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Home My WebLink AboutBUSINESS PLAN 8/28/2003 Operate Waste Unified Permit it to Materials/Hazardous Per Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE Materials Date Issue Approved by: " . . , , - . : :.~:. j~"::, . .~·,<:i.Expifätión Date: /~~~;~;;;·,}j/!r .:.;, ~:... .~~¡~: -:-): "_c:· -' ;, . Permit ID #:: 015-000-001877 FARLEY MACHINE INC LOCATION: 1600 S UNION AVE Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave" 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Issued by: 51'ft- (J1/tf({A/I/1 f A/Ull ¡llJl-C.IP1t- J beJO ~ I lA¡V' if) /1/ ß'1X, vA· 1ô:,fJÎ o c=J BENDER r~ ~~SS ~ -,-----, C J RACK C J e .. --t-H- EHHHE EEEEEEEE I _" CRACK .=:> OLDSAW I o GV ---'''---)'' , ----' L~CK ,.,..-/ '..,- <RACKS> WELDING STORAGE SHOP fJøT1lflJ (fA!J WELDING BAY RACK BENDER t:tI t/,I> :J:~ 0 MAIN Om SHOP "'0:0 -< .ì' , ~ Z \D - , ~ fAR Ltl /\1ÆCH,'h£-_ ~ -:::. I ~ OFFICE IAh,'fJ.N ¡VIO, RtPct.t ( 'f Avt, I ". øt/ll~Þ¡( (); ''I rrc,;,.5 J't1,'Séj,~f1 J ~Jjt~CtfJf It) /600 FACILITY NAME L '''"'''I %~ Ys~t ~e n~ .----- ~--~------ ----- FACILlTYCON CTß n \<...0 e/' 5 Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 INSP CTION 'A~ INSPECTION TIME í W}- . L >--~I ''1._ PH~N~_ :~_t;~I:~_e:_ , Business ID Number ..~+ 15-021-0 77 UNIFIED PROGRAASPECTION CHECKLIST. SECTION 1 Business Plan and Inventory Program , . Section 1 : Business Plan and InvèntoryProgram . ÇJçRoutine D Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection ( C=Compliance ) V=Violation OPERATION COMMENTS C V VD ifD g(D ApPROPRIATE PERMIT ON HAND ._._--~--------------- -----_._------_.-.__._------_._------_._._--_.__._-~--.,----------.---..-.,--.-.---- :~~~::S:~:::ON"CT INFOR"A=~_=n~~-l=-~=~==~=~===:~=~~~===== D CORRECT OCCUPANCY -¡----------' Ç1 D VERIFICATION OF INVENTORY MATERIALS -----..-----.------.-.. ----------..---"--------..--..-------.--.---.-.--"..-.-- ~.-.-._- ----.. .---------..------" ._________., _.._____._._. ________.______._____._______.______ __h..__· .__~_..______ ~ '\ D VERIFICATION OF QUANTITIES ~--------_._._---------------------_........_- ~ D VERIFICATION OF LOCATION ~ D PROPER SEGREGATION OF MATERIA~____._____~_.,___ ---_._-------------------._------------~._-_._.-._"._.-._-~-------_..__.".._-_.._.._----- -----------.--- -----~-------------~-+- . ----.-----.-.-----.--- ._~._-------_._------- ....-.---------------.--.---.-.-.----.--.-.-.---- _~~RIFIC~TION OF MSDS AVAILA~ILITY__=____..___._.____ ____~_,__"____.____________________,__________ D VERIFICATION OF HAT MAT TRAINING .----------------+------.--- --------_.._-----_._-_._----_._-_..~_._--------"---~-~-------_.- ~ D ~ D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .---------------.--.- ~---_.__._--_.__._-----_._-_._---_.-----------._----_.-+---_._-- EMERGENCY PROCEDURES ADEQUATE ._----------------------------~----- -"--------..--.----------------.------------------------------.-"---- L~~ONTAINE~S PRO~ERLY~BELE~___----m-m _m___ ~-~~~~SEKEEPING _.~___m.______ ~_~~'.':.:!ROTECTI~._________,_.______ D SITE DIAGRAM ADEQUATE & ON HAND ---------------------.----.-----.----.----.--.-------.-----------.. ------------~_.__._----------_.__._---------- ----------------------~-"------_._------------- "--..-.---------- ANY HAZARDOUS WASTE ON SITE?: DYES þ(No ~v- ~.-- ~~ EXPLAIN: )L, . L-fz ---------- ----- Badge No, Pink - Business Copy -50/ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 White· Environmental Services Yellow, Station Copy ........-'--- '. ~;"" -- ''A,. FARLEY MACHINE INC ==- SiteID: 015-021-001877 Manager : Location: 1600 S UNION AVE City BAKERSFIELD ~~"'> \,r.o ~'ö \, BusPhone: Map : 103 Grid: 33C (661) 397-4987 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code: DunnBrad:9S-338-7023 Emergency Contact J B ROGERS Business Phone: 24-Hour Phone : Pager Phone / Title / OWNER/PRES (661) 397-4987x (661) 399-6720x () x Emergency Contact KIRK TURNER Business Phone: 24-Hour Phone Pager Phone / Title / FOREMAN (661) 397-4987x (661) 837-1S97x () x Hazmat Hazards: Fire Press ImmHlth DelHlth Period Preparer: Certif'd: ParcelNo: to Phone: (661) 397-4987x State: CA Zip 93307 Phone: (661) 397-4987x State: CA Zip 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 1600 S UNION AVE City BAKERSFIELD Owner Address City J B ROGERS 1600 S UNION AVE BAKERSFIELD Emergency Directives: I, j 6 ~~ Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment plan forffi?lÐf ~~:Hðthat it along with, (Nsmo of BuslnølJ8) any corrections constitute a complete and correct man- agement plan for my facility. ok~3 -1- 08/05/2003 .. l' ,:- ç.rEIVED MAR 3 2000 FARLEY MACHINE INC Manager : Location: 1600 S UNION AVE City BAKERSFIELD /.. BY: CommCode: BAKERSFIELD STATION 06 EPA Numb: - SiteID: 215-000-001877 BusPhone: Map : 103 Grid: 33C (661) 397-4987 CommHaz : Low FacUnits: 1 AOV: SIC Code: DunnBrad:95-338-7023 Emergency Contact / Title Emergency Contact / Title J B ROGERS / OWNER/PRES KIRK TURNER / FOREMAN Business Phone: (661) 397-4987x Business Phone: (661) 397-4987x 24-Hour Phone : (661) 399-6720x 24-Hour Phone : (661) 837-1597x Pager Phone : ( ) - x Pager Phone : ( ) - x - Fire Press ImmHlth DelHlth Hazmat Hazards: Contact : MailAddr: 1600 S UNION AVE City : BAKERSFIELD Owner J B ROBERS Address : 1600 S UNION AVE City : BAKERSFIELD Period : Preparer: Certif'd: to Emergency Directives: . Phone: (661) 397-4987x State: CA Zip : 93307 Phone: (661) 397-4987x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No I -J"B ~az.s Do hereby certify that I have I (fyP3 or print name) reviewed the attached hazardous materials manage- ment plan 10r FAe(£.,~ M4cl'and ~V'i~~ i~ fã110flQ] with (Naroo of Busineas) any corrections constitute a complete and oorred man- agementPla;~ -1- ~F(~ Date 02/28/2000 i -- . SiteID: 215-000-001877 =¡ By Facility Unit =¡ Fixed Containers at Site =¡ specHazEPA Hazards Frm I DailyMax IUnitMCP E F P IH G DSQ FT3 Hi F DH L 55.00 GAL Low F IH DH G ::2.cr; 0 FT3 Low F FARLEY MACHINE INC p= Hazmat Inventory f== Alphabetical Order Hazmat Common Name", ACETYLENE KEROSENE OXYGEN -2- 02/28/2000 tilt . SiteID: 215-000-001877 9 Facility Unit: Fixed Containers at Site 9 F FARLEY MACHINE INC p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit CA-~vJ~ Map: Grid: CAS# 74-86-2 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS, CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum Daily Average FT3 FT3 %Wt, 0- RS CAS # 100,00 Acetylene Yes 74862 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0001 F== COMMON NAME / CHEMI CAL NAME KEROSENE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit IN BACK OF MAIN SHOP Map: Grid: CAS # 8008-20-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55,00 GAL Daily Average 22,50 GAL %Wt, RS CAS # 100.00 Kerosene No 70892103 HAZARDOUS COMPONENTS T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMEN S -3- 02/28/2000 -- -- SiteID: 215-000-001877 l Facility Unit: Fixed Containers at Site l F FARLEY MACHINE INC p= Inventory Item 0002 COMMON NAME / CHEMICAL NAME OXYGEN Days On SiBre 365 Location within this Facility Unit Ûl~w Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT, PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum Daily Average FT3 FT3 %Wt, - RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS -4- 02/28/2000 \- . SiteID: 215-000-001877 ì Fast Format ì Overall Site ì 09/07/1999 F FARLEY MACHINE INC I f= Notif,/Evacuation/Medical Agency Notification EMERGENCY #911, FIRE DEPT 326-3979 AND STATE OFFICE OF EMERGENCY SERVICES (800) 852-7550, Employee Notif./Evacuation OS/28/1998 EMPLOYEES NOTIFIED IN PERSON OR OVER PA SYSTEM, Public Notif./Evacuation OS/28/1998 SHOULD NEVER BE NECESSARY. Emergency Medical Plan OS/28/19981 I CALL 911. -5- 02/28/2000 '. . F FARLEY MACHINE INC I f= Mitigation/Prevent/Abatemt r=: Release Prevention I SHUT OFF VALVES, LEAK INSPECTIONS, r=:: Release Containment l.::IP PANS UNDER BARRELS\DRUMS. I I SiteID: 215-000-001877 ì Fast Format ì Overall Site ì 09/07/19991 1 I I 09/07/1999 Clean Up Other Resource Actiyation - - - - - -6- 02/28/2000 .. ,tit -- SiteID: 215-000-001877 1 Fast Format ì Overall Site ì 09/07/1999 F FARLEY MACHINE INC I p= Site Emergency Factors Special Hazards A) GAS - FRONT OF PROPERTY B) ELECTRICAL - SW CORNER OF SHOP (BY MAIN ENTRY) C) WATER - FRONT OF PROPERTY D) SPECIAL - NONE E) LOCK BOX - NO ~ Utility Shut-Offs Fire Protec./Avail. Water 09/07/1999 PRIVATE FIRE PROTEC'i'ÌON -- FIRE -EXTINGUISHERS-, - . ---. ~ NEAREST FIRE HYDRANT - ON MAIN RD, Building Occupancy Level -- - ---. - .- - - ---- - ~- --- - -- - ------ --- - - -~ _. - -- ------ - --- --- --~- -. --- --- - -. -- -7- 02/28/2000 .¡ tit tilt SiteID: 215-000-001877 ì Fast Format ì Overall Site ì 09/07/1999 F FARLEY MACHINE INC I F Training Employee Training WE HAVE 12 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE, BRIEF SUMMARY OF TRAINING PROGRAM: DURING TRAINING ON EQUIPMENT USE AND MAINTENANCE EMPLOYEES ARE INFORMED OF HAZARDOUS MATERIALS AND EXPLAINED THEIR PROPER HANDLING AND DANGERS, L Page 2 - -. - - -- - ~ -~ -----_.- -- - '-..--- Held for Future Use - ---,...-. - -~--- --- - -~-------- I -~---- ~- I I Held for Future Use - ---- - -- --- .----- -- --- -----~- ---------~ -8- 02/28/2000 'i. Y' Y-}rfN ß(í? RECEKVED . SEP '·2 1999 . = FARLEY MACHINE INC SiteID: 215-000-001877 Manager : Location: 1600 S UNION AVE City BAKERSFIELD '.... \. BusPhone: Map : 103 Grid: 33C (805) 397-4987 CommHaz : Low FacUnits: 1 AOV: BY: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code: DunnBrad:95-338-7023 Emergency Contact / Title Emergency Contact / Title J B ROGERS / OWNER/PRES KIRK TURNER / FOREMAN Business Phone: (805) 397-4987x Business Phone: (805) 397-4987x 24-Hour Phone : (805) 399-6720x 24-Hour Phone : (805) 837-1597x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth " Contact : Phone: (805) 397-4987x MailAddr: 1600 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner J B ROBERS Phone: (805) 397-4987x Address : 1600 S UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List 9 All Materials at Site 9 p= Hazmat Inventory p== Alphabetical Order Hazmat Common Name.., SpecHaz EPA Hazards DailyMax MCP ARGON F P IH CARBON DIOXIDE ~ F P IH KEROSENE F DH i, J..~'6. Iff) Do hereby certify that 1 have (Type or print name) G G L FT3 440 FT3 55 GAL Min Min Low reviewed the attached hazardous materials manage- ment pian 10r~"( iY\Aaf/~nd that it along with of Suolnœa) any corrootions «xmsiituta ~ oomplete and corred man- 08/24/1999 .. Î . . F FARLEY MACHINE INC p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ARGON SiteID: 215-000-001877 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 7440-37-1 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum Daily Average FT3 FT3 HAZARDOUS COMPONENTS GrJ CAS#7440371 11~~\O ¡Argon TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit IN WELDING STORAGE SHOP Map: Grid: CAS # 124-38-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Cryogenic CONTAINER TYPE INSUL.TANK / CRYOGENIC Largest Container 440,00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 440,00 FT3 Daily Average 220.00 FT3 %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA'Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -2- 08/24/1999 .. . . SiteID: 215-000-001877 ì Facility Unit: Fixed Containers at Site ì F FARLEY MACHINE INC p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME KEROSENE Days On Site 365 Location within this Facility Unit IN BACK OF MAIN SHOP Map: Grid: CAS # 8008-20-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GÂL Daily Average 22.50 GAL %Wt. - - RS CAS # 100.00 Kerosene No 70892103 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -3- 08/24/1999 . . SiteID: 215-000-001877 ~ Fast Format ì Overall Site ì OS/28/1998 F FARLEY MACHINE INC I p= Notif./Evacuation/Medical Agency Notification EMERGENCY #911 FIRE DEPT 326-3979 STATE OFFICE OF EMERGENCY SERVICES (800) 852-7550 Employee Notif,/Evacuation OS/28/1998 EMPLOYEES NOTIFIED IN PERSON OR OVER PA SYSTEM. I Public Notif./Evacuation : SHOULD NEVER BE NECESSARY. I CALL :::~gency Medical Plan OS/28/19981 OS/28/1998 ] -4- 08/24/1999 . . SiteID: 215-000-001877 , Fast Format ì Overall Site ì OS/28/1998 F FARLEY MACHINE INC I p= Mitigation/Prevent/Abatemt Release Prevention SHUT OFF VALVES LEAK INSPECTIONS. Other Resource Activation OS/28/19981 I I r=:: Release Containment ~IP PANS UNDER BARRELS/DRUMS. Clean Up -5- 08/24/1999 . . SiteID: 215-000-001877 ì Fast Format ì OVerall Site ì OS/28/1998 F FARLEY MACHINE INC I p= Site Emergency Factors Special Hazards A) GAS - FRONT OF PROPERTY B) ELECTRICAL - SW CORNER OF SHOP (BY MAIN ENTRY) C) WATER - FRONT OF PROPERTY D) SPECIAL - NONE E) LOCK BOX - NO r=== Utility Shut-Offs Fire Protec,/Avail. Water OS/28/1998 -' '- - - -- -.- -- -- - ,- -...-..-....-~ - ---- - - PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - ON MAIN RD. Building Occupancy Level - -- --_..---- -6- 08/24/1999 w" ~ . . SiteID: 215-000-001877 ì Fast Format ì Overall Site ì OS/28/1998 F FARLEY MACHINE INC I F Training Employee Training WE HAVE 12 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: DURING TRAINING ON EQUIPMENT USE AND MAINTENANCE EMPLOYEES ARE INFORMED OF HAZARDOUS MATERIALS AND EXPLAINED THEIR PROPER HANDLING AND DANGERS, Page 2 r I I Held for Future Use - ------------.........----------- --- -- - - - - I ~-I- I Held for Future Use ~-~.-. ---~-- - - -- -- --~ -- -- -"----- - -- - -7- 08/24/1999 FIRE CHIEF MICHAEL R. KEllY ADMINISTRAnVE SERVICES 2101 'W Street Bakersfleld. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 ·w Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfleld. CA 93301 (805) 326-3951 FAX (805) 32ó-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3979 FAX (805) 32ó-0576 TRAINING DIVISION 5642 Victor Street Bakersfield. CA 93308 (805) 399-4697 FAX (805) 399-5763 ~ e_ . - BAKERSFIELD FIRE DEPARTMENT June 8, 1998 J.B. Rodgers Farley Machine Inc. 1600 S. Union Avenue Bakersfield, CA 93307 Dear Mr. Rodgers: In our telephone conversation this morning, you stated and re-confinned that the instructions for the business plan inventory stated "more than 55 gallons" as the reporting quantity for hazardous liquids. I have reviewed our correspondence and Hazardous Materials Inventory Instructions to verify the specific language used. As a point of clarification, the inventory instructions say "Report every hazardous material handled in quantities equal to or exceeding 55 gallons of a liquid, 500 pounds of a solid or 200 cubic feet of a gas." The cover letter that explains which businesses must comply states: "Minimum State Reporting quantities. . . . . . . , . . . . . . . . .are: 55 gallons for liquids" I have enclosed copies of both of these documents for your convenience. I know that it is easy to misread something and, therefore, misinterpret the intent of a regulation. I do hope this clarifies the reporting requirements for you. REH/dm enclosures 'Y~~W~~.A~~AW~" !. - - -- - ~ ----- A.M, P.M, M OF PHONE FAX# MESSAGE TELEPHONED RETURNED YOUR CALL PLEASE CALL WILL CALL AGAIN CAME TO SEE YOU WANTS TO SEE YOU ~ SC 1154D þ , ~ - . INSTRUCTIONS: 1. 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPEIPRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be as brief and concise as possible. BUSINESS NAME: f¿J-RL£/ /VI/r(;f},'µ £ ¡(Of) 5, /An/ON A- vt, ;IN· H,~1 .;-~_ ~, ~v.~- -______ 1o:!J McJd-~~,I{O ~- þ/,/C. SECTION 1: BUSINESS IDENTIFICATION DATA LOCATION: MAILING ADDRESS: ~~AIn'f./ CITY: AAJI£/l-S {,'bl-O STATE: cA ZIP:'9J307PHONE: 3"17-'¥6Î DUN & BRADSTREET NUMBER: 'jç, 33L:6 7tJ} ~ SIC CODE: PRIMARY ACTIVITY: /V7Æ&¡'¡í/""!3-- _<110 f W / wel,l,Ï11f!- ,/ OWNER: 'iT. Il R f1 f- pI( ..5 MAILING ADDRESS: 54/11 t- SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. ;¡-. ß. ((Oft¡(,-~ o vIJel/frtS, 3f17- 1/'/.67 :J11-67J-() 2. Ie; f? J{ -r VI f /1/£/( fr70-YI ') '1 3') 7-l{q~1 ~37- )~17 1 · ;jíi ,;.,¡- e - HAZARDOUS MATERIALS MANAGEMENT PLAN - -- - SECTION 3: TRAINING NUMBER OF EMPLOYEES: J:L MATERIAL SAFETY DATA SHEETS ON FILE: y t S BRIEF SUMMARY OF TRAINING PROGRAM: pa-,{(¡'I16- ;(0,;1.'1,'11' Oh e;J1/,'¡Jf'1-e/.1r I1bt:... ¢- fr!t;,'I1ì1Þ1.l1I1te- £dfTflC/ýees c,fe- rnfc(tý).ed ().f Jlct1t'J(dPl15 j¥1Dttefì"1J~ ~ .e:.d!..~'ne4: ,,1h~r~_ fr(jf~( J!'1"!111'f} f- <t- {)~~rS_ __ - ~----' -.---.- - --=- SECTION 4: EXEMPTION REOUEST 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 QUANTITIES AT NO TI1\1E EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) I I' --- ---=----~ -- -- -- -.,. ----- - ------ -..----- .--~-~ ------>-- SECTION 5: CERTIFICATION I, ~~ CERTIFY THAT THE ABOVE INFORMATION 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 (DIY. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~~ SIGNATURE (JfFlC¿ /1n¡..í TITLE ~-JI-'j~ DATE 2 .iF ,. ~~/ e . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EY ACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: j/f1 £,l<' ?í /'f/' C ( hll. &.- ~þ¡J¡< :Jl 11/ 3r6- '3 '7 c¡ Sfð11e. off. 'c~ of e-,.,el&-eJt1 <=-f 5e( ¡fi't;~.S {fdIJ) Ió ç¡. - 7ÇS-O B. EMPLOYEE NOTIFICATION AND EY ACUATION: f¡vifIC/ftE-5 ;Not,'f:ed ,'VI ¡trffl~ f/( ov~( fA. 575TeìY¡ C. PUBLIC EY ACUATION: .5h(J""Jd Nevel ß-e.,. t:YtaÆ-5Se¡(( D. EMERGENCY MEDICAL PLAN: tAL-/' Of II 3 · v-'! ..- ~- .-.;J - HAZARDOUSMATEmALS~AGEMENTPLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: .¡-_,~ r_' -'.:'"'.. .~;. -~, ~. .~-~ . .r;:;'.~ < ~:1- . -- , '" jHv ró f f Vorl v~~ --.:- t,- t-e Of!¿ ¡lh6fe.Cìt'Pr¡S ß, RELEASE CONTAINMENT AND/OR MINIMIZATION: {)(ì f P;4 ft G f4h de r f)q r fe, yíJ/¡" I'll 5 -~- - - -- ~- -- - ......- - - ;. --- .- C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: f(CJYtT 0'1- If (?/¡Jeli"¡ ELECTRICAL: .s .w, r.úJ1e~í or S /!of (ßý MIl¡/Ì1 -en try) WATER: P((/YlT 0+ fftype(if SPECIAL: - ---.LOCKBOX:-YE§ IF YES) LOCATION:- -'_, __.., ___ --- --- - .- ~- - -_. - - -- - - SECTION 9: PRIVATE FIRE PROTECTION/W ATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ç.,~e- e.X'1.~11 fltl'SJ,.el s B. WATER AVAILABILITY (FIRE HYDRANT): /VlC,,'h «pc,¡ cL (t-1J11'r/1/1 ;4:VE,) 4 AARDOUS MATERIALS INVENAv Business Name fA æ L. £. f fl/lACH, '.tv£, ~. -;. Address /tOO .5. UN ¡'rJ # Page_of_ CHEMICAL DESCRIPTION I) INVENTORY STATIJS: New tx:J Addition IX} Revision [ ] Deletion [ ] 2) Conunon Name: J<~!?OStN& 1VI,'X1"(,(e, (){. f£.1(oleA1M htdrCCtt(bQ'i Chenùcal Name: Check if chemical is a NON Trade Secret ~ ] Trade Secret [ ] 3) DOT # (optional)"..3 VII/ I 'J)~ J!il. ARM [ ] CAS# ~ØO~- µ-/ 4) Physical & Health PHYSICAL HEAL TIi Hazard Categories Fire LX] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ftom DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Liquid [X] Gas [ ] 7) AMOUNT AND TIME AT F ACll.ITY ." Maximwn Daily Amount S.::> Average Daily Amount 1..1..6 Annual Amount Largest Size Container 5' ~ # Days on Site A¿.L. UNITS OF MEASURE Lbs [ ] Gal LXj ft3 [ CW'Íes ( 1 Circle Which Months: 9)~: Lim the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT USE CODE Pure [ Mixture ( ] Waste [ ] Radioactive [ 8) STO~GE CODES.,--/ lti I a) ContaIner: .~.:> ~ 06 b) Pressure: f c) Temperature lj (Ail Y~J, F, M. A. M. J, J, A. S, 0, N, D CAS# % wr ARM [ J [ ] [ 1 10)LOCATION 1) INVENTORY STATIJS: New JxfAddition I><fRevision [ ] Deletion [ Check ifchenùcal is a NON Trade Secret JX1 Trade Secret [ 2) Conunon Name: r;'Af< B(j /'/ (J,'O>(,'j,e.- 3) DOT # (optional) Chenùcal Name: (;,,41< BrYN' 0) '0)(1 Ó£-- ARM ( ] CAS # 4) Physical & Health PHYSICAL HEAL TIi Hazard Categories Fire ( ] Reactive ( ] Sudden Release of Pressure þ(] Immediate Health (Acute) ( ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STATE Gas)d Pure þ<J Mixture [ ] Waste [ Radioactive [ Solid [ Liquid [ 7) AMOUNT AND TIME AT FACILITY 1.J¡j Maximwn Daily Amount ... TIQ Average Daily Amount tIíIJJÞ J.,U Annual Amount Largest Size Container L/!IO? # Days on Site At-/.- UNITS OF MEASURE Lbs ( ] Gal [ ] ft3 IXJ CW'Íes ( ] Circle Which Months: 9)~: List the three most hazardous I) chenùcal components or 2) any ARM components 3) COMPONENT lO)LOCATION USE CODE 8) STORAGE CODES a)ConUriner: ~ b) Pressure: _ c) Temperature '1 ~, F, M. A. M, J, J, A. S, 0, N, D CAS# % wr ARM [ J [ ] [ ] I certify under penalty oflaw, that I have personally examined and am familiar with the infonnation on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. /'1Arr w/f,'rAtIt-,e {()H'.'e¿ Ml1l?litef) PRINT Name & Title of Authorized Company Representative ~~ , Signature -!J- - )-, -7 c.¿ Date · ~I . CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERlALS USVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] -- - - -- BUSINESS NAME f AI? L £ j /'11(;# I /v£; .J.NC, FACILITY NAME SITE ADDRESS /Io()..{ 1J/V'1'f)~ _,,111£ { CITY I3A¿£¡{3f,,£tO STATE cA , ZIP C)J3 () 7 NATURE OF BUSINESS /VlAc-II,'/ÝB- riM! ý'./J~/d'À.,f- SIC CODE :3 s- t I DUN & BRADSTREET NUMBER df'5=:!J3'67C/ J. '""!J OWNER/OPERATOR J:lj. lI&ttR5 MAILING ADDRESS ¡loa! 5~ ~.(/~ AIf1t... PHONE [1tY5) 317-tjQ'ó7 CITY /3'1J( t (51\' t td - __ - _. - _.~ - - . 0".- _ _ _ _ .__ - --- -- - - STATE cA ZIP 0;3307 EMERGENCY CONTACTS TITLE m -tS)drJfrJ r 24 HOUR PHONE .3'1 ~- ¡ 7 J- 0 TITLE JRMA/V" 24 HOUR PHONE íJ.3 7 - J5? 7 NAME 'J";ß, l<(),ít6R-J BUSINESS PHONE 3O¡7-'I~'Ó7 NAME 1(. It/¿ Th RAitt( BUSINESS PHONE j 17 - ~?~ 7 1