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.$. Humber
Component U Name I C.A.S. Number
13 Sudden Release 13 Immediate
of Pressure Health
Component Il Name I C.A.S. Number
CITY of BAKERSFIELD
i~ Z A R DOI. J S MATEitIALS INVENTORY
Standard Business NoN - 'I'RAD~ S I.:CR~'i.'S '
6 t ,:!, .lie,es of ,,,,u,e,C~,ponen,s
~ea~e I ~[e See InstFu:t~ons
Units
I l
Ith Hazard
apply)
fire Hazard 13 Reactivity !] Delayed
Health
8 ! 10 II
~ont ~ont ~ont Us toc~tion WhHe
lype 'Press lemp Cote in facility
Stored
F-'-I---T--I-- ' 1
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I
PhySical mod Health Ualard
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Component 13 Name
EHERGEIICY COItTACI S
i C.A.S. Humber
I C,A.$. 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 ."' - ---
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i'l~EecJ alt t~a[ applyJ
t.! Fi~e Hazud [J aeactivitl
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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~
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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