HomeMy WebLinkAboutBUSINESS PLAN ~AKERSFIE'r.D CI'i"f FIRE
· ~3o "~" sr~ET flAY
BAKERSFIELD, CA 93301
(805) 326-3979 Ans'd ............
u01276 1
INESS
HAg A~DOUS ~IATE R- .~LS "
BUSINESS PLAN AS A WHOLE
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
,O
B. LOCATION / STREET ADDRESS:
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 1-916-427-4341. 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:
NA~v~ AND~TITLE DURING BUS. HRS. AFTER BUS. HRS.
j
SECTION 3: LOCATION OF ~!LI~ S~-OFFS FOR BUSINESS AS A ~OLE
C. WATER: /
D. SPECIAL:
E. LOCK BOX: YES ~ IF YES, LOCATION:
IF YES, DOES IT CONTAIXFLooRS[TE
SECTION 4: PRIVATE REsPoNS'E'~TE;M4 FOR BUSINESS AS A WHOLE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR Y0571 BUSINESS AS .~ WHOLE
SECTION' 6: EMPLOYEE TRAINING
EMPLOYERS ~RE REQUIRED TO HAVE A ?ROGRAZ WHICH PROVIDES E}!PL0¥EES WiTH
REFRESHER TRAIXING IN THE FOLLOW[NG AREAS.
CIRCLE YES oR ~0 iNiTIAL REFRESHER
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: ......................... ~. NO
C. PROPER USE OF SAFETY EQUIPmEnT: .................. NO NO
D. EMERGENCY EVACUATION PROCEDURES: ................. N0 NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ...... NO NO
SECTION 7: ~AZARDOUS .WATERIAL
CIRCLR~ NO - NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS ZATERIAL IN QUANTITIES LESS THAN .500 ?OU~'~DS OF A
SOLid, 55 G~LLONS OF A L~QUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ......
I,. ( . ~ , 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 >!aterials (Div. 20 Chapter 8 95
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.
'SIGNATURE J TITLE ~~ DATE
BAKERSFIELD CITY FiRE DEPARTMEXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFiCiAL USE ONLY
ID~
BUS I.MESS"
.%.~%. ti%:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM
INSTRUCTIONS I. To avoid further action, this form must be retuz-ned by:
2. TYPE/PRI.NT'YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY U~'IT LISTED EELOW
~. Be as BRIEF and CONCISE as possible.'
FACILI~f ~'IT~ '~ FACILI~ ~'IT N~: ~~_ .
SECTION ~: MITIGATION, PR~N~0N, ABATEMEL~ PROCEDb~ES
- SA -
SECTION 3: HAZARDOUS MATERIALS FOR THIS I~'iT ONlY
A. Does ~.his Facility Unit conr. ain Hazardous >~ateria!s? ......
if YES, see B.
if ~,70, continue with SECTiO% ;.
of the hazardous materials a bona fide Trnde Secret YES
!f Mo, complete a seoar~te hazardous' materials i~ven~ory
form marked: NON-TRADE SECRETS ONLY (white form =~A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (ye!iow form =~A-Z) in addition to ~he non-trade
secret form. List only the trade secrets on form 4A-Z.
V
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
SECTIO.Y 6: LOCATION' OF UTILITY SE'UT-OFFS AT THIS U~.'!T ONLY.
A. NAT. "~ "~ ,r": ~
O. SPECIAL:
LOCi< BOX: YES .~TS YES, LvC.-,TIO.,.
STT2 PLA?.:S? YES / ..0 ZSDSs?
FLOOR PLA:(S? YES " >70 KETS? YES ' .x:O
. BAKERSFIEI, D CITY FIRE DEPARTHENT
I.D. # FORM 4A-1 Page [' ..of~,~_~
NON--TRADE SECRETS
HAZARDOUS I~ATE RI ALS INVENTORY ~"
,,. QgLY
1 ~ ~ 4 ....5 ~ 7 8 9 10
TYPE ~A~ ANNUAL CONT USE LOCATION IN T.IS ~ BY .AZARO D.O.T
CODE ,ABOUNT ABOUNT UNIT CODE CODE FACI~ITY,,UNIT WT.,,.] CHE~!~AL ,0~ C0~BON N~B~ ,, CODE ,~6UIDE
NA~E: TITLE: SIGNATURE: DATE: -~-1
E~ERGENCY CONTACT: TITLE: ~PHONE ~ BUS HOURS:,,~,,-~i-
AFTER BUS HRS:
SITE/F_~Ci LITY D! ~GRAM
FORM 5
NORTH SCALE: ~i['..'.ES$ ~,~.~,iE: ~ =.LO ?: :iF
(CHECX ONE) SrTE DIAGRA)[ FACSLrTV 3rACRA24
inspector's Comments): -OFFiCiAL USE ONLY-
SITE DIAGRAM (Re d items)
1. Address: identify tile 9. Lock (key) Box
principle buildings
by the Street numbers. 10. MSDS Storage Box
2. Street(s), Alleys, 11, Railroad Tracks
Driveways, and Parking
Areas adjacent to the 12. Fence or Barrier
property. Include the a. Wire
street names.
,, b. Masonry
3, Storm Drains, Culverts,
Yard Drains c. Wood
4. Drainage Canals, Ditches, d. Gates
Creeks, · ....
13. Powerltnes
S. Buildings
a. Frame construction 14. Guard Station
b. Masonry construction 15. Storage Tanks:
Identify the
c. Metal construction capacity In gal.
a. Above ground
d. Access Door :
b. Underground
........ 6. Utflfty Controls ..... '-
'-, - ' ' ' a. Gas '-, 16. Diking or Berm- °-" '.~
b. Electricity 17. Evacuation Route
c. Water 18. Evacuation Area:
· '' " ' ' · , ' .... '-Identify ~the ~ .... .,'-~. :. ~F', '~'~ ~ ........ '
7. Fire Suppression Systems: location where
a. Fire Hydrants employees will .
' b. Fire Sprinkler · 19. Outside Hazardous
Connections Waste Storage
.c. Fire Standpipe 20.' Outside Hazardous
Connections Material Storage ," ".
,. ~ d. Water Control Valves. ~1. Outside Hazardous
for protection systems '' · ' Material "
Use/Handling
e. Fire Pump 22. Type of Hazardous '
Material/Waste
Stored
8. Fire Oepartment Access or Used (See
. . . .. :. ......~'. Below).. . ........
TYPE OF RAZARDOUS ~TERIAL
.... . ........... F ~.Flammable E =.Explo~!ve L. 7_~!~uid R X Radio!o_gtcal
C = Corrosive 0 = Oxidizer O = Gas P = Poison .......
W = Water Reactive T = Toxic S = Solid H = Cryogenic
D = Waste B = Etiological
Example: Flammable Liquid = FL
FACILITY DIAGRAM (Required items'in addition to the. above)~ ' " '' ' "' ..'
1;':Risers fOr:-'sP~inklers "- ---~- ......... 8. Fire Escapes
2. Partitions 9. Air Conditioning Units
3. Stairways: Indicate the 10. Windows
levels served from
highest to lowest. 11. Inside Hazardous Waste
Storage
4. Escalator: Indicate the
levels served from 12. Inside Hazardous
highest to lowest. Materials Storage
5. Elevator 13. Inside Hazardous
Materials Use/Handling
6. Attic Access
14. Sewer Drain Inlets
7. Skylights
DATE ADDRESS i~l~P CODEFEE !/~ I. BLOCK NO.
~ /, /~, ~.~,~ ~ ~-.,. ,o~q~o¥ . . .~
~ ~us,~ss uc~s~ ~o.. ~~ ~QU~~ ~M~ ~0.
BU)LDING CLASS/TYPE OF OCCuPANcy BU~ME ~ '
t/. ~/ ./ ......~ .~ w
Bus~NEss OWNER ...:~-- ', ~ U~ , .. ~ ~us~NEss mo~./ResP~Ns~Le
~US~ESS ~ON~ ~~ ", ~O~ ~HON~
NO'OFFLOORS, ' ~~~',. ~ .,OTNER~OOAREFooTAGE.. ~ ~2 :~ .....
m VIOLATION NOTICE ISSUED? OCCUPANT LOAD
DATE OF REINSPECTION (1} (2} (3) ~
STAT~ON/SHIFT/STATION PHONE ~
MAY 13TH 1988
Dear SIR
NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE
IN THE INSPECTION OF YOUR BUSINESS, FUGE RACING
LOCATED AT 3124 CHESTER AVE. BAKERSFIELD, CA
93301 ON MAY 13TH THE FOLLOWING HAZARDOUS MATERIALS
REGULATION VIOLATIONS WERE IDENTIFIED.:
1) NO HAZARDOUS MATERIALS BUSINESS PLAN ON FILE
VIOLATION OF CH0 6.95 CALIFORNIA HEALTH AND
SAFETY CODE Sect.25503.5
(a) Any business, except as provided in subdivision
(b), which handles a hazardous material or mixture
containing a hazardous material which has a Quantity at
any one time during the reporting year equal to, or
greater than, a total weight of 500 pounds, or a total
volume of 55 gallons, or 200 cubic feet at standard
temperature and pressure for a compressed gas, shall
establish and implement a business plan for emergency
response to a release or threatened release of a
hazardous material in accordance with the standards in
the regulations adopted pursuant to Section 25503
2) NO MATERIAL SAFETY DATA SHEETS AVAILABLE. VIOLATION OF OSHA 1910.1200
(g)The employer shall maintain copies of the
required material safety data sheets for each hazardous
chemical in the workplace, and shall ensure that they
are readily accessible during each work shift to
employees when they are in their work area(s)
(h)(1) INFORMATION. Employees shall be informed of:
(i)The requirements of this section
(ii)Any operations in their work area where
hazardous chemicals are present; and,
(iii)The location and availability of the
written hazard communication program,
including the required list(s) of hazardous
chemicals, and material safe'ty data sheets
required by this section.
VIOLATION OF OSHA 1910.1200(G)
(9)Material safety data sheets may be kept in
any form, including operating procedures, and may be
designed to cover groups of hazardous chemicals in a
work area where it may be more appropriate to address
the hazards of a process rather than individual
hazardous chemicals. However, the employer shall ensure
that in all cases the required information is provided
'for each hazardous chemical, and is readily accessible
during each work shift to employees when they are in
their work area(s). .~ ..... ?...-
3) NO HAZARDOUS MATERIALS SAFETY TRAINING FOR EMPLOYEES.".~.'~/
VIOLATION OF OSHA 1910.1200(H) ,' ~""~.'~-" -
(2)Training. Employee training shall include at
(i)Methods and observations that may be used
to detect the ~resence or release of a hazardous
chemical in the work area (such as monitoring
conducted by the employer, continuous monitoring
devices, visual appearance or odor of hazardous
chemicals when being released, etc.);
(ii)The physical and health hazards of the
chemicals in the work area;
(iii)The measures employees can take to
protect themselves from these hazards, including
s~eeific procedures the employer has implemented to
protect emQloyees from exposure to hazardous
chemicals, such as appropriate work practices,
emergency procedures, and personal protective
equipment to be used; and,
(iv)The details of the hazard communication
program developed by the employer, including an
explanation of the labeling system and the material
safety data sheet, and how employees can obtain and
use the apDroQriate hazard information.
4) COMPRESSED GAS CYLINDERS NOT PROPERLY RESTRAINED.
VIOLATION OF UFC 74.107
'(a)General. Ail compressed gas cylinders in service
or in storage shall be adequately secured to prevent
falling or being knocked over.
EXCEPTIONS:(1)ComDressed gas cylinders in the
process of examination, servicing and
refilling are e×emQt from this section.
(Z)Medical gas cylinders may be stored and
used in the horizontal position in accordance
with nationally recognized standards.
The above violations must be corrected 'by MAY 2?TH 1988
The department will schedule a re-inspection of your facility
to verify coml~liance. If you have any questions regarding
this notice, please contact Ralph Huey at 326-3979.
Sincerely, ~ /
s Coordinator .~' ~..
.
NO~,~ OF VIOLATION.~.~'"'~ SCHEDULE FOR CO?4PLIA~rCE..~
IN THE iNSPECTION OF YOUR BUSINESS, FUGE RACING
LOCATED AT 3124 CHESTER AVE. BAKERSFIELD, CA
93301 ON MAY 13TH THE FOLLOWING HAZARDOUS MATERIALS
REGULATION VIOLATIONS WERE IDENTIFIED.:
1) NO HAZARDOUS MATERIALS BUSINESS PLAN ON FILE
VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND
SAFETY CODE Sect.25~03,5
(a) Any business, except as provided in subdivision
(bi, which handles a hazardous material or mixture
containing a hazardous material which has a quantity at
any one time during the reporting year equal to, or
greater than, a total weight of 500 pounds, or a total
volume of 55 gallons, or 200 cubic feet at standard
temperature and pressure for a compressed gas, shall
establish and implement a business plan for emergency
response to a release or threatened release of a
hazardous material in accordance with the standards in
the regulations adopted pursuant to Section 25503
2) NO MATERIAL.SAFETY DATA SHEETS AVAILABLE. VIOLATION OF OSHA 1910.1200
(g)The employer shall maintain co~ies of the
required material ~afety data sheets for each hazardous
chemical in the workplace, and shall ensure -that they
are readily accessible during each work shift to
employees ~hen they are in their work area(s}
(h)(1 INFORMATION. Employees shall be informed of:
i)The requirements of this section
ii)Any ooerations in their work area where
hazardous chemicals are present; and.
(iii)The location and availability ,of the
~ritten hazard communication pro,ram.
inc£udinM the recruited list[s) or' hazardous
chemicais, and material safety data sheets
required b? ti~is sec'ti, on.
VIOLATION OF OSHA !9!0.!Z00(G}
91Material safety data sheets may be kept in
any form, including onerating Drocedures, and may be
designed to cover Stoups of hazardous chemicals in a
work area where it may be more amprooria'te to address
the hazards of a process rather than individual
hazardous chemicals. However, the employer shall ensure
that in all cases the required information is provided
~or each hazardous chemical, and is readily accessible
during each work shift to employees when they are in
their work area(s}.
NO HAZARDOUS MATERIALS SAFETY TRAINING FOR EMPLOYEES,
VIOLATION OF OSHA 1910.1200(H)
(2)Training. Employee training shall include at
least:
(i}Methods and observations that may be used
to detect the presence or release of a hazardous
chemical in the work area (such as monitoring
conducted by the employer, continuous monitoring
devices, visual appearance or odor of hazardous
chemicals when being released, etc.};
(ii)The physical and health hazards of the
chemicals in the work area:
(iii)The measures employees can take to
protect themselves from these hazards, including
specific ~rocedures the emoloyer has implemented to
protect employees from exposure to i~azardous
chemicals, such as appropriate work practices,
emergency procedures, and personal protective
e~uipment to be used; and,
{iv)The details of the hazard communication
program developed 'by the employer, including an
explanation of the labeling '- ~em
s,~s~ and the material
safety data sheet, and how employees can o0tain and
use the appropriate hazard information.
COMPRESSED GAS CYLINDERS NOT PROPERLY RESTRAINED.
VIOLATION OF UFC 74.107
(alGenera!. All comnressed gas cylinders in service
or in storage shall be adequately secured to l}revent
falling or being knocked over.
m.~u. mPTIONS:{l}Commressed Sas cylinders in ,~he
nrocess of examination, servicinv and
re~ii!inv are exem~}t from this section.
('£}Medica!..~as ~y].inders ma~~ be stored and
used in the horizontal ~oosition in accordance
with nationally recognized standards.
~I'kY o~' .~
The above violations must be corrected 'by ,~ ~,~.I ~88
The department will schedule a re-inspection of your faci~i,~-= ,.,:
to verify compliance. If you have any questions regardin.~
this notice, please contact Ralph HueY at 326-3979.
Hazardous Materials Coordinator
F 0 l:~*[
DATE: r~ · :iC~ ..... .-~,.~r . ~'L'T~ =- '~?
(CHECX ONE) SiTE DIAGR:E~ FACiLiTU 3~AC~A,',~ ~