The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANl]~tzardoss ]~l=terisidl~szard[oa~ W~ ~=ified l'ermit CONDmONS OF PER~IT ON REVERSE SIDE K C FIRE DEPT STATION 65 'X?:?"~ ~iiiii~d??:!i!x::!!!!!::'::;??~'i'i:i~:'ii!:;'°;??i?'i:;:~~~ %~,,-'""-~ "~,, ~¢~[[ "*~5~,. '~":~.~: .~'";., '~,[i=~ 'i,''~,L~' ' ..~:'~¢~;~[~ ~¢; ' ". ~' ~r I TE/FAC ILI TY FORM 5 DI. AGRAM NORTH SCALE: BUSINESS.NAME: :' FLOOR: OF 1" = ~0!, Kern County Fire DeFartment N~A DATE: / / FACILITY NAME: UNIT #: OF Station 65 65 (CHECK ONE) SITE DIAGRAM X FACILITY DIAGRAM q$'oo VACA 7' " N 'FSJ3 InspectoP's Comments): J I I V,~ C~,~,/' I I j :;r.Z'~-,Z,O' [. I ! I i -OFFICIAL USE 0NLY- - j HMCU-13 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715. Chester Ave., 3r~ Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS FACILITY CONTACT INSPECTION TIME Section 1: INSPECTION DATE ~----~/ PHONE NO..~'~' ~]>'.-- ~ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Business Plan and Inventory Program /~-.Routine [221 Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: [] Yes Questions regarding this inspection.? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business. Copy ./~Busi~~ Inspector: ~/,'-'v~'----~ 03/01/94- K C FIRE .DEPT STATION 65 215-000-000-1~42 ~/.^~' Overall Site with 1, Fac. Unit /~_~V~~ Pa ge 1 · ' General Information ' ~F~ Location: 9420 ROSEDALE HWY Map:102 Ham:0' Type: 1 Comunity: COUNTY STATION 65 Grid: 20C F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- CONTROL 4 DISPATCH ( ) -911 x ( ) - 911 BATTALION CHIEF (805) 861-2561~x (805) 393-1054 Administrative Data Mail Addrs: 5642 VICTOR ST D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93308- Com Code: 215-065 COUNTY STATION 65 SIC Code: 9224 Owner: KERN COUNTY FIRE DEPARTMENT Phone: (805) 861-2565 Address: 5642 VICTOR ST State: CA City: BAKERSFIELD Zip: 93308- Sugary ~-~~ HMCU ~, Z$.,~,,/o,"m,~, o, ~,,.,,, ''~~'''''3~''Do hereby certify reviewed the attached hazardous rna~eria~ ~n~ p~an for ~'/~. g 5'~ and ~ 03/01/94 Pln-Ref Name/Hazards ! K C FIRE DEPT STATION 65 215-000-000142 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Form Max Qty Page 2 MCP 02-~001_.. , 3 ) ~ Fire, Immed Hlth De 02 - 0'02C~/ENT 55 Moderate GA--L-----------~ J 03/01/94 K C FIRE DEPT STATION 65 215-000-000142 02 - Fixed Containers on Site Hazmat Inventory.Detail ~n MCP Order Page 02-001 GASOLINE,(tank closed 4/1/93) · Fire, Immed Hlth, Delay Hlth Liquid 580 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid . Type: Pure Days: 365 Use: FUEL Daily Max GAL 580 I Daily Average GAL 290.00 Annual Amount GAL 4,300.00 Storage UNDER GROUND TANK Press T Temp Location IAmbient~AmbientlW SIDE OF WASH RAMP NEXT TO GAS -- Conc 100.0% IGasoline Components MCP --TGuide IModerateI 27 02-002 SOLVENT · Delay Hlth Liquid 55 Moderate GAL CAS #: 8030306 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 55.00 Annual Amount GAL -- 55.00 Storage DRUM/BARREL-METALLIC Press T Temp Location .IAmbientjAmbientlINSIDE/METAL CLAD BLDG NW CORNER -- Conc 100.0% INaphtha Solvent Components MCP ---TGuide ModerateI 27 03/01/94 K C FIRE DEPT STATION 65 215-000-000142 Page 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification KERN COUNTY FIRE DEPT WILL, IN THE EVENT OF AN EMERGENCY, NOTIFY CONTROL 4 (DISPATCH) AND ADVISE THE NATURE AND LOCATION OF THE EMERGENCY. AN INITIAL RESPONSE OF STATION EQUIPMENT AND PERSONNEL WOULD THEN TAKE PLACE. ANY ADDITIONAL MANPOWER EQUIPMENT OR ALLIED AGENCIES CAN BE REQUESTED THROUGH DISPATCH. (PER KCFD RESPONSE MANUAL). <2> Employee Notif./Evacuation DICISION TO EVACUATE WILL BE MADE IF DEEMED NECESSARY BY THE STATION CAPTAIN OR SENIOR OFFICER AT THE TIME OF THE INCIDENT. CONTROL 4 WILL BE NOTIFIED AS SOON AS POSSIBLE, ONCE EVACUATION IS COMPLETE AND HEAD COUNT OF PERSONNEL IS TAKEN. PERSONNEL WILL BE EVACUATED TO A SAFE AREA UPWIND. THE NATURE AND THE LOCATION OF THE INCIDENT WILL BE GIVEN TO DISPATCH (CONTROL 4) AND EVACUATION OF THE PUBLIC WILL BEGIN. <3> Public Notif./Evacuation <4> Emergency Medical Plan BURN INJURIES FOR KCFD EMPLOYEES (OPERATIONAL PROCEDURE 205.10). "ANY ,FIREFIGHTER WHO SUFFERS SERIOUS BURN INJURIES REQUIRING MEDICAL TREATMENT WILL BE IMMEDIATELY TRANSPORTED TO THE NEAREST AVAILABLE 'BURN CENTER' BY THE FATEST MEANS AVAILABLE. LOCAL HOSPITALS: KMC - 1830 FLOWER ST - 32226-2000 SAN JOAQUIN - 2615 EYE ST - 395-3000 MERCY - 2215 TRUXTUN AVE -.327-3371 LOCAL AIR AMBULANCE: WESTAR ~AIR AMB - 1965 AIRPORT DR - 392-9499 03/01/94 K C FIRE DEPT STATION 65 215-000-000142 00 - Overall,Site <D> Notif./Evacuation/Medical Page 5 <4> Emergency Medical Plan (Continued) LOCAL GROUND AMBULANCE: HALLS AMB - 1001 21ST ST - 327-4111 GOLDEN EMPIRE - 801 18TH ST - 327-9000 03/01/94' K C FIRE DEPT STATION 65 215-000-000142 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention IN THE EVENT OF AN EMERGENCY, LEAK, OR SPILL OF A HAZARDOUS SUBSTANCE, THE BATTALION CHIEF WILL BE NOTIFIED BY DISPATCH. WITH PROPER SAFETY EQUIPMENT, QUALIFIED PERSONNEL WILL TAKE CORRECTIVE MEASURES TO STABILIZE THE SITUATION AND NOTIFY DISPATCH TO CONTACT ANY NECESSARY AGENCIES. (PER KCFC OPERATIONAL PROCEDURE). PROVIDE CLASSROOM AN PRACTICAL TRAINING FOR EMPLOYEES IN HAZARDOUS MATERIALS EMERGENCIES, FIRST AID, PROTECTIVE CLOTHING, RESPIRATORY DEVICES, AND MONITORING EQUIPMENT. ANNUAL REVIEW OF THE MSDS'S WILL BE CONDUCTED BY EACH SHIFT AT EVERY STATION. <2> Release Containment <3> Clean Up <4> Other Resource Activation 03/01/9~ K C FIRE DEPT STATION 65 215-~000-000142 00 - Overall Site <F> Site Emergency Factors Page 7 <1> Special Hazards <2> Utility Shut-offs A) GAS - OUTSIDE, E WALL OF STATION B) ELECTRICAL - INSIDE, HEATER ROOM (NEAR THE CENTER OF STATION) C) WATER - OUTSIDE, E WALL OF STATION (NEXT TO GAS SHUT OFF) D)~SPECIAL - N/A' E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THIS STATION IS EQUIPPED WITH - 1 FIRE ENGINE WITH PUMP AND 1000 GALLON TANK; 1 PICKUP WITH .PUMP AND 200 GALLON TANK. BOTH PIECES OF EQUIPMENT ARE MANNED AROUND THE CLOCK. <4> Building Occupancy Level 03/01/9~ K C FIRE DEPT STATION 65 215-000-000142 00 - Overall Site Page. 8 <G> Training <1> Page 1 <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use -----KERN COUNTY FIRE DEP~ 5642 VICTOR STREET BAKERSFIELD, CA '93308 (805) 861-276! NOV 0 9 1987 KCFD HMCU --BUSINESS NAME OFFICIAL USE ONLY ID# INSTRUCTIONS: ' ~ HAZARDOUS BUS I NESS PLAN AS F O RI~I 2A lwI~kTE R I ALS A WHOLE 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3; Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: Kern County Fire,Department Station # 65 B. LOCATION / STREET ADDRESS: CITY: Bakersfield 94~0 ~ocedale Highway ZIP: 9~312 BUS.PHONE: (805) 861-2~65 SECTION 2: ENEROENCY NOTIFICATIONS' ~' In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550' or 1-916-427-4341. This will notify · your local fire department and the State Office of Emergency Services as required by law. 'EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. A. Control 4 (Dispa. t~h) Ph# 911 B. Battalion Chief Ph# ~I-256i AFTER BUS. HRS. Ph#. 911 Ph# 393-I054 SECTION' 3: LOCATIONOV UTILITY $~]T-OFF$ FOR BUSINESS ~ A T~I~OL~ A.'NAT. GAS/PROPANE: Qctside / E~$t wgll 0f station B. ELECTRICAL: Tn~Sde ./ Henter room (Near the center of station)'- C. WATER: Qnt~Sda / E~st w~ll of station (Next to ga~ shut off) D. SPECIAL: N/A E. LOCK BOX:.YES / NO IF YES, LOCATION: N/A IF YES, DOES IT CONTAIN SITE PLANS? - FLOOR PLANS? YES / NO YES / NO MSDSS? YES / NO KEYS? YES / NO 'Over- HMCU-4 · ~E'CTION'~':' '~R~VATE RESPONSE.TEAN FOR BUSINESS AS A W~IOL~. Keqn:.[Cqunt~'iF~re Department will., in the event of an emergency notify Control 4 (Dispatch) and advise the nature,and location of the emergency. An initial reSponse l of station,equ~ipment and personnel would then take place. Any additional manpower, eq~nt dr Killed agencies can b~requested through dispatch. (Per KCFD Response Manual.) : FIRE FIGHTING SERVICES: Structure, Rescue, Medical Aid, Watershed, Aircraft Crash. SPECIAL RESPONSES,: .... Bomb..,Threats,,}Ci~il,Dlaobedience,and,Dl$order. Hazardous Materials, KCFD Earth Quake and Flood Plan. Public Services are provided for.the safet~ of public !ire, property and environment. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A MltOLR Burn~'injuries fo~.iKCfDi:.emplojcees4Opeuational Procedure 205.-1,0) "~n~ firefight'er"~hb'~hffers serious 'burn'injuries 'requiring medical t~eatm~nt'Will be immediately transported to the nearest available 'burn center' by the fastest means available." LOCAL HOSPITALS: K;Y~.G. 18~0 Flower' Street Bakersfield, GA ~26-2000 San Joaquin 2615 Eye Street' Bakersfield, GA 395-3000 Mercy 22.15 Truxtun Avenue Bakersfield, GA. ~27-3~71 LOCAL AIR AMBULANCE: ~estar Air Amb. '~96> Airport'Drive Bakersfield, CA ~9~-9~99 LOCAL GROUND AMBULANCE: Halis Amb. !001 21st STreet Bakersfield, CA ~27-4111 Gol~en Empire Amb, 801 18th Street Bakersfield., CA ~27~9000 SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES O'R NO INITIAL A. METHODS FOR SApE HANDLING OF HAZARDOUS MATERIALS ' ~ NO ~CTIVITIES WITH"RESPONSE AGENCIES:F .... > ............ ........ ~ NO ~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO d~ NO '.E,. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... '~ NO ~ NO REFRESHER " C'~ NO I, . Gene Peoples · ' , certify that the above, information is accurate. I understand~that-thls information will be used to fulft'll my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. ~5500.. ~. ETA1.) and. that inaccurate information constitutes perjury. BUSINESS NA~E: KERN COUN~ FIRE DEPAR~ENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 OFFICIAL USE ONLY ID# BUS I'NESS PLAN SINGLE FACILITY 'UNIT INSTRUCTIONS 1. To avoid further action, this form must be returned by: .. 2. 'TYPE/PRINT YOUR ANSWERS IN ENGLISH. 31 'AnSWer the questiOns 'belOw fop THE FACILITY.UNIT'LISTED BELOW 4. Be as BRIEF and CONCISE as possible· SECTION 1: ~ITIGATION, PREVENTION, ABATE[lENT PROCEDURES ABATEMENT MITIGATION: In the event Of an emergency, leak, or spill of a hazardoUs substance., the Battalion Chief will be notified by dispatch. With proper safety equipment, qualified personnel will take corrective measures to stabilize the situation and notify dispatch to contact any necessary agencies. (Per KCFD Operational P~ocedure.) PREVENTION: Provide classroom and practical training for employees in hazardous materials emergencies, first aid, protective clothing, respiratory devices, and monitoring equipment. Annual review .of the MSDS's will be conducted by each shift at every statlon. SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT T~IS UNIT ONLY' Decision to'evacuate will be made if deemed necessary by the station cap%aiL --~--~~f~ie~er at the time of the incident.' Control soon as possible, once evaduation is complete,& Head count of personnel is taken. Personell will be evacuated to a safe area upwind. The nature and the location of the incident will be given to dispatch(Control'S) and evacuation of the public will begin. SECTION 3: HAZARDOUS NATERIALS 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 as defined by Section 6254.7 of the Government Code? YES ~NO) If'No,' complete a separate hazardous materials inventory ':'""for~'maPked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY ('yellow form #4A-2) tn addition to the non-trade secret form.' List only the trade secrets on form 4A~2. SECTION 4:' pRIVATE FIRE PRO?ECTION This station is equiped with: l-fire engine with pump and 1000 gallon tanM; 'l-pick-up. wifih pump and 200 gallon tank. Both pieces:-,of equipment are manned arround the clock. .(. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EI~ERGENCY RESPONDERS Hydrant - Suuthwest corner of property ....... SECTION'6: LOCATION OF UTILITY'SMUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS/PROPANE: Outside / East wall of station B. ELECTRICAL: Inside / Heater 'room (Near the center of station) C. WATER: ; J ':.Qutsid~'/';Ehst'wa!l of'station (neJt to gas .shut off). ¥ D', SPECIAL :' . ~/A '... E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR'PLANS? YES / NO MSDSs? KEYS? YES / NO YES / NO HMCU-6 BUSINESS'NAME~ ADDRESS: CITY, ZIP: PHONE #: 1 TYPE CODE 2 MAX MOUNT 3 ANNUAL AMOUNT P 580.:. 4300 P 55' 55 ' NAME.:___~e Pe~es EMEROENCY CONTACT: Control 4 (Disp;~tch) EMERGENCY CONTACT: n.i,,-+.'~4~ Chief PRINCIPAL BUSINESS ACTIVITY: KERN COUNTY F?--'~ DEP~.FTMEN'i' 7'. FORM _'.i'~1 NoN--TRADE SECRETS ~ ARD. OUS lv~.aT E RI ALS I NUB NT <~.- Fire Department 'OWNER NAME': 'County of Kern ADDRE:SS: 111_5 Tin. tun Avenue ClTy,:zIP: B,qkmrmfSa]dc CA 95301 West side of wash ramp TITLE:_ TITLE:, FACILITY UNIT. #:..65 'FACILITY UNIT NAME: Stat{on 65 . I OFFICIAL.~SE --ONLY 7 9 LOCATION IN .THIS FACILITY UNIT CHEMICAL OR COMMON NAME Leaded .Gasoline Solvent IIOURS ItRS: ..PHONE # BUS HOURS: :' 'AFTER BUS HRS: Inside/Sletal Clad Bldg. NoWest corner of Pro' TITLE Fire Sta'~i.,o'n. ' CFIRS CODE HAZAERD D..O. COD GUID FLL~ CMLQ DATE: 11/, .<3_1_3 HMCU'-9 Farg and %~,cu~ture ~** J ,md r - ~ St ard Business ~ - J ,' ' ~x Average Annua I ~asure C~t c~t ~t ~t Est Units iy~ Press r---~ - .__ I .......... ~.~ .............................. ' ~ Release of Presume ~ Site ~-~ ~ HAZARDOUS ~A'~,~__.RT ALS ~ NV~-NTORy Iran~ I¥~ Code Code ~ Ilealth ~---' Reactivity ~LT". lanediate Health ~- ' Imediete Health t. ~., Fire -'--, J Reactivity Fl''r 1 c _ J Fire ~ 4 J Reactivity L_., Oelayed Health ~=~ C.A.S. I~ber " ............. ;-::-:_:-; ....... ' 13) I ~ ~ I [ '~-~': ~ Releas~ .of Pr~ ~ Site ....... .' ~ -~ Nlay~ Health ~.A.S. Nu~r , , ~ ..,.: I1) I OdyS i I . t -' ~dd~ Release of Pressure ' ~ S~te ...... ~ I0 II Use % by Code I,~ediate Health Fire -' Reac!ivily c-*-' Oelayed Health C.A.S. Nueber , ' , . ' 13) I Oays * I. :''~ Sudde. Release of Pressu:'. : on Site · --: J & ¢.A.s. ~t & C.A.S. ~&C.a.S. ~Gc.a.s. Pre~m:t ~ ~ a'C.~.S. ~ a C.a.S. ~&C.A.$. caq.,, t G ~t&C.A.S. ~t&C.R.S.