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Home My WebLink AboutBUSINESS PLAN 11/8/2001Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF .PERMIT ON REVERSE SIDE Permit ID#:: 015-000-001438 AZTEC MARBLE PRODI LOCATION: 2021 Q ST " This oermit is Issued for the followin_a: [] H~;.rdous Materials Plan E) Underground Storage of H=-=rdous Materials E] Risk Management Program E] Hazardous Waste On-Site Treatment Issuedby: 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 of Ev~Services ~' June 30. 2003 Issue Date Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021001438 AZTEC MARBLE PRODUCTS LOCATION 2021 Q This permit is issued for the following: ~ L=~~' Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 F.A,X (SO.B) 326-0576 Approved by: Expiration Date: June 30, 2000 ADDRESS '~O2~ ~ FACILITY CONTACT ~NSPECTION TIME INSPECTION DATE PHONE NO. ~7 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section ~t: ]g=~ne~s Pl~n and Inventory /~ Routine Combined Joint Agency Multi-Agency Complaint Re-inspection OPERATION COMMENTS Appropriate permit on hand Co~ect occupancy Verification of inventou materials ~ ~. Verification of quantities .... Verification of location Proper segregation of material Verification of MSDS availability ......... Verification of Haz Mat training Verification of abatement supplies and procedures Emergency proceduresadequate 1. 1~~-~ Containers properly labeled Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any h~gard~uz w~e on sRe?: Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Pink - Business Copy White - Env. Svcs. Yellow - Station Copy usiness Sitet~esponsible Party Inspector: f CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Baker~.field, CA 93301 ! ADD.SS ~'~ ~ ~ ~/. ~/ ~ ~f, PHONE NO. FACILITY CONTACT BUSINESS ID NO. t5-210- /~]~ ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program I~l Routine I~ Combined I~ Joint Agency I~ Multi-Agency ~ Complaint I~ Re-inspection OPERATION C V COMMENTS __._~...~- Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location ~ L~ ~ ~' t~//' Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~] Yes [~] No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: + AZTEC MARBLE PRODUCTS Manager : JAZMIN ZAMORA Location: 2021 Q ST City : BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: ....... SiteID: 015-021-001438 + BusPhone: (661) 327-1565 Map : 103 CommHaz : Low Grid: 30B FacUnits: i AOV: SIC Code:5032 DunnBrad:00-879-7920 Emergency Contaq_t / Title MARTIN GUERRERO / OWNER Business Phone: (661) 327-1565x 24-Hour Phone : (661) 979-9468x Pager Phone : ( ) - x Hazmat Hazards: Emergency Contact / Title JAZMIN ZAMORA / MANAGER Business Phone: (661) 327-1565x 24-Hour Phone : (661) 979-9468x Pager Phone : ( ) - x Fire ImmHlth Contact : JAZMIN ZAMORA MailAddr: 2021 Q ST City : BAKERSFIELD Owner MARTIN GUERRERO Address : 2021 Q ST City : BAKERSFIELD + Phone: (661) 327-1565x State: CA Zip : 93301 Phone: (661) 327-1565x State: CA Zip : 93301 Period : to Preparer: Certif'd: Emergency Directives: TotalASTs: = Gal TotalUSTs: = Gal RSs: No += Hazmat Inventory +== Alphabetical Order Hazmat Common Name... ACETONE GEL COAT MARBLE DUST RESIN One Unified List + Ail Materials at Site + + ....... + ........... + ..... + .......... + .... +- --+ ISpeoHazlEPA HazardsI Frm I DailyMax lUnitlMCPI + ....... + ........... + ..... + .......... + .... +- - -+ F L 55.00 GAL Mod F L 550.00 GAL Mod IH S 30000.00 LBS Min F L 110.00 GAL Low I, Do hereby cert, ify t,hat reviewed the e~ached h~ardoum m2ter!a~s n~: ~.:~. m~nt p~an for.. any corrections constitute a complete and corre¢~ man- agemest p~an for my 01/24/2002 RRECT ON NOT E BAKERSFIELD FIRE DEPARTMENT N°-. 997 ~c~t~o~ 7zo~ ~ ~ <~¢~ Sub Div.-~Z'~-~-xL ~A"~'~f.~ Blk._ .. Lot You are hereby required to make the following corrections at the above location: Cot. ~o ~mplet. ion ~Date for Corrections_ Date ~/g/~ 1/-~' ~/~X/~'-~ Inspector 326-3979 [] NEW ~DD [] DELETE BUSINESS NAME (Same as FACILITY CHEMICAL LOCATION CITY OF BAKERSFIE] ICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] REVISE 200 I. FACILITY INFORMATION (one fo~n per material per building or area) Page __ of __ 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) -T--G-R-lb # (optional) 3 []Yes []No 202 II. CHEMICAL INFORMATION , CHEMICAL NAME CAS# 205 i TRADE SECRET [] Yes [] No 206 ~ If Subject to EPCRA, refer to instructions 207 ! EHS* []Yes []No 208 209 [ *IfEHSts~Ygs,'aUam~nt~be~wnmstbetalbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE ~ PURE [] m MIXTURE [] w WASTE PHYSICAL STATE ~--..~s SOLID E~]I LIQUID [] g GAS FED HAZARD CATEGORIES I'-1 I FIRE (Chec~ all that apply) ANNUAL WASTE 217 AMOUNT UNITS* 2' I ; R&OIOACTIVE [] Yes [] No ~ LARGEST CONTAINER ~ 214 : [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH DALLY AMOUNT ~--'~ ; DALLY AMOUNT [] ga GAL [] cf CU Fl' ~lb LBS ~--] tn TONS * If EHS, amount must be in lbs. 210 212 i CURIES 213 215 ~___...~ CHRONIC HEALTH 216 219 I STATE WASTE CODE 220 DAYS ON SITE 222 221 i STORAGE CONTAINER (Check afl that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] b UNDERGROUND TANK [] f CAN ,,,,~AG [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] d STEEL DRUM [] h SILO [] I CYLINDER STORAGE PRESSURE STORAGE TEMPERATURE [] m GLASS DO'I-tLR [] q RAIL CAR 223 [] n PLASTIC BOTTLE [] r OTHER [] o TOTE BIN [] p TANK WAGON ~,J~'~,.~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT '~-a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 []c CRYOGENIC 225 226 230 238 242 227 HAZARDOUS COMPONENT .EHS III, SIGNATURE []Yes []No 228 231 []Yes []No232 235 []Yes[]No 236,I 239 [] Yes [] No 240 243 []Yes []No 244 / 233 I 237 241 245 PRINT NAME & TITLE OF AuTI;IORIZED COMPANY REPRESENTATIVE SIGNATURE UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd AZTEC MARBLE PRODUCTS ~- SiteID: 215-000-001438 Manager -~O~lV-% ~_dA~~ J~~'~u~Phone: (805) 327-1565 Location: 2021 Q ST ~ -~ M~p : 103 CommHaz : Low City : BAKERSFIELD I~ G~id: 30B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 C Code:5032 EPA Numb: DunnBrad:00-879-7920 Emergency Contact ~,~Title ~'~ y-'OWNER Business Phone: (805) 327-1565x 24-Hour Phone : Pager Phone : ( ) - x Emergency Contact / Title Business Phone: (805) 327-1565x u 24-Hour Phone : (805) ~-~--~-8~3~q~9'q% Pager Phone : ( ) - x Hazmat Hazards: Fire Contact : MailAddr: 2021 Q ST City : BAKERSFIELD Owner W~--~L~- Address : 4-t-t-7--Pi~WOf~)-~F=E-4AR--~OD! City : BAKERSFIELD Phone: (~() ~P-I~ State: CA Zip : 93301 Phone: (805) State: CA Zip : ~ ~0; Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs:. No Emergency Directives: = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site -1- 12/20/1999 AZTEC MARBLE PRODUCTS SiteID: 215-000-001438 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site STYRENE Days On Site 365 Location within this Facility Unit Map: Grid: BACK OF BLDG CAS# ~ STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 550.00 GAL Daily Average 550.00 GAL 100.00 Styrene HAZARDOUS COMPONENTS TSecret No HAZARD ASSESSMENTS NoRS Bi°HasINo Radi°active/Am°unt I EPA HazardsNo/ Curies F NFPA /// USDOT# Mod ---- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~UiV~VlUN N~vl5 / ~Z ~_/-.),.1~ N~vi5 STYRENE Days On Site 365 Location within this Facility Unit Map: Grid: BACK OF BLDG CAS# ~ STATE T TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum I 110.00 GAL Daily Average 110.00 GAL %Wt. 100.00 Styrene HAZARDOUS COMPONENTS RNo~ CAS# 100425 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F NFPA { USDOT# I MCP / / / Mod 2 12/20/1999 AZTEC MARBLE PRODUCTS ~ Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME ACETONE Location within this Facility Unit BACK OF BLDG SiteID: 215-000-001438 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site -365 CAS# FSTATE ~ TYPE Liquid/Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. 100.00 Acetone HAZARDOUS COMPONENTS 67641 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F NFPA/// [ USDOT# [ MCP [Mod 3 12/20/1999 AZTEC MARBLE PRODUCTS SiteID: 215-000-001438 Fast Format ~ Notif./Evacuation/Medical --Agency Notification CALL 911 Overall Site 03/02/1992 -- Employee Notif./Evacuation 03/02/1992 HAZARDOUS SAFETY DATA SHEETS POSTED IN WORK AREA WITH EVACUATION PROCEDURES AS SPECIFIED PER PLANS Public Notif./Evacuation 03/02/1992 EMPLOYEES TO USE PROFESSIONAL JUDGEMENT AND SEE TO IT THAT NO ONE IS LEFT IN THE BUILDING AND REMOVED TO A SAFE DISTANCE° Emergency Medical Plan CALL 911 CHEMIREC 1-800-424-9300 MCKESSON CHEMICAL COMPANY 323-8303 03/02/1992 -4- 12/20/1999 F AZTEC MARBLE PRODUCTS SiteID: 215-000-001438 Fast Format ~ Mitigation/Prevent/Abatemt --Release Prevention SAFETY EQUIPMENT AND PROCEDURES POSTED IN WORK AREA Overall Site 01/07/1990 --Release Containment 01/07/1990 STOCK MINIMAL QUANTITIES OF HAZARDOUS MATERIALS IN DESIGNATED AREAS AS PER PLANS -- Clean Up SUPPLY SOLUTION THAT COUNTERACTS CHEMICAL MATERIAL 01/07/1990 Other Resource Activation -5- 12/20/1999 AZTEC MARBLE PRODUCTS SiteID: 215-000-001438 Fast Format Site Emergency Factors Special Hazards Overall Site -- Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - WEST SIDE OF BUILDING C) WATER - WEST SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO 03/02/1992 -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS 03/02/1992 FIRE HYDRANT - NORTHEAST CORNER OF 21ST AND Q SOUTHWEST CORNER OF 20TH AND Q Building OccuPancy Level 6 12/20/1999 AZTEC MARBLE PRODUCTS ~/~/5~/~/~/~/~/~/~/~~ SiteID: 215-000-001438 i~ Training ~~~~~~~~ Overall Site i i~ Employee Trai~ng ~~~~~~~ 03/02/1992 i o WE HAVE 3 EMPLOYEES AT THIS FACILITY O WE ~VE ~TE~AL SAFETY DATA SHEETS ON FILE o o B~EF SUMMARY OF T~INING: REGULAR INFO.AL SAFETY MEETINGS WITH EMPLOYEES I CONSTANTLY REMIND EMPLOYEES OF NO SMO~NG IN THE WO~ PLACE, STO~ EMPTY DRUMS OUTSIDE WITH CAPS IN PLACE, ~EP THE LID CLOSED ON OUR CLEANING TANK o WHEN NOT IN USE, NOT TO ALLOW CUSTOMERS IN THE WO~ AREA, AND ~EP EXITS o CLEAR AT ALL TIMES. o o o i~ Held for Fumre Use o O i~ Held for Fumre Use o O o o $ 02/20/92 AZTEC MARBLE PRODUCTS 215-000-001438 Overall Site with 1 Fac. Unit General Information Page 1 Location: 2021Q ST Comnlunity: BAKERSFIELD STATION 01 Map: 103 Hazard: Low Grid: 30B F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour,Phone- WENDYL ARAGON OWNER (805) 327-1565 x (805) 831-2121 ~ ~d¢~6-~ Administrative Data ~-~%1! Mail Addrs: 2021Q ST D&B Number: 00-879-7920 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5032 Owner: WENDYL ARAGON Phone: (~¢~¢') ¢36 -~/~t Address' -350g AKERS RD ,~t7 ~ ~~ ~ ~ State: CA City: BAKERSFIELD Zip: 93309- Summary 02/20/92 AZTEC MARBLE PRODUCTS 215-000-001438 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 '02-001 ACETONE ~ Fire Liquid 55 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 55.00 Annual Amount GAL 670.00 Storage DRUM/BARREL-METALLIC Press T Temp' IAmbientlAmbientlBACK OF BLDG Location - Conc 100.0% IAcetone Components MCP iList Moderate 02-002 STYRENE ~ Fire Liquid 110 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: SPRAYING Daily Max GAL 110 I Daily Average GAL 110.00 Annual Amount GAL 1,340.00 Storage DRUM/BARREL-METALLIC Press T Temp Location Ambient~AmbientlBACK OF BLDG -- Conc 100.0% IStyrene Components MCP iList Moderate 02-003 STYRENE ~ Fire Liquid 550 Moderate GAL CAS #: Form: Liquid Type: Pure Daily Max GAL 550 Storage DRUM/BARREL-METALLIC -- Conc 100.0% IStyrene Trade Secret: No Press T Temp Ambient~Ambient I BACK OF BLDG Components Days: 365 Use: FABRICATION Daily Average GAL ~ Annual Amount GAL -- 550.00! 6,600.00 Location MCP iList Moderate 02/20/92 AZTEC MARBLE PRODUCTS 215-000-001438 Page 00 - Overall Site <D> Notif./Evacuation/Medical 3 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation HAZARDOUS SAFETY DATA SHEETS POSTED IN WORK AREA WITH EVACUATION PROCEDURES AS SPECIFIED PER PLANS <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan CALL 911 CHEMIREC 1-800-424-9300 MCKESSON CHEMICAL COMPANY 323-8303 02/20/92 AZTEC MARBLE PRODUCTS 215-000-001438 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 4 <1> Release Prevention SAFETY EQUIPMENT AND PROCEDURES POSTED IN WORK AREA <2> Release Containment STOCK MINIMAL QUANTITIES OF HAZARDOUS MATERIALS IN DESIGNATED AREAS AS PER PLANS <3> Clean Up SUPPLY SOLUTION THAT COUNTERACTS CHEMICAL MATERIAL <4> Other Resource Activation 02/20/92 AZTEC MARBLE PRODUCTS 215-000-001438 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BUILDING B) ELECTRICAL - WEST SIDE OF BUILDING C) WATER - WEST SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE FIRE HYDRANT - NORTHEAST CORNER OF 21ST AND Q SOUTHWEST CORNER OF 20TH AND Q <4> Building Occupancy Level 02/20/92 AZTEC MARBLE PRODUCTS 215-000-001438 Page 6 00 - Overall Site <G> Training <1> Page 1 -3 WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ~ s~! o~~N~N~: ~~ ~N~O~ S~ ~N~S ~ ~O~S <3> Held for Future Use <4> Held for Future Use Business Name: Location: ~AZARDOUS MATERIALS Date Completed Business ~dentification No. 215-000 Station No. / Shif~ -~ ~ (Top of Business Plan) Inspector, ~ Lb ~,~ 't- Ade~.~ Inadequate Verification of ~nventory Materials ~ Verification of Quantities ~ ~' Verification of Location ~ ~ Proper Segregation of Material~ ~] Verification of MSDS Availablity Number of Employees ~ - Verification of Haz Mat Training s: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility 9iagram Special Hazards Associated with this Facility: FD 1652 (Rev. 1-90) ? All Items O.K. Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy HAZARDOUS Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 2, 3. 4. To avoid further action, return this form within 30 days of receipt, TYPE/PRINT ANSWERS IN ENGLISH, Answer the questions below for the business as a whole. Be brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: ,~,~ LOCATION: ~2/ ¢ $~ MAILING ADDRESS: .~'~ ~-- STATE' c~'/¢ ZIP: ¢33¢/ PHONE: DUN & BRADSTREET NUMBER' SIC CODE: PRIMARY ACTIVITY: MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE f/ BUS, PHONE 327- I~¢~'-'. 24 HR, PHONE Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAG~:MENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: ~ MATERIAL SAFETY DATA SHEETS ON FILE' BRIEF SUMMARY OF TRAINING PROGRAM: /(7' SECTION 4: EXEMPTION REQUEST: I CERTIFY .UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: 1,~,~/ ~--,~ ~z~ ~,z,~7~ /,'~,~/~,,~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS, UNDER THE."C. ALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS' (DIV. 20 CHAPTER 6.95 SE'C.'25500'ET AL.)'AND THAT INACCURATE INFORMATION CONSTITUTES ,PERJURY. . TITLE DATE FDIS~ Bakersfield Fire Dept. Hazardous Materials Divisi HAZARDOUS MATERIALS MANAGI~MENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: ao AGENCY NOTIFICATION PROCEDURES: Bo Co EMPLOYEE NOTIFICATION AND EVACUATION: PUBLIC EVACUATION: EMERGENCY MEDICAL PLAN: Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS' RELEASE CONTAINMENT AND/OR MINIMIZATION: CLEAN-U~PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ELECTRICAL: (A~ J~' · SPECIAL: LOCK BOX: YES/~) IF YES, LOCATION: SECTION 9: PRIVATE I:IRE PROTECTION/WATER AVAILABILITY: A, PRIVATE FIRE PROTECTION' CITY of BAKERSFIELD Farm ~nd tgriculture ~ Standard Bu$~n~$$ '--- HAZARDOUS MAT~R~~5 ~V~TO~' NON--q'RADE SECRETS HAME Or T~'~S FACILITY: BUSINESS NAME: fi/~"-~,gr°~, (_~,'~/'2 /'dd3?~' ~ O~NER N~: /J~/~ ~cat~~ .... - ............... LOCATION: ~/ ~ ~ ' ADDRESS: ~ ff~ ~ STANDARD IND. CLASS CODE CITY, ZIP: ~~i~D: ~/~ ~/ CITY, ZZP: ~~ff~. ~ff/~ ~ ~ DUN AND BRADSTREET NUMBgR VHO,Z ,: -~- ~,~- z~ ' v,o~z ~: ~..~/_~(/~/ _ ~0 ~ ~- -. ~ ~ I~t~tiw ...... ............ ................... --. - ...... -- r--~ r--~ r--~ ~t ~ ~&C.A.S. ~ ~lth of ~ ~lth (C~k dl tMt I~ly) / / ' ~ r~~ ~t ~ ~tC.i.S. ~ ~J Ft~ .,z,~ [-] nm.my ~-]- ~l,~ [-] ~ ~lm. ~-~ i~t,t. - . ........ ~lth of P~ ~lth . ~tt] k&C,A.S.~ ~ ~ ~/ ~ ........... ~,~ ~ c.,.s. ~~a~~d~~, ,, ~, c.,.s. ~ mlth ~ ~ <,. ,, - .... Business Name: Location: Business ~dentification No. 215-000 Station No. / Shi~ Bakersr]e~¢~ ~e Dept.{~) HAZARDOUS MATERIALS DIVISION Date Completed //-/~ (Top of Business Plan) .spec o Adequate Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of ~aterial Inadequate Comments; Verification of MSDS Availablity Number of Employees ~ ~--,,/~Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: ~'"~~mergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: FD 1652 (Rev. 1-90) All Items O.K. Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy