HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
-~ CONDITIONS OFPERMITON REVERSE SIDE
: : ' ..... * ..... This m~rmit is Issued'for the follow{n_=:
[] Hazardous Materials Plan
UI Underground Stom~ of H~rdous M~ds
Permit ID #:: 015-000-000735 ~ Risk Management Program
SANFORD sEMCHAK
· LOCATION: 1275 P ST'
,, .i,.~;.-..* ? .
OFFICE OF ENVIRONMENTAL SER VICES'
1715 Chester Ave., 3rd Floor Approved by: {,--RalpYHuey'Dl~i issue Date
Bakersfield, CA '93301 . OflieeofEvironm~l~$ervices
Voice (661) 326-3979
FAX (661) 326-0576 . ..' ' E~xpirationDate: '~une 30. 2003
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
:' ................................... This permit is issued for the' following:
~,, d?' ? ~/=! :?':;":;;i;;'*:;;;:;;;:: ;' :::>l~l:~Hazardous Materials Plan
.=~¢?i!?' I,:,~! ?~':;ii :;:i!i i i!!!!!iiii~. !ii:;iii*!*~iil;:~: i;:~:ii~D;ii~aemround Storage of Hazardous Mateflals
PERMIT ID# 015-0214)00735 .,,¢ii¢i~'il i ,,~i *iii iii:" ?:!! !i}i !!'-¢i!!:,i!! *~iil ~ ~§~ ~a~agement Program
';':'¢~ ~'~-~?~' ~:: .... ~ ~.::'. =::::¢~ :::??;:;: ~': :.~;; :::( :'~:;~'= ::;~ ~a~:~d~s Waste
~ '- ~ ,' .~ ~.',~,:i~,~:'"',~ .~.'~1 . ' ~ ~'~ ~..I ",=-.'" ~'.. "-
~'"~...:". ~~ ~ ~ :.. "::.::::::..~:~:~j,~jlI ,.' J' ", ' 'j~ h.~ ? ,' i =' ' ,' · ,I , ,- I' J ~ ~F~ [~ ~ ~ . "..,
_ ....".~ _,'~..~ ~.~ .... ~t: ............... ~ , ' ¢..'~d~F. ¢' j ',,,lt'~r. ~ ¢~¢'~¢. ~..~.,~ ~,,~,= ,.,~ ,.. ~ . ' ,,,, i:" ~... ", ~'
~i, '"-...~L 'i, .! '~B~ ~i~i~~' "'r~iJ~i~ii',;~;~i~¢ij~"' '~i~F::F~:~ :~,.~ .....~ &".
· ~.-.... -.~ -~ . ..~'=~; ~,~j~..,~, .,:.~ ...... ..~s ,~.¢, ..,~,., ~ -... -..~
~[ ........... '*= ?'~. :~:=' "~ F"~[~i~'~:~4,;~':· ~"h" .,~', ",, ',~j ~
'i~- ....... % .... ¥'~ ¢.. '..4~., ' ~ '~ ~-,~' ~ '-. ",
ls~ by:
omc~ o~ ~o~~ s~ ~c~s ~ .?
B~e~fiel~ CA
Voice (805) 326-3979
F~ (80S)~16-0S76 Expiration Date: ~Un~ ~O~ ~OOO
SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735
Manager : (661) 322-5866
Location: 1125 W COLUMBUS ST ~ %%%~BusPhone:
Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV:
CommCode: COUNTY STATION 64 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DENNIS MCLEAN / OWNER EVELYN SHEARER / OWNER
Business Phone: (661) 324-3246x Business Phone: (661) 322-5866x
24-Hour Phone : (661) 399-2468x 24-Hour Phone : (661) 588-0482x
Pager Phone : (661) 201-7095x Pager Phone : (661) 201-7096x
Hazmat Hazards: Fire Press ImmHlth
Contact : Phone: (661) 322-5866x
MailAddr: 1125 W COLUMBUS ST State: CA
City : BAKERSFIELD Zip : 93305
Owner DENNIS MCLEAN & EVELYN SHEARER Phone: (661) 322-5866x
Address : 13601 TABLE ROCK AVE State: CA
City : BAKERSFIELD Zip : 93312
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
'i ~ D~,te
-1- 10/17/2003
SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735
Manager : ~O/ BusPhone: (661) 322-5866
Location: '~ ,5 P JI~SW, un'%b~$ %~--
· ~- gT Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION ~ SIC Code:
EPA Numb: ~ DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DENNIS MCLEAN / OWNER EVELYN SHEARER / OWNER
Business Phone: (661) 324-3246x Business Phone: (661) 322-5866x
24-Hour Phone : (661) 399-2468x 24-Hour Phone : (661) 588-0482x
Pager Phone : (661) 201-7095x Pager Phone : (661) 201-7096x
Hazmat Hazards: Fire Press ImmH!th
Contact : ~-~¢ ....................................... Phone i661) ........... 322-5866x
MailAddr: l125hCOLUMBUS ST 8rate: CA
City : BAKERSFIELD g±p : 93301
Owner DENNIS, MCLE/~I'~(EVELYN SHEARER.~, Phone: (661) 322-5866x
Address : 11330 SNOW RD/ J~0~-i-O~.q~0C~d~ State: CA
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
+= Hazmat Inventory One Unified List +
+== Alphabetical Order Ail Materials at Site +
+ -+ ....... + ........... + ..... + .......... + .... +- - -+
J Hazmat Common Name... ISpooHazlEPA HazardsI rrm I DailyMax IUnitlMCPI
+ ................................ + ....... + ........... + ..... + .......... + .... +- - -+
ACETYLENE F P IH G 250 00 FT3 Hi
CHLORODIFLUOROMETHANE P G 2232 00 FT3 Low
CHLOROPENTAFLUOROETHANE P G 3456 00 FT3 Low
DICHLORODIFLUOROMETHANE P G 3175 00 FT3 Min
NITROGEN F P IH G 240 00 FT3 Min
OXYGEN F P IH G 460 00 FT3 Low
reviewed the aRac~d, h~ardo,us,materials manag~
mentplan ~or ~p~ h~,lnc and thru it along with
any ~rr~ons ~nsU~uts a ~mple~s and ~ mare
1 02/15/2002
+ SANFORD SEMCHAK SPEIGHTS INC == SiteID: 015-021-000735
+= Inventory Item 0003 == = Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid: +
Nv~ ~u~ EQUI~_ CAS#
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER
+= + AMOUNTS AT THIS LOCATION =+
Largest Container I Daily Maximum I Daily Average
125.00 FT3 250.00 FT3 125.00 FT3
+ -' '=+-- 4 =+
+ + .............. HAZARDOUS COMPONENTS +===+
100.00 Acetylene Yes 74862
+= + ----+===4 ----+
+= ~===~ + HAZARD ASSESSMENTS ===4 + ~ .....
TSecretINO NoRS'Bi°HasII No Radi°active/Am°unt I EPANo/ Curies F P HazardsIIH NFPA/// I USDOT# I MCP IHi
+ ~===+ + ~ + ~= ~=====+
+= Inventory Item 0005 Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME t --+
I CHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid: + -+
i- ...... ~{~P -- CAS#
· S'~ ComE~'- WO.t'-f.~)O~- 75-45-6
~ ~ ==+
+= STATE=+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
[ Gas I Pure I Ambient I Ambient I PORT. PRESS. CYLINDER
~ + AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum [ Daily Average
FT3 2232 . 00 FT3 1339.00 FT3
+= --+ ~
+ ....... + .............. HAZARDOUS COMPONENTS +===+==
100.00 Chlorodifluoromethane No 75456
~ ~ ==+===+==
+ ~===+ + HAZARD ASSESSMENTS ===+ + ~ .....
I TSecret INo NoRS ] Bi°HazINo Radi°active/Am°unt I EPANo/ Curies P HazardsI NFPA/// IUSDOT# MCP
+===~ + ~ % += ~
-2- 02/15/2002
+ SANFORD SEMCHAK SPEIGHT [NC SiteID: 015-021-000735
+= Inventory Item 0006 Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME .... 4
CHLOROPENTAFLUOROETHANE Days On Site
365
Location within this Facility Unit Map: Grid: + ................
i~ C0~ S~O~' CAS#
Cp %c- 76-15-3
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
I Gas I Pure I Ambient I Ambient I PORT. PRESS. CYLINDER
q + AMOUNTS AT THIS LOCATION =+
Largest Container I Daily Maximum I Daily Average
FT3 3456.00 FT3 2765.00 FT3
+===== + 4 =+
+ + - HAZARDOUS COMPONENTS +===4
100.00 Chloropentafluoroethane 76153
+= + ----+===+ ==+
+ +===+ + HAZARD ASSESSMENTS ===% += ~ .....
ITSecretl RSIBi°Hazl Radi°active/Am°unt I EPA Hazards INFPANo No No No/ Curies P / / / USDOT# MCP
+ +===q + ~ + + ~=====+
+= Inventory Item 0001 Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME ~ --+
D I CHLOROD I FLUOROMETHANE { Days On Site
Location within this Facility Unit Map: Grid: + -+
~U,': CO~d~ER O~- .S~P~ CAS#
~5~ ~orn~f-- ~G~-~L%& ~ 75-71-8
+= STATE=+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
IGas I Pure I Ambient I Ambient I PORT. PRESS. CYLINDER
+ AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
FT3 3175.00 FT3 2540.00 FT3
+= --+---- 4
+= + HAZARDOUS COMPONENTS +===+==
I100%Wt'.00 IDichlorodifluoromethane INoRSl CAS# 75718
+ += +===%
+= +===q + HAZARD ASSESSMENTS ===% + ~ .....
I TSecret INo NoRS I Bi°HamINo Radioactive/AmountNo/ Curies EPAp HazardsI NFPA/// IUsDOT# MisMCP
+= +===+======4 ~ =====% + t-=====+
-3- 02/15/2002
+ SANFORD SEMCHAK SPEIGHT~INC SiteID: 015-021-000735 +
+= Inventory Item 0004 Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME + ~
NITROGEN I Days On Site
365
Location within this Facility Unit Map: Grid: + ................ +
I 7727-37-9
+---- 7= 7
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE 7
IGas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
% + AMOUNTS AT THIS LOCATION ~
I Largest Container Daily Maximum Daily Average
120.00 FT3 240.00 FT3 120.00 FT3
% + HAZARDOUS COMPONENTS k===4 ~
%Wt. RSI CAS# I
I '100.001Nitrogen INo 7727379
4 + ~===4 +
4 ~===4 ~ HAZARD ASSESSMENTS ===~ ~ + ..... +
ITSecretl RSlBioHazl Radioactive/Amount I EPA Hazards NFPA I USDOT# I MCP
No No No No/ Curies F P IH / / / Min
~ ~===4 ~ += ~ ......... 4 7=====+
+= Inventory Item 0002 Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME ~
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid: + ................
~'--- -QUIP STOF~AG~_ CAS#
CCcY~,C ~_mu~% ~3~- ~6M-~_hPL~-- 7782-44-7
+= STATE=+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE ......
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER
4 + AMOUNTS AT THIS LOCATION ............
I Largest Container , Daily Maximum I Daily Average
230.00 FT3 460.00 FT3 230.00 FT3
% +------ ~
4 + HAZARDOUS COMPONENTS - +===4
100.00 Oxygen, Compressed No 7782447
4 I- +===~
% + % ~ HAZARD ASSESSMENTS ===4 4 7
ITSecretI RSIBioHazI Radioactive/Amount I EPA Hazards NFPA I USDOT# I MCP
No No No No/ Curies F P IH / / / Low
% +===4 ~ + ~ ~ 7=====+
-4- 02/15/2002
+ SANFORD SEMCHAK SPEI( = SiteID: 015-021-000735 +
~ Fast Format +
+= Notif./Evacuation/Medical Overall Site +
+== Agency Notification 10/15/1999 +
CALL 911.
+=== Employee Notif./Evacuation 10/15/1999 +
IN CASE OF AN EMERGENCY WE WOULD CALL 911. EVACUATION PROCEDURES WOULD BE
TO HAVE EVERYONE LEAVE THE BLDG THROUGH THE DOOR WAYS MARKED "EXIT". WE
ALSO HAVE AN INTERCOM WHERE WE COULD ANNOUNCE TO ALL pARTS OF THE BUILDING.
+ .... Public Notif./Evacuation 10/15/1999 +
CALL 911.
~ Emergency Medical Plan 10/15/1999 +
DIAL 911 OR
MEMORIAL HOSPITAL - 420 34TH ST - 327-1792 OR
SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711.
5 02/15/2002
SANFORD SEMCHAK SPEIGH~ SiteID: 015-021-000735
Fast Format
+= Mitigation/Prevent/Abatemt Overall Site
+== Release Prevention - 04/10/1992
OXYGEN & ACETYLENE ARE STORED IN A WELDING CART OR AGAINST THE WALL WITH A
CHAIN AROUND THEM. FREON IS IN 30 OR 50 POUND CYLINDERS AND ARE KEPT IN
THEIR CARDBOARD SHIPPING BOX CONTAINERS, UNTIL THEY ARE USED. CONTAINERS
ARE STACKED NO MORE THAN 3 HIGH IN A RESTRICTED AREA.
+=== Release Containment 04/10/1992
IN THE EVENT OF A COMPRESSED GAS LEAK AN ATTEMPT TO SHUT THE VALVE WOULD BE
MADE, A PATCH KIT APPLIED IF APPLICABLE, AND THE SUPPLIER CONTACTED FOR
ASSISTANCE IN REMOVING THE LEAKING CYLINDER.
..... Clean Up == 04/10/1992
COMPRESSED GAS ONLY.
Other Resource Activation
6 02/15/2002
+ SANFORD SEMCHAK SPEIGH~ ]NC SiteID: 015-021-000735 +
~ Fast Format +
+= Site Emergency Factors Overall Site +
+== Special Hazards +
I
+=== Utility Shut-Offs 10/15/1999 +
A) GAS - ~ CORNER OF BLDG INSIDE LOCKED FENCED YARD
B) ELECTRICAL - 9~=~%OF BLDG INSIDE LOCKED FENCED YARD C~r%~ou~n
C) WATER - ~ OF BLDG OUTSIDE FRONT WALL C%~~NB~
D) SPECIAL - NONE
E) LOCK BOX - NO
----+
..... Fire Protec./Avail. Water -- 10/15/1999 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED WITHIN THE BLDG IN
APPROPRIATE AREAS.
FIRE HYDRA/qT - JUST OUTSIDE Ti~ BLDG.%~O' ~&%o~ ~Dr5¢C
+
+ ..... Building Occupancy Level
-7- 02/15/2002
~SANFORD SEMCHAK SPEIGHT SiteID: 015-021-000735 +
+ Fast Format +
+= Training Overall Site +
+== Employee Training == 10/15/1999 +
WE HAVE 13 EMPLOYEES AT THIS FACILITY. ~
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: MONTHLY SERVICE MEETINGS ARE HELD AND SAFE
HANDLING OF ALL MATERIALS IS EMPHASIZED.
+=== Page 2
+ .... Held for Future Use
+
Held for Future Use ~
-8- 02/15/2002
SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
Manager : BusPhone: (805) 322-5866
Location: 1275 P ST Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
~=~ .... C ~ iDtn~ T~~ EVELYN SHEARER
Business Phone: (~) 324-3246x Business Phone: (08~B) 322-5866x
24-Hour Phone : (84N5) 39q-~x2~% 24-Hour Phone : (~) ~-0482x
Pager Phone : (~%%) ~%-q~Sx Pa~er Phone :
Hazmat Hazards: Fire Press Im~lth
Contact : Phone: ( ) - x
MailAddr: 1275 P ST State: CA
City : BAKERSFIELD Zip : 93301
Owner ~D~ ~D~T~3 ~gn~t~~. ~O %~one:
Address : 2~iA ~,~q~.~ 7,~-~%%~Dgno~R~. ~%~%V~%%[~ate: CA(805) 322-5866x
City : BAKERSFIELD% C~ Zip :
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
plan
-i- 10/04/1999
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
~- Hazmat Inventory By Facility Unit
--As Designated Order Fixed Containers on Site
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax IUnit MCP
DICHLORODIFLUOROMETHANE P G 3175 FT3 Min
OXYGEN F P IH G 460 FT3 Low
ACETYLENE F P IH H 250 FT3 Hi
NITROGEN F P IH G 240 FT3 Min
CHLORODIFLUOROMETHANE P H 2232 FT3 Low
CHLOROPENTAFLUOROETHANE P H 3456 FT3 Low
-2- 10/04/1999
S~FORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
= Inventory Item 0001 Facility Unit: Fixed Containers on Site
~lVUVl~ ~Vl~ / ~ · ~ ~Vl~
DICHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
~ CORNER OF SHOP CAS#
75-71-8
r STATE -- TYPE PRESS~E i TEMPE~T~E i CONTAINER TYPE
Gas Pure Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
FT3I 3175.00 FT3I 2540.00 FT3
HAZ~DOUS COMPONENTS
%Wt. R~NoRS] CAS#
100.00 Dichlorodifluoromethane 75718
TSecret I HAZ~DASSESSMENTS I I
S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies P / / / Min
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site
~UIVUVlU£~ £~J_.~.-U.vi.~ / ~l-I_l":lVl / t~_-~J.~
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
NW CORNER EQUIP STOR3tGE CAS#
7782-44-7
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 460.00 FT3 230.00 FT3
HAZARDOUS COMPONENTS
100.00 Oxygen. Compressed N 7782447
HAZARD ASSESSMENTSII
TSecret RS BioHaz Radioactive/Amount, EPA Hazards ,o NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Low
-3- 10/04/1999
SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site
~lV~Vl~ ~Vl~ / ~± ~A_.I~ ~Vl~
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
NW CORNER EQUIP STORAGE CAS#
74-86-2
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container { Daily Maximum I Daily Average
FT3I 250.00 FT3I 125.00 FT3
HAZARDOUS COMPONENTS
%Wt. R{NoRS{ CAS#
100.00 Acetylene 74862
HAZARD ASSESSMENTS
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Hi
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site
I..:UlVllVll,21%/ ,L%/Z--~.iVll"; / %..:l"lt";lVl,L ~,:.PkJ. J
NITROGEN Days On Site
365
Location within this Facility Unit Map: Grid:
NW CORNER EQUIP STORAGE CAS#
7727-37-9
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
{
Largest Container I Daily Maximum Daily Average
FT3I 240.00 FT3 120.00 FT3
HAZARDOUS COMPONENTSo
%Wt. RS CAS#
100.00 Nitrogen N 7727379
HAZARD ASSESSMENTS
TSecretl oRS BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Min
-4- 10/04/1999
SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
= Inventory Item 0005 Facility Unit: Fixed Containers on Site
~iVUVl~ ~Vl~ / ~ ~ ~Z--~L~ ~Vl~
CHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
N~CORNER SHOP CAS#
75-45-6
F STATE [ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas Pure Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 2232.00 FT3 1339.00 FT3
HAZARDOUS COMPONENTS
I
100.00 Chlorodifluoromethane N 75456
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards I NFPA USDOT# MCP
No N° No No/ Curies PI / / / Low
= Inventory Item 0006 Facility Unit: Fixed Containers on Site
~lVUVl~ ~Vl~ / ~ ~,~J.J ~Vl~
CHLOROPENTAFLUOROETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
NW CORNER SHOP CAS#
76-15-3
Gas Pure Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
I Largest Container I Daily Maximum I Daily Average
FT3 3456.00 FT3 2765.00 FT3
HAZARDOUS COMPONENTS
%Wt. R]NoRS] CAS#
100.00 Chloropentafluoroethane 76153
HAZARD ASSESSMENTS
TSoorotI ~S BioHazI Radioactive/Amount EPA Hazards NFPA I USDOT# I MCP
No N No No/ Curies P / / / Low
5 lO/O4/1999
SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
Fast Format
~ Notif./Evacuation/Medical Overall Site
-- Agency Notification 04/10/1992
CALL 911
-- Employee Notif./Evacuation 04/10/1992
IN CASE OF AN EMERGENCY WE WOULD CALL 911. EVACUATION PROCEDURES WOULD BE
TO HAVE EVERYONE LEAVE THE BLDG THROUGH THE DOOR WAYS MARKED "EXIT". WE
ALSO HAVE AN INTERCOM WHERE WE COULD ANNOUNCE TO ALL PARTS OF THE BUILDING
-- Public Notif./Evacuation 04/10/1992
CALL 911
Emergency Medical Plan 04/10/1992
DIAL 911
MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711
-6- 10/04/1999
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
Fast Format
~ MitiHation/Prevent/Abatemt Overall Site
--Release Prevention 04/10/1992
OXYGEN & ACETYLENE ARE STORED IN A WELDING CART OR AGAINST THE WALL WITH A
CHAIN AROUND THEM. FREON IS IN 30 OR 50 POUND CYLINDERS AND ARE KEPT IN
THEIR CARDBOARD SHIPPING BOX CONTAINERS, UNTIL THEY ARE USED. CONTAINERS
ARE STACKED NO MORE THAN 3 HIGH IN A RESTRICTED AREA.
Release Containment 04/10/1992
IN THE EVENT OF A COMPRESSED GAS LEAK AN ATTEMPT TO SHUT THE VALVE WOULD BE
MADE, A PATCH KIT APPLIED IF APPLICABLE, AND THE SUPPLIER CONTACTED FOR
ASSISTANCE IN REMOVING THE LEAKING CYLINDER.
-- Clean Up 04/10/1992
COMPRESSED GAS ONLY.
Other Resource Activation
-7- 10/04/1999
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
I Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 02/26/1990
A) GAS - SOUTHWEST CORNER OF BUILDING INSIDE LOCKED FENCED YARD
B) ELECTRICAL - SOUTHWEST CORNER OF BUILDING INSIDE LOCKED FENCED YARD
C) WATER - NORT~ CORNER OF BUILDING OUTSIDE FRONT WALL
D) SPECIAL - NONE E~S~-
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 02/26/1990
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED WITHIN THE BUILDING
IN APPROPRIATE AREAS.
FIRE HYDRANT -,JUST OUTSIDE THE BUILDING
Building Occupancy Level
8 10/04/1999
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 215-000-000735
Fast Format
~ Training Overall Site
--Employee Training 02/26/1990
WE HAVE 13 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: MONTHLY SERVICE MEETINGS ARE HELD AND SAFE
HANDLING OF ALL MATERIALS IS EMPHASIZED.
----- Page 2
--Held for Future Use
Held for Future Use
9 10/04/1999
03/17/92 SANFORD SEMCHAK SPEIGHTS INC 215-000-000735 Page 1
Overall Site with 1 Fac. Unit
General Information
Location: 1275 P ST '.Map: 103 Hazard: Minimal
COmmunity: BAKERSFIELD STATION 01 Grid: 30D F/U: 1AOV: 0.0
Contact Name Title Business Phone 24-Hour Phone]
EVELYN SHEARER (805) 322-5866 x (805) 393-0482
Administrative Data
Mail Addrs: 1275 P ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:
Owner: JOHN SPEIGHTS 'Phone: (805) 322-5866
Address: 3618 EL POTRERO LN State: CA
City: BAKERSFIELD Zip: 93304-
Summary REcEiVED
' ~PR 0 6 ~992
HAZ. ~AT. 0!V.
r~vl~ ~h~ ~h~d h~ardous materials ~anage-
and Sgelghts, ~c
~i pJ~ ~Or Sanford, Semcha~.~h~ j~ a~o~g with
~ny ~o~ ~$~ a co~sl~ and correct man-
'03/17/92 SANFORD SEMCHAK SPEIGHTS INC 215-000-000735 Page 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 DICHLORODIFLUOROMETHANE Gas 3175 Minimal
~ Pressure FT3
CAS #: 75-71-8 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
3,175 ~ 2,540.00 28,575.00
Storage~~Press T Temp Location
PORT. PRESS. CYLINDER IAmbient~AmbientlNW CORNER OF SHOP
- Conc Components MCP List
100.0% IDichlorodifluoromethane IMinimal I~
02-002 OXYGEN Gas 460 Low
~ Fire, Pressure, Immed 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 FT3
460 I 230.00 ~1,8400.00
StorageI Press T Temp~ Location
PORT. PRESS. CYLINDER IAbove ~AmbientlNW CORNER EQUIP STORAGE
-- Conc Components MCP List
100.0% IOxygen, Compressed ILow I
02-003 ACETYLENE Gas 250 High
· Fire, Pressure, Immed Hlth FT3
CAS #: 74-86-2 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3I Daily Average FT3 I Annual Amount FT3 --
250 i 125.00 1,000.00
Storage Press T Temp~ Location
PORT. PRESS. CYLINDER Above· .~AmbientlNW CORNER EQUIP STORAGE
-- Conc Components MCP List
100.0% IAcetylene IHigh I
03/17/92 SANFORD SEMCHAK SPEIGHTS INC 215-000-000735 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-004 NITROGEN Gas 240 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 7727-37-9 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: DRYING
Daily Max FT3240 I Daily Average120.00FT3 I Annual Amount360.00FT3
StorageI Press T Temp~ Location
PORT. PRESS. CYLINDER IAbove ~AmbientlNW CORNER EQUIP STORAGE
-- Conc Components MCP List
100.0% INitrogen IMinimal I
02-005 CHLORODIFLUOROMETHANE Gas 2232 Low
· Pressure FT3
CAS #: 75-45-6 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max FT3 Daily Average FT3 I Annual Amount FT3
2,232 I 1,339.00 17,586.00
Storage 'Press T Temp Location
PORT. PRESS. CYLINDER I AmbientlAmbient NE CORNER SHOP
-- Conc Components MCP List
100.0% IChlorodifluoromethane ILOw I
02-006 CHLOROPENTAFLUOROETHANE Gas 3456 Low
· Pressure FT3
CAS #: 76-15-3 Trade Secret: No
Form: Gas TYpe: Pure Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
.3,456 ~ 2,765.00 31,104.00
StorageI~Press T Temp Location
PORT. PRESS. CYLINDER IAmbient~AmbientlNW CORNER SHOP
-- Conc . Components ~ MCP List
100.0% IChloropentafluoroethane ILOw I
03/17/92 SANFORD SEMCHAK SPEIGHTS INC 215-000-000735 Page 4
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
IN CASE OF AN EMERGENCY WE WOULD CALL 911. EVACUATION PROCEDURES WOULD BE
TO HAVE EVERYONE LEAVE THE BLDG THROUGH THE DOOR WAYS MARKED "EXIT". WE'
ALSO HAVE AN INTERCOM WHERE WE COULD ANNOUNCE TO ALL PARTS OF THE BUILDING
<3> Public Notif./Evacuation
CALL 911
<4> Emergency Medical Plan
DIAL 911
MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711
03/17/92 SANFORD SEMCHAK SPEIGHTS INC 215-000-000735 Page 5
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release' Prevention
OXYGEN & ACETYLENE ARE STORED IN A WELDING CART OR AGAINST THE WALL WITH A
CHAIN AROUND THEM. FREON IS IN 30 OR 50 POUND CYLINDERS AND ARE KEPT IN
THEIR CARDBOARD SHIPPING BOX CONTAINERS, U.NTIL THEY ARE USED. CONTAINERS
ARE STACKED NO MORE THAN 3 HIGH IN A RESTRICTED AREA,'
<2> Release Containment
In the event of a compressed gas leak an attempt to shut the valve would be made, a patch
kit applied if applicable, and the supplier contacted for assistance in removing the
leaking cylinder.
<3> Clean Up
Compressed gas~ ~
<4> Other Resource Activation
0'3/17/92 SANFORD .SEMCHAK SPEIGHTS INC 215-000-000735 Page
00 - Overall Site.
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - SOUTHWEST CORNER OF BUILDING INSIDE LOCKED FENCED YARD
B) ELECTRICAL - SOUTHWEST CORNER OF BUILDING INSIDE LOCKED FENCED YARD
C) WATER - NORTHWEST CORNER OF BUILDING OUTSIDE FRONT WALL
D) SPECIAL - NONE
· E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED WITHIN THE BUILDING
IN APPROPRIATE AREAS.
FIRE HYDRANT - JUST OUTSIDE THE BUILDING
<4> Building Occupancy Level
03/17/92 SANFORD SEMCHAK SPEIGHTS INC 215-000-000735 Page 00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 13 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: MONTHLY SERVICE MEETINGS ARE HELD AND SAFE
HANDLING OF ALL MATERIALS IS EMPHASIZED.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
Bakersfield t. / HAY 2 1990
,~' Hazardous Materials Inspection
~'d
Date Completed
Lo Uo :
Plan ID ~ 215-000~~op right comer Business Plan)
Station No. ~ S~L ~ Inspector
Adequate Inadequate
Vefifica6on of lnvento~ Mate~als
Verification of Quan~ties
Verification of Location
~oper Se~egafion of Matefifl
Ve~fication of MSDS Availabfliw
N~ber of ~ployees [ ~
Verification of Haz Mat Trai~ng
Comments:
Verification of Abatement Supplies & prff~ure~s c~) [-] ~/
Comments:
Emergency Procedures Posted
Containers Properly Labeled [~/
Comments:
Verification of Facility Diagram ~f [--]
Special Hazards Associated with this Facility:
Violations:
FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
T John A. Speights
, ~ RECEIVED
~ty~e or Dr~n% name)
Do hereby certify that I have reviewed the HAZ. MAT. DIV.
attached Hazardous Materials business plan
for Sanfor. d, Semchak & Spei~htst Inc. .
(name of business)
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
~~/~~ _ F eb_ruary 15, 1989_
// s~_~na~ure .... clare
BUSINESS NAME ANFO EMCHRK SPEIGHTS INC ID N R Z1S-~-0007,3S
LOCATION t27S P ST HIGH HAZARD RATING I
!. OVERVIEW
LAST CHANGE 09/Z?/88 BY ESTER
JURIS CODE ZIS-~! JURIS BAKERSFIELD STATION
MAP'PAOE 103 GRID 30D FACILITY UNITS 1 HAZARD RATING
RESPONSE SUMMARY
2R SEC 4) ALL EMPLOYEES ARE AWARE OF LOCATIONS OF FIRE EXTINGUISHERS,
EMERGENCY EXITS .AND KNOW THE LOCATION OF "HAZARDOLIS MATERIAL".
THEY ALSO KNOW THE LOCATION OF WATER SUPPLY AND SHUT-OFF, ELECTRICAL
ANO GAS SHUT-OFFS.
EMERGENCY CONTACTS ZA SEC Z)
JOHN SPEIGHTS - 3Z4-3Z4G OR 3B?-G101
EVELYN SHEARER - 322-S8GG OR 393-048Z (ABILITY ANSQERING SERVICE - 3Z?-ZZl?)
UTILITY SHUTOFFS ZR SEC
'A) GAS - SW CORNER OF BLDG INSIDE LOCKED FENCED YARD B) ELECTRICAL - SW CORNER
OF 8LOG INSIDE LOCKEO FENCED YARD C) WATER -' NW CORNER OF 8LDG OUTSIOE FRONT
WALL O) SPECIAL - NONE E) LOCK BOX - NO
NOTIFICATION / PUBLIC. EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION
PAGE 1 12/27/88 17:33
MATERIAL SAFETY DATA SYSTEMS, INC. (80S) G48-G8E~
BUSINESS N~ME S~NFORD SEMCH~K SPEiGHTS INC ID NUMBER
LOC~TION 12?S P ST HIGH H~Z~RD R~TING
3. H~Z MAT TRAINING SUMMARY
L~ST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
4. LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 09/Z7/88 BY ESTER
SEC S) DIAL
MEMORIAl. HOSPITAL - 4Z0 ~4'rH ST -
$~N JO~QUIN HOSPITAL - ZGIS EYE ST - ~Z7-1'Tl~
P~GE 2 ~Z/Z7ISB
H~TERIAL SAFETY ORT~ SYSTEMS, INC. <80S> G48-6~00
BUSINESS NAME SRNF0 EMCHAK SPEIGHTS INC ID
LOCATION IZ?S P ST HIGH HAZARD P~TING
FACILITY UNIT O1-
A. OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE O~/~?/88 BY ESTER
ID TYPE NAME MAX AMT UNIT H~ZRRD
LOCATION CONTAINMENT USE
1 PURE EREON 8S00~ FT3 LOW
NW CORNER OF SHOP PORTABLE PRESS. CYL. COOLING
ID PERCENT COMPONENTS HAZARD LIST
108G.OO IOO.O OtCHLORODIFLUOROMETH~NE LOw
2 PURE OXYGEN 281 FT3 HIGH
N~ CORNER EQUIP STORAGE PORTABLE PRESS. CYL. ~ELDING/SOLDERING
ID PERCENT COMPONENTS H~ZARO LIST
23~9.OO 1~.O OXYGEN, COMPRESSED HIGH
3 PURE ACETYLENE ~30 FT~ EXTREME
N~ CORNER EQUIP STORAGE PORTABLE PRESS, CYL. gELDING/SOLDERiNG
ID PERCENT COMPONENTS H~ZARD LIST
124~.~ 1~.O ACETYLENE EXTREME
FIRE PROTECTION /WRTER SUPPLIES
LRST CHRNGE / / BY
Fire extinguishers are located within the building in appropriate
areas and a City Fire Hydrant is located just outside the building.
< NO INFORMATION RECORDED FOR THIS SECTION
P~GE ~ I~/2?/BB l?:33
MATERI~L SAFETY D~T~ SYSTEMS, INC. (SOS) GAB-G800
BUSINESS NAME SANFORO SEMCHAK SPEIGHTS INC ID NUMBER ZIS-OO~-OOO?~S
LOCATION ~Z75 P ST HIGH HAZARD RATING
O. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 09/27/88 BY ESTER
SEC 2) IN CASE OF AN EMERGENCY ~E ~OULD C~LL 911~ EVACUATION PROCEDURES
WOULD BE TO HAVE EVERYONE LEAVE THE BLDG THROUGH THE DOOR ~AYS
MARKED "EXIT". ~E ~LSO HAVE AN INTERCOM ~HERE ~E COULD ANNOUNCE TO
ALL PARTS OF THE BLD6.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 09/Z?/88 BY ESTER
SEC 1) OXYGEN & ACETYLENE ARE STORED IN A WELDING CART OR AGAINST THE URLL
~tTH R CHAIN AROUND THEM. FREON IS IN 30 OR 50 POUND CYLINDERS AND
ARE KEPT IN THEIR CARDBOARD SHIPPING BOX CONTAINERS, UNTIL THEY ARE
CONTAINERS ARE STACKED NO MORE THAN 3 HIGH IN A RESTRICTED
PAGE 4 12/~7/88 t'?:~
H~TERIAL SAFETY D~TA SYSTEMS, INC. (80S> 648-GB00
CITY of BAKERSFIELD
Farm and A;eieulture ~ Standard gu..ess
NON--TRADE SECRETS
LOCATION: 1275 'P~ Street ADDRESS 3618 E1 Potrero Lane STANDARD IND. CLASS CODE
crrY, zIP: Bakersfield~ 93301 CITY. ZIP: · Bakersfield 93304 DUN AND BRADSTREET NUMBER
P.ONE *: 322--5866 PHONE *: 397-6101 _ _ - _ -- _ -
a Ft~e Hazaed RHctivity h14~ ~'~ Reline
a~l~ of P~iu. Hfllth
~l~h of Presume H~l~h ............
~.~.~.c~ c~c~s . John A. SRei~hts President 397-610~ t~ Evelyn Shearer Manager 393-0~82
Cer~t~ic4ti~ (~ead and s~. a~ter co.pletIn~ all sections/
for ~obtaining
~ ' John ~. SpeSflhts, President
CITY of BAKERSFIELD
NON--TRADE SECRETS
' ,~ .~__ of .~.
BUMINESM NAMg: Sanford, Semchak & Speights
LOCATION: 1275 'P; Street ADDRZSS: 3618 E1 Pgtr~ro Lane STANDARD IND. CLASS CODE
CITY, ZIP: gmkmrsf~eld. Ca 93301 CITY, ZIP: Bmkeraf5e]d 93304 DUN AND BRADSTREET NUMBER
p.o~g ~: 322-5866 P~ONE s: 397-6101 _ _ - _ _ _ -
C~ C~ ~ ~,~ Est 1
[
i~,c,~,,,~,.~ c.,.s.~ u~-~ ~,,, ~c.~.s.~
~lth ef
k ~11 tit i~lj)
~t
.... L__I .......... 1 I I I I I ! I ! ...............
~ ] Yl~ ~za~ ~_a l~tivity ~1o~ ~ ~ime I~tlte
~lth of
P~icol ~ ~lth ~ C.l.S.
(C~k all t~t re)y)
H~lth of
President 397-6101 s2 Evelyn Shearer Manager 393-0482
.[RGE.CY ~TACTS B~ .... .J. ohR_A..Sa~k:m ......... hug ...................... H'R;'P~ ~ T~r--- ~F'~W .....
.~ttfic~tt~ (Read and s~ alger completing ail sections)
certify ~e ~lty of 1~ t~t ~ ~ve ~rs~11y e.aein~ ~ ~ f~il~ar .tth t~ Jnf~tim su~itt~ in this ~1 ~t~~ t~t ~s~ m W i~tW of t~e t~JvJ~i~ ~ible
BAKERSFIELD CITY FIRE DEPARTMENT RECEIVED
2 3o "G" STREET JUL B 1987
BAKER$FIELD, CA 93301
(805) 326-3979 Ans'd ............
OFFICIAL USE ONLY
BUSINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A I~HOLE
FORM 2A
INS~UCTIONS: ~q ~ "
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
A. BUSINESS NAME: Sanford, Semchak & Spei~hts, Inc,
B. LOCATION / STREET ADDRESS: 1275 'P' Street
CITY: Bakersfield ZIP: 93301 BUS.PHONE: (805) 322-5866
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
you~ 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.
A. John Spei~hts~ President Ph# 324-3246 Ph# 397-6101
B. Evelyn Shearer, Manager Ph# 322-5866 Ph# 393-0482
Ability Answering Service 327-2217 327-2217
(We have a man on call 24 hours a dav
SECTION 3: LOCATION OF UTILITY SItUT~OFFSa~nB~E~sW~§kAt~L~an be reached through the
answering service)
A. NAT. GAS/PROPANE: South west corner, of b,ildin~ inside locked f~nc~d vmrd
B. ELECTRICAL: South west corner of bllildin~ in.ida
C. WATER: North
D. SPECIAL:
E. LOCK BOX: YES /~_~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
2A -
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
Ail employees are aware of locations of fire extingushers, emergency exits
and know the location of "hazardous material". They also know the location of water
supply and shut off, electrical and gas shut offs.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Dial 911
Memor-~.al Hospital 420-34th Street Bakersfield,Ca 93301
San Joaquin Hospital 2615 Eye Street Bakersfield, Ca 93301
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:...' .................................... (~ 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: ....... YES ~q~ YES ~
SECTION ?: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500' POUNDS OF A
SOLID,
58 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... E~ NO
I,~----dDh~ ~, S~)~~-,~ ,, certify that the above information is accurate.
I understand that th{is in[ormation~.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. 28500 Et Al.) and that inaccurate information constitutes perjury.
SIGNATU TLE President DATE 6-22-87
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
0FFiC[AL USE ONLY
ID#
BUSINESS NAME:
SUNI NESS PLAN
SINGLE FACILITY UNIT
FORM SA
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# ] FACILITY UNIT N~E: Sanford, Semchak & Spei~hts. Inc.
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDO~ES
0xygen & Acetylene are stored in a welding cart or against the wall with a chain
around them. Freon is in 30 or 50 pound cylinders and are kept in their cardboard
shipping box containers, .until they are used, containers are stacked no more than
three high in a restricted area.
SECTION 2: NOTIFICATION .~%~ EVACUATION PROCEDL~ES AT THIS 5~IT ONLY
In case of an emergency we would call 911.
Evacuation procedures would be to have everyone leave the building through the
door ways marked "EXIT". We also have an intercom where we could announce to
all parts of the building.
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-1 Page ~ ~f
NON--TRADE SECRETS
HAZARDOUS MATERT ALS I NVENTORY
BUSINESS NAME: Sanford, Semchak & Speights, Inc. OWNER NAME: John Speishts FACILITY UNIT #:
ADDRESS: ]275 'P' Ktrmmt ADDRESS: 36]8 E] Potty_rD Ln. FACILITY UNIT NAME:
CITY, ZIP: Bmkmr.~fim]d: Cm q330] CITY,ZIP:
PHONE ~: .... 8~5-~72-5R66 PHONE ~: gO5-324-~2~6 OFFICIAL USE CFIRS CODE
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 ~ CODE CODE FACILITY UNIT WT. CHEMICAL 0R COMMON NAME CODE ~GUIDE
NAME: T : S I G ~_~T_U~E DATE :__
~MEROENCY cONTACT: ' ' ~~ ~¢¢~LE: . , .. PHONE ¢ BUS HOURS: 3~--
PklkClPA~ .USiNESS AcTIViTY: CO~F~C(~ ~_~'~~ ~~.~.~(~ AFTER BUS HRS: