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HomeMy WebLinkAboutBUSINESS PLAN ~0~ LIFE I' - ~SURANCE ~OM~ SiteID: 015-021-002259 Manager : BusPhone: (661) 334-4800 Location: 1200 DISCOVERY DR ~ Map : 102 CommHaz : Low City : BAKERSFIELD ~ Grid: 34B FacUnits: 1' AOV: CommCode: BAKERSFIELD STATION 1 SIC Code:6311 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title M.D. ATKINSON, CO / MANAGER / Business Phone: (661 334-4800x Business Phone: ( ) - x 24-Hour Phone : (661 334-4800x 24-Hour Phone : ( ) x Pager Phone : ( - x. Pager Phone : ( ) x Hazmat Hazards: Fire ImmHlth DelHlth Contact : C/O M.D. ATKINSON COMPANY, INC .Phone: (661) 334-4800x MailAddr: 1401 19TH ST State: CA City : BAKERSSFIELD Zip : 93309 Owner C/O M.D. ATKINSON COMPANY, INC Phone: (661) 334-4800x Address : 1401 19TH ST State: CA City : BAKERSSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: , RSs: No' Emergency Directives: ~' ~ Hanmar Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... }SpooHazlEPA HazardsI Frm DailyMax UnitlMcP DIESEL FUEL F IH DH L Low -1- 01/22/2003 MONY LIFE INSURANCE ~ SiteID: 015-021r002259 Manager : ~%% BusPhone: (661) 334-4800 Location: 1200 DISCOVERY DR ,9 Map : 102 CommHaz : Low City : BAKERSFIELD ~' Grid: 34B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 SIC Code:6311 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title M.D. ATKINSON, CO / MANAGER / Business Phone: (661) 334-4800x Business Phone: ( ) - x 24-Hour Phone : (661) 334-4800x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager~..Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : C/O M.D. ATKINSON COMPANY, INC Phone: (661) 334-4800x MailAddr: 1401 19TH ST 400 State: CA City : BAKERSSFIELD' ~ Zip : 93301 Owner C/O M.D. ATKINSON COMPANY, INC Phone: (661) 334-4800x Address : 1401 19TH ST 400 State: CA City : BAKERS~FIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, Kem Swan DO hsreby c~rfify th~ ~ have reviewed ~h~ aRached hazardous rn~ri~ls rnana~- mere p~an for Discovery Plaza and ~hs~ (N~ ~ B~) any ~e~ions ~nsfi~u~e a comple~s and'~rr~ man- agemem pl~~cility. ScOot ~opedt~ Ha~aget -1- 09/12/2003 '-- ' ' ' . Bakersfield- Fire 'Depa~ment -;-.- j -; :-~i/ ::; .., _ ' _ -..BakerSfield~ CA 93301 ~ ~~. ~ .... ,,e:~. ~,scoveu,, -. ~..- - : . ~ 1200 Dis~vew . ~ --' :' ~ Bakorsfield~- -'~CA93309 : ~ - - : - -: .. _ -~ ~ ~ ~ :- . ~ _ ;_. : _ _ De~r..._M~.__...._.~r~ord: ' - - '- :' .--" ' : . ::. -, Attached is tho executod ropy of the Hazardous Mat0rials Busin0ss :plan for the above referenced facility. The only revision was a misspelled word. If you have fu~her questions, please~co~ta~ this.office. : M Senior Properly Manager ' :'. ' -- -- --~-Cc: JOhn Shaw, CSM/MDA _ -_. _: .... Bill Reyes, Maintenan~ : .... ' - . _ 5-.: ,' __ - : ..... : . - .. . ,- ~:.: _?-._- - :;, ;4h;_;~h :;._:_2 . :~. ~. ' ' ' 7j.. ~2~:~ ACcR~Di{EDMANAGEMENT_ORGANiZATIa~ ' ' M.D. ATKINSON COi:,~INC.- - ~ --. ..... November2~, 2001 "~ ' ' ' Mr. Howard H. wines lip ' ' BAKERSFIELD FIRE DEPARTMENT /~ 23 ~ '// · ii 715 Chester Avenue, Suite 300 Bakersfield, California 93301 - ~ ~'// - ..' RE: Hazardous Materials Requirements ~ ' ~ - - Dear Mr. wines: '~ As requested please find enclosed the following, which have been completed to the best of my .... ability as property manager for Discovery Plaza located at 1200 Discovery Drive, Bakersfield, - California 93309: HaZardoLis Materials Management Plan ' ' - Business Owner/Operator Identification Facility Information form Hazardous Materials Inventory Chemical Description form - Discovery Plaza Site Plan Photo of the Fire Pump equipment Please do not hesitate to call our office should ,ou have any questions, comments or concems regarding the enclosed. -cc: John P. Shaw, CSM - MDA ' ...... -1401 .I_DT~H.STR~ET SUITE 400 BAKERSFIELD, CA 93301 · ACCREDITED MANAGEMENT ~.~ : - -i(661)'334-4800 FAX (661) 334-48il -:- .ORGANiZATiON® - . ~ -' : . ~e-~ma!l: mdac0@mdatkinson.com - '-~ _ · . ~ ~*;,'Y**t 0~~'~'~ · I CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: MONY LIFE TNSIIRANCF. COMPANY - DISCOVF.RY PI.AZA LOCATION: 1200 nisco,zery DrS?e, Bakersfield, CA. 93309 C/0 M.D. Atkinson Company, Inc. MAILING ADDRESS: 1401 - 19th Street, Bakersfield, CA. 93309 CITY: Bakersfield STATE: CA ZIP: 93301.PHONE: 661-334-4800 PRIMARY ACTIVITY: Commercial Office Building OWNER: MONY'LIFE INSURANCE COMPANY PHONE: 661-334-4800 C/0 M.D. Atkinson Company, Inc. MAILING ADDRESS: 1401 - 19th Street. Suite 400, B~kor~f~ol~: CA. q2201 EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. ' ~,D, Atkinson Co. , lng.. ~. Proporty Mmnn,~r 66!-335-5800 66!-335-/'.800 - > - HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION H. l' DISCOVERY AND NOTIFICATIONS 'A. LEAK DETECTION AND MONITORING PROCEDURES: Visual inspection.fi~e times per week B. EMPLO'YEE AND AGENCY NOTIFICATIONi In writing. C. ENVIRONMENTAL RESPONSE MANAGEMENT: Call Hazardous Materials Response team. D. EMERGENCY MEDICAL PLAN: Contact' emergenqy personnel for treatment and/or notification as needed. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES' Notification t6 the proper authorties B. RELEASE CONTAINMENT AND/OR MITIGATION: Notification to the proper authorties C. CLEAN-UP AND RECOVERY PROCEDURES: Notification to the proper au'thorties UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) Please refer to the attached DISCOVERY PLAZA Site Plan. NATLrRAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: ~. PRIVATE FIRE PROTECTION/WATER AVAILABILITY · A. PRIVATE FIRE PROTECTION: Building sprink~ered/Monitored System B. WATER AVAILABILITY (FIRE HYDRANT): Ye8 3 HAZARDOUS MATERIALS' MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: None ' MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SuMMARy OF TRAINING PROGRAM: N/A CERTIFICATION I, ,qahr4-n uo~ ch 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 SAF'ETY CODE'" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25560 ET AL.) AND. THAT INACCURATE INFORMATION CONSTITUTES PERJURY.~ _/'~/~ Property Manager 11/27101 , SI6NATURE TITLE DATE 'PARKING , 2 PUMP ROOM 497 STANDARD & H/C A. ROOF ACCESS IS THROUGH THE ~ COVERED 3 TRASH ENCLOSURE AREA DOOR AT THE TOP LANDING OF TI-I~ CENTER STAIRWELL. 541 TOTAL 4. ELECTRICAL TRANSFORMER AREA B. ELEVATOR MECHANICAL ROOM '~ ~' 5 ELECTRICAL ROOM ACCESS IS THROUGH THE WEST 8 DOMESTIC WATER PUMP ROO~ T~ CENTER STAIRWELL. ~ SPRINKLER S,UT-OFF Z' ADDITIONAL TRASH ENCLOSU~ IHIDDEN IN BUSHESI 8 PUMPING UNIT (BELONGING TO ~ WATER SHUT-OFF G~FFIN ~SOURCES) UNIT I.D.s: WELL KCL B73, ~ SPRINKLER BOX SEC, 34, T. 295, R.73E  ~ GAS METER & SHUT-OFF TELEX: 661-323-7764 9 BIKE RACK ~ ' I0 FOUNTAIN VAULT  ~SHED LINE INDICATES LOCATION OF COVERED PROPOSED MON~ENT PA~ING ~44 SPACES) SIGN LOCATION PUBLIC NOTICE -- SIGN & SPEED LIMIT SIGN PROPOSED MONUMENT SIGN LOCATION I I PROPOSED MONUMENT NOTICE MONUMENT SIGN LOCATION SIGN & SPEED SIGN LOCATION LIMIT SIGN (~)~ SITE DIAGRAM MONUMENTwebBasis SIGN-- DISCOVERY PLAZA Ivanhoe -- EXISTING 'DISCOVERY PLAZA' 1200 DISCOVERY DRIVE S~GNAGE BAKERSFIELD, CALIFORNIA · ORDIZ-MELBY ARCI-ITECTS 2000365X. Ar e~Calcs\Site CITY OF BAKERSFIEI~ f~-~-~b ICE OF ENVIRONMENTAL SERVICES · ~ Fttt~'~ 1715 Chester Ave., CA 93301 (661) 326-3979 -..~~,,~~1~... ~- BUSINESS OWNER / OPE~TOR IDENTIFICATION FACILI~ INFORMATION Page Of FACILI~ ID ¢ ~:;~:] I i [¢~¢[I I ~ [ I [ ~ ~ ~ Year Beginning ~oo ', Year Ending ~o: BUSINESS N~ME (Same as FACILI~ NAME'or DBA- Doing Business ~) 3 ~ BUSINESS PHONE 102 Discovery Plaza ~ 661-334-4800 SITE ADDRESS ~03 1200 Discovery Drive CI~ ·Bakersfield 104[ CA ZIP 93309 ~o~ DUN & 106 SiC CODE .. ~07 B~DSTREET (4 Digit ¢) COUN~ Kern ~o8 OPE~TORNAME M.D. Atkinson Co., Inc. ~09 ] OPE~TOR PHONE 661_334_4800 ~0 OWNER NAME HO~ %&~e [~su=a~ce Compa~ m OWNER PHONE 949_R??=8880 OWNER MAILING ABDRESS t97t2 HacA=thu= ~ou[eva=d,,. Su&te 200 ~3 ~7 I CONTACT PHONE 661%~34_A800 CONTACTNAME M_D_ A~4nSn~ Co: ~ Imc. i _ CONTACT MAILING ~9 ADDRESS 1401 -. 19th Street·, Suite 400 CITY Bakersfield - ~ . ~20 =~TA~;~~ ~2~.,, .~l.p 9330L..,. NAME M.D. Atkinson Co., Inc. ' 123 NAME TITLE Property Manager ~25 TITLE ~0 ~26 BUSINESS PHONE BUS~NESS PHONE 661-334-4800 24-HOUR PHONE 661-334-4800 ~27 24-HOUR PHONE . . , ~32 PAGER ~ ~28 PAGER ~ ~33 · Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined ar .... n familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. U~L~iqA: ORE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER ~35 NAMES OF OWNER/OPERA*TE~-R ({~:int) ~ 136 -i-i i'LE Oh U,'VNER/OPERATOR 137 MONY Ltfe- Owner : UPCF (7~99) S:\CUPAFORMS\OES2730.TV4.wpd 'i~~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ~'""~"'""~"~' ~ ~ HAZARDOUS MATERIALS' INVENTORy CHEMICAL DESCRIPTION' :~ne£otml~ermatodalperbuildingorarea) [] NEW '. [] ADD [] DELETE [] REVISE 200 · ~ Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 · DISCOVERY PLAZA CHEMICAL LOCATION 20al CHEMICAL LOCATION [] Yes ~] No 202 .Fire Pump House (Parklnglot area) ic°NF~DENTIAL(EPc~) ! 203 ? GRID # (optional) 204 205 TPJ~DE SECRET [] Yes [] No 206 CHEMICAL NAME If Subject to EPCPJ~, refer to instructions Dlesel Fuel 207 COMMON NAME EHS* [] yes [] No 208 . ~Diesel Fuel CAS # 209 )~?If,EH$ is'Ycs," all afiount~'below FIRE CODE HAZARD CLASSES (Complete if-requested by lOCal fire chief) 2~0 CURIES 2~3 TYPE ' [] p PURE [] m MIXTURE [] w WASIE 211 RADIOACTIVE [] Yes [] No 212 . PHYSICAL STATE [] s SOLID [~1 LIQUID [] § GAS 214 LARGEST CONTAINER 2'15 FED HAZARD CATEGORIES [] ;I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] S CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 , ' STATE WASTE CODE 220 AMOUNT DAILY AMOUNT i DAILY AMOUNT UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 : DAYS ON SiTE 222 · If EHS, amount must be in lbs. STORAGE CONTAINER ~ a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM I~ m GLASS BOTTLE [] q RAIL CAR 223 'Check all that apply) · [] b UNDERGROUND TANK [] f CAN [] j BAG '[-1 n ~LASTIC BOTTLE [] r OTHER ~[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN ~ d STEEL DRUM [] h SILO [] I CYLINDER ; [] p TANK WAGON [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE PRESSURE STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 226 227 [] Yes [] No 228 229 . 230 231 [] Yes [] No 232 233 i 3 234 235 [] Yes [] No 236 237 : 4 23~3 239 [] Yes [] No 240 241 ; 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPREg ~ ! ATIVE SIGNATURE DATE 246 Sabrina Welch,· Property Manager 11/27/01 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ' Diesel Fuel Tank/Located in the Fire Pump House/East Parking Lot Discovery Plaza 1200 Discovery Drive Bakersfield, CA. 93309