HomeMy WebLinkAboutBUSINESS PLANHazardOus M
oUsi! waste.~Unified
CONDITIONS-;OFPERMIT"ON ~'REVERSE .SIDE
Permit ID#:: 015-000-000093
SOUTHWEST TRAN,~
LOCATION: 2131 R ST
'., '. '~.' -"~ This '_~ermit iS issued for me follow, rip:
: .':D Risk ~n~e~t P~mm -.
~ H~ous Wa~ 0~ T~
Issued by:. Bakersfield Fire Department
OFFICE OF ENVIR ONMENTAL ' SER VICES
1
715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
r Voice (661) 326-3979
FAX (661) 326-0576
Approved by:.
Issue 'Date
Expiration Date:
June 30; 2003
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
i[~;:'::.ii=~ii~:,:~Di;iiU~aemround Storage,of Hazardous Materials
Issued by:
Bakersfield Fire Department
OFHCE OF ENVIR ONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
Approved by:
Expiration Date:
Off'ice of ~-.)ml~cntai ServiCes
June 30. 2000
ITE
:oHMMP P LA~ MAP
DIAGRAM ~ FAC'rLITY DIAGRAM
SOUTH%'~EST TRAN$1~.~flSSION
~131 "R" STREET
Name of Area:
d
R
"l
J
SOUTHWEST!'TRANSM ISSION SERVICE
· , Towing Available
· Exchanges ~5,~'[~.~- -'~'J~_" Guaranteed
Br~ke~ Aut& Repair · 4 x 4's · Fleet ~ice
Corn~ of 22nd & R. Bak. rsfield, CA 93301 · (~) 861-1703
FACILITY NAME 2~
ADDRESS ~. I ~ I
FACILITY CONTACT
INSPECTION TIME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
INSPECTION DATE
PHONE NO.
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
'~, Routine {~ Combined {~ Joint Agency [~ Multi-Agency [~] Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C--Compliance V=Violation
Any hazardous waste on site?:
Explain:
Yes ~ No
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs.
Yellow - Station Copy
Pink - Business Copy
Business Sit e¥ ib[e Party
SOUTHWEST TRANSMISSION SERVICE
Towing Available
· ~ Day Sen, ice ~_. Transcoolers
Ex..c.~..~n~l..e.s I~,~- - .-"~[="~L~E:~ · Guaranteed
· =,nl~t Kits ~.._tl~jl~Free Estimates
Mike Koziara '~/,A_..,i~,,j~ .............................
Owner .~!.".-i!~!...'.,'..~i~!~..'~:!:~.::::~.::.:.:.:.:.:.:.:..,
Brakes · Aut~Repair. 4 x 4's Fleet Serv~e ~d~.'
Corne~ of 22nd & R · B. kemfleld, CA 93301 · (a0~) ~1-1703
u
-/
Lb.-" ~..?. .4' --'-", ' ' --
FACILITY NAME ~. Z ~)
ADDRESS 2-13 I "?-.,"
FACILITY CONTACT
INSPECTION TIME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES~
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
INSPECTION DATE q / -7 /
PHONE NO. 8 6 1-17o.2
BUS~ESS ID NO. 15-210- ~oO~
NUMBER OF EMPLOYEES
Section 1:
[~Routine
Business Plan and Inventory Program
[21 Combined [] Joint Agency [21 Multi-Agency
[] Complaint
[] Re-inspection
OPERATION C ? COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities L//
Verification of location ~/'
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
/
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection V
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?:
Explain: ! I~.~ M q/,4 t f q ~O/O
[] No
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs.
Yellow - Station Copy
Pink - Business Copy
Business te e on ble Party
Insp
CITY OF BAKERSFIELD FIRE DEPARTMENT
~l~ ~]l OFFICE OF ENVIRONMENTAL SERVICES .
~k7 .. --~- .. ',~'!~ UNIFIED PROGRAM INSPECTION CHECKLIST
~/~tv~,~~ 171S Chester Ave., 3~ Floor, Bakers.eld, CA 93301
FACILITY NAna: INSPECTION OATH /o
ADDRESS ~1~1 & eT PHONENO. ~
.~ACIL1TY__ CONTACT ~. ~ ~ -' '~ ~ ~
~q,,~,- ~ ~a~¢~BUSINESS ID NO. 15-210-
INSPECTION TIME [~ ~,~ke S NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [21 Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact intbrmation accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training I '~nd ST. AUTOMOTIVE
Verification of abatement supplies and procedures ~" [
Emergency procedures adequate .~ ] TRANSMISSION I~EPAIR
Containers properly labeled x4' We Will Beat Any Price'and Work Done
On Your Car .....
Housekeeping ~( Owner - Eric Phone (661) 861-1703
Fire Protection X !1 Comer of2~nd & "R" St. Bakersfield, CA 93301
Site Diagram Adequate & On Hand ~ i[__]
C=Compliance V--Violation
Any hazardous waste on site?: [~Yes
Explain: ~ ~r~e O/Z
[] No
Questions regarding this inspection? Please call us at (805) 326-3979
White- Env. Svcs.
Yellow- .Station Copy
Pink - Business Copy
'Bust/n/n~s §itc R~esponsible Party
Inspector: ( '' ~
SOUTHWEST TRANSMISSION SERVIC!
Manager :/~/K~- ~OZ //~ ~ .~
Location: 2131 R ST
City : BAKERSFIELD
sPhone:
p : 103
Grid: 30B
CommCode: BAKERSFIELD STATION 01
EPA Numb:
SIC Code:
DunnBrad:
SiteID: 215-000-000093
(805) 322-1031
CommHaz : Moderate
FacUnits: 1 AOV:
Emergency Contact
MIKE KOZIARA
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ OWNER
(805/ 861-1703x
(805) 589-0449x
( ) - x
Emergency Contact
RENAE KOZIARA
Business Phone:
24-HoUr Phone :
Pager Phone :
,/ Title
/ FOREMAN/OFFIC M
(805) 861-1703x
( ) - x
( ) - x
Hazmat Hazards:
'Fire Press
ImmHlth DelHlth
Agency-Defined Topic Title
= Hazmat Inventory
, MCP+DailyMax Order
Hazmat Common Name...
SOLVENT
OXYGEN
TRANSMISSION FLUID
{SpecHazlEPA HazardsI Frm
F DH L
F P IH G
F DH L
One Unified List
Ail Materials at Site
IDailyMax Unit MCP
55 GAL Mod
281 FT3 Low
120 GAL Low
1 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
~ Inventory Item 0002
-- COMMON NAME / CHEMICAL NAME
SOLVENT
Location within this Facility Unit
SHOP AREA BETWEEN 1 & 2 BAY
SiteID: 215-000-000093
Facility Unit: Fixed Containers on Site
Days On Site,
365
CAS#
STATE -7-- TYPE PRESSURE
Liquid /Pure Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Lrgst Cont.this Loc GAL
DailyMax Stored GAL
AMOUNTS STORED AND IN USE
DailyMax this Loc GAL
55.00
DailyMax Open Use GAL
DailyAvg this Loc GAL
27.00
DailyMax Closed Use GAL
HAZARDOUS COMPONENTS
%Wt. I
100.00 Stoddard Solvent
EHS CAS#
No 8030306
2 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
= Inventory Item 0003
-- COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
NW END OF SHOP
SiteID: 215-000-000093
Facility Unit: .Fixed Containers on Site
Days On Site
365
CAS#
7782-44-7
STATE ] TYPE
Gas, Pure
PRESSURE TEMPERATURE
Above. Ambient I Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Lrgst Cont.this Loc FT3
DailyMax Stored FT3
AMOUNTS STORED AND IN USE
DailyMax this Loc FT3
281.00
DailyMax Open Use FT3
DailyAvg this Loc FT3
562.00
DailyMax Closed Use FT3
HAZARDOUS COMPONENTS
%Wt.
100.0'0 Oxygen, Compressed
EHS CAS#
No 7782447
L
wl//'/ I''v
3 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
~ Inventory Item 0001
--- COMMON NAME / CHEMICAL NAME
TRANSMISSION FLUID
Location within this Facility Unit
SHOP AREA BETWEEN 1 & 2 BAY
SiteID: 215-000-000093
Facility Unit: Fixed Containers on Site
Days On Site
365
CAS#
107-21-1
F -~ TYPE PRESSURE
STATE
Liquid Pure Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Lrgst Cont.this Loc GAL
DailyMax Stored GAL
AMOUNTS STORED AND IN USE
DailyMax this Loc GAL
120.00
DailyMax Open Use GAL
DailyAvg this Loc GAL
27.00
DailyMax Closed Use GAL
%Wt.
100.00
HAZARDOUS COMPONENTS
Ethylene Glycol
EHS CAS#
No
107211
-4- 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
SiteID: 215-000-000093
Fast Format
Notif./Evacuation/Medical
Agency Notification
CALL 911 OR A 24 HOUR EMERGENCY # 233-3737 OR (800) 457-2022.
Overall Site
04/25/1990
-- Employee Notif./Evacuation 04/25/1990
EMPLOYEES ARE VERBALLY NOTIFIED TO THE NEAREST CLEAR EXIT AND SHALL COUNT
HEADS IN EVACUATION AREA. CALL EMERGENCY AGENCY IMMEDIATELY. 911
-- Public Notif./Evacuation
04/25/1990
CUSTOMERS ARE VERBALLY NOTIFIED ALSO. OWNER OR EMPLOYEE INSTRUCTED THEM TO
EVACUAT AREA. CHECK AND MAKE SURE EVERYONE IS COUNTED FOR. CHECK FOR
EMERGENCY (MEDICAL) AND OWNER/EMPLOYEES NOTIFY 911.
Emergency Medical Plan 04/25/1990
CALL 911 OR EMPLOYEES INSTRUCTED TO GO TO NEARES MEDICAL CENTER WHICH IS
MERCY HOSPITAL ON TRUXTUN.
-5- 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
SiteID: 215-000-000093
Fast Format
Mitigation/Prevent/Abatemt
Release Prevention
Overall Site
04/20/1992
ALL MATERIALS ARE IN CLOSED METAL CONTAINERS AND STAND IN EXACT PLACE ALL
YEAR. STONED IN AREA WHICH IS SHADED (NO EXTREME HEAT SHINING ON THEM).
-- Release Containment
ABSORBANT LITTER, TOWELS AND MOP.
WILL DO SO AT TIME OF SPILL.
04/20/1992
IF ABLE TO PUT BIG DRIP PAN UNDER AT TIME
-- Clean Up 04/20/1992
CLEAN UP MATERIALS ON HAND ALWAYS. (KITTY LITTER, SHOP TOWELS, MOPS) CAN BE
USED TO CLEAN UP SPILLS. IF A MAJOR SPILL WE WOULD CALL THE AGENCY WHO
PROVIDED MATERIALS TO HELP IN CLEAN-UP IMMEDIATELY. OWNER/EMPLOYEE HAS
NUMBERS POSTED FOR EMERGENCY.
Other Resource Activation
6 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
SiteID: 215-000~000093
Fast Format
Site Emergency Factors
Special Hazards
Overall Site
-- Utility Shut-Offs
A) GAS - SOUTHEAST CORNER
B) ELECTRICAL - NORTHEAST CORNER
C) WATER - EAST CENTER OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
04/25/1990
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 FIRE EXTINGERS LOCATED IN SHOP.
ALSO ON OUTSIDE OF SHOP
04/25/1990
WATER HOSES
FIRE HYDRANT - CORNER OF 21ST AND R STREETS.
Building Occupancy Level
-7- 06/19/1997
SOUTHWEST TRANSMISSION SERVICE
SiteID: 215-000-000093
Fast Format
Training
-- Employee Training
Overall Site
03/05/1991
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAETY DATA SHEETS ON FILE
REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES ON A QUARTERLY BASIS
DURING BREAK TIME IN MORNING. MAKING SURE THERE IS SUFFICIENT CLEAN-UP
MATERIALS AT ALL TIMES, AND WHERE ALL MATERIALS (HAZARDOUS) AND CLEAN UP ARE
LOCATED. ALL EXITS - DOORWAYS ARE KEEPT CLEAR. EMPLOYEES ARE REMINDED
WHERE THE EVACUATION AREA IS WHEN REVIEWING MSDS FORMS. EMPLOYEES KNOW WHAT
EMERGENCY NUMBERS TO CALL.
-- Page 2
Held for Future Use
Held for Future Use
8 06/19/1997
03/16/93
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
Overall Site with 1 Fac. Unit
Page
General Information
Location: 2131 R ST Map: 103 Hazard: Moderate
Community: BAKERSFIELD STATION 01 Grid: 30B 'F/U: 1AOV: 0.0
Contact Name Title ~ Business Phone 24-Hour Phone-
IMIKE KOZIARA OWNER 1(805) 861-1703 x (805) 589-0449
RENAE KOZIARA FOREMAN/OFFIC MGR1(805) 861-1703 x ( ) -
Administrative Data
Mail Addrs: 2131R ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:
Owner: MICHAEL J. KOZIARA Phone: (805) 861-1703
Address: 3312 MOSS ST State: CA
City: BAKERSFIELD Zip: 93312-
Summary
RECEIVED
HAZ. MAT. DIV.
reviewed '~h~ attached hazardous materials
mere plan for~),3,~l~ ~1~ ~:> . .and ili~[ it along
' ' ~Nam~ ~f'austn~s~)
any c~rreciions consUtu~s a corn ,pOs~® and corrsc~
03/16/93
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
Pln-Ref Name/Hazards
Form Quantity
MCP'
02-002
SOLVENT
~ Fire, Delay Hlth
Liquid 55
GAL
Moderate
02-003
OXYGEN
b Fire, Pressure, Immed Hlth
Gas
02-001 TRANSMISSION FLUID
281 Low
FT3
Fire, Delay Hlth
Liquid
03/16/93
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
Page 3
02-002 SOLVENT
· Fire, Delay Hlth
Liquid 55 Moderate
GAL
CAS #:
Trade Secret: No
Form: Liquid Type: Pure ' Days: 365 Use: CLEANING
Daily Max GAL Daily Average GAL
Annual Amount GAL
665.00
Storage
DRUM/BARREL-METALLIC
Press T Temp Location
IAmbientlAmbientlSHOP AREA BETWEEN 1 & 2 BaY
-- Conc
100.0% IStoddard Solvent
Components
MCP ---/Guide
ModerateI 27
02-003 OXYGEN
· Fire, Pressure, Immed Hlth
Gas
281. Low
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily.Max FT3
281
Daily Average FT3
562.00
Annual Amount FT3
14.0.00
Storage
PORT. PRESS. CYLINDER
Press T Temp Location
IAbove JAmbientlNW END OF SHOP
-- Conc
100.0% IOxygen, COmpressed
Components
MCP ---~uide
Low ! 14
02-001 TRANSMISSION FLUID
· Fire, Delay Hlth
Liquid 55 Low
GAL
CAS #: 107-21-1
Trade Sec=et: No
Form: Liquid Type: Pure Days:. 365 Use: PAINTING
GAL ' Daily Average GAL Annual Amount GAL --
27.00 I 665.00
Storage Press T Temp Location
DRUM/BARREL-METALLIC AmbientJAmbientlSHOP AREA BETWEEN 1 & 2 BAY
-- Conc ·
100.0% IEthylene Glycol
MCP --~Guide
Components .ILow ! 27
03/16/93
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
00 - Overall Site
<D> Notif./Evacuation/Medical
Page
4
<1> Agency Notification
CALL 911 OR A 24 HOUR EMERGENCY # 233-3737 OR (800) 457-2022.
<2> Employee Notif./Evacuation
EMPLOYEES ARE VERBALLY NOTIFIED TO THE NEAREST CLEAR EXIT AND SHALL COUNT
HEADS IN EVACUATION AREA. .CALL EMERGENCY AGENCY IMMEDIATELY. 911
<3> Public Notif./Evacuation
CUSTOMERS ARE VERBALLY NOTIFIED ALSO. OWNER OR EMPLOYEE INSTRUCTED THEM TO
EVACUAT AREA. CHECK AND MAKE SURE EVERYONE IS COUNTED FOR. CHECK FOR
EMERGENCY (MEDICAL) AND OWNER/EMPLOYEES NOTIFY 911.
<4> Emergency Medical Plan
CALL 911 OR EMPLOYEES INSTRUCTED TO GO TO NEARES MEDICAL CENTER WHICH IS
MERCY HOSPITAL ON TRUXTUN.~
03/16/93
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
Page
5
<1> Release Prevention
ALL MATERIALS ARE IN CLOSED METAL CONTAINERS AND STAND IN EXACT PLACE ALL
YEAR. STONED IN AREA WHICH IS SHADED (NO EXTREME HEAT SHINING ON THEM).
<2> Release Containment
ABSORBANT LITTER, TOWELS AND MOP.
WILL DO SO AT TIME OF SPILL.
IF ABLE TO PUT BIG DRIP PAN UNDER AT TIME
<3> Clean Up
CLEAN UP MATERIALS ON HAND ALWAYS. (KITTY LITTER, SHOP TOWELS, MOPS) CAN BE
USED TO CLEAN UP SPILLS. IF A MAJOR SPILL WE WOULD CALL THE AGENCY WHO
PROVIDED MATERIALS TO HELP IN CLEAN-UP IMMEDIATELY. OWNER/EMPLOYEE HAS
NUMBERS POSTED FOR EMERGENCY.
<4> Other Resource Activation
03/16/93
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
00 - Overall Site
<F> Site Emergency Factors
Page
6
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - SOUTHEAST CORNER
B) ELECTRICAL - NORTHEAST CORNER
C) WATER - EAST CENTER OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 FIRE EXTINGERS LOCATED IN SHOP.
ALSO ON OUTSIDE OF SHOP
WATER HOSES
FIRE HYDRANT - CORNER OF 2iST AND R STREETS.
<4> Building Occupancy Level
03/16/93
/
SOUTHWEST TRANSMISSION SERVICE
00 - Overall Site
.<G> Training
215-000-000093 Page
<1> Page 1
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAETY DATA SHEETS ON FILE
REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES ON A QUARTERLY BASIS
DURING BREAK TIME IN MORNING. MAKING SURE THERE IS SUFFICIENT CLEAN-UP
MATERIALS AT ALL TIMES, AND WHERE ALL MATERIALS (HAZARDOUS) AND CLEAN UP ARE
LOCATED. ALL EXITS - DOORWAYS ARE KEEPT CLEAR. EMPLOYEES ARE REMINDED
WHERE THE EVACUATION AREA IS WHEN REVIEWING MSDS FORMS. EMPLOYEES KNOW WHAT
EMERGENCY NUMBERS TO CALL.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
"-0
~ Bakers~ld Fire Dept.
HAZARDOUS MATERIALS DIVISION
Business Name: ,.?u-r'k
Location: ,_'3
Business Identification No. 215-000
Date Completed
~J::)J::~--~..,~ (Top of Business Plan)
HAZ. ~/~AT DiV.
Station No. ~ Shift ./~ Inspector
Comments:
Number of Employees
Comments:
Adequate
Verification of Inventory Materials J~
Verification of Quantities J~-
Verification of Location J~
Proper Segregation of MaterialJ~
Inadequate
Verification of MSDS Availablity J~
Verification of Haz Mat Training
Verification of Abatement Supplies & Procedures
Comments:
Comments:
Emergency Procedures Posted
Containers Properly Labeled
Verification of Facility Diagram
Special Hazards Associated with this Facility:
FD 1652 (Rev. 1-90~,," ' White-Haz Mat Div.
All Items O.K.
Correction Needed
Yellow-Station Copy
Pink-Business Copy
03/17/92 SOUTHWEST TRANSMISSION SERVICE 215-000-000093 Page
Overall Site with 1 Fac. Unit
General Information
LocatiOn: 2131'R ST Map: 103 Hazard: Moderate
Community: BAKERSFIELD STATION 01 Grid: 30B F/U: 1 AOV: 0.0
Contact Name Title Business Phone 24-Hour Phoneq
~ ~oz~ ,/ Io~ I(,0~) 861-1703x (805)589-0449/
i r.~_.N~mJ~SSE VAL..~j_~j~.WOz,nEn~" IFOREMAN~%~(-~--~I (805) 861-1703 x (805) 831-6093/
Administrative Data
Mail Addrs: 2131 R ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:
Owner: MICHAEL J. KOZIARA Phone: (805)' 861-1703
Address: 3312 MOSS ST State: CA
City: BAKERSFIELD ' Zip: 93312-
Summary
RECEIVED·
03/17/92
SOUTHWEST TRANSMISSION SERVICE 215v000-000093
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
Page
02-001
TRANSMISSION FLUID
· Fire, Delay Hlth
CAS #: 107-21-1
Trade Secret: No
Liquid
55 ,Low
GAL
Form: Liquid Type: Pure
Days: 365 Use: PAINTING
-- Daily Max GAL
Daily Average-GAL
27.00
Annual Amount GAL
665.00
Storage
DRUM/BARREL-METALLIC
Press T Temp · Location
IAmbient~AmbientlSHOP AREA BETWEEN 1 & 2 BAY
-- Conc
100.0% IEthylene Glycol
MCP List
Components ILow I
02-002
SOLVENT
· Fire, Delay Hlth
Liquid 55 Moderate
GAL.
CAS #:
Trade Secret: No
Form: Liquid Type: Pure
Days: 365 Use: CLEANING
Dai'ly Max GAL Daily Average GAL
Annual Amount GAL
665.00
Storage Press T Temp Location
DRUM/BARREL-METALLIC ~ Ambient~AmbientlSHOP AREA BETWEEN 1 & 2 BAY
-- Conc
100.0% IStoddard Solvent
Components
MCP iList
Moderate
02-003 OXYGEN
· Fire, Pressure, Immed Hlth
Gas 281 Low
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3
281
Daily Average FT3
562.00
Annual Amount FT3 --
140.00
Storage
PORT. PRESS. CYLINDER
Press T Temp Location
IAbove ~AmbientlNW END OF SHOP
-- Conc
100.0% IOxygen, Compressed
Components
MCP---~List
03/17/92
SOUTHWEST TRANSMISSION SERVICE 215r000-000093
00 - Overall Site
<D> Notif./Evacuation/Medical
Page
<1> Agency Notification
CALL 911 OR.A 24 HOUR EMERGENCY # 233-3737 OR (800) 457-2022.
<2> Employee Notif./Evacuation
'EMPLOYEES ARE VERBALLY NOTIFIED TO THE NEAREST CLEAR EXIT AND SH~LL COUNT
HEADS IN EVACUATION AREA. CALL EMERGENCY AGENCY IMMEDIATELY. 911
<3> Public Notif./Evacuation
CUSTOMERS ARE VERBALLY NOTIFIED ALSO. OWNER OR EMPLOYEE INSTRUCTED THEM TO
EVACUAT AREA. CHECK AND MAKE SURE EVERYONE IS COUNTED FOR. CHECK FOR
EMERGENCY (MEDICAL) AND OWNER/EMPLOYEES NOTIFY 911.
<4> Emergency Medical Plan
CALL 911 OR EMPLOYEES INSTRUCTED TO GO TO NEARES MEDICAL CENTER WHICH IS
MERCY HOSPITAL ON TRUXTUN.
03/17/92
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
00 - Overall Site
<E> Mitigation/Prevent/~batemt
Page.
4
<1> Release Prevention
ALL MATERIALS ARE IN CLOSED METAL CONTAINERS AND STAND IN EXACT PLACE ALL
YEAR. STONED IN AREA WHICH IS SHADED (NO EXTREME HEAT SHINING ON THEM).
<2> Release Containment
<3> Clean Up
CLEAN UP MATERIALS ON HAND ALWAYS. (KITTY LITTER, SHOP TOWELS, MOPS) CAN BE
USED TO CLEAN UP SPILLS. IF A MAJOR SPILL WE WOULD CALL THE AGENCY WHO
PROVIDED MATERIALS TO HELP IN CLEAN-UP IMMEDIATELY. OWNER/EMPLOYEE HAS
NUMBERS POSTED FOR EMERGENCY.
<4> Other.Resource ActivatiOn
03/1'7/92
SOUTHWEST TRANSMISSION SERVICE 215-000-000093
00 - Overall Site
<F> Site Emergency Factors
Page
5
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - SOUTHEAST CORNER
B) ELECTRICAL - NORTHEAST CORNER
C) WATER - EAST CENTER OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION ~ 2 FIRE EXTINGERS LOCATED IN SHOP.
ALSO ON OUTSIDE OF SHOP
WATER HOSES
FIRE HYDRANT - CORNER OF 21ST AND R STREETS.
<4> Building Occupancy Level
03/17/92 SOUTHWEST TRANSMISSION SERVICE 215-000-000093 Page
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAETY DATA SHEETS ON FILE
REVIEW MATERIAL SAFETY DATA SHEETS WITH EMPLOYEES ON A QUARTERLY BASIS
DURING BREAK TIME IN MORNING. MAKING SURE THERE IS SUFFICIENT CLEAN-UP
MATERIALS AT ALL TIMES, AND WHERE ALL MATERIALS(HAZARDOUS) AND CLEAN UP ARE
LOCATED. ALL EXITS - DOORWAYS ARE KEEPT CLEAR. EMPLOYEES ARE REMINDED
WHERE THE EVACUATION AREA IS WHEN REVIEWING MSDS FORMS. EMPLOYEES KNOW WHAT
EMERGENCY NUMBERS TO CALL.
<2> Page 2 as needed
<3> Held for Future Use
.<4> Held for Future Use
Bakersfield Fire De
Hazardous Materials Division % ~~ ~
2130 "G" Street
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
$. Answer the Questions lr)elow for the ,u$ine$$ as a whole, l0
4. Be ~rief aha concise aS Do.iDle.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME:
.~ou-CH c0C%T'
LOCATION'
MAILING ADDRESS: '~)-J
CITY' I~K.-% FL.O STATE:
DUN & BRADSTREET NUMBER'
PRIMARY ACTIVITY'
OWNER:
MAILING ADDRESS:
SIC CODE:
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
Bakersfield Fire Dept.
eHazardous ~[aterials D~vision
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS: '-J~u~J) 0
MATERIAL SAFETY DATA SHEETS ONFILE:('~,~
BRIEF SUMMARY OF TRAINING PROGRAM:
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM TH~
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. ,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 6.9`5 SEC. 2,5500 ET AL.] AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
SIGNATURE TITLE DATE
Bakersfield Fire Depf~
Hazardous Materials Divisic
.._.
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
,SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES: (~ q//
EMPLOYEE NOTIFICATION AND EVACUATION:
B"kersfield Fire Dept.
Hazardous ~'Iaterials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
RELEASE CONTAINMENT AND/OR MINIMIZATION'
C. CLEAN-UP PROCEDURES' ~_/_~,.~,~,, ~ ~ ,~...~.~/~
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FA~C'ILIT¥):
NATURAL GAS/PROPANE'
ELECTRICAL:
WATER: ~~
SPECIAL:
LOCK BOX: YES~
IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
PRIVATE FIRE PROTECTION: ~
WATER AVAILABII. ITY (FIRE HYDRANT)'.
4, ,:01590
CITY Of BAKERSFIELD
HAZARDOUS HATERTALS TNVENTORY
Farm and Agriculture n Standard Business []
NON--TRADE SECRETS Page ...... of__
BUSINESS NAHE:~DU~L, cJ~Z/)'~ ~i~-';?.O/~~'''F OWNER NAME: ~H~/- ~¢.,~ NAME OF THIS FACILITY: ,~I~,z'x/-O~'~"~J~'x-)~', ~_(/._/_'~
LQ_CATION: 3~/~5/ ,,~" ~7~, ' ADDRESS: ~/~/' ~,~'"~;r7 STANDARD IND, CLASS CODE.;
cHY. ZIP.'-,(~_..SZ..~=~z,/.___L~~ ' C~iToY. ~IP"- ,~A'~-~,,~ ~,.~.~/D- DUN AND BRADSTREEI NUHBER ......................................
I 2 3 4 5 ~ I 89 I0 II 12 ~i!y Names of ~Jxture/C:eoonents
lrans !yl~e Max Avgrage Rnnual ~ea~ure I t~e {;ont Cont Cont Us Location?elm.
Stored ~n
Code coae AmC Ret Est Un,ts on ~ype Press lemp Cole See ]nstruct~ons
Physical and Health Hazard
(Check all that apply)
Fire Hazard [] Reactivity
C.A.S. Component Il
Component t~
of Pressure Health
Component 13
Name A C,A,S. Number
Name ~ C,A,S, Number
Name I C.A.S. Number
Physical apd Health Hazard
{Check al/ that apply)
Fire Hazard ~ Reactivity
C.A.S. Component II
"l~Oelayed [] Sudden Release I-I
Component
immediate
Health of Pressure Health
Component 13
Name & C..S. Number
Name & C.A.S. Number
Name I C.A. !umber
h Hazard
pply)
FireHazard I-I Reactivity
C.A.S. Number
Delayed [] Sudden Release
Health of Pressure
Component II
Component 12
FI Immediate
Health
Component 13
Component II
Component 12
Component 13
'hysical and Health Umrd
{Check ali that apply)
lJ Fire Hazard [] Reactivity
C.A.S. r
Health
iRGENCY CONTACTS
Name
Name & C,A.S, Number
Hame & C.A.S. Number
Name I C,A,S. Humber
Name & C,A.S, Humber
Name ~ C,A,S. Number
Name I C.A,S, Number
erti[igtioq ,(Re~ .a.r].d.~ign a£t;t~r complgtft,]g.all sectipn~)
cer~t,y unaer pen,,c~ o~aW tnqt 1 navepeEsonaj,y, examlnq~aqogm ,amillar. vit~ the J~?au~n ~u~mitt~ in this.and all
~L~a~ned.d~c~mem, an~ t~ac omo on.my Inquiry ~t.tnose IndIVlOUals responsible Tot obt 'fl9 t e IflTormacIon. ] believe that the
sujm~tteo ~n~ormat~on Is t~accurate, and complete,