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HomeMy WebLinkAboutBUSINESS PLAN 10/16/1997 P">_ H'M¥P PLAN..MAP , "" Q~ "r'\ ....I ~ -j .;~~~~:ii;. ! SITE DIAGRAM ~ r' FACILITY DIAGRAM I I Business Name: ~\ ~Q.. ~'~")\"'. \\\. ~~. ~C\\\~'"'\~"-\~ Business,Address: LcS\\ \ \..D~~ \. ~ ~~ v-....... \~\..~~\\~'\~ For Office Use Only - .J .._ W W$TOt.J TIR;;- FRI!E "" A'I AVTO A)~ EuRD F/t./15H J-INð ONE: .s TO fÞ .5MOOf.r ,0 II· J First In Station: Area Map # of Inspection Station: NORTH tuN I T£ ,L.;qA/¡;-' ~ KEY ~ fWI..L UP /)OO£,';; .Il~ · &ff50J-./¡JC · WRSrl? OIL . , · SP~JAJt:;.L£.R.S 1-l/TfL{ rl 5}/UT OFFS ¡£ ¿£ Cor/!. f e..,. n CrItS SHV1 oFF 5 , . A 5 H € TEX~c'O EX fIR e 55 L.t)ßf FL.A 11Y1F1 B'-G GAS ...~.. ~,.I..~ Wf "T.~ /I V 7()M1tT '1<~c.e"5 ,:>pR/N ~ f I~ ~/;V MÉ/NEK€' MIJFFLê1? -û--____lL.__ . , lr--- ----r~---li , fiL V t; C2 '?>BOA!: Ii ^ " Ii " t rJ IJ TO" I..~'" . '__1'_ -.-Jt II I'" '~ r--- -r - -~-- -it -~- 1 . t ---.. I -- ., '. 6-A:fIOu N~ , EL~~1 R./ elft.. ...5I-JCJ r DFtF FL~i1M"'B¿€ ~II~ .. 5 C-Hl «·R;q COUl<l .: .\ Œ' D . --- . ~_. . ,r I - ~ . ' ,..... - / '" '\Ÿ~:~ . e ...> /ïJ/H!f1 ¡¡~ d bj<f r p.ØJ- r :T" ' , , I - '< _i ~..~ .~ ". "f ' ~-, , ..' .. ,,'j .' ~.~~, ."." ':.,...... ... '" I· ~,f -------- \: :'";' l ,:~:; ( ':~-t:: ~:~ "'XE \ .<:;-<.-,--'----_.~....,........-.-,~----. AþJllf?t£"/IJ'. BVILJ>IIIIC, - _.'.- - ---..._---- - . -)-:T::·_~ :·'-.fl:'..T ~....., . ,/ ':~q!;'~ .....~ .. '.... . . . . . .. .,0.:.: ---- '- "C--'·I· .......,,- .:'::-..L :...=-... ..::'_~ L~ _ ~ FORM 5 ~I .!~G."V£ . I ,.- - ~JIIETA'- to AI STæ \J~ 1 ,o,.,¡ ,[:-{iil~':'\.' : (Inspp.r.to~'s Commp.nts): ".- -~:. . ~~~~~£~;~i1~~~~d~Ã~~~~:v:,i, .. _.._....~-c:. U -,I..~· :.:,:... ~:.~':E: BLVIä~' 880,,", ,l)v () TIVô ·-.'".r-· ..-...... :". .........- ~:.-.. : 7~ ,~,~~ I -"\.'," -. -.. ~i~ 'J:.:..r;~.~J~ ?,~c:::':": ~IAr~A:·" . . I I FENCE£> AISE A I 5S/t;d WIÞ5Te" oIL. 18/ .2 f2.oLl..jp , þo t> ll- l q i-t; Il <;, " , < PA~ K./ AJr,. , , -OFFICIAL ~~.s;:: nXIY- - ;}.G. .. ".;., . - -.J..: ~.~: .:.~A.'!/~":' 'µ ~,~::-(_., . ~"'''. . . '".... .'~, - : '-. ",':': ..¡.' .~:.. . ""..!..:5-,.-: . I~WIIle I reN¿& I r ~ 6rJtTE" f) I "- I II ~ ()I p y \.. ;:) ~ oJ' ~ oJ ~ C) q oat o,·[JO~~~~ f' 11 t:Têl/t..$ t4;Jt.7i:d/,. PIPE "..~ _.__.._-----~. . ,I·' .-----....----.--- - ~ 1. ,~ ~ ,f --r"-¡~" "Co' 0: -- e (U~ 215 - 000 {0-OT"2-673 BLUE RIBBON AUTOMOTIVE OF CALIF SiteID: ~ "" Manager :~ ~ //00.5 J. I ~usPhone: Location: \65'"4T-WHTTE-' - .., (Pó ~/ldft~A~/~ap : 123 City BAKERSFIELD 733/3 Grid: 13C (805) 398-0305 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOE DIGIACOMO / OWNER JACK CARTER / Business phone: (805) 398-0305x Business Phone: (805) 398-0305x 24-Hour Phone : (805) 589-1857x, 24-Hour Phone : (805) 398-8557x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Emergency Directives: One Unified List l All Materials at Site l p= Hazmat Inventory p== MCP+DailyMax Order Hazmat Common Name... SpecHaz EPA Hazards ACETYLENE ~A3nT.TNL/Ue- ~ ~ ~~ OXYGEN ¡f - WASTE OIL F P F F P F IH IH DH IH G L G L DailyMax MCP 124 FT3 Hi '§§ ,~ ~ 502 FT3 Low 110 GAL Low DH -- 1\./' ' J~e Ú ß'-(ß-~cf)¡,t(.O ID© hersby cêi1i~ ~hta!~ ij hSlVS (TVP3 or )1'Int 1IIImÐ) reviewed the a~îached hazardou5 ma~eiials managso ment plan for and ~hat it along 'Nith " '" ! (Ñ8m& 01 Business) any corrections oonsmutl9 a complete and CQrreC! mano agement plan for my 1acili~. 1t!J-~-r7 -1- 09/25/1997 ----~ ---- ------------- -- ----- ¿3J ~h ':"-.-/'2 2h¿n NO, EXT. Q d :)-18'13 M E M s E S M ~ o E PHONED "';:- ~ .. .# e -- I ~ 02/11/93 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 Overall Site with 1 Fac. Unit Page 1 General Information Location: 6541 WHITE LN K Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Moderate Grid: 13C FlU: 1 AOV: 0.0 Contact Name JOE DIGIACOMO JACK CARTER Title Business Phone (805) 398-0305 x (805) 398-0305 x 24-Hour Phone (805) (805) OWNER Administrative Data Mail Addrs: 6541 WHITE LN K City: BAKERSFIELD Corom Code: 215-007 BAKERSFIELD STATION 07 D&B Number: State: CA Zip: 93313- SIC Code: Owner: JOE & KELLY DIGIACOMO Address: 9800 HARVEY CT City: BAKERSFIELD Phone: (805) 398-0305 State: CA Zip: 93312- S umma;~)? ¡J f ¡J.' . þJ?aU2 r7~ ..~~~. ' -!Jf2c6W)·~)1ðfl- aA-L, 6. '. J:æJCf. ~!r1iUL Mid CUdhd ~ _¿œ-0Mù, , ,-r::JL 'lõ dB .L10 (YI ~ Vl--CL ~ 1 ¡Jc~aZð: " . .'~ r, ~~,~\~~,\\'(\Ç'Do hereby certify that f have ype or print nBfOO reviewed the attached· hazardous materials manage- ment plan for ~~ ~\~~\aand that it along with me of BUB aas any corrections constitute a complete and correct man- agementplan for my facility. ?-/6-Py · i' ~ e e 02/11/93 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-002 OXYGEN ~ Fire, Pressure, Immed Hlth Form Quantity MCP Gas 124 High FT3 Gas 502 Low FT3 Liquid 110 Low GAL 02-003 ACETYLENE ~ Fire, Pressure, Immed Hlth 02-001 WASTE OIL ~ Fire, Delay Hlth ~. ~~~~\\~ \....a \JL \ ~ 'S~~~~ ~ ,¡ e -- 02/11/93 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-003 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 124 High FT3 CAS #: 74-86-2 Trade Secret: No í Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 124 I 84.00 I 244.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above Ambient S CENTER Location - Cone -I 100.0% Acetylene Components ~ MCP ----rGuide High I 17 02-002 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 502 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 502 1 418.00 I 1,004.00 Storage r Press T Temp ~ . PORT. PRESS. CYLINDER Above Ambient SE CORNER Location - Cone l 100.0% Oxygen, Compressed Components I~ MCP ----rGuide Low I 14 02-001 WASTE OIL ~ Fire, Delay Hlth Liquid ) 110 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 110 I ' '80.00 I 440.00 Storage r Press T Temp ~ Location DRUM/BARREL-METALLIC Ambient Ambient SE CORNER LOT - Cone -, Components 100.0% Waste Oi+, Petroleum Based I~ MCP ----rGuide Low I 27 02/11/93 e e Page 4 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IF THERE WERE IN THE OFFICE PLEASE EXIT. PLENTY. AN EMERGENCY, SUCH AS A FIRE, I WOULD TELL MY WIFE IF SHE WERE AND ANY ONE ELSE THAT WOULD BE IN THE BUILDING AT THAT TIME TO THE BUILDING IS SMALL ENOUGH THAT VERBAL NOTICE WOULD BE <3> Public Notif./Evacuation <4> Emergency Medical Plan NEAREST HOSPITAL '\ - . e e 02/11/93 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 00 - Overall Site Page 5 <E> Mitigation/prevent/Abatemt <1> Release Prevention I HAVE 2 WASTE OIL DRUMS WHICH WHEN FULL I CALL A WASTE OIL PICK UP SERVICE AND HAVE THEM EMPTIED. <2> Release Containment IF WE HAVE A MINOR LEAK OR SPILLAGE i USE SOME ABSORBENT AND CLEAN IT UP. IF THE SPILLAGE IS LARGE, AS IN A WHOLE DRUM, THEN I WOULD CALL A WASTE OIL SERVICE AND HAVE THEM CLEAN IT UP. <3> Clean Up ALL FLUIDS SPILT ON GARAGE FLOOR IS CLEANED UP USING SHOP TOWELS WHICH ARE PICKED UP ON A WEEKLY BASIS BY SPARKLE CLEANERS, AS ARE OUR UNIFORMS. <4> Other Resource Activation ò " ~ e e 02/11/93 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 00 - Overall Site Page 6 <F> Site Emergency Factors I <1> Special Hazards <2> Utility Shut-Offs ~ ~ "Q...~ <:.:::>~ '\ç:)u,\. ~,,,-y A) GAS - '6YTSìII>E SOUTUEJ\S'P CORNER 'Lo.r.:> ~,,\p-t;:, . B) ELECTRICAL - 1M,S !5IJ!!> AMfl OOUTSIDE SOUTH~ WALL . . C) WATER - WES'!' 3IDE ~11I"!'UE~ù.L \J",RlæR ~Q..r.:>" Cù,,"("\JL'" C\;,.~. .~~~ D) SPECIAL - NONE. Ò E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ??????????? :r:~~ ~'L~ ~~ FIRE HYDRANT - 3= ~A EAST CORNER OF BLDG. <4> Building Occupancy Level ~o , ( ~ ~ ~ e e 02/11/93 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 00 - Overall Site Page 7 <G> Training <1> Page 1 ~ WE HAVE~ EMPLOYEES AT THIS FACILITY, WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WE HAVE A SAFETY MEETING EVERY WEDNESDAY AT 12:00 PM TO 1:00 PM WE PROVIDE LITERATURE AND LUNCH. <2> Page 2 as needed <3> Held for Future Use , <4> Held for Future Use """0 _.' '.. BAKEtSFIELD -CITY FIRE D~ARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 RECEIVED 'JUN 2 ¡ 1993 HAZARqOUS MATERIALS INVENTORY HAZ. MAT. DIV. I , . FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME~\).,Ç)· ~\~~\\ \\\-=>~)~)\\~& ~~\~~,~,~ . . ~ FACILITY NAME~~_~~",~~,~~~~\.~ ~ ~~~~'\-~\~ SITE ADDRESS ~~\J... \ \;)~~~"-~ ~\ ~\\o ~ CITY ~~\ ~~~~~ STATE t 0..\S~:0\\-~\~ ZIP ~~~<\ NA TURE OF BUSINESS ~ i\0r'-<\C')\ \ \.~ ~ I;J ~\,,-~ J\. SIC CODE DUN & BRADSTREET NUMBER : ., OWNER/OPERATOR ~~~ '-~ ~t-, 1~.j..'\Y'.'-) .. PHONE ~~~ -~C\'\ - ~~\:JS 1 'I MAILING ADDRESS \o~"-\. \ \.~\x ~o ~~(\ . II ~'(. ..: CITY ~~~\\.~~'<\ STAT~ ~. ~~~~~ I ZIP \' EMERGENCY CONTACTS NAME ~~~ ~~ TITLE ~~U <l .\ BUSINESS PHONE "\~~-~~~- ~~~ 24-HOUR PHONE ~~<\-~S~) NAME ~~ ~"'~~ TITL~ ~~ .. BUSINESS PHONE ~C::::{S- ~ '\ - ~\.\.'-\. - . - ~C\\ - ~\~~ 2.'4-HOUR PHONE : Set:Xemoor 3Q, 1 g¡;¡:z REGION V lÐ'C STANCAAO Fe¡ I BAKERS.&.lELDcrry FIRE. DEPäRTMENT ; . HAZ~DOUS MATERIALS INVErtfoRY I . ,~, ... - çr Page..:..._of_ 8usiness Name ~~ ~~~'\'... ~ ~C'\ _, Address .....;... 'I. <,¡ CHEMICAL DESCRIPTION ,¡ 2) Comrriö~ Name: J Chemi~Nam~: ~ Check if chemical is a NON TRADE SECRET TRADE SECRET [ 3) DOT 11 (optional) AHM [ ] CAS # -1) PHYSICAL &. HEALTH HAZARD CATEGORIES Fire PHYSICAL Reactive [¡ Sudden Release of Pressure [ r H Immediate Health (Acute) TH Delayed Health (Chronic) [ J 5) WASTE CLASSIFICATION , i ,\ I i ô) PHYSICAL STATE Solid [ I (3-digit code fromDHS Form 6022) Uquid ~ Gas [ ] USE CODE Pure 1.1 ixture [ Waste (1 Radioactive [ ] 001£0< All. THAT APØlY 7) AMOUNT ANDT1ME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: # Days On Site 9) MIXTURE: . Ust the three most hazardous chemical components or any AHM components SS" 5~ c;c;:;". "'5~, ~L,«Õ ("Õ'........ Q...~S9MPONEN~ '\. \. ~~--~KXJ:) ~~,,~~'""L'-)~ UNITS OF MEASURE 100 ( ] gal b(¡ ft3 ( ] , curiel [ L 8) STORAGE CODES a) Container. , Ç)l1, b) Pressure: , c) Temperature: ~ Circle 'Nhich Months. F, M. A. M. J. J. A. S. O. N. D CAS# %WT AHM [ ] [ ] ( ] 1) 2) 1 0) _ Location - -- - - .~. CHEMICAL,DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition ( ] Revision ( ] Deletion ( ] Check if chemical is a NON TRADE SECRET (] TRADE SECRET ( ] 2) Common Name: 3) DOT # (optional) , Chemical Name: AHM ( ] CAS # 4) PHYSICAL &. HEALTH HAZARD CATEGORIES PHYSICAL Fire (] Reactive (] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) (] Delayed Health (Chronic) ( 1 II ! 5) WASTE CLASSIFICATION (3-digit code from DHS Form 6022) USE CODE 6) PHYSICAL STATE Solid (] Uquid (] Gas [ ] Pure ] Mi>.1ure [ CHECX AU 1'UA T APPt., Waste [] Radioactive [ ] 7) AMOUNT AND TIME AT FÀCIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container. # Da.ys On Site UNITS OF MEASURE Ibs [ ] gal (] ft3 ( ] curies [ ] 8) STORAGE CODES a) Container. b) Pressure: c) Temperature: Circle 'Nhich Months: All Year. J. F. M. A. M. J. J. A. S. O. N, D 9) MIXTURE: Ust the three most hazardous chemica! components or any AHM components COMPONENT CAS # %wr AHM [ ] [ I [ 1 1) I . 2) 3) 10) Location e Intomal1on sucmttt artacne<l documents. el/eve, PRINT Name & Title of Authorized Company Aepresentative Signature Date too~"liIQ ~w \"ØCSf/JI'CIItIIIG i _Bakersfield Fire Dept. e [ ~ t HAZARDOUS MATERIALS DIVISION £.-cU, / / ì J - J- /., 11/< ~WjY"¿~-L ~----DãTeCompteted-- If/ /-- Business Nam/e:/ Location(~ Business,Jdentification No. 215-000 .. " I/() / '1 t '7 N L! Verification of Inventory Materials Verification of Quanmies Station No. Shift C Ins Verification of Location Proper Segregation of Material Comments: Adequate D o o D Inadequate D' o o o D Verification of MSDS Availablity Number of Employees }... Verification of Haz Mat Training Comments: D o D D Verification of Abatement Supplies & Procedures Comments: o Emergency Procedures Posted Containers Properly Labeled Comments: D o D D o Verification of Facility Diagram Special Hazards Associated with this Facility: o Violations: !t/~ r IP '1{ It, (; /f4¿ r J ./ Business Owner/Manager FD 1652 (Rev. 1·90) All Items O.K. D Correction Needed D White·Haz Mat Div. Yellow-Station Copy Pink-Business Copy - .., Foreign & D~ ......estic U· Blue Ribbol;l Autómotive . ofCállfornla ~ _ . Joe Di Giacomo (805) 398-0305 4324 Wible Road Bakersfield, CA 93313 .~-~. .-- - -- -- ---- _.--- ;; ~,~ I, I ~ ------ .'" u r:------- ---- ;¡ ,,~--.... 04/02/91 BLUE S-??ßII RIBl:.e AUTOMOTIVE OF CALIF 215_00-001267 Overall Site with 1 Fac. Unit 1 , Page GeY'Iera 1 I Y'I f Clt~ma t i CIY', Location: 4324 WIBLE RD Ident Number: 215-000-001267 Map: 123 Hazard: Moderate Grid: 13C Area of Vul: 0.0 - CCIY'lt act Name . JOE DIGIACOMO JACK CARTER . Tit le f f) tv !Jl:;-R... Bus i Y'less Phc.ne ) 398-Çl3()5 x ) 398-0305 x HClur PhCIY' ~ ) 589-7219 ) 398-8557 24 Administrative Data I I I Mail Addrs: 4324 WIBLE RD City: BAKERSFIELD I Cómm Code: 215-007 BAKERSFIELD STATION 07 Owner: JOE & KELLY DIGIACOMO Address: 9800 HARVEY CT City: BAKERSFIELD SI_\mmat~y D&B Numbe¡'~: State: CA Zip: SIC Code: 93313- ~ ~. ~ Y-v }jJ ~ PhoY'Ie: ( State: CA Zip: J . ~ ~ÝJJ ) RECEIVED JUt 2 2 1991 H^7r:¥ (p0Ót\ ,;7 II o ~ -f) '//' n~ot40_ ')0 tiC\~;IJY 'v~¡.¡.; t: { l7 -,-- . \ (Typeorprintn3m"J ,.M"."';" ,-,r.-nage- '.. ..' ,", ,,; "";:"""Vf'!OUS matl:;¡j ¡~)...;;¡ L .,.:4 , revie\f,¡sd the aüsl'.;j~i::\.,,: . ;.J_~,';~.'" . and that it akmg with ment Plan for---.-:-~.__,-.-:,:..:;¡¡;~:;;;:;-- " (;';:J:r,:)~!..""'''''' I , an Jany corrections constitu.te a complete and corrÐCt m - agement p\~n for my facility. ... .. ....4 7::--;6 - fÞ/ - Dato / 04/02/91 I BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 Hazroat Inventory List in MCP Order Page 21 02 - Fixed Containers on Site Plr,-Ref Narne/Hazat~ds FClrrl' Quarlt it y MCP 02-003 ACETYLENE ? 124 High FT3 02-002 OXYGEN ? 502 Low FT3 02-001 WASTE OIL ? 110 LClw GAL ¡ e e 04/02/91 BLUE RIBe AUTOMOTIVE OF CALIF 00 - Overall Site ':;'1 -')n-nn 1':'6·7 t;;;,~._ __ t;;;, Page ~ ~ <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 (2) Employee Notif./Evacuation IF THERE WERE IN THE OFFICE PLE(~SE EX IT. PLENTY. AN EMERGENCY, SUCH AS A FIRE, I WOULD TELL MY WIFE IF SHE WERE AND ANY ONE ELSE THAT WOULD BE IN THE BUILDING AT THAT TIME TO THE BUILDING IS SMALL ENOUGH THAT VERBAL NOTICE WOULD BE <3> Public Notif./Evacyation <4> Emergency Medical Plan NEAREST HOSPI T~)L - -- -----~- ------,---- I I I 04/02/91 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 00 - Overall Site Page 4 .(E> Mitigation/Prevent/Abatemt <1> Release Prevention f I HAVE 2 WASTE OIL DRUMS WHICH WHEN FULL I CALL A WASTE OIL PICK UP, SERVICE AND HAVE THEM EMPTIED~ IF WE HAVE A MINOR LEAK OR SPILLAGE I USE SOME ABSORBENT AND CLEAN IT UP. IF THE SPILLAGE IS LARGE, AS IN A WHOLE DRUM, THEN I WOULD CALL A WASTE OIL SERVICE AND HAVE THEM CLEAN IT UP. <2) Re lease Cc.nt a i Y'lmemt f /VOA/¡;;- <3} C 1 earl Up f ALL ,Ft.urDS 5P/¿T ðlV 6-/4/</I 6-E FLOo/2. /5 ~ L£ rJlf.Jt: D UP I/S//l/6- 5' 110 I' TOWELS tuff I (! /.,t 11 t!Z./;- !fJ/<Q Kc"' D t/ P tf)'V fi ú!cÉ=-I<.!-Y, !9P1- 51 S By S~ltð<. kt. b- e L 1= /4AJ é-¡?".s aJit..£ '0 u /2. I AS VA.//Foh J1 .3" - <4) Other Resource Activation e e ----------v 04/02/r:31 BLUE R IB_ AUTOMOT I VE OF CAL I F 215.00-001267 00' - Ovet~a II Sit e Page 5 (F) Site EMerge~cy Factors (1) Special Hazards (2) Utility Shut-Offs A) GAS -OUTSIDE SOUTHEAST CORNER B) ELECTRICAL - INSIDE AND OOUTSIDE SOUTHEAST WALL C) WATER - WEST SIDE SOUTHEAST CORNER D) SPECIAL - NONE E) LOCK BOX - NO (3) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ??????????? I I I I I I I FIRE HYDRANT - ????77?777? 50lftH Pr"frST (!ò$!.)Je-A? of /3VI£1:>II.I6- (4) Held for Future use 04/02/91 BLUE RIBBON AUTOMOTIVE OF CALIF 215-000-001267 00 - Overall Site Page 6 <G> Trairling <1> Page .1 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ß BRIEF SUMMARY OF Wt:;-Nb ÞAl /1-7 II-AI D L. t/ ¡V ~ IT TRAINING: /.Ale: fll4l/G' A >/JFETy H{;l3'7/A.l6- l:ileR..y IZ:oo/f'{, ~ /:00 .0__ ..ð (I II \. J (/J (::- (/ (!) (/ / Þ é: - .L IT {} ..e 11 7 t./12¡Ç <2> Page 2 as needed <3) Held for Future Use <4> Held for Future Use e e, of Page F:-- ER--' - - - - CITY of HAKEf-{~l-l ELU Ii - D ~HAZARDOUS MATERIALS INVENT?RY NON-TRADE SECRETS r OWNER NAME:....:7~ .D/r;IØ¿oO~ 0 NAME OF THIS FACILITYÒ' ADDRESS' ~ ,LIø-æ././,="0s ~7:. STANDARD IND. CLASS C 0 CITY,L zlp:JJ~~> F!¿=;. 953/2.. DUN AND BRADSTREET NUMB PHON t: It ·::l"9--'7!.J~ I <; - REFER TO-rNSTRUCTIONS f-uH fJROPER CODES '- - - BusIness Standard ¡ o ture BUSINESS NAME: LOCATION;.. .< CITY lIt" - PHON~ It: cu Farm and Agt U Na~es of '~ixture{CC~Donents See lnstruc Ions 3 , by lit 12 on Where n Facility 10 Cont Temp 9 Cont Press 8 Cont Type 7 . Oys on SIte 6 Hea$ure UnIts 5 Annua Est 4 Average Allt 3 Max Allt 2 TYQe COde 1 Tr~ns Code loc~t Stored /fCGTYi-EA.lé .5'OúTIf ;l. 01 /~4 Ff31 ~qFr31;?44 FT31F7 313'- 5" p u o NUlllber NUlllber C,A,S C.A,S Hallie Nalle .2 COllponent Component mmediate Health o Number ß. Suddfn Re lease o Pressure S Delared Hea th C.A o end Health'Ha{ard all that applYJ o Hazard/ pnw~ .re 6-eA/ Number .5&VT It £'IJ-:>T ~ C S. S C.A Nallle .3 42 Component ~ 2 04 'g~5 vity React \ NUllber C.A.S Nalle .3 U fhy~ ica \ Check Ø-F \ -L U\ ì \ NUllber NUllber .A C.A.S Nalle Name 12 Component Immediate Component Health Component o suddfn Re I ease o Pressure NUllber ,B DeJared Hea th C,A,S o vity W /I1-S1 € (!;) I L. 40 ~ I ()fp fl'-l..3b -$' -140 eo NUllber NUllber S C.A .S C.A Nallle Nalle Nalle .2 \ '3 COlllponent Immediate Component Hea Ith Component o Suddfn Re I ease o Pressure Number o De layed Health C.A,S o ty v React Physica {Check 'i,re NUllber NUllber NUllber 'Od Health Ha{ard all that arplY1 Hazar~ ¡ [] React \ ¡ CO~TACTS C.A.S C,A.S C,A.S Halle & NUle Nalle Component , 12 .3 mmediate Component Hea 1th Component o Suddfn Release o Pressure HUllber o De layed Health C.A.S o vit~ pn~~~f [] re 3 fa S"5t; 7 HlIfTñwr- 7-16 ,-rl Unniqr.e1- tl2 .:TMK el1di77F~ Raile ---..., , " this end all I' I believe thafthe C/tuNe 12- _ ' ~..'. ÆJ/ ~ffiifë >897219 Z4Rn'1ionr- tte~ in matlon Gublli Infor EMERGENCY Certifiçatioq \fRerad and $ign af1f3r c9mpl~ting ('Jl1 sections] I certify under enall 0 la th t I have persona I~ examln 0 e d 11 familIar it the information altaçhed dQcullenfs, ~an~ t at ~ase~ on IIY InQuIry 0 lhose In~lvI~ua's responslb1e ~or obtaIning the su:blllltted Inforllatl~,n u true. accurate. and coiplete J i f - -:'"' L i f í, I¡ I ¡-- ð! E.¡J T 5"~ i. i' ! H r ,I 1: !' 4 eod HealthÎHla¡ard a II that app y Ii [. re Hazard f 0 React ¡ I: m/¡O) [ end Hea 1t~1 Haurd all that applyJ j Hazard :! 0 'éélf-$ r ~OR. Nt!..1¿ ¿oTI C.A.S, Number . ; horlled representatIve ./ / fi..!~,~Ít( 0 , e e September 5, 1990 Mr. Joe Digiacomo Blue Ribbon Automotive o£ Cali£ornia 4324 Wible Road Bakers£ield, Ca. 93313 Dear Mr. Digiacomo: Enclosed you will £ind a computer printout o£ the Hazardous Materials Management Plan that is currently in our computer, we have highlighted the areas that need to be revised. Also due to a change in the law that went into e££ect January, 1989, we need to have a new inventory £orm (enclosed) £illed out. These £orms must be £illed out and returned to our o££ice by September 28, 1990. 1£ you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH:vp Enclosures <;::; :¡ . ;' e" e BAKERSFIELD CITY FIRE DEPAR~NT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 R£CËIVE/J MAY 1 1 1988 Ans'd. '" '. . .... ,1 ,', OFFICIAL (JSE ONLY /â3 - /3 7 {'~bl fJv:?J &-óh 3 .- ~/~-I V r./20Y -i- TO:: us IXESS :JA.'1E HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A '. INSTRUCTIONS: 1. To avoid further action, return this fQrm by 2. TYPE/PRI~T ANSWERS IN ENGLISH. 3. AnS'wer the questions below for the business as a whole. 4. Be as b~ief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: b \ u'2- K~ \o\øOlA. B. LOCATION / STREET ADDRESS: ~ ~ a l{ '" \,~, í J CITY: '\:')0... Y\€_\-~J\.e.\. CY\ . A lÃ+O m:o-tì lie.. Lù';h\~ £~ ~33(~ C):t G I ~ fn IÎ íl1 ,'~ ZIP: BUS.PHONE: (8:JS) ?Pt~-O:;:;OS SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the ~elease 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. E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY: NAME AND TITLE A. -:Jc:::<,> u\ (~\ (').. Q..O ~ C"ò Ph#' B . -:3' c'-0J.;, La...:..- + t" v- DURING BUS. HRS. ?Fl'r - ()~(1 fi' DC(C8- Oð 0 oS Ph#' AFTER BeS. HRS. 5C?P(-7,~ 19 '"3Q £?-, - ~55 ''? Ph;': Ph: -. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: our<.5IÞE Soué.H E/+5T ("'ð~J.lelfL B. ELECTRICAL: /NS/~£ '"t ()U7:<:t.Il)£ ,'S'()ur,t¡. ,£;A~ r t/J14/L C. WATER: f'.)U rs/ /)€ SOU -r,tf- ehS 7"' Co £,yt!}; ¡Q D. SPECIAL: E. LOCK BOX: YES ,C,9) IF YES, LOCATION: . IF YES, DOES IT CONTAIX SITE PLANS? YES / ~O FLOOR PLANS? YES / ~O , -~, ~SOSS? YES I ~O KEYS? YES! ~o . ~'. - 2A - - e õ . '-. , \ i SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSIXESS AS A í'lHOLE l'/tJA/é SECTION 5: LOCAL EMERGE~CY ~EDICAL ASSISTANCE FOR YOt~ BUSI~ESS AS A WHOLE NEf}ð?- ~5 T ,#os. rr T/lL _~ ,,_~ "'" _,0_._ _¿~ ~ .',___ ----,..__-<_ _.....--.,.-~ -._ --,~---_~, _--" _.--- -- ----- ----". l SECTION 6: EMPLOYEE TRAINING .:¡:. H1N1? rAlo ¿-"Þ/I'¿O Y ëE 5 E:tPLOYERS ARE REQL"IRED TO HAVE A PROGRA)I í'iHICH PROVIDES Ð!PLOYEES í'iITH DHTIAL A~D REFRESHER TRAIXING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS :-1ATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:. .... ......... ..... ....... C. PROPER USE OF SAFETY EQUIP~E~T:... ...... ......... D. DIERGENCY EVACUATION PROCEDt'RES:............ '. . . . . . E. DO YOU ~¡NTAIN EMPLOYEE TRAINING RECORDS:. ...... IXITIAL REFRESHER YES SO YES NO YES ~O YES NO YES ~O YES NO YES ~O YES NO YES ~O YES NO __ .SECTI.ON 7: RAZARDO.US MATERIA1, .~._ _'.'_" .__ __......--_ . _./..r_ - -_ _ _ --~,.:--. --- .--,-.---_.- -- CIRCLE YES - NO - NONE DOES YOUR BL"SIXESS HA~rnLE HAZARDOL"S J1ATERIAL IN (~üANTITIES LESS THAN 500 ?OC:DS OF A SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COJ1PRESSED GAS:,..... ® NO I.~EcÕ/&/;"COMO , certify that the above information is accurate. I understand that this information will be used to. fulfill my firm's obligations under the new California Health and Safety code on Hazardous J1aterials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. ~d4 ' 'SIGNAITRE.d! /iG-I :·é!.r'..Y"71!:é¿~ /--'i !/ v . ~J TITLE ?/ :.0-71~ DATE , ~-5 -71 V - ~g - . .. e ·e . _: . 1\"" '! ; " E.4.KERS?:::::J C:Tr"' FT:::=: Oé:?\R7:·!=::·:7 ~:30 ··Gn S7:\:::::::- 8AKERSrIE:D. CA 93:01 C~?~=7A~ ~SE OX~¥ ¡~~ ------ BUS r:ŒSS XA:·IE: BUS I NESS PLA....'J' SINGLE FACILITY u~IT F 0 R.""'! ::3 .A. INS'T'RüC7IONS 1. ,Io avcià fUl"1:her ac1:ian. this form mus't be' !,p.1:urneå by: 2. 'l"YP:::'?R!1"1' YOLrt ANS~vERS m ENGr.rSH. 3. Answ~r t~g queS1:ions below fc~ 7RE ~AC!t!!Y ~~7!7 L:S~~ 3E:GW 4. Be as BRIE: élI1d CONC::SE as possible.' L1 22 4 ~AC:"T'l'Y UNr¡- NA.'Œ: ALUE ~ /880 If) ;4ljrð"Or/ tiE FAC:I.:T! tr.lTr~ 7 -.; ¡:, ...~_ __ _ _ , " s::c-::m-T 1: ~'!"!G:'7!ON. ~="/::.~~,.:.aN. .ð.BA~ ~O~::S 4. H/?VC ;2 w~>rE eft:- Dæ.vlV\ S W filt!.. ¡.¡ /-VhEA.,J F#¿..L z=-. (!'/Ir¿¿A ,WH:!!-P;: tPlL '/~-U~' Se.~ VI(!.G ;4JJD HJ:¡vt;-- THE ¡L1 &M/'7/Ç'/)" IF We /rAve 14' /-(I,VOA!. LEA-£. é/ðl Sf'IL2-I1~E .z::- {)StF $oJl1t$ IH3SORߣ¡(jr A-,vb (;¿E/l-A./ /r u r Z F r#E SI"IL¿/J¿"'G" I S "~I1Il6Þ-1F I Æ-S I JJ A IVH~¿l;;:- }),;!.I/Il1/ ',,-¡eN.z::- tcÆf.,¡¿D (!¡t'fLL A- WHsrE &/L.. S?éæ..VI(!¡Ç /I/l/b H"It/tF --r/I-£,A/¡ ¿ LE/t-N I r u ¡tJ,. Sr:~:ON 2: ~c~::!~:..-:-:c~~ Ai;U ~;~C:";'.7:C:~ ?~CC!Dt:'?:::S Ai 7:tTS r::7T-:- ~~..:- .:LF -r#E,Æ.(Ç tv~t/2-E A-AJ ~f(f7 R6-G7V~ Y I !?ClCH 11-$ ¡4 Fl¡(t;;", ::r IVOvL-D 7t!:LL 1"1, WIF~ IF SIlI3 t(/&¿,e.& IN TI-IG' OFl='tt 1:-- A-/U D ,AN Y (JJ/f/t; ¿;;:-¿ >b 7/1""7 WOClL/j ßç-,. IN THE f!Jt/I¿.Þ/A./G- AT 7'#¿;Y r r/~b-- 77tP 'p¿é71$tÇ £XI r, T#G ,81/1¿b/A!fP, IS ~~Ø¿L EA/Ov'jlf T&.ðr 1/ E (}!..13)1 L ,A/" T/ (' G" WO U L !) B t? /'c¿;-;v-ry r , ... ," ~ ., , SECTT 0": ~: ¡"¡,:' '1,..1, Rcm7~ \'.~ '7'~:n~.LS -::-nR -~~T <:: r~:i"T' r)~7r':' A. Does this F,'1cility ;]~it co:~~::'.i:1 :!:::::"1.!'åotls :·!at~!'iël.ls?...... 0 :\0 If YES, se~ B. If ~O, continue with SEC7:C~ ~. B. Ar~ any or the hazaråous mâte!'ials a bona fide Trade Sec~~t y~S ~ If No. complete a separate hazardous materials inventory for~ markp.à: :\O:\-TRADE SECRr.:S OXT.Y (tvhi te form =4,.\-1) If Yes. comple~e a haz~!'daus ~ate!'ials invento!'7 form m~!'xeè: TRADE SE:R~TS O~:Y (yellow form =4A-2) in addition to the non-trade sec~~t for~. List only the trade secr~ts on form 4"\-2. -.....--"'~---~......__-..:.-_:;...... ---------. - ----~ --- - ~ .....,..----~----- --- --- --- .---. - - ~-- --- --. --."- --- SE~~~~~ 4-: ?~T"\o"~TI: ::~~ ?~C~:_:_7:~\ ND SE~!C~ 5: LCC~7!OX OF w~¡~~ S~?:? ~O~ ~SE 3Y ~G~L: ~~S?O~~~S ()ur - SI De SOUíH EfiST CO~A/ëlê.. SEC':'!OX 5: I00~77C~ O~ ~:~:~! S~~-0~S ~7 ~!$ ---- I..J _, !.. ~ ,...--.-~~ v~, l..: . A. :-':.':'7. G,~:" PRO?.'.Xë:": au r oSl Dé 5ðut:.1-I Eß5T Cot2A1£ ¡¿ B. :::':::C7RICAL: OUT;I Dt;- .sOLI rlf $"1"15T (! oeAlt:-¡¿' __~~I- ,_ .~. -"'~___.,. _-..,,_':' ~~-C-_~--.~_ - .--"''' -.----- - '=-- '""" .- ~ -~ -.-,----.--.-- C. t~A7ZR: " OUT SIPt: ..s 0 u r f/ '::'-19 S T e. ORIJ E /2.. o. SP:::::AL: _" :8::~: 90::: ~;: :: :~ ~ ~.-.... . 'I...... ..-..... ... 1"'\,.... -. ",. ;.. 'oJ 1...-'.. ... \".II... : '. I' r F: ~:::>, S -:--- ?~CQR ~r . ','-:-,? . ...l"'\.' ,. ..-.... . -~ ::0 ;'!SLJS s ~ ..-"... ; ::..) "r'\ .\\.1 :> r ~.'O ".:;..., . ....ï........ ..-,.. , - ~ :-:0 :-:Z·:·S ~ ·~·:s ::0 , ""? ~ e - ~3 e ". uÎ .:;., <-~ Page ßAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTOHV OWNER NAME :--...7óc- "t kFI..L , ¡t} eo/l-tð /38'106 # D """"" _, v , r ....- r _.. . _ E r ..- - " I -'L-'F 'Y Ó ...2~ CUI ßL ¿- ADDRESS; ?/RðC> /TAR vI? 'I ('12 T FACILITY ( P: .8éJ..¡¿¡;:,R.$ F/.Æ-¿ t) CITY. ZIP: BAKt:¡¿S V=-Il:.-¿ h .'?9f; 0 3 D S- PIIONE ,: 589 - 72/9' IOFFICIAL USE CFIRS COnE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CO NT IISE LOCATION IN THIS % BY IIAZARD ) , 0 , 'I CODE AMOUNT AMOUNT UNIT C ºº-~ CODE FACILITY UNIT WT. CIIEMIGAL OR COMMºN-MAME CODE Q!HQ[ uJ I/O 300 ·,61JL 00 :.1? tv E" COIUJEIt ()U,,-SI/>b tv 195 T ¿;¡:- tOIL /5;pg CM¿Q .- )p 5[)2 502 fT3 O¿¡ 4z S ovtff WA¿L a. .-f.....A - L-. ~~ ¿;;,35'7 ) P /24 1~4 rf3 04 42 s ø t.J~it ¿,v/?¿L (/ , /¿ÇJ~ / /)ce7Y"Lé/l/2 .- : .--" ._, -e- _. ...... M NAME: :ítP¿' b/ ~;l'JetJtUD TITLE: (}WA/CiJ¿ SIGNATURE: ~M t"}~r DATE:\Ç-~>-6tf - - -- . -.:?2> C= .1:>/ (Ç/;ftoo ~O TITLE: O/.,¿/A/E r2 i/ PU'óNE # BUS HOURS: 3q8 -0:5 0 Ç" .. 5gr~_7.2 /<1 , # IT UN FACILITY NIT NAME .8 é.!/~ eN ß.. NAME NESS BUS \) IH \ '? 5 3 - ..:::> ·HOURS URS: s AFTER ßU ONE # BUS AFTER UU II P w/VC¡¿ CONTACT: BIJSINESS EMERGENCY PRINCIPAL ·1 ~ - <'1 ~.' ,:~:; , - !. ~~~ ~:\ ~:':-E:~ - ......, .- ~~ "'-.,,\ - - -"'T """'''''1:- :::-...L ~..=. .,' -=' _~'- 1. ..:.......~ _ :! FOR:vr ,,~i7:"~~~~:'S : ',-=-:':E : BLUG.' ~,t380^, AI.I7"'? T J I/~ ......, r -... - :,.. . . '.. ....- """-:. -... . ~7~ J:.~r;~ \y~ ___"__ _,.__.___. - ____._._.u ._" ___,__ ."___._.----.-- 1_,___- " At::;r1l5E/Jr Bl.Nt...Þ1NCr .. P.JJl:Ef> /!If]. t: A 5 e D I AG RA,.."T . ÞI3~¿( l'Z.lø7 In~ ~/~~ . ~7 J -:-:;:::~ I , .- ... ... - :~c:::~: ~:Ar~A/ - ""-'.-'---'. l~uJlllE J:"ë/</t.G I I r ~ 6rI'tTE f) I ~ I 1/ , I .2 5S/~ wlt$T£' o/¿ 18/ tzou__vP , Þo 0 /L. <i f7lAME Cf»JI I t...ell~ ()I- II Y \. ;) f::! ., a ., a ~ q lit ~J/lErAL c.oNSTœv~1'ON -OF:!C:Ar.. ~~s;:: :1:\":.,.- - ::.t. ... .,6. o OD~{'~5 l' MET£'Il..S tu"'T~"'- PIP5. (In~pp.r.to~·s Commp.ntz): ..:' .i" , ._~.~'-;:'.: PA~r.IAJf? , .4". -" ....., -'''I. . -'. ~.~ :;:.: .C . ~ ". .~~ .~ '. 7<~" -.. --.q.. e . e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 :# 1 I?ECEIVED MAY 1 1 7988 . Ans'd (I,,, r\ ~~ ....... (B 0, ~ì 5) ~f . 1 ..... V "',.Ii.,,Ü d OFFICIAL USE ONLY /f}¡,-13C/ J~ !2 ....... . ID# US INESS NA..'1E HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ~ C'øóh3 \F'æ(;¡- :r , INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. AnJ'wer the questions below for the business as a whole. 4. 8e as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: ß llÄ.<2- K~\o\0c>V\ 8. LOCATION / STREET ADDRESS: ~ ~ ex L( CITY: ~CA~el('~Ç~-elá A LA+Omø-tì \Ie. W~ bl-e £c& ZIP: CfÒ3 ( 3 BUS.PHONE: SECTION 2: EMERGENCY NOTIFICATIONS 0/:; en ¡ ~ fmr 1111'~ (WS) 2Ft ÇA ~ O;sOS 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 tmergency Services as required by law. E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY: NAME AND TITLE A. -::SC)('.> '(')'. c.,..\ Cl.-~Qvÿ"\'(') Ph# DURING BUS. HRS. ~q?:>- 03(')fí O~<ð- Oö06 8. --:s o<"-Qk e.o...rv-* e or- Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE Ph# AFTER 81;S. HRS. 5~H-7a IC( ðq~ - ß557 Ph# A. NAT. GAS/PROPANE: Ovrc5IÞE SOut;/i EAST C'ðtRlJEIL B. ELECTRICAL: /N.!>JD£ "t ø(/r~/l>E .'fDuíll E:A~ r tlJJtI/L. C. WATER: VÚIS/b€ .50tlr# ehS..,.. Co£A/eð2 D. SPECIAL: E. LOCK BOX: YES ~,IF YES, LOCATION: IF YES. DOES IT CONTAI~ SITE PLANS? YES / NO FLOOR PLANS? YES / ~O - 2A - MSDSS? YES / NO KEYS? YES / NO e e -.....' ~,_.¡;: " ~ " .- SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE /Volt/€' SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YOL~ BUSINESS AS A WHOLE NEj t1?- EG 7' //0"£ ¡:>r TAL- SECTION 6: EMPLOYEE TRAINING E;'!PLOYERS ARE REQUIRED TO HAVE A PROGRA;\f WHICH PROVIDES DIPLOYEES WITH INITIAL AXD REFRESHER TRAINING IN THE FOLLOWING AREAS. C !RCLE YES OR NO A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS :vIATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPME~T:.................. D. E~ERGENCY EVACUATION PROCEDURES:.................· E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. . .. .. . INITIAL REFRESHER YES :;0 YES :;0 YES XO YES XO YES NO YES NO YES XO YES NO YES NO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES - NO - NONE DOES YOUR BUS INESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 poems OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ,., ,.. ~ NO I,~£..L>/~/ÁCOÞtO , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. .S¡GNATUREdA2t~~ ¿Ç . TITLE tÞ'~ DATE ,S--5-f3 't> - 2B - ;..¡,.-~,.---...-.. e e .. BAKERS?::::"D CTTi FT~:: Dr:?ART:I:::':7 2130 "Goo Sï:\EET BAKERSFIELD. CA 93301 O??iC7A~ ~SE OXLY Ii):: ...----- BtJSI:'IESS XA/!E: BUSINESS PLAN SINGLE FACILITY u~IT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must bereturneå by: 2. TYPE:'PRI)¡T Y01:R ANSWERS rN ENGLISH. 3. Answer t=e questions below fc~ iHE FACILITY t:;!T L:~~~ 4. Be as BRIEF and CONCISE as possible. ~ t'T "~.r ___un FACILITY u:1I'r~ '1, 32 4 FACI!.I'I'Y UNIT ,NA.'Œ: J:/L UE æ /880 If.) /J vrtJ¡lfOrll/E S'E~ON 1: ~r'!"TGA'ITON. 'PREV!:.~HION. ABA~ 1'ROCZ!mRES SF.r.7rON 2: 'm7T'P'TCATTOX A~1J ¡:;,,\C:;;'.TTCX ?RCCEDtiZ:':S AT TIES t;~7:- O';-:~· ~ , ~ j ;-;. "" SEClIO:': 8: H,~r:,j,RCO!;S \~,ð..T:~PLS ?nR ~tnS (-;-:-iTT O~T.Y A. Does this r:lcility \,;nit cO:1T:::.in ~<J.z:1.ràolls :'!at<::!riills?,.", @ xo If YES. se~ B. If ~O. continue with Sr:C7TOX ~. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If ~o. complete a separate hazardous materials inventory form marked: XOX-TRACE SECRE7S OXT.Y (tvhi te for!!! =4A-l) If Yes, complete a hazrrrdous materi~ls invp.ntary form marked: TRADE SECRETS OX:'Y(yellow form :4A-2) in addition to the non-trade sec~et form. List o~ly the trade secrets on form 4A-2. SEC7~~:'; 4 ~ p~rVA7E ?TRE ?~C~C7TtJ~, NO SE~TO~ 5: tOCATTO~ OF WArE~ S~?~? ?OR üSE BY ~~GEXCY RES?O~~~S ()ur - 51 De S()U,H E/6T CfJ¡£A/ë/è.. SEc:'!OX 6: LOCATIO:: OF :''"771::-:'' SHt.'"7-iJPS AT TIES ·~·77 \j., - . O:'l. Y . ,;. X..1,T. G,':"S,PRO?'.Xe::'; OUr ,S11>(3" 5ðcIéH EßST Cod!.Ah£.e. B. ::LECTRICAL: Ou T!4 D 1:;- .s. 0 cI r H Þ PIS T C 0 ~J)E- tR.. C. í'¡ATER: Ou T S I PI: ..5 t) u r II ¿;-ß S T (! OdlAJ E 12... D. SP:=':C:.-\.L: _. LCC~~ snx; 'Q - YES, ¡ 1""\,-. ~ -; "".. :...VI....""'"I.J, J.u..ìÞ. \.-- .. .... r F ::':::>, S ~-~ ?!:.COR PLA::S" ..-,... ._~ , ::0 :m y!SDSs') ;'::ë:'~'S " "._f"O : ::'.) X8 pr .\ ""0:::'" . ........"...... ~t== S ,.-,.. ': :::a.J Xo -~ e e "" 'J U ,< --..",~ BAKERSFIELD CITY FIRE DEPARTMENT I . D . # (), FORM 4A-l Page .~ td NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: 13¿I/tt:" D I ,. -L ON /lV'TðU() rll/E OWNER NAME :.....7é4!:: "'If ktLLY / G/¡t} eÐl'1ð FACILITY UNIT #: ADDRESS: -/3.24 tulI3L~ ADDRESS: ?~ðð HA¡¿ vI: Y (II? T FACILITY UNIT NAME: CITY, ZIP: ß,¡tj¡.¿J:ð2,S I=/£¿ Þ CITY,ZIP: ¡¿s IF} '= ¿b PHONE #: ,~9~O305" PHONE #: 589 - 721'1' 10 F F I C IA L USE C FIR S COD E . ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL ï,ONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE lJJ I/O ., 300 - GilL 00, Â? IV E' (L)Il.AlE/l.Ou-r-51l>l: WI9-5T~ OIL CM¿Q P 5tJ) :5ð2 'fí3 O<i 42 SOr/t:/f WA¿t.- a.~~ ~- t? L- f> /21 1;;.4 F1s 04 ,&2 &. (f) v-(:fI U/pi/¿L {/ , J9é-e7Y ~e /l/Ç' _. - ,. ....... M. NAME::J;pE ,7.>/ &-/I'1t!bMiJ TITLE: (/wA/ß7ä. SIGNATURE~V/"'- DATE: $'"-.s: ~e:L EMERGENCY CONTAï,T:...7&>¿: þ/ (Ç/,,(Oo ¡lC.,fO T ITJ.E: O~A/e 12.. PH'óNE # BUS HOURS: 398-0;s O!: . , ,. AFTER BUS HRS: 56f -72 /<:¡ EMERGENCY CONTACT: }::€C.¿7 Z>/?I'/4f>OØ-1L TITLE:tOwA/ë'""¡¿" PHONE # BUS HOURS: 3~ß -03ÐS PR I NC I PAL ßUS I NESS ACT IV I TY Y\..,.." JPLJ..¡.Þ AFTER BUS HRS: Sta 9 - 72.19 e e CITY of BAKERSFIELD '. ... ARE DEPARTMeNT O. S. NEEDHAM ARE CtllEF 0<1 2101 H STREET . . AnAl ¿ /3 --DO ~EIJ]. 93301 1i1{JAP cd - .~¡'/ 32&-3911 f/O /yif ~//J~t6 þß7. ~ I '. . "'-'".' Dear Business Owner: Enclosed please find a copy of your ~sponse to the Hazardous Material Business ,,"_ Plan request., We have founå it necessary to reject your pìan for the following, };~~;~.;;3~':::_,reason( s) as, checked, be low._",,;,>,ç;'.::~~:'<'~::~~;;~i~~~Æ;~;::f'!tf:I~~·ti,~~' ., , Dll~egible .Bus~nessp:~n (please print ,or tYPei"!,;o~~tion 'fn EngliSh')! ';:":'::(~:·F~~:;;:~"'''''Õ'·'·':~·i~~;~~;~~;··~I'~~;;';;t:"·~~~'-t;~·::: '<~~r-": ;~;";3~~:"D Hi ~'~ i~~'~!:'o; 'Ivrf;~~Pl~~~cc>~:t:;·.-;':,~~~Z~~' ,~':J !~.:;,i{i,,£".i.~:~;: : ',C;::"..';; '~, ";';:(::-:;;""..;#;;'Yf:::~:t"$:~~'-':""""'h"" '.~ "Fonn 4A D M1ss1ng or 0 IncclllJ11ete ,'", '.::::j;:::"''-~. '::'~'::::~~;;~,~.,. Fonn SA ,', . ,- " -'r{~~~'~;~:~?~~;7~~:!:W~~ ;:n' ~':'.. --:., ..".... ~~........*'.............. ~ . .:;:...;:...'.:.:.......:..},.. .....,. ,-, This Bakersfield City Fire, Department \ ",., Hazardous Material~ Division 2130 "G" Street Bakersfield, CA 93301 ..¡;.. ,;",t:"¡'t#:;;;:: , .." .:.~;::-;:.~:' ~:, ;~.~ ..-. '<;. .", ., ," -.. '" 'If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 "G" Street in person. Coordinator Is- tJ~W- )~/'-¥"A ~ C!t;.;.J;j) 3 2- {;- - :3 9 7 7 REH/eg , ' . ~.~. -.: L - '::'.