HomeMy WebLinkAboutBUSINESS PLAN 4/10/2007~-~_
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SILL PROPERTIES INC SiteID: 015-021-001190
Manager WALT BERRY
Location: 10000 STOCKDALE HWY
City BAKERSFIELD
BusPhone: (661) 323-1142
Map 102 CommHaz Moderate
Grid: 31B FacUnits: 1 AOV:
CommCode: BFD STA 11
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
WALT BERRY /,~Q~/~oCC..v~ ~ 7~,~' ~
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~J,~IG /
Business Phone: (661) 323-1142x ~
,
Business Phon'e~ ((6/ )~~ -//~~-x
24-Hour Phone (661) 747-6074x 24-Hour Phone (GG,/ X349 ~O/, x
Pager Phone ( ) - x r Phone (G~/ )7f%7 -do7~x
~.
Hazmat Hazards: ImmHlth
Contact WALT BERRY Phone: (661) 323-1142x
MailAddr: 1508 18TH ST 320 State: CA
City BAKERSFIELD Zip 93301
Owner SILL PROPERTIES INC Phone: (661) 323-1142x
Address 1508 18TH ST 320 State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT ~
PROG T - ABOVEGROUND STORAGE TANK
~ V"
v
~Nfi"B A ~~ .~ 0 ~~~~
Lased on my inruiry of those individuals
responsib+e for ok~taining the information, I certify
unc+er penalty of law that f have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
Signature Date
-1- 02/06/2007
__ F SILL PROPERTIES INC SiteID: 015-021-001190 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
DIESEL IH L 600.00 GAL Low
-2- 02/06/2007
-3- 02/06/2007
SILL PROPERTIES INC 021
001190
Sit
ID
015
F ~
e
:
-
-
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DIESEL Days On Site
365
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U M G
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:
NW CRNR OF PROP CRNR STOCKDALE HWY & GALLOWAY DR CAS#
Liquid TMixture f Ambient~E ~ AmbentT~E ABOVE GROUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
600.00 GAL 600.00 GAL 600.00 GAL
tir~G[~ttU~ua 1:V1~lYV1VI;1V'1J
%Wt. RS CAS#
100.00 Fuel Oil No. 1 No 70892103
riAGHKL HSSI;~~1~11;1V'1~~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
-4- 02/06/2007
F SILL PROPERTIES INC SiteID: 015-021-001190
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 10/20/1992
CALL 911, OCI MANAGEMENT, HAZARDOUS MATERIALS DIVISION AND OFFICE OF
EMERGENCY SERVICES
9
9
Employee Notif./Evacuation 03/27/2000
IN THE EVENT EVACUATION IS NECESSARY ON THE FLOORS ABOVE, PERSONNEL CAN BE
MOVED DOWN BY USE OF FIRE STAIRS FROM THE EMERGENCY AREAS. THE EMERGENCY
STAIRWELLS ARE FIRE RATED FOR SAFETY UP TO ONE HOUR. THE SEPARATION BETWEEN
FLOORS IS ALSO FIRE RATED FOR A PERIOD OF AT LEAST ONE HOUR. WE HAVE
APPROXIMATELY 600 PEOPLE IN THIS BLDG, THEREFORE, IT IS IMPERATIVE THAT
PERSONNEL TRY TO LEAVE THE BLDG IN AN ORDERLY MANNER, GOING TO THE FURTHER
MOST POINT IN THE PARKING LOT TO ALLOW EMERGENCY VEHICLES IMMEDIATE ACCESS
TO THE BLDG. EACH DEPT WILL ASSEMBLE IN GROUPS AS A MEANS TO ACCOUNT FOR
PERSONNEL. ONCE THIS HAVE BEEN ACCOMPLISHED, EACH MANAGER/DIRECTOR WILL
REPORT TO THE OFFICE SERVICES MANAGER THAT ALL OF THEIR PERSONNEL ARE OUT OF
Public Notif./Evacuation 06/05/2006
A NOTIFIER FIRE ALARM SYSTEM IS IN PLACE FOR THE PURPOSES OF ALERTING
PERSONNEL OF A FIRE. THIS SYSTEM IS PUT ON LINE AFTER WORK HOURS (8:00 A.M.
THRU 5:00 P.M.) WITH TEL TEC SECURITY SYSTEMS, 5020 LISA MARIE CT, 397-5511.
Emergency Medical Plan 06/05/2006
MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371.
-5- 02/06/2007
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention
iCC1CCL5C t.Vll 1. cL111l11C11L
..~
V 1C. Q11 Vt.J
V 1.11C I i[.C b- V lA1 l: C tiles l.1 V GL L 1 V 11
-6- 02/06j2007
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J[JCC:1ei1 rid'Gd.LC15
Utility Shut-Offs 12/27/2006
A) GAS - W SIDE OF BLDG
B) ELECTRICAL - EXT CONTROL PANELS NW SIDE OF FAC
C) WATER - NE CRNR & NW CRNR
D) SPECIAL - ELEVATORS (2) EQUIPPED WITH SMOKE GUARD SYSTEM
E) LOCK BOX - YES EXCLUSIVE USE OF FIRE DEPT
Fire Protec./Avail. Water 12/27/2006
PRIVATE FIRE PROTECTION - FIRE SPRINKLERS.
Building Occupancy Level 03/13/2006
600 MULTI-TENANT OFFICE BUILDING
-7- 02/06/2007
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/05/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN THE MANAGERS OFFICE.
BRIEF SUNIMARY OF TRAINING PROGRAM: ON A MONTHLY BASIS, KEY PERSONNEL ATTEND
SAFETY MEETINGS FOR THE PURPOSE OF KEEPING ALL PERSONNEL ABREAST OF NEW
SAFETY PROCEDURES AND/OR THE OPERATION OF NEW EQUIPMENT INSTALLATIONS THAT
WERE DESIGNED TO COMPENSATE FOR ON-THE-JOB ACCIDENTS. PLEASE NOTE: EACH
TENANT OCCUPYING BLDG IS RESPONSIBLE FOR THEIR PERSONNEL. A FIRE SAFETY
MANUAL HAS BEEN ISSUED TO EACH TENANT FOR USE AS A SUPPLEMENTAL FIRE SAFETY
AND PROCEDURES PROGRAM.
WE HAVE AN ENVIRONMENTAL CONTRACTING COMPANY CACTI) THAT IS UTILIZED.
rayc ~
nc.LU tvi r u~.uic vac
-s- 02/06/200
,.
',F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
F= Training Overall Site ~
~ Held for Future Use
-9- 02/06/2007
. ~"~.-
{
SILL PROPERTIES INC SiteID: 015-021-001190
Manager WALTER BERRY
Location: 10000 STOCKDALE HWY
Cif~y BAKERSFIELD
BusPhone: (661) 323-1142
Map 102 CommHaz Moderate
Grid: 31B FacUnits: 1 AOV:
CornmCode : BFD STA 11
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
WALTER BERRY / CONTROLLER /
Business Phone: (661) 323-1142x Business Phone: ( ) - x
2~4-Hour Phone (661) 399-3017x 24-Hour Phone ( ) - x
Pager Phone (661) 747-6074x Pager Phone ( ) - x
Ha;zmat Hazards: ImmHlth
Contact WALTER BERRY Phone: (661) 323-1142x
Ma.ilAddr: 1508 18TH ST 320 State: CA
City BAKERSFIELD Zip 93301
Owner SILL PROPERTIES INC Phone: (661) 323-114 2x
Address 1508 18TH ST 320 State: CA
City BAKERSFIELD Zip 93301
~Pe:riod to TotalASTs: = Gal
Pr~eparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives : EIVT,~
C AUG .? ~ Z~07
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for ob?aining tha information, i cartify
under penalty of ia«j that I have persana.liy
examined and am femiiiar with the 'snfarmation
submitted and beliPVe the information is true,
accurate, and complete.
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_
ignaturc ate
-1- 07/16/2007
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F SILL PROPERTIES INC SiteID: 015-021-001190 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
DIESEL IH L 600.00 GAL Low
-2- 07/16/2007
1~
-3-
07/16/2007
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DIESEL Days On Site
365
Location within this Facility Unit Map: Grid:
NW CRNR OF PROP CRNR STOCKDALE HWY & GALLOWAY DR CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
600.00 GAL 600.00 GAL 600.00 GAL
- riHGl-ihC1JVUJ wl~lrvlvLlvlS
oWt. RS CAS#
100.00 Fuel Oil No. 1 No 70892103
t1E1L,L~i.1CL X5~~5~1~11~;1V'1'S
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
-4- 07/16/2007
F SILL PROPERTIES INC SiteID: 015-021-001190
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 10/20/1992
CALL 911, OCI MANAGEMENT, HAZARDOUS MATERIALS DIVISION AND OFFICE OF
EMERGENCY SERVICES
Employee Notif./Evacuation
03/27/2000
IN THE EVENT EVACUATION IS NECESSARY ON THE FLOORS ABOVE, PERSONNEL CAN BE
MOVED DOWN BY USE OF FIRE STAIRS FROM THE EMERGENCY AREAS. THE EMERGENCY
STAIRWELLS ARE FIRE RATED FOR SAFETY UP TO ONE HOUR. THE SEPARATION BETWEEN
FLOORS IS ALSO FIRE RATED FOR A PERIOD OF AT LEAST ONE HOUR. WE HAVE
APPROXIMATELY 600 PEOPLE IN THIS BLDG, THEREFORE, IT IS IMPERATIVE THAT
PERSONNEL TRY TO LEAVE THE BLDG IN AN ORDERLY MANNER, GOING TO THE FURTHER
MOST POINT IN THE PARKING LOT TO ALLOW EMERGENCY VEHICLES IMMEDIATE ACCESS
TO THE BLDG. EACH DEPT WILL ASSEMBLE IN GROUPS AS A MEANS TO ACCOUNT FOR
PERSONNEL. ONCE THIS HAVE BEEN ACCOMPLISHED, EACH MANAGER/DIRECTOR WILL
REPORT TO THE OFFICE SERVICES MANAGER THAT ALL OF THEIR PERSONNEL ARE OUT OF
Public Notif./Evacuation
04/11/2007
A NOTIFIER FIRE ALARM SYSTEM IS IN PLACE FOR THE PURPOSES OF ALERTING
PERSONNEL OF A FIRE. THIS SYSTEM IS PUT ON LINE AFTER WORK HOURS (8AM THRU
SPM) WITH TEL TEC SECURITY SYSTEMS, 5020 LISA MARIE CT, 397-5511.
Emergency Medical Plan
MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371.
06/05/2006
-5- 07/16/2007
;~ ~~ ;.
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention
Release Containment
l..l CGY11 V~J
Other Resource Activation
-6- 07/16/2007
~: ~ ,
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.7~JCC:ldl L1dGdIUS
Utility Shut-Offs
GAS - W SIDE OF BLDG
ELECTRICAL - EXT CONTROL PANELS NW SIDE OF SITE
WATER - NE CRNR & NW CRNR
SPECIAL - ELEVATORS EQUIPPED WITH SMOKE GUARD SYS
LOCK BOX - YES EXCLUSIVE USE OF FIRE DEPT
04/11/2007
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE SPRINKLERS.
12/27/2006
Building Occupancy Level 03/13/2006
600 MULTI-TENANT OFFICE BUILDING
-7- 07/16/2007
S. -~_',
F SILL PROPERTIES INC SiteID: 015-021-001190 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/05/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE IN THE MANAGERS OFFICE.
BRIEF SiJNIl~IARY OF TRAINING PROGRAM: ON A MONTHLY BASIS, KEY PERSONNEL ATTEND
SAFETY MEETINGS FOR THE PURPOSE OF KEEPING ALL PERSONNEL ABREAST OF NEW
SAFETY PROCEDURES. AND/OR THE OPERATION OF NEW EQUIPMENT INSTALLATIONS THAT
WERE DESIGNED TO COMPENSATE FOR ON-THE-JOB ACCIDENTS. PLEASE NOTE: EACH
TENANT OCCUPYING BLDG IS RESPONSIBLE FOR THEIR PERSONNEL. AFIRE SAFETY
MANUAL HAS BEEN ISSUED TO EACH TENANT FOR USE AS A SUPPLEMENTAL FIRE SAFETY
AND PROCEDURES PROGRAM.
WE HAVE AN ENVIRONMENTAL CONTRACTING COMPANY CACTI) THAT IS UTILIZED.
rays ~
Held for Future Use
-8- 07/16/2007
:.
'.~' -.
F SILL PROPERTIES INC SiteID: 015-021-001190
Fast Format
~ Training Overall Site
~ Held for Future Use
-9- 07/16/2007
J a ot.
'yA•
+ SILL PROPERTIES INC _________________________________ SiteID: 015-021-001190 +
Manager WALT BERRY
Location: 10000 STOCKDALE HWY
City BAKERSFIELD
BusPhone: (661) 323-1142
Map 102 CommHaz Low
Grid: 31B FacUnits: 1 AOV:
CommCode: BFD STA 11
EPA Numb:
SIC Code:
DunnBrad:
t______________________________________________________________________________+
Emergency Contact / Title Emergency Contact / Title
WALT BERRY / /
Business Phone: (661) 32.3-1142x Business Phone: ( ) - x
24-Hour Phone (661) 747-6074x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: ImmHlth
Contact WALT BERRY Phone: (661) 323-1142x
MailAddr: 1508 18TH ST 320 State: CA
City BAKERSFIELD Zip 93301
Owner SILL PROPERTIES INC Phone: (661) 323-1142x
Address 1508 18TH ST 320 State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK ~~~~
~~ ~ ~ ~~~
6
Based on my inquiry of those individuals
responsible for obtaining the information, 1 certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
Signature - Date
-1- 03/13/2006
'`~ / _
- a -
- Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' A _ F_ R S F , , „ 90o Truxtun tive., :Suite 210_
FARE Bakersfield, CA 93301 . -
SECTION 1: Business Plan and Inventory Program "'~'"' T 'Tel.: (661) 326-3979
Fax: (661) 872-2171
'~ FACIL_ITY-NAME
~V ~P£ ~/ - INSPECTION DATE - -
11 -Z~ - 2.~0~. INSPECTION TIME
11~P~ 1~n,
ADDRESS
.
~ PHONE NO.
323- ~~ yz NO OF EMPLOYEES
-
FA tlLITY CONTACT BUSINESS ID NUMBER
15-021- 4rS~~ ~D
Program
Business Plan and Inventory
_
Section 1: ~~0~~ j
~OUTINE -
_
___
_
^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( C=Compliance OPERATION
V=Violation COMMENTS
~~ ^ APPROPRIATE PERMIT ON HAND ~I tl~,~ ~ E C ~ 6
~~. ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE -
~~ ^ VISIBLE ADDRESS -
W~ ^ CORRECT OCCUPANCY
` }~ ^ VERIFICATION OF INVENTORY MATERIALS
~~ ^ VERIFICATION OF QUANTITIES
~7 ^ VERIFICATION OF LOCATION
~~ ^ PROPER SEGREGATION OF MATERIAL
C~~ ^ VERIFICATION OF MSDS AVAILABILITY
~~ ^ VERIFICATION OF HAZ MAT TRAINING
~~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURE
7~ ^ EMERGENCY PROCEDURES ADEQUATE
~~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~`~ ^ FIRE PROTECTION
y
q ^ SITE DIAGRAM ADEQUATE & ON HAND
ANI~' HAZARDOUS WASTE ON SITE? ^ YES ENO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 / -
`-~- e~ctor (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site / Responsibl Party (Please Print)
White -'Prevention Services -~ -Yellow -Station Copy Pink -Business Copy FD 2155 {Rev. 09/05
UNIFIED PROGRAM INSPECTION CwECKLIST~`
SECTION 1: Business Plan and Inventory Program
art
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ARTAI f
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FACILITY AME INSPECTION DATE INSPECTI N TIME
~
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ADDRESS HONE N OOF EMPLOYEES
FACILITY NTACT
~.,
~„ USINES ID NUMBER
15-021- Up 11 ~ ~
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Section 1: Business Plan and Inventory Program l
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=Compiiance~ OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSItl2SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PR EDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
^ FIRE PROTECTION
D ^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~<7
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~ ~ ~ , my~5 ~R~'~
Inspector (Ple se Print) Fire Prevention / 1sr In /Shift of Site/Station #
BAKERSFIELD FIRE DEPT
Prevention Services
9001Yuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-39
Fax: (661) 872-21 C 1,145
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rav. 02/05)
Castle & Cooke
CALIFORNIA,' INC.
Mailing Address:
. P.O. Box 11165
Bakersfield, CA 93389.1165
(661)664-6546
Robert (Bob) Boon
Manager
" Property Management
Delivery Address:
10000 Stockdale Highway, Suite 300
Bakersfield, CA 93311 -
Fax: (661) 664-6188
. ,I
.perftt~
Prevention Services Unified Permit
SUBJECT TO CONDITIONS OF PERMIT
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THIS PERMIT IS ISSUED FOR THE FOLLOWING:
~Hazardous Materials Plan I
o Underground Storage of Hazardous Materials
I
o California Accidental Release prqgram
o Hazardous Waste Generator and~or Treatment
o Above ground Storage Storage of Petroleum
o Paint Spray Booth I
o Industrial Hood Suppression System
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P.ERMIT ID #015-021-001190 ß '..','¡../' ~i1. ,~",:>,.:~:-;",<~'~p ~';i';'(::' ,,'; .:' '~I :~~t' 'f{'<~':":,' "',':,'"
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CASTLE & COOKE CA~'I,J;º~NIA~INtC. ,;', , . I,.' ",' ':'~:':~:<~~;!.'" . \,
f ,¡; "I.,' ~. ".r r '>';·:·:,'.·,,:,::,':...l,:.~:',-',~,~,',,',~~.'.'~,~,','~,,:'"',\.,.:;",\,':.'.',~\
ll~¡?' ~'::~~"~~r.,~ ~y-' .~
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10000 STOCKDALE HWY.
I'
BAKERSFIELD, CA 93311
Issued !by:
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Bakersfield Fire Department
OFFICE OF PREVENTION SERVICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 852-2171
Approved by:
~
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4U9V' Directo< - -, -
Prevention SeNlces
Expiration Date:
.June 30, 2006
tl1736
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Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
Permit 10 #:: 015-000-001190
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CASTLE & COOKE CALIFOR~"f~)I, ,",'j,/k~··:n::,'J',:¡, '< r, , ,~:.~~~<::':~~,
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LOCAifION: 10000 STOCKDALE HWY¡'1. " ) ';~ ' CA . 933 ,'.' \
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This permit Is Issued for the following:
It! Hazardous Materials Plan I
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
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Issued bl
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:
Issuè Date
June 30, 2003
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Bulineu Name: CA.;r.?:?P"'/ c-::- C70~E ~ c. _
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UJUaeUnuUUJH: /0060 --=r-.;r-OC.c.oAt!'::L: A/¿,/Y A!f?,4Kr/&~/""/Ec-q CA /o~//
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UNIFIED PROGRAM APECTION CHECKLIST.
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
INSPECTION DATE
INSPECTION TIME
za
~~ ~_______::::J2'A..,I.c.._~__,_J 0- 'Z ~ ~~
PHONE No, No, of Employees
¿¿t{-tW{¡, LfW
Business ID Number ------,,------,--
15-021- Lú 1 'SO
~~ction1: Business Plan and InventoryÞrogram
." Routine
C] Combined
C] Joint Agency
LJ Multi-Agency
C] Complaint
C] Re-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
C] ApPROPRIATE PERMIT ON HAND
----------_.~----_._----~------_.- _._._-------,-_.__._-------------_.._---~_..__.__.~---.-------..--."..---.------
C] BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ ~ .
----- --- -- -- ---- -.-- -- - -- --------- ---------- -- - - ----'--;;;- - ----.- - -- ------ - -- --- --.
C] VISIBLE ADDR~~_______________u_______ _ _ __________ _______________jl Ii ~3-- ________
C] CORRECT OCCUPANCY
'" C] VERIFICATION OF INVENT~~~ MATERJAL~=~~~=~_~~ _~==~=~_~=~_-~_~==~~~-~==_~==~~.~~~
~___~ERIFICA~ON ~ QU~N2~~___________u____~_ _________________________________________.__________________
it C] VERIFICATION OF LOCATION
1"St C] PROPER SEGREGATION OF MATERIAL
t§ C] VERIFICATION OF MSDS AVAILABllITYE
-------------.---
------------.----.
---.-----.-----------.-- ---
---------------..-----
------.--.---.--.-----.-- -<- ---------.---------- -_._._~.._.--_....__..._--
----
-----------..----.. .-.----.-- -~-_._.<_._-----_._<---_._-_._--~-_.<------------_._-----
o VERIFICATION OF HAT MAT TRAINING
---.-----------..--.--
----------------_.-_._----_._.~-~~-~_.__._--_._-----_.----.-------.-
C] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
.--.------.---.---- --.----.--.----.--.------..---.------..--..-----...---.--.-._._.-.--.-.~.
C] EMERGENCY PROCEDURES ADEQUATE
------------.----.--- -----------_._---_._---------------_...-_._---------~-.--....----
C] CONTAINERS PROPERLY LABELED __r£.3 -3~~___________________________________
'Kf C] HOUSEKEEPING
-----.------.------
---.----------------.----..-------.-----..-..---
o FIRE PROTECTION
--~-------
---.------ -----------------.-..--.--.----------.-----.---...-----.
/.P'J C] SITE DIAGRAM ADEQUATE & ON HAND
EXPLAIN:
['J VES ~o
ANY HAZARDOUS WASTE ON SITE?:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~ :_-_:_-
I n spector
----..--
Þ(:p
Business Site Responsible Pa
//~
CLD.srrJ
Badge No.
White - Environmental Services
Yellow . Station Copy
Pink - Business Copy
-::--..----::\(".
~~CASTLE & COOKE CALIFO~A INC
.
J
-{ 7
11
/( 1,1 ,&
/ ,¡,
jl/ ¡/
-----------------------
-----------------------
SiteID: 015-021-001190 +
, /
Manager :
Location: 10000 STOCKDALE HWY
City BAKERSFIELD
1,~\\
fo~~
~\)
BusPhone:
Map : 102
Grid: 31B
(661) 664-6546
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 11 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title I
ROBE~T F BOON / MANAGER JOII~~~W~Y&.~J'6¥~ / i3LDC BÞJCINBBR~
BUSlness Phone: (661) 664-6546x ~slness P~one: (661) éé4 5959«6~~~$ ~
24-Hour Phone : (661) 872-6427x 24-Hour Phone : (~~I ) 66.5'-/fI.5.!J.,x
Pager Phone : (661) 398-6393x Pager Phone : (~61) flO? -.JJ~.§x<,~¿¿.
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: ImmHlth I
+------------------------------------------------------------------------------+
Contact : Phone: (661) 664-6546x
MailAddr: PO BOX 11165 State: CA
City : BAKERSFIELD Zip : 93389-1165
+------------------------------------------------------------------------------+
Owner CASTLE & COOKE CALIFORNIA INC Phone: (661) 664-6546x
Address : 10000 STOCKDALE HWY State: CA
City : BAKERSFIELD Zip : 93311
+------------------------------------------------------------------------------+
Period to TotalASTs: Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
+==============================================================================+
-1-
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,-
.' ':~
+ CASTLE & COOKE CALIFO~A INC ===================~== SiteID: 015-021-001190 +
+= Inventory Item 0002 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
DIESEL I Days On Site I
365
Location within this Facility Unit. Map: Grid: +----------------+
NW CORNER OF PROPERTY e. ?A/"&:"/fSdC/7,¡'~,,A/aÞ drrðPÇ"¡r¿:PA?¿Ç' ##71 CAS# I
f' ~""<?d&d~A'i".o~ I'~
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Mixture I Ambient I Ambient I ABOVE GROUND TANK I
+=========+==========+===============+===============+=========================+
+==========================+AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
600.00 GAL 600.00 GAL 600.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I' IRS I CAS# I
100.00 Fuel Oil No.1 No 70892103
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
Tsecretl RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies IH / / / Low
+=======+===+======+====================+=============+=========+========+=====+
-3-
07/30/2003
· '~
~'CASTLE & COOKE CALlFO~A lNC ===================~== SitelD: 015-021-001190 +
+================================================================= Fast Format +
+- Notl'f /Evacuatl'on/Medl'cal ------------------------------------ Overall Sl'te +
-. ------------------------------------
+== Agency Notification =========================================== 10/20/1992 +
CALL 911, OCl MANAGEMENT, HAZARDOUS MATERIALS DIVISION AND OFFICE OF
EMERGENCY SERVICES
+==============================================================================+
+--- Employee Notl'f /Evacuatl'on ----------------------------------- 03/27/2000 +
--- . -----------------------------------
IN THE EVENT EVACUATION IS NECESSARY ON THE FLOORS ABOVE, PERSONNEL CAN BE
MOVED DOWN BY USE OF FIRE STAIRS FROM THE EMERGENCY AREAS. THE EMERGENCY
STAIRWELLS ARE FIRE RATED FOR SAFETY UP TO ONE HOUR. THE SEPARATION BETWEEN
FLOORS IS ALSO FIRE RATED FOR A PERIOD OF AT LEAST ONE HOUR. WE HAVE
APPROXIMATELY 600 PEOPLE IN THIS BLDG, THEREFORE, IT IS IMPERATIVE THAT
PERSONNEL TRY TO LEAVE THE BLDG IN AN ORDERLY MANNER, GOING TO THE FURTHER
MOST POINT IN THE PARKING LOT TO ALLOW EMERGENCY VEHICLES IMMEDIATE ACCESS
TO THE BLDG. EACH DEPT WILL ASSEMBLE IN GROUPS AS A MEANS TO ACCOUNT FOR
PERSONNEL. ONCE THIS HAVE BEEN ACCOMPLISHED, EACH MANAGER/DIRECTOR WILL
REPORT TO THE OFFICE SERVICES MANAGER THAT ALL OF THEIR PERSONNEL ARE OUT OF
+==============================================================================+
+---- Publl'C Notl'f /Evacuatl'on ------------------------------------ 01/24/1997 +
---- . ------------------------------------
AI' ..A/d.?///.4-..,,€e //.Af£ A&AA'~ c7"v,d17&""w'
-A-SIÞ4PLRX FIRE l\.U~RH gYSTBH IS IN PLACE FOR THE PURPOSES OF ALERTING
PERSONNEL OF A FIRE. THIS SYSTEM IS PUT ON LINE AFTER WORK HOURS (8:00 AM
-5:00 PM) WITH TEL TEC SECURITY SYSTEMS, 5020 LISA MARIE CT., BAKERSFIELD,
CA (805) 397-5511;
+==============================================================================+
+----- Emergency Medlcal Plan ------------------------------------- 03/27/2000 +
----- -------------------------------------
MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371.
+==============================================================================+
-4-
07/30/2003
. ;'1
:'CASTLE & COOKE CALIFOAltA INC ===================~== SiteID: 015-021-001190 +
+================================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+== Release Prevention ============================================ 03/27/2000 +
~
FUEL LINES TO A GENERATOR. ENVIRONMENTAL SAFETY COMPANY TO BE UTILIZE
THE EVENT OF A HAZARDOUS EVENT: KERN ENVIRONMENTAL SERVICES, TEL NE"
589-5220, CONTACT PERSON IS FRANK ROSENLIEB.
+===================================================- -========================+
+--- Release Contal'nment ----------------------- ----------------- 10/20/1992 +
--- ---------------------- ------------------
DIESEL STORED IN UNDERGROUND STORAG
BASIN DURING THE REFILLING PRO
KS WITH A BUILT IN SPILL CAPTURING
+=====================- =======================================================+
+==== Clean Up ==--================================================ 03/27/2000 +
~L CLEAN UP COMPANY TO BE CONTRACTED IN THE EVENT OF A SPILL:
+==============================================================================+
+===== Other Resource Activation ==============================================+
I I
+==============================================================================+
,,¿:?~ &:r ~ =r- ¿r ~ O'.;:r- ¿e-o 0 ~
//;'/;;'- ~.P'1l~4" ~&:rcrdT" ~r ~/~ Ý ~ A/d
__ ~ ~ /A'c/¿,/.rý ~ /~ ð¿)O
c::::-- ~c=T r-¿ 'l c:::::::::= <:Aé).A:;&tF" ,---,;.,c-"ç-¿-c ¿:-
-=r-roc~,¿/A?¿~ /~~ /~/CFA'c:r//¿r&4;
- C ~L./~ P'sJl//.
. .""
-5-
07/30/2003
· ~
! .'~
:'CASTLE & COOKE CALIFOAltA INC ===================~== SiteID: 015-021-001190 +
+================================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+== Special Hazards ===========================================================+
I I
+==============================================================================+
+--- Utl'll'ty Shut-Offs -------------------------------------------- 03/27/2000 +
--- --------------------------------------------
A) GAS - c:A//¿;r/..?"/.b¿r ~ .,Ø,v/¿P;"""'<S'.
B) ELECTRICAL - EXTERIOR CONTROL PANBELS NW SIDE OF FACILITY
C) WATER - Ød' ~ tØ';:;7~fP .§'"Yc7'".nF~3:
D) SPECIAL - NOUB-ð"¿£P'..4.r.d£3("'",¥,¿'"'ØU/P.P"~~ r c:=r~~A"'~ <C:Õ<
E) LOCK BOX - ooN& yð.s ~c::f},e ,.r/~~ ¿;:;J¿:".P"?: ¿!".xC~Ûd~;"#&::. V
+==============================================================================+
+---- Fl're Protec /Aval'l Water ----------------------------------- 03/27/2000 +
---- .. -----------------------------------
PRIVATE FIRE PROTECTION - INTERIOR OF BLDG IS RETROFITED WITH FIRE
SPRINKLERS. (WHAT ABOUT FIRE EXTINGUISHERS?????????????) . ~~_
<::'~ dØ' ...z-/'V' ."A4"..,A:P/~¿:?Y-
r-/;?¿f" ~.x/7/Y'<::"".v/o:r.4/E~c;T .......-ï?"/?'~ ~ ~ .r~ ~~:Ar;?.J'" .sr~¿~~A"'/"d.
~ßp'"~ c=.o~,e:;&/ré'"'" "A!'<Oe:'J~ &;.d::::'e~;F'; /<"-.r~ .r
~ 00 --i' .::r. r
FIRE HYDRANT - (WHERE ARE THEY LOCATED???????) A/óÏßPN'¿rA~'p C¿¡.Ñ'AI'¿-~f/Ve::J;e7#-
~¿-d5l""Y Q6,r;:AI'&"~.
+==============================================================================+
+===== Building Occupancy Level ===============================================+
I ,/t? ,FP,?4 &ix, é' ð t::7 I
+==============================================================================+
-6-
07/30/2003
~l.
," r~
/:'i ~ASTLE & COOKE CALIFO.A INC ===================~= SiteID: 015-021-001190 +
+================================================================= Fast Format +
+= Training ===================================================== Overall Site +
+== Employee Training ============================================= 03/27/2000 +
WE HAVE ~ EMPLOYEES AT THIS FACILITY.
/?,¡9/ /il.ð~. 60<> ~ð'd!:"'t" ?d!FAI' Â~ r <:::),;:r",.tr A:::<t"" .,¿r.",¡;>&::" .....ót/r,P'
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. fAt" ~A?,.,vA<G".£~ ðP~/Cê
BRIEF SUMMARY OF TRAINING: ON A MONTHLY BASIS, KEY PERSONNEL ATTEND SAFETY
MEETINGS FOR THE PURPOSE OF KEEPING ALL PERSONNEL ABREAST OF NEW SAFETY
PROCEDURES AND/OR THE OPERATION OF NEW EQUIPMENT INSTALLATIONS THAT WERE
DESIGNED TO COMPENSATE FOR ON THE JOB ACCIDENTS. PLEASE NOTE: EACH TENANT
OCCUPYING BLDG IS RESPONSIBLE FOR THEIR PERSONNEL. A FIRE SAFETY MANUAL HAS
BEEN ISSUED TO EACH TENANT FOR THEIR USE AS A SUPPLEMENTAL FIRE SAFETY AND
PROCEDURES PROGRAM.
, WE HAVE AN ENVIRONMENTAL CONTRACTING COMPANY (ACTI) THAT IS UTILIZED.
+==============================================================================+
+=== Page 2 ===================================================================+
I I
+==============================================================================+
+==== Held for Future Use =====================================================+
I I
+==============================================================================+
+===== Held for Future Use ====================================================+
I I
+==============================================================================+
-7-
07/30/2003
:;
.. "
. '
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.'
.
.
SUMMARY LEASE POINTS
ß;rr;c.,.¡é.. .:T tZP1~..s FJCpa.,., s / ~"ì
CENTER:
& ø~¡ú-/-¡o/w~
P~Tr/é-£ J~es, Inc..,
;<:,-'r:¡
TRADE NAME:
SPACE:
,
S.F.: ¡¡¿¡//r';'J / .2. S-;(Jf
TERM: ~ ~ r~¿;"'ÞJ t.fyt'Ar-f tJ.f a- 5' ý.eçwte~.
OPTION PERIODS: 6JM- 0 ) M ir~ (S;) ye.-.w- ~
COMMENCEMENT DATE: .?~/e,n,6~r /, Zap!.> In W k... ~¡;;.".. 6tA4/ ~~J
~
PERMITTED USE: '~~"~-~~_'_~_I__---:-~ '/7J2)~
INITIAL RENT: #" :¿ / :3 ;2 I· 7 S",/ /l-f-ð (~ I. ~t / .s-f) VY" {- 2-
RENT ESCALATIONS: /~!'L~-r, W~. ($ ( .co,)" Is j yr 3 - S
TENANTIMPROVEMENTS: j, .J. 'i !.$ f ~ "3 I ) '3 Î ç) ·
CAM REIMBURSEMENTS:
SECURITY DEPOSIT: a.d~J (? 2 I cf4 ì ,~ç
CO-TENANCY REQUIREMENTS: fl,c1'Y\ e. '-"',
BROKER COMMISSION:
Ç/L-lTY\ e
,\
07/15/03
-e
-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITYNAMEt~~~'q.- ~\S-
ADDRESS I 000 ~~, (0 krW ~ \...lv.-~
FACILITY CONTACT ~\, eÆ7r ~cCJtù
INSPECTION TIME "Z (') fv(\ (o.J
INSPECTION DATE , 'Z.. - \ "G~ er¿ .
PHONE NO. (y~4 -Go ~.-c{{~
BUSINESS ID NO. -Já:.2lD.. 0 I ~- 0' z: \ - vCr l \l\(J
NUMBER OF EMPLOYEES <sO
Section 1:
,Ø( Routine
Business Plan and Inventory Program
D Combined
D Joint Agency
D Multi-Agency
D Complaint
ORe-inspection
OPERATION C V / COMMENTS í),o;>
Appropriate pennit on hand I - ./ 1r;¿'1~-G,~~.
Business plan contact infonnation accurate ,/ ~~~~ µ~~"+- .£:::.<.,(JA.J -Z'1 hie. ~?z -~ '1
TC:L.... ~.... ,iJ. 1.&<;- , -,;...., ~
Visible address ./ I
Correct occupancy /
Verification of inventory materials ./
Verification of quantities /'
Verification of location .¡
"
Proper segregation of material ./
VerificatiQn ofMSDS availability V'
Verification of Haz Mat training /
Verification of abatement supplies and procedures /
Emergency procedures adequate ./
Containers properly labeled .¡
Housekeeping ,¡
Fire Protection .¡
Site Diagram Adequate & On Hand V
+-
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ~o
Pink - Business Copy
I
I"
Questions regarding this inspection? Please call us at (805) 326-3979
White - Env. Svcs.
Yellow - Station Copy
Inspector
ì
, -
e
"e
-,.
~. --
:r.~~ :'". . ~
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
-::5'"? ?- \ to. ~ rn éÇ;
~ ~~~
INSTRUCTIONS:
- - '}
" -"
-' . I ." ., (-"I ~"
l L~,' 'J~' iI<t: '~"î,
- ~"" ~I
l.
2.
3.
4.
To avoid further action, return this form within 30 days of receipt.
TVPFJPRINT ANSWERS IN ENGLISH.
Answer the questions below for the business as a whole.
Be as brief and concise as possible.
. ~
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: c:::::::.:,..;;;r T ¿¿r /' C::::::-OOArC ~c.
"."
:;:; 3'.5'//
LOCATION: /¿?O¿/O ~ðC:~¿?A'¿'¿- /~/Y; ~f¿-~~/¿2::¿/ Q~
MAILINGADDRESS:~a~ox ////S-'
CITY: ~/'7ké4c:>'//C¿~
STATE:G
,Hþ
/
~,;r.4Tb
(tÞ£¿)
ZIP:9'"'..?.P)' PHONE: 66Y-6".::;;-If/6'
SIC CODE: 1#
DUN & BRADSTREET NUMBER:
PRIMARY ACTMTY: ~~¿
OWNER: ~~/ ¿E ~ ~o;("-¿:- ~¿.
-'
MAILING ADDRESS: ~ ¿J ~o.:>.:.
.
///ð6 ~£"¿:-4$//6Z4? G 9.:?~
'2.1
SECTION 2: EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE
.,.-?¿:A!1' ø./ t!? 6 /'..J
1.~ßé....e'r /.:' ~~A/ ~.A"~ ~..A?.7. 66~..¿'$Y6
. <9¿¿J6 (~ó/)
2. ~/V'¿- ~~"pé¿~F.?¿. ¿-,,/e:;: tÞ6'S'-s9eS9
24 HR. PHONE
,.pAP~,e.
ë1;;/-ð.?¿~
¿?/veGC--
~óJl-'c5.36?
1
e _
HAZARDOUS MATERIALS MANAGEMENT PLAN
~ r.~..I.>
-----
---- - --- - _.
----.
~:"~-- - - ·1
~- ---.
SECTION 3: TRAINING
NUMBER OF EMPLOYEES: ...y' ~
MATERIAL SAFETY DATA SHEETS ON Fn.E: Y ¿-...:r
BRIEF SUMMARY OF TRAINING PROGRAM:
~ /~P'¿::-".¢/V ~....-v//4¿1~~E'....-v" ......-..4¿: C:::;;;#/"'/t'AC7//Yc-
c::::::ð,...-?~//."GJýé ~C/~ ~/~ ~;¿./Zc~~.æ
"/ ~.i> ~4//èð;
SECTION 4: EXEMPTION REOUEST
I CERTIFY UNDER PENALTY OF PERJURy THAT MY BUSINESS IS EXEMPT FROM' .
THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTII
&. SAFETY CODE" FOR THE FOLLOWING REASONS: ' -',.. ,",
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUMliTITJbS AT
NO TIME EXCEED TIŒ MINIMUM REPORTING QUM11TJ.HS.
X OTHER (SPECIFY REASON) ~ ¿:::::;>/EaS" ¿-t:- /' ,¿;;;,,~ ~ pe::-
C:::;::;.A-'¿ý ~4/¿;4/4~ ~.AJT.4/./-Ië"/e ~/~.;g¡-
¿;;/T/¿./ZCð ~ ~c/cp/ ~.;/~/Z-.
SECTION 5: CERTIFICATION
I, ~ß~/ /' ./~o...J CERTIFY THAT THE ABOVE
INFORMATION IS ACCURATE. I UNDERSTAND IHAT TIllS INFORMATION WILL BE
USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH
AND SAFETY CODEn ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500
ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
~Q..J ~........" $~ð"""'-A/'"/ /";::"'..".,/. /~0AJ
SIGNATURE TITLE DATE
2
4>;7" '.. -:..'
. " e
~S MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION ANDEVACUATlONPR~nTJRJO:S
A . AGENCY NOTIFICATION PROCEDURES:
~
B. EMPLOYEE NOTIFICATION AND BV ACUATION:
~
. .. .'.
... .' .
_ ..~- .::.~t··~.
~ '. ~. ..
.,.'-' .. .
'. ' '~.,..:. .. . ..l. ~ _ .
. ... ..... ,
....- . .
..í } '). T'~
C.
~ ~. .. _........ ,..-- ._-
PUBLIC BV ACUATION:
ø
- ,
D. EMERGENCY MEDICAL PLAN:
ø
3
e _~
IIAZARDOUS MATERIALS MANAGEMENT PLAN
t '.
~' ~.. , ...
. '--JJ
SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN
A WASE PREVENTION STEPS: ¿:::; /E-:::r&:-C //'J?-;;/K /-M.:s- ~ê~.-I
. ~"'...r"o¿v~.¿? ~y ~/~
B.
RELEASE CONTAINMENT AND/ORMINIMIZATION: ,¿::)/ë-=r¿Ç¿" /4A/£:
~¿:-¿;,r...r ¿-:-~ 4. ~4.-u,ç?~A.P...r
C.
CLEAN-UP PROCEDURES: C::::-.d:r...urAt'Cr ...;T..s- ~AI'¿;;7þ- ~Tð
4cr ~ ~.P"/æ't?".o/i4'c,AJ7 ~G ~4¿//Ç~f ¿¡:'9.;)- 77¿..r:-
SECTION 8: UTJT.ITV SHUT-OFFS (J..,OCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GASlPROPANE: /t/ ø
ELECTRICAL: ~T~.4/t::!Æ ~AJ7AttJ'¿ A,(j~~ ~'~ê ~
~? h~. /¡;r;?"-
WATER:
SPECIAL: ~ ~
/'
LOCK BOX: YE~ IF YES, LOCATION:
SECTION 9; PRIVATE FIRE PROTECTlON/WATER A V An.ABILITY
A PRIVATE FIRE PROTECTION: ~A/7¿-.A?:"/d,zr Ý ~/¿¿?/-vt5' ~..$
~/~ðr-/r¿-¿:7 ~/.#' //A;'é ~~.A.tJ.K'¿¿-,.<..J
B. WATER AVAILABILITY (FIRE HYDRANT): .Y~~'
4
~~
aueoOUS MATERIALS INVENTORe
,. Page ____ of _
Business Name<::::::::4...s-.T'¿¿:-..s~..e'ð ~ Address /ð C)O~rCJc~4¿¿- ./ý'k/
- -d""?~ê'~/""/¿Z? C:::-4¿ 9s.:!r//
CBENDCALDESC~ON
I) INVENTORY STATUS: New (yfÁdœtion [ ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Sec:ret [/fTrade Secret [
2) Common Name: ~ ¿-¿ (' O./E..s-¿-¿ ) 3) DOT # (optional) / q
Chemical Name: /"')/e-~6"¿
AHM[ ] CAS#
4) Physical & Health / PHYSICAL HEALTH
Hazard Categories Fire [¡/] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) (
5) WASlE CLASSIFICATION
6) PHYSICAL STAlE Solid [
(3-digit code ftom DHS Form 8022) USE CODE
Liquid [~~ [ ] Pure [~ MixtW'e [ ] Waste [ ] Radioactive [
7) AMOUNf AND TIME AT FACn..ITY
Maximum Daily Amoµnt Z6.4 ¿.. .
Average Daily Amount / ~..4 ¿:.
Annual Amount ~.:st\ --~ 0
Largest Size Container ¿;ð/J C::;;-~
# Days on Site , ~£x ~,
UNITS OF MEASURE
Lbs ( ] Gal [Mft3 [ ]
Cwies [ ]
Circle Which Months:
9)~: Li~
the three most hazardous 1 )
chemical'components or 2)
any AHM components 3)
COMPONENT
.....-"::),; L' ..s'" ¿-¿
8) STORAGE CODES
a) Container: 0.::2-
b) Pressure: /
c) Temperature /
~ J, F, M, A, M, J, J, A, S, 0, N, D
CAS# % wr
AHM
[ ]
[ .]
[ ]
IO)LOCATION
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1) INVENTORY STATUS: New [.n [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ]
2) Common Name:
Chemical Name:
3) DOT # (optional)
AHM [ ] CAS #
4) Physical & Health PHYSICAL HEALTH
Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( ] Delayed Health (Chronic) [
5) WASlE CLASSIFICATION
(3-digit code ftom DHS Form 8022)
6) PHYSICAL STAlE
Liquid [
Gas [ ]
Pure [
Solid [
7) AMOUNf AND TIME AT F ACll.ITY
Maximum Daily Amount
Average Daily Amount
Annual Amount
Largest Size Container
# Days on Site
UNITS OF MEASURE
Lbs[ ]Ga1[ ]ft3[ ]
Curies [ ]
Circle Which Months:
9)~: Li~
the three mo~ hazardous 1 )
chemical components or 2)
any AHM components 3)
COMPONENT
USE CODE
MixtW'e [ ] Waste [ ] Radioadive [
8) STORAGE CODES
a) Container:
b) Pressure:
c ) Temperature
All Year, J, F, M, A, M, J, J, A, S, 0, N, D
CAS#
%wr
AHM
[ ]
[ ]
[ ]
IO)LOCATION
I certify under penalty of law, that I have personally examined and am familiar with the information on this and all attached documents. I
believe the submitted infonnation is true, accurate and complete.
PRINT Name & Title of Authorized Company Representative
Signature
Date
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