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Home My WebLink AboutBUSINESS PLAN 6/28/1991 ':" ' -FC~R~V~ 5 ' ~ ' '.: ..... ' ~-: . .. ~ -, .~.. '::., :,.,., ., : · .. .,. ,- . :?. .. ' .'~ NORTH SCAL~: ' BU~INE~ NAME: , 'FLOOR: OF'- ' · (O~BOK O~B) SI~B DIAGR~ / ~ACI~I?Y DIAORA~ . , .. . - -~-'~~-' ~ ~_ . ~ . . ~ . . .,.~,,_~.~:~.~.. - ... -' ~ . , ~ " . . · . ~,~ .... . . . . . ~' . ... ,' ~ . ~.. d .' ' ..: -'-~ ~.,.' ' . ,........¢~ ~ .-... ... ~.....~ . ~~: ,..:..... . ' .~ ' ,~: L~1."" .' -~ ~g "~ ~..... --.. . .. . . . .. . ,. ~, . ~ ~.. ~ '~.0,~u,~- $' .. . .. ' . ' '~ ~"~e~,.. '~ t ' ~ "'}~ . '1.. '-'-.. ~ ? .'' .' .' :' ..'.'. .: :' . - ~ >~ - F~..=-, ' '' - . ' · . ' ,' : . ~ . '~.~ .~n' : · ' . J ~.pee~o~'s gomme~s):' -O~[g[A~ USB.ON~Y- I .. . .. -. .. . - . _ :'. .... - · ~ag_~.8 · ? .. . . '."~ ~ :,'~ · · :'~:~ ~ - ... :'~¥:.; "} :'~' ':,"' ".':" : ':' .~:'~-':" · · . ~'rT~.~AC:I:'r.:I:T~' '~". ' 2/'~..' .:.'~ .' , :.'' DAms. '?' -FF? ' · :~// ./ .-~FACILITY N~E: .- ": '. UNIT .: 0F Co% ~ff gd '" .-..' .'"",..' ' "." ~ : :': ". :~. . ,.. , .: .'... :~:~.?:'...~-. "..'.:' .:'.~ N~ ';' ', . ., .....:....-'.., .~. ~...... :~, 2,~ "j_}'.' ,:..: , .;:.;; ..~ .. . .,. ~'. . ."': . '~.,. '.: ' ,/ , '."...: .. . ..:,.:.:...~:~' .".:.-.~.. ........ .. ,. :. .~ . ... .,... . .. .. .,. . .. , '~'"':: "s Com~ent~): -OFFICIA~ USg ONLY- . ..~ . . ".. .~[ ~'' ~ ~ -. ~~ '. '.. ::,['.:,.. . · .' ,[', '...: ~.,- ~ ~:,~:?",?~i~ ' ~ . : ' '.. ::}.,..-.,~;~:....-'.: :',..':..'.:::i:~..~::~ .%:t.;.~:~-:~.,~:'-_,.'.?:' ..~:~:-..>~::'~'~:~,?::'~ i.::~.'::.:::~(~37.,. - ~'~, ~:: .::.~'~ . .' : '. '" .. :: .": : ~:':'~:';~;;;;-~.::~j:':.~'~:?~,~).?::.'"".:f :Z.~.' .:. :~'. fi?L:::; I 5{~. '.' ' ~~.' ~ :" ' ' - :.' ' ',", ':: :':',,~:.?".::-':/: ;.:'~ ::: ','."-":.:"'. '::: ':'":'."-: :.'::::'~ :?I:"~':'"T[:"~' -~'~HM '443001 ' Account Number ACCOUNTS RECEIVABLE ADJUSTMENT january 137 1993 Date New Account New Address Valerle Pendergrass Close Account From Service Change Other Adiustments X Fire Department- Hazardous Materials Division Department/Division Highland Towing Inc. Billing Name 2216 Coy Ave. Billing Address 2216 Coy Ave'. Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change $ 99.00 · 0 01/01/93 Approved By: Remarks: This business changed ownership, a new plan was filed, and a new account was opened. The Highland account should have been inactive. They will pay account under Copart. (Business) SITE LOCATION 2-Z ! ACCOm~T N~BERS INVOLVED " RECEIVED THIS INFORMATION IS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOE TO ANY CHANGES. DISTRIBUTION: Sanitation Hazardous Materials ' ITE DIAGRAM ~ . FACILITY DIAGRAM Business Name: /Z//6?/-/~/¢x_J~ "~6U~/c/~¢) Business Address: ,7. Z. / ~, .k~-o ')/" FOr Office Use Only First In Station: -~ Area Map # /~ ('/ of / Inspection Station: ~'~-~ NORTH F ~"~ . 003.'~ Page 1 06/28/91 HIGHLAND TOWING INC 215-000- Overall Site with 1 Fac. Unit General Information Location: 2216 COY AV Map: 124 Hazard: Low. Ident Number: 215-000-001003 Grid: 17A Area of Vul: 0.0 Contact Name Title Business Phone 24 Hour Phoneq ~DONNA BOOKOUT ~ PRESIDENT. ' 1(805) 834-2555 x I(805) 664-4718!(805) 834-2555 x (805) ~. Administrative. Data Mail Addrs: 2216 COY AV D&B Number: 08-3909-200 City: BAKERSFIELD. State: CA Zip: 93307- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 7549 Owner: DONNA J BOOKOUT Phone: (805) 834-2555 Address: 2216 COY AV State: CA City: BAKERSFIELD Zip: 93307- Summary I, ~Md_ ~. m' ~r.~,*~,~..' HA~. MAT. DIV. ~.~o ce~i~ that lhave (Ty~ ~r ~:,rint name) reviewed d':9 s(~chr~d age. -'- , - nature - Da~e ~6/28/91 HIGHLAND TOWING INC 215-000- 003 'Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-003 ATF AUTOMATIC TRANSMISSION FLUID Liquid ~55 ~ Low Fire, Delay Hlth GAL 02-004 HYDRAULIC FLUID Liquid 110 Low ~Fire, Delay Hlth .... -- ~ GAL --'~ .... 02-002 KEROSENE Liquid 110 Low Fire, Immed Hlth, Delay Hlth ? GAL 02-001 WASTE OIL Liquid ~65 Low Fire, Delay Hlth ~ GAL 02-005 MOTOR OIL Liquid .... 90~ Minimal Fire, Delay Hlth GAL ~6/28/91 H LAND TOWING INC 215-000- 003 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 IN CASE OF EMERGENCY, NON EMERGENCY, NOTIFY BAKERSFIELD FIRE DEPARTMENT AT 326-3979 AND OFFICE OF EMERGENCY SERVICES AT 1-800-852-7550 <2> Employee Notif./Evacuation · VERBAL NOTIFICATION ~OVER PA SYSTEM AND CALL 911. <3> Public Notif./Evacuation VERBAL NOTIFICATION OVER PA SYSTEM. EVACUATION INSTRUCTIONS GIVEN VERBALLY. <4> Emergency Medical Plan MEDI-CENTER 820 34TH STREET (805)'325-6334 ~6/28/91 HIGHLAND TOWING INC 215-000-~1003 Page 4 00'- Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WASTE OIL STORED IN CLOSED METAL CONTAINERS. ALL OTHER LUBRICANTS AND ,HYDRAULIC FLUIDS STORED IN CLOSED METAL CONTAINERS. COMPRESSED GAS IS PROPERLY STORED IN PRESSURIZED CONTAINERS. WASTE OIL IS DISPOSED OF THROUGH LICENSED OIL RECYCLER. <2> Release Containment ~SPILLED LIQUIDS ARE DYKED WITH ABSORBENT MATERIALS KEPTS oN PREMISES. <3> Clean ,Up SPILLED LIQUIDS ARE ABSORBED WITH'ABSORBENT MATERIAL ANS DISPOSED OF IN THE PROPER MANNER AS NECESSARY'. <4> Other Resource Activation '~06/28/91 H LAND TOWING INC 215-000- 03 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST WALL OF GARAGE B) ELECTRICAL - WEST WALL INSIDE OF GARAGE C) WATER - FRONT OF PROPERTY AT CURB D) SPECIAL· - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ON SOUTH WALL AND EAST WALL 'FIRE HYDRANT - ACROSS STREET, SLIGHTLY NORTH OF MAIN OFFICE BUILDING ON COY AVE. TOTAL OF THREE HYDRANTS ON COY AVE. <4> Building Occupancy Level ~'06/28/91 HIGHLAND TOWING INC 215-000. 1003 Page 6 00 - Overall Site <G> Training <1> Page 1 ~ WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE M~TERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CI'I'Y of ELD' Farm and AgLicultuie ES' ' SIcaridard Business I-]HAZARDOUS HATERTALS TNVENT~RY NON--TRADE SECRETS " ] " NAHE-OF TH'~I,S FACILITY: BUS[NESS NAHE: i OWNER NAHE: ' T STANDARD I'ND. CLASS CODE.;.= LOCAT]ON; ~i ADDRESS; .~. DUN AND BRADSTREET' NUNBER PHONE fl: ' ~7$TRUCTZONS I'UR' PROPER CODES [ I ' 2 ]'i 4 5 6 1 8 C~nt 10 II 12 Cent Us Loc~lLion.lhe'(e. " ~W~y Nares of Tr,,s ,a, Av:r,e ,e,Sur, 't h Co,t Col, See Store(I In ~ac~/IEY |Code CBOe Ant Aml; Est Units on lype Press le~o Physical Smd Health' Hazard C.A.S. Humber. ' Component II l tame I C,A,S. Humber (Check all that apply) 'ComPonent, Ii Name &C.A.S. Number [] Fire Hazard ilFI Reactivit I FI Delayed [] S~dden Release [] lmmHeedaila~he I: Health of Pressure Component, 13 Name I C.A.S. Number Component II Name I C.A.B. Number . i:: / P,hiisicpl god tlealth~ I~alard ~t: C.A,B. Number mec~ ali that app/yl i [] Fire Hazard ~i, FI Reactivity FI Delayed' [] Sudden Release [] ]mmHeedaila~heC°mponent 12 ,ame l C.A.B. Number i I~ Health of Pressure Component 13 Name I C.A.S. Number il, Physical and HealthilHazard C.A.S. Number Component II Name I C.A.$; Number (Check 8/I that, ap'ply) z ,~. Component I~ Name I C.A.B. Number [] Fire Hazard I':[] ReacLivit) [] Delayed [].Sudden Release [] Immtleedailatthe ' -- il ~ Health of Pressure Component 13 Hame. I C,~,S, Nulber IPh~sic~l'~0dtte..~ltli I;laiard ! C,A,S Number Component II Hame & C.~,S, Number , I"('~"[ec 'a1~-tl~if,'iipllt) i . Component 12 Name S C.A.S', Number 0 Fire Hazard 17 [] Reactivit 0 Delayed '[] Sudden Release FI lmmHeedailaCthe · j~ Health' of Pressure . i' COmponent 13 Name S C.A.S Number [____ 1t2 EHEReENC¥ CON'TACTS #llt~ir~. Ti[la Ta-Rt Phone N~ TII:I'~ , '' i' i Re ' encl i n al' r' c~n? 7 cin9 ~lT.s re. ions) . ertIfl~atu~ter en~l~ o~a that l~av~7person;~.examln~l~'q~ ~m famillar..~/lLIj ~e.!nfo.rmaL!pn Su~miLtpd in this,end all ,c,e,r~], .... ,o,~, ',n~ t mi Inuuiry ot ~nose in(l~vloua/s responslm tor. omlnln9 cna I believe the!' the .. ,~ . ,..,t I[aseo on . .IntormaclOfl. ,~mltted in~ormal;i~o Is true, acc,rate, and coip/et · ~F~ e--FFd-~, o~le of o~nerlop~rator UH o~nerloperator's authoiized re~res~ii~,itive Farm andAgiiculture ['l Standard Business FIHAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS ii' Page ~USINESS NAME: OWNER NAME: NAME OF THIS FACILITY: -- " ' LOCATION: .. ADDRESS: STANDARDIND. CLASS CODE: ..... CIIY. ZIP~ CITY. ZIP~__ DUN AND BRADSIREEI_ NUMBER_ PHONE #' ' , PHONE #: .... ' .... · , : 'REFER TO-~NSlHUC'IJUIV~ ~u~ ~n~c~ ~ODES Trlns !yqe Hex Av~rpge'; 'Annual Measure I lys Cont Cont Cont Us locqtjon.¥he[e. ' ~w~ Soe Instructions . Code COOS ~ Amt Am[ Est Un~ts on ~te lype Press Temu coleStore~'~n kac~[y i.i y Names oF'~ixture/(o~oonents Fhvsical and HeilthHazerd i C.A,S' Number Component II Name I C,A,S. Number (C~eck ali that apply) i Component 12 Name & C.A,S, Number~1 ~ Fire Hazard :l-I Reactivity [] Delayed [] Sudden Release [] Immediate Health of Pressure Health i. i Component 13 Name I C.A.a. Number Physicll Ipd Health'Hazard t' C,A.S, Number Component II Name I C.'A,S. Number ICheck all that apply) . ,:1 Component 12 Name & C,A.S. Number ,, I~ Fire Hazard .!El Reactivity [] Delayed [] Sudden Release [] Im~i~ .: ~ Health . of Pressure . Component,il Name & C,A.a. Number i.. · ~ Component II Name i C.A.S. Number Physical and Health, Hazard ; C.A.S, Number {Check ali that apply) 'i !: '~. Component 12 Name S C.A,S. Number D Fire Hazard [] Reactivity! [] Belayed [] Sudden Release [] ]m~i~ ~: 4 ~ Health of Pressure ,~ ~, ~ Component 13 Name i C.A.S, Number ~:. . Physical'lcd Healt~ ~Hard ! C.A.a, Number 'Component II. Name i'C.l,S. Number (Check al/ that apply) i ~ .' ,i ' Component 12 Name i C,A,S. Number L~ Fire Hazard ;i [] Reactivit~ [] Oelayed [] Sudden Release [] lm~i~ · Health of Pressure ' ;: Component 13 Name I C,A,S. Number ;. EHERGENCY CONTACTS #1 #2 ; .. e N~e : · Ri ' . TItle ~ Ta-Rr Phc TiTle erti[i ariD' '~. Re d P.nd.~ign af~pr compl,ti(~g.all secti.ons.) f cert,~ unler enal~¥O~la~tnqc l navepersonHiY, examlnq~lqolmtamillet.~itb the intocmacIOn~u~mittfO in this.~nd all : · .,.~.aYd.c.ments an~ that based on my InQuiry or tnose inOIVlOUalS responsID!e for obtllflln9 the Information. I believe that the suom~tted ln~ormatlon IS true, accurate, and co p . · ~: ~~fitiai title of owner/operator uH owner/operator's authorized re~resentative S'Rj~lture - BakerSfield Fire Dept. Hazardous Materials Inspection Date Completed .... Location: ~2.?-,. / C Co)/ Plan ID # 215-000-oo100'3' (Top ri§bt comer Business Plan) -. Adequate Inadequate Verification of inventory Materials [] [] RECEIVED Verification of Quantities [~' ,, Verification of Location ." Proper Segregation of Material ~ [~] Verification of Haz Mat Training Comments: Verifcafion of Abatement Supplies & Procedures Colnnlents: Emergency Procedures Posted Containers Properly Labeled [~ Colilrrtents: Verifcafion of Facility Diagram [-~ [---] Special HaZarlts Associated with this Facility: ' Violations: FD 1652 (Rev. 3-89) · -, White-Haz Mat Div. Yellow-Station Copy . Pink-Business Office Donna' J~ Bookout .... DO nereb5: c=~zi~'' ' . ~_ =~ Zhat i have ~eviewe~ the HAZ. MAT. DIV. attached Hazardous Materials business ~lan W~ng SerVi~ Inc, for (name of business) and that it along with the attached additions ~u~e a complete and 'correct or corrections oonsti~ ~ date (:)5115/89 HIGHLAND 'rOWING IN[] Page · Site as a Whole Ger~e~-al I nf,z, rr,lat i,-,r, Lc, cat ir, r,: 2216 CC, y Av Map: 124 Hazard: Low Ider, t Number: 2.15-000-:001003 Grid:17A Area ,],f k~ul: Admir~istrative Data Mail AddrS: 22~6 Coy. AVe,' D&B Number:. 083909200 City: Ba~ke]~$field State: CA Zip: 93307 SeoSubd iv ~ SIC Cc, de: O~t, er :' Highland ~T0~ing. Service, Inc, Phor, e ~ 834-2555 Addrs: 22~6 Coy/Ave, Starer CA Ci~Y~ Bakersfield Zip~ ' 93~07 Cc, v, tact Bus ir~ess Phot, e Hour Phc, t,e DONNA BOOKOUT [ 'President ( ) 834-2.555 · i~SUmr, ary: · . ! MO~N'~HI GHTO~I~-- I 2A SEC 2) .~/1~/89 HIGHLAND TOWING INC. Page 002 · <D> Notif. /Evacuatior,/Medical for: Overall Site <1> Ager~cy Notificatior~ · Call .9J2 in c~se of'emergenCy,, Non eme. rgenc~ not~fy ~akersfi. eld'Fi~re Department at 326"59~9..~nd.~Office OfEmergenc~,'Servicesat' 8~/852-',7550 o <2> Empl,z, yee Nmtif. /Evacuatior, 3A SEC 2) VERBAl_ NOTIFICATION OVER' PA SYSTEM AND GAE. ke.~;~t,..1-, follow evacuation plan. <S> Public Notif. /Evacuatior, Verbal notification oyer PA system~ Evacuation instructi,ons~ given verbal!~y: 05/15/89 HIGHLAND TOWING INC Page 003 <D> Notif. /Evacuatior,/Medical lc, r: Ove~-all Site Med. Plar, ,, -,) ,-) __']) .-..-, ~-~ 2A SEC 5) WHITE LO}!E' MEDICAl CE.~!TER - ~~'TE LN - 8~ ........... Medi-Center, 82~ '~. 34th .St~ --325-.6334 05/15/B9 HIGHLAND TOWING INC Page' 004 '{E) Mitigatior,/Prever, t/Abatemt for: Overall Site <1> Release Prever, tior, GA SEC i) WASTE OIL STORED IN CLOSED METAL CONTAINERS. ALL OTHER LUBRICANTS AND HYDRAULIC FLUIDS STORED iN CLOSED METAL CONTAINERS. COMPRESSED GAS IS PROPERLY STORED IN PRESSURIZED CONTAINERS. WASTE OIL' IS DISPOSED OF THROUGH LICENSED OIL RECYCLER. <2> Release Cc, r, tair, ment Spilled liqui,ds a:redyked'~ithabsorbent materials, kept. on premises. <3~ Clear, Up Spilled liquids: areabsorbed with_ absorbent, material and disposed of in the proper manner as' neceS:$arY? ~'05/1~/89/. .~; HIGHLAND TOWING INC Page 005 / ~ <E> Mitigati,-,r,/Prever, t/Abatemt f,_-,r: Overall Site Resources Absorbent materials~kept on hand 'for.containment. Skovels and brooms stored ~ith materials, In event of large spill, Kern Environmental wil~ be Contacted at 589-5220 .' 05/15/89 HIGHLAND '['OWING INC Page 00? Overall Site HAZMAT INVENTORY - LIS]'' ~. 01-001 Waste Oil 165 Lc, w > GAL 01-00,- .... Keroser~e 110 Low > ' GAL 01-003 At f/automatic Trar~smissior~ Fl[~id 55 Lc, w > GAL 01-004 Hydraulic Fluid 110 Low > GAL 01-005 Motc, r Oil 90 Mir~imal > GAL 05/15/89 HIGHLAND TOWING INc Page 008 OVerall Site HAZMA]' INVENTOR9 - DEYAILS '01-001 Waste Oil 165 Low >' GAL Form: Ur~knowrs Type: Waste Days irs use:S~:~-Use: --~ Daily Max Amt . - LDaily Average Amt . .~ Ar, r, ual Amount ~Unit -- I I 750 IGAL 165 Corst a i r~er i PressTTemp I Lc, cat i on -- Corec. Cc!mpor~er~t·s i ~ MCP --~L~ ist-- 100.0% !Waste Oil IL°w O1'-O02 Kerose(,e 110 Lnw > GAL Form: Ur, kr, owr, Type~ Pure Days ir, ,_tse:~ Use: --Daily Max Amt' Daily Average Amt .... Annual Amour~t ~,~r~it -- 110 [ 45 i 165 IGAL Corot a i net i Press%Temp T Lc, cat i or~ DRUM/BARREL-NONMETAL i / I ~/N WALL OF GARAGE -- Co~c. Componer~ts ~ ~ MCP ~ist-- ¢z)5/15/89 HIGHLAND TOWING~ INC ·Page 009 Overall Site HAZMAT INVENTORY - DETAILS 01-003 At f/automatic Trar~smissior, Fluid · 55 Low > GAL Fc,~m: Unkr.=,wr~ TyPe: Pure Days ir~ use:~~ Use: ~ Daily ~ax Amt .......... ~ Daily Average. Amt ~ ] Annual Amount ~r, it -- ~ Corot a i r, er l:F'ressTTemp L.c,~at i -- Cor, c.~ ~ Compor, er, ts I ......... MCP ~ist-- 100.0% l Trar, smissior, FIuid (Petroleum-Based) IL°w Hydraulic Fluid 110 Low > ', GAL 'Form: Ur, kr, owr, Type: Pure Days ir, use:~Use: Daily Max Amt ~ Daily Average Amt i ...... Ar~nual Amour~t ~Ur~it -- I 1 10 ~ 4~ ~C I GAL Container F'ress Te~p ] Locat ion DRUM/BARREL-METALLIC I / ~ ~~N WALL OF GARAGE -- Cc, r,c. ~ Cor,',por, er, ts ~ MCP ~List-- :~00.0% Brake Fluid~ Hydraulic lLc~w '05/15/89' ~HIGHLAND ]'OWING INC Page · Oyerali Site HAZMAT INVENTORY -DETAILS '01-005 Motor Oil 90 · Mi~,irNal > GAL F,:,rrf~: Ur,kr, owrt Type: Pu~]e Days ir~ use: ~Use: !' · ~: ..... Daily Max An~t ~-Daily Average An~t 'Ar~r~ual An~our~t ...... ~::::::~r~it 90 40 ~ 450 C,:,r~t a i r~er i PressTTe~P I Locat i or~ METAL CONTAINR-NONDROMI / I ~ IN WALL OF GARAGE -- Corec. Co~por~er~ts .... MCP ~.ist-- 10C). [ % Mot or 0 i 1 M i n i r~a 1 / HAZARDOUS MATERIALS INSPECTION SEP .1 3 1988 VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES F--~ · VERIFICATION OF LOC~TION r-~ PROPER SEGREGATION OF MATERIAL F--~ VERIFICATION OF ~AZ MAT TRAIN~ F-~ VERIFICATION OF MSDS AVAILABLE ~ ~IFI~TION OF ~'z'~ ~P~ & ~~ ~ OCTOBER 7, 1988 DEAR MR. J. DEAN;. NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS, (HIGHLAND TOWINGI LOCATED'AT 2216 COY AVE., BAKERSFIELD, CA 93307 ON OCTOBER 5th THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 11 BUSINESS PLAN INFORMATION INCORRECT. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 !bI In addition to the .requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a'modification of its business plan, the handler shall submit a copy of the plan revision to the administering agency within 30 days of the operational change. '(c) The handler shall, in any case, review the bus.~ness plan, submitted pursuant to subdivisions (a) and (b), on or before January 1, 1988, and at least once .every two years thereafter, to determine if a revision is needed' and shall certify to 'the administering agency that the review was made and that any necessary changes were made to the plan, A copy of these changes shall.be submitted to the administering agency as part of this certification. (d) Unless exempted from the business plan requirements under this chapter, any business which handles a hazardous material shall annually submit a completed inventory form to the administering agency of the countY-or city in which the business is located. Notwithstanding any other provisions of the law, an inventory form shall.be filed on or before January 1, 1988, for the 1988 calendar year, and annually thereafter. -This inventory shall be filed annually, notwithstanding the review requirements of Subdivision OCTOBER 7, 1988 DEAR MR. J. DEAN; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS, (HIGHLAND TOWING) LOCATED'AT 2216 COY AVE., BAKERSFIELD, CA 9330? ON OCTOBER 5th THE'FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) BUSINESS PLAN INFORMATION INCORRECT. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 (b) In addition to the requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a'modification of its business plan, the handler shall submit a copy of the plan revision to ~the administering agency within 30 days of the operational change. · (c) The handler shall, in any case, review the bus{ness plan, submitted pursuant to subdivisions (a) and (b), on or before January 1, 1988, and at least once every two years thereafter, to determine if a revision is needed and shall certify to the administering agency that the review was made and that any necessary changes were made to the plan, A copy of these changes shall.be submitted to the administering agency as part of this certification. (d) Unless exempted from the business plan requirements under this chapter, any business which handles a hazardous material shall annually submit a completed inventory form to the administering agency of the county .or city in which the business is located. Notwithstanding any other provisions of the law, an inventory form shall.be filed on or before January 1, 1988, for the 1988 calendar year, and annually thereafter. -This inventory shall be filed annually, notwithstanding the review requirements of subdivision (c). '.'2) WASTE OIL DRUMS NOT PROPERLY LABELED. :· VIOLATION OF OSHA 1910.i200 . " . .- (1) The chemical manufacturer, imoorter, or -~ distributor shall ensure that each container of '' haZa.rdous Chemicals leaving the workolace is labeled tagged or marked with the following information: ~ (i)Identity of the hazardous chemical(s). ~ (ii)Appropriate hazard warnings:, and" '- ·"(iii)Name and address of the chemical -" 'manufacturer, importer,' or other responsible . party. (4) Except as provided in paragraphs (3).and.(4). the employer shall ensure that each container of 'hazardous chemicals in.the workplace is'labeled, tagged, or marked with the fOllowing information: (i)Identity of .the hazardous chemical(s) contained therein; and (ii)Appropriate hazard warnings. (5) The employer may use ·signs, placards, process sheets, batch tickets, operating procedures, or other such written materials in lieu of affixing labels to individual stationary process containers, as long as the alternative method identifies the containers to which it is applicable and conveys ~the information required by paragraph (2). of this 'section to be on label. The written materials shall be readily accessible to the employees in their work area throughout each w0rk shift. (7) The employer shall not remove of deface existing labels on.incoming containers of hazardous chemicals, unless the container is immediately marked with the required information. (8) The employer shall ensure that labels or other forms of Warnings are legible, in English, and prominently displayed on the container,.or readily available in the work area throughout each work shift.' Employers. having -employees who speak other'languages may .. add the'informati-0n in their language to. the material presented, as long· as the inlformat~ion is presented in 3) WASTE OIL CONTAINERS OPEN · '~ .VIOLATION OF UFC 80.103(C) 'Defective containers which permit' leakage'or 'sDiliage shall be disposed of or. repaired in accordance with recognized safe-practices; no sci!led material shall'be allowed to accumulate On floors or .shelves. 4 HAZARDOUS MATERIALS. TRAINING INADEQUATE.· -. · VIOLATION OF OSHA 1910.1200(H) (2.)'Training. Employee trainin~ shall include at (i)Methods and observations that may be used · .. to.detect .the presence or release of a hazardous · chemical in the work· area .(Such as monitoring conducted by'the employer continuous monitoring devices., visual appearance or. odor~ of hazardous· chemicals .when being released, etc.); - · (ii)The physical and health hazards of the ~' chemicals in the work area; (iii)The measures employees can take to .. protect themselVes from these hazards, including specific procedures the employer has implemented to ~ Protect employees from exposure to hazardous -. ohemicals,'sueh as appropriate work practices, emergency procedur'es, and persOnal protective equipment to. be used; and, ~ (iv)The details'of the hazard communication · . --' P.rogram 1developed'by the employer, including an e~planatiop of the labeling system and the material safety data sheet, and how employees can obtain and' use ~the aPPropriate. hazard information. 5) 'EMERGENCY.PLAN INADEQUATE VIOLATION OF CALIFORNIA HEALTH AND sAFETY CODE CHAPTER 6.95, 25504(B) Business plans shall include all of the fOllowing: . - ' Emergency response plans and Dr0cedures in the eVent of a reportable or threatened release of'a . hazardous ma'teria!, 'including, but not limited to, all of the following: '(1) Immediate notification to the administering agency and to appropriate'local emergenCy rescue personnel and t'he office. 2) Procedures f0r the mitigation, of a release or '~ threatened'release' ~o minimize'any potential · :harm or damage' to Persons, Dr.ooerty, or ~he . e.nv i fonment. ,. (3)'Evacuation plans and'procedUres, zncluain.g immediate notice, for. the business site. The above violations must be corrected by NOVE>IBER 5, 1988 The department will schedule a ~e-insoection of your facility to verify compliance. If you have an5~ questions regarding this notice, please contact Ralph Huey at 326-3979. ~alch E.Huey .... · ~ ~Hazardous Materials Coordinator ' . '. .- OCTOBER 7, 1988 DEAR MR. J. DEAN; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUsINESS'i ..(HIGHLAND TOWING) .... LOCATED AT 2216 COY AVE., BAKERSFIELD~ .CA-93307 ON OCTOBER 5th THE FOLLOWING HAZARDOUS MATERIALS REGULATION il .VIOLATIONS WERE IDENTIFIED: 1) BUSINESS PLAN.INFORMATION INCORRECT. · '~' VIOLATION OF CH. 6..95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 .. (b) 'In addition to the requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a modification of its business plan, the handler shall submit a cody of the Dlan revision to' the administering agency within 30 days · of the O~erational change. (c) The hand'er shall, in any case, review the business ~lan, submitted Dursuant to subdivisions (a) and-(b),...on or befOre January ~, 1988, and at least once every two years thereafter, to determine if a revision is needed and Shall certify to the administering agency that the review was made and that any necessary changes were made to the plan, A cody of these changes shall, be submitted to the administering agency as Dart of this certiffcation. (d) Unless exempted from the business Dlan requirements Under this chapter, any business which handles a haZardous material shall annually submit a completed inventory form to the administering agency of the county, or city in which the business is located. Notwithstanding any other DrovisioDs of the law, an inventory form shall' be filed on.or before January 1, 1988, for the. 1988 calendar year, and annually thereafter. This inventory shall be filed annuall5~, notwithstanding the review requirements of subdivision (c). 2 wASTE OIL DRUMS NOT PROPERLY LABELED. VIOLATION OF- OSHA 1910.1200 (1) The chemical manufacturer, importer, or distributor shall ensure that each container of · hazardous chemicals leaving the workplace is labeled, tagged or marked with the following information: (i)Identity'of the hazardous chemical(s). (ii)Appropriate'hazard warnings'; and '- '(iii)Name and address of the chemical manufacturer, importer,' or other responSible (4) Except as provided in'pa.ragraphs (3) and (41) the ~empl'°yer shall ensure that each container of · 'haZardous chemicals in the workplace is labeled, tagged, 'or marked with the following information: (i)Identity Of the.hazardous chemical(s) contained therein; and (ii)Appropriate hazard warnings. · . (5) The employer, may use· signs, placards, process · sheets, batch tickets, operating procedures, or other such written materials in lieu of affixing labels to individual stationary process containers, as long as the alternative method identifies the containers to which it ' is applicable, and conveys the information required by paragraph (2) of this section to be on'label. The writt'en materials shall be readily accessible to the empibyees'in their Work area throughout each work shift. · (7) The emDl~oyer Shall not remove Of deface existing labels on incoming containers of hazardous chemicals, unless the container is immediately marked with the required information. ': (8) The employer shall ensure that labels or other '- ~ forms, of warnings are legible, in English, and prominently displayed.on the container, or readily available in the'work area throughout each work shift., ~. Employers having employees who speak other languages may add the. information in their language to the material · prese.nted, :as lOng as the informat~ion is presented in '3) WASTE OIL' CONTAINERS OPEN · ' VIOLATION OF UFC 80.103(C) Defective containers which Dermi{ leakage or spillage "shall be disposed of-or repaired in accordance with recognized' saf~e-Drac~ices; no'spilled material ' shall-be allowed to accumulate on floors or.shelves. 4)' HAZARDOUS MATERIALS TRAINING INADEQUATE.. . VIOLATION OF OSHA. 1910.1200(H) (2) Training. Employee training shall include at leaS-t: (.i)MethOds and observations that may be Used to detect the presence or release o'f a hazardous 'chemical in the w0rk area .(such as. monitoring Conducted by the employer,~c°ntinuous monitoring devices, visual appearance Qr..odor of hazardous chemicals when being released,'~etC.).;' ~ . ~.~. (i~i)The physical and health hazards of the . (iii)The measures employees can take :to ' ' . protect themselves from these hazards,', including ' - specific procedures the employer has implemented protect employees from exposure to hazardous chemicals, Such .as appropriate work practices., emergency procedures', and personal protective equipment ~to. be used; and, .- -~ ~'.~ · . (iV)The details of the hazar~ Communication · ' ..Program devel°ped.b~.'the' employer', including an · ' . explanatiO~ of the labeling system and the material · -- safety data.sheet, 'and how employees can obtain and · use the appropriate ~azard information. 5) EMERGENCY PLAN INADEQUATE. ' 'VIOLATION OF cALIFORNIA HEALTH AND SAFETY CODE CHAPTER. 6.95, 25504(B) Business. plans shall inqlude' all.. of the following: 'Emergency response plans and. procedures in the event of a reportable'or threatened release of a · 'hazardous material, including', but not limited to, all. · of the following: ' .. (!) Immediate notification to the administering. ' agency~and to aDpropriat~ local emergency . . rescUe perSonnel and the office~ ' (2)' Procedures for ~he.mitigation of a release or. ~.:` ... threatened· release to minimize any potential ,. , harm or damage to persons, property, orthe :' ' ' ' envir, onment ' ' ' ~) Evacuation Dlans and ~rocedures, including . ... i'mmediate notice, for the business s~,..e. The above violations must' be corrected-by NO\(EMBEB 5, 1988 The department will schedule a re-insDection of your facility to verify compliance. If you have any questions re~ardin2 this notice, Dlease contact Ralph Huey at 326-3979. Sincerely, ~;d~u~t e~ials coordinator BUSINESS PL'AN 'AS'. A' WHOLE '":':" '1 T° avoid, further action, retUrn this form by ' JUL 2 0 ]~87 .... I [;?;:.'~:'..' 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the qUestions beloW.'fo~ the business as a whole. ;~.?,~..: ... 4. Be as brief and concise as possible. ~:,??~.(:'. CTION 1.: BUSINESS IDE~IFICATION D TA ~.:~.::~:' A. BUSINESS'NA~g: Hi~hlaud Towin~ and Salvage Pool, Inc. ..... · : LOCATION / STREET ADDRESS: ~2~ Cay Avenue :';~.' " Bakersfield, California ZIP: 95507 ...... BUS.PHONg .~(8.05) '854-2~55 . ' ?i .... SECTION. ~: E~ROENCY.' NOTIFICATIONS : ' ' ' '~'. '"' In case of an:emergency involvlng the release or .threatened release'of a ~::';?::-:.' 'hazardous' material, call 911 and 1-800-852-~550 or 1-91~-42~-4341; This ~11 notlfy ~'" ,,~,,~ ~al flre deoa~-~nd'the State O~fice of Eme~genc.y Services .as ~equlred ~"??::' SECTION 8: ~OCATION OF ~I~ S~-OFFS FOR BUSI~SS AS A ~O~E .. ~'~/~"~': A. NAT. OAS/PROPANE: W~ wall o~ garage ::"~:J ' '" ' FLOOR PLANS,'? 7ES / NO KEYS? YES /.NO : · . .. SECTION'S':" PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE .. 9 ~' -...2..2'2.,'. ..... ' .... · ~-., ~ . - · ' . . ,...,.. =, ~ _ , ;-?./-.'"'?-;-;"i<]?-.=....*'?:~'7>,.:.?- } ...... t<'~:,~{. · . '.. ._.:,- ]2t<:'~ . ,'~ . {..~ < .'. "2 ,' :.; ..... ......~:/::':'.~<~,,'.-, .~ =... ' ~..;, . ':~/.. , ../=,{ ./<,: '.. ;; , ' ~.~*~ ''~<:;~7.'.- ' .{;.2: ' ' '. - ' - ~ ' ~ ':',''~ ' "~"~ '," 2'. iL'.' ' ','.i ;. '. · . ,,. ~- .................... . ...................... : .... -....~..=":'<'~:m:[. '>'{:"-=-~?>'.'d." .'?~:~.>'..:'- :~:.:C~'{'.<.~Z.:';:.;~, SECTION S: LOC4L EMHRgE~UY MEDIC4L ASSIST~CE FOR ~O~R B~SI~ESS dS 'A WHOL~ ;~' .,)-,,'<.,': .-=.~,=,,., .... . ...... . ........ ., ...... ..., ~,,. ~PLOYERS ~RE REQ~IREP TO ~W A PROg~ ~HICH PROVIDES E~PLOY~S ~ITH I~ITI~L ~D REFRESHER TR~I~INg I~ THE FOLLOWIng C]RCL 'V S 6R NO' :~ .- .'YES NO ~TERI~LS:..- .~ ..................................... B. PROgEDURES FOR COORDINATINg' ~CTIVI~IES ~ ' ' - NO ,YES ~ ~ITH RESPONSE AOENCIES: ........................... · NO YES NO' C. PROPER 'USE, OF SAFETY.EQUIPmENT: ............ ........ U E~EROENCY EVACUATION PROCEDURES:,. ................ NO YES NO E DO YOU ~INTAIN E~PLOYEE 'TRAINIfO RECORDS: ....... NO YES · - ' ' .'ii'.:,~- -'~,,'.>",-, = ........ ~ ...... ."' ~ ' . ' ' ' ' e . ..- =~zC . certify tha~ ~he above information is. ' '~ ' ~ · '11 be useo ~o Iuirll~ my &z~,,~ o v '~"<'~' I understand that th~s i~fo~a?~n.wz . - ~ .... ~*--~]~ ~Div ~0 Chapter :"'"~ the: new California Health ano~ sare~y code on Haza~uuua ,.~ ....... , · . . Sec Z5500 Et A1 ) and' that' inaccurate.info~mation constitutes..pe~Ju~Y: . . . .'.;: 't.+-.' ' . .' . . '..,.. ........ ' ..' , ' ' , ',' ' ..... . ~ 2.",".~'* ) ,b ..~..' <, ~. '.~ ,'-.,t~'~ ..... ; :,*~' ' ' ' '.~'=i ;'b"~,....< ~ ~,~ /' .~ .~ ~'~-~'~ ....... ~'~'ff~'~':~?*"~"'-:'""c/~<,'T'. ...... .. ' - · ,' "' ~>>~','.~'~, "< .~ 't, ~[<- ~<~ ' ' ~,,u'.v~".=-~'.q',L~.~':' ~hL < ~ ,~.,,:~ .'j,'."P'['2~<'h<. ~'~' - ' ' · . SigNATURE :'L:~'~''. '~ ~'~(~:~ ~ - ~ . - ' . . ...... .'..-.~, / ' .- , ::~-,. -~:...'~' :,':.>;'?>.~. . ~'~,,~. .'<:'/ ..',..'. : ..' ....~ .,<...'... ... ....'.,.., ..,....~'.= ~'. ~< , = '; '- < 'L < - . · ' ' ""'~ '-'; ~ -' · " "' ·" "' "'.~'z ~.-'~h~ -?~ ".';~..¢"-' - <.. 'z,;J"~.'`c~' <'~-'~/. '.~">2bc~'~'{,~'{. ',' ~= .; ~,.,.k.$~,,~<=..~:,';.'/.;<z<p.. ....,. .... '. ~.._~. ..... , ,=~.-.~,~ ..- .=. .... <..zZ~.~.~.~:~t.p?>. ,.~...-~=,,~,~?..~{~.:~,.~.!~:~/,:..~,=~[~=?~,b~,<.~[~=~,~,. BAKERSFIELD CITY FIRE DEPART>.IENT ' 2130 "G" STREET ". · ' OFF[CiAO USE ONLY..' .... ~ '"' :' ' BUSINESS PL~ 1 To avoid further action this form must be-returned bY: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. $. Answe~ the' questions below for THE FACILITY UNIT LISTED .~ SECTION 1: MITIGATION, PRE--ION, ABATEME5~ PROC~ES ?'~'' 'SECTION 2:' NOTIFICATION Ah~ EVACUATION PROCEDL~ES AT,:~IS"b~'iT"os~Y ["!"i.'i ':'t:'! '"' SECTION 3: IIAZARDOUS M.4TERIALS FOR THIS I,.~IT ONLY . '"i"?i[::~ '':' ' A';, Does this Facilits: Uni2.contain Haznrdous If No, complete a separate Imzardous m~teri~ls inventory' form marked: NON-TRADE SECRETS ONLY (t~hite form ~4A-1)' '~'~.;[.. If Yes complete a hazardous materi~ls inventory form marked: :,:..[:,-... .T~DE SECRETS ONLY (~,ello~ form ~4A-Z) in addition to the non-trade ?:-..:~:'.:.~: .: secret form.. List only the trade secrets on form. 4A~ SE~ION 8: LocATION. OF ',wA~R Sb~PLY FOR USE BY ~G~ RE~PO~ ~ . , , ~ . .: ..u~: I~v~l~o~ ...... ~- ADDRESS ' :'"':' -- C~OE ::ADDRESS: ~;m~ ~ ...... .CITY ZIP; ....... ~.. ~e~ · OFFICIAL USE CFIRS '(::cITY, ZI~: ~A~$FiELD,~; ............... . PHONE ~: ~"' "ONLY" · ' 10 3 7 · · ~AZaRo D..O.T · MAX ANNUAL LOCATION IN ,THIS :[:, :,TYPE CHEMICAL OR COM~ON NAME .COD A"OUNT A.OUNT FAC ITY UNIT - ~ ~~.' . ~~~ ~ .- .. ,~. .. .... DATE': '~:::t.:,¥'. ENCyOCON.TACT.: TITLE: 14,o>~tf~rot~,'rz- PHONE # BUS -_.. .. . AFTER BUS HRS: ~~ ~,. ~ ~o~ '% ~~ · ~:~'~b~".'. ~.0~..~' ~os .oo~': ~-~ --~-, .. ,-..~.... ':.~R ~US ..RS.: ~: ::'":':":"::': "~' .... '-'" NESS' ACTIVITY::'-' .... : -' - · ' . ' .' . ..... - , i ', .::.: :: ::: _ : .:..::': . _ . ' ' ' ?'6~'.:Porfable Pressurized Cylinders .'.- . . ', w .... appropriate ~aSte- -~ :' · -: ~os..insuiated Tank (Includes Cryogenics.) ~:0~-~. Dru~s o~ Barrels.-..Non-metallic ..... ~aa~t~ve ~, : : : : ..... 23. Herbicide ~f[O,4.. Anesthetic .... . . .26..Lubricant/. ?'5.' Bactericide ' :::.27. Medical i'a" o~ Process '['CXLQ'- Combustible LiqUid OR~E - Hazardous ~aste ..' ': '"" '.:C~SL - CO~bustible Solid OR~S - Other regulated .. ';'.:F'L6S ' Flammable 6as "'PSXB -, Poison B (Liquid ov Solid) - . - Flavia'hie So]id " ~ATR~- ~ater Reactive - Non-F,la~abie Oas -.ETIO ;'Etiological Agent 'ii "," ;PX - Organic Peroxide . P~O - Pyvophoric, Hypergolic or , . " .................... ' spontaneous ly"co~bustible ~.-~->~'/,, ~ KERN co~rrv FIRE.DEP~SNT ~';' ' '~' · ' 5642 VICTOR STREET ' i ", ::(8:05):'861-276i:. , -/' OFFICIAL USE ONLY ' BUSI NEss PL-AN AS" 'A' I ~OR~ ~ ~ ~ ' z~S~ucTIO~S: . ~- ~, .~.~_~~ ~. ~o .,,o~a ~u~t~e~ .~t~on, ~et~. t~ ~o~m b~ JUL 6 1987 2. TYPE/PRINT ANSNERS IN ENGLISH. 3. Answer the questions belo~ fo~ the business as a ~hole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDE~IFICATION DATA A. BUSINESS NAHE: Hi~hland T6~i.ng and Salyage Pool, Inc. B. LOCATION / STREET ADDRESS: 2'21~ Coy Aveuu~ . ' CITY: Bakersfield,,California ZIP': 95307 BUS.PHONE:~?(.805) 834-2555 · SECTION 2: E~RGENCY NOTIFICATIONS In case of an:emergency involvfng the rel.ease or threatened release of a '':'. .- " hazardous material, call 911 and 1-800-852-7550 or .1-916-427-4341.' This ~ill notify your local fire departmen~ and-the State Off.ice of Emergency Services as required by, law. : ,'~ : ,. · ., · , [ EMPLOYEES TO NOTIFY':IN'.CASE OF.EMERGENCY: , NAME AND TITLE ' DURING' BUS: HRS AFTER BUS.' HRS ~, A. Ron Stewart-Manager Ph~ 834-2555 Ph~ 872-1292 B. Donna:Bookout~owner ~: ~ . ,., ph#.854225.55: ~ ., Ph# 597~i108 :'~. ....' , ~ , : ~ ' . '; . A. NAT. GAS/PROPAnE: ~est ~all of garage B. ELECTRICAL: ~est ~all ins'ide of garage C. ~ATER: ~.rant n~ prnp~rty at cur~ D. SPECIAL: E. LOCK BOX: YES /~O~..IF YES, LOCATION: ~F YES. DOES IT CONTAIN sITE PLANS? YES / NO ~SDSS? YES / N0 FLOOR PLANS? YES / NO KEYS? YES / NO ':... -Over- HMCU-4 Ron' S~ewart : Cliff Jackson- Dave Reid ~SECTION 5: LOCAL E~ER6E~CY MEDICAL ASSIST~CEFOR YOUR t~t~ Lane Medical Center, Bakersfield, California 93309 SECTION 6: EMPLOYEE TRAININ6 '.'-~ 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 . YES NO B.' PROCEDURES FOR COORDINATING ACTIVIT,IES WITH RESPONSE AGENCIES: ....... - ............. : ..... /YES2NO .YES NO. C. ~RQPER_U~EOF~SAEE~Y~..EQuIPMEN~: ....... L.,;~.~.~ ..... i~ ......... ~:~')~NO~--Y~S=-~_NO~ D.-EMERBENCY~E~ATION-PROCEDURES: ....... :.: ..... '(YESJNO · YES .NO ': .... E" Do'You ~INTAIN-E~PLOYEE~TRAINING RECORDS':...'.'.'..~ ~NO' : YES NO ' ] I, ~ , certify that the above information is accurate. I understand that this information wi11'be used to fulfill my f~rm'.s' oblisations under ~he ne~ California Health and'Safet~ code'on ~azardous ~aterialS {Biv., 20 Chapter Sec. 25500 Et Al.) and that-~inaccurate informatiOn constitutes perjur~..,. S!GNATUR~ . TLg ' .~ DATE .7-26-87 .H~CU'-4 -/ BAKERSFIELD CITY FIRE DEPART>.IENT' ;' 2130 "G" STREET ' " BAKERSFIELD, CA 93301 ID~ ' BUSINESS' NAME: . . BUS I NESS PLAN' SINGLE~. FACILITY UNIT : FORM SA iNSTRUCTiONS 1. To avoid furth_~e~-,a'ction, this form must be'-returned by: Z. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. 'Answer the questions belo~v for THE FACILITY UNIT LISTED BELOW .... . 4. Be as BRIEF and CONCISE as possible. . FACILITY UNIT~, FACILITY UNIT " ~- SECTION I: MITIGATION, PREVENTION, ABATEMEN'r PROCEDURES 'SECTION 2:.. NOTIFICATION AND EVACUATION PROCEDL-RES AT.:THIS' :b~iT ONLY o cJ SECTION 3: HAZARDOUS MATERIALS FOR TWIS U:¢IT ONlY A. Does this Facility Uni.t contazn H;~zardous Mater~a!.[~? ...... YES If YES,. see~B. if NO, continue with SECTION' 4. B.' Are an~' of the hszardous materials a bona. fide Trade Secret YES NO If No, .complete a separate hazardous materials inventory form marked: 'NON-TRADE SECRETS ONLY .(~vhite form ~4A-1) If Yes, complete.a hazardous materials inventory form marked: ~ TRADE SECRETS ONLY (~'etlow form-~4A-2) in addition-to the non-trade ~ secret· form. List only the trnde~secrets On~iform 4A-~. SECTION 4: PRIVA~ FIRE PROTECTioN '~ECTION ~ ' LOC~ION OF ~IL-t~ ~S~OE~S.- AT. TH-IS--~IT~ 0Nt?'~ ;~ < B. ELECTRICAL: '-' ~ C. WATER: ' ,. D. SP~C'.AL: c LOCK' BOX YES ' NO IF YE,q, LOC.~T!O):: F'LOOR ' P[...~XS:~ VES / l'O KETSO YES YO ., · "J' - : .... ,HAzArDoUS ~ATE'R.I ALS ' I NVENTO.R "~ ' ~.~o~-~ .~ ....... :. ~.n~S~. '" ; . FACILITY UNIT NAME:,. .ADDRESS: - .~,~.~ .... ,,~,.~ ..-~ ..... .- . .... . :~. ~ '" CI-TY'~'. 'ZIP:' . · . ~o~ ~ ...... ~.. ' ' .~CITY',Z.IP:. ' '' ~ ~ ................. ' ' ~',:[.,FFICI'AL USE 'CFIRS C,ODE :PHONE *: · . . ,,,,.,,,~,,= ~ -'...~PHONE ~: J :ONLY ' .... " "' " "~' 6 - ? :. ' '. ~.: . 8 ~.9, , ' -.!0 ' ~.:; . .',", I 2 3 .~ .4 5 .,~ ": ...... :~ ' ' HAZARD D.,.O T TYPE MAX 'ANNUAL. . CON~ USE LOCAT:ION IN ,THIS. ~ BY. . ' ,.- ~ ", · CODE AMOUNT AMOUNT uNIT. CODE CODE FACILITY UN'~T' WT.:' . CHEMICAL OR {CoMMON'NAME .CODE'.' G'U~I'DE ~ · , . , ,' ,.~ ,,.' .... , ~ . . ',, " .,.,. ": ".'N,~ME: '~0~ >~~T ' :[ TITLE: '~H~ SIGNATURE: ' DATE.: . .-,"E~E.RGENCY CONTACT: ~f~ .~'~ TITLE: ~/~dC~C~L~ . ~ pHONE ~ BUS ' '~:' " 3' :~~T TITLE: ~&~~ ~ .... PHONE ~ BUS. HOURS: ~q-~' ' · " , ., - ' . HMCU-9 ~CONTAINER CODES · -- ~'.' .. TYPE cO~Es '.. 0t,. Unde~ffround Tank "-' - .,,,"~'~:' ...... ' P :Pure 02. Aboveground Tank~ "~-~f" '.k. - _.,-~:- ' ..... N =':Hixtuves of pure 03. F,~xed Pressurized Tan~ ' -;" .'~ ....... ~':/~ ~ubstances 04: Poktable Pressurized. Cyl:~nder~,,- .:-{:_~:~ .... W = Wastes (Also add. 05. Insulated-Tank (Include~~ c.ryogen'i-cs) ~ -':"' appropriate wasi~ 06 Drums or Barrels - ~etarliC'..-'; code) 0~. Drums or Barrels - Non?Me~al]i.c. - . , .- : . -~08. Carboy(s) ' .-. : ....... 09 Glass Con~,aine~('S). '' ..,..: , '- 10 Pl'~st~c CShtainer{s). ., ' '-- -' ' 1~ Box(e~}) ~ ' '" '"" ~ .- .....- c.. ' ---~ ~IT CODES - 13 ~e~ad.Centainer, s-'(Not Drums-) '." .. LBS = Pounds 14 tn~a,en'~-ne,ny.or processing-eqUipment '' ' TON = Tons (2 000 lbs)'. 15 B~n,(~s.)~ ~,'. ;.~: ., .- ' GAL = Gallons 99 OTH~R~:?-'Spec,ify.on ~ep~rate.'sh t '_ '- ~;'/' -BBL = Barrels (42 gals') ....... ~'~<~ ..... _ :. ' ~ , - :,, , ~S':~._~'~ ...... - ~ <Ft3 Cubic--Feet ~ ~:,, ,~,~: ~.: r~ -.. ~- : CUR = Curies , 01. Additive :,: - 23 HerbiCide 02. Adhesive a, 24. Ih'secticide -~ '-~ 03. Aerosol ~:' . '"" :-'.:'?.~ 25. Instructional '~ - ' 04. Anesthetic ' ' 26. Lubricant ~',, ~ . . -.. 05.. Bacter'icide :' 2~ ..~edi,ca~ "Aii~" or. Process - 06. Blasting ,, .28.~.N~u~rai:i'zer O~ 'Catalyst :29.-'Painting ' ' ': ' 08:. Cleaning 30.-Pest'icide .... ~: , 09. Coolant , ' 31. Plating lO. Cooling . . 32."p~eservattve 11 Dri ! 1-ing ''- 33. Refining 12 D~yfng · 3A. '~ealer .-. 13 gmurs.ifie~/Demulsifier 35. Sp~ay.i~g 14 Etching 36. ster:llizer 15 Experimental 37. Sto~age 16 Fabrication 38.. -Stripper ,.- 17 Fertilizer .~ 39. ~aShing: -. :. 18. Formulation _40. ~as.te " . .' 19~Fu~l : , ~ ' , i41', Water T~kea,tment ,.~. ~1. ~rinding - :~-d~. ~WeI/i', InJec,tion 22. Heat.lng . . '-'"~.' Oil, ~reatment , -' ' ':' .. ~J'OidER-s'Pec<i'~y on . ~Z~ CO~ES "..-,' ~'.' .': .,. '' EXPL - Explosive " e~.- Anesthetic~ Irritant C~LQ - Co~busti'ble L~qUid '-. OR~E -Hazardous .Waste C~SL - Combustible Solid. -'-- OR~S'.- Other resutated . ' :' Rateri~l'. B,C,and D ' . CR~T - CoPros'ive ~ateri.ai- PSNA -..pOison A. (Gas) -. .. FLGS - Flammable Gas -..: pSNB - Poison B (Liquid or Solid) ~ ~' FLLQ- Flammable Liquid ~, -- RADi -.-Radioactive .'. FLSI, - Flammable So]id -,. ~ATR - ~at~r Rea'ctJve . NFLG - NoninFlammable Gas :---.'~,IO - E~iological. Agent .... '" - : . "06PX,- Organic Peroxide" 'P~O.- Pyrophoric, HyPergolic or .. ....... --., ., spontaneous ly. ~ombustible '-" ~OX:I,D ~'~Oxidtzer'.- ' ' ,. ,, .'- .... .',;- . ' ,. ~" _ "'~R~' ~'~ff~ogeni cs ':,