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HomeMy WebLinkAboutBUSINESS PLAN GENE'S GUN SHOP 1614 South Chester Avenue Bakersfield, California 93304 Telephone (805) 831-1313 SI:",IP P L~:N 5IAP SITE DIAGRAM (;~ FACILITY DIAGRAM GENE'S.: GUN SHOP 1614 South Chester Avenue Bakersfield, California 93304 Telephone (805) 831-1313 ~/~~ ~ ~'~" JUL 3 0 1990 b~'~ ............ REcEiVED ~{~ ~ ~ m~ U SA 19 © USP8 1991 · RETURN PAYMENTS TO: ; ¢;',-~,~, ;,'.. ,;~¢ ~ ' ' - CITY OF BAKER~'~I'E~'i~I~",-',;;;..?'::l' ' sTATEMENT OF AcCouNT!: ~:.::,.:.'.. PLEASE MAKE CHECKS PAYABLE TO: BAIKERSFIEE~)'dA 93';03'~05~"::";ACcOuNzI-'NO. H~0~0l ', · '. '-' '.:, .' CITY OF BAKERSFIELD , ,'""~',-. -'"".' ~'"'~ "~-,, CITY of BAKERSFIELD ~,,,~. ~,'~ ~"" ,'~:"-&- ..,~,,,0.~~' ' . ~.. '/" ~ ~'~ ., ~ ,, ~ ~ RECEIVED ( tyoe or Dr~ n; name ) j~ 2 7 1989 ~ns'~ ............ Do hereby certify that I hmve reviewed the attached Hazardous Materials business ~lan (name of business and that it along with the attached additions or co~.rections constitute a complete and correct \ Business Plan for my facility. signature Rate - CITY of BAKERSFIELD '~ f~ ~'~~~ ....... PHON~ ~. - "~ ~-- ~/ ~ DUN AND BRADSTR~T NUMB~ ---~ 5t~ in F~titty ~lth of P~. ,. ~l~h re,th - of ~ ~lth ~t I] ~&C.A.S.~ ~-,,~,s ,, ..~ ~.~ ................... .~. -~~__ ~; ~-/7~o . ~J ~/cc~ ~~.,~_ ~ ......................... ~Tl~ ............... ~o?v~ffy ~der ~lty of 1~ t~t I ~ve ~vsm . . ..~Z~ /7/~ ~/~ ~ _ '--, -, ,, c~. accurate. ~ cmolete,~ this ~ oll ottK~ ~ts. ~ t~t ~s~ ~ ~ i~i~ of t~e tMtvt~ls mGsibio ..... '"" "'--,,";~ s~~~ .~~ .................... BUSINESS NAME SHOP ID Z 1S-000-~Z39 LOCATION 1614 S CHESTER AV HAZARO RATING 1. OVERVIEW LAST CHANGE 05/24/88 BY ESTER JURIS CODE ZtS-OOG JURIS BAKERSFIELD STATION 08 MAP PAGE 1Z4 GRIO OGC FACILITY UNITS 1 HAZARO RATING 3 RESPONSE SUMMARY ZA SEC 4) FAMILY DR. MAX NEWMAN EMERGENCY CONTACTS 2A SEC 2) GENE WAMBLE - 831-1313 OR 366-4943 PATRICIA WRMBLE - 831-1313 OR 366-4943 UTILITY SHUTOFFS ZA SEC 3) R) GAS - RERR OF BLDG IN ALLEY B) ELECTRICAL - INSIDE BLDG ON REAR WALL C) WATER - IN FRONT ON SIDEWALK O SPECIAL - NONE E> LOCK BOX -- NO Z. NOTIFICRTION/ PUBLIC EVACUATION LRST CHRNGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 MATERIAL SAFETY' DAT~ SYSTEMS, INC. (805) 648-6800 BUSINESS NAME GENES GUN SHOP ID NUMBER ZlS-OO~-OOOZ3B LOCATION 1B14 S CHESTER RV HIGH HAZARD RATING 3 3~ HRZ MAT TRAINING SUMMARY L~ST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4. LOCAL EMERGENCY MEDICAL ASSISTANCE L~ST CHANGE 05/Z4/88 BY ESTER ZR SEC 5> gE HAVE NO EMPLOYEES. MY ~IFE AND I O~N AND OPERRT BUSINESS. PAGE Z 12/14/88 16:53 MATERIAL SAFETY DRTR SYSTEMS, INC. <805) 648-G80~ ~ BUSINESS NnME GENE~ SHOP ID IIBER ~15-880-84)OZ~B FACILITY UNIT 81 A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST'CHANGE 057Z4/88 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE I PURE OXYGEN Z08 FT~ HIGH IN SHOP PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST Z~59.O~ 1(i~.0 OXYGEN, COMPRESSED HIGH Z PURE ACETYLENE IDB FT3 EXTREME IN SHOP PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST 1241.00 10~.0 RCETYLENE EXTREME 3 MIXTURE SMOKELESS POgDER ZOO LBS EXTREME CEMENT VAULT L REAR METAL CONTAINERS OTHER ID PERCENT COMPONENTS HAZARD LIST 16Z5o00 80.0 NITROCELLULOSE EXTREME ZOZ~,OZ 20.0 NITROGLYCERIN, SOLUTION UNKNOWN 4 MIXTURE COMBINED SHELLS 400 LBS EXTREME SHELF STORAGE IN STORE BOX[ES] OTHER ID PERCENT COMPONENTS HAZARD LIST ZOZ3.OZ 80.0 NITROGLYCERIN, SOLUTION UNKNOWN 1390.00 G.O BARIUM NITRATE HIGH I~70,00 G.O ARSENIC DISULFIDE EXTREME 330G.00 3.0 RNTIMONY SULFIDE UNKNOWN PAGE 3 lZ/14188 16:5] MATERIAL SAFETY' DAT~ SYSTEMS, INC~ (80S~ ~8-B800 BUSINESS NAME GENES GUN SHOP ID NUMBER ZlS-<~OO-OOOZ3B LOCATION 1G14 S CHESTER AV HIGH HAZARD RATING B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 0S/Z4/88 BY ESTER SEC 4) ALARM SYSTEM USING INFRA RED SENSORS AND Z ABC EXTINGUISHERS. SEC S) FIRE HYDRANT ON CORNER SOUTH CHESTER AVE & EL SERENO DR ABOUT ?S FT FROM FRONT DOOR. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 05/24/88 BY ESTER 3A SEC 1) "I DO NOT BELIEVE THAT IN VIEW OF THE SMALL AMOUNT OF HAZARDOUS LIQUIDS USED HERE THAT I'T WOULD-8E NECESSAR~ TO EVACUATE THE 8LOG AND NOTIFY HELP." PAGE 4 12/14/88 IG:S3 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) G48-G800 BUSINESS NAME SHOP ID 215-0~0-000239 LOCATION 1614 S CHESTER AV EH HAZARD RATING 3 E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 05/24/88 BY ESTER SEC 1) HAZAROOUS LIQUIDS STORED AT THIS LOCATION CONSIST OF 1 TO Z GALLONS OF A PAINT 'THINNER TYPE OF CLEANING SOLVENT FORE CLEANING PARTS. SOLVENT LEFT STORED IN ITS SHIPPING CONTAINER UNTIL USE. 1 TO 'I 1/2 QTS USEO Al' A TIME. IF THAT~AMOUNT WERE'SPILLED I WOULD ORY IT UP WITH SHOP TOWELS ANO THEN LET THEN DRY. PAGE S lZ/14/88 18:S3 MATERIAL SAFETY DATA SYSTEMS, INC. <805) B48-6800 ~/ S~,~SFIELD ci~ FIRE DEr'~r~,U,.NT R E C ~ '~* ~ D 2130 "H" S~EET :'- B~RSFIELD, CA 9330~ JUN 1 I 1987 (805) 326-3979 Anid ............ OFFICIAL USE ONLY BUSINESS HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTI 0NS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: /(~/%~/- CITY:, ~/~/.~-~_~./2: /e~ 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 T0 NOTIFY IN CASE 0F EMERGENCY: NAME AND,.T~TLE DU~.ING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF ~ILI~ S~-0FFS FOR BUSI~SS AS A ~OLE D. SPECIAL: ~ E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / N0 NSDSS? YES / N0 FLOOR PLANS? YES / N0 KEYS? YES / N0 - 2A - SECTION 4: PRIVATE RESPONSE TEAM 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. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...' .................................... YES NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO YES NO SECTION 7: HAZARDOUS MATERIAL 5 CIRCLE rES 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: ...... ~ NO I, ~--~'iV~' /,~f~l,';~ , 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. - 2B - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT FORM 3A 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 BELOW 4. Be as BRIEF and CONCISE as possible. ,. FACILITY UNIT# t FACILITY UNIT N/%ME: ~=~/~ ~,~/ ~fzf~ZO~ SECTION 1: MITIGATION~ PRE~ION~ ABATEMENT PROCEDURES SECTION 2: NOTIFICATION .~N"D EVACUATION PROCEDURES 'AT THIS UNIT ONLY - SA - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ 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 (white form ~4A-t) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade secret form. List only tile 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. OAS/PROPANP~'~: B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES ./~!F YES, LOCATION: IF YES, SiTE PLANS? YES .I NO MSDSs9 YES / NO FLOOR PLANS? YES / NO KEYS? YES ,, - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. { FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ADDRESS: /g /c/'.~',.~ . ~~"~gmM~_~°, ADDRESS: /~(/=~..~= ./¢~!,¢._./~'/./~. FACILITY UNIT CITY, ZlP:,,~~/~/~ /~ ~ ~3~c/ CITY,ZIP:~~/~/ZZ~ PHONE ~: ~Y/--/yf~ PHONE ~: ~- ~q~"F OFFICIAL USE CFIRS CODE ONLY 1 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. CHEMICAL 0R COMMON NAME CODE GUIDE / ~/=~~-/~ ~~$ o~ ~,~~ ~ XNAME: ~ ~~ TITLE: 0~~ SIGNATURE:. - DATE: EMERGENCY CONTACT: ~zo O~ TITLg:~~ ¢~~ .. PHONE ~ BUS HOURS: ZS/-.WPq9 'PRinCIPAL BUSINESS ACTIVITY: '/¢¢~< tCM~U ¢~M{v,¢/ ' AFTER BUS HRS: - 4A-I -