HomeMy WebLinkAboutBUSINESS PLAN 3/5/2001 E/FACILITY
FORM
FLOOR: OF
/ !
[. NORTa~,,,i SCALE: BUSINESS
DATE: / / FACILITY NAME
UNIT ~: OF
/ /
~4q~. (CBECK ONE) SITE DIAGRA.~~'-/0 f-- '~FACILI~ DIAGRAM
(
(Inspector's Comments): -OFFICIAL USE ONLY-
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF .PERMIT ON REVERSE SIDE
Permit ID#:: 015-000-000248
CENTRAL BODY WORKS &
LOCATION: 2510 L ST
This ~ermR ia issued for the followin_~:
[] Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
[] Risk Management Program
[] Hazardous Waste On-Site Treatment
Issued by: 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:
'June 30, 2003
Issue Date
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
, .~:,,,,;~,~,;,'~'~?i~',7 ;~77Y ~' i~, ~,~,;~ .... This permit is issued for the following:
~,,,~?i~?'//:~!ii,~::i~:::~,~:~,::i;~:i~::~:: :.:.;'ii::;~i;Hazardous Materials Plan .
~,~ ;,,~**~!~?'i' ) ~::~'~'"'*~'":::ii i!ii,. ,,.i i!! iiii~, iiiiiiii?:i i~iii~;i~de~ground Storage of Ha~rdous Matenals
PERMIT ID, 015-021~00248 .:,:,~;~?.~,..=~;~::~:~?' ~:~?~:~:~-:?~?~::?~?~k~oagement Program
~:~;.~Y'*~' ~i~ '~[~::c~:::~:::~:)::~::;:'~::;¥:~::~,:;::::;~' ~;~'~' ::~:~ ~a~d~S Waste
C E NT ~L B OD Y WORK S & P AIN~ S
LOCATION 2510 L
~:"x.'",~ ..~ ......... :
'=~.-' ..-' ..-'"~.~:"~ :~=~ i~{i '~ :~l~ .,~::~ .] ~ t ~.~"
Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
Approved by:
Expiration Date:
June 30, 2000
NORTH
eITE/FACILI TY D~G R/kivI
. FoRM
SCALE: B~S:~SS ~ :~/~1 fl~ a~'~' FLOOR: / OF /
DATE: / /
FACILITY NAME:
(CHECK ONE) SITE DIAGRAM
UNIT ~: OF
FACILI~ DIAGR.~M
~<,,---~ ~ _,. ,_~,,.o -
'~ .
~ . -
~ . -
(Inspector's Comments): -OFFICIAL USE ONLY-
Manager : / MAR 6 Z001 I
Location: 2510 L ST
City : BAKERSFIELD [BY:..,
CommCode: BAKERSFIELD STATION 04
EPA Numb:
SiteID: 015-021-000248
BusPhone:
Map : 103
Grid: 30A
(805) 325-4318
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title
JEANEENE CAMPBELL ~/ ~_ ~$! ~
Business Phone: (~9~3~ 325-1544x~%~
24-Hour Phone : (~ 397-5774x
Pager Phone : (mu/) - x
.-.~;~~ncy Contact / Title
MELVIN STUTCHMAN /j.~ ~n~/Z
Business Phone: (~'5) 325-7022x
24-Hour Phone : (805) 773-3009x
Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact :
MailAddr: 2510 L ST
City : BAKERSFIELD
Owner ~ M. STUTCHMAN
Address : 296 REEF CT
City : PISMO BEACH
Phone: ( ) - x
State: CA
Zip : 93301
Phone: (805) ~x
State: CA
Zip : 93449
Period :
Preparer:
Certif'd:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
= Hazmat Inventory
--As Designated Order
Hazmat Common Name...
ACRYLIC LACQUER THINNER
ENAMEL REDUCER
ACRYLIC LACQUER PAINT
WASTE PAINT REDUCER & THINNER
ACETYLENE
One Unified List
Ail Materials at Site
[SpecHazlEPA Hazards[ Frm
DailyMax Unit MCP
F L
F DH L
F DH L
F DH L
F P IH G
53 00 GAL
15 00 GAL
25 00 GAL
250 00 GAL
3000 00 FT3
Hi
Hi
Mod
UnR
Hi
OXYGEN F P IH G
ARGON/CARBON DIOXIDES, J. g~o ~g D°Fh~reb¥ Ic~rfifY ~hmGl have
gy~ or print ~me)
reviewed the aEached h~ardous ma~e~als masage-
mere
plan
~°r~and ~ha~ i~ along wi~h
any corrections constitute a compJe~e and correct man-
12000
12000
00 FT3 Low
00 FT3 Min
agement plan for my facility.
Signature
02/16/2001
CENTRAL BODY WORKS & PAINT SHOP
~ Inventory Item 0001
-- COMMON NAME / CHEMICAL NAME
ACRYLIC LACQUER THINNER
Location within this Facility Unit
OUTSIDE W END OF BLDG
SiteID: 015-021-000248
Facility Unit: Fixed Containers on Site
Map: Grid:
Days On Site
365
CAS#
64742-89-4
r STATE I TYPE PRESSURE
Liquid Mixture Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
~ GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
53.00 GAL
Daily Average
53.00 GAL
%Wt.
5 O0
5 00
10 00
30 00
20 00
5 O0
HAZARDOUS'COMPONENTS
Methanol
Petroleum Naphtha
Isopropyl Alcohol
Acetone
Toluene
Xylol
RS CAS#
No 67561
No 8030306
No 67630
No 67641
No 108883
No 1330207
TSecret
No
IORS I BioHaz
N No
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies F
NFPA
///
IUSDOT#
2 02/16/2001
CENTRAL BODY WORKS & PAINT SHOP SiteID: 015-021-000248
Inventory Item 0002 Facility Unit: Fixed Containers on Site
E~4~:r-K~DUCER - - Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE NW CORNER BLDG CAS#
108-88-3
F.STATE ~ TYPE
Liquid /Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAIN-R-NON-DRUM
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
/ GAL J 15.00 GAL J 15.00 GAL
%Wt. RS CAS#
5.00 Methanol No 67561
40.00 Naphtha No 8030306
20.00 Toluene No 108883
5.00 Xylene, Mixed No 1330207
15.00 2-Butoxyethanol No 111762
5.00 Acetone No 67641
TSecret S BioHaz
No N No
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies F DH
NFPA/// I USDOT#
3 02/16/2001
i CENTRAL BODY WORKS & PAINT SHOP ~~~ SiteID: 015-021-000248
i~ Inventory Item 0003 ~~6~ Facility Unit: Fixed Containers on Site i
i~ COMMON NAME / CHEMICAL NAME
o ACRYLIC ],X~-I~. PAINT o Days On Site o
o~ o 365
o Location within this Facility Unit Map: Grid:
o WEST WALL PAINT BLDG o CAS# o
0 0 .O
iE STATE EiE TYPE EEEiEE PRESSURE EE~i TEMPERATURE EEiEEEE CONTAINER TYPE
o Liquid o Mixture o o o METAL CONTAINR-NONDRUM o
iEEEEEEEEEEEEEEEEEEEEEEEE~Ei AMOUNTS AT THIS LOCATION
o Largest Container o Daily Maximum o Daily Average o
o ! GAL o 25.00 GAL o 25.00 GAL o
i~i~~ HAZARDOUS COMPONENTS
o %Wt.O
o 45 . 00 0 Toluene
o 5.00OEthanol
o 5.00o l_Butanol
o 5.00OMethyl Ethyl Ketone
o 20 . 00 O Methyl Isobutyl Ketone
o RSo CAS# o
ONo o 108883°
ONo o 64175°
ONo o 71363°
ONo o 78933°
ONo o 108101°
i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o
o No ONoONo o No/ Curies°F DH° /// o OModO
Inventory Item 0004 ~~e~ Facility Unit: Fixed Containers on Site
i~ COMMON NAME / CHEMICAL NAME
WASTE PAINT REDUCER & THINNER o Days On Site °
o 365 o
Location within this Facility Unit Map: Grid:
NW IN STORAGE LOT ° CAS# °
o o
STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE
Liquid o Waste o o o METAL CONTAINR-NONDRUM °
i~6~~~66~i. AMOUNTS AT THIS LOCATION
Largest Container ° Daily Maximum ° Daily Average o
~"~ GAL ° 250.00 GAL ° 150.00 GAL °
iE~EEE~EiEEEEEEEEEEEEEE HAZARDOUS COMPONENTS ~E~EE~EE~EEEEiEEEiEEEEEEEEEEEEEEEi
%Wt. o o RSo CAS# o
i~i~i~i~~ HAZARD ASSESSMENTS 88~i~888~88i88~88888i88888
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o
No O. NoONo o No/ Curies°F DH ° /// ° OUnRO
-4- 02/16/2001
CENTRAL BODY WORKS & PAINT SHOP ~~~ SitelD: 015-021-000248
i~ Inventory Item 0005 ~~~ Facility Unit: Fixed Containers on Site i
i~ COMMON NAME / CHEMICAL NAME
ACETYLENE o Days On Site o
o 365 o
Location within this Facility Unit Map: Grid:
SW/NW WALLS FABRICATION o CAS// o
o 74-86-2 o
~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE
Gas o Pure o Above Ambient o Ambient o PORT. PRESS. CYLINDER o
Largest Container o Daily Maximum o Daily Average o
.~o~FT3 o 3000.00 FT3 o 1500.00 FT3 o
ie~eie~eeee~ee HAZARDOUS COMPONENTS eeeeee~eeeeeeieeeieeeeeeeeeeeeeeei
%Wt. o o RSo CAS// o
100.00OAcetylene OyesO 74862°
i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT//o MCP o
No ONoONo o No/ Curies°FP IH o /// o OHio
Inventory Item 0006 EEEeeeEEEeEEEEE Facility Unit: Fixed Containers on Site
i~ COMMON NAME / CHEMICAL NAME
OXYGEN o Days On Site o
o 365
Location within this Facility Unit Map: Grid:
METAL FABRICATION BLDG o CAS# o
o 7782-44-7 o
STATE ~i~ TYPE ~i5~ PRESSURE ~i TEMPERATURE ~5i~ CONTAINER TYPE
Gas ° Pure o Above Ambient o Ambient o PORT. PRESS. CYLINDER o
i~~~~i AMOUNTS AT THIS LOCATION
Largest Container ° Daily Maximum o Daily Average o
FT3 o 12000.00 FT3 o 6000.00 FT3 o
i~i~~ HAZARDOUS COMPONENTS
%Wt. o o RSo CAS// o
100.00°Oxygen, Compressed ONo o 7782447°
i~i~i~i~8~ HAZARD ASSESSMENTS
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT//o MCP o
No ONoONo o No/ Curies°FP IH o /// o OLowO
-5- 02/16/2001
CENTRAL BODY WORKS & PAINT SHOP EEEEEEEEEE~EEEE~EEEEE SiteID: 015-021-000248
iE Inventory Item 0007 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site i
i~ COMMON NAME / CHEMICAL NAME
ARGON/CARBON DIOXIDE o Days On Site o
o 365 o
Location within this Facility Unit Map: Grid:
FABRICATION BLDG o CAS# o
o 7440-37-1 o
i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Gas o Mixture o Above Ambient o Ambient o PORT. PRESS. CYLINDER o
i~~~~i AMOUNTS AT THIS LOCATION
Largest Container o Daily Maximum o Daily Average o
.~St~~...~FT3 o 12000.00 FT3 o 6000.00 FT3 o
~i~~ HAZARDOUS COMPONENTS ~~i~Si~~~i
%Wt. o o RSo CAS# o
75.000Argon ONo o 7440371°
25.00OCarbon Dioxide ONo o 124389°
i~i~i~i~~ HAZARD ASSESSMENTS ~iS~~i~~i~i
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o
No ONoONo o No/ Curies°FP IH o /// o OMinO
aeeeeeeeueeeueeeeeeueeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeueeeeeeeeeueeeeeeeeueeee~f
-6- 02/16/2001
CENTRAL BODY WORKS & PAINT SHOP ~~~ SiteID: 015-021-000248
o
CALL 911
O
CALL 911 AND VENAL NOTIFICATION.
o
CALL 911 AND VENAL o
o
SAN JOAQUIN HOSPITAL
2615 EYE ST
327-1711 o
aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~f
-7- 02/16/2001
CENTRAL BODY WORKS & PAINT SHOP
i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i
i~ Release Prevention ~~~~~~~ 04/15/1992
O
ALL OXYGEN AND ACETYLENE BOTTLES CHAINED & PROPERLY STORED.
o
i~ Release Containment ~~~~~~ 04/15/1992
o
SHUT VALVES ON LEAKING TANK o
o
i~EEE Clean Up EEEEEEEEEEEEEEE~EEEEEEE~EEEEE~EEEEEE~EEEEEEEE~E 04/15/1992 i
AIR THE ROOM OR AREA OF THE SPILL, AFTER VALVES HAVE BEEN CLOSED.
iEEE~ Other Resource Activation
O
O
-8- 02/16/2001
i CENTRAL BODY WORKS & PAINT SHOP
i~ Site Emergency Factors ~~~~~~ Overall Site
i~ Special Hazards
O o
O o
i~i~ Utility Shut-Offs ~/~/~fi~/~/~/5~/~/~~6~~~ 04/06/1990
O O
o A) GAS - UNIT #1 METAL SHOP SOUTHEAST CORNER IN REAR OF BUILDING;
o UNIT #2 PAINT SOUTHWEST CORNER o
o B) ELECTRICAL -#1 METAL SHOP SOUTHEAST CORNER IN REAR OF BUILDING;
o #2 PAINT BUILDING SOUTHWEST CORNER o
o C) WATER -#1 SOUTHEAST CORNER ALLEY; o
o #2 SOUTHWEST CORNER BUILDING INSIDE REAR SPRAY BOOTH o
O O
i~ Fire Protec./Avail. Water ~~~~~ 04/06/1990
o O
° PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER & WATER OUTLETS
o O
O O
O o
O o
° FIRE HYDRANT - SOUTHWEST CORNER OF ALLEY ON 26TH ST. °
o O
i~ Building Occupancy Level
o o
o o
O
o
-9- 02/16/2001
CENTRAL BODY WORKS & PAINT SHOP ~~~ SitelD: 015-021-000248
i~ Training ~~~~~~~~ Overall Site
i~ Employee Training ~~~~~~~ 04/06/1990
o
WE HAVE 13 EMPLOYEES AT THIS FACILITY
o
WE HAVE MATE~AL SAFETY DATA SHEETS ON FILE
o
T~INING MATE~ALS BY ~M EMPLOYEE T~INING ~NUELS.
YEA~Y BY EMPLOYER. o
o
o
i~¢ Held for Fumre Use
O
o
i~ Held for Fumre Use
O
O
CALSS HELD TWICE
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
Overall Site with 1 Fac. Unit
Page
General Information
Location: 2510 L ST Map: 103 Hazard: Moderate
Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1AOV: 0.0
JEANEENE CAMPBELL (805) 325-1544 x (805) 397-5774/
~.:v~, s~c,~, ~ '~~Z ~0~ ~.~-~0~.~. x ~0~ ~-~00~/
Administrative Data
Mail Addrs: 2510 L ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:
Owner: MELVIN M. STUTCHMAN Phone: (805) 325-1544
Address: 296 REEF CT State: CA
City: PISMO'BEACH Zip: 93449-
Summary
RECEIVED
I~AR1 1 1992
H.A7 ~,~'T D!V.
RECEIVED
L ~ ~ -' MaR 5 1 1992
~~~~Oo horeby cert~ lt~ I h~EHA7, t,a.~T, DIV.
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
02 - Fixed Containers on Site
Hazmat Inventory. Detail in Reference Number Order
Page
2
02-001 ACRYLIC LACQUER THINNER
· Fire
Liquid 53 High
GAL
CAS #: 64742-89-4 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: PAINTING
Daily Max GAL Daily Average GAL
Annual Amount GAL
5,300.00
Storage Press I Temp Location
METAL CONTAINR-NONDRUMIAmbient~AmbientlOUTSIDE W END OF BLDG
-- Conc
5.0%
5..0%
10.0%
30.0%
20.0%
5.0%
Methanol
Petroleum Naphtha
Isopropyl Alcohol
Acetone
Toluene
Xylol
Components
MCP
High
Moderate
Moderate
Moderate
Moderate
Moderate
List
02~002 ENAMEL REDUCER
· Fire, Delay Hlth
Liquid 15 High
GAL
CAS #: 108-88-3
Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL Daily Average GAL
Annual Amount GAL
30.00
Storage Press I Temp Location
METAL CONTAINR-NONDRUM Ambient~AmbientlOUTSIDE NW CORNER BLDG
-- Conc
5.0%
40.0%
20.0%
5.0%
15.0%
5.0%
Methanol
Naphtha
Toluene
Xylene, Mixed
2-Butoxyethanol
Acetone
Components
MCP
High
Moderate
Moderate
Moderate
Moderate
Moderate
List
02/24/92
02-003
02-004
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
02 - Fixed Containers on Site
Page
Hazmat Inventory Detail in
Referen~ber.
ACRYLIC LACQUER PAINT
CAS #:
Trade Secret: No
Order
25 Moderate
GAL
Form: Unknown Type: Mixture Days:
Use: PAINTING
Daily Max GAL Daily Average GAL
25 I 0.00
Annual Amount GAL
T 100.00
Storage Press Temp
METAL CONTAINR-NONDRUMI T
Location
IWEST WALL PAINT BLDG'
-- Conc
45.0%
5.0%
5.0%
5.0%
20.0%
Toluene
Ethanol
1-Butanol
Methyl Ethyl Ketone
Methyl Isobutyl Ketone
Components
WASTE PAINT REDUCER & THINNER
CAS #:
Trade Secret: No
MCP
I ModerateI
Moderate
Moderate
Moderate
Moderate
250 Unrated
GAL
Form: Unknown Type: Waste Days:
Use: WASTE
Daily Max GAL
250 I
Daily Average GAL
0.00
Annual Amount GAL
3,000.00
Storage Press Temp
METAL CONTAINR-NONDRUMI T
Location
I NW IN STORAGE LOT
-- Conc
I
100.0% IWaste Paint Sludge
Components
MCP
IUnrated I
3
List
List
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
Page
4
02-005
ACETYLENE
· Fire, Pressure, Immed Hlth
Gas 3000 High
FT3
CAS #: 74-86-2
Form: Gas TyPe: Pure
-- Daily Max FT3
3,000
Storage
PORT. PRESS. CYLINDER
-- Conc
100.0% Acetylene
Trade Secret: No
Days: 365 Use: WELDING SOLDERING
. Daily Average FT3 I Annual Amount FT3
I
1,500.00 ! 30,000.00
Press T Temp Location
IAbove /Ambientlsw/NW WALLS FABRICATION
MCP
Components iHigh
iList
02-006
OXYGEN
· Fire, Pressure, Immed Hlth
Gas 12000 Low
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3
12,000
Daily Average FT3
6,000.00
Annual Amount FT3
120,000.00
Storage
PORT. PRESS. CYLINDER
Press T Temp Location
IAbove lAmbientlMETAL FABRICATION BLDG
-- Conc
100.0% IOxygen, Compressed
MCP List
Components ILow I
02~007
ARGON/CARBON DIOXIDE
· Fire, Pressure, Immed Hlth
Gas 12000 Minimal
FT3
CAS #: 7440-37-1
Trade Secret: No
Form: Gas
Type: Mixture Days: 365 Use: WELDING SOLDERING
Daily Max FT3 Daily Average FT3 I Annual Amount FT3
12,000 I 6,000.00 36,000.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER Above ]AmbientlFABRICATION BLDG
-- Conc
75.0% Argon
25.0% Carbon Dioxide
Components
MCP iList
Minimal
Minimal
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
00 - Overall Site
<D> Notif./Evacuation/Medical
Page
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
CALL 911 AND VERBAL NOTIFICATION.
<3> Public Notif./Evacuation
CALL'911 AND VERBAL
<4> Emergency Medical Plan
SAN JOAQUIN HOSPITAL
2615 EYE ST
327-1711
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
Page
16
<1> Release Prevention
ALL OXYGEN AND ACETYLENE BOTTLES CHAINED & PROPERLY STORED.
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
00 - Overall Site
<F> Site Emergency Factors
Page
7
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - UNIT'#1 METAL SHOP SOUTHEAST CORNER IN REAR OF BUILDING;
UNIT #2 PAINT SOUTHWEST CORNER
B) ELECTRICAL -#1 METAL SHOP SOUTHEAST CORNER IN REAR OF BUILDING;
#2 PAINT BUILDING SOUTHWEST CORNER
C) WATER -#1 SOUTHEAST CORNER ALLEY;
#2 SOUTHWEST CORNER BUILDING INSIDE REAR SPRAY BOOTH
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER & WATER OUTLETS
FIRE HYDRANT - SOUTHWEST CORNER OF ALLEY ON 26TH ST.
<4> Building Occupancy Level
02/24/92
CENTRAL BODY WORKS & PAINT SHOP
00 - Overall Site
<G> Training
215-000-000248
Page
<1> Page 1
WE HAVE 13 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
TRAINING MATERIALS BY KLM EMPLOYEE TRAINING MANUELS.
YEARLY BY EMPLOYER.
CALSS HELD TWICE
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
Mr. Melvin Stutchman
Central Body Works & Paint Shop
2510 L Street
Bakersfield, Ca. 93301
March 23, 1992
Dear Mr. Stutchman:
Enclosed please find the computer copy of your Hazardous Materials Business
Plan that you certiified as complete on 3-10-92. This plan is not complete. You have
failed to complete the highlighted sections E2 (Release Containment) and E3 (Clean up)
on page 6 of your plan.
Please complete and return these sections by April 6, 1992. If you have any
difficulties please do not hesitate to call our office at 326-3979.
Sincerely Yours,
Ralph E. Huey
Hazardous Materials Coorinator
ENCLOSURE
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
Overall Site with 1 Fac. Unit
Page
General Information
Location: 2510 L ST .Map: 103 Hazard: Moderate'
Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1 AOV: 0.0
Title
Contact Name
JEANEENE CAMPBELL
MELVIN STUTCHMAN
Business Phone
(805) 325-1544 x
(805) 325-7022 x
Administrative Data
24-Hour Phone-
(805) 397-5774
(805) 773-3009
Mail Addrs: 2510 L ST
City: BAKERSFIELD
Comm Code: 215-001 BAKERSFIELD STATION 01
D&B Number:
State: CA Zip: 93301-
SIC Code:
Owner: MELVIN M. STUTCHMAN Phone: (805) 325-1544
· Address: 296 REEF CT State: CA
City: PISMO'BEACH - Zip: 93449-
Summary
RECEIVED
~6R11 1992
I-.I A 7 lt, A a T
o/ (r~..,~,~). - hereby cert~ th~ I have
reviewed the attached hazs~'dcus materials manage-
merit plan tor.~~.._~m__~- ' a,~,d that it along with
~y corrections cons!f~u~ a. complete, and correct man-
agement plan for my facility. ·
0'2/24/92 CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
02 - Fixed Containers on Site
Hazmat Inventory.'Detail in Reference Number Order
Page 2
02-001 ACRYLIC LACQUER THINNER Liquid
· Fire
53 High
GAL
CAS #: 64742-89-4 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: PAINTING
Daily Max GAL53 I Daily Average GAL53.00 1 Annual Amount 5,300.00 GAL --
Storage PresS T Temp Location
METAL CONTAINR-NONDRUM AmbientlAmbientlOUTSIDE W END OF BLDG
-- Conc
5.0%
5..0%
10.0%
30.0%
20.0%
5.0%
Methanol
Petroleum Naphtha
Isopropyl Alcohol
Acetone
'Toluene
Xylol
Components
MCP List
High
Moderate
Moderate
Moderate
Moderate
Moderate
02-002 ENAMEL REDUCER
· Fire, Delay Hlth
Liquid 15 High
GAL
CAS #: 108-88'3
Trade Secret: No
Form: .Liquid Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL Daily Average GAL Annual Amount GAL
15 I 15.00 [ 30.00
· Storage Press T Temp Location
METAL CONTAINR-NONDRUMIAmbient{AmbientlOUTSIDE NW CORNER BLDG
-- Conc
5.0%
40.0%.
20.0%
5.0%
15.0%
5.0%
Methanol
Naphtha
Toluene
Xylene, Mixed
2-Butoxyethanol
Acetone
Components
MCP
High
Moderate
Moderate
Moderate
Moderate
Moderate
List
02/24/92
'CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
02 - FiXed Containers on Site
Hazmat Inventory 'Detail in Reference Number Order
Page
3
02-003 ACRYLIC LACQUER PAINT
·
25 Moderate
GAL
CAS #:
Trade Secret: No
Form: Unknown Type: Mixture Days:
Use: PAINTING
Daily Max GAL Daily Average GAL
25 I 0.00
Annual Amount GAL
100.00
Storage Press Temp
METAL CONTAINR-NONDRUMI. T
Location
IWEST WALL PAINT BLDG'
-- Conc
45.0%
5.0%
5.0%
5.0%
20.0%
Toluene
Ethanol
1-Butanol
IMethyl Ethyl Ketone
IMethyl Isobutyl Ketone
components
Moderate
Moderate
Moderate
Moderate
Moderate
List
02-004 WASTE PAINT REDUCER & THINNER
·
? 250 Unrated
GAL
CAS #:
Form: Unknown
Daily Max GAL 250
Storage
METAL CONTAINR-NONDRIJMI
Trade Secret: No
Type: Waste' Days: Use: WASTE
i Daily Average GAL Annual Amount GAL
0.00 ]
Location
Press.T Temp INW IN .STORAGE LOT
3,000.00
-- ConcI Components
100.0% IWaste Paint Sludge
MCP
Unrated
iList
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
Page
4
02-005 ACETYLENE
· Fire, Pressure, Immed Hlth
Gas
3000 High
FT3
CAS #: 74-86-2
Trade Secret: No
Form: Gas'
TyPe: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3
3,000
Daily Average FT3
1,500.00
Annual Amount FT3 --
30,000.00
Storage
PORT. PRESS. CYLINDER
Press T Temp Location
IAbove JAmbient ISW/NW WALLS FABRICATION
-- Conc
100.0% IAcetylene
Components
MCP ~lList
IHigh
02-006 OXYGEN
· Fire, Pressure, Immed Hlth
Gas 12000 LOw
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3
12,000
Daily Average FT3
6,000.00
Annual Amount FT3 ...'
120,000.00
Storage ~ Press T Temp ' Location
PORT. PRESS. CYLINDER IAbove .IAmbientlMETAL FABRICATION BLDG
-- Conc
100.0% IOxygen, Compressed
Components
MCP List
02-007
ARGON/CARBON DIOXIDE
· Fire, Pressure, Immed Hlth
Gas
12000 Minimal
FT3
CAS #: 7440-37-1
Trade'Secret: No
Form: Gas
Type: Mixture Days: 365 Use: WELDING SOLDERING
Daily Max FT3
12,000.
Daily Average FT3
6,000.00
Annual Amount FT3
36,000.00
Storage
-~PORT. PRESS. CYLINDER
Press T Temp Location
IAbove IAmbientlFABRICATION BLDG
-- Conc .
75.0% IArgon
25.0% ICarbon Dioxide
Components
MCP List
IMinimal I
Minimal
02/24/92
CENTRAL BODY WORKS & PAINT SHOP
00 - Overall Site
215-000-000248
<D> Notif./Evacuation/Medical
Page
5
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
CALL 911 AND VERBAL NOTIFICATION.
<3> Public Notif./Evacuation
CALL 911 AND VERBAL
<4>'Emergency Medical Plan
SAN JOAQUIN HOSPITAL
2615'EYE ST
327-1711
02/24/92
CENTRAL BODY WORKS & PAINT SHOP
00 - Overall Site
215-000-000248
<E> Mitigation/Prevent/Abatemt
Page
16
<1> Release Prevention
ALL OXYGEN AND ACETYLENE BOTTLES CHAINED & PROPERLY STORED.
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
02/24/92
CENTRAL BODY WORKS & PAINT SHOP 215-000-000248
00 - Overall Site
<F> Site Emergency Factors
Page
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - UNIT #1 METAL SHOP SOUTHEAST CORNER IN REAR OF BUILDING;
UNIT #2 PAINT SOUTHWEST CORNER
B) ELECTRICAL -#1 METAL SHOP SOUTHEAST CORNER IN REAR OF BUILDING;
#2 PAINT BUILDING SOUTHWEST CORNER
C) WATER -#1 SOUTHEAST CORNER ALLEY;
#2 SOUTHWEST CORNER BUILDING INSIDE REAR SPRAY BOOTH
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER & WATER OUTLETS
FIRE HYDRANT - SOUTHWEST CORNER OF ALLEY ON 26TH ST.
<4> Building Occupancy Level
02/24/92
CENTRAL BODY WORKS & PAINT SHOP
00 - Overall Site
<G> Training
215-000-000248
Page
8
<1> Page 1
WE HAVE 13 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS'ON FILE
TRAINING MATERIALS BY KLM EMPLOYEE TRAINING MANUELS.
YEARLY BY EMPLOYER.
CALSS HELD TWICE
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
BUSINESS NAME CENTRAL BODY WORKS & PAINT SHOP
LOCATION 2510 L ST
ID NUMBER 215-000-000248
HIGH HAZARD RATING 3
1 . OVE12V I EW
LAST CHANGE 06/15/88 BY ESTER
JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01
MAP PAGE 103 GRID 30A FACILITY UNITS 1 HAZARD RATING 3
RESPONSE SUMMARY
2A SEC 41 NO PRIVATE RESPONSE TEAM.
EMERGENCY CONTACTS 2A SEC 2)
JEANEENE CAMPBELL - 325-1544 OR 397-5774
MELVIN STUTCHMAN - 325-7022 OR 773-3009
UTILITY SHUTOFFS 2A SEC 3)
A) GAS - UNIT #1 METAL SHOP SE CORNER IN REAR OF BLDG; UNIT #2 PAINT SW CORNER
B) ELECTRICAL -#1 METAL SHOP SE CORNER IN REAR OF BLDG;#2 PAINT BLDG SW CORNER
C) WATER -#1 SE CORNER ALLEY; #2 SW CORNER BLDG INSIDE REAR SPRAY BOOTH
e
NOTI FICATION /
i°UBLIC EVACUATION
LAST CHANGE-~
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 1
12/15/88 10:29
MATERIAL SAFETY DATA SYSTEMS, INC, (805) 648-6800
BUSINESS NAME CENTRAL BODY WORKS & PAINT SHOP
LOCATION 2510 L ST
3 o HAZ MAT TRAINING
ID NUMBER 215-000-000248
HIGH HAZARD RATING 3
< NO INFORMATION RECORDED FOR THIS SECTION >
EMERGENCY
MEDICAL ASSISTANCE
LAST CHANGE 06/15/88 BY ESTER
2A SEC 5) SAN JOAQUIN HOSPITAL
2615 EYE ST
327-1711
PAGE 2
MATERIAL SAFETY DATA SYSTEMS, INC.
(805) 648-6800
12/15/88 10:29
BUSINESS NAME CENTRAL BODY WORKS & PAINT SHOP
LOCATION 2510 L ST
ID NUMBER 215-000-000248
HIGH HAZARD RATING 3
EMPLOYEE
NOT I F I CAT ION / EVACUAT ION
LAST CHANGE 06/15/88 BY ESTER
3A SEC 2) CALL 911 AND VERBAL NOTIFICATION.
MITIGATION
/ PREVENTION / ABATEMENT
~'GE 06/15/88 BY ESTER
3A SEC 1) ALL OXYGEN AND ACETYLENE BOTTLES CHAINED & PROPERLY STORED.
PAGE 5
12/15/88 10:29
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME CENTRAL BODY WORKS & PAINT SHOP
LOCATION 2510 L ST
FACILITY UNIT 01
ID NUMBER 215-000-000248
HIGH HAZARD RATING 3
A ·
OVERALL
HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 06/15/88 BY ESTER
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
1 MIXTURE ACRYLIC LACQUER THINNER 53 GAL EXTREME
OUTSIDE NW CORNER BLDG DRUMS OR BARRELS MET.. PAINTING
ID PERCENT COMPONENTS
1006.00
1130.00 20
1160.01 10
1168.00 10
1203.01 5
1145.00 5
1118.01 5
30 0 ACETONE
0 TOLUENE
0 ISOPROPYL ALCOHOL
0 n-BUTYL ACETATE
0 PETROLEUM NAPHTHA
0 METHANOL
0 XYLOL
HAZARD LISTS
HIGH
HIGH
HIGH
HIGH
EXTREME
HIGH
HIGH
MIXTURE ENAMEL REDUCER
OUTSIDE NW CORNER BLDG
ID PERCENT COMPONENTS
1203.00
1130.00
1852.00
1118.00
~1145.00
1006.00
1140.00
1168.00
53 GAL
DRUMS OR BARRELS MET.. PAINTING
40.0 NAPHTHA
20.0 TOLUENE
15.0 2-BUTOXYETHANOL
5.0 XYLENE, MIXED
5 0 METHANOL ~%',~-,'/'
5.0 ACETONE
5.0 METHYL ETHYL KETONE
5.0 n-BUTYL ACETATE
EXTREME
HAZARD LISTS
EXTREME
HIGH
MODERATE
HIGH
HIGH
HIGH
HIGH
HIGH
MIXTURE ACRYLIC LACQUER PAINT
WEST WALL PAINT BLDG METAL CONTAINERS
ID PERCENT COMPONENTS
1130.00 45.0 TOLUENE
1108.00 20.0 METHYL ISOBUTYL KETONE
1218.01 5.0 ETHANOL
1018.02 5.0 1-BUTANOL
1140.00 5.0 METHYL ETHYL KETONE
25 GAL
PAINTING
HIGH
HAZARD LISTS
HIGH
HIGH
HIGH
HIGH
HIGH
4
WASTE WASTE PAINT REDUCER & THINNER
NW IN STORAGE LOT METAL CONTAINERS
ID PERCENT COMPONENTS
-1071.00 100.0 WASTE PAINT SLUDGE
250 GAL UNKNOWN
WASTE
HAZARD LISTS
UNKNOWN
PURE ACETYLENE
SW/NW WALLS FABRICATION
ID PERCENT COMPONENTS
PORTABLE PRESS. CYL.
3000 FT3 EXTREME
WELDING/SOLDERING
HAZARD LISTS
PAGE 3
12/15/88 10:29
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME CENTRAL BODY WORKS & PAINT SHOP
LOCATION 2510 L ST
FACILITY UNIT 01
ID NUMBER 215-000-000248
HIGH HAZARD RATING 3
A e
O'~rERAL L HAZARDOUS
( ~ CONTINUED ~ )
MATERIALS INVENTORY
LAST CHANGE 06/15/88 BY ESTER
ID
TYPE NAME
LOCATION
CONTAINMENT
MAX AMT UNIT HAZARD
USE
PURE ACETYLENE
( * CONTINUED * )
3000 FT3 EXTREME
ID PERCENT COMPONENTS
1241.00 100.0 ACETYLENE
HAZARD LISTS
EXTREME
6
PURE OXYGEN
METAL FABRICATION BLDG PORTABLE PRESS. CYL.
ID PERCENT COMPONENTS
2359.00 100.0 OXYGEN, COMPRESSED
12000 FT3 HIGH
WELDING/SOLDERING
HAZARD LISTS
HIGH
7
MIXTURE ARGON/CARBON DIOXIDE
FABRICATION BLDG PORTABLE PRESS. CYL.
ID PERCENT COMPONENTS
1365.00 75.0 ARGON
1251.00 25.0 CARBON DIOXIDE
12000 FT3 LOW
WELDING/SOLDERING
HAZARD LISTS
NONE
LOW
PROTECTION
/ WATER SUPPL I E S
LAST CHANGE 06/15/88 BY ESTER
3A SEC 4) FIRE EXTINGUISHER & WATER OUTLETS FOR FIRE PROTECTION.
3A SEC 5) FIRE HYDRANT SOUTHWEST CORNER OF ALLEY ON 26TH ST.
PAGE 4
12/15/88 10:29
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
CITY of BAKERSFIELD
NON-- TRAI) E SECRETS
~ ~ge .l._ of
.'
?rafts Type ~x Averaqe Annual ~asure I ~ Cmt ~t Cmt hi L~lt~ hen ~ ~ Nam of Naxtuq/C~tl
[~e Code et bt Est Un,ts ~ Site IyN Pr~ TW C~l Stor~ tn Facility Nt ~ Inlt~t~ml
Health of Pr~ure HNIth ~-- ~'~- ~ ..... ' .......
H~ It h of Pr~su~ H~ Ith /~4 - ~ 4 - ~ -
Health of Pr~sure Health _ ///
P~ic41 ~d Hlalth Hlzlrd C.A.S. NumMr ...................... CM~mt
(C~k 011 t~t apply)
[ ~ Fire Hozard u--~ Reactivity NIoy~ ~ddm Release []] I~tete ........... ~ ..............................................
Health of Pr~sure Health
Certificatio~ (Rend and sign after coJpJeting al/ sections)
I certtfy under p~flalty of law that I have perso~allyexamined and am familiar vtth t~ tnforMttm su~itt~ in this IK I1~ Ittlc~ d~u~ts, Ind t~t ~sK ~ ~ inqui~ of t~e t~tvidulll r~sible
fo? obtaininq t~ inforMtim. ~lieve t~t t~ su~itt~ infor~tim is true. Accurate, and cmplete./ --/ //// /
, ......................... ,, ......................
Farm and &qriculture ~ Standard Business
CITY of BAKERSFIELD
HAZARDOUS MATERI ALS I NVENT.ORY'
NON--TRADE SECRETS , pq, .... of ....
LOCATION: ~.~ ~ ~ ' / ' - / ' ADDRESS: ~ ~ ~ STANDARD IND. CLASS CODE
CITY, ZIP:~~/W C ~ol CITY, ZIP: .~g,~o/ ' DUN AND BRADSTRgET NUHBER
c~e C~e ~t ~t Est Untt~ m Site 1yN Prfll [mp C~v Stor~ In Facility ~ Inst~tims
~J~__J.~.~_.~.~_J_~_~..~d~_~J ~ I./ I / i~/.~~~,~a ......... - ......
P~vsical and Hfllth Na~ard
k ail t~t apply) /~. ~ ~ ..... -- .....
~Fire Hazard L--d Reactivity
Health of Prfflurl HMIth
:_.L,J ............ J_:.: .......... ~- ..... '_j .... ..... ~ ....... ~ .... ~_L_3.._ t 'L.. __.
,~c~ ~.~ H.~th ~.z.,d C.A.a.
HNlth of Pmsu~ aNIth
~ & C.~.~.
._.~L.i[,2~2,~ ............ ~ ~ ~ ~ ~ ~ L~ ....... · .......
(C~k all t~t apply)
_
Health of Pr~sure Health
P~ical ~d Health Hazard C.A.S.
(ChKk atl t~t amply)
~ d Fire Hazard ~d Reactivity ~--d ~lay~ d ~dd~ Release ~J I~late ~ ............. ~ ..............................................
Health of Pr~sure Health
Cm~t
' ' ' "-;9"' ........
.................... Tltli ........................ TI-.~'P~ .......
Certificatio~ (Read and sJRn after coepJettnR ail sections)
I certify under I~elty of law that I have oersonaltyexamined end am familiar with t~ lflfor~ttm su~ttt~ In tbts I~ a[~lttacl d~u~ts, and t~t ~s~ ~ W inquiry of t~e l~tvt~ell rH~sible
fo~ ob~ainin~ t~ infor~tim. I ~lieve t~t t~ su~itted'infor~ti~ is true, accurate. ,nd c~/ . // / //
BAKERSFIELD CITY FIRE DEPAR~
2130 "G" STREET
SAKERSFIELD, CA 9330i
(805) 326-3979
RECEIVEE]
JUN f ! 1987
,sd .......
INESS NAME
OFFICIAL USE ONLY
ID#
HAZARDOUS lw_LkTERIALS
BUSINESS PL~ AS A WHOLE
FORM 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 1-800-852-7850 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
a.
M/; ' /
DURING BUS. HRS. AFTER BUS. HRS.
Ph# ~,5'-- /~9'~' Ph~ o~'~ ~7~f?/
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOT. R
D SPECIAL: ~ ~
E. LOCK BOX: YES /~O' 'IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS?
FLOOR PLANS?
YES / NO MSDSS? YES / NO
YES / N0 KEYS? YES / NO /
2A -
BAKERSFIELD CITY FIRE DEPARTMENT'
2130 "G" STREET
BAKERSFIELD, CA 93301
BUSINESS NAME:
OFFICIAL USE ONLY
BUSI NESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS 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. ,.
FACILITY UNIT# / ,.k- _,~ FACILITY UNIT NAM'E: ~6~7~,~'L ~/M/~/~/f'~' ~.~,N;~ Y~,~/-~_~
SECTION 1: MITIGATION, PRE~ION, ABATEMENT PROCEDURES
SECTION 2: NOTIFICATION kYD EVACUATION PROCEDS~RES AT THIS 5'~JIT ONLY
- 3A -
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Hazat-dous Materials? ...... YES NO
If YES, see B.
If NO, continue with SECTION 4.
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 ~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
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS/"PROPAN~
B. ELECTRICAL:
C. WATER:
D. SPECIAl.:
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, SITE PLANS?
FLOOR PLANS9
YES X~ MSDSs?
YES ./~ -
YES ,/~_~
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOr. E
EMPLOYERS ARE REQUIRED' TO HAVE A PROGP~M WHICH PROVIDES EMPLOYEES WITH INITIAL
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO INITIAL
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:.... .................................... ~YE~ 'NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
v
WITH RESPONSE AGENCIES: .......................... (YES_J NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. y~E NO
D. EMERGENCY EVACUATION PROCEDURES: ................. ES NO
E. DO Y0U MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO
SECTION ?: EAZ~ugDOUS ~ATERIAL
REFRESHER
NO
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POL~DS OF A
SOLID, $5 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO
I U~derstand that t~is information will be used to fulfill my firm's obligations under.
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25800 Et Al.) and that inaccurate information constitutes perjury.
- 2B
I.D.
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-1
NON--TRADE SECRETS
HAZARDOUS MATERI ALS I NVENTORY
CITY, ZIP:
ADDRESS: ~F~ J~ ¢ ~'~- FACILITY
CITY,ZIP: ~O/~0 ~ (~ ~3~/~
Page ~of
NAME: TITLE: /t~b°~_.~,'r-/~-- SIONATURE: ,~,~J DATE: ~"~- ~'~'
~IERGE'NcY CONTACT:~"~z~/~'~-,~/~__ ~K~// TITLE: V/ee p~:,d~ PHONE * BUS HOURS: ~-~
" AFTER BUS HRS: ~-~
CONTACT: N&~t~ 5~e~'' TITLE: ~Y/~e~ PHONE ~ BUS HOURS: ~&~-~&IW
- 4h-1 -
PHONE ~:~?~c-.~',~,'~&~ ~HONE ,: ~as'-~'$--.3a~? [OFfiCIAL USE CFIRS CO.O~
{- ONLY
E'~ERGENCY
PRINCIPAL
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS · B~ HAZARD D.O.T
_CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME .CODE GUIDE
FACILITY UNIT #:
UN I T NAME: ~,~,~
Bakersfield Fire I pt.
Hazardous Materials Inspection
Business Name:
Location:
Date Completed
~ECEIVE'D
JUL 2 i i989
Plan ID # 215-0000002q~ (Top right comer Business Plan)
Station No. 4 Shift ~ Inspector ~") ~
Verification of Inventory Materials
Adequate Inadequate
Verification of Quantities
· Verification of Location
~'"/Prop?egregafion of Material
' ~/ Ve rificNaT'obne~fHaEmz PlM°a~eesTraining/]
Comments:
Vdrifitation of Abatement Supplies & Procedures
Gomme~ts:
Emergency Procedures Posted
Containers Properly Labeled
Comn2ents:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
Violations:
FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office