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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. /