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Home My WebLink AboutBUSINESS PLAN .1 , ~r` \~. i ~ ~~,, V BAK~iSI~[D Q7'Y FIR1, 3i'Y~TICN. 3 - -- - i r ... __ _ _ AA ~~"'~ A 4 '~ ~~~ ~~ ~ao~ r CALE: 8US IN'ESS SAME: DAT--: ,Z, .."~-/' ~Sz~,' EAC ir.~.T'f (CHECX ONE) SITE DIAGRams! FACILITY [insDec=or's Commea~s): -OFFiCiAL USE ONLY- ~riv~,nvs. ane Parking d. A~.'~sa OOOr : ?. L"lr~ Suo~-uoaioa STsc---: d. ~cer Co~crvl VaAm for procecclo-, sTmcm .. ar. ~ ;toNE p/ltl/L: ~k Y FRoh/T b. Masonry c. d. Gates ~3. ~ow~rilass I'lOAIL: 14. ~u~r~ Station I~. ~ora~ TanKs: 18. ~~ ~; ~. ~oide ~a~ or Os~ W - ~e~ leuccl~ T - Toxic i - folld I - ~fllc FAC?L~ 9IAG~ (R~A~ /tens ia addition Co the aboSe) 1. Rlse~ ~or S~rl~le~r 8. ~I~ 3. $Cai~ys: Indicate C~e 10. bl~c to l~sc. ~. [~ide ~oun wemce 4. Escalator: ~nalcace ~ne levels se~ fram 12. Inside ~r~ous 6. ACCl~ 14. ~c 3ruin [nlec~ T. Skytt~c~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ......... ,,,,**~a.~.~.,.,~ .................... This permit is issued for the following: ;~,?i ~?'[ :;~i! ~i~"~;~'"c~ii ii~i!i i ii iii;::}i?'i i~ili~e[ground Storage of Hazardous Materials PERMIT ID# 015-021001207 :~d?~!i~ !~..,=~;'~!;?~i:~:~?,ii!i? !!!?~=i!!i !i iii! !!:,!!!!! :::~i?=;iiiii~!!i~ki::~nagement Program LOCATION 3400 PALM Issuedby: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SE, R VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 BAKERSFIELD CITY FIRE #3 Manager : Location: 3400 PALM DR City : BAKERSFIELD .~ ,~ SiteID: 215-000-001207 1997~!~"?iBusPhone: (805) 326-3963 !Map : 102 CommHaz : Low [Grid: 35D FacUnits: 1AOV: CommCode: BAKERSFIELD STATION 03 EPA Numb: SIC Code: DunnBrad: Emergency Contact COMM CENTER Business Phone: 24-Hour Phone : Pager Phone : / Title / ( ) 911- x (805) 861-2521x ( ) - x Emergency Contact / Title GENERAL OFFICE / Business Phone: (805) 326-3911x 24-Hour Phone : (805) 321-9283x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Agency-Defined Topic Title = Hazmat Inventory -- MCP+DailyMax Order Hazmat Common Name... DIESEL One Unified List Ail Materials at Site ISpocHaz[EPA HazardsI Frm DailyMax Unit MCP F IH DH L 550 GAL Low -1- 07/10/1997 BAKERSFIELD CITY FIRE #3 SiteID: 215-000-001207 Inventory Item 0001 Facility Unit: Fixed Containers on Site DIESEL Days On Site 365 Location within this Facility Unit SE CORNER OF LOT CAS# 68476-34-6 r STATE [TM PRESSURE i TEMPERATURE Liquid Pure Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container GAL Maximum Stored GAL AMOUNTS AT THIS LOCATION Daily Maximum 550.00 GAL Maximum Open Use GAL Daily Average 300.00 GAL Maximum Closed Use GAL %Wt. 100.00 HAZARDOUS COMPONENTS Diesel Fuel No. 2 EHS CAS# No 68476302 -2- 07/10/1997 BAKERSFIELD CITY FIRE #3 SiteID: 215-000-001207 Fast Format Notif./Evacuation/Medical Agency Notification CALL 911 Overall Site 10/14/1992 -- Employee Notif./Evacuation 10/14/1992 NOTIFICATION OF BATTALION CHIEF AND EVACUATION OF APPARATUS AND PERSONNEL -- Public Notif./Evacuation USE BPD WITH P.A. 10/14/1992 Emergency Medical Plan NO LOCAL EMERGENCY MEDICAL ASSISTANCE LISTED. 10/14/1992 3 07/10/1997 BAKERSFIELD CITY FIRE #3 SiteID: 215-000-001207 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 10/14/1992 FUEL PUMP KEPT IN LOCKED POSITION. HAZ MAT TEAM. CLEAN-UP FALLS UNDER DIRECTION OF THE -- Release Containment BUILD DIRT DIKE 10/14/1992 -- Clean Up SAND FROM CORP YARD 10/14/1992 Other Resource Activation -4- 07/10/1997 BAKERSFIELD CITY FIRE #3 SiteID: 215-000-001207 Fast Format Site Emergency Factors Special Hazards Overall Site -- Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF APPARATUS FLOOR (INSIDE) C) WATER - SE CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - NO 01/07/1990 -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE 01/07/1990 FIRE HYDRANT - ACROSS THE STREET Building Occupancy Level -5- 07/10/1997 f BAKERSFIELD CITY FIRE #3 SiteID: 215-000-001207 Fast Format Training -- Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY 24 HOURS A DAY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL OF OUR EMPLOYEES ARE TRAINED EMERGENCY RESPONDERS Overall Site 01/07/1990 -- Page 2 Held for Future Use Held for Future Use 6 07/10/1997 ~3/15/96 BAKERSFIELD CITY FIRE #3 215-000-0012 ~ ~ Pi~ Overall Site with 1 Fac. Unit ~ ~WAR ~Z 1996 GeneralInformation ~¥'~;.-~ Location: 3400 PALM DR Map:102 Haz:2 Type: 3 City : BAKERSFIELD Grid: 35D F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title COMM CENTER / / Business Phone: ( ) 911- x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 3400 PALM ST D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: CITY OF BAKERSFIELD Phone: (805) 326-3911 Address: 2101H ST State: CA City: BAKERSFIELD Zip: 93301- Summary I. ~'..~.~~ lC' Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for ~lr~ 57,~.~ and that it along with (Name of'Bu~ne~) any eorre~ions constitute a complete nnd correct man- ngement plan for my facility. 03/15/96 Pln-Ref BAKERSFIELD CITY FIRE #3 215-000-001207 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form Max Qty Page MCP 02-001 DIESEL ~ Fire, Immed Hlth, Delay Hlth Liquid 550 GAL Low 03/15/96 BAKERSFIELD CITY FIRE #3 215-000-001207 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-001 DIESEL ~ Fire, Immed Hlth, Delay Hlth Liquid 550 Low GAL CAS #: 68476-34-6 Form: Liquid Type: Pure Daily Max GAL 550 I Storage UNDER GROUND TANK Trade Secret: No Days: 365 Use: FUEL Daily Average GAL 300.00 Annual Amount GAL 2,000.00 Press T Temp Location ]Ambient[Ambient[SE CORNER OF LOT -- Conc~ Components 100.0% [Diesel Fuel No. 2 MCP ~Guide Moderate[ 27 03/15/96 BAKERSFIELD CITY FIRE #3 215-000-001207 00 - Overall Site <D> Notif./Evacuation/Medical Page 4 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFICATION OF BATTALION CHIEF AND EVACUATION OF APPARATUS AND PERSONNEL <3> Public Notif./Evacuation USE BPD WITH P.A. <4> Emergency Medical Plan NO LOCAL EMERGENCY MEDICAL ASSISTANCE LISTED. 03/15/96 BAKERSFIELD CITY FIRE #3 215-000-001207 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 5 <1> Release Prevention FUEL PUMP KEPT IN LOCKED POSITION. HAZ MAT TEAM. CLEAN-UP FALLS UNDER DIRECTION OF THE <2> Release Containment BUILD DIRT DIKE <3> Clean Up SAND FROM CORP YARD <4> Other Resource Activation 03/15/96 BAKERSFIELD CITY FIRE #3 215-000-001207 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF APPARATUS FLOOR (INSIDE) C) WATER - SE CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE FIRE HYDRANT - ACROSS THE STREET <4> Building Occupancy Level 03/15/96 BAKERSFIELD CITY FIRE #3 215-000-001207 00 - Overall Site <G> Training Page <1> Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY 24 HOURS A DAY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL OF OUR EMPLOYEES ARE TRAINED EMERGENCY RESPONDERS <2> Page 2 <3> Held for Future Use <4> Held for Future Use '' * BAKERSFIELD FIRE DEPARTMENT' APPLICATION In confo~i~ with p~isions of ~in~nt ordinon~s, c~s on.or ~gulOti~;'O~iCGti~ is ~de by: (') 550 .~al diesel rue'! tank to be located at Fire Station 3/~-'~aundars ParK, 3400 Palm St. issued ... ~..,.~.~'/~ .................. . ....... Permit denied ........ 98/18/92 BAKERSFIELD CITY FIRE DEPT #3 215-000-0(1~:0~ Overall Site with 1 Fac. Unit EP30 1992 General Information Location: 3400 PALM DR Map: 102 Hazard: Low Community: BAKERSFIELD STATION 03 Grid: 35D F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- COMM CENTER ( ) 911- x ( ) - ( ) - x ( ) - Administrative Data Mail Addrs: 3400 PALM ST D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: CITY OF BAKERSFIELD Phone: (Fo Address: 2101 H ST State: CA City: BAKERSFIELD Zip: 93301- Summary 08/18/92 BAKERSFIELD CITY FIRE DEPT #3 215-000-001207 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 DIESEL · Fire, Immed Hlth, Delay Hlth Liquid 550 Low~ GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 550 I Daily Average GAL 275.00 Annual Amount GAL 2,000.00 Storage UNDER GROUND TANK Press T Temp Location Ambient|AmbientlSE CORNER OF LOT -- Conc 100.0% IDiesel Fuel No.2 Components MCP iList Moderate 08/18/92 BAKERSFIELD CITY FIRE DEPT #3 215-000-001207 Page 00 - Overall Site <D> Notif./Evacuation/Medical 3 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFICATION OF BATTALION CHIEF AND EVACUATION OF APPARATUS AND PERSONNEL <3> Public Notif./EvacUation NONE LISTED <4> Emergency Medical Plan NO LOCAL EMERGENCY MEDICAL ASSISTANCE LISTED. 08/18/92 BAKERSFIELD CITY F~RE DEPT #3 215-000-001207 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention FUEL PUMP KEPT IN LOCKED POSITION. HAZ MAT TEAM. CLEAN-UP FALLS UNDER DIRECTION OF THE <2> Release Containment <3> Clean Up <4> Other Resource Activation 08/18/92 BAKERSFIELD CITY FIRE DEPT #3 215-000-001207 00 - Overall Site <F> Site Emergency Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF APPARATUS FLOOR (INSIDE) C) WATER - SE CORNER OF LOT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE FIRE HYDRANT - ACROSS THE STREET <4> Building Occupancy Level 08/18/92 BAKERSFIELD CITY FIRE DEPT #3 215-000-001207 00 - Overall Site <G> Training Page <i> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY 24 HOURS A DAY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL OF OUR EMPLOYEES ARE TRAINED EMERGENCY RESPONDERS <2> Page 2 as needed '<3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD HAZARDOUS HATERIALS INVENTORY ~ Farm and Agriculture ~--] Standard Business Page.__of i NON - TRADE SECRET BusINEss NAME: ~ S~-n~b~ ~ OWNER NAME: ~-'~' o.~ ~k~r/'e./~ NAME OF THIS FACILITY: LOCATION: 3qO~ ~l~ ADDRESS: 2~ ~ ~__~ STANDARD IND. CLASS CODE: CITY, ZIP: ~~.~.~ ~ ~ ~ CITY, ZIP: ~{.e,~ 9F7o ! '~ DUN AND BRADSTREET NUMBER/FEDERAL PHONE #: ~S,~-$3~% PHONE #:' ~-39~ __----- EFER TO INSTRUCTIONS FOR PROPER CODES I 2 3 4 5 6 7 8 9 10 11 12 13 14 Trane Type Max Average Annual Measure # Days Cunt Cunt Cunt Use Location Where % by Names of Mixture/Components Code Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility w~c See Instructions ~ # 1 Name & C.A.S. Number ~ Physical Health Hazard C.A.S. Number (Check all that apply) % /~Component # 2 Name & C.A.S. Number of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S2 Number Component # I Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Number ~ Fir~ ltaza~d ~ Sudden Release [] Reactivity [] T~nediate [~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # i Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Number Delayed '~ Fire Hazard Sudden Release Reactivity Immediate -- I of Pressure Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # i Name & C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Number ~ Fire Hazard ~ Sudden Release ~ Reactivity ~ Immediate ~ Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number EMERGENCY CONTACTS #1 #2 Name Title 24 Hr. Phons Name Title 24 Hr Phone cartification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I hayer personally examined end am familiar with the information submitted in this end all attached documents end that based on my inquiry of those individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and comple~te. NAME AND OFFICIAL TITLE OF ~WNER/OPERATOR OR OWNE~/OPEt~tTOR'S AUTHORIZED ~FKESSN~ATIVE SIGNATURE DATE SIGNED Bakersfield Fire Dept~ HAZARDOUS MATERI..ALS DIVISION RECEiV=~~'~ 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 JAN 0 3 19~t~~, UNDERGROUND TANK' QUESTIONNAIR~Az' Mt~V// I. FACILITY/SITE DBA OR FACILITY NAME NAME OF OPERATOR Bakersf±eld F±re Department ~Sta 3 ADDRESS NEAREST CROSS STREET PARCEL No.(OPTIONAL) 3400 Palm Ave Oak CITY NAME STATE ZIP CODE Bakers fie id Ca 93309 ~' BOX TO INDICATE O CORPORATION O INDIVIDUAL O PARTNERSHIP ~ LOCAL AGENCY DISTRICTS O COUNTY AGENCY (~ STATE AGENCY O FEDERAL AGENCY TYPE OF BUSINESS [~ 2 DISTRIBUTOR KERN COUNTY PERMIT ! ,o oPERATE NO. 180009C/ [~ 4 PROCESSOR GAS STATION [~3 FARM EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FIRST) Patterson John PHONE No. WITH AREA CODE (805) 631-9204 NIGHTS: NAME (LAST, FIRST) Patterson John PHONE No. WITH AREA CODE (805) 833-1517 EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE Chuck Todd (805) 833-1517 NIGHTS: NAME (LAST, FIRST) Chuck Todd II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) PHONE No. WITH AREA CODE (805) 399-1340 NAME Bakersfield Fire Department MAILING OR STREET ADDRESS 2101 H st CITY NAME Bakersfield Fire Department CARE OF ADDRESS INFORMATION 2101 H st ~' BOX (~ INDIVIDUAL TO INDICATE I~ PARTNERSHIP STATE [ ZIPCODE ca 1 93301 TANKOWNER INFORMATION (MUST BE COMPLETED) LOCAL AGENCY C~ STATE AGENCY [~ COUNTY AGENCY [~ FEDERAL AGENCY PHONE No. WITH AREA CODE (805) 326-3911 NAME Bakersfield Fire Department MAILING OR STREET ADDRESS 2101 H st CITY NAME Bakersf±eld CARE OF ADDRESS INFORMATION 2101 H st ·~' BOX ~ INDIVIDUAL TO INDICATE ~ PARTNERSHIP STATE ZIP CODE Ca 93301 LOCAL AGENCY (~ STATE AGENCY [~ COUNTY AGENCY [~ FEDERAL AGENCY PHONE No. WITH AREA CODE (805)326-3911 OWNER'S DATE VOLUME PRODUCT TANK No. INSTALLED STORED I 6/84 550 unleaded DO YOU HAVE FINANCIAL RESPONSIBILITY? (~N TYPE IN SERVICE Y/N Y/N Y/N ¥/N Y/N ~ Fill one segment~t for each tank, unless al~a ~ constructed of~..~ same materials, style and~pe, then one segment out. please identify tanks by owner ID #. I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK LD.# I B. MANUFACTURED BY: unknowen C. DATE iNSTALLED (MO/DAY/YEAR) 6/01/84 O. TANK cAPAcITY.IN GALLONS: 550 III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B. ANDC, ANDALLTHATAPPLIESINBOXD anks and piping are only fill A. TYPEOF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 SINGLE WALL WITH Ex'rERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] i BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank)' [] 9 BRONZE [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER ~)'~ 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING C. INTERIOR LINING [] S GLASS LINING [] O UNLINED [] 95 UNKNOWN [] 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO~ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ' ' [] 3 ~ WRAP [] 4 FIBERGLASS REINFORCED PLASTIC .~:~ 95 u.~ow. ~'~ F-I 99 OTHER IV. PIPING INFORMATION C,RCLE A IFABOVEGROUNDOR U IFUNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A [~ 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A ~ 1 SINGLE WALL A U 2 DOUBLE WALL ~, U 3 LINED TRENCH A U 95 UNKNOWN .~ U 99 OTHER C. MATERIAL AND CORROSION PROTECTION BARE STEEL ALUMINUM GALVANIZED STEEL A U 2 STAINLESS STEEL .~ IJ 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE A U 6 CONCRETE .~ IJ 7 STEEL W/ COATING A U 8 1003/, METHANOL COMPATIBLEW/FRP A U 10 CATHODIC PROTECTION A~_.~ 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 A'UTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGH3%IESS TESTING [] 3 INTERS1TFIAL MONFFORING [] 99 OTHER V. TANK LEAK DETECTION I[] ~ v,SUAL CHECK J;~ 2 ,NVENTORY RECONC,L,AT,O. [] 3 VA..OR MON,TOR,.G [] ~ ~TOMAT,C TANK GAUG,NG [] ~ GROUND WATER MON,TOR,NG [] ~ TANK TEST,NG [] ~ ,NTERST,T,ALMON,TOR,NG [] ,, NONE [] ~ UNKNOWN [] ~ OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN Am OWNER'S TANK I. D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC. ANDALLTHATAPPt. IESINBOXD A. TYPEOF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL ] .3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANIO [] 99 OTHER a. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIP. LEW/FRP [] 99 OTHER ~ 2 ALKYD LINING ~] 3 EPOXY LINING [~ 4 PHENOLIC LINING 1 RUBBER LINED C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINtNG MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ] 3 VINYL WRAP r-~95 UNKNOWN [] 4 FIBERGLASS REINFORCED PLASTIC ] 99 OTHER IV. PIPING INFORMATION CmCLE A IFABOVEGROUNOOR U IF UNDERGROUNO, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U gg OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION V. TANK LEAK DETECTION BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVtNYL CHLORIDE (PVC)A U 4. FIBERGLASS PiPE ALUMINUM A IJ 6 CONCRETE ~, IJ 7 STEEL W/ COATING A U 8 10(7'/o METHANOL COMPATiBLEW/FRP GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A [J 99 OTHER AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONrrORING [] 99 OTHER [] 1 VISUAL CHECK [~ 2 iNVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING ~._~-_~ 6 TANK TESTING [] 7 INTERST)TIAL MONITORING [] 91 NONE [] 95 UNKNOWN . [] 99 OTHER JAN 1 9 1989 Do herebi certify that I have reviewed thegns'd ............ attached Hazardous Materials business plan (Aame o£ business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facilitw. q t ~ignamure CITY of BAKERSFIELD BRADSTRKET NUMBKR ~ ~ X~U~O~ ~ ~0~ COD~ C~e C~e Mt Mt Est Units m Site I~ ~. TM ~ St~ in FKtllty ~ ~ Imt~ti~ ~lth of Pm~ ~lth (C~k iii t~t a~ly) ..... Hfllth of P~su~ ~lth (C~k all t~t ~ly) ..................... f, ~ ~ C~t 12 ~&C.A.S. ~ H. lth of Pr~sure Health Certtficati~ (Read and siEn after completin£ all sections) under penalty of 1mw that I have p~rso~allyexamined ~ mm fNilimr with t~ tnfor~ti~ su~itt~ tn this ~ ill IttK~ ~tl. ~ t~t ~s~ ~ ~ i~t~ of t~e t~tvi~ls r~iible ling t~ inf~tt~. I ~lieve t~t t~ su~itt~ in~ti~ is t~, eccurate, and cmple~. ~ . , ............................... ................. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RECEIVED F E B O 8 i988 Ans'd ............ OFFICIAL USE ONLY BUSINESS NkME HAZARDOUS BUS I NESS PLAN FORM MATE R I ALS AS A WHOLE 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: .~~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-882-7850 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. B. Ph~ Ph~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: ~.~. D. SPECIAL: E. LOCK BOX: YES ,/~!F YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO MSDSS? YES ./ NO YES / X0 KEYS? YES / NO 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSI. STA~NCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEEs WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS .MATERIALS:... .................................... (~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO ~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. (~ NO '(~' NO D. EMERGENCY EVACUATION PROCEDURES: ................. -~/~P NO (~ NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... ~ NO (~ NO REFRESHER (~ NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN $00 POUNDS OF A SOLID, 88 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES (~ I, z~~ ~-~em_~ , certify that the above information is accurate. I underst~d' - ihat 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. 25800 Et Al.) and that inaccurate information constitutes perjury. DATE BAKERSFIEED CITY FIRE DEP;\RT)iENT 2130 "G" STREET BAKERSFIELD, CA g$$01 BUSINESS NA~IE: USE ONLY BUSINESS PLAN SINGLE FAC ILI T'f UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form ~ust be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 8. Answer the question~ below for THE FACILI~! UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. - - ' SECTION 1: MITIGATION, PRE'VENTIONT ABATEMEN'r PROC~L~ES .4kl( s o~J~ ~,~ ~=i, o~ o4~ ~4~t' ra~%' Te=~.-''' SECTION 2: NOTiFICATiON A,.%q] EVACUATION PROCEDL'RES AT THIS tN'iT SECTION 3: HAZARDOUS MATERIALS FOR THIS UN'IT ONlY A. Does this Facility Unit contain Hazardous Materials? ...... YES If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form =4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION /Vt3 SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E.xflgRGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT . ,.~" A:>"'/'PROP.~NE':. B. ELECTRICAL: D. SPECr ~ ~A~: E. LOCK BOX: YES ,' ~.Y~O iF YES, LOCATION: IF VES, SITE PLAX$? FLOOR PLANS? YES / NO YES ./ XO - 3B - MSDSs? KEYS? YES "NO YES .," NO NON--TllAI) E IIAZAIIDOUS MATEi{I ALS' I NVENTOIIY ONLY , ,', I,l l< :,{~.l?f:Fr.,~f;y I:IINI'ACT: ri^× ^lit.ltl^l, LO(.'ATION IN TIll6 .~ IIY IIAT. AI{I) ~f. ltJl/f~'l' AHt~UN'I' FACILITY UNIT WT. CII~FII.q~L OR COMFI~N.N~ME CoDE ~ AFTER flUS IIRS: TITLE{ PllOHE I BUS IIOURS{ ACTIVITV:__ ~,ra .. . ~,~n AFTER UUS. IIRS: