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Home My WebLink AboutBUSINESS PLAN ITE DIAGRAM ~--- ~, FACILI'I)~DIAGRAM For Office Use Only First In Station: Inspection Station: Area Map # of NORTH ITE DIAGRAM Business Name: Business Address: For OffiCe Use Only First In Station: Inspection Station: Area Map # of NORTH Utilities General Account Maintenance PUTLS801 Acct Nbr: 724001 Bill Stat: FB Cyc Stat: CL Acct Cyc Stat: CL Transfer-from: Transfer-to: Page 1 of 6 Due: 0.00 2. 4. Service Address: 6000 SCHIRRA CT - STE C 5. Service'City: BAKERSFIELD 6. State: CA Customer Name: SPECIALTY CONNECTORS INC Social Sec Nbr: 3. Telephone: 805-832-5006 20. Water Svc Class: 8. Parcel ID: 9. Bill Cycle: 5 10. Route Nbr: 1 11. Comments.: 12. Prev Acct: HM00148 23. 13. Service Date: 12/13/91 14. Fund no: 15. Bill-to Addressl: P 0 BOX 40397 16. Bill-to Address2: 17. Bill-to City: BAKERSFIELD 7. Zip: 93313 Misc Services: 23.1 F99 NOT IN BUSINESS 23.2 24. Closing Date: 12/10/92 18. State: CA 19. Zip: 93384-0397 Enter Save(S), Cancel(XX), Next Page(/), or Field # to Change ALT-F10 HELP I ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR I CR 08/18/92 SPECIALTY CONNECTORS 215-000-000148 ' ~ Page Overall Site with 1 Fac. Unit General Information Location .... Community: BAKERSFIELD STATION 09 Map: 123 Hazard: Moderate Grid: 15C F/U: 1 AOV: 0.0 Contact Name Title / Business Phone ~ 24-Hour Phone- DAN HARGIS PRESIDENT 1(805) 832-5006 x 1(805) 833-1998 PRESTON HOWARD VICE PRESIDENT (805) 832-5006 x 1(805) 836-0605 Administrative Data Mail Addrs: 6000 SCHIRRA CT C D&B Number: City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: Owner: DON HARGIS Phone: (805) 832-5006 Address: 2108 ORIOLE ST State: CA City: BAKERSFIELD Zip: 93309- Summary RECEIVED 'SEP 2 2 1992 HAZ. MAT. DIV. I,/-.~i~~/~, Do hereby certify ~Ty~ that I have reviewed the attached hazardous materials manage- ' (.=,,~ alon any corrections constitute a comp~e and correct m~n- agemem plan for my;taci,ty. ~~~X ~y 08/18/92 SPECIALTY CONNECTORS 215-000-000148 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 ARGON/CARBON DIOXIDE · Fire, Pressure, Immed Hlth Gas 3429 FT3 Minimal CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 3,429 Daily Average FT3 3,429.00 Annual Amount FT3'-- 41,148.00 Storage Press T Temp ' PORT. PRESS. CYLINDER Above I AmbientlNW CORNER Location -- Conc 75.0% IArgon 25.0% Carbon Dioxide Components MCP ----[List Minimal I Minimal I 02-002 OXYGEN · Fire, Immed Hlth, Delay Hlth Gas 1992 Low FT3 CAS #: 7782~44-7 Form: Gas Type: Pure Daily Max FT3 Daily Average FT3 1,992 I 1,992.00 Storage I Press T Temp PORT. PRESS. CYLINDER IAbove JAmbientlNW CORNER -- Conc Components 100.0% Ioxygen, Compressed Trade Secret: No Days: 365 Use: WELDING SOLDERING Annual Amount FT3 -- 23,900.00 Location MCP iList Low 02-003 ACETYLENE · Fire, Pressure, Immed Hlth Gas 3429 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 3,429 Daily Average FT3 3,429.00 Annual Amount FT3 41,148.00 Storage PORT. PRESS. CYLINDER Press T Temp I Above JAmbient I. NW CORNER Location -- Conc 100.0% IAcetylene Components MCP --~List High 08/18/92 SPECIALTY CONNECTORS 215-000-000148 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-004 PROPANE · Fire, Pressure, Immed Hlth Gas 60 High GAL CAS #: 74-98-6 Trade secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max GAL 60 Daily Average GAL 60.00 Annual Amount GAL 600.00 Storage PORT. PRESS.-CYLINDER Press T Temp IAbove ~Below Location ISE CORNER BY DOOR -- Conc 100.0% IPropane Components MCP IExtreme I List 08/18/92 SPECIALTY CONNECTORS 215-000-000148 00 - Overall Site <D> Notif./Evacuat~on/Medical Page 4 <1> Agency Notification FIRE/POLICE - 9-1-1 HAZARDOUS MATERIALS.- 326-3979 <2> Employee Notif./Evacuation A INTERCOM PAGING SYSTEM WOULD BE USED IN CASE OF EMERGENCY. WOULD MEET IN STREET IN FRONT OF BUSINESS. ALL EMPLOYEES <3> Public Notif./Evacuation EITHER NOTIFICATION BY PHONE OR DOOR TO DOOR NOTIFICATION. <4> Emergency Medical Plan HALL'AMBULANCE IS 1/4 MILE FROM OUR LOCATION. MERCY SOUTHWEST FACILITY AND WHITE LANE MEDICAL CENTER ARE LESS THAN 1 MILE AWAY. 08/.18/92 SPECIALTY CONNECTORS 215-000-000148 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention ALL MATERIALS ARE STORED AND SECURED IN SEPERATE AREAS. ARE READILY AVAILABLE. FIRE EXTINGUISHERS <2> Release Containment THE ONLY MATERIAL THAT COULD BE CONTAINED WOULD BE PAINT OR HYDRAULIC OIL. SURROUND SPILL WITH EITHER RAGS OR DIRT FOR CLEAN-UP. <3> Clean Up OF THE SPILLS THAT WE FEEL WE COULD HAVE, WE WOULD VACUUM THE SPILL INTO METAL CONTAINERS, THE BALANCE WOULD BE REMOVED BY A HAZARDOUS WASTE REMOVAL SERVICE. <4> Other Resource Activation 08/18/92 SPECIALTY CONNECTORS 215-000-000148 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs A) GAS - SW SIDE OF BLDG IN FRONT B) ELECTRICAL - SW WALL OF SHOP AREA C) WATER - SW SIDE OF BLDG JUST BEHIND FENCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE NEAREST FIRE HYDRANT - 150FT SOUTH OF ENTRANCE TO BLDG. <4> Building Occupancy Level 08/18/92 SPECIALTY CONNECTORS 215-000-000148 Page 00 - Overall Site <G> Training 7 <1> Page '1 WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED IN THE SAFE OPERATION OF WELDING MACHINES, ACETYLENE CUTTING TORCHES. ALL CYLINDERS ARE STORED IN SAFE LOCATIONS AND ARE CHAINED TO PREVENT FALLING. EMPLOYEES HAVE BEEN NOTIFIED OF THE 911 EMERGENCY PHONE NUMBER. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use I ARDOUS MATERIALS MANAGEMENT PLAN INVENTORY INSTRUCTIONs GENERAL INFORMATION: Important: If you require more inventory forms than the one provided, you should make p~otocopies of the forms prior to entering any information on them· The additional copies must be on the same color paper as the original· Information must be typed/printed in English. Make a copy for your records. Complete business name and address informaAion. If t hey have been required, the number.of separate facility units will be determined by the Bakersfield City Fire Department. Give each facility unit a common name, and a one or two digit number. NOTE: An inventory form must be made for each separate facility unit. The top of the form must be completed for eaph facility - s h owi n g Business name and location as well as owner name and mailing address. Also include "SIC" Standard Industrial Classification Code and if available Dun and Bradstreet Number. Non-Trade Secrets (White Form). one facility unit. Non-Trade Secret Materials in Trade Secrets (Yellow Form). facility unit. Trade Secret Materials in one TRANSACTION CODE: Is this inventory sheet new, an addition, deletion or update to your hazardous materials business plan~ - A '= Addition' D = Deletion U = Update N = New TYPE/CODE: For the purpose of this entry,' there are three types of haZardous materials: P = Pure M = Mixtures of pure substances W = Wastes. (Also add appropriate waste code) MAXIMUM AMOUNT: This should represent the maximum number of units of this material present at any one time. (Refer to the "UNIT" section of these instructions) 4. AVERAGE AMOUNT: This should represent the average amount, usually on hand at any one time. INVENTORY INSTRUCTIONS ANNUAL 'AMOUNT: This should represent the anticipated annual (thru put) number of units of the material. MEASURE UNITS: LBS = Pounds, for materials stored as solids GAL = Gallons,.for materials stored as liquids · FT3 = Cubic Feet at S.T.P., for materials stored as gases CUR = Curies, for radioactive materials DAYS ON SITE: Days anticipated that this material will calendar year reporting. be at this site, for the CONTAINER TYPE: (Use appropriate code) 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Tank 04. Portable Pressurized Cylinders 05. Insulated Tank (includes cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non-Metallic 08. Corboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11. Box(es) 12. Bag(s) 13. Metal Containers (not drums) 14. In Machinery or processing equipment 15. Bin(s) 99. Other - specify ® 10. CONTAINER PRESSURE (Use appropriate' code) 1 = Ambient Pressure (1-Atmosphere) 2 = Greater than-Ambient Pressure ~ 3 = Less than Ambient Pressure CONTAINER TEMPERATURE (Use' appropriate code) 4 = Ambient Temperature 5 = Greater than Ambient Temperature 6 = Less than Ambient Temperature 7 = Cryogenic Conditions 11. USE CODES: (Use appropriate code) 01. Additive 02. Adhesive 03. Aerosol 04. Anesthetic 05. Bactericide 06. Blasting 07. Catalyst 08. Cleaning 09. Coolant 10. Cooling 11. 12. 13. 14. 15. 16. 17. '18. 19. 20. Drilling Drying Emulsifier/Demulsifier Etching Experimental Fabrication Fertilizer Formulation Fuel Fungicide 2 11. USE CODES: (Continued) 21. Grinding 34. Sealer 22. Heating 35. Spraying 23. Herbicide 36. Sterilizer 24. Insecticide 37, 'Storage 25. Instructional 38. Stripping 26. Lubricant 39. Washing 27. Medical Aid or Process 40. Waste 28. Neutralizer 41. Water Treatment 29. Painting 42. Welding Soldering 30. Pesticide 43. Well Injection 31. Plating 44. Oil Treatment 32. Preservative 99. Other - Specify 33. Refining 12. LOCATION WHERE STORED IN THIS FACILITY Briefly indicate the location of the material within building/facility unit using compass points and obvious landmarks. the 13. PERCENT BY WEIGHT Indicate the concentration of each pure substance as a percentage of total weight. In the case of mixtures and wastes enter the maximum expected concentration of the three most Hazardous Components. Round off %. 14. NAMES OF MIXTURE/COMPONENTS EMERGENCY CONTACTS: Enter the name, title and phone numbers of two persons who are knowledgeable about this facility.- PLEASE BE CERTAIN THAT FORMS ARE PROPERLY SIGNED AND DATED AT THE BOTTOM ii~"~. Farm and Agriculture~Standard Business BUSINESS NAME: LOCATION: CITY, ZIP: PHONE #: CITY OF BAKERSFIELD HAZARDOUS ~I~TERIALS INVENTORY NON - TRADE SECRET OWNER NAME: ADDRESS: CITY, ZIP: PHONE,.#:' Page.__ of ; NAME OF THIS<FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID REFER TO INSTRUCTIONS FOR PROPER CODES i 2 3 4 5 6 7 8 9 10 11 12 %1~y 14 Trane Type Max Average Annual Measure # Days Cunt Cunt Cunt Use Location Where Names of Mixture/Components Code Code Amt Amt Ami; Units on Site Type Press Temp code Stored in Facility w~ See Instructions 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 ~ Ilm;ediat. '[~ 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 i,' o!~ Pressure ' Health Health Component # 3 Name & C.A.S. Number ph~ioal and Health Hazard C.A.S. Number Component # i Name & C.A.S. Number '!,d-(Check all that apply) '' . Component # 2 Name & C.A.S. Number ' ire Re,ard Sudden Relea,. .otivity [] I=ediat. De ayed __ ,,~,, 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 "~ Fi' 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. Phone Name Title 24 Hr Phone c~rtifi~ation (READ AND SIGN AFTER COMPLETING ALL SECTIONS) certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those .1 Jindividuale responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. NI%ME.AND OFFICIAL TITLE OF OWNER/OPERATOR OR (Y~NER/OPERATOR'S AUTHOI~IZED K~RES~'~ATIVE SIGNATURE DATE SIGNED G Bakersfield Fire Dept. ~ HAZARDOUS MATERIALS DIVISION Date Completed Business Name: ~D ~---l~l.~'~ (~ ~c~d ~5 Business Identificaion No. 21~000 ~ [ ~ ~op of Business Plan) Station No. ? ,, Shi" ~ I~sp~ /:? ~ A~te Inadequate ~/ Verification o~v~nto~~s ~ ~ ~ ~ V?~i~ation of ~~ /~ ~~ /.Proper ~on~eri~ ~ Comments: // ~ /' ~ // VerificaJ o~S Availabli~ ~ / s _~~ of H~ Mat ~ni~ ~ Commer s' X~~ ~ of A~ent & Procedures ~ Commer s: ' Procedures Posted ~ RECEtVED DEC 0 5 1992, HAT. t~AAT. DIV. Containers Properly Labeled Verification of Facility Diagram Hazards Associated with this Facility: Violations: Business Owner/Manager FD 1652 {Rev. 1.90) All Items O.K. Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street RECEIVED DEl; 2 1991 Bakersfield, CA. 9~. ~1--~ /~ns'd ............ HAZARDOUS MATERIALS MANAGEMENT PLAN ,..,..:.,o..: --'tnxq 1. To avOid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business os a whole. 4. B~ brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS~NAME: SPECIALTY CONNECTORS INC. LOCATION' 6000 SCHIRRA CT, SUITE C MAILING ADDRESS: 6000 SCHIRRA CT, SUITE C CITY: BAKERSFIELD STATE' CA ZIP: 93313 PHONE: 805-832-5006 DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY' STRUCTURAL STEEL FABRICATION OWNER: PRESIDENT-DAN HARGIS MAILING ADDRESS: 2108 ORIOLE STREET SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE DAN HARGIS PRESIDENT 832-5006 833-1998 PRESTON HOWARD VICE-PRES. 832-5006 836-0605 FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 8 MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM' EMPLOYEES ARE TRAINED IN THE SAFE OPERATION OF WELDING MACHINES, ACETYLENE CUTTING TORCHES. ALL CYLINDERS ARE STORED IN SAFE LOCATIONS AND ARE CHAINED TO PREVENT FALLING. EMPLOYEES HAVE BEEN NOTIFIED OF THE "911" EMERGENCY PHONE NUMBER. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT My BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- · MATION IS ACCURATE. '1 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 INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE F D 1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facilify Unit Name: SPECIALTY CONNECTORS TNC. SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: HAZARDOUS MATERIALS-326-3979 326-3033 FiRE/POLICE -911 AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: A INTERCOM PAGING SYSTEM WOULD BE USED IN CASE OF EMERGENCY. ALL EMPLOYEES WOULD MEET IN STREET IN FRONT OF BUSINESS. C. PUBLIC EVACUATION: EITHER NOTIFICATION BY PHONE OR DOOR TO DOOR NOTIFICATION D. EMERGENCY MEDICAL PLAN' HALL AMBULANCE IS 1/4 MILE FROM OUR LOCATION. MERCY SOUTHWEST FACILITY AND WHITE LANE MEDICAL CENTER ARE LESS THAN I MILE AWAY, Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS 'MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: ALL MATERIALS ARE STORED AND SECURED' IN SEPERATE AREAS. ARE READILY AVAILABLE FIRE EXTINGUISHERS RELEASE CONTAINMENT AND/ORMINIMIZATION: THE ONLY MATERIAL THAT COULD BE CONTAINED WOULD BE PAINT OR HYDRAULIC OIL. SURROUND SPILL WITH EITHER RAGS OR DIRT FOR CLEAN-UP. C. CLEAN-UP PROCEDURES: OF THE SPILLS THAT WE FEEL WE COULD HAVE, WE WOULD VACUUM THE SPILL INTO METAL CONTAINERS, THE BALANCE WOULD BE REMOVED BY A HAZARDOUS WASTE RE- MOVAL SERVICE. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: sw SIDE OF BUTLDTNG IN FRONT. ELECTRICAL: Sb/ b/ALL 0[: SHOP AREA WATER: SIDE OF BUILDING JUST BEHIND FENCE SPECIAL: NO LOCK BOX: YES~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: NONE WATER AVAILABILITY (FIRE HYDRANT)' 150 FT SOUTH OF ENTRANCE TO BUILDING 4. FD1590 i . HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ~ Standard Business ,~ ' NON - TRADE SECRET BUSINESS N~-~E: Specialty COnnectors Inc. O~ER N~: Dan Hargis-President LOCATION: 6000 Schirra Ct, Suite C ~DD~SS: 2108 Oriole Street CITY, ZIP: Bakersfield. Ca. 93313- ~ CITY, ZIP: R~ker~fie]d. £~_ PHONE #: B05-832-5006' .PHONE.,t: 805-833-1998 REFER TO I~TRUCTIONS FOR PROPER CODES' Page 1 of 2~ 'NAME OF THIS ·FACILITY: Same STANDARD IND. CLASS CODE: __ DUN AND BRADSTREET NUMBER/FEDERAL'ID ~3_ - 043 -3944 1 2 3 ' 4 ' ' 5 6 7 8 9 10 11 12 13 14 TranS Ty~e Max Average Annual Measure ~ Days Cent Cent Cent Use Location Where ;% by Names of M~xture/Co~ponents Code Code. Amt a.~_ Amt Units on Site T~pe Press Tem~ Code Stored in Facilit~[ w~ See Instruc~tions N I MI 3429'1 3429 141148 I FT3 I 365 1041214 1421 NW CORNER and Health Hazard c.A.a.-Number Component # ~ N~ ~ C.A.S. Nu~er 75 ARGO.N P~eCk~al all that apply) Component # 2 Wam~ { C.Aoa. Nhmber [] Fire Hazard [~ Sudden Release ~ Reactivity [[~ I~ediate ~] Delayed 25 CARBON DIOXIDE of Pressure Health Health Component # 3 Nam~ ~ ~.A.a. Number ~ I P J 1992 I 1992 I 23900 I FT3 I 3R5 I'.n~l ~ I ~ I~?1 ,~^, ~n.~.~ ,Physical and Health Hazard C.A.a. Number · Component ~ 1 s,~ · C.A.a. su~er 100'. OXYGEN (Check all that apply) v Component # 2 Nan~ & C.A.a. Number ~ Fire H~zard [] Sudden l~lease ~-~ "Reacti ity ~-- Innnediete [] Delayed '" of Pressure Health Health Component I 3 Name & C.A.S. Number Physical and Health Hazard C.A.a.' Number ' Component # i Na~ ~ C.A.a. Number 1001 ACETYLENE (Check all that apply) Component # 2 Na~e & C.Ao'S. Number _i Fire Hazard ~ Sudden Release ~[[ Reactivity [] Tmed:~ste ~ Delayed of Pressure Health Health Component # 3 Name & C.A.a. Number N I ~ I :i5 -i is I 30 I GAL J_~3e5, I 061 1 I 4 1261 NE MIDDLE OF NALL ~, Fire Hazard [~ Sudden Release [-J Reactivity Immediate ~ Delayed '"~--~. - . of Pressure' Health . Health Componen~ 9 3 Na~ &.C.A.B. Number EMERGENCY CONTACTS Il 0AN HARGIS PRESIDENY 833-199'8 t2 PRESYON HOWAR0 VICE-PRESIOENY 836-060 Name Title 24 Hr. Phone [ Name Title 24 Hr Phone certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) [ certify under peanlty of law that I hayer personally examined end am familiar with the information s~bmitte4 ~n ~his and el! attached documents end that based ca ~ ~quiry of those ind~vidusls rms~onsible for obtaining the infozmat~on. I believe that the mubmit~ed information im true, accurate, and cool, lets. DAN HARGIS-PRESIDENT ': . . .. . .'.. . 11/26/91 ~AME ANb OFFICIAL TITL~ OF OW1~R/OP~%XOR OR OWNEI~OP]~%~OR'8 A~r--uORIZ~D ~TATI%~ aI~ATUlqB DATE HIGI~D CITY OF' BAKERSFIELD Farm and Agriculture ~ Standard HAZARDOUS MATERIALS INVENTORY NON - TRADE SECRET. BUSINESS N~/~E: ·sPECIALTY CONNECTORS INC, LOCATION: 6000 SCHIRRA CT, SIITTF £ CITY, ZIP: BAKERSFIELD. CA 9331~ PHONE #: 805-832-5006' OWNER NAME{ DAN HARGIS ADDRESS:'?~nR OqT~IF ST '~ CITY, ZIP: RAKFRSFTFID_ CA 9330§ PHONE,.#: 805-833-1998 " REFERee) IN'~UCTIONS P~R PROP~CODES Page. 2 of 2~-. NAME OF THIS .FACILITY: SANE STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID ~ 33_ - 043 - 3944 1 2 3 4 5 6 7 8 9 10 Il 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Con~ Use Location Where % by Names of Mix,ute/Components Code Code Amt Anfc Ami: Units on Site Ty~e Press Tem~ Code Stored in Facilit~ w~ See Instructions N I M I 10 ] l0 I 50 { GAL, I ¢6~ I 0Gl ~ i 4 1291 NE IN CABINET j P I azard ' C.A.S: Number . . Component , I N~-~ i C.A.S. Nu~er ~, Of ~res~ure u I p I ~n I ~a I, 6oo I SaLI SSS I 041 2 I ~ 1~91 SE CORNE~ BY DOOR ,, Physical and H~lth Raza~ C.A.S. N~er Co~on~C I ~ s~ · c.a.s, s~er 100',~ PROPANE (Check all t~ apply) . Co.orient { 2 Nm t C'.A.8. N{er Ph~tcal and H~lth Haza~ C.A.8. N~r Component'~ I Nm & C.A.S. N~er (Check all that apply) Co~onent 9 2 N~ & C.A.S. N~er ~l Fl~. Hazed ~ Sudden ~loas. ~ R~ctivity ~ ]m~iat. ~ Delay~ of Pressure H~lth H~i~h Co~onen~ J 3 N~ & C.A.B. N~ (Check all t~ apply) Co~on~t ~ 2 N~ E C.A.a. N~ ~ Fire aaz=d ~ 8udd.. ~leaa. ~ R,ctivlty ~ ]=~tat. ~ Delay~ of Pressure H~lth H~lth Co~on~t ~ ~ ~ i C.A.a. N~ E~RGENCY CONTACTS 91 0AN HAaGIS PaESIDENT 833-1998 ~2 PaESTON HOWA~O VIDE-PaESIOENT N~ Title 24 ~. Ph~e N~e Title 24 ~ Phone Cer:ification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) certify under peanlty of law tha~ I ~aver personally examined and am familiar with tho info,~nation submitted in this and &11 a~tached documents ~nd ~hat baaed on m~ inquiry of those ind.%viduala responsible 'for obtaining the information. I believe that the submitted information is true, accurate, and complete.- " DAN HARGIS-PRESIDENT " ~AME A~ OFFICIAL TITL~ OF Business Name: Bakersfield Fire DeI~ HAZARDOUS MATERIALS DIVISION Date Completed RECFIVED Location: ~'~'C~ ~-~/3'?-r~"T-/~/-- ~ ~ ~ ~ ~= ~ "0 1991, Business Identification No. 21~000 000~1~ ~op of Bu~ss Plan,~ ~pp~. MAT. DIV. Station No. / ~ Shift ~ Inspe~or ~'~ _ ' / ~~~ ~ ~ Adequate Inadequate ~~ ~ Ver~icatioa of Invento~ Uaterials ~ ~ Vorification ~ Ou~titios ~ ~ Vor~ication of koc~ion ~ ~ Propor 8o~r~ation of Matori~ ~ ~ Verification of MSDS Availablity Number of Employees Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Business Owner/Manager Correction Needed FO 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy · CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S. D. JOHNSON FIRE CHIEF November 7, 1991 2101H STREET BAKERSFIELD, 93301 326-3911 Mr. Don Hargis Specialty Connectors 6000 Shirra Court, Suite #C Bakersfield, Ca. 93313 Dear Mr. Hargis: Per our phone conversation of November 7, 1991, I am enclosing the necessary forms for you to complete and return to The Bakersfield Fire Department, Hazardous Materials Division, 2130 G Street, Bakersfield, Ca. 93301 by November 27, 1991. · If you have any questions or if we can be of any assistance please feel free to call 326-3979. Sincerely, Valerie Pendergrass Hazardous Materials Division CITY. of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET D. S. NEEDHAM BAKERSFIELD, 93301 FIRE CHIEF F~bl~u~l:y 21,~ 19~1 326-3911 Deem Business Ownem: Enclosed you will find a computer printout of the Hazarddus Materials Management Plan that is currently in our computer, we have highlighted the areas that need to be revised. Also enclosed you Will find a blank inventory sheet, this should be used to update or make any necessary changes t° your inventory. The printout along with any inven~ory changes should be returned to thi~ office by March 15, 1991. If you have any questions please don't hesitate to contac~ us at 326-3979. Sincerely Yours, Valerie Pendergrass Hazardous Materials Divlsion Enclosures February 7, 1991 CitY of Bakersfield P~O. Box 2057 Bakersfield, Ca. 93303-2057 Re: Cal State Construction Fasten 405901 5880 District Blvd ~20 Bakersfield, Ca. 93313 HM405901 Dear Sirs, cai State Construction Fasteners is no longer in business as of October 12, 1990. DH/ci Thank You, ! Cai State Construction Fasteners February 7, 1991 ?~ CitY of Bakersfield · P.O. Box 2057 Bakersfield, Ca. 93303-205? Cal State Construction Fasten 405901 · 5880 District Blvd ~20 Bakersfield, Ca. 93313 HM405901 Dear Sirs, Ca1 ·State Construction Fasteners is no longer in business as of October 12, 1990. Thank_YoM, / ' Cal State Construction Fasteners DH/cl