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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' ..... " _",".';.' ."'. :-, . ,, ": , :~, .... '-~' ,'~,:! ~..'.. ",, :' : ".':!",i':')" ';(~ ~..'.~ ' " '::'~ .... · ...... ":"{,, ":' >'"" '"" '; ~ "'"'- '; - ',.':"" , , . '~', .:,"' ,,. .,- ~ -.. ,;;: ::.., ,..'.:.,,. :_. . ' .~ · ~,.,,. :,,. .'" .-,, ." :~:!,~:;~ : .'.:'f - INQUIRIES= CONCERNING THIS BILL, PLEASE PHONE: :326-:3979 . '1 "' - ':' ?, 121686 · .,:WAYNE,: INDUSTRIES INC : - · ' HM · ' ' .1 O3" ,,"'~"". ':!!}"' 'INVOICE NUMBER "'."$&:30 DISTRICT' BLVD ElU : : -~.,.. , : -.. ~.. '~ ,." .'..'.i'.:-'?.'~-~:. : ~. .'. 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