HomeMy WebLinkAboutBUSINESS PLAN 10/17/2000
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This permit Is lšsued for the following:
It! Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program '
o Hazardous Waste On-Slte Treatment
Permit ID #:: 015-000-000049
SIGNET HARDWARE INC
LOCATION: 985 E TRUXTUN AVE
Issued by:
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Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES-
1715 Chester Ave., 3rd Floor Approvedby:'
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
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Issue Date
'June 30, 2003
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Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
':'~@~rdous Materials Plan
"una. round Storage of Hazardous Materials
,gagement Program
Waste
985 E TRUXTUN
PERMIT ID# 015-021-000049
SIGNET HARDWARE INC
LOCATION
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
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ffice of ' ental Servi es
Approved by:
June 30, 2000
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DATE: 5/29/87 FACILITY NAl'lE: ¡, ' ' UNIT .., OF
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DATE: 5/29/87 FACILITY NA!\fE : Same as Above~ UNIT :: lOF 1
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FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395·1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326·0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
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October 17, 2000
Signet Hardware Inc.
Marcia Scatena, CFO
P. O. Box 6247
Bakersfield, CA 93386
Dear Ms. Scatena:
This letter is in reply to correspondence received from you. Unfortunately
these letters went to the Finance Department and did not make it to our
office until September 13, 2000. Sorry for the delay but I am just now
getting to them in my stack of paperwork.
In the first letter dated June 19, 2000 you tell us that the hazardous
material will be removed from 985 E. Truxtun Ave. on June 30, 2000. We
have closed your existing hazardous materials business plan and fixed it so
that you will not get a bill for the next fiscal year.
The second letter dated August 30, 2000 in which you return a copy of
your Statement of Account with the following questions. "What is this
for?" This is your hazardous materials billing that you have been paying
annually since 1987. "What time period does it cover?" The time
period for this billing is July 1, 1999 through June 30, 2000. "What
department is this from?" This is from the Fire Department, Office of
Environmental Services.
The Statement you returned dated 8-1-00 does not give detail because it is
simply a reminder notice to the original mailed on June 1, 2000. An
original can be regenerated for you through finance showing the detailed
breakdown of the $124.50 due. You will continue to receive a Statement
of Account, on the first of the month, until this account is paid.
I hope this helps clarify this matter and if I can be of further assistance
please do not hesitate to call.
SincereIY'!1
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. Esther Duran
Office of Environmental Servcies
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SIGNET HARDWARE, INC.
POST OFFICE BOX 6247
BAKERSFIELD, CALIFORNIA 93386
June 19,2000
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Gi-ty-o.f--Ba-ker..sfigld---
P.O. Box 2057
Bakersfield, CA 93303-2057
--,------ --
RE: Haz Mat
To Whom It May Concern:
As of June 30, 2000, the Hazardous Material at 985 East Truxtun
Ave., Bakersfield, CA 93305 will be removed from the property.
Please remove Signet Hardware Inc. from the Haz Mat customer list.
Customer #2811, Type ES/2811.
Thank you,
~/
.'~~na,CFO
(661) 327-0994 . FAX (661) 327-9372
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SIGNET HARDWARE, INC.
POST OFFICE BOX 6247
BAKERSFIELD, CALIFORNIA 93386
August 30, 2000
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P.O. Box 2057
Bakersfield, CA 93303-2057
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City Manager
Enclosed is a copy of a bill I received from your office. Before I will
pay this bill, I need to know what is this for, what time period
does it cover, what department is this from?
Please send a different bill showing all the information requested.
~---- -- -...-.-- ---
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~-~;~'Hardware Ine.· - --~-
Marcia Scatena, CFO
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(661) 327-0994 · FAX (661) 327-9372
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e STATEMENT OF ACCoUNTe
CITY OF BAKERSFIELD
POBOX 2057
BAKERSFIELD, CA 93303-2057
(661)326-3979
Tù: 8IGNET HARDWARE INC
PO BOX 6247
BAKERSFIELD, CA
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DATE: 8/01/00
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---CHARGE DATE DESCRIPT-ION~:,~tJ..;:;_' ,";~\~;1", i j R,EF~~!~~BERDUE<DATE TOTAL AMOUNT
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FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
--------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- -------------- -
133. 00
----- ~- --,-
DUE DATE:
8. 50-
8/31/00
PAYMENT DUE:
TOT AL DUE:
124. 50
$i24. 50
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04/27/92
SIGNET HARDWARE INC 215-000-000049
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 985 E TRUXTUN AV Map: 103 Hazard: Minimal
Community: BAKERSFIELD STATION 02 Grid: 30B FlU: 1 AOV: 0.0
.--- Contact Name Title Business Phone - 24-Hour Phone
JERRY SCATENA PRESIDENT (805) 327-0994 x (805) 872-7107
( ) - x ( ) -
Administrative Data
Mail Addrs: 985 E TRUXTUN AV D&B Number: 06-383-4527
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5072
Owner: JERRY SCATENA Phone: (805) 327-0994
Address: P 0 BX 6247 State: CA
City: BAKERSFIELD Zip: 93386-
Summary
RECEIVED
I MAYO 1 1992
J-A 7 Mð.T. O!V.
o~
Up MrJr~r~of~~~~ Do he"''''' .lhaYe
lí®wI@w~d the ~M9 ~azarious "11,U~ fMIII8ge-
ment plan for s i ~~=1i~ -00 that It .ng 'with
~ oon'e~ioUiJ~ coo$UtQJte a complete andcorred man-
ag~m~m pl~fof, my facility.
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04/27/92
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SIGNET HARDWARE INC 215-000-000049
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 C02/ARGON
~ Fire, Pressure, Immed Hlth
Gas
386 Minimal
FT3
CAS #: 128-38-9
Trade Secret: No
Form: Gas
Type: Mixture Days: 365 ,Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily AverageFT3 --r-- Annual Amount FT3 --
386 I 250.00 I 2,500.00
- Conc l
75.0% Carbon Dioxide
25.0% Argon
T Temp ~
Ambient 8W CORNER
}\.IE..
Components
Location
OF SHOP
Storage r Press
PORT. PRESS. CYLINDER Above
~ MCP fjList
Minimal
Minimal
02-002 ARGON
~ Fire, Pressure, Immed Hlth
Gas
80 Minimal
FT3
CAS #: 7440-37-1
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual 'Amount FT3 --
80 I 60.00 I '. 480.00
T Temp ~
Ambient 8'W- CORNER
IV\C..
Components
Location
OF SHOP
Storage r Press
PORT. PRESS. CYLINDER Above
- Conc -I
100.0% Argon
r; MCP :-rList
Minimal I
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04/27/92
SIGNET HARDWARE INC 215-000-000049
00 - Overall Site
<D> Notif./Evacuation/Medical
Page
3
<1> Agency Notification
CALL 911
FIRE DEPARTMENT - 326-3911
<2> Employee Notif./Evacuation
INTERCOM SYSTEM AND CALL 911.
<3> Public Notif./Evacuation
HAZARDOUS MATERIALS DIVISION 326-3979
STATE OFFICE OF EMERGENCY SERVICES 1-800-852-7550
EMERGENCY 911
<4> Emergency Medical Plan
BAKERSFIELD OCCUPATIONAL MEDICAL - 4580 CALIFORNIA AVE - 327-4527.
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04/27/92
SIGNET HARDWARE INC 215-000-000049
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
Page
4
<1> Release Prevention
ALL CANS REMAIN COVERED UNLESS IN USE. CLEAN-UP AS DIRECTED BY MFG.
<2> Release Containment
<3> Clean Up
AS DIRECTED BY MANUFACTURER AND PUBLIC AGENCY
<4> Other Resource Activation
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04/27/92
SIGNET HARDWARE INC 215-000-000049
00 - Overall Site
Page
5
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHEAST CORNER OF PROPERTY NEAR STREET
B) ELECTRICAL - NORTHEAST SIDE OF BUILDING NEAR REAR ENTRANCE
C) WATER - NORTHEAST CORNER OF PROPERTY NEAR STREET
D) SPECIAL - NONE /
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
FIRE HYDRANT - NORTHEAST CORNER OF PROPERTY - EAST TRUXTUN AND OWENS
<4> Building occupàncy Level
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04/27/92
SIGNET HARDWARE INC 215-000-000049
00 - Overall Site
Page
6
<G> Training
<1> Page 1
WE HAVE 9 EMPLOYEES AT THIS FACILITY
WE DO Ne~ HAVE MATERIAL SAFETY DATA SHEETS ON FILE (11-20-90)
BRIEF SUMMARY OF TRAINING: KEEP AREA CLEAN - IF FIRE OCCURS - USE FIRE
EXTINGUISHER -- IF UNABLE TO CONTROL WAIT FOR FIRE DEPARTMENT. EVACUATION
OF BUILDING - SHUT-OFF ELECTRICITY AND GAS IF POSSIBLE.
--- - -
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------ ----
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
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Bakersfield Fire ~t.
Hazardous Materials Inspection
Date Completed
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Business Name:
RECEIVED
(DEe. 0 6 1990
HAZ. MAT. DIV.
Location:
CEIVED
DEC 0 3 1990
(Top right comer Business Plan)
Station No
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Inspector ~JŸWA~ ~Wlt>~ HA? "~AT. OJV.
Shift
Adequate Inadequate
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o
o
erification of Inventory Materials
Verification of Quantities
~I; ~rifiCatiOn of Location
~ Proper Segregation of Material
Comments:
o
o
o
o
Verification ofMSDS Availability
o
o
Number of Employees
Verification of Haz Mat Training
o
Comments:
o
Verification of Abatement Supplies & Procedures
o
Comments:
o
Emergency Procedures Posted
o
o
Containers Properly Labeled
Comments:
o
o
Verification of Facility Diagram
o
Special Hazards Associated with this Facility:
o
Violations:
FD 1652 (Rev, 3-89)
White·Haz Mat Div. Yellow-Station Copy Pink-Business Office
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SIGNET HARDWARE INC 215-000-00.9
Overall Site with 1 Fac. Unit
, 10/23/90
General Information
RECEiVED Page
OCT 3 , '990
1
Ci'85"
L,:,catic1rF: ·10e7 E TRUXTUN AV Map: 103 Hazat~d: MiI~limal
I Ident Number: 215-000-000049 Grid: 30B Area of Vul: 0.0
I I r--- Contact Name I Title Business Phone --y 24 Hour Phone
I JERRY SCATENA I ?___."c:.,,_"'" (805) 327-0994 x (805) 872-7107
N I C CCA'T"EMA-" < 805) 327-0994 x <-80::;) (57'1 834:1:-
I I ~ Admiþ.istrative Data I
I II Mail Addrs: _. I,._..,wl~ F\V ~ .O.1òo)( 6~~7 D&B Numbet~:OIo-3~3-'-1S"~11
City: BAKERSFIELD State: CA Zip: 933~ I
I Comm CÓd-e: 215-002 BAKERSFIELD STATION 02 SIC CClde: 6'b 1.+-.
Owrlet~: JERRY SCATENA Phc,rle: âo~n~ ì -(),t<!¥
I Address: P 0 BX 6247 State: CA
I City: BAKERSFIELD Zip: 93386-
I
Summat~y
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op .~ )j .
. ~. ~ ~ I, ffia~" ~_ Do he rob)' certify Ihai ! hmvs
/V~. (Typsorptintna"1e)". "'.".
~ 101 reviewed \1m .rtiac; "":; I1Bz&;( ·")G: "'~¡Bnals manags·
ment plar¡ ~~r_5~,~,r;;:~:;~~a;¡'j iÌ1i-it ¡~ along wi1h
any corraci.1Jils ~~L._:~.~:·£tI1.ú acümplete aridcorrOOi manØ
a~famsn~ plan for my facility.
10/23/90
SIGNET HARDWARE INC 215-000-000049
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
Pin-Ref Name/Hazards
F cl\'~m
Quantity
MCP
02-001 C02/ARGON
Fire, Pressure, Immed Hlth
Gas
386
Mi y"liroal
FT3
02-002 ARGON
Fire, Pressure, Imroed Hlth
Gas
80
Mi rd rna 1
FT3
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SIGNET HARDWARE INC 215-000-00 9
00 - Overall Site
Page
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10/23/90
<D} Notif./Evacuation/Medical
<1} Agency Notification
~~'" ~~-\:
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"'3:2.\, - 3 C\ \ \
<2} Employee Notif./Evacuation
INTERCOM SYSTEM AND CALL 911.
<3} Public Notif./Evacuation
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1þ ~.e~~ ~"'l ~ \\
~- <8'S"'~.. ì S-sv
<4} Emergency Medical Plan
BAKERSFIELD OCCUPATIONAL MEDICAL - 4580 CALIFORNIA AVE - 327-4527.
,.,~
10/23/90
SIGNET HARDWARE INC 215-000-000049
00 - Overall Site
Page
4
<E} Mitigatio~/Preve~t/Abatemt
<1) Release Preve~tio~
ALL CANS REMAIN COVERED UNLESS IN USE. CLEAN-UP AS DIRECTED BY MFG.
<2) Release Co~tai~me~t
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<3) Clear, Up
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<4) Other Resource Activatio~
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SIGNET HARDWARE INC 215-000-00"9
00 - Overall Site
Page
5
I 10/23/90
(F> Site Emergency Factors
(1) Special Hazards
, (2) Utility Shut-Offs
A) GAS - NORTH~ CORNER OF PROPERTY NEAR STREET
B) ELECTRICAL tJ4.EAST SIDE OF BUILDING NEAR -E.RGt4T EXTERIOR - R~ E~~~~
C) WATER - NORTH~CORNER OF PROPERTY NEAR STREET
D) SPEC I AL - NONE "e._\
E) LOCK BOX - NO
(3) Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
F~~;~A~~-t??~;:= ~ ?ebf'~/
£. \R-\A-ct. "'-i'.. ~ 0 LJe,-5
(4) Held for Future use
10/23/90
SIGNET HARDWARE INC 215-000-000049
00 - Overall Site
Page
b
(G) Tt~a i n i rIg
(1) Page 1
WE HAVE ~~ EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? pC
BRIEF SUMMARY OF TRAINING:
Ke.~ '<-2.-Q.." d~1/>.. - '--s:~ ~',,¡c...<2.- G\.C-.C.~e$- U$4- Q~,..~ '=-A'~^~I.I~~lla.t\.. - & ~<'\.\o~~
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(2) Page 2 as needed
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(4) Held for Future Use
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CITY of BAKERSFIELD
far. and Aqr;cu1tur,
I.-J
St.nd.rd Bus ,n'55
g
HAZARDOUS MATERIALS XNVENTORY
NON-TRADE SECRETS
.'
BUSINESS NAME: S\.~ I\.~ ~C\.œA.,_t')0~cZ-
LOCATION: ~ ~c5 ~ ~u ~~ ~
C I TV. ZIP :..Q. , 3.3 O~
PHONE ,: XDS- ::2;~7 ð., t:¡ 'I
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CITY. ZIP~~ q~
PHONE .: IM..;L.- ì I "'f,
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NAME OF Tft1S FACILITY: ~\
STANDARD IND. -CLÄSS CODE S"O 1 .;l..
DUN AND BRADSTREET NUMBER
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(C~k .11 that 'Ily)
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c-t n .... U.S. .....
~~5 O~
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c-t 13 .... C.'.S. .....
----
Phywic.1 and IIMhh "-rard
(C~k .11 that 'Ily)
c.'.S. .....
to.øanInt 11 .... C.'.S. ......
r-, r-" r-, ,--., r-,
L _ J Fir. HIl.rd L - oJ Reactivity L - oJ IMI.yed L - oJ SuddøI ..I.... L _ oJ I..,.t.
....Ith of Pressure IIMlth
c:.,on.nt n ..., C.'.S. ......
to.øanInt 13 ..., C.'.S. .....
,___1___l___________L____________l__________1____--'__L__1
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c.'.S. ....._____________________ to.øanInt 11 11-., C.,.S. .....
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H"lth of Pr..sure H"lth
c.....t 12 .... C.'.S. ......
---------------------- .....----
c:.,on.nt 13 ..., C... S. ........
"fRGENCY C,*UC1S ":~~~--~~------ ~~-~~g.-~~------- ~11-p~J-'22_- 1Z~~___""t.._-§..'!~.:t~A---- ~~.as.o~~_____ ~7j¡¿'1--
Certification (Read IInd sign lifter cO/llplf'ting 1111 sections}
·1 cl),rtHy und.r penalty of 1.. that I hav. ~rsan.l1y ....ined end .. fHili.r <11th till Infor..tion subllitt In this and .~1 IUlChed - that based an ., inquiry of thol.;;tndlV M01 res libl.
far,{obta,ninq till infor..tian, I "-li.v. that thf ,ubllitted infot'Ntion ;1 trw. .ccur.t., .' ¡r ,~ ___
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CITY of BAKERSFIELD
';
Fø,. ønd Aoricultur,
L-.J
St.nd.,d BUSlnrss
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HAZARDOUS' MATERIALS INVENTORY
NON - T R A DES E eRE T S P'9' ____ of ____
~:~:S=~"E' ~ = r;. "t ~ -¿:~~.. . =~=:D~:D T~. ~6n;f~~D;;
CITY .ZIP~~~ ~ q~3~ DUN AND BRADSTREET NUMBER
PHONE.: In.à.-;I "2 Q ~ - -3 t :5 - ':þ 5: ~2
IUrI"D :ro IIfSnfucrìoltS rolf PJrOPIlIt CODIlS
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BUSINESS NAME: S\~ ",-ëJ\ \\.~æ.Á~"!0¡tz-/Z..
LOCATION:. ~~~ ~ ~u\C~~ ;-
crTY. ZIP...(l , 33 0
PHONE': 'Xr'>5"' ':2,~7 ð"1 C¡t.¡
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C.A.S. ...._____
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Co.ponent 12 ...... C.A.S. IMber
----------------- -----
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'URGENCY c",ram .ç~~~--~~------ ~~-~~-~~------- ~~-p~Ji22- 1l~~.....""t..--§..~1~A---- ~~~.I.?~ß:.__ f-J:¡,,;,'1La-'1--
C.n If ¡Clt ion (Rf!lJd IInd s j !n II f t ~r co.p 1 p tJ ng IIll Sf!C tl ons J
I c..nlfyundl'r "",ltr of 1.. thlt I hlvI' þt~sonølly I'...intd tnd .. f..;I1" with tilt Infor..t;on su!.-itttd In this IIId .~1 InlChed ,<I.. ..... ~ " ;""''Yof ,.... :Þ01 I'M 11b11
fO'çobtlinin9 t~ inf_tlon. I bt1t.VI' thlt tht sut.itttd into....tion ~s true. ICCUrlt.. ~~. ' r ' ___ . ' .
':"~'--a-lli", -Qr;l-'.il~~, U~T-'$..ç..A.,,--~OR~-07~--.--.----.C=-.-=3---------r-.--- S'-- --~-- '-- - - --------------------- Oi !:st2 -!! ___2___________
... In Of \C I~ {H ,I' or O->I'rloþt'~to~ 0lIl11" O:lf'rolor S 'ULnur1l... ,.orrs.,,,.,,v, 1 url' {ïi '9
I"..' '. . '
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Date Completed Cf- to-liD HAZ. MAT. DIV.
~ \~Y\.e..+ +\-o.rdwâ~~ - ~~ ~ctL~ ,~.
\D ~ 7 £. \ (u.~ch..LV\ tl.v
-..::>:;:'.....',......;....._--0..- "- ...-....:.-"'"~---~
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Bakersfield Fire Dept.
Hazardous Materials Inspection
Business Name:
Location:
Plan ID # 215-000~Dob04 ~ (Top right comer Business Plan)
/ RECEIVED
SEP 1 2 1990
Station No.
'2-
ß
Inspector
ed~R~
Shift
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments:
Adequate Inadequate
D
D
D
D
D
D
D
o
Verification of MSDS Availability
Number of Employees
Verification of Haz Mat Training
Comments:
D
o
o
o
Verification of Abatement Supplies & Procedures
Comments:
o
o
Emergency Procedures Posted
Containers Properly Labeled
Comments:
D
o
o
o
Verification of Facility Diagram
Special Hazards Associated with this Facility:
o
o
Violations:
FD 16~12 (Rev. 3-89)
White-Haz Mat Div. Yellow-Station Copy Pink-Business Office
~
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BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
, (J) IA'£(J ~
It) 3- 3ø 8.,
RECEfVED
JUN 2 1987
Ans'd.
OFFICIAL USE ONLY
...........
ID#
fd~C1<i
!BUSINESS NAME
000049
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A~ 1 ~\.O
o D' Q;D~ r)~ , "I-j
, ~ ' \ocr . fA ~
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business
4. Be as brief and concise as possible.
as a whole.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME:
SIGNET HARDWARE, INC.
B. LOCATION / STREET ADDRESS: 1027 E, Truxtun Ave.
,.,.,
()~
t\~'?
( / 4..,
q'6S
~rJ6
ZIP:
CITY:
Bakersfield
\
9))05
BUS.PHONE: (805) 127-0994
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 requi~ed by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE
A. Jerry Scatena
DURING BUS. HRS.
Ph# 127-0994
B.
Nic scatena
Ph# 127-0994
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
AFTER BUS. HRS.
Ph# 87:::>-71°7
Ph# 871-8)41
A. NAT. GAS/PROPANE: N. W. Corner of P:ropArty nMH' Qt.rl"l"t.
B. ELECTRICAL: East side of Bld~ near tnA front - F,yt.l"r; (,\YO
C. WATER: N.W. corner of lJroperty near ~trp.p.t.
D. SPECIAL:
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
- 2A -
MSDSS? YES / NO
KEYS? YES / NO
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SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
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SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR VOUR BUSINESS AS A WHOLE
(ó 'f:-~~
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~'Ç~~
Dc.c-u.p ~'b~øl ~~\~
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SECTION 6: EMPLOVEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:,. .-...........,.........,.,...,..,..,..
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:....,..,.....,........".,
C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . , . . . . , . .
D. EMERGENCY EVACUATION PROCEDURES: , , , . , , . . . . . . . . , . ,
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: , ,'. . , , ,
INITIAL
YES@
YES @
~ NO
YES~
YES Œ9)
REFRESHER
YES NO
YES NO
YES NO
YES NO
YES NO
~ ~-~SECTION -7: -- HAZARDOUS-MATER-IAL-- - -- --.--- - .~-
--- ---~-- -, - ------- ---..---- -
--,
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS O~
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:..... ",:YËS'~
I, Marcia Scatena , certify that the above information is accurate,
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury,
'SIGNATURE-%...-~h TITLE
Treasurer
DATE
1)-29-87
- 2B -
.. ......
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BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
------
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:-
2.- TYP-E!-PRINT-YOUR-ANSWERS IN ENGLISH.
3~ Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as 90ssible.
- .-. --- --
FACILITY UNIT#
FACILITY UNIT N~~E:
.SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
All cans remaln cov.ered unless in use.
Clean-up as directed by MFG.
SECTION 2: NOTIFICATION AND EVACUATION PROCEDtJRES AT THIS UNIT' ONLY
Intercon system
Fire Extinguishers
daJI qH
- 3A -
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SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A, Does this Facility Unit _contain H:::.zardous ~¡aterials?, ,... G}) NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YE~
If No,· complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form #4A-l)
If Yes, complete a hazardous materials inventory form marked:
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
Fire Extinguisher
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Manhole 'in street.
SECTION 6: LOCATION OF UTILIT{ SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS¡PROPAN~~
N/W Corner of Property near street
B. ELECTRICAL:
East
'-¡--- -
side of Bldg near front - Exterior
- - -.>- ---
C, WATER:
N.W corner of property near street
!), SPECIAL:
E. LOCK BOX: YES err YES, LOCATION:
IF YES, SITE PLANS?
FLOOR PLMiS?
YES / NO
YES / NO
MSDSs?
KEYS?
YES / NO
YES / NO
- 3B -
-- -- ------------ --------- ---------- -- ----
.
BAKERSFIELD CITY FIRE DEPARTMENT ..
1.0. # FORM 4A-l of ..~':,
Page - -
NON-TRADE SECRETS ~
. -
HAZARDOUS MATERIALS I, NVENTORV ¡
. ,
BUSINERS NAME: Signet Hardware--Inc. OWNER NAME: Jerry Scatena FACILITY UN.IT #: ,
ADDRESS: 1027 E. Truxtun Ave. ADDRESS: P.O. Box 6247 FACILITY UNIT NAME:
CITY, ZIP: Bakersfield. 9'3'305 CITY, ZIP:' Bakersfield. 9'3'386
PHONE #: '327-0994 PHONE #: 872-7107 10FFICIAL USE CFIRS CODE
ONLV. ,
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
CODE AMOU.NT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
\\M" 6C¡~ \ 1Q30 75% CO2 !;JSY
'~, ''¡ C; .llf t '1 04 42 S.W. Corner of Shop 2'5% Argon o- j 3lf-:> NFLG --
.' rf ~O~ ft.'O
j) 1- 2 u.ft3 04 42 S.W. Corner of Shop 100% Argon i'3bS NFLG
M '14GAL \, 66 Gal 13 03 Middle of Bldg Spray Paint - Various Mfg. FLLQ
~ G~\- 3 GJ\.L \3 O~ ~~~ \'e. ~ ~\~~ c \ P'O'.... e.- r L.LQ.
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NAME: Marcia Scatena TITLE: Treasurer SIGNATURE:......-.: / .Á.. ~) DATE: 6/1/87
EMERGENCY CONTACT: Jerry Scatena TITLE: President /" PHONE # BUS HOURS: 327-09)/4
.. . , AFTER BUS HRS: 'd,?'¿-,?.lO,?
EMERGENCY CONTACT: Nic Scatena TITLE: Shop Foreman PHONE # BUS HOURS: )'¿'!-o)/y4
PRINCIPAL BUSINESS ACTIVITY: Sell Builders hardware & Hollow Metal Doors AFTER BUS HRS: 'd'?.l-'d)41
- 4A-l -