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HomeMy WebLinkAboutBUSINESS PLAN .. e :5 ~J - =¡: ~ . dJtf:Jf e . e r;:;- ~,T'- ~" , . -~..{ ('. . a~LNt-3 c(¿)/- (Ø5 S/ÞJ11AØ1 EASLINGS PAINT' & v' ALLPAPER SITE DIAGHRAM -~¡ß,ud'~ c=:::::J 't:::J t==:J ' RESIDENTIAl_ c=J ELEC MOTOR W'ORKS ALLEY w . ,.a) ~ P ~ BKS UN IFORM \ ~ ~ ; \pO¡> 11' I~ P ARK lOT GlliX (jJJi ~ FAST AUTO PARTS . KISCO . SALES PARK L AIR I G~øv~ I S. J. HYDRALIC 409 SUMNER W' ALLP APER 405 SUMNER SUMNER STREEJ ARK lOT -,,¡;f) 401 SUMNE tV rJ ~ ¡ ~ ~1 \[(V /<, /,/' ../.- ..~- ~.~~'~ SiTE e H~l_\lP .O·tAGRAM [] 3~s :.::~ss ~iam~: P L.~ ,~ ~\ 1.-\P F A~LI TV 01 AGRAM ¿ /\ , - ¡ - - ~¡c:--:::: ~rame ~:i: ;'=~a; A.=~3. ~a¡;:: ;z 0: . _.. --.- --.. ð 5G\ m J> ~ ~\J' ~ RES;¡ ROOM PES"- ROOM J /. OFFK.E. OfOrlCE. \NAL.LI:>P¡PEíL '5;íCí~ PILl\::. -..-------- -~--- - --~---- WALLPAPEr2 DEPT· -- r £t.R."T}2. \ L (Y\E.ìER- '-. C\ -5 9 \.!l- ...}...J Q) II: ~ I ________ I Ii Per . - ------"._~----- ,~ . ¡.-, .,:' ~ . , " j Operftte it to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ' zardous Materials Plan round Storage of Hazardous Materials qagement Program "",, Waste 401 PERMIT Iß# 015..021·000054 BAKERSFIELD PAINT & WALLP LOCATION Issued by: I 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 -¡ t 04/14/92 - . BAKERSFIELD PAINT & WALLPAPER 215-000-000054 Overall Site with 1 Fac. Unit Page 1 General Information Location: 401 SUMNER·ST Community: BAKERSFIELD STATION 02 Map: 103 Hazard: Moderate Grid: 29A F/U: 1 AOV: 0.0 Contact Name DENNIS MATICE WADE EURTO Title Business Phone (80~) 327-8431 x (805) 327-8431 x OWNER SALES MANAGER Administrative Data Mail Addrs: 401 SUMNER ST City: BAKERSFIELD Comm Code: 215-002 BAKERSFIELD STATION 02 D&B Number: 22-778-697 State: CA Zip: 93305- SIC Code: 5231 Owner: DENNIS MATICE Address: 401 SUMNER ST City: BAKERSFIELD Phpne: (805) 327-8431 State: CA Zip: 93305- Summary U..1POE. EUrqo 51"K ê5> rììr'tt" n(-;ÆIZ ( ~cy327-ð^13\) r(f¿s) '~-09Sb7 '- - -' RECEIVED 'APR 1 7 1992 (O~ 'no CVßDiZ, fi,~I~ Do Ihsf'~~l? ©®úlmilV ~~I8l~ ~ ~IID"@ (Y~01 , , Iï®V¡~w~Q1 i~® ~~©hoo h~ardous mat@f'Q~i$ manag@a moo~ f9J~ai1 ~ºIi' bAKJ1'gSFI 2.L D '~"NT and ~h®~ Q~~!ong wi~h (~0 cri øut!l11Ðsn) ®rru1? rowli'~dij@!fO~ ©@IñJ~%ñ~~~® ~ oom~ ~~@ I§lru©1 oorrsct mafia '-- Vit.;;;,:".. . ¥~.j,~.1jJf¡~·" [I h'blqJ Oat;¡ i' ,e '- . 04/14/92 BAKERSFIELD PAINT & WALLPAPER 215-000-000054 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 THINNER ~ Fire, Immed Hlth, Delay Hlth Liquid 250 Moderate GAL CAS =It: 8030306 Trade Secret: No Form: Liquid Type:, Pure Days: 365 Use: PAINTING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I 200.00 2,400.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient I SOUTHWEST CORNER - Conc -I 100.0% Naphtha Components r; MCP ~List Moderate 02-002 PAINT ~ Fire, Immed Hlth, Delay Hlth Liquid 1000 Moderate GAL CAS =It: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- l,OO~ I 800.00 I, 2,000.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient CENTER OF STORAGE Components ~ MCP ~List Moderate Moderate Moderate Low Conc 25.0% 15.0% 5.0% 3.0% Mineral Spirits Naphtha Methyl Ethyl Ketone Ethylene Glycol - . 04/14/92 BAKERSFIELD PAINT & WALLPAPER 215-000-000054 02 - Fixed Containers on Site ,Page 3 Hazmat Inventory Detail in Reference Number Order 02-003 LACQUER ~ Fire, Immed Hlth, Delay Hlth Liquid 750 GAL Moderate CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 750 I 500.00 I 3,000.00 Storage r Press T Temp -:ì Location METAL CONTAINR-NONDRUM Ambient Ambient I SOUTHEAST CORNER - Conc '30.0% 15.0% 25.0% Components ~ MCP §List Moderate Moderate Moderate Acetone Toluene Xylene, Mixed e '.' - -' 04/14/92 BAKERSFIELD PAINT & WALLPAPER 215-000-000054 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation WE HAVE NO HAZARDOUS MATERIALS THAT WOULD REQUIRE EVACUATION UNLESS A FIRE OCCURED - THEN EVACUATION TO THE WEST THROUGH TWO DOORS ONTO A VACANT AREA WOULD BE USED. EMERGENCY RESPONSE TEAM WOULD BE CONTACTED THROUGH" 911. <3> Public Notif./Evacuation , , ',', Q/y unliZ'S5;l-'J FtR.E' l,0'é \-tA'(!Z NO \+ALf3QOOU-S r-¥'-rrllií2-\'(1CS TH-AT l\JOOLD kJzQV\\'Z.E' IZ.\(fXuA/\ , ' , - , ')ði2~ o/"/TO ¡g'{ lPCvt(ìT v"7f2-E4- OC( \JQ.fl.p - TAE/'f E.\Jf'(<JV7'[¡Ol'll0TH-J2 0->~ST 'THk:'O\X:;JT- jv-O 'ï::)C t.,UO l\.D \3~ 4S€D' r¿/Y"Ffl(þFr\( "/ 12.P:>':>00.3Þ T12.f}fi'\ l.cJ(hlL f) 8 ¡:z c'cy'/T(ACî@ j.YT'f)-(2(hJ(i, r) q \ \- BOî/-:I ,\...0.è5í" ~âo\2S r4 (2-Ec l EAí2 \. '--( rn.AfL ¡¿e.£) ~1- IT . <4> Emergency Medical Plan GREATER BAKERSFIELD MEMORIAL HOSPITAL, 420 34TH ST, 327-1792 HALL AMBULANCE IS 6 BLOCKS AWAY e '- . 04/14/92 BAKERSFIELD PAINT & WALLPAPER 215-000-000054 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention THE HANDLING·OF ANY PAINTS OR THINNERS KEPT IN THIS AREA ARE TO BE PROPERLY STORED IN METAL CONTAINERS SEALED AT THE FACTORY. USED CONTAINES ARE TO BE EMPTIED AND DRIED AND PLACED INTO PLASTIC CONTAINERS. <2> Release Containment C6'-./Erl 11.-J-12_ Si=:>! l L vJ ITI-\ (ì'\trr~-Í.?\ A ~ ~-:::> I l Í-.. ~(IL . .., Il1~ 5?Q¡Î<::'l~ .píc.c.)v'\ÙED IN 6ùR. r\f-)Z!Jt2i:XìùS <3> Clean Up A FTr¿(¿ Tf-1E SplL- l fi f~S Bf2i?¡,.( (OHTt1I/'-{ED· ~1.I'ì\S H CLEAn \ nC) . Tl+E .spIll. \.¡.J\'<r! ·T\-t£. IÙL.jEl~ ?¡?a....r\DtDI'(\ 00"'- , tr-!J)ì·<;,?TI-JE.n ,pl.l'-Cl~ SATUí2..AI£D' \o0JEl~ I nTa PI~'?Os..I7C \~'H()~'" <4> Other Resource Activation ~ - ~ e . 04/14/92 BAKERSFIELD PAINT & WALLPAPER 215-000-000054 00 - Overall Site, Page 6 Q <F> Site Emergency Factors <1> Special Hazards - - - <2> Utility Shut-Offs A) GAS - REAR OF BUILDING SOUTHWEST CORNER B) ELECTRICAL - REAR OF BUILDING IN ALLEY C) WATER - REAR OF BUILDING IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 7 FIRE EXTINGUISHERS PROPERLY MARKED - KEPT CHARGED. ANNUAL FIRE INSPECTIONS FIRE HYDRANT - CORNER OF SONORA & SUMNER <4> Building Occupancy Level .ó ;tt" ..(, ~ e - \yr 04/14/92 BAKERSFIELD PAINT & WALLPAPER 215-000-000054 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WE TRAIN ON HOW TO HANDLE A SPILL, UNDERSTAND LABELS, READ AN MSDS, AND HEALTH HAZARDS AND PROPER HANDLING. --- --- <2> Page 2 as needed <3> Held for Future Use - -~ - . - <4> Held for Future Use e Bakersfield Fire Dtt. Hazardous Materials Division , 2130 "G" Street . < Bakersfield, CA 93301 r() J~' . +- . HAZARDOUS MATERIALS M-ANA-GÈMENrplAN ...~_~~-=.c~~ INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. AEr,e'H~" 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. IAPR 0 ~ 1't\l' 4. Be brief and concise as possible. HA.7 MAT. ,.aV. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: _J?~KEesF( ~(,D ?A\/~T ! WRLlPAPE-iL LOCATION: ~Ol S,Ù(nrYE:¡l. S-r· MAILING ADDRESS: llo I Sl)mnEÎ~. ST ~ CITY: BAK02S.R~C() STATE: ~ ZIP: 93305 PHONE: &(5) =1dJ-g4:~ j 'Çþ¿' TGtof I.D.:;::'" DUN Be: BRADSTREET NUMBER: 5í2. .()j-)A 9;;l.-7ì~b97 SIC CODE: PRIMARY ACTIVITY: RlZ-1ÐI L <Sß(E<:> . OWNER: D~nfll~ ¡Yll'TllCE..· MAILING ADDRESS: 40 I SUmnE/2 ' ST- SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE. 24 HR. PHONE . 1. DennIs mAT(Ct£- (juJNr&L. (~CQ)-?x)ì-gt{31 (<ioes) c:g39-3500 C '5Ð -095b 2. ' l UADIž l?uf2TO 5'17'5 /Yìn6f~ (~D5)=s9ì -ð\l31 C2oi) è ' 1. FOI: _ Bakersfield Fire Dept. e '--, < Hazardous Materials Division .' HAZARDOUS MATERIALS MANAGEMENT PLAN "~, £~ ~~~ ~ '\, " ~" :i , SECTION 3: TRAINING: NUMBER OF EMPLOYESS: b -"- - ,-' ,'-. ... ~-._ -_.- ,..--. .7"-::_~ _ ___._____._.._ . - . . -.-::-::- .--. -- ""-'. MATERIAL SAFETY DATA SHEETS ON FILE: ýfZ> BRIEF SUMMARY OF TRAINING PROGRAM: . ~_J 1,/\.. 1 ....;;nO ,.1, f'l.!Jv--.¡ :'.;.; l , I-tANDLE-. A -:s,PfLL LJHDE12STfV-.lD lßr3~lS KEt70 AN M S oS Hfrz 19/2 OS ß/{D PF<OPE/Z- )) t4t1 ex. {j\f ~ ~ .. ,i 'a., '" 11,.7f¡('î , '\tfyvvr! .,,;.~v ",' '" LI;G ()J '" ïP, i;ì,' . ,,¡f!; iUW H- FE fJLT!+ 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. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITJES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, \JJßDE ~ùí2-,O CERTlFYTHATTHEABOVE!NFOR- MATlON IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBL!GA nONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CaDE" ON HAZARDOUS MAT RIALS (DIV. 20 CHAPTER 6.95 SEC. 255PO ET AL.) AND THAT INACCU AT I Fa M TION CONSTITUTES PERJURY. R' SIGNA TURE TITLE 2. FQ¡" / ~ ~"3;> e Bakersfield Fire De. Hazardous Materials Divi~ion " ^' \ HAZARDOUS MATERIALS MANAGEMENT PLAN . i Facility U nit Name: ~tZ12SF(6( C) ?f)\J'{T --.-. -. -- - - SECTION 6: NOTIF1CATION AND EVACUATION PRocÈriífìies: -.. .-. "' ---~...........-- ---- - + ~. --. -- A. AGENCY NOTIFICATION PROCEDURES: L Ale 9 ( B. EMPLOYEE NOTIFICATION AND EVACUATION: w~ 1-t ::)\IE j\IO ~HZJ~i'''.DoúS {)îATE.{2If\L'S THAT wéhjLD RE Q0'R~ . E'''(AUJATION UNL(ESS A ]=1;2.£ OCCOR.EP -~~^' E\lAc..U~T!ON' TO TH~ WSSf [1-+(2.006 t+ Tv.JO ,~oo~~ (j/'{{O I~ '-I v+c ~ý)T r=Jt2€ (}JÖULD ,B~ ù~EP- tz./'f'.EJ26fEXCy J<~SP"OJ'Ó£.. TE~vY1 Wou~c::> I~E.- (OJ-fffl-G T£i::::> Tf+R OÙ~ (-+ 91 I C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: G,<iEf7Tfaz. i3ߥ-EI2SF-tb..-O M€:rnO¡2( (-t'-... \-+0SP\Tf}-L tt "2 03lf n-j 5T . 3éJ 7- 1 ì 9.;) I r+Al..L Amgvu~·t'\c.E. 1S ~ 8\DC~S ,/j-uJAY 3. <>'>, , 'v' , ... Bakersfield Fire Dept. e . Hazardous Materials Division . <~' 'f-" "HAZARDOUS MATERIALS MANAGEMENT PLAN ~' SECTION 7: MITIGATION, PREVENTION AND ABATEME~n PLAN: , '-·A. ','·RELEASE PREVENTION STEPS':-- ",.'. ._,~~--~.,~--~,.,._~"~=";,.-..-~. -(H-E. t)¡~/1Ci(nC=; OF ßt1Y ~Ainú 0 "2 (ï+lnn¡¿J2S )4prln TH-I~ frí2--Et3 1tr2£ TO ,?:E p{20i~J2iV '5TOJ2€D If) ()1ßTFH.... Còf1T~¡r1ÐJ¿S 5FIJ(ED ftT Tt+/Z Fi1LíÛfZ Y . ÛS eD CoY\ml t'îffS AR-E TO ß £ Ernprr£/:) ,411[;> ()r2./FP ß") ¡JLrtCED I Y1TO P(0-~(L Cc.YlTA-fn.Ð25- B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILlTYSHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: R~ óFtsùILP¡n(") ..:. SO(]Tt-}WES,,'(O)2.fÎ Ef? - ELECTRICAL: -R~J4-R. [)F 6uILDI()6 In ?>CLr¡¿í.../. , WATER: Rwt2- Ð P bOlCDIJ'iGì 'f/'f ALL£V1 SPECIAL: NONfi. ~ LOCK BOX: YES/@) IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABilITY: A. PRIVATE FIRE PROTECTION: 7 FII'-E- !Z]l.1l ý\~vlS.HÐzS> Pr<OP£/2LY Mft{2µ..f?D- KEnUiIJ-f26EÞ I AY1/1UAL-FIf'2£ :Tf'{SÆC.TION WATER AVAILABILITY (FIRE HYDRANT): (.ff) í2/'l8Z- 0 ~ S Of{ oR-.A t S:>yY\f\E./L 4. FCI~' B. , " . eH~\l~\lP PL~~~ ~\l~-\f SiTE ,DiAGRAM ¡z[ FA~l\TY DIAGRAM 3'...:.s:.:'_~ss ~¡am~: t5At<fE/2'S.Ff EU:J ~B\HT .. CJ '- "" ~" "',',', " "~,, ¡-..' ~ A=~a :1aç ;:¡: 0: .. /\ ' , ' I:' AI, - - , ~¡c::'-::: ~Iame 0': ;,,::,-=a: -- -_.- >-'" ""-~-------,-~--~--- ~..-....~ -...--.::'"'>-..-....--.--- __~ _ ...... _~ _. ·._.4..... ...I"""--___~~. _~.... -'~....__.. - ~----'----- ---~ ,'-- -- ~ --"' . . Sv0ìnEíZ S\. - --~---. + --- . ----~ -- .. --- . ---- . ---~--------- .---~ I- I o ~ )-i ö .,J ~ ~~ ~f£ , I cr. I ill: I W jlri I () c::,~s ,¡ JlY"It:> ~ ~: I 'g ! '-7:jTli------J-"'-~ ) VTIUT'-/ ~ ' W¡J)T(;Õ(I. SHCJï Of+ ~~E<-T(il'- ALLEY 3-~ it 8 :> ::t: V1 J, 10 ::JO ¡ . ? v IrJI. a: !'0 ß Ð ~ t I I \' 'c/ì ---- -- ------~- -- ~-~ ------ ------ ~ fLE"'C T RI C M6-rOr?. \AI 0 \2..1< 5> HAZARDOUS MATERIALS INVENTORY , Farm and Agticul~ure [] Standard Business [] 1 L ~ NON-TRADE SECRETS Page _ u of-=- BUSINESS NAME: 13rA~f2S.FIHO 'PA1NT OWNER NAME: Dêl'l/"llS Ñ\ATI<.I£ NAME OF THIS FACILITY: 1 LOCATION;" L.fOI' YMr1\i;1Z $T' ADDRESS' 50~ STO"~I' STANDARD IND. CLASS CODE:---- -- --.----- CITYÈ ZIt': ~¡2S.FI1êlD 93>3CS CITY zip: 9.AAI2¡2$.F-IIElD 9330-, DUN AND BRADSTREET NUMBER-'---' ---------- ,. ---.------ - --- PHON II: YG>5'+ ~'2--' -g'l'31 PHONÈ II: "27DS ---ß3,7--3.5DO I REFER T01NSTRUCTIONS-roR-PROPER CODES - - - - 1 2 h 6 1 8 9 10 11 12 13 141 Tr&ns TYQe Max Mea$ure . Oys Cont Cont Cont Use lócqt ion Where 'bï Ilms of ~ixture{ç~i!!oonents Code Code A!,lIt UnIts on SIte Type Press Temp Code Stored In FacIlIty Wt'· See Instrut 10nsl U P 76;"0 3 b5 \ 3 '-I 5DOT¡.I E~ OiZl'f£rz.., LfK GÕEIZ. :1 Physical and Hea1t!h Hafard I~ b3 Component'l Name & C.A.S. ~umber '.'.,., (Check all that !pply j 'I ¡ , - 'I t" HIZard . 0 Reacti,ity, CITY of BAKERSFIELD [] Suddfn Release o Pressure o Reactivity, [] Delayed 0 SUddfn Release Health 0 Pressure U ·00 I' Physical ond Health HaJard (Check all that ápply ¿Hazard 0 Reactivity o Delayed 0 SUddfn Release Health 0 Pressure' HINellctL 5 (¿Irs IOZ.:O .1 /2.D.3 I" q ó "1 L. 2-!T0~' ,/ , I , ¡n"'6J2.. 1- 5"69-095b Titt! [ - 2nWT1ione O Component.2 Name & C.A.S. Number Immediate Health Component.3 Name & C.A.S. Number SÐümy.¡E$T (O\"2/'IEfl.. Name & C,A.S. Number [] Component.2 Name & C.A.S. Number Immediate Hea Ith Component 13 Name & C.A.S. Number ?RI.NT . O 'Component.2 Name & C.A.S. Number Immediate Hea1th Component.3 Name & C.A.S. Number I . I Physical end Health Hafard (Check all that apply [] ,Component'2 Name & C.A.S. Number ImmedIate Hea Ith ' Component.3 Name & C.A.S. Number EMERGENCY CONTACTS #1 DE/ý)'IIS IV\FITI02..-' {)uJNf.1JL, &3~-35l)D tl2 vJPtDé e.ÙJ2.ïO I Ifãme Tft'fë 24l!f17ñõñe- lfã1ñë . Certífíçatíon I· (Reed and $ign af1ßr cÇJmp7eting ¡97 7 sections] I certIfy under penallï 0 la~ th~t I have persona ly examln~Q ond am familIar ~ith the informatIon $ubmitteð in this ond a\l a~açhed dQcYllents, anQ t at based on lilY I uiry Q those IndIVIduals responsible for obtaIning the InformatIon. I belIeVe that e sU~~ltted !nfor~atlon IS true, accurate, a complete. t)~,HHls/"y\f7Trc¡¿ Nf:¡2 . I mr;'ì>1rõf1C1!1 'il" " ""r"o.r. , ",.f!Ojêfã1õt'š-iü1ñõfiJ![ r.,r.,.".ll" IgOltur. C.A.S. Number o Fire Hazard [] Reactivity - 0 Delared [] Suddj!n Release Hea th of Pressure Component 11 Name & C.A.S. Number r nyk.~L_- vL . ;{r.~J ,~.. - ,'~l~' ", .s,.-:L - -/' 0: " '.' i?i-, 4.~ :-~' . " ¡ " r 'Ji# e . BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 . c/ .¡({)iÎ! ct){1 ()VI fÞ 4- J~)P;;t /03- ~9jt OFFICIAL USE ONLY OGOC54 HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A RECEIVED J~¡H ~. ~~' fH1IDW "...,.....,..... ~~..... 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. A. BUSINESS NAME: SECTION 1: BUSINESS IDENTIFICATION DATA P~L IrJCJ~ (?~y tt/~~. B. LOCA~ STREET ADDRESS, cf{)/ ~~414::i. c;7 CIr@ç,~A.I:.4J'.J ZIP, S/'-?'?¿JJ BUS. PHONE , (<¡(Os) ~ LZ -KØv- 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 AN~TITLE " D~ING BUS. HRS. A. ~ Q...v\ ~--/:J 11 ! /.L,I;-; 0 Ph# P 1.. 7' <t?"ç?-3/ Ph# B. /.ý¡;;b .>'A'"//I z;:; Ph# ~32--7 -~J / Ph# AFTER BUS. HRS. )?' 3 d- i .)?JD <Ö3/ 7185 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE ~: ~~~~~;~~~~~^t'i~#~~1~~~ / D. SPECIAL: E. LOCK BOX: YES NO IF S, LOCATION: IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - ·¡ e "-=::-~' . _., ..,. , " '1J~'"" ..'~" ... .....' -- ¡ .. . _.. ~~ SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE ,?f~¿f tf/J2 V\{///<.J2- ~~ --+~ er~/~U-{/ ) Ð"Jr;fp,~ ~µ- ~~ 1;,d fl." ~, ...; 4J~ ¥ SECTION 5: LOCAL EMERGENCV MEDICAL ASSISTANCE FOR VOUR BUSINESS AS A WHOLE : '~cf~~ ~~ rp..o.CJu---QA l~tdJ c.OA )'yvJ~e&. . }i-'W ~~ ~ /+J l]12ð~ Dz{)d- -- --.:--- - --- -- . SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE~ OR NO INITIAL A. MET~ FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.. .'.................................... ~, NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:...................... .... I NO C. PROPER USE OF SAFETY EQUIPMENT:.... ............. .' NO D. EMERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . . ES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: . . . . . .. YES ~ REFRESHER @NO ~NO ~NO 'YES~ SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUS~NESSHANDLE HAZARDOV$ MATERIAL IN QUANTITIES LESS THAN 500 POUNDS O~ SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:... ... YES ~ I, ( , certify that the above information is accurate. I understan that this in ormation will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNAT TITLE ~ DATE (;;r2-7%7 - 2B - .. -j ..;;...~.F ,~... ~~ --; e - ~ .:. ~ ;:.. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY r BUSINESS NAME:~sl"4CS 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-CONCr-SE as-pass ibl-e.~- -_.- 'r ---r-- - £'Prsl; }if:>,' , FACILITY UNIT# FACILITY ù~IT Nfu~: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDù~ES 1 /ho,P lI/hJd/'ï1j'~ ~7 p~ ~ /~", ~'~~ ~ Û/LI&è.- ~ -~ ~-e.. ~ s~/ ~ ~ ,~~ ~ cvt-c.k- *~. ~d ~~,ç...¿' ~ '~',k,~~ ~ þcl.~./~c/~ '/.1~~' '--' ",' ' ~" ~.'" , -, SECTION 2: NOTIFICATION A1~ EVACUATION PROCEDL~ES AT THIS UNIT' ONLY Ú/L-R~ ,-tV~ k/..P Á ~~ t7e:;; #c;J~~ ?7J~=-h -z:;¿--/- û!/~c/ ~~ ß-t/~~-~ ~'~ ~C/-~ ~'- ~ ~ u-/.-.e.-d- ~jÞ ~Ò ~ ~ /~ '¿./~ ~~d l0- -~', '~~ ~ ---¡¿~G'--""L V-'1!" ~v~c/ ~¡;£ 9// ~ ' !'. -,. - 3A - ¡ \ . e ,"' . of:.' '-.? '- .... SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Doe,s this Facility Unit contain Hazardous Matel'ials?.,., G :-:;0 If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES C§) If No.' complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONL~ (white form #4A-1) If Yes. complete a hazardous materials inventory form marked: TRADE SECRET.5 ONLY (yellow form #4A-2) in adcli t.ton to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION 1'7 ,F/Æb .¿-x T: PtJfPð¡O,<J~}' /n,<j.-,e/<t?<Í.. - ~ø- tDÁ,tJ..-f?&ét:l 4-' .¡J-N^/~4L F/~¿;;- /N~"IJ~Lr"on5 SECTION 5: LOCATION OF WATER SUPPLY FOR USE BYE~ŒRGENCY RESPONDERS ¡C/;I?E ;-1 yd",4-?I r C!IOR/¡/-'1II2 p--ý ~ - ~ SP flt>,.e4- SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A,N'PC;\~'P~~N~/I~ _ 5'¿9Ur/ ~ST t1¿;,;I?J1~Æ ~ ~1'1¿N'6- B. ELECTRICAL: IJr ¡}I/ tD7 Soa rlt ð! .J$út' dt.-;rtj -1./ fJ/ C. WATER: /N /f//t:.Y 0, SPECIAL: E. LOCK BOX: YES (§) IF YES. LOCATION~' IF YES, SITE PLANS? YES / NO- FLOOR PLANS? YES / NO MSDSs? KEYS? YES / NO YES ' :--¡O - 38 - ~~1JA1 ~ 1. D. # BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: 'Í'ASL, ^"5'r, ()f- IØ{jv¿ OIfNER NAME: ~"'1 ~~ FACILITY UNIT .: AUDRESS: I 40; œ5.C. ADDRESS, ..::J__ _ _ FACILITY UNIT NAME: I CITY, ZIPI: '"£~-~ / q¡~ ~¿¡)- CITy,ZIP:~4-_' ~ _ _ ~CZ-"-~_:?/JI _ , ~---c-L-----c-__--- PHONE': I - \- "- - PHONE .: ~7 7- :Lz~ ~ - IOFF~~i~LjjSE fFIRS CODE .. Page of M~xl - 1 3 4 5 6 7 8 9 110 TYPE 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 ~\" ~ tSD6 w ~q ---r\ '626 ~ I ~-M bWD 13 1)\ SePL 1\-'4 - I '"^ A; OA.,I\ -{- " - , (tm L'o/ ~ ~~ ~ (3 I I ao. t»O ~9 i) f c; /) ÎJ_ . (')/1 R.^ c:,., Q /'tJ A ~ A "7tA G h'1(6) I v (j , I I I I I 'j I I / I :1 I I I I I I I ^ ---... /\) I .,_ NM.fE: 3\ W\I 7 Àc.;,11 IÒ ~ ~ITLE : rv /'J~ SIGNATURE~ Y /A'.JÆ /.A /~A~ D A T EI : S=-2..-~~ 7 EM~RGENCY tONTACT: a ~~ì' ê).. /0 TITLE: ;'[Jij~ yV (/ PHONE # BUS/ßOURS: ?:> 'L!-7-R ~ 9 ,/ E""MgRGENCY , P R¡~'\.~ C I PAL . !CONT ACT: rUSINESS (' ~ l~c£Le TITLE: ]!;2'1: ACTIVITY: ~ cf---C/ßaJM - 4A-l - ~r P ~ /) AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: "''/?t ~/C> Ý .? 7. -ç~.;J / 'Ø'7r 35611