HomeMy WebLinkAboutBUSINESS PLAN S I.,TE/FACI L I TY DIAGRAM
FORM 5
NORTH SCALE: BUSINESS N~ME: FLOOR: OF
Wayne Industries, Inc~ 1 1
· . DATE: 7 /7 /87, FACILITY N~ME: Main O'-~ UNIT ~R OF 2
(CHECK ONE) SITE DIAGR.%M FACILITY .DI.AGR.a~M X
I(Inspectorts Comments): -OFFICIAL USE ONLY-
SI. TE/FACILITy 'DIAGRD2~I
NORTH SCALE: BUSINESS NAME: · · FLOOR: OF
A & A Refrigeration 1 1
~ DATE: 7 /7 /87 FACILITY NAME: Secondary ~6--~-O UNIT ~:2 OF2
{CSECK ONE) SITE DIAGR.~M FACILI~.DIAGR.~M X
(Inspector%s Comments): -OFFICIAL USE ONLY-
SI-TE/FACI LI TY DIAGRAM
FORM 5
NOR. TH SCALE: BUS INESS NAME: FLOOR: OF
·- ~ Wayne Industri~.~; Tn~. mnH A ~ A P~4g~r~tiOn "
DATE: 7/7 /87 ~ACILIT¥ N~ME: UNIT .-': OF
30
(CHECR .qNE) SITE DIAGRAM X FACI5 I~ .D IAGR.~M
Inspectorts Comments): -OFFICIAL USE ONLY-
SITE OIAG~AN (Require )
1. Address: Identify the 9. Lock (key) Box
principle buildings
by the. Street nulbers. 10. MSDS Storage Box
2. Street(s). AlLeys. I1. Railroad Tracks
Driveways, and Parking
Areas adjacent to the 12. Fence or Barrier
property. Include the ~. a. Wire
street hales.
b. Masonry
3. Storm Drains, Culverts,
Yard Drains c. Wood
4. Drainage Canals. Ditches, d. Gates
Creeks,
13. Powerllnes
5. Buildings
a. Frame construction 14. Guard Station
· b. Masonry construction IS. storage Tanks:
Identify the
c. Metal construction capacity In gal.
a. Above ground
d. Access Door
b. Underground
}. U$111ty_Controls __ - ....... . ..............
a. Gas . 16. Diking or Berm
b. Electricity 17. Evacuation Route
c. Water 18. Evacuation Area:
Identify t.he..
?. Fire Suppression Systena: location where
a. Fire Hydrants employees will
meet.
b. Fire Sprinkler 19. Outside Hazardous
Connections Waste Storage
c. Fire Standpipe 20. Outside Hazardous
Connections Material Storage
d. Water Control Valves 21. Outside Hazardqua
for protection systems Material
Uae/Handling
e. Fire Pmsp 22. Type of Hazardous
Material/Waits
Stored
8. Fire Department Access or Used (See
Below)
TyPE OF HAZARDOUS MATERIAl
F - ~l~--able ~ - Explosive L - Liquid R - Radlolo~lcal
- C-~- Corrosive ' - .... 0--- Oxidizer- 6 - Gas P · Poison
# - Water Reactive T - Toxic S - Solid ]'~'- Cryogenic .
O · Waste B - Etiological
Example: Placeable Liquid - EL
FACILITY OIADRA~ (Required ltens In addition to the above)
1. Rlsers for Sprinklers 8. Fire Escapes
~. Partitions ' ._.: ~. Air Conditioning Units
3. stairways: Indicate the 10. Windows
levels served froe
highest to lowest. 11. Inside Hazardous Waste
Storage
4. Escalator: Indicate the
levels served frol 12. Inside Hazardous
highest to lowest. MatePlals Storage
5. Elevator 13. Inside Hazardous
llateriala Use/HandllnE
6. Attic Access
'" 14. Sewer Drain Inlets
?. Skylights
' ' 'BAKERSFIELD, CA 93303.2057 J ACCOUNyNO"' ::~ ~''' '=:~' ~ ~ETU~N THIS OOPY WITH
RETURN PAYMENTS TO: -- .': ;i: : PLEASE MAKE'CHECKS PA~ABLE TO':
CiTY OF BAKERSFIELD' HAZA,qOOUS ~i D I V tS[g~ ::'"~ ',:>r '.'," ]-
. P.O. BOX 2057- ,~ CITY OE-'BAKERSFIELD,
BAKERSFIELD, CA 93303-2057 ACCOUNT NO. .. '~2~8'0~ ~,~". ~~
"ST~'TE ~'tANDATED PROGfiAM ~ "
~NNUAL 'FEE_~ ..,, .- '- ' " --'
,.
INQUIRIES CONCERNING THIS BILL; PLEASE PHoNE: :~6-3979 ":-: ':':: '
-.-. WAYNE iNOUStR!ES tNC .'~ '
- .~ 5630 DISTRICT DLVD 5U
' -- CITY OF;BAKERSFiELD
P.O, BOX *2057
BAKERSFIELD, CALIFORNIA 93303-2057
ADD~ESS"CORRECT~ON REQUESTED
DONOT FORWARD
'' [ ~AYNE INOUSTRIES INC H')t~2480!
5630 DISTRICT
BAKcR-SF'iELD. CA 9:5313
]i~l~i~ith,:li.,ih~lh.~qih~dh~iqlqi:~i,dt-:-: - -- -- -- -- ~- - ~-- ';--" -'~'" - ......
March 2~ 1990
Nina Mayer~ Accounts Receivable
Ralph E. Huey~ Hazardous Materials Coordinator
SUBJ£C?~ Wayne Industries~ Inc.
Nina~ account #4248~1 is no longe~ in business in Bakersfield,
Please void the previous balance of $100.00 and close this
account.
Thanks~
Valerie
Post-itr"routing request pacl 7664
· ROUTING REQUEST
Please.
READ
HANDLE
APPROVE
and
L_J FORWARD
Date From
BAKERSFIELD CITY FIRE· DEPARTSiENT
z 3o "G" S EET JUL 1 3 1987
BAKERSFIELD, CA 93301 'd
............
OFFICIAL USE ONLY
BUSINESS NAME
HAZARDOUS lVb%TERIALS
· BUSINESS PLAN AS A WHOLE
FORM 2A ~.)d~?),
INSTRUCTIONS:
1. To avoid further action, return this form by
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.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: Wayne InduS.tries, Inc. and A & A Refrigeration
.B. LOCATION./~STREET ADDRESS: 5630 District Blvd, Suite 103
CITY: Bakersfield ZIP: 93313 BUS.PHONE: (805) 397-6555
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4541, 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 TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. · John Ross Ph# 397~6555 Ph# 323-2291
B. Gene Combs Ph# 397-6555 Ph# 398-1910
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WMOLE
A. NAT. GAS/PROPANE: None
B. ELECTRICAL: South. EaSt Corner of Building 5630 Behind Locked Door
C. WATER:
D. SPECIAL:
E. LOCK BOX: YES ~/~0) IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE :
Employees are capable of cleaning up any hazardous spill based
on the quantities we stock at any given time'
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Neare~t,'medical facil~ity is Mercy, Medical Center at Ming and
Ashe S.tree~t,p. We' would ~transport patient by p~'ivate vehicle. .-
SECTION 6: EMPLOYEE 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
MATERIALS:...- .... ; ............................... YES NO YES NO
B. PROCEDURES FOR COORDINATINGACTIVITIES
WITH RESPONSE AGENCIES: ................. ~ ......... YES NO YES NO
C. PROPER USE OF SAFETY EQUIPMENT:~. ......... . ......... YES NO YES NO
D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO YES NO
E. DO YOU MAINTAIN EMPLOYEETRAINING RECORDS: ....... YES NO YES NO
SECTION ?: HAZ~RDOUS MATERIAL
CIRCLE YES OR NO,
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO
I, John Ross , 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. 28500 Et Al.) and that inaccurate information constitutes perjury.
S I GNATURE / ~~///~--~--- "'TITLE President DATE 7-7-87
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET'
BAKERSFIELD, CA 93301
OFFICIAL USE DNLY
ID#
BUSINESS- NAME:
BUS I NESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS 1. To avoid further action, th~s form must be retui-ned by:
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#. 1 FACILITY UNIT N.%ME: 5630 District Blvd.
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
SECTION 2: NOTIFICATION AND. EVACUATION PROCED%~RES AT THIS b~:IT ONLY
A general p.A. sYstem notifies the employees to exit
the building via the 'closest of six exits to the
out side. '
- 3A -
2SECTION 3:~,~K&ZARDOUS MATERIALS FORTHiS b~'IT ONLY
A. Does 'this Facility Unit contain Hazardous Materials? ...... YES NO
If YES, see B.
If NO, continue wi.th SECTION 4.
B. Are~'any of the hazardous materials a bona f~de Trade Secret YES NO
If No, complete a separate hazardous materials inventory
form :marked: NON-TRADE SECRETS ONLY (whi~e form #4A-l)
If Yes, :complete a hazardous.,m~terials inventory ~orm marked:
TRADE SECRETS ONLY (yel:]ow form #4A-2) J'n addition to the non-trade
sec,ret 'form. List only the trade secrets on form 4A-2.
SECTION.4: PRI~ATE FIRE PROTECTION
Fire sprinklers through-out complex plus three fire
extinguishers
SECTION 5: LOCATION OF WATER SUPPLY- FOR USE BY EMERGENCY RESPONDERS
Fire hydrant appro_x:, 100' Northwest of rear entrance
SECTION 6: LOCATION OF UTi,LITY SHUT-OFFS AT THfS UNIT ONLY.
A. NAT oAS ?,xOPA.~E.
None
B. ELECTRICAL:
Southeast corner of building behind locked door
C. WATER:
Same as above
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, SiTE PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 3B -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "6" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS 1. To avoid further action, this form must be returned by:
2. TYPE/PRI~;T YOUR ANSWERS IN ENGLISH.
3. Answol' the questions belo~ for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILI~ UNIT~ 2 FACILITY ~IT N~ME: 56~0 District Bird_
SECTION 1: MITIGATION, PRE~NTION, ABATEMENT PROCEDURES
~~s --~-~ ...... ~ '. ~ ....
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS U?~IT ONLY
Used as store room only. No employees in this facility
on a regular basis.
- SA -
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does tills Facility Unit contain'Hazardous Materials? ...... ~S~ NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES NO
If No, complete a separate hazardons 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-2.
SECTION 4*{-PRIVATE FIRE PROTECTION
Fire sprinklers~throughout
~ECTION'~: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Fire hydrant approx. 50". Northwest of facility
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. ' .' ''~
GAS/PROPANE:
None
B. ELECTRICAL:
South side'~of building behind locked door
C. WATER:
Same as above
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO MSDSs? YES /' NO
FLOOR PLANS? YES / NO KEYS? .YES / NO
- 38 -.
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-1 Page __of"'
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NAME: Wayne Industries/A & A Refrigeration OWNER NAME: Gene Combs FACILITY UNIT #:
ADDRESS: 5630 District Blvd.~ Suite 102 ADDRESS: 9600 Ridge Oak FACILITY UNIT NAME:
cITy, ZIP: Bakersfield CA 93313 CITY,ZIP: Bakersfield CA 93313
PHONE ~: (8o5) 397-6555 PHONE #: (805) 398-1910 OFFICIAL USE CFIRS CODE
NLY
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
.,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. cHEMICAL OR COMMON NAME CODE OUIDE
.
M 60 60 Gal 07 08 N.E. Corner Warehouse 5 Floor Cleaner (phosphoric acid) CRMT
'" ....
. M 60 60 Gal 07 08 N.E. Corner Warehouse 5 Toilet Bowl Cleaner (hydrocloric aci [') CRMT
,-.' ..r
M 120 120 Gal 07 08 N.E. Corner Warehouse 0 Window Cleaner ~ ~)~Pto~Jtc~, -~ '~ s
P 130 130 FT3 04 42 N.W. Corner Warehouse 100 Acetylene FLGS
/
P 90 90 FT3 04 42 N.W. Corner Warehouse 100 Oxygen NFLG
/
~ ~-- 1800 lbs-- --04 i Ox~ -~-S~R~-om --1-00-- -Fr;~: -O~RlVIS7~--
,, ,-~u_-- ~--~.0 i~00--------~bs---04./ 1FI Sro --100 /Freon ~/ , , ORMS
W--- n ? Gal 07-- ~0 S.W. Corner Wareh~dUsez 0 (4~) Empty ~d~-S- ~ ...... ~e'
.NAME: John Ross TITLE: President SIGNATURE: DATE: 7-7-87
EMERGENCY CONTACT: John Ross TITLE: President PHONE # BUS HOURS: 397-6555
AFTER BUS HRS: 323-2291
EMERGENCY CONTACT: Gene Combs TITLE: CEO PHONE # BUS HOURS: 397-6555
~"~'P~,RINCIPAL BUSINESS ACTIVITY: Construction and Refriseration Service AFTER BUS HRS: 398-1910
- 4A-1 -
Gene combs, President 5630 District Blvd. #103
Rose Combs, Sec/Tres Bakersfield, CA 93313
805/397-6555
INDUSTRIES, INC.
March 1,1989 RECEIVED
City of Bakersfield MARO I 8
P.O. Box 2057
Bakersfield, California HAZ. MA~DI~
93303 - 2057
RE: Account # ~ - 00773
Dear Sir:
I received your very interesting invoice # 121686 today. Not
having .the'foggiest idea what it was for, I phoned your office.
Ralph Huey advised me that in July of 1987 an employee filed a
plan/with you..
This tyPe Of billing is why I closed do~ Wayne' Industries, which
is an engineering & tank testing business and also closed A & A
Refrigeration & Heating in 1988 and moved to Colorado.
I can't figure why the solutions and acids were listed in the
plan. Those things were not required to test tanks or move dirt
with heavy equipment. The point is, I don't and didn't stock
those things.
Please remove me from your billing list. All I have left in
Bakersfield'is a few accounting and other business matters.
Anc~ther company now occupies the building i had. They are kind
e~ugh to handle my m~'l.
430 Shebas.Way
~Colorad0..Sp~ings,.Colorado .~
80904
cc: Ralph Huey
2130 G St.
Hazard Materials Division '
Bakersfield, CA ~ 93301
DivisiOns: A&A Tank Testing, Wayne Service & SupPly
~!?;i~,,..;.,.:,:../', ..: ,,-.::,~.~ . RETURN PAYMENTS. TO: ..... ' ' "., -'- .- : .' ' PLEASE/V~KE CHECKS PAYABLE TO:
..:,;; t. , ,. ,,. , · CITY OF BAKERSFIELD . - ,rHAZARDOUS MATERIALS DIVISION . .', - , ',," ',
;':?~,/;:'-i".' '. :::;'-' :~ P.O.' BOX 2057 . .' .' ,' ':" : · . '. '";",:".:'. ':'.: . ' CITY OF BAKERSFIELD .... .: !"' .~?:':.
:,:!i!~:,~:i~,': ,:' .': BAKERSFIELD, CA 93303-2057" ..~ccOuNT NO. HM-OO~7;3'"' .'; ' "" ; ~'i' ' ' ":"" ':::
.... :' ':;? MANDATED PROGRAM ~ ~' , ~' .. '.~:; .~.
' ?';i',?,-': ;, .,': : ....; ,..;L' ..... " _",".';.' ."'. :-, . ,, ": , :~, .... '-~'
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.'.:'f - INQUIRIES= CONCERNING THIS BILL, PLEASE PHONE: :326-:3979 . '1 "' - ':'
?, 121686 · .,:WAYNE,: INDUSTRIES INC : - · ' HM
· ' ' .1 O3" ,,"'~"".
':!!}"' 'INVOICE NUMBER "'."$&:30 DISTRICT' BLVD ElU :
:
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"i!i,. CUSTOMER copy_' . . .
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