HomeMy WebLinkAboutBUSINESS PLAN
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dALL~~S:INSTITUTIONAL FOOD SVC
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CommCode:,BAKERSFIELD
EPA Numb:
SiteID: 215-000-001122
Manager :
Location:
City
(805) 631-5505
CommHaz : Minimal
FacUnits: 1 AOV:
C Code:
nBrad:16-128-8055
Emergency Contact / Title
'LEONARD F. GALLAND / OWNER
Business Phone: (805) 631-5505x
24-Hour Phone : (805) 871-3792x
Pager Phone () x
Emergency Contact / Title
JOSEPH M. GALLAND / WAREHOUSE MANAG
Business Phone: (80S) 631-5505x
24-Hour Phone (805) 397-6851x
Pager Phone : () X
Period
Preparer:
Certif'd:
to
Fire Press ImmHlth DelHlth
Phone: ( x
State: CA
Zip 93385
Phone: (805) 631-5505x
State: CA
Zip 93306
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Hazmat Hazards:
Contact :
MailAddr: PO BOX 3007
City BAKERSFIELD
Owner
Address
City
LEONARD F. GALLAND
4508 CORONADO AVE
BAKERSFIELD
Emergency Directives:
One Unified List ì
All Materials at Site ì
F Hazmat Inventory
~ MCP+DailyMax Order
Hazmat Common Name...
SpecHaz
DailyMax MCP
582.00 FT3 Ext
593.00 FT3 Low
335.00 FT3 Low
55.00 GAL Low
286.00 FT3 Min
PROPANE
R-502
R-22
CRANKCASE OIL
R-12
L
G
G
DH L
F P IH G
Do hsrsby carmy ~hSlt i havs
attached hazardous materials manage-
and that it along with
(Nmme of Business)
a y corrections constitu~e s complete and correct man-
SignaiIW 1
Dew
12/20/1999
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F GAL~;INSTITUTIONAL FOOD SVC
f= IRventory Item 0005
= COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 215-000-001122 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit Map: Grid:
SW CORNER OF BREAKROOM AND ON FORKLIFT IN FROZEN FOOD STORAG CAS #
64742-48-9
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
582.00 FT3
Daily Avèrage
582.00 FT3
%Wt. RS CAS #
100.00 Propane Yes 74986
HAZARDOUS COMPONENTS
T
TSecret RS Bioßaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Ext
HAZARD ASSESSMEN S
f= Inventory Item 0001
= COMMON NAME / CHEMI CAL NAME
R-502
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
IN CONDENSING UNIT
Map:
Grid:
CAS #
76-15-3
- TYPE
Mixture
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
593.00 FT3
Daily Average
425.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
51. 20 Chloropentafluoroethane No 76153
48.80 Chlorodifluoromethane No 75456
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount, EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-2-
12/20/1999
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F GALL~'INSTITUTIONAL FOOD SVC
p= IRventory Item 0003
= COMMON NAME / CHEMICAL NAME
R-22
SiteID: 215-000-001122 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
IN CONDENSENING UNIT
Map:
Grid:
CAS #
75-45-6
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
335.00 FT3
Daily Average
112.00 FT3
%Wt. RS CAS #
100.00 Chlorodifluoromethane No 75456
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
HAZARD ASSESSMENTS
p= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
CRANKCASE OIL
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
WEST END OF MAIN BLDG
Map:
Grid:
CAS #
8002059
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
HAZARD US COMP NENTS
%Wt . RS CAS #
100.00 Petroleum Unrefined Hydrocarbons No 8002059
o 0
HA
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
ZARD ASSESSMENTS
-3-
12/20/1999
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F GALLANDS'INSTITuTIONAL FOOD SVC
p= Inventory Item 0002
~ COMMON NAME / CHEMI CAL NAME
R-12
SiteID: 215-000-001122 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
IN CONDENSING UNIT
Map:
Grid:
CAS #
75-71-8
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
286.00 FT3
Daily Average
127.00 FT3
%Wt. RS CAS #
100.00 Dichlorodifluoromethane No 75718
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD ASSESSMENTS
-4-
12/20/1999
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F GAL~ANDS'INSTITUTIONAL FOOD SVC
I
f='Notif./Evacuation/Medical
Agency Notification
SiteID: 215-000-001122 ì
Fast Format ì
Overall Site ì
06/18/1991
CALL 9-1-1. IF SPILL EXCEEDS 200FT3 CALL BAKERSFIELD HAZARDOUS MATERIALS
DIVISION 326-3979. ALSO CALL AND NOTIFY CALIFORNIA OFFICE OF EMERGENCY
SERVICES 1-800-852-7550.
Employee Notif./Evacuation
06/18/1991
VERBAL NOTIFICATION. IF EVACUATION IS NECESSARY EMPLOYEE IS TO NOFITY
IMMEDIATE SUPERVISOR WHO IS RESPONSIBLE FOR NOTIFYING ALL EMPLOYEES TO
EVACUATE TO A DESIGNATED PLACE AND ACCOUNT FOR ALL EMPLOYEES.
Public Notif./Evacuation
06/18/1991
VERBAL EVACUATION. SIMILAR TO EMPLOYEE NOTIFICATION AND EVACUATION
Emergency Medical Plan
06/18/1991
IF AN EMPLOYEE IS SERIOUSLY INJURED CALL 911 FOR MEDICAL ASSISTANCE. A NON
LIFE THREATENING OR NON SERIOUS INJURY THE EMPLOYEE OR SUPERVISOR WOULD
CONTACT: DR. WILLARD CHRISTIANSON, 2021 22ND ST, (805) 327-0617.
-5-
12/20/1999
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íë Mitigation/Prevent! Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡
íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/18/1991 j
o 0
o ALL REFRIGERANT, EXCEPT A SMALL AMOUNT, IS USED IN REFRIGERATION SYSTEMS 0
o WHICH ARE IN GOOD WORKING ORDER. ANY SPARE REFRIGERANT, IN A SMALL AMOUNT, 0
o IS STORED IN PRESSURIZED CYLINDERS IN CARDBOARD BOXES ON A LOW SHELF BACK 0
o OUT OF THE NORMAL EVERYDAY TRAFFIC AREAS. 0
o
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o ALL CONDENSING UNITS AND EV APORA TOR UNITS ARE KEPT IN GOOD CONDITION"
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íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/18/1991 j
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íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
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íë ~ite Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j
íëë Special IIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
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íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/18/1991 i
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o NATURAL GAS - SOUTHEAST CORNER OF BLDG
o ELECTRICAL - INSIDE MAIN BLDG #1 BY MENS RESTROOM/WEST WALL
o WATER - ACROSS UNION AVE BY LONGFELLOW SCHOOL
o SPECIAL _ NONE 0
o LOCK BOX _ NO 0
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íëëëë Fire Protec.lAvail. ~ater ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/18/1991 j
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íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
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íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10120/1992 ¡
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o 0
o
o WE HAVE MSDS SHEETS ON FILE.
o
o
o
o BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TO READ THE MSDS SHEETS ON 0
o ALL REFRIGERANTS. THEY ARE ALSO CAUTIONED THAT ALL REFRIGERANT CYLINDERS 0
o ARE UNDER PRESSURE AND SHOULD BE HANDLED CAREFULLY. 0
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12120/1999
e
CU\T"e & NO. i?5 - 3S33
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE3- /~ -~
NEW ACCOUNT 1
ADDRESS CHANGE
CLOSE ACCT I
: FINANCE CHARGE
, OTHER ADJ I
CUSTOMER NAME .~ tc::LWÀs IfìCS+rl~Ut-'(() (\.aJ 'Fa:x:::l SeJV
MAILING ADDRESS r ~ 0 ~ 8t:Y'{ ~(!) 7
CITY ßa1-~,S~\ L-\~ STATE (ù À- ZIP CODE q~~'6ç
SITE ADDRESS 3;;)07 ~I~,&v'f
--
PARCEL NUMBER
(IF APPUCABLE)
ADJUSTMENT
I
R~~~S: b~; ttö ~ùrck~~ slojJ'v~
. APPROVED BY 4~ =-:-
PerDl.it
to
Operil.te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
rdous Materials Plan
round Storage of Hazardous Materials
agement Program
Waste
3207
PERMIT ID# 015-021.001122
GAlLANDS INSTITUTIONAL F "::
LOCATION
, Issued by:
-......
UNION
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 Services
Approved by:
Expiration Date:
June 30, 2000
-- HM705001
Account Number
e
e
ACCOUNTS RECEIVABLE ADJUSTMENT
July 22, 1993
Date
Esther Duran
From
New Address
Close Account
Service Chan e
Other Adjustments X
Fire Department - Hazardous Materials Division
Department/Division
GALLAND'S INSTITUTIONAL FOOD
Billing Name
3207 UNION AVE
Billing Address
Site Address
Parcel # (if Applicable)
Landlord Name & Address (If Applicable)
ADJUSTMENT
Last Billed Correct Billing Adjustment to Effective Date of
Billing Change
<8.25> 01/01/93
,
-
~~
Ap rov B; , ,
Remarks: PAYMENT ON THIS ACCOUNT WAS POSTED ON 3-8-93. WE AGREED TO ADJUST OFF
THE PENALTY AND FINANCE CHARGES WHICH HAVE BEEN ACCUMULATING MONTHLY.
,
.~1;
BAKER~IELD CITY FIRE DEP~
HAZARDOUS MATERIALS INVENTO
DJ l£ ~ l£ U \~I U;;~
1"1 ENli 5 1993 U
V e.:.2- 01.::2-
By
DATE:
14 JANUARY 1993
Business Name GALLAND'S INSTITUTIONAL FOOD SVC Address 3207 UNION AVENUE ~ERSFIELD, CA 935UJ
CHEMICAL DESCRIPTION V
1) INVENTORY STATUS: New [ ) Addition pq Revision [ ) Deletion [ ) Check if chemical is a NON TRADE SECRET [ ) TRADE SECRET ¡Xf
2) Common Name: UNOCAL GUARDOL MOTOR OIL 40 3) DOT # (optional)
Chemical Name: CRANKCASE OIL AHM [ ) CAS #
4) PHYSICAL & HEALTH Fire iJ PHYSICAL HEALTH
HAZARD CATEGORIES Reactive [ ) Sudden Release of Pressure [ ) Immediate Health (Acute) [ ) Delayed Health (Chronic) [ )
5) WASTE CLASSIFICATION (3·digit code from DHS Fonn 8022) USE CODE :J(ð
6) PHYSICAL STATE Solid [ ) Uquid pq Gas [ ) Pure ~ Mixture [ ) Waste [ ) Radioactive [ )
OIECK ALL mAr APPLY
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 55 GAL Ibs r I gal (XI ft3 [ I a) Container: DRUM C:,
Average Daily Amount: 55 GAL curies [ I b) Pressure: 1
Annual Amount: 55 GAL c) ,Temperature: AMBIENT
Largest Size Container: 55 GAL -
# Days On Site 365 Circle Which Months: cAli YearJJ. F. M, A, M, J, J, A, S, O. N. D
9) MIXTURE: Ust COMPONENT CAS # %WT AHM
the three most hazardous 1) SEE MSDS - t'tL.-\-m\D dfY'o.. ~ðruC.~ ',' 100 ( )
chemical components or
any AHM components 2) ( I
I 3) ( I
10) Location WEST ENÓ OF MAIN BUILDING
CHEMICAL DESCRIPTION V
1) INVENTORY STATUS: New [ I Addition f<~ Revision [ I Deletion ( I Check ¡fchemical is a NON TRADE SECRET >tX I TRADE SECRET ( I
2) Common Name: PROPANE 3) DOT # (optiona~
Chemical Name: PROPANE AHM [ I CAS # 74-98-6
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire ¡(xl Reactive [ I Sudden Release of Pressure D<t Immediate Health (Acute) [xl Delayed Health (Chronic) [ )
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE lor
6) PHYSICAL STATE Solid [ ) Uquid [X Gas [ ) Pure [)( Mixture [ ) Waste [ I Radioactive [ I
ClIECJ( AU. nlAr APA. r
7) AMOUNT AND TIME AT FACIUTY Ib GAL:-S8l p¡-3 UNITS OF MEASURW 8) STORAGE CODES
Maximum Daily Amount: Ibs ( I gal'~ ft3 a) Container: CYLI NDER 4
Average Daily Amount: 1& GAL~ sß2- p¡3 curies I b) Pressure: YES 1
Annual Amount: 364 GAL;: I?'Z4foFï3. c) Temperature: AMBIENT
Largest Size Container: 8 GAL
# Days On Site 365 Circle Which,Months: ~II YeãrJJ. F, M, A. M. J. J. A. S. 0, N, D
9) MIXTURE: Ust ':i) COMPONENT CAS # %WT AHM
the three most hazardous 1) .Oj~", 74 -'78 - c., \CO [ I
chemical components or
any AHM components 2) ,. ( I
~ 3) [ I
10) Location SOUTHWEST CORNER OF BREAK ROOM '1 Of) ~í'(,l ~{;r ',(\ -¡:"',,"ZI ..... c.. f'I ~ ~\ðCf
certify under penalty of law, that I have personally exammed and am familiar with'the mfomabon mJbmined on thIS and ell attiJched documents. I IJelleve me
submitted information is true, accurate, and complete.
SUZANNE D ANDERSON BOOKKEEPER
PRINT Name & Title of Authorized Company Representative
~.d¿fAUh~
1/14/93
Date
"'__3Q UllOa
,
A£œotV lEPCSt'N«)MOFCI'U
~~
Bakersfield Fire D~
HAZARDOUS MATERIALS DIVISION
Date Completed f 2- - 2-8 _:~ L
e
Business Name: G -A LL-~ IVD S
location: '3 '2...0 7 (j fJ 10 r-J
Business Identification No. 215-000 t l 2. L
-4 Shift S
/'
RECEIVED
DEC 3 0 1992
(Top of Business Plan) HA7 t\AAT. OlV.
Inspector &o-n I ßRC()I/:.S Irs AL-L~æ.D
{
Inadequate
D ø
D ~
{J D
Proper Segregation of Material B 0
, Comments: NDP(èc)fA~ie j 55 GAL. Devt'V'\.. {v)/I "Tð(ê. <' (\__; upeilØH'\ o¡e()(\'"'\ .
Station No.
/J9I! i\"
~I ~ .II' I
C;,/
Verification of Inventory Materials
Verification of Quantities
Verification of location
Verification of MSDS Availablity
~
umber of Employees
Verification of Haz Mat Training
Adequate
JZ]
o
~
o
Verification of Abatement Supplies & Procedures
Comments:
ø
o
Emergency Procedures Posted
Containers Properly labeled
Comments:
~
9'
o
o
o
Verification of Facility Diagram
Special Hazards Associated with this Facility:
~
Violations:
All Items O.K. 0
Correction Needed ~
(ji..Ji-IE{2.. ~(LL- UPOA7'E: PL:A tJ ,A,N 0
CÙìU7ÂC:, J-t-A2....- MAl
White-Haz Mat Div. Yellow·Station Copy Pink-Business Copy
Business Owner/Manager
FD 1652 (Rev. 1-90)
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09/03/92
GALLANDS INSTITUTIONAL FOOD SVC 215-000-001122
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 3207 UNION AV
Community: BAKERSFIELD STATION 04
Map: 103 Hazard: Minimal
Grid: 20C FlU: 1 AOV: 0.0
Contact Name
LEONARD F. GALLAND
Title
Business Phone
(805) 631-5505 x
(805) 631-5505 x
24-Hour Phone
(805) 871-3792
(805)
':::)0:5 e
OWNER
WAREHOUSE MANAGER
Administrative Data
Mail Addrs: POBOX 3007
City: BAKERSFIELD
Comm Code: 215-004 BAKERSFIELD STATION 04
Owner: LEONARD F. GALLAND,
Address: 4508 CORONADO AV
City: BAKERSFIELD
Phone: (805) 631-5505
State: CA
Zip: 93306-
Summary
RECEtVE
5EP , 6"992
HAZ. MAT. OW.
~~..&DnaYd GallaY"lo. 00 hereby csrti1y ~hat ij hav~
(Type or prlht nsnw)
ú"svi@wed the attached hnZ9yd;:;~]s materials managso
Ga Ila}'ld!s :Lns.tl'
msnt plan forJ:Qgd,.,,5f:;,'(/!' ~~..,:;:',f: ~¡K~t it alonG with
(t·,:· ~"'& :-0;- ~i.l::;ltr.;. ....;
~U1y corrections coristituts a complete and correct mai1ø
~gsm~ni plai1 ~oU' my 1acmW·
éI
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~~ qf¡¿./¡ 2---
Signature l , I DatÐ
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09/03/92
GALLANDS INSTITUTIONAL FOOD SVC 215-000-001122
\ 02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 R-502
~ Fire, Pressure, Immed Hlth
Gas
593 Low
FT3
CAS #: 76-15-3
Trade Secret: No
Form: Gas
Type: Mixture Days: 365 Use: COOLING
Daily Max FT3 ----r-- Daily Average FT3 ~, Annual Amount FT3 --
593 I ' 425.001 425.00
Storage r Press T Temp -:I Location
PORT. PRESS. CYLINDER Above Ambient 1 IN CONDENSING UNIT
Components
Chloropentafluoroethane
Chlorodifluoromethane
ΠMCP lList
Low
Low'
Conc
51.2%
48.8%
02-002 R-12
~ Fire, 'Pressure, Immed HI th
Gas
286 Minimal
FT3
CAS #: 75-71-8
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: COOLING
Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 ~
286 1 127.00 1 127.00
Storage r Press T Temp -:I Location
PORT. PRESS. CYLINDER Above Ambient IN CONDENSING UNIT
- Conc ~ Components
100.0% Dichlorodifluoromethane
I~ MCP -=--rList
Minimal I
02-003 R-22
~ Fire, Pressure, Immed Hlth
Gas
335 Low
FT3
CAS #: 75-45-6
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: COOLING
Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 --
335 1 112.00 1 112.00
Storage r Press T Temp -:ì Location
PORT. PRESS. CYLINDER Above Ambient IN CONDENSENING UNIT
- Conc ~
100.0% Chlorodifluoromethane
Components
C' MCP ---rList
¡Low I
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09/03/92
GALLANDS INSTITUTIONAL FOOD SVC 215-000-001122
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 9-1-1. IF SPILL EXCEEDS 200FT3 CALL BAKERSFIELD HAZARDOUS MATERIALS
DIVISION 326-3979. ALSO CALL AND NOTIFY CALIFORNIA OFFICE OF EMERGENCY
SERVICES 1-800-852-7550.
<2> Employee Notif./Evacuation
VERBAL NOTIFICATION. IF EVACUATION IS NECESSARY EMPLOYEE IS TO NOFITY
IMMEDIATE SUPERVISOR WHO IS RESPONSIBLE FOR NOTIFYING ALL EMPLOYEES TO
EVACUATE TO A DESIGNATED PLACE AND ACCOUNT FOR ALL EMPLOYEES.
<3> Public Notif./Evacuation
VERBAL EVACUATION. SIMILAR TO EMPLOYEE NOTIFICATION AND EVACUATION
PROCEDURES.
<4> Emergency Medical Plan
~
IF AN EMPLOYEE IS SERIOUSLY INJURED CALL 911 FOR MEDICAL ASSISTANCE. A NON
LIFE THREATENING OR NON SERIOUS INJURY THE EMPLOYEE OR SUPERVISOR WOULD
CONTACT: DR. WILLARD CHRISTIANSO~, 2021 22ND ST, (805) 327-0617.
~
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09/03/92
GALLANDS INSTITUTIONAL FOOD SVC 215-000-001122
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL REFRIGERANT, EXCEPT A SMALL AMOUNT, IS USED IN REFRIGERATION SYSTEMS
WHICH ARE IN GOOD WORKING ORDER. ANY SPARE REFRIGERANT, IN A SMALL AMOUNT,
IS STORED IN PRESSURIZED CYLINDERS IN CARDBOARD BOXES ON A LOW SHELF BACK
OUT OF THE NORMAL EVERYDAY TRAFFIC AREAS.
<2> Release Containment
ALL CONDENSING UNITS AND EVAPORATOR UNITS ARE KEPT IN GOOD CONDITION.
<3> Clean Up
ANY RELEASE OF REFRIGERANT WILL VAPORIZE AND RISE INTO THE ATMOSPHERE.
<4> Other Resource Activation
~ r ~ ..
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09/03/92
GAL LANDS INSTITUTIONAL FOOD SVC 215-000-001122
00 - Overall Site
Page, 5
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
NATURAL GAS - SOUTHEAST CORNER OF BLDG
ELECTRICAL - INSIDE MAIN BLDG #1 BY MENS RESTROOM/WEST WALL
WATER - ACROSS UNION AVE BY LONGFELLOW SCHOOL
SPECIAL - NONE
LOCK BOX - NO
Q
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
NEAREST FIRE HYDRANT - ????????
<4> Building Occupancy Level
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09/03/92
GALLANDS INSTITUTIONAL FOOD SVC 215-000-001122
00 - Overall Site
Page
6
<G> Training
<1> Page 1
,+-
WE HAVE'~MPLOYEES AT THIS FACILITY (ONLY 2 OFFICE PERSONNEL ON SITE).
WE HAVE MSDS SHEETS ON FILE.,
BRIEF SUMMARY OF TRAINING PROGRAM - EMPLOYEES ARE TO READ THE MSDS SHEETS ON
ALL REFRIGERANTS. THEY ARE ALSO CAUTIONED THAT ALL REFRIGERANT CYLINDERS
ARE UNDER PRESSURE AND SHOULD BE HANDLED CAREFULLY.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
/
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e
Bakersfield Fire D!tt.
Hazardous Materials Division
2130 "G" Street
, 'Bakersfield CA 93301
7 ó5"oo 1
~~.\
~_1
Itdd
- ' ,
HAZARDOUS MATERIALS MANAG-EM'ENT-P[AN--~-
INSTRUCT10 NS:
I D?:> --;;10 L
1.
2
3.
4.
To avoid further action. return this form within 30 days of receipt. 0-, ,
TYPE/PRINT ANSWERS IN ENGLISH. 1J,... y- U
Answer the questions below for the business as a whole. -l RECEIVED
Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
,lAY 1 5 1991
HAZ. MAT. DIV.
BUSINESS NAME:
GALLAND'S INSTITUTIONAL FOOD SERVICE
LOCATION:
3207 UNION AVENUE
MAILING ADDRESS: POBOX 3007
CITY: BAKERSFIELD
'Çpr T~'f :t.!).::::'-
DUN Bl'BRADSTREET NUMBER:
STATE;~ZIP:
77-0128883
16-128-8055
Q'nR'1 PHONE: Rn'i/f.11 'i'in'i
SIC CODE:
PRIMARY ACTIVITY: DISTRIBUTION OF FROZEN FOODS
OWNER: LEONARD F GALLAND
MAILING ADDRESS: 4508 CORONADO AVENUE, BAKERSFIELD, CA 93306
SECTIO N 2: EMERGENCY NOTIF1CATlON:
CONTACT TITLE BUS. PHONE. 24 HR. PHONE
1. LEONARD F GALLAND OWNER 631-5505 871-3792
\ WAREHOUSE
2. WILLIAM GALLAND MANAGER 631-5505 871-1367
1. '
FO!'
e Bakersfield Fire Dept. e
Hazardous Materials Division
.·HAZARDOUS MATERIALS MANAGeMENT PLAN
, '
SECTION 3: TRAINING:
NUMBER OF EMPlOYESS: 22
[2. OFFICE PERSONNEL ON SITE]
---.., ---- ~_.. ---..
- -.. -'-'-~'
. ..~ --.' ...--- ___nO
::: ':__-.n-_·-':---·-_·_·-~~::"é" -----..-.-". '_.:'-~- --..----.
MATERIAL SAFETY DATA SHEETS ON FilE: YES
BRIEF SUMMARY OF TRAINING PROGRAM:
EMPLOYEES ARE TO READ THE MSDS SHEETS ON ALL REFRIGERANTS.
THEY ARE ALSO GAUTIONED THAT ALL REFRIGERANT CYLINDERS ARE UNDER
':'\JPRES:S:!Ji~E AND SHOULD BE HANDLED CAREFULLY.
'ti()' '", , '
... Ii: I'· t lid&:
.'\, '.' .... k.'
t. ,~'(: (',. 11. ..'
. .' I . ¡ .' I'''' I¡ '\ i\ H '
. ,._ L·...
, SECTION 4: EXEMPTION REQUEST:
~
~'~ '
'""" 'n
··..v1!
...."':", '~"...?,:., "-
~
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITJES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
...
I, LEONARD F GALLAND CERTIFYTHATTHEABOVEINFOR-
MATlON IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
() CU tJ 0M-
TITLE
2,
Molt¡ J
DATE
FOIO
-~
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,"_>-t"..--~,
1///
t>
,,. . ..-" ....,
e
Bakersfield Fire Ðep_
Hazardous Materials DivisIOn
, HAZARDOUS MATERIALS MANAGEMENT PLAN
~'
Facility Unit Name: GALLAND'S INSTITUTIONAL FOOD SERVICE
"-q .-. - -'
.... _,_.,"...__,_,_~".._."___n _,_ ...~ ,_~o.~__·__' ,_.,--
, ,......__ _ _ _.' _ un _ ''-_ - ___ -- .
,.,'.;_"-'--'--::":'::.:::::'_..:":'~'~:";""'':':'--'';---=- ~
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
CALL 911
IF SPILL EXCEEDS 200FT3 CALL BAKERSFIELD HAZARDOUS MATERIAL
DIVSION [326-3979J. ALSO CALL AND NOTIFY CALIFORNIA OFFICE
OF EMERGENCY SERVICES [1-800-852-7550]
B. EMPLOYEE NOTIFICATION AND EVACUATION:
VERBAL EVACUATION
IF EVACUATION IS NECESSARY EMPLOYEE IS TO NOTIFY IMMEDIATE SUPERVISOR
WHO IS RESPONSIBLE FOR NOTIFYING ALL EMPLOYEES TO EVACUATE TO A
DESIGNATED PLACE AND ACCOUNT FOR ALL EMPLOYEES
C. PUBLIC EVACUATION:
VERBAL EVACUATION
SIMILAR ,TO EMPLOYEE NOTIFICATION AND EVACUATION PROCEDURES
D. EMERGENCY MEDICAL PLAN:
IF AN EMPLOYEE IS SERIOUSLY INJURED CALL 911 FOR MEDICAL ASSISTANCE.
A NON-LIFE THREATENING OR NON~SERIOUS INJURY THE EMPLOYEE OR
SUPERVISOR WOULD CONTACT:
DR. WILLARD CHRISTIANSON
2021 22ND STREET
BAKERSFIELD, CA 93301
805/327-0617
3.
ft)1
e
Bakersfield Fire Dept. e
Hazardous Materials Division
j"~
~!, A
'Y"' -:.....'1 \. ,.~.
<;, -. ';. .~
'HAZARDOUS MATERIALS MANAGEMENT PLAN
~
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
..- _.- .-". ---.-,...
A:---' ' 'RELEASE PREVENTION STEPS:
- ,-- ---. -.. _...,--- --
-.' --:;-.:.--::;:--:-. ,:;-~~~-":;:'-:~;;: -'~-_-::::':'':'''==_-::..'~'
ALL REFRIGERANT, EXCEPT A SMALL AMoumf, IS USED IN REFRIGERATION
SYSTEMS WHICH ARE IN GOOD WORKING ORDER. ANY SPARE REFRIGERANT,
IN A SMALL AMOUNT, IS STORED IN PRESSURIZED CYLINDERS IN CARD~OARD
BOXES ON A LOW SHELF BACK OUT OF THE NORMAL EVERYDAY TRAFFIC AREAS.
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
ALL CONDENSING UNITS & EVAPORATOR UNITS ARE KEPT IN" GOOD CONDITION
C. CLEAN-UP PROCEDURES:
ANY RELEASE OF REFRIGERANT WILL VAPORIZE AND RISE INTO THE ATMOSPHERE
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
. "
NATURAL GAS/~ SOUTHEAST CORNER OF BUILDING
ELECTRICAL: INSIDE MAIN BLDG fI1 BY MEN'S RESTROOM - WEST WALL
VVATER: ACROSS UNION AVENUE BY LONGFELLOW SCHOOL
SPECIAL:
LOCK BOX: YES/NO
IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: FIRE EXTINGUISHERS
B.
WATER AVAilABILITY (FIRE HYDRANT):
NONE CLOSE BY
4.
FOI,ó'
CITY of HAKEKSFIELU
"d ' OHAZARDOUS MATERIALS INVENTORY ~"'.',~-',,:I
Standar BusIness : ,,~
I' NON-TRADE SECRETS Page --, of ~L
BUSINE~S NAME: GALLAND'S 'INST FOOD SERVICE OWNER NAME: LEONARD F GALLAND NAME OF THIS FACILITY: FROZEN FOOD WAREHOUSL
LOCATI N' 3207 UNION AVENUEi ADDRESS' 1.t:fID CORONADO AVENUE STANDARD IND. CLASS CODE: ,- -
CITY /- IF>: BAKERSFIELD. CA- 93305 CITY zìp~-------- -----'- DUN AND BRADSTREET NUMBER-i'6::.ï28'::.a05s·'----,·--'
PHON!: : 805/631-5505 I PHONË It: : ~~~7~~~ ~~jg~ CA 93306 .
! REFER TO-r7V5TRUCTION5 rUt{ I-'ROPER CODES - - - - r
1 8 9 10 11 12 . 13 u )
I Dys Cont Cont Cont Usa loc~tion Where 'by lIa~es of ~ixture{ço~oonents
on SIte Type Press Temp Code Stored In FacIlity Wt See Instruc Ions ,
Farm and Agticulture []
1
Tr~ns
Code
ì
, 5L2%CHLOROPENTAFLUOROETHANE
N W
Ph~~ic~1 ,nd ~ea'th Haiard I C.A.S. Humber 76-15-3 Component 11 Hame & C.A,S. Humber
( ec a 1 t at apply I 75-45-6
Component 12 Hame & C.A.S. Humber
o Fire Hazard o ReactivitYI: o Delared (J SUddfn Re1ease [] Immediate
Hea th o Pressure Health
I Component 13 Name & C.A.S. Number
N 286 10 IN CONDENSING UNIT
Ph~~ic~l 'id ~ealth ~afard \: Component 11 Name & C.A.S. Number
, ( ec a t at app , !
fl . Component 12 Name & C.A.S~ Number
[] Fire Hazard o Reactivity\i o De Jared ~ SUddrn Release o Immediate
Hea th o Pressure Health
Component 13 Name & C.A.S. Number
N M 335· IN CONDENSING UNIT
Pht~'tal ,nd ~ellth Hljard Name & C.A.S. Number
I eck a I t at appl,
[] Component 12 Name & C.A.S. Number
[] Fire Hazard o Reactivity. o Delared [i SUddfn Re1ease Immediate
Hea th o Pressure Health
Component 13 Name & C.A.S. Number
48.8%CHLORODIFLUOROMETHANE
R-12
100% DICHLORODIFLUOROMETHANE
R-22
100% CHLORODIFLUOROMETHANE
C.A.S. NUllber
Component 11 Name & C.A.S. Number
, PhY~ i c~l'eod ~ea lth Hatud
Ie ec all t at apply, ~
[] Fire Hazard 0 Reactivit~
Component 12 Name & C.A.S. Number
o Immediate '
Health
Component 13 Name & C.A.S. Number
EMERGENCY CONTACTS #1 ILEONARD E GALLAND' OWNER 871-3792 #2 WILLIAM GALLAND
Il!M Ttt 1 e 24 Hr phone Rãñie
CertHiçatio" fReed Bn'd $ign BfJßr cÇ)mp1eting, ~77. sect,ions) , . ,
I certIfy under penaltx 0 la~ th~t I have persona ly examlnao O"d em famIlIar wIth the InformatIon $ubmltteð In th1S ond all
attaçhed dQc lIents, ano t at based, on my 1nQuiry 0 those IndIvIduals responsible for obtaIning the 1nformatlon. I belIeve that the
sublll1tte arllatlon 1S true, accurate, and co Jete. L ' ' '
-, " ! (.30IV~O F &+JIJ1YJÎJ
e en ifn r Pr ra 0 - \tner pera or s au Or! e representat Ive ~ñfiure
o De 1ayed 0 Sudd~n Re 1 ease
Health of Pressure
WHSE MANAGER 871-1367
Tlt 1 e nlffrñ~
0çÝ5/
unniqr.ea