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HomeMy WebLinkAboutBUSINESS PLAN x,~- H~IblP' P 5IAP aS(o, ~ SITE DIAGRAM ['l ILITY, DIA.GRAM ~' RECEIVED .... ", 'J~L 1 0 1990 ~::._~ :~=~: HAZ, MAT. DIV, - ' / 0 Bakersfield Fire t. ~ H~zardons:Materials Inspecti6n .............. Date Completed /~2 - ~'- 5~ (o Business Name : ~? r ~o,~d~ ~f~.~ Plan ID # 215:000 ~0~ ~{Top ~ght comer Business Plan) Station No. ~ S~ ~ Inspector ~ ~ { ~' ~~ ~ Adequate Inadequate Verification of Invento ~ ~ Verification of Quan& X~ ; ~ ~ ~ VeHfi SDS ~ ~ N~ber of E~ployees Verification of Haz Mat Trai~n~ ~ ~ Ve~cadon of Abatemem Supples & Procedures ~ ~ Comments: Emergency Procedures Posted [-~ [~ C9ntainers Properly Labeled [--] [--] Comments: ~ Verification of Facility Diagram [--] [-~ -~ Special Hazards Associated with this Facility: Violations: FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow:Station Copy Pink-Business Office '~' ./ 09'/03/93 GARYS HONDA REPAIR 215-000-000686 Page 1 Overall Site .With 1 Fac. Unit General Information .-Location: 4040 EASTON DR 8 Map: 102 Hazard Low Community: BAKERSFIELD STATION 03 Grid: 35A F/U: 1 AOV: 0.0 Contact Name Title/l Business Phone 24-Hour Phone- GaRY WANAGITIS O%~4A~-~ (805) 395-3117 x (80%) Administrative Data .Mail Addrs: 4040 EASTON DR #8 D&B Number: citY: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 7539 · Owner:-GARY--WAN~GTT~S ......................... ? ........ Phone:( Address: 5901 DIAMOND OAKS State: CA City: BAKERSFIELD · Zip: 93306- Summary RECEIVED '$EP 1 5 HAZ. MA~' .reviewed the attached hazardous materials ment plan for~/"~c-~'~,/~s ~c~,,z:[(jand that it along with .... (Narn~ of Busiriess) any corrections constitute a complete and correct man- agement plan for my. facility. 09/03/93 ~GARYS HONDA REPAIR 215-000-000686 ,Page 2 Hazmat Inventory List in McP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 WASTE OIL Liquid 55 Low ~ Fire, Delay Hlth GAL · 09/03/93 GARYs HONDA REPAIR 215-000-000686 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 WASTE OIL Liquid . 55 Low ~ Fire, Delay Hlth GAL CAS %: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL I Daily Average GAL ] Annual Amount 175.00 GAL -- 55 ~ 30.00 Storage I Press T Temp Location DRUM/BARREL-METALLIC I/unbientl~ientlEAsT WALL ----~Conc .... Components ~ MCP ---TGuide- 100.0% IWaste Oil, Petroleum Based ILow ! 27 09/03/93 GARYS HONDA REPAIR 215-000-000686 'Page 4 00 - Overall Site <D> Notif./EvacuatiOn/Medical · <1> Agency Notif~ication CALL 911 <2> Employee Notif./Evacuation VERBAL AND CALL 911. <3> Public Notif./Evacuation sMALL BUSINESS NO EMPLOYEEs, MOST PEOPLE DROP THEIR CAR'S OFF FOR THEM'TO BE WORKED ON. NO NEED FOR PUBLIC EVACUATION. <4> Emergency Medical Plan MERCY HOSPITAL - 22i5 TRUXTUN AVE - 327-3371. 09~03/93 GARYS HONDA REPAIR 215-000-000686 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention WASTE OIL IS IN A DRUM WITH A LID ON-IT. IT DOES NOT EXCEED 35 GALLONS. DRUM OF WASTE OIL IS ON ROLLERS BUILT BIGGER SO IT CAN HANDLE DRUM. <2> Release Containment <3> Clean Up IF OIL SPILLED, I WOULD CLEAN IT UP WITH OILSORB AND STORE IN CONTAINER UNTIL WASTE OIL DISPOSAL TRUCK ARRIVES AND TAKES IT-. <4> Other ReSource ActiVation 09/03/93 GARYS HONDA REPAIR 215-000-000686 Page 6 00 - O~erall Site <F> Site Emergency Factors ~ <1> Special Hazards <2> Utility Shut-Offs A) GAs - NONE B) ELECTRICAL - ROOM ATTACHED TO SUITE 1 C) WATER IN FRONT OF BUILDING TO THE SOUTH D) SPECIAL~- NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water .PRIVATE FIRE PROTECTION'- 2 FIRE EXTINGUISHERS FIRE HYDRANT - ON EASTON DR. ,' 35 FEET' SOUTHWEST OF MY DRIVEWAY <4> Building Occupancy Level 09/03/93 GARYS HONDA REPAIR 215-000-000686 Page 7 00 - Overall Site <G> Training <1> Page 1 OWNER OPERATOR SHOP. TRAINING COMES FROM HAZARDOUS MATERIAL INFORMATION SHEETS FROM CHEMICAL MANAGEMENT. <2> Page 2 as needed <3> Held for Future Use Held for Future Use :,",?' CITY of BAK£RS?IELD i.:~-. :~'"'-,~.,~)o~) ' "~,['"E CARE" ..... ~. '"~li~ ' (t~/~e "or prin~ame ~CEIVED Do hereb~~ certify that I have reviewed the FEB 2 ~1989 . .. (name of business) -.' and that it along with the attached additions .' · or correc'%iens con.stip, utea com,~,l=t=~-:~-~d ~o~'~-'=~'~ , "~ ....... ~ ~--~__,----~ .... ~:z~-:~=~ .... ~.- ....... ~- - ....... ,~ 11'2 .~ ~. ~ ........ _ ~* ~ - Business Plan .for my facility. ,~ - - /sl~na~ur.e - /- date ' BUSINESS NAME GARYS HONDA REPAIR ID {ER 215-000-000686 LOCATION 4040-8 EASTON DR HIGH HAZARD RATING 2 1 . OVERv I EW LAST CHANGE 09/30/88 BY ESTER JURIS CODE 215-003 JURIS BAKERSFIELD STATION 03 ~.MAP PAGE 102 GRID· 35A FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) I HAVE THE PROPER AMOUNT OF FIRE EXTINGUISHERS AND ONE FIRST AID KIT. BAKERSFIELD FAMILY MEDICAL CENTER IS ONLE BLOCK AWAY. EMERGENCY CONTACTS 2A SEC 2) GARY WANAGITIS - 395-3117 OR 871-8190 UTILITY SHUTOFFS 2A SEC 31 A) GAS - NONE B) ELECTRICAL - ROOM ATTACHED TO SUITE 1 C) WATER - IN FRONT OF BLDG T~ THE SOUTH DI SPECIAL - NONE E) LOCK BOX -'NO 2 . NOTIFICATION / PUBLIC EVACUATION < NO INFORMATION RECORDED FOR THIS SECTION .> PAGE 1 12/28/88 12:10 .MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME GARYS HONDA REPAIR ID BER 215-000-000686 LOCATION 4040-8 EASTON DR HIGH HAZARD RATING 2 .3 . HAZ MAT TRAINING SUMMARY ~ ---- < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE .......... L-~S'T--CHANGE--09/30-/88 BY ESTER ? 2A SEC 5) MERCY HOSPITAL - 2215 TRuXTUN AVE - 327-3371. PAGE 2 12/28/.88 1.2'1'0 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 '~b~sINESS NAME GARYS HONDA REPAIR ID B 215-000-000686 LOCATION 4040-8 EASTON DR HIGH HAZARD RATING 2 FACILITY UNIT 01 '' /A . OVERALL HAZARDOUS [VIATERIALS INVENTORY LAST CHANGE 09/30/88 BY ESTER ID TYPE NAME ' MAX AMT UNIT HAZARD LOCATION CONTAINMENT ~ USE 1. WASTE WASTE OIL 55 GAL UNKNOWN - SE CORNER DRUMS OR BARRELS MET.. WASTE ID PERCENT COMPONENTS HAZARD LISTS 1598.00 100.0 WASTE OIL UNKNOWN B . FIRE PROTECTION / WATER SUPPLIES' PAGE 3 12/28/88 12:10 · MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUgIN~ESS NAME GARYS HOND~"' REPAIR ID :R 215-000-000686 LOC~,TION · 4040-8 EASTON DR HIGH HAZARD RATING 2 · ? . EMPLOYEE NO.TIFICATION / EVACUATION /-' LAST CHANGE 09/30/88 BY ESTER 3A SEC 2) 'VERBAL AND CALL 911. E . ,MITIGATION / PREVENTION / ABATEMENT ,. LAST CHANGE 09/30/88 BY ESTER 3A SEC 1) WASTE OIL IS IN A DRUM WITH A LID ON IT. IT DOES NOT EXCEED 35 GAL. PAGE 4 12/28/88 12:i0 MATERIAL 'SAFETY DATA SYSTEMS, INC. (805) 648-6800 .. " CITY of BAKERSFIELD' PHONE ~: ' - ~c~-~//~ '~ PHON~ ~: ~~' ' ' t ~ ] I S S 7 t t I0 I1 ' .: ' 1~ (~e C~e Mt Mt Est Un*ts m Site T~ ' ~ · T~ ~ .. St~ tn FKtllty I (C~k ~ll t~t a~ly) ' ' ~Fire Hazard ~--~ R~t~vlty ~--~ ~lo~, ~--~ ~ bi~ ~J i~tote ~lth of P~ ~lth r--~ ~ -- r--~ ~t ~ ~&'C.A.S. ~ · ~lth of ~ ~lth __L,[ ....... L .......... 1 I I .. I ! l t.. I .. ..... (.C~k all t~t - r--* r--a -- -- ~t I~ Nm&C.A.S. ~ H~lth of Pmsu~ ~lth ~t 13 ~iC.A.S.~ H~ith of Pr~SUre H~lth Clrttficati~ (Read and si~ after colpJetjnR al] sections) certtfy ~r ratty Of lw t~t I ~ve ~rsmallyexamn~ ~ a. fN~lilr vith t~ tnforMtim su~itt~ tn this ~ all IttKi ~tl. 2130 'G" STREET ' ' (805) 326-3979 JUL l~ 1987 OFFICIAL USE ONLY ID~ USIN SS N~E ~ ~-' .... HAZARDOUS MATERI ALS,' AS A 1. To avoid further action, return this for~ b~ 2. TYPE/PRIST ASS~ERS IS ESGLISH. 3. Answer the questions belo~ for the buslness as a ~hole. 4. Be as brief and concise as possible. In case o~ an e~erge~cy involving the release o~ threatened ~elease o~ a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will,~otify , Your local fire department and the State Office of Emergency. Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF' EMERGENCY: DURING BUS HRS'. -~-AFTER' BUS~ HRS SE~TIO~ ~: LO~ITIO~ OF ~I[I~ S~-OFFS FOR BUSI~SS ~S A ~OLE 'A. NAT. GAS/PROP~E: ~AI~ , ' . ,~CTION 4: PRIVATE RESPONSE TEA1W FOR BUSINESS AS A WHOLE · S~TION 5: LOCAL E~RGENCY ~EDICAL ASSIST~CE FOR YO~ BUSINESS AS A ~HOLE ( SECTION 6: EMPLOYEE T~INING E~PLOYERS ARE REQUIRED TO HAVE A PROGRA~ ~HICH PROVIDES E~PLOYEES ~ITH ISITIAL REE~_SHER__T. RAIN. IN, G ~N__~E~F. OLLOWI~ A~EAS-- ~'- - C~RCLE YES OR NO .- INITIAL REFRESHER A. ~ETHODS FOR SAFE HASDLI~G OF H~RDO~S ~TERIALS:...: .................................... YES SO YES B. PROCEDURES FOR COORDInATInG ACTIVITIES ~ITH RESPONSE AGENCIES YES SO YES C. PROPER USE OF SAFETY EQUIPMENT:.. ................ YES N0 YES NO D. E~ERGENCY EVACUATION PROCEDURES: ................. YES NO YES NO E. BO YO~ ~ISTAI~ E~PLOYEE TRAISISG RECORDS: ....... YES SO ~ YES S0 ,SECTION ~: ~Z~OUS ~TERI~ gOES YO~BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LEAS. THAN 500 POU~F' A g0LID, 55 GALLONS OF A LIQUID; '0R 200 CUBIC FEET OE 'A~kCO~PRESSE~ GAS: ...... ~ NO {; Grw ~/~qQiPI~ , qert~fy that the~format~on is accurate. ~.understan~tha~ this ~for~ation ~ili be used to fulfill my firm's obligations under the ne~ caiifornia Health and Safet~ code °n. Hazardous ~aterials (Div. 20 Chapter S~e. 25500 Et ~1.) and that inaccurate information constitutes perjur~. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G'~ STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSI NESS PLAN SINGLE FACI LI TY UNIT FORM 3A INSTRUCTIONS .1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Ans~er the questions belo~ for THE FACILITY UNIT LISTED BEI. OW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# (~ FACILITY UNIT NAME:G('J,~/,'5 ~0~1£~6L C_Or ~Lp(~j tx SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain'Hazardous Materials? ...... YES NO If YES, see B. If NO, continUe with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form e4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade ~ec'b~et form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 8: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPAN~ B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES ./ NO FLOOR PLANS? YES / NO KEYS? .YES / NO - 3B-. ...... 'BAKERSFIELD 'CITY FIRE DEPARTMENT ........ I.D. # FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERX ALS ]Z NVENTORY · CITY, ZIP: ~;~. - ~Z]3mq' CITY,ZIP: ~C,I<. q~0~ ' PHONE {: .~{~.~/1~ PHONE t:,,, -~[' ~/~- ' IOFFICIALONLY USE CFIRS CODE 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 CODE FACILITY UNIT , WT. CHEMICAL OR COMMON NAME CODE OUIDE EMERGENCY TITLE: ~~- /-P~OdE ~/BUS HOURS:3q~%]ll7 ~ ~r~d ~,~ ..s ..~: ~,- ~ ~'o. EMERGENCY CONTACT: ~O~ FO~k{ TITLE: , . PHONE * BUS HOURS:~.-~9~ PRINCIPAL BUSINESS ACTIVITY:' ' ~ ~~ AFTER BUS RES: - 4A-1 -