HomeMy WebLinkAboutBUSINESS PLAN 00. C 0 M M E R C I A S D , C A L I F.O R - 0 6 2 5
...MAILING ADDRESS: P.O. BOX 120 0 3 · BAKERSFIELD, C A L I F 0 R'N IA 9 3 3 8 9- 2 0 0 3
BAKERSFIELD DISTRICT OFFICE ' . ' ' '
· (661)327-4661 · '" .......
, January 9, 2001
City of Bakersfield
P. O. Box 2057
Bakersfield,, CA 93303-2057
Re: Haz Mat Fees
Customer Number: 6541
Customer Type: ES/41056
We received a statement this date for $179.00, an annual fee for having hazardous
materials on our property. This was due to our having barrels with diesel fuel for use in
" our generator should there have been an incident relating to Y2K.
Please be advised these barrels were temporary and have be~n removed. The statement
has been forwarded to our corporate payables department for payment. We understand
that with the removal of the barrels there will be no fee in january 2002.
District Manager
jsk "
OFFICE OF ENVIRONMENTAL SERVICES
1715 CheSter Ave., Bakersfield, CA (661) 326-3979
A.h.~IAZARDOUS MATERIALS MANAGEMENT PLAN
'~tq q. RECEiYED
INSTRUCTIONS: ,./AN 2 2 200I
1. To avoid further acti°n,'retum this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH. '
_$_,~ -_ ._~An_sy,,e_.r ~t_h~e_fluestions below for the busir/ess as a whole.
4. Be as brief and concise as possible.
5. , You may also attach Business Owner / Oper_ator Form and Chemical Description Form(s)
to the fi'ont of this plan instead of completing. SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: ~ ,Automobile Club of .~outhern California
1500 ConTaercial Way
LOCATION:
MAILING ADDRESS:
CITY: Bakersfield STATE: CA ZIP: 93309 PHONE: 661 327 4661
PRJMARY ACTIVITY: Insurance / Travel
............... lUto~bT~l; Club of Southern/ Califor~il--~ ...... PHONE: 714 885 lgg8
MAILING ADDRESS: 3333 FairView Road, Costa Mesa, CA 92626
EMERGENCY NOTIFICATION
CONTACT TITLE ........ BUS...PHONE . __ 24 .H.I~_..PHONE
1. Auto Club Administrative ,Qffice ........ 7.1..~. 8.8.5 1530. 714 850-5141.
Auto Club Headquarters Office 213 741 4141
2.
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. 1' DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
B. EMPLOYEE AND AGENCY NOTIFICATION:
1. 911
2. 661 326 3979
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
Supervisor of Building Services
Assistant Manager, Facilities Construction
D. EMERGENCY MEDICAL PLAN:
2
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN ,' ....... .; : .... . .
A. HAZARD ASSESSMENTANDPREVENTION MEASURES: : .' .' ~. ,:.
B. 'RELEASE CONTAINMENT AND/OR MITIGATION:
C. CLEAN-UP AND RECOVERY PROCEDU1LES:
Cunming West
301 East Fourth Street
Bakersfield, CA 93307
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GASWROPANE: Ea~-~ 'side of building. '
'-ELE~~L~E~~i-~ ~o~m[ -~i~fi~r, ess t ~d ~f-'~il-di~~ ......
WATER: East side of building.
SPECIe:
LOCK BOX: -~S~ IF ~S, LOCATION:
P~VATE.FI~ 'PROTECTION~ATER AV~L~ILITY
A. PRIVATE FIRE PROTECTION:
Monitorin~ by Tel-Tec 661 397 5511
Fire Sprinklers
B. WATER AVAILABILITY (FIRE HYDRANT):
Northwest cornor of building, across the street.
)
3
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES: 55
MATERIAL SAFETY DATA SHEETS ON FILE: None
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
I, Maynard Brown CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UNDERSTAND THAT THIS 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.
~'~';'7 Sr. Coordinator, Buildinq Services 1-19-01
SIGNATURE TITLE DATE
4
Wln O P.Oa ,
1715 Chester Ave., 3~" Floor, Bakersfield, CA~3~I ) D~~'~
FACILITY NAME ~ ~ ~ .~SPECTION DATE {I/[ 3/~'
ADD.SS I~O ~c~c,~ ~ PHONE NO.
FACILITY CONTACT~ ~..~ ~ ~ BUS.ESS ID NO. 15-210- ~
~SPECTION TIME NUMBER OF EMPLOYEES ~'~
Section 1: Business Plan and Inventory Program
.~Routine [] Combined [] Joint Agency [21 Multi-Agency [] Complaint I~ Re-inspection
OPERATION VI .~ COMMENTS
Appropriate permit On hand ] ~t.~(~ t/O tt_t.. Eo.nO~C~lE A.40t~ctc_/4-rzd.~/
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities [T) t ~:$¢-~ T)P..Ot~$ ~ ~-~~
Verification of location
Proper segregation of material
DIRECT (661 ) 852-4000
Verification of MSDS availability _ ~ " ~~
Verification of Haz Mat training ~Travel Agency
Verification of abatement supplies and procedures ,JEFF GOLDSMITH
DISTRICT MANAGER
Emergency procedures adequate
Containers properly labeled AUTOMOBILE CLUB OF SOUTHERN CALIFORNIA
1500"COMMERCIAL WAY BAKERSFIELD 93309
HousekeePing P.O. Box 12003 BAKERSFIELD 93389
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Explain:Any hazardous waste on site?: 121 Yes /~o . ~67.,,..~.r: ,
Questions regarding this inspection? Please call us at (661) 326-3979 B~siness Site R--~sp~si~Pany
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: /A~ ! t~'~,S
s o OFI~I~E OF ENVIRONMENTAL SERVICES
r 1715 chester Ave., CA 93301(661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
. (one fo~n per material l~er built~lng or area)
W [] ADD ~r-] DELETE I"l REVISE ** 200 Page ~ of
3
BUSINESS ~~ FACILI~ ~ME ~ D~ - ~ng B~i~, ~)
CHEMI~L LO~TiON
~NFIDE~IAL (EPC~)
FACILI~ ID, ' ~ ~ ' I ~,(~naO ~3 GRID,(oP~na0 . 2~
2~ ~ T~E SEC~T
COM~" ~ EHS
FIRE ~DE ~D ~ES (~pl~e if ~u~t~ byl~ fire ~
.210
PHYSI~L STATE ~ s ~LID . ~LIQUID . ~ g ~S 214 ~RGEST~NER Z ~ 215
FED ~RD ~TE~ES ~ ' ~ 2 ~ ~ 3 P~SSURE ~L~SE ~ 4 A~ H~L~' ~ 5 CHRONIC H~L~ 216
(~ ~1 ~ apply) '
ANNU~WAS~ 217 I ~I~M ~~ 218 I A~ 219 ~ STA~W~DE
A~U~ DALLY ~U~ DALLY ~U~
~~ ~L ~ d CU~ ~ lb ~S D m TONS ~1 DAYSONS~E
* ~ EHS. ~nt m~ ~ in I~.
STOOGE CO~AINER ~VE~UND T~K D e ~S~NM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~E ~ q ~IL
PP~)
~ b UNDER~OUND TANK ~ f ~N ~ j BAG ' ~ n P~STIC ao~ ~ r O~ER
~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TO~ SIN
~ d S~ DRUM ~ h SILO ~ I ~LINDER ~ p TANK WA~N
STOOGE PRESSU~ ~a A~IE~ ~ ~ A~VEA~IE~. ~ ba BELOWA~IE~ ~4
STOOGE ~RE ~A~IE~ ~ ~ ~VE ~IE~ D ~ BELOW A~IE~ ~ c CRYOGENIC
I. ~ ~7 ~Y~ ONo 228
2 i ~0 ~1 DY~ DNo232 ~3
~ ~5 ~Y~No 236 ~7
~ ~9 ~ Y~ D No 240 241
. ~42 243 ~ Y~ ~ No 2~ 2~
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE
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