HomeMy WebLinkAboutBUSINESS PLAN 10/30/2003 ~. Hazardous Materials/Hazardous Waste Unified Permit
CON. DITIONSOF~-PERMIT ON REVERSE SIDE
.... - ~ ~ Ha~ous ~ls P~n
~ U~mu~ Sto~ ~ H~Ous
Posit I~ ~:: 015~00~00669 ,- ,~ Risk~~P~
RIO B~VO COUNTRY CLI ~ H~ou, w,~ O~T~
LOCATION: 15200 CAS~"CLUB DR ~ ,: ..
-OFFICE OF ENVIRONMENTAL SERVICES'. "~
1715 Chester Ave., 3rd Floor · Approved by:
Bakersfield, CA 93301 . ..
Voice (661) 326-3979
FAX (661) 326-0576 ' Expiration Date: 'Jun~ 30; 2003
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
Thi__~_Eermit is issued for the fo~
Ious Materials Plan
,und Storage of Hazardous Materials
,ment Program
· Waste
PERMIT ID# 015-0214)00669
RIO BRAVO COUNTRY CLUB
~.
LOCATION 15200 '~
~' ..... ~.~ .....
~2.--,-
I~ by:
, o~CE OFE~RO~AL s~CES
ItlO BRAVO
October 4, 2002
-
Mr. Ralph E. Huey
Director of Prevention Services
Bakersfield Fire Department
1715 Chester Avenue, Suite 300
Bakersfield, California 93301
...... Re:_. October 2; 2_002 Meeting --~.-.....~ -~ ~~{~--
Suppression System Nozzle Coverage
Dear Mr. Huey:
In accordance with our meeting and after consulting with our legal counsel and the corporate officers, I am
responding to you regarding the Club's intent relative to the August 1, 2002, fire inspection issue(s),
namely, nozzle coverage.
The Club rosp¢cfi, vely disagrees with the Fire Department's position that an imminent danger would exist
should thelre be no extende'd nozzle Coverhge. However, let me note that we have moved all the appliances
and ad'usted'the exlstln 'nozzleS'as discusse'd during:our meetine. Nevertheless, in our opinion additional
3 ::..,,~,:~.. g, ,.,...,.. - -
coverage is'not ~,arranted,:nor 'roqmred by law.
With that said; the Club' ~ill 'c~nimi("G:¥ith'ei:'?e~tehding 'the 'existing nozzle coverage. ~.f.w.e ~a~ find a
company to service it or upgrading to wet-chemical system altogether by the end of the
we ask for an extension through December 31, 2002. As I mentioned to you, we are currently considering
some modifications to the kitchen. It would be imprudent to make a change now and then change again in
the next few months.
I am hopeful that this firm commitment by the Club will be satisfactory to the Fire Department. The Club
appreciates the zeal of the Fire Department in fire prevention efforts and makes this request as a
compromise to balancing the needs of the Club.
I thank you in advance for your consideration and service. If you have any questions, please call me at the
number refereficed on-thig letterhead. - - -
Respectfully submitted,
Mario Valenzuela
President
:MV "'"' ' "' ' ".":: " '
"
' Cc: ' ' '~ M~. Jalme Hlckok~ Flrd in~p~fitbf,. 17.15'Ch'ester.Xvenue, Suite 300, .Bakersfield, California 93301
· ,' ,- .-, Mr;,,Joel,Andreesen, The Law .O, ffices of James E. Noreiga, 3300 Tr~xtun Avenu'e', Suite 350,
f.'}} ~i.. :;: '~t~keisfi~i~l~:'~ii~'rnia~ ¢33~0i?" :""'; '
. '...' Mr~ UngMok Y1; Corporate Office; Los Angele~r.
o ., :q ~.. .~.. .x.t.i .:: ..... ;~ .
., , .Gen. eral..Cor[e, spondence B~nder ' '" .....
15200 Casa Club D~. · BakersfieldI CA 93306
Tel: (661) 871-4900 · Fax: (6~1) 871-4930
mriobmvocountryclub, cora
I0 BRAVO
~ount~lu~
October 4, 2002
Mr. Ralph E. Huey.
Director of Prevention Services
Bakersfield Fire Department
1715 Chester Avenue, Suite 300
Bakersfield, California 93301
Re: October 2, 2002 Meeting
Notice to Appear Number 8805
Dear Mr. Huey:
In accordance with our meeting, this letter serves to confirm that the Fire Department has
withdrawn the above reference Notice to Appear. Thus, the Notice to Appear is void.
Accordingly, no further action will be needed in this regard.
.~-' "~'",:.. ,Lc~vt :'~.?;I.:.7; 7:7 ? 'd.9"' ' ' 72; t~:. ,....'
I thankT.you~for;,the,,. , .... :,,~ .,:withdrawal"of'subinit'fihg:?tfi~':Notice., to Appear into the judicial
system... !f you:have-any questions, please. ~all: me at the number refe,r, enced on this
letterhead. ·
Respectfully submitted,
Mario Valenzuela
President
:MV
Cc: Mr. Jaime Hickok, Fire Inspector, 1715 Chester Avenue, Suite 300, Bakersfield,
California 93301
~ Mr. Joel Andreesen, The Law Offices of James E. N, oreiga, 3300 Truxtun
... Avenue~-Suite 350,'Bakersfield, California 93301' ' ...... ..'" "';': ~'" '
Yi;LCorporate'OffiC¢;
Los
Ang~leS.~:2
' ' General' Corresp6ndence Binder
'~?C~'~;.'.;I. Oi;~,,~)_~ ,U,:) [i!L?:T;L "' ....... -/C~'T: ..;',.,~ ?,q: ; ..,~: ...... ...... ~
....... /,. .,,- . ...... ., ' . .... l .... ., :"; 7~.'."': :' - . -~ :- ,~ -.,': '--,.:': .... , ·
....... · ,,~- ...... 15200 Casa Club Dr. · BakersfieldI CA 913306 ~
Tel: (661) 871-4900 · Fax: (661) 871-4980
wa~.riobravocounttyclub, com
Oct 04 02 05:36p RIO BRRVO COUHTRY CLUB 6618714900 p.1
it,lO BItAVO
October 4, 2002
Mr. Ralph E. Huey Facsimile to: 661-326-0576
Director of Prevention Services
Bakersfield Fire Department
1715 Chester Avenue, Suite 300
Bakersfield, California 93301
Re: October 2, 2002 Meeting
Suppression System Nozzle Coverage
Dear Mr. Huey:
In accordance with our meeting and after consulting with our legal counsel and the corporate officers, 1 am
responding to you regarding the Club's intent relative to the August 1, 2002, fire inspection issue(s),
namely, nozzle coverage.
The Club respectively disagrees with the Fire Department's position that an imminent danger would exist
should there be no extended nozzle coverage. However, let me note that we have moved all the appliances
and ad.justcd the existing nozzles as discussed during our meeting. Nevertheless, in our opinion additional
coverage is not warranted, nor required by law.
With that said, the Club will commit to either extending the existing nozzle coverage if we can find a
company to service it or upgrading to wet-chemical system altogether by the end of the year. Accordingly,
we ask fur an extension through December 31, 2002. As I mentioned to you, we are currently considering
some modifications to the kitchen. It would be imprudent to make a change now and then change again in
the next few months.
I am hopeful that this firm commitment by the Club will be satisfactory to the Fire Department. Tl~e Club
appreciates the zeal of the Fire Department in fire prevention efforts and makes this request as a
compromise to balancing the needs of the Club.
1 thank you in advance for your consideration and service. If you have any questions, please call me at the
number referenced on this letterhead.
Respectfully submitted,
Marie Valcnzucla
President
:MV
Mr. Jaime Hickok, Fire Inspector, 1715 Chester Avenue, Suite 300, Bakersfield, California 93301
Mr. Joel Andreesen, The Law Offices of lames E. Noreiga, 331.}0 Truxtun Avenue, Suite 350,
Bakersfield, California 93301
Mr. Ung Mok Yi, Coq~orate Office, Los Angeles
General Correspondence Binder
............... 15200 Cas~ ~lub Dr. , Baker~fi~,t(~, CA 93300 ,, ,,
Tel: (661) 871-4g00 , F~: (661) 871-4930
www. riobravocountryclub, com
R,IC~BR~VO COUNTRY C SiteID: 015-021-'~00669
Manager : BusPhone: (661) 871-4900
Location: 15200 CASA CLUB DR ~% Map : 104 CommHaz : High
City : BAKERSFIELD ~ %%-&uw Grid: 14C FacUnits: 1 AOV:
CommCode: COUNTY STATION 45 SIC Code: 7997
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TRINI HERNANDEZ / GOLF COURSE SUP Lg~-~'=~I / PRESIDENT
Business Phone: (661) 871-4947x- Business Phone: (661) 871-4900x
24-Hour Phone : (661) 871-5613x~a~ /~24-Hour Phone :
~,~6. ~Ph°ne : (661)..~ F%~,~~~C~Pa~er P~one : (213) 719-7987x _
Hazmat Hazards:~' Fire Pres's React Im~lth DelHlt~ I
Contact : Phone: (661) 871-4900x
MailAddr: 15200 CASA CLUB DR State: CA
City : BAKERSFIELD Zip : 93306
Owner ~YI ~.~ ~,~C Phone: (661) 871-4900x
Address : 15200 CASA CLUB DR State: CA
City :'BAKERSFIELD Zip : 93306
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif ' d: RSs: No
ParcelNo:
Emergency Directives:
~~_ ~ ~/~ reviewed ~he a~ached h~ardous materials ~anage-
- .
~ ~ ~ o / o ~~ ano t~ it ~ong with
~~~ /~ ~ / 7 ~Y ~e~ions ~n~itu~e a ~mplete and ~rr~ man-
agement plan for my fa~l/ty.
o
1 10/17/2003
F.RIO BRkVO COUNTRY SiteID: 015-021-000669
Fast Format
= Notif./Evacuation/Medical Overall Site
--Agency Notification 04/24/2000
CALL 911.
-- Employee Notif./Evacuation 07/06/1998
VERBAL ALARM SOUNDED CALL 911. CLUB HOUSE IN PRO SHOP PA SYSTEM.
-- Public Notif./Evacuation ~ , _ -~ ~ _ 07/06/1998
Emergency Medical Plan 04/24/2000
CALL 911.
8 10/17/2003
~ R~O'BRkVO COUNTRY SiteID: 015-021-000669
Fast Format
~ Site Emergency Factors Overall Site
i , Special Hazards
--Utility Shut-Offs 07/06/1998
A) GAS - E SIDE OF CLUB HOUSE BLDG
B) ELECTRICAL -SW CORNER OF CLUB HOUSE BLDG (INSIDE)
C) WATER - E SIDE OF CLUB HOUSE BLDG (OUTSIDE) MARKED WITH BLUE W ON CURB
D) SPEC~An -
E> nOC~ BOX - NO
-- Fire Protec./Avail Water
PRIVATE FIRE PROTECTION - SPRINKLER IN CLUB HOUSE. 5 FIRE EXTINGUISHERS IN.
MAINTENANCE BLDG.
FIRE HYDRANT - CLUB HOUSE - E SIDE OF BLDG AT THE CORNER OF SHOP MAINTENANCE
BLDG - SW OF BLDG CORNER OF CASA CLUB DR AND VISTA GRANDA.
Building Occupancy Level
-10- 10/17/2003
.~.Rt.O"~R~VO COUNTRY C SiteID: 015-021-000669
Fast Format
= Training Overall Site
-- Employee Training 04/24/2000
WE HAVE 19 EMPLOYEES IN THE MAINTENANCE BLDG AND 1~ EMPLOYEES IN THE CLUB
HOUSE FOR A TOTAL OF 33 EMPLOYEES ~,'~ ~8~[.~A~ { I~ [~.. ~-~'~,~.~
WE ~VE ~TERIAL SAFETY DATA SHEETS ON FILE. ~[~~ ~ ~'[~'~ ~'~"
BRIEF S~Y OF T~INING: WE ~VE MONDAY MEETINGS ON SAFETY ~D ~TERIAL
SA~T~ DATA SH~TS~.I~. ~ ~~ ~~+~.~ ~ ~k~~f'~
-- Page 2
Held for Future Use
Held for Future Use
-11- 10/17/2003
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
FACILITY NAME [~lO ~CO. OO t~t)Otn4v,{, Ct0~ INSPECTION DATE I~l?t'3
ADDRESS I.ff-lt~e3 tlt~3a_ C. IO{a Gr'. ~ PHONE NO. _q~[" qq'~'~-
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 L,'/
Visible address
Correct occupancy
Verification of inventory materials L/ /
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability L,"
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate t--"
~,'
Containers properly labeled
Housekeeping
Fire Protection "/ /
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous~wastg on site?: [~,Yes [~ No
Explain: [~)a,g]'c' O~ i
Questions reg~ding this inspection? Please call us at (661) 326-3979 Busin~ss-~t~es~onsible~a~y
White- Env. Svcs. Yellow- Station Copy Pink- a~si.e~s Copy Inspector:
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Manage_r : ~/~/~ BusPhone: (805) 871-4900
Location: 15200 CASA CLUB DR Map : 104 CommHaz : High
City : BAKERSFIELD -~ Grid: 14C FacUnits: 1 AOV:
CommCode: COUNTY STATION 45/ ,' SIC Code:7997
EPA Numb: ~,/· ,/'~ DunnBrad:
Emergency Co]~t.a. ct / Title Emergency Contact / Title
~T~ .'[~t ~ ~ -- /
~"~--~. ...... HEF~AU~C.~ ,. GOLF COURSE SUP UNG MOK YI / PRESIDENT
Business P~one: (805) 871-4947x Business Phone: (805) 871-4900x
24-Hour Phone : (805) 871-5613x 24-Hour Phone : (805) 873-9900x
Pager Phone : (805) 634-8670x Pager Phone : (213) 719-7987x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 15200 CASA CLUB DR State: CA
City : BAKERSFIELD Zip : 93306
Owner UNG MOK YI Phone: (805) 871-4900x
Address : 15200 CASA CLUB DR State: CA
City : BAKERSFIELD Zip : 93306
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif 'd: RSs: No
Emergency Directives:
reviewed ~h~ a~ached hazardous rnal~rials manage-
mere plan ~or mo ~,~z.~,,o co,~,,-~,.,¢~.'~r~.,
~ha~
along
with
(Name of BuSiness)
any corrections constitute a complete and correc~ man-
agemen~ plan ~or my f~cili~y.
-1- 02/29/2000
~ RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
~ Hazmat Inventory By Facility Unit
--Alphabetical Order Fixed Containers on Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax lUnit MOP
ACETYLENEV' F P IH G 330 00 FT3 Hi
DIESEL FUEL ~ F IH DH L 1500 00 GAL Low
FERTILIZER ~.// R IH DH S 1000 00 LBS Min
MOTOR OIL F DH L 150 00 GAL Min
OXYGEN ~,/./ F IH DH G 281 00 FT3 Low
PAINT ~/ F IH L 20 00 GAL Mod
UNLEADED GASOLINE ~ F IH DH L 1000 00 GAL Mod
WASTE OIL .~/ F DH L 300 00 GAL Low
2 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0006 Facility Unit: Fixed Containers on Site
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SOUTH WALL CAS#
74-86-2
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
330.00 FT3I 330.00 FT3 330.00 FT3
HAZARDOUS COMPONENTS
%Wt. RSI CAS#
100.00 Acetylene Yesl 74862
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N° No No/ Curies F P IH / / / Hi
=~Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
~lv~vl~ ~vl~ / ~ ~Z--~J_~ ~Vl~
DIESEL FUEL Days On Site
365
Location within this Facility Unit Map: Grid:
EAST OF BLDG, OUTSIDE CAS#
68476-34-6
STATE -- TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
1500.00 GALI 1500.00 GAL 1500.00 GAL
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Diesel Fuel No. 2 N 684763'02
HAZARD ASSESSMENTS
[TSoorot ~S I BioHazI Radioactive/Amount EPA Hazards NFPA USDOT# MOP
No N No No/ Curies F IH DH / / / Low
3 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0003 Facility Unit: Fixed Containers on Site
FERTILIZER Days On Site
365
Location within this Facility Unit Map: Grid:
S OF BLDG, OUTSIDE CAS#
7783202
F STATE -- TYPE ' PRESSURE --[ TEMPERATURE CONTAINER TYPE
Solid Pure Ambient Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
HAZARDOUS COMPONENTS
100.00 Ammonium Sulfate N 7783202
HAZARD ASSESSMENTS
TSecretI ~SIBioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# ) MCP
No N No No/ Curies R IH DH / / / Min
= Inventory Item 0007 Facility Unit: Fixed Containers on Site
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SOUTH WALL CAS#
8020835
F STATE i TYPE i PRESSURE i TEMPERATUREI CONTAINER TYPE
AmbientBelow DRUM/BARREL- METALL I C
Pure
I Liquid Ambient
AMOUNTS AT THIS LOCATION
Largest Container { Daily Maximum I Daily Average
55.00 G~I 150.00 G~{ 200.00 G~
HAZARDOUS COMPONENTS
~Wt.{ ~S CAS#
100.00 Motor Oil, Petroleum Based N 8020835
HAZARD ASSESSMENTS
TSecretI ~S}BioHaz Radioactive/Amount EPA Hazards NFPA { USDOT# I MCP
No N No No/ Curies F DH / / / Min
-4- 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0005 Facility Unit: Fixed Containers on Site
~tv~vl~ ~vl~ / ~ ~-[.1~ ~v~
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SOUTH WALL CAS#
7782-44-7
r STATE ~ TYPE i PRESSURE i TEMPERATURE CONTAINER TYPE
Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
281.00 FT3 281.00 FT3 281.00 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Oxygen, Compressed N 7782447
HAZARD ASSESSMENTS
TSecret ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# [ MCP
No N No No/ Curies F IH DH / / / Low
-- Inventory Item 0008 Facility Unit: Fixed Containers on Site 9
-- COMMON NAME / CHEMICAL NAME
PAINT Days On Site
365
Location within this Facility Unit Map: Grid:
RM #1 CAS#
1344-37-2
~ STATE I TYPE PRESSURE , TEMPERATURE CONTAINER TYPE
Mixture
PLASTIC CONTAINER
Ambient Ambient
Liquid
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 20.00 GAL 20.00 GAL
~ HAZARDOUS COMPONENTS
%Wt. RS CAS #
Lead Chromate N° 7758976
Methyl Ethyl Ketone No I 78933
Cadmium Sulfide NoI 1306236
Xylene, Mixed No 1330207
HAZARD ASSESSMENTS
TSecretl oRS BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP
No N No No/ Curies F IH / / / Mod
-5- 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0001 Facility Unit: Fixed Containers on Site
~[vUVl~ ~Vl~ / ~ £ ~_.J~ ~Vl~
UNLEADED GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
EAST OF BLDG, OUTSIDE CAS#
8006-61-9
Liquid Pure Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
1000.00 GALI 1000.00 GALI 1000.00 GAL
HAZARDOUS COMPONENTS
%Wt. R[NoRS[ CAS#
100.00 Gasoline 8006619
HAZARD ASSESSMENTS
TSecretl ~SIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MOP
No N No No/ Curies F IH DH / / / Mod
= Inventory Item 0004 Facility Unit: Fixed Containers on Site
~tvuv/u~ ~Vl~ / ~£ ~.,q/.~ ~Vl~
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
SOUTH OF BLDG, OUTSIDE CAS#
221
F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid I Waste I Ambient I Ambient I DRUM~BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
55.00 GALI 300.00 GAL 180.00 GAL
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
100.00 Waste Oil, Petroleum Based N
HAZARD ASSESSMENTS
TSecret ~S BioHaz Radioactive~Amount EPA Hazards I NFPA I USDOT# MCP
No N No No/ Curies F DH / / / Low
-6- 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
~ Notif./Evacuation/Medical Overall Site
-- Agency Notification 01/08/1991
CALL 911
Employee Notif./Evacuation 07/06/1998
VERBAL ALARM SOUNDED CALL 911. CLUB HOUSE IN PRO SHOP PA SYSTEM.
-- Public Notif./Evacuation 07/06/1998
CONTACT HOME OWNERS ASSOCIATION/KELLY MANAGEMENT 322-5936.
Emergency Medical Plan 01/08/1991
CALL 911
7 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 01/08/1991
STORAGE ROOM LOCKED. MATERIAL PROPERLY STORED IN SAFE CONTAINERS. LIQUIDS
ARE STORED IN SEALED CONTAINERS.
-- Release Containment 07/06/1998
DIKE OFF AND USE RICE ASH.
~ Clean Up 01/08/1991
DIKE OFF AND USE RICE ASH, SHOVEL UP AND PUT INTO DRUMS.
Other Resource Activation
8 02/29/2000
~ RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
f Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 07/06/1998
A) GAS - E SIDE OF CLUB HOUSE BLDG
B) ELECTRICAL -SW CORNER OF CLUB HOUSE BLDG (INSIDE)
C) WATER - E SIDE OF CLUB HOUSE BLDG (OUTSIDE) MARKED WITH BLUE W ON CURB
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 07/06/1998
PRIVATE FIRE PROTECTION - SPRINKLER IN CLUB HOUSE. 5 FIRE EXTINGUISHER'S IN
MAINTENANCE BLDG.
FIRE HYDRANT - CLUB HOUSE - E SIDE OF BLDG AT THE CORNER OF SHOP MAINTENANCE
BLDG - SW OF BLDG CORNER OF CASA CLUB DRIVE AND VISTA GRANDA.
Building Occupancy Level
-9- 02/29/2000
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
= Training Overall Site
-- Employee Training 07/06/1998
WE HAVE ~-~EMPLOYEES IN THE MAINTENANCE BLDG AND.1-5"EMPLOYEES IN THE CLUB
HOUSE FOR A TOTAL OF 33 EMPLOYEES.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: WE HAVE MONDAY MEETINGS ON SAFETY AND MATERIAL
SAFETY DATA SHEETS.
Page 2
Held for Future Use
Held for Future Use
-10- 02/29/2000
~ SiteID: 215-000-000669
RIO BRAVO COUNTRY CLUB ~ -~ ~- ~ V ~j~_) i
Manager : / /JUN 3 0 7998 / Bus Phone: (805) 871-4900
Location: 15200 CASA CLUB ~ / Map : 104 CommHaz : High
City : BAKERSFIELD ?.tfY_~~ Grid: 14C FacUnits: 1 AOV:
CommCode: COUNTY STATION 45 SIC Code:7997
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
RICK STONE / GOLF COURSE SUP UNG MOK YI / PRESIDENT
Business Phone: (805) 871-4947x Business Phone: (805) 871-4900x
24-Hour Phone : (805) 871-5613x 24-Hour Phone : (805) 873-9900x
Pager Phone : (805) 634-8670x Pager Phone : (213) 719-7987x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 15200 CASA CLUB DR State: CA
City : BAKERSFIELD Zip : 93306
Owner UNG MOK YI Phone: (805) 871-4900x
Address : 15200 CASA CLUB DR State: CA
City : BAKERSFIELD Zip : 93306
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RCs: No
Emergency Directives:
---- Hazmat Inventory One Unified List
-- As Designated Order Ail Materials at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm [ DailyMax Unit MCP
UNLEADED GASOLINE F IH DH L 2000 GAL Mod
DIESEL FUEL F IH DH L 2000 GAL Low
FERTILIZER , R IH DH S 60000 LBS Min
WASTE OI~ ~,~./~ ,~'/'0~/~'~ ~)0 h~-~'~,,...~..~,~ C,~i~ ~ ~ ~V~ DH L 300 GAL Low
OXYGEN ' U~0~,~) F IH DH G 281 FT3 Low
ACETYLEN~vi~w~O ~h~ a~ach~d h~ardous ~a~e~l~na~a s 330 FT3 Hi
MOTOR OIL F DH L 200 G~ Min
PAINT m~n~ ~ ~0~,~ ~1/~ dC, ~n~ ~ha~ ~ ~o~ w~ L 60 G~ Mod
any ~rrs~ions ~nsfi~u~e a complete and ~ m~n-
agsm~n~ pla~ ~r my ~i~i~.
Silina-~ure Oa~e
-1- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0001 Facility Unit: Fixed Containers on Site
UNLEADED GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
EAST OF BLDG, OUTSIDE CAS#
8006-61-9
V STATE ~ TYPE PRESSURE --[ TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily' Average
GAL 2000.00 GAL 1000.00 GAL
Maximum Stored Maximum Open Use Maximum Closed Use
GAL GAL GAL
HAZARDOUS COMPONENTS
100.00 Gasoline N 8006619
-2- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0002 Facility Unit: Fixed Containers on Site
~[v~vt~~ ~v~ / ~1 ~ ~v~
DIESEL FUEL Days On Site
365
Location within this Facility Unit Map: Grid:
EAST OF BLDG, OUTSIDE CAS#
68476-34-6
i= STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 2000.00 GAL 1500.00 GAL
Maximum Stored Maximum Open Use Maximum Closed Use
GAL GAL GAL
HAZARDOUS COMPONENTS
%Wt. I ~S CAS#
100.00 Diesel Fuel No. 2 N 68476302
-3- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0003 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
FERTILIZER Days On Site
365
Location within this Facility Unit Map: Grid:
SOUTH OF BLDG, OUTSIDE CAS#
7783202
Solid Pure Ambient Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
LBS 60000.00 LBS 20000.00 LBS
Maximum Stored Maximum Open Use Maximum Closed Use
LBS LBS LBS
HAZARDOUS COMPONENTS
wt. [ CAS#
100.00 Ammonium Sulfate N 7783202
-4- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= 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:
SOUTH OF BLDG, OUTSIDE CAS#
221
STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /Waste Ambient I Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 300.00 GAL 180.00 GAL
Maximum Stored Maximum Open Use Maximum Closed Use
GAL GAL GAL
HAZARDOUS COMPONENTS
i i Io SI
100.00 Waste Oil, Petroleum Based N
-5- 06/15/~998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0005 Facility Unit: Fixed Containers on Site
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SOUTH WALL CAS#
7782-44-7
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 281.00 FT3 281.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
100.00 Oxygen, Compressed 7782447
-6- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0006 Facility Unit: Fixed Containers on Site
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SOUTH WALL CAS#
74-86-2
F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas /Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 330.00 FT3 330.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
100.00 Acetylene N 74862
-7- 06/15/1998
RIO BP~AVO COUNTRY CLUB SiteID: 215-000-000669
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site
~v~v~ ~vl~ / ~ ~l~ ~v~
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SOUTH WALL CAS#
8020835
F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /Pure I Ambient I Below Ambient I DRUM/BARREL- METALL I C
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 200.00 GAL 200.00 GAL
Maximum Stored Maximum Open Use Maximum Closed Use
GAL GAL GAL
HAZARDOUS COMPONENTS
%Wt. ~SI CAS#
100.00 Motor Oil, Petroleum Based N 8020835
-8- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
= Inventory Item 0008 Facility Unit: Fixed Containers on Site
PAINT Days On Site
365
Location within this Facility Unit Map: Grid:
ROOM #1 CAS#
1344-37-2
F STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 60.00 GAL 60.00 GAL
Maximum Stored Maximum Open Use Maximum Closed Use
GAL GAL GAL
%Wt. RS CAS#
Lead Chromate No 7758976
Methyl Ethyl Ketone No 78933
Cadmium Sulfide ~No 1306236
Xylene, Mixed No 1330207
-9- 06/15/1998
~ RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 01/08/1991
CALL 911
-- Employee Notif./Evacuation 01/08/1991
VERBAL ALARM SOUNDED CALL 911. CLUB HOUSE IN PRO SHOP P.A. SYSTEM
-- Public Notif./Evacuation 01/08/1991
CONTACT HOME OWNERS ASSOCIATION/KELLY MANAGEMENT 322-5936
Emergency Medical Plan 01/08/1991
CALL 911
-10- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 01/08/1991
STORAGE ROOM LOCKED. MATERIAL PROPERLY STORED IN SAFE CONTAINERS. LIQUIDS
ARE STORED IN SEALED CONTAINERS.
-- Release Containment 01/08/1991
DIKE OFF AND USE RICE ASH
-- Clean Up 01/08/1991
DIKE OFF AND USE RICE ASH, SHOVEL UP AND PUT INTO DRUMS.
Other Resource Activation
-11- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
~Utility Shut-Offs 01/08/1991
\
A) GAS - EAST SIDE OF CLUB HOUSE BUILDING
B) ELECTRICAL -SOUTHWEST CORNER OF CLUB HOUSE BUILDING (INSIDE)
C) WATER - EAST SIDE OF CLUB HOUSE BUILDING (OUTSIDE) MARKED WITH BLUE W ON
CURB
D) SPECIAL - NONE
E) LOCK BOX - NO
~ Fire Protec./Avail. Water 01/08/1991
PRIVATE FIRE PROTECTION - SPRINKLER IN CLUB HOUSE. FIVE FIRE
EXTINGUISHER'S IN MAINTENANCE BUILDING.
FIRE HYDRANT - CLUB HOUSE - EAST SIDE OF BUILDING AT THE CORNER OF SHOP
MAINTENANCE BUILDING - SOUTHWEST OF BUILDING CORNER OF CASA CLUB DRIVE AND
VISTA GRANDA.
Building Occupancy Level
-12- 06/15/1998
RIO BRAVO COUNTRY CLUB SiteID: 215-000-000669
Fast Format
= Training Overall Site
-- Employee Training 01/08/1991
WE HAVE 18 EMPLOYEES IN THE MAINTENANCE BUILDING AND 15 EMPLOYEES IN THE
CLUB HOUSE FOR A TOTAL OF 33 EMPLOYEES
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: WE HAVE MONDAY MEETINGS ON SAFETY AND MATERIAL
SAFETY DATA SHEETS.
-- Page 2
~ Held for Future Use
Held for Future Use
-13- 06/15/1998
09/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 1
Overall Site with 1 Fac. Unit IL/L' 0el :t s 7996 ~I
General Information ~ By .
I Location: 15200 CASA CLUB DR Map:104 Haz:4 Type: 3
City : BAKERSFIELD Grid: 14C F/U: 1 AOV: 0.0
Contact Name "T£t'ie '- Contact Name Title
Business PhOne: '(~0%) EFi.-.'H~.~. _- Business phone: (go>-) ST-.I.-iq~,x-IF
24-Hour Phone : (~05~) g~(-~(~<x 24-Hour Phone : (~$)
Pager Phone : (%~g) ~ -?~7ox Pager Phone : (~3) %)q - ~x
Administrative Data
Mail Addrs:' 15200 CASA CLUB DR D&B Number:
City: BAKERSFIELD State: CA Zip: 93306-
Comm-Code: 215-045 COUNTY STATION 45 SIC Code:
.- -' .. Phone: (
Owner: .UtIcj -~ Y; ~ ' '
Address: , i~O0- ~L%ZL ~b ~m'U~ - ' State: CA
City: BAKERSFIELD, Zip: 93306-
Summary
t, /~,'cK ~'~'0,~- Do hereby certify thru ! have
~ ' (Type e' pHn~ ~=~) -
reviewed the a~hed h~ardous materials manage-
' ~ent plan for ~ ~ ~ and that it a:ong with
any ~rr~ions cons~i~ute a complete and ~rre~ man-
agement plan for my facility.
09/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qt¥ MCP
02-006 ACETYLENE Gas 330 High
· Fire, Pressure, Immed Hlth FT3
02-001 UNLEADED GASOLINE Liquid 2000 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
02-008 PAINT Liquid 60 Moderate
· Fire, Immed Hlth GAL
02-002 DIESEL FUEL Liquid ~000 Low
· Fire, Immed Hlth, Delay Hlth GAL
02-004 WASTE OIL Liquid 300 Low
· Fire, Delay Hlth GAL
02-005 OXYGEN Gas 281 Low
· Fire, Immed Hlth, Delay Hlth FT3
02-003 FERTILIZER Solid 60000 Minimal
· Reactive, Immed Hlth, Delay Hlth LBS
02-007 MOTOR OIL Liquid 200 Minimal
· Fire, Delay Hlth GAL
09/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-006 ACETYLENE Gas 330 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 m
330 ~ 330.00 330.00
Storage I Press T Temp I Location
PORT. PRESS. CYLINDER ~Above I Ambient INSIDE SOUTH WALL
-- Conc~ Components MCP ---/Guide
100.0% IAcetylene High ~ 17
02-001 UNLEADED GASOLINE Liquid 2000 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: 8006-61-9 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: FUEL
-- Daily Max GALI' Daily Average GAL ~ Annual Amount GAL --
2,000 ~ 1,000.00 24,000.00
Storage Press T Temp~ Location
ABOVE GROUND TANK AmbientlAmbientlEAST OF BLDG, OUTSIDE
-- Conc Components MCP ---TGuide
100.0% IGasoline IModeratel 27
02-008 PAINT Liquid 60 Moderate
· Fire, Immed Hlth GAL
CAS #: 1344-37-2 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: PAINTING
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 i 60.00 120.00
storageliPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlROOM #1
-- ConcI Components I MCP ---lGuide
0.0% ILead Chromate ~ModerateI 53
0.0%IMethyl Ethyl Ketone ~ModerateI 26
0.0% Cadmium Sulfide /Low ~ 53
0.0% Xylene, Mixed iModerateI 27
49/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 4
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-002 DIESEL FUEL Liquid 2000 Low ~
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: 68476-34-6 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: FUEL
Daily Max GAL Daily Average GAL I Annual Amount GAL
2,000 I 1,500.00 20,000.00
Storage ~~Press T Temp Location
ABOVE GROUND TANK IAmbient~AmbientlEAST OF BLDG, OUTSIDE
-- Conc Components MCP ---~uide
100.0% IDiesel Fuel No. 2 ModerateI 27
02-004 WASTE OIL Liquid 300 Low
· Fire, Delay Hlth GAL
CAS #: 221 Trade Secret: No
Form: Liquid Type: Waste Days: 365 Use: WASTE
Daily Max GAL300 I Daily Average180.00GAL I Annual Amount600...00GAL --
Storage~lPress T Temp Location
DRUM/BARREL-METALLIC IAmbient~AmbientlSOUTH OF BLDG,.OUTSIDE
-- Conc Components MCP ---TGuide
100.0% IWaste Oil, Petroleum Based ILow ! 27
02-005 OXYGEN Gas 281 Low
· Fire, Immed Hlth, Delay 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 281.00FT3
281 I 281.00
Storage Press T Temp I Location
PORT. PRESS. CYLINDER IAbove ~Ambient INSIDE SOUTH WALL
-- Conc Components ---TGuide
100.0% IOxygen, Compressed ILo~cP ~ 14
09/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 5
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-003 FERTILIZER Solid 60000 Minimal
· Reactive, Immed Hlth, Delay Hlth LBS
CAS #: 7783202 Trade Secret: No
Form: Solid Type: Pure Days: 365 Use: FERTILIZER
Daily Max LBS Daily Average LBS I Annual Amount LBS
60,000 I 20,000.00 160,000.00
Storage~~Press T Temp Location
BAG IAmbient~AmbientlSOUTH OF BLDG, OUTSIDE
-- Conc Components MCP --TGuide
100.0% Iammonium Sulfate IMInimal I 7
02-007 MOTOR OIL Liquid 200 Minimal
· Fire, Delay Hlth GAL
CAS #: 8020835 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: OIL TREATMENT
Daily Max GAL200 I Daily Average200.00GAL I Annual Amount800.00GAL
Storage Press T Temp Location
DRUM/BARREL-METALLIC IAmbient~Below IINSIDE SOUTH WALL
-- Conc Components MCP ~Guide
100.0% IMotor Oil, Petroleum Based Minimal I 27
~9/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 6
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
VERBAL ALARM SOUNDED CALL 911. CLUB HOUSE IN PRO SHOP P.A. SYSTEM
<3> Public Notif./Evacuation
CONTACT HOME OWNERS ASSOCIATION/KELLY MANAGEMENT 322-5936
<4> Emergency Medical Plan
CALL 911
0~9/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 7
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
STORAGE ROOM LOCKED. MATERIAL PROPERLY STORED IN SAFE CONTAINERS. LIQUIDS
ARE STORED IN SEALED CONTAINERS.
<2> Release Containment
DIKE OFF AND USE RICE ASH
<3> Clean Up
DIKE OFF AND USE RICE ASH, SHOVEL UP AND PUT INTO DRUMS.
<4> Other Resource Activation
~9/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 8
00 -Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - EAST SIDE OF CLUB HOUSE BUILDING
B) ELECTRICAL -SOUTHWEST CORNER OF CLUB HOUSE BUILDING (INSIDE)
C) WATER - EAST SIDE OF CLUB HOUSE BUILDING (OUTSIDE) MARKED WITH BLUE W ON
CURB
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - SPRINKLER IN CLUB HOUSE. FIVE FIRE
EXTINGUISHER'S IN MAINTENANCE BUILDING.
FIRE HYDRANT - CLUB HOUSE - EAST SIDE OF BUILDING AT THE CORNER OF SHOP
MAINTENANCE BUILDING - SOUTHWEST OF BUILDING CORNER OF CASA CLUB DRIVE AND
VISTA GRANDA.
<4> Building Occupancy Level
09/11/96 RIO BRAVO COUNTRY CLUB 215-000-000669 Page 9
00 - Overall Site
<G> Training
<1> Employee Training
WE HAVE 18 EMPLOYEES IN THE MAINTENANCE BUILDING AND 15 EMPLOYEES IN THE
CLUB'HOUSE FOR A TOTAL OF 33 EMPLOYEES
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: WE HAVE MONDAY MEETINGS ON SAFETY AND MATERIAL
SAFETY DATA SHEETS.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
RECEIVED
lZlO BRAVO JAN 1 7 1992
~untt~ ~l.6
~6..-/1- ~ HAZ. MAT. DIV.
Deal-_ 'V:ellldO-l_'._.Ol' .COil.COl'lied pal-ty:
Piease be ~fot~med of an ow~e~-shtp change~ as weI1 as a~ addl-ess
ti)able. R~o B~avo Reso~-t aka Rio B~-avo Golf & Tehh~s has sold
ti)e ~oif coup-se o~ September- i4th, i99i. Ahy and aII futu~-e
i~qui~ies, cot~t~espondehces, ol- COl)Cel-IIs heed to be dI~-ected
RiO BRAVO PROPERTIES, ZNG. dba RiO BRAVO GOUNTRY GLUB.
Piease adjust you~' maIiing iIst to ~-efiect the ownei-shIp change
as i~e~-eIn IisLed a~d Lhe add~-ess change~ as foIIows:
FROH ·. TO
Rio B~avo Reso~-t RiO BRAVO PROPERTIES, iNC.
dba Rio B~avo Golf & Teh~is dba RIO BRAVO COUNTRY CLUB
ii200 Lake HIhg i~200 Casa Club Di-tve
Bake~-sfleid, CA 93306 Baket-sf~eld, CA 93306
(ATC Realty Five)
Fu~-~i~eHno~e, add~-ess you~- conce~-ns to tt~e app,-cpi-late
depa~-tmenL(s)~ as follows:
GERALD 5TEENERSON P~o Shop a~d golf t-elated matte~-s.
Go~f P~-o
RZCK STONE Golf coup-se g~-eehs and gehel-a[ ma~ntel~ance.
HARiO VALENZUELA Adm~n~stl-at~ve off~ces~ food
Ge,le~-aZ Ha~lagel' and a~ other- depa~-tments.
Ti)a~)k you fo~- updat~hg you~- ~-eco,-ds and hope to heat- fi-om you
SOOII .
Respectfu~Iy submitted,
N4u ~RAVO GOUNTRY GLUE
15200 Casa Club Dr.
Bakersfield, CA 93306
' RETURN PAYMENTS TO:' PLEASE MAKE CHECKS PAYABLE TO:
CITY OF'.BAKERSFIELD, ~ HAZAR,OOUS MATERIALS DI¥I~ION
P,O. BOX'2057 I '.. CITY OF BAKERSFIELD
BAKERSFIELD, CA 9:3303-2057 'ACCOUNT NO. tin &"l 57t3'~ RETURN THIS COPY WITH PAYMENT
INQUIRIES CONCERNING THIS BILL, PL~SE PHONE: 326-~79'
RIO BRAVO GOLF COURSE HN415701
INVOICE ~UMBER liaaO CASA CLUB DR
BAKERSFIELD. CA
MU~'~ H~RN ~lS COPY ~ PAYME~
Dear Business Owner:
Enclosed please find a copy of your response to the Hazardous
Material. Management Plan (HMMP) request. We have found it
necessary to re.)ect your Dian for the following reason(s) as
checked below.
F~ Illegible Management Plan (please print or type
information).
Section(s) P0) ~(~) ~) G0 ) of HMMP incomplete.
Inventory Missing or ~ Incomplete.
Diagram Missing or Incomplete.
This is to be corrected and resubmitted within 30 days to:
Cit'y of Bakersfield, Fire Department
Hazardous Materials Division
2130 G Street
Bakersfield, CA 93301
If additional copies of any forms are needed they can be picked uD
from the Hazardous Materials Division. at Z130 G Street in person.
E. Hue
/ Hazardous Materials Coordinator
REH/ed
2101 H STREET
FIRE DEPARTMENT BAKERSFIELD. 93301
D, S. NEEDHAM 326-3911
FIRE CHIEF
Dear Business Owner:
Enclosed please find a copy of your response to the Hazardous
Material Management Plan (HMMP) request. We have found it
necessary to reject your plan for the f611owing reason(s) as
checked below·
F--~ Illegible Plan print or type
Management
(please
information).
Section(s) PO) ~(~) ~'~) ~0) 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 ~. /~o'~/-90
Hazardous Materials Division
2130 G Street
Bakersfield, CA 93301
If additional oodles of any forms are needed they can be picked up
from the Hazardous Materials Division at 2130 G Street in person.
~Erely y°urs'
· Huey
dous Materials Coordinator
REH/ed
10/23/90 RIO AVO GOLF COURSE 215-000-00C)669 RECEIVED page
~ ~ Overall Site with 1 Fac. Unit
General Informat ion
H~Z ~% DIV.
Location: 14800 CASA CLUB DR Map: 104 Hazard: High
Ident Number: 215-000-000669 Grid: 14C Area of Vul: 0.0
I
Contact Name i Title [ Business Phone ~ 84 Hour Phone]
TED MCMULLEN ~ ~C~5 ~R~ ~(8o~) 87=-~uo. x~ {(805) 3~5-6220~
Administrative Data
Mail Addrs: 14800 CASA CLUB DR D&B Number:
City: BAKERSFIELD State: CA Zip: 93306-
Comm Code: 215-045 COUNTY STATION 45 SIC Code:
Owner: GEOR~ NICKEL ~T~ ~:~ ~ ~ . Phone: (~0~)
Address: ~'~ ~ 4 ~'~
..... 1-:1%00 LA~5 ~b ~b State: CA
City: BAKERSFIELD Zip: 93306-
[ Surnrnary
RECEIVED
'~" 0 3 1991
HA7 ~T, plY.
I Y~ o. print n~)
reviewed ~h~ ¢~r:h~x ~, ......... ,.
ment plan ~-,,- .....
Date
10/23/90 RIO~AVO GOLF COURSE 215-00(:)-~)0669 Page 2
O0 - Overall Site
<D> Notif. /EYacuatior~/Medical
<1> Agency Notification
<2> Employee Not if./Evacuation
VERBAL ALARM SOUNDED CALL gl l.
<3> Public Notif. /EYacuati,_-m
<4> Emerger~cy Medical Plar~
CALL 911
10/23/90 RIO~AVO GOLF COURSE 215-000-~0669 Page 3
O0 - Overall Site
<E> Mit igat ior,/Prever~t/Abater~t
(1> Release Prever, tior,
STORAGE ROOM LOCKED. MATERIAL PROPERLY STORED IN SAFE CONTAINERS. L~QUIDS
ARE STORED IN SEALED CONTAINERS.
<2> Release Cor, tair, mer,t
Clear, Up
<4> Other Resource ActiYat
)
10/23/90 RIO AVO GOLF COURSE ,-1~-0(o- :~69 Page 4
OO - Overall Site
<F> Site Erne~rgency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - EAST SIDE OF BUILDING
B) ELECTRICAL' - ~WEST CORNER OF M~,~ir:i=r~'~aE BUILDING (INSIDE
D) SPEC I AL -~NE
E> LOCK BOX - NO
<3> Fire Protec. /Avail. Water
PRIVATE FIRE PROTECTION - SPRINKLER IN CLUB HOUSE. FIRE EXTINGUISHER~IN
MAINTENANCE BUILDING.
FIRE HYDRANT - ???????????????
<4> Held f,:,r Future use ~, ~O VI~ ~~.
RIO AVO GOLF COURSE 215-000 )669 Page
O0 - Overall Site
<G> Trait;lng
<1> Page 1
WE HAVE ?? EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? K~-_S
BRIEF' SUMMARY OF' TRAINING: ~,~__..~ ~O~Oj~
<2> Page 2 as r~eeded
<3> Held 'For Future Use
<4> Held for Future Use
CITY of BAKERSFIELD '
Farm andAgticulture FI Standard Business,~AZARDOUS MATERIALS INVENTORY
NON--TRADE SECRETS Page
BUSINESS NAME: kid ~F~Oo ~'T'- OWNER NAME: /~-['C.. ~L~ ~ ~ NAME OF THIS FACILITY: ~)~
~TI~~~ L~ ~ ~ . ADDRESS: ~zaO ~E ~~ . STANDARD IND; CLASS COD~
~,~ ~z~:~~~ c.~. ~~ ~[~ ~IP: ~c~t~., ~_~. . DUN AND BRADSTR'EET NUMBER-~gl~, ~,
' - REFER TO~ETRUC~O~ ~UR PROP~ CODES
12 3 4 5 B ' 8g lO 11, 12 ,j~y Na,esofHixture/Comoonents
Trans !Yqe ~ax Average Annual Measure' I ~)~e ~ont ~ont Con~ Us Loc~tion.Whece.
Code code A~t Amt Es~ Un)ts onffpe ~ress )emp Cou.eS~oreo ~n ~ac~)~y See Instruc~on~
Physical and Health Hazard C,A,S, Number Component II Name I C,A,S, Number
(Check all that apply)
-
~Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ l~mediate
Hea )th of Pressure Health
: Component 13 Name I C,A,S. Number
Physical ~nd He~lthH~z~rd C,A,S. ~u~er Co~ponentll ~t~ t C,~,S. ~u~r
(Check ~II th~
Co~ponen~ 12 N~me t C.A.S. Number
~ Fire ~azard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate
Hea )th of Pressure Hea 1 th
Component 13 Name $ C,A,S, Number
Physical and Health Hazard C,A.S. Number Component II Name I C,A,S, Number
(Check al1 that
Component 12 Name I C,A,S, Number
~FireHazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate
Health of Pressure
8ealthComponent 13 Name S C,A,S. Number
/
Physical and Health Hazard C,A.S, Number Component II Name $ C,A,S, Number
(Check al1 that apply) -
~Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate
Component
Name
C.A,S.
Number
Health of Pressure Health
Component 13 Name S C.A.S. Number
~me, Ti[I~ Z4 Hr Phone ~e Ti[le 2~t F'hone
ertiiatioq ,(Re~ ~.n~.~fgn aF~p~ compl~Ci(lg,all sec~f~nq)
.cerclty unoer penal[~ ox~a~ [n~[ J na~epersonajly, eXa~lnqO~qo~m ra~illar.~it~ the ~ntor~aupn ~u~itt¢~ in this.lnd ali
attached documents, an~ thac o~seo on my Inquiry 9L[nose l~OlYlOU~/S responsio/e tor obtaining [ne ~nror~aclon. [ believe thane
sub~]tted I~for~lLlo~ Is true, ~ccurate, ano co,piece. .
~)~YT~I tTtle of Dun.r/operator uu authorized re~res.ncative ~fi~ure
CITY of BAKERSFIELD '
,~AZARDOUS MATERIALS INVENTORY
Far~and~gticulture F1 Standard Busi,ess NON--TRADE SECRETS P~ ?-.._ of_~__
BUSINESS NAME- ~iO ~00 ~~ OWNER NAME: ~ ~L~ ~ __ NAME 0F THIS FACILITY:
LOCATION:~o ~ ~,~ ~. ADDRESS; ~zao ~ I~ ~. STANDARD IND; CLASS COD~
CITY. ZIP: ~~ cA q~so~ CITY. ZIP~-'~A~E~FI~L~, ~G DUN AND BRADSTREET NUMBER; ~. '~ . '
..... REFER TO~N~TRUC~O~ FUR HROP~ CODES --
Trans
Cede [cae . AaL Ami Esl Unt[s on [ype Press Te~ CoueSLorea in ~act~[y
~hysic~l and HealthNazard C.A.S. Number Componen[ II Na[e t C,i,S, Number
(Check al1 that apply)~- ': ~
Health of Pressure Health Component t3 Name & C.A.S. Number
Physical(Check a//~dthstHealthap~ly)H~zard C,~,S. Nu~ber Co~ponen[ I1 ~[e I C,I,S, Number ~~~~/
Heal[~-- of Pressurenea~cn
Co~ponen[ 13 Na~e t C,A,S. Number
Physical ~nd ~ealthHaz~rd C,A.S. Number Componen[ II N~e I C,~,S. Number
(Check alt that apply)
Health of PressureHealth Component 13 Na~e I C.~.S. Number --
Physictl and Health Hazard C,A.S. Number Component II Name I C.'A,S, Number
[Check a/I that apply)
Component 12 Name & C.A,S, Number
~ Fire Hazard ~ Reactivity ~ 0elated ~ Sudden Release ~ Immediate
Health of Pressure
Health
Component 13 Nsme I C.A,S. Number
~me. Title Z4 Hr Phone n[~e' Title
erti[i;atioq ,[Rep~ g,nd.~fgn af~r compZo~f(]g,~?? s~,c~f~nq) . ,
.certify unoer penaltX o?]a~ that t navepersonajmy, e'xamln~eqo~m rami~lar.~it~ the information Su~mitta0 in this ~nd all
attached.docvmanc~, sn~ tHt ~aseo on.my inquiry gr.tnose ~notv~ouams responsiome ~or obtatning the ]nrormatton, I believe that the
submitted lnlormatlo~ Is ~rue, accurl[e, acc compmece, .
CITY of BAKERSFIELD '
Farm andAgticulture E] Standard Business/~4-1AZARDOUSNoN_TRADEMATERIALSsEcRETsINVENTORY Page
CITY. ZIP: ~e<~,~ c~ q~o~ CITY. ZIP: L~ALE~(=F,~Lb ~6 DUN AND BRAD~TREE~ NUHBE~
.... REFER TO~N~TRU~O~-'huR PRO~ CODES --
I 2 3 4 '5 8 7 8 9 10 ]] 12
Na~es
Trans
~ixture/~o~onents
Code ~ooe AmC AmC EsL Un,ts on Type Press Temo Co~e
See ]nsLruct~ons
. Storeo ~n
Physical and Health Hazard C,A,S. Number Componen~ II Name i C,A,S. Number
(Check ail iha~ applyj
Co~ponen~ 12 Name I-C,A,S. Number
~Fire Hazard ~ Reactivity ~ Delayed ~Sudden Release ~ Immediate
Health ~ of-Pressure
Health
:; Component 13 Name I C.A.S. Number .,
Physical and Health Hazard C.~.S. Number Co~ponen~ II ~a,e t C.~.S. ~u~er
~ Fire ~azard ~ ~eactivitY ~ Oela~ed ~ Sudde~ Release ~ I~ediatec°"p°nen~ 12 ,a~e t C.~.S. ,u,ber °~~~~~..
Health of Pressure Health Co~ponen~ 13 Hane I C.~.S. Nuaber
(Check al1 that apply) ' ~I
Component
12
Name
Number
~Fire~azard ~ ReacLiyiLy ~ Delayed ~ Sudden Release ~ Immediate
Health
of
Pressure
HealLh
Component 13 Name ~ C,A.S. Number
Physical and Health Hazard C.A.S. Nu:ber Co:ponenL II Name t C.A,S, Nu:ber
(.Check al1 LhaL apply)
~Fire Hazard ~ReacLiviLy ~ Delayed . ~ Sudden Release ~ [m~i~C°mp°nenL 12 Name&C.A.S. Number
Heal:h of Pressure ComponenL 13 Name S C.A.S. Number
erti[i;atioq,(Re~d ~.n~.~ign af~pr complctiog,oll secti.on~)
cer~]ty.unoer penal~ o~ja~ tn~ J na~epersonH~Le'xa~lnffO~qo~m ta~i~ar.~itb the. intor~au~n ~uDitte~ in this ~nd all
~cned.uOc~enc~, ~n~ ~a: Daseo o~.~ ~nquirl q~.~nose ~nol~loua~s responsible ~or obtaining ~ne ~ntor~a~on. I believe t~
suo~tteo intor~a~o~ Is ~rue, ~ccur~e, ~no co,piece. .
~mr~q tit · o o~n.r/ooer~tor u, own.r/operator s autnbriz{a reoresentative ~gure -
CITY of BAKERSFIELD
Farm andAgticulture ['] Standard Business,~A-IAZARDOUS MATERIALS INVENTORY
NON--TRADE SECRETS Page
BUSINESS NAME: ~,iO ~0o ~'~ OWNER NAME: A~ ~L~ ~ _ NAME OF THIS FACILITY:
~ OCATION: ~c3 ~ ~ ~.. _. ADDRESS; ~tzao ~ ~ ~ · STANDARD IND. CLASS COD~
[rans
Code Looe Amt Amc Est Un,ts on Iype vress temp Co~eSee Instructions
Stored In
,. Health 0f Pre~sure C0mp0nen: t3 N~m~ ~ C.A,~, Number. ',
Physical ~ndHealthHazard C,A.S. Number Component l1 Name i C.A.S. Number
(Check al1 that apply)
Component 12 Hame I C.A.S. Nu~ber
~ Fire Hazard ~ Resc~iYi[y ~ Delayed ~ Sudden Release ~ [~medi~[e
~ea l~h of Pressure
Health
Component 13 Name & C,A,S, Number
Physical and Health Eazard C,A,S. Number Componen~ ~1 Name ~ C,k,S. Number
~ ~ire ~azard ~ Reactivity ~ 9e~ated ~ Sudden Belease ~ I=m~di~eHeal~h C°~P°nen~ ~2 Na~e ~ C,A,S, Number
Health of Pressure Co,portent 13 Name I C,A.S. Mu=bet
Physical and Health Hazard C.A.S. Number Component II Na~B I C.A.S. Number /
(Check a/~ that applyJ
~ Fire ~ Reactivity U Oelayed ~ Sudden Release ~ I~edi~te
Health of Pressure
Health
Component 13 ~sme ~ C,A.S. Number
EMERGENCY CONTACTS ¢1~1~ /~~' ~oP~, ~~o ~2'~ ~uC~ O~
erti?igtioq ,~Re~d and sign af~m complcti~g.all
cert~ty unoer pentrox o?~ that ] h~vepersonmHLe'xamlnqg~qo~m tami~¢.~it~ the information 8~mittpd i~ this ~nd
at~aqhed.docvme~c~, mn~ t~at oaseo o~.my ~nquiry ~[cnose ~no~v~ou~ms responsiome tot obtaining the ~ntorma~on, I believe t~the
s~om~tteo ~ntormat~o~ ~s true, ~ccur~e, mno compme~e. .
CITY of BAKERSFIELD '
Farm andAg~iculture ~ S~andard8usiness,~AZARDOUS HATER'rALS TNVENTORY .
NON--TRADE SECRETS ?a~e ..~ of~,.
mBUSINESS NAME: kid ~A~o ~,E~"C- OWNER NAME: A~C R~L~ 5 NAHE OF THIS FACILITY;
_OCATION: ~t~.~O L~ ~(~ ~ . ADDRESS: '~zoo ~ ~~. STANDARD IND. CLASS C0DE~ -'
CODES
Trans
Na~es of ~ixture/Cop~onents
Code coca . Aat AmC EsL Un~ts on ~yge Press Tem~ Co~eSLore9 ~n ~ac~cy See Instructions
Phvs i ca ~ f Check a/land thatHealthapply)Hazard C.A.S. Humber Componen~ ,2'1 HameHameS,' C. A. S.C.A.S. HumberHumber~~~
: Health of PressureHealth Component 13 ~a~e ~ C.~.S Humber
Physical and Health ffazard C,A.S. mber Componen~ I1 Name I C,A,S. Number
(Check al1 that apply)
CoAponenC t~ Name ~ C,A,S. Number
~ ~ire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ Immediate
Has ICh of Pressure Health
Co~ponent 13 Name & C.A.S. Humber
Physical ~nd Health Hazard C.A.S. Humber Component II Hame I c,A,s, Number
ComponenL 12 Hame & C,k,S', Humber
0 Fire Hazard 0 Reactivity 0 Delayed 0 Sudden Release 0
Health of PressureHealt~
Co~ponent ~3 NaA8 A C.A,S. Humber
Physical 8nd Health Hazard C.A.S. Humber Co~ponen[ I1 Na~e t C.A,S, Nueber
(.Check all that apply)
Component 12 Hame ~ C.A.S. Humber
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate
Health of Pressure
Health
Component ~3 Hame & C.A,S. Humber
~e, Title z4 Hr Phone ~e' Title
ertiFiatio q ,(Re~ ~.n~.~ign af~c comp1~tf(]g.a11 secCf~nq)
.cer~]ty under pen~l[X oz~a~ [n~c ]na~epersonaH[examlnqg~qo ]~ ~a~i~la{.~it~ [he.~nto[msUpn ~u~ittrd in this.]nd all
at[acned.d0cumc~, sn~ t~[ omo on.my ~nquir~ 9r. cnose ~n~l~oua~s responsto~e rot oo[a~n]ng tee ~nrorma[}on. [ believe that the
submitted information IS true, accurate, ano complete.
R~F~F~t-eo O'e /op~atO u 0 ne/ope a o s a th ize eo'~se tat' e
On the Kern River
November 28, 1990
Mr. Ralph E. Huey
Bakersfield Fire Department
Hazardous Materials Division -
2101H Street
Bakersfield, CA 93301
Dear Mr. Huey:
Enclosed is Rio Bravo Resort's response to your requests regarding~our
Hazardous Materials Management Plan and Inventory. The Golf Course
response was prepared by Mr. Dave Anderson, Golf Course Superintendent,
and the response for the Lodge, Dining Rooms andTennis Club was prepared
by Mr. John Weiss, Maintenance Manager. If you have any questions
regarding these resp~onses, p~ease contact these gentlemen at 872-5000.
Sincerely,
Alan Bayley
President
RBNM, Inc.
cc: David Anderson
John Weiss
112OO Lake Ming Road Bakersfield, California 93306 Telephone 805/872-5000 Facsimile 805/872-6546
2130 "O" STREET
BAKERSFIELD. CA 93301
USINESS
HAZARDOUS ~ATERIALS
BUSINESS PLaN ~ ~ ~HOL~
~oa~
s UmONS:
1. To avoid furthee action, return this foe~ b~
2. TVPE/P~[NT ANSWERS IN ENGLISH.
3. Answer the questions belo~ for the business as a ~hole.
~ 4. Be as brie~ and concise as possible.
SECTION 1: BUSINESS IDE~IFICATION DATA
A. BUSINESS NA~E: ¢~'D [~CAo*
B. LOCATION / STREET ADDRESS:
CITY: Ig ZIP:
SECTION 2: ENERGENCY 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.
/
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: ~&~T'~
B. ELECTRICAL: /~/or.tk~
C. WATER: ~ce*~ ~,~,.
D. SPECIAL: /
E. LOCK BOX: YES /<~J,> IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
SECTION 4: PRIVATE RESPONSE TEAI~ FOR BUSINESS AS A WHOLE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
SECTION 6: 'EMPLOYEE TRAINING ....
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES'EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
, ~ ',"l j, ,
INITIAL REFRESHER
CIRCLE YES OR NO ,~,
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:...' .................................... ~Y~ NO (~ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: ........................ ~.~ ~'
NO NO
C. PROPER USE OF SAFETY EQUIPMENT: ................ ~.. ~_ NO NO
D. EMERGENCY EVACUATION PROCEDURES: ................ ~ 'NO. . NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ......... NO NO
SECTION 7: HAZARDOUS]~ATERIAL
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
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
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
B SINESS
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must'be.r'eturned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES .
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT' ONLY'
3A -
, ~'.?.~.." ,..',,~ .~ ~, '.:.
SECTION 3: ~ZARDOUS ~ATERIALS FOR T~IS UNIT ONLY'/i~', '~'. ;,'~', '.
~. ~oe.s thts'Faetlitg ~ntt contain Hazardous,.~atertals~;..'.. ~ ~0
B. Are any of. the hazardous ~atertals'a bonal, ftde.,,~:~rade.,Seeret
If ~o, eomplote a separate hazardous':matertal~'lnventor~ ..
form ~arked: ~O~-TR~D~ SECRBTS ONBY
I~ Yes, complete'a hazardous ~aterlals lngentory;'~'for~ marked:
'. T~DE SECRETS 'ONLY' (~ellow form'~4~-g), tn'~addttton.t.~oitho' non-trade
secre~ form. List onl~ the trade
. . . . . ~ . ,' .; .'. ?.~. · .:,. . '~ .
.' .L': ~:'.~-.,. ~...~, ,",.::;.:.: ·
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPONDER$
SECTION 6: LOCATION OF UTI~W S~UT-OFFS AT TH~S UNiT ONLY.
B.
ELECTRICAL.
' ~' 7':'. "t'"":. '
~. W~TER: '", ...... '." , '
D. SPECIAL: ".'.".':.':: :.'",.' ...
E. LOCK BOX: YES /~ .I~ YES,' LOCATION:
IF YES, SITE PLANS? YES / NO HSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS?" . YES./ NO
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-1 Page
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NAME: ~ ~c)0 ~-O~ Cc~O£~¢ OWNER NAME: ~-c,*~..~ /I/,~/ FACILITY UNIT #:~
PHONE ~: ~-~o PHONE #: ~7~-~c~e FFICIAL USE CFIRS CODE
ONLY
I 2 3 4 5 6 '7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHENIGAL OR COMMON NAME CODE GUIDE
E~ERGENCY ~0NTA~: Xe~ ~,~,h~ TITLE: ~'~ / PHONE ~ BUS HOURS:
AFTER BUS HRS: _g7~-~7~-- .
PRINCIPAL BUSINESS. ACTIVITY: ~i~ fo,,r~ / AFTER BUS. BRS:
- 4A-1 -
BAKERSFIELD CITY FIRE DEPARTMENT
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
PHONE ~: ~-~' PHONE #: ~-~0~ [OFFICIAL USE CFIRS C00E
[ ONLY
I 2 3 4 5 6 '7 8 9 I0
TYPE MAX ANNUAL CONT USE LOCATION"IN THIS % BY HAZARD D.0.T
,CODE AMOUNT AMOUNT UNIT CODE C00E FACILITY UNIT WT. CHEMICAL 0R COMMON NAME CODE GUID, E
~... / / ~ / ~ · ·
~ ~ /
EHERGENCY ~NTACT: ~'~ ~}~ ~ TITLE: ,, ' ~. PHONE ~ BUS HOURS:
· AFTER BUS HRS: ~- ~a.~
PRINCIPAL BUSINESS ~CT'IVITY: ~o1~ ~~ / AFTER BUS. HRS:
- 4A-1 -
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-1 Page ~,~f '
NON--TRADE SECRETS '~'
HAZARDOUS HATERI ALS I NVENTORY
PHONE ~: ~- ~oc~ PHONE ~: ~-~~ FICIAL USE CFIRS CODE
~ ONLY ·
1 2 3 4 5 6 '7 8 9
TYPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD ;D.O.
co~ A~oU.T A~OU.T UNiTCO~ C0~ ~AC~T~ UNiT .T. C.~.~CA~ OR CO~ON .A~ CO~ ,~U~
.
AFTER BUS HRS: ~UI-CT~c ,
· EMERGENCY CONTACT: ~u~ .~lc ~% TITLE: ~uSt~% ~~.~ PHONE 9 BUS HOURS:
I.D. # FORM 4A-1 Page _~' 'of
NON--TRADE SECRETS - ·
HAZARDOUS MATERI ALS - I NVENTORY
BUSINESS NAlqE: ~-..~r~-~'.I' ~C CeuC~'c;': ' OWNER NA~E:' ~,-t.~ ~,~/ FACILITY UNIT ~: ~
AUDRESS: /~ ~ ~/~b ~, ADDRESS: ~'~r ~ ~ ~e~ ~ FACILITY UNIT .NA~E:~tji ~.
CITY, ZIP:_~e~,,[~ P~, ~3~e~ CITY, ZIP: ~r~K,'~]~ ~ch
PNONE ~: ~-~ PHONE ~: ~-~ ~OFFICIAL USE CFIRS CODE~
ONLY ~ .
1 2 3 4 5 6 '7 8 9 10
TYPE NAX ANNUAL CONT [USE LOCATION IN THIS · BY HAZARD D.0.
CODE AMOUNT A~0UNT UNIT CODE [CODE FACILITY UNIT WT. CHE~IGAL 0R CO~ON NA~E CODE GUIE
/ , /
/
, /
. N.A~E: ~~ ~lxn~ TITLE:~et,~4e~,~4' . SIGNATURE: DATE: ~-/~-87 ,
EHERGENCY-~ONTACT:' ~e~ ~,-~t,~-' ~ T-ITLE: ~ '" r PHONE..~ BUS HOURS:
AFTER BUS HRS: ~ -
E~ERGENCY CONTACT: ~'{J~ ~e/ TITLE: ~~ ~~.. PHONE ~ BUS HOURS: ~?~-~%-O~
' P~INCIPAL BUSINESS ACTIVITY: ~1~ ~o~,~_ ' AFTER BUS. HRS: ~7~'
- 4~-1 -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" S'mEET SEP 6 1988
BAKERSFIELD, CA 93301.
(805) 326-39'79
/ ~ OFFICIAL USE ONLY
usrN~ss
~Z~DO~S ~T~Z ~S
BUSINESS PLAN AS A WHOLE
FORM 2A
INS~UCTI 0NS:
1. To avoid further action, return this form by
~. TYPE/PRINT ANSWERS IN ENGLISH. %
3. Anser the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSI~SS IDE~IFICATION DATA
I
'" cr~:' ~gk~'rs ~i I~ :zzP: ~R~'2 0 ~ sus. P.o~:' (:~7"'~¢'~'- Coo~
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 1-916-427-4841. This will notify
your local fire department and the State office of Emergency Services as required by
law. "
EMPLOYEES T0 NOTIFY IN CASE 0F EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. NAT. GAS/PROPANE: d~$V ~,'~ 0~.
S. ELECTRICAL: ~o~*k. ~-az C~ef og ~a,~rr~¢r. ~o;i~ (',~,
C. WATER: ~n~k S~e ~ ~~z~_ ~1~;~, ~~.h
D. SPECIAL: / -
E. LOCK BOX: YES /~ IF YES,
LOCATION:
~F YES, DOES IT CONTAIN SITE PLANSV YES / N0 MSDSS? -YES / N0
FLOOR PLANS? YES / N0 KEYS7 YES / N0
- 2A -
SECTION 4: PRIVATE RESPONSE TE~kM FOR .BUSINESS AS A WHOLE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
esr
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAiNiNG IN THE FOLLOWrNG AREAS.
CIRCLE YES OR NO I~ITIAL REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS: ....................................... ~ NO ~ NO
WITH RESPONSE AGENCIES: .......................... ~ NO ~ NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO
D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO
E. 'DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO
SECTION ?: HAZARDOUS ,MATERIAL ,
CIRCLE YES - NO - NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS %~TERIAL IN QUANTITIES LESS THAN $00 POUNDS OF A
SOLID, $$ GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO
I, ~~ ~'[~ , certify that the above
information
is
accurate.
I understa[ld ~hat 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 6.98
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.
- '-"B -
BAKERSFIELD CITY FIRE DEPARTMENT
21S0 "G" STREET
BAKERSFIELD, CA 93301
OFFiCiAL USE ONLY
BUSI NESS PLAN
SINGLE FACILITY UNIT
FORM SA
INS~UCTIONS
1. To avdid further action, this form must be returned by:
2. 'TYPE'/P:RINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as .possible
'SECTION 1: MITIGATION, PRE~N~ION, ABA~MEN~ PROCEDL~ES
SECTION 2: NOTIFICATION .a_ND EVACUATION PROCEDI~ES AT THIS L~'NIT ONlY
SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT ONLY
' If YES, see B.
i 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 sE'~RETS ONLY (~ite form
· '.' If Yes, cOmplete a hazardous materials' inventory form marked:
: "~'~/ ~ADE' SEC~ETS ONLY (yelloW~:fbrm ~4A-Z):-'~{~n addition to th~:'non-trad~'
' ':"% ~ecret fO'~. List only t:~e'":~ade secr:~t'~ on form 4A-27
SECTION 4: PRIVATE FIRE PR0~CTION . , :' ·
~rt'~kl~ ~ club'..kou,%':~ ..
SECTION 5~ ~OCATION OF ~R S~PLY FOR USE BY ~GEN~ REStOrERS
'""' ~ od i~ ~ '
? '":~ SEC'TION 6: 'LOCATION OF ~ILI'~ ~-OFFS AT'"~IS b~iT 0N~Y..'".'~'
~;. A.' NAT. GAS/PROPANE~ "-
~}, ~ ..,.
'C. ~ATER:
D. SPECrAL:
..:? E. LOCK BOX: YES / ~ IF YES, LOCATION: ~',~¢
"
.... IF YES, SITE PLANS9 YES / N0 ,. MSDSs9 YES ,/ N0
FLOOR PLANS? '?YEs / NO KEYS? Y~S :/'No
- 3B -
- . -.. BAKERSFIELD CITY FIRE DEPARTMENT ' " "'"' '- ' -. --..
I.D. # FORM 4A-1 :; ' ~ Page ....
NON--TRADE SEcRET's '
HAZARDOUS MATERI ALS INVENTORY
BUS~NESS NAME: R,b ~c~vo ~{~' ~o~ 0.N~ NA~: ~C ~{~v ~ ~AC~TV U~T
ADDRESS: I~MGO Cm~m ~{uW ~, ADDRESS: llano AmAr_ ~n ~M. FACILITY UNIT NAME: ,
CITY, 'ZIP: ~mke~x~'~,.l~ ~m, ~~ CITY,ZIP: ~m~.~ f,~ C~ .....
PiIONE ~: '-~-~d~ PHONE g: ~7~-~0~ OFFICIAL USE CFIRS CODE ~
ONLY
1 2 3 4 5 6 7 8 9 lO
TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.I
CODE AMOUNT A~OUNT UNIT{ CODE COOE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE OU[O[
NAME: ~W ~;~g~.~ TITLE: ~p.r,~Ve~e~ SIGNATURE: DATE:
EMERGENCY CO'ACT: ~( ~ A~e~( TITLE: tONE ~ BUS HOURS: ~7~-
AFTER BUS HRS: ~7t-
EMERGENCY CONTACT: ~ ~/~~ TITLE: ~,~ PHONE ~ BUS HOURS:
PRINCIPAL BUSINESS ACTIVITY: ~/~ ~,~ AFTER BUS HRS: ~7~
'... . BAKERSFIELD CITY FIRE DEPARTMENT '-
NON-TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NAME: Rl~) ~¢r~¥o ~e~ C"'eoz~"~.. O~NER NAME: ATe ~A]~v ~ FACILITY UNIT
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· ' .' - . · . -: BAKERSFIELD CITY FI-RE DEPARTMENT "-'.~ '. ---- ": <'
I D # ' : -FORM 4A-1 Page
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NAME: R~ ~¢~¥o ~O{~ Ceo;&-%_ OWNER NAME: /~T~ ~FY ~ FACILITY UNIT ~:~
ADDRESS: /~O C~a Clu% ~, ADDRESS: //~o A~Rr_ ~,~ ~. FACILITY UNIT NAME:
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EHERGENCY CONTACT: ~ ~,;k~,~ TITLE: ~,~ PRONE ~ BUS HOURS: ~7~'
PRINCIPAL BUSINESS ACTIVITY: ' ~o/~ ~,~ AFTER BUS HRS: ~7~