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HomeMy WebLinkAboutBUSINESS PLANan Amtech Mechanical Services Company August 10, 1994 Bakersfield_ City Fire D_ep.a_.rtmem Hazardous Material Division 1715 Chester Avenue Bakersfield, California 93301 4031 A/ken Street, Suite A-4 Bakersfield, CA 93308 (805) 588-2577 (805) 588-2593 FAX TO WHOM IT MAY CONCERN: , This letter is to inform you that CommAir Mechanical Services has moved from i231 "R" Street, Bakersfield, CA 93301, to: 4031 Alken Street, A,4 Bakersfield, CA 93308 We have been notified that our new address is under Kern County jurisdiction, therefore, please use this to update your records. Dave Woods Service Manager DW:jh a division of Amtech Services, Inc. · elevator, energy, lighting and mechanical services · an ~ company HAZARDOUS MATEI~LS INSPECTION Business Name: ~m ~ Location: ,/~,$ / ,/~ Business Identification No. 215-000 Station No. ~ Shift Arrival Time: /~..T~ Departure Time: '~,r'~---- Comments: Oersfield Fire Dept. Haz~'fdous Materials Division Date Completed (Top of Business Plan) Inspector Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Inspection Time: Adequate Inadequate I"1 Number of Employees: Comments: Verification of MSDS Availability 5' Verification of Haz Mat Training Verification of Abatement Supplies & Procedures Comments: Comments: Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram HAZ. MAT. DIV, Special Hazards Associated with this Facility:. Vi01ations:.4]~o.J d~r:~/on/-5 ~o ~ - ~Po,,~-'~ r ~ ~ 5 ?~z~ Business Owner/Manager PRINT NAME ' \ SIGNATURE Allltems O.K Correction Needed White-Haz Mat Div Yellow-Station Copy Pink-Business Copy 01/12/94 Pln-Ref COMM AIR MECHANICAL, SERVICES 215-000-001195 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form Max Qty Page MCP 2 02-001 02-003 R-22· · Fire, Pressure, Immed Hlth R-502 · Fire, Pressure, Immed Hlth LIQUID SCALE INHIBITOR Gas . ,/ _AGas J] 345 Low FT3 345 Low FT3 02-006 02-005 02-002 02-004 · Fire, Delay Hlth R-il '· Fire, Pressure, Immed Hlth R-12 · Fire, Pressure, Immed Hlth R-500 · Fire, Pressure, Immed Hlth ~0 60~- ~'~ Liquid ,200 Minimal FT3 381 Minimal FT3 268 Minimal FT3 01/12/94 COMM AIR MECHANICAL SERVICES 215-000-001195 Page Overall Site with 1 Fac. Unit General Information Location: 1231 R ST Map: 103 Hazard: Low Community: BAKERSFIELD STATION 02 Grid: 3lB F/U: 1AOV: 0.0 ContaCt Name ,Title , Business Phone 24-Hour Phone- ~L~E~~--~-OR ~ I (805) 327-4714 x ~95~ 14 805) 589-0519 7-47 IFOREMAN (805) 32 x DAVE WOODS _ ( Administrative Data Mail Addrs: 1231R ST D&B Number: 05-322-7286 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5531 Owner: CAIN AME CHURCH Phone: (805) 327-4714 Address: 630 CALIFORNIA AV State: CA City: BAKERSFIELD Zip: 93304- Summary £ 02/24/92 COMM AIR MECHANICAL SERVICES 215-000-001195 Overall Site with 1 Fac. Unit General Information Page 1 Location': 1231R ST Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 3lB F/U: 1AOV: 0.0 Contact Name I Title Business Phone 24-Hour Phone- ALLEN D. TAYLOR BRANCH MANAGER .(805) 323-4714 x ' (805) 327-4710 32 14 x FOREMAN DAVE WOODS (805) 7-47 (805) 589-0519 Administrative'Data Mail Addrs: 1231R ST D&B Number: 05-322-7286 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5531 Owner: CAIN AME CHURCH Address: 630 CALIFORNIA AV City: BAKERSFIELD Phone: (805) 327-4714 State: CA Zip: 93304- Summary the attached n xzardous rnsted rre ions constitute a 02/24/92 COMM AIR MECHANICAL SERVICES 215-000-001195 ' 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-001 R-22 · Fire, Pressure, Immed Hlth Gas 345 Low FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 345 I Daily Average FT3 345.00 Annual AmoUnt FT3 345.00 Storage PORT. PRESS. CYLINDER Press T Temp I Above [Ambient I SOUTH WALL Location -- Conc Components 100.0% ICh'lorodifluoromethane MCP List 02-002 R-12 · Fire, Pressure, Immed Hlth Gas 381 Minimal FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE -- Daily Max FT3 381 I Daily Average FT3 381.00 Annual Amount FT3 381.00 Storage PORT. PRESS. CYLINDER Press T Temp IAbove [Ambient ISOUTH WALL LoCation -- Conc Components 100.0% IDichlorodifluoromethane MCP List IMinimal I 02-003 R-502 · Fire, Pressure, Immed Hlth Gas 345 Low FT3 CAS #: Form: Gas Type: Pure Daily Max FT3 345 J Trade Secret: No Days: 365 Use: COOLANT/ANTIFREEZE Daily Average FT3 T Annual Amount FT3 170.00 ·J 588.00 Location Storage Press T Temp PORT. PRESS. CYLINDER Above JAmbientJsouTH WALL -- Conc ~ Components 100.0%JChlorodifluoromethane MCP jList JLow 02/24/92 COMM AIR MECHANICAL SERVICES 215-000-001195 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 3 02'-004 R-500 · Fire, Pressure, Immed Hlth Gas 268 FT3 Minimal CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3268 ' I Daily Average 268.00FT3 Annual Amount FT3 -- 268.00 Storage PORT. PRESS. CYLINDER Press T Temp IAbove 1AmbientlsouTH WALL Location -- Conc Components 100.0% IDichlorodifluoromethane MCP List IMinimal I 02-005 .R-11 · Fire, Pressure, Immed Hlth Gas 200 Minimal FT3 CAS #: Trade secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 200 { Daily Average FT3 200.00 Annual Amount FT3 200.00 St'orage PORT. PRESS. CYLINDER Press T Temp I Above ~AmbientlSOUTH WALL Location -- Conc Components 100.0% ITrichlorotrifluoroethane MCP ~List Minimal 02-006 LIQUID SCALE INHIBITOR · Fire, Delay Hlth Liquid 55 Low GAL CAS #: Form: Liquid Daily Max GAL 55 Storage PLASTIC CONTAINER _ 'Conc { Trade Secret: No Type: Mixture Days: 365 Use: WATER TREATMENT Daily Average GAL I Annual Amount GAL 25.00 55.00 Press T Temp Location Ambient~AmbientlFLOOR WEST SIDE Components ~ MCP ---~List 02/24/92 COMM AIR MECHANICAL SERVICES 215-000-001195 00 - Overall Site <D> Notif./Evacuation/Medical Page <1> Agency Notification CALL 911 CITY OF BAKERSFIELD'S, FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 326-3979 CA. OFFICE OF EMERGENCY SERVICES 2800 MEADOWVIEW SACRAMENTO, CA. 95832 1-800-852-7550 <2> Employee Notif'/Evacuation THIS BUILDING IS USED PRIMARILY AS A WAREHOUSE. WE DO NOT HAVE AN OFFICE OR WAREHOUSE EMPLOYEES AT THIS BUILDING. IF EMPLOYEES HAPPEN TO BE PRESENT, THE~ WORD-OF-MOUTH NOTIFICATION IS ADEQUATE. -f <3> Public Notif./Evacuation THIS IS NOT A RETAIL ESTABLISHMENT, THEREFORE, 'WHOMEVER IS PRESENT WILL BE USHERED OUT. <4> Emergency Medical Plan MEMORIAL HOSPITAL - 420 34TH ST - 327-1792 MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371 02/24/92 COMM AIR MECHANICAL SERVICES 215-000-001195 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt 5 <1> Release'Prevention THE GAS AND LIQUID MATERIAL ARE STORED SIG~LE STOCKED ON THE FLOOR NEXT TO A WALL. THE CHEMICALS STORED ARE WATER SOLUBLE. WE WOULD, DILUTE WITH WATER AND CLEAN-UP WITH MOPS AND RAGS. THE REFRIGERANT IS NON TOXIC AND NON FLAMMABLE. IF A FREON LEAK OCCURS IT WOULD EVAPORATE. WE WOULD OPEN DOORS TO VENTILATE AS IT DOES DISPLAY OXYGEN. <2> Release Containment THE REFRIGERANT IS STORED AS A LIQUID/VAPOR MIXTURE. IF RELEASED, WILL DISIPATE RAPIDY. THE WATER SOLU~BLE COMPOUNDS AND OIL WOULD BE CONTAINED AND ABSORBED BY DRY-SWEEP. <3> Clean Up WHEN ABSORBED, THE MATERIAL'WOULD BE HAULED TO THE APPROPRIATE DISPOSAL FACILITY. · BY CONTACTING KES - KERN ENVIRONMENTAL P.O. BOX 5337 589-5220 OR PRICE DISPOSAL INC., 8665 S. UNION 831-2653 <4> Other Resource Activation 02/24/92 COMM AIR MECHANICAL SERVICES 215-000-001195 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST CORNER OF BUILDING B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTHEAST CORNER OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF R ST AND CALIFORNIA AV. <4> Building Occupancy Level 02/24/92 COMM AIR MECHANICAL SERVICES 215-'000-001195 00 - Overall Site' <G> Training Page 7 <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: STAFF STATIONED AT FACILITY ARE AWARE OF EVACUATION ROUTES, SAFE HANDLING, CLEAN-UP AND CONTAINMENT MEASURES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Business Name: Location: Business Identification No. 215-000 Station No. ,¢,, Shift Bakersfield Fire Dept. ~ HAZARDOUS MATERIALS DIVISION Date Completed / '" / --~ - ~ 7_. ...%'"- (Top of Business Plan) Inspector RECEivED IAII Ans'd ............ Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: Number of Employees Verification of MSDS Availablity Verification of Haz Mat Training Adequate Inadequate ~OP /.-/6~utD SCAL~ ! N/..1/~/To,R .%5-- Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: ()' ~"' Business Owner/Manager All Items O.K. Correction Needed FD 1652 (Rev. 1.90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy 01/29/91 Location: 1251 Ident Number: OOMM AIR MECHANICAL SERVICES 21 )-OOib°~pc,ucn Page Overall Site with i Fao. Unit ' General Information FEB 2 8 1991 R ST Map: 105 Hazard: Low 215-000-001195 Grid:' 518 Area 'of Vul.: 0.0 Con, tact Name ,~ IALLEND. TAYLOR ~ BRANCH Title -- Business Phone .... 24 Hour Phone- MANAGER '(805) 527-4714 x 1(805) 527-4710 [(805) 589-051'9 DAVE 'WOODS, FOREMAN (805) 327-4714 x Administrative Data Mail Addfs,: 1251R ST D&B Number: 05-522-7286 Ci%~: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215~001 BAKERSFIELD STATI.ON O1 SIC Code: 5551 Owner: CAIN AME CHURCH Phone: (805) 527-4714 Address: 650 CALIFORNIA AV State: CA City: BAKERSFIELD Zip: 95504- i'Summary i, ,..~'¢~ [~/OO_~.d" . D° hereby certify that I have ('1 ype or p~ni i'ev!ew~o tiae attached h~ardous materials manage- m~,~ p~;~n for ~. 'and that it along, w~th [~,.o Ol 8u~ino~) any corrections c, nstkute a complete and co~o~man- a~omonI p~an ~or my ~aeili~. ol/29/91 Pln-Ref. COMM AIR MECHANICAL SERVICES 215-000-001.195 Hazmat Inventory List in MOP Order 02 - Fixed Oontainers on'Site Name/Hazards' Form Quantity Page 2 MOP 02-001 R-22 Fire, Pressure, Immed Hlth Gas 345 FT5 Low 02-003 R-502 'Fire, Pressure, I'mmed Hlth Gas 345 Low FT5 02-005 R-il Fire, Pressure, immed Hlth Gas 200 Minimal FT3 02-002 R-12 Fire, Pressure, Immed Hlth Gas 381 Minimal FT5 02-004 R-500 Fire, Pressure, Immed Hlth Gas 268 Minimal FT5 01/29/91 COMM AIR MECHANICAL SERVICES 215-~00=001195 O0 - Overall Site <D> Notif./Evaouation/Medioal Page 5 <1> Agency Notifioation CALL 911 CITY OF BAKERSFIELD'S, FIRE'DEPARTMENT HAZARDOUS MATERIALS DIVISION '526=5979 CAi OFFIOE OF EMERGENCY SERVICES 2800 MEADOWVIEW SACRAMENTO, CA. 95852 1-800-852-7550 <2> Employee.Notif./EvaCuation THIS BUILDING IS USED PRIMARILY AS A WAREHOUSE. WE DO NOT HAVE AN OFFICE OR WAREHOUSE EMPLOYEES AT THIS BUILDING. IF EMPLOYEES HAPPEN TO BE PRESENT, THEM WORD-OF-MOUTH NOTIFICATION IS ADEQUATE. <5> Public Notif./Evaouation THIS IS NOT A RETAIL ESTABLISHMENT, THEREFORE, WHOMEVER IS PRESENT WILL BE USHERED OUT. <4> Emergency Medical Plan MEMORIAL HOSPITAL - 420 54TH ST - 527-1792 MERCY HOSPITAL - 2215 TRUXTUN AV - 527-5371 oi/29/9i OOMM AIR MECHANIOAL SERVICES ~215--000-001195 O0 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention THE GAS AND'LIQUID'MATERIAL ARE STORED SIGNLE STOCKED ON THE FLOOR NEXT TO A WALL. THE CHEMIOALS STORED ARE WATER SOLUBLE. WE WOULD DILUTE WITH WATER AND CLEAN-UP WITH ,MOPS AND RAGS. THE REFRIGERANT IS NON TOXIC AND NON FLAMMABLE." IF A FREO'N LEAK O00URS IT WOULD EVAPORATE. WE WOULD OPEN DOORS TO VENTILATE AS IT DOES DISPLAY OXYGEN. <2> Release Containment THE REFRIGERANT IS STORED AS A LIQUID/VAPOR MIXTURE. IF RELEASED, WILL DISIPATE RAPIDY. THE WATER SOLUIBLE COMPOUNDS AND OIL WOULD BE CONTAINED -AND ABSORBED BY DRY-SWEEP. <5> Clean Up WHEN ABSORBED, THE MATERIAL WOULD BE HAULED TO THE APPROPRIATE DISPOSAL FACILITY. 6Y <4> Other Resource Activation COMM AIR MECHANICAL SERVIOES 2 O0 - Overall Site 00-001195 <F> Site Emergency Factors Page 7 <1> Special Hazards <2> Utility Shut-Offs A) GAS -'SOUTHEAST CORNER OF BUILDING 8) ELEOTRIOA~ - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTHEAST CO~NER OF BUILDING D) SPECIAL,- NONE E) LOCK BOX - NO <5> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF R ST AND CALIFORNIA AV. .<4> Held for Future use 01/29/91 COMM AIR MEOHANIOAL SERVICES 215--T)00-001195 O0 - Overall Site <G> Training Page <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FAOILiTY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: STAFF STATIONED AT FACILITY ARE AWARE OF EVACUATION ROUTES, SAFE HANDLING, CLEAN-UP AND CONTAINMENT MEASURES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD ,AZARDOUSMATERIALS INVENTORY Farm and Agriculture D Standard Business NON--TRADE SECRETS Page ____ BUSINESS NAM~.~ OWNER NAME: -~-~'J-~__--' NAME OF THIS FACILITY L0CyATION~ /~z~-j /~ -.C'q~- ADDRESS: STANDARD IND CLASS CODE~ 1 2 ~ 4 5 6 7 8 9 10 11 12 13 14 Trans !yQe Nax Average Annual Neasure I OY~ Cent Cent Cent Us locqtion.Whe(e, lw~y Names of NixturelCoeooflents.' Cede uooe Amt Amt Est Units on 51tm Type Press Temo coleStored in Pacl/~ty See InstructIons physical'end Health ,~erd ~ C.A.S~ Number (0~-~-I- I Component I1' ~ame S C.A.S. Number (Check ali that apply! " Component 12 Name I C.A.S. Number~'~j'_~ [] Fire Haz4rd ~ ReactivitY; [] Delayed [] Sudden Release [] ]m~i~ Health of Pressure Component 13 Name I C.A.S. Number :Physical and Health Hazard : C.A.S. Number Component II Name I C.A.S. Number (Check all that aPp/yl Component 12 Name & C.A.S. Number [] Fire Hazard [] Reactivity D Oelayed [] Sudan Release [] ' Health of Pressure Component 13 Name I C.A.S. Number Physical and Health ~a~ard : C.A.S. Number Component II Name I C.A.S. Number (Check ali that apPlY! Component 12 Name I C.A.S. Number [] Fire Hazard [] Reactivity [] Delayed [] Sudan Release [] [mmediate Health of Pressure Health Component 13 Name I C.A.S. Number Physical ahd Health ~aTard C.A.S. Number Component II Name I C.A.S. Number (Check ali.that apply! : Component 12 Name i C.A.S. Number ~ Fire Hazard ~ Reactivity D Delayed [] Sudan Release [] [m~i~ Health of Pressure Component 13 Name I C.A.S. Number EMERGENCY CONTACTS #1~/~</~... ~ ~J~o~ ~c.,/44(,v/F.~- ~_-o~-7.~ #2N 2~rT~T--- ~me Title 24 Hr Phone lerti[iatioq ,(Ref~l an.cl.~ign af~pr compl¢ti.ng.~ll sections.) certny under penalt~ o1!aW thqt i navepersonalty examln~qlqolm familiar with the inTormatlon Submitted in this lnd all at~ached.docvment~, eno t~at eased on.my ~nquiry 9f.those ~nolvlou4~s responsible for obta~nin9 the information. ! believe that,/ suomltte~tnlormatlon is true, accurate, aflo complete. ~ii~,-T~ o[ici~i ti~il Of o~n~tiop~r8tor UH Oun~rloperatO ~ Business Name: 6~/t~/c/~ A Hazardous Materials Inspection i~'-~f ' ~ Date Completed ;//~ ~-/~ / //~ ~.tf_.,~,f~ A_] . ~ff-',~L/ /~_-<~-. ~'RECEIVEI') J~N 2 9 1991 PlanID# 215-000 / /~""(Top right comer Business Plan) .~.. ~HA7 M~'r. DIV. StationNo. r~_ _ Shift · /~6cO ~4,~ % Adequate Inadequate Verificati°n °f Invent°ry Materi~ s '-L)al/C' bG~.bG~.__..../~tg~ ~ ) ~ Verification of Quantities Verification of Location ProperSegregatign~aterial ------~ ' ~~ [-] Verification of MSDS Availability Number of Employees ~~//--~ Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram Special Hazards Associated with this Facility: FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-BusineSs Office COMM Al ~ECHANICAL SERVICES 215-[0001195 OVerall Site with 1 Fac. Ur, it- RECEIVED General Informat iors OeTI 2 FRO, Page Location: 1231 R ST Ident Number: 215-000-0C)1195 Map: 103 Ma~ard: I',_,w Grid: 3lB Area of Vul: Contact Name Title Business Phorse ~ 24 Hour Phor, e- Admir~istrative Data ' Mail Addrs: 1231 R ST D&B Number: ~--~'9~ City: BAKERSFIELD State: CA Zip: 93301- Corem Code: 215-001 BAKERSFIELD STATION 01 SIC Code: ~ [ Owner: CAIN AME CHURCH Phone: (805) 327-4'714 Address: 630 CALIFORNIA AV State: CA City: BAKERSFIELD Zip: 93304- Summary ~gemen~ plan for my facility. 10108190 Pln-Ref COMM AIR MECHANICAL SERVICES 215-000-001195 Hazmat Ir~ventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form Quantity Page MCP 2 02-007 SANACORE 2605 Immed Hlth Liquid 55 GAL High 02-001 R-22 ~ Pressure, Immed Hlth Gas 803 FT3 Low 02-003 R-502 ~, Pressure, Immed Hlth Gas 345 FT3 Low 02-002 R-12 ~ Pressure, Immed Hlth Gas 381 FT3 Minimal 02-004 R-500 ~ Pressure, Immed Hlth Gas 268 FT3 Minimal 02-005 REFRIGERANT OIL ~ Delay Hlth 02-006 R- 11 '~, .PreSsure, Immed Hlth Liquid 72 GAL Minimal Gas 274 FT3 Minimal 10/08/9D COMM A1 tECHANICAL SERVICES 215-[0001195 O0 - Overall Site <D> Not if. /Evacuat Jori/Medical Page 3 <2> Employee Notif. /Evacuatior~ THIS BLDG IS USED PRIMARILY AS A WAREHOUSE. WAREHOUSE EMPLOYEES AT 1-HIS BLDG. / - OAoo_, ~,,,.,9- 7S'-.5-0 WE DO NOT HAVE AN OFFICE OR <4> Emerger, cy Medical Plan MEMORIAL HOSPITAL - 420 34TH ST - 327-1792 MERCY HOSPITAL - 2215 TRUXTUN AV - 327-33'71 10/08/90 COMM AIR MECHANICAL SERVICES 215-000-001195 Page 4 00 - Overall Site <E> Mi t i gat iorWPrevent/Abat emt <1> Release Prever, tior, THE GAS AND LIQUID MATERIAL ARE STORED SIGNLE STOCKED ON THE FLOOR NEXT TO A WALL. ]"HE CH~CALS STORED ARE WATER SOLUBLE. WE WOULD DILUTE WITH WATER AND CLEAN-UP WITH MOPS AND RAGS. THE REFRIGERANT IS NON TOXIC AND NON FLAMMABLE. IF A FREON LEAK OCCURS IT WOULD EVAPORATE. WE WOULD OPEN DOORS TO VENTILATE AS IT DOES DISPLAY OXYGEN. <2> Release Cor~tainment <3> Clears Up <4> Other Resource Activation COMM A1 ~ECHANICAL SERVICES 215-C0001195 O0 - Overall Site <F> Site Er~ergerJcy Factors Page 5 <l> Special Hazards <2> Utility Shut-Offs A) GAS '- SOUTHEAST CORNER OF BUILDING B) ELECTRICAL - SOUTHEAST CORNER OF BUILDING C) WATER - SOUTHEAST CORNER OF BUILDING D) SPECIAL.- NONE E) LOCK BOX '- NO <3> Fire P'rotec. /Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - SOUTHEAST CORNER OF R ST AND CALIFORNIA AV. <4> Held for Future use 10108190 COMM AIR MECHANICAL SERVICES 215-000-001195 00 - Overall Site <G> Training Page 6 <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page~ ~' as needed <3> Held fc, r Future Use <4> Held for Future Use Irans I~oe ICode Coda ~IeJ ,il tl,t fh ic I d e Nax Average Annual Amt Amt Est C.A.$. Humber Component U Name I C.A.S. Number 13 Sudden Release 13 Immediate of Pressure Health Component Il Name I C.A.S. Number CITY of BAKERSFIELD i~ Z A R DOI. J S MATEitIALS INVENTORY Standard Business NoN - 'I'RAD~ S I.:CR~'i.'S ' 6 t ,:!, .lie,es of ,,,,u,e,C~,ponen,s ~ea~e I ~[e See InstFu:t~ons Units I l Ith Hazard apply) fire Hazard 13 Reactivity !] Delayed Health 8 ! 10 II ~ont ~ont ~ont Us toc~tion WhHe lype 'Press lemp Cote in facility Stored F-'-I---T--I-- ' 1 Component II Hame I C.A.S. Humber I PhySical mod Health Ualard i tCheck al/ that app/yl , [] Fire Hazard [] Reactivity C.A.$. Number Component II Hame I C.A.S, Number Component [1D~layed [] Sudden Release [] Immediate Hem/tn of Pressure Health Component 'P I ,moo I.wo trhvsical and Health ~a{ard [ I(hec~ all that App/H , [] Fire Hazard 13 Reactivity Hame I C.A.S. Number Name I C.A.$. Humber Physical and Health UHard (Check ali Lhat apply) C.A.S. Humber Component II Hame Component 12 Hame n o,,,,ed r~m~ot.~,,~: r~,,d~,t, flea ith Ilea I Lb Component 13 Name I ' I .I I I I I I C.A.S. Humber Component II Name Component 12 Nine [] fire Hazard 13 Reactivity [] Delayed I-] Sudden Helease [] illtteedalllLth8 · Nee Ith of Pressure Component 13 Name EHERGEIICY COItTACI S i C.A.S. Humber I C,A.$. Humber i C.A.S. Number i C,A.S. Humber I C.A.S. Number I C.A.S. Humber Certi!i ariD . Repft an.d.~ig/} a f~pr comp l~tipg.all. $oction~) Icer i~y un'er ena~t ol~a~ th~c I navfpe~sonm/ILexeHn~oqa ~m ~ami~la[¥1tljthe lnlo¢flt~on ~ub~itt~ in thi$.tnd ell ! believe that the Information. ~La~led.dgcwAeol,~ an~ t~at baSeD DA,my ~nqo~r~ 9Ltnose ina~vleuelS responsible lop obtaining the ~ubeltte~ inrofirauo~ IS tfu~ iccurite, Ino co plete. ,, [} Standard Business CITY kZARDOUS of BAKERSFIELD HATERTALS INVENTORY .,,s ..... DI)RESS; ~ ~.~ , SIAflDAI~D IND. ,I iii IB-~ ..... '~-t ......... CIIY. ~iP[~~~z~3 9~gO~,, Dull MID BFlAllSIIIEEI I !. E ."' - --- JCode CoDa kmt A~ i'h~sic-ai .nd Health Haia'~ i'l~EecJ alt t~a[ applyJ t.! Fi~e Hazud [J aeactivitl b l.P I.-:b/t Physical apd Health Iris|etd I£heck Al/ that ApplyJ [J fire Hazard ~ Reactivity Annual Heaspre Est Units on e lypa Press tamp C.A.$. Humber Component II Hame Delayed Health Component 12 Hame ~d~fl Release ~m~diAke of Pressure health Component 13 Name C.A.$. Number ~ D~layed ~d~n~Release Hem/tn az Pressure FhySJc~l and'Health . ICheck all that App/yl rotation Whe[i Stored in facility I C.A.a. Humber I C.A.a. Number I C.A.S; Number ~o. Component II Name I C.A.a. Number Component I~ Hame I C.A,a. Number Component I] Hame S C,A.a. Number C.A.$. Humber Component II Name I C.A.S, Number ilattheComponent 12 Hame I C.A.S. Number Component 13 Name I C,A.S. Humber ire Hazard [] Reactivity J-J Delayed Itealtl~ ~0. d~D~' Componeflk II Hame I C.A.a. Number Component It NAme I C.A.a. Number Component I1 Name I C.A.a. Number C.A.a. Number PhvsiiA! and Health UA~ud lCheck all that app/yl fire Hazard [I Reactivity Health EMERGENCY COIIT ACTS 13 ~l~i . Ilapes o{ PixtufelCce~.onenLs . see Instru:ttons Certi!i Atio . Ropft an.d.~if~n af~pr compl~Cfog.all, socCionq)' i car IJy un'er en4i~ 9Hav thqt i nav9petsona/ty, exaaln~tqola laeilu(.ilt~the thio(eat]pm submitted In this.tnd all information. ~ubeltted Iflloreatlon lS true, iccurue, Ina complete. FIRE DEPARTMENT O. S. NEEDHAM FIRE CHIEF CITY of. BAKERSFIELD 2101 H STREET BAKE~SRELD, 933O1 326-3911 'Dear Business Owner: Enc!n~ed please find a copy of your response to Plan request, we nave found it necessary to rej reason(s) as checked below. F--l Illegible Business Plan (please print ardous Material Business your plan for the roi)owing type information in English). Form 2A F-l Missing or F--) Form 3A ~-I Missing oral FOrm 4A ~-1 Missing or Form 5A. Site Diagram ~ Mi~ Facilities Diagram This is to be corrected Bakersfield City Hazardous Materi 2~ "G" Street B~ ersfield, C, If )nal cop Hazardous ng or ~ Incomplete Missing or~-'l Incomplete resubmitted within 30 days to: Department s Division 93301 of any forms are needed they can be picked up from the Division at 2130 "G"' Street in person. Sincerely ,/ /Ralph E. HuecF"~ ' ' Hazardous Materia.ls Coordinator REH/eg BAKERSFIELD CITY FIRE DEPAR~ 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RF C IVIgO tUSINESS NAME HAZ ~%l~D O US BUS I NESS OFFICIAL USE ONLY 001195 FORM INSTRUCTIONS~ 1. To avoid further action, return this form by 2. TYPE/PRINT ~NSWERS IN 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTrFICATION DATA A. BUSINESS N~ME: Comm Air Mechanical Services 1231 R Street ZIP: 93301 BUS.PHON~: (805) 327-4714 B. LOCATION / STREET ADDRESS: Bakersfield CITY: SECTION 2: ~'RGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7SS0 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required bY law. ~MPLOYEES TO NOTIFY IN CASE OF F,MERGENCY: N~ME .%ND TITLE Db~ING BUS. HRS. A. Mike Owens Ph~ 805-327-4714 B. Ro~er Benson Ph~ same AFTER BUS. ~RS. l:'h~ 805-327-4714 Ph~ same SECtiON 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/~~- B. ELECTRICAL: southeast corner of building C. WATER: southeast corner o uz zng D. SPECIAL: E. LOCK BOX~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS7 FLOOR PLANS? Southeast corner of building YES / NO YES / NO MSDSS? YES / NO KEYS? YES / NO BAKERSFIELD CITY FIRE DEPARTMENT 2~30 "G" STREET BAKERSFIELD, CA 93301 BUSINESS N~ME: OFFiCiAL USE ONLY ID# BUSINESS. PLak51 SINGLE FACILITY UNIT FORM SA INSTRUCTIONS _.. 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ~SWERS IN ENGLISH. $. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# 1 FACILITY UNIT N~E: Comm-Air Mechanical Services SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES The gas and liquid'material are stored single stocked on the floor next'to a wall.~ The 'chemicals stored-a~e-.water-.Soluble-. .... We would .// dilute with water and cl~%n up with mops and rags. The refrigerant. is non toxic and non flamabl'e. If a freon leak occurs it would evaporate. 'We would open doors to ventilate as it does display oxygen. SECTION 2: NOTIFICATION AS'D EVACUATION PROCEDURES AT THIS b~IT ONLY This building is used primarily as a warehouse, we do not have an office or warehOuse employees at-this building. ~O~TH SCALE: SITE/FACILITY FORM 5 BUSINESS N~ME: FL00R: ] OF I DATE:/2/24/~'~ FACILITY NAME: (c~Ec~ 0N~) szr~ D[AOR~ / FACILITY D IAGR.%M f~ 700 ((( Ins._---~_ ector' s Comments): -0FFICIAL USE ONLY- SEc'rION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE We have first a±d k±ts and fire extinguisher at the shop and on the service trucks. Mechanics are all advised to phone 911 for emergency situations. SECTION ~: LOCAL D~ERG~'3~CY MEDICAL ASSISTANCE FOR YOI~R BUSI~SS ~S A W~0LE Memorial Hospital Mercey Hospital 420 34th Street, Bakersfield 327-1792 2215 Truxton, Bakersfield 327-3371 SECTION 6: EMPLOYh'~ TRAINING ~MP[OYERS .ARE REQUIRED TO FAVE A PROGPJ~M WHICH PROVIDES ~MPLOY~S WITH .~ITIAL RE~ESI:[ER TRAINING IN ~E FOLLOWING ~AS. CIRCLE ~S OR NO INITIAL A. ~THODS FOR SAFE ~LING OF ~KARDOUS ~RI~S : ...- .................................... NO B. PROCEDURES FOR CO0~INATING A~IVITIES WITH RESPONSE AGENCIES: .......................... ~S .~ C. PROPER USE OF SAFE~ EQUIPMES~: .................. D.~ERGEN~A~ATIONPROCED~ES: ................. E. DO YOU ~I~AIN EMPLO~E T~INING RECORDS: ....... *Our building is used for a warehouse. SECTION ?:. ~ZARDOUS ~TERI~ REFRESHER NO ' · YES ~ We have no office employees. CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LES~ TFlX $00 POL%~OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... I~de~stand tha~ this information will be used to fulfill.my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. Z0 Chapter 6.9§ Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. - 2B - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONlY A. Does this Facility Unit contain Hazardous Materials? ...... ~ 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 Fire extinguishers SECTION §: LOCATION OF WATER SL~PLY FOR USE BY EMERGENCY RESPONDERS Fire hydrant located at the southeast corner of R Street and California SECTION 6: LOCATION OF %~rILITY SHb"r-OFFS AT THIS b~IT ONLY. A. NAT. GAS/PROPANE% Southeast corner of building B. ELECTRICAL: Southeast corner of building C. WATER: .Southeast corner of building D. SPECIAL: E..LOCK BOX: YES.~/, IF YES, LOCATIO.~i: IF YES, SITE PLANS? FLOOR PLANS? YES / .¥0 YES ," XO MSDRs? KEYS? YES " YES ' YO - 3B - UAKI~I(,~I;IEIoU t;! lY i'll{ii UEI'AI(IHkNJ' FORM ,4A-I NON--TRADE SECRETS ItAZARDO US MATERI ALS' I NVENTORY NAME: Cumin Air Mechanical Services 1231 R Street : Bakersfield 93301 ~: (80'~) 327-4714 OWNER NAME: Cain AME Church ADDRESS :. 63(] California St. CITY,ZIP: Bakersfield 93304 P,ONE #: (805) 325-9224 ,o, 2 MAX AMOUNT 3 ANNUAl, AMUUNT 42 15 ' 18 12 15 10 55 30 20 10 30 20 25 '20 20 10 Keith D. Harold CY ,CONTACT :Mike Owens ? LOCATION FACILITY Northeast Wall Northeast Wall Northeast Wall Northeast Wall Northeast Wall South Wall South Wall South Wall South Wall South Wall IN Tills UNIT 8 ~ nY WT ;,,, ClIEMIqAL FACILITY UNIT FACILITY UNIT NAME:Warehous~ ~ {D~Fi~IAb USE CFIRS o ___--- ~ Io IIAZARI{ OR COMMON NAME CUUE NFl G R-12 -r~ gerant-Dechl Orodi fl NFLG R-502-Chl ~fl uoroi thm NFLG Refri gerant-Choroi defl uormet~ ~ R-500 F1 ' N,F. LG . WF68 Texaco Refri~ WF32 Texaco Refri( Refrigerant -cc13~ R-11Trichloromon¢ Sanacore 2301 Organic Sanacore 2605 Phosphonate RMS Sanasolu 2912 Gleaner-Organic soap Soui;h Wall Sol uent South Wall WF68 Refrigeram South Wal 1 ' ~ TITLE: Service Adminis~'~ati~i~IONATURB~ ~ ! ' ~' TITI, E~ Foreman ~ ~ ..' PIIONE # BUS AFTER BUg CONTACT: Roger Benson CODE l~ .0 .T OUIDE X OGPX ORMS OGPX TITLE~ Branch Manaqer PllONE # AFTER OATE:~ flOURS :80fi-327-471 4 llRS = 805-327-4714 BUS IlOURS: same BUS. IIRS: same an Amtech Mechanical Services Company 5519 East Hedges Fresno, CA 93727 (209) 251-8439 Lic. #233345 February 10, 1988 .. '..~:::~s4:'t:a~:'~; ~'hemical br'ea~'a'~~~n~;~mati~ R-22'Refri'ge,rant' R7!2 Refr.ig~rant R-502 Refrigerant 'R-~OO.Refrigerant If'y0u'need'further R-II Refrigerant 260'5 Sanicore assistanCe, please feel free to contact Sincerely, Purchasing ~ KH:lP Enclosures a division of Amtech Serwces Inc. · elevator, energy, lighting and mechanical services · an ~ company