ~dministr~t iv~ Data Mail Addps: 4~5 CALIFORNIA AV D&B Numbe~: ~ City: BAKERSFIELD State: CA Zip: 93304- Comm Code: ~15-006 BAKERSFIELD STATION 06 SIC Code: O~r, ep: RICHARD & MARGARET OXFORD Phone: (~] ~2 ~:~ Addt-ess:J116 T ST ~ ,v~ ~.-~ State: CA City: BAKERSFIELD Zip: 93304- Summary ~CEIVED JAN 2 3 1991 HAZ. MAT. OIV. I, R {¢ ~ ~ ,©-o~-~,<a Do hereby certify that I have reviewed the a~hed h~a~ous mate~als manage- OX ~ (~0f~) / ~ny corrosions ~n~it~e a ~mp~to a ement plan for my .. 10123190 OXFORDS CYCLE SUPPLY 215-0O0-00(1)779 Page Hazrnat Irtver, tory List irt MCP Order 02 - Fixed Cor, tair~ers or, Site Plr,-Ref Na~e/Hazards For~ Quant ity MCP 02-003 ACETYLENE Gas 135 H i gh  Fire, Pressure, Ir,~n~ed Hlth FT3 02-002 OXYGEN Gas 281 Low ~ Fire, Pressure, In~n~ed Hlth FT3 02-007 WASTE 01L L i q u i d 55 Low ~ Fire, Delay Hlth GAL 02-001 ARGON Gas 336 Mi~,ir~al ~ Fire, Pressure, Ir~r~ed Hlth FT3 10/.- ~/9( O> CYCLE SUPPLY 215-000-0 79 Page 3 00 - Overall Site <D> Not if. /Evacuat ion/Medical <1> Agency Notificatior~ <2> Er~ployee Notif. /Evacuation EMPLOYEES INSTRUCTED TO CALL FIRE DEPT. IMMEDIATELY IN EVENT OF FIRE EMPI_OYEES INSTRUCTED IN EVACUATION PROCEDURES. <3> Public Notif./Evacuatior~ <4> Er~ergency Medical Plan 1'0/23/'90 OX~ CYCLE SUPPLY Page 4 00 - Overall Site " <E) Mitigatic, r,/Preverrb/Abater~¥b <1> Release Prever, tion SOLVENTS AND ACID STORED NEAR OPEN WINDOW FOR VENTILATION. WELDERS LOCATED AND OPERATED AWAY FROM FLAMABLES. EMPLOYEES INSTRUCTED iN SAFETY PROCEDURES FOR HANDLING HAZARDOUS MATERIALS. EMPLOYEES INSTRUCTED IN LOCATION AN USE OF CHEMICAL FIRE EXTINGUISHERS. <2> Release Co~stair~r~ent <S> C~lean Up <4> Other? Resource Activation 10/23/90 OXF S CYCLE SUPPLY 215-000-( 79 Page 5 00 - Overall Site <F> Site E~ergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - BACK YARD B) ELECTRICAL - BACK OF SHOP C) WATER - SIDEWALK ON T ST D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./AYail. Water PRIVATE FIRE PROTECTION - 5 TRIPLEX DRY CHEMICAL FIRE EXTINGUISHERS FIRE HYDRANT - ON OPPOSITE SIDE OF CALIFORNIA AVE. OPPOSITE SHOP. <4> Held for Future use i07'23/90 OXI DS CYCLE SUPPLY 2i5-000 }7'?9 Page 6 00 - Overall Si~e (G) 'Trainir~g (1> Page 1 WE HAVE 1 EMPLOYEE AT '[HIS FACILITY' WE HAVE MATERIAL SAFETY DATA sHEETS ON FILE BRIEF SUMMARY OF TRAINING: -~- ' , ,',7 ?--'_,~_~,.-r-.' ' ~ ' <,o> Page 2 as' needed <3> H~ld fbr Future Use <4> Held for Future Use CITY of BAKERSFIELD." Farm andAgticulture ['] Standard Business I-]HAZARDOUS HATERTALS TNVENTORY NON--TRADE SECRETS Page BUSINESS NAME: OWNER NAME' NAME OF THIS FACILITY: LOCATION; ADDRESS; ' STANDARD IND CLASS CODE: ' CITY.. ZIP.' CITY. ZIP: DUN AND BRAD~TREET NUMBER ................... Names of Nix[ure/Comoonents Trans [y~e ,ax Avfr~ge Annual Measure I gone ~ont gone~oa~e tocation.~hece. Code ~ooe Act ACt EsL Un,ts on ~e/ype Press~e=p Storea In facility ~See Ins:ructions Physical and Health Hazard C.A.S. Number ~~ Co;ponent II Name I C.A.S. Number (Check ail thaL apply) ~'ire Hazard ~ Reactivity ~ Delayed ~dden Release ~i~ Component 12 Name I'C.A.S. Number Health of Pressure Component 13 Name I C.A.S. Number Physical ~od Health Hazard C.A.S. Number Component II Name t C,A,S, Number (Check ~1/ ~ha~ appl~] "u,b,r CoaponenL Name l C.A.S. ~e Hazard ~'Reactivity ~ Delayed ~d~en Release HeaKh of Pressure Component 13 Name I C.A.S. Number Physical and Health Hazard C,A.S. Number Component II Name I C,A.S. Nu~ ~ ~ -- {Check al1 t~at apply) Componenk U Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Hem/Ch of Pressure Health Component 13 Name I'C,A.S. Number 0 lO l ss I I l/ Ico,;~,eJc,, N,.,C.A,S, Number Physical and Health UHard C.A.S. Number. (Check a/I that applH ~Hazard ~ Reactivity~ Hem h~a~'d ~ Sudden Release ~ imqpdi~AeHea~tn Component Name I C.A.S. Number of Pressure Component 13 Name ~ C.A.S. Number fl2 EHERGENCY CONTACTS fll . .. ~ee Title z~ Hr Phone '" ~e certify under ~ena~t~ gl~a~ tn{~ inure pe{sonal~L exaalnq~qo ~a ~aai~la{.lit~the ]ntoraaHpn ~ugai~t~d in this.~nd all a~agned.docgmen~, uno CH~ based on.ay inquiry Qt.~nose inDiviDuals responsible ~or ob~alnin~ ~ne I~lor~Ho~, [ be~eve ~ha~ the suo~lt~eo l~loraa~lO, IS ~rue, accurate, and coap/e~e, . . ~ , / / ~ ~~~le ot o~ner/ooerator oH ownTr/o~ator's aucborlle~ reor~ntaL~ve ~- - ~ure CTTY of BAKERSFIELD Farm and Agriculture J] Standard BusinessI-IA, j~ .: .ZARDOUS MATER-I'ALS ~[ NV ENTORY.. NON--TRADE SECRETS ~ ,I, I,, ,Y, ,,. ~IP:~<~-~_ ~,;_,~_L~___C r')- ~----S-~ ~[,~.Y,.,..~IPi_Z~_..=~<.¢,~:~.:(~/~,c.~'. ?~.~,Y. DUN AND BRADSTREE! NUMBER .................... I'llUJi~' ii: .z~' - ~'~') '~-- - (/~-'~ J~ JU ~ ~' J~ - I ~ ] 4 5 6 1 8 9 I0 II 12/3 Irons Ha~es of ~ixture/Co~onent~ Code ~oae Aa[ ~et Iai Units on~ype, ~ress iem~ Co~eSLorea In ~act/t[y ',See Component 12 Name t C.A.S. Humber FireHazard ~ Reactivi~ ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure Health Ph~sicil and B~lltht~zara C,~,S. lu~btr Co~po~t II Ia~t I C.~,S, lu~ber (Check all that apply) ~ Compoflen% Name t C.A.S, Number Health of Pressure Component 13 Name I C,A,S, Number ~ I'i I I I I I I t I I " ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ lmmediaLeC°mp°nent 12 Name I C.A,a, Number Hea ICh of Pressure Health ~ Component 13 Name I C,A,a, Number Phvsical And Health Hazard C,A,5, Number Component II Name I C,A,S, Number (Check a11 Chat apply} Component I~ Name I C,A,S, Number ~ Fire Hazard · ~ Reactivity ~ Oelayed ~ Sudden Release ~ IAqedi~.%e Health of Pressure HealLb ComponenL 13 NaAe i C,A,S, Number EHERGENCY CONTACTS fll ~ ~ ~~'_.. ~~ ~~ S~¢ ~2R~e~. ~?~;~. T~ [ ertifj;atioq ,(Ref¢ ~p~.~ign after compl~ti(~g.all sec~ipn~) cer~uy under pena~[X pl~a~ [n{[ I nave pe[sonapy, exaaln~o~qaja taai~a(.~it~ the ]nloreaHpn fu~aittf~ in this.lnd all . attached d gcueents, an, t,, o asea on.my ,nqu,,, ,L those ,no,v,,ua,s r es,ons,o,e rot o bca,ning cna ,nrormat,on. lbe,,ev, th a, the submitted, ~C~lnf°r~atl°n klS ~crue'~ accurate,o,~ ~an° ~c°eP/eCe'~~~, ~/ ~i~~~e 'of o~n~,ttop~ritor u~ Ownerloper~tor'~ ~uthorizeo' rePfdsentativ~ BAKERSFIELD, CA 93~08 OFFICIAL USE ONLY ~USINESS NA~E HAZARDOUS ~ATERIALS ' ' BUSINESS PL'AN AS A ~HOLE " FORM 2A INS~UCTIONS: 1. To avoid further action, return this form by 30L 2 9 1987 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions belo~ for the business as a ~hole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDE~IFICATION DATA B. LOCATION / STREET ADDRESS: .~? SECTION ~: E~ROE~Y NOTIFICATIONS In csse of ~n emergency involving the your loo~] fire dep~rtmen~ and th~ S~e E~PLOYEES TO NOTIFY IN CASE O~ E~EROENCY: N~E AND TITLE DURING BUS, HRS, . AFTER BUS, HRS, A. NAT. GAS/PROPANE: ~ ~ q~ B. ELECTRICAL ~ ~C /: // ~ f ~ f __ D. SPECIAL: E. LOCK BOX: YES f~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / N0 MSDSS~ YES / N0 FLOOR PLANS? YES / N0 KEYS? YES / N0 -Over- HMCU-4 SE~'~ION 4: PRIVATE RESPONSE TEAM FOR BOSINE$S AS A WHOLE ECE!UE SBCTION~;~LOCAL_. E~BRGBNCY ~BDICAL ASSIST~CE FOR YOUR BUSINESS AS A ~HOLE EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES'WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. ~IRCLE YES OR NO INITIAL REFRESHER J A. METHODS FOR SAFE HANDLING OF HAZARDOUS ,~5 ~ MATERIALS:... ............... ~ ..................... Y~ NO ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... Y~y.~__' NO ~ NO ' ' C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO E. DO YOU'MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES NO I, /~ /'C /~/' d~d,~./~, 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. ' HMCU-4 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain'Hazardous Materials? ...... Y~ 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 (~vhite form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. Llst 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. O;,S/PROPAN~ COc~rd~ ,qT' ///~ '7-" ~ D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES /' NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B -. BAKERSFIELD CITY FIRE'DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: O×fO)2.b$ A~cl,& ~DPPL9 BUSI NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED 4. Be as BRIEF and CONCISE as poss(ble. SECTION 1: ~ITIGATIONt PRE~NTION~ ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY I D ~ FORM 4Ar-I Page of' NON--TRADE SECRETS .%, HAZARDOUS MATERI ALS · INVENTORY BUSINESS NAME: ~te'~/.) ~,~:Lt~ ~,?,~'~ OWNER NAME: ~/~--2~'2,~,~¢zg~7' 0']~:2~ FACILITY UNIT ADDRESS' ~ ~/f~)~ ~. ADDRESS: //~ ~ FACILITY UNIT NA~E: PIIONE ~ f~ ~Z~-~/~ ~ ~-~/~ PHONE ~: f~ ~-~/~' [~FF~CIAL USE CFIRS C00E '[ ONLY 1 2 3 4 5 6 7 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE A~OUNT A~OUNT UNIT CODE CODE FACILITY UNIT WT. CHEmiCAL OR CO~HON NA~E CODE GUIDE NAME: ~¢¢~¢¢~ TITLE: ~4~Z' SIGNATURE: ~~ ~'' '/*' /~ DATE: EMERGENCY cONTACT: ~~ ~s' TITLE: ~~ -Pi~ ~ ~uS~II~URS: AFTER BUS HRS: EMERGENCY CONTACT: ~ ~~ TITLE: ~ " PHONE ~ BUS HOURS: PRINCIPAl, BUSINESS ACTI-VITY: ~m~ ~/~ AFT'ER BUS. HRS: - .4A-1 - ADDRESS ~'~IP CODE FEE I BLOCK ~u~~~~PA~CY ~USiNESS NA~E BUSINESS OWNER . BUSINESS MGR./RESPONSIBLE BUSINESS PHONE ' ,, HOME PHONE NO, OF FLOORS SQUARE FOOTAGE ~ VIOLATION NOTICE ISSUED?.' O~CUPANTLOA~oTHER DATE OF REINSPECTION (1) (2) (3) INSPECTOR STATION/SH IFT/STATION PHONE