HomeMy WebLinkAboutBUSINESS PLAN . DATE: / / ;FACILITY N~ME: '-~ UNIT ~:/,OF/
(CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM
- ~ ~ · , ~ .
(Inspector's Comments): -OFFICIAL USE ONLY- , -
'?, ' ' SITE/'FACILITY D IAGR~
,. ., .,'.'...~," . ,, ...,/~~
~ NOR~ .......... ~'CALE:' j' BUSINESS N~E,: ' ~ FLOOR:. 0F
~ DATE: / / FACILITY N~ME: UNIT =: OF '
· ~' (CSECK ONE) SrTE DrAGRAM FACILITY
August 13, 1990
TO: Nina Mayer~ Accounts Rieceivable
FROM: Ralph E. Huey~ Hazardc~us Materials Coordinator
SUBJECT: Stuart Tool & Supply Cio. Inc.
Nina~ account # HM 397401 has merged with National Electrical
Wholesale~ therefore they should be no longer in business. They
should have no outstanding balance due.
Thanks
l
07/,-6/9J STUART ] & SUPPLY CO INC 215-000 )0365 Page 1
Overall Site with 1 Fac. Unit
General Informat ior~
I
Locatior,: 300 GOLDEN STATE Map: 103 Hazard: Low ~
Ident Number: 215-00¢)-000365 Grid: 30B Area of Vul: 0.0
Cor~tact Name Title I Business Ph,:,r,e 'l' 24 Hour Phone]
CHARLES ROBERTS (805) 32'7-2~88 x (805) 834-215~
Administrative 'Data
Mail Addrs: 300 GOLDEN STATE D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Cornm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:
Owner: JOHN F. ROBERTS Phone: ( ) -
Address: 2500 PUDER State: CA
City: BAKERSFIELD Zip: 93306-
Summary
[, .- Do hereby certify that
reviewed the ~ached hazs. rdous matedab manags~
merit plan for ~ . and ~ha~ it along wi~h
any co~emions ~nstitute a ~mplete and co~t
age~ent plan for m~, facility.
07/26/90 .STUART TOOL & SUPPLY CO INC 215-000-000365 Page
Hazmat Inventory List in Reference Number Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Quantity MCP
02-001 105H THREAD CUTTING OIL ? 55 Minimal
GAL
STUART & SUPPLY CO INC 215-[)[)0~[)365 Page 3
D[~ - Ov~.~ral 1 Site.
<D> Notif~ /Ev~lcuation/Medical
<1> Agency Notificatiors
CALL r911
<2> Employee Notif./Evacuation
AFTER NOTIFICATION OF FIRE DEPT OR CALLING 911 EXIT BLDG THROUGH FRONT OR
REAR EXITS.
<3> Public Notif./Evacuation
<4> Ers~ergerscy Medical Plats
MEMORIAL HOSPITAL - 42£) 34TH ST - 327-1792 IS CAPABLE OF HANDLING ANY
MEDICAL NEEDS.
07/26/90 STUART TOOL & SUPPLY CO INC 215-000-000365 Page 4
O0 - Owerall Site
<E> Mit igat io~-~/Prevent/Abatemt
<1> Release Prever~tion
MATERIAL IS IN SEALED 55 GAL DRUM. ALSO QUICK SORB IS ON HAND TO SOAK UP' A
SPILL IF IT OCCURS.
<2> Release Cc, ntainment
<3> Clean Up
<4> Other Resource Activation
07126190 STUART & SUPPLY CO INC 215-0[~[)~[)0365 Page 5
0[) - Ov~.~rall Site
<F> Site Er~.~rger~cy Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - BACK SIDE ON 24TH ST
B) ELECTRICAL - INSIDE BUILDING IN LUNCH ROOM
C) WATER - BACK FRONT BORNER ON GOLDEN STATE
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - ON SITE FIRIE EXTINGUISHERS
FIRE HYDRANT - ACROSS GOLDEN STATE HklY IN FRONT OF OLD BAKERSFIELD BOWLING
ACADEMY, SW OF FACILITY. SOUTH OF FACILITY ON THE CORNER OF GOLDENSTATE HWY
AND V ST.
<4> Held for Future use
0?/26/90 STUART TOOL & SUPPLY CO INC 215-000-000365 Page 6
oO - Overall Site
<G> Trair~ing
<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 r, eeded
<3> Held for Future Use
<4> Held for Future Use
?0
July
Mr, John Roberts
Stuart Tool & Supply Co.v Inc.
300 Golden State
Bakersfield~ Ca. 93301
Dear Mr. Roberts:
Enclosed you will find a computer printout of the Hazardous
Materials Management Plan that we have in the computer~ please
update and address any highlighted areas, Due to a change in the
laws that went into effect January~ 1989~ we need to have a new
inventory form (enclosed} fille~ out. These forms must be filled
out and returned to our office ]~y August 10~ 1990.
If you have any questions ~lease don't hesitate to contact us
at (805) 326-3979.
Sincer~ly ¥ours~
Ralph 1~. Huey
Ha~ard~us Materials Coordinator
(ty'oe or ~rin% name)
RECEIVED
JAN 2.5 1989
, A~= -, ~. ~~,~ that: I have reviewem the
Do n~b.., c~t~ ~-
Am'd ............
attached Hazar~lc, us Materials business ~]..an
for
fname of business)
and that it along with the attached additions
or ,corrections constitute a comDlete and correct
Business Plan for my facility.
/ ~i~n~nr.e - date -
BUSINESS NAME STUART T & SUPPLY CO INC ID NUMBER Z15-OOO-OOO365
LOCATION 300 GOLDEN STATE HIGH HGIZARD RATING Z
1. OVERVIEW
LAST CHANGE 07i01/88 BY ESTER
JURIS CODE Zl.S-001 JURIS BAKERSFtEEO SI'RTION 01
MAP RAGE 103 GRID 308 FACILITY~'UNITS'I' HAZARD RATING Z
RESPONSE SUMMARY
ZA SEC 4) ABSORBING HATERIAL IS STOCKED TO CLEAN UP ANY SPILLS,
EMERGENCY CONTACTS ZA SEC Z)
JOHN ROBERTS - 3Z?-Z688 OR 8?Z-lOX4
UTILITY SHUTOFFS gA SEC 3)
A) GAS - 8ACK SIDE ON Z4TH ST B) ELECTRICAL '- INSIDE BLOG IN LUNCH ROOM
C) WATER '- 8ACK FRONT ~ORNER ON GOLDEN STATE D) SPECIAL - NONE
E) LOCK BOX - NO
Z, NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECT'ION >
PAGE 1 IZ/Z3/88 13:15
MATERIAL SAFETY DATA SYSTEMS, INC, (805) 648-6800
BUSINESS NAME STUART TOOL & SUPPLY CD INC ID NUMBER 215-OOO-<~OO3G5
LOCATION 300 GOLDEN STATE HIGH HAZARD RATING 2
3. HAZ MAT TRAINING SUMMARY
LBS1' CHANGE / / BY
< NO INFORMATION ~.ECORDED FOR THIS SECTIQN >
LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 07/0G/88 BY ESTER
SEC S> MEMORIAL HOSPITAL -' 4Z0 34TH ST - 3Z7-179Z
IS CAPABLE OF HANDLING ANY MEDICAL NEEDS~
PAGE Z 12/23/88 13:tS
MATERIAL SAFETY DATA SYSTEMS, INC. (805) G48-G8(68'
BUSINESS NAME STUART TOOL & SUPPLY CiD INC ID NUMBER Z15-O~-O~3GS
LOCATION 300 GOLDEN STATE HIGH HRZRRO RATING Z
FACILITY UNIT 0!
OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 07/07/88 BY ESTER
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
1 PURE 10SH THREAD CUTTING OIL SS GAL. UNKNOWN
N SIDE OF WAREHOUSE DRUMS [IR BARRELS MET.,, COOLING
I0 PERCENT COMPONENTS HAZARD LIST
Z808.01 100.0 MINERAL OIL UNKNOWN
B. FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 07/06/88 BY ESTER
SEC 4> ON SITE FIRE EXTINGUISHERS FOR FIRE PROTECTION.
SEC S) FIRE HYDRANT ACROSS GOLDEN STATE HWY IN FRONT OF OLD BAKERSFIELD
BOWLING ACADEMY, SW OF FACILITY. SOUTH OF FACILITY ON THE CORNER
OF GOLDENSTATE NWY AND ? ~!~ ..........
PAGE 3 1Z/Z3/88 13:15
MATERIAL SAFELY DA'lA SYSTEMS, 'i~NC. (80S[' 6"48-.GBqX~
BUSINESS NAME STUART TOOL E SUPPLY CO INC ID NUMBER 215-0~-000365
LOCATION 300 GOLDEN STATE HIGH HAZARD RATING Z
D. EMPLOYEE NOTIFICATION / EVACUATIOIN
LAST' CHANGE 07/06/88 BY ESTER
SEC 2) AFTER NOTIFICBTION OF FIRE DEPT OR CALLING gl! EXIT BLDG THROUGH
FRONT OR REAR EXITS.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHA,.NGE 0?/06188 BY ESTER
SEC 1) MATERIAL IS IN SEALED SS GAL DRUM. ALSO QUICK SORB IS ON HAND TO
SOAK UP A SPILL. IF IT OCCURS,
PAGE 4 12/23/88
MATERIAL SAFETY DATA 'SYSTEMS, INC. (805) G48-68~
~,~,:~_,y~ ~, BAKERSFIELD CITY FIRE DEPARTMENT ~ ~ C E--]~V E D
2130 "G" STREET
BAKERSf'IELD, CA 93301 JUt { {987
(805) 326-3979
A,s'd ............
OFFICIAL USE ONLY
BUSINESS NAME
HAZ ARDO1JS ~IATE R I ALS
BUSINESS PLAN AS A WHOLE
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
A. BUSINESS NAME: 5ToAP-.T 'TOpOi... ~. ~2F'Fg"(' ~ {N~-,-
B. LOCATION / STREET ADDRESS: ~oO ~;--cf~b~-T9 ,~TC~m'~ ~W¥
CITY: '~,~_..[P,.,~t-']Z> ZIP: cI~ ~ BUS.PHONE: (~) 5Z~-Z~S~
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involvin~ 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 fiue 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
A. NAT. GAS/PROPANE: [g~[c.w. ~i"P~ ~.~, '2.~-r~ ~-~-~-~-~-~-~-~-~-~z~.,..v
B. ELECTRICAL: iN~l'p~' 'g~l~ i.,,~ Lu,,,~.ie,z~,r,~
C. WATER: ~.~ ~T ~~ <~ ~c~'m~ ~
D. SPECIAL:
E. LOC~ BOX: YES /~ IF YES, LOCATION: ~
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
SECTION 4: PRIVATE RESPONSE TEA/4 FOR BUSINESS AS A WHOLE ,~:~.,.~N~
SECTION 5: LOCAL E1WERGENCY 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:...- .................................... ("~ES~NO YES NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... YES~ YES NO
C. PROPER USE OF SAFETY EQUIPMENT:... ................ (~ NO YES NO
D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO YES NO
E. DO YOU ¥~AINTAIN EMPLOYEE TRAINING RECORDS: ....... YES~_.~ YES NO
SECTION ?: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS ~ATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO
I, ~ ~7. ~o8~ , 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. 25500 Et Al.) and that inaccurate information constitutes perjury.
SIGNATURE . ~ TITLE '~a~5. DATE ~ ~'~z7
BAKERSFIELD CITY FIRE DEPARTMENT
.
213(; "G" STREET
BAKERSF]~ELD, CA 93301
OFFICIAL USE 'ONLY
ID#
BUSINESS NAME:
BUSI I~ESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCTIONS
1. To avoid further action, this form must be retu.rned by:
2. TYPE/PRINT YOUR' ANSWERS IN ENGLISH.
3. Ans~ver the questions below.' for THE FACII, ITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as .possible.
FACILITY UNIT# ] FACILII~ b~IT N~: ~~ ~~
SECTION 1: MITIGATION, PRE~NTION~ ABATEMENW PROCEDURES
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNiT ONLY
- 3A -
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Hazardous Materials? NO
If YES, see B.
If NO, continue with SECTION[ 4.
of the hazardous mater'ials a bona fide Trade Secret YES ~
B.
Are
any
If No, complete a separate hazardous materials inventory
form marked: N'ON-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 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
SECTION 6~ LOCATION OF UTILI~ S~T-,OFFS AT THIS UNIT ONLY.
B. ELECTRICAL:
C. WATER:
D. SPECIAL:
g. 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 'o
I.D. # FORM 4A-1 Page' f '1 "' ]
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
ADDRESS: ~ ~~~ ~{ ' ' ' ADDRESS: ~~~ , FACILITY UNIT NAME:
PHONE ~: ~ ~~~ PHONE ~: ~5 ~'TZ~o~ [OFFICIAL USE CFIRS CODE
{
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 CODE FACILITY UNIT . WT. C~JqAL OR COMMON NAME CODE GUIDE
EMERGENCY CGNTACT: '~~ TITLE: ~ ~ PHON~ HOURS:
AFTER BUS HRS: ,,
EMERGENCY CONTACT:~u~O~ TITLE: ~Q~ .. PHONE ~ BUS HOURS:
PRINCIPAL BUSINESS ACTIVITY: ~~~~ AFTER BUS HRS: