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HomeMy WebLinkAboutBUSINESS PLAN06/29/93 BAKERSFIELD JASTRO PARK POOL 215-000-001313 Page Overall Site with 1 Fac. Unit General Information Location: MYRTLE ST\TRUXTUN AV Map: 102 Hazard: High Community: BAKERSFIELD STATION 01 Grid: 25C F/U: 1 AOV: 0.0 Contact Name LINDA ROBINSON . JERRY DE LAURIE Title ISUPERVI$OR I CRAFTWORKER I Business Phone~ 24-Hour Phone- (805) 326-3701 x ~(805) 837-1388 (805) 326-3701 x/(805) 323-0685 Administrative Data Mail Addrs: 1501TRUXTUN AV City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 D&B Number: State: CA Zip: 93301- SIC Code: 7999 Owner: CITY OF BAKERSFIELD Phone: (805) 326-3701 Address: 1501TRUXTUN AV State: CA City: BAKERSFIELD Zip: 93301- Summary 06/29/93 BAKERSFIELD JASTRO PARK POOL 215-000-001313 02 - Fixed Containers on Site. 02-001 Hazmat Inventory Detail in MCP Order CHLORINE ~0 ~ ~ ~ Gas · Fire, Pressu~,~mmed Hlth, Delay Hlth Page 2 3-000 Extreme FT3 CAS.#: 7782-50-5 Trade Secret: No Form: Gas ~Pure D-~~ U~s~: WATER TREATMENT ~ Daily Max FT3 ~ Da~k~Averaae FT3 A - ' 3,000 I~~- 1,~ ~v~a~00.00 ~--nnual Am°~?~0~.T~0-- ~ Storage . ~/Press T~Temp , ' Location -- -- PORT. PRESS. CYLIN~Above 'A~b~nt,E/W WALLS UTILITY RM -- Conc ..... // ~ Com onents ' ' ~ _/ P , MCP Guide 100.0% IChlo~ne (EPA) IExtreme I 20 02-002 SODA ASH ~I~ Solid · Fire, Imm~x~Hlth CAS #:' 497-19-8~ ~ T~rade Secret: No ' Form: Solid ' Type:~ure. Days: 365 Use: Daily Max LBS ~ ~ ]\ ~Da~y Average LBS ~ Storage-- , Pre~s . Temp . BAG ~. IAmbie~t/AmbientlNORTH WALL -- Co~ ~. ~' components 100.0% ISodium Carbonate 900 Low LBS WATER TREATMENT Annual Amount LBS 1,800.00 Location MCP --iGuide ILow ! 60 06/29/93 BAKERSFIELD JASTRO PARK POOL 215-000-001313 00 - Overall site <D> Notif./Evacuation/Medical Page 3 <1> Agency Notification CALL 911 ALL RELEASES WILL BE REPORTED TO BAKERSFIELD FIRE, HAZARDOUS MATERIALS DIVISION 326-3979 AND CALIFORNIA OFFICE OF EMERGENCY SERVICES 1-800-852-7550 <2> Employee Notif./Evacuation NOTIFY FIRE DEPARTMENT CLEAR PERSONNEL FROM AREA <3> Public Notif./Evacuation LIFE GUARDS HAVE A DRILL VERBAL ~ EMERGENCY EXITS ARE UNLOCKED DURING POOL OPERATION HOURS, LIFEGUARD WILL CONDUCT THE EVACUATION OF THE FACILITY. <4> Emergency Medical Pla~ NEAREST HOSPITAL 06/29/93 BAKERSFIELD JASTRO PARK POOL 215-000-001313 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention SAFETY CLOTHING AND EQUIPMENT ADHERENCE TO MANUFACTURES INSTRUCTIONS ON LABLES ISOLATE SPILL - CONTAIN FOR PROPER REMOVAL GAS CYLINDERS CHAINED TO THE WALL <2> Release Containment <3> Clean.Up <4> Other Resource Activation 06/29/93 BAKERSFIELD JASTRO PARK POOL 215-000-001313 00 - Overall Site <F> Site Emergency Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF VACUUM STORAGE ROOM B) ELECTRICAL - WEST MAIN RESTROOM C) WATER - WEST SIDE PARK D) SPECIAL - NONE E) LOCK BOX - NO <3~ Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - CITY FIRE HYDRANT - NORTHEAST FROM POOL ON MYRTLE STREET <4> Building Occupancy Level 06/29/93 BAKERSFIELD JASTRO PARK POOL 215-000-001313 00 - Overall Site <G> Training Page 6 <1> Page 1 WE HAVE 4 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE JERRY DELAURIE - HAS BASIC TRAINING IN SCBA TO WORK AROUND CHLORINE GAS IN CASE OF EMERGENCY WILL TURN OFF EQUIPMENT - BRING TO SHUT DOWN THEN ASSESS NEED FOR ADDITIONAL CONTRACT HELP. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use FAC ~LE"."¥ I!.~F,)EMATiO.N FOR>I' .Please-answer each of tile foilow-in~ ~uestions by cice~ihg !- yes) or N (no Is any acutely hazardous maceriai (AHM manufactUred or used in a chemical reaction Is any other flammable gas, flammable liquid or explosive material manufactured or used in a chemfcai reaction v Is any reaction in question 1 or 2 a moderately or highly exothermic reaction ( e.g. alkylation esterfication, oxidation, nitration, polymerization or condensation) or one involving electrolysis ~ Can ~ny unplanned release of a AHM to the atmosphere result from the malfunction of any scrubbing, treatment. or neutralization system or the discharge of a relief system ~ ~Y~/ N pressure Does any physical or chemical process in which ,an AHM is produced or used involve a batch process Does any physical or chemical process involve the' production or use of any AHM at a pressure in excess of 1~ psig ? 7. In excess of 275 psig * Y /~ Does any physical or chemical process involve the production or use of an AHM at a temperature above 125 degrees F ~ 9. In excess of 250 degrees 10. Can any explosive dust be present in any closed container within 100 feet of an AHM or otherwise be present in the same building as an AHM ? 11. Is there any ignition source or Open flame within 100 ft. of any process, storage or transfer area where a flammable or explosive AHM is present , except 'where there is a firewali providing protection v 12. Is any lined or non-metalLic pipe used in the transfer of any AHM o 13. Is any equipment or pipin~ handlin~ any AH,.'q more 10 years old o PLEASE PR~OViDE THE FOLLOWIN~ ( Attac'n additional pa~s it' nec-e~sary) '-1.' .... ~'Your Company's current w0~i[~rs compensas-i-bn ............. experience modification factor. How many peopie occupy the building in which AHM's are used or stored = ~00 Give details of all accidents which' involved any hazardous material and all other instances when the fire department has been summoned 'in an emergency. Briefly described the operations process at your plant and. the specific processes utilizing AHM's, including storage proceedures. -2- Briefly describe the ~eouiom~nt being used in the processes involving Report quantity of AHM(s), referenced in the cover letter, that this business handles. a) Maximum amount on hand at any one time. ~0~ b) Please attach a Material Safety Data Sheet for any material that is a mixture. Do not include MSDS for pure substances. DEMOGRAPHIC DATA: State the straight line distance in feet between the business property line and each of the following. 1. Nearest school. 2. Nearest daycare center, hospital, nursing home or similar facility. 3. NeareSt residence/motel etc. 4. Nearest occupied building' Business Name: ~--~(k~'~(O ~-~O.f%-- ~00\ ' Address: ~la ~ -%~OeO I certify that the foregoing information is true and correct to the best o.f my knowledge. CITY OF COMMUNITY SERVICES DEPARTMENT RECREATION DIVISION M.~- A~ERICA CITY 1990 Mr. Ralph E. Huey =~ 2101H Street _~ Bakersfield, CA 93301 'iU, J L 2 9 1992 Dear Mr. Huey: By_ I have enclosed a list of our current employees who have been trained in our emergency evacuation plan. On June 6, 1992, we conducted in-service training for all of our new employees. We thoroughly covered our training manual which includes our evacuation plan (enclosed). This meeting lasted four hours. On June 8, 1992, we conducted a training session for Our Pool Managers. All of our Managers had previously worked for the City of Bakersfield and had participated in Mock evacuations. We discussed how the Managers of the pool are responsible for making· sure the facility is completely evacuated and that they are the last to vacate the facility. We reminded them that the emergency exits must remain unlocked during working hours. We told'them that they were to conduct a mock drill with all of their employees on different post at a .pool site, and what their responsibilities would be at that post. The guard closest to the emergency exit should hold the exit gate open and direct the participants out. If the phone area at the pool site is safe, then the guard closest to the building would call 911 and the help with the evacuation. The guard in the guard stand would stay in the stand to guard the pool area while the evacuation is taking place. This meeting lasted three hours. On June 9, 1992, we met with all of our employees for three hours and briefly covered our training manual. The pool Managers conducted further training and the mock emergency drills at the pool sites. All of our employees at the pool sites are certified Lifeguards. This means that they also receive training from their lifeguard instructor on emergency evacuations. I have included some of. the material they cover in this course. If you should need more information, please call 326-3702. Sincere~ Linda Robinson Recreation Supervisor 4101 TRUXTUN AVENUE BAKERSFIELD, CALIFORNIA 93309 (805) 326-3701 EMERGENCY ACTION PLANS Action plans have been developed to help you understand what to do in the event of an emergency at either pool. Although these plans give specific guidelines, you should be aware that they might not apply to all possible situations. If this is the case, you will be given other instructions by the person in charge. DON'T ATTEMPT TO DO ANYTHING APART FROM WHAT'S LISTED BELOW UNLESS DIRECTED TO DO SO BY THE PERSON IN CHARGE. Two or More Stations Occupied When two or more lifeguard stations are occupied at the time of an emergency, you should respond as indicated below. Initial Responding Lifeguard. Upon recognizing that an emergenCy exists, the responding lifeguard blows one lona. loud blast on his whistle to indicate he is leaving his tower. He enters the water and brings the victim to safety. Other Stationed Lifeguards. Other lifeguards stand in their stations and point to the rescue scene while continuing to scan the pool. Special care should be taken by each to sweep the responding lifeguard's area which is momentarily without primary lfieguard coverage~ Upon receiving the signal from the person in charge, they begin pool evacuation. Person in Charge. Upon hearing the initial lifeguard's whistle blast, the person in charge decides whether paramedics should be called and whether the pool should be evacuated. If the victim remains conscious and cOherent throughout the rescue and RQ priority first aid measures are indicated, the person in charge will interview the victim and release him back into the pool. This interview consists of questions about how the victim got into trouble and'an explanation of the pool rules. If the victim looses consciousness or if priority first aid is needed, the person in charge signals the lifeguard to call the paramedics and then the lifeguards to evacuate the pool. FACILITY EVACUATION Most life-threatening situa, tions require facility evacuation. The .objectives of evacuation are: To eliminate the need for pool supervision during a crisis; 2. To free lifeguards to assist 'in first aid measures; 3. To eliminate crowds in the first aid area; and/or; o To protect patrons not yet injured/affected in the case of fire, chlorine leak etc. The evacuation route for a life-threateninq situation in the water takes patrons throuqh the emergency exit. In the event of a fire, e~plosion, earthquake~ or chlorine leak, the evacuation route takes patrons away from the po--°l buildings and toward the park. Employees are responsible to move patrons along this route and then meet in the park keeping'everyone together. Do not attempt heroics during an evacuation. Under no circumstances should you remain in the building to retrieve personal bel~hgs. Maximum Capacity Procedure Whenever a pool's attendance is within 25 persons of maximum capacity, no one else may be allowed to enter until someone leaves. MAXIMUM CAPACITY MUST NOT BE EXCEEDED FOR ANY REASON! AQUATICS PERSONNEL 1992 PROGRAM NAME ADD RE S S SUB SUB SUB ALLEN, JENNIFER ALLEN, PHILIP ~BOGART, JEFF BONGE, CHRISTY BRADEN, SHANNON BRANDON, TIM BRENNAN, REBECCA BRIDGES, LYNETTE CARIC, TRACEE CHAVEZ, MILTON CROSBY, DUKE DALE, AIMEE DALIA, GABRIEL DAVIS, CHRIS DIAZ, LAURA DUNCAN, DEBRA EPPERSON, TIM ESCALANTE, JULIE FARRELL, MICHELLE FRANK, SHARON . FLETCHER,~NATALIE FRIESEN, BRIAN GARCHOW, TIM GARCIA, ADRIAN GATES, AARON GOYENECHE, GINA HARDT, AMY HILTON, DAVE HURKMANS, ERIK INGRAM JUSTIN JABIN, KELLY LOPEZ, JOHN LUECK,.JOEL MAIER, BRANDI MENCLEWICZ, AGNIESZKA MINCE, MICHELLE MOORE, EMILY MOORE, RUSSELL MORRISON, LESLI NORIEGA, NICOLE NORRIS, DAVID OLSEN, ERIK PHILLIPS,'JOANNE REISEN, CATHY REISEN, PHILLIP RENZ, STACEY RHINESMITH, NIKKI ROBINSON, MONICA AQUATICS PERSONNEL 1992 PROGRAM SUB 5 NAME SHANLEY, KELLIE SHIELDS, ANGELA SMITH, JEFFREY STRAHAN, MICHAEL STRICKER, DAVID SYLVESTER, LORI TARVER, KELLY TAYLOR, JAMIE THOMAS, BILL VIDAL-BASALDUA, LILIA VOINICH; ANA WAINER, KAREN WALKER, HEIDI WILLIAMS, ROBERT WILSON, MICHELLE WOODWARD LESLIE ADDRESS Emergencies Handling emergencies is the resp0nsibili~, of the lifeguard and the management of an aquatic facility. Ever), facility should have writ- ten, rehearsed procedures specific to ever).' potential emergency. Any delay during an emergency may cause additional problems that could lead to further injury or death. The people using the facility also should be made aware that their cooperation during an emergency, is essential because their actions could add to delay. Various types of emergency situations can occur at an aquatic facility, even one that is well guarded. An), situation thai may endanger a facility user, take the attention of the lifeguard away from supervising the swimmers, or require immediate action should be considered an emergency. Types of Emergencies The two main types of emergencies--life-threatening and non-life- threatening--are discussed below. Life-Threatening Emergencies Emergencies that are life-threatening include those such as when a person stops breathing, is bleeding severely, or has been poisoned. Examples of these are a drowning victim, a person who is bleeding severely, or a person who has been exposed to chlorine gas. Each situation calls for immediate emergency action by the lifeguard to prevent death or permanent damage to the victim. Additional examples of life-threatening emergencies arem · Heart attack. · Spinal injury. · Heat stroke. · Fire. · Natural disaster. Non-Life-Threatening Emergencies Non-life-threatening emergencies are those that may require the action of one or more lifeguards, but whose danger to the facility user is minimal. There are two levels of non-life-threatening emergencies: 1. Major emergencies, which include situations such as broken bones, head injury, heat exhaustion, seizure, or a tired swimmer. 2. Minor emergencies, which include situations such as sunburn or abrasions. A non-life-threatening emergency, may become life-threatening if not handled properly. Although the immediate danger to the victim 'is minimal, the lifeguard still has the responsibility, for providing the best care possible. Some emergencies, whether life-threatening or non-life-threaten- ing, may require the immediate action of only one lifeguard. Others may require the actions of the total facility staff Some will also require the cooperation of facility users. Because of the various types of incidents, all facility staff members must be educated and trained in how to deal with these problems. Emergency Plans A large number of people usually gather at the scene of an emer- gency. Those directly involved may include the victim, the rescuers, and law enforcement, fire department, and emergency medical services (EMS) personnel. Those indirectly involved may include the victim's family and curious onlookers. In a small area, people indirectly involved can cause a great deal of confusion and can contribute to a delay in rescue and first aid procedures:-An emer- gency plan should contain procedures to control the crowd in an orderly fashion, to allow for the proper care of the victim, and to provide Supervision of the facility and easy access to the victim by EMS personnel. To develop an emergency plan, every, type of emergency that may occur at the facility; both lif~-threatening and non-life-threatening, must be considered. A detailed plan for emergencies that spells out each staff member's responsibility should be in the facility's opera- tions manual. The plan should be thoroughly reviewed and prac- ticed regularly by all staff members, before an emergency occurs. Additionally. personnel from local law enforcement and fire departments. EMS, gas and power companies, water authority agencies, and chemical supply companies, among others, should be involved in the dcvel()pment and practice of a facility's emergency phms. Each group will have helpful information on emergency procedures and plans. Thc fi)llowing points should be considered when developing an emergency plan: ~' The chain of command or table of organization should be referred to so that all those involved clearly know and understand their limits of authority and responsibility for their own position and for those of others in the structure. (See Appendix A.) · State or local ordinances should be checked. Faciliw standards, policies, and procedures should be updated to coincide with all ordinances. This information can be obtained from health depart- ments, police and fire departments, and local utility, companies. · Past records of emergencies should be reviewed and analyzed. These records will give the staff information about the causes of previous emergencies and the actions the staff took during these situations. Every potential emergency situation should be defined and analyzed as to cause, prevention, and actions to be taken by each staff member. Consider all conditions such as weather, number of users, number of lifeguards on duty, and any other influencing factors. Then establish a comprehensive action plan for each situation. · Support personnel should be consulted and involved in the development of emergency plans. Police, fire, and EMS personnel can provide valuable information about response times, limits of authority, and the amount and types of assistance available. Give emergency personnel who are expected to respond to a call from a facility clear directions on how to get to the facility. The partici- pation of these support personnel will help to establish a smooth transition process for the victim and all the staff who are involved in an emergency. · An area for first aid care should be designated. When there is no danger of causing the victim further injury, he or she should be moved to the first aid area as soon as possible. The area should be as private as possible, with easy access for rescue personnel. All staff should know the location of thc key to unlock the doors and gates leading to' the first aid area. All personnel and equipment ' that will be used in this area should be specified to avoid confu- sion during an emergency. The area should have clear identifica- tion, such as "First Aid Station" or "First Aid Room." e All rescue and first aid equipment should be inspected and located for easy access. Any piece of equipment in bad condition should be removed and repaired or replaced. The inspection should be conducted every day before the facility is opened. · Each facility staff member should have primary and secondary responsibilities to follow in an emergency. These procedures should be rehearsed at least monthly. Repetition develops confi- dence and the likelihood of smoother response. Lifeguards must remember that in all cases their main responsibility is safety for the people at the facility. They must remain calm in all situations and do what they are trained to do. · The potential for multiple-victim emergencies should be ana- lyzed. Lifeguard reactions to these situations and back-up cover- age should be rehearsed. · Arrangements should be made to replace all equipment and materials used during an emergency. For example, if a victim has a suspected spinal injury and is transported to medical care on the facility's backboard, a second board should be available. · A written report should be made for all rescue; injury, and incident cases. A system of records and reports should be developed, and every lifeguard thoroughly trained in the proper procedures for filling out and filing these reports. Further information on records and reports can be found in Chapter 4, "Records and Reports," and sample forms in Appendix C. · In case of an emergency, the owner or operator of an aquatic facility should designate a specific person and procedure for informing the victim's relatives and for providing informa- tion to the public and news media. ]'his procedure eliminates the possibility of misinformation being released. · Crowd control is an important part of any emergency plan. Swimmers who have been cleared from the water during an emergency must continue to be supervised. Curious onlookers, who gather whenever an emergency vehicle arrives, must be kept at a distance. A coordinated program for crowd control during an emergency should be established with local law enforcement personnel. The points above apply to all aquatic facilities and to all staff members. The users of any facility need the benefit of safe condi- tions and a well-trained staff The following sections describe some emergency plans that can be adapted to different facilities. Action steps and the sequences in which they are performed will depend'on the type of emergency, the number of st'MT on duty, available equipment, and the type of facility. 81' Yes Figure 51 Emergency Action Plan Flowchart-- Multistaff Facility Emergency Action Plan Flowchart -- Multistaff Facility Lifeguard Second Alerts (;uard Second ....... · Supc~,iscs (;uarcl Swimmers LIFEGUARD SUPPORT STAFF .......................... Victim'X~_~ Lifeguard Calls for Guard ~' Alerts IAssistanccl Yhird Guard Victim Given ........ First Aid J Continued Third Guard Clears Water --~ Command Notified :: [ Victim's ,3 ........ · Family Notified ~[ Repons,} Completed / · .......................................... [ Staff 1 Discussion { Corrective Action Taken ~'I Thircl [ Guard Calls EMS Third (; u a rtl Meets F. MS] EMS · .............. Takes Ovcr XVitnesses I n terviewed HeaL/h, Sam'taft'on, and Operational Safety Chemical Safety Years of experience and training in water safety have alerted managers and staff to other dangers at a swimming pool in addition to those usually associated with being in or around water. There are many unseen dangers involving the various chemicals used for disinfection, balancing, testing, and cleaning. The following list contains some of the more dangerous chemicals and the problems they present: Chemical Problems · Chlorine gas · . Calcium hypochlorite and lithium hypochlorite · Sodium hypochlorite ' · Leakage could necessi- tate evacuation upwind of pool and surrounding area. (Emergency plans should be.developed for this situation.) · Inhaled fumes may cause serious or fatal injury. · Chlorine gas is heavier than air; stays at or near ground level. · Chemical must always be mixed into water. · All types are explosive and flammable when contacted by organic substances, such as paper, oil products, detergents, and gasoline. (No smoking around these chemicals.) · Used improperly, can cause water to become cloudy. · Can be fatal if swallowed. · Can cause severe burns if they get into eyes. · Chlorine gas created while burning. · Contact with skin may cause irritation. · ' Inhaled fumes can damage lung tissue. · Can cause severe burns if it gets into eyes. 236 Chlorinated cyanurates Bromine (organic) Test kit reagents (general) Irritate eyes, mucous membranes (all types), and open cuts. Flammable under certain conditions. '(Prevent contact with organic materials. No smoking around these chemicals.) Chlorine gas created while burning. Chemical must always be mixed into water. Flammable and explo- sive. (Prevent contact with organic materials. No smoking around this chemical.) Harmful if swallowed. Harmful to eyes if contacted. Orthotolidine (reagent used for chlorine tests) is carcinogenic (cancer- causing). (Wash hands after using.) This chemi- cal is prohibited in some states. Use extreme caution when dealing with chemicals around a swimming pool. Chemicals should be added to water;' water should never be added to chemicals. Keep storage areas locked and marked "off limits" to unauthorized personnel. Store all chemicals in a cool, dry place. Keep the area clean and well venti- lated. Always keep heat, fire, lighted cigarettes, and matches away from the chemicals. Keep the chemicals in the original containers, and the containers closed when not in use. Make sure chemicals are stacked or stored so they will not come in contact with wet floors. Personnel responsible for the operation of disinfection and filtration equipment must be properly trained in the operation of that equipment, in the maintenance procedures, and in the appro- priate emergency procedures. 237 01/24/91 BAKE~ELD JASTRO PARK POOL 21! 00-001515 Page 1 --Overall Site with 1 Fao. t General' Information Location: MYRTLE ST\TRUXTU. N AV Map: 102 Hazard: High Ident Number: 215-000-001515 Grld: 25C Area of Vul: 0.0 ,~t~~ ..... ~ .... Title ~ , Business P.bcne ,: ...... z~ ~our Phone- Administrative Data Mail Addrs: 1501TRUXTUN AV D&B Number: City: BAKERSFIELD State: CA Zip: 95501- Oomm Code: 2i5-00i BAKERSFIELD STATION O1 SIO Oode: 7999 Owner: CITY OF BAKERSFIELD Phone: (805) 326-~-t-1-7~ Address: 1501TRUXTUN AV State: CA Clty: BAKERSFZELD Zlp: 95301- Summary I, Z//',~. /¢o~",,'"/,i,D~,,l DO hereby ce.iff/that I have (Type Or pdnt name) ' reviewed tho,..~"'~'~,,-a,,:.,..... hazardous materials manage- ment plan for~' ~ ~e c/,~,~and that it along with any corrections constitute a complete and correct man- agement plan for my facility. 01/24/91 BAKERSFIELD JASTRO PARK POOL 215-000-00151S Hazmat Inventory List in MOP Order Page 2 02 - Fixed Oontainers on Site Pln. Ref 02-001 Name/Hazards CHLORINE Fire, Pre~ure,~ v Immed Hlt~'~Delay Hlth, Form Quantity MOP Gas ~ Extreme FT3 02-002 SODA ASH Solid 900 Low Fire, Immed 'Hlth LBS 01/24/91 Page 3 BAKE~ELD JASTRO PARK POOL 21~e00-00131 02 - Fixed Containers on Hazmat Inventory Detail in MOP Order 02-001 OHLORINE Fire, Pressure, Immed Hlth, Delay Hlth Gas 4492 Extreme FT3 CAS ~: 7782-50-5 Trade Secret: No /0 0 Form: Gas Type: Pure Days: 36~ Use: WATER TREATMENT ~ Daily Max .FT5 I Daily Average FT3 I Annual Amount FT3 -- Storage - Press T Temp. Location PORT. PRESS. CYLINDER Above IAmbientlE/W WALLS UTILITY RM -- Cone loc.cA IChlorine (EPA) Components MOP ----FList Extreme IEPA 02-002 SODA ASH Fire, Immed Hlth Solid 900 Low LBS OAS ~: 497-19-8 Form: Solid Type: Pure Daily Max LBS 900.00 Storage BAG -- Cone ..... i Daily Average LBS 450.00 -Press T Temp - IAmbientlAmbient NORTH WALL Components 100.0~ ISodium Carbonate Trade Secret: No Days: 365 Use: WATER TREATMENT Annual Amount LBS 1,800.00 Location ....... MOP ---~List · Low 01/24/91 Page 4 BAKERSFIELD JASTRO PARK PooL 215-000-001515 oo - overall site <D> Notif./E'vaouation/Medloal . <1> Agenoy Notifioatlon <2> Employee Notlf./Evaouatlon NOTIFY FIRE DEPARTMENT OLEAR PERSONNEL FROM AREA <5> Public Notif./Evaouatlon LIFE GUARDS HAVE A DRILL <4> Emergency Medical Plan NEAREST HOSPITAL 01'/24/91 BAKER~i[ELD OASTRO PARK POOL 215 O0 - Overall Site ,O0-O01Si~ <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention SAFETY CLOTHING AND EQUIPMENT ADHERENCE TO MANUFACTURES' INSTRUCTIONS ON LABLES ISOLATE SPILL - CONTAIN FOR PROPER REMOVAL <2> Release Containment <3> Clean Up <4> Other Resource Activation 01/24/91 BAKERSFIELD JASTRO PARK POOL 215-000-001313 O0 - Overall Site <F> Site Emergenoy Factors Page 6 <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF VACUUM STORAGE ROOM 8) ELECTRICAL - WEST MAIN RESTROOM C) WATER - WEST SIDE PARK D) SPECIAL - NONE E) LOOK BOX - NO <3> Fire Proteo./Avail. Water FIRE PROTEOTION - CITY FIRE HYDRANT - NORTHEAST FROM POOL ON MYRTLE STREET' <4> Held for Future use 01/24/91 BAKEROELD JASTRO PARK POOL 21.~ 100~001515 - O0 - Overall Sit~ ' ~ <G> Training Page' ':7 <1> Rage 1 WE HAVE , EMPLbYEES AT TH~S FACILITY WE HAVE MATnERIAL SAFETY DATA SHEETS ON FILE JERRY HAS BASIC TRAINING IN SCBA TO WORK AROUND CHLORINE GAS' IN CASE OF EMERGENCY WILL TURN OFF EQUIPMENT - BRING TO SHUT DOWN THEN ASSESS NEED FOR ADDITIONAL CONTRACT HELP. <2> Page 2 as needed <5> Held for Future Use <4> Held for Future Use May 1, 1990 Dear Business Manager: The following questionnaire is a supplement to the Acutely Hazardous Materials Registration Form previously submitted by your business as required under Section 25534 of the California Health & ~afety Code. This registration i nd i cat es t h at ~B~f-~-~I-d-Tl~a~s~-ro--P~'~k} h and 1 an acutely hazardous material ( AHM ), in an amount greater than the planning quantity for this chemical. Additional information is necessary in order to complete the risk management planning functions of this agency. This questionnaire should be completed by an officer of the company or other person having substantial management co~trol over all operations at the facility. If there is any doubt as to whether or not the answer to a question is yes or no, the answer "yes" shall be given. With in two weeks of receipt, complete and return the questionnaire to: The Bakersfield Fire Department Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 If you need additional information, please call 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planr~ing Technician BUSINESS NAME BAKERIELD JASTRO PARK POOL LOCflTI ON MYRTLEIMND TRUXTUN ID N~ H~ZRRD RATING 4 t, OVERVIEW JURIS CODE MAP PAGE 102 LAST CRRNGE 01/03789 BY ~rRL' Z15-00I JURIS BRt<ERSFIEI...D STATION 01 GRID ZSC FRCiL'i-~ UN~TS ! HRZF~RD RATING 4 RESPONSE SUMMARY ZR SEC 4) CITY EMERGENCY C[)NTiqCTS Z~t SEC Z) IJTIL]'.TY SHUTOFFS Z~ SEC 3) R) GAS - W SI~ OF VACUUM STRG RM B) ELECTRICAL - W MAIN RESTRO0H C) WATER - W S10E PARK D) SPECIAL - NONE E> .LOCK BOX - NO NOTIFICATION / PLIBLIC EVaCUaTION LAST CHFtNGE / / BY < NO INFORMATION"RECORDED FOR THIS SECTION PRGE 1 01/05/89 l?:4B MAI'ERIAL SAFETY DATA SYSTEMS," INC. (805> 84B-B800 CITY of BAKERSFIELD Far, and Aqriculture '~---.J Standard e.si.., ~ HAZARDOUS MA?]~:RT Ar-$ I ~V;~;.ORY' NON--'FRADE SECRETS Pq~ .... of .... BUSINESS NAMg:~ity of Bakersfield OWNER SAng: S~ NA~E OF T~ FACILITY: 0~tro Pool LOCATION: M~tle and Truxtun ~D~S~-..--'-4101 Truxtun Avenue STANDARD TND. eT-AsS CODE CITY, ZIP: CITY, ZIP: R~-c'Fi~ld Cfi QRRf'K~ DUN AND HRADSTREET NUMBER PHONE S: PHONE ~: (805} 326-3117 _ _ - - ~ ~'0 Xl~S,~RUC'I'fOI~S POR PROPB~ COB~ C~e C~e Mt Mt ' Est ~ts m Site I~ ~l 1~ ~ St~ in FKtllty.. ~ I~t~ti~ _~_I_LI..._~L_i 22~ I sgm. ~~~.~~ .......... m _ Ch~ie~l ~ ~lIh ~ LL$. ~ 7782-50-5 (C~k ,n t~t ,~y) Chlorine h of P~ ~lth ............ ~ ..... ~i~l ~ ~lth ~ LI.$. ~ 497-19-8 (C~k oil tMt e~ly) S~a Ash With of Pm~ Mkh ..... LJ k ......... 1 I I I. I ! I_ I [ ~ Fl~e Hazard ~--J R~tivity [ ] ~1,~ [ ] ~d~ ~el~e ~--J I~t,te fl~lth of P~su~ Mlth -, , ~ .... ~_~ J ......... L ...................... 1. ~ ~.t__l_~gl (C~k all t~t miy) - -- -- r -- ~ r --. C~t H~ith of Pe~suee H~lth '--~ - Park S~perv~sor II ~GENCY CaraTS ,, Ne~] T~erney ~5-33~3 .Oerry ~a~de Ma~nten~ce Craf~rker I 3~3-0~5 Nia'~ ................................... m~i ....................... ?mrp~i ...... ~' Tm~ ~i:a~-~ ....... Certification (Read and sign after compJetJng ali sections) I carttfy trader INn~lty of la- that [ ~ve ~rs~allyexaem~ e~ ii fafliar .tth t~ tflfor~ti~ suMitt~ in this ~ 111 IttKM ~wts. ~ t~t ~s~ ~ ~ i~t~ of t~e t~tvt~ls ~sible for qb~inin9 t~ inf~tim. ] ~)ieve tMt t~ su~itt~ info~ti~ is t~. Kcurate. ~d cmplete.~ t ~ ~ BU~JINESS N~ME BRKERSFIELD JRSTRO PRRK POOL LOCRTION MYRTLE RND TRUXTUN I0 NUMBER E1S-.~X~O-00t313 HIGH HRZRRD RATING 4 3. HRZ MRT TRRINING SUMMRRY I_RST CHi~NGE / / BY < NO INFORMRTION RECORDED'FOR THIS SECTION 4~ I_OCRL EMERGENCY MEI]IC~L RSSISTRNCE "'LR'ST CHRNGE 01/03189 BY VE~L SEC S) NEAREST HOSPITRL PRGE Z 0t'/05f8~ I7:46 MR'FERtRL SAFETY ORT~-$YSTEHSj'INC BUSINESS NAME BAKERJ~E. LD JRSTRO PARK POOL L OCRT I ON MYRTL ~ND TRUXTUN FACILITY uNIT C, 1 ID N~ -I FIRZARD R~lTIN$ 4 A, OUERRL. L HAZARDOUS MATERI~LS INUENTORY LAST CHANGE OII~3/89 BY UAL ID TYPE NAME MAX AMT UNIT FIAZF4RD L. OC AT I 0N C ON TAI NMEN'F USE PURE CHLORINE E/W W~LLS UTtLITY'RM PORTABLE PRESS. CYL. ID PERCENT COMPONENTS iO2B,OO tO~,O CHLORINE (EPA) 3000 FT3 EXTREME WATER TREATMENT HAZARD LIST EXTREME EP PURE SODA ASH U'FILITY RM BAG[S] ID PERCENT COMPONENTS 1Z88.¢~ 1OO.O SODIUM CARBONATE 9¢~f~ LBS UNKNOWN WATER TREATMENT HAZARD LIST UNKNOWN B,, FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 01103189 BY VAL SEC 4) CITY SEC S) FIRE HYDRANT - NE FROM POOL ON MYRTLE STREET PAGE 01/0S/89 l?:4B MBTERIAL. SAFETY DATA SYSTEMS, INC. (80S) G48-G800 BUSINESS NAME BAKERSFIELD JRSTRO PARK POOL LOCAI'ION MYRTLE AND TRUXTUN ID NUMBER Z1S-080-~1313 HIGH HAZARD RF~TING 4. D, EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 01103189 BY VAL 3A SEC Z) NOTIFY FIRE DEPARTMENT CLEAR PERSONNEl.. FROM RRER E. MITIGATION / PREVENTION / AB~tTEMENT LAST CHANGE 01/03189 BY VAI_ 3A SEC 1 ) SAFETY CLOTHING AND EQtllP'MENT ADHERENCE TO M~NDFACTURES"i'NSTRUCT~ONS ON I/RBEES ISOLATE SPILL - CONTAIN FOR PROPER REMOVAL PAGE 4 01/05/89 i~:4B MATERIAL SAFETY DATA SYSTEMS, INC' (805) 648-G8¢~ BAKERSFIELD 'CITY' FIRE DEPARTMenT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 BUS IXESS NAME 0FFIC[AL USE ONLY [D~ . oo ats FORM: BUSINESS PLAN·i, AS i A WHOLE INS%q~UCTIONS: 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 SECTION 2: ~-'~RGENC¥ NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call gll and 1-800-8S2-?$80 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: '- B, Ph~ Ph~' SECTION 3: LOCATION OF UTILITY SHIrr-OFFS FOR BUSINESS AS A WHOLE B. ELECTRICAL: D. SPECIAL: E. LOCK BOX: YES ," NO IF YES, LOCATION: IF YES, DOES IT CONTAiN SITE PLANS? FLOOR PLANS? YES / NO MSDSS? YES ./ NO YES ./ NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOL~R BUSINESS AS A NHOLE ; SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE.A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YEs OR NO' ' INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS Y[ATERIALS:...' .................................... ~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......... ~ ............... NO ~ NO C. PROPER USE OF SAFETY EQUIPMENT ' '~ NO 'YES .N0 D. EMERGENCY EVACUATION PRocEDURES: ................. 'NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO YES NO SECTION 7: ~AZARDOUS MATERIAL' CIRCLE YES - NO NONE ", DOES YOUR BUSINESS HANDLE HAzARDOuS ~RTERIAL IN QUANTITIES.,LESS THAN 500 POUNDS OF A SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and"that inaccurate information con'stitutes perjury. DATE SECTION 3: HAT,:\RDOIT$ .WaT~RIALS FOR T~IS UNiT A. Does tiiis Fac~.lity Unit co~!taLn Hazardous If %'ES, see B. ' If NO, continue with SECTiO.¥ 4. '. · . ';.,~. B. Are any of the hazardous .mate:'ials a bona fide Trade Secret YES NO If No, complete a separate hazardous, materials; inventory form marked: .NON-TRADE SECRETS ONLY (t~hlte form If Yes, complete a hazardous ·materials inventory form marked: ' TRADE SECRETS ONLY (~'ellow form ~4A-2) in.~iddition to the non-trade secr,~t form. List only the trade secrets on'form 4A-2. SECTION 4: PRIVATE FIRE PROTECTiOX ..... .,. SECTION ~: LOCATION OF .WATER Sb-~PLY FOR USE 8Y EMERG:~.JCY ~ESPO,%'DER~. SECTION S: LOCATIO.~' OF UTILITY SHUT-OFFS AT THIS b~IT ONLY. A. x.¥r. OAS..',~OP.~ YV'.e. ST .~?ai'e_ ~¢,~,_c F_~ /d~~/;-c ~u'T $/~.e ~F t~o~ O. SPEC:AL: LOCK B~]X. ',."ES ' NO IF YES. LOC~T:O.. BAKERSFIELD CITY, FIRE DEPART}I£XT 2130 "G" !STREET BAKERSFIELD, CA 93301 BUSINESS 0FFTCTAL USE ONLY BUS I NESS PLAN SINGLE FACI LI TX? UNIT FORM 3A INSTRUCTIONS ., ..i .. 1. To avoid further 'action, this .form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. SECTION 2: NOTIFICATION AN~ EVACUATION PROCEDL~ES AT T~IS ;~'TT 05~.Y U.S. DEPARTMENTiOF LABO Occupational Safety and Health Administralion Requ;,ed under USDL Salety and Health Regulations for Ship Repalr;ng, Shipbuilding, and Shipbreaklng (29 CFR ]915. 1916. 1917) ".-. SECTION I r.:ANLIFAC I'UI::IER'S NAtaE ~, · '. . ~T.o~es C-~em_~e~!s~ InD. " . · .t:)D n ~. SS [,%',,mhrt. Street. CJI). Sz;te. end ZIP Co~e) ' Chlorine FAtAlLY o .,'. P~,IN_TS, PRESERVATIVES.& SOLVENTS PIG r,~E r~l~:S _. ' c~:rAL¥ST SECTIONII - HAZARDOUS INGREDIENTS · TLV .' J (Unhs] ' J' ALLOYS AND I'aETALLIC COATINGS J %. BASE METAL .' ALLOYS SOLVENTS . zxOO~TIUES oTHERs ' OT~E. R5 METALLIC COATII~GS · ': FILLER METAL PLUS COATING OR' COPE FLUX HAZARDOUS MIXTURES OF OTHER LIOUIDS, SOLIDS. OR GASES JTLV ' J. I TLV IL,Inits) 'SECTION i11-- PHYSICAL DATA -. )0 ' F'E RCENTo VOLATILE V~POg P~ESSURE I .... H~.155 ~ ~ ' F.- BY VOLUME (~) ' ' '--: [VA~RATION RATE . ~~cE ~o ODO~iautd_glear ~ber t ~s-Greenish Yell~ ~or-~.~n$ J : SECTION IV- FIRE AND EXPLOSION HAZARD DATA ..-' .': .:.' · . ]'i~L~',-..:A.LE UI.~,TS...'.- --. I L., j- ExTIr~GUi5HINC. iur,'_,su¢.- r,'~E ~,,,o L,:-,_os,o*~ ~ZAnOS Qtll supp~-r.% 'cq-_%ustion of cer~in r,a%erfe_ls. SECTION V - HEAl_Tit H,~ZARD DATA SECTION VI - REACTIVITY DATA (C.'~DIIIONS TO'AVOID .L 2 HAZAqDOUS DECO,'-'%POSII'ION PPODuCT$ SECTION VII - SPILL OR LEAK PF~OCEDURES ~%cu.a%e area. c~ui~m~ent~ ciasa valves to iso!~_te leak. __not use ~ater on C~o_!orine le~k. Cont~t suoolier i.~.~eaiately. D'o Contact supplier for assis_~?~ce SECTION ViII - SPECIAL PROTECTION INFORMATION : Canister ~ask, ~e!~ cont~nea breatT~ng aO~ratu~. LOCAL [ Xt-~AUST , SPECIAL - . ,.~.O~N,C~L [Cc,,ct~l) OT~ is aepirable SECTION IX'- SPECIAl_ PRECAUTIONS (~td oor orj. pJ g.2r~.g2r_~e ~_cc e~}}~L_' ~p~.L~:!~._z_~._..~h stored i_n d~W area ol]% of direct l~l)pJ_J.~]~ .ama a~'~ fz~ ~eat source. containers f.~rm firc ~=rea Form OSHA-2D ~d:C-flO.fsl V ItEAl_-i'lt }--I~Z.t-,.ItD DATA Acute re::;r.~iratoz~z 5_rritatSon . SI=_C'flONVII - SPII_LOR I. EAK I'I';OCEDURE$ ..... 61 ION VIII - SPECIAL PRO'I ECTION 5t:~CTIOF~IX'- SPECIAl.. PI]ECAIJ'flO~4S '- THRESHOLD LIMIT VALUE EFFI~cTS OF OVEnEXPOSURE [~ ,.t~tatton to e~ ~ktn and muscou8 m~brane~. ,- E~.~EP, GEI~C¥ Ar~O FIRST AID PROCEDURES cea: Irrffc~ate with water for at ]eaat 15 minutes,' Skin: Wash with water. Ir,halation: R~ve to fresh air. ,' STABILITY j CONDITIONS TO AVOID .- ~J HAZARDOUS ' ' ' POLYk~ERI. /;'¢ltt:~OT ! X [ 1 L IHigh humidity: causes STEPS 10 BE TAKEN IN CASE ),~ATERIAL IS RELEASED On SPILLED · ?or ~inor ~tll~ ~'a~p up th~ ~t~r~!, transfer to a container and discard caking. eneral trash. Residue may be washed aw~ with water. W~-~E DISPC:SAL IJ, E. THOD Ilo special handling is required. Residue quantities can be 'washed a~'ay with water, Empty container8 may be ~nc~nerated or d~earded a~ ~aneral trash 6.f~_~_~?~_L.~[c~..~.b. Lh_TL~.~ ~ / Ckemical type Full cove~_..c~lp.!h_,~,~s· · [Store In d~ area - avoid contact w~th ac/ds £o~g]es ):o ~Fec~al h~ndl~ng procedure. OTHER P~ECAUTIOl~$ Soda /mb ;. JNot required ,OT L~BEL - lOOT I.~ARKIr¢G ]/I.~ERGEI, CY ACCIDEt~T PRECAUTIOI;S AIJD PROCEDURES · Not required J ............ e 872,' 82935 'Il' cL~V t~ &TD.&O. 313 O~E ~0. ST "%D~DITIVEs [Opper rTy 0 ALLOys A/""" O · TALLIC ALLOyS AIk. :LUx *ltcG POIt¢]. ioFi ALL,E (Mnl:;) ~, :~. ~- · '.-~:~-~.' :-, . BAKERSFIELD CITY FIRE DEPARTMENT · ' ',i .... ~.~ .?. - , ,?. ' .... - I.D. # " '-:" -" " ' FORM 4A-! ' ' Page o~f.' NON--TRADE SECRETS ' HAZARDOUS MATERI ALS INVENTORY · ..--. ADDRESS: ~/W ~. ~F~~ ~g~WL~ ADDRESS: ~/ ~~ FACILITY UNIT NAME PHONE ~: PHONE ~: ~- ~//~ ~OFFICIAL USE~CFIRS CODE 1 2 _3. 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE. LOCATION IN THIS ,'g BY HAZARD D.O.T 30DE AMOUNT AMOUNT UNITi CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE i'i'.: ,-i : .. ?. :'~ ' .. . j37:.._ .-.-_.. .... -. ...7 5-. '-. . '. AME: MERGENCY CONTACT: .MERGENCY CONTACT: P!NCIPAL, x BUSINESS ACTIVITY: TITLE: SIGNATURE: DATE: TITLE: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: - 4A-1 - 18TH S~EE:T .~_.. CHLORINE CYL. 8~ SODA ASH ~' NOTES: · ~- · ' ''" ~ I. RESERVABLE PICNIC AREAS I 2; RESERVABLE AREA 6-STAGE -~'. SERVING SHELTER -4."'-TENNIS 'COuRTs- 6 ' '5~ SW~MMING pOOL. '.~ 6: SAND-FILL PLAY AREAS ~..BASKETBALL COURT It. BICYCLE PARKIN~ ~" !~- UTILI~ STORAGE SHEDS 15. PARKING LOT ~PERMANENT TRASH REc~ACLE FOU"'T N p RK MENS i WOMENS UTILITY BUILDING RESTROOM RESTROOM ~ , , , : ~ ~ .._ VACUUM ' ' . SODA 'ASH ?~t"-"; , EQUIR ' ' ~ ' ' SCALE i"=5' S~O~A~E. ~ . - ~.00~ ~ . ~: GAS '- METE, R. ~~ / . ~ . ~ UTILe. ~' M~-,- · :?- ""' ' WOME~S'':'''' 'MENS ." ' ~ 'RO0 ~ ~ . ' ( ~ CHmRINE CYL ~ , ~ ~ PUMP EQUIP. ', , ! , . ..:. FIRE DEPARTMENT D.S. NEEDHAM FIRE CHIEF CITY of BAKERSFIELD "WE C,4RE" OCTOBER 13, 1988 2101 h STREET BAKERSFILED, 93301 326-3911 PARKS"DIVISION 4101TRUXTUN AVE. BAKERSFIELD, CA 93309 DEAR MR. PAUL DOW: THE ~NCLOSED "ACUTELY HAZARDOUS MATERIALS REGISTRATION FORM" MUST BE COMPLETED BY ANY BUSINESS, HANDLING ABOVE THE MINIMUM REPORTING QUANTITY OF ANY MATERIAL ON THE EPA LIST OF EXTREMELY HAZARDOUS SUBSTANCES. (FED. REGISTER VOL. 52, NO. 77, P. 13397). THE PARKS (SEE ATTACHED LIST) ARE REPORTED HANDLING THE FOLLOWING ACUTELY HAZARDOUS MATERIAL: CHLORINE · PLEASE RETURN THE COMPLETED ACUTELY HAZARDOUS MATERIALS REGISTRATION FORM TO: HAZARDOUS MATERIALS DIVISION 2130 G STREET' BAKERSFIELD, CA 93301 IF YOU HAVE ANY QUESTIONS REGARDING THIS FORM PLEASE CALL RALPH HUEY AT 326-3979. SINCERELY YOURS, RALPH E. HUEY HAZARDOUS MATERIALS COORDINATOR REH/ed ENCLOSURE ACUTELY H ARDOUS MAT =RIALS RE TRATION FORM THIS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA Vv~IICH AT ANY TIME HANDLES ANY ACUTELY HAZARDOUS MATERIAL IN QU ,ANTITIES GREATER THAN 500 POUNDS, 55 GALLONS OR 200 CUBIC FEET OF GAS AT STP. Z TI]IS FORM SHALL BE COMPLETED AND SUBMTITED TO YOUR LOCAL ADMINISTERING AGENCY. ({}25533 & 0-5536 Health & Safety Code) Business Name C i ty Note instructions on reverse ~i~ of Bakersfi eld 'v// Business Slte Address Truxtun & Myrtle - Jastro Park Pool Business Mailing Address (if different) 4101 Truxtun Ave.. c/o Nei 1 Tierney Business Phone (805) 326-3117 Business Plan Submission Date2 Jan 1988 Process Designation3 Swimming Pool Water ACU'I'Et.Y HAZARDOUS MATERIALS HANDLED4 Di si nfectant -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANTITY (el2) Chlorine - liquified gas under pressure Approx. 4-6 150 lbs. cyl. (~ENERAL DE~;CRIPTIQN OF PROCESSES AND PRINCIPAL EQUIPMEN'I'5: Approximately 4-6 (150) lbs. chlorine cylinders. Chlorine §as in injected throuqh a Wallace & Tiernan V-75 ~ontrol board, It is injected directly to the return line of the pool. The Cylinders are not manifolded, but used as individuals, with one on line and one connected for standby. Isolated individually with their own do~ble shut off valves. (See attached sheet) SIGNATURE . ~ _ _ // PRINTED NAME Nei 1 Ti erney TITLE Park Supervisor California (Ydice of Emergency Services FORM HM 37-/"7 (1-15-88) DATE 10/21/88 INSTRVCTIONS: Superscripts: 1. Quantifies for RMPP compliance are "equal to or greater than" the minimum criteria and apply to chemicals handled "at any one time". 2. Businesses handling reportable quantifies of Acutely Hazardous Materials that have not submitted a business plan MUST contact local Administering Agencies. The business plan submission date will assure the Administenng Agency that a business plan has been submiued and is on file. This will also immediately identify businesses that have not submitted business plans. "Process Designation" is provided as a mIxm~g option (with the approval of the Administering Agency) for facilities that can most easily report by process. Thus, facility RMPP registration data could be submitted in a similar format to a business plan that is divided by process. "By process" dam can initiate an emergency response to a process incident rather than a genexal emergency response to a major facility. Process designation can simplify inspections for major facilities and improve future emergency response. o Refer to the EPA list of Exlremely IqaT_artious Substances from the Federal Register (Volume 52, No. 77, p. 13397 eL sea., April 22, 1987). Each chemical has a threshold planning quantity. This list may be changed by EPA on an annual basis. Utxfates of this list may be available early in 1988. To comply with this element, you may attach a copy of the inventory submitted to your Administering Agency from your business plan and highlight all Acutely Hazardous Materials. It is recommended that facilities list all extremely ha:,~rflous chemicals handled in quantifies equal to or in excess of 1) 500 pounds, and 2) any EPA threshold planning quantity less than 500 pounds. 5. Do not include Trade Sex:mt information in these descriptions. General: For emergency response.pttrposes, it would be desirable to describe the following to the Administering Agency: 1. Bamh Process: a. What raw materials? b. What operating pressure range? c. What opem~g te. mpo-amre range? & Bamh capacity rating? e. Product characteristics? (e.g., chemical ~ate, flammability, toxicity, etc.) f. Critical process poims and characterimcs? 2. Continuous process: (similar information as above.) NOTE: "Pursuant to §25534, the Aflmini.~ering Agency may require the submission of a Risk Management Prevention Program (RMPP), ff the Aflministerm' g Agency dezea'mines that the handlers .operation may present an acutely b~?~rdous materials accident risk. The handler shall prepare the RMPP in accordance with sulxlivision (c) [of {}25534]. The RMPP shall be . prepared within 12 months following the request made by the Aflministenng Agency pursuant to this section." (§ 25534 (a) '-Health and Safety Code) An amendment to the RMPP mu.~ be submitted to the Administering Agency within 30 days of.' 1. Any additional hanfllmg of acutely hazardous materials. 2. Any material or substantial alterations to business activities. 3. Change of address, business ownemhip, or business name. (§ 25533 (c) Health &.Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMEN'r THE APPROVED RMPP. California Office of Emergenc~' Sen/ices FORM HM 3777 (1-15-88) J~lJ~z'SAFET¥ V[NI' LIN(. RUN ON CONTINUOUS ..... GRADILN1 10 OU[51D[ AIMO~,PHERE WITH OuZER END POINI£O DOWN (~)~UPPONT IN CONDUII' Off tflOUOtl. [] u'49~-~/~ OD £JEXIULE CONN£CTION 4FT. LG.~ o~ SPECIAL O~OE~ ) A~ E~CH UN/ON ~ONNEC1VON. S - ELEVATION .,/x ~I'PLICAIIOIt (X~)SIII*I'Olll Ill (UIIIIIIll IJll IllOIl~ll. f' ]~O?LI -' SPACE II 14J ........................................ CUll( SOLUIION DI~CIIAIIG£ Lille 10 III,I[CION RECOI~i~E NO£D J-P-1 ACCL'SSOltr /rEM £UIINI$11JO Il'ifil CtlLOIIIN,IIOIt (~) IN~IC41E5 M,ITf'HIA~ FUtlNISIIL'~ ~lj' OIIIj'lt~ INSTALLATION REQUIREMENTS April 5, 1989 TO Ralph Huey, Hazardous Materials Coordinator FROM Tim Ruiz: Recreation Supervi.~or SUBJECT HAZARDOUS MATERIAL The following procedures are outlined in our aquatics manual which each staff member is held responsible to be informed of. ~h 'the-%veh~ of a 'chl0fine gas leak, our lifegUards are !~st~-~d~-~0'~"iear the-~llevacuati~g ali patrons'from Poo~ /~reaQ shes-king'facility to be sure all patr°n~ ~e.eva'cuate~ ~th~n mOving everYone-'thrdugh the emergency ~xit locgted~ ~away from t~e chlorinator, once ~v~r~one is .secu-re, they are .~f~UCted to cali_911, then.to call our office tO inform us, l~f_ the. ~r0b~em.-? This practicek~--d-i~Cussed an-d demon~_at~d_in the p-rg,~e~son ~ri-en'tation~-- Th~-~--r~e-dh~e ~is sis© 'practiced[-a~tfv~iy wi~ ~[[~°01 full of participants-dUring the summer, a minimum ?three times~a season. There i~' no ~axim~m'number of times the ,p actzce drzll zs .conducted; ~t zs left to the dzscret~on of~ ~_~.~[~e-[~n-si'te p~o! managDr. ? Should anyone be injured, all necessary forms will be completed by staff. If you have any further questions, please feel free to contact me at 326-3701. cr