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HomeMy WebLinkAboutBUS-ES INSP CHECKLIST 10/31/2001 Hazardous Materials/Hazardous Waste Unified Permit ., CONDITIONS,. OFPE.R;MITON =REVERSE SIDE ~ H~ous ~ls P~n ~ U~mu~ Stom~f H=~ous GENESIS ENVIRONMENTAL = """~S W,~ O~.e T~ LOCATION: 5880 DISTRICT BLVD 2 OFFICE OF ENVIRONMENTAL SER VICES' .~ ,c" · 1715 Chester Ave., 3rd Floor' ' Approved by: ' (~ Ralpi/Huey, D~~ i Issue Date Bakersfield, CA 93301 oniccof£vU~rs~ic~ ~ Voice (661) 326-3979 FAX(661) 326-0576 '' .... ~ Expiration Date:'June 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIO-NS OF PERMIT ON REVERSE SIDE .......... ,~,,~,~,~?~??????!~:,~ ~,;~ ...... This permit is issued for the following: .:,?i='?:?'i'.,!~,~i?~'~:'?':iiii''' ~iii{L :~}iii!!ii!i,. iii ?::i i::::ii=;:iO~Be, mround Storage of Hazardous Materials PERMIT ID# 015-0214)01583 ~:?ii¢ii? i?.i i!;iii?' }}ii~!!!!!!!i:!!i!!i:~:::i!!!!!!~.::~:!!!!! ! i~,,*i ! ~ ~J~k ~nagement Program SiS ENVIRONMENTAL S~ER~IC~ES?"?::?' · ',.., '.~ '~"---'-' Issu~ by: OB~crsfield Fbe DePa~mcnt Approv~ by: OFFICE O~ EN~R O~AL S~ ~CE$ ph Hucy, ~~ I ~71~ Chewer Ave., 3rd Floor B~e~fiel& CA 93301 Voice (805) 32~3979 F~ (805) 3264576 Expkation Date: ~TE DIAGRAM Genesis Environmental Services .~usiness Nome: 5880 District Blvd.', Suite .1 ~usine~ Accre~:- For O~ice Use Only , Firs; !n £tcficn: ;,rea Mc~ .~ .ct tns~,ecfion Sic:ion: NORTH '~/~ 1 ITE DIAGFIA:M ~ FACILITY DIAGRAM .gusiness Nome: Genesis Ehviron. me.nta. 1 Services 5880 District Blvd., Suite 1 ~usiness AcCre~: For OCr, ica Use Only Firs; In £:cficn: Area Mcp .~ at, 5tcfion: NORTH .~ "~ !nscecfion ;, , 1 BUILDING: B DISTRICT BOULEVARD ' SITE DIAGRAM ITE DIAGRAM ~ FACIMTY DIAGRAM Genesis Environmental Ser.vices ~usiness Ncme: 5880 District Blvd.', Suite .1 ~usiness Accre~: Fcc Otlice Use Only Fi~s; In S:cficn: Area Mc~ .~ ,cf' lnsc_,ecfion 5:cficn: NORTH ~/~ ITE DIAGFIA~M ~ FACILITY DIAGRAM ~usine~ Nc]me: Genesis E~vironmental Services 5880 District Blvd., Suite 1 5usiness Accsec: For O,'/ica Use Only F~rs; In ¢.,tc:icn: Area Mcp # at Inspection 5tc,'ian: NO~TH ~ DISTRICT BOULEVARD -~- SITE DIAGRAM" CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME <~,AJ~o<']£ ~ ~'MVi~oMIi/I~cT/-..IN SPECTION DATE / O - ADDRESS ~gO O[~7'~CT'"'/~C. "~-~-.. PHONENO. FACILITY CONTACT BUSINESS ID NO. 15-210- ~ INSPECTION TIME ~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine [~ Combined I~ Joint Agency [~ Multi-Agency ~ Complaint ~] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address occupancy ~ t CN Correct Verification of inventory materials Verification of quantifies Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~l Yes [~ No Explain: Questions regarding this inspection? Pleas~ call us at (661) 326-3979 Business Si~~~e Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector:~ April 27, 2002 Genesis Environmental Services, LLC PO Box 21838 Bakersfield, CA 93390 City of Bakersfield PO Box 2057 ._Ba_ker_sfield,_CA_93303 Dear Sir/Madam: I am writing regarding the enclosed statement of account for; a Haz Mat Handling Fee. Our company has been out of business since 2000. I have also enclosed a copy of the January 2001 statement which I returned noting ithe status of our company. It appears the only action taken by your office upon receiving this correspondence from me was to update our address, but not our account. We moved out of our facility on District Boulevard in May of 2000. We have not handled hazardous materials for the past two years. Neither of these Haz Mat Handling fees should be charged, since we did not handle hazardous materials for the billing periods in question, and we notified your office, in writing of that fact. Please reverse the charges on our account, and no longer bill us for future periods. Thank you for updating your information accordingly. With. regards, _ Anne M. Addis · -:'/',.,' ·/' 02 ......... · ,, Ci-"t..~i"-."(.~F'"Et. TO YOUR ACCOUNT PLEASE' c- ,~ t -r'L~:' M ~r.~ r,- 2 n-b~' -I-c~c~ ~-Ic- TEl T ,c~ .'~T~",r'~tv ~-]M-r' ~,)p..., -., ^-r STATEMENT i]F' AC (661) 326-3979 -" DATE' 1/01/01 i:AK:RSFiELD, CA ~ q :3qb CUSTOMEfl - NO' 3c)47 ,,U,~TOMER TYPE: ES/ 39~7 CHAR~gE DATE DESCRIPTION REF--NUMBER DUE DATE TOTAL AMOUNT 12/0i/00 BEgINNINg BALANCE .00 HMO02 i/oi/oi HAZ MAT HANDLiNg FEE B i66.00 SSOOi i/0i/0i CA STATE SURCHARGE iO. O0 FOR c~UE=TIuN~ OR CHP, NgES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THiS STATEMENT. I CURRENT OVER 30 OVER 60 OVER 90 " i'7&. O0 DUE DATE: ]./31/01 PAYMENT DUE: 17~. O0 ,OT.-,L DU:: $178. O0 'B~'/~EREi:~.,:[:EE'D: .',, CA ::,9'830E]~2.0'5:7. :. :"(..661::)<".~2, " : ' -::: ":. ,:.": ::~.".c..:' :', ~: :'-'~ ' CUSTOMER NO: 3947 CUSTOMER TYPE:: ES,~' ' "":'":':: ~ .... ' TOTAL DUE: 5880 District Blvd., Suite ~2 · Bakersfield, CA 95513 · (661) 837-0651. FAX (661) 837-4955 FAX COVER LETTER Fax: ~ o/- ~-)~ 7 ~ Number of pages (inc, cover): If You have any difficulties receiving all pages of this transmission, please call (805) 837-0651. ~d W~S£:~ 666~ P~ 'd~s SS6Pl£8 : 'ON X~ : WO~ FAX 'l~nsmittal Cover Sheet Bakersfield Fire Dept. Office of E~lvironmenLal Services ~ 1715 C~este~ Ave~ · Bakersfield, CA93301 FAX No. (805) ~25-01~76 · :Bua No. (805)'$26-8979 E~ WVg£:II 666I PI 'd~S SS6Pl£8 : 'ON XVJ : ~N~$IS ~vIKONM~%~PAL S~RVIC~S/,>'~~/''1 .SlteID: 215'~,o00-001583 City ~ ~A~FI~LD ~~~: 15C ~ac~i~s: I AOV~ CommCode: B~RSFI~LD STATION 13 SZ~ Co~ ~ EPA ~: Du~ra~: ~I~ BuSineSs P~one: (~) 837-OGSlx ~u~ne~s Phone~ (805) .. 2%-Ho~ Phone : · ,~ Pager Phone (~) ~r~&~7~3.73~$ Pager ~hone ~ ( ) - Hazm~t Hazards: Fire Press Con=ac= = ~hone: ( ) - city : B~FISLD Zip : 93313 ............... r ~home; (~) B37-06S1~ City : ~SFi~LD Zip : 93313 Period : ~c Tc~a~Ts: ~ Gal I Preparer: TotalUSTs: = Gal Certif'd: R~s: NO ~ergency Dirmc~ivas: ~ Hazma~ Znven=o~ ~e Unifle~ List ~ ~ph~etical Order ..... Ail Mater!mis at Site ................ i . I ~TROG~ ~ P IH G . 1~00 PT3 NI~OG~ F P IH .G 4B0 PT3 NI~OGEN F P iH G 3]00 FT3 .... ~e,~ ' ' " mere plan fo~~a~ t~at ~ along ~y,~rre~iona ~n~izute a complete ~nd ~rre~ man-  ~ement p~n fo~ my ~il~. ....... ~;~ .... ~ ~-~ ~9/10/1999 Ed W~9£:II 666I ~I 'dms SS6~i£8 : 'ON ×~J : GENESIS ~VIRONMENTAL SERVICES ................. SiteID: 215-000-00158Z 9 Inventory I~em 0004 ~ Facil~t~ Unit: ~&xed C~tainers a~ ~ON N~ / ~I~ ~ Days On Loca* within t~is Facility Unit Map: STO~E STATE -- ~PE ~'--- CO~AI~R ~PE ~ient ~ ~ORT. P~SS. ~LI~ER ......... L0~TION Largos: Container I Ma~m~ ~ Daily Average FT3 ~0.00 ~3 ~ 200.00 100 . 00 1333740 Bio~z ~dioacuive/~t EPA Hmzar~ USDOT% No NO/ ~ries F P IH , / / / Inventory Item 0001 ............. Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAM~ NITROO~N Days On Site STO~ Y~ .... 7727-~7-9 La~es~ Contminer ~ Daily M~imu~. ~ Daily . Radioacti've/~o~t E~A Mazards ~ NFPA US~T~ ~d W~L£:II 666I ~I 'd~s SS6t~i£8 : 'ON X~ : WOMH G~qESIS F/~VIRONMENTAL SERVICES 6~%{~&~&~~6 SiteID: 21~-000-001583 NiTROgEn' ~ Day~ On Site ~ 36~ o 7727-37-9 e ~ur~ e ~o~ ~ient ~ ~ent o PORT. P~SS. C~!~ Larg~s~ Container o Daily M~i~m ~ Daily Average ~ · 450.00 FT3 ~ 4~0.0C FT~ 99.90eNitrogen eno o 7727379~ 0.100Nitro~en oxide oyes~ 1~102%39 o ~SOBio~z· ~ioac:ive/~oun: o EPA Hazar~a o ~PA a USDO~ o MC~ eno ~ No ~ NO/ Cur~es ~ P P I~ " / / / " ~ Min Sd W~i£:TT 666I ~T 'd~s qs61~t£8 : 'ON X~ : 911 FOR ~L ~RGENCIES F~ D=PT. ~ ~YBE ~O NOTI~S A SUSPECT SI~A~XON IS G~ A~ORX~ TO ~L. NOTI~ A~HORITI~S, FIRE DEPT ~ POLIO. NO ~A~TION SNO~ ~R ~E 9d W~SE:II 666I ~I 'das SS6~l£8 : 'ON X~J : WO~3 Local±on within thi~ ~acilityUnit Map: STORAGE YARD ° CASS ~s ~ Pure o ~ove ~ie~n · ~ien~ o ~RT. PRESS. C~I~R La~ms~ Container o Daily ~axlmum · Daily Average ~3 ~ 3300,00 FT3 ~ 300.00 FT3 9~.90~Nitrogen °No ~ 7~27379" 0.lO'Sulfur Dioxid~ (EPA) °Yes~ 74~609~ ~TSec~t~ ~Bio~az~ Radio=c~ive/~= o EPA Hazards ~ NPPA ~ US~ o MCP No "No "NO " NO/ ~ries" F P IH ~ / / / ~ "Min 09/10/1999 GENESIS ENVIRONMENTAL SERVICES ~~88888~ SiteID: 215-000-001583 ; ALL LIQUIDS K~i~T ZN STli'Eh CA~ZNET. o ALL GA~ES CHAIN~D. ~ 2d N~6£:II 666I PI 'd~s SS6~L£8 : 'ON ×~3 : W0~J ALL LIQUIDS CLEANED WITH ABSORPTION PACKS. ALL GASES, AR~ NOT TOXIC AT o AMBIENT L~V~L$. 8d W~6£:II 666I PI 'd~S SS6Pl£8 : 'ON X~ : WO~ SPBCIAL - NON~ LOCK BOX - YES, LOCATION GATE ~RIVAT~ FIR~ PROTECTION - SPRINKL~ NF~ST FI]~E I4~fDRAIT~ - AT ~ST DRI~ 6d WVOP:II 666I PI 'd~S SS6P&£8 : 'ON XV~ : * WE HAVE EMPLOYing AT T~IS FACILITY. ~ SRIEF ~Y OF TNAINII~ PRO~: ~L ~P~O~Z~ ~ NOTIFIED OF MSDS FILE OId ~O~:II 666I ~I 'd~S SS6~£8 : 'ON ~' ,~~._~... FAX ~ransmittal B A K ]~ R $ F I F. L DCover Sheet CALIFORNIA Bakersfield Fire Dept. Of-rice of Environmental Services ~ 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (805) 326-0576 · Bus No. (805) 326-3979 Today's Date ~ I~-~'c~ Time / / "(~ No. of Pages TO: ~ lire Dept. CC L D r IMPORTANT DO NOT DISCARD FIRE CHIEF RON FRAZE Dear Business Owner: ~U~N~Sm~n; SE~CE8 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 F~X(asS) 39S-1~9 ~ California Law requires that all Businesses, which at any time during the year handle reportable quantities of hazardous materials, file a SUPPRESSION SERVICE8 21Ol-.-st~t Hazardous Materials Business plan, including inventory of hazardous Bak,rsr,~ld. CA 9:ml materials, with the local administering agency. Your business has filed vOiCE (sos) a2s-3~l FAX (ass) a~S-l~ such a plan. PREVENTION SERVlCE$ l?~Sc~tor^vo. This same regulation requires that these businesses review the Bakersfield, CA 93301 vOiCE (ass)aa~.S~Sl business plan submitted to determine if revisions are needed, and to certify ~Ax (ass)a~-057~ to the administering agencies that the review was made and that any EnviaOnUEgrn. SEaviCE8 necessary changes were made to the plan. To facilitate this review we have 1?15Chester^ye. enclosed a computer print-out of the plan yOu have submitted. Please Bakersfmld, CA 93301 VOICE (805)326-3979 review this plan in its entirety and make any necessary revisions on the FAX (ass) a2~-o~76 print-out. TRAINING DM$1ON s6~2 ~tor ^~. When the review and revisions are completed sign the first page of Bakersfield, CA 93308 VOICE (ass} 399-~? the plan in the appropriate space certifying that the plan is complete and FAX (805) 399-5?63 · correct. Return the business plan along with 'any revisions to this office within 30 days of receiving these forms. If youihave any questions or if we can be of any assistance please do not hesitate ito call 326-3979. Sincerely yours, Director, Office of Environmental Services GENESIS ENVIRONMENTAL SERVICES SiteID: 215-000-001583 Manager : BusPhone: (805) 837-0651 Location: 5880 DISTRICT BLVD 1 Map : 123 CommHaz : Moderate City : BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code: EPA Numb: DunnBr~d: Emergency Contact / Title Emergency Contact / Title MICHAEL BAKALOR / PRESIDENT CHRIS ANDERSON / OFFICE MANAGER Business Phone: (805) 837-0651x Business Phone: (805) 837-0651x 24-Hour Phone : (805) 837-2181x 24-Hour PhOne : (805) 871-7342x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - x MailAddr: 5880 DISTRICT BLVD 1 State: CA City : BAKERSFIELD Zip : 93313 Owner GESCOM CORPORATION Phone: (805) 837-0651x Address : 5880 DISTRICT BLVD 1 State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax lunit MCP HYDROGEN F P IH G 250 FT3 Ext NITROGEN F P IH G 1500 FT3 Min NITROGEN F P IH G 450 FT3 Min NITROGEN F P IH G 3300 FT3 Min I, Q0 hereby certify that ! have (Yypo or p~m r~me) reviewed th® attached h~ous m~efials manage- merit plan for .. 8~ ~t it along with any corr~ions ~nstitute a ~mplete and ~rrect man- agement pbn for my ~cili~. 1 09/10/1999 Signa~re Dmte GENESIS ENVIRONMENTAL SERVICES SiteID: 215-000-001583 ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site HYDROGEN Days On Site 365 Location within this Facility Unit Map: Grid: STORAGE YARD CAS# 1333-74-0 rSTATE i TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 250.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS %Wt. oRS CAS# 100.00 Hydrogen N 1333740 HAZARD ASSESSMENTS TSecretNo NoRS I BioHazINo Radioactive/Am°unt I EPANo/' Curies F P HazardsiH NFPA/// USDOT# MCPExt ~ Inventory Item 0001 Facility Unit: ,Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: STORAGE YARD CAS# 7727-37-9 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 1500.00 FT3 1250.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 99.90 Nitrogen N 7727379 0.10 Carbon Monoxide (Liquid) No 630080  I HAZARD ASSESSMENTS  S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Min 2 09/10/1999 i GENESIS ENVIRONMENTAL SERVICES ~~~~~ SiteID: 215-000-001583 ; iS Inventory Item 0002 ~~~ Facility Unit: Fixed Containers at Site ~ i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~ o NITROGEN o Days On Site o o o 365 o o Location within this Facility Unit Map: Grid: ~~~~ o STORAGE YARD o CAS# o o o 7727-37-9 o i~ STATE ~ TYPE ~~ PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~i o Gas o Pure o Above Ambient o Ambient o PORT. PRESS. CYLINDER o i~~g~~~i AMOUNTS AT THIS LOCATION ~~~~~i o Largest Container o Daily Maximum o Daily Average o o FT3 o 450.00 FT3 o 450.00 FT3 o i~~~~~ HAZARDOUS COMPONENTS ~~l~i~~~~i o %Wt. o o RSo CAS# o o 99.90ONitro~en ONo o 7727379° o 0.10°Nitrogen oxide °Yes° 10102439° °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards ,o NFPA o USDOT# o MCP o o No ONo o No o No/ Curies o F P IH :o / / / o o Min o GENESIS ENVIRONMENTAL SERVICES ~~~&~~ SiteID: 215-000-001583 Notif./Evacuation/Medical ~&~~~&~~~~ Overall Site i~ A~ency Notification ~~&~~~~~~~ 05/22/1995 CALL 911 FOR ALL EMERGENCIES FIRE DEPT. ANY EMPLOYEE WHO NOTICES A SUSPECT SITUATION IS GIVEN AUTHORITY TO CALL. i&&& Employee Notif./Evacuation &~&&&&&&&&&&&&~&~&&&~&&&&&&&&&&&&& 05/22/1995 VERBAL a~eeeeeeeeeeeeeeeeeeeeeeeeee~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~eee~e~ i~ Public Notif./Evacuation ~~~~&~~'~~~ 05/22/1995 NOTIFY AUTHORITIES. FIRE DEPT AND POLICE. NO EVACUATION SHOULD EVER BE REQUIRED. CALL 911. USE MERCY HOSPITAL. ~~ee~e~e~~eeee~~eeee~~e~eeee~e~eeeeee~ee~eeee~eee~ 4 09/10/1999 i& Inventory Item 0003 ~&~~&~ Facility Unit: Fixed Containers at Site i~& COMMON NAME / CHEMICAL NAME o NITROGEN o Days On Site o o 365 o Location within this Facility Unit Map: Grid: o STORAGE YARD o CAS# o o 7727-37-9 i~ STATE ~& TYPE ~& PRESSURE ~ TEMPERATURE ~&~'~&~ CONTAINER TYPE o Gas o Pure o Above Ambient o Ambient o PORT. PRESS. CYLINDER ~e~eeeueeee~e~e~u~eeeeeeee~u~~~~~eee~eeeeeeeeeee~e~f i&&&~&&~&&&~&&&~&&&&~&&~&&i AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average o FT3 o 3300.00 FT3 o 300.00 FT3 o %Wt. o o RSo CAS# o 99.90ONitrogen ONo o 7727379 o 0.10°Sulfur Dioxide (EPA) °Yes° 7446095 oTSecretO RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o No o No/ Curies o F P IH ,o / / / o o Min aee~e~eeu~~eu~eee~~u~~~~~~~ee~~eeeeee~~~u~eeeee~e~e~eeu~~~~ee~eeu~~e~~eeeue~~e~f 3 09/10/1999 GENESIS ENVIRONMENTAL SERVICES ~&~~~~ SiteID: 215-000-001583 i~ Mitigation/Prevent/Abatemt ~~~~~~~ Overall Site i~ Release Prevention ~~~~~~~~~ 05/22/1995 ALL LIQUIDS KEPT IN STEEL CABINET. ALL GASES CHAINED. LIQUID ABSORPTION PACKS. ALL LIQUIDS CLEANED WITH ABSORPTION PACKS. ALL GASES, ARE NOT TOXIC AT AMBIENT LEVELS. ~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~eeeeeeeeeeeeeeeeeeeeeeeeef -5- 09/10/1999 GENESIS ENVIRONMENTAL SERVICES ~~~~~ SiteID: 215-000-001583 Site Emergency Factors ~~~~~~~~ Overall Site A) GAS - SE CORNER OF YARD B) ELECTRICAL - N CENTER OF MAIN BLDG C) WATER - SE CORNER OF YARD D) SPECIAL - NONE E) LOCK BOX - YES, LOCATION - GATE i&~ Fire Protec./Avail. Water &&&&&&~&&~&&&~&&~&&&&&&&&&&&~&&&& 05/22/1995 PRIVATE FIRE PROTECTION - SPRINKLERS NEAREST FIRE HYDRANT - AT WEST DRIVE 6 09/10/1999 GENESIS ENVIRONMENTAL SERVICES &&~&~&~&&&~~ SiteID: 215-000-001583 Training ~&~~~~~~~~~&~~ Overall Site i~ Employee Training ~~~~&~&~~~~~ 05/22/1995 WE HAVE 4 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE NOTIFIED OF MSDS FILE FOLDER. THEY ARE GIVEN TIME TO READ, REVIEW AND ASK QUESTIONS. / BAKER~IELD 'CITY FIRE DEP~RTMENT : ~'_~ 4_ _~ (805) 326-3979 ' ~~ _ H~RDOUS MATERIALS DIVISION tTt5 CHESTER AVE. ~, H~ARDOUS MATERIALS INVENTo~~~.~'~-- FAC~U~ gESC~.T~ON ~ (~ I ~ O~ CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME Gescom Co=go=at&on Dba: Ge~es&s ~v&=onme~tal Se=~&ces FACILI~ NAME Genesis Environmental Services ~ SITE ADDRESS 588o District Blvd. Suite d, ' Bakersfield CA 9331 3 '1~ CI~ STATE ZIP i': Environmental Consultant & Analytical .Service ~': X~ATURE OF BUSINESS SiC COOE 4511 DUN & B~DSTREET NUMBER OWNER/OPERATOR Gescom Corporation ' pHoNE (80',5) 83720651 5880 District Blvd., Suite 1 MAILING ADDRESS B~kersfield CA 9331 3 CITY STATE ZiP EMERGENCY CONTACTS NAME Michael Bakalor TITLE President BUSINESS PHONE 837-0651 24-HOUR PHONE 837-21 81 NAME Chris An3~=~s~n . TITLE Office: Manager 837-0651 871 -73'4'2 --BUSINESS PHONE '~ 24-HOUR PHONE BAKERSFIELD CITY FIRE DEPARTMENT HAZAI OUS MATERIALS INVENTI Page.:kof_~_ ~essName Genesis Environmental Address 5880 District Blvd. Suite 1, 93313 ~-~ ~ t'~2<7-- ~~ CHEMICAL DESCRImiON IN~NTORY STA~S: New ( ] Add'ion ( ~ Revision ( ] Deletion { ] Check ~ ¢hemi~ i= a NON ~O~ SECR~ Common N~e: '. 3) ~T · (option~ AHM [ ] CAS · RHYSICAL & H~L~ ~HYSlCAL H~L~ H~RD CA~GORIES Fire ' Reactive [ ] Sudden Rele~e of ~ressure [ ] Immedime He~h (Ac~e) [ ] ~layed He~ (Chronic) [ ] WAS~ C~SSIFICA~ON (3-dig~ code ~om DHS Fo~ 80~) USE CODE PHYSICALSTA~ Solid [ ] Uquid [ ] G~ [ ] ~ure [ ] M~ure [ ] w~te [ ] Radioa~Ne. [ ] AMOUNT AND ~M5 AT FAClU~ UNITS OF M~$URE 8) STOOGE COOES M~imum Dmly Amount: I~ [ ] g~ [ ] ~3 [ ] a) Cont~ne~ Average 0~ Amount: cudes [ ] b) ~ressure: Annu~ Amount: c) Tem~r~ure: ~gest Size Confiner: ~DaysOnS~e Circle~ichMomhs: AllYe~, J, F, M, A, M, J, J, A, S, O, N, D MITRE: Ust COMPONENT CAS · % ~ ~M ~he three most h~dous 1) [ ] chemi~ ¢om~nen~ or ~ AHM ¢om~nenm 2) [ ] O) Loc~ion CHEMICAL DESCRI~ION IN~NTORY STA~S: New [ ] Addition [ ] Revision [ ] Colorlon [ ] Check Echemi~ is a NON ~DE SECR~ [ ] ~DE SECR~ [ Common N~e: 3) ~T · Chemic~ Name: AHM [ ]. CAS · PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire. [ ] Rea~ive [ ] Sudden Rele~e of ~essure [ ] Immedime He~h (Ac~e) [ ] ~layed He~ (Chronic) [ ] WASTE C~SS~F{CA~ON (~dig~ code from ~HS ~o~ ~02~) U$~ CODE PHYSICALSTA~ Solid ['] Uquid [ ] G~ [ ] ~ure [ ] M~ure [ ] W~te [ ] Radioa~e [ ] AMOUNT ANO TIME AT FACIU~ UNITS OF M~SURE 8) STOOGE COOES M~imum Oaily Amoum: I~ [ ] g~ [ ] ~3 [ ] a)~Cont~ner: Average Omly Amount: cu~es [ ] b),~ressure: Annu~ Amount: c); Tempermure: ~ges~ Size Contmner: ~ Days On S~te C~rc~e~ich Months: '~1 Ye~, J, F, M, A, M. J, J, A. S, O, N, D MITRE: ~st COM~ON~T CAS ~ % ~ AHM the three most h~dous 1) [ ] chemi~ com~nenm o~ [ 1' I0~ Lo.ion INT Name & Title of AuZhorized Company Representative Signature Date BAKERSi ELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION' 1715 CHESTER AVE. BAKERSFIELD, CA, 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INST~UCTIC NS: ~,. To c',,c~c :'.:';;ncr ':etlon. re;urn :7',is fo:m,. ',vdt, in ~:'" dc','s cf ,'eye!"' 'c'., ::'JG',..;=. ~ w~",':cl~z AN,SWF. R~ :N ....... ..~',$w~¢ '.,"',~ _,..~. ,C,,2 ;.,=.O,V lC,' '7',=_ D~5;~,e.%~ c~ c ',¥ric~. .,. .%;~,,v~. Genesis Environmental Servic~:. 5880 District Bl~,d.:, Suite' 1, Bakersfield, CA 93313 L'Z C .:.T;C N: · - . · -' ~ same ;vIA;L.NG .:,L,: .~,---~,: .... ,". Bakersfield -.;.2.,,_-; CA * ..... '- -- _.. N~-. {._8051 837-0651 ,..U"' :,.¢' =,F,.:,.:..,,~TEEET .,L:M~.-E.R 5iC ~ '?,.E; 45'11 ?:~,!?,ARY ,._.C--,/m/.,,_,,,. Environmental Consul.tant & ~nalytichl Service ~,;x~--. Gescom Corporatidn ~;.'~" %--/ ,¥ ,~ · 5880. Distri'ct Blvd., Suite 1, Bakersfield, CA-933'1"3' ... ' "." S--CT;oN 2: --MERGF-NC',/ NOTIFICATION: ' :;? CCNTACT _ TITLE '=..US. ?HCN~. 24 HR. ?HONE . :,;...,~: ... . ]. Mich.ao. 1 Bakal0r Prosid~_nt '. ~805~ 8~7-0~1 (snq) 837-~_181 :'?.. -': .O Chris Anderson ". ,- off'i~e 'Manager 837-"0651 (805) 871-7342 ".. '~. ~i' ~L"' -- Hazardous ~atariab Di,rision HAZARD MATERIALS MANAGEMEN~LAN ' ? SECTION 3: TRAINING: .... ) NUMBER CF --MPLOYEEE: 4. -'-~ ^ .... , IL:. yes MA,c:'~,,--,L SAF~T{ DATA SH==:= GN ':' "" c:.~iEF :UMM~RY CF TRAINING rRGGRAM: ..,Al'l'emplo~ees are notified·of'MSD file folder." They are giveh time to read,· review and ask questions. SECTION 4: EX~MPTiONREQUEST: i C~RTiF'./ UNOEF, .:ENALTY OF PERJURY THATMY 3USINESS IS.EXEMPT FROM Tlq"'E :/IENI,, CF CHA?T~R "' '-'~ CF THE :'CALIFORNIA nc.,-X.L~H & ~EFCRT[NG RF. GUIRE" , TM ' -- "' - SAFET.'Y CCD=.` FCR -' ': ,_ ~m" FCLLCWING W; CO NCT HANDLE .... ,~l'. _ ~.,,-.X /.:...--. ,.~ ,...,, .,...., u, MATERIALS. M,--,~ c:.~IAL....~UT THE QUANTiTiES AT NC' WE CC m,,-kNDLz HAL&RCCU$ "-"'" Ti,%,iEz:<C.~EO .SECTION 5'. CE.qTIFiCATION' I, Michael Bak'alor C?-RTiFY .MAiICN IS ACCURATE. I UNDERSiANO THAT THIS iNFORMATION WILL ~ULFILL MY FIRM'S C~!.IGATICNS UNOER 7HF. 'CALIFORNIA HEAUI'H AND SAFE7'. f CODE' C.N HALA. ROGU$ MA~:,IAL$ '(DIV 20 C:qA~7ER d.95 -~5C. 25'500 E?AL.) ANO THAT 'SIGNATURE TITLE DATE ..-.. 2. ....... ' ~ard0us ),.~aterizks D[visi0n HAZARDOUS- MAI'ERIALS MANAGEMENT PLAN Fccilib/Unit Nome: Genesis Environmental SE.ZT:C~'/6' NCTIFiCATICN AND :',.-,,..~,-,,,,.-. .. · 'C:ENC'./ NCTiFiC.:,TiCN ?RCCE?.'UREZ: Call 91 1 for all emergencies Fire Departm. ent'. Any ·employee who notices an suspect Situation is given .' authority to call. !....-- L'_':'EE .', '5, '" C TYlC.'-.TiC N :'.'.-.'-- - Verbal Notify authorites. Fire Department and Police. N° evacution should ever .be required. Call 911. Use Mercy Hospital. B a~ers~.e!cL _~',.ze JJ ep~: Hazardous MateriaLs D[~siol '~" -HAZARDOUS MATERIALS MANAGEMENT SECTiCN 7: ,MITIGA.T.iCN..?.REVENTiCN AND ABATEMENT PLAN: ~ELE.ASE FRE"/ENTiCN ST Ail liquids kept in steel cabinet. All gases chained. , ,~C'R Liquid absorption packs. All liquids cleaned with absorption packs, All gases, are not toxic at ambient levels. ............ ,--.AC.L~ ~ ,'~, SE.ST!C;4 8: ~,T:T:r/ SHUT-CFFS "-CAT;CN CF ~:-;UT-CFF~ AT '/~"!~ ....... ' Southeast corner of yard Nor'th cente= o~ maSn build)rig :: 2.~-~'.~ ~ . Southeast corner of yard ~'.- z'-.,-,L ~,~ 5CX: NC F'./--_,~ -CC,'-,:,CN: ~gate SECWON 9: PRIVATE F!RE ?RCTECT[ON/WATER AVAILABILI'Ff: PRIVATE FiRE ?ROTE.CTICN' sprinklers " BAKERSFitL ..D CI' Y FIRE DEPAi: MENT HAZARDOUS MATERIALS INVENTORY Page. I of ?-- ,,"'~sName Genesis Envi2onmenta% Se:A'dS[es¢ 5880 Distric~ Suite It 93313. CHEMICAL DESCRIP'rlON i) INVENTORY STATUS: New [ ] Add~Jon'[" ] Revision ~?D~letion [ ] Check ~chemic~ is a NON 3-nADE SECRE-F~ ] ~E SECR~ [ ] 2) Common N~e: ' Nitrogen 3) ~T · {option~) C~emi~ N~e: Nitrogen A~ [ ] c~s ~) FHYSICAL & HS&L~ PHYSICAL H~RD CA~GORIES F~re { ] Keact~e [ ] Sudden ~ele~e of F:essure ~ lmmedi~e He~h (Ac~e) ~ ~layed HecJ (Chronic) { ] 5) %%%S~ C~SSlFICA~CN {=.dig~ code flora OHS Fc~ 8022) USE CODE 5 ~ UNITS CF'M~SURE 8) STCFAGE COBES 04 7) At~OUNT AND ;ME AT FACIUW 1500 Total ~ [ ] Ca ( ] ~3 [~ ,a) ccr,~r,~r: M~imum D~Iy Amount: Ave,.ge O~ly Amount: _ ~ of curies [ ] :~] Fr~ssu~.: 2 Annum Amount: ~ 5 0 O a ~ ~ c) Tempcr~ure: ~gost Si;e'Ccn:~ner: ~ gases ~ ~ays OnS;:e 365 C~rcle%%~.ichMonths: ~ / J. F. M. A.:M. J. J. A. S. O. N. D ~) MIfF. E: Ust COMPONENT CAS ~ :~mi~ com~n~n~ ~r Carbon Monoxide .01 " 3) [ ] CHEMICAL DESCRI~ION ) :N%~NTORY STA~S: New [ ] Add,ion ~ Re,sion { } Deletion [ ] Check ~chemi~ is a NON ~DE SECK~ ~ ~E SECR~ [ ] ) CcmmonN~e: Nitrogen 3) ~T~ (cption~) Nitrogen ~ Chem~c~ Name: AHM {; ] CAS · il' % ) FHYSlCAL & H~L7~ PHYSICAL P;~LTH ~O CA~GOR~ES Fire [ ] Rea~ive [ ] Sudden Relate of F:essure ~ )mmedi~e ~e~h (Acute) ~ ~teyc~ Hc~h (Chronic) [ ] ) WAS~ C~SSIFICA~ON (3~1~ code ff~ DHS Fo~ 6022) USE CODE 5 4 )PHYSICAL STA~ Solid [ ] Uquid { ] G~ [~ Pu:a [ ] M~ure ~ W~e [ } Radioac~e [ ] ) AMOUNT AND ~ME AT ~CIU~ UNITS OF M~SURE 8) $iO~GE ~CDES Annu~ Amount: 4 ~ 0 ~c) Tem~r~ure: ~est S~:e Containec I 5 ~ ) M,~: U,, Nitrogen CCM~O~T CAS · 9~.~9 :helhreemoslh~dous ' 1) [ ] []~ 3) )) Lo.ion Ste~age Yard . 'T /.'ama & Ti:lo cf ~o[~ed Ccmpany ~epresenmEve S;gna~/e OUS MATERIALS INVEN Y, Page sinessName Genesis Environmental Address 5880 District Blvd. Suite .1, 93313 ; ) iN~NTORY STA~S: New [ ~' A~d~ion [ J ~,vis;on ~ ~le%;on ~ ] Che~ ~ chem;~ is · NON ~DE SECB~ ~) c~o~.~.: Nitrogen ~) ~T~ c~,,mi~N~.: Nitrogen.. ~u [ ! c~s ,) PHYSICAL A H~LTH PHYSICAL . H~L~ ~AD CA~GOAIES Fire ( ] Keec:~e [ ] Sudden Relate ot F:essute ~ lmmed;~e He~h (Ac~e) [~ ~l~yed He~h (Chronic) ~) WAS~ C~SSIFiCA~ON (3-~igA code ~om DHS F¢~ 6022) USE CODE ~ ~ :) PHYSICAL SmA~ ' Solid [ ] Uqu,d I I G~ ~ Pu,e [ ] M~ure~W~te [ ] R~ioam~, [ ] ) AMOUNT AND ~ME AT FACIU~ UN[TS CF M,~SUAE 8) STOOGE CODES ' M~imumC~¥Amoun,: 33q0 l~ [ ] ~ [ ] =~ e) Con,~nec 04 ~nu~ Amount: ~ _ c) Tem~r~ure: ~gestSi:eCen:~ner: ~,~0 ~ ' . ~ c,~ on si:, 365 _ c~;cle lN~ich Momhs:~Al(Ye~ J. F, M. A,. M. j. j, ~ S. O. N. D ) t.4:~AE: Es~ CCtAPCNENT C~S · % :~.~ ,~,~,. ~, hu~,~:~. ~) Nitrogen 99. 995 :~ ::m~n,~ :r Sulfur Dioxide 005 C) L:~o. Storage Yard,', CHEMICAL :~¢%~NTCKY 5TA~S: New { ] Add,ion { I Rcvblon~eletion [ ] Check ~ chemi~ ~s a NON ~DE S~$~ ~E SECR~ Common N~e: .Hydroqen 3) ~T ~ Hydrogen ~ [ ] cas FHYS:CAL & H~L~ PHYSICAL ;~.DCA~GCRiES ~re ~ Feeble[ ] SucdcnAele~eofF:essu,e ~ Immedi~e He~h(Ac~e)~ ~leyedHe~h(Ch~n~) ( ',%'AS~ C~SSIFICA~ON {~ig~ co~e ~om DHS Fc~ 6022) USE CODE 5,4 FHYStCALSTA~ Solid [ ] Mquid [.] G~ ~ Pure ~ M~u~ W~te [ ] Radio~e [ ] AMOUNT AND ~ME AT FACIU~ UNITS CF M~SURE 8) STOOGE CODES 0 4 Average O~ Amount: ~ cu6ez [ ] " b) Pressure: 2 Amnu~ Amount: 2 0 0 c) Temprite: ' 4 U)~E: Ust '" COMPON~T CAS · :he three most h~dous 1)~ ~y AHM com~nen~ ~) [ ] ~) logo. Storage Yard d ;nfo~dom is ~e, accu~le. ~d complele. ~ l. ' . hael Bakalor · · ~~ 6/3/94 ',~ BA ER IELD CITY FIRE DEP RTMENT BAKERSFIELD, CA. 93301'~,~,, HAZARDOUS MATERIALS INVENTORY' FACILI~ DESCRIPTION ~D%-~ 5'~ CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME Gescom Corporation Dba: Genesis ~.nvironmental Services :ACILITY NAME Genesis Environmental Services SITE ADDRESS 5880 District Blvd. Suite 1, CI/Y Bakersfield. ,, STATE CA Z~P 9331 3 Environmental Consultant & Analytical .Service X~ATURE-©F BUSINESS SIC CODE 4511 DUN & BRAOSTREET NUMBER owNER/OPERATOR Gescom Corporation PHONE (805.) 83720651 5880 District Blvd., Suite 1 'MAILING ADDRESS B~kersfield CA 9331 3 C~TY STATE ZIP EMERGENCY CONTACTS NAME Michael Bakalor TITLE President BUSINESS P~,ONE 837-0651 24-HOUR PHONE 837-21 81 NAME Chris And, ers~n TITLE Office 'Manager ll-BUSINE.SS PHONE 837-°651 24-HOUR PHONE 871-7342 ~e~',e~.~o~ :~ 1sa;ct RC-G~N¥ L.EPC ST,A,~CL&JaD F. BAKERSFIELD CITY FIRE DEPARTMENT HAZAI OUS MATERIALS INVENT ess Name Genesis Environmental Address 5880 District Blvd. Suite 1, 93313 ~7.,~ ~ 't,,,,f=~::~7- ?i~J~- CHEMICAL DESCRIPTION ) INVENTORY STATUS; New [ ] Addition [ ~ Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~ TP, ADE SECRET [ ] .) Common Name: 3) DOT # (optional) '~ AHM [ ] CAS # Chemical Name: .) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ' Reactive [ ] Sudden Relate of Pressure [ I Immediate Health (Acute) [ ] Delayed HeeJth (Chronic) [ ] ;) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE ;) PHYSICAL ST'ATE Solid [ ] Liquid [ ] G~s [ ] Pure { ] Mixture [ ] Waste [ ] Radioactive.. { ] ') AMOUNT AND TiME AT FAClUTY UNITS OF MEASURE 8} STORAGE CODES Maximum Daily Amount: lbs [ ] ga [ ] It3 [ ] a) Container. Average Oaily Amount: cudes [ ] b) Pressure: Annual Amount: · c) Temperature: Largest Size Container:. # Days On Site Circle Which Months: AllYem', J, F, M, A. M~ J, J, A, S, O, N, D I) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazazdous 1) [ ] chemicaJ components or a~y AHM components 2) [ ] [ I 0) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemic~ is a NON TRADE SECRET [ ] TRADE SECRET [ ] ~.) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ]! CAS # .t) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Relate of Pressure [ ] Immediate He'th (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE 5) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] WaSte [ ] Radioactive [ ] 7) AMOUNT ANO TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Oaily Amount: lbs [ ] gal [ ] ft3 [ ] a)iContainer:. Average Daily Amount: cude$ [ ] b)' Pressure: Annual Amount: c) Temperature: La~gest Size Container: # Days On Site Circle Which Months: All Yea/, J. F, M, A, M, J, J, A, S, O. N, 9) MIXTURE: [fist COMPONENT CAS # % w'r AHM the three most ha.zaJ'dous 1) [ chemicaJ components or any AHM components 2) [ · . 3) { ]' 10~ Location ' ...- erofy uno, er penalty or law, that I have pe~Onaily examined ant1 am familiar w;th the infomat~on su~mi~ed on this and ail attached documenm. I beiieve Iz .... ~rnitted inforrnatJon is ~ue, accurate, and complete. 'INT Name & T/fie of Authorized Company F~epresentafive . Signature Date BAKERSFIELD CiTY FIRE DEPARTMENT '~~~. ' HAZARDOUS MATERIALS DIVISION' .{~ ~ =~j~ 1715 CHESTER AVE. ~1¢ -~- ..¢---~. BAKERSFIELD, CA. 93301 ~,'k -,._ ~ _,' HAZARDOUS MATERIALS MANAGEMENT PLAN SECTiC;4 i: SUSINESSiDENTiFiCATICN DATA =l~c".'::-'~.,,~_.~ ...... Genesis Environmental Servic~:. 5880 District Bl~d.:, Suite' 1, Bakersfieid, CA 93313 ..... 3-!. =u~. (_805) 837 651 451 1 CL'X 5 ~ACE..~::: XUMSE~: SiC CCC. E: ............ ,/~?,,. Env&ronmen[ai Consultant & ~nalyt&c~l Se=v&ce O~,,,;~. Gescom Corporati6n '?' M.A~L;N~ '~=:=' 5880.DistriCt Blvd., S~ite 1,, Bakersfield, CA- 933~'3' SECT;ON 2: =_.MEP, GENC'(NOTIF!CATION: ' .... CONTACT '~ TiTL~ ~US. PHONE. 24 HR..=HONE ]. Mich,ael Bakalor President . f805) R~7-0~I (R0~) 837-~181 :;: " Chris Anderson" off'i~e''Mana~er 83'7-0651 (805) 871-7342 HAZARE MATERIALS MANAGEMEN~,~PLAN ' . SECTION 3: TRAINING: ' '! NUMBER OF EMPLOYEZ_~,: 4. talc. yes MA,,-::.,~L SAFET{ DATA SHEETS GN "' ~' 5RiEF SUMMARY CF TRAINING. ?RGG2AM: .' ..~ll'employees are notified'of'MSD file folder.-~They are give~ time to read,' review and ask questions. SECTioN 4: EXEMPTION REg. UEST: . i CERTIFY UNDER 7ENALTY OF 7ERJURY THAT'MY ~USINESS IS.EXEMPT FROM T~E ...... , -~ .~,~UFORNIA n=AL~H & ~E~CRT[NGR=~UIR=:v~ENI~CFCHA2TER~CSCFTHE:'~' ' ' '" - ~AF~Y CODE' FCR THE FCLLCWING ~EASCNS' ' WE 20 NCT HANOL~ nANDL: HAZ&RDCUS MATERIALS, :UT ' ' WE DO .... ~= ~UANTiTiE~ AT NO OTHER r~:m?/ REASCNi .SECTION 5: CErTIFiCATION' 1, "~ H~chaeZ Bakalo~ CERTIFY THA~ THE ABOVE tNFOR- ::,MATION IS ACCURATE. I'UNOERSTANO THAT THIS INFORMA[ION WILL FULfiLL MY F~RM'S CBLIGATIONs UNDER THE 'CALIFORNIA HEALTH AND SAFer CCOE' ON HA~ROOUS MATERIALS (DIV. 2~ CHAFTER 6.95 SEC. 2~0~ ET AL.) AND THAT INACCURATE tNFORMATION'C'ONST~UTES FER~0R'Y. "~. ' 'SIGNATURE TI~E DATE_ ..... ..... d0us ),{z~ariz~s D[~si0n HAZARDOUS. MATERIALS MANAGF. MENT PLAN Fcc!ii~y Unit Nome: Genesis Environmental CSDU ' -~SCT',CH 5: NCTiF~CATICN ~'ND E:/.~C" H ?DC RE~ z.. .z.G~!,~CY NCTiFiCATiC N PRC Call ~ for all emergencies Fire De~artDent. Any employee who notices an suspect situation is given .." authority to call. " :_....: L'_':'~--- .,.C 3:F~C,:-.TiC >1 ,-.,,,.,T, C Verbal Notify authorites. Fire Department and Police. N° evacution should ever.be required. · ..~. z:',q .,".. Call 911 Use Mercy HOspital 'J' . -..' , HAZARDOUS MATERIALS MANAGEMENT PLAN SECTtC'N 7: MITiGA.iIQN..?REVENTiCN A,ND ABATEMENT ~LAN: .~ELE~SE FRE',/ENTiCN ST::~' All liquids kept in steel cabinet. All gases chained. - ' .v, lNl ¢11/_~,~N ..,' ~INME~'J .-.,ND/C'R ' ~ x -'.-'~ · -'. ~EL=A:E'CC"-' Liquid absorptio:t packs. ~ ~ ~.~. i '~ ' ~ ~ '~ ~ ...... All liquids cleaned with absorption packs. All'gases, are not toxic at ambient levels. Southeast corner of yard :~or'th center of main building 5LEt ....... Southeast corner of yard · ~i t -:-, . '_CC'.< E"""" ~-'~'"~' : v:: ' CC.'-.T;CN' gate PRIVATE ~!RE :RCT5CTICN/WATE.q'AVAILA~BILITY: ?RIVAT5 .-'i~ 5 .:,qOTECTIC N: sprinklers · --- EiL[T? rE:-- .=, C,~.~NI-) at weSt drive BAKERSFiiiL D CITY FIRE DEPAI MENT HAZARDOUS MATERIALS INVENTORY Page__l of..._.~ ,;"~sName Genesis Envi'~onmentai Se:.A'd:~res~ 5880 Distric~ Suite 1, 93313. cHEMICAL DESCRIPTION ~) INVENTORY STATUS: New [ ] Add'ion'[' ] Revision ~;- Deletion [ ] Check i{ them;cai ~= a NON T-n/.DE SECRE~ :~ ] TK;.DE SECRET 2) Common Nanle: · Nitrogen 3) DOT # (opdonaJ), Chemic~J Nn~ne: Nitrogen AMM [ ] CAS :) FHYSICAL & HE~,L]~( ?HYSICAL ,~:AZJ-RD CA~'EGORIES Fire { ] Reactive ( ] Sudden Roles. se of F:e$sure ~' Immediate 5) ?,%ST~ CLASSIFICA~ON (.-.digit code flora DHS Fcn~ 8022) USE CODE 54 ~) ~HYS;CAL STA~'~ Solid'[ ] Uqu[d [ ] ~ ~ Pure [ ] M~ur~ ~ UNITS CF'MEASURE 8) S;C~GE CODES 04 ;) AMOUNT AND ~ME AT FACIUW 1500 Total ~ [ ] ~d ( ] f,3 [~ a) Ccn:gr, er: M~imum D~ly Amount: Average O~ly Amount: -- ~ 5 0 of cunes[ ) b) F~essure: 2 Annual Amount: 1 5 0Q a 11 ~gcst S;:e'C:n:~ner: ~ gases ' N ~ays On S::e 36 ~ C~rc;e %~,~ch Months: J. F, M, A. M. J. J, A. S. O, N. D ~) M;~'KE: L%t COMPONENT CAS · % %~ AHM c~em;~ com~nen~ or Carbon Monoxide .01 0)..~,on. Storage Yard .. CHEMICAL DESCRI~ION ' ) ;N%~NTCRY STA~S: New [ ] Add,ion ~ Ae~sien [ ] Deletion ( ] Check ~chemi~ is a, NON ~DE SECR~ ~ ~E S~CK~ [ Ccmmon N~e: Nitrogen 3) ~T ~ (cption~) Chem/c~ Name: AHM ) PHYSICAL & H~L~H PHYSICAL ~D CA~GCRiES ~re [ ] Aea~ive ( ] Sudden Relate cf P~essure ~ Immedi~e'H.~h (Ac~e) ~ ~layeC He~ (Chron;c) [ ) WAS~ C~SSIFICA~ON (3~;~ code ff~ DES Fo~ 60221 USE CODE ) ?HYSICALSTA~ Solid [ ] Uquid [ ] G~ [~ Pure [ ] M~ure ~ W~te [ ] AMOUNT ANO ~ME AT ~4CIU~ UNITS OF M~suRE 8) STooGE ~CDES M~imumDailyAmounl: ~0 . lbs [ ] g~ [ ]' =3 ~ a) Ccnt~ner: 0~. Annu~ Amounl: 4 5 0 . . c) ~gest Ske Cont~ine~ ~ ~ 0 · Oa~OnSite ~3~5 ... Circle,;ch Momhs: ~IYe~J. F. M. A. M. J. J. A. S. O. N. O .the three most h~dous 1) .- · [ ] )) Lo.ion Ste~age 'Yard ~'=~.;mfo~egom is ~'e, accurale. ~d ccmplele. 'T ;,'ame& Ti:lo cf ~u~or,~ed. Ccm~a~y ~epzesen~ve S;gna~e HAZA OUS MATERIALS INVENT Y Page.~of'2'- sinessNarne Genesis Envi=onmen'tat Ad~.~eSS ...... 5880 Distr&ct Blvd. Suite .1, 93313 ,) i.NV~NTCRY STATUS: New [ ]' A~dkio,'l J ] RevS,zion [XJ Deletion [ ] ' Cheek if chemlc.a,I is a NON "J-F~ADE SECRET (:'fi ~E SE'CRb-I' Nitrogen 8) DOT # (op~,-,~ !) Common C,%emiC~JName: Nitrogen,. AHU [ ] CAS~ ) PHYSICAL & HEALTH PHYSICAL HEALTH HAZASD CAT~GO~,IES Fire [ ] P..ea¢:Ne ( ] Suc~den F~ele,,_se DJ P:essure ~ Immedi,,te He,~.ah (Acme) [ __.~... Delayed He~.h (Chronic) ) ','.'ASTE CLASSIFICA~ON (3-¢'igil co~e f:om I~HS Form 6022) USE CODE '5 4 -- I ) FHYS1CAL STATE So;id [ ]' L,:qu,d [ I ~ ~ Pure [ ] M'-,lure ,~J~'~"W,~,te [ ] R~iioam..ive [ ] ) AMOUNT AND ,'RME AT FACIUTY UNITS CF MEASURE 8) STORAGE CODES Average D"~Iy Amount: '~-0~ curies [ ] b) Pressure: Annue-/Amount: .~ ~ 0 c) Temperezute: L.~'gest Size C0n:a. iner: __~t~ (] ~ ~, Ca~ on Site 365 C~rcle %%.'hich Months: ~, .,~ J. F. M, A.. ~1. J. J. A.' S. O. N. D ) ;4iXTURE: Est COMPONENT C~S # % WT :.-.e ,~.,e e ~os, h--~.Cou, ~) Nitrogen 99. 995 [ c.~.emic*, :omponen~sor Sulf%tr Dioxide 005 ~-ny A~M ccmp~nen:s 2) ' ~1 [ 1 ';) Lo--',on Storage Yard,', CHEMICAL DESCRIPTION :;¢/15NTC.KY STA,~S: New ( ] A~d~tion { 1 .Rovi$ion~Deletion [ ] Check if chemic.nJ is a NON 'rFC, DE SECRET..~ ~-n,~DE SECRET common ~.~e: Hydr. oqen 3) DOT # (om~omu) Hydrogen ~,~ [ ] CAS · Che m~c..aJ Name: PHYSICAL & HEAL~-( P~,Y$;CAL HEALTH ;-;;.J_C. RD CATEGCRIES Fire ~ F. eamrve J ] SuDden Kalene of F.'essure ~ ImmedJ,,Se H{a.rth (Acute) ~ DelayeCl He,th (Chronic) ; WASTE CLASSIFICATION (3-dic_~ cc~e ~om ohs Fcrm 8022) USE CODE 514 ~HYSiCALSTATE Solid [ ] [.Jquid [.1 Ge..s ~ Pure ~ Mbrtur Waste [ ] Radlo~"Jve [ ] AMOUNT AND TIME AT FACI[JTY UNITS CF MEASURE 8) STORAGE CODES 04 ~,~,mum o~/Amount: 2 5 0 ~'s [ ] ~ [ ] ~3~'1 e) Con~ner. _ . Average Daily Amount: ~ cu6es [ ] b) Pressure: 2 AnnuaJ Amount: ~ . . c) Tempera:~ure: ' 4 L.~ges! $i=e Container:. ~_ 5 C') ~ Days O~ Site _~36~ C;rc!eWh;chMonths: ~')~lYe_~%J. F. M. A. ~. J, J. A..$. O. N. D M~XTUBE: Us,t C~MPONENT ' CAS # % WT AHM :he three most he.zEalous 1) [ cnemtc.~d components or ~.y A~M components '2} [ ] .. 3} Lor~'""on Sto._r'~CJ'~ ~a~cl. ul~cef pemeJD/ Cr /aw, Ulat I I~eve per'~oneilJ; exa.q';lDeo a.qo ~D'i,I~"D,,IlaJ'.WIU'~ D'1e imlomaoo~ suDm;ffe~ on r;1/$ a~o aJj arr~clle~3 oocumen~. I De)leve ~ /nfon'na~on is zrue. accurate, amd complete. 4' heel. Bakalor ~ ' le& T/tie of Au¢or/zed Company ~ep/esenmgve $. /gna?ure Oats '-'~~ Bakersfield Fire HAZARDOUS MATERIALS OlVl Business Name: Location: ~ff'ff~Z) Business Identification No. 215-000 (Top of Business Plan) Station No. / ~.~ Shift Inspector -,~..~~--.- Adequate Inadequate Verifi of Inventory Materials Verification of Quantities /,(~/. Verification of Location ~ ~.] HAT... SAT. DIV. Proper Segregation of Material~ ~] // C°mmen7) Verification of MSDS Availablity mments-, Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: / All Items O.K. Correction Needed Business Owner/Manager FD 1652 (~..1-~) White-H~ Mat Div. Yellow-S~fion ~py Pink-Busings  CITY of BAKERSFIELD -'. "WE CARE"  M E M 0 R A N D U M FIRE DEPARTMENT 2101 H SREET D. S. NEEDHAM BAKERSFIELD, 03301 FIRE CHIEF 326-3911 ~ "WE CARE" ~/,~.~ M E M O R A N D U M FIRE DEPARTMENT 2101 H SREET D. S. NEEDHAM ~ BAKERSFIELD, 93301 FIRE CHIEF '""' C::~' 326-3911 TO FROM SUBJECT