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Home My WebLink AboutBUSINESS PLANCHLORINE 'CYL.' '~ SO~A ASH UTILITY 'ROOM '---~ ELECTRICAL UTILITY BUILDING SCALE I"-- 6' · 2' - ~ 1 I.RESERVABLE PICN;C . I \ / 2_.PICNIC NOOKS & BBQs 06/~9/93 BAKERSFIELD MARTIN LUTHER KING PA' 215-000-001316 Overall Site with 1 Fac. Unit General Information .Page location · : S ,KING ST\CALIFORNIA AV Map. 103 Hazard: High Community: BAKERSFIELD STATION 02 Grid:, 32 F/U: 1AOV: 0;0 Contact Name LINDA ROBINSON J~RRY DELAURIE Title ISUPERVISOR I CRAFTWORKER I Business Phone (805) 326-3701 x (805) 326-3701 x I Administrative Data Mail Addrs: 1501' TRUXTUN AV City: BAKERSFIELD iComm Code: 215-002 BAKERSFIELD STATION 02 24-Hour Phone- (805) 837-1388 (805) 323-0685 D&B Number: State: CA Zip: 93301- SIC Code: 7999 Owner: CITY OF BAKERSFIELD Phone: (805) 326-3701 Address: 1501. TRUXTUN AV State: CA City: BAKERSFIELD .Zip: 93301-' Summary 06/29/93 02~001 1' BAKERSFIELD MARTIN LUTHER KING PA 21.5-000-001316 02 - Fixed Containers on Site page 2 'Hazmat Inventory Detail in MCP Order CHLORINE . Gas ~0j~ 3000 Extreme ~ Fire, Pressure, ~mmec~-~l~c ,hT--D~tay--h~t-%h~~~ ~FT3 CAS 7782-50-5 ~~ade Secret: Nq ~' Storage / ~s T Temp ~'.~ ' Location PORT. PRESS. CYLI~~ove ~Ambient~N W~L AND S WALL -- Conc / ' ' components ~ MCP ~uide 100.0%Ch~/~e. (EPA) ~ .Extreme ~ 20 SODA ASH ~_ ~ . ~ So!id ~ 900 Low LBS CAS 9: 497-1~ Trade~ecret: ~ Form: Solid T~s:' 365 Use: WATER TREATMENT ' -- Daily Max LB~/ I ~ly AVerage LBS - T'' Annual ~ount LBS ~ Stye . I Press T T~ I Location -- BAG / ' . IAmbient/~bie~WALL. _ . -- Cpne ~ ~ Compo'nen~ ~CP Ou~de ' I 06/29/93. BAKERSFIELD MARTIN LUTHER KING PA 00 - Overall Site 215-000-001316 <D> Notif./EvaCuation/Medical Page 3 <1> !Agency Notification· CA~LL 911, ALL RELEASES WILL BE REPORTED TO BAKERSFIELD FIRE, HAZARDOUS MATERIALS DIVISION 326-3979 AND CALIFORNIA OFFICE OF EMERGENCY SERVICES. <2> Employee Notif./Evacuation NOTIFY FIRE DEPARTMENT CLEAR PERSONNEL FROM AREA <3> Public Notif./Evacuation VERBAL~ EMERGENCY EXITS ARE UNLOCKED DURING POOL OPERATION HOURS, LIFEGUARDS WILL CONDUCT THE EVACUATION OF THE FACILITY. <4 > Emergency Medical Plan NEAREST HOSPITAL ? 06/29/93 BAKERSFIELD MARTIN LUTHER KING PA 00 - Overall Site 215-000-001316 <E> Mitigation/Prevent/Abatemt <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 Page <2> <3> Release Containment Clean Up Other Resource Activation 06/~9/93 <1> <2> BAKERSFIELD MARTIN LUTHER KING PA 215-000-001316 ~ 00 - Overall Site <F> Site Emergency Factors Special Hazards Utility Shut-Offs GAS - 'NORTH SIDE POOL UTILITY ROOM ELECTRICAL - SOUTH WALL UTILITY ROOM WATER - NORTH CORNER OF POOL UTILITY ROOM SPECIAL - NONE LOCK BOX - NO Page 5 <3>,Fire Protec./AVail. Water PRIVATE FIRE PROTECTION - CITY FIRE HYDRANT - SOUTHEAST CORNER SOUTH OWENS AND EAST 10TH STREET <4> Building Occupancy Level 06/29/93 BAKERSFIELD MARTIN LUTHER KING PA 00 - Overall Site 215-000-001316 Page <G>.Training <1> Page 1 wE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE L~FEGUARDS RECEIVE TRAINING. 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. 6 <2> Page 2 as needed <3> Held for Future Use <4>~iHeld for Future Use FACILITY INFORMATION FORM · .PleaSe answer each of the following questions by circling Y (yes) or N (nO). Is any acutely hazardous material (AHM) manufactured or used in a chemical reaction 2. Is any other flammable gas, flammable liquid or explosive material manufactured or used in a chemical reaction ? ~ ~fc~f ~ ~ ~ 3. Is any reaction in question 1 or 2 a~o~erately or highly exothermic reaction (. e.g. alkylation esterfication, oxidation, nitration, polymerization or condensation)~ or one involving electrolysis v Q/ N Can any unplanned release of a AHM to the atmosphere result from the malfunction of any scrubbing, treatment or neutralization system or the discharge of a pressure relief system ~ ~/ N Does any physical or chemical process in which an AHM is produced or used involve a batch process ? Y / ~ Does any physical or chemical process involve the production or use of any AHM at a pressure in excess of 15 psig ? 7. In excess of 275 Psig v Does any physical or chemical process invoive the production or use of an AHM at a temperature above 125 degrees F ~ ~' .9. In excess of 250 degrees Y /~ 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 v 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 firewall providing protection ~ 12. Is any lined or non-metallic pipe used in the transfer of any AHM ~ 13. Is any equipment or piping handling any AHM more 10 years old ~ · PLEASE PROVIDE THE FOLLOWING INFORMATION : ( Attach additional pages if necessary) Your company's current workers compensation experience modification factor. How many. people occupy the building in which AHM's are .used or stored ? ~o~~go~ ~ Give details of ail accidents which involved any hazardous material and ail other instances when t'he~fire department has been summoned in .an emergency. Briefly described the operations Drocess at your plant and the specific processes utilizing. AHM's, including storage proceedures. -2- ·" '-"5.~":~BrieflY describe ~the equipment being used in the '" processes involving AHMs. R~port quantity of AHM(s), referenced in the cover letter, that this business handles. a) Maximum amount on hand at any one time. ~ b) Please attach a Material Safety Data Sheet for any material that is a mixture. Do ~ot 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 f~ac~lity. 3. Nearest residence/motel etc. 4. Nearest occupied building. ,CJ$O ¢ Business Name: ~[~(~ UO~ ~i~ ~c~ Y,~ Address:' ~--~' \(-[rxC~ ~ ~ C~. ~- , I certifY that the .foregoing information is true and correct to the best ~f my knowledge. 'Signature: ~~ [~~C 0 -3- /2~/91 BAKE SFI MARTIN LUTHER KING-PA 000-001516 Overall Site with 1 Fao. ' General InfOrmation Page Location: S K'ING ST\OALIFORNIA AV Map: 105 -Hazard: :High Ident Number: 215-000-001516 : - ' - Grid: 52 Area of Vul: 0.0I' Contao~ mm~~e ~ Title- , Bu ----F z~ ~ouc Pnone] I/~Y/ ' ~ ~~ ~ (sos)' =~6-~ ~o/~ (Sos) ~ I ~ Administrative Data Mail Addrs: 1501 TRUXTUN AV City: BAKERSFIELD Comm,Code: 215-002 BAKERSFIELD STAT. ION 02 'D&B Number: State: CA Zip: 95301- SIO Oode: 7999 Owner: CITY OF BAKERSFIELD Phone: (805) AddreSs: 1501TRUXTUN AV State: CA City: BAKERSFIELD Zip: 95501- Summary I, .~;noJo....go/::,;n.~on Do hereby certify that I'hava ., (Type or p~tnt ~m) reviewed the attached hazmrdou~ materials manage- ment plan f°rC;/-¢ ~e¢~-~nd that it along with. (Name of any corrections COnstitute a complete and correct man- agement plan for my facility. PilnLRef 92-001 BAKERSFIELD MARTIN LUTHER KING'PA 215-000-001516 Hazmat Ioventory List in MOP Order 02 - Fixed Oontainers on Site Name/Hazards '. Fire, Pressure, Immed ~~Delay Hlth Page Form Quantity MCP Gas 4,"'~'~'2~00~ FT3 Extreme 02aQ02 SODA ASH Fire, Immed Htth Solid 900 Low LBS 01!/24/91 ' BAKERSFI MARTIN LUTHER KING PA '000L001516 02 2 Fixed Containers on Site 'Hazmat Inventory Detail in MCP Order Page Q2-O01 CHLORINE Fire, .Pressure, Immed Hlth, Delay Hith Gas 4492 Extreme FT5 CAS ~: 7782-50-5 T.rade secret: ~No Form: Gas . Type: Pure Days.: Use: WATER .TREATMENT --,Daily Max FT5 Daily Average FT5 Annual Amount FT5 ..... · Storage i Press T Temp i Location PORT. PRESS. CYLINDER Abo~e IAmbient N WALL AND S WALL -- Cone ~ 100.0~IChl°rine (EPA) Components MOP ---FList IEx.treme IEPA 2-002 SODA ASH " Solid 900 Low Fire, Immed Hlth . LBS CAS ~: 497~19-8 Trade Secret: No Form: Solid --Daily Max LBS 900.00 Storage BAG Type: Pure Daily Average LBS 450.00 Press T Temp.. IAmbientlAmbientlN WALL -- Cono 100.0~'tSodium Carbonate Days: 365 Use: WATER TREATMENT Annual Amount LBS -- 1,800:00 Location components . MOP s Low ---TLit BAKERSFIELD MARTIN LUTHER KING'PA 215-Q00-001316 CO Overall Site <D> Notif./Evaouation/Medloal ' Page <il> Agency Notification <2>, Employee Notif./Evacuation NOTIFY FIRE. DEPARTMENT 'tCLEAR PERSONNEL FROM AREA <~1> Public Notif./Evaouation I. <4!>. Emecgenoy Medical Plan NEAREST HOSPITAL "AKERS ZI MARTIN LUTHER KING PA · · O0 - Overall"Site <E> mitigatioB/Prevent/'Abatemt L~i6 Page 5 <1> ~elease Pceventi°n SAFETY CLOTHING AND EQUIPMEN! g~HERENCE TO MANUFAOTURES iNSTRUCTIONS ON L~SLES i, ~ CONTAIN FOR PROPER REMOVAL I~OLATE SPILL - ~ '~2>I Release Containmen~ <31> Clean Up Other Resource Activation 0//24/91 BAKERSFIELD MARTIN LUTHER KING PA CO - Overall Site 215-000-001316'. <F> Site Emergency Factors Page 6 <2> Special Hazards <2> Utility Shu,~-Offs A) GAS - NORTH SIDE POOL UTILITY ROOM B) ELECTRICAL - SOUTH WALL UTILITY ROOM D) SPEOIAL - NONE . E) LOCK BOX - NO Fire Protec./Avail. Water P~ FIRE PROTECTION - CITY IFIRE HYDRANT - SOUTHEAST CORNER SOUTH OWENS AND EAST lOTH STREET <4> Held for Future use 8AKERSF MARTIN LUTHER KING PA CO -'Overall Site <G> Training '-oOt:ooiJ=i6 Page <i,> Page i : .. :EWE HAVE .~, EMPLOYEES A~THIS FACILITY ttWE HAVE, MATERIAL SAFETY DATA'SHEETS ON ~.~LE~ ILiFEGUARDS RECEIVE TRAINING. .JERRY DE~ HAS' BASIC TRAINING IN SOBA TO IWORK AROUND CHLORINE GAS. IN CASE OF EMERGENCY WILL TURN OFF EQUIPMENT - IBRZNG 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 2130 "G" STREET" BAKERSFIELD, CA 93301 (805) 326-3979 BUSINESS NAME 0FFIC[AL USE 0~LY INSTRUCTIONS: BUS I NESS HAZARDOUS lw-~kTE R I ALS PLANi as~ A WHOLE F. ORM' 2A 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: / STREET' ADDRESS: B. LOCATION CITY: ~~/~_Y~e/~ ZIP: ¢~ BUS.PHONE: ( ) ,/~/~ 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: A. g~-7~/'~ ~.~ Ph# ~-._~// I AFTER BUS, HRS. B. Ph# Ph~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE D. SPECIAL: E. LOCK BOX: YES ," NO IF YES, LOCATION: rr yES. OXrArx srrE LA S? / · '' FLOD~ PLANS? '.-yES ./ .YO : " ( v' ' '! .: "' ';,,: " -: :" -. 2A .- MSDSS? YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOb~ BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND iREFRESHER TRAI~ING IN THE FOLLOWING AREAS. 'B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~Y~ NO (~ NO lC. PROPER USE OF SAFETY EQUIPMENT: .................. ..~ NO YES NO ID. EMERGENCY EVACUATION PROCEDuREs: ................. - NO YES NO · fE. DO YOU .MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO YES NO ISECTION 7: HAZ~JIDOUS .WAR~ERIAL'' ' " CIRCLE 4lES NO NONE .~' · DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POUN~,.K-QF A SOLID, $$ GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO , ~~'~/~ /J~/~t)<~63/lFC/-~CF'~ , Certify that the above information is accurate. understand that this information will be used to fulfill my firms obligations under 'he new California Health and Safe'ty code on Hazardous Materials (Div. 20 Chapter 6.95 iSec. '25500'Et Al.) and that, inaccUratelinformation con'stitUtes perjury. '/ BAKERSFIE.LD~ CITY. FIRE DEPAR~I£XT 21S0 ?G" STREET BAKERSFIELD, CA' 93501 BUSINESS NAME:. OFFiCiAL USE ODLY BUS I NESS PLAN -SINGLE FAC ILI T%' UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. ~his 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 'SECTION 1: WITIGATION, PREVENTIONI' ABATEMES~ PRocEDU~ES SECTION 2: NOTIFICATION AS'D EVACL'ATION PROCEDL'RES AT THIS L'XiT 0.%'LY SECTION 3: HAZ:\RDOITS MaT~.RIALS FOR TNIS U:~-IT ONLY A. Does this Facility Unit contain Hazerdous Hateria!,s? ..... If YES, see B. If NO. continue with SECTION 4. ~ NO B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials' inventory form marked: NON-TRADE SECRETS ONLY (white form If Yes, complete a hazardous materials inventory form marked: 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. SECTION ~: PRIVATE FIRE PROTECTiO~ SECTION 5: 50CATIOY OF WATER SUPPLY FOR USE 8T L'~GE~JC7 RESPOiTDERS SECTION 6: LOCATION OF UTILI_V? SEUTAOFFS AT THIS U~IT ~NLY. A. NAT. GAS..'PROPANE% B. ELECTRICAL: C. WATER: O. SPECIAL. LOCK BnX. ',:'ES YES · ..~.~.'x. ~y..-. TT'.q x.'o SECIIONV - HEALTH t:IAZAF{D DATA ~-w~en ~m_~.stra:f.J. on. ' Qb_t~in_~aical_~ttenkinn_?~nnpt~¥~ __ SECTION V! REACTIVITY DATA I -I ~'.; AY OC C~t~ I,;'ltL NOT OCCUR SECTIONVII SPILL OR LEAKPF{OCEDURES _?o__~_i___~nt:__c!ose valves fo isolate les-k, Contact __n~% ~.~se ~a~%er on C"p_lorine le~k, Contsgt supplier for mssis~ance SECTION VIIi - SPECIAL PROTECTION INFORMATION : ~[N] iLl, ION ' ., Pro,de ~_~equ~,~e ~resh ~" .................... A ~o ~ minute air chtmKe O~E~ ~OIECYI~E [QUIPrAE~T ~ A~C~ge8 ~?.sks ~o t~e re~qi~ a~.i!able. ~ '. . 1 ' ' SECTION l.X'- SPECIAL'PRECAUTIONS C~t~ooz' or~..!~p~.gr~ accept~ble, Cont'~_in~rs ~orea in d~ ~z~ea out of direct g~}~i~]t ,e~ aw~ fz~ t~ev_% source. .L. .f ~. DEPARTMENT OF LABOR ; . , OccupatT0nal Safety and ttealth Adminislration' i [ilATERI? L SAFETY BATfi SHEET J " Requb~ under USDL Salety and Health Regul~lJon~ for Ship Rep,b;ng, j Shipbuilding, aM Shipbreaking (2g CFR 1915, 1916. 1917) i' [ SECTION I ' t~-L-os Chem--~c~ls Ina " I_ji~c, iw, P~! ~ ~3~,, Tor~nce, C~ifornia J JCh2or~_ne / ' I '~4 ~. i ~-~ A'A I LY FORMULA 'FCt.~ E I~G E h~CY TELEPHONE ~8-6~_83 or INA~E AND i J , lu-;,,)'l' . _. ' ._ '"',../, BASE METAL ,' :. [ METALLIC COATINGS ': v~CLE .. ~"LVE~T~~ ..... : , , FtLLE~ METAL PLUS COATING O~ CO~E FLUX J " 'J OT~ER5 . ' ADDITIVES I TLV HAZARDOUS ~,~IXTURES OF OTHER LIOUIDS, SOLIDS, OR GASES % (Uni~) ~. , ~ . SECTION II1'- PHYSICAL DATA J = I /-.PPE A SPECIFIC GRAVITY PERCENT. VOLATILE '. BY vOLUME (%) ' ' EVAF--O RATI oN RATE ! ', "]) =i. ~.~8 q/U° ODE); " 1 n~CE ~g ~zau~-gle~r,A-~er~ C~-s-Green~sh'Yel~c~ : SECTION IV - FIRE AND EXPLOSION HAZARD DATA JFI..~r-,,-AM. ABLE LI',{ITS..-'.- ''- J [X~Ir.'~UISHIN~ l.i E DIA . - , L.I 'F ' For,. OSHA-20 872' IAI. SAFETY FED. SI'C). ;-'0. ~13 LYsT 0 0 AL C O' YS.A""/D R4E T.a.L LiC ~-'4.SE I~.ETAL A[-Lo¥.q :LUx. ;ll. lyy t hie hie qD TttR£~HOLD LII,AIT VALUE F~C'rS 0¢ OVCR£X~OSU~e £.ht .Irritation to eye~ ~ktn and musco, s mmmbranea. .- HF. RGENCY At~D FIRST AID PROCEDURES ~Eyes: Irrigate with water for at least 15 minutes;' Skim: Wash with water. Ir. halation: R~ve to fresh 'air. s~.,~,u~'~' I I'lcom~,o.,,s TO AVOID .- DECOI/.POSITION PRODUCYS {AZARDOUS ~OLYU~EFII. J'*'tltL NOT J v I l°ccua U~ 'High hu~,idity: causes caking. S[TE~ TO BE TAt:EN IN CASE 14~TERIAL IS RELEASED OR SPILLED · "~or minor ~t118 ~-aa~up the, materiala transfer to a conta/fler and dfscard eneral trash. Residue ~y be w~hed:away with W~STE DISPOSAL METHOD ?:p sl;ecial handling is required. Residue quantities can be washed a';ay with Empty containers may be tncina'rated or discarded as general trash. ' ! VE~;L~[~~E~A~ST · I SPECIAL ~1 '~ I . '1.; ~:~ ~~ - -- .!;..~_ --L __ JJ'~O~ECTIVE GLOVES JEYE P.~OIECT~ON J Cat'ertl p~r~,~se ' ~ ~.en/cal type ~ ~ul[ cave~ c]o~ht~B· · ~ DN[C~UTIOIIS ~O BE TAK[N IN HAICDLING AND ~TO~ING li~[°lre !~ area - avoid contact with acids ):o ,~Fec.al haadling procedure. ~TH~rR?~ECAUTIOI~$ i".. ~ ~.~ ~ I DOTCLACSlFICATION Not required Z 0 Z Z<Z 0 [-~ Z Z ~D THIS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA WHICH 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. I THIS FORM SHALL BE COMPLETED AND SUBMrYI~D TO YOUR LOCAL ADMINISTERING AGENCY. ({}25533 & 25536 Health & Safety Code) Note Instructions on revers{~ Business Name C i ty Business Site Address of Bakersfield East California & Owens - M. L. King 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 Di$ipfecl;ant ACUTELY HAZARDOUS MATERIALS HANDLED4 -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANTITY (C12) Chlorine'- liquified qas under pressure Approx. 4-6 150 lbs. cyl. GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL E~UIPMENTS: Approximately 4r6 (150') lbs. chlorine cylinders. Chlorine gas is injected through a Wallace & Tiernan..V-75 control board. It is injected directly to the return line of the pool. The cylinders are not manifol'ded but used as individuals, with one on lib,.and nnp cnnnoctpd fnr standhy. Tsnlated double shut off valves. (See attached sheet) individually wit~ their Own PRINTED NAME Nei 1 T~' ern;y- / TITLE Park Supervisor DATE 10/21/88 California Office of Emergency Services FORM HM 3777 (1-15-88) INSTRUCTIONS: Superscripts: 1. Quantifies for RMPP compliance are "equal to or g~eater than" the minimum criteria and apply to chemicals handled "at any one time". 2. Businesses handling reportable quantifies of Acutely ]-laT~rdolls Mfltel4.al$ thflt have not submitted a business plan MUST contact local Administering Agencies. The business plan submission date will assure the Administering Agency that a bUsiness plan has been submitted and is on t-de. This will also immediately identify businesses that have not submitted business plans. "Process Designation" is provided as a reporting 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" data can initiate an emergency response to a process incident rather than a general emergency response to a major facility. Process designation can simplify inspections for major facilities and improve future emergency response. Refer to the EPA list of Extremely Hazardous Substances from the Federal Register (Volume 52, No. 77, p. 13397 et. seq.. April 22, 1987). Each chemical has a threshold planning quantity. This list may be changed by EPA on an annual basis. Updates 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 tm__ ?ardous chemicals handled in quantities 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 Secret information in these descriptions. General: For emergency response purposes, it would be desirable to desc~'ibe the following to the Administering Agency: 1. Batch Process: a. Whatraw materials? b. What operating pressure range? c. What operating temperau~e range? d. Batch capacity rating? e. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics? 2. Continuous process: (s'unilar information as above.) NOTE: ~rsuant to §25534, the Administering Agency may require the submission of a Risk Management Prevention Program (RMPP), if the Administering Agency dete~-~-fines that the handler's operation may present an acutely-hazardous materials accident risk. The handler shall prepare the RMPP in ~ce with subdivision (c) [of §25534]. The RMPP shall be prepared within 12 months following the request made by the Administering Agency pursuant to this section." (§ 25534 (a) Health and Safety Code) An amendment to the RMPp must be submiued to the Administering Agency within 30 days of.' 1. Any additional handling of acutely hazardous materials. 2. Any material or substantial alterations to business activities. 3. Change of adch-ess, business ownership, or busin .ess name. (§ 25533 (c) Hea~th & Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMENT THE APPROVED RMPP · California Office of Emergency Services FORM HM 3777 (1-15-88) z FIRE DEPARTMENT D. S. NEEDHAM FIRE CHIEF CITY of BAKERSFIELD "WE CARE" OCTOBER 13., 1988 2101 h STREET BAKERSFILED, 93301 326-3911 PARKS'DIVISION 4101TRUXTUN AVE. BAKERSFIELD, CA 93309 , DEAR MR. PAUL DOW: THE ~NCLOSED "ACUTELyHAZARDOUS 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 May 1, 1990 Dear Business Manager: The following questionnaire is a supplement to the Acutely Hazardous Materials Registration Forr~ previously subr~itted by your business as required under Section 25534 of the California Health & Safety Code. This registratior~ i nd i cates t hat~B~s~f]~l~~~~KTng ~a~k~hand 1 es ~~_i~.e_g.as~ar~ acutely hazardous ~aterial (AHM), in an a~ount greater than the planning quantity for this che~n~cal. Additional infor~,lation is necessary in order to co~,lplete the risk manage~J~ent plar, ning functions of this agency. This questionnaire should be ccm~pleted by an officer of the co~pany or other person havir, g substantial r,~anage~ner, t control 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 Depart~ent Hazardous Materials Division ~2130 G Street Bakersfield, CA 93301 If you need additional i'nformation, please call 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planning Technician BUSINESS NAME BAKERS~i~iE_LD HARTIN LUTHER KING PB ID LOC~TION S KING/D E~ST C~LIFORNI ER 215-000-0013IG HAZhRD RhTtNG 4 OVER¥~E~ SURIS CODE PAGE I0~ LAST CHANGE 10/26/88 BY VAL, 2t5-002 JURIS BAKERSFIELD STATION 02 GRID 32 FACILITY UNITS I HAZARD RATING 4 RESPONSE SUMMARY 2R SEC 4) cITY EMERGENCY CONTACTS ZR SEC -,- ....~ RL ..... N .... - ~ZG-3117.OR'~ UTILITY SHUTOFFS 2R SEC A) GAS '- N SII~ POOL UTILITY RM B) ELECTRICRL - S ~ALL UTILITY RM C) ~ATER SHUT OFF - ? D) SPECIAL - NONE E) LOCK ~OX - NO NOTIFICATION / PUBLIC EVACURTION LAST cHANGE / / BY < NO INFORMRTION RECORDED FOR THIS SECTION > PAGE t 0Z/Z3/8B lS:Z3 MATERIAL SAFETY DRTR SYSTEMS, INCo (80S) 64B-GB,~<D BUSINESS NAME BAKERSFIELD MARTIN LUTHER KING PR ID,NUMBER 215'OOO-OOt31B LOCATION S KING BND EAST CALIFORNI HIGH HAZARD RATING 4 3. H~Z 'MAT TRAINING SUMMARY LEST £HANAE / / BY < NO INFORMATION RECORDED FOR TH.~S SECTION > LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE / / BY 2R SEC S) NERREST HOSPITRL P~GE Z MATERIAL SAFETY ORTR SYSTEMS. INC. (80S> B48--B88~) OZ/Z 3/8.9 15:Z3 BUSINESS NAME BRKERSJ~i~.LO MARTIN LUTHER KING PA ID LOCRTION S KIN~DEAST CALIFORNI FACILITy UNIT R. OVERRLL HAZARDOUS MATERIALS INVENTORY L~STCHANGE iR ZIS-OOO'-.OO13tG HAZARD RATING 4 ID TYPE NAME LOC~TION CONTAINMENT PURE CHLORINE N WALL ERST END :. PO~[ABLE pRESS, CYL, ID PERCENT COMPONENTS 10~8.00 t00.0 CHLORINE (EPA) puRE .SOUR ASH E UALL N END BAG[S} ID PERgENT COMPONENTS t288.~ I~,~.0 SODIUM CARBONATE / / BY NAX AMT UNIT HAZARD USE 45¢~ FT3 EX~REHE ~ATER TREATHENT H~ZARD LIST EXTREME EP 13S0 Ll~ UNKNOWN W~%ER ~EATMENT H~ZARD LIST UNKNOWN FIRE PROTECTION / U6TER SUPPLIES LAST CHANGE / / BY SEC 4) CITY, SEC S) FIRE HYDRANT - SE CORNER SOUTH OwENs RND ERST lOTH STREET OZ/Z3/89 IS:Z3 MATERIRI_ SRFETY DATA SYSTEMS, INC. (885) G¢8-GB00 BUSINESS~NAME BAKERSFIELD MRR~iN LUTHER KING PA ID NUMBER Z15-00~-,00~1S LOCATION S KING AND ERST CALIFORNI HIGH HR~RD RATING 4 EMPLOYEE NOTIFICATION / EVACUATION LBS'¥ CHANGE / / BY SEC 2) NOTIFY FIRE DEPRRTMENT CLEAR PERSONNEL FROM AREA 'E. M~TIGRT~ON / PREVENTION / ABATEMENT LAST CHANGE t t BY SEC ~) SAFETY CLOTHING AND EQUIPMENT ADHERENCE TO MRNUFRCTiJRES INSTRUCTIONS ON LRBL. ES ISOLATE SPILL - CONTAIN FOR PROPER REMOVAl, PAGE 4 MATERIAL SAFETY DRTR SYSTEMS, INC. (805) B48-B800 0~1Z3189 !5:'Z3