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Home My WebLink AboutBUSINESS PLAN 7/17/2007~NO MUFF TOO TUFF 1420 GOLDEN STATE HWY. 0 Hazardous Materials/Hazardous Waste Unified' Permit CONDITIONS.OF ~PERMIT ON REVERSE SIDE Permit ID#:: 015-000-000123 NO MUFF TOO TUFF This hermit is Issued for the folloWina: [] H,~-ardous Materials~Plan · [] Underground Storage of HazardOus Materials [] Risk Management Program [] Hazardous Waste. On-Site Treatment LOCATION: 1420 GOLDEN STATE [ELD Issued by: Bakersfield Fire Department. OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: Office ofEvironmenl~I-S~ices ~ June 30. 2003 issue Date Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021000123 NO MUFF TOO TUFF This permit is issued for the following- Materials .Plan iround Storage of Hazardous Materials ement Program LOCATION 1420 Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: M~dP PLAN MAP SITE DIAGRAM Business Name: Business Address: FACILITY DIAGRAM Office Use only. First In Station: Inspection Station: Area Map # of NORTH ~. i NO MUFF T00 TUFF SiteID: 015-021-000123 Manager STEVEN MCGLOTHIN Location: 1420 GOLDEN STATE AVE City BAKERSFIELD BusPhone: (661) 327-8833 Map 103 CommHaz High Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:7533 DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVEN MCGLOTHIN / OWNER BRUCE NUZUM / LANDLORD Business Phone: (661) 327-8833x Business Phone: (661) 327-0736x 24-Hour Phone (661) 399-6751x 24-Hour Phone (661) 589-7432x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVEN MCGLOTHIN Phone: (661) 327-8833x MailAddr: 1420 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner STEVEN MCGLOTHIN Phone: (661) 399-6751x Address 3118 WORTHINGTON AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D J U L 19 2007 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of lave that I hava personally examined anti am familiar with the information submi#ted and ~aelieve the information is true , accurate, and complete. 5~.~ ~.J 7-p ~ Signature Date -1- 07/13/2007 t F NO MUFF TOO TUFF ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000123 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 130.00 FT3 Hi OXYGEN F IH DH G 250.00 FT3 Low CARBON DIOXIDE F P IH G 407.00 FT3 Min -2- 07/13/2007 -3- 07/13/2007 F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 74-86-2 ~GaSATE TYPE T PRESSURE ~~ TEMPERATURE ~-~ CONTAINER TYPE ~ TPure I Above Ambient I Ambient i PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 390.00 FT3 130.00 FT3 70.00 FT3 • HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Acetylene Yes 74862 t1HGtitCL 1'j. 7~JL..7~71~1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION .Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 175.00 FT3 --- HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HA ZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/13/2007 F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 124-38-9 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 407.00 FT3 407.00 FT3 200.00 FT3 nsias~tcLVUa ~.vi~irvlv~tvla %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 I1liGtl.RL tiJ w7P~.7~1"1L~1V1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 07/13/2007 ~. i. ~ F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/28/2000 ~ 911. Employee Notif./Evacuation 06/28/2000 COMMON SENSE/VERBAL. Public Notif./Evacuation 06/28/2000 VERBAL. Emergency Medical Plan 06/28/2000 NEAREST HOSPITAL. -6- 07/13/2007 _ r F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/21/1992 ~ BOTTLES ARE CHAINED AND VALVES ARE ALL RIGHT. Release Containment SHUT-OFF VALVES. 03/27/2006 Clean Up 02/21/1992 AIR OUT BLDG. V1.11C1 LCCCV UI C:C tiC: l..1Vdl. 1.V11 -7- 07/13/2007 r F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 07/13/2006 A) GAS - SW CRNR OF BLDG OUTSIDE B) ELECTRICAL - SE INSIDE C) WATER - PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CRNR 30TH & CHESTER. 07/13/2006 Building Occupancy Level 1 EMPLOYEE 03/01/2006 -8- 07/13/2007 Ci" F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/13/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: READ MSDS SHEETS. rayc c Held for Future Use nciu ivt ru~.uic vac -9- 07/13/2007 UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services ._ ~ a._. E a s F , ° 900 Truxtun Ave., Suite 210 _ ~_ ~_.~_ ____ ___ _ T_____ ~- -__ __._ __~___ __w FIRE Bakersfield,. CA 93301 SECTION 1: Business Plan and Inventory Program it "Rr"' ' Tei.: (661) 326-3979 ~i ~ Fax: (661) 872-2171 FACILITY NAME a F~ ®c~ ?'~ ~~ INSPECTION DATE .~- ~ ~ INSPECTIO TIME 1 ~o ADDRESS l ~t~ 2 D ~ DG,D~'~ .S T Tom' ~~~' PHONE NO. ~~ 7-5~.~ NO OF E PLOYEES ~ FACILITY CONTACT ~~ ~~ ~LO f~ A/ BUSINESS ID NUMBER 15-021- ®00 l2 3 Sec#ion 1; Business Plan and Inventory Program LT ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS -/ lS ^ APPROPRIATE PERMIT ON HAND C~ ^ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE ~ ^ VISIBLE ADDRESS JJ L~ ^ CORRECT OCCUPANCY I~C ^ VERIFICATION OF INVENTORY MATERIALS r L ~l ^ VERIFICATION OF QUANTITIES , _ ,/ L ~l ^ VERIFICATION OF LOCATION ~ ,/ ^ PROPER SEGREGATION OF MATERIAL L el ~ /' L 'I ^ VERIFICATION OF MSDS AVAILABILITY , ~ / L ~S ^ VERIFICATION OF HAZ MAT TRAINING // , ~ L~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L7 ^ EMERGENCY PROCEDURES ADEQUATE EIVT~ 1' ~ ('f ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING Q~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ^ NO rcer-Dula QUES~ONS~~ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 (Please Print) Fire Prevention / 1" In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Bu ' ss Site I Resp nsible y (Please Print) Pink -Business Copy FD 2155 (Rev. 09/05 t ,. -, NO MUFF TOO TUFF Manager STEVEN MCGLOTHIN Location: 1420 GOLDEN STATE AVE City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-000123 BusPhone: (661) 327-8833 Map 103 CommHaz High Grid: 19C FacUnits: 1 AOV: SIC Code:7533 DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVEN MCGLOTHIN / OWNER BRUCE NUZUM / LANDLORD Business Phone: (661) 327-8833x Business Phone: (661) 327-0736x 24-Hour Phone (661) 399-6751x 24-Hour Phone (661) 589-7432x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVEN MCGLOTHIN Phone: (661) 327-8833x MailAddr: 1420 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner STEVEN MCGLOTHIN Phone: (661) 399-6751x Address 3118 WORTHINGTON AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of these individuals responsible far obtai i n ng the information, I certify under penalty of law that I have person exami ll a y ned and am familiar with the information submitted and believe the information is t ac '('~ r E ® ~~~ V r G u ~ ~ ~7 ~oQ/ rue, curate, and complete. ~ ~-!c ~j ,~~fj~ ,~~ ~._.~ ~7 t Si / gna ure Date -1- 02/05/2007 t1 1 P NO MUFF TOO TUFF SiteID: 015-021-000123 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA -Hazards Frm DailyMax Unit MCP ACETYLENE E F P TH G 130.00 FT3 Hi OXYGEN F IH DH G 250.00 FT3 Low CARBON DIOXIDE F P IH G 407.00 FT3 Min -2- 02/05/2007 _3_ 02/05/2007 F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE ~ Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 74-86-2 STATE T TYPE PRESSURE ~ TEMPERATURE ~ CONTAINER TYPE ~ Gas I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 390.00 FT3 130.00 FT3 70.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 riHGHtCL 1~J 5~~J1~1.C~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facilit Unit Ma G id y p: r : MIDDLE OF SHOP CAS# 7782-44-7 STATE T TYPE Gas I Pure T PRESSURE ~ I Above Ambient I TEMPERATURE ~ Ambient ~ CONTAINER TYPE I PnRT _ PRESS _ ('YT~TN'I~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 I 175.00 FT3 HAZARDOUS COMPONENTS %Wt. 100.00 Oxvaen, Combressed RSI CAS# No 7782447 HAZARD AS SESSNi~ivi~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/05/2007 F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 124-38-9 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 407.00 FT3 407.00 FT3 200.00 FT3 nr~atircLUU~ ~ul~irvlvl;tVt~ %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 riEiGl-1tCL H.7.7 L' .7 ~71~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 02/05/2007 1` ~ F NO MUFF TOO TUFF SitelD: 015-021-000123 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/28/2000 ~ 911. Employee Notif./Evacuation 06/28/2000 COMMON SENSE/VERBAL. Public Notif./Evacuation VERBAL. 06/28/2000 Emergency Medical Plan 06/28/2000 NEAREST HOSPITAL. -6- 02/05/2007 F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/21/1992 ~ BOTTLES ARE CHAINED AND VALVES ARE ALL RIGHT. Release Containment 03/27/2006 SHUT-OFF VALVES. Clean Up AIR OUT BLDG. 02/21/1992 V1.11C1 1CC.7VUll.:C HlrL1VCLL1V11 -7- 02/05/2007 F NO MUFF TOO TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oNci.ia.L nac.atu~ Utility Shut-Offs 07/13/2006 A) GAS - SW CRNR OF BLDG OUTSIDE B) ELECTRICAL - SE INSIDE C) WATER - PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 07/13/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CRNR 30TH & CHESTER. Building Occupancy Level 03/01/2006 1 EMPLOYEE -$- 02/05/2007 i• ~~ F NO MUFF TO0 TUFF SiteID: 015-021-000123 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/13/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: READ MSDS SHEETS. rayc ~ iaciu tvi. rut..uic v.~c Held for Future Use -9- 02/05/2007 ti ~ ~~~~ ;~ , :~ ~ ,.t + NO MUFF TOO TUFF ____________________________________ SiteID: 015-021-000123 + Manager STEVEN MCGLOTHIN BusPhone: (661) 327-8833 Location: 1420 GOLDEN STATE AVE Map 103 CommHaz High City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:7533 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVEN MCGLOTHIN / OWNER BRUCE NUZUM / LANDLORD Business Phone: (661) 327-8833x Business Phone: (661) 327-0736x 24-Hour Phone (661) 399-6751x 24-Hour Phone (661) 589-7432x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVEN MCGLOTHIN Phone: (661) 327-8833x MailAddr: 1420 GOLDEN STATE AVE. State: CA City BAKERSFIELD Zip 93301 Owner STEVEN MCGLOTHIN Phone: (661) 399-6751x Address 3118 WORTHINGTON AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ______________________________~~~~___________ E __________________ Emergency Directives: PROG A - HAZMAT ! ~~ NTH ~~~ 2 7 2 006 NEW OWNER AS OF 07/01/06. Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~ ~~ ignature Date ~~~ Es~~q ~~^~~ s -1- 07/13/2006 NO MUFF TOO TUFF SiteID: 015-021-000123 Manager : LARRY HERMAN Location: 1420 GOLDEN STATE AVE City : BAKERSFIELD BusPhone: (661) 327-8833 Map : 103 CommHaz : Moderate Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 EPA Numb: SIC Code:7533 DunnBrad: Emergency Contact / Title LARRY HERMAN / OWNER Business Phone: (661) 327-8833x 24-Hour Phone : (661) 588-8742x Pager Phone : ( ) - x Emergency Contact / Title BRUCE NUZUM / LANDLORD Business Phone: (661) 327-0736x 24-Hour Phone : (661) 589-7432x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 1420 GOLDEN STATE AVE City : BAKERSFIELD Phone: (661) 327-8833x State: CA Zip : 93301 Owner LARRY HERMAN Address : 12900 APPALOOSA AVE City : BAKERSFIELD Phone: (66'1) 588-8742x State: CA Zip : 93312 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: reviewed the attached, i;]azardou$ materials manage- men, plan for/{/.?..//~._~/~nd that ,, along with any corrections constitute a complete and correct man- agement plan for my facility. -1- 09/15/2003/ / / ~~ ;. + NO MUFF TO0 TUFF ____________________________________ SiteID: 015-021-000123 + Manager LARRY HERMAN BusPhone: (661) 327-8833 Location: 1420 GOLDEN STATE AVE Map 103 CommHaz High City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:7533 EPA Numb: DunnBrad: +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title LARRY HERMAN / OWNER BRUCE NUZUM / LANDLORD Business Phone: (661) 327-8833x Business Phone: (661) 327-0736x 24-Hour Phone (661) 588-8742x 24-Hour Phone (661) 589-7432x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 327-8833x MailAddr: 1420 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner LARRY HERMAN Phone: (661) 588-8742x Address 12900 APPALOOSA AVE State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ENT'D MAC 2 7 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law 4hat I have personally examined and am famlllar with the information submitted and believe the information is 4rue, accur t and co plete. i nature Date t______________________________________________________________________________+ -1- 03/03/2006 NO'MUFF TOO TUFF Manager. : LARRY HERMAN Location: 1420 GOLDEN STATE City : BAKERSFIELD SiteID: 215-000-000123 BusPhone: 327-8833 Map : 103 Com~az : Moderate Grid: 19C FacUnits: 1 AOV: CommCode:.BAKERSFIELD STATION 04 EPA Numb: SIC Code:7533 DunnBrad: Emergency Contact / Title '~LARRY HERMAN ~O~ER Business Phone: ) 327-8833x 24-Hour Phone : /Y~5~3J 588-8742x Pager Phone : ( ) - x Emergency C'ontact / Title~ BRUCE NUZUM / Business Phone:~5~ 327-0736x 24-Hour Phone : Q~8~) 589-7432x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth MailAddr: 1420 GOLDEN STATE City : BAKERSFIELD Owner LARRY HERMAN Address :--i~P~~E />q6~ ~Y~,~.-- ~. City : BAKERSFIELD Phone: ~ 327-8833x State: CA Zip : 93301. ..,.-_ Phone: ~5,.~27 ~°~22;~ Period : Preparer: Certif'd: to Emergency Directives: State: CA " -'~'~otalASTs: = ~, '"':'" Gal /~ TotalUSTs: = .~al 'RSs: No ' = Hazmat Inventory --As Designated Order Hazmat Common Name... OXYGEN ACETYLENE CARBON DIOXIDE SpecHazI EPA HazardsI Frm F IH DH F P IH F P IH I, ~~ Do hereby certify that I have reviewed the attached hazardous materials ma~;age- ment plan for~iJ~ ~~ 7"~nd that it along with any corrections constitute a complete and correct man- G 250.00 FT3 G 130.00 FT3 G 407.00 FT3 agement plan for my facility. £ '-- %' Signalure - One Unified List All Materials at Site DailyMax Unit MCp Low Hi Min 06/01/2000 NO MUFF TOO TUFF SiteID: 215-000-000123 Inventory Item 0001 Facility Unit: Fixed Containers on Site ~UlV~VlU~ ~Vl~ / ~i ~ ~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 7782-44-7 FSTATE TYPE Gas I Pure PRESSURE , TEMPERATURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest ContainerFT3 AMOUNTS AT THIS LOCATION Daily Maximum 250.00 FT3 Daily Average 175.00 FT3 %Wt. 100.00 HAZARDOUS COMPONENTS Oxygen, Compressed RNo~ CAS#7782447 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA /// USDOT# MCP · Low Inventory Item 0002 Facility Unit: Fixed Containers on Site ~UIV~VLUN ~vl~ / ~ ~ ~Vl~ ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: · MIDDLE OF SHOP CAS# 74-86-2 FSTATE TYPE Gas Pure PRESSURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest ContainerFT3 AMOUNTS AT THIS LOCATION Daily Maximum 130.00 FT3 Daily Average 70.00 FT3 %Wt. 100.00 Acetylene HAZARDOUS COMPONENTS I RSI CAS# Yes 74862 TSecretI BioHaz · No N~S No HAZARD ASSESSMENTS IRadioactive/Amount I EPA Hazards No/ Curies F P IH NFPA/// I USDOT# 2 06/01/2000 NO MUFF TOO TUFF SiteID: 215-000-000123 Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ivUVlU~ ~Vl~ / ~£ ~Z-.%_l_, ~Vl~ CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE OF SHOP CAS# 124-38-9 rSTATE ~ TYPE Gas /Pure PRESSURE Ambient TEMPER3kTURE IAmbient CONTAINER TYPE PORT. PRESS. CYLINDER Largest ContainerFT3 AMOUNTS AT THIS LOCATION Daily Maximum 407.00 FT3 Daily Average 200.00 FT3 I%Wt. { 100.00 Carbon Dioxide HAZARDOUS COMPONENTS 124389 ITSecretRS{BioHaz No No { No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA/// I USDOT# MCP Min -3- 06/01/2000 F NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format = Notif./Evacuation/Medical --Agency Notification 9-1-1 Overall Site 02/21/1992 Employee Notif./Evacuation 02/21/1992 -- Public Notif./Evacuation VERBAL 02/21/1992 Emergency Medical Plan NEAREST HOSPITAL 02/21/1992 -4- 06/01/2000 F NO MUFF TOO TUFF Si~eID: 215-000-000123 Fast Format ~ Mitigation/Prevent/Abatemt -- Release Prevention Overall Site 02/21/1992 BOTTLES ARE CHAINED AND VALVES ARE ALL RIGHT. -- Release Containment 02/21/1992 SHUT OFF VALVES. Clean Up 02/21/1992 AIR OUT BLDG. Other Resource Activation -5- 06/01/2000 F NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - SOUTH WEST CORNER OF BLDG OUTSIDE B) ELECTRICAL - SOUTH EAST INSIDE C) WATER - IN PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO 02/21/1992 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS 02/21/1992 NEAREST FIRE HYDRANT - ON THE CORNER OF 30TH & CHESTER Building OccuPancy Level -6- 06/01/2000 :-NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format Training Employee Training HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRIANING PROGRAM: READ MSDS SHEETS Overall Site 02/21/1992 -- Page 2 --Held for Future Use Held for Future Use -7- 06/01/2000 NO MUFF TOO TUFF ~, ~ SiteID: 215-000-000123 Manager : L~4~y ~FR~ I~UL17199~o~ (805) 327-8833 Location: 1420 GOLDEN STATE ~V~ CommHaz : Moderate City BAKERSFIELD ~~ Grid~ 19C FacUnits: 1AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:7533 EPA Numb: DunnBrad: Emergency Contact LARRY HERMAN Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (805) 327-8833x (805) ( ) - x Emergency Contact / Title BRUCE NUZUM / Business Phone: (805) 327-0736x 24-Hour Phone : (805) 589-7432x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Agency-Defined Topic Title = Hazmat Inventory -- MCP+DailyMax Order Hazmat Common Name... ACETYLENE OXYGEN CARBON DIOXIDE One Unified List Ail Materials at Site ISpecHazlEPA HazardsI Frm F P IH G F IH DH G F P IH G DailyMax IUnitlMCP 130 FT3 Hi 250 FT3 Low 407 FT3 Min ~ ~o hereby certify that I have revie~ th® a~ch~ hazardous materials manage- f~r~~ that it along with ar~y c~rr~i~ ~:~ti~ ~ complete and correct man- 1 06/23/1997 NO MUFF TOO TUFF SiteID: 215-000-000123 Inventory Item 0002 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this Facility Unit MIDDLE OF SHOP CAS# 74-86-2 r STATE TYPE Gas Pure PRESSURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Lrgst Cont.this Loc FT3 DailyMax Stored FT3 AMOUNTS STORED AND IN USE DailyMax this Loc FT3 130.00 DailyMax Open Use FT3 DailyAvg this Loc FT3 70.00 DailyMax Closed Use FT3 %Wt. 100.00 Acetylene HAZARDOUS COMPONENTS IEHSCAS# No I 74862 -2- 06/23/1997 NO MUFF TOO TUFF SiteID: 215-000-000123 Inventory Item 0001 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit MIDDLE OF SHOP CAS# 7782-44-7 STATE I TYPE Gas Pure PRESSURE TEMPERATURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Lrgst Cont.this Loc FT3 AMOUNTS STORED AND IN USE DailyMax this Loc FT3 250.00 DailyAvg this Loc FT3 175.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. I 100.00 Oxygen, Compressed EHS CAS# No 7782447 -32 06/23/1997 NO MUFF TOO TUFF SiteID: 215-000-000123 Inventory Item 0003 Facility Unit: Fixed Containers on Site CARBON DIOXIDE Days On Site 365 Location within this Facility Unit MIDDLE OF SHOP CAS# 124-38-9 rSTATE I TYPE PRESSURE Gas Pure Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Lrgst Cont.this Loc FT3 AMOUNTS STORED AND IN USE DailyMax this Loc FT3 407.00 DailyAvg this Loc FT3 200.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS I %Wt. I EHS CAS# 100.001Carbon Dioxide No 124389 -4- 06/23/1997 F NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format Notif./Evacuation/Medical Agency Notification 9-1-1 Overall Site 02/21/1992 ~ Employee NONE. Notif./Evacuation 02/21/1992 -- Public Notif./Evacuation VERBAL 02/21/1992 Emergency Medical Plan NEAREST HOSPITAL 02/21/1992 -5- 06/23/1997 f NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format Mitigation/Prevent/Abatemt Release Prevention BOTTLES ARE CHAINED AND VALVES ARE ALL RIGHT. Overall Site 02/21/1992 -- Release Containment SHUT OFF VALVES. 02/21/1992 -- Clean Up AIR OUT BLDG. 02/21/1992 Other Resource Activation -6- 06/23/1997 f NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format Site Emergency Factors Special Hazards Overall Site -- Utility Shut-Offs A) GAS - SOUTH WEST CORNER OF BLDG OUTSIDE B) ELECTRICAL - SOUTH EAST INSIDE C) WATER - IN PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO 02/21/1992 -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS 02/21/1992 NEAREST FIRE HYDRANT - ON THE CORNER OF 30TH & CHESTER Building Occupancy Level -7- 06/23/1997 5 NO MUFF TOO TUFF SiteID: 215-000-000123 Fast Format Training -- Employee Training I HAVE NO EMPLOYEES JUST MYSELF. I HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRIANING PROGRAM: READ MSDS SHEETS Overall Site 02/21/1992 -- Page 2 -- Held for Future Use Held for Future Use -8- 06/23/1997 Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 f~B ~ 2 ~99~ HAZ- ~T. D~V. HAZARDOUS MATERIALS MANAGEMENT PLAN _N. STRUC.~ION': . ' o~e 1. To avoid further action, return this f ceipt 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA MAILING ADDRESS: 'CITY: STATE: elf/, ZIP: ,~_"~//7 PHONE: DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: OWNER' MAILING ADDRESS: SIC CODE: SECTION 2: EMERGENCY NOTIFICATION: CONTACT ! TITLE BUS. PHONE .~7-073 6 24 HR. PHONE ,f~9 _ 7q3.k Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN sECTION 3:. TRAINING: N~'UiM:E~:['R C~.:E:MPLOYEES: ~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM' SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 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: MATIONIS-Ac~¢URATE,--'~-- -- I UNDERSTANDTHATTHISINFORMATIONWILLBEUSEDTO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6,95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY, TITLE . DATE FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6:. NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: ¢// B. EMPLOYEE NOTIFICATION AND EVACUATION: PUBLIC EVACUATION' EMERGENCY MEDICAL PLAN: B~kersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: RELEASE CONTAINMENT AND/OR MINIMIZATION: CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES N~ IF YES, LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTION: WATER AVAILABILITY (FIRE HYDRANT)'. 4. CITY Farm and Agriculture [] Standard Business OF' BAKERSFIELD IIAZARI/)US NA~IRIAL$ INV~ll¥ NON - ~RADle. SECRE? PHONE ..#.: ~.~F~,,~' ' '~/~_ ~/.'~_~_~- ' : REFER TO II~TRUCTIONS FOR PROPER CODES ': Page NAME OF THIS'.F~CILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID ~ 1 2 3 ¢ 5 6 7 8 9 10 11 12 13 14 Trane Type - Max Average Annual Measure # Days Cent Cent Cent Use Location Where % by Names of Mixture/Components Code Co~e Amt Amc Amt Units on Site Type Press Temp Code Stored in Facility wt See Instruction~ Physical and Health Hazard C.A.S. Number U 7ED--qt~--~ Component # I Name '& C.A.S. Number Component # 2 Name & C.A.8. N~mber ~--~ Fire Hazard ~_n~ Sudden Release ~ Reactivity iate '~. Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard/ C.~.Ho Number 7~-- ~ & ' Z Component # i Name '& C.A.B. Number ~ Fire Hazard ~ Sudden Release ~"Reactivity ediate [] Delayed '" of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # 1 Nams& C.A.S. Number' (Check all that apply.)/ q Component # 2 Name & C.A.S. Number ~i Fire Hazard [] udden Release ~ Reaotivity ediate ~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # 1 Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.8. Number ~ Fire Hazard ~ Sudden Release ~ Reactivity ~ I~ediate ~-~ Delayed of Pressure Health Health Component # 3 Name & C.A.B. Number Name ' Tit~e 2-4 H~. Phon6 Name Title 24 Hr Phone Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I hayer personally examined and am familiar with the information submitted ~n this and all attached documents and that based on my inquir~ of those individuals responsible for obtaining the information. I believe that the submitted information ia true, accurate, and complete. NAME AND OFFfCiAL T OF OWNER/OPERATOR OR O~gER/OPERATOff S AUTItb~IZED REFRIg~'I~Ti~ ' ' SI~IATURE . ... DATE Ci¥ o~r':~Bakersfield TRANSMITTAL SLIP Date ......................................................... ,o ............................. ~.c..~A.:.<.. ....................................... ~o~ .......................................... .~.~..~..~_..~..~ ....................... For Your :~ [] Signature [] Action [] Information [] File Please:-- [] Return [] See Me [] Follow Up [] Prepare Answer Copy to: ................................................................................. .:._ ........................ · ~..~.. j~.~ ~'! ~" ~" '/ . // Memo ....... ~ ~'~ '" '~ :"' '