The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN i;·~':~-:,i,p at SITE/FACILITY FORM 5 ~ . "'~'. ~~~. þ ~ I! ~ " e DIAGRAM 4-71~ .st.n.e 4 I B - II'L-s NORTH BUSINESS NAME: C'¡ SCALE: 1\ DATE: G/ól7/?? FACILITY NAME: (CHECK ONE) SITE DIAGRA~ x D;5~RìcT BLvD" Gf15 , " 5TfiTieN DALES CAß'NET Shop . t..)~,~ 6¡;NE ~. ,Ck 5J6/NéêR,N&." .$ W£/.,O/I'oIø ~ r" Y.ARÐ ~ k- ûRIVE w,qy ---4/ ~ '\,..... ~ ~ . YRRO - .. ð) NEfJJ...S , , ç>AINTìN~ fJ uì D ,VflCf¡.¡r ÁöT PAc-h-ec 0' Rof D, - ~ .. I .. e4 7 \ OF 1 UNIT #: OF FACILITY DIAGRA~ - " _. .' { (Inspector's çomments): -OFFICIAL USE ONLY- - 5A - S[TE D[AGRAM (R'llÞred iteas) 1. Address: Identity the principle buildin2s by the Street nu.bers. 9. LOCkey) Box 10. MSDS Stora2e Box , 11. Railroad Tracks 12. Fence or Barrier a. WIre b. Masonry c. Wood d. Gates 13. Power lines 14. Guard Station 15. Stou¡e Tanks: Identify the capacity in Bal. a. Ab~ve ¡round b. Under¡round 16. Dikin¡ or Bera 17. Evacuation Route 2. Street(s). Aileys. Drivewaya, and Parkine Areas adjacent to the property. Include the street na.e's. 3. Stora Drains. Culverts. Yard Drains 4. Drainaee Canals. Ditches, Creeks, 5. 8uildings a. Frase construction b. Masonry constructIon c. Metal construction d. Access Door I ,. ;¡.~ 6. Utility Controls a. Gas b. Electricity c. Water 18. Evacuation Area: Ident1 ty the location where eaployeea w111 a.et. 7. Fire Suppression Syste.s: a. Fire Hydranta b. Fire Sprinkler Connections 19. Outside Hazardous Waste Storale . c. Fire Standpipe Connectiona ' 20. Outaide Hazardous Material Storaee d. Water Control Valves tor protection systeaa 21. Outside Hazardous Material Use/Hand.lÍnC' . e. Fire Pup 22.. Type or Hazardous Material/Waate Stored or Used (See Below) 8. Pire Depart.ent Accesa TYPE OP HAZARDOUS MATERIAL F · Pl....ble B · Explosive L · Liquid' R . Radiolo¡ical C · Corroa1ve 0 · Oxidizer G · Gas P . Poison W · Water React1ve T · Toxic S · SaUd H . Cryo¡enic o . Waste B . Et1olo¡ical Exa.ple: Pla..able Liquid· PL FACILITY DIAGRAM (Required ite.s in addition to the above) 1- RiBers tor Sprinklers 8. Pire Escapes Z. Partl tI onl 9. All' Condition!n. Unit. 3. Stairways: Indicate tbe 10. Wind0tf8 levels served tro. hi¡hest to lowelt. U. Inside Hazardous Waste Storase 4. Escalator: [ndicato the levela served tro. 12. Inside Hazardaua h!chest to lowest. Nater!als Staraee s. Elevator 13. Inlide Hazardous Mater!als Use/Handlin~ 6. Att1c Access 14. Sewer Drain InJets 7. Skyl1¡hts .~: ' r--__. .-l-~~~;4 '~¿t- -, ,. ~.. ~ \'-.r i ~. "?~~< \'?7i.",r¡.:';' . " ", :-;" '.--,."' ~.E/FACILITY'· DI~tRAM ,FO~M 5 --- ---~ ):;;!V:~<~:;:~:; r~-~~? ;;.: ~ .~ 0J:?~~,~5<"'l' -- 1? - ,> ~ . ,-" ~~!'" 1': BUSINESS NAME:t,Kt'E,"'~/NEï:KIN'G~W£IDIN6. FLOOR:.1 OFt I I - , .~. ^ .~ 1-~ ~ NORTH SCALE: DATE: / / FACILITV N~~E: UNIT #: OF (CHECK ONE) SITEDIAGRÆ~ FACILITY DIAGR.~~ ~. "- f'Î«..E~ ~ Cbot<.S7I ~ CJ\, EN(,INEt:R;,j~) WELß}¡V(b , l-{ l) , $"th-l E. Ro Åd .. 8).dCk F/RJE W,1// J~' h·c.n~;~~ OXYßEr,;(~ E-'1, '- , c~~¥t~Ho~ . I';¡~JL 'iAooR ~. _ y. ¡.,. , - _. - "- - - - .. --. -.. --, --~7 I I I . ,- ovep- HfJNb flð~ ì Df:. WA-\~ '~ -- ,,~ - - - .--::., ÝA~~ I I I I I I ' \J.. ~. ,~ , X EJ..EL"ff!.~hy , I ' X~ßS 1---- , I ,- ~- çýAç~,\a~ /' ROU'jE " " , " " ./' -" I I I . ' ' L) ~. ~ k../" lyfEiEJ... t:Jc;J67I<æ-"'/W {Jp.,\ VEWII r F;'K£ IiV~T .x Pt7~Kìl')l(; ~ $T,,~m , . O~~IV . GfìT£ Y~iÐ, r- -_ j --''- I' W¡'R£ FeNcE ---------..-'" --,- - -.- -, - - --,,- - - _.- - -, - - - -. - - -- DR\V£ WffY (In~Ð~ tor'sçþmments): -OFFICIAL USE ONLV- . ! 5A- >-:":" ..~"", -,.'" ',' .~.'TE/FACILITY FORM 5 SCALE: BUSINESS NAME: . '" DATE: .I I FACILITY NÄ.l\1E: {CHECK ONE) ',.,. {Inspector's , , SiTE DIAGRAM " '.., ~( " 1 'v' f :'~._... ." -..~. ~'~.-' ~ .~ ~ A. ~ _. ~OFFI~IAL USE ONLY- 5A DI'GRAM . ~...-' . ;/i 'FLOOR: , OF UNIT #: OF FACILITY DIAGR.ð..l\1 'é '- ~ - '- .- - . .' ~ ~ ~':---~ i}~-ç¿~~~~" ., - -. :~f· ..,.....,...., I I I I e e 'BAKERSFIELD CITY FIRE DEPARTMENT 2130 "6" STREET BAKERSFIELD, CA 93301 (805) 326-3979 ) -:1ð-ll\ ~ Q) ----- :--------- - -- 2J)SP 7 ~ OFFICIAL USE ONLY ID# 0D/~ BUSINESS NAME 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 000418, fOn-, 3d-- c.{ -f;; ~;;)-9 A. BUSINESS NAME: elk, EN~INeER;NW ~ WEld "Ht3< CO '\ 51; fI£ RCiAd <1 '33oCf BUS. PHONE: Œ'<fð') 8'3~- 81LJ ò B. LOCATION / STREET ADDRESS: ~ '1 \ ~ CITY: ßA kE~5{lt.L-d ZIP: 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. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE , DURING BUS,. HRS. AFTER BUS. HRS., pfl'l ATðM CI7MfNI!5c..H OW¡V£(¿, Ph# '\?3~-'8J~o r-S-Ph# 83'J.-·ìJ&C¡ i4-(rE~5- B. Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE Ph# A. B. C. D. E. YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO - 2A - MSDSS? YES / NO KEYS? YES / NO ~ " .....----:------- :;1';~ "'~ '-':7"~ ''\~~ i~ ....... ,¿_. '~ , , ~ I " :. ~ \ - - , SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE " HI< /1 m;,¡·.¡o!2.. F,'~ E.. Em£f<!j15,h.-Y :r hl'1ýé t7 'TNtj,'j/r-J g~f}¡1Jd 5 .:flAk lðlfìE¿ !;i'f<£ E,rI/N!JUè~"'t'¿/11 TylE ß¡ S/~1315 (!.o:2¡:::'j'¡2.E Á'ìl'NCj ol5hp¡¿ I9w/) ¡<Þo 5£iY¡-P-y ¡ðlb ¡C¡ßL DAyCh.ø'r>¡'c..Ah E.-r1-i'/ý.jtrtSh£?S. ·ror<., fì mlN¿n'l.. mEf);'¿A-J..... E.I11E~&ENg T hl'lVE /1 ð5h/f /l~fl?()YE) "2.£F F¡'P-ST I9lD !<Î'-r Till 'ThF Ø11Thì?ððrn, SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE hïR, ÁOCAh ~/Yl¡:=,z,:]t:=NGy lJ1e0i'cAh. I9S'5iS'TI'7NCET wc.;~t:.d C2¡¡/1 q;;\.xf~~t:~(~I+: :L l!ou \¿ -:I tiJoù'Ld t:J Sf 'Th~ c..0~;' FE h~~E. (}1ED tc../I- h CE¡,JìFf( / Whí't.~ :¡- S hE55 'Thl9-rV ,ø¡v Ë /h{ ).. £ ·-r~crm 11'1 y -5,f;o.p I SECTION 6: EMPLOYEE TRAINING - '7 11,411£ 1'10 E J17 pi-'fY~ £ 5 EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . . '. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPMENT: ,... . ........... .. D. EMERGENCY EVACUATION PROCEDURES:.... ............. E.DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... INITIAL REFRESHER YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO SECTION 7: HAZARDOUS 'MATERIAL CIRCLE" YES, OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: . . . . .. @ NO ./"' t T, --rën1 L-flfYJEN/~C)f , 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 ðwpJ E.IL DATE C; -¿J9-g'¿ - 28 - - - ):'~, rt - (~:: ,~ It e . ~ :;, " ! -..' "BAKERSFIELD CITY FIRE DERARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 '- OFFICIAL USE DNLY ID# ------ BUS INESS NA!vŒ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR. ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# :1 FACILITY UNIT NA.'Œ: C k\£..¡~~N£a~~N.9 3 WEJd.'(.Jj SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES -::r L-~ £. '01-1/,/ ð$/ffr /lffi?oV.EÒ I Vì'C.Ta-!<.. 13í?I1N/~ ðxy j /EN 11#0 fJ$Ety/EHE 619.'jES ON my KE/ý/4)..., $,ìT)E5, -:r Ill1ýE #0- Em¡?~ðY~ 70 /llmp£tL w¡'-th my ErV7'ftf/JE'N'T/50 :z- //,41/£ A/o p~òb~Èm s. f k£FP flJI V1V~ED t5OTì/£Š (2hlûrvEf) /0 -¡-)1£ Wv4-I'J.T)1¡l ð tv E á I1+E A o-cAÎrCIkJ f " "- --...,.. SECTION 2: NOTIFICATION A~~ EVACUATION PROCEDURES AT THIS uÑIT ONLY .. -:£ -( Œ-A- II f WAS 9/1 f;VEIl 70 /¡r?vE'" /9 ,PRò.bkEW") '. T I7JoJD G£T my 5Eh + , lÖ Sd''''y, WOu\,.d' '1 - 3A - . e e . ~:':' .of SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facili ty Unit contain Hazardous Materials?. . . .. YES' NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous mater{als inventory form marked: NûN-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 404-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. o4. NAT. ,GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS? YES / NO YES' / NO YES / NO YES / NO MSDSs? KEYS? - 3B - ¡ , ;~~>:-:,:!;,~\ _~o 1. D. # BAK&RSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY " Page .. rlt_._.:--;:~ ~of'~ ~ ~ -)\ BUSINESS NAME :Cf< f:.N&/NIEE.RINê ~ WEJ[)¡''Nb ADDRESS: t.¡~, ~ .5Î~NE ROAd CITY, ZIP: B'Ak£(l.,S..(tEld ~33DC( PHONE #: '80$- 8'3~-~/4'D OWNER NAME :JõM. CAYVJENI'.st:.H, FACILITY UNIT #: ( ADDRESS :..]{Þc>S Kofo'f",VV'oop S't-. FACILITY UNIT NAME: CITY, ZIP: Bt4 kE 1-~.(·tt2l¿ CIf.33o 'í PHONE #: -g'Ö.5'--?3;;"-')It¿; IOFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUATJ CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT, WT. CHEMICAL OR COMMON NAME CODE GUIDE 9P 530"-; Ib 3~ '- fTB Ot.f 4~ ¡v,r=. \ ~cfl.NE~ RooM ;L }CO 0>< V G £.,"" ' ;;J·'1sC CkID ,'--r " ..~. , .-.. ~ ,- ')} ,: , ;: a)p aLPo 3,1J.o FT3 ÐL. 4~ N. E. ,CðµJEf.. ~~ 1- \00 Aé.ETy'kENE. 1 ;;t '-\ F/..G 5 .3)ç:> "33l.e l.f,03'J.. Fí3 oi.. '-\~ N \ E. ~ p.. J '* ~cov'Y\ 1- \00 f\~Go¡.J J~f.:-..~ NFLG , - , NAME :'ToN\ CflMËN¡'~L.~ E~æRGRNCY CONTACT: -rót~ TITLE: O\Á/N£~ C!9Y¥) EA",rl Sc. II- , TIT 1. E : ../n --/ /J ~~(]tJ SIGNATURE : <::::"'1 (ÎI/)/)/ ~ --1 DATE: 0- ,,·-"lS1 I ~w WIE ~ / PHONE # BUS 'HOURS: gg;;¿-g¡l{ 0 C'1'OS-PM¡ AFT E R BUS H R S: i'3ò). --') , (O~ -M:"t€J....s- ~ EMERGENCY CONTACT. TITLE. PeRINCIPA1. BUSINESS ACTIVITY: KEPA~R.. W-ç:\d~N6 PHONE # BUS HOURS. AFTER BUS. HRS: . - 4A-:-l- . ~~~~¿.." "'" - e .' , , ~, . '". .~.. . ',' S~ptember 5,:j~9b~ "\-.. Mr. Tom Camenisch C K Engineering Welding Company 4716 Stine Road ",. Bakersfield, C~. 9~30g Dear Mr. Camenisch: Enclose~ yOu will ,tind a 69mputer printout of the Hazardous Materials Management Plan ~hat is currently in our compute~, we have highlighted the areas t~at n~ed to be revised. Also due to ,a change in the law that ~ent ~nto effect Januiry¡ 1999~ we need to have a new inventory form (enql~sed) filled out. These forms must be filled out and returned to·· Oùr office.by September 28, 1990. If you have any questiohs please don't hesit~te to coritact us at (8b5) 326~3979. Sincerely Your's; I :1 I Ralph' E. Hùey Hazardous Materials Coordinator 'I'. REH:vp EnclOsures I' I ..