HomeMy WebLinkAboutBUSINESS PLAN 2/9/1989
ROBERT MYERS
t3~e or Drin%
Do her~bx' cert~
.. _~,, that I have
RECEIVED
name )
FEB 9 19 9
reviewed the HAZ. MAT: DIV.
attached Hazardous Haterials business Dian
for SM 3~IN,,,~H.~ ~H~E~.INC.
' (name of business)
and that it along with the attached additions
er corrections constitute a complete and correct
Busi/~s Plan for my facility.
"' signature'- ~
date
There is no hazardous material that is at min/mum standards located at this
facility. All containers are below the required minimum for reporting..
BUSINESS NAME S~tN J~UIN v~Lt..E,
LOCRTION 201 N~TINE RD
ID NJ
ER 21S-~-~010GG
HAZARD RATING
i, OVERVIEU
LAST CHRNGE QB/Z§/BB BY ESTER
J{JRIS CODE 21S-~tI JURIS BRKERBFIELO STRTIDN 11
MRP PAGE t23 GRID OZB FRCILITY UNITS 1 HRZRRD RRTING 2
RESPON§E SUMMARY
SEC 4) NO PRIVATE RESPONSE TEAM.
EMERGENCY CONTACTS ~A SEC
BOB~R~ bf~RS - 834-0126 o~ 836-3080 O~ D~o~ Biggs - 834-0126
UTILITY SHUTOFFS 2R SEC
a) C~s Shut-off located in flower bed near ramp at the rear of the building.
b) Electrical...Shut-off located upstairs next to elevator. Dc~nstairs in rocm
next to rear middle door to outside. ~,
c) Water...Shut-off located in northwest wing of building. (uninhabited)
Z. NOTIFICATION / PUBLIC EVACUATION
~a~at±o~ ma~s located in eaoh ¢lasst~~1~ed/in~p~tzate spots throughout
the oam.~os.
< NO INFORMATION RECORDED FOR THIS SECTION >
PnGE i
1Z/IB/08 OB:S1
MRTERI~L SAFETY D~TR SYSTEMS, INC. (805) G48-G800
E~USINc:,~ NAME S~qN ~' '"' " ~'v
J~i~u~N ,RLL~, COLLEGE ID ,~.~"
LOCRTIBN Z~T NI~,IN~,. RO
MAT TRAINING SUMMARY
LAST' CHANGE
HAZARD RATING
/ / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
4. LOCAl. EMEEGENCY MEDICAL ASSISTANCE
LAGT CHANGE '" ~
~8~.BIo8 BY EBTER
SEC G) CALL EMERGENCY.B}1.
P~GE Z
MATERIAL SAFETY DRT~ SYSTEMS, '!NC.
BUSINESG NAME SAN J~l~tJIN VALLEY COLLEGE
LOCRI'ION ~01 NISTINE RD
FACILITY UNIT O1
ID N
HRZARD RATING
OVERALL HAZARDOUS MATEr, InLS INVENTORY
LgSI' CHANGE Qg~t. 8/~ ~Y EgTER
ID TYPE NAME
LOCATION CuN,AINMcNT
I
4
PURE DICHLORODIFLUOROMETHANE
NE TOOL ROOM PORI'ASLE PREGS. CYL.
ID pERCENT COMPONENT~
108G.00 100.0 OICHLORODIFLUOROMETHRNE
MA)( AMl' UNIT HAZARD
USE
'COOLi ~~L°W
HAZARD L. IST
PURE CHLOROOIFLUOROMETHANE
NE TOOL ROO~ pORTaBLE PRES~. CYL.
ID PERCENT COMPONENTS :
;t04.G~ ](~.0 CHLORODIFLUOROMETHANE
PURE ACETYLENE
NE TOOL ROOM PORTABLE pRESS. CYL. o
ID PERCENT COMPONENTS
IZSI.~ 1~.0 CARSON DIOXIDE
PURE OXYGE~
PR~o~. CYL.
NE 'FOOL ROOM PORTADLE ~"~
ID PERCENT COMPONENTS
2~.OO 1~.O OXYGEN, COMPRESSED
PURE NITROGEN
NE TOOL ROOM
ID PERCENT ~OMPONENTS
PORTABLE PRESS. GYL.
2'~8 F'TZ~ MODERATE
COOL I NG
HAZARD LIST
MODERATE
HAZARD LIST
LO~
WE L O IT~G-~-yOtSOE R ! NG
HAZARO
HiGH
2~~ Fl'-~ MODERATE
k.I~,
Z~Z4.8-8 I~.0 NITROGEN MODERATE
· , ......... .,
6. 2 .portable tanks (25 SCF) located in Animal Health iz~Dora~ory Q.....i · ''
,' (Oxygen) '
7 2 .portable tanks (25SCF) Nitros Oxide for genmral anethesia of~.' /
animals, locate~'in A~imal Health Laboratory.
PAGE
1Z/lB/88 0~.5~
MATERIAL SAFETY DATA SYSTEMS, INC. (8OS) G4,8-G8~J4~
BUSINESS NAME SAN JIUIN VALLEY COLLEGE ID NIER Z IS-BQO-O~)IOGG
LOCATION ZQt ~TINE RD IH HAZARD RRI'ING Z
~, FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 88/Z~/88 8Y ESTER
3A SEC 4.) ON SITE FIRE PROTECTION CONSISTS OF HAND HELD E)(TINGUI~HERG IN EACH
ROOM AT APPROVED LOCATIONS. NO SPRINKLER OR ALARM SYSTEMS ARE U~ED.
SEC S) FIRE HYDRANT LOCAl'ED APPROXIMATELY 2QOFT E OF SITE ON REAL RD.
Sprinkler system and security alarm syst~n installed at ne~ site. Hand held
extinguishers located at approved locations.
Fire hydrant located approximately 200 ft frc~ the building on New Stine
Rd.
O. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 08/Zg/B8 8Y E.~,ER
STAFF ANO STUDENTS ARE INFORMED OF EVACUATION ROUTES AND MEETING
AREAS. HALL MEDICAL EMERGENCY IS NOTIFIED FOR MEOICAL ASSISTANCE.
CALL 811.
l'ZT'i'B'788~ 0g'~5; ....
MATERIAL SAFETY DATA SYSTEMS, INC. (805) S48-S800
BUSINESS NAME S~N JjjUIN ~A~ COLLEGE
LOCATION 201 ~STINE RD
ID
21~-~-0010GG
E. MITIGnTION / PREVENTION / nB~TEMENT
LAST CHANGE 08/ZB/88 BY ESTER
SEC t) ALL ~EFRIGERANT iS KEPT IN STORAGE ROOM IN CN~INED RESTRAINTS. ALL
W~tNG SUPPLIES ARE KEPT IN nPP~O~ED KARTS AND STO~EO IN STORAGE
~REA WHEN NOT IN USE~
M~iTERIAL SAFETY' D~TA SYSTEMS, INC. (80S) G48-G800
B ER 2 S0 "G S EET" RECEIVED
(805) 326-3979 ~ ~ ~8'~
............
I SAN JOAQUIN VALLEY COLLEGE
USINESS NAME
OFFICIAL USE ONLY
001066
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
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: SAN JOAQUIN VALLEY COLLEGE
B. LOCATION / STREET ADDRESS: 211S. REAL KD., STE. 103
CITY: BAKERSFIELD ZIP: 93309.
BUS,PHONE: (805 ) 834-0126
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 AND TITLE DURING BUS. HRS.
A. DiAnne Davis Ph# 805-834-0126
AFTER BUS. HRS.
Ph# 805-832-0927
Bo
Ph# Ph#
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: Alley at rear of Bui,lding - Meter "G"
B. ELECTRICAL: South end of rear alley
C. WATER: North end of alley
D. SPECIAL:
YES /(~ IF YES, LOCATION:
E.
LOCK
BOX:
IF YES, DOES IT CONTAIN SITE PLANS?
FLOOR PLANS?
YES / NO
YES / NO
MSDSS?
KEYS?
YES / NO
YES / NO
- 2A -
SECTION'4: pR'IvATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
NONE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
HALL MED. CAL. EMERGENCY
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS,
'C.IRCLE YES OR NO INITIAL
A. METHODS FOR 'SAFE HANDLING OF HAZARDOUS
MATERIALS:...· .................................... ~ NO YES NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... Y~ NO YES NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO YES NO
D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO YES NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO YES NO
REFRESHER
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLi~,55 GALLONS OF~,~LIQUID~ OR 201 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~
I, ~' ~-~_ 4-~'-~ff 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 ~ j TITLE Executive Director
DATE
BAKERSFIELD CITY FIRE DE?ART>IEXT
2130 "G" STREET
BAKERSFIELD, CA 93S01
BUSINESS
OFFiCTAi USE ONLY
BUSINESS PLAN
SINGLE FACILITIz 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 FACILI-~f UNIT LIST~_D BELOW
4. Be as BRIEF and CONCISE as .possible.
FACILITY UNIT~
FACILITY UNIT N;%~E: San 'Joaouin Valley College
SECTION 1: MITIGATIONT PRE--ION, ABATEMES'r PROCB1]URES
All refrigerant is kept in storage room in chained, r~straints. .,~
All welding supplies are kept in approved karts and stored in storage area
when not in use.
SECTION 2: NOTIFICATION .4~q] EVACUATION PROCEDL-RES AT T~IS L~.'iT 0.57~Y
Staff and students are informed of evacuation routes and meeting areas.
Hall medical emergency is notified for medical assistance.
S~CTt_O.Y 3: H'AZ:\RDOU.q .',Ta, T~TALS ~oR T~T.~ tT~'[T
A. Does this Facilitl,. Unit contain Haza~'dous Ha'~e_,,~:.~!.s? ...... ~.
If YES, see B.
If NO, continue with SECTiO% 4.
B. Are any of the hazardous marerials a bona fide Trade Secret YES
If ~o, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS 0XLY (~hite form =4A-l)
If Yes, complete a hazardous materials inventory form markad:
TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade
secr,~t form. List only the trade secrets on form 4A-2.
SECTIOM 4: PRIVATE FI~E PROTECTTO~
Oh site fire protectioD consists of hapd held extinguishers
.in each~room at, approPed loc~tions ........ ...:..... ~.:. ~..-~- -. '? '.
No sprinkler or alarm. systems are used.
SECTION $: LOCATIO~ OF WATER SUPPLY FOR USE BY E/~E~G~..TCY RESPO~YDERS
Hydrant located approx. 200 ft. east of site on Real Rd.
SECTION S: lOCATION OF UTILI_~? SHUT-OFFS AT THIS U~TT ONLY.
A. ~.~T. GA£,,'PROPANE% ~
Alley at rear of building - Meter G
B. ELECTRICAL:
South end of rear alley
C. WATER:
North end of rear alley
D. SPECIAL:
LOCK Bt)X. !'~S ' ..vO r=.. YE~, LOC'~*,,:0..''
YES,
FLOOR Pr.A:,'?-:'.'
· 're ,'
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-1 Page
NON--TRADE SECRETS
HAZARDOUS MATERI ALS I NVENTORY
BUSINESS NAME: SAN JOAQUIN VALLEY COLLEGE OWNER NAME: Robert & Shirley Perry FACILITY UNIT
ADDRESS: 211 S. Real Rd., Ste. 103 ADDRESS: 4800 W. Mineral King Ave. FACILITY UNIT NAME:
CITY, ZIP: Bakersfield 93309 CITY,ZIP:Vis. alia~ CA 93291
P,ONE #: 805-834-0 26 P,ONE #: 209-73 -642
l, ONLY ,
I 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD~D.O.T
qODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL O,R COMMON NAME CODE OUI'DE
P '~/~' 952 ft3 04 10 N.Z. Tool Room 100 Dichlorodifluorometha /~'- HFLG
i~>'::~ 04 10 N.E. Tool Room 100 Chl0rodifluorom~ane~f~ NFLG
~ . ~3 04 10 ~.E. To61 Room 100 Honochlorodifluoromethane ~,~I~_~ NFLG
P 150 500 ft3 '0~ 42 N.E. Tool Room ... 100 Acetylene /~/ FLGS
~P 150 500 ft3 04 42 N.E. Tool Room . 100 Oxygen c~J'~ HFLG
5~ 20 100 ft3 04 08 N.E. Tool Room 100 Nitrogen c~gP-~
NFLG
{
{.
NAME: DiAnne Davis TITLE: Executive Director S GNATURE: ~ ~ ~ DATE:
EMERGENCY. CONTACT: DiAnne Davis TITLE: Executive Director PHONE # BUS HOURS: 805-83&-0126
AFTER BUS HRS:
~MERGENCV CONTACT: TITLE: .. PHONE # BUS HOURS:
PRINCIPAL BUSINESS ACTIVITY: AFTER BUS. HRS:
'" - 4A-1 -