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HomeMy WebLinkAboutBUSINESS PLAN (2) .~ \, . .~ e - vi $ "- 06/29i93 ... -. ..~-- .~ " y CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 Overall Site with 1 Fac. Unit Page 1 " General Information Location: 5101 STOCKDALE HWY Map: 123 Hazard: Low Community: BAKERSFIELD STATION 11 Grid: 03B FlU: 1 AOV: 0.0 ~ Contact Name ~ Title ~ Business Phone ~ 24-Hour Phon"1 J.EAn::: ~~TEP :~~~:~ . t:~; ¡ ~~: ~~~~ = __ ¡~~:: ::~- ~~~ T~ MAWTIIß5 P~~iIgBNT Administrative Data Mail Addrs: 5101 STOCKDALE HWY D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 5541 Owner: CHEVRON USA Phone: (805) 832-1818 Address: 2 ANNABELLE LN State: CA City: SAN RAMON Zip: 94,583- Summary é!.r.m..fo.ðt ¡Jame6 ¡¡fl~ '>C5U6frleS5 ¡:Jhmr; :llf h". Philp A tlJe/d? j .fbAneYþ'lff/ .,?3::i-Jí//&'J3')1/-7~.;2( / [l/};;¿ ! ¡.;;lV'S I.... ô(P~ - ~s¡, 3 / í/J:m(J5 /))5ed1/ ~¡'hul Y3:>-lflij3,b/;-$'/Z / 't' f\E.c€.\\J€'O () \Q9), ~\)b _ MAi. ON. \-\f\7.. I, I I . /d k Do hereby cerii1y tha~ ~ If¡e&~ ps or print name) reviewed the attached hazardous materials man~~- ment plan for 5tt)tkd¡J¿fftV~~hatù~ ãlion@ 'Wfi\\Û'O (Name of BUSNIID) , any correcUOD"l$ oonsti~ut~ lID OO!M!»>~® ®m1oo~ ~@=> o~ ~ plan fo~ my fOO~o ~ lu Chevron U.S.A. Inc. Company Operated Station No. 2718 5101 Stockdale Highway ~ Bakersfield, CA 93309 Â\~ Phone (8051 832,1818 U ./ / I / II Jeanette Estep, Lead Person u - J~~ Chevron ~ I ___,__ ___.~~ _ _ J e e \. 06/29i93 ;,. If.:' '. CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP . / 02.,..001 In,[)C;~AÞGv Liquid 10000 Moderate .RECUhAR GASOLINE ., Fire, Immed Hlth, Delay Hlth GAL 02-004 SUPREME GASOLINE Liquid 10000 Moderate '- ., Fire, Immed Hlth, Delay Hlth GAL 02-003 UNLEADED GASOLINE Liquid 10000 Moderate ., Fire, Immed Hlth, Delay Hlth GAL 02-002 MOTOR OIL Liquid 800 Minimàl ., Fire, Delay Hlth GAL e e 06/29i93 ( CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 02 - Fixed Containers on Site Page 3 02-001 Hazmat . fJåtlt.f:-~'ÄSOLINE ~ Fire, Immed Hlth, Inventory Detail in MCP Order Liquid 10000 GAL Moderate Delay Hlth CAS =It: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL 10,000 I 5,000.00 I 1,000,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambient NW SIDE OF PROPERTY - Conc -, 100.0% Gasoline Components 1-; MCP ----p;uide Moderate I . 27 02-004 SUPREME GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS =It: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 1,000,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient AmbientlNW SIDE OF PROPERTY - Conc l 100.0% Gasoline Components r; MCP --p;uide Moderate 27 02-003 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 10000 Moderate GAL CAS =It: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 pse: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 10,000 I 5,000.00 I 1,000,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambient NW SIDE OF PROPERTY - Conc l 100.0% Gasoline Components r; MCP --p;uide Moderate 27 e e i. 06/29i93'. I ...... _" CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-002 MOTOR OIL . Fire, Delay Hlth Liquid I()ð -e-01J Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT ---- Daily Max ?AL ----r-- Daily Average GAL ~ Annual Amount GAL -- If)O/~ ,I 15-lOtJ/§.OQ· 00 I 1;)(Jð /,g, ,gg - 00"' Storage PLASTIC CONTAINER r Press 'T Temp~1 Location Ambient AmbientlBACKROOM OF CAR WASH - Conc _I Components 100.0% Motor Oil, Petroleum Based 1-; MCP -,-Guide Minimal I 27 e e - 06/29/93 '. i~ 1" CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification ;' ])¡õ) ql/ 4rep&A ,~tE-¡deltl.Jo eøz~V:a¡ re5~t::e. 6t:¡eø~ès. [a¡;lðijtts c/o ttøfl &ttJ;1ff5 t{)/Í/J 0¿11 I7tJflh¡ étfJ/¥rt~ ,(J//r9ð11 ei (-aJ- (!i1t;t/1'*(}7t.; /)5/1- . <2> Employee Notif./Evacuation SAFETY OF ALL PERSONNEL ON PREMISES FIRST UTILIZE EMERGENCY SHUT OFF IF SAFE TO DO SO CALL 911 - CHEVRON MAINTENANCE - LOCAL AUTHORITIES NOTIFY ADJACENT BUSINESSES FOR SAFETY REASONS <3> Public Notif./Evacuation NOTIFICATION OF PUBLIC EVACUATION WOULD BE VERBAL, NO PA SYSTEM, ALSO WOULD DIAL 911 NTÐ aONT1\G'P Toil ~lA1.KlnStLAn:e Cite. /~. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 ,vfì1VJ¡1fJrø! vrpd ~ ~Sl)/ a~ /ht'. 397-~ót7 Y e e " 06/29/93 ~. ~_ ì....-.... -¡. CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention EMERGENCY SWITCHES ARE LOCATED ON THE ISLAND TO PREVENT LARGE SPILLS CHEVRON HAS EMERGENCY MAINTENANCE PERSONNEL TO REACT QUICKLY TO SITUATIONS NO SMOKING ON PREMISES BY EMPLOYEES OR CUSTOMERS IS ALLOWED. DAILY RECORDS ARE KEPT TO DETECT ANY LOSS OF PRODUCT. LIMITED PARKING NEAR ACCESS SO EVACUATION CAN BE ACCOMPLISHED CHEVRON MAINTENANCE CREW IS AVAILABLE ON A 24 HOUR BASIS TRAINING OF EMPLOYEES TO NOTIFY OTHER EMPLOYEES AND PROPER AUTHORITIES SUCH AS 911, CHEVRON MAINTENANCE AND GOVERNMENT <2> Release Containment /:J.mp 5ðVra- _ b-/ rdi'd£ as aeä:.5Si'M/./ ie. '¡"Or'/7.1 ,Jdil/~ jJII/lfO m ðY" 1J.chr#e -em&fM*;' ¡J(/¥ 5~tllð'{{; Ç¡(-I;n~oi~ CWo ~ ð4tt¡ /17'{1/;61. 5evn:;es /:V:?/!1f -4k eæ(rlltt//$//er ;P ~ .4b%rÍJe.tt:f .5tV7tfr m<thr/d/ /.5 alt:tJ'o/s th1 /J~ -f(} yse .¡f¡ C~I-aiñ MId abSðr'b . < tlÆ¡ 5F~ ðf +;;d ðr ðJ/. <3> Clean Up I v fmp/~e.e.'þ (jft. ItJ7ÍÞUc:Ii:L IrrMe úse. 6.f2 a.bsúTb etd--Ødt:r/4 ~ U'e/Vl vf1 5¡J¡1/s. :r:í1 c:Jh¿ evt4J &f ct ¡t1Þ'1~ 5¡:J)//~/ ~ w(JVid hrf cfht! emerqtfl~ 6hu,f-ð.f+¡ ,CM ¿¡III C2J1d ~h +f- tiS bt5~ Uit C#./J wi#; Itbsw!?at mttJ..¿rú1 ";'1 ¿'&&-P0 "VJtl ¡J {Lr y {rJe-5 . / <4> Other Resource Activation e e ~ . 06/29J93 >., ". ), ~. :1' CHEVRON COMPU PLAN MANAGEMENT 215-000-000366 00 - Overall Site Page 7 <F> Site Emergency Factors I <1> Special Hazards <2> Utility Shut-Offs ~~ ~~~C;R~g:~ - INSIDE CAR WASH AREA STORAGE ROOM - t-.ePt" O~l::>ðOY / C) WATER - STOCKDALE HWY SIDE OF LOT - ex/I clrWe ~ I;; 5/æJ/Jalk / D) SPECIAL - ,Nefffi E.merqrY1&¡ fJ()J1tfJ shtJtCJ:pç SWI-..Jè!h þ (JY) 67JfGJde /£ wall ~. E) LOCK BOX - NO ~5h. <3> Fire protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS .- øn-e t!J11 /sknd / (3/') e rÌ7 ð{l;èe./ FIRE HYDRANT - CORNER OF PROPERTY ON VILLAGE LANE OFF STOCKDALE HIGHWAY ( tV ~ChY';1b" ) / <4> Building Occupancy Level o e e ,< w ".. <" .J _ 06/29/93 ;- ,.- -..... CHEVRON USA INC #2718 215-000-001046 00 - Overall Site Page 8 <G> Training <1> Page 1 1/' WE HAVE >Ó EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE (YELLOW BOOK IN DRAWER). BREIF SUMMARY OF TRAINING: TRAINING INCLUDES, BUT IS NOT LIMITED TO: HAZARD COMMUNICATION PROGRAM, WRITTEN AND AN AUDIO VIDEO PROGRAM INCLUDING MSDS REVIEW. HAZWOPER, WRITTEN AND AUDIO VIDEO PROGRAM. AT A MINIMUM, ALL EMPLOYEES ARE TRAINED INITIALLY (UPON HIRE) AND TRAINING IS REFRESHED ANNUALLY. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use \'/::;:~~ " ct -". ~""\"\\" ...:..... ~"\ : è ::_.~~~ -. ;.,\ . . -'~ ! \\ ~4 _/, .:/ í1 - - CITY of BAKERSFIELD JbbßJ~ "liE CIRE" M d) ,) ~ß?ß ~\mOfYJAS H. LJw~l<~ (tYDe or prin~ name) '11T~"Tr\.. \lIli.;I ,¡ 'I 1IÌh... ~:):' ", ~'.~----<~ ~:f": - '~ ..\~~~ ...:::::: \' '«:" ).' ~ .:.- -,' " :) -,.,::: =\...: ',~ :"'_~.= ~\; '., ::/; ~... ~,; , ::y );- :.~~. .,'. /~ . áilïÍÍíll~ t _ -~ ~.-.~ ',(' ". ...;,~. / .~q~~'t;/ ------==.---.. - Do hereby ce::-tif~\- that I Ì1a-\-e revieh-eà the RECEIVED ¡NAY 2 5 1989 HAZ. MAT. OfV. atiached Hazardous Materials business plan for fJ\-eiJfìllY\ CoVV\PO- P'Äv1"~~ (name of business) - and that it along with the attached additions .. . , or corrections constitute a complete and correct Business Plan for my facility. ~~.~- ~ 3~,ma~ Ø?/~9 . / aate' ,..-- ()~. y ~~t>S j:. ~ '/; f \fr srV 6ð .. . ';' ~: BUSINESS NAt1E CHEV. COMPU PLAN MANAGEMENT LOCATION 5101 STOCKDALE HWY 10 ~ER ZlS-ØØØ-00Ø366 HIGH HAZARD RATING Z 1. OVERVIEW LAST CHANGE 01/06/88 BY EVAMC JURIS CODE 215-011 JURIS BAKERSFIELD STATION 11 MAP PAGE 1 ZJ GRID 03B FACILITY UNITS T HAZARD RATING 2 RESPONSE SUMMARY ZA SEC 4) NO PRIVATE RESPONSE TEAM }ê,4A;e rre ~ EMERGENCY CONTACTS ZA SEC Z) -5YUn (\ $"NCII~Z 'MANAGER 832:- t 81 a TOM WATKINS PRESIDENT 324-1000 UTILITY SHUTOFFS ZA SEC 3) AI GAS - NONE B) ELECTRICAL - C) UATER - STOCKDALE HWY SIDE OF ~ 337 5182 hb q - / J<¡O ., -~.~ -:.:.-... ·_...i··T.....:~. _~. , . . .- '<>.- INSIDE CAR WASH AREA STORAGE ROOM lOT 0) SPECIAL - NONE E) LOCK BOX ". ~ ~..~. , ",..--~-.. -. . z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / (>D+' r-:,cq} \~ fb 'Pobhc ~ u ~c. ~+C'I'Y\ IN a--....J No (J.~.~~ ~{)~ d4 7// ~ t~~ 1.Ì~1êr < NO INFORMATION RECORDED FOR THIS SECTION > ....,......_, ...~... .". .... 'r'''' ._. -....7r.:· ':-- ~ - _:" .,.. -, ". ..~-' ._--"""." ." .-'. ~-"" .......--"'~. ·,·:~,,,,,,,,,,,,..4,;v·:;;;~;!~~:'f;¡:,r:'¡~i:~.~··"". ~ PAGE 1 12/23/88 13:16 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 "'? t~ a BUSI NESS Nf\ME CHEvr.w COMPU PLAN Mf1NAGE~1ENT LOCATION 5101 STOCKDALE HWY TO 4!t3ER Z 15-0Ø0"ØØ0366 HIGH HAZARD RATING Z 3. HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY , / .---- ,~ 'I £ I' I I . .... ...... 1 'I, . < NO INFORMATION RECORDED FOR THIS SECTION :> -vþy..v ~ c.- ~~ rdL~~ ~. ~ QAIL ~ ~ ioN:.r ~ .~~~ '\~~ OÆ\c..c:. ~'1 ~~.~ f>~ ~'L-(b~ ~~f~~~ ~ . 1Otda~. .IJ15lJ5 I),J/ó % fi/¿ .'"\ 4. LOCAL EMERGENCY MEDICAL ASSISTANCE ~ .t:.';. '.,._ ~.··_t· lAST CHANGE 01/06/BB BV EVAMC , ZA SEC 5) MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 " PAGE Z 1 ZlZ3/BB '13= 16 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 \:," '"t,., .a - BUSINESS NAME CHEV~COMPU PLAN MANAGEMENT LOCATION 5101 STOCKDALE HWY FACILITY UNIT 01 10 ~ER ZI5~000-00Ø366 HIGH HAZARD RATING Z A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 01/06/88 BY EVAMC ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAI NMENT USE PURE GASOL! NE 30ØØ0 GAL HIGH NORTH CENTRAL UNDERGROUND TANKS FUEL 10 PERCENT COMPONENTS HAZARD LIST j182.00 100.0 GASOLINE HIGH 2 PURE MOTOR OIL 100 GAL UNKNOWN OFFICE/ISLAND PLASTIC CONTAINER[S] LUBRICANT ID PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNKNOWN LAST CHANGE 10/31/88 BY VAL hJ2.E bJ-/h.c;v/!:hf/ZS 3 h~ I ~ ~"~ 3A SE C 4) - JlIJf/i! ..../ ...lL. ~ ~ ~ L.'IG-n,¡"-1v- < ~ Ov.f' -.L f'...eP--, <s Aw ~ 3A SEe 5) FIRE HYDRANT ? . , . C)'(\ ~~ ~1J~ :~.,U~~· «%1y,'::~~ B. FIRE PROTECTION / WATER SUPPLIES L vi "~E LA""({ i"!~t 1"";~ ~........- , _ * 'PI'{S: ij'1 et n;.~-t f l ~ Ä PAGE 3 1 Z/23/88 t 3: 16 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 f;:;.. ". BUSINESS NAME CHEVR_COMPU PLAN Mt1NAGEMENT lOCATION S101 STOCKDALE HWY 10 N~R ZI5-000-000366 HIGH HAZARD RATING Z O. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 01/06/88 BY EVAMC 3A SEe Z) SAFETY OF ALL PERSONNEL ON PREMISES FIRST UTILIZE EMERGENCY SHUT OFF IF SAFE TO DO SO CALL 911 - CHEVRON MAINTENANCE - LOCAL AUTHORITIES NOTIFY ADJACENT BUSINESSES FOR SAFETY REASONS -, .- . ". " , " " .~ ,..~ E. MITIGATION / PREVENTION / ABATEMENT . LAST CHANGE 01/06/88 BY EVANC 3A SEe 1) EMERGENCY SWITCHES ARE LOCATED ON THE ISLAND TO PREVENT LARGE SPILLS CHEVRON HAS EMERGENCY MAINTENANCE PERSONNEL TO REACT QUICKLY TO SITUATIONS , '-' NO SMOKING ON PREMISES BY EMPLOYEES OR CUSTOMERS IS·'ALLOWED. CAlL Y RECORD ARE KEPT TO DETECT ANY LOSS OF PRODUCT. LIMITED PARKING NEAR ACCESS SO EVACUATION CAN 8E ACCOMPLISHED .;..- CHEVRON MAINTENANCE CREW IS AVAILABLE ON A 24 HOUR BASIS TRAINING OF EMPLOYEES TO NOTIFY OTHER EMPLOYEES AND PROPER AUTHORITIES SUCH AS 911, CHEVRON MAINTENANCE AND GOVERNMENT PAGE 4 \ ZIZ3/88 \ 3: 16 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 .; '. ~;. CITY of BAKERSFIELD -. Far.. and Aqricu 1 ture '--' ~ HAZARDOUS MATERXALS INVENTORY Standard Business '-P" NON - T R AD ESE eRE T S Page _L of 3- "-. ~~~i~i~~ .~ ~~ ",¿n - Ó. '1271 g CITY, ZIP: ~~ - ~ t!~ fl;Kf()f PHONE II: ~ê)S'. 83"2.- \ ~ ,ç OWNER NAME: ADDRESS: CITY, ZIP: PHONE II: RJUI'1fR 2'0 t 2 Irans Type (ode Code 3 !lex Mt 1 . I Oys Cont on Site Type , 10 Cont CGllt Pm. T IIIP . Average AIIt 5 Annual Est & IItesure Units C-ht-vré' ~ \J~'¥\ IÞ\JC. P.Ù. ßc..-.L ~OC~ ~ &~Ø'V"\ C-D. Cf "I S"'ts' 3- 0 &-CI ..., NAME OF Tfì"1S rf\J!JL1.TY: STANDARD IND. CLASS CODE ~ DUN AND BRA~S~R:E~ :U:B:R _1h_ INS'rIWC2'IOIfS 'OR PROPlfR CODa 11 Us, Cod. 12 location llhere Stortd In Feel lity 13 'by lit Ie Na_ of lIixture¡C-tl See Instl'llCtlons Phy5ica\ and HNlth Hazard fc:llKk all that apply) r~~ r-' ~~ ,--, r-' L.j,/.J Fire Huard L_.I Reactivity L_.I Delayed L_.I Suclclen RelNse L_.I ¡Mediate Hea ¡ th of Pressure 11M I th __f~J.il~_~ t~__ Cc.ponent 11 "_, C. A. S. IiuIIbtr --------------------------------------------------------- ---- ec.llClllent 12 ..... C.A.S. bbtr ---- .. ---------- C-t 13 11.-. C.A.S. bbtr u eø.ponent II II.... C. A. S. IIuIIbtr ,..~ ,..-, rr-.¥ ,..-, ,..-., L_.I Fire Hazard L_.I Reactivity LIot"".I OIlaytd L_.I Sudden R.l_ L_.J IMedlet. Health of P....IU'" H..lth d t. "'+ 1?!!:P____ __ _lhLood:~d ------ T" ... ____ G-ASQ)~_____ _ CøIIøonent 12 II.... C.A.S. IIuIIbtr - ---- eo.oanent 13 ...... C. A. S. IIœbtr Physica 1 end 1I..lth lI.urd (Check al1 that apply) ~Ö\~____ ____ --~ r-{'/ r-" r~ r-, r-' LV.J Fire Kazard L_.I Reactivity L_.I Delayed L_.I Sudden Release L_.I ¡-.diate Heal th of PrlSsure H..I th 'tV/, d ~ \c.l.t. ~ +. ?~ ___ _ eø.ponent 11 ..... U.S. ......,. ~~ eø.ponent 12 II.... C.A.S. IIu.btr -------- ----- ---------------- -- Cœøonent 13 11_' C.A.S. IIuØtr ~~~ Dil Physical and HN Ith llaurd (Check all that apply) -12L2..Lltºº-___L_~ro..___Lgfa}____H~Ll~L19_LJ_L.~_L¿fLL~~ ()~ e~"f \.O"-...~ ?- -12!:..~____ C.A.S. Nullber ________________________ Cc.ponent II 11_' C.A.S. NuIIbtr r:~ r-'" r-~ ,--, r-' L -.I Fire Kazerd 1..-.1 Reactivity L_.I Delayed L_.I Sudden Release 1..-.1 l-.diate Hea 1th of Pressure Hea lth --------------- ------ COII IOIIII'It 12 N_' C.A.S. Nùllber ------------------------------------------------ ------- ec.ponent 13 11.-. C.A.S. Nuaber "ERGENCY CON.TACTS 1l1I¡~~~-~~------ ~_______ ~$-~r,;i~J~~~ 12I1iiiliD.Y\-~~:U<'J)U-= T~i~~~~t-~~-ii~:~t 2'~l'fp~~!J!!?--- Certification (Read and sign after co_pieting all sections) I certify under pena)ty of law that I have personally exallined and a. h.i1iar with the Inforlllltion subllitted in this and all .tt.ched doculltnt5. and that based on -V Inquiry of those Incllviduab responsib'e for obtaining the i"forlllltion. I believe that the SUbllitted inforllation is true, accurate, and~e~,+- r:-- J . R~~~~õf~r£~-õWñër7õõëritõr~š-iütliõ¡:ìiënëõ¡:ëšëñtitiÿë s;~---~-------------------------------------. Ditë-Si:;r-L'lM----------------- CITY of BAKERSfIELD . ! / .: . .. F.,.. and Aqricultur, ~' HA~ARPOUS MATBRZAL$ ZNVEN+PR¥ NON-TRADE S~CRETS '. __~ of ¿__ '--I St'ndlrd Bus ¡ness '. BUS,NESS N.N~::"""'iL"'" . ~'" LOCAT'ON, ¡P' r'f. ~ CITY, ZIP:' 3 Þ PHONE II: - ~ - c\-t€\J\2.""" \J~ ~ P.C. ßt~ '&00 " . f-.,'QY\ ~\fIo""l.6", &.. .( OWNER NAME: ADDRESS: CITY, ZIP: PHONE II: B6rIlII 2'0 IllSrffl1cr:rOltS mil NorD COD" c¡ ..., S§' ~- ().!rt/ t 2 Irant Type Code Cod, , IDvt CII Sit. 11 12 13 Un Laclt tCII ...... , by Code Stared In flet Itt, lit ~K V'~ q(. c.1'W~ ~'Z ~t II .... c.a.S. ...... 3 11111 Mt . AVII'IC)I !' AIIt 5 Annuli fit , "'su... Units ''''''fell IIId I\ø Ith NlllreI IChlCk .11 thlt 1 Ily) ,.~ r--" L _ oJ Fire NlzlreI .. - oJ Røctt.,tty C.u. ..... ,.~ r--" ,.-., I. - oJ 01 llyed I. - oJ Suddtn ..I.... I. _.I I...t.t. . HIli th of P....1VI't ....1 th ta.Aønlnt 12 .... C.A.5. ~ ~t IJ .... C.A.5. ...... \) ,.-....,f r--., ~ ,.-., r--., L"::'.I FI... NlllreI 1._.1 Ructlvtty...c""",",-:J--Otl,yed 1._.1 Suddtn ..I.... 1._.1 l"'llt. '. . IIeIlth . of Pres... ....Ith ~ o-f-&,_Iv ~t 11 .... C.A.S. ...... I~IIJ ~t 12 .... C.U. ...... c:a.on.nt 13 .... c.A.S. ...... () ''''' 'hys leel IIId 11M Ith NlzlreI (Chtck ~ II thlt IPIII,) c.a.S. ......_ ~, _ ,.-, ~ ,.-, ,.-, ¥-=r'"'1'tre KlllreI I._oJ Rtlcttvtty ~ 011..,.0 1.-..1 Suddtn RllftH 1._.1 I.-Itlt. . ItH I th of P....su... ....1 th ~t 12 .... C.A.5. ....... ~t 13 .... U.S. ...... Physlcll IIId K..lth NlzlreI (ChICk III thlt ,..1,) C.A.5. ~______ -121.e_L~~.J~__~___Lk.aÞo~~! , 3,,$" LLQ.LLJ.LLL. l .<2J~ o!)f-CM""~~ i!tl.e. ec.ponent 11 .... C.U. ...... r-, ,.-, r·-, ,.-.. r-, L_..I Fir, HIZlreI 1.,....1 ItIctfvlty 1.-..1 Otllytd 1.--" Suddtn Atllll. 1.-..1 1.-Illt. Mea I th ot P....sur. 11M Ith tc.poMnt 12 .... c.a.5. IIùIIIIIr c:a.on.nt 13 .... c.a.5. IIuIbtr IiIfRGEIICY COII\ICT5 II \. .or. ^ A. -LJ2.- ~...... ~ # ...,~J..;.~1 u'i 12 7ñvL f./-J evt (Il.J..... '. 1~~-" ,¡~-'\~-=."::l"'4='------ T1rn----;..;-'-=--- n;¡¡;"'Iiâñt~-:L. IIii " r NAME or Tft'ts ~_ÇJL.lTY: STANDARD IND. CLASS CODE DUN AND BRADSTR,ET NUMBER - - - - -- II __ of .illt...../c:a.on.nt. SIt InstructtCIII IF __I"@~'M\~~\~ -9\' \~~ MS.DS~ _~ ~. "~~:t:..~ ~.'7t~ ~f[Q__ I C.rtlfiCltiCII"JR..d and sign after cø.pJeting all s.ctiøns) , ,,"'if,..... _1" of ,.. ,'" I .... .._11, ._,... .... t.H;" of".1w ...~.. .hi.... .11_ _. ... ,'" ......... ''''''' of _ ,"'",..... ..._'bI. tor obtainin\l t" IntCll'llltiCII. I btlilYI thlt t" lubllltttc! inf_tfon il tl'Ul. IeCUrlt.. IIId I.t . ç ~ ' ' . '¡¡¡ï~~~~-_~~'Í';"'F6'1ñõ_!,lin;; 51;... --?:. :: . . ---- 9~.1 -, -- !. H ., \., CITY of BAKERSFIELD L. F.... and AcJI'icultuI'1 .--, '--' St.ndal'd Business A H~ZARDOUS MATER::J:ALS ::J:NVENT,ORY' NON-TR, ADE. SECRETS 7 2 . P'91 y_ of .'2_ ¡¡, ., BUSINESS NAME:~h~~ LÎS1b LOCATION: ~I~ ~~rl~ ~ CITY, ZIP:~' C~ 3 PHONE (I: 32-1~ A Sir OWNER NAME: ADDRESS: CITY, ZIP: PHONE (I: IUl7D ro ZIIS'l'RUcrZOIlS "'If NorD CODa ~V'LV'o... ~ ~ p~,S~ SOO~ S~ ~ .fJ- rJ (K'T. ~ 0 NAME OF TII1:Š lltÇIL.lTY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER - - -- I 2 1I'.ns TyØI, Code Codl \) 3 .... Mt . IVIl'lge AIIt 5 Annuli Est , .....ure Units , IOys an Site ~ 11 Cant Cant Prtn t... 11 Un toile '. 12 LacaUan ..... St.end in flCi lit.y 13 'by lit. I. .... of ,".t.ure~t. SIt InstPIICUans ~- ~~ #~,-(.p Physic.1 IIId IIMItIl NII.rd C.I.S. .... ,.(~~k .11 thet ':I~., ~_., L_" Ftre MI,.nI ...-.. "'cttv~yed. ~:..... Sudden ..I.... ItH I tll of Prelsurt c:a..anent II .... C.I .5. ....... 13 'fC<i"te _ {..{ 0\J ,.-., ... -.. I...tu. ....Itll c:a..anent 12 .... C.U. IIUIIIIr c.oanent 13 .... C.U. IIUIIIIr -- Phys tc.1 IIId ItH Ith MlI.rd (Chick .11 tlllt ,pply) C.A.S. ....._ c.oanent II .... C.U. ....... ,.-, ,.-, r-' r-' r-, L -.. ft,.. NlI,rd 1.-" RIIcttvtty 1.-" Del.v-cf 1.-" SudclIfI RIIHIt 1.-" I..tltl ItH I t.1I of P,....ure ....1 th eo.øanent 12 .... C.I.S. ..... eo.øanent. 13 .... C.I.S. ..... --__1.______1.___________1._____________1._____________1._.. I ..J_-L___JL___---L---_ - Physic. I IIId N..lth MlI.nI (Chick .11 thet ' IIIly) C.I.S. ..... __________ Cmponent II .... C.I.S. ....... ,..-, ,.-, ,.-, ,.-, r-, L -.. ft,.. HII'I'd ...,_.. RHctivtty 1.-'" Delav-cf 1.-" Sudd8II RIIHSI 1.-" I..tatl H..I th of PI'essUI'1 ....lth COII IOIIIIIt 12 .... U.S. IIùIIbIr -------------- --- Cmponent 13 .... U.S. ..... IIERGENCY COIIIICTS IIII~~--:?-~--.------ "~.~---_:_----- ~~R~-prlïl='~L 12q¡¡ T~__Wc..~~_____________ J>~~v~\~ #;(J/-fJJ.--- Clrtlfic.tion!. {Read and sign after co.pietinl! all sf1ctionsJ I cII'tify undll' IIIIIlty of 1.w that I hevI DlI'son,l1y IX..;Red IIId .. f..;Ii.r with thlinfOl'..t;an subllittlCl in this and ,11 IUIC'" doc~tI, and thlt beslCl an 11 inquiry of thosl tndivtdulll ,...panlib11 ,~",,; . · ... "'_"œ. ,,,,,_ .... ,.. h""," ;"....;œ ;, '-. """'''. ~ r;r? A . ....., ,mm -m~~~~or""_-¡¡"""'¡;¡;iiõ.¡;;;;;;;¡¡n;¡ '" -;; -- ------.- 1Ii!i..t~-- 0 :;0. :> - X3 C W.. ~ :> ~ jjj 0-. « 0 <::) ~ .-: W c:: N a: <r ". :IE < J: e ,; ~ ¡' ~ . : "e , n/€ ðhef//t!J1 tt9f. :P1e,. - ~7ØG P.g....L 01· 1 P"O'" Fo,," "O"'Oyed OMB ,.... 2050-0072 . FacUlty Id.nllllullon . . ," . >:..,. N._ ~~ ;f' ~ -7 W·. SI,..IAdd;I:; B~~ -I!þ7Jf: St.'!:~~ . ;~;{ð9 'Owner/Operator Name . . No",. c..he.u('oV'\ usA..r:f.Jt.p";" I e¡ì~ 'f<¡(}.-C¡SðO ",."Md,... :;.c¡¡, ea""'·'II\O cí. SGI. Q.IM.D~ C",q S1r.3 TIer Two EMEROENCY AND HAZARDOUS CHEMICAL INVENTOnV Sptc/fIt /lI/ø,mtllføn b1 Clllm/co' SIC c-lSJ ~ tJ.11J FOR I OFFICIAL 10. USE I ONLY 0.,. R..,.I_ Om' 9,od CD -r I ""umber I-LI . Em.rg.nçy Conl.çt ,~ . . N.",. "3i~ -¡¿ a ""- ~I V'..- Phon. 1'115"1 l/ b3- <¡f~ 7 ~ :: .~~J1A~':9~Þ ÒiS'¡:¡J//kj;¡If;¿Æ. . VI~ 731./- oS&' 7 C.rlltlcltlon (RlGd t/tId "In 01'" cømp/II;nl till ,tellon,' I Cwll"''''- pan.lly 01 low Ih.11 h.v. ......on.lI)' ...mlned .nd .m I.mlll., wnh 1M In'orm.t ~my Inqulry'ol lhos.lndlvldu.lo ,.sponslbl. lor oblafnlng Ih. InlOlmallon. I boll... .h.IIM {PJN 1ft.I'> bJ )../-t?F 9 0?IY1PLJIJ/VCE. (}:),PJ). "'''me eM official till. 0' ovmrtlnf'lltf'.)'''' ('1'1 OWfI""()f"f"lftllV 1 Aulhrll',nd 'rr...'~"nl"II.,. 51 "a'lIfe 1m orlnnl: Rtnd all inSlruclions /It/ort rom . "' " .. ':.chemlcal Description'. . . Tlld. 0 S.."., Cllut'oll D· '110' .PP'1: "'_. ~ ¡g¡ 0 liquid 0.. o SOlid ~::E!~OIO '9J~ ~rlr;p ol~'~~O . ,.. · 9 C4~n Ii 1'\ 0 - Cllld oil 0 Ilia' .PpI1: ""'. ~ o Solid ~ ,0 0.. ~:~~~!~O~~~~~~I\ U~~2 Clltet till 0 Ihol OPpI1: Pur. ~ o Solid ~ liquid o Ou TIII~ 24 Hr. PrIone I I I Till. 24 Hr. PrIone - I w~ 877 Oa. Vt,/ Reporting Period From Jonu.ry 1 100..,._ 3t. 'O~ . Inventory . Avg.., NO,'ol Dairy.:', DIY' . Amount On-III.. . (code) . . (day,) Storage Codes and Locations:,.:'::> (NDn-Confldentlal) .....: ':'. ,,:'. P:':: . ! ~ '::" :":,::' ~ ":~. . Physical '" and Health· ':" Hazards,:;:: /c:hoc_ .Ii Ih~I.pj,IYI .. :Max, : Dilly,:' . Amount (code) . S,orog, Localions Sloralt Cod, .,"' .., <. .' ~"'" '. .,. , ': Sudðerl R.'tlN ..., 0' P,...",. ' R.oellvlly [QI3], ~ 1rnmod1.I·I·cut.1 .' , . . , O.'.yed Ichronlc) ::> ".": ',"., 1111z j) " ~ Suddan R.t.... ' 01 PI.U"'. ' :1~:.IIVIlY [Qß1' nBJ. Irnmodlll. I.cul.) ~,', ; '. ." Dal.~od chronlo :.'. '¡'. ' . .. ,. ~FIt. ' .. .:", .'--:,:, '-:." .". SuddOll R.I.... :' : ",: :, -,,-,' ..,. :.'. '. 0' PI...",. ' , . ", Rm".lIy IQ]3J 1QŒl' ,I JIb I5ì Irnmodl..e I.cul.) , . ' Del.yed Ichronlc) ,i.., ' . ;",:: :.,' ~,' P .. .' .' , . .. ~. .'. ' . . Optional Allaçhm.nt.:, (Check. one) c docurMnlt. .nd Ih.1 baled ",a.. .ndcøm~~ 8 ''','" .".chld · ,It. ptl" . hlv. ItllChtHf . IItt of ."e COOUhna,. abbt."I.t!ont I.~ tJ LT] ~ c.. It .. ~ " r1) ~. UI ro .., - .- <: ~ ( ~ Z ~ ... CO CO - ...I :r C .., \.0 A.' Q: ':< o n o CO" ~ ., .... pi .... CO 00 ~ - " E- m UI IIJ ::I a. " m oa S Q) o ::J \.0 '" 4 ~,;, ~ -. ,,;..;-=-.<¡ i'i-';,. .. .... e I e \~\\~~'~~~ CITY of BAKERSFIELD 'Il~tp §~;;::¡~Di~~~ dIVE CARE" ;¡ ~ _~:; :7~ ::Ii§¡ t 7;ð' \1/, \ "~;;¡jij¡~:r ;/(l?7/9S f/ iJ/l-77:/4J (tYDe or prlnt name! .·/W-t'", 01.." J?<5');, ,:.\, '':;'',. ~'. \ .!:::' 'r" \ : U, ' :: -'..1 d/'--..... . 0,:,) -:--:""11';""'_" . .~ --,~J ",*, , 4IÞ~. -', '., \. '..,('..,.,.., ... .....,j '::~ÔRV Doh ere b:;- c e r t i f y t hat I h a ''- ere \' i e ,,- e d the RECEIVED FES 06 1989 ARS'd... ......... attached H~zard0us Materials husiness plan for f Jeifo tÙ êf}z(7f7t1-ß/1# ~þloj'?løp;cT (name of business) and that it along with the attached additions or corrections constitute a complete and correct :;Z;;~ilitY' slgnat.ure c7ßß7 , date 6P1~~ - ?to ~ d~ ~ ) 1-/ . ./' ~ .. 0" ;0-' BUSINESS NAME CHEVR~COMPU PLAN MANAGEMENT LOCATION 5101 STOCKDALE HWY 10 N3ItER 215-000-000366 HIGH HAZARD RATING Z L OVERVIEW LAST CHANGE 01/06/88 BY EVAMC JURIS CODE 215-011 JURIS BAKERSFIELD STATION 11 f1AP PAGE 123 GRID 038 FACILITY UNITS f HAZARD RATING Z RESPONSE SUMMRRY ZA SEC 4) NO PRIVATE RESPONSE TEAM -~~N~-rre -~~~~~~~;~N~~~iA:~~N~~E~::8;~-181a ~~ ftL.." TOM WATKINS PRESIDENT 324-1000 397 ~;78Z h[q-/I"jO ~~ UTILITY SHUTOFFS ZA SEe 3) A) GAS - NONE 8) ELECTRICAL - INSIDE CAR WASH AREA STORAGE ROOM C) WATER - STOCKDALE HWY SIDE OF LOT D) SPECIAL - NONE E) LOCI< BOX - NO Z. NOTIFICATION I PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION> - --~- - PAGE I 12/23/88 13: 16 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 '" . .- '. BUSINESS NAME CHEVR. COMPU PLAN MANAGEMENT LOCATION 5101 STOCKDALE HWY ID N.ER 215-000-0003Ei6 HIr:ìH HAZARD RATING Z ~~ 3. HAZ MAT TRAINING SUMMARY LAST CHANGE I 1 BY < NO INFORMATION RECORDED FOR THIS SECTION> 4. l.OCAL EMERGENCY MEDICAL ASSISTANCE l.AST CHANGE 01/06/88 BY EVAMC ZA SEC 5) MERCY HOSPITAL 2215 TRUXTUN AV 37.:7-3371 PAGE 7.: 12123/88 '13: 16 MATERIAL SAFETY DATA SYSTEMS, INC, (805) 648-6800 .. .." ,..." .,' r.:..- BUSINESS NAME CHEVH'COMPU PLAN MANAGEMENT LOCATION 5t01 STOCKDALE HWY FACILITY UNIT 01 10 N~ER 215-000-000366 HIGH HAZARD RATING Z A. OV£RALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 01/06/88 BY EVAMC 10 TYPE NAME LOCAT! ON CONTAINMENT" MAX AMT UNIT HAZARD USE PURE GASOLINE NORTH CENTRAL UNDERGROUND TANKS 10 PERCENT COMPONENTS 1182.00 t00.0 GASOLINE 30000 GAL HIGH FUEL HAZARD LIST HIGH Z PURE MOTOR or L 100 GAL UN/< NOWN OFFICEIISLANO Pl.ASTIC CONTAINER[ SJ LUBRICANT --=--------,..------------:f-B >~ ,oPEf!GEN:r-COMgOf'.1lj::j\JTS~,. ~ _ ._~ _ _' ,_ '_~~'_, ,'~ _ HAZARD LIST 2808.00 100.0 MOTOR OIL ~--~ UNKNOWN· , B. FIRE PROTECTION I WATER SUPPLIES LAST CHANGE 10/31/88 BY VAL 3ft SEe 4} - NONE 3A SEC 5) FIRE HYDRANT ? PAGE 3 1Z/Z3/88 13: 16 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 -. - -~ -----.- -----~-~_.~ - "~.,, ;. ':...' BUSINESS NAME CHEVR' COMPU PLAN MANAGEMENT LOCATION 5101 STOCKDALE HWY 10 N~ER 215-000-000366 HIGH HAZARD RATING Z D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 01/06/88 BY EVAMC 3A SEC Z) SAFETY OF ALL PERSONNEL ON PREMISES FIRST UTILIZE EMERGENCY SHUT OFF IF SAFE TO DO SO CALL 911 - CHEVRON MAINTENANCE - lOCAL AUTHORITIES NOTIFY ADJACENT BUSINESSES FOR SAFETY REASONS E. .MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 01/06/88 BY EVAMC 3A SEC 1) EMERGENCY SWITCHES ARE LOCATED ON THE ISLAND TO PREVENT LARGE SPIllS CHEVRON HAS EMERGENCY MAINTENANCE PERSONNEL TO REACT QUICKLY TO SITUATIONS NO SMOKING ON PREMISES BY EMPLOYEES OR CUSTOMERS IS ALLOWED. DAILY 'RECORD ARE KEPT TO DETECT ANY l.OSS OF PRODUCT. LIMITED PARKING NEAR ACCESS SO EVACUATION CAN BE ACCOMPLISHED CHEVRON MAINTENANCE CREW IS AVAILABLE ON A 24 HOUR BASIS TRAINING OF Ef1PLOYEES TO NOTIFY OTHER EMPLOYEES AND PROPER AUTHORITIES SUCH AS 911, CHEVRON MAINTENANCE AND GOVERNMENT PAGE 4 IZlZ3/8813:16 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-680Ø <;..,- '-, _ ii' - "'~III'P' . r"(\, b':~ '\\ )~ BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 , I Qã~?~ß R E C E I~ 7AJSf/ 'f../. JUl 1 1987 (j) Ans'd............ e e v OFFICIAL USE ONLY ID# ---1) \ d () ç ~ms INESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 000366''' 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 Cn º-V (èo tV · ì?aFl~ /) ~- A. BUSINESS NAME:~¡ÝIíd--¡:JL/1J1J ~qlÚA-ðemé!,lVl ~r¡//c..p$ :Z:/V(!. B. LOCATION / STREET ADDRESS: 17!?/ <:~C/C¿P{-L-e #¿¿I Y CITY: ß/l-KG"¡'t:5¡C'l'e¿d ZIP: tJ5"Jð 9 BUS.PHONE: (00)) ~3~-'¡?)/lf r 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 A. Sf( / loA Sl1pcl£z B . 0111 tv /fT,C 1#5 /727.A1 /1- <} e / , ¡Jr~5/~,r(/r DURING BUS. HRS. AFTER BUS. HRS. Ph# 'im~-?3d-/ <'?/8" Ph#207'- 99;;-oZít96 Ph# ':r{)~ ~;7t(..-/?,OÒ Ph# ?llJ7"- 39 'J-s-7 'ðZ- SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE, f/;,J ~ . B. ELECTRICAL, P~1?'. '" afi£ ~d<; ~ j r ":0 A- ¿;n,. d,9 ~ R 0ðI<I. C. WATER: 571;~C__~J ~(.I:L_ _~ _~/~- D. SPECIAL: ' E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - e SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE No¡tJ e e ~-l ¡," .,'>'\.." '-~ ~ .0 SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE 7Je/fíe5T H05j?//P¿ , .'¡ . " A' , .), ¡. 1 ~ 'oO .. 9' ~ '/J · J ' . , , OJ 't>.¥ 'v ~. , ,\ " ) , SECTION 6: EMPLOYEE TRAINING ". EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING A~EAS, CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.. ,..,."..................... .!. ~,.. ..,.. @ B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:...........,..........,.. .i C. PROPER USE OF SAFETY EQUIPMENT: . , . . , , , . . . . . . . . . , , ES D. EMERGENCY EVACUATION PROCEDURES: . . , . , . , . . . . . , . , . . E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:...." . ES SECTION 7: HAZARDOUS MATERIAL REFRESHER NO & NO NO , NO NO NO NO NO NO NO CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES NO \ I, ~I t) /I'l áJ /I- pc. I /US , 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. 'SIGNATtmE~~~ TITLE ~-t¿..r - 2B - DATE th#7 , " ~ jr. . <..f /r _". '. .' '~'.. ~ /. J . ~I'~ / f - ,. -.--" .:~..,~ _"'" t_~ . ~ y ~,/ e . ,'" ð BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# - - -' - - - BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. T~ avoid further action. this form must be returned by: ~. TYPE/PRINT YOUR ~NSWERS IN ENGLISH. ' . Answer the questIons below for THE FACII,ITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY OO1T#! FACILITY UNIT NA.\fE: Ch~/roAi Cd-í¿¡Jtf,5'Á. . SECTION 1: MITIGATION, PREVENTION'- ABATEMENT PROCEDURES '111 IT-' ~ -;;w;Teh-l?5 tVLf!... /o(!t'1-í.:pJ ~n 1h~ ~s¿JIf¡Jd 7õ Pref/-.-r J- A" t -e IJs /f Lt.3. Ck e'(',,"O¡li !III:; e--me r f"l" ¿ 7 7""-1 Þ t.ør M" < -- p. rS o<"¡VP L ;0 ruN T Q ,(ß,UJ(.;¡¿t.y 7l? sirt/If//i'/Ý1'. . .' .,' " ,.1 r r{JvQm1io¡oJ 770 &Mé)/¿I",? tTYJ Pí~/1A-/H'& b'1 e"..,¡?¿ð7t>-.!'!j ð"t. c..-t/~Ttf)""P'S Js¡4 'úJ1U ð. J)¡r,'L't Ke~f)rd Ifr<e 4¡Jr'1õ d¿,re~Tfr,u7 -,Lð'i'S ~ j/reJ<lQ~7: )..,.,." T~~ ft, rK';"'1 '7'<" -tr jI-¿ce 55 :5. evff¿Vfr1'r;'" e ",J ¿e L a.tt~,o¿/ '5J()¡ . !fli,1J2p1fr..-7! S!:' v <0 ~ ',0 '?-'Ùa' ~ ~"r~" '" c nöu.J " s filA; c'" £, Ú "'" 11 ;;1<{ ¡, r &!JS Irll/¡U,"1! ~ l~f4,!et;5 -rb 77.rr;¡::rt ðTh~r e--,øLé)/e~.5 /!¡JL -- f(ofe(~tJt.:fAð r/ TI es ~C/v~ as 9// c-l,,, ;Fò# /IØ/lf/r.l ÇovP/"''''''''''-; , / / SECTION 2: NOTIFICATION k~D EVACUATION PROCEDu~ES AT THIS UNIT ONLY /" 5'#¡::=eT7 11 II).?- ßíSotVY-4'L ðAl Pre~,'S'..z.5 J~ -;) V í/ n [, Z-.J1 ,e?'Þ1" /'j P"., 1!:y 5Á t/ T-ð r~ ¡'F 54Fe 70 ~ ~, - _ )¢¡4L lft/thYI t/6 ~ h L L t} / / _ ~j, ., I n:Jµ '/n4' / þ7?-~ <rV t!.¡.? _. -1'7 fl,~:fðP'> -?t¡)T/~Y ¡1JJ/ï-~ I?¡J/ /;tr.s/~./s s e S ;:;hI" '7/1rtf' ~. I{ - 3A - e e ~~ .' '. ...........,:.;0 ï ' ,,~ "'-.- ';"1 ~--... '- "" SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? , . . " (f!£) NO If YES, see B. If NO, continue with SECTION 4, B. Are any of the hazardous materials a bona fide Trade Secret YES @ If No, compl~te a separate hazardous materials inventory form marked: NON-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 form4A-2. SECTION 4: PRIVATE FIRE PROTECTION ÆJ 0 µ -e.-, SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SffiJT-OFFS AT THIS UNIT ONLY, A. ~AT. GAS/PROPANË1 lUo¡J~ B. ELECTRICAL: ;T¡Uó,J"£> cl/-r lJJosL \4-í~A--- 57ðfA-Je rDc>n/l, â 1Þ e.. K dll /...e. ¡.¡ /lJ'1 ð I ;¡ -<> ¥ Lõ /7 C. \VATER: D. SPECIAL: E. LOCK BOX: YES / (f!} IF YES, LOCATION: IF YES, SITE PLANS? YES / ~ FLOOR PLANS? YES / @ MSDSs? YES / NO KEYS? YES / xO - 3B - -~ . .. -;,; BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page -I- of L 1. D. # BUS INESS NAME :ComPu-ffl4--¡J ÎJ12¡<-/~¡eJ#t?"/T- ADDRESS: I;) 8' -c ~h ~ 5 T¿' r ¡'1-V.e. CITY, ZIP: i3ft-/¿:~r.J hë¿l/ /1'1~ 9"11~/ PHONE #: '?j>ð.r- '3~'¡-/ék:Jð OWNER NAME :(i~h¿ II ro¡J L/. S /1-. ADD RES S: .J _ A- 1 'II- 11 of¿ LLL:.- L AI FA C I LIT Y CITY. ZIP: S'~Al I? Am D '4i c: #_ t:) l/.r"%3 PHONE #: '¥/ J- tr3 "ý- s-:;¿; (¿. FACILITY UNIT #: J' UNIT NAME :CAeýr"o¡r) c:./áJ - I 2 3 4 5 6 7 8 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. e_? 3D '000 /.O/;tJ.060 GAL 01 19 !AJor~ e~~;t'fI-( , /ÓD 1;Z O{) Q;4L /0 ;'b e- "77-l'è e h-s- ¿'JtttA /5l' . ¡' J ~dèJ C-A--L /0 °9 #71 C --Éj'I-5LHAJ / IOFFICIAL USE CFIRS CODE I . ONLY 9 CHEMICAL OR ç 14-:5 0 t.. ;'¡J& COMMON ,NAME / I (:¿ :< C/¿J1 10 HAZARD D.O.T CODE GUIDE ~ð70Ý ð/¿ FiGS n¿~ ApT/ - rY ~e L e , , TITLE: //.p5,cf9~r- ~/J ~ A SIGNATURE: -7:£/ .. ~/I ~~ ::----DATE: b/~117' N AW¡;;,: TI /1;H,#< #- h,) A-r,A::/,ú ':) EMERßENCY CONTACT: 5"1'£.1///1- Snre-n,./J2"" ·:'-E?.ri'~ÔENCY"·CONTACT: 7ð'.M tv IJ-T(c/ AJ5 \:P_R I N.~ I PAL 8 U SIN E S SAC T I V I T Y : S ~ ¡' ¡/ I ¿ c.,o i1 .... :~ TITLE: ~o?µ~7'¿/ , TITLE: ~5//A,...r- 5;Y',/-//o..v5 - 4A-l - PHONE # BUS HOURS: ~5=- l?~ z-/31lf .I., AFTER BUS HRS: ¿?O~ - 79;l-2~ PHONE # BUS HOURS: 1(O'r- 7;;z..V- A AFTER BUS HRS: 8ZJ7-79¿- Y/ ?J'Z-