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Home My WebLink AboutBUSINESS PLAN ~ I T,E / F .~IC I L I TY RAM ;/ FORM 5 NORTH SCALE: BUSINESS NAME: FLOOR: OF DATE: I~l./.~3/~7 FACILITY N~E: UNIT -~: (CHECR ONE) SITE DIAGR.~I ~ ~' FACILI~ : I(Inspector's Comments): -OFFICIAL USE ONLY- - 5A - S~TE DIAGRAM ~'~ 1. Address: Identify the g. Lock (key) Box principle but/dings by the Street numbers. 10. MSDS Storage Box 2. Street(s), Alleys. ii. Railroad Tracks Driveways, amd Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. b. ~aaoflry S. Storm Drains, Culverts, Yard Drains c. Wood · . 4. Drainage Canals, Ditches, d. Gates Creeks, 13. Powerlines $. Buildings a. Frame construction 14. Guard Station b. Masonry construction IS. Storage Tanks: Identify the c. Metal construction capacity In ~al. a. ~bove ~r~und d. Access Door b. ~nder~roU~d G. ~tllity Controls a Gas 16. Dikl. ng. or Berm b. El~tricity 1Y. E~tton Route c. Water 18. ~vacnatIon Area: Identify the .... ?. Fire Suppression Systems: location where a. Fire Hydrents ' el~loTee~ will b. Fire Sprinaler 19. Outside Hazardous ":. " Connections I/mate Storage n. Fire Standpipe 20. Outside hzardous ~ Connections )Mterlal Storage ' d. Mater Control Valves 21. Outside Hazardous for protection systems Naterlal Oae/Ha~dl lng e. Fire Putp 22. T~pe of Hazardous ~acerial/Wazte Stored 8. Fire Department Access or Oeed (See Fl---able K - .~_plostv_e_ r. - Liquid R - ladiologtcal Corrosive 0 - Oxidizer G - Oas P - Poison W - Water Reactive T - T6xic S - Solid H - Cryogenic O - Waste B - ~tlologlcal £xample: Flammable Liquid - FL FACILITY OlAGRAM (Required items tn addition to the abo~e) 1. Risers for Sprinklers 8. Fire Escapes 2. Partitions 9. A~r Conditioning Units 3. Stairways: Indicate the 10. Windows levels served from highest to lowest. I1. Inside Hazardous Waste Btorage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage 3. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access 14. Sewer Drain [mists ?, SkyliEhts CITY of BAKERSFIELD RRE DEPARTMENT ~ 2101 H STREET S. NEEDHAM BAKERSFIELD, 93301 FIRE CHIEF 326-3911 1.4 Dear Business Owner: Enclosed please find a copy of your response to Hazardous Material Business Plan request. We have found it necessary to re your plan for the following reason(s) as checked below. F'-'i Illegible Business Plan (please print type information in English). Form 2A ~-] Missing or ~I.ncomp te ~/~ Form 3A F~ Missing or~--I Incc )lete Form 4A- .F~ Missing or ~--'~D )lete ~ ¢ ~mJzt-~ Form 5A ~'~ ~, c5-00 Site Diagram F--) Missin ~'l Incomplete Facilities Diagram __ Missing or F'~ Incomplete This is to b~~ corrected and ~submitted within 30 days to: Bakersfi ld City Fire )artment - Haz Materials vision 2130 "G" :reet Bakersfie If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 "G" Street in person. Sincerely Yours, , '~"' /Ralph E. Hueq- , f Hazardous Materials Coordinator REH/eg - J B~KERSFIELD CITY FIRE DEPARTMENT REC~VE~ '*',' .. .'. 2130 "G" S~EET ;' ' ;' B~ERSFIELD, CA 93301 BEg 2 8 1987 (805) 326-3979 ~,~'d ............ 0 'n' 001193 HAZARDOUS MATERI ALS BUSINESS ~L~N AS A WHOLE FOR~ 2A INS.UCTIONS: .:'.~ ~~ 1. To avoid further actioR,, retuFn this form 'oy ~ ~_ ~',t/~,~ 3. Answer the questions below for the business as a whole. ~, ~~, 4. Be as brief and concise as possible. SECTION 1: BUSI~SS IDE~IFICATION DATA A. BUS~NESS NA~E: ~Z ~ b%OZ~ ~g~C~,~ B. LOCATION / STREET ADDRESS: ~O.q ~.~C, OX ~~ 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'~0ffic~ of' Emer5ency Services as required by law. ~ · EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: - B. Ph~ Ph~ SECTION 3: LOCATION OF UTILII"f SHUT-OFFS FOR BUSINESS AS A W'HOLE A. NAT. GAS/PROPANE: ~%30ko ~ s. ELECTRICAL: k30~ giPg.T-r C0~%~. ~D~ ~/'~f~ <~q' 9oh~7 C. WATER: ~T ~RT& ~OTR~K% D. SPECIAL: E. LOCK BOX: YES /~.O~ IF YES. LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - RECEIVED :~'] ~ ~-: :, F E B 2 3 1988 Ans'd ............ SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YO%~ 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 HAZA~DQgS ~TERZALS:... ................... t}..~. .... .,~.£~%. YES ~oYES ~0 B. PROCEDURES FOR COORDINATING ACTI~]TIE$TA~~ W~TH RESPONSE AGENCIES: ......... .~.~ .......... ~ES NO ~ES . 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 iS E CTIzO N2_%: ~ ~H~-Z'ARD OUS MATERIAL'' .... CIRCL~_~ --- NO - NOBIE ~ SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED G~: ...... I, .~g~ ~OaRD~(3~_-~"T- , 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. SECTION 3: HAZARDO,.3, l'~ M~T~RIALS FOR TWIS UNIT ONLY A. Does this Facility Unit contain Hazardous Mater~a!s? ...... 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 (~vhite form =4A-l) 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 the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTiOW SECTION 5: LOCATIO~ OF WATER SL~PLY FOR ~SE BY EMERGENCY RESPONDERS SECTION 6: lOCATION OF ~'FILITY SKb'r-OFFS AT THIS UNIT ONLY. A. NAT. O. SPECIAL: E. LOCK BOX: YES .~.,} r.? YES, LOCAT!OX : rF YES STTE P=AXS? "ES / )70 ~D~s? v-~ v~ i FLOOR PLANS? YES ," ¥0 KEVS? YES 370 3B BAKERSFIELD CITY FIRE DEPARTS. IEXT 2130 "G" STREET BAKERSFIELD, CA 93g01 o~s-~c~.~ us~ oxr.¥ BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be' returned by: ~-. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3: Answer the' ques%ionS bel6w for 'THE' F.~CILITy UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY ID/IT~- Iq ~ q rAC~r.~T~ SECTION 1: ~ITIGATION~ ¢R~ION, ABA~ PROCURES SECTION 2: NOT!F!CATION Ah'ID EVACUATI0~' PROCEDL-RES AT THIS L~."iT ONLY dj5- .T-~..~. ~-~o-}o-r... }: r i~ t D £ P -r NO~--TRAI) E SECRETS IIAZARDOUS HATERI ALS' I NVENTOi~Y "~'l'l~l:r;~:_~~,.u~ ~ AOllnEss~ ~&~ ~ILL~ ~ FACll, ITY UNIT NAHE: ...... IIilNE ~: .... _~_~tq ~ PIIONE 1= .~-~ IOFFICIAI, USE CFIRS I ONLY 2 ~ ~ g I~ I'l t. lAF ANNIIAL LOCATION IN Tills ~ fly IlhZAIIl~ I} () '1 ~1~1~ AH~U{~'~'_ ~HOUNT [ACILITY UNIT ~T, CIIE~I~fiL OR COMHON NA~E COPE :~l~;Ef/l'~' f:IItlI'ACT: TITLEI PIIONE I BUS IIOURS~ ;.'IO~'II'AI, IIIISINESS ACTIVITY: AFTER BUS. IIRS: RECEIVED :Do he:eb.v c~r~_~., that T have ~ex.-±ewe~ the JAN 1 g 1989 AnB'd ............ attached Hazardous Materials business ~lan (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. =~'i~na~ure , date BtJSINESS NAME OVER. ST TRUCKING ID 215-000-4~;193 LocATION 90? COLLINS WY HIGH HAZARO R~tI'ING Z l, OVERVIEW [AST~CRRNGE 10/~778B BY ESTER JURIS CODE Z15-04~ JURIS"COUNTY'STRl~'ON'41' MAP P~GE 103 GRID ~3A FRCrCITY'UNI'TS' ~' HAZARD RATING Z RESPONSE SUMMARY 28 SEC 4) NO PRIVATE RESPONSE TERM. EMERGENCY CONTACTS ZR SEC PETE OVEROEVEST - 892-S172 OR 8'?Z-ZGG6 UTILITY SHUTOFFS ZA SEC A) GAS '-'NONE B) ELECTRICAL - NW CORNER OF YARD AT POLE C) gATER - BT ORTE ENTRANCE O) SPECIAL --,NONE E) LOCK'BOX - NO' Z. NOTIFICRTION/ PUBLIC EVACUATION LfiST'~'CHANOE / / BY < NO I NF'ORMRTI?OT, t'RECORDEO""FOR~'TFTIS S~:.CTI(o;~ > NATERI AL '- S'Fil~'ETY' ' Ot~¥R "S'¥'STtEIMS ,' 'I'~IC .' '("805 ) :B~B-~lSB00 BUSINESS NAME OVEROEVEST TRUCKING ID NUMBER Z1S-~0-~011~3 LOCATION gO? COLLINS WY HIGH HAZARD RATING Z ~. HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY < NO INFORMATION RECOROEO FOR""I'HtS SECTION 4. LOCAL EMERGENCY MEDICAL ASSISTANCE 'LA~l'"CHfiNGE'IO'/O?/88 BY ESTER SEC S) KERN HEDICAL CENTER - 1830 FLOWER ST - 3Z6--2(~(~0. P~GE 2 12120/88 12:37 MATERI~L SAFETY OAT8 SYSTEMS, INC. (80S) B48--B800 BUSINESS NAME OVERi~IIEST TRUCKING ID LOCAI'ION BO? COLLINS WY HIGH H~Z~IRO RATING FACILITY UNIT R. OVERALL H~Z~RDOUS MATERIALS INVENTORY " .... CR'~T"'O'f~'E't'~T~7/88 BY ESTER ID · TYPE NSME ...... MEX 8MT UNIT H~RD LOC8I'I ON CON'fEiNMENT USE 1 W~STE W~STE OR~IN OIL 55 6~L UNKNOWN NW SIDE OF YARD DRUMS OR 8ARRELS MET.. WASTE lO PERCENT COMPONENTS HEZ~RD LIST 1598.~8 1~.~ WASTE OIL UNKNOWN ~ PURE ENGINE OiL SS 6~L UNKNOWN NW SIDE OF YARD ORUMS OR BARRELS ~ET.. W~STE ID PERCENT COHPONENTS HAZSRD LIST Z8~8.~ 1~ MOl'OR OIL UNKNOWN ~] PURE DIESEL. FUEL .......... Z5~ GAL ~pERn!'~ CENTER OF YARD -~B~VE' GROUNQ TSNI(S F~JEL ID PERCENT COMPO~EN'rs H~tZARD LIST 11'7e~8~ te~ DIESEL FUEL NO. I MOOERATE B. FIRE PROI'ECTION / WP, TER SUPPLIES tZI~ST' CI~IANGE' i'0/07/88 BY ESTER SEC At) WATER HOSES t°IND ~ FIRE EXTINGUISHERS FOR FIRE PROTECTION, SEC S) FIRE HYDF~RNT LOCATED ON THE CORNER OF COLLINS WAY. PAGE T~ 12t~.l~'IBB'l~':'i~q ' Mf~I'ERIAI.Z SAFETY -DFIT~' SYSTEMS', 'IBIC',' ("8~S~ '"6~48-GB~' BLISINESS NAME OVERDEVESI' TRUCKING ID NUMBER ZlS-OOO.-~lIB3 LOORt'ION B07 COLLINS WY HIGH HAZARD RATING O, EHPLOYEE NOI'iFICSTION / EVACUATION L~ST"CHANGE 10/0'1/88 BY ESTER SEC ~) TELEPHONE FIRE DEPT (911) AND LEAVE THROUGH GATE. E. MITIGATION / PREVENTION / ABATEMENT 'LAST CHANGE I~/07/88 BY ESTER SEC i) STOREO IN R SS GAL. SEALED DRUM. DIRT WOULO 8E SHOVELED UP ANO H~ULED TO A HAZARDOUS DUMP BY A LICENCED WASTE HAULER. PAGE 4 ' ' 1Z/ZO/88 lZ;~7 t~ATERI~L SAFETY I]i~T~'"'SYSTE~S~ 'INC'T"(805) G48-GS~