HomeMy WebLinkAboutBUSINESS PLAN Hazardous. Materials/Hazardous Waste Unified.Permit
.CONDITIONS OF ~PERMIT ON REVERSE SIDE
'. ~- · This _permit is Issued for the followin._:
, [] Hazardous Materials Plan
E] Underground Storage of HazardOus Materials
Permit ID #:: 015-000-001359' n Risk Management Program
DISTRIBUTING,. ~ Hazardous Waste On-Site Treatment
PRICKETTS
LOCATION: 1141 W COLUMBUS, ST
OFFICE OF ENVIRONMENTAL SER VICES'
1715 Chester Ave., 3rd Floor Approved by: ' (.~Ralph/Hucy.~i Issue Date
Bakersfield, CA 93301 5; OfficeofEv~Services ~
Voice (661) 326-3979 ' ~
FAX (661) 326-0576 ..Expi~ationDate: :June 30. 2003
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
· ~,~?:???!iC?? ?~?~ !!~' ~;~,~ This permit is issued for the following:
..... ,?":i?"~':/?: ~:22;;,:::;',~2:i~;:2:',?:;ii?.Et~Hazardous Materials Plan
?i? ".i.j~! :!?:'~%i ;ili!i i iiiil;i ii?i iiiiiiii~:?U~e[ground Storage of Hazardous Materials
PERMIT ID# 015-0214)01359 .~,/~i?i[~i i~ ~ii j:~il~' !! !:!: !!!? ? !i !!!!:!!~.!,i!! ,ilii ~ ~k ~a~agement Program
.,:,~?!!':?~?'~= ~!i!il .... ii~ !i::: :,.:,~::.:il :::i:.::;::: :::7 ii: !!i;:ii::: i':,i i;"~';i :: ;?.!i ~iii~a~d~s Waste
~;: '::, '; j~ ~ ~:~:~,:: ;~a:' :~a;~ [~,'"~ ~:~; ~ ~ ,I~ '~' %'~:=~.. iE, ~:-.... "~
~gL-'.:.:~ ' :~': "'"~::;"~,~::::"~ ...... %~;~';~Y~'~%~,,,,'"'~: .......... ~?.~;~: .5r .~-~,.
~ .......... ~ ,~?,~ ..... % ~ ,..,, _ · ~.~ ~".,. =., ;~i~~
':~[,,.........'='::,~'"~i :~[~' .~r ~[~m~:. "": ............. ~:.EC""'~. ~ "i~L ~i~. =:~' ', ~ ~i~'
'::~e4i~::.~: ..:.' ....'/' ..., ,., .,.' ,:' ,~ ~ / / .~:..::i~.:,..
[ssu~ by:
O~CE1715 Che~erOF E~RON~3L3rd S~ .CES / ~p~ ~;ey,~~ I~
B~e~el& CA 93301
Voice (805) 32~3979
F~ (S05)326-0576 Expiration Date: ~~ 30~
D
·
April 27, 2001
Mr. Alan Prickett
Pdckett's Distributing, Inc.
FIgE CHIEF 1141 W, Columbus Street
.o, F,~z~ Bakersfield. CA 93301
i" &DMINISTRA'rlVE SERVICES
~'.', ~o~ 'H' St~.,t Dear Mr. Prickett:
Bakersfield, CA 93301
. '. VOICE (681) 328.3941
~:i ~ax (es~)~9s-~3.~ Enclosed. please find a copy of the site diagram or facility liagram that you had
sup.n~sslo, s;,wc;s previously submitted as part of your Hazardous Materials ~anagement Plan
z~o~ 'H'S~e.,t (FIMMP). The diagram(s) submitted, have been rejected, ecause; 1) Nccd
Bal~erslield, CA 9;3,301
voice <ee~) =s.~ facility plan.
;'J PREVENTIONSERVIC~.S Please have the diagram(s) re-drawn and re-submitted by [ay 25, 2001, I have
ms Ch,,~0r^~o. also included a copy of the Site and Facility Diagram lnstrt ~ions, and a blank
B~kersflsId, CA 93301
VOICE (661)326-3951 fOFlTl for your convenience. If you have any questions, ple~ se contact
~x (s~)a~.0s?~ Esther Duran at (661) 326-3658.
' ms Ch.~.~ ^~.. Thank you for your assistance.
Bakersfield, CA 9330!
.,' vOICE {881) ~28-3979
s~4z v~:~o~ ~v.. RALPH E. HUEY, DIRECTOR
I~nkorsfiold. CA 93308
vOiCE Iss~ ag,-a**~ OFFICE OF ENVIRONMENTAL SERVICES
Esth ouming Clerk II
Office of Environmental Services
ED\db
Enclosures
PRICKETTS DISTRIB TIN NC. SiteID: 015-021, x001359
Manager : BusPhone: (661) 327-9852
Location: 1141 W COLUMBUS ST Map : 103 Com~az : Minimal
City : BAKERSFIELD · FacUnits: :
~%~%%%%%% Grid: 18C 1 AOV
CommCode: CO~TY STATION 64 SIC Code:
EPA Nu~: DunnBrad:04-325-7476
Emergency Contact / Title Emergency Contact / Title
ALAN PRICKETT / BRANCH MANAGER KATHY HYATT / OFFICE MANAGER
Business Phone: (661) 327-9852x Business Phone: (661) 327-9852x
24-Hour Phone : (559) 299-2040x 24-Hour Phone : (661) - x
Pager Phone : (559)-9~YS~-?~-~r Pager Phone : (661) 633-1973xPGR
3S9 -9 ! ~ ~
Hazmat Hazards: Fire Press ImmHlth
Contact : alan prickett Phone: (661) 327-9852x
MailAddr: 1141 W COLUMBUS ST State: CA
City : BAKERSFIELD Zip : 93301
Owner CLYDE PRICKETT Phone: ~ 291-9780x
Address : 123 .M ST State: CA
City : FRESNO Zip : 93721
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
---- Hazmat Inventory One Unified List
--Alphabetical Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax IUnitlMcP
HELIUM F P IH G 1000.00 FT3 Min
LIQUID CARBON DIOXIDE F P IH G 244410.00 FT3 Min
LIQUID CARBON DIOXIDE F P IH G 16294.00 FT3 Min
NITROGEN F P IH G 2000.00 FT3 Min
. v~ ~ ~i.~ n~)
reWew~, the attache~ h~ardous mmerials manage~
plan
f°r~and that i~ alon~
(~me of Busine~)
any ~rre~ions ~nsti~u~e a comple~ and corr~ man~
agem~n~~~ ~fac~li~y.
~) Bakersfield Fire Dept.
UNIFIED PROGRAM INSPECTION CHECKLIST Entronmental Sez~ces
SECT'- -ON-'-'1 ................. , ' ,,',,,,, - 1715 Chester
~ Business Plan and Inventory Program Bakcrs£i¢ld, CA 93301
Tct: [661)326-3979
FACiLIT,~NAME ' '" INSPECTION DATE INSPECTION TIME
ADDRESS No. of Employees
{ 5-021-
Section 1' Business Plan and Inventory Program
~ Routine ~ Combined ~ Joint Agency {~ Multi-Agency ~ Complaint I'1 Re-inspection
C V [C=Cor. p~i~.oe~ OPERATION COMMENTS
% V=Violation
APPROPRIATE PERMIT ON HAND
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF OUANTITIES
PROPER SEGREGATION OF MATERIAL
ION OF HAT MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PR~EDURES
~ HOUSEKEEPING
ANY H~ARDOUS WASTE ON SITE?: ~ YES ~O
EXPLAIN:
Inspector Badge No., -~/ ' BU?,~I§S";~'~ Respo~b,~-~'~'
White - Environmenlal Sewi~s Yell~. ~at~n ~py Pin~ Bus.ss ~py
PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
Manager : BusPhone: (805) 327-9852
Location: 1141 W COLUMBUS ST Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 18C FacUnits: 1 AOV:
CommCode: COUNTY STATION 64 SIC Code:
EPA Numb: DunnBrad:04-325-7476
Title
E~e~C.~~t / I ~er~enc~ Contact / ~tle
' Bd~i~es~ Phone:
Business Phone: (~) 3~7-9852x .
24-Hour~e : (~'~'~_~_~3"~.~ ~r Phone :
Page~ : ~)~-~//x ~age~Phone : ~/)~3 -~3 x
Hazmat Hazards: Fire Press Im~lth
"Contact : ~ Phone:
MailAddr: 41 W CO~BU8 ST State: CA
City : B~ERSFIELD Zip : 93301
O~er CLUE PRICKETT Phone: (209) 291-9780x
Address : 123 N ST O~ State: CA
City : FRESNO ¢ Zip : 93721
Period : to ~,. ~ TotalASTs: = Gal
Preparer: "U~O~ ~ TotalUSTs: = Gal
Certif'd: - RSs: No
Emergency Directives:
= Hazmat Inventory One Unified List
-- As Designated Order Ail Materials at Site
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax lunit MCP
LIQUID CARBON DIOXIDE F P IH G 244410.00 FT3 Min
LIQUID CARBON DIOXIDE F P IH G 16294.00 FT3 Min
HELIUM F P IH G 1000.00 FT3 Min
NITROGEN ~ ~/;~e 3/~b/~ OO h0r0b~ 00~iF~ p IH G 2000.00 FT3 Min
that 0 hav~
~9~ or p~nt ~)
rsviswed the ~ch~ h~ous m~ted~ls manage-
ment plan ~or~~lxT, a~ thru it along with
' (Name ~
any corr~ions mnsfitu~, a mmpl~ls and corro~ man-
agemen~ plan for my facili~.
-~- o4/~o/2ooo
PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
= Inventory Item 0001 Facility Unit: Fixed Containers on Site':
~iv~vl~ ~Vl~ / ~1 ~kl.~ ~vl~
LIQUID CARBON DIOXIDE Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE SOUTHWEST CORNER CAS#
124-38-9
F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above AmbientIi Cryogenic FIXED PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 244410.00 FT3 162940.00 FT3
HAZARDOUS COMPONENTS
I
100.00 Carbon Dioxide N 124389
HAZARD ASSESSMENTS
ITsecret RS BioHazl Radioactive/Amount I EPA HazardsI NFPA USDOT# MOP
No No No No/ Curies F P IH / / / Min
= Inventory Item 0002 Facility Unit: Fixed Containers on Site
LIQUID CARBON DIOXIDE Days On Site
365
Location Within this Facility Unit Map: Grid:
INSIDE REAR CAS#
124-38-9
F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Cryogenic PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container ! Daily Maximum Daily Average
FT3L 16294.00 FT3 8147.00 FT3
HAZARDOUS COMPONENTS ~
%Wt. S CAS#
100.00 Carbon Dioxide N 124389
HAZARD ASSESSMENTS
TSecret ~SIBioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP
No N No No/ Curies F P IH / / / Min
-2- 04/10/2000
PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
= Inventory Item 0003 Facility Unit: Fixed Containers on Site
~v~v~ ~vl~ / ~£ %JZ-~J.J ~Vl~
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE REAR CAS#
7440-59-7
Gas Pure Above Ambient Cryogenic PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 1000.00 FT3 750..00 FT3
HAZARDOUS COMPONENTS
100.00 Helium N 7440597
HAZARD ASSESSMENTS
[TSecret RS BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
= Inventory Item 0004 Facility Unit: Fixed Containers on Site
NITROGEN Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE REAR CAS#
7727-37-9
F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Cryogenic PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
FT3I 2000.00 FT3 1000.00 FT3
HAZARDOUS COMPONENTS
100.00 Nitrogen N 7727379
Secret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Min
-3- 04/10/2000
F PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
Fast Format
= Notif./Evacuation/Medical Overall Site
--Agency Notification 01/07/1990
CALL 911
Employee Notif./Evacuation 01/07/1990
NOTIFICATION OF PERSONNEL IS ACCOMPLISHED BY THE "SPILL" DUE TO THE LOUD
NOISE OF ESCAPING GAS. EVACUATION IS NOT NORMALLY REQUIRED.
-- Public Notif./Evacuation 01/07/1990
BUSINESS/RESIDENTIAL NEIGHBORS WILL BE NOTIFIED BY WAREHOUSE AND/OR OFFICE
PERSONNEL BY DIRECT CONTACT IF NECESSARY. EVACUATION REQUIRED FOR ALL
PERSONNEL WITHIN 25 FEET OF THE "SPILL"
Emergency Medical Plan 01/07/1990
ANY OCCURANCE SERIOUS ENOUGH TO REQUIRE MEDICAL ASSISTANCE WOULD BE
HANDLED AT THE MEMORIAL HOSPITAL
420 34TH STREET
BAKERSFIELD, CA
(805) 327-1792 ,
-4- 04/10/2000
F PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 03/20/1992
COMPRESSED GASES "SPILL" TO THE ATMOSPHERE. PREVENTION IS ACCOMPLISHED BY
TRAINING, PROPER HANDLING AND TANK FILLING. PRESSURE RELIEF VALVES AND
RELIEF PLUGS PREVENT VESSEL RUPTURE.
--Release Containment 03/20/1992
ALL MATERIALS ARE COMPRESSED GASSES.
-- Clean Up 03/20/1992
VENT TO ATMOSPHERE WITH ADEQUATE VENTILATION.
Other Resource Activation
5 04/10/2000
F PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
Fast Format
~ Site Emergency Factors Overall Site
lSpecial Hazards ~
--Utility Shut-Offs 01/07/1990
A) GAS - NONE
B) ELECTRICAL - NORTHWEST CORNER BUILDING
C) WATER - NORTHWEST CORNER OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 01/07/1990
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERES STRAGICALLY LOCATED. SINCE
THE GASES WE HANDLE ARE IN THEMSELVES FIRE RETARDENTS AND EXTINGUISHERS, WE
DO NOT ANTICIPATE ANY FIRE DUE A HAZARDOUS MATERIAL SPILL.
FIRE HYDRANT - 20 FEET NORTH OF THE FRONT DOOR
Building Occupancy Level
-6- 04/10/2000
PRICKETTS DISTRIBUTING, INC. SiteID: 215-000-001359
Fast Format
Training Overall Site
-- Employee Training 01/07/1990
WE HAVE 5 EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
CLASSROOM TRAINING, WHAT IS CARBON DIOXIDE, HELIUM, NITROGEN. WHAT
HAPPENS WHEN YOU BREATHE TOO MUCH, EMERGENCY PLANNING, MEDICAL/FIRST AID
TREATMENT, SAFETY PROCEDURES.
-- Page 2
--Held for Future Use
Held for Future Use
-7- 04/10/2000
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME [Z:'R-tCV-C'CTT~ ~t'3~'~ INSPECTION DATE ~4-/'7
ADDRESS I( q--[ bO.- C_~o-co,nnrg~s PHONE NO.
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
~..Routine [~ Combined ~ Joint Agency 1~ Multi-Agency [~] Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials (
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled /
o)
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C--Compliance V=Violation
Any hazardous waste on site?: [~][ Yes /J~No
Explain: ·
Questions regarding this inspection? Please call us at (661) 326-3979 Busin/gsS~ite Re~°n~sible Party
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspectb'~.'
02/28/92 PRICKETT$ DISTRIBUTING, INC. 215-000-001359 Page 1
Overall Site with 1 Fac. Unit
General Information
I
Location: 1141W COLUMBUS ST Map:' 103 Hazard: Minimal
Community: COUNTY STATION 64 Grid: 18C F/U: 1 AOV: 0.0
Contact Name Title Business Phone 24-Hour Phoneq
CID STARK ~., (805) 327-9852'x (805) 872-4206!
CLYDE PRICKETT (209) 268-0201 x (209) 291-9780/
Administrative Data
Mail Addrs: 1141W COLUMBUS ST D&B Number: 04-325-7476
City: BAKERSFIELD State: CA Zip: .93301-
Comm Code: 215-064 COUNTY STATION 64 SIC Code:
Owner: CLYDE PRICKETT Phone:
Address: 123 M STREET State: CA
City: FRESNO Zip: 93721-
Summary
NOV ISSUED - UNIFORM FIRE CODE 74.107 REOE~VED
HAZ. MAT. DiV.
02/28/92 PRICKETTS DISTRIBUTING, INC. 215-000-001359 Page 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 LIQUID CARBON DIOXIDE Gas 244410 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 124-38-9 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: OTHER
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
244,410 ~ 162,940.00 2,444,100.00
Storage Press T Temp Location
FIXED PRESS. CYLINDER IAbove 1CryogenlOUTSIDE SOUTHWEST CORNER
-- Conc Components MCP List
100.0% Icarbon Dioxide IMinimal I
02-002 LIQUID CARBON DIOXIDE Gas 16294 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 124-38-9 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: OTHER
Daily Max FT3I Daily Average FT3 ----~ Annual Amount FT3
16,294 ~ · 8,147.00 2,444,100.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER IAbove [CryogenllNSlDE REAR'
-- Conc Components MCP. List
100.0% Icarbon Dioxide IMinimal I
02-003 HELIUM Gas 1000 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 7440-59-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: OTHER
Daily Max FT3I Daily Average FT3 I Annual Amount FT3 --
1,000 ~ 750.00 12,000.00
Storage Press T TempI Location
PORT. PRESS CYLINDER Above ~CryogenlINSIDE REAR
-- Conc Components MCP LiSt
100.0% IHelium IMinimal I
02/28/92 PRICKETTS DISTRIBUTING, INC. 215-000-001359 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-004 NITROGEN Gas 2000 Minimal
~ Fire, Pressure, Immed Hlth FT3
CAS #: 7727-37-9 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: OTHER
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
2,000 ~ 1,000.00 24,000.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER Iabove ~CryogenllNSlDE REAR
-- Conc~ Components ~ MCP~---/List
100.0% INitrogen IMinimal I
02/28/92 PRICKETTS DISTRIBUTINGj INC. 215-000-001359. Page 4
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
NOTIFICATION OF PERSONNEL IS ACCOMPLISHED BY THE "SPILL" DUE TO THE LOUD
NOISE OF ESCAPING GAS. EVACUATION IS NOT NORMALLY REQUIRED.
<3> Public Notif./Evacuation
BUSINESS/RESIDENTIAL NEIGHBORS WILL BE NOTIFIED BY WAREHOUSE AND/OR OFFICE
PERSONNEL BY DIRECT CONTACT IF NECESSARY. EVACUATION REQUIRED FOR ALL J
PERSONNEL WITHIN 25 FEET OF THE "SPILL"
<4> Emergency Medical Plan
ANY OCCURANCE SERIOUS ENOUGH TO REQUIRE MEDICAL ASSISTANCE WOULD BE
HANDLED AT THE MEMORIAL HOSPITAL
420 34TH STREET
BAKERSFIELD, CA
(805) 327-1792
02/28/92 PRICKETTS DISTRIBUTING, INC. 215-000-001359 Page 5
00 - Overall Site
<E> Mitigation/P.revent/Abatemt
<1> Release Prevention
COMPRESSED GASES "SPILL" TO THE ATMOSPHERE. PREVENTION IS ACCOMPLISHED BY
TRAINING, PROPER HANDLING AND TANK FILLING. PRESSURE RELIEF VALVES AND
RELIEF PLUGS PREVENT VESSEL RUPTURE.
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
02/28/92 PRICKETTS DISTRIBUTING, INC. 215-~000-001359 Page 6
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - NORTHWEST CORNER BUILDING
C) WATER ~ NORTHWEST CORNER OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERES STRAGICALLY LOCATED. SINCE
THE GASES WE HANDLE ARE IN THEMSELVES FIRE RETARDENTS AND EXTINGUISHERS, WE
DO NOT ANTICIPATE ANY FIRE DUE A HAZARDOUS MATERIAL SPILL.
FIRE HYDRANT - 20 FEET NORTH OF THE FRONT DOOR
<4> Building Occupancy Level
02/28/92 PRICKETTS DISTRIBUTING, INC. 215-000-001359 Page 7
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 5 EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
CLASSROOM TRAINING, WHAT IS CARBON DIOXIDE, HELIUM, NITROGEN. WHAT
HAPPENS WHEN YOU BREATHE TOO MUCH, EMERGENCY PLANNING, MEDICAL/FIRST AID
TREATMENT, SAFETY PROCEDURES.
<2> Page 2 as needed
<3> Held for Future Use'
<4> Held for Future Use
- HAZ BUREAU
Business Name: ~C-[(~l-~ ~l~l~(JTi~ Location: ~ [4( [/0, ¢-c3Lc/~ ~OS ID # [~'-fl DATE fl / ~0 / ~
~~~aUM~RY: ANNUAL INSPECTION ~ EXEMPTION RE-INSPECTION COMPLAINT__
0CT 89 '
ALL ITEMS OK: [ ] VIOLATIONS NOTED: [ ~
A~S~aO - Does Not Apply 1 - In Compliance ~ - Correction Needed 3 - Verbally Warned
............. 4 - N.O.V 5 - Citation 6 - Referred To (Specify)
EMERGENCY PROCEDURES (CCR TITLE 19-2729 & 31) PREVENTION & CLEANUP PROCEDURES (CCR TITLE 19-2731)
A. Agency Notification Plan (O.E.S., FD) .... L. Work Area Safety
B. Employee Notification & Evac. Plan M. Clean-up Materials Placement/Availability
C. Emergency Responder Notification .. N. Clean-up Equipment
D. Medical Assistance O. Fire Protection Systems
E. Private Response Team Procedures P. Waste Handling & Storage
Q. Availability of Protective Equipment
TRAINING REQUIREMENTS (CCR TITLE 19-2732) INV. & DIAGRAM VERIFICATION (CCR TITLE 19-2729)
F. Training Records R. Inventory Quantities ~
G. MSDS Available to Employees ...... S. Storage, Container Cond., & Labeling
H. Employees Familiar with MSDS T. Location in Facility Unit
I. Use of Personal Protective Equipment U. Emergency Water Supply
J. Waste Material Permits & License V. Evacuation Plan & Area
K. Employees Familiar with Evacuation W. Surrounding Exposures
Plan. . ..... X. Utility Shut-offs
Y. Other
Comments: ~O~-~ ~ ~co~ ~ ~A(~- O~ ~~ ~lo~A~o ~
Clearance Granted [ ] Re-Inspection Required [ /] On I0 / I / ~ D.E.
Starte~i~~_~~~~ [~-~' ~ complet~d~;A : O~'~ (.~~~Tot 1 Time · If Miles on Insp. ®
BUSINESS NAME PR'. DISTRIBUTING, INC, ID ER 215--4~0-0013SB
LOC~t'FION 1141 W COLUMBUS HIGH HAZARD RATING 1
1. OVERVIEW
LAST CHANGE 01/Z4/89 BY VAL
JURIS CODE ZIS-O~4 JURIS COUNTY STATION
MAP PAGE 10~ GRID 18C FACILITY UNITS 1 HAZARD RATING
RESPONSE SUMMARY ZA SEC 4)
WAREHOUSE PERSONNEL ARE INSTRUCTEO TO VACATE THE AREA, THE GASES ON PREMISE
VENT TO THE ATMOSPHERE AND DO NOT POSE A THREAT TO I'HE EMPLOYEES
EMERGENCY CONTACTS ZA SEC
SID STARK - 327-985Z OR 87~-4~06
CLYDE PRICKETT - (~09) Z68-020{ OR (~09) Z91~9780
UTILITY SHUTOFFS 2A SEC
A) GAS - NONE 8) ELECTRICAL - NW CORNER 8LDG C) WATER - NW CORNER 8LOG
O) SPECIAL - NONE E) LOCK 8OX - NO
NOTIFICATION / PUBLIC EVACUATION
LAST CHRNGE / / 'BY
{ NO INFORMATION RECORDED FOR THIS SECTION
PAGE 1 05/01/89
MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 848-6800
BUSINESS NAME PRICKETTS DISTRIBUTING, INC. ID NUMBER ~1S-<~0~0013S9
LOCATION 114t Y COLUMBUS HIGH HAZARD RATING t
~. HAZ MAT TRAINING SUMMARY
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
4. LOCAL EMERGENCY MEDICAL ASSISTANCE
' LAST CHANGE 01/24/89 BY VAL '
Z8 SEC S> ~NY OCCUR~NCE SERIOUS'ENOUGH TO REQUIRE MEDICAL ~SSISTANCE W~ULD BE
HANDLED RT THE MEMORIAL HOSPITAl.
P~GE 2 05/01/8~ 13:07
MATERIAL SAFETY OAT~ SYSTEMS, INC. (805> 648-6800
BUSINESS NAME PRIC S DISTRIBUTING, INC, ID
LOCATION t141W COLUMBUS HIGH HAZARD RATING 1
FACILITY UNIT O7
A. OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE O1/Z4/B9 BY VAL
ID TYPE NAME MAX RMT UNIT HAZARD
LOCATION CONTAINMENT USE
1 PURE LIQUID CARBON DIOXIDE 3~00 FT3 LOW
OS SW CORNER FIXED PRESS.TANKS OTHER
ID PERCENT COMPONENTS HAZARD LIST
1Z5},00 100,0 Carbon Dioxide NONE
Z PURE LIQUID CARBON DIOXIDE 2000 FT3 LOW
INSIDE REAR PORTABLE PRESS, CYL, OTHER
ID PERCENT COMPONENTS HAZARD LiST
~ZSl,~ 1(~0,0 Carbon Dioxide NONE
~ PURE HELIUM 1000 FT3 UNKNOWN
INSIDE-REAR PORTABLE PRESS. CYL. OTHER
ID PERCENT COMPONENTS HAZARD LIST
2027.00 1~.0 Helium NONE
4 PURE NITROGEN ZO~X~ FT3 MODERATE
INSIDE REAR PORTABLE PRESS. CYL. OTHER
ID PERCENT COMPONENTS HAZARD LIST
Z324,00 ~00,~ Ni'trog~n NONE
FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 0t/24/89 BY V~L
SEC 4) FIRE. EXT!NGUISHERES STRAGICRLL. Y LOCATED. SINCE THE GASES WE
HANDLE ARE iN THEMSELVES FIRE RETRRDENTS AND EXTINGUISHERS, WE
O0 NO'[ ANTICIPATE ANY FIRE DUE TO R HAZARDOUS MATERIAL SPILL.
3R SEC S) FIRE HYDRANT - ZO' N OF THE FRONT DOOR
PAGE 3 05t01/85 13:07
M~TERIRL SAFETY DATA SYSTEMS, INC, (8~5) 648-G8~)0
BUSINESS NAME PRICKETTS DISTRIBUTING, INC. ID NUMBER 215-O~-O01359
LQCATION 11~1 W COLUMBUS HIGH HAZARD RATING
O. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 01/~4/89 BY VAL
SEC 2) NOTIFICATION OF P.ERSONNEL IS ACCOMPLISHED BY THE "SPILL" DUE TO
THE LOUD NOISE OF ESCAPING GAS, EVACU~TION IS NOT NORMALLY
REQUIRED,
E. MITIGATION I PREVENTION / ~GATEMENT
LAST CHANGE 01124189 BY VA[.
SEC 1> COMPRESSED GASES "SPILL" TO THE ATMOSPHERE. PREVENTION IS
ACCOMPLISHED BY TRAINING, PROPER HANDLING ~ND T~NK FILLING,
PRESSURE RELIEF VGI_VES AND RELIEF PLUGS PREVENT VESSEL RUPTURE,
PAGE 4 05/01/89 13:0'?
MATERIAL SAFETY DflTA SYSTEMS, INC. (885) 848-8800
.,.'.~. -.~,,~ '~,_..\ ..- ,."[~,,','~ .
~_. ~_.,,._ ~.,~ CITY of BAKERSFIELD ~ ~,?"~,~' ;;:~
....
( type or prin% name ) REGEtVED
Do hereb~ certify that I have reviewed the
attached Hazardous Materials business plan
Pricketts Distributing, Inc.
(name of business)
and that it.along with the attached addition~
c.r corrections constitute a complete and correct
Business Plan for my facility.
s~na%ur.e date
BUSINESS N~ME PRtCKETTS DISTRIBUTING, iNC. ID NUMBER 2tS-000-00i3S9
LOOGTION t141 W COLUMBUS HIGH H~Z~RD R~TING 1
1. OVERVIEW
LAST CHANGE 0t/Z4/89 BY VAL
J~JRIS CODE Z15-OG4 JURIS COUNTY STATION
MAP PAGE 103 GRID 18C FACILITY UNII'S 1 HAZARD RATING
RESPONSE SUMM~RY ZA SEC 4)
WAREHOUSE PERSONNEL ARE INSTRUCTED TO VACATE THE AREA. THE GASES ON PREMISE
VENT TO THE ATMOSPHERE AND DO NOl' POSE A THREAT TO THE EMPLOYEES
EMERGENCY CONTACTS ZA SEC Z)
SID STARK - 3Z?-98SZ OR 87Z-420B
CLYDE PRICKETT - (Z09> ZB'8-OZ01 OR <Z09) Z91-9780
UTILITY SHUTOFFS ZA SEC 3)
A) OAS - NONE B> ELECTRICAL -' N~ CORNER BLDG C) ~A'¥ER - N~ CORNER BLD6
0> SPECIAL - NONE E) LOCK BO>( -. NO
NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE 2~0~9 BY LeRoy A. Gerdlund
-Business/residential neighbors will be notified by warehouse and/or
office personnel by direct contact if necessary.
-Evacuation required for all personnel within 25 feet of the "spill".
< NO INFORMATION RECORDE[] FOR THIS SECTION >
PAGE 1 0t/Z4/89 tg:s1
MATERIAL SAFETY DA'r~ SYSTEMS, INC. (805) 648-6800
BUSINESS NAME RRICKETTS DISTRIBUTING, INC, ID NUMBER ZlS-~-OOt35B
LOCATION 1141 U COLUMBUS HIGH H~ZARD RATING
3. HRZ MR'[ T.RAININ6 S~JMMRRY
LAST CHANGE 2 ~0 /89 BY LeRoy A. Gerdlund
-CLASSROOM TRAINING OUTLINE
1-Introduction
2-What is: A) Carbon Dioxide, B) Helium, C) Nitrogen
3-What happens when YOu breathe too much.
4-Emergency plannnin .
< NS INFORMATION RECORDED FOR THIS SECTION >
5-Medical/First aid treatment.
6-Safety proceedures-filling and handling.
* Number of employees as of this date--5.
4~ LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE ~]/24/89 BY VAL
ZR SEC 5) ANY OCCURANCE SERIOUS ENOUGH TO REQUIRE HEDtChL ASSISTANCE WOULD BE
HANDLED AT THE MEMORIAL HOSPITAL
PAGE ~ 01/24/88 1~:51
MATERIAL SRFEI'Y DATA SYSTEMS, INC~ (805) 648-6800
BUSINESS NAME PRICKETTS DISTRIBUTING, INC. ID NUMBER Z1S-OOO-OO13SB
LOCATION 1141 W COLUMBUS HIGH HAZARD RATING t
FACILITY UNIT 01
A. OVERALL HAZARDOUS MATERIALS iNVENTORY
LAST CHANGE 01/24/89 BY gAL
ID TYPE NAME HAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
I PURE LIQUID CARBON DIOXIDE 30000 FT3 LOW
OS SW CORNER FIXED PRESS.TANKS OTHER
ID PERCENT COMPONENTS HAZARD LIST
1251,O0 1OO.O CARBON DIOXIDE LOW
Z PURE LIQUID CARBON DIOXIDE 2000 FT3 LOW
INSIDE REAR PORTABLE PRESS. CYL. OTHER
iD PERCENT COMPONENTS HAZARD LIST
1251.OO 1OO.O CARBON DIOXIDE LOW
3 PURE HELIUM 1000 FT3 UNKNOWN
INSIDE REAR PORTABLE PRESS, CYL., OTHER
ID PERCENT COMPONENTS H~ZARD LIST
ZOZT,~ I~}.0 HELIUM UNKNOWN
4 PURE NITROGEN ZOOO FT3 MODERATE
INSIDE REaR PORTABLE PRESS. CYL,, OTHER
ID PERCENT COMPONENTS HAZARD LIST
Z3Z4,~ 1OO.O NITROGEN MODERATE
B. FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE OI/Z4/8B BY VflL
3R SEC 4) FIRE EXTINGUISHERES STR~GICALLY LOCATED. SINCE THE GASES WE
HANDLE ARE IN I'HEMSELVES FiRE RETAROENTS AND EXTINGUISHERS, WE
D0 NOT ANTICIPATE ANY FiRE DUE T0 ~ HAZARDOUS MATERIAL SPILL.
SEC S) FIRE HYDRANT - ZO~ N OF THE FRONT DOOR
PAGE 3 0;/Z4/89 IB:Si
MATERIAL SAFETY OATA SYSTEMS, INC. (80S) 648-6800
BUSINESS NAME PRICKETTS DISTRIBUTING, INC, ID NUMBER 21S-OE'~)-.OO~3SB
LOCATION 114} g COLUMBUS HIGH HAZARD RATING
D. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 01/Z4/89 BY V~L
SEC 2) NOTIFIC~T!ON OF PERSONNEL IS ACCOMPLISHED BY THE "SPILL" DUE TO
'THE LOUD NOISE OF ESCAPING GAS. EVACUATION iS NOT NORM~L. LY
REQUIRED.
E, MITIGRI'ION / PREVENTION / ~BATEMENT
I_~ST CHANGE 01/Z4/89 BY UAL
3R SEC I> COMPRESSED GASES "SPII_L" TO THE ~TMOSPNERE, PREVENTION IS
ACCOMPLISHED BY TRAINING, PROPER HANDLING AND TANK FII,,.LING,
PRESSURE RELIEF VALVES ~ND RELIEF PLUGS PREVENT VESSEL RUPTURE.
PAGE 4 01/24/89 19:5~
M~TERIAL SAFETY DAT~ SYSTEMS, INC. (B05) G48-GB~O
CITY of BAKERSFIELD
F.e ~n~l Agvieultur~ ~--~ Standerd eusin,ss ~ X-XAZARDOT.7S lVlA'X'lg:RI A~5 I ffV~ff~.ORY
NON--TRADE SECRETS
BUSINESS NaME:Pricketts Dist Inc, OWNER NAME: ~icketts DSm~_ Tn~_ NAME OF T~ FACILITY:
LOCATION: ~]~] W. C~]~b]]~ AV~ ADDRESS: ~3'M Street STANDARD IND. CLASS CODE
CITY, ZlP:B~ersfield, CA ~3~O~ CITY, ZIP: ~sno CA q~7P] DUN AND BRADSTREET NUMBER
eHO.Z ~: 805-327-9852 P~o.~ ,: 209-~68-6201
~ ~ ~U~XO~ ~R ~OP~ COD~
(~e C~e it ~t Est Units m Site I~ ~ TW ~ .. St~ in F~tllty~- ~ I~t~tiw
Yire Hazard ~- a R~ttvtty ~- ~ ~ia~ [~ j hl~e [ ] i~t~te '
~lth of P~ ~lth
(C~k ell t~t e~ly) ! ' ' '
~-~ -- c--~ ~--~ ~t 12
~, ~l~h of P~ ~lth .....
~tca$ ~ ~lth ~ta~ C.A.S. ~ 7440-~9-7
(C~k all t~t a~ly)
~ [ 2~000 k~O00 I 24~000']~ 36B [ 04 ]~1 9~Ins~de-re~ 100. N~roq~n
P~icll ~ Hfllth ~ll~ C.A.S. ~ 7727-37-9
(C~k ii1 t~t mly)
[--~ Fire Hazard u_a ~tivity ~le~ r ~ Reline u_a
HHIth of Pr~sure Health ...........
Clrttficati~ (Reed and si~ after co.pier,nE all sections)
[ certify ~der ~lty of lp t~t I ~ve ~rs~ellyexmmin~ end mm f~ilimr ,ith t~ informtim suhjtt~ tn th~
for obtaining ~/iof~ti~ I ~lieve t~t t~ su~itt~ iflfo~ti~ is t~. accurate, and c~pie~
2130 "G" STREET
.AKERSFIELD, CA
(805) 326-3979
O~P~C[AL L'S~ ONL~
ID#
BUS~NESS PLAN AS A WHOLE
FORIV[ 2A
INSTRUCTIONS:
2.' TYPE/PRINT ANSWERS IN ENGLISH
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as ~ossible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: P~i~PffR ~iAt~Sbu~no.
1141 W. Columbus
B. LOCATION / STREET ADDRESS:
C~TY: Bakersfield ZIP: 93301 BUS.PHONE: (805) 327-9852
SECTION 2: E~ERGENCY NOTIFICATIONS
In case of an emergen'c¥ involving the release or threatened release of a
hazardous aaterial, call 911 and 1-800-852-7~50 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:
NAME AND TfTLE DURING BUS. HRS. AFTER BUS. HRS.
A. ~id Stark Ph# ~-9R%~ Ph~ R7~-4206
B. Clyde Prickett Ph# 209-268-0201 Ph# 209-291-9780
SECTION 3: LOCATION OF UTILITY S~UT-OFFS FOR BUSINESS AS A W~OLE
A. NAT. GAS/PROPANE:
B. ELECTRICAL: NnrfhwaAf ~arnar of b]]~]dina.
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
SECTION 4: PRIVATE RESPONSE TEAN FOR BUSINESS AS A WHOLE
Warehouse personnel are instructed to vacate the area. The gases on primise
vent to the atmosphere and do not pose a threat to the en~ployees.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Any occurance serious enough to require medical assistance would be handled
at the Memorial Hospital.
SECTION 6: E~PLOYEE 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
~TERIALS: ....................................... ~) 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: ....... NO NO
SECTION 7:. HAZARDOUS I~ATERIAL
CIRCLE YES OR NO OR NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLON8 OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO
I, LeRoy A. Gerdlund , 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.
SIGNATURE~~~~~~~TITLE General Manager DATE 11/21/88
- 2B -
SECTION 3: HAZARDOUS NATERIALS FOR THIS UNIT ONLY
¢. Does this Facility Unit contain Hazardous Materials? ..... NO
If YES, see B,
[~ NO, continue with SECTION 4.
'~:J Are any of the hazardous materials a bona fide Trade Secret YES Q
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form ~4A-1)
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:~.
SECTION 4: PRIVATE FIRE PROTECTION
F~re extinguisheres stragically located. Since the gases we handle are
in themselves fire retardents and extinguishers, we do not anticipate any
fire due to a hazardous material spill.
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Approximately 20' north of the front door.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY,
A. NAT. GAS/PROPAN~
N/A
B. 'ELECTRICAL:
Northwest corner of building.
C WATER:
Northwest corner of building.
SPEC[AL:
E LOCK BOX: YES /(~) IF YES, LOCATION:
IF YES, SITE.PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- SB -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "O" STREET
BAKERSFIELD, CA 93301
OFFICr.4L USE ONLY ~ -.
BUSINESS NA.~IE:
BUSINESS PLAN
SINGLE FACILITY UNIT
FOR~I 3A
NSTRUCTIONS
1. To avoid further action, this form must be returned by: /]-~O:,~_ --_ --
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 NAME: Pricketts Distributing, Inc.
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
Con]pressed Gases "spill" to the atmosphere. Prevention is accomplished
by training, proper handling and tank filling. Pressure relief valves
and relief plugs prevent vessel rupture.
SECTION 2: NOTIPICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY
Notification of personnel is accomplished by the "spill" due to the
loud noise of escaping gas. Evacuation is not normally required.
- 3A -
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. ~ : FORM 4A-1 Page ~of ~
NON--TRADE SECRETS
HAZARDOUS ~IATER I ALS I NV~.NTORY
BUSINESS NAME: Pricketts Distributing, Inc. OWNER NAME: Clyde Prickett FACILITY UNIT #:
ADDRESS: 1141 W. Columbus ADDRESS: 123 M Street .. FACILITY UNIT NAME:
CITY, ZIP: bakersfield 93301 CITY,ZIP: Fresno, CA 93721 ,.
P~ONE ~: 805-327-9852 P~ONE #: 209-268-0201 ~FFI~IAL USE CFIRS CODE
[
, ONLY ....
! 2 3 4 5 6 7 8 9 10
P'~ 30,000 100,000--~D 03 99 Outside- S. W. Corner 100 Li~id C~n Dioxide ~5' % ~G
"
~ 2,000 --sm ......... 04 Ins~de-re~ 100 (~sfer from "Cont." 03) [~ N~G
P ~ 1,000 12~ 000 ~3 04 99 Ins~de-re~ 100 Heli~ N~G
P'~' 2,000 24,000 ~3 04 99 Inside-re~ 100 Nitrogen ~q ~G
NAME: LeRoy A. ~rdlmd ~ITLE: ~neral ~aqer SIGNATURE: ~ ~_~'~ DATE:~
EMERGENC9 CONTACT: Sial St~k TITLE:,~e~isor P~ONE ~ BUS HOURS: 327-9852
AFTER BUS ~RS: 872-4206
EMERGENCY CONTACT: Clyde Prickett TITLE: ~esident . PHONE [ BUS ~OU~S: 209-268-0201
PRINCIPAL BUSINESS ACTIVITY: ~rage & E~ipmnt Distributor AFTER BUS NRS: 209-291-9780
; - 4A-1 -
PRICKETTS DISTRIBUTING, INC.
EMERGENCY RESPONSE PLANS AND PROCEDURES
BAKERSFIELD, CA.
EMERGENCY RESPONSE AGENCIES MUST BE NOTIFIED IMMEDIATELY FOLLOWING A
RELEASE OR THREATENED RELEASE THAT PRESENTS AN IMMEDIATE THREAT TO
THE HEALTH AND SAFETY OF EMPLOYEES OR THE PUBLIC.
WHEN NOTIFYING OUTSIDE AGENCIES OF A HAZARDOUS MATERIAL RELEASE OR
THREATENED RELEASE, USE THE FOLLOWING PROCEDURES:
1. Identify problem.
2. Initiate business, emergency plan.
3. Perform safety requirements.
Phone emergency response agencies and provide:
- Name and telephone number of the caller.
- Nature of incident (spill, explosion, fire, etc.)
- Location of incident.
- Time and date incident occurred.
- Name of hazardous materials(s).
- Approximate quantity involved.
- Safe location on or near facility where emergency personnel
can meet company emergency coordinator.
- Number of injuries and cause of injuries.
- Whether facility is being evacuated.
- Whether surrounding area should be evacuated.
- Whether individuals have been contaminated.
- Other information requested.
Many accidents and injuries are caused by not paying attention to the
task at hand. The general safety and that of others often rests
in the hands of the operator. STAY ALERT AND LIVE SAFELY!
81711
PRICKETTS DISTRIBUTING, INC.
EMERGENCY PROCEDURES
HAZARDOUS MATERIALS BUSINESS PLAN
BAKERSFIELD, CA.
In the event of a major CO2 leak and/or tank receiver rupture due to
or as a result of conditions listed, follow directions carefully.
1) Gas escaping from the pressure relief valve due to failure of the
refrigeration system must be identified as such. Open the tank
filling valves to help relieve the pressure in the receiver. Get help
to restore the refrigeration system immediately.
2) Failure to get the refrigeration system going may result in a tank
rupture if the safety relief valve does not vent adequately. This
condition would be most likely to occur on a weekend when the facility
is closed. Report this condition to the Emergency Coordinator (EC)
immediately.
3) A sudden release of a large amount of CO2 into the atmosphere due
to the failure of any component in the system must be reported to the
EC immediately.
Should a REPORTABLE emergency arise, call the appropriate numbers:
,Fire Department: 911 ,Police Department: 911 ,Ambulance: 911
,Administering Agency: 326-3911
,State Offices of Emergency Services: 800-852-7550 or 916-~27-~3~1
National Response Center: 800-424-8802
Chemtrec--Emergency Response Information Service: 800-~2~-9300
Toxic Information Hotline: 800-233-3360
,A business is required to report any release or threatened
release of a hazardous material to these agencies.
** Medical Assistance: Memorial Hospital: 327-1792
REFER TO THE LIST OF PROCEDURES (item ~.-next page) WHEN MAKING ANY
OF THE ABOVE CALLS.
81711