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HomeMy WebLinkAboutBUSINESS PLAN 8/7/1995 MATI~L$ ~kersfield Fire Dept. H~lt~l~rdous Materials Division Date Completed ,~>" '~-~&~ Business Name: ~/~ ~0 ~ ~~,. ~-~ ~.'~' ~ ~ ~ ...... - ' ' III ~ '~--~ ~;~-~ ,; '~.! Location: ./~ ,.C ~~~ -~ 11~-',' ..... Business Iden,fica~on No. 215-000 ~ ~ (Top o, Bu~ness Plan) ~ '~ ~'~ ~ Station No. ~ Shift ~ Inspe~or U~/~ ~ ~al Time: ~ Depa~re Time: '- Inspe~on Time: Adequate Inadequate Verification of Invento~ Mate~als ~ Verification of Quakes ~ VeHflcafion of Location ~ Proper Segregaaon of Material ~ Commen~: Verification of MSDS Availabil~~ Number of Employees: Verification of Haz Mat Training ~ Commen~: Verification of ~atement Supplies & Procedures ~ Commen~: Emergency Procedures Posted ~ Containem Prope~ Labeled ~ Commen~: I All Items O.K 13 Business Owner/Manager PRINT NAME SIGNATURE Correction Needed 1:3 White-Haz Mat Div Yellow-Station Copy Pink. Business Copy ,.~ 09/03/93 FIRESTONE '215-000-000522 ' Page 1 Overall Site with 1 Fac. Unit General Information Location: 1705 COLUMBUS ST _cr~ Map: 103 Hazard: Low Community: BAKERSFIELD STATION 08~, ~F/~'-~' Grid: 16D F/U: 1 AOV: 0.0 Contact Name I Title I Business Phone ~ 24-Hour Phone- ,4-~9~,~/~6-~~ MANAGER (805) 87.1-8711 x ,~:~~ ~ ~ ~SS~ST~N~ ~N~ (805)8v~-8~ x Administrative Data Mail Addrs: 1705 COL~BUS ST D&B Nu~er: 00-128-8109 City: BAKERSFIELD State: CA Zip: 9330~~ Co~ Code: 215-'008 BAKERSFIELD STATION 08 SIC Code: -.._-<~/ ~. Owner: FIRESTONE CORP ~/ Phone: (805) 871-8711 Address: 1200 FIRESTONE PARKWAY? State: OH City: AKRON, ~, ~/7 Zip: 44317- Sugary 'SfP 2 9 1993 HAZ. MAL .~. I, .,4f.,g;'~:~/~-'_.~,~'-z'_ Do hereby ceffi~ that I have " ' ~y~ or p~ ~) reviewed the a~ached h~ardous materials manage- ment plan for ~~ '67~3 and that it along with ' (N~e Of 9usi'ne~) " any correMions constitute a ~mplete and.~e~ man- agement plan for my facili~. 09/03/93 FIRESTONE 215-000-000522 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 WASTE OIL ? Liquid ~5 Low · Fire, Delay Hlth GAL T3 02-001 MOTOR OIL , Liquid ~5 Minimal · Fire, Delay Hlth GAL 09/03/93 FIRESTONE 215-000-000522 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 WASTE OIL Liquid ~$-5 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL I Daily Average GAL I Annual Amount GAL ~5 ~ 50.00 /.F~.O0 Storage Press T TempI Location ABOVE GROUND TANK Ambient~AmbientlSHOP. -- Conci ComponentS I MCP ---[Guide 100.0% IWaste Oil, Petroleum Based ILow ! 27 ~ FREON R-12 / Gas 190 Minimal ~e, Pressure, Immed Hlth FT3 CAS ~~ ..Trade secret: No /~;~ ,~/~//2-~/~j/J-/ For__m. Gas Ty~ Days: ~ Us~~ ...... 190 I o I . _ o' PORT. PR.E~~ lAhore . IBelow I SHOP ~~ ..... ... ~ 0% Dichlorodi f luoromethane ~Mi~ 02-001 MOTOR OIL Liquid Z~5 Minimal ~ Fire, Delay Hlth GAL CAS ~: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily MaxX~'5GAL ~ Daily Average50 GAL. 00 ~ Annual ~ount/v~. -GAL00-- Storage Press T Temp Location ABOVE GROUND TANK ~above ~ient ~ SHOP -- Conc Components ; MCP ~uide 100.0% ~Motor Oil, Petroleum Based ~Minimal ~ 27 -- Notes 09/.03/93 FIRESTONE, 215-000-000522 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification GO TO NEAREST PHONE AND CALL 911 <2> Employee Notif./Evacuation ALL EMPLOYEES TO LEAVE BUILDING - VERBAL <3> Public Notif./Evacuation INSTRUCT ALL CUSTOMERS TO LEAVE BUILDING - VERBAL <4> Emergency Medical Plan. /~/~-~C~MEDICAL CENTER/' (805) 32~-.~J 09/03/93 FIRESTONE .~15-000-000522 page 5 00 - overall site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WASTE OIL~DRAIN TANKS ABOVE GROUND STORAGE TANK~FOR OIL AND WASTE OIL <2> Release Containment OCTOSORB PRODUCTS <3> Clean Up OCTOSORB PRODUCTS CALL 911 <4> Other Resource Activation 09/03/93 FIRESTONE 215-000-000522 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BEHIND BUILDING IN ALLEY WAY C) WATER -!SO~'- S.~..! D) SPECIAL'- SPRINKLER SYSTEM IN SHOP E) LOCK BOX - NO <3> Fire Protec./Avail. Wate'r PRIVATE FIRE PROTECTION - NONE FIRE HYDRANT - BEHIND BUILDING ON SUNNY LANE <4> Building .Occupancy Level 09/03/93 FIRESTONE ~215-000-000522 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE ~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE WELL VERSED IN HAZARDOUS MATERIALS AND SPILL CONTAINMENT. LEAVE BUILDING IN CASE OF EMERGENCY, INSTRUCTED TO GO TO NEAREST PHONE AND DIAL 911. THIS IS ALL COVERED IN MONTHLY MEETINGS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Bakersfield Fire Dept. Hazardous Materials Division ~ ~-(~- ~ ff~~ff/~ 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: RECEIVED 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. l~Y; 1 7 lq0n 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. ~0,~. [ ~ ~ !..4. ~ 5. ,,,',?:.,"~, i)jV. BUSINESS NA~E: ~l LOCATION: J~O~ MAILING ADDRESS: CITY: ~,~PP · STATE:~ ZIP' ~O~HONE: DUN & BRADSTREET NUMBER: ~O-]~-~/O~ SIC CODE'~55~- 7~ PRIMARY ACTIVITY: OWNER' ~ ~o~ MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 2, ~~ -'l~u~ ~~b~ ~71-~711 ~q ~-~Z~ FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: MATERIAL~ SAFETY DATA SHEETS ON FILE_:_ BRIEF SUMMARY OF TRAINING PROGRAM' ~~o~ secTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING RE©U'IREMENTS OF CHAPTER 6,95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" 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. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, ""~O~ 3']/j,~o..x,~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTANDTHATTHIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "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 'DA 2. FDI590 Bakersfield Fire Depl Hazardous Materials Divis~W'n HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~"~/~.~.~'~o~-,.~ ' SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: D. EMERGENCY MEDICAL PLAN: o~ ... ,9'~. & ,- 2,00o Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RELEASE PREVENTION S, TEPS: 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: xt)O~J¢~ ELECTRICAL: ~',~/~<'~ ,~z.,~,. /,'u ~,~"/,~)~,~ WATER' SPECIAL: ~.,~)~LE~L ~*~$7~"~ lA) ,~ttt~'/ LOCK BOX: YES/~'~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION' ~ o~¢-.. B. WATER AVAILABILITY (FIRE HYDRANT)' CITY of BAKERSFIELD Farm and A!!ticulture il Standard Rusiness FIHAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS Code ~ooo Am[ Amc Est units off Ire ~ype Press /emp Co~eSkoreo in ~aCll~[y Physical ~ed Hellth HA~rd C.A.S. N,mber Componefl~ II Name I C.A.S. Number Componen~ I~ Nnme I C.A.S. Number Physical and Health ~alard C,A,S, Number Component II Name I C,A,S, Number ICheck 411 that 8pp/yl Coeponent Component 13 Name Physical And Pealth Lazard C,A,S. Number Component II Name I C,A,S, Number ICheck.a/I that app/yl ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release Hem/th of Pressure Component 13 Name I C.A.S. Number Physical In~ ~ellth BayArd C,A,S, Number Componen[ II Hame I C,A,S, Number iCheck al/ that apply) Componen~ 12 Name I C.A.S. Number ~ FireNazard ~ Re~ctiyit~ ~ Delayed ~ Sudden Release ~ Immediate Hem ICh of Pressure Hem Component 13 Name I C.A.S. Number erti[j~tioq .(Repd ~p~.~ign af~p~ compl~Ciog..~ll,.~,c~i~n~) ,cer[Hy unaer penal[~ ol]q IMF I nave peTsonajq, exa=lnq~eqa ~a ~aal~a[. V~[~ [ne ~nloraat]pn ~u~aiLtt~ tn this.tnd all . ctached.dgcgaent~, ami t~a[ oaseo on.my ~nqutry 9L[nose ~natvtoua~s res¢onslHe tot obtatning [ne tn~ormatton, i be~eve [ha[ Lhe C 'I'Y of BAKERSFIELD Farm and Agriculture Fl Standard Business ~HAZARDOUSNoN_TRADEHATER[ALSsEcRETs[NVENTORY "~ [ i o f , ~ REFER TO~NSTRUCTJONS-~R~ROPER I , 3 , 5 , , 8 , 10 ,, ,2 Trans ~y~e tax Av~rpge Annual Heasure I ~e Cont Cont Cont Us Location.~heCe Code code ~et AeC Est Un,ts on Type Press Temo Co~eStored ~n facility Physical and Health Hazard C.A.S. Number [ ~ ~ ~ [ Component II Name I C.A.S. Number (Check all that apply) - ' ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~lm~i~ Component 12 Name I C,A.S. Humber Hea/[h of Pressure Componen[ 13 Name I C.A.S. Number Physical g~d ~ealth Pazard C.A.S. Number ~ Component II Name I C,A,S, Number ~ Fire Hazard U Reactivity ~Oelayed ~ Sudden Release ~l,~i.~ Coeponent 12 Naee I C.A.S. ,u,ber ~ Health of Pressure . Component 13 Name I C.k,S. Number ~hys ica 1(Check alland thatHealthapply)Hazard C.X.S. Humber Component~~ll Name~l C,A.S, Humber 0 Fire Hazard OreacLiviLy ~ 0,,,yed ~ Sudden Release ~,,~?~Component,2 Name,C.A.S. Number Hea lLh of Pressure ~ -/~ '~ Component 13 Name I C.A.S, Number ~ Fire g~z~rd ~ Re~cHvigY ~ 9el~YedHealgh ~ Suddenof Pressure~elease ~Im~%~i~c°mp°nenL I~ N~met C.A.S. Number Component 13 ~l~e t C.&.S. rubber  erli~j~aLioq .(Repd ~.nd.~fgn after comp1~Cfpg,~11 secCipn~) cer~Hy unoer penal[X ~l]a~ [nq[ ~navepeesonH~y. examlnqOeqoJm ~ami~a[.giL~ the jnlo[~a[]pn ~u~aiLL¢~ in this.tnd 8L~acned.docveents, an~ [Ba[ oasea on.my ~nqutry 9r.[nose tnatv~oua~s responsible ~or obtaining [ne Intor~auon. I ben,eve