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Home My WebLink AboutBUSINESS PLAN 1/15/1984Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OFPERMIT ON REVERSE SIDE Permit ID #:: 015-000-002022 KGET CHANNEL 17 LOCATION: 2120 L ST This oermit is issued for the followin~_: [] Hazardous Materials Plan [] Underground Storage of H~,~-rdOus Materials [] Risk Management Program E] Hazardous Waste On-Site Trea~a-,ent Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: Issue Date June 30. 2003 \ 2 pm't ~oek bo.~ o# NORTH, :KGET CHANNEL 17 Manager : Location:' 2120 L ST City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04. EPA Numb: SiteID: 015-021-002022 BusPhone: (661) 283-1700 Map : 103 CommHaz : Low Grid: 30A FacUnits: 1 AOV: SIC Code:4833 DunnBrad:91-103-9700 Emergency Contact / Title TOM BALLEW / CHIEF ENGINEER Business Phone: (661) 283-1710x 24-Hour Phone : (661) 833-3704x Pager Phone : ( ) - x Emergency Contact / Title DON WAGER / MAINT TECH Business Phone: (661) 283-1108x 24-Hour Phone : (661) 871-4096x Pager Phone : ( ) x Hazmat Hazards: Contact : A K MEDIA GROUP INC MailAddr: 2120 L ST City : BAKERSFIELD Phone: (661) 283-1700x State: CA Zip : 93301 Owner A K MEDIA GROUP INC Address : 2120 L ST City : BAKERSFIELD Phone: (661) 283-1700x State: CA Zip : 93301 Period : Preparer: Certif'd: ParcelNo: to Emergency Directives: TotalASTs: = TotalUSTs: = RSs: No Gal Gal I,.'~/~,4,'/20g/_~___ Do hereby certify ~ha~ ~ have ~y~ ~ ~m name) re~ie~e~ ~he a~che~ h~ardous mmerials manag~ msn~ plan ~or~~- ~/ and ~ha~ i~ along ~i~h ~y ~rr~ions ~ns~i~u~s s ~pls~e and corr~ man- ~emem plan ~or ~y ~acili~y. 1 08~22/2003 ~KGET CHANNEL 17 ~ Hazmat Inventory --MCP+DailyMax Order Hazmat Common Name... DIESEL SiteID: 015-021-002022 By Facility Unit Fixed Containers at Site ISpocHazlEPA HazardsI Frm I DailyMax IUnitlMCP L 120.00 GAL Low -2- 08/22/2003 -3- 08/22/2003 f'KGET CHANNEL 17 ~ Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit BEHIND BLDG SiteID: 015-021-002022 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# F STATE TYPE PRESSURE Liquid I Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 120.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 120.00 GAL Daily Average 120.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Diesel Fuel No. 2 IRSI CAS# No 68476302 TSecretINo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# MCP Low 4 08/22/2003 F~KGET CHANNEL 17 SiteID: 015-021-002022 Fast Format ~ Notif./Evacuation/Medical --Agency Notification THE LEAK DETECTION PROCEDURE IS A VISUAL CHECK PERFORMED DAILY. MANUFACTURED BY PRYCO. Overall Site 05/03/2000 THE AST IS -- Employee Notif./Evacuation 05/03/2000 IN THE EVENT OF HAZARDOUS MATERIALS SPILL OR EMERGENCY, KGET WOULD CONTACT THE FOLLOWING: 1) 911 2) OFFICE OF EMERGENCY SERVICES 1-800-852-7550 3) MP ENVIRONMENTAL SERVICES 393-1151 4) TOM BALLEW, CHIEF ENGINEER (IF NOT ON SITE ALREADY) 283-1710, 833-3704 OR 329-7604 5) DON WAGER, MAINTENANCE TECH 283-1700 X 1108 OR 871-4096. Public Notif./Evacuation 05/03/2000 TOM BALLEY, CHIEF ENGINEER IS RESPONSIBLE FOR NOTIFYING THE PROPER AGENCIES IN THE EVENT OF A RELEASE OR OTHER EMERGENCY. IN HIS ABSENCE, DON WAGER, MAINTENANCE TECHNICIAN IS RESPONSIBLE. ALL SUCH OCCURRENCES WILL BE REPORTED TO TOM RANDOUR, GM/VP IMMEDIATELY. Emergency Medical Plan 05/03/2000 IN THE EVENT OF ANY MEDICAL EMERGENCY, SILVIA NAVARRE, BUSINESS MANAGER WOULD SEND PERSONNEL TO: BUSIENSS HEALTH NETWORK, 2811 H ST, 321-3781 FROM 7 AM-5:30 PM, MONDAY-FRIDAY. IF PERSONNEL REQUIRE TREATMENT AFTER-HOURS, ON WEEKENDS OR HOLIDAYS, THEY WOULD BE SENT TO: SAN JOAQUIN COMMUNITY HOSPITAL, 2615 EYE ST, 395-3000. -5- 08/22/2003 F'KGET CHANNEL 17 SiteID: 015-021-002022 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 05/03/2000 PENCE PETROLEUM STATES THAT THE DIESEL FUEL TANK IS BOLTED TO THE CONCRETE PAD, COMPLIANT WITH FEDERAL, STATE AND LOCAL REGULATIONS. -- Release Containment 05/03/2000 IN THE EVENT OF A RELEASE, KGET WOULD CALL: MP ENVIRONMENTAL SERVICES INC, 3400 MANOR ST, 393-1151. -- Clean Up 05/03/2000 SAM AS ABOVE, MP ENVIRONMENTAL WOULD BE RSPONSIBLE FOR CLEANUP AND RECOVERY PROCEDURES. THEY HAVE EMERGENCY RESPONSE 24/7, YEAR ROUND. Other Resource Activation -6- 08/22/2003 F ~ KGET CHANNEL 17 SiteID: 015-021-002022 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 05/03/2000 A) GAS - (WHERE ARE B) ELECTRICAL - C) WATER - D) SPECIAL - E) LOCK BOX - THEY LOCATED?????????????????????) -- Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ?????????????????? 05/03/2000 NEAREST FIRE HYDRANT - ???????????????? Building Occupancy Level UTILITY SHUT OFF: A) Gas shut-offlocation: Rear of building in parking lot outside the generator and garbage canister enclosures. B) Electrical shut-off Rear of building in parking lot. C) Water shut-off · 22"a Street sidewalk mid block · 22"d and M Street SW comer D) Lock Box: M Street by North side rear gate. FIRE PROTECTION: A) Private fire protection: None B) Location of nearest fire hydrant: · 22na and L. Street SW comer · 22"d and M. Street SW comer ? 08/22/2003 :'KGET CHANNEL 17 SiteID: 015-021-002022 Fast Format Training -- Employee Training Overall Site 05/03/2000 OUR EMPLOYEES DO NOT WORK IN THE AREA OF THE DIESEL TANK ROUTINELY. PENCE PETROLEUM FILLS AND MAINTAINS THE TANK AS NEEDED. ALL THEIR EMPLOYEES ARE TRAINED FOR THIS. THE MSDS SHEETS ARE KEPT IN A BOX ON THE WALL OUTSIDE OF THE DOOR TO THE ENGINEERING DEPT. THE SHEETS ARE EASILY ACCESSIBLE AND THEIR LOCATION IS INDICATED CLEARLY. bRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT WORK IN OR NEAR HAZARDOUS MATERIALS OF ANY DESCRIPTIONARE TRAINED ON SAFETY PROCEDURES PRIOR TO ASSUMING RESPONSIBILITIES. THEY ARETRAINED BY OUR CHIEF ENGINEER AND SAFETY COORDINATOR, TOM BALLEW, AND SIGN OFF AFTER RECEIVING TRAINING. ALL SIGNED SHEETS ARE KEPT ON FILE IN OUR SAFETY TRAINING MANUAL. -- Page 2 --Held for Future Use Held for Future Use 8 08/22/2003 CITY OF BAKERSFIELDO OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATE ANAGE] IENT INSTRUCTIONS: 1. To avoid further ac~t within 30 days of receipt. 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. 5. PLAN You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~ C~ ~--'"'~ LOCATION: '~3"2~O "' (---- '~ MAILING ADDRESS: '2.~k ~ "L_._ t, ~'~v"~_~'- CiTY:n'~~~%~ e..[d3~ STATE: C.~r ZIp:q:5'5OI PHONE: Z-%"~-'-q-"/OO PRIMARY ACTIVITY: -i've- lc- v' (~ i O ~ b ~o ~ c-'r'~'~'~i ~ MAILING ADDRESS: PHONE: 7-~;'~ -- ~ -7 00 EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 2. J HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. E~RO~NT~ ~SPONSE ~AGE~NT: D. EMERGENCY MEDICAL PLAN: ~ ~o ~-. 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN ho Bo HAZARD ASSESSMENT AND PREVENTION MEASURES: RELEASE CONTAINMENT AND/OR MITIGATION: Co CLEAN-UP AND RECOVERY PROCEDURES: I ~ UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: ~qO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: Bo WATER AVAILABILITY (FIRE HYDRANT): Se~?_ ~i dvP--- 3 HAZARDOUS MATERIALS MANAGEMENT PLAN CERTIFICATION I, 'To m ~ ~/ l e. uI CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORIXtA~ON CONSTITUTES PERJURY. SIGNA~ TITLE DATE 4 CITY OF BAKERSFIEI~ ICE OF ENVIRONMENTAl, ~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doina Business As SITE ADDRESS /o0 Page Of lOO Year Ending /o0 BUSINESS PHONE 101 102 103 ,o4 CA ZIP q '~'70 I 105 DUN& F~__-~ev'"~,.-~, T~'~' ...~__]~Z::)-3~i:':, O([ _ ~.O--~ (:~ --~ OO ,o6 I SICCODE BRADSTREE~ ~---~'e.~ (';~-r-~ ,~j::::V"~__ 4::~O; ~ ~(.~'<,; v~'~<~ '"~.~ {~.7-~-"T'"~ (4 Digit#) COUNTY ~--._e~V- i/~ 107 108 OWNERNAME ~y[~-~ 0"'~e4i ~ ~'l/-OU~ i'-~-------~"~C- gb"'~ [~--.-~.~--~T 111 OWNERPHONE'Z.-O(~ OWNER ~IUNG 7_M ~ "~ ~ ADDRESS 113 CITY --~.._~V~'~.~_.~%.[~ ,1. STATE~ ,,5 ZIP ~'~'~ O I ,,6 CONTACT NAME ~ ~m~O~ ~e~S~I ~V','~S "' CONTACT PHONE $~ 3--1J~ i "* ADDRESS 120 STATE (~Z3t ,2, ZIP q "~"~ 0<~0z 122 NAME T"O ~ ~)~l (e~ 123 129 TITLE ~.~ C e~P'~ ~ V~3; V'~ e ~ r 125 130 BUSINESS PHONE 'Z..-<~ '~ -- I -'~ O O ~ . I "7 ~ O ~26 BUSINESS PHONE '~-~<~' ~ '-- I '-70 O ~. t ~ O ~; 131 24-HOUR PHONE '~Z;)-~*'~ -- ~'~'-~ (~ ~- ~27 24-HOUR PHONE ~--~ ~ ~ ~L_ [) ~ ~ 132 133 PAGER# ~--~ ~ '-~ ~ 0 ':" PAGER# ~/'{/~ Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SI(~NA~I= OWNE~TOy , 136 DATE 134 NAME Of DOCUMENT PREPARER 135 TITLE Of OWNER/OPERATOR 137 UPCF (7~99) S:\CU PAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIEL~R O CE OF ENVIRONMENTAL VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~NEW [] ADD [] DELETE [] REVISE 2OO (one form per mate6al per building or ama) Page __ of __ BUSINESS NAME (Same as FACILI'Pf NAME ~ DBA - Doing Business As) CHEMICAl-LOCATION '~.- ~ "'~ 0 FACILITY ID # / COMMONNAME 3~Cc5e-( ~-',~-_._\ 205~ I TP.~DESECRET [] Yes ~'N~'o If Subject to EPCRA, refer to instructions 207 EHS' [] Yes ~No 208 210 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE ~p PURE [] m MIXTURE [] w WASTE 211 I RADIOACTIVE []Yes ~o 212 iCURIES 2,3 PHYSICAL STATE [] S SOLID [~LIQUID [] g GAS 214 LARGEST CONTAINER (~ K"~.~... ~ "'~(~ ~;[ . ~"- ~'~, ~ ~ 215 FED HAZARD CATEGORIES [~1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [~ ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 ' STA ~TE~A~T~ CODE 220 AMOUNT p/~ DAILY AMOUNT ~/~ DAILY AMOUNT ~ / ~ UNITS' [~ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 ! DA 222 * If EHS, amount must be in lbs. STORAGE CONTAINER ~a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO - R, iC.~i~N~!~ [--I p ,TANK WAGON STORAGE PRESSURE ~ / [~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE [~aAMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 226 227 [] Yes ~No 228 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 - UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd HAZARDOUS MATERIALS:BUSINESS PLAN UPDATE MARCH 2000 FACILITY INFORMATION: Facility Name: KGET-TV 17, #002426 Physical Location: MT ADELADE TRANSMITTER City: BAKERSFIELD, CA Facility Phone: (661) 283-1700 OWNER INFORMATION FOR MAILING CORRESPONDENCE ONLY: Name: In Care of: Address: City, State, Zip: Contact's Phone: KGET-TV 17 DONALD L. WAGER PO BX 1700 BAKERSFIELD, CA 93301 (661) 283-1700 Site ID: 002682 · BiLLiNG i?4'FORMATION ONLY: Name: In Care of: Address: City, State, Zip: Contact's Phone: KGET-TV 17 DONALD L. WAGER PO BX 1700 BAKERSFIELD, CA 93301 (~r~ .- '"2-'~5T'~ - I-? o o iEMERGEI~,. ':Y CONTACT ~.NFORMATION: NAME: TITLE: TOM ....A~.~W, DIRCTR OF ENG1N Day Phone: (66L) 283-1700 · Ext: Night Phon~ .... (661) 833-3704 Cellular .,/l~f~Number-'. ~ 2~1 - NAME: TITLE: DON WAGER, MAINT ENGINEER Day Phone: (661) 283-1700 Est: Night Phone: (661) 871-4096 Ext: Cellular/Pager Number: .~- EPA Hazardous Waste ID Number (if applicable): ADDITIONAL INFORMATION REQUESTED: REQUIRED INFORMATION TO BE SUBMITTED: ~ Plot Plan Drawing (showing location of hazardous materials and utility shut offs). ~ Site Map (if your facility is in a rural location, a map to the facility is required). PLEASE CHECK ALL THAT APPLY: ~ There are no changes to my business plan and inventory. r-'n I am unable to find a copy of my current plan and inventory. Please send me a copy. r-~ I have enclosed a business plan and inventory for the facility described above. rm Other: I certify, Under penalty of perjury, that the information provided above is correct. Signatu~ ~3 Date Title Report # 7000