HomeMy WebLinkAboutBUSINESS PLAN
.,
V
J
~
a
J
-
c
Vi
'1':'
'$
..;
"
'>
""""
'V
.-;>-
_ H}I~IP
SlTEO(AGRAM .g)
P L...\~ -~I--\P -,' . '.,
FA~LITY "Ö'CAGRAM C
3'.:.s:.::~SS ~ame:
.:S ¡;--,.! t,,\'c\~,'" A . ~ ~;F~~:' /c:< 1-1,/
I '-\ I /
1;
)
J
',.J
'J I
~ .
~:
"to
,
:^\
/ '
1 ~ 3~ ~ ~lM.::~a ~a~ z
Nc=~~ ~ame == ^=~a:
--
0:
/ é-f \ih :5150
~
J
<t:
,I)) J
':,. -. .:>
~ d ,~
3T~~, i
(] A ....)
'> . .
\!) ;:. --3 Q
t- - ~}
.¡¡
-ct:
,~ '
of.!
U >-.. QJ
+--
1 ~ ~ ~
¿ ~ ~
- -. H ,.)
cL « 0 'j
~,; ~.~ ~
v1 .:: ~
+
~ .,~
--;;c
~ ~
~ --
~-1
:~ j
~I-
o
,1'OfVì,'ëJ0 ~ '^r]
~
~'P \.¿j
, ~
-
7'b
Cu ~
,..1 ::='
¿J 0
~g
'=t.~
J '( )."':ì. -::> (')! v\ CJ ~
::.t
~
:S
..2!
~
-+
, '»
;~
:$
'Ù
!I-f7
--..
"'-
o
y
'-i' ~
.~ :J
~r-
:>--
áJ9
}¡::i
~0
~~
~.~
- --.. - -- --, -----, - -- -----.--- ,_. ------:-.-'-;f---r-r----~ -'''''''''-::0-1
PLEASE MAKE CHECKS PAYABLE TO:
CITY OF BAKERSFIELD
-
~bf77ðN (~rðl/~ O,HfJAlJy)
'f'r'È!,\iHflJs 6a lðr)ce 232..';18·,
;
STATEMENT OF ACCOUNT
ACCOUNT NO.
RETURN PAYMENTS TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CA 93303-2057
fiM3949Ql
***
*** FIRE Ð~PARr~£NT
h~.,dOUS ~}.ate, r
t :0.. 011.-U,~
Sit~ Address:~636
2.3,~
- \
<~'.........~.....
TQfAl 2~5..31
·.(,-,øi~~Æ~~'¢1.··.·~r&JJf&.~'~
'"I.,~i¡A~1!:>/;ar¡~lS.·.£:>/L~,.ï" . ",' ,j
'" : '. ~~~¡~~i~~~,,;,j~~~
-A t S'P.(IAI~" ',. . ", ", .... :.'
~ :$94t01
":ßA.d~RSF.I tEL ¡) (A
nance Charge
._,;"'W__.."<'_~_~..,....~ __,_'.. ~
.,'j,
~ . --..~_. -.... ,", , -. -" .
~CWÐUE
tj!3i!Jb 7
Fi
PHONE:.' . 326-39~9,
¿, ,~ 1'-7
REMITTANCE COPY
PLEASE MAKE CHECKS PAYABLE TO:
CITY OFBAKERSFIELD
,
, STATEMENT OF ACCOUNT
?\CCOUNT NO. ¡.¡(,~ 3? 4 ÇlI}.~
t.
BAKERSFIELD, CA 93303-2Ù57
RETURN'PAYMENTS TO:
CITY:OF BA~ERSFIELD,
P.O: BOX 205 7
f
;~ 9f~ 9
. ,,- .
~~¿!7()/( ( 1/1> r tJI( ¡¿ ~j)¡;I¡J¡¡;Jp
~v~vu~";"d'¡'-~~" .' ...~'." i:J
, _' ", '. ..;) ~ '!,!~~;: '\".~1'~ ~~ v'.' :r,:' _: ¿,.,:r:b, _t
.' "." . """it>. . " ,-'
. '
. ·,.-'t·,.
\~
~"'ii C1,~~' {.
"-¡f
". T¡;r
';ft. :'. ~' tu6lJQ;..I¿r ç(,)..)G- III is --
/ /IA¡//£¡f./or¡FI£D 'lOLl WfC''{Ç
, , . ££q)~/2.D/¡J¿ 7?-//~. 6/LL-
--, '."" '(Jt¿;-115£CtY,¢£;?:¿ F'J/6¿/Æ:" ..
6¡tA-/d0 / ):./r::'"o .:'-:--I!AAlI¿6
Iì f :5 PI< //./6..5
,...;.....,.,~4;1,\.;:·. ~Pt-€"b·B '(
_..$'''~è..¡,.~'''''~'{ II 'j /- :5. t)"IO./
--,r.~,;i'~7i" - .... .~ ~J ðr ,UJ'?(¡:/ IV, IV
. í1~\~~:P~F H:.!.. 0 'A- >J.;3.!,l~iH)-3~ '
, q¡3~c:..~:~"
¿. Wi-·$ ~:
";,?:?"'¡',<1.k"",~'t.'W:IY'
.,'.1,',.;-' j
.,...... .....'_.,~èrI'....
¿ j',..31
"
f:
V:,:..:..
:1'a fl:¡Ji!'¿
¡"
, ~,
r;
¥'fJt.:
~
i\
¡
M~
fi'''''''p,:
~;''''
2· S.PRIA/6
.,...o¡....r~.·_..,,'~:, ~.",f};fi^:r..- .
::5fðc. ¡j,s:'
'! 1171 :/))j'
, .
".
','
r1"~
- . . ,........,
. .3AC:/ ,.:
-J&1' . . '. " ./
, .,t..Æ/.
.~_." '4"'-'"
,~ ~. '--..
- -
326-39l1ì
.ut4.¡(þtdÚ ~ ,/-7
CUSTOMER COpy
f2f~~' G~P
~," ð..I',' r ,.., ,;.. <0, , '.. ".... ",," ',; ;' ·.,...1
" 'J.......II;II~ "."-;1 ,\,,', ·-.·_."t:.~¡,r~·
. c; ~o ~ ~~d... .,,;;.t ~\. '\
"'. .; '"#0 . .~ "';"~'''','~'",,...,. .~ 1I:,-;r,~.
"",.f "'p >..~~."i'lI .....:;J: ~.. fl..;'V..¡¡rv
$,lJA) Å/JJ5"ÍI ~¿'elt'! ~V .1:5 ,".(J
. µcAí/otJ ;"",/fi/:io, ¡1¿;¿dm6'
ht 1 f (I: . i.) AT~"t,¡"',t; f' ..!:\.l, .,:" .....,<
I "",1t. . ",_._",.,~..,..~ 4. .:t..A "'" ".'
1"V,....r.,J.. .';. "'¡i; ..'. .~, ..., """"'.'io.1", "'.. ... f; , ¡. re'i .. ,,' .'¡¡-'i"",,~j, : , :'..'
~ ,U ~ '\ \.,.. t..., \,..;-. :J f'f ~ do.;J W I'.~ "* $-, .,¡ ,:.¡. .uI! ....,d "
.'J N' 1"(' ~,- t' :1 I' ;'-"'" ,::.... . ·1 :\" i"~ t.;', '..,
v~"""" "_:) "-.\~",,,...iI ..,.~ .....b _!~ (1"1
I á.., ......', , 'I' 'T. ~~ ~ '" " " .; ¡ .' ,ilL'
'-.¡In..~... ..)1ì ~_'¡ ,F..tfo.\'.fc L_!\1" i"'v
~!tðf(~f,ì0->~tr!¡dt IHH f€1H.:a.ct
.
"" ...,..
'.Ii": ,y'
(~:.~
INQUIRIES CONCERNING THIS,8ILL. PLEASE PHONE:
'-"
T
,.
\~
!;.
~~p l'
"
¡J!..tA
i(
PLEASE MAKE CHECKS PAYABLE TO:
CITY OF BAKERSFIELD
" ,~ ('1 t~: ;:../ : _. . .:..>." ,_ ~ . ,~.;
Pr ~ vi 0 u$"13~l" ð .~t'~~·c '·~~-11"2..,(r(f:':,'
.';
,-l.Ø~
,~,1.~." ',.:~'~
. .!
:~¡t/27/9' PaYfi'!ënt
'Ol/29P'.3P ;aYMe~t
"'.
,1 .~~ 4~ 0 $'.'(;0
~,~,:~:j~'~..~. ~~~,~~;
;/~':'-':'''f'''',1f''+'' .¿>:.~"._" ,:::,::'1'.-':--1,
~~:r:ré~'f;j'-t:h~' r9~s~'
. j~l .
'~'~;t~J¡¡tiS-'í';Šî>tc-Ut:1tŸ"."'YF'...,· '"
;:p;.cf..· :;5ai";fr0'3~5S'''' . /t:¡¥:lDCOt.ði1e¿?
'ßÅ,KÊRSftELO, .' (A' 93:J8Ò"'Ð'3S~(
'.:. ..:..
I RETURN PAYMENTS TO
:;. "'ITY· E)F1IAKfRSFlELD HAZARDOUS MArERIAlS DIVISION
, P.O, BOX 2057
BAKERSFIELD, CA 93303-2057 ACCOUNT NO. H~ ~~4.9Øl
Hàzardous 11 _rials H~ndliftg'ees
A -I '-,5 lZlµ6S
ßi te, Addr :163Jl S tlNIOh AVE. qF
~ . , .
'. SERVICE:, FROM 7/1/93 TO' 6/¡
.5" A. r£~ANDAT€()PÞ.OGRAHAo..Ü
HfSPECTION" FEE:: . '.' ,
hiA l kA THÀtÜ'lI I'Ù;'F£f:
MUST RETURN THIS COpy WITH PAYMENT
r< -. '.,_.' -~ ,.. , '"
PLEÁSE MAKE CHECKS PAYABLE TO:
. C{rv. OF BAKERSFIELD'
, .~ ¡. t ~ _" . ~ . '. ..
,*,'.' ~~ .....~..~ ~ . ." "'::::- - $ .
:.<.('::--... .,,:,,":-,'. _~-,~.-l. - :_ct-< -_
"', ;;.' ,
.. --'1 r2"~~ ~r ",
Previous ~al.;¡¡n(;e
'1j1/21/~ '34" 8Y'L (it, t -1.90
~n /20/93 P ay!;¡en't :"",'., ?P ';b .. (j I)
ç'"
'f
-,
;r'~-::::r-.
~:;t.~Z M~ rHHJS
'~I
\;'; t,.,_ ~
~~- .... '''"..,
~'(. ~~l:
,."",,": _,..: '. :,-11:
RETURN PAYMENTS TO: .."
'.. "" . u
.. , .·ðìT\r."ð'f'~AKERSF~8D
. ..~-- :~'. ,',. .':
P.O. BOX 2057
ß~KE8Sf\EJ,~t ç~ .933Q3,::295 7.;..
"
1'>, ..~
,\j
tH ~X$ [()
MATEìHALS
~
~ontl!QO
"
...tIIi:SI;ØMIì:A___.
208.t){:ì
':.....
'-...".,
"
C¥\)
~t"!:1.'IJ
Çha,.~e$
fiAlANtE, ÔUE
.... ~ '
V AI t.Al t}~â
,
A D?~ lr.!
CJ.,.!'\?~t
'V
'>.:'
r~l
te
:r1J'
"~~~:"';;:~ ...~
í\
t) ij.. 00
-.p;'
id..1
r
;;9"'~~"'="'_'"'
t"fF
·,l:,,".'
f;~6""3,(;? 1~?
,L :c.,J;iI· ¿~,
:*ÂCC.oU~NLNO.'
f'a(?~
-
rl&.íZ-.QrciC:Íus MawdZJl$ í1~ncHing
'. ':, ... If -j - -5 ~1µ6.s'"
~." ::t~ AdtJr "l.t/sN S ti~iJN A \1l:
.", SfrP!! (¡£,. Itf<UM ll·~.J93 . W é;
~'[¿\~¿t1AHI)Ar ¿O ?kOGR~H ,'f\Dj-H
H~~A,;ECn ON FE\: --- '. '.', "'(. ,
NA 1 . rAt' H'A'f~-!Ö't:¡H~'Fi- É-';' r¡-;:,,,\"
... '~ 'I:t, ,1$ LCow., /"1. ,~..."// ;1
. -..' __,.-"',, ,.. "(.i l
.. '''t. ..' ",/~;",:..;l, \,l ~t
>~B; tiLt J ~.J ~fJ~J;þ,::'~:(fí,'{t~:? ~.:>¡:/.
:-,..~lj:~_ .. i; /'::"" "'}',:::>"
'ANNl,U\C:>~fi' :. ¡",,::,: "-,, ....... '"
txl~ GILl~~~DU¿-UP0~ÞREC~IÞt_;1
, ',I '. ,'. ¡ ,,- . ~", '.. t' _ ',-" _-'" _,' , -, _ ~
Ai'4C FH~Ä"'1"(~C¡{GOF 1'% ;~E.R ,:10ji i\~\
.' ',<',' .,-,- ',' .., - " .
r,· "
H~H9,t~ 9 01
q 3368
SPRI~GS SPECIALTY
P... 0 .30 j( !:Hn 55 . Itf<l:¡D CÒ/-./)1178D
JA[ERSF¡EL~, (A 933ØO-0355
_.'
J~
(80:H
CUSTOMER COpy
INQUIRIES CONCERNING THIS'BILL PLEASE PHONE:
, '
'.ICE NUMBER
~'~ ;,'\f'· (:': ~,-\
,( '. 'I '-.' ,
, , ): -, \
,,---l_ ,j _ _:-Jj
INCCRPCRA TED
Since 1917
CHESTER
AV,ENUE
BRAKE
cJ/~/fc.J
~G' tst/wO
~U &i/u f21¿.~ t!.ðX.¿Jt-L¿J~J \
;t~~-! .1:ú-~ Jfl .i{) ~i;o
£iLE: .¿at ÊU0'¡-- #~ /1_,
~j2ÆCu:¿¿ûr} ~UfLLd J~ e-14 ð) .JAb
vio(!.¡¿t¿¿f £ / q Lj;lIJ Lð1~¿) Sf-
(éÓ?ULtt-ô) á<J-; ~ 9~ /7'7'3 .-
£U' ~r~J~
j)e;:¿;[¿4 r2 /~30 s- tú~{J?u ~
þ: A -{ - $~ &hO'¿uß J¡-cn
?0' ·Cd.Jv'z de -
e Aß ~¿J¿~J ~c;;p~tßrfrlL- '.
. ~'¿dL't J:tt¿j¿ vÚt0 ¡q9() r? ¡nóZk¡}.
, . ~/ ,/}/UÆQ-l.c.tJ) ~, I
I. / U/./V '1~' ' - J 7D~¡)70' i:6 :
t¡yf~ - J¡~t¡f--¡ '- ~
. ~¡ud JJdA-(f/tA~
19420 Colombo · BakerSfil CA 93308
(805) 392,9292 ,'. ú-v,µveA ~. J,!
. ¿tj-þ'tf-C /ill /'f"L/ ,
PLEASE MAKE CHECKS PAYABLE TO:
'.
CITY OF BAKERSFIELD
-
. - . ~~"\.. ~..~~ 6: . ~,,:,"'~-'~"'~~~~'
" .'" .'~ < "
,'If ~~p:að\~nèe 208,..00 '
"
in Se (,\1("9 Z 0'.: 8-0" ,:
ance Ch.a~ge 4~ftf"
~~~"FIRi .~.
~~~_Ous~~hter.ial,sHaf1dt i ~9
~t N.Q....OJ.1. -,3.:1111 ,,,
;j1~ Addres~: 1636 S UNION AVE
'·.'C" "'<'::<:""o>,J:""~LLt'"
'<Uæ··' ,,':l!ê
-'.,' . -:' - ",'
.., "/1 . c.',,'..···
ª~:"j I1q~e'
',Í:f;!§:''''''co, ,
Î
~
SJAl:EMENT',QF:ÄCCQUNT
-'Ii'/:,: :," - . .'" . ,
'-', ,"-,'
ACCOUNT NO'HK394~t)¡ "[
RETURN P~YME~TS TO:
CITY OF ;SAKJ;B$J;"IELO:
P,O. BOX: ?Ôi5T..,·· " ".',
BAKERSFiEU), CA 93303~205t
-,
" . ',' .
"PÊ,~~Rt"E. N1'
,', . . .
~9lt9 01,
, .
-" . .' .
'-SPR INGS . A SPEC lAi,t 'V
·p'.:O:.-:': :B6x:" :si355 ' .'
a,f:tK'EijS~lEJ..f>:~C;~ 9338Q03~5
;"'''-.' ", ,.
;. L!.' ..:: :.~ :.~:":.> ¡-~
--
REMITTANCE COpy
¡'
PLEASE MAKE CHECKS PAYABLE. TO:
CITY OF BAKERSFIELD
.'
------
SJATEMENT ·OF ACCOUNT
ACCOUNT NO.
,
RETURN..PAYMJ;NTS TO:
CffY OF BAKERSFIELD
p.o. BOX 2057
BAKERSFIELD, CA 93303-2057
'-
r.~.. FL~~r t:!:P.JHd¡,''¡f:\Jf;~;¡¡::..
..-:"."..
.
-
.r~f~
.1) -: 6-t1
{,' 'l')
~,*-. ",:
¿~ )1
'.
:'::
:
.,.
"':,'
..
,.q;'
. .
1<,(;.~
''<''':
l
cn;.~
ar,:!~,~
'. l I',;'~~, îHh~
'. ':;1' ¡;'~ "~'" .
'(~ , 'f ~I,~dn eÆ9 . '
",,"~~L r../¡/AAAt!
I:';~':'~' v ~.
~
~;;
at
;:;,~
,.. >: 'if .i,::' í.î 5"
~,¡
ii,'
'..
:;$~~ (.1' .~
t1:~
i
..0>. ,
rtf)' ".., dtJl,¡Is., d '1:, tl!? ri oJ l ~", (~:~~.:j't '1 og f¡ç
'H. A~I,). ('.ll-).111Z,',' ,."
~"~'~ðjr~B.1 lðJ&.~, JNI~~ AYt
r ~"'.. ..""';'..." ":':"L":"~ "', :"::~;:~;;';;:~a;,,,,'.~J~:'/"'~'("""
, . .. ""'~""""'~
.; . ¡ _ ~: . , '-'"1""'(" - ..~.;.. -' '.-
;¡iir:(c¿ á,\Tt:, t.A~/J'3/~'~, W¡J!V ¡;
T~ir accjd~t i~n~~~elinQ~~~
cha~ije oft~ øer~pnt~ ~Ji b~
Þatanc~ af th~ l~st ~~~ ~o~tn
~tðtemAnt \~t ftGt reilact D6~
:'1.-""'1- ._
C:t
,,'
,Þ
,~ ~::,~
:;P¡'JI?J.¡5 A. ;~?I; <; IALlY
P.&. ·~;o;,{ ~f.I;;¡;S:) .'
ßL~~~~=!~~O'r~ ~~~wriAI..'~
~';;r"'.f'\.'~.~.""'\..' "~""."'fo' ....~t-: ,.; ~,~~\.,;;.\,,..r...,.Jf.,J.d-.../l
:"(.,'
"
,'1-'1
.-
~2 ~... ::1 91'9'
,
CUßiQM~R.bóÞY ,
. . - - "'.' .'. ~ ""
IN¡~S CONCERNiNG ,"IS B<L. PŒASE PHONE
,
"
"
~;
e
.. f, .
-
Page: 1
================================================================================
SUTLI08
Account Billing/Collection Activity Inquiry
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
Acct
SSN
Name
Svc Add:
394901 Cyc St: CL
Parcel:
SPRINGS A SPECIALTY
1636 S UNION AVE
Cyc: 5 Rt:
Svc CIs :e
Bill St: NO
Seq:
----~---------------------------------------------------------------------------
Amt due:
Lst Pmt:
Pmt Dte:
Prior
Date
01/01/94
01/01/93
01/01/92
01/01/91
02/15/90
235.31
-7.00
01/27/93
Bills --
Balance
208.00
0.00
0.00
0.00
0.00
Type
B91
B92
B92
Current
Period Postings
Date
03/01/94
03/01/94
04/01/94
Amount
20.80
4.18
2.33
Receipt '*
Desc
PENALTY
FINANCE CHARGE
FINANCE CHARGE
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
Enter 'I' For Billing History, 'P' To Print Report, 'D' For Detail Page, or
'/C' For Credit and Deposit History or 'XX' To Exit
-
.. . . .'
e
--_ ~r_' -- - -______ --- - - ---
_ _r -". ___......--..--_-y__..~, _ .__ ~.r ._
"'HM394901
Account Number
e
e
Ie
ACCOUNTS RECEIVABLE ADJUSTMENT
April 8. 1994
Date
Esther Duran
From
New Address
Close Account
Service Chan e
Other Ad ustments X
Fire Department. Hazardous Materials Division
Department/Division
SPRINGS A SPECIALTY
Billing Name
1636 S UNION AVE
BIlling Address
Site Address
Parcel # (If Applicable)
Landlord Name & Address (If Applicable)
ADJUSTMENT
Last Billed
Correct Billing
Adjustment to
Billing
Effective Date of
Change
235.31
o
<235,31 >
04·01·94
Remarks: THE BUSINESS HAS APPARENTLY MOVED TO 19420 COLOMBO WHICH IS IN THE
COUNTY. APPARENTLY THERE IS ANOTHER BUSINESS AT THIS ADDRESS WHICH SHOULD BE
BILLED INSTEAD,
· Bak-=F~~. .
~
HAZARDOUS MATERIALS DIVISION
Date Completed ~
Business Name:
Location:
l
ð 00 B1_(p
Business Identification No. 215-000
Station No,
~
Shift
¿,. Inspector
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments:
Adequate
~
~
~
~
n ~~~~~9~~~1
-'=-- è t;/j
Inadequatë-"'-"' ,~
D
D
o
D
~
o
Number of Employees
Verification of MSDS Availablity
A
~
'. Verification of Haz Mat Training
Comments:
o
D
o
D
Verification of Abatement Supplies & Procedures
Comments:
Emergency Procedures Posted
Containers Properly Labeled
Comments:
D
I:kY
o
D
o
D
Verification of Facility Diagram
Special Hazards Associated with this Facility:
~ tl L ' ~ ~ ~..l~ \
.vIolations: l) ðAtJW A \t! tAR- ðP ¡ All- , i It I UL 1fd?, ,
FD 1652 (Rev. 1-90)
All Items O.K, ~'
Correction Needed 0
White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
,I
l "
e
;
() 'f--:v
;^-î ~
HAZARDOUS MATERIALS MANAGEMENT PLAN
e
Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
¡,~
~~""':.~
Î=
~
rr:'
RECEIVED
.)
1
AUG 0 8 1990
HAZ. MAT, DIV.
INSTRUCTIONS:
1. To avoid further action. return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: SPRINGS A SPECILATY
LOCATION: 16':)6 SO UNION AVR
MAILING ADDRESS: POBox 80355, BAKERSFIELD, CA 93380
CITY: BAKERSFIELD
STATE: ~ ZIP: 93307 PHONE: 832-8100
DUN & BRADSTREET NUMBER:
02-787-1219
SIC CODE: 75'38
PRIMARY ACTIVITY: SUSPENSION REPAIR
OWNER: PAUL OR PHIL DIEBEL
MAILING ADDRESS:
POBOX 80355, BAKERSFIELD, CA 93380
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS. PHONE
24 HR. PHONE
1. CHIP CARR 0111,
Mf,NAGRR
R3?-R1 nn '
R34-7~01
393-6523 or 664-gS82
2. PAUL OR PHIL DIEBEL
OWNER 392-9292
\.
1 .
FD 1590
~.
,,J:'
Bakersfield Fire Dept, .-
e Hazardous Materials Division -
HAZARDOUS MATERIALS MANAGEMENT PLAN
.!
""~~
,.
'~j
¡i
{ -
ì
':¡ :;" lj ; : I.~) ~1¡:¡
:".,;:1:1 ,1 .~ :.r~~
SECTION 3:" TRAINING:
vïO .; ';.:." '¡', ~.,
NUMBER OF EMPLOYESS: 8
MATERIAL SAFETY DATA SHEETS ON FILE: DATA SHEETS ARE KEPT ON ALL
HAZARDOUS MATERIAL USED IN OUR FACILITY
BRIEF SUMMARY OF TRAINING PROGRAM:
SAFETY MEETINGS ARE SCHEDULED EVERY 90 DAYS
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 "CALIFORNIA 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, PAUL DIEBEL CERTIFY THAT THE ABOVE INFOR-
MATION 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.
r¡¿b¿:V.~
SIGNATURE
OWNER
TITLE
~ /éb /~c)
DATE
2.
FDl S90
..
(
e
Bakersfield Fire Dept,
Hazardous Materials Divisioe
n ~
, £!-: '1
.
, I
HAZARDOUS MATERIALS MANAGEMENT PLAN
1~~""",;;
J ~^
Facility Unit Name:
SPRINGS A SPECIALTY
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES: PAUL OR PHIL DIEBEL, OViNERS,
AND CHIP CARROLL, MANAGER, ARE TO BE NOTIFIED BY TELEPHONE
IN CASE OF A HAZARDOUS EMERGENCY
B.
EMPLOYEE NOTIFICATION AND EVACUATION: EMPLOYEES ARE NOTIFIED
VERBALLY OR BY 3, 5~SECOND BUZZER TONES THROUGH THE PHONE
SYSTEM. ET1PLOYEES,ARE TO MEET 100' SOUTH OF THE BUILDING
BY THE FIRE HYDRANT. THE MANAGER WILL THEN TAKE A HEAD
COUNT.
"..... '
"
>~.'..~,'
C, PUBLIC EVACUATION: THE MANAGER DELÈGATES PUR EMPLOYEES TO
NOTIFY ANY NEIGHBOR OR GROUP THAT MAY BE IN DANGER DUE
TO OUR HAZARDOUS EMERGENCY
D. EMERGENCY MEDICAL PLAN: THE MANAGER IS TO BE NOTIFIED
IJY1MEDIATELY OF ANY Iv'ŒDICAL EMERGENCY. THE MANAGER THEN
NOTIFIES THE PROPER DOCTOR ON OUR MEDICAL PLAN OR MEMORIAL
HOSPITAL EMERGENCY. THE ì"lANAGER THEN ARRANGES PROPER
TRANSPORTATION
3.
R)l$1)
<
I
""..........,
'".(
. ~.
Bakersfield Fire Dept. a
e Hazardous Materials Division ..
(I-
"
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A, RELEASE PREVENTION STEPS: ALL GASSES AND OILS ARE KEPT
IN APPROVED CONTAINERS
S. RELEASE CONTAINMENT AND/OR MINIMIZATION:
THE GASSES ARE KEPT OUTSIDE ON THE EAST SIDE OF THE
BUILDING TO MINIMIZE THE DANGER
C. CLEAN-UP PROCEDURES:
COMMON SENSE PROCEDURES ARE USED. THESE PROGEDURES ARE
REVIEWED AT THE SAFETY MEETINGS. BRIEFLY, ALL
TECHNICIANS ARE RESPONSIBLE FOR THEIR WORK AREA
SECTION 8: UTiliTY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: NORrrmvEsrr r,OR'l'J"P.R OTi' fJ1HV 'RTTTT,DIUG
ELECTRICAL: TNSTDF. MATN Ti'RONfJ1 '!<;1IFPRA1ITr:'!<;, 10' SOTTTE OF THE DOOR
WATER:
NORTHWEST CORNER OF THE BUILDING NEXT TO GAS METER
SPECIAL:
LOCK BOX: YES@
IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY:
A.
PRIVATE FIRE PROTECTION:
IN SYRATEGIC LOCATIONS
FOUR EXTINGUISHERS PLACED
B. WATER AVAILABILITY (FIRE HYDRANT): Tì'lO HYDRANTS ARE AVAILABLE.
100' NORTH AND SOUTH OF FRONT DRIVEWAY ON SOUTH UNION AVE.
4.
FDI590
"
.~"
'.
Page __1..__ of L.
NAME OF THIS FACILITy-SPRINGS A SPECIAL~Y
STANDARD IND, CLASS CÒUE:---~L'h~R
DUN AND BRADSTREET NUMBER--"~--
.D2- - 7_ 8... 7_ - L 2..
'"
-~,
CI of BAKERSFIELD
SHAZARDOUS MATERIALS INVENTORY
NON-TRA SECRETS
TV
L9...
U
a~es of Mixture{çC~Donents
See Instru: Ions
DE
Standard BusIness
o
Farl and Agticulture
B~SINE~S NAME
bIC¢TIz~þ
PHÒN~ It:
3
, by
Wt
CODES
11
Use
Code
10
Cant
Temp
9
Cant
Press
8
Cant
Type
1
. Dys
on SIte
6
Measure
UnIts
5
Annua
Est
4
Average
Alt
3
Max
Alt
2
TYDe
Code
1
Trans
Code
Oxygen
ding
16
4
2
FT3
18000
:::00
-
p
u
Number
Number
Number
C.A.S
C.A.S
C.A.S
Nalne
Nue
Name
.2
.3
Component
Immediate Component
Health
Component
o
Sudden Release
of Pressure
NUlllber
o
De layed
Health
C.A.S
:¡g
Phy~ical ood Health Hafard
(~heck all that apply
{fReactivity
re Hazard
(J:
Acetvlene
6
1
4
2
3
365
FT3
25320
1055
1055
p
u
NUlllber
Number
NUlnber
C.A.S
C.A.$
C.A.S
Nallle &
Nalle &
Name
f2
.3
Component
Immediate Component
Health
Component
o
Sudden Release
of Pressure
Number
o
Delayed
Health
C.A.S.
tJ
th uafard
apply
Reactivity
t
Phuical ood Hea
(~heck all that
ra Hazard
rJ
lnSl
OI S
44
4
1
365
GAL
200
110
M
u
Number
NUllber
NUllber
C.A.S
C.A.S
C.A.S
Nalle
Name
Nalle
.2
.3
Component
Immediate Component
Health
Component
o
Sudden Release
of Pressure
Number
o
De layed
Health
C.A.S
o
Phy~ical ond Health Hatard
(~heck all that apply)
Reactivity
o
re Hazard
ø:
Turbine oil 2
L1
GAL
00
1
C.A
100
100
M
u
NUllber
NUllber
NUllber
C.A.S
C.A.S
C.A.S
Nalle &
Nalle
Name &
Component .
Immediate Component .2
Health
Component .3
o
suddfn Re I ease
o Pressure
NUllber
o
S
De layed
Health
o
Phy~ical ood Health uafard
(~heck all that apply
o
Reactivity
re Hazard
F
IJd
3;t1,rwJeL
ul~i*!ta-
$ubmitte~ in this
InformatIon. I be
er
Cerlificatio" (Rerad and $ign afjt3r cçmp7eting ~77 sections)
I cer Ify under enal1 0 la th t I have persona 1~ exam!n Q 0 d m familIar it the informatIon
a(tac~eddQCUlen~sl an~ t at tase~ on my Inquiry 0 lhose Inâlvl~ua's responsibfe ~or obtaIning the
subnltted Inforlatlon IS true, accurate, and coìplete
Ü\m e r
ve
Carroll
"
EMERGENCY CONTACTS
":., r" -~~t
~ ~ ....~\
;..
j
1i
~
~
:f;
~
~
\J
J
~
(J
~
-
o
if)
~
~
~
":t::.
.'
e Hl)I~IP
SIT E DIAGRAM gj
P L~~~ l\I.\P
F~ILITY DIAGRAM
I
o
5\,¡s:.::ess ~ame:
:S f'" i'^~r'" ,- A . ~ ~í pj,J{y
11\
,II \\
_ _ No:""::: Name 0: Ar~a:
t.\
J
<t:
t;]) :S
~ cJ .~
3~ci ~
Q d ...L :s
'> > ("'> -
\9t-~J)
-n
~
~.
I.
of. é
!,4 .
r: >-..:,
o<é- '4J
~ ~ ~ ~
3-- H ~
oL<J ,-
Q... . W ...9 f
{) 0- N1-:J
VI ~ .
--J1
/OI'0'"7:JA ! '^Q
- ~.
A=~a :-!a~ :z
g}"T
~c
~ ~
~ ,..
~1.
~ :5
Õ
0:
~
~
:;.-....
J~
I.;¿
. :'>
,...}¡
~
Ô
"':, ~,. .'
-~
'S:J
~-
?-b
I..W-..ç
;ð'~
2r
<t;:::5
';;(::«::
,
~\ti
~,
-
7'b
l:j ~
¿} 0
~g
4:~
:±.
Á -or("v~ () I ^CJ ~
d VJ{j ~.-77"'~
~~_.,4J,¡', .,~!!II!,~~ UIII.!IòI¡I,~,:<~,;"t~lo""-,:r.t.,... ,~" ""'_'''''_'~ ,...,~._ ~, ,_"..~ ,..,,. _. "~.,,,_.... ."
.. .' '~ ' , .__"",. ~w~~c . "
. B2~dFi~t. g (p-qO
Hazardous Materials Inspection
."'-N~~J" .¡¡¡...,~, '4.1,-\1!,.,JJL~').' .:1.....
;;:
.-'
.,"-~
Date Completed 7 - /6,,,, 7' C)
,.,.~.
,
l
'If
Business Name: ~"o.......r;;~ <)" .11 ~4C c ;/1/ //
Location: /6 J b 5' ¿¡ /V/t:'::'"rV A vc.
..
0c:C7 :5 ~
Plan 10 # 215-000 (Top right comer Business Plan)
Station No, ç Shift C Inspector /'1/l é.../f (..1 ,~ Ý"
. , I
Adequate Inadequate
~
[3'
G-
ŒJ-
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
, Comments:
Verification ofMSDS Availability
Number of Employees ~
o
~
Verification of Haz Mat Training
~rification of Abatement Supplies & Procedures
Comments: ,ì q Y ~ D
o
(J '" nrr,¡p i·v., C~J
~~_L' ........ '-.;\".,~... \...___,j1
Emergency Procedures Posted
(,_ ï'
o
~
'¡c!q-;b -
Containers Properly Labeled
Comments:
'.
o
o
o
o
~
o
~
'\
,(
.,[¿r/
o
Verification of Facility Diagram
.....
"
.:., 1
~- 0
,\\
Special Hazards Associated with Jhis Facility:
\. > 't'.-.....
~/." .. . ~IJ:" ,f
'f
.....,¡.-.
"-,~,,.c-.,
- ",',\'
,..,.._Æ~;'j~~'!',:.~,.'¿;, .\_ .
t"[~.~;'/!.Whlte-Haz MatDlv. Yellow-Station Copy Pink-Business Office
'..:.i1~:':·'~\¡~·-'i: .~ -,",&.. ..
,
J
'.....
.c:I..~_ . ;î'i'
e
':¡ . ... :: ~...~ ..
~»~~
/ . Qt;-:-~"'-s'þ~
:',';§ =~'t.,,- ~i\)\
\\,~ :;~) .-~:
'. " 4iÞ~ ---.\. ,
.~>:~~/
."31- (p og\~!W!~
CITY of B.. AR.TRSFIELD cj?J')j'3\ !iT\{~
" IV E C -1. R E " D -::. \"" ~? ..;/ :::
-;:::.... ~" ,'$'
~-"~:'.~""7\".." I/~
~ åJllíÍÍ~
~
T
SYLVIA GARCIA
ttYDe or print name) RECEIV~O
JAM 0 9 1QR9
Doh ere b:>- c e r t i f ~- t hat I h a i: ere ," ì e t,· e d the
1 A liS' d,...........
attached Hazardous Materials business plan RF.CEIVED
.IAN 1 9 f9R9
for
SPRINGS "A" S'PFr.TAT'T'V
(name of business)
Aj~ û...
.........
and that it along with the attached additions
RECEIVEQ
or corrections constitute a complete and corre~01 mS9
Ans'd.
...........
Business Plan for my facility.
~);)~
signa "cure
SE RETARY
1 ~ &9
date
rj/aØ PæZ-J -
,
, cUt c¡7t Ú/I-ù .
~~.£ ~ - ~.
, O~.'\ oI~ ,i.
t rJ'Þ"O '.~ ~
1 )~
Bore:¿ -929 ê
~
DII' ~Æ9
l' ~/ D
O~l
..
e
e
ID NUMBER 215-000-000326
HIGH HAZARD RATING 3
BUSINESS NAME SPRINGS A SPECIALTY
LOCATION 1636 S UNION AV
1 .
OVERVIEW
(
LAST CHANGE 03/21/88 BY ESTER
215-005 JURIS BAKERSFIELD STATION 05
GRID 08A FACILITY UNITS 1 HAZARD RATING 3
. JURIS CODE
MAP PAGE 124
RESPONSE SUMMARY
2A SEC 4) MERCY HOSPITAL
EMERGENCY CONTACTS 2A SEC 2) 3~ISÖ
~RNON RITTER - 832-8100 OR 397-~
(. LL CARRO~- 832-8100 OR 832-5381
UTILITY SHUTOFFS 2A SEC 3)
A) GAS - B) ELECTRICAL - FRONT OFFICE ON THE SW WALL
C) WATER - IN FRONT OF OFFICE OUTSIDE BY OFFICE DOOR D) SPECIAL - NONE
E) LOCK BOX - NO
2. NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
VERBAL COMMUNICATION - 1-30-89
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 1
12/19/88 11:13
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
") ~ ...~
..
.~
¡
e
e
ID NUMBER 215-000-000326
HIGH HAZARD RATING 3
BUSINESS NAME SPRINGS A SPECIALTY
LOCATION 1636 S UNION AV
3. HAZ MAT TRAINING SUMMARY
LAST CHANGE / / BY
READING OF DATA SHEETS WHEN THEY ARRIVE AND REVEIW EVERY SIX WEEKS
ON SAFETY MEETINGS. 1-30-89
< NO INFORMATION RECORDED FOR THIS SECTION >
4. LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 03/21/88 BY ESTER
2A SEC 5) MERCY HOSPITAL
PAGE 2
12/19/88 11:13
MATERIAL SAFETY DATA SYSTEMS, lNC, (805) 648-6800
e
BUSINESS NAME SPRINGS A SPECIALTY
LOCATION 1636 S UNION AV
FACILITY UNIT 01
e
ID NUMBER 215-000-000326
HIGH HAZARD RATING 3
A. OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 03/21/88 BY ESTER
ID
TYPE NAME
LOCATION
CONTAINMENT
MAX AMT UNIT HAZARD
USE
1
PURE OXYGEN
EAST SIDE TO THE RIGHT FIXED PRESS. TANKS
ID PERCENT COMPONENTS
2359.00 100.0 OXYGEN, COMPRESSED
PURE ACETYLENE
EAST SIDE TO THE LEFT FIXED PRESS.TANKS
ID PERCENT COMPONENTS
1241.00 100.0 ACETYLENE
4500 FT3 HIGH
FABRICATION
HAZARD LISTS
HIGH
2
1055 FT3 EXTREME
FABRICATION
HAZARD LISTS
EXTREME
B. FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 03/21/88 BY ESTER
3A SEC 4) WE HAVE FIRE EXTINGUISHERS FOR FIRE PROTECTION.
3A SEC 5) FIRE HYDRANT LOCATED 200 FT SOUTH OF BLDG.
PAGE 3
12/19/88 11:13
MATERIAL SAFETY DATA SYSTEMS, INC, (805) 648-6800
W'~
~
e
e
ID NUMBER 215-000-000326
HIGH HAZARD RATING 3
BUSINESS NAME SPRINGS A SPECIALTY
LOCATION 1636 S UNION AV
D. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 03/21/88 BY ESTER
3A SEC 2) EXITS IN BOTH FRONT & REAR.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 03/21/88 BY ESTER
3A SEC 1) THEY'RE IN A GAGE, PROPER FITTED & CHAINED WITH MANIFOLD SETUP.
PAGE 4
12/19/88 11:13
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
INVENTORY
CITY of BAKERSFIELD
MATERIALS
I
ÆL
NAME OF TtrtS [~~JL!.TY:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
Q.6~ - 29] _ - ~ ,,) ,],;..0
of
_L
Pige
HAZARDOUS
OWNER NAME
ADDRESS:
CITY. ZIP7 3304
, -.
PHONE ,:_ = ~
RBP'Ir.R TO INSTRUCTIONS 'DR PROPIIR
CARROLL
C
WILLIAM
~
Stanøard Bus iness
A'
.-.
'--
ture
SUSINESS NAME
LOCATION:
CITY. ZIP
PHONE .
Aqr icu
Fare and
CODIlS
It
NaMs of lIixture/Coaoonenu
See Instructions
13
, by
~t
12
location ~here
Stored in faci Ilty
11
Use
Ccd.
10
Cont
Teaø
t
Cont
Pr.ss
7
Oys
Site
&
!leuure
Uniu
5
Annua
Est
.
Average
Alt
3
lIalt
Aet
2
Type
Coae
00 UXTG
___t--________________________
SIDE TO THE RIGHT
II...
E
4
I
Cent
Typ.
2
U.S. lIu.bel'] 782-44-7
I
on
NII.bel'
NIIebel'
C....S.
, u.s.
,
II...
II
12
CQllpcnent
CoaQØllent
rX'., r-"
L _..I Delayed L -... Sudden Releese
Heal th of Pressure
_..r¿_ly-__L~.?.º_q_
"
Physical and Health Huard
í.r.e<:k all that app Iy)
_ Fir. Hez'a;;"[2\J Reactivity
Trans
(ooe
-;Z~
ACETYLENE
-------------------.
SIMPLE ASPHYXIANT(NONE CURRENTLY
-------A"S7!rrrt"lS"1
lluebel'
. C.A.S.
II...
13
CQllpcnent
l-.dlue
H..I tn
r-.,
L_.J
ro
1055
P
U
lluebel'
, c,...s.
II...
II
Coepcnlllt
lIueber
C.A.S
Phys iCII and Hea I th Hazard
(~heck all that .pply)
Muebel'
, U.S.
I...
n
Coepcnlllt
,.-, ,.-,
L -... Sudden R.I..se L -... I..edlate
of Pr.5Sure Health
dt',
L_'" Delayed
" Heaith
Reactivity
r~'
L_'"
,.~.,
... _..I Fire Harard
-------------------------
lIuebel'
, C.,.S
II...
I!
Coaoonlllt
J.QO TAR
-..---------------..---------------...---------
END OF LOT
4
___~_50 _~...J_OOO _lGALl?~l~ ~
U,S. Hueber - µ)!l
D P 850
....--------.------------
-,
lIuebel'
. c....s.
H...
11
Coapcnen t
.
-hvsiCaI and H"lth Haurd
(Check all that apply) .
lIueber
, «:....5
II...
It
CQlloonlllt
r-.,
L_'"
"X" ..-.,
L_.J Delayed L_..I
Hea I th
JC
,.
L
:x: J Fire Huard
\7'f
---------------------------------------
__.E_L.5.5_______L____.1i___L.l00 __J.GALlJÞ2_L..L_t 1 l 4 l_~l~~_~ND OF ~__l9..L.~q_ PAÍÑTTHINNER .-----------------
_h~ical and Health Haurd C.A.S. Hueber· 0141141-001 Coeøonent II H...,. C.,.S. Huebel'
(Check all thac apply) --------, --- "
Mueber
, U.S.
Ha..
13
Coapcnlllt
IMedlat.
He.1 tn
Sudden R. h.se
0; Pressure
ReactivHy
AROMATIC HYDROCARBON
---..--------------------------------------------------
Huebel'
. C....S
lIa..
12
COoIpcnlll t
r-,
L_'"
,.-, ,.-.,
LX,... D.layed L._'"
Health
,.-,
LX-.J Reactivity
,..-,
...*.J
...._!....___.ALI£HAI.lC_JJY¡;>J3,.QQ~RBON
-----...------------ -------
12 VERNON RITTE~·---šHõPFÕRËMÃÑ----------3'fJ7'.:145'O------
I;ii-- THn-------------- 2'-Rrpn~ê---------
Hueber
, c....S
II...
13
CQlloonent
832-5381
2t-Rr-P~¡----
IMedlete
Hea I tn
CARROLL OWNER
----- nn¡-----------
Sudden Re I.ase
of Pressure
C
II WILLIAM
Ri¡¡
re Hazard
F
r'lERGEKCY COKaClS
and sign
that hay. person.l1y lXaeined and a. heiller with the 1nforrsation
I believe thet the 5ubeitUd infor.ation is true, accur.te, and CQIIP
sections)
all
co.pletinll
after
{Read
ion
icat
~art
ble
individualS res pons
1-30-89
DifŠ-Sigñëa
those
of
....-
.y i~quiry
on
based
thet
and
law
ion
SYLVIA GARCIA SECRETARY
~:¡¡;.ë~¡~a-õfnëì¡l-t¡ilëõrõ;ñërToõër:;ëõr-On;¡¡¡rropër¡ëõr·Š-¡ii¡ñõ¡:marë¡¡rëšëñ¡¡¡¡ÿ¡
! cert ify under pen. I ty of
i or obt. in ing the infgrIMt
INVENTORY
CITY oJ~ BAKERSFIELD
,MATERI ALS
.---.
L--.
"
=
NAME OF Tkíš FACILITy:NORTH
STANDARD IND. -CLÄS5 CODE 8389
DUN AND BRßgSTRE~T 9N~MBE~ 3" 7 0
- -
-- --- ----
P~ge~_ 0
HAZARDOUS
OWNER NAME
ADDRESS:_
CITY, ZIP:
PHONE ,:_
/lEPER TO INSTRUCTIONS l'OR PROPBR
:x:
Stanøard BusIness
ture
and iqrlcu
BUSINESS
LOCATION:
CITY, ZIP
PHONE ,
Fara
I]
, by
lit
CODES
12
location lihere
Stored in Faei Ilty
7
IOys
on Site
]
Max
Aat
2
Type
Cooe
HaJOes at
See
11
Use
CC4e
IQ
Cont
haø
,
Cont
Preu
8
Cant
Type
&
!lea sure
Units
5
Annua
fst
.
Average
bt
Trans
COOl
g~: MOTOR OIL
------.---------~-------------
SHOP
END OF
E
26
4
1
-~------
~--
___~j__6__________
uti
;hysica
If.heck
PHOSPHATE
ZINC
---
stw_<4~!·3Nuebe,.
Nuabe,.
, C..u
Na..
II
12
Coaponent
CoaQPl1ent
Nuabe"~~ 7 4 2 - 5 7 - CL.._
C..'-5
and Health Harard
all that apply)
,.-"
L.-Xi
_Fire Huard
FID
+
CALcr LONG SHAIN ALKYLPHEBATE SU
---------------------------------------
15
Muaber
. C,A.S
N...
n
COIIponent
IMedlate
HNltll
,.-.,
L._..I
,.-.,
L. _.I Sudden Releas.
of Pressu...
De layed
Hulth
L:J
React ivi ty
__TTJRIUli."O.lJ._L________
.lQ.Q
1
6
365
GAL
200
110
110
M
U
~.J:.o.l~~1.'ð.-___~~a..c.Þ_,
---..
Muaber
, u.s.
Nt..
II
COIIpontn t
C.A,5. Nuabe,.
~~~ it 4.(.:, ? 'L-
,.-., ,.-.,
L._.I Sudden Release L._..I l_tcIhtt
øf Pressure Hea I th
P ÎOclv t. ~
,.-.,
ReactivIty L.~.I Delaytd
. Health
Physical and Health Harard
(LhecK .11 that apply)
Nu.be,.
. U.S.
....
12
Coepontnt
,.-.,
L._..I
: JG Fire Hu.rd
'uabe,.
, C.A.S
Na_
13
Coaøonent
OIL 2
--------------------
__._£ e. if O_~f.J..a\!'¡..lt~ÅL\Lc.ad:hI-<;Y--
TURBIN
100
SHOP
._--
Nu.ber
END OF
E
_1_1L
C.A,S. Nuaber
{.)roclv c" -c.]d.~ -# L~b ?--1-------
r-, r-" r-,
L._.I Delayed L._.I Sudden Relene L._.I
Heal th or Pressure
---lQ.!L-
__1Q.Q...._
__]1
Phvs iCII and Hea
(theck .11 that
. U.S
N...
11
Coaponent
th Huard
apply)
lIuabe,.
. C.A.S
lIa..
12
Coaponent
IMedlate
Healtll
Reactivity
,.-.,
L._-'
,..-.,
I..~.I Fire Huard
-----l-~--~______L__..2______1_5~_ß-t~~L~~2-l~~-j-~~1~L~_:!:~~~__ ___ ~_:!-~~!~~~~B.~}~:~ß7ß~=- ______
and Hea Ith Hazard rt>'e:'r,~ tua~,. 1 t"L- Coaponent .11 Na..",. C.A.S. lIua~r ~'. Û...j.. ,. l ~ : D~, I.~ -:: ~
11 I) --------------- .' ILl; 1<".; r=:€:,ro G . ,. Itl/he:.
· that app 'I .' . ' '" '-, ~.. f 't ~ )f e¡ ___ . ~ __~__,,, _" ..U-raa.,_,~ __ -j, _ ___,,________________ ._____
Coapontntl2 ~"'C.A'5..:-Nuabe,. ~ Petrol.eu~ DLSt-;t(Cd<. '
f 9-; \ \ ? ') -- -------------------------------------------------______ ____u.
Coaponent 1], 3'" ê:i>S. ~abe" 3/? .1'0 ~_!_=!:..~_____.__.__________..__.. .___.
12 VERNON RITTER SHOP FOREMAN 397-3450
I¡..----- nn¡-------------- 21-R~-pn~._--------
------------------------------------------
Nuaber
. U.S
N...
13
COIIpontnt
,.~.,
L._.I
,.-.,
Delayed I. _.I
Health
K:J
,.-.,
1..--'
Phvsica
( theck
1C
,..
I..
Mediate
Hultn
Sudden Rel.ase
01 Pressure
vtty
React
FIre Huard
832-8100
2nnfiõiji----
I\AWJ.1LIMLÇ_,__ÇARROLI:....____ Ti"19~f&---------
aae. 1<1-
ç
C:GfHCY
(¿rt
and sign after
that I have persanal1y ,.aained anda. fa.¡Har "tth the tnførllltlon
1 belfeve that the subaitte~ infor..tiOll is true, accurate, and C:QJlP
sectJons)
all
co.pietJng
CQNuctS
( Read
011
ic.t
bl,
1-30-89
Oil š-Sigõë¡¡---------------- ---- -- ------- --
res pons
indIviduals
.Y inquIry of those
an
based
.nd that
I certHy under penalty of 1a"
¡or obtaining the ¡nfor..tian.
r __.~DT~¡¡Y..iI,Aì-.r:;14!Wl~A,----~-tG.Mlb.~RX-----7õ-------~----'f,---'''---------'-,.--
.11".e a~ 0 C1l tH e 0 owner/opeN tor v owner operator s au< oru.... ~Ipresen<a< Ive
.'
INVENTORY
CITY of BAKERSFIELD
MATERIALS
~---
NAME OF TtrtS [~.fJLg.X:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
OJ) _ - 'l91 _ ~3Z0__
of
Pige 3__
HAZARDOUS
CARROLL
C
WILLIAM
'iC'
~
SPECIALTY
E
Stanoard Business
ture
'A'
.--,
'--
SPRINGS
Fare and Aqricu
BUSINESS
LOCATION:
CITY, ZIP
PHONE .
CDDES
12
location Where
Stored in fac; I ity
R1U'ER
3
Max
Att
2
Type
Coo.
U
Naaes of Mixture/Coeaonents
See Instructions
13
\ by
Wt
11
Use
Ccd.
10
Cone
Taeø
t
Cone
Pr.st
.
Cont
Typ.
7
I Oys
on Sic.
6
Measura
Units
5
Annua
Ese
C
Averaga
bt
Trans
Ceae
LI.C-{;tI.1..________________________
PETROLEUM HYDROCARBON
MACHINERY
-.
1 4
- -
0001018AC
14
MCK
GA2::l365
C.A,S
30
-..-------
__~L__?_~______
U
50
Ccaponene 11 H.... C.A.S. Huebe..
NOT REGISTERED
CcaQØßellt 12 N.... C.A.S. Mueb,..
NOT
Ccaponan
..-,
'-_oJ
Huebe.. _
..-,
L - oJ Sudden R,I elSe
01 Pressure
t h Hazard
apply)
..-..
Reaceiv1ey '-_oJ Delayed
Hea i th
,.-..
L_oJ
"hysica I and Hea
I r.heck a 11 thac
_fir, Hazard
LUBRICATING OIL
- ---------
HYDROCARBON MIXTUR
95 THREADING OIL
-----..--------------,
50
REGISTERED
11 N.... C.A .5. Muebat"
IMediatl
Hwltn
lJL
______J~~_!l~__________________________________
MACHINERY
II N.... C.A,S. NIIeo...
64742-53-6
12 II.... C,A.S. Muebe..
Coeponen e
Coeponent
Hueber
C.A.S
ulº-_____
?hysiCaI and Health Huard
(~hecK al1 thae apply)
,.-.. ..~..
L _ oJ Reactivity L -:- oJ Delayed
He.ith
_£.-
,..1b
~ - oJ Fire Huard
__~ l.I~kL_
Huebe..
t) F ~ 1To,o
HI.. . C.A.S. lIueo.r
· C.A.S
Na..
(?N()
13
Coeaanant
..-.. ..-..
'- - oJ Sudden RI'"s. '- -- oJ I.edlan
of Prluurl He.1 tll
____ 6" _
5"
-----
~--~------~---
--.---------------------
. C.A.S. lIueber
lIa..
11
12
Coeponent
Caaponent
"x"
",,::I IMediatl
H..ltll
C.A,S
r-..
D.layeci L - oJ Sudden IIllease
He. ¡ th or Preuure
~~
PhvsiCaI and Hea Ith Hazard
(theck all that .pply)
r-"
L _ oJ React ivicy
c"1J
---------------------------..------------------
Fire Hazard
_______r. 'q''f ..__..._.._____--- -q-f'
______l____________J______________JL____________J______l_________L_______J_-------L______JL_______L_____________________________________.______.________________________________________________________þ______
Ph'lSical and Health Hazard C.A.S, Hueber Caaponent 11 Na..,' C.A.S. Kueb.r
(Check all that apply) -------------------------,
Hueber
· C.A.S
Ka..
13
Ccaponant
Hueber
. C.A.S
Na..
12
Coeponent
..-..
,-_oJ
r-, ,.-,
'-_oJ Delayed L_oJ
llealth
r-' .
L _ oJ ReacC!vlty
,..-.,
~-~
i
...-------------------------------------------------...----
12 VERNON RITTER-·---šiiõP--FõRËMÄN----··---~'!J7:'14)O·-...-·
liii--------' THli------------------------ n-RrpftMln-------
Hueber
· C.A,S
Na..
13
Caaponan t
832-5381
2nnfiõñ¡-------
laNd late
Ilea Itn
CARROLL OWNER
------------------ Tifli--------~-----------
Sudden Re lease
of Pressure
C
WILLIAM
Hã¡¡
re Hazard
F
r:""y
(irC
.1
COHTACTS
ble
Oãtš-Sigñëa------------------------- - -- - --
respons
individu.1s
1-30=89
ehas.
of
.y inquIry
thac based on
and
(Read and sign after co.pleting all sections)
I certify under pen.lty of 1a. that I have personally e...ined and.. fae,Har .ith the inforllation su
¡or Qbtaining thl intor.,tion, I bllieve that the subeitted intoraation is true, accurace, and coeplet
S~VIA GARCIA SECRETARY
~1;.ë-4ija-ö iilëì41-ïmïõrö;r.ërToõër~iãr-t!lrõ;r.ërTopë¡:ãïãr'š4ü[ñõ¡:ìm-¡:¡õ¡:-èš¡ñmm
.'
d'
ion
cae
.'
\
-!í~
~i_, :~
'..:I. "'" . f. . .'
... /
./" V
e e
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "6" STREET W· ~
BAKERSFIELD, CA 93301 \~ .:,10 '
(805) 326-3979 ~
:).tJ5P S
RECEIVED
JUN 2 3 1987
Ans'd,
...........
OFFICIAL USE ONLY
BUSINESS NAME
ID# O~~l
-
~'}~
HAZARDOUS MATERIALS ~~~¥
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole,
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
, "f} II ¿; '/-;,.
A. BUSINESS NAME :.-S.r r I ('If) S jp{! t IH , "(
B. LOCATION / STREET ADDRESS: ¡ 0..3 b 5-0, Un I ~/l
Av~.
CITy:_ßOr£Îs ~I e (of
ZIP: q33 of)
BUS. PHONE: (~o)) ff3';)..~ ?/ò ò
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.
A. Ue.rn{)/\ ~i+f~r- Ph# ~-:1:J.,8 JbD
B..ßl1J C(ù-( J £1 Ph# gJ:J., ~ 10 i)
AFTER BUS. HRS.
Ph#:¥i'1- :) q D ~
PhI 8?JCJ.- 'S3f f
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE:. ,
B. ELECTRICAL :~1 ¡)¡::¡:-{~ ~ hI) ~~ 5. '7t '
C. WATER::en .FT or- oFr--¡c..f( DI I¡(~ (1
D. SPECIAL: A/0t§ffi
E. LOCK BOX: YES / NO IF YES, LOCATION:
';/::~~
Où-o/"
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
e
e
~ I
- \~ \ .-;
~"~,
.. ..-~ ',4' .ï'-~~
, ~
"'..
-"
I
I
, '
" .
,:' ~ r.
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
'fX\e.rc~ ~ 'S f ~ to.. i '
~" .
17tJt'" "Q-
.
~" ilf. ~
tð \,,,'
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
rY\ e.rc~ gO'S ì ~ +c¿ (
- -- -.....--=-",.,- .~ - ~~~- _. ----- - - - ----..---~-----=:..--
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 EVACUATION PROCEDURES:.................
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:..... . .
INITIAL
~NO
~ NO
Q!i NO
CID)~
YES Œ9J
REFRESHER
@ NO
~E NO
YE. NO
·YE ~
YES Q!Ð-'
SECTION 7: HAZARDOUS MATERIAL
- --~--- ~-------=----= -- ---
CIRCLE' YES -OR~NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS O~
SOLID. 55 GALLONS OF A LJQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:,.,... YES ~
I, ~I f} (J/~ ~r-CJt?, , certify that the above information is accurate.
I under tand 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
~j;J-7';' ß()ü;
TITLE ~ p.rY'PfdRí'
DATE b - f)f)... 'tff)
- 2B -
..
e
e
,;:
:"'~ ,~
" .:... i' ~..
,~ ;-:..'
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. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3, Answer_ the questions below for THE FAÇILITY UNIT LIS,TED ,BELOW___. _ ~.._ ___'
4. Be as BRIEF and CONCISE as possible.
-;fj--{
FACILITY UNIT NA1'1E: /,,10 (L Ik
FACILITY UNIT#
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
íhe..1'~e T(I.. f\ Gf\,\~) prDper {\'\-\eJ ~ ChQl~f\eJ
~ e.s U- l' \ 0... f'r\Q,^~ fa cd S e"\ vp .
SECTION 2: NOTIFICATION A~~ EVACUATION PROCEDURES AT THIS UNIT ONLY
Cv' 4, --~
ç'['.\' C"':.
Or\
--ß'Qt ~ - ~(Õ -;-\.'t {-- - R ë A R.'
.-- -- - -.-------
.. 3A -
-¡
e
e
SECTION 3: HAZARDOUS MATERIALS FOR THIS ù~IT ONLY
A. Does this Facil i ty Unit contain Hazardous Materials?, . . .. ~ NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES ~
If No, complete a separate hazardous ,materials inventory
form marked: NON-TRADE SECRETS ONLY (white form #4A-1)
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 PROTECTIO~
We.. h Qv <.. ·CYr e
e.~ +\(\~ LI. \ sh e..,r 5 ,
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
~()O ~ 1- SOl..t -I- k (2 F IßLA ~ let l~í
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS/PROPANE:
'-
8, ELECTRICAL: ,cp\',Þ'flt- O~eIC.e.
5. /;J, '4.) ,4.11
- .
C ' WATER: TU ,F (0,/\ t Ù FFlC e.
Okt5 ld e.
6~ ,OFP¡c.e- OOù/'
D. SPECIAL:
III ð f1, e,
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO
FLOOR PLA~S? YES / NO
MSDSs? . YES / NO
KEYS? YES / ~O
- 38 -
~.
~....
,~! ,
.. "~ TI
,
" '....
., "
/
-
..
òf
<)
. ......\
,\
,
-L
Page
BAKERSFIELD CITY FIRE
FORM 4A-1
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
DEPARTMENT
D #
BUSINESS
I
/
I ~~~ I 5 1j- 74' 7 ADD RES S: l-\, L\. 0 ì) G- \ S ~ I'U M.. FA C I LIT Y U., 6. ...... _ .
Q, If',.
P : (' '\ -PI e \ ~ fa. ~ ~ :3 () "') , . - - . - .
CITY, ZIP: (\Q~e/"C {\.CJ I'd (ì:J. 43)t> y
c¡( :s ;J - 1>/00 PHONE #: X' ~ r¡ - -ç-i t? J 10FFICIAL USE CFIRS CODE
ONLY
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CO NT USE LOCATION IN THIS % BY HAZARD D.O,T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT, CHEMICAL OR COMMON NAME CODE GUIDE
\Jp Y S'Ob I ~OOa \'It :5' 03 \~ Eú. '51 <);cL <.. To ì~ ~\l~t t--I Pr o 'i '-\~ ~f\ 6J35'or N FLf)
;)'y) / ',- 1~.1 .
~J~() II 03 \<.0 GQ")+ 5LJe To r~fl.... Lert· fJ·A- Ac.e:h\ L €.(\ e.. FLG'.5
IO,S5 .\'t- 3'
~
e
-
NAME:~lule~ 6o.rCIQ. TITLE: ~ec.r~tQr1 S I G N A T U R E: c::l\, I P. ' .J1fìA ('¿....Á. DATE: (9- 'l-d"¡
EMBRGEN Y CONTACT: ¿J;¡ I (alA- (" Cúrr 0 L f T I I. E : f) /111/1 e/' n PHONE # BUS HOURS: ~ ~~ - X JOt) ð' -S'
EMÊ'RGENCY CONTACT, IJI'(I1Q(1 1\., l-tG,Ç h TITLE, shùp Fi2re~ AFTER DUS DDS, ~-531'( g-S-
PHONE # BUS HOURS: . ?~O 0
PRINCIPAL BUSINESS ACTIVITY:-5.prìf1--'.,. 5 ~.. AFTER BUS HRS: - '0 i)'
FACILITY UNIT #: ~
~
OWN'ER NAME:
Ltct
4A-l
..
e'
SITE/FACILITY
FORM. 5
_6'36' S
DI AGRAM . /'
iI 3..2h
.,¿tylL&--V7
..
...J -i-~ ,> \. "': \."
..
I J1I9? $
NORTH SCALE:NO BUSINESS NA1>IE: . FLOOR: 1 OF 1
<';I-'~ N(';~ "A" SPECIALTY
DATE:6 /191 87FACILITY N~~E: UNIT ~:1 OF 1
(CHECK ONE) SITE DIAGRMf FACILITY DIAGRAM X
.
Ó I (,;t ;/;'" fP Ii t:
L-1 t;:.J
~¿/e-
f--l
-X
~^
II ~
-7
'f,. \! ,,"
~!( .,...,
~~ $
'- _-..t:- 'f-
,..... ~
:-..
- J S(
~
(Inspector's Comments):
~Q t eTy¡"'¡~ . ï Or..-
-OFFICIAL USE ONLY-
- 5A -
y "
'W
e e 1636 s /¡jyt¿¿þ/J
SITE/FACILITY DIAGR~L
FORM 5 p- :5..2£
iNS? 5'
., .."r ..;.,.... ¡ ,.~ ';j_
...
/
/,,"
NORTH SCALE: NO BUSINESS NANE: . FLOOR: 1 OF1
SPRINGS "A" SPECIALTY
DATE: 6 j19/ 87FACILITY NAME: UNIT ~: 1 OF 1
(CHECK ONE) SITE DIAGRA~I X FACILITY DIAGRAM
.
L. ~
L
~
L
'--
ff
-7
¿¿
F\~ ~ ~~ M(tv\- -\' '
f . ,
+!I~~
I 1,- ~ ~
( ~ ~
~; ~'~
'~l 'J V)
1ft. "
I ( \ ~
(~~
\ __.. _....--......."_~'d'_....
,-"
---.--
\
1] DbJ-' J\
~ \
~ ~ ~ 'f<.
e¿ .. '" ~ L'ii
~~ \:
~. ~ \\ \:
.. ~ ~ ~
... ~\r)
\~ ~
~ \f) ¡
c::J !
! ~~~ , '"
,'it ~ ~ (
. ~ ~ ~
~" \ ¡
~ 'J
~ 1
-............ !
,
.:5~~~
Ke/J/,t¿"
------- -..---.--- ---
(Inspector's Comments):
-OFFICIAL USE ONLY-
- 5A -
, I
! :;
:./
. ,¡.
},
\~
e
.e
A
. ','
. ,1'·~ ",'~ :, .j.'
':j\~f' ;-.
. 1P:"\,.
.,~', .,£~~t.
..~ t :~~~;-:_~
DIAGRAM
i
.\
SITE/FACILITY
FORM 5
,.
;"
. ,
,"' '
~b~TH SCALE: NO BUSINESS NAr-tE: . " '., FLOOR: 1 OF 1
~~¡, S....K "A" SPECIALTY
DATE:6 /19/ 87FACILITY ~AME: UNIT ~: 1 OF 1
I,
.~
;1)".';;.:" ,
.'\~ :;: '. (CHECK ONE) SITE DIAGRA~I FACILITY DIAGRAM X
:1;;',' .;
:f..,
r' ',c .':
' ......'
J~~J .,'
:~~;,;;.':
,'(ft.\)","!<
\4f.~~~2>·;
".~.. ','
..~ !,_~¡f\t
~~J~~'" i
,;.,~{;;:' ,
""~"¡'"
;",;,.."..
"'11 ,;;.J
;t~ ~:¡~::.:
.",~,..,;."
'ü-~ ~ :.\i'""
'~\'': {h :
,h_ y{~,\"
"T; .t;: ~
I¿~(
:-'.~ 1 r\;,
ii~~':~'~:
Þ' ¢-i-c""y,
. 'Ä~{}L'
r~\" .
',tl~)'
..~.\.;"
.;.~:; ;~'.>
":qt f ~'f': ,~. . .
~;~\
:¡},~-, ",(' ,"
'~t$:~:~1:,:
¿ . /'
J I U ~ //.. ,¡It ~ ( .
Lj L:-J
:" ',,1 J¥C-
£--L "
~-~
1/.....
r'"
", .'
. .
. .
>.
"
"
.'"
.'
". '.'
~, ;":
" .
'-'.' "')
.\
1
'~,',~
!~f.ì
''''~
)!
,~
'il"
~~i '.:
;¡f'\
''''I,·''~,
,x~ 1"
;:¡i ¡'J
.,~,~~¡;,:
\"'~,.,"'"
~~~~~'i~:
.t
~\..!¡...
t .
';j' .,
f'·:
.. ~... :~ "
" .
, .":h '
,','1
. .~
, .
:.:
'. .
,',' ~
: ¡ ".
;;ii, .
j "', ]
;', "', " t.,
'~. '.' ." ,..
'..
'" :- ¡ç.
·~jctor's. Comment~):
,;~:{ '. , -t,' '
r
,
..
,
~
f
"
.r
. .
'. .
" . .'
..,;
. "
, ,,~:".':" ."', t .
,". .
... 5A -
,I.,~"¿
/
of
-L.
Page
LD CITY'FIH.E
FORM 4A-l~
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
D£'PARTMENT
BAKERSFIE
....':1\..
.-,.-"
....... ~,-
#
D
I
DDREss':":r~~¿~~5cif:/rQ -:P'l~~., 7' . '·ADDRESS':,-\o..O:) , l?-,\SLlI'Vt't'\. , FACILITY UNIT NAME: N~t!..íh,
ITY,ZIP: Q .pi~ rl. V.~3c>""\ CITY,ZIP: 6o..lC~/"'\i\",(d rlJ '-73)bY
HONE #:, '5( '3 ~- ;fnoo '. PHONE #:X'·~.rf -<;7<,;¡>J IOFFICIAL USE CFIRS CODE
, ' ONLY ,
1 2 . 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D,O,T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT, CHEMICAL OR COMMON NAME CODE GUIDE
P L¡ 50D I~DOD '';'-r :5' 03 \tp fc. ~'"; 'S:a '( Î;:, ì~ ~~'jk~ fo-I f.+ o ~ c...'S e. f\ j-JFLó
, ) 05-5- ~J ;lo .. ('. 5' o 1 \tD G Q ~ + Std. e ï oJ ïir (. LeÇ'r fV~ Ac:et\.\ L €. f\ ~ FL~.5
'"':~
/POI? ~~ I ¿? &'¿? t#¡¡L 0& LCf ~ 13: Gd ð/! Idt: -¡-~f-. FiJL. , ,
~ ,
¡; ~;- /6JO 6-/11.. ð? ~1 IE'. Çli~~ ð/Y .J¿_,r ¿;J -¡..¡; /~.K/ A4 Á é-.~ / <: 1
~p g' ·SlJ GilL Ie> ~~ If £4 ~ ð~ {kP ÁA ¿1f~J- p,'-j PL!. tl
110 .Jot?' ¿I' tfJb L¡L¡ ( IbI- Jê /; //1/ ~/'L f}t;q·
!i{ rc ( ~ ' t' t I
..;>UL,
ÁI1 . I~O.';: ,:/j, C? : '~l IlJ t;ÎI -d. . t c . ...,.... t .'.' '<..':t (. . .',~; :.~;-, < ,'<',..';",..':.,.... .... ~ .. ~ , FL L 4)
.. , .. ~.-
M /lJ ~O ~¿L 13 ~1 t..( e.,. 1.( t.r P~r,d FLt t;
P )J ;}O f;¡1¿ lit QCf AAâCA t ¡/¿¿. '/ f-/Ýdþ¿J L,{' <!!> /' ¡ /=LL 4
, ~L . /0 / 1-), fe~./r ¿ð-1
.It) ÄÐ It:? ( ~ ~/~/ ¡=¡L-4
Tt.
,/ ....-
,
"":
. .'
'-
~
~\..f 1\1 \ ("I" 60rCI a. TITLE: <e.:::'.("~\::¡._ SIGNATURE: <:::/\,11),_' r,I(j/rL~'. DATE: Lq-~~-?'ì
- .... - -- - - .... - .. - L)~i¡t[.~~.... r. Ct(,. " ..;; t f TITr.E: ,)!(,,¡: p/ (1 PHONE # BUS HOURS: ,9?::' - r !¡)~ ~ -S-
o. ./ t _-
,~,
J;:.
~
[-
c::'::?"'i.CO::-= r
l'~"" ....-J_" _
;' :.. ~, y ¡~.1 0
v"", - ~c í) ,
:
AFTER BUSHRS:
PHONE # BUS HOURS
AFTER BUS HRS:
T r T L E: 5> v.c ¡=..... r e- y¡ "'V..,,,,-
r :J~:'
/.] . -.,.;..,..
f\ \ \ .__:
....---
-.. ". r
--<::ij-
CONTACT:
BUSINESS
EMERGENCY
P~INCIP^L
i . ___ ,~
e
e
JUNE 20, 1988
Dear r1r. CAROLL
NOTICE OF VIOLATION AND SCHEDULE FOR COr1PLIANCE
------------------------------------------------
IN THE INSPECTION OF YOUR BUSINESS SPRINGS "A" SPECIALTY
LOCATED AT 1636 S. UNION AVE. BAKERSFIELD, CA
93307 ON JUNE 20th THE FOLLOWING HAZARDOUS MATERIALS
REGULATION VIOLATIONS WERE IDENTIFIED, :
1) SEVERAL HAZARDOUS MATERIALS FOUND WERE NOT INCLUDED IN
YOUR INVENTORY
A) 2-55 GAL. DRUMS OF OIL IN SHOP
B) 55 GAL, DRUM OF MATERIAL FROM SPENCER KELLOG AT THE
EAST END OF STORAGE YARD
C) 15 DRUMS OF UNLABELED MATERIALS AT THE EAST SIDE OF
STORAGE YARD.
D) 55 GAL UNLABELED DRUM AT THE SOUTH SIDE OF STORAGE
YARD.
E) COMPRESSED GAS CYLINDERS OF ARGON AND LPG
VIOLATION OF CH. 6,96 CALIFORNIA HEALTH
& SAFETY CODE 25509(A)(1-4)
The annual inventory form shall include, but shall
not be limited to, information on all of the following
which are handled in quantities equal to or greater than
the quantities specified in subdivision (a) of Section
25503.5:
(1) A listing of the chemical name and common
names of every hazardous substance or chemical
product handled by the business.
(2) The category of waste, including the
general chemical and mineral composition of the
waste listed by probable maximum and minimum
concentrations, of every hazardous waste handled by
the business,
(3) A listing of the chemical name and common
names of every other hazardous material or mixture
'¡
e
e
containing a hazardous material handled by the
business which is not otherwise listed pursuant to
paragraph (II or (21.
(4) The maximum amount of each hazardous
material or mixture containing a hazardous material
disclosed in paragraphs 111, (2), and (~~) tVhich is
handled at anyone time by the business over the
course of the year,
2) STOfèAGE CONTAINERS IDRUI'1S1 NOT PIWPERLY LABELED. (ITam A
Tllm! D ABOVE I
VIOLATION OF OSHA 1910.1200
(II The chemical manufacturer, importer, or
distributor shall ensure that each container of
Ilazardous chemicals leaving the workplace is labeled,
tagged or marked with the following information:
(i)Identity of the hazardous chemical(s),
(iilAppropriate hazard warnings; and
(iiilName and address of the chemical
manufacturer, importer, or other responsible
party.
(4) Except as provided in paragraphs (3) and (4)
the employer shall ensure that each container of
118 zardous chemicals in the ,wrkplace is label ed, ta,¡:t.£1:ed,
or marked with the following information:
"
(illdentity of the hazardous chemicalls)
contqined therein; and
.1
(iilAppropriate hazard warnings.
(5) The employer may use signs, placards, process
sheets, batch tickets, operating procedures, or other
such written materials in lieu of affixing labels to
individual stationary process containers, as long as the
alt.ernative method identifies the containers to which it
is applicable and conveys the information required by
paragraph (2) of this section to be on label. The
I~ritten materials shall be readily accessible to the
employees in their work area throughout each work shift,
(7) The employer shall not remove of deface
existing labels on incoming containers of hazardous
chemicals, unless the container is immediately marked
Id th the required informat.ion.
(8) The employer shall ensure that labels or other
forms of warnings are legible, in English, and
e
e
prominently displayed on the container, or readily
available in the "wrk area throughout each work shift,
Employers having employees who speak other languages may
add the information in their language to the material
presented, as long as the information is presented in
English as well.
3) STORAGE YARD EAST OF SHOP, NOT INCLUDED IN YOUR BUSINESS
PLAN
VIOLATION OF CALIFORNIA HEALTH AND SAFETY
CODE, CHAPTER 6.95, 25509(A)
The annual inventory form shall include, but shall
not be limited to, information on all of the folloHing
~dlich are handled in quanti ties equal to or ,g:reater than
the quantities equal to or greater than the quantities
specified in subdivision (a) of Section 25503.5:
Sufficient information on how and where the
hazardous materials disclosed in paragraphs (1), (2),
and (:3) are handled by the business to alloH fire,
safety, health, and other appropriate personnel to
prepare adequate emergency responses to potential
releases of the hazardous materials.
4) CONPRESSED GAS CYLINDERS NOT PROPERLY RESTRAINED.
VIOLATION OF UFC 74.107
(a) General, All compressed gas cylinders in
service or in storage shall be adequately secured to
prevent falling or being knocked over.
EXCEPTIONS: (1) Compressed gas cylinders in
'the proce~s of examination, servicing and refilling
are exempt from this section. J
(2) Medical gas cylinders may be stored and
used in the horizonta~ position in accordance with
nationally recognized standards.
5) OPEN CONTAINERS THROUGHOUT SHOP.
VIOLATION OF UFC 80.103(C)
Defective containers which permit leakage or
spjllage shall be disposed of or repaired in accordance
with recognized safe practices; no spilled material
shn.Il be al1m"ed to accumulate on floors or shelves.
6) HAZARDOUS MATERIALS SAFETY TRAINING INADEQUATE,
VIOLATION OF OSHA 1910.1200(H)
(2) Training. Employee training shall include at
least:
e
e
(i)Methods and observations that may be used
to detect the presence or release of a hazardous
"
chemical in the work area (such as monitoring
conducted by the employer, continuous monitoring
devices, visual appearance or odor of hazardous
chemicals when being released, etc.);
(ii)The physical and health hazards of the
chemicals in the work area;
(iii)The measures employees can take to
protect themsel ves from these haza rds i ne:'.L uel i ne;
specific procedures the employer has implemented to
protect employees from exposure to hazardous
chemicals, such as appropriate work practices,
emergency procedures, and personal protective
equipment to be used; and,
(iv)The details of the hazard communication
program developed by the employer, includin~ an
explanation of the labeling system and the material
safety data sheet, and how employees can obtain and
use the appropriate hazard information.
7) NATEHIAL SAFETY DATA SHEETS FOR ALL HAZARDOUS t'1ATElUALS
NOT AVAILABLE,
VIOLATION OF OSHA 1910.1200
(g) The employer shall maintain copies of the
r'equi red mater ial safety da t.a sheets for each hazarrious
chemical in the workplace, and shall ensure that the~
are readily accessible during each work shift to
~mployees when they are in their work area(s)
"
I __
(h)(1) INFORMATION. Employees shall be informed of:
(i)Th~ requirements of this section
(ii )Any operations in their Iwrl{ area Hhere
hazardous chemicals are present; and,
(iii)The location and availability of the
written hazard communication program,
including the required list(s) of hazardous
chemicals, and material safety data sheets
required by this section.
VIOLATION OF OSHA 1910.1200(G)
(9) Material safety data sheets may be kept in
any form, including operating procedures, and may be
designed to cover groups of hazardous chemicals in a
I-.'ork area where it may be more appropriate t.o address
the hazards of a process rather than individual
e
e
hazardous chemicals. However, t.he employer shall ensure
that in all cases the required information is provided
for each hazardous chemical, and is readily accessible
during each work shift to employees when they are in
their work area(s).
Violations 1,2,3,4,and 5, must be corrected by July 5th 1988
Violations Sand 7 must be corrected by July 18th 1988
The d ct).'),r tmcnt wi 11 schedule a re- inspection of your fae i.1 i ty
tn v!~r i fy compl iance. I f you have any ques ti ons regardi n,(t
t,h i3 !Iot.ice, please contact Ralph Buey at :~26-3979,
Sincerely,
RRlph E,Huey
Hazardous Materials Coordinator
"
.
.'
w. .
---------~------
, .
-
e
JUNE 20, 1988
Dear ¡'II'. CAROLL
NOTICE OF VIOLATION AND SCHEDULE FOR CONPLIANCE
------------------------------------------------
IN TIlE INSPECTION OF YOUR BUSINESS SPRINGS "A" SPECIALTY
LOCATED AT 1636 S. UNION AVE. BAKERSFIELD, CA
~n:\()7 ON JUNE 20th THE FOLLOWING HAZARDOUS HATERIALS
!?,EGULATION VIOLATIONS WEHE IDENTIFIED,:
1) SEVEHAL HAZArWOUS HATERIALS FOUND WERE NO(T INCLUDED IN
YOllE INVENTORY
AI ¿-55 GAL. DRUHS OF OIL IN SHOP í./'
B) 55 GAL. DRUM OF HATERIAL FROH SPENCER KELLOG AT THE
EAST END OF STORAGE YARD
CI 15 DRUMS OF UNLABELED MATERIALS AT THE EAST SIDE OF
STORAGE YARD.
DI 55 GAL UNLABELED DRUM AT THE SOUTH SIDE OF STORAGE
YARD,
F) COMPRESSED GAS CYLINDERS OF ARGON AND LPG
"
VIOLA'nON OF CII, 6.86 CALIFORNIA HEALTH
& SAFETY CODE 255U9(A)(1-4)
.
.'
The annual inventory form shall include, but shall
not be limited to, information on all of t.he folloldn~
lihieh are handled in Quantities equal to or greater than
tIle quantities specified in subdivision (a) of Section
~~:5503,5:
(II A listinq of the chemical name and common
names of every hazardous substance or chemical
product handled by the business.
(21 The category of waste, including the
qeneral chemical and mineral composition of the
waste listed by probable maximum and minimum
concentrations, of e~ery hazardous waste handled by
the business.
( 3 I A 1 i sting of the chemica 1 nEl.me and common
names of every other hazardous material or mixture
-
e
cOlltaininp: a hazardous material handled b~· t.he
business which is not otherwise listed pursuant to
paragraph (1) or (2).
(4) The maximum amount of each hazardous
material or mixture containing a hazardous material
disclosed in paragraphs (1), (2), and (3) Hhich is
handled at anyone time by the business over the
course of the year.
2) STORAGE CONTAINERS (DRUMS) NOT PROPERLY LABELED, (ITEMS A
TlmU D ABOVE)
VIOLATION OF OSHA 1910.1200
(1) The chemical manufacturer, importer, or
distributor shall ensure that each container of
Jlazardous chemicals leaving the Horkplace is labeled.
tagged or marked with the following information:
(i)Identity of the hazardous chemicBl(s).
(ii)Appropriate hazard Harnings; and
(iii)Name and address of the chemical
manufacturer, importer, or other responsible
party.
(4) Except as provided in paragraphs (3) and (1)
the employer shall ensure that each container of
hazardous chemicals in the Twrkplace is labeled, ta,gged,
or marked with the following information:
"
(i)Identity of the hazardous chemical(s)
contqined therein; and
.1
(ii)Approprtate hazard warnings.
(5) The employer may use signs, placards, process
sheets, batch tickets, operating procedures, or other
such Ini tten materials in lieu of affixing labels to
individual st.ationary process containers, as long as the
alternative method identifies the containers to which it
is applicable and conveys the information required by
paraqraph (2) of this section to be on label. The
¡~ritten materials shall be readily accessible to the
employees in their work area throughout each Hork shift,
(7) The employer shall not remove of deface
existing labels on incoming containers of hazardous
c!lemicals, unless the container is immediately marked
with the required information.
(8) The employer shall ensure that labels or other
forms of Harnings are legible, in English, and
---..-
//..........:.'f) STORAGE
PLM~
/
(
e
e
prominently displayed on the container, or readily
avnilable in the l.;ark area throu,£:1;hout each ",ork shift,
Employers having employees who speak other languages may
add the information in their language to the material
presented, as long as the information is presented in
Eng:lish as well.
.-.......-.... -,
YARD EAST OF SHOP, NOT INCLUDED IN YOUR BUSINESS
VIOLATION OF CALIFORNIA HEALTH AND SAFETY
CODE, CHAPTER 6.95, 25509(A)
The annual inventory form shall include, but shall
not be limited to, information on all of the following
",hich are handled in quantities equal to or greater than
the quantities equal to or greater than the quantities
specified in subdivision (a) of Section 25503.5:
Sufficient information on how and where the
hazardous materials disclosed in paragraphs (1), (2),
Hnd (3) are handled by the business to alloH fire,
safetv, health, and other appropriate personnel to
'________ l)repa~e adequate emergency resp~nses to potential............
---l::..('~eases of the hazardous materIals. __----.--.---.--------...--
'~ ----
...~,.,. ----..-.-.--.---
4) CO~PRESSED GAS CYLINDERS NOT PROPERLY RESTRAINED.
VIOLATION OF UFC 74.107
(a) General. All compressed gas cylinders in
service or in storage shall be adequa~ely secured to
prevent falling or being knocked over.
EXCEPTIONS: (1) Compressed gas cylinders in
~he proce~s of examination, servicing and refilling
are exempt from this section. J
(2) Medical gas cylinders may be stored and
used in the horizontal position in accordance with
nationally recognized standards.
5) OPFN/CONTAINERS THROUGHOUT SHOP.
~'I ~ VIOLATION OF UFC 80.103(C)
~ Defective containers which permit leakage or
spillage shall be disposed of or repaired in accordance
with recognized safe practices; no spilled material
shall be allowed to accumulate on floors or shelves,
/
5) JÆ^ZARDOUS MATERIALS SAFETY TRAINING INADEQUATE.
Y VIOLATION OF OSHA 1910.1200(Il)
(2) Training. Employee training shall include at
least:
e
tit
(i)Methods and observations that may be used
to detect the presence or release of a hazardous
chemical in the work area (such as monitoring
conducted by the employer, continuous monitoring
devices, visual appearance or odor of hazardous
chemicals when being released, etc.);
(ii)The physical and health hazards of the
chemicals in the work area;
(iii)The measures employees can take to
protect themselves from these hazards, i.ncluding:
specific procedures the employer has implemented to
protect employees from exposure to hazardous
chemicals, such as appropriate work practices,
emergency procedures, and personal protective
equipment to be used; and,
(iv)The details of the hazard communication
program developed by the employer, including an
explanation of the labeling system and the material
safety data sheet, and how employees can obtain and
use the appropriate hazard information.
7) ~I^TERIAL SAFETY DATA SHEETS FOR ALL HAZARDOUS MATERIALS
NOT AVAILABLE,
VIOLATION OF OSHA 1910.1200
(g) The employer shall maintain copies of the
r'pqu·{ red material safety data sheets for each hazardous
/.
c'}emlca 1 in the Horkplace, and shall ensure tha t the~'
readily accessible during each Hork shift to
employees when they are in their Hork area(s)
"
, .
(h)(l) INFORMATION. Employees shall be infornled of:·'
(i)The requirements of this section
(ii)Any operations in their work area where
hazardous chemicals are present; and,
(iii)The location and availability of the
written hazard communication program,
including the required list(s) of hazardous
chemicals, and material safety data sheets
required by this section.
VIOLATION OF OSHA 1910,1200(0)
(9) Material safety data sheets may be kept in
any form, including operating procedures, and may be
designed to cover groups of hazardous chemicals in a
'~ork area where it may be more appropriate to address
the hazards of a process rather than individual
... 4'''' to.
e
e
hazardous chemicals. However, the employer shall ensure
that in all cases the required information is provided
for each hazardous chemical. and is readily accessible
duriug each work shift to employees when they are in
their work area(s).
Violations 1.2,3,4,and 5. must be corrected by July 5th 1988
\'iolations Band 7 must be corrected by July 18th 1988
The deDartment will schedule a re-inspection of your facd,l i ty
to verify compliance. If you have any questions re~ardin~
this Ilotice, please contact Ralph Uuey at 326-3979,
Sincerely,
Ralnh E,Huey
Hazardous Materials Coordinator
"
.
.'
~rlif
e e RECEIVED
HAZARDOUS rv1ATERIALS INSPECTIONMAY 9 1988
@ Ans'd,...........
BUSINESS NAME, LJ f < :" ') " A. '3 r ,. ;. 111 :~¡:, /
LOCATI,"'" _I ~""V\
B~~_~.. _. (~)
INSPECTION DATE: 5' - t - 1 '7 INSPECTOR: -H ~.., J r; C k 5 d "\
VERIFICATION OF INVENTORY MATERIALS 0
PROPER SEGREGATION OP MATERIAL
w
o
o
Q; ~~J ( ror+~ ~ I~
; ..,1, q
VERIPICATION OP QUANTITIES
VERIPICATION OP LOCATION
COMMENTS: \ 0 If I bs I- f G- 0; 150 j .{.'" '" k 5
\tV¡ ~ "II ,PO \ J Sf S + ~ vY\ )
VERIPICATION OP BAZ MAT TRADlDIG
Vlo.J-
COMMENTS: _~ 0
Ms OS Co v-'ifle v- 90\lJ hI!" ""-'OV ¡~
UZJ
m
ov--J Pi/" )
VERIFICATION OP MSDS AVAILABLE
VERIPICATION OP ABATEMEH'l' SUPPLIES " PROCEDURES ca
COMMENTS :
EMERGENCY PROCEDORES POSTED
w
w
CDNTADŒRS PROPERLY ~R~.1m
COMMENTS: No fos-\-...J r "() NJ J orf5
VERIPICATXOR OP PAcn.:ITY DIAGRAM
~,ø
..'
SPECIAL BAZARDS ASSOCIATED WITH THIS FACILITY:
VIOLATIOHS:
tJo~ ~ e~cq
~
~~
,
e e
~ Mo:ft N"! -~ ~ ~. 7-J
" ~. ~-5Y5 () J2 ~.si&-p .'
6øTnf å«ð ~ ~ '-" ~ 7 -I g'
f!) J--f>G arl- é'~ ~/1n~ CJß . .
P 6-"ß<Ž:Q ~ (~ ~ ~) - 8 &<1)';6 ~ zP·
<'..) /S" ~ ~ ~ £ e4J 'ff ~ tJ& .
I ,J) S-'j . S . i.-eM ~ zÿd
@ (f)- ~ tf9~ ~.~~ ~~ ~~:tJ'
~~,
I . LiJ2ø[))
@ (5 ~ ~~ (~)~rrff
(~Q~o~)
ø~ ~"~~~. .
+~ Wc~~~~ ~
irL ~ ¿f2 -
@j1~HJ~~ .
(jjJ!) ~~~f$r/J':J }fa;f-.~ ·
di2
@OfM ~ ~,
lD ,-
"