HomeMy WebLinkAboutBUSINESS PLAN
Per
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Operftte
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Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This oermit is Issued for the followlna:
Iið Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
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Issued by:
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Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
Issue Dale
June 3j), 2003
Per
it to Operil.te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the fOllowing:
:::Hª~rdous Materials Plan
, ,""'H': round Storage of Hazardous Materials
Qagement Program
'" Waste
1501
PERMIT ID# 015-021~01320
BAKERSFIELD CITY HALL A
LOCATION
Issued by:
TRUXTUN
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rdFloor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
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ffice of ental Servi es
Approved by:
Expiration Date:
June 30, 2000
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CITY OF BAKERSFlEtD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd 1~'loor, Bakersfield, CA 9330J
FACILITY NAME kx.. t2.frY I'¡~ ¡ 1Jr'/II¥ INSPECTION DATE If) - 2.2. - 03
ADDRESS 1501 T;~~ PHONE NO. .3 z.Ç:.- 378/
FACILITY CONTACT « C; ~M r- BUSINESS ID NO. 15-210- C> I ~ -0 2../- O() '3 L-~
INSPECTION TIME '1- 0 V"l, -J NUMBER OF EMPLOYEES
Section I:
Business Plan and Inventory Program
¡a Routine
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA nON C v COMMENTS
j, "
Appropriate pennit on hand
Business plan contact infonnation accurate II
, ¡
Visible address
Correct occupancy j
Verification of inventory materials ~
Verification of quantities /
Verification of location 1/
Proper segregation of material II ~
Verification of MSDS availability I It /)~ ~
Verification of Haz Mat training / CLC-/ v-: o1¿ A_ /J-r
-r-r
Verification of abatement supplies and procedures JI "-
Emergency procedures adequate /
Containers properly labeled 1/
Housekeeping J
Fire Protection l
Site Diagram Adequate & On Hand V
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
D Yes .1m No
While - Env. Svcs.
Yellow· Station Copy
Pink - Business Copy
Inspector:
L)o~ ~b
Questions regarding this inspection? Please call us at (661) 326-3979
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CITY OF BAKERSFIEIJD FIRE DEPARTMENT (
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd F'loor, Bakersfield, CA 93301
FACILITY NAME e,f''! 1hJLL.
AD DRESS 1(') {J I ZJr. ..j1J7.¡ ð/j, f:Jt:-
FACILITY CONTACT " C. ,(l AJr
INSPECTION TIME /0 ""N~nz;.5
INSPECTION DATE II -IV-ð/
PHONE NO, 3Zb - 3761
BUSINESS ID NO. 15-210- ð IS - ôL 1- 06/3 z....ð
NUMBER OF EMPLOYEES 9
Section 1:
Business Plan and Inventory Program
~ Routine
D Combined
D Joint Agency
o Multi-Agency
D Complaint
D Re-inspection
OPERA TION C V COMMENTS
Appropriate permit on hand I
Business plan contact information accurate I
Visible address ¡
Correct occupancy /
Verification of inventory materials /
Verification of quantities {2. ~ 1.L»l.{) Z. :¡;' .. r #Þ .,~ J /
t 1I1fr.Jc¿¡j) (f)NLÝ¡ 3-6IM 122.2-
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Verification of location
Proper segregation of material II
Verification of MSDS availability j
Veri fication of Haz Mat training 11.
Verification of abatement supplies and procedures V
Emergency procedures adequate II
Containers properly labeled 1/
Housekeeping ¡
Fire Protection ¡
Site Diagram Adequate & On Hand ¡
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ~o
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Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs.
Yellow· Station Copy
Pink· Business Copy
Inspector:
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+ BAKERSFIELD CITY HALL AND ANNEX
=====================
SiteID: 015-021-001320 +
Manager :
Location: 1501 TRUXTUN AVE
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 30C
(805) 326-3767
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title-_
H.C. BRYANT / SUPERVISOR ED KUEHN / ASST SUPERINTEN
Business Phone: (805) 326-3766x Business Phone: (805) 326-3781x
24-Hour Phone : (805) 589-7939x 24-Hour Phone : (805) 322-4481x
Pager Phone (805) 326-3400x221 Pager Phone () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth I
+------------------------------------------------------------------------------+
Contact : Phone: () x
MailAddr: 1501 TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93301
+------------------------------------------------------------------------------+
Owner CITY OF BAKERSFIELD Phone: (805) 326-3781x
Address : 1501 TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93301
+------------------------------------------------------------------------------+
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... SpecHazEPA Hazards Frm I DailyMax UnitMCP
+--------------------------------+-------+-----------+-----+----------+----+---+
FLOOR CLEANER S 55.00 GAL UnR
REFRIGERANT 22 CHCLF2 F P IH G 1800.00 FT3 Low
I,
[Type or print nama)
Do hereby certify that I have
reviewed the attached hazardous materials manage-
ment plan for
(N f B ' and that it along with
-ame 0 uSlnsss)
any corrections constitute a complete and correct man-
agement plan for I'QY facility.
+==============================================================================+
Signa turJ.
Date
01/25/2002
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BAKERSFIELD CITY HALL
AND ANNEX' ÄP
\U / ~,
I,By /
,~---~--- --,_. --~
SiteID: 215-000-001320
Manager :
Location: 1501 TRUXTUN AV
City BAKERSFIELD
hone:
Map : 103
Grl.ä: 30C
(805) 326-3767
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
H.C. BRYANT / SUPERVISOR ED KUEHN / ASST SUPERINTEN
Business Phone: (805) 326-3766x Business Phone: (805) 326-3781x
24-Hour Phone · (805) 589-7939x 24-Hour Phone · (805) 322-4481x
· ·
Pager Phone · (805) 326-3400x221 Pager Phone · ( ) - x
· ·
Hazmat Hazards: Fire Press ImmHlth
Agency-Defined Topic Title
One Unified List 9
All Materials at Site 9
f= Hazmat Inventory
f== MCP+DailyMax Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
REFRIGERANT 22 CHCLF2
+L-()O~ ßDA..?
F P
IH
G
L
1800 FT3 Low
155 GAL M,r.;)
F
I, €/) ~ê~,..J _!Do hereby certify that! have
(Type or pr!ñi MrTlS)
revie\''\'od the attacned h.a;~ardo\J$ rnatH'iç,¡" ,~~;', .:"".,~",_
......,;¡J. '...... .~;..: ..,.
menì p!an !mf!L~og~/I,./ILI\lNP£¡.rid th3'ì it .\':;)','(;(' .,,,I'¡
~N¡;'f1ì£> :H b"':Sr':'\!3SS}
any corrections const¡~ute a complete and correct fíl';:'il-
agement plan for my facility.
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F BAKERSFIELD CITY HALL AND ANNEX
, I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 215-000-001320 9
Fast Format 9
Overall Site 9
09/09/1991
CITY FIRE HAZARDOUS MATERIALS - 2130 G STREET- 326-3979
9-1-1
CA OFFICE OF EMERGENCY SERVICES 1-800-852-7550.
Employee Notif./Evacuation
09/09/1991
FIRE ALARM MANUAL PULL STATIONS
VERBAL
CALL 911
Public Notif./Evacuation
I
09/09/1991 ]
Emergency Medical Plan
NEAREST HOSPITAL
-2-
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F BAKERSFIELD CITY HALL AND ANNEX
I I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 215-000-001320 ì
Fast Format ì
Overall Site ì
09/21/1992
HAZARDOUS MATERIALS ARE MAINTAINED IN METAL CONTAINERS THAT ARE CLOSED DRY
ABSORBENT & RECYCLE
Release Containment
09/21/1992
SEALED METAL CONTAINER
Clean Up
09/21/1992 ]
I
EVAPORATION
Other Resource Activation
-3-
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F BAKERSFIELD CITY HALL AND ANNEX
I
f= Site Emergency Factors
Special Hazards
SiteID: 215-000-001320 9
Fast Format 9
Overall Site 9
03/29/1996
RADIACTIVE ISOTOPES ON SITE RADIACTIVE HAZARD
Utility Shut-Offs 03/29/1996
A) GAS - NE CORNER OF BLDG
B) ELECTRICAL - BASEMENT EQUIP RM E
C) WATER - BASEMENT EQUIP RM EWING NE CORNER
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 03/29/1996
FIRE ALARMS, EXTINGUISHERS, SPRINKLERS, CITY FIRE
FIRE HYDRANT - SW CORNER OF TRUXTUN & CHESTER AV
Building Occupancy Level
-4-
· , r II:)
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F BAKERSFIELD CITY HALL AND ANNEX
I
F Training
Employee Training
SiteID: 215-000-001320 9
Fast Format 9
Overall Site 9
09/21/1992
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: ON GOING SAFETY MEETINGS.
Page 2
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I
I
Held for Future Use
Held for Future Use
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03/15/96
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~ , .' ¡P.! Lr;; \S7 l~ U \~I 6 n \
AND ANNEX 215-000-( ¡~13i20,) 27 '19ü5 ¡We
with 1 Fac. Unit U ,VIAh ~:J ~
1
BAKERSFIELD CITY HALL
Overall Site
.'~
General Information
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Location: 1501 TRUXTUN AV
City : BAKERSFIELD
Map:103 Haz:2 Type: 3
Grid: 30C FlU: 1 AOV: 0.0
~ Contact Name
H.C. BRYANT
Business Phone:
24-Hour Phone :
Pager Phone - .
Title _\\
I SUPERVISOR__ N
(805) 326-3766x ...
(805) t~ ~~~
( _) 3Z,<, Ytoo x~ zz. ,
.-- Contact Name
ED KUEHN
Business Phone:
24-Hour Phone :
Pager Phone :
Title
I ASST SUPERINTEN
(805) 326-3781x
(805) 322-4481x
( ) - x
Mail Addrs:
City:
Comm Code:
Administrative Data
1501 TRUXTUN AV
BAKERSFIELD
215-001 BAKERSFIELD STATION 01
D&B Number:
State: CA Zip: 93301-
SIC Code:
Owner: CITY OF BAKERSFIELD
Address: 1501 TRUXTUN AV
City: BAKERSFIELD
Phone: (805) 326-3781
State: CA
Zip: 93301-
Summary
PER CAPT CROSS NO LONGER STORE R11 & R12
I, U.G. BeyA~T Do hereby certify that I have
(Type or pnnt name)
reviewed the attached hazardous materials manage..
ment plan for C i T'( (.tAU.. A ~1I\t«i\d that it along with
(Name of BIÛIiness)
any corrections constitute a complete and correct man-
agement plan for my facility.
~e~re
3 ~2- -'} [p
Dat&
PIn-Ref Name/Hazards Form _-*ax Qty MCP
02-002 REFRIGERANT 22 CHCLF2 Gas 1~9~9 Low
~ Fire, Pressure, Immed Hlth FT3
02 001 Gas 3000 Minimal
Hlth FT3
tJD LDI\J~ee U~£D O~ ~""D eë D
ï
03/15/96
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BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
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03/15/96
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-002 REFRIGERANT 22 CHCLF2
~ Fire, Pressure, Immed Hlth
Gas
900 Low
FT3
CAS #:
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max FT3 ----r--
900 -- I
\tõoo
Storage r Press
PRESS. CYLINDER Above
Daily Average FT3 --r-- Annual Amount FT3 --
. 439.90- I 6,000.00
\ tò0 V
T Temp ~ Location
AmbientW WALL EQUIP RM
PORT.
- Conc l
100.0% Freon 22
Components
r=- MCP ----rGuide
Low I 12
- Notes
02-001 REFRIGERANT 11 CCL3F
Pressure, Immed Hlth
Gas
3000 Minimal
FT3
Form: Gas
Pure
Days: 365
Trade Secret: No
Daily Max FT3
3,000
Daily Avera 3 --r-- Annual Amount FT3 --
,500.00 I 6,000.00
Storage
DRUM/BARREL-METALLIC
Location
RM
- Conc
100.0%
Components
MCP ----rGuide
Low I 12
U~"ð::>
-
-
03/15/96
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CITY FIRE HAZARDOUS MATERIALS - 2130 G STREET- 326-3979
9-1-1
CA OFFICE OF EMERGENCY SERVICES 1-800-852-7550.
<2> Employee Notif./Evacuation
FIRE ALARM MANUAL PULL STATIONS
VERBAL
CALL 911
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
NEAREST HOSPITAL
It
e
03/15/96
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
HAZARDOUS MATERIALS ARE MAINTAINED IN METAL CONTAINERS THAT ARE CLOSED DRY
ABSORBENT & RECYCLE
<2> Release Containment
SEALED METAL CONTAINER
<3> Clean Up
EVAPORATION
<4> Other Resource Activation
.d #
--
e
03/15/96
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
RADIACTIVE ISOTOPES ON SITE
RADIACTIVE HAZARD
<2> Utility Shut-Offs
A) GAS - NE CORNER OF BLDG
B) ELECTRICAL - BASEMENT EQUIP RM E
C) WATER - BASEMENT EQUIP RM EWING NE CORNER
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
FIRE ALARMS, EXTINGUISHERS, SPRINKLERS, CITY FIRE
FIRE HYDRANT - SW CORNER OF TRUXTUN & CHESTER AV
<4> Building Occupancy Level
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03/15/96
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
7
<G> Training
<1> Employee Training
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: ON GOING SAFETY MEETINGS.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
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08/18/92
.
.
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 1501 TRUXTUN AV Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 01 Grid: 30C FlU: 1 AOV: 0.0
r-- Contact Name Title Business Phone - 24-Hour Phone
H.C. BRYANT SUPERVISOR (805) 326-3766 x (805) 831-6489
ED KUEHN ASST SUPERINTENDENT (805) 326-3781 x (805) 322-4481
Administrative Data
Mail Addrs: 1501 TRUXTUN AV D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code:
Owner: CITY OF BAKERSFIEbD , Phone: (805) 326-3781
Address: 1501 TRUXTUN AV State: CA
City: BAKERSFIELD Zip: 93301-
Summary
RECEIVED
SEP , 7 \992
HAZ. MAT. D'V.
o~
1 ED KUEHN Do hereby certify that I have
, (Type or print narM)
reviewed the attached hazardous materials manage·
ment Plan for CITY OF B~SFLD and that it along with
(Name of BUllne&l)
any cort8ctions constitute a complete and correct man·
agernent plan for my facility.
1[;·
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08/18/92
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 REFRIGERANT 11 CCL3F
~ Fire, Pressure, Imrned Hlth
Gas
3000 Minimal
FT3
CAS #:
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
3,000 I 1,500.00 I 6,000.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~I Location
Above AmbientW WALL EQUIP RM
- Cone l
100.0% Freon 11
Components
~ MCP -¡List
Low I
- Notes
02-002 REFRIGERANT 22 CHCLF2
~ Fire, Pressure, Imrned Hlth
Gas
900 Low
FT3
CAS #:
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
900 I 450.00 I 6,000.00
Storage r Press T Temp ~I Location
PORT. PRESS. CYLINDER Above AmbientlW WALL EQUIP RM
- Cone -,
100.0% Freon 22
Components
~ MCP -¡List
Low I
- Notes
·
e
08/18/92
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CITY FIRE HAZARDOUS MATERIALS - 2130 G STREET- 326-3979
9-1-1
, CA OFFICE OF EMERGENCY SERVICES 1-800-852-7550.
<2> Employee Notif./Evacuation
FIRE ALARM MANUAL PULL STATIONS
J
VERBAL
CALL 911
<3> Public Notif./Evacuation ,_
/"
STATIONS
<4> Emergency Medical Plan
NEAREST HOSPITAL
08/18/92
.
.
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
HAZARDOUS MATERIALS ARE MAINTAINED IN METAL CONTAINERS THAT ARE CLOSED DRY
ABSORBENT & RECYCLE
<2> Release Containment
SEALED METAL CONTAINER
<3> Clean Up
EVAPORATION
<4> Other Resource Activation
..,. 4. ."
.
.
08/18/92
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
Page
5
<F> Site Emergency Factors
<1> Special Hazards
RADIACTIVE ISOTOPES ON SITE
RADIACTIVE HAZARD
<2> Utility Shut-Offs
A) GAS - NE CORNER OF BLDG
B) ELECTRICAL - BASEMENT EQUIP RM E
C) WATER - BASEMENT EQUIP RM EWING NE CORNER
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
FIRE ALARMS, EXTINGUISHERS, SPRINKLERS, CITY FIRE
FIRE HYDRANT - SW CORNER OF TRUXTUN & CHESTER AV
/
<4> Building Occupancy Level
. ,",' '. .' ..
~
.
.
08/18/92
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
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
BRIEF SUMMARY OF TRAINING:
ON-GOING SAFETY MEETINGS
<2> Page 2 as needed
<3> Held for Future Usø
'.;
<4> Held for Future Use
if.
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. .
.CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
o S. NEEDHAM
FIRE CHIEF
May 7,'1991
2101 H STREET
BAKERSFIELD, 93301
326·3911
Mr. Ed , Kuehn
Assistant Superintendent
Bakers£ield General Services Division
41:01 Truxtun' ,Ave. .
Bakers£ield, CA 93309
-, . -._...- ._-~._._._."
Dear Mr. Kuehn,
Attached are recommendations based upon the inspections I conducted
at the Corporation Yard, the Police Garage, the Civic Auditorium and
Ci ty Hall. I will address recommendations regarding the pesticide
storage shed directly to the Parks Department. Parks will also update
the pesticide portion o£ the inventory.
The Hazardous Materials Division is available to provide any
assistance necessary to implement these recommendations. Please return
the updated inventories to me by May 30, 1991. I£ you have, any
questions, please call me at 326-3979. Thank you for your cooperation.
Sincerely,
~cxr-'o~ ~í
Barbara Brenner
Hazardous Materials Planning Technician
cc: Gary Spangle
Scott Manzar
Ralph Huey
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HAZARDOUS MATERIALS INSPECTION
RECOMMENDATIONS:
BAKERSFIELD CITY HALL AND CIVIC AUDITORIUM
1. Please a separate inventory form for each location and add the
following items:
Floor cleaner - 55 gallons in City Hall boiler room
Miscellaneous cleaners and strippers - 55 gallons of materials
whose primary ingredients are petroleum distillates and alcohols.
Add these materials to both the City Hall and Civic Auditorium
inventories.
Add the freon in the refrigeration systems to the amount of freon
reported on the inventories for the auditorium and City Hall.
Please report the amount of freon in use or storage at the Police
Department.
~. Cylinders of freon must be prqperly secured so that they will not
travel if they experience a sudden release òf pressure. See the
attachment regarding proper storage of compressed gas cylinders.
OHAZARDOUS MATERIALS INVENTORY
NON-TRADE SECRETS
OWNER NAME: NAME OF THIS FACILITY:
ADDRESS' S1 ANDARD IND. CLASS CODE ;-----
CITY ztp~---- DUN AND BRADSTREET NUMBER-- --
PHONË It: ----------
REFER TO-rNSTRUCTIONS-FOR-PROPER CODES
6 1 8 9 10 11 12
Hea$ure . Oys Cont Cont Cont Use toc~tion Vhere
on SIte Type Press Temp Code Stored In FaCIlity
Ol.D Roo M
Farm and Agticulture []
Standard Business
BUSINESS NAME :C IT\.{ 44 Ä\...L
LQCA T ION:
CIlY ZIP:
PHor~t II:
3 4
Max Average
Allt Allt
C.A.S. HU1l1ber
ìt:b ~ He Hazard
[] Reactivity ~rl_ ne1a{ed ~udden Release
~Hea th of Pressure
CITY of BAKERSFIELD
rag~
of
. - --- ------
.,-,----- --
- - - -
13
, b~
Itr
U
~3re5 cf Ui_tureIC~!:~r.ent5
, See Instru:tlcn5
RE.FiUb E;2.~í
It
Component 11 Hame & C,A.S. Humber
Component'2 Halle & C.A.S. Humber
~ Immediate
Health
Component 13 Hame & C.A.S. HUllber
ù
C.A.S. Number
Fire Hazard [] Reactivity~ Oe18ved ~ Sudden Release
Health of Pressure
~ D ""
Component 11
Component.2 Name & C.A.5. Number
RImmediate
Hea 1th
Component .3
U 20
Physical 'nd Health Ha~ard
(Check a I that apply 1
u,
C.A.S. Number
[] Fire Hazard
[] Reactivity
[] oela{ed 0 Sudden Release
Hea th of Pressure
Component t1
Component.2 Name & C.A.S. Number
[] Immediate
Health
Component 13 Name & C.A.S. Number
Physical 'ñd Health Halard
ICheck a I that apply!
C.A.5. NUllber
Component.1 Name & C.A.S. NUllber
l'
I'
I
I
~2. 44ftl I !
1tl1fl1icr.e I·
[] Fire Hazard
[] Reactivity
[] Delared 0 Sudd~n Release
Hea th of Pressure
EMERGENCY CONTACTS tt We. ßL't ÞrN"\
Rãlle
Su P-íft~~I'l.
Component 12 Name & C.A.S. Number
[] Immediate
Health
Component.3 Name & C.A.S. Number
3ZG.37ß1 &1 (P'l&, tt 2 ED Ku Eti-Ñ
2{ r õñe Rame
Certifjf3tio~ fRe(:d and $jgn 8t1er c9mp7~tjngÇlll sections) .
1 certl y un~er enall 0 la th t I have persona I exallllneQ 0 d III falllillar it the informatIon $U lIIitte~ In his ond all
attaçhed docrllenfs, an~ t at ~ase~ on lilY Inquiry 0 lhose lndlvl~ua's responsib1e ~or obtaIning the ln~orlllatlon. i belIeve that the
submitted In orlllatlon IS true, accurate, and cOllplete.
STqñH.úf!-------
ORª~fQf.g--- .
r.~~ª-~r~-õfiëT!T_r1rre-õT own~r/ODp.r!tor UR ownªfTõpefãfõf'š-ãutfiõfilëõ-rëõfëš!ñtãt~---
- ,~
02/21/91
BAKERSFIEL.ITY HALL AND ANNEX 215-_-001320
Overall Site with 1 Fac. Unit
Page
1
Genet'al Infc.rmat ic.n
.
LClcat i ':'Y"I: 1501 TRUXTUN AV Map: 103 Hazat'd: LClw
I deY"lt NWI,bet' : 215-000-001320 Gt~ i d : 30C Area c.f VI.ll : 0.0
- CCIY"lt act Name Title BusiY"less ~CtY"le - 24 H,:lur Ph c'Y"le
H. C. BRYANT SUPS2'H ~o ~ (805) 326-37 x (805) 831-6489
ED KUEHN 45&" SuP...& ...-rs¡~ ¡)S.....,.. (805) 326-3781 x (805) 322-4481
Admi Y"listt~at i ve Data
Mail Addrs: 1501 TRUXTUN AV D&B Numbet~ :
City: BAKERSFIELD State: CA Zip: '33301-
C,:.mm CClde: 215-001 BAKERSFIELD STATION 01 SIC C,:.d e :
Owner: CITY OF BAKERSFIELD Phc'Y"le: (805) 326-3781
Addt~ess : 1501 TRUXTUN AV State: CA
City: BAKERSFIELD Zip: 93301-
SWI1l"t1at~y
I
I, 6¿; I(f"tSI-I/0 Do hereby certify that I have
(Type or print name)
reviewed the attached haz;:rcim.ls materials manage-
ment plan for~~~.ls:a) _and that it along with
any corrections constitute a complete and correct man-
agement plan for my facility.
¿;ç;;£
~-/-77
Date
02/21/'31
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
PlY"I-Ref' Name/Hazards F ':It~m QuaY"lt it Y MCP
02-002 REFRIGERANT 22 CHCLF2 Gas '300 Le.w
Fire, Pt~essl.lt~e, Immed'Hlth FT3
02-001 REFRIGERANT 11 CCL3F Gas 3,000 Minimal
Fire, Pressl_n~e, Immed Hlth FT3
F~OD(' ~ttr,ß
$~\pe.-(
SS~ ~;~C.
fLTe.\)~v(V\. ~~
t Cl.Q CO ht9--tð
"
~~ Hoot'" CtÆo-n~(""
.
.
02/21/91
, BAKERSFIELeITY HALL AND ANNEX 215-(_'-001320
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
\\ J
C \'ì\.f +1 e..E
\4 L\.2. A. \?- OOu ~
\'-~ Á. T E.eJ Þ. \... ~
2160 G
CSt
32.LP - ~'1l9
°\1i
CÁ..L'\ ~ OÇ-~\e.E
0;:-
t.~'\E.K.GE U( '-I 8t:..R.\J lc.f~S
\ - ßOü - ~~'2. - 75'Sn
<2> Employee Notif./Evacuation
3A SEC 2) FIRE ALARM MANUAL PULL STATIONS
VERBAL
CALL 911
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
2A SEC 5) NEAREST HOSPITAL
02/21/91
BAKERSFIELD CITY HALL AND ANNEX 215-000-001320
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
Page
4
<1> Release Prevention
3A SEC 1) HAZARDOUS MATERIALS ARE MAINTAINED IN METAL CONTAINERS THAT
ARE CLOSED DRY ABSORBENT & RECYCLE
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
.
.
02/21/'31
BAKERSFIEL~ITY HALL AND ANNEX 215-(tIÞ-001320
00 - Overall Site
Page
5
<F} Site Emergency Factors
<1) Special Hazards
<2) Utility Shut-Offs
2A SEC 3)
A) GAS - NE CORNER OF BLDG B) ELECTRICAL - BASEMENT EQUIP RM E C) WATER -
BASEMENT EQUIP RM EWING NE CORNER D) SPECIAL - NONE E) LOCK BOX - NO
<3) Fire Protec./Avail. Water
3A SEC 4) FIRE ALARMS, EXTINGUISHERS, SPRINKLERS,
CITY FIRE
3A SEC 5) FIRE HYDRANT - SW CORNER OF TRUXTUN &
CHESTER AV
<4) Held for Future use
02/21/91
BRKERSFIELD CITY HRLL AND ANNEX 215-000-001320
00 - Overall Site
Page
6
<G} Tr~ai rd rIg
< 1} Page 1
WE HAVE 3 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING:
<2} Page 2 as needed
<3} Held for Future Use
,
,¡
<4} Held for Future Use
.
.
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~AKERSFIELD CITY FIRE DEPAR~
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
.~~
OFFICIAL USE ONLY
ID#
001320
USINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
-IJudxß;L
~G/ )\
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUS INESS NAME: e. l'T 'i -++ bo.. \... \...
B. LOCATION / STREET ADDRESS: \=>t)\
~ ~UU E.~
\
-r2..U~""l.,.\ u ~V
CITY ~£e..~ \ \:. \...1:)
ZIP:C\~"2.:>O
BUS.PHONE: (80S) 32.(" ~ì lÞì
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.
A.4+.C .~YA.UT ~U Ç>E.~\h"ßoe-:n: Ph# 32.(, ";ïC\ I
B. E.D L(u£\-lU' ~-:sr SuÞE2..\\JT~Ñl Ph# 32.(.. 318 ,
AFTER 81;S. HRS.
Ph# B"!> i tà B9
Ph# 32."2. - 44B'
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: SO·
B. ELECTRICAL:
C. WATER:
D. SPECIAL:
E. LOCK BOX: YES ¡ ~O IF YES, LOCATION:
IF YES, DOES IT COKTAIN SITE PLANS? YES / ~O ~SDSS? YES I NO
FLOOR PLANS? YES / ~O KEYS? YES / NO
- 2.'\ -
,-.t.\::.~i,,,:.
... ~~
. \.
~,
"
.
.
SECTIOM 4: PRIVATE RESPONSE TEfu~ FOR BUSINESS AS A WHOLE
e IT"I ~ 2..E,
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTk~CE FOR YOUR BUSINESS AS A WHOLE
UE:Â~E.-S\
"O~? iTA.. L
SECTION 6: EMPLOYEE TRAINING
E~PLOYERS ARE REQUIRED TO HAVE A PROGRfu~ WHICH PROVIDES ~~PLOYEES WITH INITIAL ~~~
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR ~O
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
:'vtATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:............ . . . . . . . . . . . . . .
C. PROPER USE OF SAFETY EQUIPME~T:..................
D. EMERGENCY EVACUATION PROCEDGRES:.................
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: , . .. . ..
I~ITIAL
@ ~o
YES @
Is NO
YE ~O
@
REFRESHER
YES ~O
YES ~O
YES NO
YES NO
YES NO
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL I~ QUANTITIES LESS THA~ 500 PO[~DS OF A
SOLID, 55 GALLONS OF A LIQGIO, OR 200 CUBIC FEET OF A COMPRESSED GAS: . ... .. YES NO
I .±t-.c.. ."":õ"itYA.UT , 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 (Oiv. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
SIGNATGRE4+.C .-::ó~ ~
TITLE Su PEe.tJIßOiZ.:n:. DATE~-i.4 -Bß
- 28 -
,t. ....
~
~,
.
.
'r.
.'
BAKERSFIELD CITY FIRE DEPARnlENT
2130 "G" STREET
BAKERSFIELD. CA 93301
OFFICIAL CSE ONLY
BUSINESS NAME: Co &,'1 Of -:òA.1Œi5;:'1ELD
ID#
- - -. - - -
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible. ~"':e:~S~\ Ë \..¡ D
FACILITY, UNIT# FACILITY UNIT NA~E: tiT" -++A.L.L ~ ~L.U.JE~
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
J.\ Ä.'Z. AItDOU'5
C.OUTÄ.\ u E~S
.
t"~4..,..£.g,lA..L A.RE. "'~A.\ UTA. \ UE. D t tV
"'TH A."'\ Þ.. tz..£. e..~~ ~
t-'\ETA.L
"DR" A.D'502. ßEUT
~
REè. 'Ie. &- E
SECTION 2: NOTIFICATION AND EVACUATION PROCEDCRES AT THIS VNIT O~LY
-t=ï ~ E
'Å. L A.. R. "'''
::~.'H AUUA.L
PULL STA..TtOUS
V £.RßÞ-.. L
~91t
- 3A -
,¡'
.
.
..
>:-.
"
SECTION 3: HAZARDOUS MATERIALS FOR THIS U~IT O~LY
A. Does this Facility Unit contnin Hazi1rdolls ~Iatp!"i"ls?.".. § :-;0
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, complete a separate hazardous materia 1 s invent'ory
form marked: NON-TRADE SECRETS ONLY (white form ~4A-l)
If Yes, complete a hazardous ßti1terials invent:ot'Y form mar1(I~d:
TRADE SECRETS ONLY (yelloN form '*4;\-2) in û,ldi tion to the non-trade
sect'et form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
+t ct.E: ~L ~2.t-'\ 'S
t...,.,.,..., kl G.u lSH~, ~?'~'''''l<'~8~
c. j "T"'f .:¡:¡ ~ ~
SECTION 5: LOCATION OF WATER SUPPLY FOR VSE BY E~ERGE~CY RESPONDERS
. ,"~ '-"
... ~ ~'"
:.~ ~~:-~~
--:$;:W. c..oRU£i., OF 'TRU'l."TU U 4 c.~ E:~TE. ~ Å. V
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS U~IT OXLY,
A. XAT. GAS/PROPAN~~
.
~O
S. Of:"
(ù"~' C.ORU E.~ C'Ç" ~U\\..t>\ \J ~ OU-rS, OE:
B. ELECTRICAL:
X> þ.,.~ f.. t-J\ E. ur Ale £.QUl Pt-'\E.UT Roo\-'\ t:..Á. ~T "",.Ll U <;
C, ¡~ATER :
-"ß"'-"5t: t'-1 c.. UT A..lc. E..Q LA \ P t-r\ E.U-r Roo \J\ LJ.E.. C.o~~E~
D. SPECIAL:
E. LOCK BOX: YES / ~ IF YES, LOC,\TIO:'-I:
IF YES. SITE PLA~S? vss ¡ ~O
FLOOR PLAXS? YES ~O
MSDSs0 V~S ~n
KEYS? YES ~O
- 38 -
BAKERSFIELD CITY FIRE DEPARTMENT
I. D. # FORM 4A-l Page -Í- of .:L
NON-TRADE SECRETS -
c.:t't, HAZARDOUS MATERI ALS I NVENTORY ~'ì\.1 ~b..\..l _
. CIT"'i +\-"L.\.. " ~. ,,__ _. . .:-_
BUS INERS NAME: t..y... e.~ Ó~ _~ OWNER NAME: -:: 14. M ¡:: e.i"T"'l C;;DbJt~FIi.~::¡:··n..f)FACILITY UNIT-c #: ~
ADDRESS: ,~o, .,...tz.L.l"-TU tJ ADDRESS: 1~1 --r"2U"-TUU FACILITY UNIT NAME C'..tT'/ +tALL'
CITY. ZIP: ~w:::.c:;:t: '- b CITY, ZIP:
PHONE #: .32. c.., 3' ot . PHONE #: 10FFICIAL USE CFIRS CODE
ONLY
1 2 3 4 5 6 7 8 9 10
TVPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
..
(V\ SS 1~S G~L 0' 08 E.. W~'-'. ~U,p "ROOM 100% C,-,- U." 1 MPt:'Il>I.ð.I (1.rILt'"\-' _or ....06PX
MD 3000 ~ooo +"T3 o<ø OC\ W. \,J"u. E..QU'P "ROOM 100% ,. 4' {\(\ I ~ F~~~~ oG-
RÐ:e.'<;E2A.L.1T .u. EJ;.PL
M;ì qoo FT3 04- W \JA\..&... E:Qu, p ~~ 100 '0 ,rr "z.z." C.Ht.L FltoL\- D-:J
z,oo oct Re.-· E~PL
N AM E : -+I-.c.. .-:6.~ A. Ñ-r- TITLE :9up~\soa. .:-n- S I G N A T U R E =-'-'-.C ~... A.~ DATE:'-'~-8ß
EMERGENCY CONTACT: . ~ TITLE: PHOJlE # BUS HOURS: 3'2. (, '?;.,C\ \
-1+ Co :I:N A. f\.)T
EMERGENCY CONTACT: ED Ku £.14 U
PRINCIPAL BUSINESS ACTIVITY: GðV·"
AFTER BUS HRS: S~I l,4-~C\
PHONE # BUS HOURS: ~z..lI 3"7 Sbl
AFTER BUS HRS: 3Zt 4481
TIT L E : Å"SBr s.. />&:'0., t.>ïI?1lD'E:Ur
- 4A-l -
.
.
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT
D, S, NEEDHAM
FIRE CHIEF
2101 H STREET
BAKERSFIELD. 93301
326·3911
February 21,1991
H.C. Bryant
General Services Division
4101 Truxtun Ave
Bakersfield, CA 93301
Mr. Bryant:
It is time to review the Ci ty Hall and Annex's hazardous
materials management plan and make any revisions necessary.
Attached is a copy of the plan which Bakersfield Fire currently has
on file for 1501 Truxtun Ave. Please review the plan and mark any
changes on the printout. Due to a change in reporting
requirements, it is necessary that the inventory be reported on new
forms. Please use the attached inventory form to report any
hazardous materials which are stored in quanti ties equal to 55
gallons (liquid), 200 cubic feet (gas) or 500 pounds (solid).
Designàte those previously reported as updates.
I will contact you in March to schedule a site inspection. I
need to verify chemical storage locations and determine if it will
be necessary to update the facility diagrams. At that time I will
also conduct a general hazardous materials risk audi t. Any
observations or recommendations regarding possible methods of risk
reduction in the handling or storage of hazardous materials will be
made to the individual departments.
Once the revisions are complete, please sign the stamped area
on the front of the printout. Please return the updated plan to
Bakersfield Fire, Hazardous Materials Division 2130 G Street by
March 15, 1991. If you have any questions, please call me at 326-
3979.
Sincerely,
(~~1~(~ ~MJ)'\.N'
Barbara Brenner
Hazardòus Materials Planning Technician
cc: Ralph Huey