HomeMy WebLinkAboutBUSINESS PLAN 1/10/1994
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DI AGRAM
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NORTH SCALE: BUSINESS NAME: FLOOR: OF
A-I AUTOMOTIVE & DYNO 1 1
DATE: 7 /7 /87 FACILITY NAME: UNIT ~: OF
A-I AUTOMOTIVE & DYNO 1 1
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(CHECK ONE) SITE DIAGRAM '. FACILITY DIAGR~~
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01/07/94
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A 1 AUTOMOTIVE & CARBURATION DYNO 215-000~000978
Overall Site with 1 Fac. Unit
Page 1
General Information
Location: 2000 UNION AV Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 02 Grid: 29A F/U: 1 AOV: 0.0
~ Contact Name Title Business Phone - 24-Hour Phone
STANLEY/BETTY BYROM OWNER (805) 323-7517 x (805 ) 395-0290
STANLEY BYROM II SON (805) 323-7517 x (805) 326-1069
Administrative Data
Mail Addrs: 2000 UNION AV D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code:
Owner: STANLEY C. BYROM -< ----- Phone: (805) 323-7517
Address: 4424 CHARTER OAKS AV . ~ -,---'.- ---- State: CA
City: BAKERSFIELD Zip: 93309-
.
Summary o J:- ¡; (-e01/\ q;(J w~..s ì (, "I f(
yJot e.. ~I {MI1~'ttcJ ~se f(~t? 1"1 I( \l Q1J or:
e¡ 11\ J (C:v'b CI-eï.ik£.¡/' ~
RECEIVED
JAN 1 , ._
Lø~ f7Y4
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It 5tGtV\ 13~ V"¿>""-" I Do hereby certify that' have
(Type r print nllme)
reviewed the attached hazardous materials manage-
ment plan for If -1 It vr 0 and that it along with
. _ (Na..f11G of Bus!ness) __ __ _.. _
any corrections constitute a complete and correct man-
agement plan for my facility.
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01/07/94
A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000978
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02-003 CARB CLEANER Liquid 120 Moderate
~ Fire, Pressure, Immed Hlth GAL
02-002 WASTE OIL Liquid 55 Low
~ Fire, Delay Hlth GAL
02-001 FREON R-12 Gas 144 Minimal
~ Fire, Pressure, Immed Hlth FT3
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
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Bakersfield Fire De
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HAZARDOUS MATERIALS MANAGEMENT PLAN
?J.?C\~. í["QJLG 0
\0 ~,~ _,I ~G
To avoid further action, return this form within 30 days of receipt. 'f'í'0
TYPE/PRINT ANSWERS IN ENGLISH.
Answer the questions below for the business as a whole.
Be brief and concise as possible.
INSTRUCTIONS:
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME:
f--\~l ÒAR.ßlA.{ÇE.tióA> )ç OYNO lllNìtJ(-,
,
LOCATION:
d.. 000 \) ,J 1 () "J A V ~,
MAILING ADDRESS:
CITY: ßA)(fJ(~Ç\~ LO
Sl~ /\ f_
DUN & BRADSTREET NUMBER:
STATE: ~ ZIP: 1.:s~o£ PHONE: 3.1.1 -1 S 17
SIC CODE: íf~S3
PRIMARY ACTIVITY:
AlA.+D $Mb6 Jc J:~_Df;fè - f(E@,v..iì~/.^Jb o~ C/i(è135,
II
OWNER: StANL~y t, ~yROM
MAILING ADDRESS: ~ 4 ~4 G~ A.fè +~.z OAKS: (,J.UE_ IS J( ¡:: j) ~f./¡ \ q ,?Jó9
oJ
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
( è, ßYfðM () \-J /I) f_ R. 3:),1~15f1 ~~q5- 0190
l. .)+ANLE...Y
2. ß f:.. +- +.y ßyf(o!'ì o\..J¡JE',,e 3d s- D.J.S:? J 9 ~ - O.J C, ð
.3, S+!\rJ1E-y R,. y f'0. ¡./\ :¡;r SON 3.)1-7S11 ~::J.&' jOL· 9
1.
FD
"r~
e Bakersfield Fire Dept.
Hazardous Materials Division e
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: --5
MATERIAL SAFETY DATA SHEETS ON FILE: YE 5
BRIEF SUMMARY OF TRAINING PROGRAM:
'W \ \- ~ -\-~~ N E.. \-1 S ~~(H·~ ß; L.L . ~ß I ~~
I r-J (:. ~~(:ct WE- hA \) E. J'ì 0 ~ tJJ-)/ S 1\ r E.1 y flE.~ +; ¡J G.s ~ WE. I.)i!;( ().!;S
I
MN)' Nt:.~ p\~PlJ'0..--ts.. ð(è. MAtËf?ìnt~ th~-t. WE. lÀ-SE. útJ ~
Ðf~\Ly Af\~ì-r, ~Ë- +~'E:.r~ ~O ÓVË.R. ALL 5AF~~+>- fr:ocE{jl.Arf~
t ~ ~ t ~ 'è. h A \I €.. I AI E F ~ E,Q... T, . W E- ~ + K ì \J E. F (ì R. A (' c., . (M 1.
\::: ~ f oYt.:~ S
+ô ß~ ß'\\;..'- ~() '1/..,) A<..L nSffe.t-S IJ( Af\G0IèOOf.Æ~ nA+fr-/4LsI
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH &
. SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. '
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, S-tAi>!L!;.y ê.-- ßY\ðM CERTIFYTHATTHEABOVEINFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
o~
TITLE
7-22·9¡V
DATE
2.
FDI590
· .
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e Bakersfield Fire Dept. e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
A- \
tA[ÇßlA~E..+;o~ ~ IJ)lÑo
---" , "J
J lh,) , 1\1 (..,
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A.
AGENCY NOTIFICATION PROCEDURES:
L,J t~c¿ f:..U~~-t of A. fln-¿Afèe:...()~ !1A+E.rt:.oL
SpiLL- J ~~ W'tlL C.ALL O¡I\ tö Noi:Fy +AE. FÙLt lJ(f+, ~ +J-.~
hA"2... ~(\+ fE-AM I ~;š 'WAy t~( fÎof£:.~ PlðCE,(JlA.f'ES to (O~)tA)N
+1-.. E.. S [-> ~ L1..-- .Ie (LE.AJ-l V-.? J \j i LL. ~ f:.. A ('GÖMfJ.. ì ~ ~<S (j,
EMPLOYEE NOTIFICATION AND EVACUATION:
¡tE.,y W,Ll ßE. oftQ)r¿~t:.6 Ok'" Dt thE.
ßV,\l() ì r-> G to A ~r~r¡:f... pln(_E. u¡0+;L ¡ + ~ SAFE:. t-ò 6D
fS~ c)<" ; Ñ + hf.. ß Ll; 1-0 ì ¡J e:, I A ~f_(4.() ('.,,0 lAt0t- W; Ll ß E ì1A Ij ~
, .
fif+f::.fè GVt\c-l.q¡,,+ìò,,)\ \4( Go OUE.R.. G..VA~t..-.f\tìv¡J !1oNtlì.y
A t Ii \ f... 'S A t~ +,>- .1''1 t f.. t i Ñ G .:)
PUBLIC EVACUATION: . '
X f r, StiLL ~A~ OC-¿lAΣ.~¡A¿L él¡\~tÒt"E.J'J
W;LL ~~ &~t()p,-r~~ to A S'f.\.FË ~LL\~ç::, JJ~ W;¿L t~~-,,j
l'-JotiEy A¡-J;y ßv~/f')Ë.~$. +~A't I\t.EC.l.OJ'Ë. +6 lA~j +0 .E.UAC~At(
t kE.. (( ~ f f:..ò p- L~.
B.
C.
D.
EMERGENCY MEDICAL PLAN: :: ~ tJ.-E. E..J ~N+ () f AJ0 A c.c; 0~N+/i, ¡J (J
SOf''\E_Ù,.)0::. ~ ì¡j"'Iu..r~,0. WE.. WìLl... J"Io·v( tJ-b Pf::f'Sð,.j to A
I . ,
'SAt~ pl~Gf.. ï1E:,-J CALL: D¡I\ tð ðJì$f~t¿^ Fc/LQ.. iJ~i-'J
1-\ {-:v~ - {\ A + + LA~ ({ r-) a ~ M ~ C,,\ LA ¡V (.E:;. ~ M f.t" (, t , þ¡ l J. rJ :r~ / +Jì L-.
ì-s /ê',G,J--,+ ð)OW,-J tÀ~ R..oAO ç ,OM (AS IirJ6J 0ÔG<.lj:J +rËA+
t-I\ ~ I f" NoR £., S E::..tJ t..f\.t7 110 J" lIJ>"J.UJ N (I u.l..(j
JIOf)~R.At6~ (,.q~15S ,)'\<:;,. .
, t \ + .J~ f'\ ( -i-cl~ J.,f\).(j( tl-.~ ~E..sf tf\AMA..+r£~(>I\
rs f:. A J(. E: (V tJ ., 3. FO]f;;O
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Bakersfield Fire Dep.t...
Hazardous Materials Divia
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION,PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS: [)LAtê. ì N ~ t l~ 5' A ~1S,+y n~G.+ì,,¡ GS JJ~ fELL
I
AL", f-Mf16)1f..&S tD 0-~l¿ck ALL ¿6,~-+A¡'~f:,-' ~Dl..ai'\)G ANY
hA"2f:..((0,()lA"s, ,t\A+Lr)t¡1,S. ßy (Of') ~-\-ANtl.4I C.J.-lc..)<.ìrJr:, ALL ~òrJ+43rJ~rs
\.l~ h~vlS .J...È'Ss; <1 f A. c..J..-~tJGt:::, Ö ~ d~ ::iraìtL cßEc~~S'E c.>(" A {)ËFEttìtJ€.
B. RELEASE CONTAINMENT AND/OR MINIMIZATION~ " <!..6.Ji-Aì,,)~~,
...- ßA0:; o~
..L ~ ~Ë.. hA\Jt:_ A. SfìLL-¡ thE:.R.C AR.~ S¡':¡w~\)s-t
N f::..(-\K A.LL h0LE..RI)()tA'S r1Atf.dhÜ: . ""J"Âì'S WAY t~~ ,SA¡JatA~-.J. NUL.
_ fHs So Q g tJ.-E. nA t~~i A L A ~ D AL'S t> J<. (~~; t éo.tJi-A,) ¡vs. r:. +0 A
St-".A.\...\.... ~f\.r...A'
C. CLEAN-UP PROCEDURES:
ALL cl.É:A.0 - uf µ ~ LL ~ f, DorJf ~y {J
~ìC:E..~SE.O C.lSAN-U? k {jì5pÓS£.fj.ßJ.~ AA.2.-MAt tEAl'l"
¡h ì <; ~ + h.L 0 ~ l.y t () clE:.A s-J t.--rO - A Ny' Sf; Li.- ~.rJ ~ j+C~5t1fA)JY
f oL.ì 07" ,
SECTION 8: UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: SOLtt'J...-lVE ,« 1" 0/(( ¡..)~~ 0 I' ~C-t~ LC "Nt:;
ELECTRICAL: ,5;01/1. tÁ - WIJt-¿ - ΡJN(Q Ö Ff)éG
WATER:
Wf.~+~~f)~ ~ )(/11-/<
SPECIAL:
LOCK BOX: YES@
IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY:
A. PRIVATE FIRE PROTECTION:}'.) ö
B. WATER AVAILABILITY (FIRE HYDRANT): FÎ~€. liy/JrfAtJ+
4.
.:',~: ".
:,'.>
o Farm and Agriculture Q{I Standard Business
CITY OF BAKERSFIELD
BAZARDOUSMATERIALS INVENTORY
page~of ~ ,
NON - TRADE SECRET
. BUSINESS NAME: A-I tAR.ßV-.Rr:+ìcJ,v .Þt Dy,Ñt'J --r¿,,);.,.¡G
LOCATION: ~() ¡ U ~ ¡ ~,J ~~J F - '
CITY, ZIP: d- 1<' ,<:. ~'f. .r:::. ( q :1:rO~
PHONE t: ~ Cì ~ - .3 ~"1 - 1 S /1
OWNER NAME:
ADDRESS:
CITY, ZIP:
PHONE ,J: .
NAME OF THIS'FACILITY: !J. - I .c A I?;I) ..It O'yµ/),
STANDARD INO. CLASS CODE: R 't S .3
DUN AND BRADSTREET NUMBER/FEDERAL ID I
11-º:¡~-J.1~î
14
Names of Mixture/Components
See Instructions 1
."<.
6: L-
Physical and Health Hazard C,A,S, Number ~ 2.. J'
(Check all that apply)
Fire Hazard 0 Sudden Release 0 Reactivity 0 IDDDediate B! Del~Yed
of Pressure Health Health
Component # 1 Name & C,A,S, Number
, Component # 2 Name & C,A,S. Number
Component # 3 Name & C.A~S. Number
/ì..t.
f~
Physical and Health Hazard
, (Check all that apply)
C,A,S. Number
Component # 1 Name & C.A,S. Number
00 Fire Haz!lX"d r;g¡ Sudden Release 0 Reactivity ŒJ. I~ediate 0 Delayed
of Pressure Health Health
Component # 2 Name & C,A;S. Number
Component II 3 Namè & C,A,S. Number
EMERGENCY CONTACTS
#1 .s+A.Jl~y è\ <¡Y ¡"'an
Name
I) IJ tJ~ (?
Title
,1 <:¡.s - () j q {) '2 S +11 ÑJev ß \¡ R. (;/'\ ::f .::t
24 Hr. Phone Name " 0/
<;() ,J
Title
Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
:;"I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those
. individuals responsible for obtaining the information. . I believe that the submitted information is true, a ate, nd complet
" .
;"Sfi.
1- :¿2,,'} \./"
DATE SIGNED
CITY OF BAKERSFIELD
HAZARDOUS MATERIALS INVENTORY
o Farm and Agriculture ~ Standard Business
Page ~of J. -
NON - TRADE SECRET
BUSINESS NAME: p..,- \ (" ~f?Rt·._;.? ç:+ìr; ¡0 .N Dy..:t' ¡¡, .)Î.¡J(.
LOCATION: /"~I' ~ tJ,j i (I"J ~. U F' '
CITY, ZIP: K ¡<.ÎS~Îf(Ò '(/\, q:1:f{)~
PHONE I: ~()S - J~ ç -1~ /1
NAME OF THIS' FACILITY : A - I (r fè- 4 . A.: û'y,Ji.
STANDARD IND. CLASS CODE: R 't oS ~~
DUN AND BRADSTREET NUMBER/FEDERAL ID I
11-Q.l~-:J.ì~î
"
C,A.S, Number
7S7ì?
component , 1 Name" C.A,S. Number
Fire Hazard 0 Sudden 'ReleaseD Reactivity 0 Immediate 0 D~{~Yed
of Pressure' Health Health
~ . Component , 2 Name , C,A,S. Number
, Component' 3 Name " C.A.S. Number
Physical and Health Hazard C.A.S, Number
~: (Check all that apply)
D Fire Hazard 0 s~dàen Release Q Reactivity 0 Immediate 0 Delayed
e . . of Pressure Health Health'
,
Component' 1 Name , C,A.S. Number
Component' 2 Name , C.A.S. Number
Component' 3 Name & C.A.S. Number
_ Physical and Health Hazard C.A,S. Number
-:.: (Check all that apply)
"b ;~re Hazard 0 Sudden Release 0 Reactivity Cl I~ediate 0 D~~aYed
of Pressure Health Health
component' 1 Name , C,A.S. Number
Component , 2 Name , C.A~S~ Number
component' 3 Name 'C.A,S. Number
EMERGENCY CONTACTS
11 S+A.)l.[.y (', ~~y ('£\11
Name
ÖI,)IJE'-(<;"
Title
:~qS-()~t1D 12 Stfì.)JCy· p.,\¡R.(;~:::r~
24 Hr. Phone Na:me"-'
<;0
Title
Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
c' I certify under peanlty of law that I haver personally exa:mined and am familiar with the information submitted in s and all attached documents and that based on my inquiry of those
'~,pdividuals responsible for obtaining the information. . I believe that the submitted information is true, urate, .
,e(/
F OWNER/OPERATOR OR OWNER!OPERATOR' S AUTHORIZED REPRESENTATIVE
7 .<2.::2.. -i:J 7-/
DATE SIGNED
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Bakersfield Fire ~
HAZARDOUS MATERIALS DIVISION
~
Date Completed
/I-IS"-' (
Business Name: A- l A.uTo MOlt vE.
Business Identification No. 215-000
Station No. ~ Shift
9ïg
A
[Top of Business Plan)
Inspector BONN€fL
REC£IVEIJ
NOV 1 R 1991
Ans'd....... .....
Location:
2.000 UNIoN
Adequate
Inadequate
Verification of Inventory Materials D Çj'
Verification of Quantities 0' 0
Verffication of Location ~ 0
Proper Segregation of Material ~ 0
Comments: At>o: A.NI\ f:REt2.E. <& G;PtL. USED ,,^oToR.. oIL ~ sO 6A<. ~
Cp..~ß¡} RE\,,:)(L Cl..EÞ.Ne./L. 10 6 A..L,
Verification of MSDS Availablity EJ 0
Number of Employees .:3
Verification of Haz Mat Training
~
o
Comments:
Verification of Abatement Supplies & Procedures
Comments:
Ð
D
Emergency Procedures Posted
Containers Properly Labeled
B
~
D
D
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
~
D
\
\
Violations: A: 'D D l N V f N -r 0 R. '( 1'0
/VIEw OMlNÆ-Il-: 5íA-H 'B'f RoN\.
39S--0:t.qO
Li .s-r
/.f lf ~ '-I
CM A~Te R.. 0 Pc'K,5
\
Bu't;~tn~
All Items O.K , Q6'
Correction Needed D
\
\ FD 1652 (Rev. 1-90)
White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
~
23/90
A 1 AUTOMO~~E & CARBURATION DYNO
~~all Site with 1 Fac.
215.- >0-000978
UY',i
General Information
REce:i~M>
OCT 0 1 1990
1
Location: 2000 UNION AV
Ident Number: 215-000-000978
Map: 103 Hazard: Moderate
Grid: 29A Area of Vul: 0.0
CC'Y'lt act Name
FERREL BLANKENSHIP
JAY AKINS
Ti tIe
BusiY'less Phc'Y',e
(805) 323-7517 x
(805) 323-7517 x
24 HC'l..n~ Phc'Y'le
(805) 323-1741
(805) 393-3713
Administrative Data
Mail Addrs: 2000 UNION AV
City: BAKERSFIELD
Comm Code: 215-002 BAKERSFIELD STATION 02
D&B NI_\mbet~:
State: CA Zip: 93301-
SIC C.:.de:
Owner: FERREL G. BLAKENSHIP
Address: ;¡t;;Ig JAftðII~ ST OPT ~ .s~ð ~"b~..ì6~ ðt,
City: BAKERSFIELD . (,.~. '\~1ð,*
Ph':'Y'le: (ßo~) 3'tQ - g I ð¿
State: CA
Zip: 93301-
SI_\mmat~y
~I ÇHd~LL.. ~t{:),.)ktN~6='.. rO hø;'aby caiii1y ~h~t ~ hav~
(f¡'p'::- r)f pïlm nama)
rt.oV¡'..."W"""'" ~;.,(:: ~~,.,,,,,f1::"1"¡ ~'-::'-:~ .-~ -',~ '," ""'->:1o{·t:\"I'ð>iIA man~t1"""
Big \Ø1 Q~ t;"J ~...~~:.F;f.t.;i~,....,..a ;::.,., ..._. ,I, ~,1'h' .1!('~a~. t!;:tIt> '~::g'(;;
ment pla.n fOi"_Jj;:L.J:h~tQMd;J~.,:::.:1d t.ha~ it !?!lo!'1g with
l '. - . : :.. :, .. ~ : ~ ...\.:
ðli'lV "'o¡"r-,.-'rir"je! ",,,...,,,,~.;.,:, '~¡" ~ f' ...., P! ",1{' ~Md '"'''I·I'..'!:''''' m!1""~
(91tl)j ~ '(~,",~r.~t..~. '.:iy··...~....,;,:,.~ìv~...t .;4VV·.~f. }~';J.U ~"~~ ä'Ovl, utn
~gsmGnt plan 10r my facW&y,
~A/J~~
q ,.¡;28' .q 0
Oat0
08/23/'30
A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000'378
Hazmat Inventory List in Reference Number Order
Page
2
02 - Fixed Containers on Site
PIn-Ref Name/Hazards
FClrrn
Quarlt it Y
MCP
02-001 SOLVENT - MINERAL SPIRITS
?
27
Mc.det~at e
GAL
02-002 FREON R-12
?
200
Mi rdmal
FT3
e
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08/23/90
A 1 AUTOMOT~E & CARBURATION DYNO
.. 00 - Overall Site
215.)0-000978
Page
-,
~
<D> Notif./Evacuation/Medical
<1> Agency Notification
IN THE EVENT OF A SPILL WE WOULD DIAL 911 TO NOTIFY THE NEAREST FIRE
DEPARTMENT IN OUR AREA. THEN WE WOULD NOTIFY STATE AND FEDERAL AGENCIES.
<2> Employee Notif./Evacuation
IS SOON AS WE HAVE NOTIFIED 8LL AGENCIES, I WOULD EVACUATE ALL EMPLOYEES TO
A SAFE AREA UNTIL IT IS SAFE TO ALLOW EMPLOYEES BACK IN THE BUILDING
<3> Public Notif./Evacuation
AS SOON AS WE HAVE NOTIFIED ALL RGENCIES, I WOULD EVRCUATE AND CUSTOMERS
TO A SAFE AREA.
<4> Emergency Medical Plan
IN THE CASE OF R MAJOR MEDICAL EMERGENCY, I WOULD KEEP THE PERSON INJURED IN
A COOL AREA, PLACE A CLANKET OVER THE PERSON, JUST IN CASE OF SHOCK. I WOULD
THEN DIAL 911 FOR FURTHER ASSISTANCE. MEMORIAL HOSPITAL WOULD BE THE
CLOSEST HOSPITAL TO MY LOCATION. IN CASE OF MAJOR BURNS FRESNO OR LOS
ANGELES BURN CENTER WOULD BE THE BEST PLACES TO TAKE A PERSON.
MEMORIAL HOSPITAL
420 34TH STREET
BAKERSFIELD, CA.
(805) 327-1792
08/23/90
A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000978
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
WE ARE VERY CAREFUL IN THE HANDLING OF SOLVENTS AND CARBURATOR CLEANERS THAT
WE CARRY FOR USE. WE ONLY ADD ABOVE PRODUCTS WHEN SOLVENT TANK IS LOW. A
LOCAL REPRESENTATIVE WHERE WE PURCHASE THE SOLVENT FILLS THE SOLVENT TANK.
I ALSO CHECK THE SOLVENT TANK ON A REGULAR BASIS TO MAKE SURE THERE ARE NO
LEAKS.
<2> Release Containment
IN THE EVENT OF A SPILL OF SOLVENT ORCARBURATOR CLEANER WE WOULD COVER
THE SPILL AREA WITH SAWDUST TO CONTAIN AND CLEAN UP THE SPILL.
<3> CleaY'1 Up
IN THE EVENT OF A SPILL OF SOLVENT OR CARBURATOR CLEANER WE WOULD COVER THE
SPILL AREA WITH SAWDUST TO CONTAIN AND CLEAN UP THE SPILL AREA. THEN WE
WOULD CALL A LOCAL COMPANY LICENSED TO CLEAN UP SUCH SPILLS. THAT WE COULD
ENSURE THE CLEAN-UP WOULD BE DONE TO ENSURE THE SAFETY OF SURROUNDING AREAS.
<4> Other Resource Activation
e
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08/23/90
A 1 AUTOMOT~E & CARBURAT I ON DYNO
~ 00 - Overall Site
215.)0-000978
Page
5
(F) Site EMergency Factors
<1} Special Hazards
(2) Utility Shut-Offs
A) GAS - NOT IN USE
B) ELECTRICAL - MAIN IS LOCATED IN OFFICE STORAGE ROOM
C) WATER - MAIN IS LOCATED IN THE FRONT DRIVEWAY IN FRONT OF OFFICE
D} SPECIAL - NONE
E) LOCK BOX - NO
(3) Fire Protec./Avail. Water
THEIR ARE 4 FIRE EXTINGUSHES IN THE BUILDING.
TWO ARE PLACED IN THE FRONT AND TWO ARE PLACED IN THE BACK OF THE SHOP.
THE CLOSET FIRE HYDRANT IS 25 FEET NORTh-EAST
ON UNION AVE. IN FRONT OF THE CAPRI MOTEL.
<4} Held for Future use
08/23/90
A 1 AUTOMOTIVE & CARBURATION DYNO 215-000-000978
00 - Overall Site
Page
6
<G> Training
<1> Page 1
WE HAVE ?? EMPLOYEES AT THIS FACILITY
2
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? YES
BRIEF SUMMARY OF TRAINING: SINCE WE HAVE ONLY TWO HAZERDOUS MATERIALS,
I GO OVER THE CARE & HANDLEING OF THE PRODUCTS.
ALSO THEY HAVE BEEN INSTRUCTED TO USE SAFETY
GOGGLES WHEN THEY ARE USING THE PRODUCT, TO PROTECT THEIR EYES,
IWOULD APPRECIATE IF YOU ARE GIVING ANY
OTHER TRAINING SEMINARS, I WOULD LIKE TO GO AND THEN SEND MY EMPLOYEES.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
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CITY of ~AKEHS~lELlJ
-.;.",-~Ã"'~....
HAZARDOUS MATERIALS INVENTORY ~
Farm and Agticulture 0 Standard Business [} NON- T RA DE SEe R ET S Page _~___. of --L.
BUSINESS N1ME: ;-~~~R~ºTT~E...-.& CARR ~WNER N.A.M~: ~ENSHIE NAMn OF THIS FACILITY:o%-~AlIg~~~TlVE....&..CARR
E?f¢TI2~Þ:~~2 ~ C1\: 9J3DT- â~~ESlip, 2 eA, YTWH 5Ù~ 2~SOB^~8šT~~HSN8~BEt·-~: -- . - .'n___.___~_
PHot~ II:' -~- - ~' ---.---- PHON~ It: 8~ - ~--- ----.- - - .
-- REFER TO 5 C S-FDR-PROPER CODES - - - - - - - - - ,
1 2 3 4 5 6 7 8 9 10 II 12 13 1!
Tr~ns TYQe ~ax Average Annual Mea$ure , Ows Cant Cant Cant Use loc~tion Vhm 'by Nues of lIixture{ço~conents
Code Code Allt Allt Est UnIts on SIte Type Press Temp Co~e Store~ In Fac1lltW Wt See Instruc Ions .
U M 200FT3 200FT 4 10 STORAGE ROOM 10 DICHLODIFLUOROMETHANE
Physical ond Health Halard COllponent.I Nalle I C.A.S. Number
(Check all that apply)
ilire Hazard
o Reactivity
f] De lared 51. suddfn Re lease
Hea th 0 Pressure
O Component.2 Name I C.A.S. Number
Immediate
Health
Component.3 Name I C.A.S. Number
[} F ire Hazard
o Reactivity
o Delared 0 SUddfn Release
Hea th 0 Pressure
4 39 IN, MACHINERY
Component.1 Name I C.A.S. Number
10 SOLVENT - MINERAL SPIR TS
[l Component.2 Name I C.A.S. Number
w Immediate
Health
Component t3 Name I C.A.S. Number
o Fire Hazard
o Reactivity
o Delared 0 Sudden Release
Hea th of Pressure
Nalle I C.A.S. Number
O . COllponent t2 Name I C.A. S. Number
ImmedIate
Hea Ith
Component.3 Nalle I C.A.S. Number
Physical ond Health Halard
(Check all that apply)
C.A.S. NUllber
o Fire Hazard
o De Jared 0 SUddfn Re I ease
Hea th 0 Pressure
o Reactivity
Component.1 Nalle I C.A.S. NUllber
O d' Component'2 Name I C.A.S. NUllber
IlIme ute
Hea Ith
Component'3 Name I C.A.S. NUllber
EMERGENCY CONTACTS ",FERREL BLANKENSHIP rOWNER19Q-8106 112 _JAY AKINS
RIlle T rtTê . lfltrPftonë Rame
çertificatioq (Reed and $i9n afrt3r cÇJmp7~til19 /111 rce.ctionS)
I certIfy under penallx 0 la~ th~t I have pe(sona Iy exam\nQQ Oq~ 011 familla( wit the informatIon $ubmitted in this ond all
attaçhed dQcUllents, anQ t at base~ on IIY InquIry 0 those In~IVI~uals responsIble or obtaIning the InformatIon. belIeve that the
submItted Inforllatlon IS true, accurate. an~ co~plete.
Tttle SON
~(-ir~?J-3-
~~e ~rõl5riëTfr-rïtle of own~r,operator UN owner/operator's authorized representative
STgñãture
DHnrqr.ê'ð--
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,
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BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
J 03 - ;)q It
(j) :JJ.!sf ~
OFFICIAL USE ONLY
ID#
000978
BUSINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
~ axrJz '3
rrØ2 Q-: I
INSTRUCTIONS:
1. To avoid further action, return this form by Q-;;)g-87.
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: A-I AUTOMOTIVE & CARBURATION DYNO
B. LOCATION / STREET ADDRESS: 2000 N. UNION AVE.
CITY: BAKERSFIELD
ZIP:
93301
BUS. PHONE: (805) 323-751 7
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. AFTER BUS. HRS.
A. FERREL BLANKENSHIP Ph# 3?3-7t:)17 Ph# 323-1741
B. .jAY AKINS Ph# i?i-7t:)17 Ph# 393-3713
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A, NAT. GAS/PROPANE: GAS HAS BEEN 'T'URNRD OFF NO'l' TN TT~F.
,
B. ELECTRICAL: MA TN T~ T,OC'A'T'RD IN OFFICE STORAGR ROOM TN 'l'HR CLOSET.
C. WATER: WATER MAIN IS LOCATRD TN 'l'HR FRON'l' DRT'UFW~ v n.T H'ROT\TT OF OFFICE.
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
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SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
-- ,---
/;J \.
..",- .'
.' ,,--~ ... ,( ,.....
-:...
IN THE EVENT OF A FIRE, I HAVE FOUR FIRE EXTINGUISHERS LOCATED IN THE
SHOP AREA. NEAR THE SOLVENT & CARBERATOR CLEANER. I WOULD THEN
EVACUATE ANY CLIENTS I HAVE IN THE OFFICE AREA, TO A SAFE DISTANCE
, ~ .', , <, ~
FRbM.' 'THE:'· BUILDING. TURN OFF THE MAIN POWER TO BUILDING AND CALL 911
FOR FURTHER ASSISTANCE IF NEEDED.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
IN THE CASE OF A MAJOR MEDICAL EMERGBNCY, I WOULD KEEP THE PERSON
INJURED IN A COOL AREA,PLACE A BLANKET OVER THE PERSON, JUST IN CASE
OF SHOCK. I WOULD THEN DIAL ~~11 FOR. FURTHER ASS IS STANCE .-
MEMORIAL HOSPITAL WOULD BE THE CLOSET HOSPITAL TO MY LOCATION.
IN THE CASE OF MAJOR BURNS, FRESNO OR LOS ANGELES BURN CENTER
WOULD BE THE BEST PLACE TO TAKE PERSON.
SECTION 6: EMPLOYEE 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 EVACUA~ION PROCEDURES:..,........,.....
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.......
INITIAL
YES @
YES GQ)
~NO
YES NO
YES ®
REFRESHER
YES §
YE S (ÑÜ)
YES @
YES ~
YES ~
SECTION 7: HAZARDOUS MATERIAL
CIRC~E'~O~ ~O
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:,.,.., YES ~
I, , 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,
SIGNAT~ ~LE
LI J rJ b f(
''''-..
- 2B -
DATE 1-.:¿ ú ~~ 1
e
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BAKERSFIELD CITY FIRE DEPART~EXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL ~SE ONLY
ID#
- - -' - - -
BUS I NESS NMIE:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRI~T YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED
4, Be as BRIEF and CONCISE as possible.
BELOW
..
FACILITY UNIT# NORTH #1 FACILITY UNIT NA..'Œ: A-I AUTOMOTIVE
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDu~ES
WE ARE VARY CAREFUL IN THE HANDLING OF SOLVENT,CARBERATOR CLEANER
THAT WE CARRY FOR USE. WE ONLY ADD ABOVE PRODUCTS WHEN SOLVENT
TANK IS LOW. A LOCAL REPRESENTIVE WHERE WE PURCHASE THE SOLVENT
FILLS THE SOLVENT' TANK. I ALSO CHECK THE SOLVENT TANK ON A
REGULAR BASTS TO MAKE SURE THERE ARE NO LEAKS.
ON THE EVENT OF A SPILL OF SOLVENT OR CARBERATOR CLEANER, WE WOULD
COVER THE SPILL AREA WITH SAWDUST TO CONT~IN AND CLEAN UP THE
SPILL AREA. THEN WE WOULD CALL A LOCAL COMPANY LICENSED TO CLEAN
UP SUCH SPILLS. THAT WAY WE COULD ENSURE THE CLEAN-up WOULD BE
DONE TO ENSURE THE SAFETY OF SOURRUNDING AREAS.
SECTION 2: NOTIFICATION k\~ EVACUATIO~ PROCEDuKES AT THIS L~IT O~LY
IN THE EVENT OF A SPILL WE WOULD DIAL. 911 TO NOTIFY THE NEAREST
FIRE DEPARTMENT IN ARE AREA. THEN WE WOULD NOTIFY STATE AND FEDERAL
AGENCYS.
AS SOON AS WE HAVE NOTIFIED ALL AGENCYS, I WOULD EVACUATE ALL
EMPLOYEES AND CUSTOMERS TO A SAFE AREA TILL IT IS SAFE TO ALLOW
EMPLOYEES BACK IN THE BUILDING.
,. :),\ -
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CIT'Y of BAKERSFIELD
"WE CARE"
FIRE DEPARTMEr·,JT
D. S NEEDHAM
FIRE CHIEF
2101 H STREET
BAKERSFIELD, 93301
326,3911
September 4,
1990
Mr. Ferre~ B~ankenship
A 1 Automotive & Carburation Dyno
2000 Union Ave
Bakers£ie~d, Ca. 93301
Dear Mr. B~ankenship:
Enc~osed you wi~~ £ind a computer printout o£ the Hazardous
Materials Management Plan that is currently in our computer, we
have highlighted the areas that need to be revised. Also due to a
change in the law that vent into e££ect January, 1989, ve need to
have a new inventory £orm (enclosed) £illed out. These £orms must
be £illed out and returned to our o££ice by September 28, 1990.
1£ you have any questions p~ease don't hesitate to contact us
at (805) 326-3979.
Sincerely Yours,
Ralph E. Huey
Hazardous Materia~s Coordinator
REH:vp
Enclosures
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-1
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
,f'. ..
I . D. # 77-0063081
Page 1 of 1
BUSINESS NAME: A-1 ATTrrOMOrrTVF. IV nVNO
ADDRE$S: 2000 N. UNION AVE.
CITY, ZIP: BAKERSFIELD, CA. 93301
PHONE #: 805-323-7517
OWNER NAME: FF.RRF.T. G. BLANKENSHIP FACILITY UNIT #: 1
ADDRESS: 208 JARDIN CT. APT. A FACILITY UNIT NAME:
CITY, ZIP:_J:~AKERSFIELD, CA. 93301 m _.
PHONE #: ' 805-323.::.1741------- (OFF ~~~ ~L USE CF I RS CODE
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
~1 . ~!.oo , ~
M 27 45 GAL 14 39 N.E. CORNER SHOP 100 SOL VENT M IN eeo,( S Pi ¡t."l? FLLQ.
M 7 1/ 10 GAL 13 39 N.E. CORNER SHOP 100 CARBBRATER CLEANER FLLQ.
2) M ;ZCO :<... ~C> F1:~ freon f(( I ;1,) 0C6
--= -- ~ 13 10 NORTH CORNER SHOP 100 ~ EXPL.
,
..
~
. , , '
~ nll;M h Jl~ 'Ç) ~ -~
,. J \.I -J
NAME: FF.RRF.T. RLANKF.N!=:HTP TITLE: OWNF.R SIGNATURE~~~ u<- H./ DATE: U'" c'( ¡, I
JUfr fJ
EMERGENCY CONTACT: FERREL BLANKENSHIP TITLE: OWNER " PRONE # BUS HOUR~: 323-7517 f
EMERGENCY CONTACT: JAY AKINS
. PRINCIPAL BUSINESS ACTIVITY:
TITLE: SHOP-FOREMAN
tune-ups CARBERATER REBUILDING
- 4A-l -
AFTER BUS HRS:
PHONE # BUS HOURS:
AFTER BUS HRS:
323-1741
323-7517
393-3713
./.; e .
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BULK TRANSFER
(Business)
BUSINESS NAHE
SITE LOCATION
OLD OWNER NAME
NEW OWNER NMIE
NEW O\.JNER ADD,
ACCOUNT NUl-BERS INVOLVED ,fiN l/t¡ôCZ()/
APPROX, DATE OF TRANSFER
~
10- /1J-91)
BY
THIS INFORMATION IS TAKEN FROH THE DAILY REPORT AND SHOULD BE VERIfIED PRJOR TO ANY
CHANGES,
DISTRIBUTION: Sanitation
Wastewater
Business Licenses
d-úu. - ;/11
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