HomeMy WebLinkAboutBUSINESS PLAN 12/30/2003
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Permit ID #:: 015-000-001137
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Hazardous Materials/Hazardous Waste Unified Permit
~ , CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
It) Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site "Treatment
LOCATION: 4520 STINE RD 7
-
Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
Issue Date
June 30,· 2003
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Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
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PERMIT ID# 015-021.001137
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LOCATION
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Issued by:
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Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor'
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
4520
STINE
This permit is issued for the following:
'¡¡Hazardous Materials Plan
round Storage of Hazardous Materials
agement Program
Waste
Approved by:
*~
ph Huey,
ffice of ental Servi es
dune 30, 2000
Expiration Date:
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SiteID: 015-021-001137
Manager
Location: 4520 STINE RD 7
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 14C
(661) 833-1902
CommHaz : Minimal
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 13
EPA Numb:
SIC Code:
DunnBrad:14-868-2933
Emergency Contact / Title
FABIO M RUSSONIELL / OWNER
Business Phone: (661) 833-1902x101
24-Hour Phone (661) 398-6160x
Pager Phone (661) 863-2846x
Emergency Contact
DAVID BOPP
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ ENG MGR
(661) 833-1902x121
(661) 831-9707x
(661) 336-4002x
Hazmat Hazards:
Fire Press
ImmHlth
Period
Preparer:
Certif'd:
parcelNo:
to
Phone: (661) 833-1902x
State: CA
Zip 93313
Phone: (661) 833-1902x
State: CA
Zip 93306
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact :
MailAddr: 4520 STINE RD 7
City BAKERSFIELD
Owner
Address
City
F RUSSONIELLO
3200 CLEARWATER
BAKERSFIELD
Emergency Directives:
~~ ')...,
Fabio M. Russoniello '
I, TV . \ . Do hereby certify that I have
( , , pi:! or pn-'1t nRm~.
reviewed the atta.ched hazardous materials manaQe-
- ~
ment plan for t;st~. _and that it along wHh
(NRme 01 8usmess)
any corrections constitu1e a complete and correct man-
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08/05/2003
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F ESYS
f= Hazmat Inventory
f== MCP+DailyMax Order
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SiteID: 015-021-001137 ï
By Facility Unit 9
Fixed Containers on Site 9
IH
IH
IH
DailyMax MCP
G 150.00 FT3 Hi
G 244.00 FT3 Low
G 6000.00 FT3 Min
Hazmat Common Name...
SpecHaz EPA Hazards
ACETYLENE
OXYGEN
NITROGEN
E
F P
F P
F P
-2-
08/05/2003
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F ESYS
f= Inventory Item
= COMMON NAME /
ACETYLENE
0002
CHEMICAL NAME
SiteID: 015-021-001137 ~
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
HEADQUARTERS - SHOP
Map:
Grid:
CAS#
74-86-2
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container Daily Maximum Daily Average
150.00 FT3 150.00 FT3 70.00 FT3
AMOUNTS AT THIS LOCATION
HAZARDOUS COMPONENTS
G;]
CAS#
748621
I l~~~ôoIAcetYlene
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
-3-
08/05/2003
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.
.
F ESYS
f= Inventory Item 0001
= COMMON NAME / CHEMI CAL NAME
OXYGEN
SiteID: 015-021-001137 9
Facility Unit: Fixed Containers on Site 9
Location within this Facility Unit
HEADQUARTERS - SHOP
Map:
.,
Grid:
Days On Site
365
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
244.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
244.00 FT3
Daily Average
122.00 FT3
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
HAZARD ASSESSMENTS
-4-
08/05/2003
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.
.
F ESYS
f= Inventory Item
= COMMON NAME /
NITROGEN
0003
CHEMICAL NAME
SiteID: 015-021-001137 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
HEADQUARTERS - WAREHOUSE
Map:
Grid:
CAS #
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
6000.00 FT3
Daily Average
1800.00 FT3
HAZARDOUS COMPONENTS
~
No
CAS # I
7727379
I l~~~ooINitrOgen
HAZARD A T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
SSESSMEN S
-5-
08/05/2003
;c..
.
.
Employee Notif./Evacuation
SiteID: 015-021-001137 ~
Fast Format ~
Overall Site 9
09/13/2000 ]
04/19/1996
F ESYS
I
p= Notif./Evacuation/Medical
r=: Agency Notification
CALL 911.
IN THE EVENT OF AN UNCONTROLLED OXYGEN LEAK VENTILATE AREA BY OPENING GARAGE
DOOR. IN THE EVENT OF AN UNCONTROLLED ACETYLENE LEAK VENTILATE BY OPENING
GARAGE DOOR, DO NOT CAUSE SPARKS OR FLAMES, NOTIFY OFFICE PERSONNEL TO
EVACUATE AND CALL 911. IN THE EVENT OF TEST GAS LEAK VENTILATE AREA.
Public Notif./Evacuation
09/13/2000 ]
04/19/1996
I NOT
NECESSARY.
Emergency Medical Plan
WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000.
-6-
08/05/2003
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F ESYS
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f= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-001137 9
Fast Format 9
Overall Site 9
09/13/2000
CLOSE MAIN TANK VALVE ON WELDING EQUIPMENT AFTER USE. IN THE EVENT OF MAIN
VALVE FAILURE USE REGULATOR VALVES OR HOSE VALVES. NOTIFY HOPPER FOR REPAIR.
Release Containment
[
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Clean Up
Other Resource Activation
-7-
08/05/2003
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F ESYS
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f= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - NW FACE OF BLDG
C) WATER - W SIDE OF BLDG ON STINE
D) SPECIAL - NONE
E) LOCK BOX - NO
SiteID: 015-021-001137 ì
Fast Format 9
Overall Site ì
I
09/13/2000
NEAR MAIL BOX
Fire Protec./Avail. Water
09/13/2000
PRIVATE FIRE PROTECTION - BLDG IS EQUIPPED WITH AUTOMATIC SPRINKLER SYSTEM
AND SPRINKLER ALARM. OFFICE IS EQUIPPED WITH 2 TYPE ABC FIRE EXTINGUISHERS.
FIRE HYDRANT - 2 PUBLIC, 1 PRIVATE LOCATED ON W SIDE OF COMPLEX ON STINE RD.
Building Occupancy Level
-8-
08/05/2003
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SiteID: 015-021-001137 9
Fast Format 9
Overall Site 9
09/13/2000
F ESYS
I
F Training
Employee Training
WE HAVE 13 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. MSDS SHEETS AVAILABLE AND
CHECKED QUARTERLY IN EMPLOYEES FILE. THEY KEEP COPIES OF THERE OWN PLUS THE
MASTER COPY IN THE OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS WEEKLY, DOCUMENTATION OF
ATTENDANCE AT THIS TIME IS ONLY KEPT IN THE EMPLOYEES QUARTERLY REVIEW
SHEET. THEY ARE GOING TO START KEEPING RECORDS OF TOPICS AND WHO ATTENDED.
Page 2
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Held for Future Use
Held for Future Use
-9-
08/05/2003
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SiteID: 015-021-001137
CommCode:
EPA Numb:
4520 STINE RD 7
BAKERSFIELD ~
BAKERSFIELD STATION 13~~ .
BusPhone:
Map : 123
Grid: 14C
(805) 833-1902
CommHaz : Minimal
FacUnits: 1 AOV:
Manager
Location:
City
SIC Code:
DunnBrad:14-868-2933
Period
Preparer:
Certif'd:
to
Emergency Contact / ~ Title
~vlp ::Do~ / CJ.Jq ""1 a (21
BUSlness hone: (Údl )853 _ I C,ð "2 x
24-Hour Phone (v "I )83/ -Cf'N7x
Pager Phone (ÚtJ( )33~ -7'ô?2.. x
Fire Press ImmHlth
Phone: ( x
State: CA
Zip 93313
Phone: (805) 833-1902x
State: CA
Zip 93306
TotalASTs: Gal
TotalUSTs: Gal
RSs: No
Emergency Contact / Title
FABIO M. RUSSONIELL L
Business Phon~/(~) 833-1902x jDf
24-Hour Phone(.,G.! (~) 398-6160x
Pager Phone (U/ ) g, 3 - 28'-ffox
Hazmat Hazards:
Contact :
MailAddr: 4520 STINE RD
City BAKERSFIELD
Owner
Address'
City
F RUSSONIELLO
3200 CLEARWATER
BAKERSFIELD
Emergency Directives:
A)
Hazmat Common Name...
I
One Unified List 1
All Materials at Site 1
EPA Hazards DailyMax MCP
F P IH G 244.00 FT3 Low
F P IH G 150.00 FT3 Hi
F P IH G 6000.00 FT3 Min
f= Hazmat Invento y
p== As Designated Order
, OXYGEN
ACETYLENE
NITROGEN
I, FIf. j!()SSOf'olléLL 0 Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for CsV.s- and that it along with
(!\tame of Business)
any corrections constitute a complete and correct man-
agement plan for my facility.
1
9-8 -(}o
Date
09/05/2000
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e
SiteID: 015-021-001137 l
Facility Unit: Fixed Containers on Site l
F ESYS
p= Inventory Item 0001
= COMMON NAME / CHEMI CAL NAME
OXYGEN
Days On Site
365
Location within this Facility Unit
HEADQUARTERS - SHOP
Map:
Grid:
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
244.00 FT3
Daily Average
122.00 FT3
T
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONEN S
HA D A ES MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
ZAR SS S
p= Inventory Item 0002
F= COMMON NAME / CHEMI CAL NAME
ACETYLENE
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
HEADQUARTERS - SHOP
,
Map:
Grid:
CAS #
74-86-2
TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
\ .
Dally Maximum
150.00 FT3
Daily Average
70.00 FT3
%Wt. RS CAS #
100.00 Acetylene, Yes 74862
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
-2-
09/05/2000
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F ESYS
p= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
NITROGEN
SiteID: 015-021-001137 9
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
HEADQUARTERS - WAREHOUSE
Map:
Grid:
CAS #
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
6000.00 FT3
Daily Average
1800.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Nitrogen No 7727379
"
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-3-
09/05/2000
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Employee Notif./Evacuation
SiteID: 015-021-001137 1
Fast Format 1
Overall Site 1
04/19/19961
04/19/1996
F ESYS
I
p= Notif./Evacuation/Medical
~ Agency NotifiC, ation
CALL 911
IN THE EVENT OF AN UNCONTROLLED OXYGEN LEAK VENTILATE AREA BY OPENING GARAGE
DOOR. IN THE EVENT OF AN UNCONTROLLED ACETYLENE LEAK VENTILATE BY OPENING
GARAGE DOOR, DO NOT CAUSE SPARKS OR FLAMES, NOTIFY OFFICE PERSONNEL TO
EVACUATE AND CALL 911. IN THE EVENT OF TEST GAS LEAK VENTILATE AREA.
Public Notif./Evacuation
04/19/1996 ·1
04/19/1996
NOT NECESSARY
Emergency Medical Plan
WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000.
-4- '
09/05/2000
..
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e
F ESYS
I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-001137 l
Fast Format l
Overall Site l
01/07/1990
CLOSE MAIN TANK VALVE ON WELDING EQUIPMENT AFTER USE. IN THE EVENT OF MAIN
VALVE FAILURE USE REGULATOR VALVES OR HOSE VALVES. NOTIFY HOPPER FOR
REPAIR.
Release Containment
r
I
I
Clean Up
Other Resource Activation
-5-
09/05/2000
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SiteID: 015-021-001137 1
Fast Format =¡
Overall Site =¡
I
F ESYS
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
01/07/1990
A) GAS - NONE
B) ELECTRICAL - NORTHWEST FACE OF BUILDING
C) WATER - WEST SIDE OF BUILDING ON STINE NEAR
D) SPECIAL - NONE
E) LOCK BOX - NO
MAIL BOX
Fire Protec./Avail. Water
01/07/1990
PRIVATE FIRE PROTECTION - BUILDING IS EQUIPPED WITH AUTOMATIC SPRINKLER
SYSTEM AND SPRINKLER ALARM. OFFICE IS EQUIPPED WITH 2 TYPE ABC FIRE
EXTINGUISHERS.
FIRE HYDRANT - TWO PUBLIC AND ONE PRIVATE LOCATED ON WEST SIDE OF COMPLEX
ON STINE ROAD
Building Occupancy Level
-6-
09/05/2000
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í ESYS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001137 ¡
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íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡
íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/19/1996 ¡
o 0
o WE HAVE 13 EMPLOYEES AT THIS FACILITY.
o
o
o
o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
0'
o
o
o MSDS SHEETS AVAILABLE - DECKED QUARTERLY IN EMPLOYEES FILE. THEY KEEP 0
o COPIES OF THERE OWN PLUS THE MASTER COPY IN THE OFFICE. SAFETY MEETINGS 0
o WEEKLY, DOCUMENTATION OF ATTENDANCE AT THIS TIME IS ONLY KEPT IN THE 0
o EMPLOYEES QUARTERLY REVIEW SHEET. THEY ARE GOING TO START KEEPING RECORDS 0
o OF TOPICS AND WHO ATTENDED. 0
o
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.. · ESYS 215-000-001137 '~(Ç;~aw~~
4/11/96 Page 1
Overall Site with 1 Fac. Un 1:
APR 1 9 1996
General Information
.~
,uv }
Location: 4520 STINE RD 7 Map:123 Haz:l ~ 3
Type:
City . BAKERSFIELD Grid: 14C FlU: 1 AOV: 0.0
.
~ Contact Name Title - Contact Name Title
FABIO M. RUSSONIELL IO\\)~ERIGe.tJ. (V\A~Rb~ MAR'l'IN 08ERÞHRE I NO LDtV6£1<. wi (.()VY\ PA~Ý
Business Phone: (805) 833-1902x Busine::m rhORC: (805) 833 1902x
24-Hour Phone · (805) 398-6160x 21 HO\i:E" Phone ; (063) 397 7~
·
Pager Phone · ( ) - x Pager Phone . ( ) - x
· .
Administrative Data
Mail Addrs: 4520 STINE RD D&B Number: 14-868-2933
City: BAKERSFIELD State: CA Zip: 93313-
Comm Code: 215-013 BAKERSFIELD STATION 13 SIC Code:
Owner: M ~~Em[IRE ~ F RUSSONIELLO Phone: ( ) -
Address: 3200 CLEARWATER State: CA
City: BAKERSFIELD Zip: 93306-
Summary
~".ç'¡J, Do hereby certify that I have
(Type orp..ntnBUWt)
ravi3wed tho attached hazardous m&torials mai'iage·
-
mer.t plan for ~Th,~f iJwJii1t?sir-and that it along with
any corrections constitute a complete and correct man·
.
11,
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Dartt
-~
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04/11/96 ESYS 215-000-001137 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02-002 ACETYLENE Gas 150 High
~ Fire, Pressure, Inuned Hlth FT3
02-001 OXYGEN Gas 244 Low
~ Fire, Pressure, Inuned Hlth FT3
02-003 NITROGEN Gas 6000 Minimal
~ Fire, Pressure, Inuned HIth FT3
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04/11/96
ESYS 215-000-001137
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-002 ACETYLENE
~ Fire, Pressure, Immed Hlth
Gas
150 High
FT3
CAS #: 74-86-2
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
150 I 70.00 400.00
Storage r Press T Temp -:ì Location
PORT. PRESS. CYLINDER Above AmbientHEADQUARTERS - SHOP
- Conc l
100.0% Acetylene
Components
r; MCP ---¡Guide
High I 17
02-001 OXYGEN
~ Fire, Pressure, Immed Hlth
Gas
244 Low
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: OTHER
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
244 I 122.00 I 600.00
Storage r Press T Temp -:I Location
PORT. PRESS. CYLINDER Above AmbientHEADQUARTERS - SHOP
- Conc l
100.0% Oxygen, Compressed
Components
fî MCP ---rGuide
Low I 14
02-003 NITROGEN
~ Fire, Pressure, Immed Hlth
Gas
6000 Minimal
FT3
CAS #:
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: OTHER
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
6,000 I 1,800.00 I 2,400.00
Storage r Press T Temp ~ Location
PORT. PRESS. CYLINDER Above AmbientHEADQUARTERS - WAREHOUSE
- Conc l
100.0% Nitrogen
Components
fî MCP ---¡Guide
Low I 12
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04/11/96
ESYS 215-000-001137
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
IN THE EVENT OF AN UNCONTROLLED OXYGEN LEAK VENTILATE AREA BY
OPENING GARAGE DOOR. IN THE EVENT OF AN UNCONTROLLED ACETYLENE
LEAK VENTILATE BY OPENING GARAGE DOOR, DO NOT CAUSE SPARKS OR
FLAMES, NOTIFY OFFICE PERSONNEL TO EVACUATE AND CALL 911. IN THE
EVENT OF TEST GAS LEAK VENTILATE AREA.
<3> Public Notif./Evacuation
NOT NECESSARY
<4> Emergency Medical Plan
WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000.
·
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04/11/96
e
ESYS 215-000-001137
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
Page
5
<1> Release Prevention
CLOSE MAIN TANK VALVE ON WELDING EQUIPMENT AFTER USE. IN THE EVENT OF MAIN
VALVE FAILURE USE REGULATOR VALVES OR HOSE VALVES. NOTIFY HOPPER FOR
REPAIR.
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
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04/11/96
ESYS 215-000-001137
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - NORTHWEST FACE OF BUILDING
C) WATER - WEST SIDE OF BUILDING ON STINE NEAR MAIL BOX
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - BUILDING IS EQUIPPED WITH AUTOMATIC SPRINKLER
SYSTEM AND SPRINKLER ALARM. OFFICE IS EQUIPPED WITH 2 TYPE ABC FIRE
EXTINGUISHERS.
FIRE HYDRANT - TWO PUBLIC AND ONE PRIVATE LOCATED ON WEST SIDE OF COMPLEX
ON STINE ROAD
<4> Building Occupancy Level
of . .:¡. ~ &
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04/11/96
ESYS 215-000-001137
00 - Overall Site
Page
7
<G> Training
<1> Employee Training
WE HAVE ~~EMPLOYEES AT THIS FACILITY
E~_"'"
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
MSDS SHEETS AVAILABLE - DECKED QUARTERLY IN EMPLOYEES FILE. THEY KEEP
~COPIES OF THERE OWN PLUS THE MASTER COPY IN THE OFFICE. SAFETY MEETINGS ~EEKL~
:- /MOU'i'III:.Y, DOCUMENTATION OF ATTENDANCE AT THIS TIME IS ONLY KEPT IN THE
" EMPLOYEES QUARTERLY REVIEW SHEET. THEY ARE GOING TO START KEEPING RECORDS
OF TOPICS AND WHO ATTENDED.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
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3A SEC 4) SLOG IS EQUIPPEDQITH AUTOMATIC 'SPRINKLER SYSTEM AND SPRINKLER,
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1Z/19/88 15:02
MATERIAL SAFETY DATA SYSTEMS, We. (1:105.> 848-68<&'<-)
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lAsr'CHANGE 10/31/88 BY VAL
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OPENING GflRAGE'DOUR. rNTHE'EVENT OF AN' £JNCUNTRULLEO ACETYLENE
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BAKERSFIELD CITY FIRE DEPAR~NT
2130 "G" STREET
BAKERSFIELD, CA 93301 J I) ·L, /;ff!)
(805) 326-3979 (/' 'J
(J/t 'f~H7
OFFICIAL USE ONLY- \
"
ID#
US INESS NA.'fE
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A '
INSTRUCTIONS:
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: [tJTE:C.
B. LOCATION / STREET ADDRESS:
I" CITY: ~ A k..€R..$f=\ 'ë.L-
.£.{ ':> '2.0 Soon uE SV\ï'"€ '7
ZIP: 90ð 13. BUS.PHONE: (&:'is) g33-)<ìl>L
SECTION 2: EMERGENCY 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.
E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY:
NAME AND TITLE
A. "FAl0lo Jï. ";J2:U&SoNIlS LLD
!
B. MAe"ttl-J OßER.MIRe
Ph# 8~ ~-f"1o-z...
AFTER BUS. HRS.
Ph# ~9ß-<"'\("o
Ph# ~ 9 '1- '7'2 1..3 -
DURING BUS. HRS.
Ph# 8~ '"3..- '''to ê...
. ~. ~..'" !. .-:
~ .. ,
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: LLJ GQ& ;0/' G/7C::: '.
B. ELECTRICAL: ;¿:;'~zi;~~T ,~.~ a~ 'tSUI~\~/E:, ,
c. WATER: . tA_ _ _o¿_ 0_ ß¿_ _ ()IJ cr7NI£ _YL.. 1f.IJIL
D. SPEC IAL:, N.4
E. LOCK BOX: YES·.I ~O IF "YES, . LOCATION: }JA
/j(}J
,
'.
IF YES. DOES IT CONTAI~ SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
MSDSS? YES! NO
KEYS? YES / NO
- 2A -
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SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE
#/A
¡.-
SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YotJR BUSINESS AS A ~iHOLE
61-1 IrE ¿,fJ/II1b ¡Y!£O/ e~L, Cðj/lr~ (L
----~
,..-- - -'--;
,-
SECTION 6: EMPLOYEE TRAINING
E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL A~D
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO INITIAL
A. METHODS FOR'SAFE HANDLING OF HAZARDOUS
:'-1ATERIALS: . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. @ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:.... ..' . . . . . . . . . . . . . . . . . . .. ¡ ,0
C. PROPER USE OF SAFETY EQUIPMEXT:................ .. NO
D. EMERGENCY EVACUATION PROCEDURES:.. ........... . .... ES XO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: .... . .. YES ~
REFRESHER
@NO
~XO
NO
NO
YES @
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES ~, NO - NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL IN QUANTITIES LESS TF~X 500 POU~OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:...... ~ NO
I. ~C3 ID H. vus-..ç-ö....t¡r::.,ÜD . certify that the above information is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
TITLE ~1J ¡ OATE#
. SIGNATURE
- '2B -
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BAKERSFIELD CITY FIRE DEPARTIIEXT
2130 "G" STREET
BAKERSFIELD. CA 93301
OFFLCTAL CSE OXLY
BUSINESS ~A)1E:
ID#
BUSINESS PLAN
SINGLÈ FACILITY UNIT
FORM SA
I~STRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOGR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT::
FACILITY UNIT NAZŒ: E.tJTE".:::... - öÇFI<..E
SECTION 1: MITIGATION, PREVENTION. ABATEME~l PROCEDu~ES
C¿Ou~ I1hN m.vK ~C/6 OIVU-':::'-Ò/A/C. GV/P;t1t:::"A / ,.. ,
AC:~r32 USc. -I:u ,HE. G.UEN'\' .:,.P- H/.)Wt LJALUé PAfLUl2è
OS6 72't5G0L.L:JíO¡-¿ t/"~1:.",E~'- GI'< AÓS(; C//9LUC,-\. ,.flú T/,cy
~~æ ¡:.(;;,r:' /:?f!3'P /N I? .
~@a)l O~~9M&M
SECTION 2: XOTIFTCATION A~~ EVACGATIOX PROCEDLKES AT THIS L~rT O\LY
0- \ 'U \I.\C r=uc Mt 01- ÄN VN COP T'R0L.L~D OX.YGë I\...- L~~ Is:'
cE/vït:L./-JíG ARGA <=ð.Y O,\?Etv(t0D ~eaG~ DoCR..,
.. .:c", \"~t.:" cv~'/v~ c.. F A~ VlvLC.L'v \' (2c:.;I,...U¿'t'::. f:'-c"L.::::-T<:=LY¡""6. L6)J lL
UG ).;i'::\.. Ä -r-C "'EV CP(:~ kJ ( hC (A'O. c,/.¡GC (\<<:-:-CJC:: J 'b,..., tv 0 \'
C:",-, 5,(::::>FAK'};.S c...:K', .Fl.I.J),·)(::',,:') I ~\O'\\¡::-y Cf-:'¡:::IC <...::- Pë<<:.'cSo.!v]v e:~
loeiJ/;:,c uA í E r:J }oj n C IJë-(.. c¡ I! .
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S::CT!O~ ,3:, HA'lJ\RDOt;S"MÀTÉRrAts'FOR TfrrS U7-íIT CNCY
" ~...+. -4 ~
· ...~ ","
'.. " ~
:-... :~ ~~~~ :>~V-~.~::~~.~ ~~~: ~~:~_ ·~~'~;fI;,:.:{~ '.' . - .¡. .
A. Ooes:this FC1Crt-rtY.:Uhit ~ont:ain H:::\zi\l'dotls :!ilte;inb?....,
YES ®
I f YES ~':;: ~,e;¡ià :.. ,.;;"
If NO.. continlH~:;"with\SECT!OX 4.·
, .' ,- ' . ..t~!t:'¡i;/~--'~;':~'.' "5'",. . .
B. Are any of the:;' '. ardóUs·:íhateria1si.a bona. fide' Trade Secret YES XO
': ' ..: ',.:;.~(,;¥', ~,:"l)r,::';,l~~ "., ,~; H ',~ ,,: .;'" " ¡, '
If ~o., coml'let:è;:!:,~;,:,~êpata~~):haznrdous,matëdals,inventory
form:marked: 'N.o~;~'TRÁØit SECRETS O~LY'(~'lhite form ~4A-l)
If Yes. complebf'å :h~zå.r'dC)us m~teria1s inventory form ma!'ked:
TRADE SECRETS ,'O~LY}(ýello~'1' for!!l #4A~2) in addition to the non-trade
.~. J. . . . " "
secr~t fO~!!I. List'only the t~ad~ secrets on form 4A-2.
. ..I
· - .-'. 'j -( ,
SECTION 4 :' PRIVATE FIRf: PROtECTIb~
. . ,- .
~o ,u::, (s.. ",~i~:::.~ì-r!-J;,'
.' .' . , .. ~ ,,_ -~. .. .' l '. .
~/t...j(S<"-· ~":' .:·'a¡F~I(;5'
r,Ri E-,(,'I~<;J\..I'S'I~~!
Au ïe. "...v~ ï \<.. 'S<ñè/tv t:'èr< s.. YS T E 1'--\ ~
IS E.bUP P(5'D u/T'A ""Z ífP5 þ., <õ I C
;1.
SECTION 5: LOCATION OF WATER Su~PLY FOR
IG..ù ~"ß'-l c. Al...>ri oMS . ~1~
C-céP T"G b c>,,-,> (,.,Ss''-. lS;\ ~ ' G~
USE BY ~GENCY RESPO~ERS
-ç;¡ f.? 6 +-{ Y..1:i:A ~ 1"
'CoMPL-cK Clv 6jlf\£ RD 1
SECTION 6: lOCATIO~ OF UTILITY SHUï-OFFS AT THIS ~ITOXLY.
A. X~T. GASiPROPANE~
~!A
B. ELECTRICAL:
\J T I U -[")I "eCX5t-"
~~~, ~' 'õ;lDZ=, OF
L.../5'7..0 ßUILP)N~
C. t'1ATER:
cSÞ!4(2 Þ:,.S; ~~TR.\c.. A-
D. S?r.:C:AL:
i:., LOCK BOX: Y:;::S ~ IF YES, LOC\TTO~::
ff YES. S~TE PLAX~? YES;' ~~n
F~OOR pr.~xs~' Y?S : xn
:'tIC: O'-=' ~,;?
:,:F:\'S"
.:.:-::"\ .'''~
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II^ZAHVOUS NATEHI Al..S· J: NVENTUHV
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CUUE F^CILITY UNIT HT. CIIEHIG^L OR C U mw N N^HE
~? 'S~p S\.J I\)o Co H P~6S"'$E.,~ 0)( 'GÆ ~
-
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II III; 1:1/1: y ¡;IIIIT^,:T:£";t''<;..:>S<s<:,....,(e..l-\.-o TITI.E: E"Â.JC~ld':::("':(?I~ r-'\(.,,'e rIlUNF. , nus IIOIIRS: 6~3-\'10~
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I 111 I "^ I. "" ~ rilE S S ^ C T I V I TV: ___~.c:.(...("".¢ -;--.,~ «::V\c.e 01" IN DvS'T R l/J Co- Cc.,}JIRo..-S"
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! ... "ENTECe
e
4520 Stine Road. Suite 7
Bakef"'sfield, CA 83313
[805] 833-1802
Contf"'aetof"'S Lie. 485766
The Energy Control Company
RECEIVED
JAN 0 4 1988
Ans'd.
...........
To Whom it May Conce~n;
ENTEC p~ovides safety t~aining fo~ all employees qua~te~ly, two one
hou~ classes we~e held 1n 1987 fo~ all pe~sonnel on the subject of
, ,baza~dou_s, mai;E,'r~~ ,ªl s~,E:I~JEG ha,~,-ªdqpted the"safety manual used by
Mobil Oil E&P. This manual is available on ~equest.
F. M. Russoniello
Enginee~ing Manage~