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HomeMy WebLinkAboutBUSINESS PLAN / Per Permit ID #:: 015-000-001131 (' RAGSDALE AIR CONDITIONI .' It Operöte to 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: 1127 SUMNER ST . 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 ./ PerDl.it . :1 ;';t to Operftte Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: '::ti,I~rdous Materials Plan ",'" .[ground Storage of Hazardous Materials "m agement Program Waste 1127 PERMIT ID# 01S-021.o01131 RAGSDALE AIR CONDITIONIN LOCATION 114' ' ! I I I Issued by: SUMNER Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805)326-3979 FAX (805) 326-0576 ~~ ~~ , ph Huey, , ffice of ental Servi es Approved by: Expiration Date: June 30, 2000 . ¡-.. :l;:~:¿¥J ' ';J¿~.<ç ,ë .}' ..-?/>,. . . J I .. ~. ';'"'fi,.Yfii- '~~;:' I ....J. \l ~\ ~UN\(\~ NORTH· SCALE: -' ..- ., "', -' < .' " :\ / /;¿ 7 ~¿YfVYW~,_ l7 3 I ? ~ SITE/FACILITY DIAGRAM FORM 5 tÞ 1-11/ FLOOR: OF UNIT =: OF ---... '" DATE \.,/ \ /<i:,ìFACILI;Y ~A.'1E: - / FACILITY DIAGR.A..'f (CHECK ONE) SITE DIAGRA){ l \?-- c5' ~'" V'I' \f) ~ ______ 4.__ <..~ .-,' :';;.1.. ,': ('0$ ,: '; :..;L .:.~ ,;..~~.,,: }~. N ~ ~----- -, ,.: ..... ~ ,V>' c 3 ,- "j o f ~I :~:.E~Q.lCL ~\~~"'~* u.rl> '~ ~ ~ \\7-- "ì ~1..)N\f\~ M.'t" \.- ~.tI\~ '- ~~\It ~n\£\~' W/C>. €P ~ I~' ~ ~D\ 1 ....~_J , , ,~(~~_._._,_.,.-.._------_._.- -OFFICIAL USE ONLY- (Inspecto~ls Comments): 5A '", SITE DIAGRAM· (Re~Uir~e.S) - 1 > l. Address: I den t 11'y th~ 9. Lock ¡key) Box p~lnciple buildin¡s by the Street nuabers. 10. MSDS Stora¡e Box \ .~. ~ 2. Street (.. . AUey... 11. RlIllroftd Track.. ... Dl"lvewey.. and PlIl"kin¡ - Al"ees sdJllcent to the 12. Fence or Bllrrier pl"aperty. Incl ude the II. Wire street nil.".. ,¡. , . b'. Masonry "--:-.--- i 3. Star. Dralns. Culvert.. ",Yard Drdn. C:. Wood 4. Drl11nlll" Canllls . 01 tchell. d. Gates, CE'eeks. 13. PowerIlne. S. Bulldlne;s iI. Fra.e conatE'uctlon 14. Guard Station, b. MasonE'Y constE'uction 15. Stor'aie Tanks: Identify the c. ,Metal con.tructlon capacity 1n InL e. Above ¡round d. Acce.s Door' '. .-- b. Ünél.r¡róUÕÌi '.. 8. Utll~ControlS a. Gà 18. Dik1nc or Bena ~~,.,ty 17. Bvacuation Route . , Evacuation Area: c Wate 18. , - .. ", . .. ~. . -t... Identity the ," T. Fire Suppression Syste..: . -~ ',' location _ere ,,/ a. FIre HydrlUlta ,npl!,yeea .Ul. } ~, . .:j ...è: L ~ >~..-.. b. FIre Sprinkler 19. Out.ide. Hazardous -"..', Connection. Wute Storap ., Fl'E'~.,' StaDdplpe ';". ,;,¡O. Out.ide:Hazarùóu. c. Conoect1on. --.., Material Stor~ce ~ter Control Valve.' U. OuUIde Hazardou. . ' ;t ,I" prC!tect1on .ysU.. Material U../BandllnC, ~, I." ~ :', e. Fire Puap' ¡z. TY~..ot HazardoÙ8' ," MatlÍÌ'1a:l/Wa.te ' Stored 8. Plre Depert..nt Acce.. or U.ed (See Below) ~ .,. ¡ TYPE OPKAZARDOUS MATER[AL '-.~ .~_:;;., ~~-'~ ~j~ ~':~~~~~ :. - Q ;'" =~- ~.... -- ~~.~;;;;.,~ ".. ;{'.- ,.,..- þ "-, .<\. "c t;.'-. '". . " d .,' '.,' -' C ·'Corro.ive o . OxIdizer ê). G.. P . Pohon B . bplodve L · LIquId R . RadIo10¡lcal .,...-,-__,.~-,,~o...... ~~____~"'"___-:"~~":'"_____...."._ ......___ ___",__,:,,-=--'~--=:,::>e .-'--~~.,. .~--- -__L _,,:¿la_able W . Water Reactive T . Toxic s .. SoUd II . Cryocenic D . Wa.te 'B . EtIolo¡ical Exa.ple: Fla..able Liquid· FL FAC[LITY DIAGRAM (Required Ite.. In addItion to tbe above) 1. R1aer'8 {or Sprinkler's 8. 'ire £acape. Z. Partition. 8. Air ,Condltionln, Unit. 3. Stal r....y,.: ,I'n'clIeate .tlie leveis .el·ved fro. blihe.C to lo.e.t. 10. Wlnd~ 11. In81de Hazardou. Waste Storace \4. Escalator: [ndleate the levela .erved (ro., hIche.t to lowe.t. 12. [n..tde Kszardou. ,,' 1,' Mster'iala Stonce ' 5. Elevator 13. Inelde Hazardous Materlala Uee/Handlini 6. A"ttlc Acce.. 14. Se..r Drll!n [nJets 7 . Sky 11ih U ~-r ,¡¡:. i/ . RAcfsDALE AIR CONDITIO ~ G -.;;;:;...- .. SiteID: , .-/' ~",,/ ~"~/; /$: 015 - 02..-1 - 0,0113 1 /" . /~ ,,-/ Manager : Location: 1127 SUMNER ST City BAKERSFIELD \"~ r J'\ , BusPhone: Map : 103 Grid: 29D (661) 322-2449 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:1711 DunnBrad: ¡\ Emergency Contact STUART RAGSDALE Business Phone: 24-Hour Phone : Pager Phone / / (661) (661) (661) Title Emergency Contact TRACY RAMIREZ Business Phone: 24-Hour Phone Pager Phone / / (661) ( ) (661) Title 322-2449x 872-3703x 343-2590xCELL ,871-4148x x 900- xCELL Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 1127 SUMNER ST City BAKERSFIELD Owner Address City STUART RAGSDALE . .d900 JTJDQ CT l'adCO ÝI~*C\ I\llon-\-ðrc ù'(. BAKERSFIELD Phone: (661) 322-2449x State: CA Zip 93305 Phone: (661) 872-3703x State: CA Zip 93306 Period Preparer: Certif'd: ParcelNo: to TotalASTs: i ", .,..". , 'TøtalUSTs: RSs: No ~'. ",. -'to ... \ Gal Gal - Emergency Directi v~es: , I r ... . BAKERSFIELD CITY FIRE DEPARTMENT " 326'3979 .. 7'2130 "G" S-TREET BAKERSFIELD. CA 93301 (3h:)~ \? \Þb'7d~I:ÐO hereby certify ~h2t I have , (Type or print name)· , reviewed the attached hazardous materials manage- ment plan 10~~-=="-~~ ~\~ that it along wnih (Name of Busll1eÐ8) , any corrections constitute a complete andcorred man- agement plan for my facility. RALPH E, HUEY HAZARDOUS MATERIAL COORDINATOR ~~~~ \c-c.;-o3 Date -1- 09/26/2003 ~,'.:;'., f - ' . , . ":' , .-;1 ,- ~... e .~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 FACILITY NAME ~A-(J5IM:l <£.. bMl (A~. ADDRESS_II;? 7 SJ^,,-NêQ.. , .Ç: " FACILITY CONTACTSTi,A!tr ú) I/:1S \)A L<?-. INSPECTION TIME ¡.s- Þ\." t\¡J INSPECTION DATE 1:2- I {p - 02- PHONE NO. :? 2..2 - :2 "1'/ 9 BUSINESS ID NO. 15-210- U 0 1/3' / NUMBER OF EMPLOYEES :::s Section 1: ~outine Business Plan and Inventory Program o Combined D Joint Agency D Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pel1l1it on hand V '" Business plan contact infol1l1ation accurate L,. ,- Visible address 1/ "'"' V - Correct occupancy Verification of inventory materials v' Verification of quantities ¡/ ¡/ - Verification of location Proper segregation of material V Verification of MSDS availability /, Verification of Haz Mat training N'11t- Verification of abatement supplies and procedures V Emergency procedures adequate V Containers properly labeled V Housekeeping ¡/ Fire Protection ¡/ Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~ White - Env, Svcs. Yellow - Station Copy Pink· Business Copy Questions regarding this inspection? Please call us at (661) 326-3919 .":'\..-........-~._~¡. "-'" ¡ ~" ~ : -~., ~'4\ + RAGSDALE ,¿~ ~ e e + AIR CONDITIONING =========================== SiteID: 015-02'1-001131 + }' /. Mànager : {Location: 1127 SUMNER ST City BAKERSFIELD BusPhone: Map : 103 Grid: 29D (661) 322-2449 CommHaz : Minimal FacUnits: 1 AOV: ,/ CommCode: BAKERSFIELD STATION 02 SIC Code:1711 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emer ncy Contac / Title STUART RAGSDALE / KENNET GSD / Business Phone: (661) 322-2449x Business ne: (661 24-Hour Phone : (661) 872-3703x 24-Hour 0 (661) Pager Phone : (661) 7-63 0701XCELL Pager E one (661) +---------------~--------3~r$--2~1~-- +------- ---------------- -------------+ I Hazmat Hazards: Fire Press ImmHlth DelHlth I +--------------------------~~~--------. ---~------------------------------------+ Contact : phone: (661) 322-2449x MailAddr: 1127 SUMNER ST State: CA City : BAKERSFIELD Zip : 93305 +---------------------------~-~~~---------------------~T-----------------------+ Owner STUART.. RAGSDALE " Phóne: (661) 872-3703x Address : 2900 JUDD CT ' State: CA City : BAKERSFIEDD ' ¡ Zip: 93306 +---------------------------------- ----------------------------------------~--+ Period to TotalASTs: Gal Preparer: TotalUSTs: Gal Certif'd: RSs: No +------------------------------~-----------------------------------------------+ Emergency Directives: ! +============================= ================================================+ += Hazmat Inventory .========== ============================== One Unified List + +== Alphabetical Order ====== ========================== All Materials at Site + +---------------------~------ ---+-------+-----------+-----+------~---+----+---+ I". Hazmat Common Name. . . I SpecHaz I EPA Hazards I Frm I DailyMaxl Unit I MCP I +-7------------------------- ----+-------+-----------+-----+----------+----+---+ ACETYLENE E F P IH G 30.00 FT3 Hi FREON R-22 F P IH G 224.00 FT3 Low OXYGEN F IH DH G 75.00 FT3Low 1 i I" f¡'.? I <:f(l...A'-7 QAVV\ ;RE. '- _ ð Î f - '-I r-¡ 3> -"7 ~ Q/Y'--G-. , ' '1. l 1&"- IS 70 - C'iZ-L L +==============================================================================+ -1- 03/27/2002 P--~ / .' __"_ _.,Î IÞ -- RAGSDALE AIR CONDITIONING SiteID: 215 - 000 -001131 : CommCode: BAKERSFIELD EPA Numb: RECEIVED ~JAN 2 5 2000 /\ // /Hy· STATI ffi -02 """ BusPhone: Map : 103 Grid: 29D (805) 322-2449 CommHaz : Minimal FacUnits: 1 AOV: Manager : Location: 1127 SUMNER ST City BAKERSFIELD SIC Code:1711 DunnBrad: Emergency Contact STUART RAGSDALE Business Phone: 24-Hour Phone : Pager Phone : / / (661) (661) (661) Title Emergency Contact KENNETH RAGSDALE Business Phone: 24-Hour Phone : Pager Phone : / / (661) (661) (661) Title 322-2449x 872-3703x 703-0707xCELL 322-2449x 872-6011x 331-4785xCELL Hazmat Hazards: Fire Press ImmHlth DelHlth Owner Address City STUART RAGSDALE : 2900 JUDD CT : BAKERSFIELD Phone:· ( ) State: CA Zip : 93305 Phone: (805) 872-3703x State: CA Zip : 93306 - x Contact : MailAddr: 1127 SUMNER ST City : BAKERSFIELD Period : Preparer: Certif'd: to TotalASTs: = TotalpSTs: = RSs: No Gal Gal Emergency Directives: 1 ~..)p\F ~ ~bc:..r\~l~o hereby certify that I have \TYpe or pnnt nll~ reviewed the attached hazardoos materials manage- ment plan ior:.R~, ,~\çQ\~v and that it along with ~Of~$m~ any corrections constitute a complete and correct man- agement plan for my facility. .' " ~\I-~~~ \-~\-~ ~ te -1- 01/19/2000 e - f RAGSDALE AIR CONDITIONING p= Hazmat Inventory f== Alphabetical Order SiteID: 215-000-001131 ì By Facility Unit ì Fixed Containers on Site ì specHaz EPA Hazards Frm I DailyMax IUnitlMCP F P IH G 30.00 FT3 Hi F P IH G 381.00 FT3 Min F P IH G 224.00 FT3 Low F P IH G 259.00 FT3 Min F IH DH G 75.00 FT3 Low Hazmat Common Name... ACETYLENE F~EON 12.... FREON R-22 FRR9U R SOD OXYGEN }\ö \o"'-CSç;(j.. c..Ð~ R -\~ O~ \=(-S6~ .'''i'.. -2- 01/19/2000 ~ e e F RAGSDALE AIR CONDITIONING p= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME ACETYLENE SiteID: 215-000-001131 ì Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit S WALL E OF DOOR Map: Grid: CAS # 74-86-2 STATE Gas TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 30.00 FT3 Daily Average 30.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Acetylene Yes 74862 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi p= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME FREON 12 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CORNER UNDER STAIRS Map: Grid: CA$# 75-71-8 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 381. 00 FT3 Daily Average 381.00 FT3 U %Wt. RS CAS # 100.00 Dichlorodifluoromethane No 75718 HAZARDO S COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -3- 01/19/2000 e e f RAGSDALE AIR CONDITIONING f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME FREON R-22 SiteID: 215-000-001131 ì Facility Unit: Fixed Containers on Site ~ Days On Site 365 , Location within this Facility Unit SW CORNER UNDER STAIRS Map: Grid: CAS # 75-45-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 224.00 FT3 Daily Average 224.00FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Chlorodifluoromethane No 75456 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME FREON R-500 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit SW CORNER UNDER STAIRS Map: Grid: CAS # 75-71-8 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 259.00 FT3 Daily Average 259.00 FT3 P N %Wt. RS CAS # 100.00 Dichlorodifluoromethane No 75718 HAZARDOUS COM ONE TS Z D A SE SMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards' NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HA AR S S -4- 01/19/2000 e e f RAGSDALE AIR CONDITIONING p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME OXYGEN SiteID: 215-000-001131 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SE WALL IN GROUP 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 75.00 FT3 Daily Average 75.00 FT3 HA U %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 ZARDO S COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 01/19/2000 e e SiteID: 215-000-001131 ì Fast Format ì Overall Site ì 06/12/19921 06/12/19921 06/12/1992 f RAGSDALE AIR CONDITIONING I p= Notif./Evacuation/Medical r=: Agency Notification I CALL 911 - FIRE DEPARTMENT - POLICE - AMBULANCE r:: 'Employee Notif./Evacuation ~RBAL NOTIFICATION AND CALL 911. Public Notif./Evacuation CALL OR WALK NEXT DOOR TO NEIGHBORING BUSINESSES TO NOTIFY THEM CALL 911. Emergency Medical Plan 06/12/1992 KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 HALL AMBULANCE. -6- 01/19/2000 e e SiteID: 215-000-001131 ì Fast Format ì Overall Site ì 07/25/1990 F RAGSDALE AIR CONDITIONING I p= Mitigation/Prevent/Abatemt Release Prevention FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. Other Resource Activation 07/25/1990 1 I I ~ Release Containment VENTILATION OF BUILDING Clean Up I I -7- 01/19/2000 -:>. '. e e F RAGSDALE AIR CONDITIONING I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs A) GAS - NORTHWEST CORNER OF PROPERTY B) ELECTRICAL - IN REAR ON WALL IN BUILDING C) WATER - WEST OF PROPERTY APPROXIMATELY 100 FT AT REAR D) SPECIAL - NONE E) LOCK BOX -NO SiteID: 215-000-001131 ì Fast Format ì Overall Site ì ] 06/12/1992 Fire Protec./Avail. Water 06/12/1992 PRIVATE FIRE PROTECTION - NONE, WOULD CALL CITY FIRE DEPARTMENT. FIRE HYDRANT - NORTHWEST CORNER OF EAST 21ST ST AND GAGE ST. Building Occupancy Level -8- 01/19/2000 · . /.. e e í RAGSDALE AIR CONDITIONING ëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001131 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Forrnat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/12/1992 ¡ o 0 o WE HAVE 3 EMPLOYEES AT THIS FACILITY o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o o BRIEF SUMMARY OF TRAINING PROGRAM: TOTAL VENTILATION OF BUILDING FOLLOWED 0 o BY EXITING. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf ... ~.) .. · . .~ ~~(t;~llllð!I;~./ r.:... ...:- 4 08/15/95 RAGSDALE AIR CONDITIONING 215-000-0011 ¡ P'~ 1 Overall Site with 1 Fac. Unit AUG 211995 I , ::J General Information '8 y- Location: 1127 SUMNER ST Map:103 Haz:1 Type: 3 City . Bakersfield Grid: 29D FlU: 1 'AOV: 0.0 . ~ Contact Name Title - Contact Name Title STUART RAGSDALE I KENNETH RAGSDALE I Business Phone: (805) 322-2449x Business Phone: (805) 322-2449x 24-Hour Phone · (805) 872-3703x 24-Hour Phone · (805) 872-6011x · · Pager Phone · (~ ~q 1ç;)áfX pager- Phone · (eaS) 6J-q -31JOX · · Administrative Data Mail Addrs: 1127 SUMNER ST D&B Number: City: B~ERSFIELD State: CA Zip: 93305- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 1711 Owner: STUART RAGSDALE Phone: (805) 872-3703 Address: 2900 JUDD CT State: CA 'City: BAKERSFIELD Zip: 93306- Summary ~ I. ~ll"fr ~J9JJ.ìëreby certify that I have ype Of pnnt name) reviewed the attached haz~us materials ma'.ag9- ment plan or~~tf1!and that n along Wílh any corrections constitute a complete and cortect man- ~ agement plan for my facility. ~~ ~- \ì-~S- 0.. ;¡ e e 08/15/95 RAGSDALE AIR CONDITIONING 215-000-001131 Page 2 Hazmat Inventory List in MCP Order ." 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP --- 02-004 ACETYLENE Gas 30 High ~ Fire, Pressure, Immed Hlth FT3 02-002 FREON R-22 Gas 224 Low ~ Fire, Pressure, Immed Hlth FT3 02-003 OXYGEN Gas 75 Low ~ Fire, Immed Hlth, Delay Hlth FT3 02-001 FREON R-500 Gas 259 Minimal ~ Fire, Pressure, Immed Hlth FT3 02-005 FREON 12 Gas 381 Minimal ~ Fire, Pressure, Immed Hlth FT3 ,""" .' Ii e e 08/15/95 RAGSDALE AIR CONDITIONING 215-000-001131 02 - Fixed Containers on Site . Page 3 Hazmat Inventory Detail in MCP Order 02-004 ACETYLENE · Fire, Pressure, Immed Hlth Gas 30 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 -- 30 I 30.00 30.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient Ambient S WALL E OF DOOR - Conc l 100.0% Acetylene Components r; MCP ----rGuide High I 17 02-002 FREON R-22 · Fire,,~ressure, Immed Hlth Gas 224 Low FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 224 I 224.00 2,240.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient SW CORNER UNDER STAIRS - Conc l 100.0% Chlorodifluoromethane Components r::- MCP ----rGuide I Low I 12 02-003 OXYGEN · Fire, Immed Hlth, Delay Hlth Gas 75 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 75 75.00 75.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above Ambient SE WALL IN GROUP - Conc :/ 100.0%~ Oxygen, Compressed Components ~ MCP ----rGuide Low I 14 ., ".) .' 1\ e e 08/15/95 RAGSDALE AIR CONDITIONING 215-000-001131 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-001 FREON R-500 ,~ Fire, Pressure, Immed Hlth Gas 259 Minimal FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Da~ly Max FT3 ----¡- Daily Average FT3 --r- Annual Amount FT3 - 259 ' I 259.00 2,590.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above Ambient SW CORNER UNDER STAIRS - Cone ~ Components 100.0% Dichlorodifluoromethane r; MCP --¡Guide Minimal I 12 02-005 FREON 12 ~ Fire, Pressure, Immed Hlth Gas 381 Minimal FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ----¡- Daily Average FT3 --r- Annual Amount FT3 - 381 I 381.00 I 381.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Ambient AmbientlSW CORNER UNDER STAIRS - Cone ~ Components 100.0% Dichlorodifluoromethane I~ MCP -::-\Guide Minimal I 12 ~ - .. t' ¡, .. e e 08/15/95 ~, RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 - FIRE DEPARTMENT - POLICE - AMBULANCE <2> Employee Notif./Evacuation VERBAL NOTIFICATION AND CALL 911. ~, <3> Public Notif./Evacuation CALL OR WALK NEXT DOOR TO NEIGHBORING BUSINESSES TO NOTIFY THEM CALL 911. <4> Emergency Medical Plan KERN MEDICAL CENTER -1830 FLOWER ST - 326-2000 HALL AMBULANCE. ~ .. '. ~ e e 08/15/95 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. ,~ <2> Release Containment VENTILATION OF BUILDING <3> Clean Up <4> Other Resource Activation ~ .~ ..... 'Q ~. -. .-¡ e e 08/15/95 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 7 ,oO <F> Site Emergency Factors <1> Special Haza~äs <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER OF PROPERTY B) ELECTRICAL - IN REAR ON WALL IN BUILDING C) WATER - WEST OF PROPERTY APPROXIMATELY 100 FTAT REAR D) SPECIAL - NONE E) LOCK BOX -NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE, WOULD CALL CITY FIRE DEPARTMENT. ~ FIRE HYDRANT - NORTHWEST CORNER OF EAST 21ST ST AND GAGE ST. <4> Building Occupancy Level -i~ tJ ¿. ~I.;; .,¡. ,.- ~ e e 08/15/95 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROGRAM: TOTAL VENTILATION OF BUILDING FOLLOWED BY EXITING. <2> Page 2 ~" <3> Held for Future Use <4> Held for Future Use " ~ ,..::-'" , . :--. ---:- ~ '," rC ~'" , " .'" , , ,~ '(\" HAZARDOUS MA T.LS INSPECTION .ersfield Fit:"~ Dept. , Hazardous Materials Division ~ Date Completed Business Name: ~ j 5 cle... / -c;.. 1<(> ~[r ;"Sr::J'£.-! :' (j___ Location: --1J Z? ,ç v- p'.-, h e_,~ Business Identification No. 215-000 - 0 0 ' 01 ~ j ~ It) ,-S- j ,Departure Time: (Top of Business Plan) Inspector ó'o/.!íì ~ Inspectio ime: /0 s- 3 Adequate Inadequate ~ ~ ~ l3" Station No. Arrival Time: z.. Shift C- Verification of Location LJ LJ o o RECEIVED , AUG 0 ß 1995 HAZ., MAT. Div. Verification of Inventory Materials Verification of Quantities ~mw: Proper Segregation of Material Verification of Haz Mat Training (jJ/ 0 0 ~ 0 0 0 '~ " ~ 0 Number of Employees: Ve.rification of MSDS Availability ..3 Comments: - Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: o Œ)/ Violations: ,#?'" ) ~ " / (/"A. .'~ .... ~ . ,(".,( /,.~ J J>~ c-r 5 , ;:;'0 !.1) /);""-j -,-(_.~ QS~ 1õrres I ~~~ Busin erlManager PRINT NAME NATURE All Items O.K LJ Correction Needed (3/ i ~ !!S N ~ o u.. White-Haz Mat Div Yellow-5tation Copy Pink-Business Copy . ':,"A:J~:~: '::"j;~:':;.:.~, ' .,:., .," ,,~ Agric~lture~standard Business CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENToRY " ' t" ~ ;r ~~ page-L0f.a2.. ' ~ ~. :~D f~ ) NON - TRADE SECRET OWNER .NAME:' '~ìVA.I2.T ~.' 1<~f\:LEj- ADDRESS: ~900, 0uo'O ('£.ï\' ¡ CITY,' ZIP: '"BA-~ F- ((l'"S FIr- ) 1), q ::5:'XJ-C,s ,PHONE ",# :: A7/;( - ?,.7{)?, , NAME OF,THIS1FACILITY: STANDARD IND. ,CLASS CODE:, DUN AND BRADSTREET NUMBER/FEDERAL ID # - -- - - -- ".> INSTRUCTIONS FOR PROPER CODES ¡ 9 10 11 12 Cont Cont Use Location Where Press Temp Code Stored in Facility L\ ßtN ~ER UNDE.R <STP<.\R'5 13 'by wt 14 Names of Mixtùre/Components' See Instructions FOEL - CASOI-IN€.. '-~::,1::.: . ~'''v-·~-·· ^ -'caï "and Health aazård . ~ eck all that apply) , 't Fire ~azard' 0 Sudden ~lease . of Pressure ,,' C.A.S. Number Component It 1 Name " C.A.S. Number o Reactivity D IDDDediateO D~laYed Health Health Component,lt 2 Name & C.A.S. Nùmber I , I Component It 3 Name & C.A.S. Number W WAL-l- at..! Sf\£LVE"S. f'Þ.\NT - GLUE. AD~£SI\(£5 :~;j,;~! ; ¡)'1 ¡-. Physical and Health Hazard :'!,;fi,(Check all that apply) - ~¡'Î'8t ~i,f' C.A.S. Number Component It 1 Name&C.A.S. Number Fire Hazard 0: Sudden Release' 0 'iReactivity 0 IDDDediate of Pressure Health Component It 2 Name & C.A.S. Number Component It 3 Name & C.A.S. Number' OM Cl£ANUS 1 Name & C.A.S. Number Component It 2 Name & C.A.S. Number Component It 3 Name & C.A.S. Number N'vJ WALL UTO (CAf¿B i'--;!'J.;" PhYsical and Health Hazard C.A.S. Number 'C;; (Check all that apply) Fi~Hazard 0 Sudden Release 0 Reactivity 0 I~ed1ate 0 Delayed of Pressure Health Health Component It 1 Name & C.A.S. Number Component It 2 Name & C.A.S. Number Component It 3 Name & C.A.S.Number CONTACTS #1 DINNE-R.. Title 87.') 37ð?> 24 Hr. Phone #2 v:£.N 'RAG:ShA-J f= Name FA-11I-F R Title '1: Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) , "'I. certify under peanlty of law that I haver personally examined and am familiar with the. information submitted in this and all attached documents and that based on my inquiry of those I1divldualS responsible for obtaining the information. I believe that the sUbmitt,ed information is true, accurate, and complete. ' '-! :",;F~(f1T1 )Mr 'K.RAG 5nAlE:.. -()\-\!!\.\FJ<. . - ",. " .. ,I'~-;NAMBAND OFFICIAL TITLE OF OWNER/OPERATOR OR OWNER/OPERATOR'S AUTHORIZED REPRESENTATIVE 5~ J- q ~ SIGNATURE - DATE SIGNED ..'-...:.,. .. .. ~'~7--t. ~~~ CITY of BAKERSFIELD -~~i I r.ra ;,¡¡' Aql':. ieu Itu~. '--' .--. St....~d Bus',,"s '--' HAZARDOUS MATER:I:ALS :I:NVENTORY NON-TRADE SECRETS p. ¿ Of.:?:. . BUSINESS NAME' --... -- LOCATION: , ADDRESS: STANDARD IND. CLASS COPE CITY. ZIP: , CITY. ZIP: DUN AND BRADSTREET NUMBER PHONE .: PHONE .: - - - - - -- - - - - IfD'Ø ro IIISrttUcrIOItS rolr nOPD CODD 1 2 ] I 5 , 1 1 , 11 1\ 12 1] II , r.... Tyøe ... ,"". ""-1 -..-. .e,. CaIIt CaIIt CaIIt UIe Laclt1111 ...,.. ,~ __ of 1H1It_~ __,tl /' (oft (œ. Mt Mt Est Units III Sit. I", "... I... toM Stlll'ed 1/1 F.c1 Hty lit SIt IMtruc:ti_ .Ate_.J._ t Q...O 1 qo· '- 4 ILß~I 5(051 4 1 \ 14 I c¡q I 5VJ c.ðRNE:.£ uND~ 5'111\1:5 ¡::Q£Df'..J \/ "¥ie.l Iftd....>th fIIr,NI u.s. ...... ~tll ... . C.'.5. ...... ! I r.lwck .11 thet 'lIP I,) ! :ei,.. H.1I1'd ..-., ..-., ..-., ..-, eo.aøn.tl2 ... . u.s. ...... I. - -' hletiY1ty 1.- -' DtI.yecI I. - -' SudIMII "I_ I. _ oJ 1..1.t. ; 11M Ith .f Pre-. ....Ith -- . ~tn ... . u.s. ..... , .- .~.LEJ__] ~___J._~Q____L_~_ 1Lf>S 13051 4 1 1 4 C¡q I_~ E- v...1A:L-L \Ñ G roùt>J:D (j'f... '~G..N "-"""- '~iell Iftd IIeIJth filIIi'd C.'.5. ...... ~t'l ... . C.'.s. ....... { Iwck .11 thet l p Iy) - r-., ..-., ..-., ..-., ..-., c-t 12 ... . C.'.s. ....... .. - -' ,FI,.. lillii'd I. - -' IINct1Y1ty I. _ oJ Dtlev-l I. - -' SudIMII "I_ I. _ oJ 1..lat. 11M Ith of "-- ....Ith // ~tl] ... . t.A.s. ....... liif_L.30 __ I 3D J \ l.I3S 13~5 I 41 I 14 1<!\9 IsDIM , E.A6í DF Ac~f-T YLENE... ..... \tJfH-L ~ -- '1m ita' IIId 11M It II iliuM! U.S. ..... CoIIIanInt 11 ... . U.S. ...,. ftlwck .11 t"'t , ply) -- r-., ..-., r-., ..-., ..-., c-tl2 ... . U.S. ....... .. - J F1,.. lillii'd I. --' IINct;y;ty I. - -'DtI..-cI I. - -' s..w... bl.... I. _ oJ ¡...r1It. ""Ith of 'rwsJUl't ....Ith - c-t I] ... . C.&.S. ....... , -e--L----L _JL____________.1_ I I I L.:.I I '~ ie.1 Iftd HoIlth IIIztNI C.'.S. ...... . t.DonInt 11 ... . C.'.S. ....... ( Iwck . II t"'t '" I,) --- ,.-., r-" ,.-., r-., ..-., C..-.nt 12 ... . C.'.5. IMber L _ J F I,.. 1I.1.1'd I.--' hect;vity I. - J 0. 1I.-cI I. - -' SucIdøI ..I.... I. _ J '..t.t. IIN Ith of 'I"ftJUl't IIH It II -- - ---- ------ C..-.ntl] ... . C.'.5. IIuMItr _f RGfNCY ctlltACTS .1 12 , Ii_-~--------~------------------- llni---~-------- 'nnr.öñi----- 1Iiii--------------- nyu----------- ~--- - ,~ OWNER NAME' NAME OF Tr1S FACILITY: I' , "- ..ni/ie.non (Rt!lJd IJnd sj ?TI IJftt"r co.pJ"Une 1111 st!ctions) e.rtHy unò.· ....1ty,of l..thet I he". ",~sonllly ....;* Iftd .. t..i hlr with thl tnf_t;1II su.;ttod tn this Iftd .11 Itt.chod __n. Iftd thet liasod on ~ inouiry of tloll 1nd1vidua 11 P'ft lOftI;bl. '0' ott"n,"Ç the Int_tion. 1~1i."p t"'t ttlp ,uo-inM! int_tion· is true. .ecvrlu. 1M eœplltt. . .. ......... . I~;'; - ;~¡'õTTiëi;nmtõrõWñ.;:iÕ~¡::;tõ;: -On.ñ.;:ro;p;:ãtõ¡:-šiü£hõriiiõï=iõ¡:išiñ£ifiŸ. ", . " S;~-¡¡:ù¡:i-~--------:-------~--------------- lliti-Si9nod ------------- . - ~' '~~--- ....._~.-~-- ....'. e -/ e ~ 04/23/92 General Information RECEIVED Page 'JUN O? 1992 HAZ. M.A.T. D'V. 1 RAGSDALE AIR CONDITIONING 215-000-001131 Overall Site with 1 Fac. Unit Location: 1127 SUMNER ST Map: 1Q3 Hazard: Minimal Community: BAKERSFIELD STATION 02 Grid: 29D FlU: 1 AOV: 0.0 --- Contact Name Title Business Phone - '24-Hour Phone STUART RAGSDALE (805) 322-2449 x (805) 872-3703 KENNETH RAGSDALE (805) 322-2449 x (805) 872-6011 Administrative Data Mail Addrs: 1127 SUMNER ST D&B Number: City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: \ Owner: STUART RAGSDALE, Phone: (805)89~ -~449 £:~ Address: 2900 JUDD CT State: CA / City: BAKERSFIELD Zip: 93306- SuÌnmary I 81~-~7D3'" "- I nlìJPRT ~p1i\LfDO hereby 00tAID~ that I have , (Ty~ or ,~ ~tS"i~wed the ~ached hazardous mater!,"lls manage- mSf¡)~ nisin fO~~G;'ií)t\u:: A I~ ~nd that i~ along with k'" (Nema of Buslnsss) ~l? OOr~0di~fI1~ oonstitut~ a complete and correct mail- ~(Sm~nt v:»I2b1 ~©rr my ~t§llCi!i\\l? . %~Q,,-- zj-<lQ Date I ' ~ .. .. e e 04/23/92 RAGSDALE AIR CONDITIONING 215-000-001131 02, - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 FREON R-500 ~ Fire, Pressure, Immed H1th Gas 259 Minimal FT3 CAS =It: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amòunt FT3 -- 259 I 259.00 I . 2,590.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above AmbientlSW CORNER UNDER STAIRS -Cone ~ ' Components 100.0% Dichlorodif1uoromethane 1-; MCP -=--rList- Minimal I 02-002 FREON R-22 ~ Fire, Pressure, Immed Hlth Gas 224 Low FT3 CAS =It: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 ----r-- Daily Average FT3 ~, Annual Amount FT3 -- 224 I 224.00 I, 2,240.00 Storage r Press T Temp -:I Location PORT. PRESS. CYLINDER Above AmbientlSW CORNER UNDER STAIRS - Cone l 100.0% Chlorodifluoromethane Components r=- .MCP ~List Low I ~ ~ e e 04/23/92 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 - FIRE DEPARTMENT - POLICE - AMBULANCE ø <2> Employee Notif./Evacuation VERBAL NOTIFICATION AND CALL 911. <3> Public Notif./Evacuation CALL OR WALK NEXT DOOR TO NEIGHBORING BUSINESSES TO NOTIFY THEM CALL 911 I <4> Emergency Medical Plan KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 HALL AMBULANCE. ~ . e e 04/23/92 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 4 '<E> Mitigation/Prevent/Abatemt <1> Release Prevention FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. <2> Release Containment VENTILATION OF BUILDING <3> Clean Up <4> Other Resource Activation I ' I ~ e e ~ 04/23/92 r RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards , <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER OF PROPERTY B) ELECTRICAL -IN REAR ON WALL IN BUILDING C) WATER - WEST OF PROPERTY APPROXIMATELY 100 FT AT REAR D) SPECIAL - NONE E) LOCK BOX -NO J , <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE, WOULD CALL CITY FIRE DEPARTMENT FIRE HYDRANT - NORTHWEST CORNER OF EAST 21ST ST AND GAGE ST. , <4> Building Occupancy Level r ¡ , i ~ t '!';.~4:, e r e 04/23/92 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TOTAL VENTILATION OF BUILDING FOLLOWED BY EXITING <2> Page 2 as needed / i <3> Held for Future Use I <4> Held for Future Use .~ ;/- CiTY oj BAKERSFIELD ,.~ ~<~-~:;>~'; f.... ..,. iqr;cu)tur.. '--' ..--. Standard Bus "..'s ~ IIAZARDOUS MATERIALS INVENT,ORY· NON -T R A DES E eRE T S' '. B..... of _~ ./" .- BUSINESS NAME: RI\C""t-·sr)~E-. LOCATION: II A '1 SOIV\\\\fJ2. C TTY. ZIP: ...ß Ac'f..... PHONE.: .::S Q. Q .244-'1 þ.-\R <SiT q ~,~o 5 OWNER NAME: sml*1ZT ~1\C'y<::;DA1' 1=' ADPRESS: ,:LqCú <: \DD~ C'.R..'T' CITY. ZIP: B~~ .,gP>3lJ(n PHONE ,: R7?:::2. 37ð?, , 1tD'D. 2"0 ZMSrltUcrZOllS' roll noPIQt CODD NAME OF TitS ~A_Ç1LLTY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER - -- 1 1 Ir_ TYIIt (* c.oo. ] ... Mt . ,..... Mt 5 , Annue I Est , ......... Units II __ of ,"1It_ItI _.tl .. Iftltructi_ ..A. 'hvs ie.l IIId 11M Ith llauM! (ChKk .11 tillt IlIPly) C.A.5. .... ea..an.t II .... C.A.S. IIuIW r" -., r-, ~-... r--., ,.-, ~ _oJ fire IlanNl I._oJ IIMctlvity I._oJ o.l~ I._oJ s..w. ..1_ 1.-..1 1"'lt. . ....Ith 01 ""!:IIf'I ....Ith ea..an.t n .... t.1.S. IIuIW ea..an.t I] .... C.A.!. ..... ,b.. '~iClll11d IIMlth Ilaz.M! (C'-ck III tlllt allPly) u.s. ..... :ÞóD" ea..an.t IT ..., C.1.5, IIuIW ~-., ,.-, ,.-, ,.-... ,.-, ~ - oJ fl,.. Hu,rd I._oJ IIHchyHy I._oJ OIl,," I._oJ SudtMft, ~I.... I._oJ l-.dlnl ....Ith of Pl'fttvl"l ....Itll to.oaNnt n .... U.S. ...... ea..an.t 13 ..., C.&.5. ...... _._l_L~__-L..____i_______J_ I ' LI '~lc.ll11d ....ltll liar,", C.1.S. ......_ CCÌlft:k ',II tlllt ..,Iy) C-t .1 .... C.&.S. ...... r-., r-, ~-., ,.-., ,.-., ~ - oJ fl", lIar,NI I._oJ heetiyhy I._oJ OIl,," I._oJ SudtMft ~1111S'. I._oJ l-.dl.t. "..Ith of '....Iure ....Itll C......t 12 .... t.&.S. ...... ---- --- c......t 13 ..., C. &.5. ...,. Nr !lCrNCY COIIUCTS 11 n Ii¡¡';-~------------------------------ Tin¡------------- 'r-¡¡;:-pr.õñt---- q¡¡--- ----- nnr------ 7nI1'"""Mf-- .Irt i/iCft1on (Relld IInd sj !TI lI(tcor coapJ,.Ung IIJ J sections) CtrT 1fy und.r _Ity of 1.. TiIIT t illy. Irsonl By ....1l1li1 ..,. .. f..; hlr with t" Inf_tiCln sut.Httd 'n this IIICI, III .ttKhtd doc:_u. IIICI ti1lt b...d on ~ illl Uiry of U.... Indhfdue Is "" OIIlilll. '0' Obl""'nc¡ .t"'lnl_t1C1n. I bill... thet tilt Su..ittlÓ Inl_II01\ IS tl'Vt, ,ccurlte, tJII( eœpl.tl. I... - ;"Õ~Õ Hiëi. n in@-õT-9õñ.¡;iõPi¡:;¡¡ õ¡: -D~-¡;;';.¡:7õ~;:¡t õ;:·~.ü£r.õÑi ¡¡n.õ¡:iSPiit mÿ. I Siõñitü¡:@--------------------------------- n.tniij"Ï<è ----------- I' o~ >.,,/ ' . HAZA-RDOUS MATERIALS INVENTORY F.arm and ·Agt 1 CU Iture 0 Standard Bus i ness 0 / NON-TRADE SECRETS " 'SLU?SCAINTEISOSN:NAME: 1(':' ~.J.e ëb..,¡..~"'OWNER NAME: NAME OF THIS FACILITY: ~- - ADDRESS' STANDARD IND. CLASS COOE:--~- , _C TY ZIP: CITY zip:' DUN AND BRADSTREET NUMSER--~--'_~n__- i' PHONÈ It: PHONÈ It:' , REFERTO-rNSTRUCTIONS~~ROPER CODES - 7 8 9 10 11 12 '. Dys Cont Cont Cont Use locat ion Where on Slte Type Press Temp Code Stored 1n Faclllty CV ~d .~ /.,"~' ,'" ~,' '._y:~' ,. . - ....,r- .....__ , ' ". .,/ CITY of BAKERSFIELD 7. II ~, 'j J: . ·i Page of ~ _._-----~ ---- .----" . ...~.__..----- -- - - - - 1 Trans' Code '~ire Hazard o Reactivity: Phrßlcal eod Hea1th Hafard (Check HI thaLapply , 0' Firé Hazard o Reactivity 13 \ by \It' 1! Na~es of ~ixture/Ç~~Donents See Instru:t Ions ~{ed 0 Suddßn Release Hea th' of Pressure Component'2 Name'l C.A,S. Number o Immediate Hea 1th ' Component.3 Name I C,A.S, Number ',C.A.S. Number.' "~H'~e;~{têhd ' 0 Suddßn Re1ease . of Pressure 8Cù~~ Component .1 Name I C. A. 5,. Number 600 _ '.- Component 12' Namn C.A.S. Number o Immediate ,- Health Componeht'J Name I C.A;S. Number . . I' Phrsid1 end Hea1th Haiard (Check a 11 that app 1 YI o Fire Hazard C.A.S. Number Component.1 Name & C,A.S, Number o React i v ity . 0 De hyed 0 Suddßn Re 1 ease . ,Hea 1th - of Pressure Component.2 Name I C.A.S. Number o Immediate Hea 1th Component.3 Name I C.A.S. Number , - -, , EMERGENCY CONTACJS # 1 0 . , #2 . . . R~_me _ Tttle l4RrTIi_õñe- Rame ~t~Vfi~~:j~~erp~naIÇf~Þfa~f~ë~"~a~f~er~of~~:fr~~a~fn~fo~rimi g~il Fat :it¡ffh~1:f~{~~fon~ubmitteQ in' t~iS ondan' ~ ,', , att'açheddQcU~,ents, !n~ thatbased"on lilY InQul0Q/.thpse IndlVlduals respons1ble for obtalnlng~ the InformatIon. 1 belleve that-the ,- _ subml~ted InfOfclla:_~on IS trU9'¡ accurate and.coIIIPlet~.'·- ," .-" '. ' . -' : ~ . Phrs.ical eñd,Health Hatud" . (~hecK ! II that apRIY¡ "0 ReactiVity '. - 0: De 1 ayed D·Suddeñ Rel ease Hea r th '- of Pressure 0, Component .2 Na:m~ I C.A.S. Number Immediat~ '. Hea1th Component.3 N_ame I C.A,S., Number, 1 i I 1llJfTIi~ I Tine .- . 1'- ~ . , . I II , , - " :j, " ,I U-tnh--"'-~ I' .' L~..1 Q~e~:,~.:, "'I - . -, , < .,~ .' ....:; I - "--.. t q~e :~rõ::Öf;cI;L~·I~1.é' Of o;n~-;,~c_~rHor _u~>\ ~er{oP~rfrõ!);~.autñoiîmrTIðreseñtãtrve'-'~" . " ¡;:;'_~_.,' ...,.'. '::" ~:. ê. :.: -.,:., '-,''. ,..- ,_ ,',.' '.f'>" - . . . STgñã1 u r e-:-- - ~" - ~ "--- CITY-öfBAKERSFIELD RECEIVED "/,, gHAZ, ARDOUS MATE,R, IALS IN,VENTORY fEe? 0 1991 ,. Farm arid Agticulture [] Standard BusIness Ui . ' , NON-TRADE SECRETS,., 'HA7 MÞ<.T.OIV. , P,age -1-_ of ;;(' EU8I~Ið~:NA\~~{~~~~~ ~~:~:\~ ~W~~~S~~M~~DC' T. T ~~M~ ~~DTH~8. F¿tlLPtò~~Lf:- ~\R. CDI\\D\T!ot-.\\NG ' c9T~È ZIP: ß~V\~I~ __ ___' c9TY~ zlp: , E.Lf.D ou~ ~NO SÄADSTREå NUMBER--···-----·---·-· PHON It: f'V")5 -_ _ - __~1 PHON lit' -:...22'7..£::..'3'7{;)?:> REFE 0 TRur; /1 UNS rUt( PRUPER CODES - - - - 1 2 3 4 5 6 7 8 9 10 11 ,12 13 14 Trans TYQe Max Average Annual Hea$ure , Dys Cant Cant Cont Use locatIon Where 'by Nues of "ixture/Çollponents Code Code Allt Amt, Est UnIts on SIte Type Press Temp Code Stored In FacILIty \It See InstructIons p \0-\3 ~ ß~ r. F PhYsjc~l end Health Ha~ard Component.1 Name & C.A.S. Number (Check all that applYI ,¡,re Hmrd [] Reactivity [] De 1 ayed [] Sudden Re I ease Health of Pressure [] Component'2 Name & C.A.S.Nulllber Immediate Heal th . Component'3 Name & C.A.S. Number .' Ph~~jc~J ,~d ~eatth Hafard I, ec ,a t at apply ¡;gf.F ire Hazard [] Reactivity [] SUddf" Re I ease [] 'Component .2 Name & C.A.S. Number [] De !ared Immediate , Hea th o Pressure Health Component .3 ,Name & C.A.S. Number E. Ph~sital ~nd ~ealth Hajard Component .1 Name & C.A.S. Number I heck a I t at apply ~Fire Hazard [] SUddf" Release [] Component .2 Name & C.A.S. Number [] Reactivity [] De !ared Immed i ate ' Hea th o Pressure Hea Ith Component .3 Name & C.A.S. Number Physical eod Health Halard ¡Check all that apply) ~F i re Hazard [] React i v i ty [] De I ayed [] Sudd.en Re 1 ease Health of Pressure [] Component f2 Nallle & C.A.S. NUlllber Immediate Health Component.3 Nam~ & C.A;S. Number EM~RGENCY CaNT ACTS # 1N~ MT "'~[Ffp.,~ R/Ic-.."5~Lft~le ð\;J~f..ti5 ~1:¡H?1~h€ tl2"~ RM5:DfU.E. ~tffl<.. - £)(. DINNER 'Certifiçatio~ (Re~d and $ign af1f3r c9mp7~ting, all, sec~ions) ',' , ' 1 certIfy under penaltï 0 ra~ that I have persona Iy examlneQ e~d em famIlIar Ylth the InformatIon $ublllltte4 In'thls end all attaçhed documents, anQ t at based on lilY Inquiry 0 those Ind,lvldualS responsible,for obtaIning the InformatIon. I belIeve t1f!'- f¡ . ~, ' ' subml~ted Inforllatlon IS true, accurate, and COllplete. " ,¡.._ - n ' .~ )f\Q..:}' . D E... - . 'a ~ ftäî;e=tiïõ 0 IC a e wner opera or owner opera or s, on e representat1ve goa r~ - ß7~-~~1 t Rl~r n M~i' ~) \990 OaL . qr.e I I - <6- I 0 - c¡ 0 e ~ July 25, 1990 Mr. Stuart Ragsdale 'Ragsdale Air conditioning 1127 Sumner Str~et Bakers£ield, Ca. 93305 Dear Mr. Ragsdale: Enclosed you will £ind a computer printout o£ the Hazardous Materials Management Plan that we have in the computer. Due to a change in the laws that went into e££ect January, 1989, we need to have a new inventory £orm (enclosed) £illed out. This £orm must be £illed out and returned to our o££ice by August 10, 1990. If you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Vours, Ralph E. Huey Hazardous Materials Coordinator e e RECEIVED Page DEC 2 0 \990 tV. 1 10/23/90 RAGSDALE AIR CONDITI?NING 215rOOO-001131 Overall Site wlth 1 Fac. Unit General Information I Location: 1127 SUMNER ST Ident Number: 215-000-001131 Map: 103 Hazard: Minimal Grid: 29D Area of Vul: 0.0 C-rtact Nane Title Bl\sliress Ph-re '::04 H I 1"~ Ph-re ..-- 0.;;' I I . . I 0.;;' I - ". C'.I ,_. I STUART RAGSDALE (805 ) 322-2449 x (805) 872-3703 KENNETH RAGSDALE (805) k::o·::o "·'449 x (805) 872-6011: '~L..J;;. -c. I I AdmirlÌst1"~at ive Data Mai 1 Addrs: 1127 SUMNER ST D&B Numbe1"~ : 77-0153193 City: BAKERSFIELD State: CA Zip: 93305- C.:. m m C,:,de: 215-002 BAKERSFIELD STATION 02 SIC Cc.d e : Owrle1"~ : STUART RAGSDALE Ph ,:,rle : (805 ) 872 - 3703 I Address: 2900 JUDD CT State: CA I City: BAKERSFIELD Zip: 93306- r Stlrllmary I I I I I I ~ I Stuart Ragsdàle . Do h0raby c }rtify~hai ¡ Ila....e , (Type or print name) reviewed the ?~~tached hr:r:;;'··::~ ¡'~dterials manage- ment planrO¡~~9.1g~~~:,~~~~~9-9Ð9itiGh:j;ß.gt along with . ' ...... '!,... "'-"::1 rO· ·,f'!I":·;)te a.nd correct man- any correctt~;)íÏS COI !;;;ÜU..'~:;; C. '... ""..... r;t; agement plan for my facility. l October 29, 1990 Date .- 10/23/'30 RAGSDALE AIR CONDITIONING 215-000-001131 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PI Y'.-Ref Name/Hazards Fc.rm Quantity MCP, 02-002 FREON R-22 Gas 446 LClw Fit~e, Pt~essl..tt~e, Immed Hlth FT3 02-(101 FREON R-12 Gas 318 Mi Y'lÌmal F it~e, Pressl..tt~e, Immed Hlth FT3 "- '\.." - It 10/23/'30 e e RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL '311 - FIRE DEPARTMENT - POLICE - AMBULANCE <2> Employee Notif./Evacuation VERBAL NOTIFICATION AND CALL '311. <3> Public Notif./Evacuation CALL OR WALK NEXT DOOR TO·NEIGHBORING BUSINESSES TO NOTIFY THEM CALL '311 <4> Emergency Medical Plan KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 HALL AMBULANCE. 10/23/90 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. <2> Release Containment VENTILATION OF BUILDING <3> CleaY"1 Up Hire out services. Wash outbuilding. with water. <4> Other Resource Activation e . 10/23/90 e _ RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page ~ ~ (F) Site Emergency Factors (1) Special Hazards (2) Utility Shut-Offs 'A) GAS - NORTHWEST CORNER OF PROPERTY B) ELECTRICAL - IN REAR ON WALL IN BUILDING C) WATER - WEST OF PROPERTY APPROXIMATELY 100 FT AT REAR D) SPECIAL - NONE E) LOCK BOX -NO <3} Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE, WOULD CALL CITY FIRE DEPARTMENT FIRE HYDRANT - NORTHWEST CORNER OF EAST 21ST ST AND GAGE ST. (4) Held for Future use 10/23/'30 RAGSDALE AIR CONDITIONING 215-000-001131 00 - Overall Site Page 6 <G> T)'~aiYÜng <1> Page 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TOTAL VENTILATION OF BUILDING FOLLOWED BY EXITING I <2> Page 2 as Yleeded <3> Held for Future Use (4) Held for Future Use e e e e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT D, S, NEEDHAM FIRE CHIEF October 26, 1990 , , Dear Business Owner: 2101 H STREET BAKERSFIELD, 93301 326-3911 Enclosed you will find ~ computer printout of the Hazardous Materials Management Plan that is currently in our computer, we have highlighted the areas that need to be revised. Also due to a change in the law that went into effect January, 1989, w~~eed to have a new inventory form (enclosed) filled out. Thisfãi'm along with the computer printout must be filled out and returned to our office by November 30, 1990. If you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Vours, ~é~ Ralph E. Huey Hazardous Materials Coordinator REH:vp Enclosures 1-~: '.. -: .~¡. 07 /~:::5/90 . RAGSDAI AIR COND I T I ON I NG 215-00(101131 'RECEIVED Overall Site with 1 Fac. Unit Page 1 Ge1"lera 1 11"1 f c.rma t i C'1"1 iAUG 1 4 19QO ' Location: 1127 Sumner St Ident Number: 215-000-001131 Map: 103 Grid: 29D Hazat~d: Mi1"limal Area of Vul: 0.0 r--- Contact Name STUART RAGSDALE KENNETH RAGSDALE I OWNER Title Business Phone ~ 24 Hour Phone, (805) 322-2449 x (805) 872-37031 (805) 322-2449 x (805) 872-6011 Administrative Data tJ~ FGf)Ge..f\G L D ti: D&B NI.\f11bet~: 77-0153193 State: CA Zip: 93305- . SIC Code: Owner: STUART RAGSDALE Address: 2900 JUDD CT City: BAKERSFIELD Phc'1"le: T805) 322 - 2449 State: CA Zip: 93306- Mail Addrs: 1127 SUMNER ST . City: BAKERSFIELD Comm Code: 215-002 BAKERSFIELD STATION 02 I r Summary II I I IJ Q£..ó.4L p--. Ð<d IY\i.<.Ù ~~ cltWL) ~ aM.. Ju.%h.L.~h.Lrd ,~(J.A.J ~cL cJu..ek fu vm~'~, ()LQ.. ~~ ìo c..fYIN. c.{ ~ ~\.J ~ (jJ(\cJ.. ùtLtwvn.. ,JJa- <3 -10 ~ ð . \ I, ~t....K.....BggsdQle.. Do hereby certify' t"~" ' '. "..,:\ (fype or print name) , rev!;7)wed the attached h8.?£.I.','·joUG matarial~ ',;, ...: '. . ment plan forlill9êdaJ..§,)i~r..~ç9nÉi\nd that it ak1: .':;' .,"¡;'¡¡~ tN.:.:11Ð ,;"i :...-.~.:.:. ,':,(,.:')¡ . any corrections consti1L:ta a ~::Qmpicte and COri&G't ií1aClø agement plan for my facility. ~~~1?/~/qO * ". ~?', .....-~ 07.125/90 RAGSDA~AIR CONDITIONING 215-00~Ol131 Hazmat Inventory List in Reference Number Order Page, 2 02 - Fixed Con~ainers on Site PIn-Ref Name/Hazards F c.t~m Quarlt it Y MCP 02-001 FREON R-12 ? 318 Mi rlÍmal FT3 02-002 FREON R-22 ? 446 LClw FT3 '.< .{ ..' ,""" It 07/25/'30 . '6 RAGSDA~ AIR CONDITIONING" 215-00(~il131 00 - Overall Site Page 3 (D) Notif./Evacuatio~/Medical (1) Age~cy Notificatio~ Fire Department - Police - Ambulance #911 (2) Employee Notif./Evacuatio~ VERBAL NOTIFICATION AND CALL '311. (3) Public Notif./Evacuatio~ Call or Walk next dcx:>r to neighboring business to notify them. (approx. 12ft) Call 911 (4) Emerge~cy Medical-Pla~ KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 HALL AMBULANCE., ,i ~ ~'.."::: /i 07/25/90, RAGSDAI AIR CONDITIONING 215-00.)Oî 131· 00 - Overall Site Page 4 (E} Mitigatío~/Prevent/Abatemt <1} Release Prevention· FREON IN APPROVED PRES'SURIZED CYLINDERS AND PROPERLY STORED. <2> Release Containment VENTILATION OF BUILDING <3> Clear. Up <4> Other Resource Activation · K '1 6 ~(t'yf'">' 07/25/90 RAGSDA. AIR CONDITIONING 215-00.)01131 00 ~ Overall Site Page 5 <F> Site Emergency Factors <.1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER OF PROPERTY B) ELECTRICAL - IN REAR ON WALL IN BUILDING C) WATER - WEST OF PROPERTY APPROXIMATELY 100 FT AT REAR D) SPECIAL _. NONE E) LOCK BOX -NO' <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE, WOULD CALL CITY FIRE DEPARTMENT FIRE HYDRANT - NORTHWEST CORNER OF EAST 21ST ST AND GAGE ST. <4> Held for Future use i, ..~}- --{.-ff 07/25/'30 RAGSDA~ AIR CONDITIONING 215-00~)01131 00 - Overall Site P,age 6 (G} Trai r"li ng (1) Page' 1 WE HAVE 3 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL ,SAFETY DATA SHEETS ON FILE TOTAL VENTILATION OF BUILDING FOLLOWED BY EXITING I (2) Page 2 as needed (3} Held for Future Use (4} Held for Future Use 'J. & . CITY of BAKERSFIELD ,. nHAZARDO~SMA,TE.RIALS INVENTORY" Farm and Agticultúre 0 Standard Business DO , NON-TRADE SECRETS Page ___' of B'9SINESS NAME: BZlG~f)l\I.F P-IR C'OT\m¡'Ì'TONTNG OWNER NAME: Nlfr~~~ ~Zlr,~nZlT.R NAME OF THIS FACILITYò' _RAGSD,!A"T.R ATR COND,!ITÌ0NJN G L CA HON . 11 >7 ~rlMNRR~j'RR"" ADORESS' 11__ ~ $~ ST ANOARO ¡NO. CLASS CUE:. . ~H6~Ë HP:-(~~~)Rj~~~~'2!Qr.A Q11nS ' J}ÞM~ ~J~~I~9 ,~ :1~;UPER D~~::: BRADSTREET NUMBER=-~H_ -~---- ___u,_____ 1 7 12 13 U Tr~ns I Oys loc~tion Where 'by Na~es of ~ixture{ço~ponents, Code on SIte Stored In FacilIty Wt See Instru: Ions . Physic.1 Ood Health Ha~ard (Check,all that apply) C.A.S. Humber o Fire Hazard o Reactivity o Delayed 0 Sudden Release Health ' of Pressure Component 11 Hame & C.A.S. Number 0,' . Component.2 Name & C.A.S. Number ImmedIate Health Compo~ent.3 Name & C.A.S. Number Physical ood Health Ha~ard (Cheek all that apply! C.A.S. Number o Fire Hazard . 0 Reactivity o Delayed 0 suddfn Release Health 0 Pressure Component JI Name & C.A.S. Number O . Component.2 Name & C.A.S. Number ImmedIate Health Component.3 Name & C.A.S. Number Physical ond Health Ha~ard (Check all that applYJ C.A.S. Number ·0 Fire Hazard o Reactivity o De 1 ayed 0 SUddfn Re 1 ease Health 0 Pressure Component.1 Name & C.A.S. Number O . Component 12 Name & C.A.S. Number' ImmedIate Hea 1th Component 13 Name & C.A.S. Number . EMERGENCY CaNT ACTS "1 ~rll;:¡rr IV TìPhhy R~gR( ;:¡ 1 p nwnprR R72-17011t 2 ,H&II8 ,'. II [I e 2T1!T"Plione , ' Name Tit Ie Íertifiçatio~ fRerad and !!¡ign af}f3r cÇ>mp}~ting ç¡77 sections) .certlfy under pena1tï 0 la¡dh4t I· nave persoña Iy examlnQQ O~d om familla( with the informatIon $ubmitte~ in this ond all~ attaçhed documents, ano t at based on my InQuiry Q those IndIvIduals responsIble' for obtaIning the InformatIon. I belIeve that he ~ submItted InformatIon IS-true,- accurate, and complete. - -. . . n _, STUART KENETH RAGSDALE OWNER - . . - ,* . - -M N~lIIe ~rð Of)Cla¡ ~'_t~e ot ownêr/OOerHor-UH owner.'o~erator's autnorllea representatl_ve . gna ure. . ' Physical ood Health Ha~ard . (Check all that applYI C.A.S. Number .. 0 Fire Hazard o Reactivity o De 1 ayed 0 SUddfn Re 1 ease Health 0 ·Pressure Component II Name & C.A.S. Number O . Component 12 Name & C.A.S. Number ImmedIate Health Component 13 Name & C.A.S. Number 1Tl1r pnone o -6-\0-901' ,'Ûrr~;Qr.eo '. ,I I n I 11/28/89 e RAGSDALE AIR CONDI~ION'G ' Site as a Whole General Information REeF Hf~ "1 JAN l 1Sì~:'J . Ans'd.:.......... Page 001 Location: 1127 SumnerSt Ident Number: 215-000-001131 Map: 103 Hazard: Grid:29D Area of Yul: Owner: STUART RAGSDALE Addrs: 2900 JUDD CT City: BAKERSFIELD Phone: (805) 322-2449 State: CA Zip: 93306- I I I I l- I I I ! I ¡ t Mail Addrs: 1127 SUMNER ST I City: BAKERSFIELD I GeoSubdiv: BAKERSFIELD STATION 02 I I I , Administrative Data þ&B Number: State: CA Zip: 93305- SIC Code: I I Title ,DWne-\Y I , I I Business Phone I ( ) 322-2449 x I ( ) 322-2449 x I ! 24 Hou r"Phone ( ) 872"',3703 ! ( ) 872-6011 I Isummary: I i ¡ i f?JlaftJL oJ~ ~ ~ ~~J (WoJu a-t1d llW~ & -wW~ :hA MMJ hfJ\ ty¡ð i01 flU-- aiT~d ~ð a~ rJq( /q'1/1. , I, ~l (r\~~~;)ç"t\\tDo hereby èertifv that I have ,reviewed the attached hazardous materials manage- ment plan fOr~andthat (t along with any corrections constitute a complete and COn'ect man- agement plan for my facility. Jt~p.Q-- \.:!-á~~"I, 11/28/89 RAGSDALE AIR CONDITIONING Page 002 Overall Site HAZMAT INVENTORY - LIST 01-001 Freon R-12 > 446 LO"'! FT3 318 Minimal FT3 01-002 Freon R-22 > \) e e 11/28/89 e RAGSDALE AIR CONDITION.G Page 003 Overall Site HAZMAT INVENTORY - DETAILS 01-001 FreonR-12 > 318 Minimal FT3 Form: Unknown Type: Pure Days in use: Use: DailY Max Amt ~ DailY Average Amt 318 I Annual Amount 318 IUrÜt jFT3 Container POFT. PRESS; CYLINDER !PressTTemp ! ! I Location ¡UNDER STAIRS - Conc. I Components 100.0% ¡Dichlorodifluoromethane I MCP -¡List- ¡Minimal I . . 01-002 Freon R-22 > 446 Low FT3 Form: Unknown Type: Pure Days in use: Use: Daily Max Amt ~ Daily Average Amt 446 I Annual Amount ----rJnit 446 IFT3 " Container ,PressTTemp PORT. PRESS. CYLINDER ¡ I I Location ¡UNDER STAIRS - Conc. I Components 100.0% ¡Chlorodifluoromethane I MCP --¡-l.ist- ¡Lowi .' 11/28/89' RAGSDALE AIR CONDITIONING <D> Notif./Evacuation/Medical for: 00 ~ Site as a. Whole Page 004 <1> Agency Notif~cati6n <2> Employee Notif./Evacuàtion 3A SEC 2) VERBAL NOTIFICATION AND CALL 911. <3> Public Notif./Evacuation e . 11/28/89 e RAGSDALE AIR CÒNDITION~G <D> Notif./Evacuation/Medical for: 00 - Site as a Whole i4> Emergency Medical Plan 2A SEC 5) KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 HALL AMBULANCE. Page 005 11/28/89 RAGSDALE AIR CONDITIONING ,<E> Mitigation/Prevent/Abatemt for: 00 - Site as a Whole Page 006 <1> Release Prevention 3A SEC 1) FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. <2> Release Containment \}C~-*\ l~*l~"\ O~ ~~'\¿h;~ <3> Clean Up -- ,4t o 11/28/89 "_ RAGSDALE AIR CONDITION'G <E> Mitigation/Píevent/Abatemt fOí: 00 - Site as a Whole <4> Otheí Resouíce Activation Page 007 11/28/89 RAGSDALE AIR CONDITIONING <F> Site Emergency Factors for: 00 - Site as a Whole Page 008 <1> Special Hazards ,~\ ò e{~·~~'~~\)ì\~~b <2> Utility Shut-Offs 2A SEC 3) A) GAS - NW CORNER OF PROPERTY B) ELECTRICAL - IN REAR ON WALL IN BLDG C) WATER - W OF PROPERTY APPROX~MATELY 100FT AT REAR D) SPECIAL - NONE E) LOCK BOX -NO <3> Fire Protec.jAvail. Water 3A SEC 4) NO PRIVATE FIRE PROTECTION WOULD CALL CITY FIRE DEPT. 3A SEC 5) FIRE HYDRANT LOCATED ON NW CORNER OF E 21ST ST AND GAGE ST. - - 11/28/89 e, I RAGSDALE AIR CONDITION' G <F> Site Emeígency Factoís fOí: 00 - Site as a Whole <4> Held fOí Futuíe use Page 009 11/28/89 RAGSDALE AIR CONDITIONING <G> Training for: 00 - Site as a Whole Page 010 <1> Pa,ge 1 NUMBER OF EMPLOYEES ~ MSDS SHEETS AVAILABLE BRIEF SUMMARY OF TRAINING PROGRAM \ o~ ~\ ",1~J-\~\ ~t\O~ ø-t' D";, \~\f'~ t,,\ \ÓW150 ~'( ey ,( ~ ~{\(,p <2> Page 2 as needed ~3> Held,for Future Use .e e '~, ~ ~ . 11/28/89 e RAGSDALE AIR CONDITION. <G> Training for: 00 - Site as a Whole Page 011 <4~Held for Future Use I I /</~.ì?" i/ÞO~~," ',' ~~¿, , 'u _!.~ 0') ;:'::~'~ ~ \ \' ~_/ ~\ '/, "'\'C'~"': " ,j" ''1{¡-';;C'-';;i\.'?:-: ',-"'!...tO~~::·-/ .~ - . D&~ 0f1( rqr;(e CITY of BAKERSFIELD .. IVE CARE" \\0\ ,\\\'1,\ TI1117ñr.- \~ì\\ ,,;;,~;~-::!Tlf¡ ~,",..,\,lJ ,~-_..~ d;~~~:,:.'~- >,.~\~ -I"" ,\ !~ "','- ~\~'. ':' :;}~ ~.... .. '" 'i§" ~-"'::-'.::~\\". I/~ ~ l¿~~iÍÍÚ~ J.. STUART K; RAGSDALE (tYDe or print name) RE.C£\\fEO j ~~ '2. ~ \<!ßCA ~ 'A .8'· I\\\ß u..······ Doh ere b ~c c e r t i f y t hat I h a \~ ere \- i e h" e d the a~tached Hazardous Materials business plan for RAGSDALE AIR CONDITIONTNr, (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. ~,~~~~Q~Q^ 'slgnat,ur \- \1 ,-~<f: date ~... - . ~,~-:--- ->--- ~ ~f) ~ , , \ \, \. ;t '" ..;:;-- .-"" e BAKERSFIELD CITY FIRE DEPAR~~ 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 RECEIVED NOV 1 0 1987 Ans'd. ........... ~ OFFICIAL USE ONLY '~.~'. ~~ / ID# 001131 USINESS NAME INSTRUCTIONS: .;' ,'j).,:,"g~<sa.~~J'!~~ER,; ~ÖL'E~ d&e / , eft- Q¡ It 1. To avoid further action. return this form by 2. TYPE/PRINT k~SWERS 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, Q.a.~5 d 0.\ e- Air- c..ond. ~ ~i 0'" ,,~~-c:: .F .:' B. LOCATION / STREET ADDRESS: \ 1 '2... ï Su..V'Y'\V"\e...v- St~e.e..t ' . , CITY: \ßo.l¿e1""~~\e..\d.. ~ ZIP: 9~30 ~ BUS. PHONE: (go.5) 322- 24 4 '\ 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: NA..'fE AND TITLE rn DURING BUS. HRS. A. S-ru..Q.t""t 'C-CL~SÖ.o.\.e..... Ph# 32.2..- :;2..,~Ll or " B . ~e.V'\ r"\€. ~ º-o.05Ö.o... \ Q... Ph# 52.?-- :2-4 &4 q AFTER Bt;S. HRS. _:h~. CZ>ì.~.~:~' 03 Ph# ,)1,:2. - Coo \ \ :E~::::::,~~~~~~~ ~: ;~~~~ICA~::~~~Ö~~ ~ -'( ..' __" f-~' ~':' \~I"'~ D. SPECIAL: E. LOCK BOX: YES'i~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES .I ~O :'-tSDSS? YES .I NO FLOOR PLANS? YES I ~o KEYS? YES .I ~O - 2i\ - 'i n ~ . .~ I" ".; . .4t .;;...- "n¡';· V ;¡¡¡ SECTioN <4:' PR rVATE RESPONSE TEA.\{ FOR BUS ¡NESS AS A WHOLE !i <;;.;¡¡;, ,:~'~\, '. '~"'\,' I "- ',., ,. I " \ , ': ~; ~ :1, ,,» . ' , ~ ,: , \, .. ~~~. r:.;:~ ~--~"'" c ~ ~', ~,~~~ ,>~~ ~:. (~;' f) SECTION 5: LOCAL EMERGENCY ~DICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE /~f\?C . #A L l. )'$' A,V?t1 <.. ~/\tc f(., "-"',-- '. . :..... ~ .-,.., .':'..; ~. :~\ '~,:~.~ . . -- " '. SECTION 6: EMPLOYEE TRAINING . _.' >-' - ~PLOYERS ARE REQUIRED TO HAVE A PROGRA.~ WHICH PROVIDES ~PLOYEES WITH INITIAL ~,~ REFRESHER TRAINING IN,THE FOLLOWING AREAS. ~ i . , , CIRCLE YES OR ~O . A. METHODS FOR SAFE HANDLING OF HAZARDOUS . : :)fA'l'ERIALS: . . .'. " " '..,' . . . . . . . . . . . . . . . .. '.: . . . . . . . . . . . . B'. PROCEDURES FOR -COORDINATING ACTIVITIES' '~ WITH RESPONSE AGENCIES: ............ .............. , C. PROPER USE OF SAFETY EQUIPMEXT:................ . . 0.. EMERGENCY EVACUATION PROCEDt:RES:.... ......... .... E. DO YOU MAINTAIN EMPLOYEE TRAIXING RECORDS: . . . . . . . I~ITIAL ',' ~ .. REFRESHER . ':~$':~r·::!_}::'~~",::· .'._~ '1. , . -.' - " ~ YES :iO. YES YO ····YES ,..:.., J'. -....}........-.. YES YO ~O YES NO YES NO YES ~d YES NO YES NO YES NO SECTION 7:, HAZARDOUS, MATERIAL CIRCLE YES OR~O DOES YÓÚR Bt:SINESS HÁND&E HAZARDOGS- ~~fERIXL -I:ï QüÃN;fïTIÊS -1:£S-5 -TEAX 50b POL:iDS' OF A SOLID. 55 GALLONS OF A LIQGID, OR 200 CUBIC FEET OF A COMPRESSé:D GAS:...... @:> NO I." Š4:~ ~~+: ~ a~dQ tL' , ">~ertifY th~t the "above infqrmatioq .is,. acq,urate.. r understand ,that thi infor,mati.on will be used to fulfill my firm! s obligations under the 'new California Heal th.ahä1,sàfetY còde on Hazardous MateriaJs (Di v>, 2.0 ,Chapt:er 6.95 Sec. 25500 Et AI.) and that,inaccurate infor'mation constitutes perjury, ··SIGNAn~i }~i,~~~r~~~ "'<0'wr\e.:;' > ,"': . /, 9AT[: , 0;... ~ 1.... 87 ¡ "',. .'.:; :7.. ~j-~ - ~B ...; " .~.l:~' r. _~ f'~'., e . "~ " Pff -. ~~ ,~ , BAKERSFIELD CITY FIRE DEPARDIE)¡T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# i , --~r-"_I - - -' - - - BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid~£~rther 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# FACILITY UNIT N~~: SECTION 1: MITIGATION. PREVENTION, ABATEME~~ PROCEDURES \?'"Ri2ð>1 0::\,"',., ..... '. J, '.' . ··~'~\t·. ~':~9-£J~ ,,;,~.'lc , ,':) .'.:' "jf-; '-' /- - 0 .~ . - "'''~'::\.''''';".'' . , " ~ . ,. , '.. , ./ " , "" . "".-.' . '. -. " , :.....,- .... SECTION 2: NOTIFICATION A~~ EVACUATION PROCEDL~ES AT THIS ù~IT ONLY 'V~ ,;Vt_., --..- .-<0..-.... '"-__"' ( . >/7/7, .,' l~' / '...~ ~ c¡ /1· .:;.- \. , .' ." (. ," ¡,o, :).' 1", ..... - 3.\ - - -----.~--;------ - _. '~... . '.' .,..-, ~. ~~- '" ,C ., , "§ ~. 4ii- ~,~ ,õ SECTIO~ 3: HAZARDOT.;S ~ATERIALS FOR THIS U:nT ONLY A. Does this Facilfty Unit contain Hazardous Mate~ials?,., ,. ,H__'~ ' YES @) If YES, see B. If NO,~continup- with SECTIO~ 4. B. Are any of the hazardous materials a bona fide Trade Secret YES @ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes. complete a hazardous materi~ls inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secr'~t form, Lis·t only the trade secrets on form 4."1.-2. SECTION 4: PRIVATE FIRE PROTECTION - e~· .. ._~-. .----...... >_.-,- . n ~~~..._:...~_·__.....h. ",,::.. ... ..~" _.... SECTION 5: LOCATION OF WATER Su~PLY FOR USE BY E~RGENCY RESPO~ERS ~Â/~~...L4: f- ¿~ , G I ~ /~+ . ~J-- 111/ t....J c.o a..n t61£....:,. SECTIO~ 6: LOCATION OF UTILITY SHUt-OFFS AT THIS ú~fT ONLY.. , ,\ ",\ T ,... \,... : ' ~. " .," u~, ,,~. d.l-' p~ <c.e'p--..;.p,-:", de- J8A~ ~~¿J~. '( -- B. ELECTRICAL: C, ~'ÌATER: ctiZG¿g. 0; SPECAL: \\Y\ ~V'- Ð,,~ ("\ <i" t ~~ ~ .\ ,=,' ' l \D ~ ~ "" l.\!\. S CIr\ ß~~ 'ioOW\ wA--\,\ E, LOCK BOX: y;::s /é!), IF YES, LOC\TIO:-7: IF YES, SITE PLA~S? FLOOR PL\:\S'" 'lES / :'0 :vrsoss? !Œ"'S" y;:: s ';<;:'j YES \0 YES / :\0 - 33 - ¡ . ] I . D. f .B ^ K E H S FIE I, U t; 1 T Y 10 I HE U E I' ^ H T N Eli 1 FORM 4A-l NON-TRADE SECRETS ,Page _of~_ o. .. jf:. ¡'-' HAZARDOUS MATERI ALS' IN V NTÖRV Î' . '\ I OUS , NE" Ji~"E'~....- D,<l.r ¡¡{ A- i '" _ OMNEn "^"E ,,.~.r.7Y -Îr1"''''' r>A / £" F^CIL ITV UNIT · ,-J-!- · ^IJIJRESS:,--:J 7~ ;<""'~Þ'':' ",7,,-.0 ,c:"9'~ ADDRESS: -!"JO-hr'> ~t~,n^ rT"'fAcILITV UNIT NAME: (; , TV. 7. J pI': -1J?" JI< t:' L ',,1\ é'J.)~-:9 A. ~C I TV I ZiP:".... L.J V /Á'L £\ . d:?"<&> L.. PHONE- t: ~ -'? -~._ -:2 J../ l..f t:; I ...... PIIONE , : ~ 8'7:"'1:,-:5 '7/5. ~ / ". 10 F F I C I A L USE CFIRS C1->DE L-/ ~ ,/ ' --, ON LV - , 2 :3 4 5 6 7 8 9 to vrr M^X ^ N N IJ ^,J CONT USE LOCATION I~- TillS % nv HAZARD IJ.O.T OUE ^MOUNT AMOUNT UNIT COUE CODE FACILITV UNIT WT. CIIEMICAL OR COMMON NAME CODE GUIDE - . ("to_ l .. \I"\. ,,'..a1Z. ~.-.: ~ <L \r....r.... , r"' ~ ... \. C) ("~ U '-..-~l / ¿;....,. .L ..... ~...C:.ø1... , ,A- ç.~~.:. lca.\.,_ \.t) .....1.... ,,-- ~ R.1 t' \.L\ ~ò l".'L :),..... 0- 0 e ~ wu--,_ J c..::~~ . , k -~ ~J )( ðJ í5 .J.;t3 64 '/b /J. /I/) /'00/ _~Pd'''' o.1A /nQ/ V FRo.~ 12- '( lõßb ~ , ¡ .... 1--- ifl4j 6 116 p:J r j AÆ ».2, 12- - Z-L d) '{)1~ /0 ~~;::". _.ur loo/: F~ ./ / ()4- ~. - -- ,- - - '" - -- r/?/7 ..... /) -- "~jATURE: ~... .c- ~- ~-:Z/,k DATE:-)ð~-ð"r 11 MI E: k' R~~.n ¡Q. ¡; I ~ ~ ~ , ,~ TIT L E: "'-~LA'. -v ;:'~'. P. UIERGENCY CONTAr.T D .oiII!!~ í/A æ.,i>£} I!:i-L...7? -.1-1 TI,E: ~c. 1Ff?'" , PIIONJ( /.Jr Ifus JlOURS:~:2.-:%~~ CONT^Ct~drV 4 ?{j¡~TlE '4 ~~oe AFTER nus fiRS: 72:- . I r:~'ERnENCY PHONE f BUS HOURS: ;22.-24L{9 r' H I N C I P ^ L nUSINESS ^CTIVITV:---t: E:" OT \ AFTER BUS. JlRS: 7Z--Z2. ft:;t? , - ì " - ' ' -, ' ' - .41\- t - 7