The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN ITE/FACILITY ONE) SITE DIAO~ DI ACi R.~u'vi FACILITY DIAOR~ to'¢ ' ._.] Business Name: Location: ~ ,'~ I Business Identification No. 215-000 Station No. ~ Shift Bakersfield Fire Dept/ HAZARDOUS MATERIALS DIVISIOI~ Date Completed ~ r"70 (Top of Business Plan) ~ Inspector ~ c..- '-~,/~£ t/ED 1991 ............ Comments: Number of Employees Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Adequate Inadequate Verification of MSDS Availablity Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Comments: Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram Special Hazards Associated with this Facility: Business Owner/Manager All Items O.K. Correction Needed FD 1652 (Rev. 1-90) W~ita-Haz Mat Div. Yellow-Station Copy Pink-Business Copy DESIGN , /_/~ GSE Engineering Specialties Inc. · DEVELOPMENT · MANUFACTURE 3951 S. "H" STREET UNIT B ' BAKERSFIELD, CALIF. 93304 (805) 833-8491 T CITY ( tyue or Drinz name ) Do hereb.T certify that I ha'ce reviewed the RECEIVED JAN 2 5 1989 Ans'd . attached Hazardous Materials for G£ ~- E'toO/W *Ue.-~./~ O* (name of business l business plan and 'that it along with the attached additions RECEIVEB FEB 0 l~ns'd ............ or: corrections constitute a com'olete and correct Business Plan for my facility. siSnant]r.e - date BUSINESS NAME G S E ENGINEERING SPECIALTIES INC ID NUMBER 215-000-000270 LOCATION 3951 S H ST HIGH HAZARD RATING 3 1 . OVEl~V I }Er~q LAST CHANGE 05/24/88 BY ESTER JURIS CODE 215-005 JURIS BAKERSFIELD STATION 05 MAP PAGE 124 GRID 1SA FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) FIRE EXTINGUISHERS AND WATER HOSES AVAILABLE. ONLY TWO EMPLOYEES AT PRESENT TIME. BUSINESS IS OVERHAUL AND REPAIR OF JET ENGINE START CARTS. EMERGENCY CONTACTS 2A SEC 2) ARLEN KURTIS - 833-8491 OR 399-0361 CAROL KURTIS - 833-8491 OR 399-0361 UTILITY SHUTOFFS 2A SEC 31 A) GAS - OUTSIDE HEATER (FRONT LEFT OF SHOP) CORNER C) WATER - FRONT STREET SIDE CORNER E) LOCK BOX - NO B) ELECTRICAL - INSIDE LEFT REAR D) SPECIAL - NONE e NOTIFICATION / PUBLIC EVACUAT I O.N . ., , ~ LAST CHANGE / /3//~" BY ~'~, ~//~j.~, 2~ < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/15/88 11:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME G S E ENGINEERING SPECIALTIES INC ID NUMBER 215-000-000270 LOCATION 3951 S H ST HIGH HAZARD RATING 3 e HAZ MAT TBAINING $UMMA12Y ~../~..~ LAST CHANGE / /3//~ BY ~ < NO INFORMATION RECORDED FOR THIS SECTION > EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 05/24/88 BY ESTER 2A SEC 5) WHITE LANE MEDICAL CENTER. PAGE 2 12/15/88 11:07 MATERIAL SAFE-TY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME G S E ENGINEERING SPECIALTIES INC ID NUMBER 215-000-000270 LOCATION 3951 S H ST HIGH HAZARD RATING 3 FACILITY UNIT 0I A . OVERALL HAZARDOUS MATERIALS I N~rENTORY LAST CHANGE 05/24/88 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE PURE OXYGEN INSIDE SW CORNER PORTABLE PRESS. CYL. ID PERCENT COMPONENTS 2359.00 100.0 OXYGEN, COMPRESSED 332 FT3 HIGH WELDING/SOLDERING HAZARD LISTS HIGH PURE ACETYLENE INSIDE SW CORNER ID PERCENT COMPONENTS 12'41.00 100.0 ACETYLENE PORTABLE PRESS. CYL.. 90 FT3 EXTREME WELDING/SOLDERING HAZARD LISTS EXTREME WASTE WASTE OIL OUTSIDE DRUMS OR BARRELS MET.. WASTE ID PERCENT COMPONENTS 1592.00 100.0 CHLOROPENTAFLUOROETHANE 55 GAL LOW HAZARD LISTS LOW PURE CARBON DIOXIDE SW CORNER PORTABLE PRESS. CYL. ID PERCENT COMPONENTS 1251.00 100.0 CARBON DIOXIDE 300 FT3 LOW WELDING/SOLDERING HAZARD LISTS LOW PURE SOLVENT (MINERAL SPIRITS) OUTSIDE E OF BLDG BIN[S] ID PERCENT COMPONENTS 1203.00 100.0 NAPHTHA 55 GAL EXTREME CLEANING HAZARD LISTS EXTREME PAGE 3 12/15/88 11:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME G S E ENGINEERING SPECIALTIES INC ID NUMBER 215-000-000270 LOCATION 3951 S H ST HIGH HAZARD RATING 3 PROTECTION / WATER SUPPLIES LAST CHANGE 05/24/88 BY 'ESTER 3A SEC 4) HOSES & FIRE EXTINGUISHERS FOR FIRE PROTECTION. 3A SEC 5) FIRE HYDRANT AT SIDEWALK ON H ST. D e EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 05/24/88 BY ESTER 3A SEC 2) VERBAL & CALL 911 PAGE 4 12/15/88 11:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME G S E ENGINEERING SPECIALTIES INC ID NUMBER 215-000-000270 LOCATION 3951S H ST HIGH HAZARD RATING 3 PREVENT ION / ABATEMENT LAST CHANGE 05/24/88 BY ESTER 3A SEC 1) CLEAN UP BY WIPING WITH ~ TOWELS OR RAGS. COMPRESSED GAS CYLINDERS PROPERLY CHAINED, USE PROPER VALVES & FITTINGS. PAGE 5 12/15/88 11:07 MATERIAL SAFETY DATA SYSTEMS, IN~. (805) 648-6800 CITY'of BAKERSFIELD HAZARDOUS MATERI ALS I NVENT.ORY' · ) NON--'ITRADE SECRETS , BUSI.ESS NAMr-: C.~- ~-'/[J6~ ~pC~C /A)C, OWNER NAIl[: /~C~"l~J ~.U~T,Y ' NAME OF T~ fACILITY: tOo to~ BRADSTREET MBKR CITY, ZIP: ~g-~6-~.~'l::l~-(.~) (~t~, ~0~ CITY, ZIP: · ~~/~) ~ ~~ DUN AND ~ ~ { 4 S S T I t I0 II l~ 13 14 Irans T~ ~x A~IgI ~1 Msu~ I ~' Cmt ~t ~t ~ L~ttm ~ %~ ~ of C~e C~e Mt Mt Est Units m Slt~ T~ ~m T~ . ~ .. St~ In FKtIt~y~ ~ I~t~ti~ --- _ .-- ire Hazard u--J ~tivtty [ ] ~{e~ ~ ~1~ =--J I~tltl ' (C~k all t~t a~iy) r~ ~lth of Pm~ ~lth ....... .~t I] ~ & C.A.S. (C~k all t~t e~l~) ~ -- ~ - r--, ~t B2 N,&C.A.S. ~ ,fi,th of P.su. ,Nlrb ....... ~_~ , / ..... ~t 83 ~ & C.A.S. ~ _~_L__Z~._L,~2__.L__~_~__J.'~r~ ~I~J_~I~A ~ c~ 1~. j~~ (C~k all t~t ~ly) . _ _ ....... . _~_¢.c~ ....... .~_r~z ..... ~ .......... ,,...~&~c ~ ...... CffillCTS B~R~ ~ P - ' ............. ,me ..... D certify under penalty of lp t~t I ~ve ~rsmmlly exmming ~d am f~iliar with t~ informti~ suhitt~ tn this ~ ~11 mtt~ ~ts, ~ t~t ~s~ m W i~tw of t~m i~tvt~ls ~Mble for obt,%inin~ t~ '{flf~ti~. I ~tieve tMt t~ su~itt~ info~ti~ is t~, ~ccurate, ind c~pJete. ~ ~ . . / ~ ~ _ an l' G 5' rator ~ r r ' 'lV S' ha;ur ........ CITY of BAKERSFIELD Farm ,nd AOricuiture ~ Standard Business ~..~j~Z A~,~iO ~.,~s [v~j~,~'~, 1~_ R-r ~~ ~ ~V~~.O~ NON-- T RAD E S E C R E TS ' OWNER NAME: NANE OF T~ FACILITY: ~OE^T~ON: ....... ' ................ ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP: CITY, ZIP: DUN AND BRADSTREET NUMBER PHONE W: PHONE #: --- --__ - ~ YO ZI~S2'RUC2'ZOI~ I~OR PROP~J~ COD~ C~e C~e Mt Mt Est Units m Sit~ , I~ ~ Ic~k 411 t~t a~ly) [~ -- r--~ r--~ r--~ ~t ~lth of P~m ~lth ..... L-I ............ 1 .............. 1 1 ..... 1 .... ,1 .... 1,__~2~ .... '_.. ' " P~icll ~ ~)th H~zi~ C.A.S. i (C~k ell t~t 4~iy) [-~ .r--~ r--~ ~--~ r--~ Wt ~lth of ~ Mlth __L_I I I LLI L ! ~ ! I l~ · : ............ (C~k ~ll t~t ~iy) fl~lth of P~su~ NNlth ..... _ ...................... (6~k all t~t H~lth o~ Prflsuee Health ~t ~MERGENCY C~TACTS I1 ~ll Certificatie~ (Read and sign after coipJetJng all sections] I certifjf under I~lty of 1~ that I have oersonallyexamined and la f~ilimr vtth t~ tnfor~tim su~itt~ tn this ~ ell mtt~ ~tl. ~ t~t ~s~ ~ ~ i~i~ of t~e t~tvt~ls ~sible for obt~'ninq t~ inf~ti~. I ~lieve t~t t~ su~itt~ info~ti~ is t~. accurate, and c~plete.~ /~ c /~ ~ ~a"6rrlci$~ tltm['St ~i~$i[F'OR'~-76~'$ES' [-$GI~Fii~"iE;~tS~iGi 51~R)tGFi .............................................. ~ti'Si)R~ ........ ~ ................... BAKERSFIELD CITY FIRE· DEPARTMENT 2130 "O" STREET · ~ }u~'~ ............ G_CZ BUSINESS NAME 0FFIC[AL USE ONLY ID# HAZARDOUS lVlATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by q-~-~. 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: B. LOCATION / STREET ADDRESS: CITY: g/~-£[~'~-c¢ ZIP: £~, SECTION 2: EMEROENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7850 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 A. .,g ,e ,._ ~-,O /----)~',~z',.~' B'. ~/~. rco ~. .14~ ~ ~ UURING BUS..RS. Ph# d/> ~.~ f'~Zq/ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A W~IOLE A. NAT. GAS/PROPANE: C. WATER: ~o D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO YES / NO MSDSS? YES / NO KEYS9 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 EMPLOYER~ 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:...· .................................... YES N~ B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES ~ C. PROPER USE OF SAFETY EQUIPMENT: .................. YES D. EMERGENCY EVACUATION PROCEDURES: ................. YES E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.. ..... YES ~ YES ~) YES ~ YES ~_~ · YES YES (~ SECTION 7: HAZARDOUS MATERIAL ~IR~LE_YES_OR_NO_ HAZARDOUS DOES YOUR BUSINESS HANDLE QUANTITIES LEss-THAN 500-POUND~F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A-COMPRESSED GAS:..:.,...-Wt&~)NO-~-'" I, ~l~d6-,~ ~, /~--~C,'/2~7'-iT , 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. DATE ~-/<:~"aP' 7 BAKERSFIELD CITY FiRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY BUSI NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: ~-c~-~o 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# ~ · FACILITY UNIT NAME: '~lJOt~o'"-- SECTION 1: MITIGATION~ PREVENTION, ABATEMEN~r PROCEDUREs SECTION 2: NOTIFICATION BA~ EVACUATION PROCEDb~ES AT THIS b~iT ONLY SECTION 3: HAZARDOUS ~UITERIAI, S FOR THIS UNIT ONLY A. Does th.is Facility Unit contain Hazaudous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. Are any of the hazardous materials a bona fide Trade Secret YES B. If No, complete a separate hazardous materials inventory form marked: NON~-TRADE SECRETS oNLY (white form #4A-l) 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 UTILITY SHUT~OFFS AT THIS UNIT ONLY. A. NAT. 6AS,/PROPAN~5 B. ELECTRICAL: D. SPECIAL: E. LOCK BOX: YES ./~ IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS? YES / NO YES / NO MSDSs? YES / NO KEYS2 YES / NO - 3B - , FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS I~IATE R I ALS INVENTORY .~~/~ FACILITY UNIT FACILITY UNIT NAME: BUSINESS NAME: ~-~ ~fA,)d~ S~c~ /~ OWNER NAME: ADDRESS: ~f/ ~, /~. ~, ~(~ ~ ADDRESS: PHONE #: ~'~'"- ~:~ - Y~J:~'~f PHONE #: [OFFICIAL USE CFIRS CODE [ ONLY ! 2 3 4 5 6 7 i 8 9 l0 TYPE ~]AX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T CODE A,OUNT AbIOUNT UNIT CODE CODE FACILITY UNIT ~ "T. CHEMICAL OR CO,"ON NA"E CODE 6UIDE NAbiE . TITLE: ~_d'~,~ S IONATURE: ('~,'~.-f'..~~. ~ DATE: E~IERGENCY CONTACT: . t PHONE # BUS HOURS: ~),~.~-oo~'~ .~,~~' . TITLE: AFTER BUS HRS: EMEROENCY CONTACT: .~-~-7'-?~'"----' TITLE: .. PHONE # BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: ~~ ~"~--~ ~t~c~ ~-t~-~T C~,4-f2-~c AFTER BUS HRS: - 4A-1 - ITE/FACILITY FORM 5 D i?AG NORTH SCALE:/ '"=/a / BUSINESS NAME: CJ"~"- ~'--/~/J-- ~"~P~"C ./~LOOR: / OF / (CHEC~ ONE) SITE DIAGRAM FACILITY DIAGRAM ~ ( Inspector's Comments): -OFFICIAL USE ONLY- - SA - SITE DIAGRAM (Requir~items) 1. Address: Identify the principle buildings by the Street numbers. 2. Street(s], Alleys, Driveways. andParklng Areas adjacent to the property. IncIude the street names. 3. Storm Drains, Culverts. Yard Drains 4. Drainage Canals, Ditches, Creeks, 5. Buildings a, Frame construction b, Masonry construction c. Metal construction d, Access. Door .._6. Utility Controls a, Gas b. Electricity c. Water 7. Fire Suppression Systems: a. Fire Hydrants b. Fire Sprinkler Connections c. Fire Standpipe Connections d. Water Control Valves for protection systems e. Fire P~p 8, Fire Department Access 9. Lock (key) Box 10. MSDS Storage Box 11. Railroad Tracks 12. Fence or Barrier a, Wire b. Masonry c. Wood d. Gates 13, Powerltnes 14. Guard Station 15. Storage Tanks: Identify the capacity in gal. a. Above ground b. Underground 16. Diking or Berm 17. graduation Route 18. Evacuation Area: Identify the location where employees will meet. 19. Outside Hazardous Waste Storage 20. Outside Hazardous Material Storage 21. Outside Hazardous Material Use/Handling 22. Type of Hazardous Material/Waste Stored or Used (See Below) Attic Access Skylights TYPE OF HAZARDOUS ~ATERIAL F = Flammable g - ~xploslve L = Liquid · .... ~.~-_Corroslve . . 0 = Oxidizer _ O = Oas W = Water Reactive T = Toxic S = Solid V = Waste B - Etiological Example: Flammable Liquid= FL FACILITY DIAGRAM (Required Items In addition to the. abo~e) 1. Risers for Sprinklers 8. 2, Partitions 9. $, Stairways: Indicate the 10. levels served from highest to lowest. 11. 4. Escalator: Indicate the levels served from 12. highest to lowest. S. Elevator 13.' 6. 7. 14. R = Radlologlcal Poison H = Cryogenic Fire Escapes Air Conditioning Units Windows Inside Hazardous Waste Storage Inside Hazardous Materials Storage Inside Hazardous Materials ~e/Handllng Sewer Drain Inlets