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Home My WebLink AboutBUSINESS PLAN 2 DIVE 4 SCUBA, LLC -- SiteID: 015-021-002460 Manager : BusPhone: (661) 716-3483 Location: 5472 CALIFORNIA AVE Map : 102 CommHaz : City : BAKERSFIELD Grid: 34D FacUnits: 1 AOV: -.~a~...L:~/,~e: BAKERSFIELD STATION 11 SIC Code:4925 EPA ~mb: DunnBrad: Emergency Contact / Title hEmergency--Conta~ct__ Title,: DAVID H. MILLER / MANAGER ~/~ ................. ~ Business Phone: (661) 716-3483x Business Phone: ( ) - x 24-Hour Phone : (661) 496-3703x 24-Hour Phone : ( ) - x Pager Phone : (661) 496-3703x Pager Phone : ( ) - x Hazmat Hazards: Contact : DAVID H. MILLER Phone: (661) 496-3703xCELL MailAddr: 5472 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93309 Owner DAVID H. MILLER Phone: (661) 716-3483x Address : 5472 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ' -1- 06/02/2003 2 DIVE 4 SCUBA, LLC __/ SiteID: 015-021-002460 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax lUnitlMcP COMPRESSED AIR 3500.00 FT3 Min 2 06/02/2003 2 DIVE 4 SCUBA, LLC --~ SiteID: 015-021-002460 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site COMPRESSED AIR Days On Site 365 Location within this Facility Unit Map: Grid: CAS# F STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Mixture PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 3500.00 FT3I 3500.00 FT3 3500.00 FT3 HAZARDOUS COMPONENTS 100.00 Air N TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / Min MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag. Defined9: Ag. Definel0: -- Ag.Definell 3 06/02/2003 F 2 DIVE 4 SCUBA, LLC ~ SiteID: 015-021-002460 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 03/17/2003 911 - EMS 1-800-852-7550 - OFFICE OF EMERGENCY SERVICES 661-326-3979 - COB OFFICE OF ENVIRONMENTAL SERVICES -- Employee Notif./Evacuation 03/17/2003 FOLLOW ALL POSTED PROCEDURES FOR SCUBA TANK FILLS "i Phbl~ij6- Noti'~~ /Evacuatio~ Emergency Medical Plan 03/17/2003 MERCY HOSPITAL 2215 TRUXTUN AVENUE 632-5000 -4- 06/02/2003 F 2 DIVE 4 SCUBA, LLC --/ SiteID: 015-021-002460 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 03/17/2003 ON DAILY BASIS, LISTEN FOR AIR LEAKS. ON ANNUAL BASIS HAVE ALL CYLINDERS VISUALLY INSPECTED EXTERNALLY AND INTERNALLY. ON FIVE YEAR BASIS. HAVE ALL CYLINDERS HYDROSTATICALLY TESTED. -- Release Containment 03/17/2003 REPAIR ANY AND ALL AIR LEAKS -- Clean Up Other Resource Activation -5- 06/02/2003 DIVE 4 SCUBA, LLC --~ SiteID: 015-021-002460 Fast Format Site Emergency Factors Overall Site Special Hazards -- ~F~-6-Pr~eec. 1Avail. Wate~ Building Occupancy Level 6 06/02/2003 2 DIVE 4' SCUBA', LLC ~ SiteID: 015-021-002460 Fast Format = Training Overall Site -- Employee Training 03/17/2003 ANYONE WHO MAY POSSIBLYFILL A SCUBA TANK HAS TO READ "FILL STATION OPERATIONS" BY PSI, INC AND ALL FILL STATIONS PROCEDURES POSTED AT THE FILL Page 2 Held for Future Use Held for Future Use , -7- 06/02/2003 ,~~ ~ CITY OF BAKERSFIB~) s-Sd,~ / ~ OFHCE OF ENVIRONMENTAL SERVICES ~ Flttm ~ 1715 Chester Ave., CA 93301 (661) 326-3979 '~'""~"~'"'"" BUSINESS OWNER / OPE~TOR IDENTIFICATION FACILI~ INFORMATION FACI~I~ I~ · i I~' } ' [ [~ [ .~ Year Beginning ~oo Year Ending BUSINESS ~ME (Same~ ~CILI~NA~E~ or DBA-~~Doing B~iness ~) ~ 3 ~}~-~BUSINESS PHONE lO3 , DUN & ~o~ SIC CODE ~o7 B~DSTREET (4 Digit ~) ~ ~ Z 5 COUN~ ~ ~ OPE~TOR NAME ~o9 OPE~TOR PHONE ~o 4 OWNER ~ILING '[ O ~, ,~ ~ ~ . ADDRESS ~ ~ ' ~3 ' 1,4 ~ STATE~A ~,5 ~IP ~,5%O~ g~Z-~ ~ ~ ~9 CONTACT ~ILING I ADDRESS ~'~ ~~V~ .~ CI~ '~<.~~ ~ ~ '"~L~t~ 1~ , STATE ~ ~2~ ' ZIP~ 5~O. --~ r TITLE ~ q~ ~,~ ~2s , TITLE ~30 BUSINESS PHONE ~ I 6- %~ ~ ~ ,25 BUSINESS PHONE 24-HOUR PHONE ~ ~ ~ . '~~ 127 24-HOUR PHONE 132 PAGER~ ~ ~ ~ . 5~O~ ,28i~ PAGER~ CeAifi~fion: Based on my inqui~ of those individuals responsible for obtainino the info~ation, I ~i~ under penal~ of law that I have personally examined and am Mmiliar with the info~ation submiRed in this invento~ and believe the info~ation is t~e, a~urate, and ~mplete. SIneCURE OF OWNE~OP~TOR ~ATE ~a~ ~ NAME OF DOCUMENT PREPARER , ............... N OF OWNE~OPE~TOR (print) 136 ~ TITLE OF OWNE~OPE~TOR ......................................... UPCF (7/99) . .S:\CUPAFORMS\OES2730.TV4.wpd ~~D, ~..._~ , ~ ~-..- CITY OF BAKERSFI~ ~ OFFICE OF E~RONMENTAL SERVICES ~~r.~r 1715 Chester Ave., CA 93301 (661)326-3979 '~~ H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per mate~al per building or ama) ~ NEW ~ ADD ~ DELETE ~ REVISE ~0 Page ~ ~ ~ BUSINESS ~ME (~me as FACILI~ NAME or DBA - D~ng 8usinKs ~) 3 ' 20~ CHEMICAL LOCATION CHEMICAL LOCATION ~ Y~ ~ No 202 CONFIDENTIAL (EPC~) FACILI~ ID ~ ~ ~ ~'~] ~ ~] ~ 1i ~P ~ (op~naO 203 GRID ~ (op~na~ 2~ 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME If Subject to EPCRA. refer to instructions 207 EHS° [] Yes [~No 208 CAS # 209 ~::,If~EHS~s Yes::: ::aU*ammmts below, must.b~m,lbs. FIRE CODE HAZARD CLASSES (Complete if requested,by local fire chief) 210 TYPE [] p PURE ~]' m MIXTURE [] w WASTE 211 I RADIOACTIVE [] Yes ~'No 212 CURIES 213 · , LARGEST CONTA,.ER PHYSICAL STATE [] S SOLID- : DI LIQUID ~g GAS 214 FED'HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [~i~'3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Ch6c~ all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 · AMOUNT DAILY AMOUNT DAILY AMOUNT * If EHS. amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO ,~ I CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT r~l' aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE [~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 I 229 1 226 227 [] Yes [] No 228 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] NO 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd r D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section I1.1 - DISCOVERY AND NOTIFICATIONS BUSIN/~ ~E {~ as FACILI~ ~E ~ D~ - ~ng ~ ~) 3 ~RESS (For ~t ~ ~) 476. A. L~K DETECTION AND MONITORING PROCEDURES: : B.' EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: ..!. EMERGENCY MEDICAL PLAN " D. CLOSEST LOCAL MEDICAL FACILITY: ./v\ ¢,--c y 6~ 2- b~OOO UPCF (7/99) S:~ROCEDURE MANUAL~Iew HMMP form.wp¢:l HAZARDOUS MATERIALS MANAGEMENT PLAN Section 11.2 - RELEASE RESPONSE PLAN A. H~RD ASSESSMENT AND PREVENTION M~SURES: ' ~,.?'~';/'.?': · '" ' · ' ~: '.C,". _. '. -:?~-':,,'2~:""~'~ ':,,~:~".' '",. ',~', ' ' : " ' '; '~, ..t~ :' ~'~;q.,: ~'- - .':~;'" ",' "~':. :,-== ¥~'.,,' : ,.:", , ' ,~ ', ' ,. B. RELEASE CONTAINMENT AND MITIGATION: - FOLLOW-UP ACTIONS C. CLEAN-UP AND RECOVERY PROCEDURES: UPCF (7/~) $:'~PROCEDURE MANUAL~Iew HMMP fon'n.wpd HAZARDOUS MATERIALS MANAGEMENT PLAN Section II1.1 - FACILITY AND LOCALITY INFORMATION ". ' ' .- ~.'-'.~ ~ ~JeC.~'~;'??~-~ :'~'~.'~ .. ~, ~ ~'~=.~%~'?~t~:'~'~.:~.:~ .. ~ ;,~,j.. ~ ~. ~ .' ,~'~ ~.' ~ ~-~. . ~: ~.~ LOCATION OF SHUT-OFFS AT YOUR FACILI~: WATER: SPECIAL: LOCK BOX: YES / NO IF YES, LOCATION: A. PRIVATE FIRE PROTE~C, TION: B. WATER AVAI~BILI~ (~IRE HYD~NT): A. NUMBER OF EMPLOYEES: a. MATERIALS DATA SHEETS ON FILE: C. BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION Based on my inquiry of those individuals resi:x~sible fox o~taining the inf¢xmaUon, I ced.~fy under penalty of law that I have per'so~'taly examined end am familiar with the Inf~matlon sul)mltted end believe the infermatlon is true. accurate, end co~e. b~qATURE OF OWNER / OR~RATOR OR DESIGNATED REPRESENTATIVE DATE 477. NAME'OF SIGNER (plfnt) 478. TITLE OF SIGNER 479. UPCF (7/99) S:%=ROCEDURE MANUAL~Iew HMMP ferm.w'pcl · AVENUE 12 7 6 5 4 3 .~9- 18 1'} 20 21. 22 23 .24 25