HomeMy WebLinkAboutBUSINESS PLAN 7/18/1997 ORTH
TE/FACILITY DI RAM
FORM 5
~ ~o/- x. D,~-r"~,~-(--
SCALE: BUSINESS N~ME:
DATE: 3./24/88FACILITY NAME: Anixter Distribuion
FLOOR:
UNIT ~
-:
OF
OF
(CHECK ONE) SITE DIAGR.~M
FACILITY DIAGR.~M V/
Inspector's Comments):
-OFFICIAL USE ONLY-
- SA -
CUST 'rYF~& NO. ~- ~--~ -
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE
NEW ACCOUNT
ADDRESS CHANGE
CLOSEACCT
'FINANCE CHARGE
~ OTHER ADJ
CUSTOMER NAME
MAILING ADDRESS
CITY
STATE
SITE ADDRESS
ZIP CODE
PARCEL NUMBER
(IF APPLICABLE)
ADJUSTMENT
CHG DATE CHARGE CODE ADJUSTMENT AMOUNT
REMARKS: ~;~-~
APPROVED BY
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
i501 TRUXTUN AVE
BAKERSFIELD, CA 9330i-520i
TO'
ANI XTER DISTRIBUI~i,o~
6901A DISTRICT, '~CVO
BAKERSFIELD, CA 9~1,3~ ~ ?~;~
DATE: 6/01/98
CUSTOMER NO: G385
ES/
3385
CHARQE DATE BESCR. I p TI ON.)
~, ' -~,' : ~'-.:~ ' , ~ .......... ,~ .u.~L AMOUNT
........ ~--=~-.~=~ .... ~_~=.~ ...........
5/01/98 BEO[NNZN~ BALANCE, .00
FOR GUESTt'ONS OR CHANCES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
18. 50
DUE DATE: 7/01/98
PAYMENT DUE: 18.50
TOTAL DUE: $18.50
INIXTER DISTRIBUTION
lanager : ~
~ocation: 6901 DISTRICT BLVD A
~ity : BAKERSFIELD
~ommCode: BAKERSFIELD STATION 09
EPA Numb:
~ Bu~s['hone: (805) 836-9191
~ : 123 CommHaz : Moderate
Grf~l: 16D FacUnits: 1 AOV:
SiteID: 215-000-001308 +
SIC Code:5063
DunnBrad:04-758-3851
Emergency Contact / Title
iTERRY STIRLING /
; Business Phone: (805) 836-9191x
24-Hour Phone : (805) 664-7811x
Pager Phone : ( ) - x
Hazmat Hazards:
~Ag._e/kcjf_zD~i_n~e_ch_T_o~LLc mit_l e
Emergency Contact / Title
ELMER DORA /
Business Phone: (805) 836-9191x
24-Hour Phone : (805) 872-1595x
Pager Phone : ( ) - x
Fire Press ImmHlth
+= Hazmat Inventory
+== MCP+DailyMax Order
Hazmat Common Name...
PROPANE GAS
One Unified List +
Ail Materials at Site +
~ + + ...... ~ ........... + ..... +_--+
ISpeoHazlEPA HazardsI Frm I DailyMax lUnitlMCPI
~ .... ~ + ...... + + .... +__-+
F P IH G 4181 FT3 Hi
(Type or prX,~t name;
reviewed the attached haze. rdous materials manage-
men, plan for ~~ and ,ha~ i~ along w'th
~ (Name o~ ~us~n~;
any ~rrections constitute a complete and corre~ man-
agemen~ plan Jot my facility.
1 07/15/1997
Bakersfield Fire Dept;%
..... -:i · ' :Date Completed
Adep Inadequate
Verification of Inventory Materials · ~
Verification of Quantities
Verification of Location
Proper Segregation of Material
ents: /:5' 7~"~1. ~'4J T'.,q~F5
Verification of MSDS Availablity
Number of Employees ,~ C~
Verification of Haz Mat Training
Comments:"~A'/,,.O,~/..- ~C~,~P }/ ~'/-/L~ ~7"
Verification of Abatement Supplies & Procedures
Comments:
Emergency Procedures Posted
Containers Properly Labeled
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
All Items O.K.
Correction Needed
White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
"f'f'E C. qRE"
Terry Stirling
[ tyoe or
Drin% name)
Do hereby certify that I have reviewed the
attached Hazardous blaterials business plan
Anixter Distribution
name of business)
for
FES, O 1 1989
Ans'd ............
and that it along with the attached additions
er corrections constitute a complete and correct
Business Plan for m,v facility.
/
/ /- date
BUSi NESS NRME ANI XTL~m)I STRIBUTI ON
LOCATION G~O~-R DISTR~CT BLVD
ID
2t5,-000-00130~
HIGH H~Z~RD RATING
I. OVERVIEW
LAST CHANGE 08/19/88 BY ESTER
JURIS CODE Z1S-84)B JURIS BAKERSFIELD STATION 09
HAP PRGE 1Z3 GRID IGD FACILITY UNITS 1 FtAZRRD RATING 3
RESPONSE SUMMARY
ZR SEC 4) TERRY STIRLING - GG4-78tl OR ELMER DORR - 87Z-1595
EMERGENCY CON'rRcI's ZR SEC 2)
TERRY STIRLING - 838-9t91 OR GB4-7811
ELMER, OORR - 83G--9191 OR 872-1595
UTILITY 'SHUTOFFS ER SEC
R) GRS - NONE 8) ELECTRICAL - NE FRONT OF OUR BLOB UNIT
C) WATER .- CURB S10E TO DISTRICT BLVD/NE ENTRRNCE TO OUR BLOB UNIT
D) SPECIAL - NONE E) LQCK 80X - NO
Z. NOTIFICATION / PUBLIC EVRCURTION
LRST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
(SEE BELOW)
IN THE EVENT OF A PROPANE LEAK, THE FOLLOWING SHALL BE
OBSERVED:
A) Supply of gas will be shut off, all equipment turned off,
and all employees will be evacuated from the area.
B) Person in charge will call SUBURBAN PROPANE 805-831-4611
(24 Hrs. a day) (Con~act owner of tanks/Supplier)
C) Person in charge will call the FIRE DEPT. 9-1-1
1.)Fire Dept. shall determine Public Evacua~tion.
PRGEt
1Z/Z3/88 09:34
MATERIAL SAFETY DATA SYSTEMS. INC; (805) B48-G8~O
BUSINESS NAME ANI×T~JISTRIBUTION
LOCATION GB~-A OISTRICT 8LVD
3, HRZ MAT TRAINING SUMMARY
ID
HIGH H~ZARD RATING
LAST CHANGE / / BY
We currently have 17 warehouse employees that may handle
and use propane tanks.
< NO INFORMATION RECORDED FOR THIS SECTZON > (SEE BELOW)
Each employee has received inltlal tralnlng in the proper
storage and safe handllng of propane tanks, (ASZ~ER MSDS
FROM SUBURBAN PROPANE),~and shall receive a refresher course
quarterly there after.
At the initial training course each employee is given a
copy of the material safty data sheet~ supplied to us from
Suburban Propane Gas Corp. They may at any time during
regular business hours view the file copies of all
documents (including MSD sheets).
LOCAL EMEF{GEN£Y MEDICAL ASSISTANCE
LAST CHANGE 98/19/88 BY ESTER
SEC S) ~JHITE LANE MEDICAL CENTER .- 5491 UHITE LN - 8~2.-Z000.
PAGE Z
1Z/Z3/S8 09:34
MATERI~L SAFETY DATA SYSTEMS, INC, (895) 648-G899
BUSINESS NAME RNIXT~ISTRIBUTION
LOCATION 6901-A, DISTRICT' BLVD
FACILITY l)NIT
ID
~, } S-000-~0 ~ 308
HIGH HAZARD RATING 3
OVERALL HAZARDOUS MRTERIAL, S INVENTORY
LAST CHANGE 08/19/88 BY ESTER
ID TYPE NAME M~X AMT UNIT HAZARD
LOCATION CONTAINMENT USE
1 4181FT3
PORTABLE PRESS. CYL. COOLANT
PURE PROPANE GAS
NORTHWEST WRLL
ID PERCENT COMPONENTS
IlSS.OZ 108,0 PROPANE'
EXTREME
HAZARD LIST
EXTREME
B. FIRE PROTECTION / WATER SUPPLIES
L~ST CHANGE 08119/88 BY ESTER
SEC 4) BLESS IS FULLY SPRINKLERED. 6~% OF OUR WAREHOUSE RACKING HAD "IN"
RACK SPRINKLER AT THE IOFT LEVEL. FIRE HOSES ~ND FIRE EXTINGUISHERS
ARE LOCATED THROUGHOUT THE FACILITY AS REQUIRED 8Y BAKERSFIELD FIRE
DERT AND FACTORY MUTUAL INSURANCE CO.
PAGE 3
IZ/Z3/A8 09:-34
MATERIAL SAFETY DFCf'A SYSTEMS, INC. (805) G48-6800
BUSINESS NAME ANI)(T~I~IsI'RIBUTION
LOCATION 6901~'A DISTRICT BLVD
D. EMPLOYEE NOTIFICATION / EVACUATION
ID Z l 5-000-(~] ~08
HIGH HAZARD RA'rlNG 3
LAST CHANGE 08t19188 BY ESTER
38 SEC Z) FIRE fiLARM SYSTEM IS MONITORED ZAHRS A DAY BY SONITROL. DURING
NORMAL WORK HOURS (8 A,M, - 10 P.M. MON-FRi) A WAREHOUSE EHERGENCY
ORGINATION IS IN EFFECT. THIS INCLUDES PERSONS IN CHARGE TO
COOROINfiTE EMERGENCY ORGANIZATION. SPRINKLER CONTROL VfiLVE MEN IN
THE CASE OF A FIRE EMERGENCY. PERSON TO CALL 9tl AB PER TYPE OF
EMERGENCY 8Y PERSON IN CHfiRGE. FIRE E×TINGUISHER CREW IN THE CASE
OF A FIRE OR POTENTIAL FIRE EMERGENCY. EVACUATION NEAREST SAFE
EXIT (AWAY FROM EMERGENCY) TO FRONT MEETING PLACE. :'. :
E. MITIGATION / PREVENTION / ABATEMENT
I_fiST CHANGE 08/t9/88 BY ESTER
SEC 1) SMALL. METAL PROPANE TANKS WITH SAFETY VALVES. PROPANE TANKS ARE
STOREO RT GROUND LEVEL IN fiN UPRIGHT POSITION. PROPANE TANKS ARE
RETAINED WITH FRONT CROSS I~R (Z" X 4" THICKNESS). I EACH METAL.
PROPANE TANK IS CHAINED TO CEMENT WALL. FOR INDIVIDUAL_ STORAGE IN
AN UPRIGHT POSITION.
PAGE
1 Z/Z3/88 09:34
MFiTERIAL SAFETY DRT~I SYSTEMS, INC, (885) 848-6800
. CITY of BAKERSFIELD
I-I.;L~-,JILRZ:)O.U~ MA'Z'I~-R'T' ilk'r-~ 'r l'4'"~Or.lael%T"~'.ORq,~'
NON--TRADE .SECRETS ,
ONNER NAME: A~'Tyrp~..~ P.'I~$_
ADDRESS: a7 1 I ~T.~ ~D.
CITY, ZIP: .SKOKIE. ILL. 60076
~Uo~E e: 3]~-677-2600
~ ~ X~~XO~ ~ ~ ~
P~ L 0' 2..
NAME OF TJ~'~ FACXLXTY: BgI~F.~.qtVTV. T.D
STANDARD IND. C~SS CODE
DUN AND B~STREKT NUMBER
~.~ - J~8__ -
! I J II II 1~
I1
· bleNe ilmuel M ! OW Cant Cant 'Cant
M Est ~tts m Site
2~6 1.27.0021FT~ 3651 04
' C.A.S.~ 7a-qa--~ ~t ,1 ~iCAS
I
14
i d m~twe/Cemmmu
See lalte~t trna
~ical md ~lth ~
(Ce ell tM ~ly)
L--J FI~ ~ L--u ~tvl~ ,.--u blo~ ~--d ~ bJ~ ,._u Imldtoto
NMIth of ~ ~lth
(~1 M kelt# I~ffd C.A.S. iumMr
ell that .lily)
--.- FI~ ~' ~ttvity L_a bl~ ~ blme ~--~ I~toto
~lth of Pm~ ~lth
L 2 I I ! !
C.A.S. Jmdm'
_.; [ I I
all tnt ~lyJ
' ' [ ] bi~,~t "-' Sudd,. ,,i,,,, :.-J I..ed~,t,
[--aa F.i~ Iliz4~d ~---~ ~Jvtty h~-J of ~essurt Nellth
Cemumt 12 Imm & C.A.S. kdme
~lllmt 13 lllm& C.i.S. /
C~t Il lam & C.A.S. kdm.
Cmlmmt 12 ~ & C.A.S. ~
Cmlmflmt 13 I1.1 i' C.A.S. Nude
at II Nlm & C.l.S. Nimble
at 12 k & C.A.S. IkMlle
Collmlnt 13 NmB ~11 CeAoS. ~ I
I I , I II I Il J3 [II
6.
:~rttficatwn (Read aad.si~n af. ter coepJetJn£ ali sections)
I[ c~ttfy ~lty o~ 1M tMt I~ ~lmolly lXmi~ ~ N fmtltlr utth tM tnf~Mttm subjtt~ tn~tp ~ 911 ottKM
~ER-RY;'-STtR~NG ' OPERATIONS MGR. /t~lJ~ ~
documlnt8, md that based
IUS I~'~SS
BAKERSFIELD CITY FIRE DEPA
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
0FFIC[AL USE 0XLY
ID-'
RECEIVE
J UN 2 0 198
............
001308
HAZARDOUS lw_~kTE R I ALS
BUSINESS PLAN 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
A. BUSINESS NAME: '
B. LOCATION / STREET ADDRESS:
ANIXTER-DISTRIBUTION
~UL"~ Uh.~lnl%,l DL.VU.
BAKERSFIELD, CA 93313
CITY: ZIP:
BUS.PHONE: ( 80~ 836-9191
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:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A.--~erry Stirlinq Op~rmf~ ~g~?h~ (805). 93~-9!91 Ph: (805) 664-7811
B. El~r,Dorm w~hnl']S~'~g~i~ Ph~ (8Q5) :836-9191 Ph: (805) 872-159~
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: ';,N/~ ,
B. ELECTRICAL: Northeast
C. WATER: curb~side to~Distric~ Rlvd./~h~ ~+~.=~ ~ o~r ...... ,~ u~it.
D. SPECIAL:
E. LOC~ BOX: YES ,, IF YES, LOCATIOS:
IF -YES, DOES IT CONTAIN S[~E PLANS?
FLOOR PLA,,S.
YES / M0 MSDSS? YES / N0
YES / X0 KEYS? YES ,/ X0
~[~ERRY ~TIRLING
OPERATIONS MANAGER
DISTRIBUTION
6901 DISTRICT BOULEVARD #A
BAKERSFIELD, CA 93313
(805) 836-9191
SECTION 4: PRIVATE RESPONSE TE~%~ FOR BUSINESS AS A WHOLE
Terry Stirling
E lme r/ Dor a-
SECTION $:
(805) 664-7811
(805). 87 2-1~595
LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YO~RR BUSINESS :~S .~ WHOLE
White Lane Medical Center
5,401.~hi~e Lane \
Bake~s, field, C~ 93309
(,805) 832-2000
SECTION 6: EMPLOYEE TRAINING
EMPEOYERS 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: .......................... CYE~_~NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ N0
D. E>IERGENCY EVACUATION PROCEDURES: ................. ' NO
E. DO YOU .~AINTAIN EMPLOYEE TRAINING RECORDS: ....... NO
SECTION 7: ~AZARDOUS .~ATERIAL
REFRESHER
YES NO
CIRCLE ~ - NO - NONS
DOES YOUR BUSINESS HANDLE HAZARDOUS ~IERIAL IN QUANTITIES HESS THAN $00 POUNDS 0F_A~
SOLID, $5 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: . ~ES ~.Y~
I, ~.1~. ..~f,.~'~L,~6~' , certify that the above information is accurate.
I understand ~h~'t this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 9.0 Chapter 6.95
Sec. ~5500 Et Al.) and that inaccurate information con'stitutes perjury.
S I GNATURE~~
BAKERSFIELD CITY FIRE OEPART}.!EXT
2130 "G" STREET
BAKERSFIELD. CA 93301
0?FiCTAL CSE ONLY
BUSINESS NAME:
ID-'
BUSINESS PLAN
SINGLE FACI LI T~~ UNIT
FORM SA
INSTRUCTIONS 1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILI~f t~IT LISTED BELOW
4. Be as BRIEF and CONCISE as .possible.
FACILITY UNIT~
FACILITY UNIT N~ME:
SECTION 1: ,MITIGATION, ~REVENTION, ABATEMEs'r PROC51]URES
Small' metal propane 'tanks ,wi,th safety valves. /PropAne tankk' are
stored' &t ground 'level in' 'an up'right position_"" .Propane tank"s .are
retained with front cross bar (2" x 4" thickness). 1 each metal
propane tank is chained to cement wall for individual storage in an
upright position.
SECTION' 2: NOTIFICATION AS'D EVACUATION PROCEDL'RES AT T~IS
Fire ,a-larm system is monitored 24 hours a day. by SonitroI.
During. normal work hours (8 a.m. - 10 p.m. Mon.' - ~ri.') a
warehouse emergency organization is in effect.. This includes:
~ A) Persons in ,char,ge - ~. , /: ~-
To .coordinate emergency organ'ization.
'' B) Sprinkler Control Valve Men
In the case of~. a fire emergency.
' ,As.per type of emergency b-y per~on in charge.
D) Fire ex%ingu,siher ,crew ,,
In'.the case of a fire ok pot'ehtial'/ ·
,? f~e emergency.
E) Evacuation - .
Nearest s~fe. exit (away from emer'gency) to front'
£
.NY. "~ M'XT%RIALS FOR T~I.$ lr~iT ¢,X[.V
$~CT!ON 3: H .... \RDf~,,, . .
A. Does this Factlits, Unit contain H;xzardous Hater~:.~!s? ...... ~ MO'
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES ~
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (~hite form =4A-l)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (Fellow form ~4A-2) in addition to the non-trade
secr,,t form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVAT~ FiRE PRO%"E_CTiO.Y · ~
Building is 'fully sp~:ink%ered.. ......
60%-of. our warehou~4e racking had 7iIN" 'rack .sP=in_kl_eg: 'at.bhe 10 '!'foot:"-
leve 1 ~ ..... ~-- ,' ,~ ~ ' - , ", ,'-
Fire 'hoses'~and fire extinguiShers are 15cate..d:.thro.u~L~:9.U.~.,.t_.h_'e..'faciiity
as required b-~ ;Bakersfield Fire Dept. and .Factory ,Mutual Insurance Co~
Curb sid/e to District Blvd.~N:ortheast entrance .to our, buildi'ng uhit
SECTION S: LOCATION OF UTILITY SHUT-OFFS AT THIS U~IT ONLY.
A. NAT. GAS,.'PROPANE% ~
N/A '"' ' '
B. ELECTRICAL:
Northeast f~ont of bui.lding
C. WATER:
curb,~side to District Blv. d./Northeas-t entrance to _our building unit
D. SPECIAL:
LOCK Bn.W YES
rTE
Fr..OOR
Il lil~ Il'. ' .~
NO N-- T IfAD P'.
llAZAI:~DOUS MATER 1' ALI~' 1'
ONNER NANEI FACII. ITY
AUIIfESS~ FACII, ITY U141T 14AHE:
1114 I T
II~'.
lli~l/l'
ZIP:
CITY,ZIP!
PIIOHE I:
.:4,181
i, I rl~'l PAl,
ANNII^I.
AFII) U II 1'
4"210
?
I.(ICATION IN TII
FACILITY UNIT
,1 ea 25 gal tank at
(remaining at N.E.
WT.
ONATURE:
CIIEN I
P ropa.ne_
Off
gas
! c I Al,
ONLY
CUMFION NAHE
T I TLE: DATE :___
Terry Stirlinq TITI.E~ PIIONE I ~U$ flOURS: (805) 836-9i-9i
AFTER flUS fiRS: .., (805) 664-7811
Elmer Dora TIT~EI Warehouse. Manaqer PIIONE f BUS IIOURS: (805) 836-9191
aCTIVITV:_~y~ng/~t~Dg o~'wire FrO~:!Ct.S AFTER flUS. fiRS: (805) 872-1595