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Home My WebLink AboutBUSINESS PLAN 6/25/2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF ~PERMIT ON REVERSE SIDE ~ : ' * This ~ermit is issued for the following_: [] Hazardous Materials Plan [] Underground Storage of H=;;rdous Materials Permit iD #:: 015-000-000203 E] Risk Management Program KERN BUILDING MATERIAL1 [].mrdo-s LOCATION: 6201 DISTRICT BLVD OFFICE OF ENVIRONMENTAL' SER VICES · · .,.5' - 1715 Chester Ave., 3rd Floor Approved by: Issue Date Bakersfield, CA 93301 OfficeofEv~Serviees - Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: June 30.. 2003 NO~RTH SCALE: j./ BUSINESS NAME~ .-- . FLOOR: OF DATE: / / FACILITY N~IE: . UNIT ~: OF (CHECK ONE) SITE DIAGRI%[ ~/ FACILITY DIAGR.~M Inspector's Comments): -OFFICIAL USE ONLY7~ SITE D[AGRM4 (Requir liens)' 1. Address: ldentlf,! 9. Lock (ks: principle butldl'ngs by the Street numbers. 10. MSD8 Storage Box -* 2. ~t~eet(s). Alleys. Ii, Railroad Tracks Driveways, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. : b. Masonry 3. Store Drains, Culverts, Yard Drains c. Wood 4. Drainage Canals, Ditches. d. Gates Creeks, 13. Powerlines $. Buildings a. Frame construction 14. Guard Station b. Masonry construction 18. Storage Tanks: Identify the c. Metal construction capacity in gal. a. Above ground d. Access Doer b. Underground 6. Utility Controls a. Gas _ ~_16.-Olkll~g-or Berm -- ..... b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: - Identify the ?. Fire Suppression Systems; location where a. Fire Hydrants employees will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe 20. Outside Ha=ardous Connections Waterisl Storage d. Water Control Valves 21. Outside Hazardous for protection systems Material Use/Handling e. Fire Pu~p 22. Type of Hazardous Material/Waste Stored 8. Fire Departaent Access or Used (See ~elom) TYPE OF HAZARDOUS RATERtAL F - glasmable E - Explosive L - Liquid R - Radiologlcai C - Corrosive 0 - Oxidizer O - Oas P - Poison # - Water Reactive T - Toxic S - Solid 'B - Cryogenic Example: Flsuable 51quid - FL FACILITY DIAORA~ (Required items in addition to the, abo~e) Risers for 8prinklers S. Firm Escapee 2. Partitions 9. Air Conditioning Units 3. Stairways: Indicate the 10. Wind.s levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Waterials 3Sarape 5. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access 14. Sewer Drain Inlets 7. Skylights Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 INSP~:CTION.~DATE ~ INSPECTION TIME ADDRESS PHONE~-. ..... ~ o~-~'~y~- FACILITYCONTACT Business ID Number 15-021- 000 ~ 03 .... : ':: ~. . ~outine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V (C=ComplianCe~V=Violatio, ~ OPE~TION COMMENTS ~ ~ APPROPRIATE PERMIT ON HAND ~ ~ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ ~ VISIBLE ADDRESS ~ CORRECT OCCUPANCY ~ VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES ~ VERIFICATION OF LOCATION ~ ~ PROPER SEGREGATION OF MATERIAL ~ ~ VERIFICATION OF MSDS AVAI~BILIWE ~ ~ VERIFICATION OF HAT MAT T~INING ~ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PR~EDURES ~ ~ EMERGENCY PROCEDURES ADEQUATE ~ ~ CONTAINERS PROPERLY ~BELED ~ ~ HOUSEKEEPING ~ ~ F~RE PROTECTION ~ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY H~ARDOUS WASTE ON SI~?: ~ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLE,A~...~ CALL US AT (661) 326-3979 Sadge No. Business Site Responsible Party White - Environmental Set, ices Yellow - S~atior~ Copy Pink - Business Copy KERN BUILDING MATER'S SiteID: 015-021-000203 Manager : BusPhone: (661) 835-9533 Location: 6201 DISTRICT BLVD Map : 123 CommHaz : Moderate City : BAKERSFIELD ~%%%%~ Grid: 15C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09~%\~ SIC Code: EPA Numb:~' DunnBrad: Emergency Contact / Title Emergency Contact / Title BOB YORK / GENERAL MANAGER JERRY HILL / SALES Business Phone: (661) 835-9533x Business Phone: (661) 835-9533x 24-Hour Phone : (661) 832-1867x 24-Hour Phone : (661) 363-6239x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: 661) 835-9533x MailAddr: 7850 WHITE #149 LN E State: CA City : BAKERSFIELD Zip : 93309-7689 Owner KERN BUILDING MATERIALS Phone: (661) 835-9533x Address : 6201 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, J~-,z,z.v fl, ,.~Do her®by csr~i~y thai ~ have r~vi~s~ ~hs afl~ch~ h~r~ous ~m~rials manage- ~y ~i0~s ~ns~i~ a ~mpl~e ~ ~rr~ man- agemem p~an ~r my -1- 08~22/2003 KERN BUILDING MATERIALS SiteID: 015-021-000203 I R .CEIVED' Manager : { j Bu~ ~Phone: (805) 835-9533 Location: 6201 DISTRICT BLVD ! U[ ,l 0 2000 Ma]~ : 123 CommHaz : Moderate City : BAKERSFIELD -~]~ ~ GrlLd: 15C FacUnits: , i Aov: CommCode: BAKERSFIELD STATION 09 ~ Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title BOB YORK / GENERAL MANAGER JERRY HILL / SALES Business' Phone: (805) 835-9533x Business Phone: (805) 835-9533x 24-Hour Phone : (805) 832-1z0~x ;~67 24-Hour Phone : (805) ~x~Li~9 Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - , x MailAddr: 7850 WHITE #149 LN E State: CA City : BAKERSFIELD Zip : 933097689 Owner KERN BUILDING MATERIALS Phone: (805) 835-9533x Address : 6201 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat common Name... ISpecHazlEPA HazardsI Frm DailyMax IUnitlMcP PROPANE F P IH G 55.00 GAL Hi ~, ~:~-,,, ~,-~ ~o hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment plan ;or~'~,/~,//~/~,~,~;. and lhat it along with · (Name o! Buginess) ' any corrections constitute a complete and correct man- agernent plan for my facility. /// (,,; Signature Date -1- 07/05/2000 KERN BUILDING MATERIALS SiteID: 015-021-000203 = Inventory Item 0003 Facility Unit: Fixed Containers on Site ~v~vx~ ~vx~. / ~~_z**~.l.~ ~v~ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: BY OPEN WAREHOUSE CAS# 74-98-6 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GALI 55.00 GALI 55.00 GAL HAZ~.DOUS COMPONENTS %wt. I RS CAS# 100.00 Propane Yes 74986 HAZARD ASSESSMENTSI TSecretNo NoRS BioHazNo Radioactive/AmountNo/ Curies FEPAp HazardsiH NFPA/// I USDOT# HiMCP -2- 07/05/2000 ? F KERN BUILDING MATERIALS SiteID: 015-021-000203 Fast Format -- Notif./Evacuation/Medical Overall Site --Agency Notification 09/10/1992 CALL 911 Employee Notif /Evacuation 09/10/1992 ALARM FACILITIES. LEAVE BLDG AND FUEL STORAGE LOCATION. CALL FIRE DEPT. -- Public Notif./Evacuation 09/10/1992 ALARM FACILITIES ASK THEM TO LEAVE BUILDING AND FUEL STORAGE LOCATION. Emergency Medical Plan 09/10/1992 MEMORIAL URGENT CARE - 6501 MING AVE. - 397-4004. · 3 07/05/2000 KERN BUILDING MATERIALS SiteID: 015-021-000203 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 09/10/1992 FIRE EXTINGUISHERS AT CRITICAL LOCATIONS. TRAINING SESSIONS FOR SAFE HANDLING OF FUELSJ MOP UP ANY SPILLS. Release Containment 09/10/1992 PUT SAND AROUND SPILL TO CONTAIN. TURN OFF POWER TO STOP. -- Clean Up 09/10/1992 MOP UP ANY SPILLS AND CALL BAKERSFIELD SERVICE STATION REPAIRS TO FIX. Other Resource Activation 0v/05/2000 F KERN BUILDING MATERIALS SiteID: 015-021-000203 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs '04/03/1992 A) GAS - EAST SIDE OF OFFICE BUILDING 8 FT NORTH END B) ELECTRICAL - EAST SIDE OFFICE BUILDING 8 FT FRONT NORTH END C) WATER - 5 FT FROM SIDEWALK - 15 FT WEST OF EAST ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail., Water 04/03/1992 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - NORTH OF OFFICE 5 FT FROM SIDEWALK 10FT EAST OF WEST ENTRANCE. Building Occupancy Level 04/03/1992 B-2 o?/o5/2o0o KERN BUILDING MATERIALS SiteID: 015-021-000203 Fast Format ~ Training Overall Site -- Employee Training 07/31/1996 WE HAVE 20 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: INS CO DOES TRAINING ONCE A MONTH -- Page 2 --Held for Future Use Held for Future Use -6- 07/05/2000 07/16/~6~ KERN BUILDING MATERIALS 215-000-00 3 Overall Site with 1 Fac. Unit JUL 3 0 1996 General Information ~v..~? Location: 6201 DISTRICT BLVD Map:123 Haz:2 Type: 3 City : BAKERSFIELD Grid: 15C F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title IBOB YORK / GENERAL MANAGER JERRY HILL / SALES Business Phone: (805) 835-9533x Business Phone: (805) 835-9533x 24-Hour Phone : (805) 832-1043x 24-Hour Phone : (805) 833-8522x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 7850 WHITE LN #149 E D&B Number: City: BAKERSFIELD State: CA Zip: 93309-7689 Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: Owner: KERN BUILDING MATERIALS Phone: (805) 835-9533 Address: 6201 DISTRICT BLVD State: CA City: BAKERSFIELD Zip: 93313- Summary II. (.~¢_,tCcV' [-{ !~-~ Do hereby certify that I have -- (Ty~ ~ print name} revtev~ed the attached l~azardous materials manage- . V ,~/~, I J, ~,~and that it along with merit plan ~or ~-~ "~';. - -- (Name of Business} any corrections constitute a complete and correct man- agement plan for my ~acilityo 07/16/96' KERN BUILDING MATERIALS 215-000-000203 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 PROPANE Gas 55 High · Fire, Pressure, Immed Hlth GAL 02-001 GASOLINE Liquid 7000 Moderate · Fire, Immed Hlth, Delay Hlth GAL 02-002 DIESEL Liquid 7000 Low · Fire, Immed Hlth, Delay Hlth GAL 07/16/96 KERN BUILDING MATERIALS 215-000-000203 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 PROPANE Gas 55 High · Fire, Pressure, Immed Hlth GAL CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max GAL I Daily Average GAL I Annual Amount GAL 55 ~ 55.00 110.00 Storage ~~Press T Temp Location PORT. PRESS. CYLINDER IAmbient~AmbientlBY OPEN WAREHOUSE -- Conc Components MCP ---TGuide 100.0% IPropane IExtreme I 22 02-001 GASOLINE Liquid 7000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 7,000 ~ 3,500.00 15,000.00 StorageIIPress T Temp Location UNDER GROUND TANK IAmbientlAmbient137 FT S MAIN GATE -- Conc Components MCP ---~Guide 100.0% IGasoline IModeratel 27 02-002 DIESEL Liquid 7000 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL 7,000 ~ 3,500.00 15,000.00 StorageIIPress T Temp Location UNDER GROUND TANK Iambient~Ambient137 FT S OF E MAIN GATE -- Conc~ Components I MCP ---TGuide 100.0% IDiesel Fuel No. 2 IModeratel 27 07/16/96. KERN BUILDING MATERIALS 215-000-000203 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALARM FACILITIES. LEAVE BLDG AND FUEL STORAGE LOCATION. CALL FIRE DEPT. <3> Public Notif./Evacuation ALARM FACILITIES ASK THEM TO LEAVE BUILDING AND FUEL STORAGE LOCATION. <4> Emergency Medical Plan MEMORIAL URGENT CARE - 6501 MING AVE. - 397-4004. 07/16/~6' KERN BUILDING MATERIALS 215-000-000203 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FIRE EXTINGUISHERS AT CRITICAL LOCATIONS. TRAINING SESSIONS FOR SAFE HANDLING OF FUELS. MOP UP ANY SPILLS. <2> Release Containment PUT SAND AROUND SPILL TO CONTAIN. TURN OFF POWER TO STOP. <3> Clean Up MOP UP ANY SPILLS AND CALL BAKERSFIELD SERVICE STATION REPAIRS TO FIX. <4> Other Resource Activation 07/16/~6~ KERN BUILDING MATERIALS 215-000-000203 Page 6 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST SIDE OF OFFICE BUILDING 8 FT NORTH END B) ELECTRICAL - EAST SIDE OFFICE BUILDING 8 FT FRONT NORTH END C) WATER - 5 FT FROM SIDEWALK - 15 FT WEST OF EAST ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - NORTH OF OFFICE 5 FT FROM SIDEWALK 10FT EAST OF WEST ENTRANCE. <4> Building Occupancy Level B-2 07/16/96 KERN BUILDING MATERIALS 215-000-000203 Page 7 00 - Overall Site <G> Training <1> Employee Training WE HAVE 20 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: INS CO DOES TRAINING ONCE A MONTH <2> Page 2 <3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD DO NOT FORWARD ,,,',.~,. _ . I KEfiN 8UILOING MATEP, IAL 6201 DISTRICT' BLV'D BAKERSFIELD. CA 93313 08/18/92 KERN BUILDING MATERIALS 215-000-00020 ~ SEP 1 0.992 Overall Site with 1 Fac. Unit 8y General Information Location: 6201 DISTRICT BLVD Map: 123 Hazard: Low Community: BAKERSFIELD STATION 09 Grid: 15C F/U: 1 AOV: 0.0 i Contact Name i Title i Business Phone 24-Hour Phone~ BOB~ ~O~k ~ /~~ (805) 835-9533 x (805) 832-1043! JAMES HILL ~/~, (805) 835-9533 x (805) 833-8522/ Administrative Data Mail Addrs: 6201 DISTRICT BLVD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: Owner: KERN BUILDING MATERIALS Phone: (805) 835-9533 Address: 6201 DISTRICT BLVD State: CA City: BAKERSFIELD Zip: 93313- Summary 08/18/92 KERN BUILDING MATERIALS 215-000-000203 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay Hlth GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL Annual Amount GAL 10,000 I 5,000.00 1 20,000.00 Storage IIPress T Temp Location UNDER GROUND TANK IAmbient/Ambient137 FT S MAIN GATE -- Conc Components MCP .iList 100.0% IGasoline IModeratel 02-002 DIESEL Liquid 12000 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL Annual Amount GAL 12,000 I 6,000.00 ~ 50,000.00 StorageIIPress T Temp Location UNDER GROUND TANK I AmbientIAmbient137 FT S OF E MAIN GATE -- Conc Components I MCP. List 100.0% IDiesel Fuel No.2 IModerateI 02-003 PROPANE Gas 55 High · Fire,-Pressure, Immed Hlth GAL CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max GALI Daily Average GAL I Annual Amount GAL -- 55 i 55.00 110.00 StorageIIPress T Temp ~ LOcation PORT. PRESS. CYLINDER IAmbientIambientlSY OPEN WAREHOUSE -- Conc Component. s· MCP ---/List 100.0% IPropane IExtreme I 08/18/92 KERN BUILDING MATERIALS 215-000-000203 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 - <2> Employee. Notif./Evacuation ALARM FACILITIES. LEAVE BLDG AND FUEL STORAGE LOCATION. CALL FIRE DEPT. <3> Public Notif./Evacuation NONE LISTED la. <4> Emergency Medical Plan MEMORIAL URGENT, CARE - 6501 MING AVE. - 397-4004. 08/18/92 KERN BUILDING MATERIALS. 215-000-000203 Page 4 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FIRE EXTINGUISHERS AT CRITICAL-LOCATIONS. TRAINING SESSIONS FOR SAFE HANDLING OF FUELS. MOP UP ANY SPILLS. <2> Release Containment <3> Clean Up <4> Other Resource Activation 08/18/92 KERN BUILDING MATERIALS 215-000-000203 Page 5 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST SIDE OF OFFICE BUILDING 8 FT NORTH END B) ELECTRICAL - EAST SIDE OFFICE BUILDING 8 FT FRONT NORTH END C) WATER'- 5 FT FROM SIDEWALK - 15 FT WEST OF EAST ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE.EXTINGUISHERS FIRE HYDRANT - NORTH OF OFFICE 5 FT FROM SIDEWALK 10FT EAST OF WEST ENTRANCE. <4> Building Occupancy Level B-2 08/18/92 KERN BUILDING MATERIALS 215-000-000203 Page~ 6 .. 00 - Overall Site <G> Training <1> Page 1 WE HAVE 20 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: INS CO DOES TRAINING ONCE A MONTH <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use HAZARDOUS MATERIALS INVENTORY _ ~ Fam and Agriculture ~ Standard Busineaa ',:' Page. . o.~ . NON - ~E SEC~T .LOCATION: ~ ~,9~ F/~ ~D~SS: ~Z~ D/~ ~y~. !~ ST~ IND..C~SS CODE: CITY, ZIP:~ ~Y3/2 CITY, ZIP: ~.~,$,.=~ 6~ ~,-~ ~ D~ ~D B~ST~ET ~BER/FEDE~ ID .~ ~ ~ INS~U~IONS ~R PROP~ ~DES: '' I 2 3 4 5 ~ 7 8 9 10 11 12 13 14 ~8 ~e ~ Avers ' ~nual asure ~ Days Con~ Cont Cont Use ~cat[on ~e~ % ~ N~8 of M~ure/C~nen=s Code C~e ~2 ~ ~t U~ts on Site ~ Press Te~ Code S~red ~n Facility ~ See Inst~ct~ons ~ ~ ~ ~ ~ ~ ~ / C°~onent ~ 2 N~ & C.A.S. N~er . ~ Fi~ Hazed ~% Sudden ~~ R~ivity ~I~ate ~ Delay~ · '" :" ' . ~~ure ~ H~lth · H~lth ? Co~onen~ 9 3 N~ & C.A.S. N~er Ix I ' I Y' ~ ~ F~ Hazed ~ Sudden ~lease ~ R~ct~vlty ~I~ia~ ~ Dela~ ~' . ' , · ~ .~ of Pressure H~lth H~lt~ ' Co~on~t ~ 3 N~ ~ C.A.S. N~ Ph~tcal and H~lth Hazard C.A.S. N~er Co~onent ~ i N~ & C.A.B. N~er (Check all t~t apply) .. of Pressure H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~ (Check all ~ apply) . Co~onent ~ 2 N~ & C.A.S. N~er of Pressure H~lth H~lth Co~on~t 9 3 N~ & C.A.S. E~RGENCY C~TACTS ~1 %2 '' N~ Title 24 ~. Phone N~e Title 24 ~ Phone C~t~ficat~on (~ ~D SIGN AFTER COMPLETING ~L SECTIONS) I c~tify ~der p~lty of law t~t I ~ver ~rsonally ~in~ ~d ~ f~li~ with the info~ation su~itted in this ~d all ettached d~ts ~d ~at ~sed on ~ in~i~ of those ?~nd~v~d~ls res~le for obtat~ng the ~nfo~t~on. I believe tha~ the su~itted ~nfo~ation ~s t~e, acc~ate, and c~plete. ',N~'~ OFFICI~ T~ OF ~OP~R OR ~OP~R'S A~D ~P~S~I~ ~ SI~ 03/1¢/90 KERN BUILDING MATERIALS 215-00 00203 Page 1 Overall Site Nith 1 Fao. Unit General Information l Looation: 6201 DISTRICT BLVD Map: 123 Hazard: Low ] Ident Number: 215-000-000205 Grid: 15C Area of Vul: 0.0 1 . Contact Name , -i Title i , Business Phone i 24 Hour Phone~ BOB YORIS I (805) 855-9533 x [(SOS) 832-104.3/ %TS'/E '..,]!LL~F~MS 1(805') ~ x (805~ 831-8795/ Administrative Data Mail Addrs: 6201 DISTRICT 8LVD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: Owner: KERN BUILDING MATERIALS Phone: (805) 835-9533 Address: 6201 DISTRICT BLVD State: CA City: BAKERSFIELD Zip: 95515.- Summary I, ~/.~ ~_=~ . H; ~1 'Do hereby certify that I have ~typo or I)ftnt i~me) .... reviewed the ~ached hazardou~ materials manage- ment plan for ~,,~,, ~,~,'.1~/:.~/,~-~and that it a!ong with any corrections constitute a complete and correct man- acjement plan for my facility.. 05/14/90 KERN BUILDING MATERIALS 215-000-000205 Page 2 Hazmat Inventory List in MOP Order 02 - Fixed Containers on Site Pin-Ret Name/Hazards Form Quantity MOP o2-ooi GASOLINE Liquid /0,000 Moderate Fire, lmmed Hlth, Delay Hlth GAL 02-002 DIESEL Liquid i2~000 Low Fire, lmmed Hith, Delay Hith GAL 03/14/90 KERN BUILDING MATERIALS 215-00 0203. Page 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 GASOLINE Liquid 10000 Moderate Fire, Immed Hlth, Delay Hlth GAL CAS ~: 8006-61-9 Trade Secret: No Form: Liquid Type= Pure Days: 365 Use: FUEL Daily Max GAL i,-- Daily Average GAL -- -T--- Annual Amount GAL lO,COO I s,ooo I o,ooo Storage T Press/ ~ Temp -] Location UNDER GROUND TANK /AmbientIAmbient137 FT S MAIN GATE -- Coho --I Components T-- MOP --TList 100.0~IGas°line IModerateI 02-002 DIESEL Liquid 12000 Low Fire, Immed Hlth, Delay Hlth GAL CAS ~: 68476-54-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL I - Daily Average GAL ----F--Annual Amount GAL -- i ,ooo I 6,000 I so,coo Storage ]-Press TATernp ~ Location UNDER GROUND TANK IAmbient mbien FT S OF E MAIN GATE -- Coho --I Components ]--MCP 100~02 Diesel Fuel No.2 JLow 05/14./90 KERN BUILDING MATERIALS 215-000-000205 Page O0 - Overall Site <D> Notif./Evaouation/Medioal <1> Agency Notifioation CALL 911 <2> Employee Notif./Evaouation ALARM FACILITIES. LEAVE BLDG AND FUEL sTORAGE LOCATION. CALL FIRE DEPT. <3> Public Notif./Evaouation NONE LISTED <4> Emergency Medical Plan MEMORIAL URGENT CARE - 6501 MING AVE. - 397-4004. 05/14./90 KERN BUILDING MATERIALS 215-00 0203 Page 5 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FIRE EXTINGUISHERS AT ORITIOAL LOOATIONS. TRAINING SESSIONS FOR SAFE HANDLING OF FUELS. MOP UP ANY SPILLS. <2> Release Containment <3> Olean Up 4:4> Othem Resource Activation 05/14/90 KERN BUILDING MATERIALS 215-000-000205 Page 6 O0 - Overall Site <F> Site Emergency Factors <1> op~oial Hazards <2> Utility Shut-Offs A) GAS - EAST SIDE OF OFFICE BUILDING 8 FT NORTH END B). ELECTRICAL - EAST SIDE OFFICE BUILDING 8 FT FRONT NORTH END C) WATER - 5 FT FROM SIDEWALK - 15 FT WEST OF EAST ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Proteo./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - NORTH OF OFFICE 5 FT FROM SIDEWALK lOFT EAST OF WEST ENTRANCE. <4> Held 'for Future use 05/14/90 KERN BUILDING MATERIALS 215-oo 00203 Page 7 O0 - Overall Site <G> Training <1> Page 1 WE HAVE ',~,? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY ,of BAKERSFIELD Fare andAg~iculture [] $~andard Business [~'HAZARDOUS. MATERTALS TNVENTORY ¢ ' NON--TRADE SECRETS -- LOCAT]0N; ~¢-~g3) ' 7)~ic+ ~/~fY ADDRESS: ~/. [)~_..~,.~.~,,.rH t"blO,~. STANDARD :[NB. CLASS ODE: ....... CITY. ZIP;. - ~'~-:-~-J;.-I~l '' r-:/',~A~, CITY.~HCE ZIP' l%o'~,s~elcl, - -ct~/_5 DUN AND BRADSTREE! NUHBER ........................... I 2 3 4 5 S i 8 9 I0 II 12 13 Irons ~y~e ~x ~vfrHe ~nnunl ~e~ur, I~ ~on~ ~o,~ Cent Us toc~tion.ihec~. %v~y N~mes of ~ixture/~o~ponents . ~ress . ~ype ' / I I Physical ,~d ~e~l~h H,l,rd ~.A.S. ~,~r ~o,~o,e,l Ii ~e I ~.~.S. (Check Al/ th, t ~ Hazard U Reactivity _ D' Delayed ~dden Release ~[~i~C°'p°nenL 12 Name lC.A.S. Humber Hea Ith of Pressure Componen~ 13 Name t C.A.S. Humber M I I I I' I I I I I I ICheck 41/ that Apply) : Componen~ N Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Hea/th of Pressure Health Component 13 Name I C.A.S. Number Co~ponenL I~ Hame I C.A.S. Humber U Fire H~zard U Reac[ivity U Oelayed ~ Sudden Release U lmm~di~.t~ Hea/Lh of Pressure Health Componen~ 13 Name I C.A.S. Number .Physical ~nd Health Ualard C,A.S. Number Component II Nam8 I C.A,S. Number ICheck al1 that app/ll Component 12 Name I C.A.S. Number D Fire Hazard ~ Reactivity D Delayed ~ Sudden Release ~ Hea ICh of Pressure Component 13 Name I C,A.S. Number EMERGENCY CONTACTS fll Name If Cie 24.~r PhOne ~ame Title ~l~r Phone ertifi atio Re and i naf r cpm 1 Cf g all c ions) at'~acned.dgcgment~, lfl~ t~ac oAseo on.my Inqulr~ ~t.cnose InOlVlOUl/S responsible lot obtaining the lnlormAcion, I believe thac the sueml~eo ifllormacIon IS crum, Iccurace, A~Q complete, ~~~l~ of o,~er/oper~tor u~ ounerloper~tot's au~horized re~resenhHv~ ~ure ~ '- O-tMMP P LAN$~MAP SITE DIAGRAM" FACILITY DIAGRAM !--I .' Area Ncr-~h Name ~f Arsa: 2130 "G" STREET " BAKERSFIELD, CA 93301~ J0i~ 1 ~ ~98~ (805) 326-3979 Ans'd ............ OFFICIAL USE ONLY USINESS N~E HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3.-Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. / SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: ~/a IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE .... .... ..................... '- SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...- .................................... ~ NO ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~Y~ NO Y(~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ ~ >bilk E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES N~9,/ YES SECTION ?: HAZARDOUS MATERIAL CIRCLFfyE~ ORNO ........... DOES YOUR BUSINESS HANDLE HAZARDOUS rVIATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF,,.A.% SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~ I. ~Oe~4,~a~ ~.~/xk,~ , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 2§$00 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY iD~ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACII, ITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. SECTION 1: MITIGATION) PREVENTIONt ABATEMENT PROCEDURES .SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY '- SA - /< / /, SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this'Facility Unit contain Hazardous Materials? ' GES) N0 If YES, see B. If NO, continue with SECTION 4, B. Are any of the hazardous materials a bona fide Trade Secret YES If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION $: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS A. NAT. ' ~'~' GAS/PROPANE: B. EBECTRICAL: C. WATER: j~ '-'- ........ ~ ' , / / , D. SPECIAL: E. LOCK BOX: YES IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4^-~ P~g~ _A_ of .J NON--TRADE SECRETS HAZARDOUS MATERI ALS T NVENTORY BUSINESS NAME:/'~/, e,~/L],_ OWNER NAME: ADDRESS: /~01 ~/~~u~'' ADDRESS: FACILITY UNIT NAME: ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE C00E FACILITY UNIT ~ WT. CHEMICAL OR COMMON NAME CODE GUIDE ' AFTER BUS HRS: EME'R8%NCY CONTACT: ~o~ zXS~ TITLE: ~~e PHONE ~ BUS HOURS: