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HomeMy WebLinkAboutBUSINESS PLAN-#~ h ~, ~- o cf~ r d ~ ~ ~~~ ~,, :~' ~~~- - -- i i W1T?C]T.T~]Ej ~I11~ (i7:aT.dS?IG(~ 1 f i ~n RABOBANK CONVENTION CENTER SitelD: 015-021-001309 Manager STEVE WOMACK Location: 1001 TRUXTUN AVE City BAKERSFIELD BusPhone: (661) 852-7302 Map 103 CommHaz High Grid: 30C FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title HC BRYANT / SUPERVISOR CLAUDIA GOODSELL / DIR OF OPS Business Phone:' (661) 326-3781x Business Phone: (661) 852-7342x 24-Hour Phone (661) 323-5801x 24-Hour Phone (661) 836-8071x Pager Phone (661) 326-3400x221 Pager Phone (661) 717-1644x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact CLAUDIA GOODSELL Phone: (661) 852-7342x MailAddr: 1001 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Owner CITY OF BAKERSFIELD Phone: (661) 326-3781x Address 1501 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENT'D ~ U G p 7 ~pp7 ~ s hose +ndiuidu of i , ij . Oa,ed on r, y inquiry ons'sclr ;;~r ol;rsainin~ thy: infc,r'ma ion, t Y res;~ r und~,r pen',lt`~ c;i i~:~^:~ ,ha` ,it~'?~tr18 I,n „~rrnat on 'i8rrlillc`lr v~ gYarilln~~! Ana afli t,rnitted ar+d ',,=,",=e'~ trle lntorrrlat+on is true, Sla accur~~e. ar;r~ cc~rrEl~V ~~ - Hate i nature -1- 07/13/2007 1'.. J' F RABOBANK CONVENTION CENTER SitelD: 015-021-001309 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HYDROCHLORIC ACID E R IH L 55.00 GAL Hi SODIUM HYDROXIDE F IH DH L 55.00 GAL Mod REFRIGERANT 22 F P IH G 1800.00 FT3 LOW REFRIGERANT /,~3 P IH G 1800.00 FT3 Low CORROSION INHIBITOR ORGANIC ACI IH DH L 180.00 GAL Low REFRIGERNAT 12 F P IH G 300.00 FT3 Min NITROGEN F P IH G 40.00 FT3 Min -2- 07/13/2007 -3- 07/13/2007 ;, F.R.ABOBANK CONVENTION CENTER SiteID: 015-021-001309 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ /TlIT RT/fllTT TTT TRT.I / /1r rr~wwr r.~nr »w ...~. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 20.00 Hydrochloric Acid Yes 7647010 n1-i[~titUJ ti~7.7~.7.71~11"~LV'1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 1310-73-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 55.00 GAL ruiaru~LVUa 1.V1~1rV1VL'1V1'S ~Wt. RS CAS# 100.00 Sodium Hydroxide No 1310732 _ tirj[~titCU A~ ~ ~ 5 51~1~1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -4- 07/13/2007 5'1'A'1'~ '1'YY~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient DRUM/BARREL-Ag3~~ T F RABOBANK CONVENTION CENTER SitelD: 015-021-001309 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT 22 Days On Site 365 Location within this Facility Unit Map: Grid: N WALL EQUIP RM & N/S EQUIP RMS IN GARDEN CAS# 75456 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure Above Ambient I Ambient I PORT _ PRF.~~ (''VT,TNiIF.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1800.00 FT3 1800.00 FT3 1800.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Freon 22 - CLd 1~~1 f'L~e tl~i'~~~A~l1" No 75456 172il~riRL HJ ~ P~.7 -71~1.G1Y 1 ,~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT Days On Site 123 365 "-'-Zocation within this Facility Unit Map: Grid: CIVIC AUDITORIUM CAS# ~GasATE TPureE ~AboveSAmbEent TAmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1800.00 FT3 1800.00 FT3 1800.00 FT3 Z %Wt. .ah ARDOUS COMPONENTS 17/CLo~p7"i?f~=LCd~©~ 7'"!{~i~C - 1~1.~3 RS CA.S# 100.00 -~~. No .75456 11riGHttL HJ ~7r,bb1~1L',1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH / / / Low -5- 07/13/2007 A F F RABOBANK CONVENTION CENTER SiteID: 015-021-001309 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CORROSION INHIBITOR ORGANIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: SE STORAGE YARD CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 GAL 180.00 GAL 180.00 G - ru~~t~tc.u~u~ ~:ui~iruiv~iv-1 a %Wt. RS CAS# 12.00 Malefic Acid No 110167 4.00 Potassium Phosphate No 0 t~~r~.ect~ ti~ ~.Ga~i~i.Glv't'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERNAT 12 Days On Site 365 Location within this Facility Unit Map: Grid: REFS IN BREAK RM & CONCESSIONS CAS# 75718 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 FT3 300.00 FT3 I 300.00 FT3 r~~tucu~u~ ~;c~rir~lvr;lv'ta %Wt. RS CAS# 100.00 Freon 12 No 75718 riAGl~t(L Ii5~1'~a.71~ltSlv'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 07/13/2007 Y ` ~ F RABOBANK CONVENTION CENTER SiteID: 015-021-001309 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROGEN. Days On Site 365 Location within this Facility Unit Map: Grid: EQUIP RM CAS# 7727-37-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 40.00 FT3 20.00 FT3 HHGAKJJUUS COMPONENTS oWt• RS CAS# 100.00 Nitrogen No 7727379 nnc,titcL siaa~a~r~,t~t5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -7- 07/13/2007 t F RABOBANK CONVENTION CENTER SiteID: 015-021-001309 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/07/2007 ~ CITY FIRE 911. OFFICE OF ENVIRONMENTAL SERVICES 326-3979. CA OFFICE OF EMERGENCY SERVICES 800-852-7550. Employee Notif./Evacuation 05/07/2007 FIRE ALARM MANUAL PULL STATIONS. VERBAL. 911. Public Notif./Evacuation 05/07/2007 PUBLIC ADDRESS SYSTEM - VERBAL. IN-HOUSE PAGING SYSTEM - VERBAL. 911. FIRE ALARM PULL STATION. Emergency Medical Plan 08/06/1999 NEAREST HOSPITAL. -8- 07/13/2007 ~~ S F RABOBANK CONVENTION CENTER SitelD: 015-021-001309 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/23/2006 ~ HAZARDOUS MATERIALS ARE MAINTAINED IN METAL, PLASTIC AND CARBOY CONTAINERS. WE USE A DRY ABSORBENT AND THEN RECYCLE. Release Containment 08/06/1999 PLASTIC CONTAINERS. Clean Up 05/07/2007 RAGS, DRY ABSORBANT, AND WATER. V1.11CL .LCC~7~VUL1:G 211: 1.l VGLV1V11 -9- 07/13/2007 p. ` , F RABOBANK CONVENTION CENTER SiteID: 015-021-001309 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~~.a.i na~,aict5 Utility Shut-Offs 05/07/2007 GAS - E STORAGE YD ELECTRICAL - E MECH EQUIP RM WATER - MECH STORAGE YD LOCK BOX - PG&E LOCK BOX ABOVE ELECT RM DOOR Fire ProteC./Avail. Water 02/06/2007 PRIVATE FIRE PROTECTION - FIRE ALARMS, EXTINGUISHER, AND SPRINKLERS. NEAREST FIRE HYDRANT - SW CRNR TRUXTUN AVE & P ST. Building Occupancy Level 18 EMPLOYEES 03/23/2006 -10- 07/13/2007 ~~~ P RABOBANK CONVENTION CENTER SiteID: 015-021-001309 ~ Fast Format ~ ~ Training Overall Site ~ `~ Employee Training ~ 02/06/2007 ~ MSDS SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: VIA EMPLOYEE ONGOING SAFETY MEETINGS: THE EMPLOYEE RIGHT-TO-KNOW; MSDS TRAINING; AND SAFETY VIDEOS. rayc a nclu ivi ru~uic vac nc.~.u .LVL ru~.u.i.c vac -11- 07/13/2007 FIRE PREVENTION INSPECTION B E R S F I L D P/AE ARTM T BAKERSFIELD FIRE DEPT. /~~6 (j~ Prevention Services O~ 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ~ I ~ l~ EE FACILITY ADDRESS ~ l l _ Q ~ q ~ ~ ~ ~ ~{IG~ CITY, STATE, ZIP ~ KEiucc> > ei' C FACILITY NAME ` p O d) ~iA.~ Gn w ~ V P. MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N. E. C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N. F. P. A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) ____ ____ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U.F.C.) FIREDOORSI FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster i to t~~~~711~l,,~~) ___ _______________________________. Plastering shall return the surface to its Origin ~ e ~ve~oRtlition. (U.B.C.) 10 Remove/repair (item & location) __________________ _____________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ___ to clearly indicate it as an exit. (U.F.C.) STORAGE 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapeslstair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N. E. C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 1f~~lrlir~ Ih °.~G~ pr^ 1~~4~ 41S~C v CUSTOMER: Signature) (Please Print Name Legibly, Title) INSPECTOR: G ~ G lL ~.) ~- S AP NO.: (Signature) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yetlow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ,. ~ _ , i ~~-~ EAKERSFIELD FIRE-DEPT. ~~ E E R S F I L D Prevention Services FIRE PREVENTION INSPECTION FARE 900 Truxtun Ave., Ste. 21o Cj~ ~-' ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 DISTRICT BLOCK NO. DATE fJ w ~ ~~ EE ~ ~ ^ ~U FACILITY ADDRESS /(~/ Oj7~'' a-~,. J/J , / CITY, STATE, ZIP ~ / / ~ ! .(/ ~~ ~ ._ ~g (y FACILITY NAME Af,((., ~ /~% l f ~ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE N0. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOL/TION CHECKED BELOW Ho. REQUIREMENTS COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) ~G,g. ~ 4 1 13'elor>~te fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the t extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) j ~ EXTINGUISHERS ~ Provide and install (amount) _____ approved (type 8 size) __________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. U.F.C. SIGNS 7 Provide and maintain "EXIT" sign(s) with le 5 r nc s n over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U.F.C.) FIRE DOORS/ g Repair all (cracks/holes/openings) in plaster in (Iocation) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Remove/repair (item & location) _______________________________________________. Self-closing doors shall be designed to close by -gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F,C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets Where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 CUSTOMER: ( ~~~_ ''"'^~'~ ~ ~, ' ` ~ ~ "` "'"t`~~''~ ` ~" t''1 (Signature) - (Please Print Name Legibly, Title) G ~ / INSPECTOR: 9f .•~ ~`~''F f,<,/`"~ % AP NO.: ~~ (Sigriat re) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE s White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09!05) ' dt',,; FIRE ORDINANCE VIOLATION. B_ IQ_ 8 9 P._. D w/R/ All Pr ~. BAKERSFIELD FIRE DEPT. 6~ j~ Prevention Services 900 Truxtun Ave., Ste. 210 (/ Bakersfield, CA 93301 Tel.: (661) 326-3979 X Fax: (661) 52-2171 OCCUPANCY DISTRICT BLOCK NO. DATE ~ n f` TO rte. TALE FIRM OR DBA COMPANY ADDRESS (CITY, STATE, zIP) .T BUSINESS PHONE HOME PHONE CORRECT ALL VIOLATIONS vrourloN CHECKED BELOW No. REQUIREMENTS 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DRY VEGETATK)N 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) ________~________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.G.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U. F.C.) SIGNS 7 Provide and maintain °EX17" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U. F.C.) F~REDOORS/ Fl A N g Repair al{ (cracks/holes/openings} in plaster in (tocation) ____________________________________. Plastering shall return the surface to its original fire resisti ition. (U.B.C.) RE SEP RATIO S 10 Removelrepair (item 8 location) ______________________ _ ___`_ __________. Self-closing doors shall be designed to close by gravity, or by the action o n~c~nij~gice, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capaf~f~ preventing the operation of the closing device. (U. F.C.) ~~ 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U. F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTTtICALAPPLUWCES 14 Extension cords shalt not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical Convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FlREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OT1iER 1 g a -- ' o ~ -- ~ ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLUWCE HAS BEEN MADE, ADDITIONAL REGULATORY ACTION MAY BE INITIATED. PERSON RECEMNO NOTICE OF VIOLATION AN EN RCEM RD ENT BY C RTIFlED MAI PR IN A NG DATE 81f-NATURE AFTER VIOLATIONS ARE CORRECTED, RETURN THIS NOTICE BY MAIL OR IN PERSON TO: By oROER OP rNE FVtE CNIEF DATE COMPLETFL~ -zs BAKERSFIELD FIRE DEPT. OFFICE OF PREVENTION SERVICES 900 TRUXTUN AVE., SUITE 210 l3AKERSFIELD, CA 83301 wsPECroa sIGNATVRE ~~NO' c.F.c. CALIFORNIA FIRE coDE u.ec. uNraRM Bun-dNO cooE B.M.C. BAKERSFIELD MUNK7PAL CODE NFPA NATIONAL FSIE PROTECTION ASSOClAT10N NEC. NATIONAL ELECTRIC OOOE WSPECTOR SNiNA RE (/ Gi White-Customer/Original Yellow-Station Copy Pink-Prevention Services FD1916 1REV. o:lost INSPECTION RECORD ~~a~ Bakersfield Fire Dept. 1715 Chester Ave. Bakersfield, CA 93301 DATE: a ~ [c~ ~ ~ FACILITY ADDRESS: o [ ~~~~ ZIP: ~' ~ FEE: FACILITY NAME: ~ ~ NC lY~` MANAGER NAME: ll S ~ BUSINESS OWNER NAME, ADDRESS, ZIP CODE FACILITY PHONE ~~ ^~3~Z' BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O RISER DATE VIOLATION NOTICE CORRECTION: 1. DATEbFREINSPECTION 2. ~ h r5 ~ ~~ 3. 4. 5. 6. 7. 8. '... 9. q~ 06 ... n~ 10. 11. 12. 13. 14. 15. NOTES CUSTOMER: ~ INSPECTOR: AP No. FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE FD1952 INSPECTION RECORD pia Bakersfield Fire Dept. 1715 Chester Ave. Bakersf field, CA 93301 DATE: i 0- FACILITY ADDRESS: Z v ZIP: FEE: L FACILITY NAME: /~ l~~/9~Aal lL ~ rtit~£,f~Zii o~ Gf,~{, 4 ~,~ MANAGER NAME: BUSINESS OWNER NAME, ADDRESS, ZIP CODE FACILITY PHONE BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O RISER DATE VIOLATION NOTICE CORRECTION: 1. DATEbFREINSPECTION ' ~ 3. _ r 4. 5. 6. 7. 8. 9. ,a. EN~'D F E 11. 12. 13. 14. 15. NOTES CUSTOMER: INSPECTOR: AP No. ~ FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE v7~ji/ FD1952 ~~ai~ FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. a E R S P I D Prevention Services PARE 900 Truxtun Ave., Ste. 210 ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE Z EE FACILITY ADDRESS `~ CITY, STATE, Z q l`~'r /~ I FACILITY NAME ~ bq ~ ,y h c ~ C, LITY PHONE NO. MANAGER'S NAME FAC BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD N0. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS viourioa REQUIREMENTS CHECKED BELOW No. STIBLE WASTE /DRY COMB 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) U VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) _________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ____________`________________ to clearly indicate it as an exit. (U.F.C.) STORAGE ER I `gtorage and/or other obstructions from fire escape landings and t rways tair shafts. (Fire [) ~~ P s (a~s+ j ( ; Ps"trdi'r shafts are to be maintained free from obstructions at all times. U.F.C. 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 6.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g ti^ ~..~.~`~ - ~ 2 O ~.~ f ,n CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE ~Srignature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE ~~/~ ~~,'"/ INSPECTOR: ~~ir-/~", AP NO.: PQ.E~ B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (SlgnatU~e) _ ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) t ~ .! + RABOBANK CONVENTION CENTER __________________________ SiteID: 015-021-001309 + TT1~R L~/l C~G7S ~T~~ ~V/YYy vl~ Manager Location: 1001 TRUXTUN AVE City BAKERSFIELD BusPhone: (661) 852-7302 Map 103 CommHaz High Grid: 30C FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title HC BRYANT / SUPERVISOR CLAUDIA GOODSELL / DIR OF OPS Business Phone: (661) 328-3781x Business Phone: (661) 852-7342x 24-Hour Phone (661) 323-5801x 24-Hour Phone (661) 836-8071x Pager Phone (661) 328-3400x221 Pager Phone (661) 717-1644x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact CLAUDIA GOODSELL Phone: (661) 852-7342x MailAddr: 1001 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Owner CITY OF BAKERSFIELD Phone: (661) 326-3781x Address 1501 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT \~~~~ ~: Based on my inquiry of those irldivlal~~f~ ~~ responsible for obtaining the Infiarmatlan, I e~~wtl#y under penalty of law that i heve ~~eragnelly examined and am familiar with the (n#arrvtation I submitted and believe the Information Is true, ~b accurate, and complete. /R Hato to ENTp~~~~ 2 206 -1- 03/23/2006 FIRE PREVENTION INSPECTION i ~~~ B E R S F I L D F/IPE ARTM T BAKERSFIELD FIRE DEPT. ~l ~" Prevention Services ~ ~~ 900 Truxtun Ave., Ste. 210 ~ / Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE h ~ y t i' (' EE FACILITY ADDRESS O ~. x kti ~Ne CITY, STATE, ZIP kc,( ,mil FACILITY NAME ~ O~ ~~ ~ ~ f e MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS COMBUSTIBLE WASTEIDRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse boxlfire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _ (U.F.C.) ---------------------------- g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U. F. C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) FIREDOORSI FIRE SEPARATIONS g Repair all (cra~~/~r~i~s) in la location) ____ ___________________________. Plastering shall return the t~ t o iginal fire resistive condition. (U.B.C.) 10 Remove/repair (item 8 location) ___ ________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U. F. C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage andlor other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N.E.C.) (U.F.C.) . 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N. E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation Of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1$ k` d~ fd w~ ~ a® oti. CUSTOMER: gnature) (Please Print Name legibly, Title) C /~.~iL~ INSPECTOR: C:/ AP NO.: (Signature) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE PREVENTION INSPECTION a EF~RE I D ARTM T BAKERSFIELD FIRE DEPT. ~~ Prevention Services (~ 900 Truxtun Ave., Ste. 210 ~~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~o ~ ~ ~ EE ~~~ `~ -1 v~ FACILITY ADDRESS Q CITY, STATE, ZIP t ~~ , ~ ~ I T ~ ~ FACILITY NAME ~ ~ b ~ ~~ Y~. w v~ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW wo. MB TIBLE WASTE! DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) CO US VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N. E.C.) (U.F.C.) q Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and m~i~pp'~te u be contrasting background and visible from the street to indicate the correct addres h bui ing. .C. ( .F.C.) g Repair all (crackslholeslopenings) in plaster in (location) ______________________________________. Plastering FIREDOORSI shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Removelrepair (item & location) _ ____________. Self-closing -------------------------------------------- doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) __________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage andlor other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N. E.C.) (U.F.C.) oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 ~ ~ ~ yr ~ off,- d ~ of CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE ( ture) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE G~1 B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: ~ AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05 FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. j,f~ » 8 R S P 1 o Prevention Services ~ f~j~YJY' PARE 900 Truxtun Ave., Ste. 210 ~~ (~i/"' ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 2-2171 DISTRICT BLOCK NO. DATE ~ ... EE FACILITY ADDRE CITY, STATE, ZIP FACILITY NAME MANAGER'S NAME FACILITY HONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, 21P OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG ^ YES ^ NO RISER DATE CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting g u vi~b~fr~ifl~street to indicate the correct address of the building. (B.M.C.) (U.F.C.) lJJ FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) _________ _________. Self-closing --------------------------------------- doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ____________~________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 16 CUSTOMER: 19f1 t e) (Please Print Name Legibly Itle) INSPECTOR: AP NO.: (S19f18tUfe) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE PREVENTION INSPECTION Tel.. (661) 326 3979 ^ Fax ( ) DISTRICT BLOCK NO. DATE /y/S EE FACILITY ADDRESS ~ ~ ^ z t% CITY, STATE, ZIP ~ `a C. G L ~/ FACILITY NAME Ij A / ~- ~ll~~ MANAGER'S NAME ACILITY PHONE NO. F E AND ADDRESS BUSINESS OWNER'S NAM CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD N0. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS wourioN REQUIREMENTS CHECKED BELOW No. COMBUSTI E WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) BL VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or morq,jnches in height over each required exit (door/window) to fire escape. (U.F.C.) b g Provide and maintain appropriate urR~~~n ntrasting background and visible from the street to indicate the ) correct address of the bull ~ ~,,{{~~~~ F.C. g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item 8 location) _________________________________________________________, Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C, re ardin fireworks. OTHER 18 S .~ Y i .r ~ _ /Q r !~ v ' "~ ICJ " `G/ mac. ~ / CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE (Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: AP NO.: ~ N.F.P.A. NATIONAL FIRE PROTECTION (SI ature) ASSOCIATION - N.E.C. NATIONAL ELECTRIC CODE BAKERSFIELD FIRE DEPT. H >? R s P t D Prevention Services ~ a~ PARE 900 Truxtun Ave., Ste. 210 .i Alt fM T Bakersfield, CA 93301 - 1 852-2171 White -Customer/Original Yellow -Station Dopy Pink -Prevention Services FD 2022 (Rev. 09/05) BAKERSFIELD FIRE DEPT. / ~~ Prevention Services FIRE PREVENTION INSPECTION >I sP/RE t D 900 Truxtun Ave., ste. 210 ~/1i AIt TM T Bakersfield CA 93301 j Tel.: (661) 326-3979 ^ Fax: (661) 85 -2171 DISTRICT BLOCK NO. DATE j~ / 1 EE FACILITY ADDRESS CITY, STATE, ZIP /2 ~U FACILITY NAME MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AN ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, 81LLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG ^ YES ^ NO RISER DATE CORRECT ALL VIOLATIONS vio~wrioH CHECKED BELOW No. REQUIREMENTS RY TI / 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUS BLE WASTE D VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse boxlfire door {N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) ____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U. B.C.) 10 Remove/repair (item & location) __!~_ ~ _ _ ______________ ___________. Self-closing doors shall be designed to close by ~t ol~ ~ i~io~o~~ echanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 `1 CUSTOMER: (Signature) (Please Print Name Legibly, Title) INSPECTOR: AP NO.: ~ (Sf ture LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE PREVENTION INSPECTION ~r B E R S F I D PIPE AR1M T BAKERSFIELD FIRE DEPT. ~~ Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 ~~ Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 OISTRlC7 BLOCK NO. DATE / ~ ~, EE FACILITY ADDRESS CITY, STATE, ZIP FACILITY NAME ~/ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW xo. REQUIREMENTS COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate , b~s (p~ . n a ing background and visible from the street to indicate the correct address of the building. ( ( l~~ - , FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) _________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ____________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one p{ug per outlet) (N.E.C.) (U.F.C.) oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g t eci ~ ~ `v ~ t CUSTOMER: (Signatur) (Please Print Name Legib4y, Title) INSPECTOR: ~-~-~ - AP NO.:~_ (Signature) ,--' LEGEND' C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE KBF-7320 White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~~ ~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST Prevention S s B....._ E_R s F_. __n 9001Yuxtun Ave., Suite 210 SECTION 1: Business Plana F'RE sakersfiela, cA s3so 1 nd Inventory Program ~' ''~ r Fes: ~ssi~ 872_8s~9 ., ~ ~ -/~ FACILITY NA E ~ INSPE TION D TE / ~ INSPEC ION TIME ~ /~~ ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- ';; Section 1: Basiness Pl~~t and Inventory P.rogr~rn~ ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~_ C V (C=compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ~ ~ -^~ ~ ~ ^ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS r-- ~ T'~ 1,,,~ ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIAI~T~ N ~ ~ 2 7 - ^ ^ VERIFICATION OF QUANTITIES .V ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ~ I ^ ^ VERIFICATION OF HAZ MAT TRAINING ~ ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ~~~ n / / ^ ^ CONTAINERS PROPERLY LABELED y ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE 8 ON HAND I ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~s ~ QUESTIO~V~ R~¢ARDII,~IG~THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Print) - .Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services - Yellow -Station Copy ^ YES ^ NO ~ //n ~~~ K/ Business Site /Responsible Party (Please Print) Pink-Business Copy FD 2155 (Rev. 09/05 INSPECTION RECORD ~~~ia Bakersfield Fire Dept. 1715 Chester Ave. Bakersf field, CA 93301 DATE: )j ~~~r~ lD FACILI/TY ADDRESS: ©Q' ~_ 1 t ~~~1I1~~ ~ ZIP:/ ~~Yl' FEE: FACILITY NAME: r 6 ~-- rC ~. MANAGER NAME: C BUSINESS OWNER NAME, ADDRESS, ZIP CODE FACILITY PHONE .~~ " `73u Z BILL TO: (fF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O RISER DATE VIOLATION NOTICE CORRECTION: 1. DATE bF REINSPECTION . 2. .,1e - - - - - - 3. CQ . S ~ r6 ~`) - 4 ~ 4. 5. 6. 7. 8. 9. 10. 11. ~ ~ "` 12. 'Tr~ 13. D " 14. 15. NOTES CUSTOMER: INSPECTOR: AP No. FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR`S COPY PINK-FILE FD1952 Per it Operftte to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE, SID~ This permit is Issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-001309 LOCATION: 1001 TRUXTUN AVE Issued by: , ~, . ',f " 'i., . ".; "(., :,g 'f ,'~ \,:,..", -'-~; -:.~ '~c. \ .,~ '>C, '~';'" .,\ \¡ Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issue Date June 30, 2003 Per ~. ~ it to Operate· Hazardous MaterialslHazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: zardous Materials Plan ~:[!lround Storage of Hazardous Materials "nagement Program '" Waste PERMIT ID# 015-021.Q01309 BAKERSFIELD CIVIC AUDITO ' LOCATION 1001 Issued by: 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 r'" -., . --.~'~---------:-:''''--'-':.-:''.'f'. ::J--:::~~""'!-~"--':-"------'''' ---~ ~~'.·T·,¡.,,·..,:,~.-·-:-;n-::-..'f""''7'-:'-::~''··'':'···-·· . - :'....-;..--;-;.~ ..:". 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'0." .,' ~~b $_" _ a CIVIC RUDITORIOm .. IJIKERSfIELD. CHUfORnlR . ,'. --'-....-.. - . . REAL ESTATE:__e CONSTRUCTION 2205 BRUNDAGE LANE - 323-287l (Alpha Beta Shoppil1Q Center) ." . FACILITY NAME ¡. ADDRESS I ð D I (.L FACILITY CONTACT 1-/· ('.' ~fN¡-- INSPECTION TIME ~ M I . . CITY OF BAKERSFlEtD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., Jrd {i'loor, Bakersfield, CA 9JJOJ at1 C¿ t\ 10\1) '/J,d) INSPECTION DATE It? - 2L - 6 PHONE NO. é~2. ~ 73'-/1 BUSINESS ID NO. 15-210- O,:S-OZI-oo¡3ø7' NUMBER OF EMPLOYEES Section, I: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand / Business plan c.ontact inf.ormati.on accurate ~ I / Visible address Correct .occupancy J Veri ficati.on .of inveritory materials V , j Verificati.on .of quantities Verificati.on .of l.ocation I, ~ ------ Pr.oper segregation .of material ,\I ~---- Verification .of MSDS availability ¡ ð!- C- V-UJ ff d /'rìl..hr. Verificati.on .of Haz Mat training ¡ '/þ¡¿Oc¡ \... Verification .of abatement supplies and procedures VI Emergency procedures adequate ~, Containers properly labeled J Housekeeping Ii I Fire Protecti.on .¡ Site Diagram Adequate & On Hand J C=Compliance V=Violation Any hazardous waste on site?: Explain: 1:1 Yes IfiJ'No White· Env. Svcs. Yellow· Station Copy Pink - Business Copy Inspector: J.J ¿) r..cJ ¿JeÓ h Questions regarding this inspection? Please call us at (661) 326-3979 BusPhone: Map : 103 Grid: 30C ~D: 015-021-001309 C¡;5Z.-7302. (661) 32G 3700 CommHaz : Low FacUnits: 1 AOV: .... /' , ,-, .. . , ..-> - BAKERSFIELD CIVIC/CENTENNIAL GARD Manager : JIM FOSS/EXECUTIVE DIRECTOR Locatlon: 1001 TRUXTUN AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: SIC Code: DunnBrad: Emergency Contact HC BRYANT Business phone: 24-Hour Phone Pager Phone / Title / SUPERVISOR (661) 326-3781x (661) 323-5801x (661) 326-3400x221 Emergency Contact / Title DRIl'.N ~'mECCnIUOKY / DIRECTOR OF OP Business Phone: (661) 852 ~J41A 24-Hour Phone (661) ~72 8G99~ Pager Phone : (661) :;I.0J 7J41x Period Preparer: Certif'd: parcelNo: to Fire Press React ImmHlth DelHlth Phone: (661) 852-.=JJ41x State: CA Î '34 "2.. Zip 93301 Phone: (661) 326-3781x State: CA Zip 93301 TotalASTs: Gal TotalUSTs: Gal RSs: No Hazmat Hazards: .., "'" Contact : ...J3KIAN HRÐOCnHŒK¥/DIR OF P MailAddr: 1001 TRUXTUN AVE City BAKERSFIELD Owner Address City CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD Emergency Directives: tL.AUV'A G-oo~\,.L, ~S 2- (~'+ "2... ca ~c, -ge, , Î\I-I~4Lt i, tLA-uÇ>1A Gø~o hereby certify that I have (TVP3 or print nama) r®vi~woo iry9/~tlaChSd hazardous materials manage- , r /1_ ~A f2.0E:l"-J msft1t plan 1oU' u::.~IA-'- and that it along with (NM'Ie of SWiM!!!!) any OOiTOOiO!rl$ ronsiituts a oomplsfts Bmd correct man- ~emsm plan ~©i' my facility. 7-1-03 Date -1- 07/02/2003 , - e CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 I INSPECTION DATE /I, ,I, 0/ PHONE NO. 3 Z" .. .~?» / BUSINESS 10 NO. 15-210- ()/;f i'"l'''()O/~Ò9 NUMBER OF EMPLOYEES Section It: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand / Business plan contact information accurate / Visible address I Correct occupancy .¡ Verification of inventory materials I ,,~ xl'l.. ÚoNE- ~'jl.2.. I,:J $¥5(iTl:./Y I) Verification of quantities f1.3 Verification of location Iv' J Proper segregation of material .¡ Verification of MSDS availability ¡/ Verification of Haz Mat training J / Verification of abatement supplies and procedures ,¡ Emergency procedures adequate ./ Containers properly labeled .¡ Housekeeping ,¡ Fire Protection t Site Diagram Adequate & On Hand ( C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~No White· Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 e e + BAKERSFIELD CIVIC/CENTENNIAL GARD =================== SiteID: 015-021-001309 + Manager : JIM FOSS/EXECUTIVE DIRECTOR Location: 1001 TRUXTUN AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 30C (661) 326-3700 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: +=============:=================================================================+ +=============:==========================+======================================+ Emergency Contact / Title Emergency-Contact / Title HC BRYANT / SUPERVISOR BRIAN WRESCHINSKY / DIRECTOR OF OP Business Phone: (661) 326-3781x Business Phone: (661) 852-7341x 24-Hour Phone : (661) 323-5801x 24-Hour Phone : (661) 872-8699x Pager Phone (661) 326-3400x221 Pager Phone (661) 703-7341x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press React ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : BRIAN WRESCHINSKY/DIR OF OP Phone: (661) 852-7341x MailAddr: 1001 TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93301 +------------------------------------------------------------------------------+ Owner CITY OF BAKERSFIELD Phone: (661) 326-3781x Address : 1501 TRUXTUN AVE State: CA City : BA.KERSFIELD 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... SpecHaz EPA Hazards Frm I DailyMax Unit MCP +--------------------------------+-------+-----------+-----+----------+----+---+ CORROSION INHIBITOR ORGANIC ACI IH DH L 180.00 GAL Low HYDROCHLORIC ACID E R IH L 55.00 GAL Hi NITROGEN F P IH G 40.00 FT3 Min REFRIGERANT P IH G 1800.00 FT3 Low RÈFRIGERANT 22 F P IH G 1800.00 FT3 Low REFRIGERNAT 12 F P IH G 300.00 FT3 Min SODIUM HYDROXIDE F IH DH S 55.00 GAL Mod I, Do hereby certify that I have (Tyoo :¡r ~ri!1! nam;l}) rev;,?wed the attached hazardous materials manage- mE:nt ¡:-¡!an for (iI!amo of 8usinass) and that it alone with " any COïrÐctions constitute a complete and correct man- _____________.___ !:: f10m,c~"'1 al...... 4,,1" mv 4....,....:hL_______________________________________·__ +_____________.___W8~=2ti=p~=w=~=dþ~~------------------_______________________+ -1- 01/25/2002 ..~ ,::;",;:'::::'.:;«) G:~.:~~ ..- .... -- -. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 { FACILITY NAME BA1<£R5Ft€~ GIIJf:- ADDRESS tOD / Trl.",:.rúi.::;::.. FACILITY CONTACT 1/ v. INSPECTION TIME 16 ~J^-' INSPECTION DATE /2 -I S - 00 PHONE NO. 3}"(,....3 70-0 BUSINESS ID NO. 15-210- 01$· NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS Appropriate penn it on hand 1/ Business plan contact infonnation accurate 1/ Visible address ../ Correct occupancy 1/ " Verification of inventory materials \ v' /s54£ ;h¡'¡;~/D/''- AG,JI 20 ~ Verification of quantities , ¡/ I 661£ ~ f)¡uNt ¡-jy Уóýl, if1- Verification of location if ;JOJ ø~ UfA.Æ.r.5 / Proper segregation of material ./ f Verification of MSDS availability ¡ Verification of Haz Mat training 1/ Verification of abatement supplies and procedures J Emergency procedures adequate ¡ í Svr ~cá \ ~ (?.Q 04.- I Containers properly labeled II '--- Housekeeping 1/ Fire Protection : ./ Site Diagram Adequate & On Hand ¡ C=Compliance V=Violation White - Env. Svcs. YeHow - Station Copy Pink - Business Copy Inspector: ..( Any hazardous waste on site?: Explain:_ DYes åNo Questions regarding this inspection? Please call us at (661) 326-3979 ;- _ .r , It -" C E ...XT E.U \.J\~ L. ~,,~e;\.L!Þ BAKERSFIELD CIVIC AUDITORIUM SiteID: 215-000-001309 CommCode: BAKERSFIELD STATION EPA Numb: (805) 326-3700 CommHaz : Low FacUnits: 1 AOV: Manager : J'\~ ç:'o t.5 - ~x{.c.v~'\!t. Location: 1001 TRUXTUN AVE City BAKERSFIELD Emergency Contact / Title Emergency Contact / Title HC BRYANT / SUPERVISOR DECEASED / ASST SUPERINTEN Business Phone: (661) J2J S:B91K3t~'iò\ Business Phone: (661) 326-3781x 24-Hour Phone : (661) é8Q 7g1 ~x )Z~ S'ð()J 24-Hour Phone : (661) 322-4481x Pager Phone : (661) 326-3400x221 Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : G.\~" Wrt~\¡~:V\~\c.~ Phone: ( ) - x MailAddr: 1001 TRUXTUN A E 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: ~, SpecHaz EPA Hazards DailyMax MCP IH DH L 180 GAL Low F P IH G 40 FT3 Min FP IH G 1800 FT3 Low F P IH G 1800 FT3 Low F P IH G 900 FT3 Min !Do hereby certify that I have One Unified List 9 All Materials at Site 9 f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name... CORROSION INHIBITOR ORGANIC ACI NITROGEN REFRIGERANT \"&.!» REFRIGERANT 22 REFRIGERNAT 12 (Ty~ eI' )tInt ~) R'®~iISW®d ~1ì1I® la11'rRoohOO hlãZcaroious maisrials manage- ~OO ih~ i~ tã1long wi~h m~n~ p~tã111'D ~©Jrr ~') ~¢t4 191~ ~m)f corû"oon©í'1\~ Wi"il$~å~U~® ~ OOmpiS~iS ~mdJ OOITS~ man- a~®msl1'D~ ~~frî 1©rr Iî®~ ~dii~. JJ. ~ C" \bNv\ Slgna1Yre \ 1-Z.t9 «1 07/22/1999 - ...~ e E'~rFG'I CoV1-+o.(.7~ 15('/~,^ Wres.c.h:""s ky , D~í¿vt'),,- 0+ ðf{f>(""c...~U.,s Ot-h¿( Õ>S"J--73<11 ~O'M{ <61J. -8~9~ Ce It: ìo3 - 7~'-I1 ~-----. -- -;' e e í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 i íë Inventory Item 0003 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o CORROSION INHIBITOR ORGANIC ACID 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit o SE STORAGE YARD Map: Grid: ûááááááááááááááááÇ o CAS # 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 DRUM/BARREL-NONMETAL 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 180.00 GAL 0 180.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RS 0 CAS # 0 o 12.000Maleic Acid °No 0 1101670 o 4.000Potassium Phosphate °No 0 00 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 IH DH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj ~ e e íë Inventory Item 0008 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o NITROGEN 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o EQUIPMENT ROOM 0 CAS # 0 o 0 7727-37-9 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Pure 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o FT3 0 40.00 FT3 0 20.00 FT3 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RS 0 CAS # 0 o 100.000Nitrogen 0No 0 77273790 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Min 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -2- 07/22/1999 e e í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 ¡ íë Inventory Item 0009 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o REFRIGERANT 0 Days On Site 0 o 123 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o CIVIC AUDI'I'ORIUM 0 CAS # 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Pure 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 1800.00 FT3 0 1800.00 FT3 0 1800.00 FT3 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS # 0 o 100.000Chlorodifluoromethane 0No 0 754560 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 P IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0002 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o REFRIGERANT 22 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o .. W~L EQUIPMENT ROOM \Ú~\\ 4- ~O\AT~ EQu,~1"'\~ "-"'~I CAS # 0 0. .... ~O~~ ~f!.DEU ,75456 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Gas 0 Pure 0 Above Ambient ° Ambient 0 DRUM/BARREL-METALLIC 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ ° Largest: Container 0 Daily Maximum 0 Daily Average ° o FT3 ° 1800.00 FT3 0 1800.00 FT3 ° äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. ° 0 RSo CAS # 0 o 100.000Freon 22 °No ° 75456° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Low 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -3- 07/22/1999 e e í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 ¡ íë Inventory Item 0004 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o REFRIGERNAT 12 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o EQYII?rmU'l' R08H (J8L:0 CYLINDDR I~O tz£ç'R.'G:S:~6.\0cz..1!> 0 CAS # 0 o !>e.E...."-. V-OC)t"\ + ~OUc..E.~~\ OU5 - 0 75718 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Pure 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o FT3 0 ~ 9QQ. 99 FT3 0 3ÞO 5>86. ð5 FT3 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS # 0 o 100.000Freon 12 °No 0 757180 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Min 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -4- 07/22/1999 e e í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o CITY FIRE HAZARDOUS MATERIALS DIVISION - 2130 G STREET - 326-3979 o 9-1-1 o CA OFFICE OF EMERGENCY SERVICES - 1-800-852-7550 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o FIRE AL.~ MANUAL PULL STATIONS o o o o o o o VERBAL o o 911 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o PUBLIC ADDRESS SYSTEM - VERBAL. o IN HOUSE PAGING SYSTEM - VERBAL. o 9-1-1. o FIRE AL.~ PULL STATION. o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o NEAREST HOSPITAL o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -5- 07/22/1999 e e í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 ¡ o 0 o HAZARDOUS MATERIALS ARE MAINTAINED IN METAL PLASTIC & CARBOY CONTAINERS 0 o DRY ABSORBENT & RECYCLE 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o PLASTIC CONTAINERS o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o RAGS o DRY ABSORBENT o WATER o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 07/22/1999 e e í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 ¡ íëëëëëëëëëëëëE~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 ¡ o 0 o A) GAS - E STORAGE YARD o B) ELECTRICAL - E MECHANICAL EQUIP RM o C) WATER - MECHANICAL STORAGE YARD o D) SPECIAL -. NONE o E) LOCK BOX - NO, PG&E LOCK BOX ABOVE ELECTRICAL ROOM DOOR. o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/19/1992 i o 0 o PRIVATE FIRE PROTECTION - FIRE ALARMS, EXTINGUISHER, SPRINKLERS o o o o o o o o NEAREST FIRE HYDRANT - SW CORNER OF TRUXTUN & P STREET o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 07/22/1999 .;. ¡,.. e - í BAKERSFIELD CIVIC AUDITORIUM ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001309 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/20/1997 ¡ o 0 o WE HAVE 18 EMPLOYEES AT THIS FACILITY. 0 o 0 o WE DO HAVE MSDS SHEETS ON FILE. 0 o 0 o BRIEF SUMMARY OF TRAINING PROGRAM: VIA EMPLOYEE SAFETY MEETINGS. ON GOING 0 o SAFETY MEETING: 1. THE EMPLOYEE RIGHT TO KNOW. 2. M.S.D.S. TRAINING. 0 o 3. SAFETY VIDEOS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 07/22/1999 -.~-- :; ....- -;¡-. e '-\~~lê[[~\{~ . l I ¡ SiteID: 215-000-001309 ~. A~ BU~Phone: (805) 326-3700 :8\1, . _::-Mag : 103 CommHaz : Low . _A' Grid: 30C FacUnits: 1 AOV: BAKERSFIELD CIVIC AUDITORIUM Manager : Location: 1001 TRUXTUN AV City BAKERSFIELD 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 DelHlth 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 CORROSION INHIBITOR ORGANIC ACID REFRIGERNAT 12 NITROGEN R-E..ç~\ (;££Ä NT \ '2... ~ LUßQ..\c.. b..UT5 0\ L F P IH IH DH IH IH I~ D~ G L G G G L 1800 FT3 180 GAL 900 FT3 40 FT3 1&Jo +T~ 3ö GAL Low Low Min Min \...D\J \.o,,¡ F P F P ç j;:> +" ~ E.ð K't E.. .. ...,¡ IDa hereby certify that l have , . <T~ 01' ~nt name) r8view~d the attached hazardous M~tetials ma, :~¡ç;e- Co....' \IE; Uí\ 01\.1 me~~ pian tor C.E.Uí~ tand ~ha~ it alo~ with (1\!MI3 of 61Aš'iñØ~ . , any cOfi'ed¡om~ oon~ti~ute a comp!e~e and rorree\í man- ag~m~8'b~ lP~aú"U ~or my facility. /.' ~I." , '~.~",~..: ~'i~r~' ','~~ , .; ·r,;.~·;·...~,.'. '".,. . ./' '3.-ó)~ -97 'oJ!'; ¡ ,: ,. , gnatute Date -1- .. ,~ e e f BAKERSFIJELD CIVIC AUDITORIUM I p= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001309 9 Fast Format 9 Overall Site 9 10/19/1992 CITY FIRE HAZARDOUS MATERIALS DIVISION - 2130 G STREET - 326-3979 9-1-1 CA OFFICE OF EMERGENCY SERVICES - 1-800-852-7550 Employee Notif./Evacuation 10/19/1992 FIRE ALÞ.~RM MANUAL PULL STATIONS VERBAL 911 Public Notif./Evacuation 10/19/1992 PUBLIC l\DDRESS SYSTEM - VERBAL. IN HOUSE PAGING SYSTEM - VERBAL. 9-1-l. FIRE ALARM PULL STATION. Emergency Medical Plan NEAREST HOSPITAL 10/19/19921 -2- "'to e e F BAKERSFIELD CIVIC AUDITORIUM I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001309 9 Fast Format 9 Overall Site 9 10/19/1992 HAZARDOUS MATERIALS ARE MAINTAINED IN METAL PLASTIC & CARBOY CONTAINERS DRY ABSORBENT & RECYCLE Release Containment 10/19/19921 10/19/1992 PLASTIC CONTAINERS Clean Up RAGS DRY ABSORBENT WATER Other Resource Activation -3- ..... e e F BAKERSFII~LD CIVIC AUDITORIUM I F Si te EmE~rgency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-001309 ì Fast Format ì Overall Site ì I 10/19/1992 A) GAS - E STORAGE YARD B) ELECTRICAL - E MECHANICAL EQUIP RM C) WATER - MECHANICAL STORAGE YARD D) SPECIAL - NONE E) LOCK BOX - NO, PG&E LOCK BOX ABOVE ELECTRICAL ROOM DOOR. Fire Protec./Avail. Water 10/19/1992 PRIVATE FIRE PROTECTION - FIRE ALARMS, EXTINGUISHER, SPRINKLERS NEAREST FIRE HYDRANT - SW CORNER OF TRUXTUN & P STREET ~lding Occupancy Level -4- ... I '\.' '" e e f BAKERSFIELD CIVIC AUDITORIUM I F Traininq Employee Training SiteID: 215-000-001309 ì Fast Format ì Overall S1 te 9 03/29/1996 WE HAVE 1? EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: VIA EMPLOYEE SAFETY MEETINGS. ON GOING SAFETY MEETING: 1. THE EMPLOYEE RIGHT TO KNOW. 2. M.S.D.S. TRAINING. 3. SAFETY VIDEOS. Page 2 [ I I Held for Future Use Held for Future Use -5- ~ - ~,¡.. I. ; 03/15/96 e - rn)~~~Ü\Y7~~\ ~9 pam I ¡\. I r ;\flf'\:J 'j "; 'Ingc I i L ' . -.1\ I'.J ¡ ;1, 0 U ./..'') 1 BAKERSFIELD CIVIC AUDITORIUM 215-000-001 Overall Site with 1 Fac. Unit General Information ''0./ Location: 1001 TRUXTUN AV City : BAKERSFIELD . Map:103 Haz:2 Type: 3 Grid: 30C FlU: 1 AOV: 0.0 Contact Name Title H.C. BRYANT / SUPERVISOR Business Phone: (805) 326-37~66X~ 24-Hour Phone : (805) 8~1 6 ^ Pager Phone : ( ) 5eCL ï~ x ~ 3zlÞ?Aoo Z2 Contact Name D KUEHN Business Phone: 24-Hour Phone Pager Phone Title I ASST SUPERINTEN (805) 326-3781x (805) 322-4481x () x Administrative Data Mail Addrs: 1001 TRUXTUN AV City: BAKERSFIELD Comm Code: 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 t-JD LO I\J~~ '¿,TDU K.. ·.i1. ~ 'i.. - \ -z. I ~.c.. ße.YAN"\ ) (Type or print name) reviewed the attached hazardous materials manage- ~"-E;~Ç \ E\-\:) CQU \)~UT\ uÑ C. i;.\\.1T&t.. ment plan for ~ and that it along with (Name of Busineas) . any corrections constitute a complete and correct man- Do hereby certify that I have agement plan for my facility. -1-1.~. ~ 3, ~Z-' -'1 (p DøIø .' -- -- 03/15/96 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-003 CORROSION INHIBITOR ORGANIC ACID ~ I~ned Hlth, Delay Hlth Form Max Qty MCP Liquid 180 Low GAL 02-002 REFRIGERANT 22 ~ Fire, Pressure, Immed Hlth Gas 1800 Low FT3 02-008 NITROGEN ~ FiJ:-e, Pressure, Immed Hlth Gas 40 Minimal FT3 ~GERANT 11 ~ ressu 02-004 REFRIGERNAT 12 ~ Fire, Pressure, Immed Hlth Gas 900 Minimal FT3 Þ" .' - e 03/15/96 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 CORROSION INHIBITOR ORGANIC ACID Liquid 180 Low ~ Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 180 I 180.00 I 250.00 -- Storage DRUM/BARREL-NONMETAL r Press T Temp ~ Location Ambient AmbientlSE STORAGE YARD Components ~ MCP ~uide Low 60 Minimal 7 Conc 12.0% 4.0% Maleic Acid Potassium Phosphate 02-002 REFRIGERANT 22 ~ Fire, Pressure, Immed Hlth Gas 1800 Low FT3 CAS #: 75456 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 1,800 I 1,800.00 I 1,800.00 T Temp ~I Location AmbientlS WALL EQUIPMENT ROOM Storage r Press DRUM/BARREL-METALLIC Above +.. po~\, p~~ c..YLI t.J.CE. ~ -. Conc _I 100.0% Freon 22 Components 1-:- MCP -¡Guide I Low I 12 02-008 NITROGEN ~ Fire, Pressure, Immed Hlth Gas 40 Minimal FT3 CAS #: 7727-37-9 Trade Secret: No :Form: Gas Type: Pure Days: 365 Use: AEROSOL/INFLATION Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 40 I 20.00 I 40.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above AmbientlEQUIPMENT ROOM - Conc l 100.0% Nitrogen Components 1-:- MCP -¡Guide I Low I 12 e e 03/15/96 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-001 REFRIGERANT 11 ~ Fire, Pressure, Immed Hlth 0 'Z:. fJ 0 75694 Trade Secret: No 2i r- Pure Days: 365 0' 0 C';, Daily 10 ~ lI' 0 10 Storage ~ C DRUM/BARREL-MET rP 11 Components (1 11 Gas 3000 Minimal FT3 Amount FT3 - 4,000.00 uide 12 02-004 REFRIGERNAT 12 ~ Fire, Pressure, Immed Hlth Gas CAS #: 75718 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 900.00 I 900.00 Location ROOM Storage r Press T Temp -:-1 PORT. PRESS. CYLINDER Above Ambient I EQUIPMENT 3t;:) \ b c.. Y \..1 Ut)t. Q. MA..~ (:) t..} ,çt.Uc. ~ .- Conc l Components 100.0% Freon 12 r; MCP --¡Guide Minimal I 12 e . I 03/15/96 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CITY FIRE HAZARDOUS MATERIALS DIVISION - 2130 G STREET - 326-3979 9-1-1 CA OFFICE OF EMERGENCY SERVICES - 1-800-852-7550 <2> Employee Notif./Evacuation FIRE AI~ARM MANUAL PULL STATIONS VERBAL 911 <3> Public Notif./Evacuation PUBLIC ADDRESS SYSTEM - VERBAL. IN HOUSE PAGING SYSTEM - VERBAL. 9-1-1. FIRE AIIARM PULL STATION. <4> Emergency Medical Plan NEARES'I' HOSPITAL I , 03/15/96 e .' BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention HAZARDOUS MATERIALS ARE MAINTAINED IN METAL PLASTIC & CARBOY CONTAINERS DRY ABSORBENT & RECYCLE <2> Release Containment PLASTIC CONTAINERS <3> Clean Up RAGS DRY ABSORBENT WATER <4> Other Resource Activation .. ,... e' . 03/15/96 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS -. E STORAGE YARD B) ELEC'I'RICAL - E MECHANICAL EQUIP RM C) WATER - MECHANICAL'STORAGE YARD D) SPECIAL - NONE E) LOCK BOX - NO, PG&E LOCK BOX ABOVE ELECTRICAL ROOM DOOR. <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ALARMS, EXTINGUISHER, SPRINKLERS NEAREST JfIRE HYDRANT - SW CORNER OF TRUXTUN & P STREET <4> Building Occupancy Level ...;¡ . (. ~,., e e 03/15/96 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE ?? EMPLOYEES AT THIS FACILITY. DO YOU HAVE MSDS SHEETS ON FILE?? ì(E.~ BRIEF SUMMARY OF TRAINING PROGRAM: VIA EMPLOYEE SAFETY MEETINGS. ...,-"-\ >= ¡-- - 1::.t"\ P LOYE£.. ~\ <õ ~ T -rù z. M.~.D.CS> -r~\~\~~ :5 5A..~E..\Y \ \ D~ <2> Page 2 c u <:, 0 \ Ù ~ 5A..:ç"\:..\'Y M€.E.T\ ~<':3~ . <3> Held for Future Use <4> Held for Future Use .... ~ tit e ~~ij f ~ 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000~~~ Ü ~ Page 1 Overall Site with 1 Fac. Unit '992 ' \OCT 1 5 1 General Information r , 8\1 = I Location: 1001 TRUXTUN AV Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 30C FlU: 1 AOV: 0.0 ~contact Name Title Business Phone -r- 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: 1001 TRUXTUN AV D&'B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: CITY OF BAKERSFIELD Phone: (805) 326-3781 Address: 1501 TRUXTUN AV State: CA City: BAKERSFIELD Zip: 93301- Summary , , ()~ I -\.l.e.. ~~'(A.~T , (Tv~ or print Mi'i'lo) reviswsd the attal©thsd haza~dous matSJrials manag®D msn~~i2ú1 ~or~\)E..Lr\1o.J ~i.d ihat it along with (Nsne of BUQin3oo) ~lf ®!i1®©ßõ~li"ò~ oo~~ij~ut~ al oom~liS~($ @lHld OOIT~ mafbø ~®ffl~fñ1ì !.9~®~ 1I©1i' IMW ~®©i~~. DO hereby csrtify toot ~ have -_ I ~~ .¿.:~. '\ ~!!: ~'"!·"':'::~~"7,,*"R" y,"'¡ ..',~.".. -u...c. ß~~ ..... (// ; ~·Z~·92. ... .. 'i e e '; 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 REFRIGERANT 11 ~ Fire, Pressure, Immed Hlth Gas 3000 Minimal FT3 CAS it: 75694 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual AmountFT3 -- 3,000 I 3,000.00 I 4,000.00 Storage DRUM/BARREL-METALLIC r pre~s T Temp ~ Location Above AmbientlS WALL EQUIPMENT ROOM - Conc _I 100.0% Freon 11 Components r:- MCP ----rList ¡Low I 02-002 REFRIGERANT 22 ~ Fire, Pressure, Immed Hlth' Gas 1800 Low FT3 CAS it: 75456 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 ~ 1,800 I 1,800.00 I 1,800.00 Storage r Press T Temp ~ Location DRUM/BARREL-METALLIC Above Ambient'IS WALL EQUIPMENT ROOM - Conc -I 100.0% Freon 22 Components r:- MCP --rList ¡Low I 02-003 CORROSION INHIBITOR ORGANIC ACID ~ Immed Hlth, Delay Hlth Liquid 180 Low GAL CAS it: Trade Secret: No form: Liquid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 180 I 180.00 I 250.00 Storage r Press T Temp ~ Location DRUM/BARREL-NONMETAL Ambient AmbientlSE STORAGE YARD -. Conc 12.0% 4.0% Components .~ MCP ~List Low Minimal Maleic Acid Potassium Phosphate " e e ., 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-004 REFRIGERNAT 12 .. :Fire, Pressure, limned Hlth Gas 900 Minimal FT3 CAS #: 75718 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 900 I 900.00 I 900.00 ------ Storage r,press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient EQUIPMENT ROOM - Cone l 100.0% Freon 12 Components r; MCP :-rList Minimal I 02-008 NITROGEN .. Fire, Pressure; Immed Hlth Gas 40 Minimal FT3 CAS #: 7727-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: AEROSOL/INFLATION Daily.Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 40 120.00 I 40.00 ------ Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient EQUIPMENT ROOM - Cone l 100.0% Nitrogen Components I-=- MCP ---rList I Low I 'i e e if 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CITY FIRE HAZARDOUS MATERIALS DIVISION - 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 911 <3> Public Notif./Evacuation \) P\.>ß&..\c.. A»o~ SYS'TEN\ - 'E~Þ.L 2.) 'N-~ PAe:.\~q S-iS\e-I\ -,,~~ 3) q 11 4 +l2..E. ÅLA.2.I'~ PULL ~'T t:..-r I b U ~ <4> Emergency Medical Plan NEAREST HOSPITAL '. e e 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention HAZARDOUS I~TERIALS ARE MAINTAINED IN METAL PLASTIC & CARBOY CONTAINERS DRY ABSORBENT & RECYCLE <2> Release Containment Pl-Þ-.~\\ c.. CCtJT b..\ tJ E 2.'5 <3> Clean Up R.Ä.~S D~Y A..ßSCRBE.t.JT WA..TE ~ <4> Other Resource Activation ,," e e " 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - E STORAGE YARD B) ELECTRICAL - E MECHANICAL EQUIP RM C) WATER - MECHANICAL STORAGE YARD D) SPECIA.L - NONE E) LOCK BOX - NO ?<S ~ G. 1..00'- t:aJc. ~"JE I;:l..ez:..\tl't^~ \~ <>C:::O~ <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ALARMS, EXTINGUISHER, SPRINKLERS NEAREST FIRE HYDRANT - SW CORNER OF TRUXTUN & P STREET <4> Building Occupancy Level :5- e e ~, 08/18/92 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 7 <G> Training <1> Page 1 Y\A EJ-,tf'LC:>'{tX. ~ ~~~. <2> Page 2 as needed :J <3> Held for Future Use <4> Held for Future Use 02/21/91 BAKERSF_D CIVIC AUDITORIUM 215-C.-00130r::1 Overall Site with 1 Fac. Unit Page 1 General Information Locatinn: 1001 TRUXTUN AV Map· 103 Hazard· Low I . I II - . . . . . 0.01 I d erlt Numbet"' : 215-000-001309 8t"' i d : 30C At"'ea clf Vul: . - C,:,rlt act Name Title Busirless ~:Irle ~ 24 H':II.It"' Ph Clrle~ H. C. BRYANT ßu,ttl.\)\'SOIZ,. (BuS) 326-3- x ( 8o," ) 831-648'3 ED KUEHN A."~\"T Sl.t pe-c. a UTþJO.",1' (ðoS> 326-3781 x ( ßC)") 322-4481 Admirlistt"'at ive Data Mail Addrs: 1001 TRUXTUN AV D&B Numbet"' : I City: BAKERSFIELD State: CA Zip: 93301- Comm C,:,d e : 215-001 BAKERSFIELD STATION 01 SIC CCld e : - Owrler : CITY OF BAKERSFIELD Ph corle: ( Øa(' ,) 32(.. -'3,St Acldt"'ess: 1501 TRUXTUN AV State: CA City: BAKERSFIELD Zip: 93301- Summary 2A SEC 4) CITY FIRE 2A SEC 2) I GLJ ~e/( ¡..) ~. Clw~IB~..'ð.J ~~ Do hereby c®rtify that ~ ~av\S (TyP1! or ¡¡r;nt namG) reviewed the attached hfi2;ln:i··:.;us materials i'r!lan3ge~ t!a ¡.JU ~N7,;" ,..j ment plan for_~~2'·a-&._~..".._...Fmd tha~ i~ along with (r-~'3m'1 :.)~ ~:Jt::5it"~~S) any corrections c:(msmU~;) a COf;'¡p!ete and correCt mai10 agemem~ plan far my facility. ¿;~~ ~/- 9/ D3t~ 02/21/91 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 Hazmat Inventory List in MCP Order Page .-, Co 02 - Fixed Containers on Site PIn-Ref Narne/Hazat~ds F c.t~rn Quantity MCP 02-007 ACETYLENE ? 20 High FT3 02-012 ACETYLENE ? 20 High FT3 02-003 CORROSION INHIBITOR ORGANIC ACID ? 180 Lc.w A7ltÆJrr~.Jr fY\C\;lÚ..L /kiö 1>/9 l~1\'\-L (' GAL 02-006 OXYGEN ? 20 Lc.w FT3 02-011 OXYGEN ? 20 Low FT3 02-002 REFRIGERANT 22 ? 1,800 Lc.w FT3 02-005 REFRIGERANT 22 ? 900 LClw FT3 02-010 REFRIGERANT 22 ? 900 L·:.w FT3 02-008 NITROGEN ? 85 Mi \'"limaI FT3 02-(>13 NITROGEN ? 85 1'r1i \'"1 i ma 1 FT3 02-001 REFRIGERANT 11 ? 3,000 M i \'"IÎ rna 1 FT3 02-009 REFRIGERANT 12 ? 900 M i \'"IÎ rna 1 FT3 02-004 REFRIGERNAT 12 ? '300 M i \,", i ma 1 FT3 ~~~ ¡ví.\{~ sõd:J~ ~\ðt 'Ov (~i:.< (o((0CW9n í "hb. e e 02/21/91 BAKERSF~D CIVIC AUDITORIUM 215-Ctt-OOI309 00 - Overall Site Page 3 (D> Notif./Evacuation/Medical <1> Agency Notification £:'J~ Ca,,, fi~E J..I þ..,~/b... (U)OU ß Mb,,~e.r?2.l )\ Ls' ,\ If 21~O G S~ .3 2. tø <y~ '1J9 quo CÂ.IL\F O~{:\c.1! O~ €.~ ~.R(hf. tJ~ '1 8œ\J l~~~ 1.. 800 ~ Bs2. -? ßSO ! <2> Erl'p 1 c.yee Nc.t if. /Evacuat i .:.n 3A SEC 2) FIRE ALARM MANUAL PULL STATIONS VERBAL 911 ij) Public~ Nc,tif./Evacuatiol'"l <4} Emergency Mèdical Plan 2A SEC 5) NEAREST HOSPITAL 02/21/91 BAKERSFIELD CIVIC AUDITORIUM 215-000-001309 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention 3A SEC 1) HAZARDOUS MATERIALS ARE MAINTAINED IN METAL PLASTIC & CARBOY CONTAINERS DRY ABSORBENT & RECYCLE <2> Release Containment <3> CleaYI Up <4> Other Resource Rctivation -- e ~-t. · .. ~...I 02/21/91 BAKERSFeD CIVIC AUDITORIUM 215-(_-001309 00 - Overall Site Page 5 (F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs 2A SEC 3> A) GAS - ESTORAGE YARD B) ELECTRICAL - E MECHANICAL EQUIP RM C) WATER - MECHANICAL STORAGE YARD D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water 3A SEC 4) FIRE ALARMS, EXTINGUISHER, SPRINKLERS 3A SEC 5) FIRE HYDRANT - SW CORNER OF'TRUXTUN & P STREET <4> Held for Future use 02/21/'31 BAKERSFIELD CIVIC AUDITORIUM 215-000-00130'3 00 Overall Site Page 6 (8) T)'~a i rfÏ rig < 1> Page 1 <2> Page 2 as needed <3> Held for Future Use I (4) Held fClt~ Futu)'~e Use . . * . HAZARDOUS MATERIALS INVENTORY farm~d Agticulture [] Standard Business [] , f NON-TRADE SECRETS r~"~ of [B~Â~Íð~:~~{' ^"J"~~ilOW L~~ð~~~S~~ME:QIT'I 0;: Bþ-~çeSlð..Ð ~t~nD~kDT~~B.F¿nHTt6~~~·8,rrtO-~~:Le=6~-- ell y ZIP~~ ---~- CITY zlp:------ DUN AND BRADSTREET NUMBER _d__ _h' -- -- - ,- ,------- ----- PHor~È $I: ..3Z'" -75~3 -- PHONÈ": ------.:-------------- -- -~---- REFER TO-7NSTRUCTTONS-FVR-PROPER CODES - - - - - - - - - 3 1 8 9 10 11 12 13 U Tqns TYDe ~ax Average I Dys Cont Cant Cont Use location Where 'h ~ 3re5 of lIixture{~~!:~;.ent5 Code Code Allt Allt on S1te Type Press Temp Code Stored In fac! t 1ty Wt See Instru: lens ~º=rEJ 3000 I ~Ot:)O Ota ¡cO Rt.+l2.l(""'1t::.KA.Ñ\ rhysic~1 end Hee1th Ha¡ard C.A.S. Humber IChe:k all that epply -JþF ire Hazard o Reactivity ~ ißoo I\~OQ PhYSicþl end Heelth Ha¡ard (Check all that applyl o Fire Hazard o Reactivity ~ 90a I 900 Physical and Health Ha¡ard lCheck all that applYI o Fire Hazard [] Reactivity CITY of BAKERSFIELD ~De1ayed ~Udd¡n Re1e3se . Hea Ith 0 Pressure Component II Q::::i.r.medi3te Component 12 Name & C.A.S. Number Health Component 13 Name & C.A.S. Number 1200 -/ 2.2. Component 11 Name & C.A.S. NUllber / COl!lponent 12 Name & C.A.S. Number 0 Immediate Hea lth Component 13 Name & C.A.S. Number R.t.+ Component 11 [] Component 12 Name & C.A.S. Number Immediate Health Component 13 Name & C.A.S. Nur-ber C.A.S. Number o Delaved 0 SUdd¡n Release Health 0 Pressure C.A.S. Number o Delayed 0 Sudden Release Health of Pressure Component .1 Component 12 Name & C.A.S. Number ~ Immediate Health Component 13 Name & C.A.S. Number EMERGENCY CONTACTS tt1-1-!-C.. ß~'A:"'\ . SUP~V\~O"- .32<.tJ~7ßI J~I (A~~ tt2 Eo t.uE.\-\1\.J Rðlle Htle Z4lJrpf¡'one- Rame (ert i fiçat ioq (Reed and $ i 917 8. f~er c(Jmp 7 ~ t i 179 Ç1 7 1 sect ions) I certIfy under penalty. 0 la~ th~t I have persona Il eX8mln~Q OQd SII familIar yith the informatIon $ubmitted in this ond all attaçhed dQcu~ents, anij t at based on IIY Inquiry 0 hose IndIvIduals responsible for obtaIning the InformatIon. I belIeve that the submItted Information IS true, accurate, and complete. o Fire Hazard o Reactivity '8:> Oe Jayed 0 Sudd¡n Re 1 ease Health 0 Pressure ÅC:ß'l~T 3l.1~Ll'Të;\JceNí 32(.·3i9/I~Li44~1, TiOe 2t-';f*TiCf,~ ' '1~~~-~¡;(f -õfië1H--r1 tie Of OwnH I opp.rHÕ~ñ~f7 opefnõf'š-ãm:liõfimrèõfëš~ñtn~-- STgñHure----·- pm~Hf.~1----: HAZARDOUS MATERIALS INVENTORY Far~nd~gticulture [] Standard Business [] _Æ. NON-TRADE SECRETS BUSINESS NAME:CoU\)e~or-~ C~ OWNER NAME: NAME OF THIS FACILITY: LOCATION: ADDRESS' STANDARD IND. CLASS COOE:--': ell Y ZIP: -- CITY zip: DUN AND BRADSTREE1 NUMBEWu. --- PHor~Ë It: ..-----.- PHONË tI: --- -.--.-.- - REFER TO-rNSTRucrIONS-FOR-PR~ER CODES 1 8 9 10 11 ,~ ~~ 12 I Dys Cont Cont Cont Use.a¿~~loc~tion Where on SIte 1ype Press I ernp Code' ~ Stored In Fac II >t y 04 CfQ E4>U,.pl:"ltNT Roc~\ Component 11 Na~e & C.A.S. Number 3 !lax Allt 4 Aver a ge Allt 120 2 Iqns Iyoe Code Code ujÐ 4D Fhysic~l ~nd Health HBiBrd I(hec~ all that apply! CITY of BAKERSFIELD rð9" of - --- - .---- -------- .. .--.--. ------- - - - - 5 , Annul I Est L~._ 13 \ bI' kt' It ~are5 of ui~ture/Ç~!:9~ent, See Instrl::t Ions 6 Measure UnIts ¡.J ¡TROe::, E:.N C.A,S. Humber U Fire Hazard [] Reactivity [] Oe!a{ed [] Suddf" Re lease [] Immediate Component 12 Name & C.A.S. Number Hea th o Pressure Health Component 13 Name & C.A.S. Number =r=J r Fhlsicfl fnd ~ealth HBfard C.A.S. Humber Component .1 Name & C.A.S. NUllber l hec a I t at apply [] F ire Hazard [] Reactivity [] Delmd· [] SUdd,n Release [] Component 12 Name & C.A.S. Number Immediate Health o Pressure Health Component 13 Name & C.A.S. NUllber '=0 Physical end Health Ha~Brd lCheck all that apply) [] Fire Hazard [] Reactivity C.A.S. Humber Component .1 'Name & C.A.S. Number [] Dela{ed 0 Sudd~n Release , Hea th of Pressure O Component 12 Hame & C.A.S. NUllber Immediate Health Component.3 Name & C.A.S. Hutber PhysicOl 'ñd Health Ha~ard (Check a I that appl'l o Fire Hazard o Reactivity Component 11 Name & C.A.S. Nu~ber C.A.S. NUllber [] De laved [] Sudden Release Health of Pressure Component 12 Name & C.A.S. Number o Immediate Health Component.3 Name & C.A.S. Number EMERGENCY CONTACTS #1 "2 flUe Title ZrHr1'1iõñe- /lame Certifjptioq fReed and $ign afjer c9mpl~til1gÇtll sections) I certIfy under penallï 0 la~ th~t I have persona Ir examlneQ eqd 011 familIar yith the informatIon $ubmitte4 in this end all attaçhed dQcUllents, anQ t at based on my Inquiry 0 hose IndIVIduals responsible for obtaining the InformatIon. I belIeve that the submItted Inforllatlon IS true, accurate, and cOllplete. ' , Title Z{ 1!fTñcr.~ ~~~~~rð·õfffT!r-r1tle of own~rlOD~ritor UR owñëf7õpef!rõf'š-ãutñõfizëõ-reõreseñtãt~--- STqñã1ur~-'--'---- UH~-Si ðf.~~-·- 'I · ' .. (0 e - HAZARDOUS MATERIALS INSPECTION RECOMMENDATIONS: BAKERSFIELD CITY HALL AND CIVIC AUDITORIUM Please a separate inventory form for each location and follówing items: acid the Floor cleaner - 53 gallons in City Hall boiler room Miscellaneous cleaners and strippers - 55 gallons of materials whose primary ingredients are petroleum distillates and alcohols. Add these ma. terials to both the Ci ty Hall and. Civic Audi torium inventories. Add the freon in the re!rl~eraLion SYSLems to the alnount of freon reported on the inventories for the audi~orium and City Hall. Please repor-r. r.he amount or' freon in use or s;:orage at tne Po~i,:e De:Jartme!1t. 2. Cylinders of freon must be properly secured 50 that they 4i11 not travel if they experience a suade!1 release of pressure. See the attachment regarding proper storn~e of comoressed gas cvlinders~ · . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT D. S NEEDHAM FIRE, CHIEF 2101 H STREET BAKERSFIELD, 93301 326-3911 February 21, 1991 ./ Ed Kuehn Assistant Superintendent Bakersfield General Services 4101 Truxtun Ave. Bakersfield, CA 93301 Mr. Kuehn: It is time to review the Civic Center's hazardous materials management plan and make any re~š-ñe~~ssary. Attached is a copy of the plan which Bakersfield Fire currently has on file 1001 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 quantities equal to 55 gallons (liquid), 200 cubic feet (gas) or 500 pounds (solid). Designate those materials previou~ly 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 audit. 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, ßD'~(~ ~(~r Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey '~ ~-~ \ . , . ~ BAKERSFIELD CITY FIRE DEPARTMENT . 2130 "G" STREET -",U> r!'- BAKERSFIELD, CA 93301 vt'\I (805) 326-3979 "'- '? ~¡{~ 1':· ~ ~W rq) OFFICIAL USE ONLY ( ID# USINESS NAME U01309 HAZARDOUS MATERIALS BUSINESS PLAN AS. A WHOLE FORM 2A ~~2 V-JJL 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. BUSINESS NAME: Co. \J ,Co. À..u ~rT'aQ..\ u "-'\ B. LOCATION / STREET ADDRESS: \ 00 1 -n:tu 'Cr"U U. b.... V CITY~V~~~L~ ZIP: C\,~~o \ BUS.PHONE: (~) 32.(,3100 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.*.C.~A.." rr SUP£e.\HSð2... ~ Ph# 32.lø '!»ì C\ I B. =E.'D \(,U£H u. .A.~~ SI..l~e.H..rrQ~ .&2.lÞ~l B' AFTER B1;S. HRS. Ph# -R.31, ,~4~q Ph# 32.2. - 44RI SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE :& E. STORAg,~ YÄeJ:) B. ELECTRICAL: Z E. M~~.u....HC.6...L~U"P, R.oo~S \ \J ,t:'~PTM.~...sr ~»-1 C. WATER: Me.GHA..U l<.A-l, s,..o~ \(~e.\:::) (;:.. .. D. SPECIAL: E. LOCK BOX: YES / ~O IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES .I ~O KEYS? YES / ~O - 2A - r~\ f \ . ... ....,: . , \,jf ., ...,.... I.¡., . ", '~ SECTION 4: PRIVATE RESPONSE TEA.\{ FOR BUSINESS AS A WHOLE C f\" 't -t; í2. t:. , , ,: ~ ~, C l. n ' ',J"" t,..,". y' \J¡ SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTfuVCE FOR YOUR BUSINESS AS A WHOLE UEÄ.KE.S\" -HDS?ITA.L SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE R~QUIRED to HAVE A PROGRA.~ WHICH PROVIDES ~~PLOYEES WITH INITIAL ~~~ REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR ~O A. METHODS FOR SAFE HANDL ING OF HAZARDOUS, :.tATERIALS: . . . '.,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.......................... C. PHOPER USE OF SAFETY EQUIPME~T: . . . . . . . . . . . . 0 . . . . . D. EMERGENCY EVACUATION PROCEDURES:.... ...........0. E.DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... I~ITIAL REFRESHER ª NO YES NO YES GQ) YES NO æ NO YES NO NO YES NO YES (@) YES NO ~rON 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL IN QUANTITIES LESS THAX 500 POCNDS OF A SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES NO I. ....-\-.c.. ~K..",b..;..sr certify that the, above; ;information is accurate.' I unde~staqd that this information will be used to fulfill my firm"~ o6rig~tioniunder the new 'C'¡ÙÎforhia Health and Safety code, on. Hazar.dous; :-.faterials (Div.' 20 Chapte,r 6.95 .. '< . ,' . Sec. 25500 Et AI.) and that inaccurate info~mation constitutes perjú~y. ' SIGNATURE··4+.C..O~~ TITLE S&.ti~Ú'S~~ :D:.. ÒÃTE,l-f4--Z8 " . '. ~ , ...,':' t - 28 - ".."",,,ø"'- ,"- ,.+ Ï' ì '. . SECTIO~ 3: HAZARDOUS MATERIALS FOR THIS mnT ONLY A, Does this Facili ty Unit contû.in Hazardous Materials? . . , ., @ NO 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 materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventQry form marlced: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form, List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION -+=ï"C2...~ A..L.Þ..2. 1-'\5 E;-y;.., t.J<::.u IS.... E.R I . ~PR.I UKLEK~ SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EiI<iERGENCY RESPONDERS 'ß. "'-'. C.O~UE..12. O¡:- I'tU~lU:U ~ .. pt. St. ' SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS mnT ONLY. A, XAT. GAS/PROPAN~~ r- i"\ Þ '0 r \JA~" r- ^>= "DuILDtU6 c::.. ""U 1 "J"U~.ÚT STC~A.~E '1....V 't;.. . SI DE. u. 0 B. ELECTRICAL: I ELEc..T~1 C,A..L Root-'\ E.. S ~ \:)~ 0"'; ~U II-D I 1\...\ ~ '2. P(,-ltJ\? eoot"\ E. SIt)£. O~ ButLt)IUG 3 £QU I ?BC:W-r 'STO'eÞO.c;.£ g,OON\ \~-E.5\ '51 DE-D 0\= Bu I L..D\ Ñ(; C. ~'lATER: EQ U \ ? t-'\ E. uT ST 0 2..A..G, E.. '.c\ 2. D E. "5\ D~ ö \= ßU \ l,...L) I U b D. SPECIAL: E TOr:'" BOX" \l¡;'S /:;:"0 Ii.:' Y',:;oc: Ioc,mI01\T· . ~ _,K. .~. I.....\, /~...I.. _.....J, ; hI :.:'i, IF YES, SITE PLANS? FLOOR PLA~S? YES / NO 'lES ./ )IO MSDSs? KE',:'S? YES NO YES! :W - 3B - ~. ,/"..... ~....- ~ ......... <' '", . or; - . .> . "" ~/ '.,. .(j -. . BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# _ _ _ _ _ _ BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A JNSTRUCTIONS 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 poss.ible, "B6..\('€."2.~\t.LÞ FACILITY UNIT# FACILITY UNIT NÄI'fE: ~\V\c.. Å..U t)\Tb~\ u t-Í\ ' SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES .J..\ ~Zó..~DOUS PLA.S"Tl è. ~ A DSO~~3E:.UT ~ M~ TE..g".&..L 'S A..~E Mb...\ UTÁ..\ U E. D . lU tJ\ Ë. TÀ..L C. 6...R.ßò'l c..oU'õ..t U 6 R..S . J)K..'i ~EC.. 'It-£" SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY ~R.E ALA.RM '.~~-M A, M U A.L ~. ,<..- . PLI LL STA..TI DUS. V€.~èA.L. qit - 3A - BAKERSFIELD CITY FIRE DEPARTMENT I. D. # FORM 4A-l Page -1- of ~ NON-TRADE SECRETS !I. ,;" HAZARDOUS MATERI ALS I NVENTORYC¡,,¡,. À I P>-.. V\ "'" ,v '-- ~ lXDrro~.l tA #\ BUSINESS NAME:C-n1tc.. À.UDlT02JUM OWNER NAME:0~~T'{ Ot:~A..1L~i='~L.D FACILITY UNIT #: ADDRESS: lOCi ~U'£Tu.u. b...v ADDRESS: '~l -retJ'CrUU FACILITY UNIT NAME: CITY, ZIP: ~ \LE es-:¡:~,l;:, L'D CITY, ZIP : ~ \L; ~I ~(..I::) I PHONE #: ~Z.lD 3ìOD PHONE#: ~'- ~Î (.,1 IOFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TVPE MAX ANNUAL CO NT 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 3000 1='1'""3 OtD oq ß. WA.'-\. E:&UIP Kool-'\ 100% . .. ,. ;).~ ?i).vO-çf- E.'1..PL 3000 Ke.~GE.2ÄLlT" u.. {\ r-,; Ç' , ~ -"" S. 'WA>..Ll ~UI'P ~^^t.A .. .. C.~C.L ~Lf'O l 1"\ 1/J 1800 ~ l"OO t='T~ o~ oq 100% ~- ...... I ..... 2. 2. E.).?L -.~ I 180 210 G6.l. 01 41 ~.E.. ~ ~ - '6..2..C ~ A to~ft......_.' hUH~\TolZ.. ¡p, At!.. f"j OGP~ I - 7 f-¿% - - Mo.. 'e ì c. (1. Co- ì d 2-/'5'1 ~ tf~ PO+£t%ì()..VY'\ -Vho?()VlO-A ~ " "- \ ^ NAME: -+\-.c.. ;::a..~\d Ä...l\.I"r T I TL E :SU \.>~J H5 o~::It:. SIGNATURE: -U-. c... fì!..A ..... ~ DATE :1-14- -~~ EMERGENCY CONTACT :~:::.. .~~"'t A-rJr TITLE: PHONE\.# BUS HOURS: (p EMERG.ENCY CONTACT: £.1:::) K-I,..c E; H t\.J PRIÑC'IP^L BUSINESS ACTIVITY: GI'T'"\ ;. TITLE :Jr5'5T SuPE:1"Z.I~ Ga 0 v'T" AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: ~L~ .3z..Z- 4-4-~ I ~) 32.(" 3 ì 2> J \_~ - 4A-l - 1. D. # liJ\lu.i\Sl'lt.1.1J Cll~' flH.E VEPAH.TMEN1' \ \ \.... 'Ë. 'FORM 4A-l \[~\G.--=- k\\'2... NON-TRADE SECRETS ~AZARDOUS MATERI ALS :r NVENTORY \/£.\-.\ 1.\.2.. NAME :CJ \J' c.. Au CfTOe., u f.." OWNER NAME: r.>L'T"lf ö'F ~ t(E:i~~ÈL.~ FACILITY UNIT #: 100\ -r!Z..UI£.-rUU A..v ADDRESS: I~O ~ll\CrU·1\..} FACILITY UNIT NAME: Page -1..-.- of ~ ,\\"k ~~~' BUSINE!{S ADDRESS: CITY, ZIP :~\l E:12...~;::I€'Lf::) PHONE #: 3Z.t. ~ÎOO CITY, ZIP :~A.~ ~...... PHONE #: 5%.. t" ~'"1 t.,i 10FFICIAL USE CFIRS CODE I ONLY 1 2 3 4 5 6 7 8 9 10 TYPE 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 fv\&) .- . . (fða ( 0'"'\ '\00 5400 i='T3 04:- oq Moß\\_ VE.~HCL.~ 4112- .(.00 ~ n. UT l"2. ~-L 2. F? \ E.'t.PL M9 qoo 04 . iOO% roo .. 2Z.- C.&.t(,~L Ç"z. \ 104·0 IJE~PL S~oo ·rT3 cq f'r1öß\L ,,~" \c.. L..E 4112. ' --....... .' 04- is toO%' ()z. Q;,?S'1 E~PL 20 i2.b ~¡:'T 3 42 f'r1ap.\L. V""" ~ Lr;_ 4ti2. O'/... "r""ç. u 011'1 ::--. ~O~\L V;....J\ê.Lt 4112 100% Ä.c:.. t:..T 'I LEo '-1 Eo l.\ \ E:~?L. p 11 20 i2.o ~3 04- 42. CoG. Hz. \r IA\IL'4l\~ p<f 04 ~ 100% Q. .".~ ~v..PL Bs 110 f"T3 03 u ~ \1.... ...... ¡: 4.1" tJ IT 2Ol'... t:.,lJ U2. ' h.1~ (....6..<; l~"'lL -- I NAME: 4.C-. 6~"'o.t'S\ TITLE :~P'E2.V\~OL .:ct- EMERGENCY CONTACT:~. c., ..6"2.~A-tJT' TITLE: SIGNATURE: -U..C- ~ ca.....X' PHÔNE # BUS HOURS: AFTER BUS HRS: PHONE t BUS HOURS: AFTER BUS HRS: DATE: i - 14·&ß 32.(, ~ì C\, 83' ..4- ~Cf oS,'" 31ßI 3~, 44-81 ~.... TITLE: !gS s..PE2JÑ\~'~ <::;ou" EMERGENCY CONTACT: -E- D ~ue~ IU PRINCIPAL RUSINESS ACTIVITy:c:::::....."t '\ - 4A-l - , <!'! ' lI/\I\Li(Sl'll:.LU t;ll'x' FIHE VEPARl'MENT<!.¡V¡C . atA,d, ,\ GI..-t:.- 'FORM 4A-l Page ~~\ ~ NON-TRADE SECRETS \1 ~,fð€tIAZARDOUS' MATERI ALS I NVENTORY \I\:::\4 8~l -L- of .L 1. D. # o,\b ~ ~¿.~ ,~ BUSINESS NAME: C,l\llC- -Å..Ut')\TORiUiV\ ADDRESS: ~ -rRU'LT'"'UU . 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ALIL'iLlt. ~ ~ Be; ~ ~:?d-"\ '6.~PL p0 110 ~;:-T3 04- 03 "1UL-:'1 L \leu Ir t r4~' 100 tó U T~~U "'12. hJ~ (~ i ! i -- NAME: . -+'-.c... ~~" A.tJr TIT L E :SuÇlë2U,~ot :n:.. SIGNATURE: -+Io..c... b. .~ DATE:,...t4.-gt, , EMER'GENCY CONTACT: Ei> \¿U£" U. PRIN~l~AL BUSINESS ACTIVITY: \ TITLE: ~Vt9~'S()L ' TITLE: ~~PUt~A.Ñ-r P~E # BUS HOURS: AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: 32.(, 3''\ I ~( tø4-~q 32.(., $'181 3Z.~ ~\ EME~GENCY CONTACT :~.c.." ~'l4túT - 4A-l - ?{' . C0f¡ "'F ~<{. Œ./~f· Q.u..Ð. ~ AQU¡U~RËAT"ké~U~MfëÄd~S" INC. aa1 Crestview Drive. San Carlos. California 94070 (415) 593-2100 ........~:- -.. ~ >' ~ I -" ¡ \. MATERIAL SAFETY DATA SHEET Ess8ttl.lly The Same M Form OSHA 20 81C11ON I MAlUACT\ØR'S NAME AQUA TREAT CHEMICALS INC. AOOAESS (t« M8fR. STI&T. CITY. STAT£. AHO ZIP CODE) 881 CRESTVIEW DRIVE SAN CARLOS, CtØlCAlIIfNd! AM> SYNONYMS Cooling Water Corrosion/Scale CtØICAL FAMIlY Organic acid CALIFORNIA '94070 TRADE NAME NCO SYNONYMS C-587 Pro 8EC110N " - HAZARDOUS INORIDlINT8 HAlARDOUS Of OMR UQUIOS. SWOS. 00 GASES TlV S'6~Z - 7 77&" ~ù--3 - ¿ IIOIlJtG POINT (Of.) SPEClRC GAAVlTY (H:¡O=1) 7212 1 n')/· VÞPœ IPIISStÆ (mm HoJ N/A PERCENT. VOWILE 8Y VOllM (,.) N/A VAIC1A ŒH!JrY (AIR = 1) N/A EVAPORATION RATE ( -1) N/A SOLLIIUTYIHWA11R Complete pH 1.6 - seCTION HI - PHYSICAL DA l'A AfItIfNWfŒ AND ODOR --!; 1 ear. p.q 1 p Y p 1 1 otù 1 i 'I" i r1 > 91 i g h t IHHH~ t 0 do r . SECTION IV - AAE AND EXPLOSION HAZARD DATE ~::::= so 1 !I t i on) F:;:~_~S..r EXTNGUISHtNG MEDIA For fires in storage area, use carbon dioxide, water, or SffCIAI. FIlE FlGHTIIG FftOCEDURES None known. E---' .- -- ,.I~,=-___- ., _.--_.._...._--- . LÐ dry chemical. &JIURW. FIRE NftJ EXPlOSION tWAADS None known. (CONTINUED ON RMASE SIDE) 1>5tl7, I - ." I 'W"J I ·,'t....,,: 1:'F mRp>tIOLD lIMIT VALUE , :) i :\ . SECTION V - HEALTH HAZ~~-º_~. ' .~_.._--_.._.- _._,--~ ._- -. ·."----~- EfFECrs OF IMJIEXPOSUAE " , Can cause eye and skin burns. EMERGENCY NIJ FIRST ,.., PROCEOORES EYE CONTACT: Flush with large quantities of water for at least 15 minµtes. Obtain medical attention. SKIN CONTACT: Flush with large quantities of water. INGESTION: Drink several glasses of water a~d obtain medical Rtt~ntinn. J~NF~~~ DATA [~T~ . STABLE INCOhtPATAIIIUTY (MATBIALS TO AVOID) Basic materials. STA8IUTY HAlAIIIDOUS DECXJYIOSI11OH fW)OOCTS May produce c:rarbon monoxide =~ I MAY OCQM Will t«JT OCCtJI and I carbon dioxide X I COIØT1ONS TO ',",0 if involved in fire. SEencH VN - SPILL OR LEAK PROCEDURES S1'EP!i TO lIE TAkEN IN CASE MATBIIAlIS RElEASED æ SPlWD Vacuum spillage or absorb onto sand or othør inert material. waste containers for disposal. Place into ....oJ WASTE DISPOSAL MrntOD Dispose in accordanc~ with federal, state and local regulations. IEencH VIII - SPECIAL PROTEC11ON INFORMA11O" IEPtAATIJIY flN)TECT1ON (SPECIFY TYPE) Not re uired. VBmLA OON lOCAl EXHAUST SPECIAl MEQWltCAI.. (GENERAL) OTHER x rm;~rGUMS one PfIOTECTM EWRIENT E.J:..ot~C'tiv~ C'overRll!'! Rnr1 rllhhpr $'IprnQ if 9pills are likQly. EYE PROTtCTlON Chemical goggles SEmoN IX - SPECIAL PRI!CAU11ONI PRECmOONS TO BE TAKEN IN HANDlING ANI) STælHG Avoid eye and bodily contact. Keep out of reach of children. Keep container closed when not in use. one ffIECAtJTMJ.s Whilt' the ,"formation and recommendations set forth herein are believed to be accurate as of the date hereof. Aqua Treat Chemicals tnc, makes no warranty with J:!~.P..!'-,:t. ~!~~tc?' ~."-d ~i~~~~ms ~I.I ,1~~~~lity. fro~ ~!h~_np~ t~~,~~_o~, '__", .. _ ' , AQUA TREAT CHEMICALS INC. 881 Crestview Drive. San Carlos, Califnrnia 9407Ö (415) 593-2100