HomeMy WebLinkAboutBUSINESS PLAN 6/19/1998 HMMP PLAN
SITE DIAGRAM ( ) FACILITY DIAGRAM
BUSt~SS NAME:
BUSI~SS ~DRESS:
FOR OFFICE USE ONLY
FIRST IN STATION: AREA MAP# OF
INSPECTION STATION: NORTH
HMMP PLAN MAP
SITE DIAGRAM (~) FACILITY DIAGRAM ( )
BUSINESS NAME: --~..~'~\
-- ....~
BUS SS ,reD. SS:
FOR OFFICE USE ONLY
FIRST IN STATION: AREA MAP # OF
INSPECTION STATION: NORTH
5880 DISTRICT 'BLVD
#1 GENESIS
#2 KoPPY KATS
#3 THE FLOWER SHOP
#4-6 VACANT
#7 CANYON CREATIONS
#8 FAMILY VICTORY CENTER
#9-10 VACANT
#11 COUNTRY GLASS
#12 BAILEY & DENNEY
#13-17 BAKERSFIELD STARS
# 18 VACANT
#19 COKERS
#20-21 VACANT
#22
#23 CHEM PAK
#24 TOTAL SAFETY
#25 VACANT
5850 DISTRICT BLVD
A. EXPRESS FURNITURE
C. ~E~S
D. P~
ITE DIAGRAM. ~i~o~.~ FACILITY DIAGRAM
For O~ice Use Only ..
First In Station: Area Map ~ ,.of
Inspection Stction: NORTH
C rr E&
LAd
/ Lo~
H~P PLAN~ MAP
SITE DIAGRAM .J/.-'" :"'1 FACILITY DIAGRAM ,,,q.o-[-1.-,
For Office Use Only
First In Station: Area Map # of
Inspection Station: NORTH ~//'~
~' ~ .
P~I(~H& Lo-T
Hazardous Mateziak/Hazazdous Waste Unified Permit
CONDmONS OF PERMIT ON REVERSE SIDE
LOCATION
588O
DISTRICT
'~:; .: .::-. ~..~.:...'~'~ [~ ~.~'~"
.~. (~)~
8-2A-'~998~ '~ 1 :lOAM FROM TOTAL SAFETY. INC. 3188377093
~ , Total. Safety, Inc.
P.O. Box 2657
Lafayette,' LA. 70502
(31.8) 837-1888
800-824-4250
Fax #: 3181837-7093
FAX TRANSS~rTAL SHEET
~ S~ ~O~i: MarzLjn~ley / Aecou3ting
FOLLO~G ~ ~ PAG~
8-24-1998 11 : 11 AM FROM TOTAL SAFETY. ! NC. 3188377893 P. 2
Total Safety, .Inc.
P.O. Box 2657 ·
Lafayette, LA 70502
(318) 837-1888
800-824-4250
Fax #: 318/837-1064
-- ill I . IIIII ., III I . I I I. IILI I. IIII IIII
January 20, 1998
Board of Equalization
Attn: Sales Tax Dept.
P.O. Box 942879
Sacramento, CA 94279-8022
Re: Total Safety, Inc.
To Whom it May Concern:
Please be cognizant of the fact that Total Safety, Inc, no longer has an office in Bakersfield, California. Our
office was officially closed on November 1, 1997. The tax return enclosed will be our last return fried. If
you could notify me of any transactions I will need to complete in order to remove Total Safety, Inc. from
your list, I would appreciate it.
I apologize for any inconvenience this may cause you. If you need any further information, please do not
he~itate to contact me at either (318) 837-1888 or 800-824-4250
Regards,
Accounts Receivable
Total Safety, Inc.
enclosure
8-24-1998 11:11AM FROM TOTAL SAFETY, INC. 3188377095 P. 3
1'
CERTIFICATE OF SURRENDER OF, RIGHT
TO TRANSACT INTRASTATE BUSINESS
On behalf and by authority of
(Name of corporation)
, a corporation organized
and existing under the laws of ~ , the undersigned,
(State or Place' of Incorporation)
PAUL SI~AI~ , SF~NIOR VIC~. PR~..~Tf~..hfP ,
(Co.orate O~ce0 ~itle)
of said ~rporation does hereby ce~i~ and declare:
1. Said corporation hereby suRenders its right and authority to ~ansa~ intrastate
business in the State of California. ~
2. Said corporation hereby revokes its designation of agent for the se~ice of process
in California
3. Said co~oration consents that pro.ss against it in any action upon any iiabili~ or
obligation incu~ed within the State of Cal~omia prior to the filing of ~is CeAifi~te
of Su~ender of Right to Transa~ In~astate Business 'may be se~ed upon ~e
Se~eta~ of State of the State of CAlifornia.
4. ~e post office address to which ~e Secreta~ of State may mail ~pies of, any
process against the corporation ~at is se~ed upon the Se~eta~ of State is
~..:S~- ~. ~: ~.ST~.~
5749 ~,.~0 F~ ~, ~S~,. ~, ~518~ ·
- -~~of ~orate Office0
~yped Name a~d T~ie of Officer Signing)
SURRENDER
TOTAL SAFETY INC SiteID: 215-000-000136
Manager : BusPhone: (805) 833-1140
Location: 5880 DISTRICT BLVD 24 Map : 123 CommHaz : Minimal
City : BAKERSFIELD Grid: 15C FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 13 SIC Code:7353
EPA Numb: DunnBrad:02-971-0753
Emergency Contact / Title Emergency Contact / Title
TERRY WILSON / DISTRICT MGR /
Business Phone: (805) 833-1140x Business Phone: ( ) - x
24-Hour Phone : (805) 833-1140x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Press ImmHlth
Contact : Phone: (805) 833-1140x
MailAddr: 5880 DISTRICT BLVD 24 State: CA
City : BAKERSFIELD Zip : 93313
Owner PAUL H. SEWALL III Phone: (805) 833-1140x
Address : PO BOX 91308 S~ate: LA
City : LAFAYETTE Zip : 70509
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
= Hazmat Invent, ory One Unified List
--As Designated Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA Hazards Frm DailyMax Unit MCP
COMPRESSED AIR - BREATHING QUAL P G 30000 FT3 Min
HYDROGEN SULFIDE/BALANCE NITROG P IH G 400 FT3 Ext
r®vi®~d ~h~ a~ch~ h~.a~ous m~eda~s mana§~-
any ~rr~o~ ~n~u~ a comp~e~ an~ ~e~ ~an-
1 06/19/1998
TOTAL SAFETY INC SiteID: 215-000-000136
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
COMPRESSED AIR - BREATHING QUALITY Days On Site
365
Location within this Facility Unit Map: :Grid:
N PORTION OF BLDG/N& NE OUTSIDE AREAS CAS#
FSTATE ~ TYPE PRESSURE I TEMPERATURE CONTAINER TYPE
Gas /Mixture Ii Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 30000.00 FT3 15000.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
%Wt. ~S CAS#
Air N
-2- 06/19/1998
TOTAL SAFETY INC SiteID: 215-000-000136
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site
HYDROGEN SULFIDE/BALANCE NITROGEN Days On Site
365
Location within this Facility Unit Map: 'Grid:
HYDROGEN SULFIDE CAS#
7783-06-04
Above Ambient Ambient CYLINDER
Mixture PRESS
Gas PORT. .
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 400.00 FT3 240.00 FT3
Maximum Stored Maximum Open Use Maximum Closed Use
FT3 FT3 FT3
HAZARDOUS COMPONENTS
%Wt. y~ CAS#
1.00 Hydrogen Sulfide (EPA) 7783064
3 06/19/1998
F TOTAL SAFETY INC SiteID: 215-000-000136
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 07/26/1993
BAKERSFIELD FIRE DEPT - NON EMERGENCY - 326-3911
BAKERSFIELD FIRE DEPT - EMERGENCY - 911
-- Employee Notif./Evacuation 07/26/1993
EMPLOYEES ARE TRAINED IN HAZCOMM SESSIONS ON THE HAZARDS UNDER WHICH AN
EVACUATION OF THE FACILITY MAY BE REQUIRED. EVACUATION ROUTES ARE POSTED ON
DIAGRAMS LOCATED AT THE FACILITY.
-- Public Notif./Evacuation 07/26/1993
ANY PUBLIC CITIZENS PRESENT AT THE TIME OF A RELEASE WILL BE INSTRUCTED TO
EVACUATE THE BLDG, IF NECESSARY, BY COMPANY PERSONNEL.
Emergency Medical Plan 07/26/1993
COMPANY INJIIRY AND ILLNESSPOLICY ADDRESS THESE ISSUES.
GENERALLY, EMPLOYEES WOULD CALL 911, HOWEVER, TSSI EMPLOYS EMT QUALIFIED
PERSONNEL.
-4- 06/19/1998
f TOTAL SAFETY INC SiteID: 215-000-000136
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 07/26/1993
COMPRESSED AIR/H2S/N2 CYLINDERS ARE STORED IN A SECURE MANNER.
-- Release Containment 07/26/1993
COMPRESSED GAS HAZARDS ONLY. NO SIGNIFICANT CONTAMINATION CONCERNS DUE TO
LOW CONCENTRATION RANGES OF COMPRESSED GASES, I.E. H2S.
07/26/1993
CleanUp
PERSION IN AIR.
Other Resource Activation
-5- 06/19/1998
F TOTAL SAFETY INC SiteID: 215-000-000136
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 07/26/1993
A) GAS - N/A
B) ELECTRICAL - NW CORNER OF UNIT 24 - INSIDE WAREHOUSE
C) WATER - SW CORNER OF UNIT 24 - OUTSIDE BLDG
D) SPECIAL - MAIN ELECTRIC BEHIND UNIT 18, MAIN WATER BEHIND UNIT #1
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 07/26/1993
PRIVATE FIRE PROTECTION - ABC TYPE DRY CHEMICAL EXTINGUISHERS AS REQUIRED BY
LOCAL FIRE CODES.
NEAREST FIRE HYDRANT - FIRE HYDRANTS ARE AVAILABLE OUTSIDE BLDG COMPLES.
NORTH OF UNITS 24 & 25 AND NW OF UNITS 13/14 & 15.
Building Occupancy Level
-6- 06/19/1998
TOTAL SAFETY INC SiteID: 215-000-000136
Fast Format
~ Training Overall Site
Employee Training 01/27/1997
WE HAVE 6 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ATTEND REGULARLY SCHEDULED
SAFETY MEETINGS. TOPICS'OF THESE MEETINGS WILL INCLUDE ROUTINE HAZ COMM
INFORMATION RELATING TO TSSI FACILITIES AND CUSTOMER FACILITIES. TRAINING IS
PROVIDED BY AREA OPERATION MANAGER AND/OR CORPORATE TRAINING MANAGER.
Page 2
-- Held for Future Use
Held for Future Use I
-7- 06/19/1998
STATEMENT DF ACCOUNT
CITY OF BAKERSFIELD
150i TRUXTUN AVE
BAKERSFIELD, CA 93301-5201
TO: TOTAL SAFET~ zN~,, : '.': :~"":.~:' -':::~-'¢U '
5880 DiSTRICT':'~D;':'S~E. 24.~'~';'"~':~'~:~,:~':',''~ ,: ,: ,, --L'
BAKERSFIELD, ,',CA' ~3313'~.-~.:"'.:~-' ' - ' ._ ....
- ~ CUS~TOMER TYPE' ES/ ~&49
uUETOMER NO: ,~,~ 3&43
.~.~ .... ~e~ ...........
5/0I/~8 BED, INNINO ~AL'ANC.E''' . O0
HHOOJ &/OJ/~ H~Z~ HAT' HANDL[~::FE[ ~ ~ ~ 73. O0
,B-~ATE MANDATED FEE
SSO0i 6/01/98 CA: S~ATE SURCHARGE 18. 50
FOR eUEST'jONS'OR' CHAN~ES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER ~0 OVER 60 OVER ~0
91. 50
DUE DATE' 7/01/98 PAYMENT DUE: 91. 50
TOTAL DUE: $91. 50
+ TOTAL~ ........ SiteID: 215-000-000136 +
Manager : BusPhone: (805) 833-1140
Location: 5880 DISTRICT BLVD 24 Map : 123 CommHaz : Minimal
City : BAKERSFIELD Grid: 15C FacUnits: i AOV:
CommCode: BAKERSFIELD STATION 13 SIC Code~:7353
EPA Numb: ~' -
Emergency Contact / -x=x=-~¢&¢ Emergency Contact / Title
/
TERRY WILSON SAA~~...'I~E /
Business Phone: (805) 833-1140x Business Phone: ( ) - x
24-Hour Phone : (805) 833-1140x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: ~. :~,~, .'S~ Press ImmHlth
IAgency-Defined Topic Title
4 ........ +
+= Hazmat Inventory One Unified List +
+== MCP+DailyMax Order All'Materials at Site +
~ t t + f ..... e .... +---+
I Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax lUnitlMCPI
~ ~ ~ ~ { + .... +___+
HYDROGEN SULFIDEi/BALANCE NITROGE P IH G 400 FT3 Ext
' COMPRESSED AIR - BREATHING QUALI P G 30000 FT3 Min
or print name9
attac~q,~o hazardous materials rnanage-
reviewed the ~ ' '~ '
,m~t p~an ~0 d that it along with
any ~rrections constitute a complete and corre~ man-
agemem plan for my facili~.
-- ' / Sig~a~re Dam
+ TOTAL SULFIDE SERVICES INC SiteID: 215-000-000136 +
+= Ingento~y Item 0002 Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME ........... += Days On Site =+
HYDROGEN SULFIDE/BALANCE NITROGEN I 365
Location within this Facility Unit I CAS#
HYDROGEN SULFIDE I 7783-06-04
4 ........ 4 .......
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE .....
I Gas I Mixture I Above Ambient I Ambient [ PORT. PRESS. CYLINDER
+: + ~== ~ ....... 4 .......
+: AMOUNTS STORED AND IN USE .......
I Lrgst C°nt'this L°c FT3 ] DailyMax this L°c FT3 I DailyAvg this L°c FT3 1400.00 240.00
+ .... ~ ~ ....
I DailyMax Stored FT3 I DailyMax Open Use FT3 I DailyMax Closed Use FT3 I
~ .......... + ........... q ======+
+ + HAZARDOUS COMPONENTS ...... +===4 .......
1.00 Hydrogen Sulfide (EPA) Yes 7783064
4 ~ :=====+===+== :=======+
+ ....... +===+ ...... + HAZARD ASSESSMENTS ===+ ......... + ........ + .... =+
TSecretlEHSlBi°HazINo No No Radioactive/Amount No/ Curies EPAp HazardsIIH NFPA/// I USDOT# I MCP IExt
........ +---+ ...... 4 + ~ ~
UFC Article 80 Control Zone: USDOT Hazards
In Cabinet? Sprinklered Area?
+ ..... MISC. LOCAL AGENCY DATA ........
Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4:
Ag.Defined5: Ag. Defined6: Ag. Defined7:
Ag. DefinedS: Ag. Defined9: Ag.Definel0:
+- Ag.Definell ................................... ~
2
+ TOTAL SULFIDE SERVICES INC SiteID: 215-000-000136
+= Invent0~y Item 0001 Facility Unit: Fixed Containers on Site
+== COMMON NAME / CHEMICAL NAME ........... += Days On Site
COMPRESSED AIR - BREATHING QUALITY I 365
Location within this Facility Unit I CAS#
N PORTION OF BLDG/N& NE OUTSIDE AREAS
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE .....
I Gas I Mixture I Above Ambient I Ambient I PORT. PRESS. CYLINDER
+ ......... ~ + ~: ~: =======+
+ AMOUNTS STORED AND IN USE ..... ==+
!1 Lrgst Cont.this Loc FT3 I DailyMax this30000.00Loc FT3 ] DailyAvg this 15000.00 Loc FT3
~ ...... ~- +
I DailyMax Stored FT3 I DailyMax Open Use FT3 I 'DailyMax Closed Use FT3 I
4 ....... 4 ...... 4 .......
+ ....... 4 HAZARDOUS COMPONENTS ........ +===+ .... =====+
· [EHS
1%Wt' lair ,No I CAS#
+ ....... + ...... ;=-~ .... +===4 .......
+ ....... +===+ ...... % HAZARD ASSESSMENTS ===~ .~ ..... + ..... ===+=====+
I TSoorot,EHS,BioHazl Radioactive/Amount EPA Hazards [ NFPA I USDOT# IMCP
No ~No ~ No No/ Curies P / / / Min
+ ~---~ ~ .-. ~-- ~-. ~
UFC Article 80 Control Zone: USDOT Hazards
In Cabinet? Sprinklered Area?
MISC. LOCAL AGENCY DATA ...... +
Ag. Definedl: Ag.Defined2: Ag. Defined3: Ag. Defined4:
Ag.Defined5: Ag. Defined6: Ag. Defined7:
Ag. DefinedS: Ag. Defined9: Ag.Definel0:
+- Ag.Definell --+
-3-
+ TOTAL SULFIDE SERVICES INC SiteID: 215-000-000136 +
~ '~ Fast Format +
+= Notif./Evacuation/Medical --- Overall Site +
+== Agency Notification 07/26/1993 +
BAKERSFIELD FIRE DEPT - NON EMERGENCY - 326-3911
BAKERSFIELD FIRE DEPT - EMERGENCY - 911
+=== Employee Notif./Evacuation 07/26/1993 +
EMPLOYEES ARE TRAINED IN HAZCOMM SESSIONS ON THE HAZARDS UNDER WHICH AN
EVACUATION OF THE FACILITY MAY BE REQUIRED. EVACUATION ROUTES ARE POSTED ON
DIAGRAMS LOCATED AT THE FACILITY.
+==== Public Notif./Evacuation 07/26/1993 +
ANY PUBLIC CITIZENS PRESENT AT THE TIME OF A RELEASE WILL BE INSTRUCTED TO
EVACUATE THE BLDG, IF NECESSARY, BY COMPANY PERSONNEL.
~ Emergency ,Medical Plan 07/26/1993 +
COMPANY INJURY AND ILLNESS POLICY ADDRESS THESE ISSUES.
GENERALLY, EMPLOYEES WOULD CALL 911, HOWEVER, TSSI EMPLOYS EMT QUALIFIED
PERSONNEL.
-4-
+ TOTAL SULFIDE SERVICES INC SiteID: 215-000-000136
+ .... =====~ .... Fast Format
+= Mitigation/Prevent/Abatemt Overall Site
+== Release Prevention 07/26/1993
COMPRESSED AIR/H2S/N2 CYLINDERS ARE STORED IN A SECURE MANNER.
+=== Release Containment 07/26/1993
COMPRESSED GAS HAZARDS ONLY. NO SIGNIFICANT CONTAMINATION CONCERNS DUE TO
LOW CONCENTRATION RANGES OF COMPRESSED GASES, I.E. H2S.
+ .... Clean Up 07/26/1993
ii DISPERSION IN AIR.
+ ..... Other Resource Activation ......
-5-
+ TOTAL SULFIDE SERVICES INC SiteID: 215-000-000136
+ .... ~=~===- Fast Format
+= Site Emergency Factors Overall Site
+== Special Hazards
I
+=== Ugiligy Shut-Offs 07/26/1993
A) GAS - N/A
B) ELECTRICAL - m,~ CORNER OF UNIT 24 - INSIDE WAREHOUSE
C) WATER - SW CORNER OF UNIT 24 - OUTSIDE BLDG
D) SPECIAL - MAIN ELECTRIC BEHIND UNIT 18, MAIN WATER BEHIND UNIT #1
E) LOCK BOX - NO
+ .... Fire Protec./Avail. Water 07/26/1993
PRIVATE FIRE PROTECTION - ABC TYPE DRY CHEMICAL EXTINGUISHERS AS REQUIRED BY
LOCAL FIRE CODES.
NEAREST FIRE HYDRANT - FIRE HYDRANTS ARE AVAILABLE OUTSIDE BLDG COMPLES.
NORTH OF UNITS 24 & 25 AND NW OF UNITS 13/14 & 15.
Building Occupancy Level ............ +
I
-6-
+ TOTAL SULFIDE SERVICES INC SiteID: 215-000-000136 +
~ .... ~='~-~- ....... Fast Format +
+= Training Overall Site +
+== Employ~ Training 07/26/1993 +
WE HAVE~EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ATTEND REGULARLY SCHEDULED
SAFETY MEETINGS° TOPICS OF THESE MEETINGS WILL INCLUDE ROUTINE HAZ COMM
INFORMATION RELATING TO TSSI FACILITIES AND CUSTOMER FACILITIES. TRAINING IS
PROVIDED BY AREA OPERATION MANAGER AND/OR CORPORATE TRAINING MANAGER.
+=== Page 2 :========+
+==== Held for Future Use ........ +
~ Held for Future Use ........ +
-7-
CITY'of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT 2101 H STREET
S. D. JOHNSON June 11, 1993 BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Total Sulfide Services, Inc.
5880 District Blvd., #4
Bakersfield, CA 93313
Dear Manager,
A fire inspection at your facility on June 1, 1993 revealed that you are required to
file a hazardous materials management plan and inventory. I have enclosed a set of the
forms you will need to complete in order to comply with this..requirement. The cover
letter with the forms explains which hazardous materials need t° be reported on the
inv, entory. T__h_e inspectors did spe_cify that you are storin,q reportalale quantities of
¢,gmpressed air a.n,d other miscellaneous compressed calibration ~t.ases.
These forms must be completed and submitted before July 11, 1993. Please
% contact me at 326-3979 if I can be of further assistance.
Sincerely,
~ ri. h- cl ~ Barbara Brenner
Hazardous Materials Planning Technician
cc: Ralph HUey
Captain Perry
O Bakersfield Fire Dept.
HAZARDOUS MATERIALS DIVISION
Date Completed / 'J'''~/t/-~- ~..~
Business Name: "~~ ~.~4.~--~ f~"-~/l~!
Location: ~-.~'~ ~ /-~/'.57'7~ c~T" /~L ~/
Business Identification No. 215-000 .(Top of Business Plan)x
StationNo. '/'~ Shift ~ /~' '"~""' ~,/-/"/~//~'/~
Inspector /-'/"~Z~
Adequate Inadequate
Verification of Inventory Materials
Verification of Quantities ~]
Verification of Location
' Proper Segregation'of Material
Comments:
Verification of MSDS Availablity
Number of Employees
Verification of Haz Mat Training
Comments:
Verification of Abatement Supplies & Procedures ~]
Comments:
Emergency Procedures Posted
Containers Properly Labeled ~ ~]
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
Correction Needed ~]
Business Owner/Manager
FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
MEMORANDUM
"WE CARE"
RECEIVED
TO: Barbara Brenner
,' JUN. 4.1995.
FROM: S. Perry, Captain 13-B
H.~7 ~Y. DIV.
DATE: 1 June 93
SUBJECT: Haz-Mat Referrals
1.) Southern California Air Conditioning ..... 1268
5850. District Blvd #4
(a) inventory of materials inadequate--
(1) Acetylene
(2) Oxygen
!3) Oxidizers
among materials not on inventory.
b) material, locations on facility map inadequate.
c) unable to produce or know location of MsDs.
d) n° posted emergency procedures.
e) facility diagram inadequate.
2. Total Sulfide Services, inc.
5880 District Bi. vd # 24
not. listed as a Haz-Mat business--
.(1) breathing air cylinders--numerous.
(.2.) compressed ~as cytinders--N.O.S. 1956.
(.3) hydrogen sulfide.
Please 'send the forms to be completed for fulfilling business
plan requirements.
3. ) Ace Sprinkler
5880 District Blvd # 25
(a) not listed as a Haz-Mat business--
(1 prop¥1ene ~lycol.
[ 2 nitrogen.
( 3 sultex.
MEMORANDUM
"WE CARE"
Please send the 'forms to be completed for fulfilling business
plan requirements.
TOTAL SULFIDE
SERVICES, INC.
P. O. BOX 91308 -- LAFAYETTE, LOUISIANA 70509
PHONE 318/233-7026
RECEIVED
June 30, 1993 rdUL .0.6.,.1993
IqAz. MAT. DIV.
City of Bakersfield
Fire Department
Hazardous Materials DivisiOn
2101 H Street
Bakersfield, CA 93301 · · -
Attn: Ms. Barbara Brenner
Re: Hazardous Materials Management Plan
Dear Ms. Brenner,
As requested through your letter dated June 11, 1993, I have completed and am submitting the
Hazardous Materials Management Plan you requested. Please review the plan I have submitted at
your earliest convenience, and do not hesitate to contact me at 318 233-7026, should you have
questions or need additional information.
Thank you for your assistance in this matter,
Paul H. Sew. all III
President
?
PHS/ps
Attachment
Hydrogen Sulfide
Safety -- Detection_-- Control
O Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Z BakerSfield, CA. 93301
ARDOUS MATERIALS MANAGEMENT'PLAN
1. lo avoid further action, return this form within 30 days of'receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH. -
3. Answer the questions below for the business as a whole.
4. Be brief Qnd concise as possible.
SECTION 1' BUSINESS IDENTIFICATION DATA
BUSINESS NAME: Total Sulfide Services, Inc
LOCAIION' 5880 District Blvd. # g~
MAILING ADDRESS: Same
'CIIY: Bakersfield $1AIE: CA ZIP: 93313 PHONE' 805 833-1140
~.~i~ ~t OZ- qq Io25'3
DUN & BRADSTREET NUMBER: Fed I.D. it 72-0907032 SIC CODE: "73,~',,~ /,gOgq
PRIMARY ACTIVITY: Industrial Safety Training and Services
OWNER' Paul H. Sewall III "
MAILING ADDRESS: P.0. Box 91308 Lafayette, Louisiana 70509
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1. James C. Shaw Operations Manager 805 ~833-1140 Same
Terry Wilson Sales/Service Manager 80]5 833-1140 Same
2.
~akersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS' MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: 4
MATERIAL SAFETY.DATA SHEETS ON FILE: Yes
BRIEF SUMMARY OF TRAINING PROGRAM:
Ail 'employees attend regularly scheduled safety meetings. Topics of these
meetings will include routine HazComm information relating to TSSI facilities
and customer facilities. Trai~i~g i{ prov~dej_~Z ~_r_~__p~eration M~nager and/or
'-'-~-~-~o~b~f~ t~{n~ ~a~e~'~'- '
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS, EXEMPT FROM THE
REPORTING REQUIREMENTS, OF CHAPT-ER 6~95'OF THE "CALIFORNIA HEALTH &
SA'FET?· CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS,
' WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
~- --~ .....':- .... TI MEEXC EE'D' TH E~ M I'N I'M=UI~ R E:P'O-RTI N G QUA'NTITIESi ................. ...... I
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, Paul H. Sewall ZZZ CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMIATION WlLL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUI 'I~ATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE Ih :O~I~ATI~NSTITUTES PERJURY.
· I,~ President 6-28-93
SIGNATd J:: TITLE DATE
590
Bakersfield Fire Dept.
Hazardous Materials Divi'sion
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name: Total Sulfide Services, Inc. "
SECTION 6:. NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
Bakersfield Fire Department - Non Emergency 805 326-3911
Bakersfield Fire Deptartment - Emergency 91~1
B. EMPLOYEE NOTIFICATION AND EVACUATION:
Employees are trained in HazComm sessions On the hazards under ~hich an
evacuation Of the facility may be required. Eva'cuation routes are posted
on diagrams located at the facility.
C. PUBLIC EVACUATION:
Any public citizens present at the time of a release will be
instructed to evacuate the building, if necessary, by company
personnel.
O. EMERGENCY MEDICAL PLAN: .,"
Company Injury and Illiness Policy addresses these issues.
Generally, employees would c'all.911, however, TSSI employs EMT
qualified personnel.
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMEN~T PLAN:
A. RELEASE PREVENTION sTEPS:
Compressed Air / H2S/N2 Cylinders are stored in a secure manner
)
-RELEASE-CONTAINMENT AND/OR MINIMIZATION:!'-
Compressed Gas Hazards Only. No significant c~ontamination concerns
due to low concentration ranges of compressed gases, i.e. H2S.
C. CLEAN-UP PROCEDURES:
Dispersion in Air'
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: N/A
ELECIRICAL: Nw Corner of Unit~4-- Inside Warehouse (See Diagram)
WATE'R .... sw Corner o~f-Unit~4 - Outside-~Building (See~ Di-agram)
LOCK BOX: YES~ · IF YES, LOCATION'
SECTION 9: PRIVATE FIRE.PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: ABC Type Dry Chemical Extinguishers as
required by local fire codes.
B. WATER AVAILABILITY (FIRE HYDRANT).: Fire' Hydrants are avilable outside
O~
: buliaing complex.
__ .. "" "BAK RSFIELD"CITY FIRE I PARTMENT-
HAZ]ARDOU S MATERIALS-
~ 2130'"G,' STREET ..
BAKERSFIELD, CA. 93301
'-' ~-- · (805) 326-3979
HAZARDOUS MATERIALS INVENTORY
FACILITY DESCRIPTION-.' '' ._. .-- . !'.
CHECK 1F BUSINESS IS AFARM [ ] .. .. /'
BUSINESS NAME- To.t-a']' 'Sulf'~'de Services, Inc.
FACILITY NAME Same
SITE. ADDRESS 5880 District ~lvd. #,?.q
CITY Bakersfield STATE· CA ZIP 93313
NATURE OF BU;SINESS' Industrial Safety Training and ',ervices '
SIC .CODE, DUN & BRADSTREE-F NUMBER" Federal I.D. {~ 72-000703?
OWNER/OPERATOR ?au1 H. Sewall ZIZ PHONE 318-233-7'026
MAIUNGADDRESS ~'.o. Box 9.1308
O[T~ '.,Lafayette STATE LA ZIP 70509
EMERGENCY- CO NTACTS
NAME James C. Shaw TITLE Area Operations Manager
BUS~NESS PHONE' 805 833-1140 2~-HOUR PHONE. same
NAME Terry Wilson TITLE' Sa-les '/ SerVice Manager
BUSINESS PHONE 805 833-11~0 24-HOUR PHONE. Same
BAKERSFIELD Cl.'D( FIREDEpARTMENT
" ' HAZJ OUS M. TERIALS INVEN' RY P.a'ge.~L.~fL
:
~usinessNarne Total Sulfide Services, Inc.. Address 5880 District Blvd Bakersfield, CA 93313
CHEMICAL DES N '
N~1ENTORY STATUS: New [~ Addition [ ] Revision [ ] Deletion[ ] V Check if chemic~ is s NON ~OE SECR~ ~] ~OE SECR~ [
CommonN~e: Compressed Air - Breathing Quality 3) DOTe (op[iona) UN1002
Chemi~ N~e: Air ' AHM [ ] CAS ~
PHYSICAL & H~L~ PHYSICAL H~L~
H~RO CA~GORIES Fire [ [ Read,ye { ~ Sudden Rele~e of Pressure ~ Immediate Heath (Acute) [. ] Delayed He~th (Chronic) [
WAS~ C~SSIF1CA~ON N/A .(~igit code from OHS Fo~ 8022) USE COOE 48
PHYSICALSTA~ Solid [ ]. Uquid [ ] G~ [~ Pure. [ ] Minute ~] W~te [ ] RadioactNe [ ].
M~mum O~ly Amount: 30.0:00 I~ [ ] ga [ ] ~3 ~ - a) Contmnec ' 04 -
Average Oaiy'Amoun(: 1' ~; RdO cudes [ ] b) Pressure: . ~
Annu~ Amount: ~ = OR~: 000 c) Temperature:
~gest Size ~ontane~ ~ ~ .
~ Oays On-Site 365 Circle_~ich Months:~AII Ye~ F, M, A..M, J. J, A, S, O, N, 0
CAS ~ % ~ AHM
9) MI~R~ Us[ Releas~ [
themreemos[h~dous ~) N/A Sudde~oMPONE~ Hazard Only
c~emi~ ~m~nen~ o~
~y AHM com~nenm ' 2).
3) [ 1
10) L~c~on Northern Portion o'f Buliding and North, and North g~t, O,,t~d~
/
.................. CHEMICAL DE~RI~ION
1) IN~ORY STA~S: New [~ Add,on [ ] Re,ion [ I .Oeie~en [ ] Check ~ chemic~ is ~ NON ~DE SEC8~ [~ ~OE SEC8~ [ ]
2) CommonN~e: Hydro~en Sulk&de / Balance N&togen 3)~T¢(optiona} ~ 1956 .,
Chemic~N~e: ~2S / N2 · -:¢' .AHM [.l C~S¢ 7783-06~04
&) PHYSICAL & H~L~ PHYSICAL H~L~
H~RO CA~GQRIES ~re [ ] Rea~Ne { ] Sudden Rele~e o~ Pressure ~ 'lmmedi~e He~th (Ac~e) [ ~ Delayed He~th (Chronic) [
5) WAS~ C~SSIFICA~ON {~i~it code ~om OHS Form 8022) USE COeE 54
6) PHYSICALSTA~ Solid [ ] Uquid [ ] G~. [~ Pure [ I M~ure~ [~' W~te [ I Radioac~e [ ~
7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES
M~i~ O~V A~o~.~: 400 ~s [ 1 ~ {l ~ ~l a) co.t~.ec 04
Average Omiy Amount: ~ cunes[ ] b) Pressure:
AnnuN Amount: c) Temperature:
~gest ~ize Can~ner: 2~
¢ Daw On s~e 365 Circte~ich Months:~A~Ye~ F, M. A. M, J, J. A, S. O. N, O
9) MI~R~ Mst COMPON~ ..... CAS ¢ % ~ AHM
themreemosth~=deus 1) lO00 ppm (.1%) Hydrogen Splfid¢ .,: 7783-OA-OA _1
chemi~ ~m~nenm or
~y AHM cam~nenm /'2} ['~
.............................................
3} ..... " -'
10) ke~ ...... Ins{de Shop"-See Diagram ~~=C~~~
...... ce~ u~er pe~ o~ law, mac J have pe~nmly ex~;n~ ~ ~ t~m~.w~m ~e m~oma.on suOm; oocumenm-~
Pa~ H. g~w~ll TTI ~ "