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Home My WebLink AboutBUSINESS PLAN Hazardous· Materials~azar. dous ~ w'aste Unified permit .CONDITIONS:~OF'.PERMIT ONREVERSE SIDE ~ ~ ' This _hermit is issued for the ~llo~n~: ~ H~Mous ~teHals P~n " ~ U~e~round Storage of H~Mous ~als Permit ID ~:: 015-000~00477 ~ Risk Manage~t P~mm JOHNSTONE SUPPLY OF BAI ~ H~ousWasteO~item~t LOCATION: 300 GOLDEN STATE 1ELD Issued by: Bakersfield Fire Department ' '. c~ OFFICE OF ENVIRONMENTAL SERVICES' . · 1715 Chester Ave., 3rd Floor ' 'Approved by: Issue Date D Bakersfield, CA 93301 OfficeofEv~Services ~ Voice (661) 326-3979 FAX (661)326-0576- Expiration Date: Jl~lle 30.. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ....... ,~,~,~,~,,~?'?:~.~"~.:~"i:~'".~,~,~!~,~,~ ......... This permit is issued for the following: LOCATION 300 GOLDEN S · ":~[;;,~.' ..,~ .=.' ..-' ~:.' ..., B~er,field Fke D~a~ment Approv~ by: O~ICE OFE~RON~AL S~ 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93301 Voice (805) 3~979 F~ (80S)~6-0S76 Expiration Date: dun~ ~O~ ~OOO sITE DIAGRAM ~ FACILITY DIAGRAM ' ::, - ............ .................... For Office IJse Only First In Station: Area Map # /' of / Inspection Station: NORTH ~/'~'~ Doo~ I ~/' 0~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACiLiTYNAME,),0'g{M~f-o~c f,..,ffc'( Otc: INSPECTION DATE ADDRESS YOO gOtO ~ 5'-F;nTt PHONE NO. ~ [ - [ / O C.) FACILITY CONTACT ~o6'~-£.7'- ,~-.Fdt~ ~ BUSINESS ID NO. 15-210- O"OOq'~7 INSPECTION TIME Z.O. ~x t'o,x, NUMBER OF EMPLOYEES (.~ Section 1: Business Plan and Inventory Program dRoutine [~ Combined [~ Joint Agency ~ Multi-Agency ~.~ Complaint [~] Re-inspection OPERATION O V 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 availability ~/ ! Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate V Containers properly labeled Housekeeping Site Diagram Adequate & On Hand v/ ,~,/ C=Compliance V=Violation__/,. Any hazardous waste on site?: ~] Yes ~]~o Explain: ' Questions regarding this inspection? Please call us at (661) 326-3979 ' Busit{ess Site R~pt~n~l~le PaX'try CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ,?ofit,'-'S'T~ .~Ot'PL~r Off INSPECTION DATE ADDRESS ~00 (oOLP~' .~-Pc-Ft. PHONE NO. ~g { - FACILITY CONTACT..fi'fl/t_t..- ~,'4~--tp,4' BUSINESS ID NO. 15-210- INSPECTION TIME /d tx4 ~ ~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program fiRoutine [~ Combined [~ Joint Agency [~ Multi-Agency [~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand V t~ ~e~:t<y ~. rr}O.5'/4Oz Business plan contact information accurate 'v/ ! ~/4~.e~"o /5'/e-t- t~-l~ ~ t-rood Visible address ~/ -r~£ m,~ ~o Correct occupancy V/ .,-N' ~'-~ I ' 125 1 to~ Verification of inventory materials 'o/ Verification of quantities Verification of location Proper segregation of material V/ Verification of MSDS availability I/ Verification of Haz Mat training d / J~O~,.qa. lOx'p ~'T"/~/q/PJ ,/ Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping ~" Fire Protection / Site Diagram Adequate & On Hand v/ ~OtT~ ~ ~ [d I~LL C=Compliance V=Violation Any hazardous waste on site?: ~] Yes [~l[ '.No Explain:7~ ~.o~_ Questions regarding this inspection? Please call us at (6611) 326-3979 / ' ~ Business Site Responsible Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: (_t~,£ -' 3~-~ JOHNSTONE SUPPLY OF BAKERSFIELD --~~ SiteID: 215-000-000477 M~nager : _ .....>~ 0 20~u~s~'_~One: (805) 861-1100 Location: 300 GOLDEN STATE ~./~.~U~:~B~~~_~r 103 CommHaz : Minimal City : BAKERSFIELD ~-~ Grid: 30B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 Code: EPA Numb: DunnBrad: 77 - 021 - 2194 Emergency Contact / Title Emergency Contact / Title RICKY D. MOSHER / MANAGER BILL D. MAIN / COUNTER SALES Business Phone: (84~) 861-1100x Business Phone: (805) 861-1100x 24-Hour Phone : (8~) 831-1281x 24-Hour Phone : (805) 589-9107x Pager Phone : (~) ~5 51~5x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - x MailAddr: 300 GOLDEN STATE AVE State: CA City : BAKERSFIELD Zip : 93301 Owner ~ ~4"~~F~ Phone: (805) 861-1100x Address : 300 GOLDEN STATE AVE State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: reviewed ~he--a~ached m~nt plan for ~ any corr~ion~ ~n~tu~ ~ ~mP~t~ ~nd ~ man- -1- 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpocHazlEPA Hazardsl Frm DailyMax IunitlMcP R414B G 480.00 LBS Hi R409A G 300.00 LBS Hi R408A G 168.00 LBS Hi R-22 F P IH G 8928.00 FT3 Low R-502 F P IH G 6912.00 FT3 Low R-12 F P IH G 6350.00 FT3 Min R-ii F P IH G 5488.00 FT3 Min R134A G 1200.00 LBS UnR R404A G 144.00 LBS UnR 2 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000~000477 ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME R414B Days On Site 365 Location within this Facility Unit Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# ~ STATE -- TYPEAmbientPRESSURE ~I- TEMPERATUREAmbient ICylinderCONTAINER TYPE Gas Mixture AMOUNTS AT THIS LOCATION Largest Container Daily Maximum . Daily Average 24.00 LBS 480.00 LBS 240.00 LBS HAZARDOUS COMPON~NT~ %Wt. I RS CAS# 50.00I Chlorodifluoromethane No 75456 9.50 1-Chloro-l,l-difluoroethane No 75683 39 00 No 002834-89-0 105 00 Butane Yes 106978 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N° No No/ Curies / / /I Hi -3- 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 = Inventory Item '0008 Facility Unit: Fixed Containers on Site R409A Days On Site 365 Location within this Facility Unit Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# ~ STATE i TYPE PRESSURE -TEMPERATURE CONTAINER TYPE Mixture AmbientAmbient Cylinder Gas AMOUNTS J~ THIS LOCATION Largest Container I Dai].y Maximum Daily Average 30.00 LBSI 300.00 LBS 120.00 LBS %Wt. RS CAS# 46.00 1,1,1-Trifluoroethane No 420462 7.00 No 354-33-6 47.00 Chlorodifluoromethane No 75456 HAZARD ASSESSMENTS TSecretINo N~S I BioHazNo Radi°active/Amount I EPANo/ Curies HazardsI NFPA/// USDOT# HiMOP = Inventory Item 0007 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME R408A Days On Site 365 Location within this Facility Unit: Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# STATE = TYPE PRESSURE -- TEMPERATURE CONTAINER TYPE 1Mixture I Ambient /Gas l- Ambient I Cylinder AMOUNTS AT THIS LOCATION I .Largest Container I Daily MaximumI Daily Average 24.00 LBS 168.00 LBS 168.00 LBS HAZARDOUS uN~-~-~ %Wt. RS CAS# 47.00 Chlorodifluoromethane No 75456 46.00 1,1,1-Trifluoroethane No 420462 7.00 No 354-33-6 HAZARD ASSESSMENTS ITsecret ~SIBiOHaz Radioactive/AmountNo N No No/ Curies EPA Hazards NFPA/// I USDOT# IMCpHi -4- 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME R-22 Days On Site 365 Location within this Facility Unit Map: Grid: NORTH WALL WAREHOUSE CAS# 75-45-6 Gas ~Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS ~ THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 8928.00 FT3 8928.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Chlorodifluoromethane N 75456 HAZARD ASSESSMENTS TSecretl ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MOP No N No No/ Curies F P IH / / / Low = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME R-502 Days On Site 365 Location within this Facility Unit Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# 75-15-3 r STATE [ TYPE PRESSURE --1- TEMPERATURE CONTAINER TYPE Gas Mixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 6912.00 FT3 6912.00 FT3 HAZARDOUS COMPON~NT~ %Wt. I RS CAS# 50.00I Chlorodifluoromethane No 75456 50.00 Chloropentafluoroethane No 76153 HAZARD ASSESSMENTS TSecretoRS BioHaz, Radioactive/Amount , EPA Hazards.. NFPA USDOT# MCP No N No No/ Curies F P IH / / / Low S 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 -- Inventory Item 0003 Facility Unit: Fixed Containers on Site ~}.v.u.v.l.%Jl~ £~_~..~.v~.j~ / ~_r'J.J~.l.V!.L ~.~-'~L~ J.~l_~d.V.I.J~ R-12 Days On Site 365 Location within this Facility Unit Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# 75-71-8 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 6350.00 FT3 6350.00 FT3 %Wt. S CAS# 100.00 Dichlorodifluoromethane 75718 HAZARD ASSESSMENTS ~ ITSecret[ oRSIBioHazI Radioactive/Amount EPA Hazards NFPA I USDOT# I MOP No N No No/ Curies F P IH / / / Min ---- Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME R-ii Days On Site 365 Location within this Facility Unit Map: Grid: · NORTH EAST CORNER OF WAREHOUSE CAS# 75-69-4 ~ STATE -- TYPEpure Ambient PRESSURE ITEMpERATUREAmbient DRUM/BARRELCONTAINER TYPE_ METALL I C Gas AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 5488.00 FT3 2744.00 FT3 HAZARDOUS COMPONENTS 100.00 Trichlorofluoromethane N 75694 HAZARD ASSESSMENTS TSecret, RS,BioHaz, Radioactive~Amount , EPA Hazards' I I Io NFPA USDOT# MCP No N No No/ Curies F P IH / / / Min -6- 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 ---- Inventory Item 0005 Facility Unit: Fixed .Containers on Site t,:~,jlvmmvltJm~l ,l.~l./.-~l. VlJ~ / kJ/"J.I";I.VI.LLJ,/"LLm l~l_,~J.V,l.~ R134A Days On Site 365 Location within this Facility Unit: Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# 811-97-2 F STATE TYPE PRESSURE --!F TEMPERATURE , CONTAINER TYPE Ambient Ambient Gas Pure AMOUNTS AT THIS LOCATION Largest Container I Dai]Ly Maximum I Daily Average 30.00 LBS 1200.00 LBS 240.00 LBS HAZARDOUS COMPONENTS 100.00 N i TSecret RS BioHaz HAZARD ASSESSMENTS I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR = Inventory Item 0006 Facility Unit: Fixed Containers on Site ~lV~Vl~ ~vl~ / ~ ~.Z-.k. Lm ~Vl~ : RA04A Days On Site 365 Location within this Facility Unit Map: Grid: NORTH EAST CORNER OF WAREHOUSE CAS# F STATE I TYPEMixture Ambient PRESSURE I TEMPERATUREAmbientCylinder CONTAINER TYPE Gas AMOUNTS A~ THIS LOCATION Largest Container I Daily Maximum Daily Average 24.00 LBSI 144.00 LBS 288.00 . LBS ZJ./%.~./-L~UU~ ~U~'U~'i-~ %Wt. RS CAS# 4.00 No 811-97-2 52.00 No 420-46-2 44.00 No 354-33-6 HAZARD. ASSESSMENTS TSecretlRSjBi°Haz, Radi°active/Am°unt,EPAHazards,'l l l lo NFPA USDOT# MCP No N No No/ Curies / / / UnR -7- 11/01/1999 F JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 06/17/1991 BAKERSFIELD FIRE DEPT. BY PHONE. -- Employee Notif./Evacuation 06/17/1991 WORD OF MOUTH. -- Public Notif./Evacuation 06/17/1991 WORD OF MOUTH. Emergency Medical Plan 06/17/1991 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH ST (805) 327-1792 8 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 06/17/1991 REFRIGERANT CYLINDER CHAINED TO WALL. -- Release Containment Clean Up Other Resource Activation I 9 11/01/1999 F JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 Fast Format ~ Site Emergency Factors Overall Site special Hazards --Utility Shut-Offs 06/17/1991 NATURAL GAS - NORTH SIDE OF BLDG ELECTRICAL - INSIDE EQUIPMENT ROOM WATER - FRONT OF BLDG BY TREE (SE CORNER) SPECIAL - NONE LOCK BOX - NO -- Fire Protec./Avail. Water 06/17/1991 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS WITH SIGNS. NEAREST FIRE HYDRANT -LOCATED IN FRONT OF MESA VERDE R.T.C. (300 BLOCK OF GOLDEN STATE). Building Occupancy Level -10- 11/01/1999 JOHNSTONE SUPPLY OF BAKERSFIELD SiteID: 215-000-000477 Fast Format = Training Overall Site -- Employee Training 06/17/1991 NUMBER OF EMPLOYEES? WE HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM - MONTHLY REVIEW OF MSDS SHEETS. Page 2 I Held for Future Use I Held for Future Use I -11- 11/01/1999 MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE ~'- ~d"~-~c~ NEW ACCOUNT ADDRESS CHANGE[ CLOSE ACCT ' FINANCE CHARGE j ' OTHER ADJ MAILING ADDRESS ~ I~ ,~ ~..~CS~C~( d~ ~ V ',~ CITY ./~_~. [,/~4C~5 STATE ~ V/ ZIP CODE. ~(~ SITE ADDRESS ~ ~~ ~____.~Ic:~~ ~.~J~.__ PARCEL NUMBER (1F APPUCABLE) ADJUSTMENT I CHG DATE CHARGE CODE ADJUSTMENT AMOUNT l I ! I · ; REMARKS: ~~ ~C %oc~~ ~O ~V< / APPROVED BY ~ 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 1 Overall Site with 1 Fac. Unit General ]information Location: 300 GOLDEN STATE Map:103 Haz:l Type: 3 City : BAKERSFIELD Grid: 30B F/U: 1 AOV: 0.0 Contact Name Title --Contact Name Title RICKY D. MOSHER / MANAGER MARK R. HUGO / SALES Business Phone: (805) 861-1100x Business Phone: (805) 861-1100x 24-Hour Phone : (805) 831-1281x 24-Hour Phone : (805) 835-9408x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 300 GOLDEN STATE AV D&B Number: 77-021-2194 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: Owner: DEANNE BEARDEN Phone: (805) 861-1100 Address: 300 GOLDEN STATE AV State: CA City: BAKERSFIELD Zip: 93301- Summary I, ~,'~_~,'. ~....~ ~e,~ DO hereby certi~ that l have reviewed the attached hazardous mate~a~s manage- ment plan for .' a~d that it a~h any ~rre~ions constitute a complete and corre~ man- agement plan for my facility. , 09/03/96 JOHNSTONE SUPPLY OF BA~ERSFIELD 215-000-000477 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 R-22 Gas 8928 Low · Fire, Pressure, Immed Hlth FT3 02-002 R-502 Gas 6912 Low · Fire, Pressure, Immed Hlth FT3 02-003 R-12 Gas 6350 Minimal · Fire, Pressure, Immed Hlth FT3 02-004 R-11 Gas 5488 Minimal · Fire, Pressure, Immed Hlth FT3 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 R-22 Gas 8928 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 8,928 ! 8,928.00 44,640.00 Storage I Press T Temp I Location PORT. PRESS. CYLINDER Ambient~Ambient NORTH WALL WAREHOUSE -- Conc~ Components ~ MCP ---~uide 100.0% IChlorodifluoromethane ILow ! 12 02-002 R-502 Gas 6912 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 75-15-3 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: COOLING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 6,912 ~ 6,912.00 27,648.00 Storage ~ Press T Temp ~ Location PORT. PRESS. CYLINDER IAmbient~AmbientlNO~ ~:ARE::OUS~- ~ -- Conc~ Components I 'MCP iGuide 50.0% IChlorodifluoromethane IL°w I 12 50.0%I Chloropentafluoroethane IL°w I 12 02-003 R-12 Gas 6350 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 I Daily Average FT3 1 Annual Amount FT3 6,350 ~ 6,350.00 25,400.00 Storage ~~Press T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientlNOKT~ WALL ~AREHO~S~L , - Conc~ Components ! MCP -~Guide 100.0% IDichlorodifluoromethane IMinimal I 12 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 R-11 Gas 5488 Minimal ~ Fire, Pressure, Immed Hlth FT3 CAS #: 75-69-4 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 5,488 ~ 2,744.00 5,488.00 Storage Press T Temp Location DRUM/BARREL-METALLIC I Ambient~Ambient I NGKTH WALL UAREH~S~ ~ -- Conc~ Components I MCP ---~uide 100.0% ITrichlorofluoromethane ILow ! 12 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 5 00 - Overall Site <D> Notif./Ewlcuation/Medical <1> Agency Notification BAKERSFIELD FIRE DEPT. BY PHONE. <2> Employee Notif./Evacuation WORD OF MOUTH. <3> Public Notif./Evacuation WORD OF MOUTH. <4> Emergency Medical Plan BAKERSFIELD MEMORIAL HOSPITAL 420 34TH ST (805) 327-1792 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention REFRIGERANT CYLINDER CHAINED TO WALL. <2> Release Containment <3> Clean Up <4> Other Resource Activation 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs NATURAL GAS - NORTH SIDE OF BLDG ELECTRICAL - INSIDE EQUIPMENT ROOM WATER - FRONT OF BLDG BY TREE (SE CORNER) SPECIAL - NONE LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS WITH SIGNS. NEAREST FIRE HYDRANT - LOCATED IN FRONT OF MESA VERDE R.T.C. (300 BLOCK OF GOLDEN STATE). <4> Building Occupancy Level 09/03/96 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 8 00 - Overall Site <G> Training <1> Employee Training NUMBER OF EMPLOYEES? WE HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM - ~[ONTHLY REVIEW OF MSDS SHEETS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use BAKF-R~'~I::iELD CITY FtRF, DEP~RTMENT. HAZARDOUS MATERIALS DIVISION · 1715 CHESTER' AVE. . ' - ' BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] FACiLtT'Y NAME SiC CODE OUN &B~kDSTREETNUMSER ~-O~/- ~/~ EMERGENCY CONTACTS BUSINESS PHONE ~¢),~"-~:~6 f'--/Io0 24-HOUR PHONE BUSINESS PHONE ~¢%-¢~f* /f¢O 24-HOUR ~ONE BAKERSFIELD CITY FIRE DEPAJ TMENT HAZA{ :IOUS MATFRIALS INVEN I RY Page__of _ ~siness Name Address ,'-- CHEMICAL DESCRIPTION ";:: :'" INVENTORY STATUS: New .v~ion [ I Deletion { ] Checl( if chemical is a NON TRADE PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [c,~ Immediate Hea~th (Acute) [l~Delaye~ HeaJttt (Chronic) WASTE CLASSIFICATION (3-cligit code from DHS Form 8022) USE CODE PHYSICAL STATE Solid [ ] Liquid [ ] Gas Iv]''~ Pure {'~'"~[xture [ ] Waste [ ] Radioactive [ ] AMOUNT AND TIME AT FACILITY ~ UNITS/pF MEASURE 8) STORAGE CODES Average Daily Amount: ~'ff- curies [ ] b) Pressure; /~,~J~t~.~" Annua Amount: ~ c) Temperature: ~,4..& I~, Lmgest Size'Contaner: # Days On Site ,~ Circle Which Months: ~'~, F, M, A. M. J. J, A, S, O, N, D' MIXTURE: [Jst .COMPONEN'~ CAS # % WT AHM cnem~caJ coml3onents or ~ny AHM coml:x)nents 2) [ ] 3) [ ] CHEMICAL DESCRIPTION INVENTORY STATUS: New ~v~sion ( ] Deletion [ ] Check if chemicaJ is s NON TRADE SECRET [,--~-TRADE SECRET PHYSICAL & HEALTH PHYSICAL HEALTH NAZARDCATEGORIES Fire [ ] Reactive( ] SuddenReteaseofPressute [,,~ Immecliate Health (Acute) [~'"]"'"'~')elaye(;IHeaJth(Chronic) WASTE CLASStFICAT1ON (3-dig~t code ~om DHS Form 1~022~ USE CODE PHYSICAL STATE Solid { ] Uquid [ ] Gas [ ~...~ Pure [ ] Mixture ~.]'"'~Waste [ ] Ractioactwe [ ] AMOUNT AND TIME AT FACIt ITY ~ UNITS OF MEASURE 8) STORAGE CODES Average Oa~ty Amount: /'~'{'~('~L~ cunes[ ] b) Pressure: Annua Amount: ~c~G~P" c) TemperatlJre: La~'gest Size Contamer: 'o~ ~ ~' Days On Site ~ C[rc!e Which Mont~s: ~...~.]L~J. F. M. A. M. J. J. A. S. O. N. D MIXTURE: List COMPONENT CAS # % WT AHM cJqem~cal com~onenm or :erun/ unaer pene~y DY/aw. ~nat i nave ~ersonafi~examineo and am ram,~ar w,m me ,ntomanon suDrn~fea on ~is and alt allact3e~ ¢tocumen~& Deified in. real,on is Due. accurate, and com~31ete. * · ~INT Name & ~t]e ct Au~13orlze~ Corn=any Fle.ores/e'ntei~v;- r~l l SignOre ' HAZARDOUS MATERIALS INVENTORY Page__of_ ~usiness Name Address CHEMICAL DESCRIPTION 1)iNVENTORY STATUS: New [~ev~sion [ ] Deletion ( ] Che~k if chemioal is ~. NON TRADE SECRET [,.~TRAO~ SECRET [ ] /, 4) PHYSICAL & HEALTH PHYSICAL ,HEAL,~...--. , HAZARD CATEGORIES Fire [ ] Reactwe [ ] Sudden Release of Pressure [/" Imm~cliate H?alttl (Acute) [,,,~/~ Delaye~. HeeJlh (Chronic) [ ] . 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE PHYSICAL STATE Solid [ ] LJc~uid [ ] Gas [~].--""'~ Pure [ ] Mixture [~aste [ ] Radioeative [ ] AMOUNT AND TIME AT FACIIJTY ~:?L UNITS CF MEASURE 8) STORAGE CODES Average Omly Amount: ~ cunes[ ] b) Pressure: Annual Amount: c) Temperature: ' ./~o ~e_.~',· LargeSt Size'ContaJner: ' ~ ~' Circle Which Montl~s: ~, F, M, A, M, J, # Days On Site J,~. A, S, O, N, D MIXTURE: I_Jst COMPONENT CAS # tl~e ,l~ree most haza~clous ') (,?.~/~.~,~; % WT AHM chemicaJ components or CHEMICAL DESCRIPTION INVENTORY STATUS: New ~ ] -~dc~it~on [~""~evision [ ] Cetetion ( i Chec~ if ¢,~emical is a NON TRADE SECRET PHYSICAL & HEALTH PHYSICAL HEAL..TM~...~ HAZARD CATEGORIES Fire [ ! F{eact~ve{ } Sudden Release of Pressure ~ !mmecliate Health (Acute) [-.1'~ Delayed HeaJth (Chronic) [ ] WASTE CLASSIFICATION !3-digit cocte from DHS Form 80221 USE CODE PHYSICAL STATE Solid [ I Liquid [ ] Gas [~"'"-'- Pure [ ] Mixture [,..}~'~aste [ ] R~lioa~ve [ ] ,~a~mum Oadv ~moun~: ~ ~s i .'~'~;'~ I t ~S [ ] ai Container: Annua~ Amount: ~/~ '~- c) Temperature: .~j~J~,~'-- La~cjest Size Contaner: '~O.~ ~,..~' C;rc~e W~=cn Months: ~&e.r>J, F, M, A, M. J. J, A, S. O, N, D Days On Site MIXTURE: IJs~ COMPONENT CAS # % WT AHM :erO~ un,er penal~/ of law, ~nat i ~ave ~er~onaity dxamlneo eno am rammer w~m me infoma=on su=m~ on ~is eno~alj bmirte~ informa~fon is true, accurate, and complete. ~ /~ , tl~i'N~e & Tille of Au~o~zea Com~y~ t%prasenm. ~ve $ign~.~[re BAKERSFIELD CITY' FIRE DEP/ TMENT HAZAI DOUS MATI-'RIALS INVENT )RY Page_or.__ usiness Name Address CHEMICAL DESCRIPTION "~ ) INVENTORY STATUS: New { ] Addition {~"Re~ion [ ] Deletion ( ] Check if chemical i~ · NON TRADE SECRET H'"'~ SECRET f,M '-ct .. PHYSICAL H~ 5) WAS~ C~S~IRCA~ON .(3~ig~ ~de from OHS Fo~ 8022) USE CODE 6) PH~ICALSTA~ Sol~ [ ] Uqu~ [ ] G~ [~ Pure [ ] M~m [~te [ ]. Rm~ [ ] Annu~ ~ount: -/~0~ c) Tempera: ~gest Size Con~ner: ~ Oa~ On S~e 3~ Circle~ich Momhs: ~, F, M, ~..M, J, J. A, ~, ,0~ N, D 9) MITRE: Ust ~ · , COMPON~T CA5 · % ~ ~M CHEMICAL DESCRI~iON ) [N~NTORY STA~S: New [ ] Add,ion ( ] Revision [ ] Oeletion { ] Check ~ chemi~ is a NON ~DE SECR~ [ 2) Common N~e: .... 3) ~T · (optiona) Chemica Name: AHM [ ] CAS 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire [ ] Rea~ive { ] Suaden Relemeof Pressure { ] Immeai~e He~ (Ac~e) [ ] ~l~d He~ (Chron,) [ WAS~ C~SSIFICA~ON .(~digit code from OHS Fo~ 8022) USE CODE PHYSICAL STA~ So{id [ ] Uquid [ ] G~ [ ] Pure [ [ M~ure [ I W~te [ ] AMOUNT ANO TIME AT FAClU~ UNITS OF M~SURE 8) STOOGE CODES M~mum Oaily Amount: lbs [ ] g~U [ J ~3 [ ] a) Cont~ner:.. Average O~ly Amount: culies ~ ] b) Pressure: AnnuN Amount: c) Tem~: ~gest Size Cont~ner: ~ Days On Site Circte~ich Mont~s: All Ye~. J. F, M. A. M, J, ~, A. S, O. N, D MITRE: Ust COMPONENT CAS · the throe most h~ous 1) [ ] chem~ com~nen~ or. ~y AHM com~nenm 2) [ ] 0) Lo--on a~ un~er pen~ ot ~aw, ¢az L have ~e~ona~ty e~n~ ~o ~ f~iii~ ~v~ ~e infomaeon s~n ~is ~d ~1 a~c~ I~ N~me & ~e of A~onZ~ Com~ ~epr~senm~ve ' ' ITE DIAGRAM ~ FACILITY DIAGRAM Business Address: '~ ~o l d',~ ~,~._ 09/10/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 1 Overall Site'with 1 Fac. Unit General ]Enformation Location: 300 GOLDEN STATE AV Map: 103 Hazard: Minimal Community: BAKERSFIELD STATION 04 Grid: 30B F/U:,~ 1 ,AOV:_ 0.0 Da~:r. DU::ir K;~D.~MANAGER (805) 061-1100 x ~~kE.~SALES (805) 861-1100 x Administrative Data Mail Addrs: 300 GOLDEN STATE AV ? D&B Number: 77-021-2194 City: BAKERSFIELD State: CA Zip: 93301- Co~ Code: 215-004 BAKERSFIELD STATION 04 SIC Code: Owner: DEANNE BEARDEN Phone: (805) 861-1100 ~ddress: 300 GOLDEN STATE AV State: CA City: BAKERSFIELD Zip: 93301~ Sugary RECEIVED HAZ, MA ~ !, ~','~'~/y ~, Y/4o~,_~,- DO hereby certify that, have (Type or p~nt na~} ' reviewed the affached h~ardous materials manage- ment plan fo~~ ~/~ ~ ~ that it along with (Na~ of Bus~ne~) ' any corrections constitu~ a complete and correct man- agement plan for my facili~. 09/10/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 2 Hazmat Invento~f List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty~ MCP 02-001 R-22 Gas 8928 Low · Fire, Pressure, Immed Hlth FT3 02-002 R-502 Gas 6912 Low · Fire, Pressure, Immed Hlth FT3 02-003 R-12 Gas 6350 Minimal · Fire, Pressure, Immed Hlth FT3 02-004 R-11 Gas 5488 Minimal ' , · Fire, Pressure, Immed Hlth FT3 09/1U/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 R-22 Gas 8928 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING. Daily Max FT3 Daily Average ~F~3 Annual Amount FT3 8,928 I 8,928.00 1 44,640.00 Storage IIPress T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientlNORTH WALL WAREHOUSE -- Conc --[Guide 100.0% IChlorodifluorometha~ Components ILo~CP ! 12 02-002 R-502 Gas 6912 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 75-15-3 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: COOLING Daily Max FT3 I Daily .Average FT3 I Annual Amount FT3 -- 6,912 I 6,912.00 _ 27,648.00 Storage Press T Temp LoCation PORT. PRESS. CYLINDER IAmbient/Ambient INORTH WALL WAREHOUSE -- ConsI Components i MCP ~uide 50.0.% Chlorodi f luoromethane Low 12 50.0% Chloropenta f luoroethane Low 12 02-003 R-12 Gas 6350 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure .Days: 365 Use: COOLING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 6,350 I '~ 6,350.00· 25,400.00 StorageIIPress T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientlNORTH WALL WAREHOUSE -- Conc Components . MCP [Guide 100.0% IDichlorodifluoromethane IMinimal ~ 12 09/10/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 R-11 Gas 5488 Minimal ~ Fire, Pressure, Immed Hlth'~ FT3 CAS #: 75-69-4 Trade'Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3I DaJ. ly Average FT3 I Annual Amount FT3 5,488 ~ 2,744.00 5,488.00 Storage~~Press T Temp Location DRUM/BARREL-METALLIC IAmbient~AmbientlNORTH WaLL WAREHOUSE -- Conc Components MCP ----~uide 100.0% ITrichlorofluoromethane IL°w / 12 09/10/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification BAKERSFIELD FIRE DEPT. BY PHONE. <2> Employee Notif./EvacUation WORD OF MOUTH. <3> Public Notif./Evacuation WORD OF MOUTH. <4> Emergency Medical Plan BAKERSFIELD MEMORIAL HOSPITAL 420 34TH ST (805) 327-1792 .09/10/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention. REFRIGERANT CYLINDER CHAINED TO'WALL. <2> Release Containment <3> Clean Up <4> Other Resource Activation 09/10/93 JOHNSTONE SUPPLY OF BAKERSFIELD 215-000-000477 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs NATURAL GAS - NORTH SIDE OF BLDG ELECTRICAL - INSIDE EQUIPMENT ROOM WATER - FRONT OF BLDG BY TREE (SE CORNER) SPECIAL - NONE LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS WITH SIGNS. NEAREST FIRE HYDRANT - LOCATED~IN FRONT OF MESA VERDE R.T.C. (300 BLOCK OF GOLDEN STATE). <4> Building Occupancy Level 09/10/93 JOHNSTONE SUPPLY OF BA~:ERSFIELD 215-000-000477 Page 8 00 - Overall Site <G>~Training <1> Page 1 NUMBER.OF EMPLOYEES? WE HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM - ~[ONTHLY REVIEW OF MSDS SHEETS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~' ~~~ ' H~ardous Mater's Di~sion ' 2130 "G" S~eet ~ E C ~ ~ ~ E 8 "B~e:~field, C~ 93301 APR 2 2 ~99J MATERIALS MANAGEMENT PL-AN ...... 1. To avoia fu~er action, return ~is ~orm wi~in 30 ~ays ot r~eipt. 2. ~PE/PEINT ANSWERS IN ENGLISH. 3. Answer ~e questions below for the Ousine~ as a whole. 4. Be ~rief ~na conc~e as po~i~le. SECTION 1: BUSINESS IDENTIFICATION DATA SECTION 2: EMERGENCY NOTIFIC:ATION: CONTACT TITLE BUS. PHONE. 24 HR. PHONE / Bakersfield Fire Dept~ Hazardous Materials Division .... · HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEss: MATERIAL SAFETY DATA SHEETS ON FILE: /~----~ BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY (DF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.g5 oF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: - WE 'DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO. TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED FULFILL MY FIRM'S OBLIGATIONS UNDER ~HE"CALIFORNIA HEALTH AND SAFE~ CODE" ON HA~RDOUS MATERIALS (DIV. 20 CHAPTER &g5 SEC. 25500 ET AL.) AND THAT CURAT~ INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE / ~ATE Bakersfield Fire Dept., Hazardous Materials Division HAZARDOUS MA'rERIALS MANAGEMENT PLAN Facility Unit Name: ~---~?~4~--.~ "~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: ' Hazardous Materials Divisi, '" '~' ·""HAZA]~DOU$ MAIERIAL$ MANAGEMEN? PlAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: ......... ~'- ...... A:-~:'- -RELEASEPREVENT1ON sTEps: .......... B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAI~ GAS/PROPANE: ELECTRICAL: /~ ~/~ WATER: P~m~~ ~ SPECIAL: LOC~ BOX: YE~O~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTI(:)N/WATER AVAILABILITY: B. WATER AVAILABILITY (FIRE HYORANT)' - ' i CITY of BAKERSFIELD - _ ...... i _.HAZARDOUS MATERIALS INVENTORY ~ ~.~1 tara andAgtlculture II ' Standard Business i~ , . . · i I . / ~// "~ NON - '] R A D E S ~_. C R E T S ; : i: Faee _Z. ..... o!.~__ BUSINESS NAME: C,2~,/~,~SX~,w,,~_~ .~'~,~/ OWNER NAHE' ~~ ~~ NAME OF ~HIS FACILIIY: .QCATION. ~o~ ~z~ ~~ ADDRESS; ~/~ ~. ~~ STANDARD.IND. CLASS CODE~- . ........................... CI[Y. ZIP: ~5~ ~ ~3~/ CI]Y. ZIP: Z~ ~~ ~/~ DUN AND BRADS~REE[ NUMBER--' I ~ ;]. 4 ~ ....... ~]rans [y~a ~ax Av~r~ge~ 5 ~ ~ 8 ~ I0 II I~ 13 ~f Annual ,eas~re I [~e Cunt ~ont {on( Us tocation.lhe[e..~ ~t~y ',a,e5 ,ixturelCo,~O~en~s Code code Am( Am[ i Est Units on lype Press ~emp Co3eStor~ Iff t~l/Ity ~., See ins(to:icons; _ Physical and ~ealth ,azard ~ C.A.5. ,umber Componen~ II ,aaa I C.A.S. ,u~ber ~: Component I~ Name I C.A.S. Number ~ Fire Hazard . ~ Reactivity ~ Delayed ~ Sudden Release ~ Im,ediate Health Pressure Health Component 13 Name I C.A.S, Number ~ Reactt~ ~ Delayed ~ Sudden Release ~ lmmediate'~"'~ ..... "" ' ......~ [~.~ ~ - ~ Health of Pressure Health Component 13 Name I C.A.S. Number Ph.ic,~ ,nd ,e,~Lh U,.rd [" C.A,S. Nu,~er Component ~ N.e ~ C.A.S. Number. ~ Fire Hazard ~ ~ Reactivity/ ~ Delayed ~ Sudden Release ~ lmaediaLe Component Name C.A,S. Number : ~ Hea/tn of Pressure Health , Component 13 Name I'C.A.S. Number Iz / o I / I (Checkall&ha&~pp/H?. ~' HealCh ' of Press,reRelease '~;'~r' ~ ~~- ' '~,. ' ~ -- ~ Fire Hazard,~ ~ Re,ckivik~ ~ Delayed ~ Sudden ~ Component I~ NA,e I C.A.5. Number ~ ; ~. . . ;ertifi ati0 ? Re 'an~ f naf r corn 1 Cf g 11 s c ions : certify un3er pen,l~,.o~ th~! ~av~ pe[sona~.examln~,q~ ,, ~mil~[.,it~ ~e ~n[o[mat~pn ,u~miLt~ in this.end ,I , , · ~e end ~fi~Jli tltlt'Ol etnetlopOrl[or uR o,neuoperaTor's euTflorued representative