HomeMy WebLinkAboutBUSINESS PLAN DIAGRAM ~ ~ FACILITY' DIAGRAM
SITE
\
For Office Use Only
First IQ StQfiOn':' Arec~ MQp # of
Inspection Station: NORTH
'~ ~ PIPELIN E'P"OI~U C'~,' INC.
SUSAN BAGAN
PRESIDENT & OWNER
5650 District Blvd, #109 Office: (805) 833~4343
Bakersfield, CA 93313 Fax: (805) 833~3613
[] Readl~~ / ' ~--L--"~ ,.?,k '~)~
~ Fo~ard-~ From: ' ' '~'
.e,urn
~ ~eep or Toss
~ Review with Me Date:
RETURN PAYM~:NTS TO: ....... ' ' .'' . ..... · . ' , , . · . . ., . · ',. · -'PLEASE MAKE CHECKS PAYABLE.TO:,
TY OF BAKERSF I~D '," ' "' STATEMENT OF ACCOUNT '
COTY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CAUFORN~A
".
, . ; .
RETURN PAYMENTS TO: '~' '~ "~'" ':-
- PLEASE MAKE CHECKS PAYABLE' TO:
CITY OFBAKERSFIELD "' .... 'STATEMENT OF-ACCOUNT'
· BAKERSFIELD, CA 93303-2057 ACCOUNT NO. N¢79350 ~ "'- :?' ....... 4 ....................... -.
I~QUlRIES' CONC~R~J~G' THIS BILe; PLEASE-¢Hb~E~ .... ¢ ~ ~ ~,9 7 ¢-* .............
" -
'REMI~ANCE COPY
POST.CONSUMER RECYCLED PAPER
HAZARDOUS MATERIALS DIVISIOt
" Date Completed
Business Name: ~/~~ ~~.~
Business Identification/~N°' 215000 ~¢~~ ~ ~op of
.~ ~Adequate~ Inadequate
Vorification of Invonto~ Matorials .~~
Verification of Quantities
Ver~ication of Loc~ion
Proper Segregation of Materi~
Comments:
Number of EmploYees Verification d, MSDS Availabli~ ~
Verification of H~ Mat Training
Comments:
Verification of Ab~eme~ Supplies & Proced[
Comments:
Emergency Procedures )sted
Containers Properly
Comments:
Verification of Facility D ram
Special H~ards Associated with this Facility:
All Items O.K. I[~'
Correction Needed ~ ..
Business Owner/Manager
FD 1652 {Rev, 1-90)'' White-Haz Mat Div. Yellow.Station Copy Pink-Business Copy
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 1
Overall Site with 1 Fac. Unit
.~~formation
/~ocation:/5630 DISTRICT BLVD 110// Map:123 Haz:3 ~pe: 3
City
/ Grid: 15D F/U: 1 AOV: 0.0
:
~-~-oDtact Name ~ ~ Contact Name Title
SUSAN BAGAN / PRESIDENT ~TINA TEISSERE / SALES
Business Phone: (805) 833-4343x [ Business Phone: (805) 833-4343x
24-Hour Phone : (805) 833-4343x 24-Hour Phone : (805) 589-5089x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Administrative Data
Mail Addrs: 5630 DISTRICT BLVD 110 D&B Nu~er: 62-550-9179
City: BAKERSFIELD State: CA Zip: 93313-
Co~ Code: 215-013 BAKERSFIELD STATION 13 SIC Code: 5085
Owner: SUSAN BAGAN Phone: (805) 833-4343
Address: 3801 ASHE RD 35 State: CA
City: BAKERSFIELD Zip: 93313-
Sugary
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-001 MAINTENANCE COATING (5448) Liquid 300 Moderate
· Fire,~ Reactive, Immed Hlth, Delay Hlth GAL
02-002 MAINTENANCE COATING (5438) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 3
02 , Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-001 MAINTENANCE COATING (5448) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
CAS #: 28064-14-A Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: STORAGE/IN STORAGE
Daily Max GAL300I~ Daily Average100.00GAL I Annual Amount300.00GAL --
Storage Press T Temp~ Location
METAL CONTAINR-NONDRUM Ambient~AmbientlW SIDE OF WAREHOUSE
-- Conc ~ Components MCP ---~uide
30.0%ITitanium Dioxide Minimal I 7
6.0% Methyl Ethyl Ketone ModerateI 26
02-002 MAINTENANCE COATING (5438) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
CAS #: 78-93-3 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: STORAGE/IN STORAGE
Daily Max GALI Daily Average GAL I Annual Amount GAL
300 , 100.00 300.00
Storage~~Press T Temp Location
METAL CONTAINR-NONDRUMIAmbientlAmbientlW SIDE OF WAREHOUSE
-- Conc~ Components ~ MCP ---~uide
44 0% IMethyl Ethyl Ketone
· ModerateI 26
30.0% ITitanium Dioxide Minimal I 7
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 4
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
(805) 326-3979
CA OFFICE OF O.E.S.
1-800-852-7550
<2> Employee Notif./Evacuation
ALL EMPLOYEES WILL BE NOTIFIED IMMEDIATELY AND WILL PROCEED TO THE NEAREST
EXIT.
<3> Public Notif./Evacuation
SHOULD ANY PUBLIC BE PRESENT DURING EMERGENCY SITUATION, THEY WOULD BE
IMMEDIATELY ADVISED TO PROCEED TO THE NEAREST EXIT BY PPI PERSONNEL.
<4> Emergency Medical Plan
SHOULD ANYONE BE EXPOSED TO THIS MATERIAL AS A RESULT OF A SPILL, AN MSDS
SHEET WOULD BE PROVIDED AND THE INJURED PERSON WOULD BE TAKEN TO MEMORIAL
URGENT CARE AT 6501 MING AVE., 397-4004.
MANUFACTURER IS SIGMA COATINGS 1-504-347-4321
SIGMA IS PART OF CHEMTREC 1-800-424-9300
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 5
00 - Overall Site "
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
MATERIAL IS STORED IN SEALED CONTAINERS. LARGE CONTAINERS ARE STACKED NO
MORE THAN THREE HIGH ON FLOOR OF WAREHOUSE. SMALLER CONTAINERS ARE STORED
ON PALLET RACKS IN WAREHOUSE. ALL EMPLOYEES ARE FAMILIAR WITH MATERIAL,
STORAGE ROUTINE AND HAVE BEEN TRAINED BY SAFETY VIDEO. THIS MATERIAL IS
STORED SOGETHER IN OUR WAREHOUSE.
<2> Release Containment
ALL EMPLOYEES ARE DIRECTED NOT TO ACCEPT DAMAGED PRODUCT - THEREFORE LEAKS
AND SPILLS CAN BE MINIMIZED AS MATERIAL ENTERS WAREHOUSE. MOST MATERIAL IS
AT PPI'S WAREHOUSE WHICH REDUCES HANDLING. ALL EMPLOYEES ARE TRAINED IN
SHIPPING PROCEDURES. WE ARE STRICTLY A'STOCKING DISTRIBUTOR FOR THIS
PRODUCT. IT COMES IN AND GOES OUT IN THE SAME CONDITION.
<3> Clean Up
CONTAIN SPILL WITH SAND AND/OR KITTY LITTER. SWEEP UP AND PUT IN SALVAGE
DRUM.
<4> Other Resource Activation
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 6
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - N/A
B) ELECTRICAL ' UTILITY ROOM AT NE CORNER OF 5630 BLDG
C) WATER - UTILITY ROOM AT NE. CORNER OF 5630 BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AVAILABLE AT PPI'S FACILITY.
FIRE HYDRANT - SOUTH OF FRONT DOOR.
<4> Building Occupancy Level
09/07/94 PIPELINE PRODUCTS INC 215-000-000405 Page 7
00 - Overall Site
<G> Training
<1> Employee Training
WE HAVE 3 EMPOLYEES AT THIS FACILITY.
WE HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: VIDEO TRAINING (VIDEO PROVIDED BY
MANUFACTURER) TO ALL EMPLOYEES.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
Aocount Number
ACCOUNTS RECEIVABLE ADJUSTMENT
September 26: 1994'
Date New A==ou.t
New Addreu
Esther Dumn Close Account
From Sarvlca Chen;le
Other Adjustments X
Fire Department- Hazardous Materials Division
Depmtmant/Dlvlalon
PIPELINE PRODUCTS INC
Billing Name
5650 DISTRICT BLVD - STE 109
Biffing Addreu
Site Addre88
Parcel # (If Applicable)
Landlord Name & Address (If Applicable)
ADJUSTMENT
Last Billed correct Billing Adjustment to Effective Date of
Billing Change
<3.44> 09-26-94
Remarks: BUSINESS CLOSED THE LOCAL OFFICE. THEY PAID ALL OF THEIR BILL EXCEPT FOR
THE LAST MONTHS FINANCE CHARGES WHICH WE AGREED WRITE OFF.
Utilities General Account Maintenance 09/26/94 PUTLS801
Acct Nbr: 793501 Bill Stat: FB Transfer-from: Page 1 of 6
Cyc Stat: CL Acct Cyc Stat: CL Transfer-to: Due: 3.44
1. Customer Name: PIPELINE PRODUCTS INC
2. Social Sec Nbr: 3. Telephone: 805-833-4343
4. Service Address: 5650 DISTRICT BLVD. - STE 109
5. Service City: BAKERSFIELD 6. State: CA 7. Zip: 93313
8. Parcel ID:
9. Bill Cycle: 5 20. Water Svc Class:
10. Route Nbr: 1
11. Comments : CLOSED LOCAL OFFICE AND CHANGED MAILING ADDRESS
12. Prev Acct: HM00405 23. Misc Services: 23.1 F99 NOT IN BUSINESS
13. Service Date: 23.2
14. Fund no: 23.3
15. Billto Ad1:2809 MARILEE CT 23.4
16. Billto Ad2: 24. Closing Date: 09/12/94
17. Bill-to City: HEMET 18. State: CA 19. Zip: 92545
Enter Save(S), Cancel(XX), Next Page(/), or Field # to Change
10/14/93 PIPELINE PRODUCTS INC 215-000-000405 Page 1
Overall Site with l~Fac. Unit
~'~ - General Information
.,
Locat~o~~ISTRICT BLVD' ~e/ ~/ Map: 123 Hazard: Moderate J
Co.unity' BAKERSFIELD STATION 13 Grid: 15D F/U: 1AOV: 0.0
~ Contact Name Title , Business Phone, 24-Hour Phone-
TINA TEISSERE SALES ~(805) 833-4343 x ~(805) 589-5089
Administrative
Mail Addrs: 5650/~ISTRICT
Data
BLVD 109/ D&B Number: 62-550-9179
City: BAKERSFIELD State: CA Zip: 93313-
Co~ Code: 215-013 BAKERSFIELD STATION 13 SIC Code: 5085
Owner: SUSAN BAGAN Phone: (805) 833-4343
Address: 3801 ASHE RD 35 State: CA
City: BAKERSFIELD Zip: 93313-
su a=
HAZ. MA ~
Do h®reby certify
revie~ed ~he attached h~~s ~ateU~ls
/(~e of ~)
~Y ~ions ~nstitUte a ~mp~ ~ ~
~a~e~t p~n for m~ facili~,
10/i5/93 PIPELINE PRODUCTS INC 215-000-000405 Page
Hazmat Inventory List in MCP Order
02 - FiXed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-001 MAINTENANCE COATING (5448) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
02-002 MAINTENANCE COATING (5438) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
02-003 MAINTENANCE coATING (7435)v/ ~// ~iquid 100 Moderate
· Fire, Reactive, Immed Hlth,/Uel~y Hlth GAL
~_~IATING (5476) v/ ~/ h~~ id 150 Moderate
02-005 ~MA~A~c~ivo' Immed Hlth,~el~ayH1~. GAL
02-004 MAINTENANCE COATING (7490)'/ ~ ~quid 400 Minimal
· Fire, Reactive, Immed Hlth,:~.D~ay Hlth GAL
!
?
10/i~/93 PIPELINE PRODUCTS INC 215-000-000405 Page 3
02.- Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-001 MAINTENANCE COATING (5448) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
CAS #: 28064-14-A Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: STORAGE/IN STORAGE
Daily Max GAL I Daily Average GAL I Annual Amount GAL
300 ~ 100.00 300.00
Storage IIPress T Temp Location
METAL CONTAINR-NONDRUMIAmbientlAmbientlW SIDE OF WAREHOUSE
-- Conc Components . MCP ~ui~e
30.0% ITitanium Dioxide IMinimal
/ '
6,0% Methyl Ethyl KetOne IModerate~ 26
02-002 MAINTENANCE coATING (5438) Liquid 300 Moderate
· Fire, Reactive, Immed Hlth, Delay Hlth GAL
CAS #:. 78-93-3 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: 'STORAGE/IN STORAGE
Daily Max GALI Daily Average GAL I Annual Amount GAL
300 ~ 100.00_ 300.00
Storage~lPress T Temp Location
METAL CONTaINR-NONDRUMIAmbientlAmbientlW SIDE OF WAREHOUSE
-- Conc Components , MCP ---/Guide
44.0% Methyl Ethyl Ketone. ModerateI 26
30.0% Titanium Dioxide Minimal I 7
10/i~/93 PIPELINE PRODUCTS INC 215-000-000405 Page 4
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP order
02-003 ~INTENANCE COATING (7435) Liquid~. 100 Moderate
· Fire, Reactive, I~ed Hlth, Delay Hlth ~ GAL
-- Daily Max L Da' Average0GAL ~-- Annual ~ount GAL
-- Conc
35'0% IBa)~m Sulfate15.0% ~lc' Components i MCP --ruideMinimalMinimal 5~
5.~/lIsobutyl Alcohol Moderate[ 26
02-005 ~INTENANCE CIATING (5476) Liquid 150 Moderate
· Fire, Reactive, I~ed Hlth, Delay Hlth ~ GAL
CAS #: 78-93-3 Trade Secret: No~
Form: Liquid Type:~Mixture~9~S,'~-365--~Use: STOOGE/IN STOOGE
-- Daily Max GAL~~~Daily Average GAL .-- - Annual ~ount GAL --
"'~.~ 130.00 / 150.00
\
--~"f:~?~% Methyl Ethyl Ketone ~0mp°nents M0~ate--~u~e
10.0% ITitanium Dioxide ' IMinimal I 7
02-004 ~INTENANCE COATING (74~0) /~quid 400 Minimal'
I~ed~th,
,,- GAL
· Fire, Reactive, De~th
CAS #: 7631-86-9 Tr~~t: No
Form: Liquid Type:/~Yxture DRys: 365 Use: STOOGE/IN STOOGE
· Daily.~~/ I Daily~v~ ?~ I Annual ~ount GAL
0 400.00
Storage ;~_Press T Temp ~- Location
METAL CONTAINR-NONDR~I~b'ientlAmbientlW~'SID'E OF WAREHOUSE
-- Conc Components MCP ---7Guide
5.0% I~orPhous Silica .> IMinimal I 7
10/i~/93 PIPELINE PRODUCTS INC 215-000'000405 Page 5
O0 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
(805) 326-3979
CA OFFICE OF O.E.S.
1-800'852-7550 ?
<2> Employee Notif./EvacUation
ALL EMPLOYEES WILL BE NOTIFIED IMMEDIATELY AND WILL PROCEED TO THE NEAREST
EXIT.
<3> Public Notif./Evacuation
SHOULD ANY PUBLIC BE PRESENT DURING EMERGENCY SITUATION, THEY WOULD BE
IMMEDIATELY ADVISED TO PROCEED TO THE NEAREST EXIT BY PPI PERSONNEL.
<4> Emergency Medical Plan
SHOULD ANYONE BE EXPOSED TO THIS MATERIAL AS A RESULT OF A SPILL, AN MSDS
SHEET WOULD BE PROVIDED AND THE INJURED PERSON WOULD BE TAKEN TO MEMORIAL
URGENT CARE AT 6501 MING AVE., 397-4004.
MANUFACTURER IS SIGMA COATINGS 1-504-347-4321
SIGMA IS PART OF CHEMTREC 1-800-424-9300
10/i~/93 PIPELINE PRODUCTS INC 215-000-000405 Page 6
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
MATERIAL IS STORED IN SEALED CONTAINERS.' LARGE CONTAINERS ARE STACKED NO
MORE THAN THREE HIGH ON FLOOR OF WAREHOUSE. SMALLER CONTAINERS ARE STORED
ON PALLET RACKS IN WAREHOUSE. ALL EMPLOYEES ARE FAMILIAR WITH MATERIAL,
STORAGE ROUTINE AND HAVE BEEN TRAINED BY SAFETY VIDEO. THIS MATERIAL IS
STORED SOGETHER IN OUR WAREHOUSE.
<2> Release containment
ALL EMPLOYEES ARE DIRECTED NOT TO ACCEPT DAMAGED PRODUCT - THEREFORE LEAKS
AND SPILLS CAN BE.MINIMIZED AS MATERIAL ENTERS WAREHOUSE. MOST MATERIAL IS
AT PPI'S WAREHOUSE WHICH REDUCES HANDLING. ALL EMPLOYEES ARE TRAINED IN
SHIPPING PROCEDURES. WE ARE STRICTLY A STOCKING DISTRIBUTOR FOR THIS
PRODUCT. IT COMES IN AND GOES OUT IN THE SAME CONDITION.
<3> Clean Up .:~..
CONTAIN SPILL WITH SAND AND/OR KITTY LITTER. SWEEP UP AND PUT IN SALVAGE
DRUM.
<4> Other Resource Activation
10/i%/93 PIPELINE PRODUCTS INC 215-000-000405 Page 7
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
B) EnECTRICAL - UTILITY ROOM AT.CORNER OF~0 BLDS
C) WATER - UTILITY ROOM AT.SW CORNER OF-~'1~ BLDG
D) SPECIAL - NONE ~ ~JO /
E) LOCK BOX - NO .~..- /
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AVAILABLE AT PPI'S FACILITY.
FIRE HYDRANT - SOUTH OF FRONT DOOR.
<4> Building Occupancy Level
10/i%/93 PIPELINE PRODUCTS INC 215-000-000405 Page 8
00 - Overall Site
<G> Training
<1> 'Page 1
WE HAVE 3 EMPOLYEES AT THIS FACILITY.
WE HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: VIDEO TRAINING (VIDEO PROVIDED BY
MANUFACTURER) TO ALL EMPLOYEES.
<2'> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
10/i~/93 PIPELINE PRODUCTS INC 215-000-000405 Page 9
00 - Overall Site
<H> RMPP DATA
<1> Release Containment
<2> Offsite Consequences
<3> In House Capabilities
<4> Plant Shutdown Instruction
10/i~/93 .PIPELINE PRODUCTS INC 215-000-000405 Page 10
O0 - Overall Site
<I> Not Used
<1> Not Used
<2> Not Used
<3> Not Used
<4> Not Used
10/14/93 ·PIPELINE PRODUCTS INC 215-000-000405 Page 11
00 - Ox~erall Site
<J> Topic "J" not defined
<1> Window J/1
<2> Window J/2
<3> Window J/3
<4> Window J/4
10/i'4'/93 PIPELINE pRODUCTS INC 215-000-000405 Page 12
00 - Overall Site
<K> Topic "K" held for Picture
<1> Window K/1
<2> Window K/2 .~
<3> Window K/3
<4> Window K/4
Page: 1 Account Billing/Collection Activity Inquiry SUTL108
Acct : 793501 Cyc St: CL Bill St: FB Cyc: 5 Rt: 1 Seq:
SSN : Parcel: .... Svc Cls :e
Name : PIPELINE PRODUCTS INC
Svc Add: 5650 DISTRICT BLVD. - STE 109
Amt due: 347.19 Current Period Postings
Lst Pmt: Type Desc Date Amount Receipt #
Pmt Dte:
-- Prior Bills --
Date Balance
09/12/94 55.19
01/01/94 292.00
Enter '/' For Bill History,'P' To Print Report, '/C' For Credit and Deposit
History or 'XX' To Exit
Page: 2 Account Billing/Collection Activity Inquiry SUTL108
Acct : 793501 Cyc St: CL Bill St: FB Cyc: 5 Rt: 1 Seq:
SSN : Parcel: .... Svc Cls :e
Name : PIPELINE PRODUCTS INC
Svc Add: 5650 DISTRICT BLVD. - STE 109
Readings Cons Prev Rdg Curr Rdg Cons
09/12/94 AmoUnt .Final Billing Misc Transactions
Fwd: $292.00 Type Desc Date Amount Receipt
Water: $0.00 B92 FINANCE CHARGE 08/01/94 3.40
Sewer: $0.00 B92 FINANCE CHARGE 09/01/94 3.44
Misc: $55.19
Cred: $0.00
Total: $347.19
Enter '/' For More Billing History, '+' For More Postings, 'D' For Detail
Postings,'/C' For Credit and Deposit History or 'XX' To Exit
PIPEt. INl= PRODUCTS, INC.
5650 District Blvd., #109
Bakersfield, CA 93313
Susan Muggleston Office: (805) 833-4343
President & Owner Fax: (805) 833-3613
RECEIVED
OC'f I 5 199~
HAZ. MAT. DIV.
OCTOBER 12, 1993
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
BAKERSFIELD, CA 93301
RE: PIPELINE PRODUCTS, INC
GENTLEMEN:
PLEASE BE ADVISED THAT PIPELINE PRODUCTS, INC. HAS MOVED TO 5630 DISTRICT
BLVD., SUITE 110 EFFECTIVE OCTOBER 1, 1993. OUR PHONE AND FAX NUMBERS
REMAIN THE SAME AS BEFORE.
AT~ACHED ARE THE REVISED INVENTORY SHEETS. PLEASE SEND ME A HFI~IP
PLAN MAP AND I WILL COMPLETE IT FOR YOU.
IF YOU NEED ADDITIONAL INFORMATION Pf.F. ASE LET ME KNOW.
SINCERELY,
B KEI FIELD Cl"Df FIRE J ,'-ARTMENT
. '. HAZARDOUS M/~TERIALS INVENTORY ,..~ 'Page.~of.~
, :., ':;. ~ .CHEMICAL DESCRI~ION ..
.... . .~ ::..
IN~TOR~. 5TA~S; New ., dditio~ ~ ~ Revi~lo~ {: I Oeletio, , Check i~ chemtc~ Is ~ NON ~OE SECR~
CommonN~e: ~ ,, P 3) OOT
PHYSICAL & H~L~ PHYS CAL _/~) ~ ¢ . H~L~
H~O c,~o~,~s ~"t~ ~, ..' .. /, , ,
-- 1~ ~'~-"~' ,..
7) AMOUNT AND ,ME AT FACIU~ /7/;~ . UNITS OF M~SURE : 8) STO~6E 0OOES
M~mumO~lyAmoum: ' ' ' !~ [ I g~ ~ ~3 [ ! .... ' :t ,]
Avenge 0~ Amounl: .I ¢ . ".: ........... , cudes~ ( j ...... .. i ,.,_.~ ~. ;~:' ' b) Pressure:
Annu, Amoun, ,~ : ~" c) Temperature: ~'"
~gest Size ~ant~ne~ ?. ." ~[ ' i . ." ;" ," .:, ~ ,
~ OaysOn~Re ' ':' ~:' ....... Clrcle.~lchMonchs: F.M. ~ M. J. J. A. S. O. H. O
~y AHM cam~nem~ 2) ,, -
- ' .... ' ' ' ~ CHEMICALDESCRI~ION
'' · , ~ ;. ~ /1 '.~' ' . z.'·. . '.
- ., " .... . . ,. .
4) PHYSICAL & H~L~ PHYSICAL , ' ...... ' ..... H~L~
I~lgit ~aas a~m OHS ~m ~oaaJ ' ' ' USa ¢OOa ,, ~ ~
5) wAs~ C~SSlFIC&nON
~ -
-- d
6) PHYSICALSTA~ Solid I I Uquid ~ G,. [ ! ......... .... Pu,a'{ ] M~ure ~ W,Ia [ I R,diosc~, [ !
7) AMOUNT ANO T1ME AT FACIUTY ' UNITS OF MEASURE 8) STORAGE CQOE$
Average O~ly Amounl: . - cude~l [ J b) Pressure: __L
Le~'g~l Size C(3mmnec , ~ ...' .: ! i i .... . ·
~* Oay~ On Site ~_ :~ Circle Which Manthl: J.F.,M, A. M. J. J. A. S. O. N. 0
9) MIXTURE.: U~l ~ ' /2 COMPJOHENT /~ /') .... CAS 4~ %
~! .......... I I
... cem~ u~ er pen~ oi law. ~ar J have pe~on~l~ ex~in~ ~ ~ P~iii~ w~m ~e miomagon su~m~ on ~ ~ ~J a~cn~ oocumen~. I
P~l~ ~ame & ~e o/~o~z~o~Represenm~ve - ~ign~re - · '
EFt FIELD Cl FiRE DE I - TMENT
' . ' HAZARDOUS M, TERIALS INVENTORY.,' ,, P. age~of_:_~
~tusine~s Name Address ,
'¢ ~ CHEMICAL DESCRI~ION
1) IN~NTORYSTA~S; Haw[ Addition{ ~ flevisio~[ ].Oe~llo~' '"' Checkifchemlc~ls ~NON~DESECR~
6) PHYSICALSTA~ ' Solid [ ] Uquid ¢! G~ [:~_~ ' ' ~,,~,Puta [ ] Minute ~ .~ W~le [ i RadloactNe {
7) AMOUNT AND ~ME AT FACI~ / O~ UNITS OF M~SURE 8) STOOGE CooEs
Average O"ly Amoum: ¢. 0 ........ ' cudes'[ J ..... ' . ~ ' ': ' b) Pressure:
Annu~ Amoun[: - ' c) Temperature: ~ .'
~ Oays On Site ' .... .Clrcle.~lch Months: F, M, A. M. ~. J. A. S. O, N. O
.... ) CHEMIGAL
1) IN~ORY STA~S: New~ Addtflon [ I Revision [: ! Oeled~. [ ] - Check ~ chemlc~ Is "NaN ~06 SECR~ [ ! ~DE SECR~
4) PHYSICAL & H~L~ PUYBICAL .' ......... .' , L ...... ' ......... H~L~ ·
H~O CA~GQRIE~ .re ~ RaamN~ SuddeflRele.eafPressur, [] ',mmedi.eHe~th (Ac~.)(~'10elayedHe.th (Chronic1A
5) WAS~ C~SSIFICA~ON .(~igit coda ~om OHS Form 8022) i :, . . USE. COOE , .~ /- . .~~
7) AMOUNTM~imumAHO ~MEomlyAT FACIU~Amount: i ' ..~ I ;, .: ': "' lbs [ J g~ ~l ~ [ J a) Cont~nec
Average O~ly Amount: //] ¢ude~~ [ J bi Pressure:
~gest Size Contmnec ' ' ~ ~ '
~Oa~QnS~e , CIr¢le~ichMonlhl: J. F, M. A. M, J. d. A, S. O. N, 0
I c ea~ u~ er penm~ oi law, mai I nave pe~an~ly ex~m~ ~a ~ i~ii~ wl~ me inioma~o~ ~'us~ on'ml~' ~a ~J
"~RJ~ Name & ~UW °i A~z~ Co~ ~epresenm~ve ' $1gna~re -- Oa
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
BAKERSFIELD, CA. 93301
HAZARDOUS MATERIALS MANAGEMENT PLAN
· r, further action, return ~his form within 30 days of receipt. -v~RECEp"-D
'2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA FIAZ. MAT.
BUSINESS· NAME: ?IPE~.INE PRODUCTS, INC.
5650 DTSTRICT BLVD. #i09, BA~ERSFTELD, ~ 933~3
LOCATION:
MAILING ADDRESS: s~v~:
CITY: STATE:_ ZiP: PHONE:
DUN & BRADSTREET NUMBER: 62-550-9]~79 SIC CODE' 50 85
PRIMARY ACTIVITY: STOCKING DISTRIBUTOR FOR SUPPLY MATERIALS FOR
THE PIPELINE INDUSTRY AND MATERIALS FOR CATHODIC PROTECTION INSTALLATION.
OWNER: SUSAN B~
MAILING ADDRESS: 3801 ASHE 1ED. #95', ELAKERSFIETL~), ~ 93313
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1. SUSAN BAGAN PRESIDENT 805-833-4343 805 833-4343
TINATEISSERE SALES 805 833-4343 805 589-5089
2.
-. '~akersfield Fire Dept.
I-t~ardous Materials Division ~
HAZARDOUS MATERIALS MANAGEMENT PLAN '
SECTIO'N.3: TRAINING:
NUMBER OF EMPLoyE~s':--"-':~3 ~._.
MATERIAL SAFETY DATA SHEETS ON FILE: YES @ 5650_D.~I. STRICT BLVD. ¢109. B3~ERSF~EI_iDr: .C~. 93313
BRIEF SUMMARY oF TRAINING PROGRAM:
VIDEO TRAINING (VIDEO PROVIDED BY MANUFACTURER) TO ALL EMPLOYEES.
SECT[ON 4: EXEMPTION ·REQUEST:
I CERTIFY UNDER PENALTY OF. PERJURY THATMY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
· SAFETY' CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO'HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEEO THE MINIMUM REPORTING QUANTE-IES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION'
I, SUSAN BAGAN CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I. UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OSLIGATIONSUNDER THE"CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS '(OIV., 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATiON.CONSTITUTES. PERJURY.
,~~;~ /~~[. .PRESIDENT 8-11-93
SIGNATURE" TITLE:' DATE; .....
i -~ . . Bakersfield Fire Dept.
': ': Hazardous. Materials Division
HAZARDOUS MATERIALS MANAGEMENT' PLAN
PIPELINE PRODUCTS, INC.
Fc:cility Unit No, me:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY.NOTIFICATION PROCEDURES:
1.' BAKERSFIELD CITY. FIRE DEPARTMENT
HAZARDOUS MATERIALS DIV. · -"
2130 "G" STREET
BAKERSFIELD, CA 93301
805 326-3979 '.' ..
2. CA OFFICE OF OES
1-800-852-7550
B. EMPLOYEE NOTIFICATION AND EVACUATION'
ALL EMPLOYEES WILL BE NOTIFIED IMMEDIATELY ANDWILL PROCEED TO THE NEAREST EXIT.
C. pUBLIC EVACUATION: :. '
SHOULD ANY PUBLIC BE PRESENT DURING EMERGENCY SITUATION, THEY WOULD BE
IF~ViEDIATELY ADVISED TO PROCEED TO THE NEAREST EXIT BY PPI PERSONNEL.
D. EMERGENCY MEDICAL PLAN:
SHOULD ANYONE BE EXPOSED TO THIS' MATERIAL AS A RESULT OF A SPILL, AN
MSDS SHEET WOULD BE PROVIDED AND .THE INJURED PERSON WOULD BE TAKEN TO
MEMORIAL URGEN CARE AT 6501 MING AVENUE, PHONE 397-4004. .,
MANUFA~RER IS SIGMA COATINGS: 1-504-347-4321
SiGM~ IS PART OF cHEMTREc: 1-800-424-9300 ....
,?~:~.[.~_Z~
.-'.. ::.,., ' - :.v . . .- ,',': · .. :: ;~_.
q" :' 3., -'~ --,,. ' "' ?-? ;',,
Hazardous Materials Division ......
HAZARDOUS' MAISRIAL$' MANA~SM£NT PkAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
MATE_R~IAL IS STORED IN SEALED CONTAINERS. LARGE CONTAINERS ARE STACKED NO
MORE T~AN THREE HIGH ON FLOOR OF WAREHOUSE'. SMALLER CONTAINERS ARE
STORED ON PALLET RACKS IN WAREHOUSE. ALL EMPLOYEES ARE FAMILIAR WITH
MATERIAL, STORAGE ROUTINE AND HAVE BEEN TRAINED BY SAFETY VIDEO. THIS
MATERIAL IS STORED TOGETHER IN OUR WAREHOUSE.
B. RELEASE'CO. NTAINMENT AND/OR MINIMIZATION:
........ -- -ALL :F~iPLOYEES ARE DIRECTED NOT TO ACCEPT DAMAGED PRODUCT - THEREFORE LEAKs
AND SPILLS CAN BE MINIMIZED AS MATERIAL ENTERS WAREHOUSE. MOST MATERIAL
~.. ~:~' IS WILL CALL AT PPI'S W~REHOUSE WHICH REDUCES HANDLING. ALL EMPLOYEES
ARE TRAINED IN SHIPPING PROCEDURES WHEN MATERIAL IS. NOT WILL CALLED.
NONE OF THIS MATERIAL IS "OPENED" OR MIXED AT PPI. WE ARE STRICI'LY A
STOCKING DISTRIBUTOR FOR THIS PRODUCT. IT C~I%~ES IN A[~) GOES OUT IN THE
c. CLEA
CONTAIN SPILL WITH SAND AND/OR KITI%f LITTER. · S~'~EEp UP AND PUT IN
SALVAGE DR~IVl.
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
'N/A .
NATURAL GAS/PROPANE:
UTILITY ROOM AT SW CORNER OF 5650 BUILDING.
ELECTRICAL'.
UTILITY ROOM AT SW CORNER OF 5650 B~UILD~NG
WATER:
SPECIAL: NONE
LOCK BOX: X:~/NO IF YES, LOCATION'
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:'
A. PRIVATEFtRE'PROTECT[ON' FIRE EXTINGUISHERS AVAILABLE AT PPI'S
FACILITY
B, WATER AVAILABILITY (FIREHYDRANT): soLn~ OF 13~ONT DOOR.
,. =,, .. BAKF SFIELD Ci .'T Y FIRE"-D - ' TMENT'
, ,:.-,, HAZARDOUS MA:TERIALS ]NMENTORY, Page._~of~
...') 'N~NTORYSTA~S: New(~__ Addition( I Revision{ ] Oeielion{ I . . Checkifchemic, is aNON~OESECR~ ~SECR~
4) PHYSICAL & H~L~ PHYSLCAL -: ....... ;,-.,' ...........,~ ==,:¢. H~L~
H~RO CA~GORIES Fire [~eac~e~udden Rele~e et Pressure [ I ....... ' ........' .......' '
, Immediate He,th (Acute) ~elayed
5) WAS~ C~SSIFICA~ON _ (~igit code ~om OHS Fo~ 8022) . .... - .,': , ~ ..; USE COOE ~ '
7) AMOUNT AND ~ME AT FACI~ ~ ' _ . UNITS OF M~SURE ~) STOOGE Coo~s
....... ', ~ b) Pressure:
~gest Size ~on[~nen . ',.,,. ~ t .:: ¢ ~. . .
~ Days On Site ;~/~'.' .......................... Circte~ich Momhs: .. J, F, M, ~ M, ~, J, A. S, O, N,. D
-: the three most h~doo~ I) .
c hemi~ com~nen~ or / , ~~~ '
....... . ~,.," , ,,:.CHEMiC~DESCRi~iON .. .... " .
1) IN--DRY STA~S: New {~ Add,on{ I 'ReasOn [ ] .Deletion ( I - .... - ........... . .... Check E chemic~ is ~ NON ~DE SECR~ E SECR~
H~L~
4) PHYSICAL & H~ PHYSICAL '7
H~RQ CA~GQRIES ~re { ~ Ream~e J~Sudden Rele~e el Pressure { J Immedi~e Heath (Ac~e) {~Oelayed Heath (ChronicS[
5) WAS~ C~SSIFICA~ON ~ (~igit code from OHS Form 8O221 ' ; ¢ '"' . USE COOE ~
6) PHYSICAL STA~ Solid { I Oquid [~' .~, [ l' ' ................. Pure [ I M~ure ¢' W~te { l
Average Omly Amoum: /~ cune~ [ ] b) Pressure: /
Annu~ Amount: ~ '~ ~'~ ~ _
~ , ,_~ ; C) Temperature:
~ge~t Size Con~ne~ ~~ ~ .... ~ '
~ Os~ Qn S~e C[rcle~ich Mo~t~s: J. F, M. A. M, J. J, A, S; O. N, 0
c~emi~ com~neq~ or ....' .... .
...... . ,. ~ ' ~, , , ' ~
lO} Lo~.
.... ce~ u~er pe~ o/law, ~ar i have penally ex~m~ ~a ~ j~li~ w~m me ~n/omanon~~uomt~ on ~is ~o mi a~cn~ ~ocumen~.
,. --.. BAKB S FI ELD Ci .'EY FiRE D 'ARTME-NT
.... ". , HAZARDOUS M,~TERIALS INVENTORY F-; Page~of?
[N~HTORY STA~S: New itio~ [ ~ Revision [ ] Oeteuo~ [ ~ , Check If chemic~
H~RO CA~GORIES · Fire [~eac~ve [~ Sudden Rele~e of Pressure [ } Immediate Heath (Acbte) ~elayed
WA$~ C~SSIFICA~OH ~. (Migit code ~om OHS Fo~ 6022) ..,, ~ ,: ,, . USE COOE
PHYSICALSTAm Solid { i Uquid ¢ G~ { ) Pure [ i U~ur, ~) WuJ, [ I RadioactN, [ J.
AMOUNT ANO ~ME AT FACI~ / ~ .' UNITS OF M~SURE 8) STOOGE CO0ES
Annu~ Amount: ~ ¢ . c) Temperature:"
~ O~y~ On Site ' : ............... ?Circle.~ich Months: ,. , F, M, A: M. J. J. A. S. Q. N..0
1) IN~ORYSTA..: New. Add.on( , Revision[ J Oel.fion( , '.... Checkffchemic. ls,~ON.gESECR~
Chemic~ Nme: ~ ....... .AHM [ J CAS
H~L~
4) PHYS{CAL & H~L~ ~YSICAL U .......... ..... ~ ......... ' .............. '
H~O CA~GORIES ~re ~ 'Rea~e~ Sudden Rele~e of Pressure [ ] .... I~medi~e He~th (Ac~e) [~ Oel~ved Heath (Chronic)~
5) WAS~ C~$SIFICA~QN (~ig{{ code ~om OHS Form 8022) 1% ....... USE COOE , ~ .
7) AMOUNT ANO ~ME AT ~AClU~
M~imum Daly Amounl: .
Average Oaly Amounl: ~ cunes~ [ ] b) Pressure: J
AnnuN Amount: , , c) Temperature:
....... BAKE SEIELD Cl-l?f FiRE'Di ART1ViE--NT
: · ~..~: HAZARDOUS M.~TERIALS INV, ENTORY,:: Peg .e~o~
~) PHYSIC~STA~ SQlid [ ] Uquid ~ G~ .[ ] Pu~e. [ ] Minute ~) W~e ( I R~dioec~e
M~mum Omly Amount: : :' · !~ [ } ga ~, ~3 [:] ..... ,,, , . { .) Contanec
Avenge Oaly Amount: J :~ .................. . cudes/ .[ ] _ , "~"; ...... -~ ' ~'~ '~ ~ ' b) Pressure:
~ DaW On Silo ....................... :Circle ~ich Momhs:..,. ~, ~, M, A, M, J, J, A. S, O, N,
: CAS ~ ~ '% ~ AHM
1) IN~QRY STA~S: New~' Add~e~ [ ] Re.sion [ ] .Oelafion ( ] '. ..... ~ ..... .,., ..: Check ~ chemic~ is ~ NON ~DE SECR~ ~DE SECR~
4) PHYSICAL & H~ PHYSICAL ................. ............... .' H~L~
e) PHYSICALSTA~ Solid ( I Dquid ~ G~. { l" .............. '-...~ .:, ~ure [ I. M~ute ~ W~, { I Radioac~e
Average Omly Amount: Cufiei [ ] b) Pressure:
Annu~ Amoun(: c) Temperature:
. ~-- ce~ u~er pe~ or law, ~at J h~ve Pe~nmi~ ~x~n~ ~a ~ t~m~ w~m me ~ntomaaon suom~ on ~s ~o mi a~cn~ aocumenm.
/