HomeMy WebLinkAboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
PERMIT ID # 015-021-002088
WEBBASIS
LOCATION 6313
Thi; permit is issued for the followin9:
[] Hazardous Materials Plan
I-I Underground Storage of Hazardous Materials
[] Risk Management Program
[3 Hazardous waste On-Site Treatment
93313
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:
Issue Date
June 30; 2003
IAGONAL SI'RUT
?
10
2o
.31
(E) A./C PA~NG
'~--' (.~) su~,~ --~ '~,,
"~6' CHAIN LINK I:[.NC[ ON PROPE'RT'K LINE
.... (E) 9'x20' PARKING S?ACES
i 'E" p L 'A N
1" = 40'
WEBBASIS
Manager :
Location: 6313 SCHIRRA CT
City : BAKERSFIELD
commCode: BAKERSFIELD STATION 09
EPA Numb:
SiteID: 015-021-002088
BusPhone:
Map : 123
Grid: 15C
SIC Code:
DunnBrad:
(661) 833-6000
CommHaz : Low
FacUnits: 1 AOV:
Emergency Contact
MICHAEL GALLOWAY
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ PRESIDENT/CEO
(661) 833-6000x
(661) 706-1778x
( ) - x
Emergency Contact
LYNN REID BRENNAN
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ EVP TECH OP
(661) 833-6000x
(661) 703-9099x
( ) - x
Hazmat Hazards:
Contact :
MailAddr: 1200 DISCOVERY DR #250
City : BAKERSFIELD
Phone: (661) 833-6000x
State: CA
Zip : 93309
Owner MICHAEL GALLOWAY
Address : 1200 DISCOVERY DR #250
City : BAKERSFIELD
Phone: (661) 706-1778x
State: CA
Zip : 93309
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
~ Hazmat Inventory
--Alphabetical Order
Hazmat Common Name...
DIESEL
One Unified List
Ail Materials at Site
ISpecHazlEPA HazardsI Frm
DailyMax Unit MCp
L 300.00 GAL Low
1 03/26/2001
WEBBASIS SiteID: 015-021-002088
Inventory Item 0001 Facility Unit: Fixed Containers at Site
~tvavl~N ~vl~ / ~ £ ~.~-.L~ N~vl~
DIESEL Days On Site
365
Location within this Facility Unit Map: Grid:
BACK UP GENERATOR CAS#
STATE ~ TYPE
Liquid [ Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
300.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 GAL
Daily Average
300.00 GAL
%Wt.
100.00
HAZARDOUS COMPONENTS
DIESEL FUEL NO. 2
R~NoRS~ CAS#
68476302
TSecret
No
SIBioHaz
N No
HAZARD ASSESSMENTS
Radioactive/Amount EPA Hazards
No/ Curies
NFPA
///
USDOT# [ MCP
Low
2 03/26/2001
F WEBBASIS
SiteID: 015-021-002088
Fast Format
~ Notif./Evacuation/Medical
--Agency Notification
Overall Site
01/25/2001
THERE IS A VISUAL INSPECTION DONE TWO TIMES A DAY. A MONTHLY MAINTENANCE
INSPECTIONIS PERFORMED. ALL VALVES AND TANKS ARE INSPECTED AS WELL AS THE
GENERATOR IS STARTED AND RUN FOR 30 MINUES. THE GENERATOR IS THEN INSPECTED
AGAIN FOR LEAKS.
-- Employee Notif./Evacuation
01/25/2001
IN CASE OF AN EMERGENCY, THE NOTIFYING PARTY WILL CONTACT 911 OR THE
APPROPRIATE AGENCIES TO REPORT THE PROBLEM. THE NOTIFYING PARTY WILL THEN
CONTACT MICHAEL GALLOWAY, PRESIDENT/CEO AND LYNN REID BRENNAN, EVP
TECHNOLOGY OPERATIONS.
-- Public Notif./Evacuation 01/25/2001
ONCE MICHAEL GALLOWAY HAS BEEN NOTIFIED HE WILL NOTIFY DAVE SCHULZ,
CONSTRUCTION COORDINATOR WHO WILL CALL TO ADMINISTER CLEANUP PROCEDURE WITH
APPROPRIATE PERSONNEL.
Emergency Medical Plan
01/25/2001
IF A SITUATION ARISES WHERE MINIMAL ATTENTION IS NEEDED ALL NON SERIOUS
INJURIES WILL BE DIRECTED TO MING AND ASHE MEDICAL CENTER. ANY MAJOR MEDICAL
EMERGENCIES WILL BE DIRECTED TO MERCY DOWNTOWN EMERGENCY ROOM OR HALL
AMBULANCE WILL BE CALLED.
3 03/26/2001
F WEBBASIS
SiteID: 015-021-002088
Fast Format
Mitigation/Prevent/Abatemt
Release Prevention
Overall Site
01/25/2001
THE GENERATOR IS SELF CONTAINED AND ACCESS IS RESTRICTED TO AUTHORIZED
PERSONNEL ONLY. ANY EMPLOYEE WHO IS GRANTED ACCESS TO THIS AREA IS FULLY
TRAINED ON THE GENERATOR AND SAFETY ONCE A YEAR.
-- Release Containment 01/25/2001
ALL PERSONNEL WHO HAVE ACCESS TO THE GENERATOR HAVE INITIAL TRAINING COURSE
AND A YEARLY REVIEW IN ALL ASPECTS OF SAFETY.
-- Clean Up 01/25/2001
WEBASIS WILL NOTIFY A CLEANUP AGENCY TO HANDLE THE CLEANUP SHOULD THE NEED
ARISE.
Other Resource Activation
-4- 03/26/2001
F WEBBASIS
SiteID: 015-021-002088
Fast Format
Site Emergency Factors
Special Hazards
Overall Site
--Utility Shut-Offs
A) GAS - NEXT TO GENERATOR
B) ELECTRICAL - SW CORNER OF BLDG
C) WATER - SW OF FRONT DOOR
D) SPECIAL - NONE
E) LOCK BOX - NO
01/25/2001
-- Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - N/A.
01/25/2001
NEAREST FIRE HYDRANT - LOCATED ON SCHIRRA CT.
Building Occupancy Level
-5- 03/26/2001
F WEBBASIS
SiteID: 015-021-002088
Fast Format
Training
-- Employee Training
HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY?????????
DO YOU HAVE MSDS SHEETS ON FILE???????????
GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM:
Overall Site
01/25/2001
ONCE A YEAR SAFETY TRAINING.
-- Page 2
--Held for Future Use
Held for Future Use
6 03/26/2001
webBASIS
=D~Ln Brown
1:2130 Discovery Drive, Suite 250
Bakersfield~ California
dbr°wn~webbaSis.com
CITY OF BAKERSFIELD
1715 Chester Ave., CA 93301 (661) 326-3979
:::..:I:~I~I~I~Ti~i~TiO~· . . ~~
BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As)
SITE ADDRESS
.... Lo~i~u ~brrc~
DUN &
BRADSTREET
BUSINESS PHONE
102
103
104 i CA
z~P Ct:5~ I~
,06 i SIC CODE
! (4 Digit #)
105
107
COUNTY ~ ~ ,o8
OPERATOR NAME 109 ! OPERATOR PHONE
.".t ::::~. ~,,,.!, ?: ~,x~;~{ , ~;::F?.~,:,~q,,~,~,~i?::!:..::,:.,;,.!~.¢,:;~:~:,:4,,:q:~.~,~.).:~- ,::~: : :i
OwNERNAME M ,1, j OwNERPHONE
OWNER ~ILING
ADDRESS I~00 ~ {~V~r~
CO.T*CTNAUE ~~ ~~ "' ~ CO.T*CTPHO.E
CONTACT ~ILING
ADDRESS t ~OO ~[~~
c~w ~F~~ ~2oj
~NAME ~ I'~.~[0._~
BUSINESS PHONE
24-HOUR PHONE
123
125
126
127
NAME LHnn I'~e_.~d -~r~nn~n '~
TITLE ~_.~. O. P.
T~lmnic;cUL 0 I:~r~6rt/b ,,o
BUSINESS PHONE L~)i -~-~;;~ - ~)O ,3,
24-Hour PHONE ~)(~1 - '""~C)5- c'~C)qq 132
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certiflj under penalty of law that I have personally examined
and am familiar with the informe/t~n submitted in this inventory and believe the information is true, accurate, and complete.
SIGNATURE OF ~ I. DATE 134 NAME OF DOCUMENT PREPARER
"' OF OW~l'ER/O~R~pfi i TITLE OF OWNE~PE~--~ '
NAMES ,36
1
135
137
UPCF (7~99) S:\CUPAFORMS\OES2730.TV4.wpd
: ,, ,i~._,~ CITY OF BAKERSFIELD
OFi~E OF ENVIRONMENTAL Si~VICES
I
tn nnrt s r 1715 Chester Ave., CA 93301 (661) 326-3979
.... ~'~'~' H~RDOH$ MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one form per mate~al per building or ama)
,,~ NEW C'] ADD [] DELETE [] REVISE 200 Page __ of __
BUSINESS NAME (Same as FACILITY NAME o~ DBA - Doing Business As) 3
CHEMICAL LOCATION 201i CHEMICAL LOCATION [] Yes [~.No 202
I CONFIDENTIAL (EPCRA)
203 i GRID # (optional)
CHEMICAL NAME
COMMON NAME
205.i TRADE SECRET []Yes [] No 206
i ff Subject to EPCRA. refe~ to instructions
207 !
J EHS* []Yes []No 208
FIRE CODE HAZARD CLASSES (Complete if requested by local/ire chief}
210
TYPE ~. p PURE [] m MIXTURE [] w WASTE 211 ! RADIOACTIVE J'-~Yes [~No 212 : CURIES 213 '
PHYSICAL STATE [] s SOLID ~]1 LIQUID r~ g GAS 214 ! LARGEST CONTAINER 215
FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216
(Chect( ail that apply)
ANNUAL WASTE 217 MAXIMUM AVERAGE 219 STATE WASTE CODE 220
AMOUNT C) DAILY AMOUNT ~ 218
NITS* ga GAL d CU FT lb tn 221
LBS
TONS
O ¢~.t, lO~*~f EHS. amount must be in lbs.
[] a ABOVEGROUND TANK [] e PLASTIC/NONMETALMC DRUM [] i FIBER DRUM 223
[] b UNDERGROUND TANK [] f CAN [] j BAG
[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX
[] d STEEL DRUM [] h SILO [] I CYLINDER
DAYS ON SITE 222 .
STORAGE CONTAINER [] m GLASS BOTTLE [] q RAIL CAR
(Check all that apply)
[] n PLASTIC BOTTLE [] r OTHER
[] o TOTE BIN
[] p TANK WAGON
STORAGE PRESSURE [~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224
STORAGE TEMPERATURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225
I 226 227 [] Yes [] No 228 229
2 230 231 [] Yes [] No 232 233
3 234 235 [] Yes [] No 236 237
238 239 241
242
243
[]Yes []No 240
245
[]Yes []No 244
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246
UPCF (7/99)
S:\CUPAFORMS\OES2731.TV4.wpd
/"~~~ O CITY OF BAKERSFIELD 0
~l FIRg ~ OFFICE OF ENVIRONMENTAL SERVICES
~R r_~r 1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT pLAN
INSTRUCTIONS:
2.
3.
4.
5.
To avoid further action, remm this form within 30 days of receipt.
TYPE/PRINT ANSWERS IN ENGLISH.
Answer the questions below for the business as a whole.
Be as brief and concise as possible.
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: IA
LOCATION:
MAILING ADDRESS:
PRIMARY ACTIVITY:
qE,~5~3
'OtgcOVeCt..I E:r,~., ,5~,
STATE: f--g. Zlp..qJ/~0q PHONE: (0(01- g33" (OC00
OW R: M 6a. ll
ILr O ADD. SS: IROO
q~sPq '
EMERGENCY NOTIFICATION
PHONE:
CONTACT
TITLE
_F,.O, P T'~t/q~tr_.a~
BUS. PHONE 24 HR. PHONE
60601- 70D-clOq q
HAZ~)OUS MATERIALS MANAGEMF_~
sECTIoN II. 1: DISCOVERY AND NOTIFICATIONS
go
LEAK DETECTION AND MONITORING PROCEDURES:
EMPLOYEE AND AGENCY NOTIFICATION: ·
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
D. EMERGENCY MEDICAL PLAN:
2
SECTION II.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
B. RELEASE CONTAINMENT AND/OR MITIGATION:
C. CLEAN-UP AND RECOVERY PROCEDURES:
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL OAS/PROPANE:
WATER: ,,~~.
SPECIAL:
LOCK BOX: YE~) IF YES, LOCATION:
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
Section II.1: Discovery and Notifications
Leak Detection and Monitoring Procedures:
Generator: There is a visual inspection done two times a day. A monthly
maintenance inspection is performed. All valves and tanks are inspected as well as
the generator is started and run for 30 minutes. The generator is then inspected again
for leaks etc.
FM 200: The FM 200 is inspected daily. A quarterly 20 point inspection is
performed. Any abnormality in the system will report a warning signal in the
Network Operations Center and Jorgenson is notified immediately. A service
technician is called out within 20 minutes.
Employee and Agency Notification:
In the case of an emergency, the notifying party will contact 911 or the appropriate
agencies to report the problem. The notifying party will then contact Michael
Galloway, President/CEO and Lynn Reid Brennan, E.V.P. Technology Operations.
Environmental Response Management
Once Michael Galloway has been notified he will notify Dave Schulz, Construction
Coordinator who will call to administer clean up procedure with appropriate
personnel.
Emergency Medical Plan:
If a situation arises where medial attention is needed all non serious injuries will be
directed to Ming and Ashe Medical Center. Any major medical emergencies will be
directed to Mercy Downtown Emergency Room or Hall ambulance will be called.
Section II.2 Release Response Plan
Hazard Assessment and Prevention Measures:
Generator: The generator is self-contained and access is restricted to authorized
personnel only. Any employee who is granted access to this area is fully trained on
the generator and safety once a year.
FM 200: The FM 200 system is self-contained and access to the server room is
restricted to authorize personnel only. Any employee who is granted access to this
area is fully trained on the generator and safety once a year.
Release Containment and/or Mitigation:
All personnel who have access to the generator and or the FM 200 system have a
initial training course and a yearly review in all aspects of safety.
Clean-Up and Recovery Procedures:
WebBASIS will notify a clean up agency to handle the clean up should the need arise.
ITE DIAGRAM [~] FACILITY DIAGRAM [ .
Business Name:
Business Address: Ll)b~OO ~'~2~LYI_71.O~ 0..3D~3
XI
N
S:\PROCEDURE MANUAL\diagramimt.wpd
This Certificate issued pursuant to the requirement of Section 308 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Bakersfield regulating building construction or use.
For the following:
Building Permit
Address of thc
Owners'
Description of
Building Use
Building
Land
Date Building
Todays Date:
Bui~g O~cial
Date
Inspector Date
CITY BUILI[~G DEPARTMENT -- INSPECTIOI~ECORD
Post in a Conspicuous Place at t~e Job Site and DO NOT Ren~Sve for Duration of Work
InsPection Request Phone No. 326-3728
STRUCTURAL INSPECTIONS
DESCRIPTION ~ DATE SIGNATURE
ELECTRIC SERVICE RELEASE
GAS SERVICE RELEASE
TITLE 24 ACCESS REQUIREMENT
FINAL PLUMBING
FINAL MECHANICAL )~
MECHANICAL INSPECTIONS :
DESCRIPTION DATE SIGNATURE
PLUMBING INSPECTIONS
ELECTRICAL INSPECTIONS
PRIOR TO OCCUPANCY OF ANY STRUCTURE, ALL
IMPROVEMENTS SHALL BE INSTALLED, COMPLETED,
AND ACCEPTED BY THE FOLLOWING DEPARTMENTS
SANITATION DEPARTMENT
HEALTH DEPARTMENT
P,^NNl.~ OEP^RT~ENT ~ ~V
JOB DESCRIPTION
OWNER
M~--~, ~,,~~,o,,~,
~ t200 DiscOvery Drive, Suite 2-50
~ Bakersfield, Califm'nia 9~
webBASIS
dbrowr~webbasiSz:orn
www.webbasis.com