HomeMy WebLinkAboutBUSINESS PLAN 9/21/1993
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4 _ THE-
SINCE 1948 "1<'tL Jt~tLtI<S"
\d~ß DIAMOND SETTERS. CUSTOM DESIGNS
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8200 Stockdale Hwy., SUite 0-8
10..n. Coun.", Shopp'ng Cen.., .'" R/e
........... CA 93311 "',,,... R/~
(8"'.397-5070 Co"",~: .'/an R'el
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HAZÄRDOUS MATE_ INSPECTION
~It
sfield Fire Dept.
Ha öous Materials Division
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Date Completed -11 ' p' q Lf
Business Name: -\t IV\MtJ\6 \.t..NJ'-Q..~Q 1\1::> ~
Location: t1ì1\1\ S~ ~ 0 \). <6
Business Identification No. 215-0000\ 0,
Station No.
) I
(Top of Business Plan)
Inspector ~/'
Shift
v
Arrival Time:
Departure Time:
Inspection Time: I (
Inadequate
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LI ff
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Proper Segregation of Material rt:r 0
Comments: tho ~ ~ C"Y~~' ~~r--.
Verification of MSDS Availability 0 ~
Adequate
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Number of Employees:
~
Verification of Haz Mat Training
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Comments:
\ ¡ ~ Verification of Abatement Supplies & Procedures
fir Comments:
U Emergency Procedures Posted
REceIVED
NOV 1 0 1994
HAZ. MAT. DIV.
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Containers Properly Labeled
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
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All Items O.K LJ
Correction Needed '§(t
Business OwnerlManager PRINT NAME
SIGNA TURE
White-Haz Mat Div
Yellow-Station Copy
Pink-Business Copy
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09/10/93
KNIGHTS JEWELERS 215-000-000103
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 8200 STOCKDALE HWY D-8
Community: BAKERSFIELD STATION 01
Map: 123 Hazard: Minimal
Grid: 05B FlU: 1 AOV: 0.0
Contact Name
WILLIAM R RIEL
BRIAN R RIEL
Title
PRESIDENT
VICE PRESIDENT
Business Phone
(805) 397-5070 x
(805) 397-5070 x
24-Hour Phone
(805) 322-5770
(805) 321-0313
Mail Addrs:
City:
Comm Code ':
Administrative Data
8200 STOCKDALE HWY D-8
BAKERSFIELD
215-001 BAKERSFIELD STATION 01
D&B Number:
State: CA Zip: 93311-
SIC Code: 3911
Owner: WILLIAM R RIEL
Address: 246 GARNSEY AV
City: BAKERSFIELD
Phone: (805) 397-5070
State: CA
Zip: 93304-
Summary
~~EP' 2 41993 ~
By
I,· 81' I 'ct f\ ß fl.;J Do hereby certify that , have
(Type or pnnt name)
reviewed the attached hazardous materials 1lIé;~;:a~!,;-
ment plan for~f5 JIJ}J£f~nd thst it a!on~j ,tfJ;:i',
( meot IIln3SS)
,
any corrections constitute a complete and correct rnan-
agement plan for my facility.
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09/10/93
KNIGHTS JEWELERS 215-000-000103
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards
Form
02-001 OXYGEN
~ Fire, Pressure, Immed HIth
Gas
Page
2
Max Qty MCP
337 Low
FT3
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e
09/10/93
KNIGHTS JEWELERS 215-000-000103
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-001 OXYGEN
~ Fire, Pressure, Immed Hlth
Gas
337 Low
FT3
CAS -it: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: HEATING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
337 I 337.00 I 3,000.00
Storage r Press T Temp ~ Location
PORT. PRESS. CYLINDER Above AmbientlINSIDE SHOP AREA
- Cone -I
100.0% Oxygen, Compressed
Components
I~ MCP -rGuide
Low I 14
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09/10/93
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Page
4
KNIGHTS JEWELERS 215~000-000103
00 - Overall Site·
<D> Notif./Evacuation/Medical
<1> Agency Notification
IN CASE OF EMERGENCY WE ARE TO CALL FIRE DEPARTMENT AND BAKERS WELDING AND
SUPPLY CO (OWNER OF THE OXYGEN TANK).
<2> Employee Notif./Evacuation
EMPLOYEES ARE TO EVACUATE OUT EITHER FRONT OR BACK DOORS WHICHEVER IS
CLOSEST.
<3> Public Notif./Evacuation
PUBLIC EVACUATION WOULD BE THROUGH FRONT MAIN ENTRANCE TO BUSINESS.
<4> Emergency Medical Plan
WE KEEP OXYGEN TANK CHAINED TO BENCH TO AVOID BEING KNOCKED OVER AND KEPT
AWAY FROM OPEN FLAMES.
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09/10/93
KNIGHTS JEWELERS 215-000-000103
00 - Overall Site
Page
5
<E~ Mitigation/Prevent/Abatemt
<1> Release Prevention
OXYGEN STORED IN CORNER AWAY FROM HEAVY TRAFFIC.
<2> Release Containment
SHUT OFF IS IN CLOSE RANGE FOR AT LEAST 3 EMPLOYEES TO ACCESS IN CASE OF
EMERGENCY.
<3> Clean Up
IN CASE OF FIRE SHUT OFF ANY VALVES.
<4> Other Resource Activation
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09/10/93
KNIGHTS JEWELERS 215-000-000103
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NATURAL GAS IS RED HANDLED VALVE APPROXIMATELY 2FT NORTH OF OXYGEN
TANK
B) ELECTRICAL - ELECTRICAL PANEL IN STORAGE ROOM NEXT TO BATHROOM IN REAR OF
STORE
C) WATER - 1???1?
D) SPECIAL - NONE
E) LOCK BOX - NO
-
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - WATER IN SHOP AREA AND FIRE EXTINGUISHER MOUNTED
ON WALL IN SHOP.
NEAREST FIRE HYDRANT - LOCATED WITHIN ONE HUNDRED FEET OF BACK ENTRANCE.
<4> Building Occupancy Level
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KNIGHTS JEWELERS 215-000-000103
00 - Overall Site
,page
7
<G> Training
<1> Page 1
WE HAVE 5 EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE AT THIS FACILITY.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES HAVE BEEN SHOWN HOW TO
TURN OFF OXYGEN FLOW FROM THE TANK AND TANK IS CHAINED TO WORK BENCH IN SHOP
AREA.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
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Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
rr.QO G;-. õ
RECEIVED
AUG 1 6 1990
HAZ. MAT. DIV.
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: Kniðh fs l~UJJers
LOCATION: g-2ß!J Jf00tda~ ¡¡wy :Jf.O-~
MAILING ADDRESS:. ~"2cø s!òûhda/~ ¡../ WI :Ii D- f(
CITY: ßOt.f)/'S6'(fj¡} STATE: Û ZIP: ?3JI/ PHONE: 3C/ 7 -S07fJ
DUN & BRADSTREET NUMBER: SIC CODE:
PRIMARY ACTIVITY: VGwe.)('Y Fahl'lC4.~/ðn c:{- Sa!úf
I
OWNER: /J)J-¡/¡røYJ f2 RI'f..)
MAILING ADDRESS: 1)/6 Sf; 'f'1It~r Aile.
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
1. lJ!I'/IItfhY\ R Qi'f~1
2, á3f'l/)/J1) R R '¿ I
TITLE BUS, PHONE
Pres. J97 -5070
!h'c¿ PreS 397 -SØ7&
1.
24 HR, PHONE
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3l-1-(J"J /3
FD1590
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e Bakersfield Fire Dept. e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 3: TRAINING:
., \'. ; ¡ . '\
N~MBER OF EMPLOYESS: 5
MA TERIAL SAFETY DATA SHEETS ON FILE: ¡r¿ / fòr eXfJ-MiI
BRIEF SUMMARY OF TRAINING PROGRAM: J-
)II eIi11t~e&S jal/¿ ,6ef411 Si1ð/l/fl 1(J(¡J (t1 !U11
0I6oxy,: q'} flIJt/ f¡rðYY1 f/'~ ta:n^" Mid faA Iv
. /. ~ J ~o t/J(}r t b-f/Jl} ûn J ý) S' hflf a rf~ ..
/ S C/fttll fl UA· Ie
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES,
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, Sf IaIY) {2/v! CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6,95 SEC. 25500 ET AL,) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
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SIGNA TURE
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TITLE
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/ DATE
2.
FDl S90
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e/ Bakersfield Fire Dept. e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A, R,ELEASE PREVE~TION STEPS: 'fírð'YY! )t/l /IV //'ttff: 'C
t1tYJ'f/V¡ sit) ruÁ I 1\ CO r It e;¡[' aAP/ij /
B,
RELEASE CONTAINMENT AND/OR MINIMIZATION: &
a#I S' Á LA f (j tc / 's ¡'n C/OJ e rtJ¡/Ylg~ 0. (' caJ e () f
ai/us-/; 3 &I'I1fhytJS 10 t¡cc-e%S ¡ r't
e/fYJ e/f'ßtM ;:!
CLEAN-UP PROCEDURES: / £, J J. /3 /
~ .r/J c.aS-<...- oÐ r'1f1ù SAU?, tJtJ{; ClI11f tla(¿¡~J
C,
SECTION 8: UTILITY SHUT·OFFS (LOCATION OF SHUT-OFFS ~T YOUR FACILITY): MrA of
NATURAL GAS/PROPANE: M~Æ~a/ {jaJ (f Red ha41d/u/ I/a!v~ A¡llox.2C1':tlf/rl
ELECTRICAL: flee iota I fàit1J in S~m/JL Røm n&tllo k f4 ti!IJr(J 12&;f,~
WATER:
SPECIAL: N dY1 ~
LOCK BOX: YEe IF YES. LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY:
A.
PRIVATE FI~E PRQTEC,T)ON: , of !ìÝ'úò<!>tItj ~)LfÅ0'- 1tIl()U11!~ ðYl {j/a/ i
tþtf:VV- / "1 ~l&P are~Y, rhí/p j J
WATER AVAILABILITY (FIRE HYDRANT): "
r; f (; Ayol fMl f (AI / fA ì t1 ~ )¡ WIld fed r~.¿f (J { bavIC t/YJ tVìVYJ v~
4, FD1590
8,
_ Bakersfield Fire Dept. e
Hazardous Materials Division
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HAZARDOUS MATERIALS MANAGEMENT PLAN
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Facility Unit Name: ¡:" r!J h IS rfcwd W J
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A,
AGENCY NOTIFICATION PROCEDURES: J '1/ .
[/1 ca 5-0 () t (!)f\A prf) eJV\ cý wt; C{ if t 'l (') tJ{, . .
fl ft./ dflfJ:'rh'. CMf f f1JeJI' {)J~IJ í M!J :;"fPjY Cl?w n r}/'j o{
OXjJfN\ tad:J
B. EMPLOYEE NOTIFICATION AND EVACUATION: t YhVì (rdYi +
f rré''I a-.s Me., roe vo.ÚJit r -e, au.. e.A .
o r /Jð (, K o/rwS l;J ~ ) ch\f, \I VI" ) s J 0 s w Þ
C, PUBLIC EVACUATION: II fA b~ throuCi¡ h brðYIf
D' ~/¡'è eAj(J()Jfii'ICfìI\ ()JOLL, " lJ
f{ () \ 1-: hiÅf I YI'tS j -
(YìrJ ¡ n eJ{) tr(J.~ Gù (0 .,'
D. EMERGENCY MEDICAL PLAN: ~ J¡au:.eJ It) þUI1 04
[U& K e-ep oxy f}t/fI tal- fCJ/lt f f:, 11 f cWJlIf brdffl
fo aLl()d b~ì, ftlOcfeJ elVer e.
Of'M [/(WlleJ
3.
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CITY of HAKEHSFIELD
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HAZARDOUS MATERIALS INVENTORY . }
farm and Agticulture [] Standard Business Ч I' .,t
. I NON-TRADE EqRETS Paqe -f'" 0 _
BUSINESS N~ 'lii¥~~ OWNER NAME: · · """", ¡LVI NAME OF THIS FACILITYò'
C TION' \;" ADDRESS' 1'1' - t;L ST NDARD IND. CLASS C OE:-'--- ------
b?T~ ZIP: .'" ',' ~_'- - CITY zip: ./' , () DU~ AND BRADSTREET NUHBER-'- __u,,__,,_,_,_.___,,____
PHON~ II: - ' ~ ... -,-- PHON~ II: _ f) - -
-- ~ ~ 3 " 1 ð - REFER TO-I~~TR¡jC"t_1oNS-FOR-pROPER CODES - - - - - - - - - .
I 2 3 ~ 5 6 1 8 9 10 11 ,12 13
Trans TYQe !lax Average Annual . Measure . 015 Cont Cont Cont Use location khere , by
Code Code Allt Allt Est UnIts on Site Type Press Temp Code Stored In FacIlity Wt
ÆIJ337 Pi313J7Cu ~ ~,tJtZ) XS4, 'oS 0 ;¡,.(I~I '" SAcf f'Ut
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Physical snd Health Hafard C.A.S. Num r
ICheck all that apply
r Fire HlZard
[] Reactivity
[] Oelaredj' Sudden Release
Hea th of Pressure
[] Component.2 Name I C.A.S. Number
Imniediate
Health
Component.3 Name I C.A.S. Number
Phy~ica' 'nd Health uafard
, ¡Check a I that apply
C.A.S. NUllber
Component .1 Name I C.A.S. Number
[] Component .2 Name I C.A.S. Humber
Immediate
Health -Name I C.A.S. Number
Component f3
Component 11 Hame & C.A,S. Number
Component .2 Name I C.A.S. Number
[] Immediate
Health Name I C.A.S. NUllber
Component '3
Component .1 Name I C.A.S. NUllber
[] ,Component '2 Name & C.A.S. Number
I mmed 18 te
Health Name I C.A.S. Number
Component 13
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Phy~ica1 'od Health HSfard
ICheck a I that apply
C.A.S. Number
[] fire Hazard [] Reactivity
[] De Jayed [] SUddfn Re I ease
Health 0 Pressure
Physjc~1 snd Health HSlard
(Check all that applYI
C.A.S. Number
[] Fire Hazard
[] Reactivity
[] De 1 ared [] Suddfn Re 1 ease
Hea th 0 Pressure
[] F ¡'fa Hazard
[] Reactivity
[] De 1ared [] suddfn Re I ease
Hea th 0 Pressure
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fHERGfNCY CONTACTS 111 112
filM HOe Zf1IF1'liõñ¡- RUe TftT¡--
Cerlifiçatio~ fRet:d al1d $igl1 af~f3r cÇJmp7etil1g fill ~~Cti0I15)
I certify under penallx 0 la~ th~t I have persona I~l examlneo OQd sn familla( wit the In(o(mat1øn ,ubnltte~ In this ond all
atta.ç.hed dQcUllents, anq t at based on my Inquiry 0 hose IndIvIduals responsIble or obtaInIng the InformatIon. I belIeve that the /j/ ; ~
submItted Inforllstlon IS ~ru I accurate, anO complete. . ~
H#Gl*Wn e I~n. op ra or wne OP~~~lZed representative STgø-~ .
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