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Home My WebLink AboutBUSINESS PLAN ~ SITE/FACILITY DIAGRg "~' q g 'V NORTH SCALE: BUSINESS N~E: FLOOR: 0F DATE: / / FACILITY N~E: UNIT g: 0F (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M I(Insp~eftor's Comments): -OFFICIAL USE ONLY- S[T£ O[AGRAN (Requ/: Liens) ~_ '~ ' 1. Address: Identify the 9. Lock (key) Box '" ~' '~ principle buildings by the Street numbers. 10. MSDS Storage Box 2. Street(s), Alleys, Il. Railroad Tracks Driveways, and Parking Areas adjacent to The 12. Fence or iDarrier property. Include the a. Wire street names, b. Masonry 3. Store Drains. Culverts. Yard Drains c. Wood 4. Drainage Canals, Ditches, d. Gates Creeks, 13. Powerllnes 5. Buildings a. Frans construction 14. Guard Station b. Masonry construction 15. StoraEe Tanks: Identify the c. Metal construction capacity tn gal. a. Above ground d. Access Door b. Underground 6. Utility Controls a, Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identify the ?, Fire Suppression Systems: location .here a. Fire Hydrants employees will neet. b, Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe 20. Outside Hazardous Connections Nateria! Storage d. Water Control VaLves 21. Outside Hazardous for protection systems NatertaL Use/Handling e. Fire Pimp 22, Type of Hazardous Nateriai/Waste Stored 8. Fire Department Access or Used (See Below) TYPE OF HAZARDOUS NATERIAL F - Flammable E - Explosive L - LLquld R - RadIoLoglca! C - Corrosive 0 - Oxidizer G - Gas F - Poison Water Reactive T - Toxic S - Solid H - Cryogenic O · Waste B = Etiological Example: Flaaaable Liquid - FL FACILITY OlAGRAN (Required Items tn addition to the above) 1. Risers for SprinkJers 8, Fire Escapes 2, Partitions 9. Air Conditioning Unltl 3. Stairways: Ind/cate the 10. Wlndo~s 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 ~azardous Naterlals Use/Handling 8. Attic Access 14. Se~er Drain Inlets T, Skylights .. :.. H>IblP PL~_N 5IAP' ) $1TE DIAGF, AM FI(2,1hlTy DIAGRAM Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. ~ 0V I 3 1990 A,n~'d ............ SECTION 1" BUSINESS IDENTIFICATION DATA BUSINESS NAME: ,/¢///~/~/ L O C ATIO N: ~-'2'~/~' MAILING ADDRESS' ,:~/~-~/~','~ CITY: ~/(~"/~,~",~-/,~d'-,~ STATE: DUN 8~ BRADSTREET NUMBER: ~'~'-,1~,2(~.~._~.,,? SIC CODE: PRIMARY ACTIVITY: ,~/~.;7-' ~ /z~,~,,~,/~-/,~,,,(,/~,'~ ,~'-'-,/--///__._ MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 2 .... ~z//~./d W/~'/-/x~./_- ~'A'~.~E. ,~,2- 7-777/ ~:Fe~--/~.~ FO15e Bakersfield Fire Dept. ~?' ' Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: .,~ /~---/.~/~/-~ ,7-/,~',','Y~..~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM' SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY COOE" FOR THE FOLLOWING REASONS: WE 'DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIEs AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. ..... O~HER (SPECIFY ~EASO-N) .... SECTION 5: CERTIFICATION: I, , ~,/-~/~"' /---' ,~/L'~/~/~/,~ CERTIFYTHATTHEABOVEINFOR- MATION IS ACCURATE. I UNDERSTANDTHATTHISINFORMATION WlLLBE USEDTO FUL,~LL MY ,~M'S O~UGAr~ONS UNO~ ~H~ "CAUFO~N~A HEALTH ~NO SA~E~Y COOE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT ~NACCU~A~E ~NFO~MA~ON CONSTiTUteS ~E~U~V. SIG,,I~TURE' " "J) - TITLE ~ [)ATE FD159O Bakersfield Fire De Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RELEASE PREVENTION STEPS:' B, RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES' SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: /x/~,5~- ~/2)~ ~ z-~/._J-).. SPECIAL: LOCK BOX: YE,~/~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: B, WATER AVAILABILITY (FIRE HYDRANT): 4. FD15~? Bakersfield Fire Dept. ~ ..... -~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: F~15~ 'OCTOBER BEA~ ~r. C. NOTIGE OF VIOLATION ANB SCHEDULE FOR IN THE INSPECTION OF YOUR BUSINESS S~chels Art and LOCATED AT 507 Chester Avenue, Bakersfield, Ca.93301. THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) Hazardous Ma~erialm Business Plan no~ current; (Blank copy of forms included~ VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE, CHAPTER 6.98, 2S809(A The annual invenUory form Shall include, but shall not be limited to, information on all of the following which are handled in quantities eeual ~o or grea~er than the quantities equal to or greater than the cuantities mpecified in subdivision (a~ of Section 2S803.5: Sufficient information on how and where the hazardous materials disclosed in paragraph~ (l}, ~2), and (3) are handled bM the business ~o allow fire, safe~y, health, and other appropriate personnel to prepare adequaue emergency responme~ ~o potential releases of the hazardous materials. Flammable liquids stored improperly. O~en paint, ×yiene, spray painns, stored in closet area .... Gasoline can and alcohol solvent can in'cleaning supply storage area VIOLATION OF UFC ~..201 2. Storage in excess of 10 gallons that is · used for maintenance PurPoses and operation of e~uiDment when sLored in cabineLs which compl~~ with Section {~) Storag~ ~:abine%s. 1. General. When orovisions of Lhis code reouire that .[.iauid c~nuainers [,e snoreC in storage cabinets? such cabinets and storage shall be in accordance with the section. Cabinets shall be conspicuously labeled in red letters on contrasting background FLAMMABLE--KEEP FIRE AWAY. 2. Quantities. The quantity of Class I or Class II liquids shall not exceed 60 gallons and the total quantities of all liquids in a storage cabinet shall not exceed 120 gallons. 3. Construction. Cabinets may be constructed of wood or metal. Cabinets shall be listed or constructed in accordance with the following: A. Unlisted metal cabinets. Metal cabinets shall be of steel having a thickness of not less than 0.043 inch. The cabinet, including the door, shall be doubled walled with 1-1/2 inch airspace between the walls. Joints shall be riveted or welded and shall be tight fitting. Doors shall be well fitted, self-closing and equipped with a latching device. The bottom of the cabinet shall be liquid-tight to a height of at least 2 inches. B. Wooden cabinets. Wooden cabinets including the doors shall be of not less than 1-~ inch Exterior grade plywood. All joints shall be fastened in two directions with wood screws. Doors shall be well fitted, self-closing and equipped with a latch. The bottom of the cabinet shall be liquid-tight to a height of at least 2 inches. Cabinets shall be painted with an intumescent-type paint. 4. Location. Not more than three cabinets shall be located in the same room. The above violations must be corrected by November 1, 1990 The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. Sincerely, // ... , . ' ~.~-~-~ .: ./ .~-- Ralph F.Huey Hazardous Materials Coordinator encl , OCTOBER 19, 1990 DEAR Mr. C. Michel; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS Michels Art and Supply LOCATED AT 507 Chester Avenue, Bakersfield, Ca.93301. THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) Hazardous Materials Business Plan not current; (Blank copy of forms included) VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE, CHAPTER 6.9§, 2§§09(A) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities equal to or greater than the quantities specified in subdivision (a) of Section 2§503.§: Sufficient information on how and where the hazardous materials disclosed in paragraphs (1), (2), and (3) are handled by the business to allow fire, safety, health, and other appropriate personnel to prepare adequate emergency responses to potential releases of the hazardous materials. 2) Flammable liquids stored improperly. Open paint, xylene, spray paints, stored in closet area .... Gasoline can and alcohol solvent can in cleaning supply storage area VIOLATION OF UFC 79.201 2. Storage in excess of 10 gallons that is used for maintenance purposes and operation of equipment When stored in cabinets which comply with Section 79.201(g). (g) Storage Cabinets. 1. General. When provisions of this code require that liquid containers be stored in storage cabinets, such cabinets and storage shall be in accordance with the section. Cabinets shall be conspicuously labeled in red letters on contrasting background FLAMMABLE--EEEP FIRE AWAY. 2. Quantities. The quantity of Class I or Class II liquids shall not exceed 60 gallons and the total quantities of all liquids in a storage cabinet shall not exceed 120 gallons. 3. Construction. Cabinets may be constructed of wood or metal. Cabinets shall be listed or constructed in accordance with the following: A. Unlisted metal cabinets. Metal cabinets shall be of steel having a thickness of not less than 0.043 inch. The cabinet, including the door, shall be doubled walled with 1-1/2 inch airspace between the walls. Joints shall be riveted or welded and shall be tight fitting. Doors shall be well fitted, self-closing and equipped with a latching device. The bottom of the cabinet shall be liquid-tight to a height of at least 2 inches. B. Wooden cabinets. Wooden cabinets including the doors shall be of not less than 1-. inch Exterior grade plywood. All joints shall ~be fastened in two directions with wood screws. Doors shall be well fitted, self-closing and equipped with a latch. The bottom of the cabinet shall be liquid-tight to a height of at least 2 inches. Cabinets shall be painted with an intumescent-type. paint. 4. Location. Not more than three cabinets shall be located in the same room. The above violations must be corrected by November 1, 1990 The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 326-3979. Sincerely, Ralph E.~ey Hazardous Materials Coordinator encl . July 26, 1990 C. P. Michel Michel's Art & Office Supplies 507 Chester Avenue Bakersfield, Ca. 93301 Dear Mr. Michel: Enclosed you will find a computer printout of the Hazardous Materials Management Plan that we have in the computer. Due to a change in the laws that went into effect January, 1989, we need to have a new inventory form (enclosed} filled out. This form must be filled out and returned to our office by August 10, 1990. If you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator { ty'oe or prince name } RECE~VE-.D Do hereby certify that I have reviewed the HAZ.~AT.O~. attached Hazardous Materials business Dian (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Pl~or my facility. sz~nanure - ? date -~ ;$ B~dfERSFIELD CI/~f FIRE DEPA ~..NT .~ · h .,.'" ''~ 2i3o "G" STREET RECEIVED V /.... B~J{ERSFIELD, CA 93301 ( 05) DEC 2 3 1987 C ............ OFFICIAL USE ONLY HAZARDOUS lVIATE R I ALS BUS T' NESS l:::'r-A~r AS A r~rI--IOr~E INSTRUCTIONS: 1. To avoid further action, return this form by Z. 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 IDEBFTIFICATION DATA B. LOCATION / STREET ADDRESS: ~0~ O~r~ ~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emerMency involvinM the release or threatened release of a hazardous material, call 911 and 1-800-852-?$50 or 1-91~-427-4341. This will notify Four local fire department and the Store Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AN0 TITLE DUR]:N6 BUS. ['fRS. AFTER 8L'S. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WI{OLE A. NAT. GAS/PROPANE: ~---/~-- O~ '~t9~=- -" ~a%T ~1%~ 6~ ~LL~y C. WATER: tl '~ D. SPECIAL: ~ E. LOCK BOX: YES / rF YES, LOC~T~OS: IF YES, DOES rT CONTA/N SrTE PLANS? YES / N0 MSDSS? YES ,/ NO FLOOR PLANS? YES / X0 KEYS? YES / N0 - 2A - SECTION 4: PRIVATE RESPONSE TE~W FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WT{OLE SECTION 6: EMPLOYEE TRAINING ~ _ ..- ,.~,,~',.',~,. i ~ EMPLOYERS ARE REQUIRED TO HAVE A PROGP~I WHICH PROVIDES ~I~ITIAL REFRESHER TRAINING IN THE FOLLOWING ARF_~S. CIRCLE YES OR ~0 I~ITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.... .................................... ~If~ NO ~S NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES ~0~ YES NO C. PROPER USE OF SAFETY EQUIPMES~: .................. ~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~SS ~_~NO -YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO SECTION ?: HAZbdlDOUS ~ATERIAL CIRCLE YES OR NO SOL~D, ~ GA~ONS OF A ~UID, O~ ~00 ~IC FEET or A ~O~PR~SS~D ~S: ...... YES~ I, 0,~, ~L~ ceFtify that the above information is accur,te' 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 $.95 Sec. 2~500 Et Al.) and that inaccurate information constitutes perjury. - 2B - BAKERSFIELD CITY FIRE'DEPART>IENT 2130 "G" STREET BAKERSFIELD, CA 93301 0FFiC~AL USE ONLY BUSINESS NAZE: BUSI NESS. PLaN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS ' "'"~""~ '~ .... :' 1. To avoid further action, this form must be returned .. :.,-... .. 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.' ........... ~'~:'w-".'i:u~;'-;~ '~" ...... FACILITY UNIT~ FACILITY UNIT N~WE: SECTION 1: MITIGATION, PREVENTION, ABATEMES~ PROCEDSq~ES :.. :7. ' ''-' '~..~"-' ~ w'. ~ SECTION 2: NOTIFICATION AS~ EVACUATION PROCEDL~ES AT TI~IS L~IT 0~L¥ - 3A SECTION $: I{AZARDOU.~ MATERIALS FOR THIS UNiT ONlY · . ~ .o YES A. Does this Facility Unit If YES, see B. If NO, continue with SECTION B. Are any of the hazardous materials a bona fide Secret YES NO I~ No, complete a separate hazardous materi~ inventory form marked: NON-TRADE SECRETS ONLY (;vhite ,tm ~4A-!) If Yes, complete a hazarcious m~terials in tory form marked: TRADE SECRETS ONLY (yellow form ~_=-_~ addition to the non-trade secr~t form. List only the trade sect, on form 4A-2. SECTION 8: LOCATION' OF WATER FOR USE BY ET~E~GENCY RESPOAqPERS .~ SECTION 6: LOCATION OF UT SHUT-OFFS AT THIS b~/,IT ONLY. B. ELECTRICAL: C. WATER: O. AL: LOCK BO.Y: v=S XO IF YES, FI. OOR P L..IXS:? I~^I(EIt,'-iFJEI, i) t;l'J'¥ FIRE i)EI)^R'J'M~NT I .O. e FORM AA-1 Pa~e NON--TR~%DE SECRETS HAZARDOUS MATERI ALS' I NVEN~'ORY Al)DRESS: '~% 0~' ' ADDRESS: QC3~ ~ ~ FACILITY UNIT NAME: PllONE *:. ~ ~~ PIIONE ~: ~ ~~ [OFFICIAl, USE CFIRS CODE I ONLY I 2 3 7 8 9 10 YYPE MAX ANNUAL LOCATION IN THIS % BY IIAZARD D.O.T AMOUNT AMOUNT FACILITY UNIT WT. ~ ,~IIEMI~AL OR COMMON NAME CODE GUIDE EMERGENCY CDNTACT: ~~ - TITI. E: AFTER BUS IIRS: EMERGENCY CONTACT: ~~ ~~~ ~ TITLE: P.INCII'AL BIJSINESS ACTIVITY: ~~ ~ ~~Ce-~cz~, PHONE ~ BUS HOURS: AFTER Bus..RS: ': SITE/FACILITY DIAGRAM ~ ~ ~ 7 ' FORM 5 ~ORT~ SCA~: BUS ~SS ~AME: ~OOR: O~ DATE: / / FACILITY N~E: UNIT ~: OF (CHEC~ ONE) SITE DIAGR,~%~ / FACILI~ D~AGR:~ (Inspector's Comments): -OFFICIAL USE ONLY- SiT~ O[A(;R.J~ (Require 1. Address: Identt~y the 9. Lock (key) Box %' , principle buildings 2. Street(~}, Alleys. ti. Rat[ro~d Tr~cEa Areas adjacent to the 12. Fence or Barrier ~ope~ty. Include ~he a. ~ire b. ~usonry 3. Storm Drains, Culverts. Yard Drains c. ~ood 4. Drainage Canals. Ditches, d. Gates Creeks, 13. Pomerll~ea 5. Buildings a. Frame construction 14. Guard b. Nasonry construction 15. Stora[e Tanks: Identify the c. Hetal construction capacity In gal. a. Above ~round d. Access Door b. Under,round 6. U~lllty Controls a. Gas 16. Diking or ~erm b. Electricity 17, Evacuation Route c. ~aCer 18, /vacuaClofl Area: Identify the 7. Fire Suppression Systems: locaClon users a. Fire Hydrants employees will a~eto b. Fire Sprinkler 19. Outside Hazardous Connections ~asta Storage c. Fire Standpipe lO. Outside Hazardous Connections NaCartal Storage d. Water Control Valves 21. Outside Hazardous for protection sysceea Material Use/Handling e. Fire Pue~ 22. Type st Hazardous ~atartal/~aata Stored 8. Fire Department Access or Used (See Below) TYPE OF HAZARDOUS MATERIAL F - Fla~aable g - Explosive L - Liquid R - Radlologlcal C - Corrosive 0 - Oxidizer G - Gas P - Poison Water Reactlve T - Toxic S - Solid H - Cryogenic O - Waste 8 - Etiological Example: Flauable glquld · FL FACILITY O[AGKAN (Required tteaa In addition to the above) I. Risers ~or Sprtakler~ 8. Flre Escapes Partition, O. Air Conditioning Units 3. Stairways: Indlca£e the 10. Wlndov~ levels served ~rom highest to lowest. 11. [aside Xazardous 3toraga 4. Escala£or: [ad~caCa ~he leveis served ~rcm 12. Inside Hazardous highest to lo~esC. ~acartals 3[oraga 5. Elevator 13. Inside Xazardoua Materials Use/lia~dJlng 6. A[tic Access 14. Sewer Drain fnJeta 7. Skylights