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Home My WebLink AboutBUSINESS PLAN (3) Per it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE r~ This permit Is Issued for the following: 4r It) Hazardous Materials Plan ti(f!; -l . . . , c- .'" ..".. ' e . ...¡ ';)Þd>i> ¡1t~ o Underground Storage of Hazardous Materials i; ~- ~ ; ¡ ;" ,'. . - ~ o Risk Management Program ~1·~r;~ ~:.~:~:i:. "'~ ~ o Hazardous Waste On-Site Treatment PERMIT ill # 015-021-002142 ,A'-r;¡:L);n~:...<.;:; l,,~.,· , J:'''' ~~,.~ ARTHRITIS ASSOC AD~~'QU ~. PC; i: '~':;~::::;:T.li '/ }' / .~ _.J 5, ..; ~~'" /,,1 ~ I~I r ,.{ . ;'f,i.... \_. ..f!P'i>< """/t" qg l t i~ f'¡~ i.. ."--', . 'l-,", ,.r: -"~\r.>~f:it.- ...{J' .-' ' ,.-'"J! ! LOCATION: 1800WESTWINDDJiNÊ~~~"/ ',," ' yJi¡ CA 93301 ~ r l uþ< ;;f~~ªª ~iJ' ",:' ,¡ '¡ ¡T""'~ _! 1 t.! ,~ ~ Y.II~ \\ ~. t~\g p.' '. ,:. .'. -"...P'··· \.:. .- .~, ~.. \,:, ~ ...' '" .~ "'~ it~). . \'~\ .<\~., ./' . ': >~ e <:~' ..- 'V ..~ 1 'Q~ ," ~ '. . . ~.'"'' ' -~c~2f.ì..~~ ~ "/A ".:....\, .~~~ )~ ' ",> ". -,..". . ", . (.: " . . ~ :, - : >.'. '!.' . ',-' ., --' r /'.._ ,;';"/ ' ... ,'. Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 0 AUS 1 5 ~ 1715 Chester Ave., 3rd Floor Approved by: _ - Issue Date r Bakersfield, CA 93301 Voice (661) 326-3979 'ICES FAX (661) 326-0576 Expiration Date: Operil.te to it Per W aste Unified Permit Materials/Hazardous Hazardous º.N .R~VERSE SIDE CONDITIONS. OF.,:PE:al\ll,~:r,: .. ,'.' ."(;: .'~~,£}}V~:~1~:;\·.': . ,.' ~ . . .",:,.. . . IJ i1.! I!I Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment 93301 1800 LOCATION . - Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 JAN 2 4 2001 Issue Date Approved by: , -'.- - . -~..";,, .....',' - #' , - _ i' .'" ." ",; ~xpirâtio'njDåtè: ~\:~;:: :;'.~~':i}':_,r.~.J,~~:·~~.'~; :~; ." Issued by: '0 ~I '" ~ ~ £. J. ~ ~ -- ~ '.,: ,--.." '-L. C) ~ ~ ~ -]- 'V '-.) ~ ~ \...: '- 'I::) :::5 If) . _ c: Ç) ~ !::J ~ .~ "'0""' 8 .J '(j Electrical c:r: Shut off .:It SOD /800 uJE5"'w/~O ÒI(. THE ARTHRITIS ASSOCIATION OF KERN COUNTY ADAPTIVE AQUATIC CENTER EMERGENCY EVACUATION MAP tv 0 K~ ~ F I I ¡ ¡ r ¡ e At ¡ ¡ ¡ ¡ ! ¡ , ¡ I , ¡ ! I ~ ,. ... Office Office Office En~¡~.e (€YI..(.eí ~A5 C¿I¡nj vuoky( 5pr (r'\ It leI?. * '" t . Fire Extinguisher: ~ Electrical Shut of( ............ . * ............. Kitchen Therapy Room Office ~. Meeting Room Reception ~ . -"" Men's Bathroom In case of an emergency, leave through the nearest exit and proceed to the North West Corner of the building for further instructions and immediate rollcall ",. .' I< E Exercise Room Electrical Shut off "'- Women's Bathroom * Pool Office / Gas Shut off Fire Department Water Connection --q¿ ._.t1...~.-_.-- H~d(tm~ ft{Pf, 5O~-r ðlO~€Q oC ÓU( C~(-t-et:.. POOL Spa / .... Á Courtyard 1* Denotes a I . _<4 -. . <4- . r - . if_ - . - . - . . - : MEETING : AREA .....i!................ e -- ,\ / ~1J~ w~ þt "f~ ~~. 1/ ð'frÞ-0. ~ 9-y'~NI f :3 2- 7. ~ ft? o-:J-. 12/06/0'1 18:12 'B661 326 0576 BFD HAZ MAT DIV ¡g¡ 001 - - *************************** *** ACTIVITY REPORT *** *************************** TRANSMISSION OK TX/RX NO. 2353 CONNECTION TEL 3226202 CONNECTION ID START TIME 12/06 18:03 USAGE TIME 09'02 PAGES 9 RESULT OK f) . FAX .ansmittal Cover Sheet BAKERSFIELD CALIFORNIA Bakersfield Fire Dept. Office of Environmental Services -., 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (6~~.) 326-0576 · Bus No. (:66l) 326~979 TO: U~cJ.J, COMPANY: ~J\M-ÐcJcdTK- FROM: (~ 0" FAX No. 3dd- - ~D::J.. COMMENTS: - II ù~~ ~J~I ~ù.- §(MtcL~~ ~,nir~ ~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 ·H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (805) 326-3951 FAX(805)32~576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 e e IMPORTANT DO NOT DISCARD Dear Business Owner: California Law requires that all Businesses, which at any time during the year handle reportable quantities of hazardous materials, file a Hazardous Materials Business plan, including inventory of hazardous materials, with the local administering agency. Your business has filed such a plan. This same regulation requires that these businesses review the business plan submitted to determine if revisions are needed, and to certify to the administering agencies that the review was made and that any necessary changes were made to the plan. To facilitate this review we have enclosed a computer print-out of the plan you have submitted. Please review this plan in its entirety and make any necessary revisions on the print-out. When the review and revisions are completed sign the first page of the plan in the appropriate space certifying that the plan is complete and correct. Return the business plan along with any revisions to this office within 30 days of receiving these forms. If you have any questions or if we can be of any assistance please do not hesitate to call 326-3979. Sincerely yours, I ~ ~ c,JJL Director, Office of Envirorunental Services "9~ a:e W~ ~.A0Pe ff~ A W~" .: . . ADAPTIVE AQUATICS SiteID: 015-021-002142 Manager : Location: 1800 WESTWIND DR 500 City BAKERSFIELD BusPhone: Map : 102 Grid: 26D (661) 322-9411 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DEBORAH S OFTEDAL / EXE DIRECTOR / Business Phone: ( 661) 322-9411x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: React ImmHlth Contact : Phone: (661) 322-9411x MailAddr: 1800 WESTWIND DR 500 State: CA City : BAKERSFIELD Zip : ~3301 Owner ARTHRITIS ASSOCIATION ADAPTIVE AQ Phone: (661) 322-9411x Address : 1800 WESTWIND DR 500 State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat fñventory f== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax SODIUM HYPOCHLORITE R IH L 75.00 GAL Hi \, ~"'hh: t atJ-J{L 00 hereby certi~ tha~ ~ havs (Typ¡:¡ or pnnt name) . I m~nags- d h .....!ocus matena s ~ , wed ~he attache alalu m~ L . 5. i, and that it along with ment plan 10r ( "ame 0 usinGss) any corrections constitute a complete and correct man- agement plan ior my facility. 1- ;)~ -òL Datø 12/04/2000 .: . . F ADAPTIVE AQUATICS f= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME SODIUM HYPOCHLORITE SiteID: 015-021-002142 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit OUTSIDE SE CORNER OF BLDG Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 75.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 12.50 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS HAZAR E ME TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi D ASS SS NTS -2- 12/04/2000 t' . e: '. I CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ~IL{J HAZARDOUS TEIDALSMANAGEMENTPLAN 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 as brief and concise as possible. i 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing. SECTION I. below for initial subrpission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~rtl:)'t"i t is Associat ion Adapt i uè Aq"at ice Center LOCATION: 1800 Weob;ind Drive Bldg. :;00 , MAILING ADDRESS: 1800 Westwind Drive, Bldg. 500 CITY: ÐiãkiSrsfÜ;¡ld STATE: CA ZIP: 933()1PHONE: (661 ) 322 9411 PRIMARY ACTIVITY: W;:¡tç>r thpr;:¡py "Inn pxprr;!';p P ,. -OWNER: Non-Profit Organization Hoard of Directors PHONE: (661 )322-9411 MAILING ADDRESS: 1800 Wesh7ind Driue, Blðr; #500 EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Debbie Oftedal Executive Director 322-9411 871-5643 2. Christy GãJ:¡¡Q2; Proqram Director 322-9411 633-1531 1 í . . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: No leak detection dèvice. Daily visual walkthroughs for monitoring chemicals room. Pool staff notifies Executive Director or Program Director if anything unusual happens in chemical room. ... B. EMPLOYEE AND AGENCY NOTIFICATION: Executive Direct:tJr;:' determines nature of emergency, notifies all office occupants as well as staff, clients in pool area of the unauthorized release and coordinatès a hasty, but orderly evacuation procedure using the exits. Immediate rolL call and further instructiaB will take place at the meeting area in the northwest parking lot. 1-800-852-7550 or 661-326-3979. C. ENVIRONMENTAL RESPONSE MANAGEMENT: Executive Director is responsible for notifying office of emergency at 1-800~852-7550. If the Exeaæive Director is not available, the Program Director will take over'responsibilities to alert staff. Clean up will be our responsibility- arrangements have been made with Rosedale Pöbls at 588-3692. D. EMERGENCY MEDICAL PLAN: Spill/ Fire / Ambulance 911 Office of emergency services 1-800-852-7550 Dr. Willard Œristiansen, 1800 Westwind Drd.ve Suite 301 Memorial Ho~pital 420 34th Street, Bakersfield, CA 93301 327-4647 OUr p:;ol staff are certified in CPR for the professional, basic first aide. ' Vè h:1\e in services monthly to practiC"'2 our skills. If the emergency calls for additional medical help we have Memorial Hospital as back up and Dr. Willard Christiansen. 2 {1 ce (e HAZARDOUSMATEIDALSMANAGEMENTPLAN SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: -- No leak detection device. Daily visual walkthroughs for monitoring chemicals room. Pool staff notifies Executive Director or Program Director if anything unusual happens in chemical room. ~' B. EtviPLOYEE AND AGENCY NOTIFICATION: Executive Direct:lr:' determines nature of emergency, notifies all office occupants as well as staff, clients in txJOl area of the unauthorized release and coordinates a hasty, but orderly evacuation procedure using the exits. IImnediate rolL call and further instructia5 will take place at the meeting area in the northwest parking lot. 1-800-852-7550 or 661-326-3979. C. ENVIRONMENTAL RESPONSE MANAGEMENT: Executive Director is res¡x>nsible for notifying office of emergency at 1-800-852-7550. If the Exeaitive Director is not available, the Program Director will take over'res¡x>nsibilities to alert staff. Clean up will be our responsibility- arrangements há:ve been made with Rosedale POOls at 588-3692. D. EMERGENCY MEDICAL PLAN: Spill/ Fire / Ambulance 911 Office of emergency services 1-800-852-7550 Dr. Willard CHristiansen, 1800 Westwind Drd.ve Suite 301 Memorial Hoppital 420 34th Street, Bakersfield, CA 93301 327-4647 Our pDl staff are certified in CPR for the professional, basic first aide. . '.' ..,::, i: W3 h:1\e in services monthly to practics our skills. If the emergency calls for additional medical help we have Meroc>rial Hospital as back up and Dr. Willard Christiansen. 2 . . :"i . . HAZARDOUSMATEmALS MANAGEMENT PLAN SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: California Safety Training perfonns a quarterly walk-throug:J. of entire building. Chlorine is delivered monthly (& empty barrels removed) to the Center in 5-15 gallon contained barrels by an authorized dealer, Executive Pools, into the storage room. The 15 gallon containers of chlorine that are stored are closed tightly with screwed on caps. Only one at a time is open during use by automated chemical injection system. This is a small opening for tubing to fit in. Full chlorine barrels are set aside away from the one acid barrel. (Gee next pàge) B. RELEASE CONTAINMENT AND/OR MITIGATION: Ch5,~icals, maintained in a 4 walled / roofed room adj acent to pool area, not accessible to the public. Doors are locked" at all times and only appropriate staff have keys. In case of an incident only the Executive Director, Program Director, or emergency agency personnel will be allowed ih. C. CLEAN-UP AND RECOVERY PROCEDURES: In case of a release of our acid, we have been advised to keep soda ash on hand, which acts as a neutralizer. Then dilute it with water. Chlorine can be diluted with water also. We do not have a company who removes hazardous waste. We do not generate waste. UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) OUr shut off for gas is on the outside, east side of building between the two back doors. NATURAL GAS/PROP ANE: ELECTRICAL:Chemical storaqe room (East Wall); Hallway Left wall/South entrance (s::e *) WATER: Fr.oo.t of building (Qocréll'lœ) SPECIAL: LOCK BOX: YES@ IF YES, LOCATION: *Shower water heater room adjacent to office in pool area. PRIVATE FIRE PROTECTION/W A TER AVAILABILITY A. PRIVATE FIRE PROTECTION: Fire extinguishers 3, ceiling water sprinklers throughout all areas of the building. " B. WATER AVAILABILITY (FIRE HYDRANT): Left of front main entrance to the facility. 3 . . í -' ~ . "i .,.. , HAZARDOUS MATEIDALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: 7 MATERIAL SAFETY DATA SHEETS ON FILE: YEs. Pool office & chemical storage room BRIEF SUMMARY OF TRAINING PROGRAM: 1. Put all safety equipment on when changing chlorine tanks. No bare feet in the chemical room. 2. California Safety Training provides annual training/testing for all staff that covers the Cal OSHA Hazard Communication Standard. " 3. Safety drills on fire extinguishers / First Aide supplies kept up. Know how to use them. 4. In the unlikely event of acid spill while working on double containment barrels, put on safety equipment - throw soda ash on acid to dry it up. CERTIFICATION I, ~Kd.JL of'kM CERTIFY TIIAT 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 MATERÌALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. . ---- -2-2 '-òl DATE 4 f} re (e HAZARDOUSMATEIDALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF ElVIPLOYEES: 7 MATERIAL SAFETY DATA SHEETS ON FILE: YES. Pool office & chemical storage roan BRIEF SUMMARY OF TRAINING PROGRAM: 1. Put all safety equipnent on when changing chlorine tanks. No bare feet in the chemical roan. 2. California Safety Training provides annual training/testing for all staff that covers the Cal OSHA Hazard COmmunication standard. I 3. Safety drills on fire extinguishers / First Aide supplies kept up. Know how, to use them. - 4. In the unlikely event of acid spill while working on double containment barrels, put on safety equipnent - throw soda ash on acid to dry it up. CERTIFICATION !, ~Kl1.k{)f,!t:.M CERTIFY TIIAT 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. -2¿-ðl DATE 4 r. . . , · (ëdli.tirna.l infamatim) SEri:im TI.2. IèlEase Resp:œe Plan A. ·HAZAID ~ AN) :rnÐÆNrKN MEA<1RES: We have full safety equipment in the room including eye goggles - gloves- apron - breathing apparatis and an eye wash station. Fire extinguishers located throughout building, checked monthly and serviced annually. " , . I' [' I , J . "r " (Jà. '-.J " .,...,'~., AFiTHRITISASSOCIATION ADAPTIVE AQUATICS' CENTER . . , \ CHRISTY GAMEZ . : program Director " '. (661)'322-9411, . 1800 Westwind Drive, ßuilding 500 Fax: (661) .3?2-6202 .. , Bakersfield CA 93301 , E-Mail: christy@arrival.net 1 -.. . 'I ._ ~, -..... '-" '.~ ---.< ?~ '--.../ ~ ~ ARTHRITIS ASSOCIATION ADAPTIVE AQUATICS CENTER DEBORAH S. OFTEDAL EXECUTIVE DIRECTOR 1800 Westwind Drive, Building 500 Bakersfield, California 93301 661-322-9411 Fax 661-322-6202 ~71 \ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT \ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 " e I O'd." ;;JbO It ç~ r FACILITY NAME ~1Y?r,v~ At)Uo.T1'CS ADDRESS 1%0<:> WEs7WfNr') #-~ FACILITY CONTACT C4Æ-t s"tY ~e-t- INSPECTION TIME INSPECTION DATE t l ) '1 Þv PHONE NO. ~"'2:'"l- 4411 BUSINESS 10 NO. 15-210- A../'E() NUMBER OF EMPLOYEES I Ò Section 1: Business Plan and Inventory Program ~utine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate penn it on hand ? LC-A-SE- CcM1PLc:-r~ 8 MÂt<- ,.J Business plan contact infonnation accurate Or'c..(3 «.. E-c.. i f:) Visible address Correct occupancy Verification of inventory materials Oßl'A-'r ...I'C..~ f)(I(4N(;. (AJ rp Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand r(...GÂ$~ flAÅzIc.. ,'\1 w/>.,¡9P<.'cAv-¡~ C=Compliance V=Violation Any hazardous waste on site?: Explain: o Yes ~ Party Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs, Yellow - Station Copy Pink· Business Copy Inspector: W I/l/ß ...- ........ .... 7711~ \L\?- CITY OF BAKERSFIELD FIRE DEPARTMENT \ ~ OFFICE OF ENVIRONMENTAL SERVICES * UNIFIED PROGRAM INSPEèTION CHECKLIST I 0 d - ;;Jb 0 \ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ç~ r INSPECTION DATE ¡ I I Cj /ov PHONE NO. ?:."?.. 7. p 4 A-II BUSINESS ID NO. 15-210- vEt.) NUMBER OF EMPLOYEES , D ;¡. . p 'Wi . FACILITY NAME A\)t>J?r'I/~ ,K1)UöY!CS ADDRESS , ~ÓÙ W~7W/"';r") ~.svò FACILITY CONTACT C4Æ.(,:>tY ('~~ INSPECTION TIME Section 1: Business Plan and Inventory Program ~outine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate penn it on hand 'PLt:.~S~ CCM1P(..~'V'r: 8 M Jl.,c.,.. ,,.) Business plan contact infonnation accurate Or-'c..é: (lEe. 'D Visible address . Correct occupancy Verification of inventory materials Oß~ Je....t') f)ua... NG ( N rf' Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand ?(..~A-SE ¡tAÅ/'- ,'\1 tA,j/ /ifP(/CA¡1'~ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~ Party Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs, Yellow - Station Copy Pink - Business Copy Inspector: W (-vB A CITY OF BAKERSFIEIA OFPICE OF ENVIRONMENTAL ~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o NEW o DELETE o REVISE 200 (one form per material per budding or area) Page 0' '. '. .~j!~;.;" "~<;;',7;~~:T~~~~~'¡li/;~~f~i~t~;:t'j~~~~Ä¿íf¡;;¡ìij1ð~À~~:~~~t~:{{':,'· , BUSINESS NAME (Same as FACILITY NAME 01 DBA· Doing Business As) . . '" . '&\)APí\ v'f; ~Ú'fl11C CHEMICAL LOCATION c9tJ1<; I (),=:; \, 3 '-" ç'6: CCCrJfL. of:- ß l.!)(;. 2011 CHEMICAL LOCATION I CONFIDENTIAL (EPCRA) GRID /I (optional) o Yes 0 No 202 204 < ;.:::.;-> :<~\ "'f':i¥; ~V') ~i,'';'';j.~.g·~·.:,: l' '..:.-'~:':::~:_;",1\<i;<'/"J 'He"icAL:ìNFORMA TIC) ~.",~,~~',::' l'<'i--I.-.y'~~"h:{')I'-1.-é ,~,..;",,,.,,,~,,:~·;·'~.¿{d.;.. o Yes 0 No 206 If Subjed 10 EPCRA. refer to instructions CHEMICAL NAME 207 COMMON NAME CAS/I 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 I ¡ TYPE o P PURE Jií.m- MIXTURE o w WASTE 211 RADIOACTIVE DYes oNo 212 CURIES 213 ! I PHYSICAL STATE o s SOUD ~IQUID o g GAS LARGEST CONTAINER ç~ 215 ¡ 214 I i FED HAZARD CATEGORIES '~CTIVE , (Check all that apply) 01 FIRE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 ! ANNUAL WASTE 217 I MAXIMUM 7S 218 AVERAGE 219 STATE WASTE CODE 220 ; I AMOUNT DAILY AMOUNT DAILY AMOUNT I UNITS· ~GAL o d CUFf o Ib LBS o In TONS 221 DAYS ON SITE 2221 . If EHS. amount must be in Ibs, ! STORAGE CONTAINER o a ABOVEGROUND TANK ~LASTlCINONMETALLlC DRUM o i FIBER DRUM o m GLASS BOTTLE o q RAIL CAR , (Check all that apply) 223 ; o b UNDERGROUND TANK 0, CAN OJ BAG o n PLASTIC BOTTLE o r OTHER i ; DC TANK INSIDE BUILDING o d STEEL DRUM o g CARBOY o h SILO Ok BOX o I CYLINDER o 0 TOTE BIN o p TANK WAGON STORAGE PRESSURE j::;}I a AMBIENT :r1':. AMBIENT o as ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE o sa ABOVE AMBIENT o ba BELOW AMBIENT o C CRYOGENIC 225 / '2.. f S- 226 ~óJIU,^",\ ''"\Y f'c..C.J-1Ulfll -rc.. 227 o Yes 0 No 228 229 2 230 231 DYes 0 No 232 233 3 234 235 DYes 0 No 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 o Yes 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd . . CITY OF BAKERSFlEi,¡D FIRE DEPARTMENT OFFICE OF ENVIRONMENT Ai. SERVICES UNIFIED PROGRAM INSPEC1I'HON CHECKLIST 171S Chester Ave., Jrd J;'loor, Bakersfield, CA 93301 ~O? FACILITY NAME Afl;(HtZ.IíIS AS.so~ AbAP77l1í. AQtl¡t1~§PECTION DATE /ð 31 03 ADDRESS ¡gOð w~rWINb blL. .#SðO PHONE NO, (ft,,, ~ ~ WI " 7 J -$"" :1 FACILITY CONTACT Þe.&O\~ Ofí"'.bAt..- BUSINESS 10 NO. ~ O/~-(/).-I-OðJ..l'l;).. INSPECTION TIME /1-·/0 NUMBER OF EMPLOYEES 1 Section 1: Business Plan and Inventory Program ø Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS .. Appropriate permit on hand 'b( Business plan contact information accurate ~ , }( Visible address Correct occupancy ~ \ Verification of inventory materials Þ< Verification of quantities eX Verification of location 0( Proper segregation of material þ( Verification of MSDS availability ~ Verification of Haz Mat training 'I-- Verification of abatement supplies and procedures ~ . Emergency procedures adequate Þ< Containers properly labeled IX Housekeeping ()( ~ Fire Protection ~ .---- . Site Diagram Adequate & On Hand ~ l/tA /IoA-Þ./)d /ihJtð/7 ..--- / C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes (JNo Questions regarding this inspecûon? Please call us at (661) 326-3979 White· Env, Svcs. Yellow· Station Copy Pink· Business Copy Inspector: MA-(f ~1A?LJ\t\)> ¡¿L/ ......, 'C, . Arthritis Association of Kern County Adaptive Aquatics Center "Recipient of the 2000 Beautiful Bakersfield A ward for Health and 2003 From the Hear' Award" .... EXECUTIVE DIRECTOR Deborah S. Oftedal BOARD OF DIRECTORS Presidellt Tammy Hacker Pepsi Bottling Group Vice President Bill Rydia KGET - Channel 17 Treasurer Jeffrey N. Christiallsell California Physical Med. Secretary Jerri Neptune Retired Immediate Past President Craiger Bolen Central Printing & Graphics Steve Bohn Edward Jones Investments Carol Cordrey San Joaquin Bank Stephanie Crumpacker ARCa AM/PM Gloria Greenlee KCSaS Nalley Jacksoll-Boyles 50, California Edison Clay tOil Koerner AllianceBrokffs&Co~llirnnŒ Richard Macy Retired - ARCa Gael Mueller Borton, Petrini & Conran Sharon Spittler Dent Pro Alex Spolsdoff Pond Union School District Sara Takii 5outhcoast Rehab, Associates Sue Tyre ARCa AM/PM ADVISORY BOARD Hal Aaron Jim Banducci Man} Berry, R.N. Wes Bradford Caroly" Bryant Christopher D,Jacobs, CPA Bmce C. Jay Virginia Miller Howard Silver June 24, 2003 ~ .J!!}> ~\- _ ~~ Ralph Huey Director of Prevention Services Bakersfield Fire Department 1715 Chester Avenue r Bakersfield, CA 93301 Dear Mr. Huey: Enclosed is the Hazardous Materials Business Plan with revisions for the Arthritis Association Adaptive Aquatics Center. If you have any questions, please call Jeannie Moton, Program Director, or my~el£ Sin~e ,ly, ¡ . (' ¡J'Ä .,' Deborah S. Ofteda Executi~~ Director dsoltbm Enclosure MEDICAL ADVISORS Martin Bem), M.D, Rheumatologist, Ba/œrsfield Willard B, Christiallsen, M.D, CO-FOUNDERS Dode Perrin, [n Memoriam [relle Sorensoll 1800 Westwind Dr., Bldg. 500 . Bakersfield, CA 93301 . (661) 322-9411 . Fax (661) 322-6202 . www.geocities.com/aaac1 A local, independent non-profit organization· Tax exempt # 95-3669747 ARTHRITIS ASSOC ADAPTIVtllQUATICS . / SiteID: 015-021-002142 / ~ . ~ Manager : Location: 1800 WESTWIND DR 500 City BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: .J~ J t! ~ ~ BusPhone: Map : 102 Grid: 26D (661) 322-9411 CommHaz : Minimal FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title DEBORAH S OFTEDAL / EXE DIREC Business Phone: (661) 322-9411x 24-Hour Phone : (661) 871-5643x tt'l\~ Phone (({~I) 33;3>- !341({;X. -~- Emergency Contact .~ð~itle .GHRIO'fï GAMEZJàvl~~ e.-UUj PROGRAM DIR Business Phone: (661) 322 -9411x 24-Hour Phone : (661) 633 lS31x ~36-g- 3i.( p~ Phone : ((PtR¡) 3tft)-¿J'ðr¡!.¡X I Hazmat Hazards: React ImmHlth Contact : MailAddr: 1800 WESTWIND DR 500 City BAKERSFIELD Phone: (661) 322-9411x State: CA Zip 93301 Owner Address City ARTHRITIS ASSOCIATION ADAPTIVE AQ 1800 WESTWIND DR 500 BAKERSFIELD Phone: (661) 322-9411x State: CA Zip 93301 Period Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: (). ~ Do ~~~~1r.Þy r.~1?W~ ~1rù~ % ~ &\w!®WOO ~tù® tanacc01~d h~aìá'@OU$ m2~~rri~~~ OO@1Ifù~@o . . A J\ . ìF K.eh^J~~1 . ffi~úìJ~ LO>~tãln ~©rr ziHirti'f1s 11~$.t\(. 0 ~1iìiQ1 ~Vì~~ ~~ ~@(ñ)@ 'Wnfth (~O'I ~m.')Q¡)\ m~ (OOr~Ü©ü1$ OOI1$iì¡~~~ lID ©omp~~® ®úìJ©J OOW®©'R fficSln- ~®m®úìJ~ p!talM1 iQ)f my ~~~ii~y. ~J Ah#/)tgj2fJP3 $ìeMnJrø ~- -1- 06/16/2003 , i , - F ARTHRITIS ASSOC ADAPTIVtllQUATICS f= Hazmat Inventory p== MCP+DailyMax Order . SiteID: 015-021-002142 9 By Facility Unit 9 Fixed Containers at Site 9 Hazards Frm I DailyMax UnitMCP Hazmat Common Name... specHazEPA SODIUM HYPOCHLORITE R IH L ~oo GAL Hi ,~. ~L 0 () <¡J' -2- 06/16/2003 ~/ARTHRITIS ASSOC ADAPTIVtllQUATICS f= Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE 4IÞ SiteID: 015-021-002142 9 Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit ~ Map: OUTSIDE ..~ CÖ'RJ:'<Bl{ OF 13LDCS fflJDrd.€'.J....d2 c£ J3u:l&~ ~ Grid: CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container //5 ~ GAL AMOUNTS AT THIS LOCATIO~ Daily Maximum ~ð Daily Average ?f5Ç?G:~ GAL ffS- ~ GAL %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.DefinelO: - Ag. Define11 if (!(JYi~ If ere Ii Pi J1'lØtw;f U/ kJ/J U¡? 7D //~5J /b ¥!>- :Jallclh S, -1t;- ¡~S f¡ fir: ~ -3- 06/16/2003 ; , . ;'ARTHRITIS ASSOC ADAPTIVtltQUATICS I p= Notif./Evacuation/Medical Agency Notification 4IÞ SiteID, 015-021-002142 9 Fast Format ~ Overall Site ~ 01/24/2001 NO LEAK DETECTIOND EVICE. DAILY VISUAL WALK THROUGHS FOR MONITORING CHEMICAL ROOMS. POOL STAFF NOTIFIES EXECUTIVE DIRECTOR OR PROGRAM DIRECTOR IF ANYTHING UNUSUAL HAPPENS IN CHEMICAL ROOM. Employee Notif./Evacuation 01/24/2001 EXECUTIVE DIRECTOR DETERMINES NATURE OF EMERGENCY, NOTIFIES ALL OFFICE OCCUPANTS AS WELL AS STAFF, CLENTS IN POOL AREA OF THE UNAUTHORIZED RELEASE AND COORDINATES A HASTY, BUT ORDERLY EVACUATION PROCEDURE USING THE EXITS. IMMEDIATE ROLL CALL AND FURTHER INSTRUCTIONS WILL TAKE PLACE AT THE MEETING AREA IN THE NW PARKING LOT. CALL 1-800-852-7550 OR 326-3979. Public Notif./Evacuation 01/24/2001 EXECUTIVE DIRECTOR IS RESPONSIBLE FOR NOTIFYING OFFICE OF EMERGENCY AT 1-800-852-7550. IF THE EXECUTIVE DIRECTOR IS NOT AVAILABLE, THE PROGRAM DIRECTOR WILL TAKE OVER RESPONSIBILITIES TO ALERT STAFF. CLEANUP WILL BE OUR RESPONSIBILITY ARRANGEMENTS HAVE BEEN MADE WITHROSEDALE POOLS AT 588-3692. Emergency Medical Plan 01/24/2001 SPILL/FIRE/AMBULANCE 911, OFFICE OF EMERGENCY SERVICES 1-800-852-7550. MEDICAL/DR CHRISTIANSEN OR MEMORIAL HOSPITAL, 420 34TH ST, 327-4647. -4- 06/16/2003 -;..1" ~} ;. .. ; ARTHRITIS ASSOC ADAPTIVaQUATICS I f= Mitigation/Prevent/Abatemt Release Prevention 4IÞ SiteID: 015-021-002142 9 Fast Format 9 Overall Site 9 01/24/2001 CALIEORN~A-ßÄF~TY TRAINING PERFORMS A QUARTERDY-WÄDK-TB~OUG~OF-ENTIRE BLDG. CHLORINE IS DELIVERED MONTHLY ~& EMPTY DARRGLC REM<ÄtED.) T~~~ CE~R IN 0.. ifvl .5 -1 t:; ~Z'4:r---eOl\,1'AINED BARREL£: -BY-AN ÄUTHORI ZED DEALER (.£XBCù· POOLS ~ INTO ------ 'fHE STORAGE ROQM..--THE 15 GAL CONTAINERS OF CHLORINE THAT ARE STORED ARE CLOSED T.I.GHTLY WITH SCREWED-GN-ekPS-:-ONLY ONE ÄTA--r'TM'E-I,S OPEN DURING USE ~ ---- -- BY A~~TE~~HEM~eAL INJECTION SYSTEM. THIS IS A S~LL OPENI~OR TUBING TO FIT IN. FULL CHLORINE BARRE~~S ÆRE-ßET ~STDE ~WkY=¥~OM-THE-eNeE ACID ----=--.. Release Containment 01/24/2001 CHEMICALS ~NXA-I-NBB-rN--;r4-WALLEI57ROOFËJ3 ROOM ADJACENT TO POÖLARÐA, NOT ACCESSYf"131':;E TO THE PUBLIC. DOORS .ARE-LOC-K-BB-A!F-A..J:rb-.!:f~-ME..s-AND-ON-b¥'.-/ APp~A?rHA~S_._I-N-eAS-E-e¥-AN--INC.I.D.E~ ONLY THE EXECUTIVE DIR~,J..R.QGAAM-rrrRECTOR OR EMERGENCY AGENCY PERSÒNNEL Wn~:C-13E-ALLOWED IN. Clean Up 01/24/2001 IN CASE OF A RELEASE OF OUR ACID, WE HAVE BEEN ADVISED TO KEEP SODA ASH ON HAND, WHICH ACTS AS A NEUTRALIZER. THEN DILUTE IT WITH WATER. CHLORINE CAN BE DILUTED WITH WATER ALSO. WE DO NOT HAVE A COMPANY WHO REMOVES HAZARDOUS WASTE. WE DO NOT GENERATE WASTE. Other Resource Activation r..dea~e \''rM~''^'" , / Ct(~ {"v N"'- S«+~ /fa< "ì"j fe,-Frw~s ~ r()~~'k<S / 1/ ,[ i <! e~ifC lðu,'{ti~~. C:k\OY1/Ae ts kJcdrl... '-{,-11 rO(/1 "'-, cr- 0., ~CA h· ßes io Y:ie- {êK~-{- /Ýl C«(;'L 1e- (.'''U cJ I"!'l . --:) ,I ¡; < iü u ~ ¿;¡ '" dol'! doû/de. - , . _I 1< c::<.-~ pI.) V'VL,DecX 6 V\. I f '-L L J~ ~wkeeJ ]Yv(. . ",\ r I ~~.ù <;'t/llVÁj( +uh,1 ~-c¡ UTYC/vY'\. CÆJ1/C..S I c /__. Jl '-Í- ill f< . C-.l.. ~I£,ws t _ t4- dCM- '-u~ s 0+ ~ L Cll--T e.IÎ)t"TD'Vl~ ,/C-l _ -.Q.. 12.ooYV\-. OV\~ 'it> ~ C~ 4_~:t- ~àV.r..[ockeaJ .... ~to t.-t ïbQ.:: Wle ..vt-t-.,- Ke.f'+ ~ "'- ~(), e}V'\ ~ (\ () I r,V I 1< e.J..~_~_<-~-~- <j)' ct,uld e- ~ "'--p"<: Yle.Ç1( JM, ........"115 - ít\- 'út.1s ¿t!'""L W\£t~ !t\..~~ VL.€ ()' I'\... .. ~ v\. 0 HÂ 'b~ de 0+ () ! L.- \e-~, 'j) &_-+4. ~vt-LeØ( t{~~ \~ . '- locÀeot' t-\. tL loJe ) ,1/ iv~fubh¿. &::k. IS 1/ n'\ f. P- c c.. ~'&'71 b ~ ·....L --L tf Mv€.. j'Lf!JJ..¡ S · 10 u; LtJI-A ~VL Ö () n. (. oqI'tJ r--o ý) r- ~ (}I. TC- S èJl f:) ~ \. 06'/16/2 003 ( \. WLe-.S, ClAA-t/C v~':'J I}. f /J - '---t \ \rrNi c::b}I! If'. ~ oct- cd . I l (Jf!A¡¡~." Ov...k <:'l-1Á~ ~_¡(l?L. ..j)-I,Ý'.J, - ¡. -r.. Cß.Se 0'-[ ~ I~' ) ) ( f L be a/I (/ù,J d r "'-. ...Þ v\.. i. VIIi e<T11 ~u.¡¡ ~"'1 w' .' .;;., ;;..; ,~.~.. ;' ARTHRITIS ASSOC ADAPTIV"QUATICS I F Training Employee Training WE HAVE~MPLOYEES AT THIS FACILITY. ~ SiteID: 015-021-002142 ì --- ~ormat ì ~v~:~~: Site ì V 01/24/2001 ~ f/ ¡ ff4 f?4..T WE DO HAVE MSDS SHEETS IN POOL OFFICE AND CHEH AL fTO~~CE ROOM. , 4=e1t.1IÞ~ BRIEF SUMMARY OF TRAINING PROGRAM~ PU ALL SAFETY EQUIPMENT ON WHEN CHANGING CHLORINE TANKS. NO BARE FEET IN .~e ROOM. CALIFORNIA SAFETY TRAINING PROVIDES ANNUAL TRAINING/TESTING FOR ALL STAFF THAT COVERS THE CAL OSHA HAZARD COMMUNICATION STANDARD. SAFETY DRILLS ON FIRE EXTINGUISHERS/FIRST AID SUPPLIES KEPT UP. KNOW HOW TO USE THEM. IN THE UNLIKELY EVENT OF ACID SPILL WHILE WORKING ON DOUBLE CONTAINMENT BARRELS, PUT ON SAFETY EQUIPMENT, THROQ) SODA ASH ON ACID TO DRY IT UP. Page 2 [ I I Held for Future Use Held for Future Use -7- 06/16/2003