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Home My WebLink AboutBUSINESS PLAN April 17~ 1990 TO: FROM: SUBJECT: Nina Mayer~ Accounts Receivable Ralph E. Huey~ Hazardous Materials Coordinator Drilex Systems Inc, Nin~ account # HM 421601 will be moving to 3101 Steam Court~ Bakersfield~ Cm. 93308 in the county sometime in Junei Please close this account Thanks A-Z/GRANT INTEt~IONAL CO. 1021 ESPEE STREET. BAKERSFIELD, CALIFORNIA 93301 PHONE: (805) 325-0507 April 11, 1990 Bakersfield City Fire Department 2130 "G" Street Bakersfield, CA 93301 RECEIVED APR I .~ }990 N~Zo MAT. DIV. RE: Hazardous Materials Business Plan as a whole Form 2A To Whom It May Concern: Please be advised that we will be relocating our business to a new facility in the county. The physical location is 3100 Steam Court. The mailing address is: 3101 Steam Court Bakersfield, CA 93308 We request your assistance to ensure compliance with all regulations concerning hazardous materials at our new location. I assume we will need to re-submit a business plan prior to moving. As such, I would appreciate it if you could mail the new forms and instructions to: A-Z/Grant International 1021 Espee Street Bakersfield, CA 93301 If you' wish to contact us by phone, our number is 325-0507. Currently our Hazardous Materials Business Plan is under the name of Drilex Systems, Inc. Due to the restructuring of our company, our name has been changed to A-Z/Grant International Company (which is a division of MASX Energy Services Group). This name will reflect on all future forms and applications. I am enclosing a copy of our current Hazardous Materials Business Plan for your reference. A-Z/GRANT INTERNATIONAL CO. IS A DIVISION OF MASX ENERGY SERVICES GROUP, INC, A SUBSIDIARY OF MASCO INDUSTRIES INC. Thank you for your assistance. Sincerely, Jim~h~n Distr~ ~nager JJ/lmb cc: Hazardous Materials Bureau 5642 yictor Street ~ Bakersfield, CA 93308 Enclosure: Old Hazardous Materials Business Plan (805~ 32~-39'79 Ir> P- %, ; ;z :,,I T RECEIVED J U L 2 ~ 1989 HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 1.. To avoid further action, rm~urn this from uithin 30~ ~ays of recei~. ~. Ansuer the questions belou far ~he businesn as a uncle. _ ~. Be as brief and concise as possibl~. '-' B. LOCATION / STREET ADDRESS: [0..,2/ ,~, f::;>6~:~ ¢'[". SECTTON 2: EMERGENCY NOTIFICATIONS In case of an emergency involving ~he release or threatened relemse of a hazardous material, call g~1 and 1-800-852-?SE0 or l-BIG-¢Z?-¢~4t. Th~ uill no~fy your local fire department and the State Offlc~ of Emer~mncy ServZ:e~ as required by law. EMPLOYEES TO NOTIFY IN CASE OF EME~GENOY: NAME 6NO TITLE QURING BUS. HRS. AFTER BUS. HRS. SECTION ~: LOCATION OF tJT~k;TY SHUT-OFFS FOR BUSINESS nS ~ WHOLE 0. SPECIflL: E. LOCK 80;4: YES /~ ~F YES, LOCATION: · ~F YES, OOES ~T CONTfllN 'SITE PLANS? YES / NO MSBSS? YES FLOOR PL,~NS? YEE :' NO KEYS? 'FEZ ~Pm'roN i: PRtUATE REEPONSE TEAM FOR BUSJ, NE== .4£ ~ ' ~'"'~ '= SECTION S: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSiNE:~S ~S & WHOLE SECTION G: EMPLOYEE TRAININ6 EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL ANO REFRESHER TRAINING IN THE SAFE HANDLING OF HAZAROOUS A. NUMBER OF EMPLOYEES AT THIS FACILITY" 8. DO YOU HAVE MSDS (MATERIEL S~FETY OhTA SHEETS) FOR EACH HAZARDOUS MATERIAL YOU HANOLE? Y~ c. GZVE A aRIES SUMMARY OF YOUR HAZ^ROOUS MATER! LS mAiNINe PROGRAM, SECTION"?= E~E~PT~ON REQUEST I CERTIFY UNOER PENALTY OF PERJURY THAT MY BUSINESS .rS E×EMPT FROM THE REPORTING REOUIREMENTS OF CHAPTER G.S~ OF THE CALIFORNIA HEALTH .~NO SAFETY COOE FOR THE FOLLOWING REASONS: WE O0 NOT HANDLE HEZAROOUS MATERIALS. WE O0 H~NOLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 8: CERTIFICATION , accurate.. I understand that thi-a information will be u~ed to fulfill m',/ obligations under the ne~ Ca!i¢ornia H~aith and'Sa¢~tl/ code o~ Hazardou~ Mat~¢ial~ (Oiv. 20 Chapter 6"gS Sec. 2ES,~e Et R!. ) and that in~ccurate~, .inf°r~~nstitutes, , per~iur~)'., ",. ~~ 2130 'G' BAKERSFIELD. CA. 93301 (805) 326-3979 FIRE DEPARTMENT STREET OFFICIAL USE ONLY BUSINESS NAME ID# HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 3A ~NSTRUCTTON$ 1. To avoid rur~,her ac~,ion, =his Corm mus~,,be rer, urned by: .:. ......... 2. ~PE/PR.[NT YOUR ANSWERS IN ENGLISH. 3. Answer =~e ~ues=ions be3ow rot ~E FAC[L~ UNiT. LISTED BELOW &. Be as BRIEF and CONCISE as possible FAC:L[TY UNZT I ) FAC:L[~ UNiT NAME: S~CT~ON 1' MITiGATiON, PR~V~NT~0N, A~AT~HENT ~OCEDURE5 SECTION 3: HAZAROOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain hazardous Materials'? ...... (~ NO If Yes, see If NO, continue with SECTION 4 materials a bona fide Trade Secret? YES Are any of the hazardous If NO, complete a separate Hazardous materials inventory form marked: NON-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 ~Y EMERGENCY R~SPONDERS (Fire Hydrant) SECTION A. ~OCATION OF UTII,~TY SHUT-OFF~.AT TH[~ UNIT' ONLY. NATURAL GAS/PROPANE: ~, ~oJ~ '~t'~ ~ g' Co'X- ~'-~e.'V,.oe-_e~- D PT--fee SPECIAL: LOCK BOX: YES /~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? KEYS? YES / NO YES / NO - 3B - of BAKERSFI ELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture [1 Standard Business Iq NON--TRADE SECRETS Page CITY BUSINESS NAME: ~P..~u67~ ~--~-~ ~.t~ OWNER NAME: ~P..IL~.% :~)C. ' NAME OF THIS FACILITY: C~.L TI~ipN' t~i ~p~ ~ ~ · ADDRESS; ~,~. ~ ~/dg p~. 't~ STANDARD IND CLASS COUp: : -~F/~D~ ~ CITY. ZIP:~~, ~ - ' II.UN AND BRAD~TREET NUMBER PHONE ~: /~) ~-~ PHONE ~: ~,5~ :~o:~'~'~ - - REFER TO ~N~' ~ ~uu ~ ~ uN~ ~ ~MUPbR CODES - - I 2 3 4 5 ' ': 6 I 8 9 10 I1 12 ~/~y Names of Mixture/Components Trans !y~e Nax Avfrpge Annual Ngasure I @y~ Cent Cent Cent Us Location.¥heEe. Code cope AmC Amc Est units on ~lce Type Press Temp ColeStored In PaCl/ItyWE See Instructions I I I¢ o I I" I = ical Apd Health Hazard C.A.S. Number Component I1 Name t C.A,S. Number eck al/ that apply) Component t~ Name i C.A.S. Number B Fire Hazard ~ Reactivity ~layed B Sudden Release ~ Health of Pressure Component 13 Name I C.A.S. Number Physical Iod ~ellth ~azard C,~.S. Number Component I1 Na~o I C.k.S. Nueber (Check al] that App/H Component I~ Name I C.A.S. Number ~Fire Hazard B Reactivity ~ Delayed ~ Sudden Release ~ Health of Pressure Component 13 Name I C.A,S, Number Phvsica] and aeal~h Ba;ard C.A,S. Number Componen~ ~1 Name ~ C.A,S. Number (Check all that apply/ ~ire ,azard 0 Reactivity 0 Delayed ~Sudden Release ~m,~di~&ecOmp°nent 12 Name t C.A.S. Number Health of PressureHealc~ Component 13 Name ~ C.A]~.Nu~er C.A.s.~NUmber ~ire Hazard 0 Reactivity ~ Delayed Health Component I~" Name t C.A.S. Number EHERGENCY CONTACTS ~1 fl2.",..'. Hame ~tcle z4 Hr Phone Name Ti[lo g4 Hr Phone ertifi atio ' Re and i naf r corn I ti g al1 sections) f~cer[tly unter pena'~¥ 0~ th,t [~,v~ pe[son;~g, examlnql°aq~,m flamillaC.~it~ the )nformat,on ,u~mitt~d in this.and all at~acned.documenta, an~ t~at eased on.my ~nqulry 9t.tnose inDiviDuals responsible for obtaining the lnrormauon. ! believe that the SUDmltte~ Information lS true, accurate, and complete. aeme eno oficiai [1tie of o~neriopera~or uH o~ner!operator's authorized representative ~lgnature T.D. # BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A- 1 NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ~-~'~/~_~.~".~5/_.f'7~%2~ OWNER N'AME: ADDRESS: /o~f ~F~ ~ ADDRESS: ~ ~~ ~ FACILITY CITY, ZIP~i~~ ~??O / CITY,ZIP: PHONE ~: ~C~ ~ ~7 PHONE ~: ~0~ ~7/ W~(F [OFFICIALONLY USE CFIRS CODE Page / or _~_._ FACILITY UNIT UNIT NAME: - 4A-1 - ~L~5- 0.5-0 __~ '~_ ZPg ,"t AFTER BUS HRS: EM.ERGENCY CONTACT: y /~,~/l"t'. TITLE: v"~-/~-7'c~ .:;"']~'/~ PHONE # BUS HOURS: PRFNCIPAL BUSINESS ACTIVITY: c;~/~- g-~C.d_ .~';F.~/'c_C_. AFTER BUS HRS: NAME: TITLE: 7~/~ ,~?.~_ SIGNATURE: '~----'7-~ DATE:~/~.~ .... ESi&RGENCY CONTACT: ~/~E ~~&~ TITLE: ~ ~R r ~NE ~ BUS HOURS: .... ~7~ i 2 3 4 . 5' 6 7 8 9 1 0 'IYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD I).O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY'UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE _,-- ~o. ~.,~ ee.///////;/f~ ;f CITY FIRE DEPARTMENT 2130 "O" STREET BAKERSFIELD, CA 93302 (805) 326-3979 3USINESS NAME OFFICIAL USE ONLY HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCT I 0NS: 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 B. LOCATION / STREET ADDRESS: CITY: ~. ~1/'/~7-/~) ZIP: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving 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 fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME,~, N~ T_LT.LE DURING BUS. HRS. 2.r7 Ph# AFTER BUS. HRS. ,Ph# /6/7 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Socr~[ ~D ~V [I ~ B. ELECTRICAL: ~'~O~n~ g~%z ~_og~e'~ ~ Ri,,~g,~ A C. WATER: 60' ~ ~T ~F ~/~ ~6~'~ ~o~ ~5~ ~' ~ D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: IF y~S, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTIONS: LOCAL EMERGENCY 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 A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...' .................................... ~$~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... (~E~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES(~ REFRESHER NO NO SECTION ?: HAZARDOUS IWATERIAL CIRCLE~R NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A. COMPRESSED GAS: ...... (~ NO I, ~-~/-~-Z=" , certify that the above information is accurate. I undGrstand 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. TITLE BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 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: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES ~, ~,,,,~ ,,,,.,. ~7~, ~.r.. .,~';/x' ~,i,~ ~,7'/~_ ;,,~/"~. s SECTIO~ 2: SOTIFIC~O~ .~h~ 'EVaCUaTION PROCEDUreS ~T THIS ~IT O~LY BAKERSFIELD CITY FIRE DEPARTMENT FORM ~A-~ ~,a~ /~of / NON--TRADE SECRETS : HAZARDOUS MATERI ALS INVENTORY ~7 ' ~o.~ ~: ~ ~ ~/ ~/~ [o~c~Au us~ c~s cou~ 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. CHEMICAL OR COMMON NAME CODE GUIDE N~ME: .~//f~' F',L~Y~c~f___.~- TITLE: SIONATURE:~.~ ~.._.~--- DATE: EMERGENCe'CONTACT: ~/~ ~~~ TITLE: ~ ' ~NE · BUS HOURS: ~? ~ , AFTER BUS HRS: ~ ~~ ' PBINUIPAL. BUSINESS AC TY: ' ~/~ ~~ ~~ AFTER BUS HRS: ~71~ - 4A-I -