HomeMy WebLinkAboutBUSINESS PLAN 5/1/1989
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SIT E DIAGRAM ŒJ
PLA~MAP
FACILITY DIAGRAM D
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Business Name:
FREEWAY AUTO AIR
Area Map # 1
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Nar'tÌl
Name of Are:a:
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WHITE LANE
WINSTON TIRES
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TEXACO
EXPRESS
LUBE
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. TRUCKIN' STUFF
VACANT
VACANT
EURO AUTO WORKS
1 STOP SMOG
SCHIRRA COURT
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PAUL CONDE, Ji ~ d-- \ \) \ TECHNICIAN 1
,«~ \jìf.{, S~fe Iiè-- ~v--
I.:·~AY AurO AIR & RADIATOR
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! 6561 White Lane, Suite C
Bakersfield, CA 93309
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(800) 201-0911
Fax (805) 831-0191
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,,~<J 1" kD ~~~ -~~,,--r' BAKERSFIELDp CA.~ 933lT' / ~. . - A·J
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OFFICiAL ,USE ONLY -.' _.-
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HAZ:ARDGUS MATERIALS
BUSINEªSÞtAN AS A WHOLE
FORM/~A
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rNsTRucYroNS:
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RECEIVED
MAY 0 1 1989
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1. To avoid further acti,on, return thi:3 from within 30 da/s of receipt.
2. ~'T,!,PE/PRINT ANSWE~S}Ñ EN9t:ÍŠH. ~ ,',' - "
;.--,. ~3. -AnsJ'ter the questlohS b~low for' the, buslness as a-w.h'ole.
- 4\ .Be ás br i ef and conc i se as pess i b,l e.
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~ll9~~ BUSINESSj;bE£NTIFICATIOJi...Q.W
A. BUSINESS NAME :j-FR~EWAI(!l!:iiP- 11/R. _ ",'/ ,-
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-.,? ~- 8. LOCA T! ON t---S;TREEJ ADDR ESS :.:.2:D:/""'-\t-J'Ó,.R,t<1iliW~T* -' SLA / T€ II ¡¡:;.-
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~.. CITY:~J£Lð,<_ R~>:.,_~q:23c¿J BUS."'R~ONE: (<gDS}..ß~g- LOO"d-
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§_EÇI~ 2: .' .1à!E.BGENCY tiQill= I CA TX.Q1:i~:'
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rri case of an emergency :jrwo\lvirì~j the release or threatened releas$ ·o.f
a hazardous material, £AJl 911 t'~nd 1-800-862-7550 or 1-916-427-4341. This
will notify your locai fire departrri~nt and the Stat~ Office of Emergency
Serv ices as requ i red by 1 aw. <,
. EMPbOY-EES~TO-NOT! F.Y_.!N__.CA~i\~L OF..EJE~GE~ICY:' .' ,- .
NAÎ-Œ AND TÌTLE . ··f ----::DURING BUS.HRS.--AF'TER -BÛ~r: HF~S.-
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SECTIO~ 3: LOCAT1QH~OF UTILITY SHUT-OFFS FOR 9~SINESS AS A WMQ~
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A. NATURAL GAS/PRO.PANE: -t~
B. ELECTRICAL:,
c. :-'WÄ~rER: ~
"-/0.- SPECIAL:.
E. LOC,K BOX~-vYES / NO IF YES, LOCATION:
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IF YES, DOES IT CONTAIN SITE PLANS?
", /: FLOOR PLANS?
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YES / ~~O
YES I NO
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-MSDSS? - . XES '/ NO
-KEY-8?, -YES / NO
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ßECTJ.ON 4:
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PRIVATE R~J~?ONSE TEAM FOR BUSiNESS '''AS ,A' WHOLe. i
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SECTION 5:
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LOCAL EMERGENCY MEDICAL "ASSJ.S;r'ANGcE FOR YOUR BUSINESS AS A WHOLE
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'SECTION 6: ,EMPLOYEE' TRAINING
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EMPLOYERS ARE REQUrnED TO,HAVE A TRAINING PROGRAM WHICH PROVIDES i:MPLOYEES
WITH .HHTIAL AND REFRESHER'TRAJ.NING IN THE SAFE. HANDLING OF H,t\"ZARDOUS
MATERL<\LS. "'-
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A : "'JJJ--1BER Or: EMPLOYEES AT TH IS FACILITY
B~ -DO YOU HAVE MSDS (MATERIAL SAFETY QATA
MATERIAL YOU HANDLE ~
C. GIVE A 3RIEF SUMMARY OF YOUR HAZÂR[~r,~ijS
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SHEETS) FOR EACH HAZARDOUS
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MATERIALS~TRAINING PROGRAM:
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SECTION 7:
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I CERTIFY UNDER PENALTY O~ PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF-CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY
CODE FOR THE FOLLOWING REASONS:
EXEMPTIQI: REQlJEST
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__,_ WE DO NOT HANPLE HAZARDOUS t-,ATEHIALS. .
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WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
tIME EXCEED THE MINIMUM REPORTING QUANTITIES.
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O-rH~R (SPECIFY REASON)
SECTION ~~~ERT!FICATION
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I, \,TtJME,á O. :5CHE ftFF Et< , certify that the above i nformat ion is
accurate. I understand that this information will be used to fl~lfill my
firm's-ob1igations under the ne~ California Health and Safety code on-~
Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AJ.,.Y and that
)- inacc~~ate information constitutes perjury.~ J~ / '
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SIG:x\~~:/f;~ì1J ~~ TITLE DATE~-'{?-f"}
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CUST~E & No.-E:S 31.ff:::, ~
MISCELLANEOUS RECEIVABLES ADJUSTMENT.
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DATE l~ d;;)-97
NEW ACCOUNT
ADDRESS CHANGE
CLOSE ACCT
FINANCE CHARGE ¡ J!.
·OTHERADJ : y i
CUSTOMER NAME f(c:eway AJfD <Air
MAILING ADDRESS I-.j ~OO LJ; 61 e BcJ ' 5i-~-A
CITY ~te\s~'1 e~d STATE fA ZIP CODE~
SITE ADDRESS
PARCEL NUMBER
(IF APPLICABLE)
ADJUSTMENT
CHG DATE CHARGE CODE
/ - /- q7 H/I1ØØ I
ADJUSTMENT AMOUNT
$75,OÙ
APPROVED BY~~
RECEiVED
APR '\ '1 1990
HAZ. MAT. OW.
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Bak'è~field Fire Apt.
Hazardous Materials Inspection
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Date Completed
Business Name: t= or e ~ "" (:\. y
Location: b 7 b I - C-
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Plan ID # 215-000-0011f5't (Top right comer Business Plan)
Station No. ~ Shift C. Inspector
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
rJf~ Comments:
t) fJ- Verification ofMSDS Availability
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RECEIVEO
APR 1 1 1990
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Adequate Inadequate
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Number of Employees
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Verification of Haz Mat Training
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Comments:
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Verification of Abatement Supplies & Procedures
Comments:
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Emergency Procedures Posted
Containers Properly Labeled
Comments:
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Verification of Facility Diagram
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Special Hazards ASsociated with this Facility:
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Violations:
FD 1652 (Rev. 3-89)
White·Haz Mat Oiv. Yellow-Station Copy Pink·Business Office
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Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
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RECEIVEQ
SEP 1 1989
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HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1.
2.
3.
4.
To avoid further action, return this form within 30 days of receipt, rÄ..\XÃ.. 3 \ I Iq<6, c¡
TYPE/PRINT ANSWERS IN ENGLISH. \J
Answer the questions-below for the business as a whole.
Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
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BUSINESS NAME:
FREEWAY AUTO AIR
LOCATION: 6561 Whi te Lane, Sui te C
MAILING ADDRESS: 6561 Whi te Lane, Sui te C
CITY:
Bakersfield
STATE: ---ºA..- ZIP: 93309 PHONE: (805) 831-9754
DUN & BRADSTREET NUMBER:
/V/A
SIC CODE: 553/
PRIMARY ACTIVITY:
AUTO AIR INSTALLATION & SERVICE
OWNER:
Kathleen Scheaffer
MAILING ADDRESS:
6561 White Lane, Suite C, Bakersfield, CA 93309
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS, PHONE
24 HR. PHONE
1. James Scheaffer
Gen. Mgr.
831-g7c)4
Rln-l7RLl
2. Mike Brink
Mechanic
831-9755
366-5294
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. Bakersfield Fire Dept. e
., Hazardous Materials Division ~
HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 3: TRAINING:
NUMBER OF EMPLOYESS: 2
MATERIAL SAFETY DATA SHEETS ON FILE: Yes
BRIEF SUMMARY OF TRAINING PROGRAM:
-f- vi-ll lac ëlttcnd-in~ a L.LaiRing prô~ralll ";'R FresRo, Californi3,
on SoptcmbQr 1~, 1989.
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**Cancel~the above statement. I have made arrangements with
-~-~~-- --~G-e-n-e-~GTen-dennyof'~ ~CAr;-USHK~Cõrn3UT'EatTon-Servrcë Yn-FresñC5, ~-CA-----;-
to give an in-service at our facility later this month.
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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.
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OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, Kathleen Scheaffer CERTIFY THAT THE ABOVE INFOR-
MA TlON IS ACCURATE. UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODEII
ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
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SIGNATURE
(9-1U/ZM./
TITLE
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FDI590
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Bakersfield Fire Dept.
Hazardous Materials Divisl
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
Refriaerant (freon) is available in 14 oz. cans. We keep
appro~imatelY 10 cases (12 cans per case) on the premises
at any given time (usually less). The cases are located
at each mechanic's station. We keep it away from heat to
ensure proper safety.
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
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By keeping a relatively small amount of refrigerant on
the premises at any given time, we minimize the chance
for an acc~dent.
C. ~ CLEAN-UP PROCEDURES:
When refrigerant is released, it simply goes into the air.
No clean-up is required.
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE:
Nn gnS nn prpmises
ELECTRICAL:
North wall in shop area.
WATER:
TTnnpr ~ink in rpstrnnm.
._-,-----::-----...;...---..~~-.....---'=" ~_.-._-
SPECIAL:
LOCK BOX: YES/NO
IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: Two fire extinguishers in shop area.
One fire extinguisher in office. Overhead sprinklers in
shop and office.
B. WATER AVAILABILITY (FIRE HYDRANT): Directly north of the
Crossroads Auto Mallon the north side of White Lane.
4,
FDI590
, Bakersfield Fire Dept. e
- Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
FREEWAY ATT'T'O ATR
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A, AGENCY NOTIFICATION PROCEDURES:
Telephone fire department and police department.
Telephone Coleman Company (landlord).
As owner of the business, I am on the premises during
regular hours' of operation.
B, EMPLOYEE NOTIFICATION AND EVACUATION:
The mechanics who use the hazardous material would
be the first to be aware of an accident as the
hazardous material is in their work area. They would
notify me and I would notify the proper authorities.
C, PUBLIC EVACUATION:
We would evacuate the premises and alert the businesses
on either side of us.
D, EMERGENCY MEDICAL PLAN:
Dr. Joseph Rabban has agreed to be the physician for
our business in case of accident. Minor problems would
be attended to by Dr. Rabban. Major problems due to
accident or injury would be taken to Mercy Hospital.
3.
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CITY of BAKERSFIELD
Farm and Agtlculture (] HAZARDOUS MATERIALS INVENTORY
Standard BusIness EJ Page --L_ ofL
NON-TRADE SECRETS
BUS¢~Y8S NAME: FREEWAY AUTO AIR OWNER NAME:Kathleen Scheaffer NAM~ OF THIS FACIlITYÒ FREEWAY flü'r041r¿
b9¥ z~~: h~~~e~2ti~12t9330~l1; tp r ADDRESS· ~O?~ ~~~~~ ~Tån~, . STA DARO IND. CLASS C ut::-5~
~ITY Ë zl: rJ 1 i 304 DUN AND BRADSTREET NUMBER -------
PHONË #: 831-9754 ~ HON It: ~3.f)r~:;ZR4 - -
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REFER ra-I ~I UC}lUN~ rUff fJffufJER CODES
2 7 8 9 10 11 ,12 13 U
Tr~ns Ty~e I Oys Cont Cont Cont us~ loc~tlon ~he~e , by Na~es of ~ixture{çotPonents
Co e Co e on SIte Type Press Temp Co e Store In Facl lty Wt See lnstrut Ions
N p 600 13 4 So. wall & short 0 R-12 CC1?F
7.1)-7/-~ .
Ph~~ic~1 f~d ~ealth Hafard Component 11 Name & C,A,S, Number
( ec a t at apply
a. Fire Hazard o Reactivity o oelared o SUddfn Re I ease o ,Component 12 Name & C.A,S. Number
Immediate
Hea th o Pressure Health
Component.3 Name & C,A.S. Number
Ph~~icfl f~d ~ealth ~afard C.A.S. Number Component 11 Name & C,A.S. Number
I ec a t at app y
o Fire Hazard o Reactivity o De Jared o Suddfn Release [] Component.2 Name & C.A,S. Number
Immediate
Hea th o Pressure Health
Component 13 Name & C,A.S. Number
Ph~~ic~1 ,nd ~ealth ~aiard C,A,S. Number Component.1 Name & C,A.$, Number
I ac a I t at app y
o F i ra Hazard o Reactivity o oelared [] SUddf" Release [] ,Component'2 Name & C.A.S, Nunber -
ImmedIate
Hea th o Pressure Hea Ith
Component.3 Nane & C,A.S. Nunber
Ph~~ic~1 ,~d ~ealth ~afard C,A,S, Nunber Component.1 Name & C.A,S. Nunber
( ac a t at app y
o Fire Hazard [] Reactivity o De Jared [] suddf" Re 1 ease o . Component 12 Name & C.A,S. Number
Immediate
Hea th o Pressure Health '
Component.3 Name & C.A.S, Nunber
EMERGENCY CONTACTS #1 James Scheaffer Gen. Mgr. 836-3784 1t2 MiIŒ Brink Mechanic - ~ H-r~ñ1~L/
Raile litle Z4 Hr !'none Name T
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.certifi~atio~ çReCfa and firn afJ~r c9mf7fting, ÇJ77, sections) ,
I cer 1 un er enal 0 a th t I av persona examln 0 ft famllla( It the informatIon $U mitte~ In his ond all
)~taç~edYdQC~nen~sl an~ t at ~ase~ OR ny In~Uiry ~ lhase In~IYI~ua's responSlbfe ~or obtaIning the ln~ormatl0n. I belIeve that the
su~ml~taà In ormatIon IS true. accurate, an COlp ete 8j¿ 1/"9
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