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Home My WebLink AboutBUSINESS PLAN .o¡ \ .. ~ . ..-: ~: 1-- " ~ " ~ ~ ~ " ~ :-J -~ ~ ~ ª t-t 1- HlYI~lP SIT E DI~RAM -yr PL~\~ lVI~-\P FAC.ITY DIAGRAM 0 , 3u.s:.::!:!ss :--lame: '"Ph.~ c;,'t !iI\-N~ p...\A"'~ LMI'II..-i!'''''~ ~ £Jf.¡æ I vJ S+ w - - Jlt ~ b ~ / A=~a ~a;: :t 0: J ~ame 0= Ar~a: I ._~ ---;-.~ ~_" STRE:E:~ .. --~- --- ---- ~ ~ \5' '?/'I"~t:IIJ'- 4;¡íÍ ~ \1 t \) 1- ê ~~,c \Y 'Q'~ ~ YY1rtll(AL. /?is'' oFF-~ ® \- ~ i: Lu off\C.\.f s tù ~ ~ Itl(,/ 'V?\J.1 ¡,. V1. p.. '- \.... <\.- 'i :r: - '-I) ~ ~7 f' t. \;- 0f ( " \.: ~ I I , ' .L E 'Sr~J::;- T ----- ~/ I ~~. L , ~I 1 --- -- --- - ---- ?~~ !rf!v r¡i \it ~ 7P" \ r- ~ ':> <! ~ ~ )( '3 F . ( v c,q J..S 0 I '" I DC) - c.;¡SD 3-36 ,;La ^ I --riè a.;x'ft<tJ . DON "WI LLlAMS CHIEF MICROBIOLOGIST RESIDENCE: 3512 WESTCHESTER BAKERSFIELD, CALIF. 93309 (805) 831.1925 PHYSICIANS AUTOMATED LABORATORY 2801 H STREET BAKERSFIELD, CALIF. 93302 (805) 325·0744 - 32.5- 2-76 L ,..:'-"1.' , . ! I I .. ^~ \ tr"' ;~ M I N I M IÁ t--t Qy·-~-~1f; ,,11 ( IL~,--J;; .t~ ~ . tJo-:t a~ ~ r- ". PHYSICIANS AU~OMATED LABORATORY 215-000-000343 Overall Site with 1 Fac. Unit Page 1 t 02/27/92 General Information Location: 2021 TRUXTUN AV Community: BAKERSFIELD STATION 03 Map: 102 Hazard: Minimal Grid: 25D FlU: 1 AOV: 0.0 Contact Name BRUCE SMITH W R SCHMALHORST Title MANAGER OWNER Business Phone (805) 325-0744 x (805) 325-0744 x 24-Hour Phone (805) 832-8663 (805) 832-4464 Mail Addrs: City: Comm Code: Administrative Data 2021 TRUXTUN AV BAKERSFIELD 215-003 BAKERSFIELD 'STATION 03 D&B Number: State: CA Zip: 93301- SIC Code: Owner: PHYSICIANS AUTOMATED LABORATORY Address: 2021 'l'RUX'l'UN AV .)$01 roJ 5'T1ft::.ì:;r City: BAKERSFIELD Phone: (805) 325-2762 State: CA Zip: 93301- Summary RECEIVED 'APR 2 1 1992 I, ßwrJ: ~'\11 if f Do hereby certify that I have (Ty,e or print MInI) reviewed the attached hazardou~ materials manage· Pit'!''!. A....ro.......f't-.> W6 ment plan fop.-o~\ ï~,,' áv and that it along with (Name of BusineSS) any corrections constitute a complete and correct man· agement plan for my facility. ~é~- SignaI\Jt8 £ç?~ '- 0818 " . 02/27/92 . . PHYSICIANS AUTOMATED LABORATORY 215-000-000343 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 CARBON DIOXIDE . Fire, Pressure, Irnmed Hlth Gas 500 Minimal FT3 CAS =It: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 500 300.00 I 4,000.00 Storage r Press T·Temp ~ Location PORT. PRESS. CYLINDER Above AmbientCENTER OF BLDG - Conc l 100.0% Carbon Dioxide Components r; MCP :-rList Minimal I ,. 1c 02/27/92 . . PHYSICIA~S AUTOMATED LABORATORY 215-000-000343 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 REPORT PROBLEM - EVACUATE BUILDING FROM ANOTHER BUILDING CONTACT SUPERVISOR OF LAB NEW EMPLOYEES MEET AT SOUTHEAST CORNER OF D AND TRUXTUN > <2> Employee Notif./Evacuation CHECK ROOMS WHERE PERSONNEL ARE (ONLY 3 IN BUILDING) HAVE ALL EMPLOYEES MEET IN PARKING LOT AT WEST SIDE OF, BUILDING CONTACT BY PHONE - SUPERVISORS C~N GET A HOLD OF ALL PERSON NOT LOCATED ON FIRST INSPECTION. <3> Public Notíf./Evacuation OJJq C,..'¡Vl~r<...(l (J/,- ('OL is /..."(t4-rt-~ A-t"'-jL;., ~OR.Hs- rT ')1ok'-S ¡J~, P ð5"t:- ,IJ- 'T jk(FtI4. <4> Emergency Medical Plan CALL 911 FOR AMBULANCE IF NEEDED. '. ~ 02/27/92 . . PHYSICIANS AUTOMATED LABORATORY 215-000-000343 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention GAS CYLINDER HAS BEEN CHAINED TO WALL TO PREVENT ACCIDENTAL RUPTURE. <2> Release Containment A-!J..-IÙ W 7() 'VI S I r~ - (01.. :rs Aj'(Jr¡- }trI-.\ ( /µ Q.u t~ loll l Î I ~ ~ {CF'tì ûN f¡'fM,S.:-5 <3> Clean Up (Z.«(Q-JCv<.. Ct4M~~¡l.) µo ~f'5\)lt/lt'l FofLCeJ"L ~ (L 'è f"-t. ¡¿ ,.) ~ ¡M. \C ~~~ W F/... ~ I µ(, - <4> Other Resource Activation ~ ,', 02/27/92 . . PHYSICIANS AUTOMATED LABORATORY 215-000-000343 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards AJ{}P t!' <2> Utility Shut-Offs A) GAS - SOUTH SIDE OF BUILDING B) ELECTRICAL - SOUTH SIDE OF BUILDING C) WATER - SOUTH SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - NORTHWEST CORNER OF TRUXTUN AND D STREET <4> Building Occupancy Level --,. . '. 60 02/27/92 . . PHYSICIANS AUTOMATED LABORATORY 215-000-000343 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE 4 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE GIVEN GUIDED TOUR OF FACILITY TO SHOW THEM WHERE TO GO IN CASE OF AN EMERGENCY; NUMBER OF WASTE CONTAINERS; EMPLOYEES ARE GIVEN MATERIAL SAFETY DATA SHEETS AND LOCATION FOR REVIEW. EVACUATION MAP LOCATION AND EXITS ARE~HOWN AS WELL AS LOCATION OF SITE TO CONGREGATE IF EMERGENCY DEVELOPS. <2> Page 2 as needed <3> Held for Future Use --- - - - - ----~ --- --~. --- <4> Held for Future Use · Båkersfield Fire De" Hazardous Materials Division 2130. "G" Street Bakersfield, CA. 93301 RECEIVED J:~~! 0 3 1991 HA7._ M.-'T. DIV. HAZARDOUS MATERIALS MANAGEMENT PLAR.~ I :NSTRUCTlONS: ~(þr CJ-! I To avoid further action, return this form within 30 days of receipt. j¿/" 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business os a whole.- 4. Be brief and concise a:¡ possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: . 7\-1.'(':>1(1 (.1 µ s I\,^~ \V\....\"'~'~ "'\~:rµL o~ LOCATION: .). 0 tAl T¡z.w..x..r-LA A1 A v 4.. . MAILING ADDRESS: ,;tROI fJ- 5T1?þ-pj CITY: ~JC.6(SFIf LÌ) STATE: C,d4,r ZIP: '7~} 01 PHONE: 3z.S-- D 7LJ£j 'Ç ¿ T~'f I.D.Þ DUN ~ BRADSTREET NUMBER: .SIC CODE: PRIMARY ACTIVITY: 'm\:;~\t \"<L- l.~b'\) (Ly.JM)rt'-! OWN ER: k>.R. s<-~"'" 04 ..../':I-cns r t1lf·Ì) . ..¡-!VI. h- "');1 J:/l'/t.lt ( M ~ . MAILING ADDRESS: ,;LS'o I t+ S~~J.;:.-T SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE l. 'bt'LU.U¿ <;;,,~ "t" M\i\;IV~(/L 2. \,(), R. <) c\"""'t1 ,-,;.-oltsr OU-))J<;: r<t BUS. PHONE 24 HR. PHONE 32)'-07YLf f5 "3 2...- ')? b b.3 3J.S--'Q 7'1'-1 ð']) -....{ \It Y 1. FD1S" b . Bakersfield Fire Dept. . Hazardous Materials Division ......-' \" " a3VL5~)3R HAZARDOUS MATERIALS MANAGEMENT PLAN ~., ' t....ÿ. ( <t 11*:' i I: . ¡ "~ ...,... v.q .T A"1l ~AH , SECTION 3: TRAINING: NUMBER OF EMPLOYESS: :5 MATERIAL SAFETY DATA SHEETS ON FILE: If' 5 BRIEF SUMMARY OF TRAINING PROGRAM: EV"'t?hO';'~¡.-r-> J¥tl:.- bll/¡;:IJ GUt)fl TOLA¡A. ø' f!frl'-'TY rv fh l? W ~ w-fuvv +0 q ~ ~ ( (ß.AJ.j .-IJ W1<JV'7.t? N ( 'í') Ai iM" L úJ w'/9<2, " (0 ,v >7'-11-/ AI r;11.t; ; CWf/...o'1';¡::~ pJ1.C' ~lvrJV ¡M'7/.)5 ~~f-s XJ-vO )..f,JrJ.D'-lOIV Port !lcv,''''UJ' .. ~1J " &"(1 If-';, ~t;;- c-h .....< .,j) E:: v IH'" ¡q.1} 1"'..) V'-1 OWl ·L. ¡J ( $J1..J ~hI J'\;IIJv .> \C ~.J IV N ) ~ ~ JJ, (¡:¡.:¡-' \.) A1 Ö ¡¿ ') I rr ¡-o .A~ L.' -¡P /111..0." C¡ ¿1# C Y ctJt'vcir~ 9"'"' ~ I ( / &f~~. .. "- .. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. ~-- - ---- - - - ,--- _. _Jf~ 9.0 _HA~DlE _ Hf-ZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXC·ËED TH-E MINIMUM- REPCJR-TING- QU'ANTlTIE'S".---- --- -_. OTHER (SPECIFY REASON) SECTION 5: CERTIFIC~TION: I, ~~~ CERTlFYTHATTHEABOVEINFOR- MATrON IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBlIGA nONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS CDIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~-~~ - SIGNATURE 4. !MÚMlJ.tV\.. ,. I TITLE /' 1-/'1--,,/ h-., DATE' 2. FD159( \ ~'" ~ ,,,~ .. Bakersfield Fire Dept. . Hazardous Materials Divisio HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: I) ((}(.( 41' ~O"-d..!~ - "'-<.J(~<d..; L(~ 2) F~D¡'" '1P\!j~ L'(&.~ - {c"-vt~-4 ~"" «I U Ñ}J'~ ~ ~ ~ ~E~ .(O,I'J/''-' of Û i- ìl1.U-7~µ B. EMPLOYEE NOTIFICATION AND EVACUATION: tJ (, tv LA ((O:;OIi'" 1 VI-- L ~ t:V\.)., (~ ") ~ ~ Ic~) 2--) I~ a;) '~~ /J ~J v\;, f t~~' u-4- ~1IJV?1- ~'cU õJ ,~\i~ . 3) ~~J ~ ~ ~'-t-~'%cJ--A.'~ 7J ~l,¡/< ¡:¡U ~ ~ k-VrÞèl,-4 GYV> /:; f- tA. '\)f~ . PUBLIC EVACUATION: /;' , /, - /)M/2. C 1J¡../ /v 'í} tJ-f. /v..é' ~ - D'" ~ 0 'L ~ '-~-l-~W~. C. D. EMERGENCY MEDICAL PLAN: I) (¡µJ '111 - tv' ~ { ;J'-'.JJ<0d, d) Alo T 0-t. I c. tjß-1-r'.J cY'r Lw'[.M . 3. fDl5-> Bakersfield Fire Dept. . . Hazardous Materials Divisio ,- '-),.r ~_ " HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. 'RELEASE PREVENTION STEPS: JJ/w-t CO 1.. ~ /'~ 0 N fV'~ ,~ ~r.ytI...( eJ .Á/~ -fo-t:.:.. ( - B. RELEASE CONTAINMENT AND/OR MINIMIZATION: G ~ cr c.Ù-/\. . t.cu'~ r.M~tl iu wwJ f..o~ ~ct~,~~ - C. CLEAN-UP PROCEDURES: /J.:j. /r¡¡J.. (1~ 'NN t:: e- ~ - í/~/ :ß~) -<)A~;.eÁ-ß~ -~ J~~~Jl¡) -Á.l~'-~ J~ c--. ~ cd/) - SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Sov'~ ~ ,/I) ¡; or PÚI L ¡:¡,¡v(,- ELECTRICAL: 5()u '-r-h 5;c(¡ ::1\t.lN\' I..Ù I ,(/ \,.- -WATER: <ç nt-AHA -{- nlJ: - 0-J~ - fu , L Ù I, # ~ ---::---~- --- -~- SPECIAL: LOCK BOX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: ~, B. WATER AVAILABILITY (FIRE HYDRANT): 1-..1 W ~, ;l\ 'Tf2U/XhlAl A. \A.J cµv-d'~ \ 'j)" 5 ~¡;;;rr- 4. FD159C , ,HAZARDOUS MATERIALS INVENTORY Farm and Agtlculture 0 Standard BusIness .9-.), , NON-TRADE SECRETS Page L_ of.¥<C.... 'I . BUSINESS NAME :ry<" 11....>. 1l...ro1M~() AM ¡,. <- OWNER NAME: '.<J.~, Sc í,w.<} /~G~Îrf- ¡,<of, ~ . NAME OF THIS FACILITYò' ¡;l s/U.fJ"c;. 4-c,"~ h-6 ., lOCATION:c1oJ..\ ìf'l.vV¡r.r-v.~ ~ ADDRESS';ao¡ H 5t-L.,~r ' STANDARD IND. CLASS C oFf.- I CITYÈ ZIP: ß~~Ç...ž.IP\~ 1.-1). "hl~ '1.1]0 I CITY 1- zip: ¡M.c~rIJfrl I), (,4--t/l~ <;,;J.:J / DUN AND BRADSTREET NUMBER------ PHON 1I:/90.,.) j).S"'.1-,,,,y , PHONt: 1t:(é.)'J¡,¡.....:92~ REFER TO-nV51ffUCflVNS I-Uff PROPER CODES - - - - 7 8 9 10 11 12 tJ 11 / , Oys Cont Cont Cont Use location ~he(e . I by nues of Hixture(Colllconents on SIte Type Press Temp Code Stored In FacIlIty Wt See Instruc 'ns ~ 6 :r '0 L-f 'Z 27 (j?,¡JTfç~ oIl.. ßu (Coo Ì) IN l.>- /œ C. D'2.- " Component 11 Name & C.A.S. Number t2 0 'L- '. CITY of BAKERSFIELD 1 Trans Code J Max Ant 4 Average Amt [] Fire Hazard [] De I and ¡}-sudden Re I ease Health of Pressure [] Component 12 Name I C.A.S. Number Immediate Health Component 13 Name & C.A.S. Number " [] Reactivity PhC~ic~1 ,~d ~ealth Hafard C.A.S. Humber Component '1 Name I C.A.S. Number ( ec a t at apply o Fire Hazard [] Reactivity [] De h{ed [] suddfn Release [] Component '2 Name I C.A.S. Number Immediate Hea th o Pressure Health Name I C.A.S. Number Component .3 PhCsical ,nd ~ealth Ha~ard C.A.S. Number Component .1 Name & C.A.S. Number ( heck a I t at apply [] Fire Hazard [] Reactivity [] De hred [] suddf" Re 1 ease [] Component 12 Name I C.A.S. Number Immediate Hea th o Pressure Health Component '3 Name I C.A.S. Number Physical ond Health Ha~ard (Check all that apply) C.A.S. Number Component.1 Name & C.A.S. Number o Fire Hazard [] De 1 ayed [] Sudden Re! ease Hearth of Pressure [] Component 12 Name & C.A.S. Number Immediate Health Component.3 Name & C.A.S. Number [] Reactivity l{{(l~CJh.'<J/~Îá f- EMERGENCY CONTACTS #1 G('Wn.c S-",.M V11J1n}U¡t.. '8j2~S'tU tt2 'v\:\1N! \JJ .1(.'C.£'I'\s' Halle Ttt Ie ~4 Hr phone ~ame Certifiçation (Reed and $ ign Bfler cÇJmp-7et ing 'Ç17 7, sect ions) , . , I certIfy under penalty. 0 la~ th~t I have persona ly examneQ ond om familIar Wltb the informatIon $ubmltte~ In thIs end all attaçhed documents, anQ t at based on my Inquiry Q those IndIVIduals responsible for obtaIning the InformatIon. I belIeve that the submltted InformatIon IS true, accurate, and complete. ~ /1 'l3llMtE 1/),1 - &:.0 F~ n ¡tJA-CEI2-- ~J.. , ~ ~e-ëf!¡f 0 IC a wn.r op ra or owner pera or s au orl e 'representatIve STq~ ,~I . .-1 83/-/«<) rrl{rvti~ /0.7/90 Unr5iqr.eo