HomeMy WebLinkAboutBUSINESS PLAN 5/5/1993
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B A K E R 5 F IE . L D
May 5, 1993
(
ACCT# 457901
AAA AMERICAN AUTOMOTIVE
7001 WHITE LANE STE 115
BAKERSFIELD CA 93309
\
- - -- - -----
Gentlemen/Ladies:
Our records indicate your hazardous materials account is
ninety (90) days or greater p'àst due. It is of paramount
importance that said account be brought to current status
immediately. .
-~---
Until said account is cleared of the past due balance you
are in,violation of the Municipal Code and subject to
legal action.
If you have any questions, please call me.
_ NOßCE
ACCOUNT
/-1 f1'1 ~~7 q [) I
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AMOUNT DUE:$
City of Bakersfield - Treasury Division - P. O. Box 20'57
Bakersfield -.California - 93303
(805) 326-3757
. d!] s: 9J:.L
~I¡~.'.:.FIETUR~ P.t\. ~fy1ENT8 TO: . -L. ' " , _ '~ ' PLEASE MAKE CHECKS PAYABLE TO:
~ .' CITYOFBAKERSFI STATEME'W'l'r'~ÖF'~ACCOtJNTJ;
:/" p,O: SOX 2057' . , ,", i: \ t/ CITY OF BAKERSFIELD
!~, . 8AKERS~fLD, CA .' A~C?f~T N~t$7901 g.;.l;v\'.. J) L-
r**~ FIRE DEPA "1::»1 *** ".' , .' :,'. ", .:". ,.' .' .... " .,", .
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D KEEP OR DISCARD '
o REVIEW WITH ME
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S E'h\. ß-¡¡i'J:""h ,AceD '\ "'" PLEASE MAKE CHECKS PAYABLE TO:
TATEM I~ ~"0F>M UNTJ " ' "
~-I \ \, ~ 6IJYOF:,BAKERSFIELD
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RETURN PA'I<MENTS TO:
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CITY OF BAKERSFI
P.O, BOX 2057
BAKERSFIELD, CA
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Bakersfield Fire Dep4
HAZARDOUS MATERIALS DIVISION
,~
A ""1 e...~('c:.""
--
Business Name: A A It-
/
'·v
Date Completed 6-- (5'" - 93
ÁV+-Çl~(', ~ì\ ./
Location:
Business Identification No. 215-000 00 I' 7 7 (Top of Business Plan)
Station No. <1 Shift C Inspector 8 P"\ J - ¡ c k 5' (f ¡
Comments:
Verification of MSDS Availablity D
Number of Employees
D D
Comments:
D D
Comments:
D D
Containers Properly Labeled D D
Comments:
Verification of Facility Diagram D D
Hazards Associated with this Facility:
Verification of Inventory Materials
Verification of Quantities
Verification of Location
)"
Proper Segregation of Material
Adequate
D
D
D
D
Inadequate
RECEIVED
bLU.rt 1 8 J~~3_,
Violations:
Out- 0 (l
bu ')~ '^P 5 5
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
~
.
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-
AAA AMERICAN AUTOMOTIVE 215-000-001177
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 7001 WHITE LN 115
Community: BAKERSFIELD STATION 09
Map: 123 Hazard: Moderate
Grid: 16D FlU: 1 AOV: 0.0
Contact Name
SCOTT GILLES .
NINA GILLES
Title
Business Phone
(805) 836-1433 x
(805) 836-1433 x
24-Hour Phone
(805) 324-7445
(805) 324-7445
OWNER
WIFE
Administrative Data
Mail Actdrs: 7001-115 WHITE LN
City: BAKERSFIELD '
Comm Code: 215-009 BAKERSFIELD STATION 09
D&B Number:
State: CA Zip: 93309-
SIC Code:
Owner: SCOTT GILLES
Address: 912 HEWLETT
City: BAKERSFIELD
Phone: ( )
State: CA
Zip: 93309-
Summary ~ ,
(k . ~ ~ WU=IL
~ ~ CCJ2-\(J¡.?f'1:! 10 ~
ðAJ ~ QhaQiL k
,£ai.{JL ~ ð70~ f-JS
~'Œcr / ~cyvv-
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Q~i'~
SfP 0 3 1992
HA7, MAT. "'fV.
If )' u+~. ,~Ji'f't Do hereby certify that I have
(Type or print name)
reviewed the a.ttachøl,; : '.: ':::"::;,,¡,~: materials manage-
~' ment plan forJJß{L&.rk!~.øJ¡..:;¡ild that it along with
"" any corrections ~~:;;¡~;;'~:mPI6te and correc! man-
. agement plan for my facility.
4cAQ MÑ
,. Signature
., /vÍlt-
Date
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AAA AMERICAN AUTOMOTIVE 215-000-001177
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 ACETYLENE
· Fire, Pressure, Immed H1th
Gas
300 High
FT3
CAS #: 74-86-2
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 --
300 I 200.00 I 1,200.00
Storage r Press T Temp ~
PORT. PRESS. CYLINDER Above AmbientSW CORNER
Location
- Conc l
100.0% Acetylene
Components
r; MCP -¡List
High
02-002 OXYGEN
· Fire, Pressure, Immed Hlth
Gas
500 Low
FT3
CAS #: 7782-44';"7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 --
500 I 350.00 I 2,000.00
Storage r Press T Temp ~
PORT. PRESS. CYLINDER Above AmbientlSW CORNER
Location
- Conc l
100.0% Oxygen, Compressed
Components
I~ MCP -¡List
Low I
02-003 WASTE OIL
· Fire, Delay Hlth
Liquid
135 Low
GAL
CAS #: 221
Trade Secret: No
Form: Liquid
Type: Waste
Days: 365 . Use: WASTE
Daily Max GAL. ----r-- Daily Average GAL ~ Annual Amount GAL --
135 . I 55.00 1 400.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~I Location
Ambient AmbientlNORTHWEST CORNER
- Conc l Components
100.0% Waste Oil, Petroleum Based
G: MCP -¡List
Low I
~~
. 08/31/92
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AAA AMERICAN AUTOMOTIVE 215-000-001177
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in Reference Number Order
02-004 MOTOR OIL
. Fire, Delay Hlth
Liquid
144 Minimal
GAL
CAS :It:
Trade Secret: No
Form: Liquid
Days: 365 Use: LUBRICANT
Type: Pure
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
144 I 96.00 I 500.00
Storage
PLASTIC CONTAINER
r Press T Temp ~ Location
Ambient AmbientNORTHWEST WALL
- Cone _I Components
100.0% Motor Oil, Petroleum Based
r; MCP :-rList
Minimal I
Gas
381 Minimal
FT3
02-005 R-12 FREON
. Fire, Pressure, Immed Hlth
CAS :It: 75-71-8
Trade Secret: No
Form: Gas
Days: 365 Use: COOLING
Type: Pure
Daily Max FT3 ~ Daily Average FT3 ~ Annual ,Amount FT3 --
381 190.00 I 1,900.00
Storage r Press T Temp ~
PORT. PRESS. CYLINDER Above AmbientSW CORNER
Location
- Cone l
100.0% Freon 12
r; MCP :-rList
Minimal I
Components
:í ' -;:
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08/31./92
\
',-
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
I AM THE ONLY PERSON WORKING IN SHOP AND IN THE EVENT OF A PROBLEM
I WOULD LEAVE BY ONE OF TWO DOORS AND CALL 911
<3> Publiç Notif./Evacuation
NONE LISTED
<4> Emergency Medical Plan
NEAREST HOSPITAL
.
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.
08/31¡92
. AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL FOUR CYLINDERS ARE STORED IN SW CORNER OF BUILDING AND SECURED
TO WALL AND CHAINED TO BOLTS
<2> Release Containment
PROPER VALVES. BAFFLES ARE ALWAYS CLOSED WHEN NOT IN USE.
<3> Clean Up
CALL LINDE GAS TO REPLACE LEAKING CYLINDERS.
<4> Other Resource Activation
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081 :3'1/92
AAA AMERICAN AUTOMOTIVE 215-000~001177
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - EAST END OF SUITE IN COVERED WALKWAY
B) ELECTRICAL - MANUAL CIRCUIT BREAKERS ON BATHROOM WALL CENTER OF BUILDING
C) WATER - ?
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - THERE ARE NINETEEN OVERHEAD SPRINKLERS
FIRE EXTINGUISHER ON THE NORTH WEST WALL
FIRE EXTINGUISHER 9N THE SOUTH EAST WALL
FIRE HYDRANT - RIGHT OUT IN FRONT ON MEXICALI DR.
<4> Building Occupancy Level
,
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08/)'1192
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AAA AMERICAN AUTOMOTIVE 215~000-001177
00 -Overall Site
Page
7
<G> Training
<1> Page 1
WE HAVE ONLY 1 PERSON WORKING AT THIS FACILITY
WE HAVE MSDS SHEETS ON FILE
I GO OVER ALL MSDS MATERIALS ON A YEARLY BASIS.
"
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
,
CITY BAKERSFIELD
HAZARDOUS MATERIALS INVENTORY
.
NON - TRADE SECRET
OWNER NAME: ~
ADDRESS : ~
CITY, ZIP~
PHONE _.1:
'I
g
~, I\...,\
,.' I
4'''' L'~
page:2-~f ' .
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:J:
OF
and Agriculture~Standard Business
ID
NAME OF THISFÄCrLITY:iJ.
STANDARD IND. CLASS CODE:
DUN AND BRADSTREET NUMBER/FEDERAL
££e~_-~i_
/
/
Farm
BUSINESS
LOCATION:
CITY, ZIP:
PHONE #
o
Number
, C.A.S
, C.A.S.
Component , 2 Name
Component , 3 Name
6
Reactivity
5
o
Health Hazard
that apP19
Fire Hazard ~ Sudden Release
of Pressure
1
Physical and
(Check all
o
Number
Number
Number
, C.A.S
, C.A.S
" C.A.S.
Component , 1 Name
component , 2 Name
Component , 3 Name
Delayed
Health
o
Immediate
Health
Number
o
Reactivity
C.A.S
o
Sudden Release
of Pressure
Physical and Health Hazard
(Check all that apply)
o
Fire Hazard
o
Number
, C.A.S
Name
Component , 1
Number
C.A.S
Physical and Health Hazard
(Check all that apply)
Cï 0
, C.A.S. Number
Component , 2 Name
o
o
o
Delayed
Health
Immediate
Health
Reactivity
Sudden Release
of Pressure
Fire Hazard
Number
, C.A.S
Name
Component It 3
Number
, C.A.S
/I 1 Name
Component
Number
C.A.S
Physical and Health Hazard
(Check all that apply)
Number
, C.A.S.
Component , 2 Name
o
o
o
Number
S.
, C.A
Name
Component , 3
Delayed
Health
t--
o
Immediate
Health
Reactivity
Sudden Release
of Pressure
J1
EMERGENCY CONTACTS
D
Fire Hazard
inquiry of those
911J~2--
DATE SIGNED
my
based on
and that
Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
I certify under peanlty of law that I haver pereonally examined and am familiar with the information submitted in this and all attached documents
individuale responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete.
Ç'c.J.l.. Q, (.!.~ II UJ )1...,-, .~
NAME AND OFFICIAL TITLE OF amER/OPERATOR OR amER/OPBRATOR' S AUTHORIZED REPRESENTATIVE
..
r-~ '?~
tÞøakersfield Fire Dept. e
HAZARDOUS MATERIALS DIVISION
Date Completed ?5 - 1/ - q 2-
Autci-'O k__ ('
-:!t. / , 5 RECE\VED
(Top of Bu~",s PI~) A AUG 1 :5 1992
Inspector ~AZ, MAT, O\V,
Business Name: AA t1- ~~ p". \ t' eJ! VI
Location: 70 Q , \,v l: ~ ct L "\
Business Identification No, 215-000 ()o1117
Station No.
9
Shift
c
Verification of Inventory Materials
.,-----,:"'_>-'---"""","-.. Verification of Quantities
~// ~ ~ a;e) )verffica!ion of locæi~n
fÍl ( ~ '~ Cr/,f)Pper Segregation of Matenal
~U \ Comments: '3 ~1 (' v .p .f- l ç ~
\------.--.~ Verification of MSDS Availablity
J
Number of Employees
Verification of.Haz Mat Training
Comments:
Adequate
D
B
~
~
CO? 77 %
{!j-
G-
tI
Inadequate
rn--
D
D
D
A..,. c:J'"~
D
D
D
Verification of Abatement Supplies & Procedures
Comments:
{Ø
Emergency Procedures Posted
Containers Properly Labeled
Comments:
Q-
{0
D
D
D
Verification of Facility Diagram
Special Hazards Associated with this Facility:
~
Violations:
,~jJ M
/Susiness Owner/Manager
FD 1652 (Rev. 1-90)
All Items O.K. D
Correction Needed ~
~
White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
~
o
õ -> .- ~~rG~DW~~
7/27/92 AAA AMERICAN AUTOMOTIVE 215-000-001177
Overall Site with 1 Fac. Unit n AUG 1 0 199:a
General Information' p,
Location: 7001 WHITE LN 115 Map: 123 Hazard: Moderate
Community: BAKERSFIELD STATION 09 Grid: 16D F/U: 1 AOV: 0.0
- Contact Name Title Business Phone - 24-Hou~Phone
SCOTT GILLES OWNER (805) 836-1433 x (805) 324"-7445
NINA GILLES WIFE (805) 836-1433 x (805) 32..(-7445
Administrative Data
Mail Addrs: 7001-11'5 WHITE LN D&B Number:
Cit¥: BAKERSFIELD State: CA Zip: 93309-
Comm Code: 215-009 BAKERSFIELD ST,ATION 09 SIC Code:
Owner: SCOTT GILLES Phone: cY6*) 5~j -7 </,/5
Address: 912 HEWLETT State: CA
City: BAKERSFIELD Zip: 93309-
Summary
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1 9c..~ lLe.> Do hereby c~&1ify that ¡ have
, ITYI),.' Of nt name)
reviewed the attached hazardous maieri~15 mSlIf'l~gf9ø
msni plan forØJ.lfb!.~~~ f)J¡nd that it &1long with
(Nm1e of BUSIOÐ$S)
MY rorrections constitute a comple~e and cOi'f$d Mê!Ulø
~~m{Jmt piSú1 f~r M1f itacii6~1f.
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t!.J.i.' ,
¡em Uµ
,/ agt1a1Ul'Ei>
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07/27/92
AAA AMERICAN AUTOMOTIVE 215-000-001177
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001
\
ACETYLENE
~ Fire, Pressure, Immed H1th
Gas
300
FT3
High
CAS #: 74-86-2
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
300 I 200.00 I 1,200.00
Storage r Press T Temp ~I
PORT. PRESS. CYLINDER Above AmbientlSW CORNER
Location
- Conc l
100.0% Acetylene
Components
r; MCP -¡List
High . I
02-002 OXYGEN
~ Fire, Pressure, Immed Hlth
Gas
500 Low
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
500 I 350.00 I 2,000.00
Storage r Press T Temp ~
PORT. PRESS. CYLINDER Above AmbientSW CORNER
Location
- Conc _I
100.0% Oxygen, Compressed
Components
~ MCP -¡-List
Low I
02-003 WASTE OIL
~ Fire, Delay Hlth
Liquid
135 Low
GAL
CAS #: 221
Trade Sec+et: No
Form: Liquid
Type: Waste
Days: 365 Use: WASTE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
135 I 55.00 I 400.00
Sto):'age
DRUM/BARREL-METALLIC
r Press T Temp ~ Location
Ambient AmbientNORTHWEST CORNER
- Conc l Components
100.0% Waste Oil, Petroleum Based
\~ MCP -¡List
Low \
e
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i' '¡.
07/27/92
AAA AMERICAN AUTOMOTIVE 215-000-001177
02 -Fixed Containers on Site
Page
3
I
Hazmat Inventory Detail in Reference Number Order
02-004 MOTOR OIL
~ Fire, Delay Hlth
Liquid
144 Minimal
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
144 I 96.00 I 500.00
Storage
PLASTIC CONTAINER
r Press T Temp ~ Location
Ambient AmbientlNORTHWEST WALL
- Conc _I Components
100.0% Motor Oil, Petroleum Based
r; MCP -=-rList
Minimal I
02-005 R-12 FREON
~ Fire, Pressure, Immed Hlth
Gas
381 Minimal
FT3
CAS #: 75-71-8
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: COOLING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
381 . I 190.00 I 1,900.00
Storage r Press T Temp ~I
PORT. PRESS. CYLINDER Above AmbientSW CORNER
. Location
- Conc -,
100.0% Freon 12
Compo~ents
r; MCP -=-rList
Minimal I
e
e
07/27/92
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
I AM THE ONLY PERSON WORKING IN SHOP AND'IN THE EVENT OF A PROBLEM
I WOULD LEÁVE BY ONE OF TWO DOORS AND CALL 911
<3> Public Notif./Evacuation
NONE LISTED
i <4> Emergency Medical Plan
NEAREST HOSPITAL
e
e
~
07/27/92
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL FOUR CYLINDERS ARE STORED IN SW CORN~R OF BUILDING AND SECURED
TO WALL AND CHAINED TO BOLTS
<2> Release Containment
PROPER VALVES. BAFFLES ARE ALWAYS CLOSED WHEN NOT IN USE.
<3> Clean Up
CALL LINDE GAS TO REPLACE LEAKING CYLINDERS.
<4> Other Resource Activation
e
e
. 9
07/27/92
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
r
<2> Utility Shut-Otfs
A) GAS - EAST END OF SUITE IN COVERED WALKWAY
B) ELECTRICAL - MANUAL CIRCUIT BREAKERS ON BATHROOM WALL CENTER OF BUILDING
C) WATER - ?
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - THERE ARE NINETEEN OVERHEAD SPRINKLERS
FIRE EXTINGUISHER ON THE NORTH WEST WALL
FIRE EXTINGUISHER ON THE SOUTH EAST WALL
FIRE HYDRANT - RIGHT OUT IN FRONT ON MEXICALI DR.
<4> Building Occupancy Level
e·
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"< .
07/27/92
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site .
Page
7
<G> Training
<1> Page 1
WE HAVE ONLY 1 PERSON WORKING AT THIS FACILITY
WE HAVE MSDS SHEETS ON FILE
I GO OVER ALL MSDS MATERIALS ON A YEARLY BASIS.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
u
, I
..
é'
e
..~
B A K E R 5 F IE L
e
.
-
D
March 8, 1992
(
Accn 457901
AAA AMERICAN AUTOMOTIVE
7001-115 WHITE LN
BAKERSFIELD CA 93309
'\
SITE
7 DO I tJl'-lr'rcL.¡q S'r¿:¡ /r.,r
AMOUNT DUE: $ 1~'7,G~
Gentlemen/Ladies:
!--,-.--.~--~
- --:;---..
Our records indicate your
sixty (60) days past due.
that said account be
immediately.
ha~~rdous materials account is
It is of paramount importance
brought to current status
f
Until'said account is cleared of the past due balance you
are' in violation of the Municipal Code.
Please disregard this notice if recent payment has been
made. If you have any questions please call.
, ~Îf\-\\.. - D\- \ \ì,:)
City of Bakersfield · Treasury Division. P. O. Box 2057
Bakersfield · California. 93303
(805) 3~6-3757
,-.... ',""
- .
. '
i;woI1t ~)E!'løe¡p
10/22/91
AAA _RICAN AUTOMOTIVE 215-000_)1177
Overall Site with 1 Faè. Unit
RECEIVED Page
OCT 2 9 1991-
Aøs'dr;
Haz~~~·:··~oderate ~
Area of Vul: 0.01 I
------' I
-T ;:::4 Hc'u¡-~ Phc,Y",el
1 ~~~ ;~~=;;;11
I
II
-7HJI
1
d
1
General Information
Location: 7001 WHITE LN 115
Ident Number: 215-000-001177
'Map: 123
G¡-~id: 16D
Mail Add¡-~s:
City:
Cc,mr.l Code:
Title I Business Phone
L :~ ~~ I ~~ öii':: \':ft> :
- Administrative Data
7001-115 WHITE LN
BAKERSFIELD
215-009 BAKERSFIELD STATION 09
CC'Y"lt act Nar.le
SCOTT GILLES
~(?09t ,r . \ ,..
Jlh'fo.~,>
- D&B Numbe¡-~: f)'51-~d-'I(I/(I
State: CA Zip: 93309-
SIC C.:.de:
II
I
r Summa¡-~y
Plea-se óefùf'() +h~ pri()-\-oJ\- alD~ w~~ -t-he cOMfle~eJ
J (\v'ef\-\-c'1 -~ Do'V \ f IqG I . "rhcu\l L{ÖV.
Owner: SCOTT GILLES
_ Addt~ess: 912 HEWLETT
City: BAKERSFIELD
--.. ..
Phor-Ie: hi) )~r.J
State: CA
Zip: 93309-
,-
o~
"l,S-tAD t-+ Q, Il~<. Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials mal ìage-
ment plan for4/Ø. &¡:~~1t!vand that it along with
any corrections constitute a complete and correct man-
agement plan for my facility.
d~C~
, Signa...
Dati
10/22/'31
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
<D> Notif./Evacuation/Medical
Page
2
(1) Agency Notification
,CALL '311
<2> Employee Notif./Evacuation
. --. -- .
I AM THE ONLY PERSON WORKING IN SHOP AND IN THE EVENT OF A PROBLEM
I WOULD LEAVE BY ONE OF TWO DOpRS AND CALL '311
<3> Public Notif./Evacuation
NONE LISTED
-- -~_.-
------
<4> Emergency Medical Plan
NEAREST HOSPITAL
"
e
e
10122/'3>1
AAA ~R I CAN AUTOMOT I VE 215-00(.- 01177
.. 00 - Overall Site
Page
.:.
CE} Mitigation/Prevent/Abatemt
C1} Release Prevention
ALL FOUR CYLINDERS ARE STORED IN SW CORNER OF BUILDING AND SECURED
TO WALL AND CHAINED TO BOLTS
C2} Release Containment
p\-t«,", ¡.-J oJv&S.. ~ c.J.Ç (~S fi'r- ~ eJw'Ö.s cÁ ".! eeL w ~ ~ H" J "i f' .
C3) CleaY"1 Up
Co.-,\tt :,~",ap ~CLS Þ f'~I~ ).Q.ðJ-'1 ,C-'jh~¡.Jì-5..
C4} Other Resource Activation
10/22/91
AAA AMERICAN AUTOMOTIVE 215-000-001177
00 - Overall Site
Page
4
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ~AST ~ND OF-SOITE IN-CO~ËREDWALKWAY
B) ELECTRICAL - MANUAL CIRCUIT BREAKERS ON BATHROOM WALL CENTER OF BUILDING
C) WATER - ?
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - THERE ARE NINETEEN OVERHEAD SPRINKLERS
FIRE EXTINGUISHER ON THE NORTH WEST WALL
FIRE EXTINGUISHER ON THE SOUTH EAST WALL
FIRE HYDRANT - ? Whe.r~' i~ ~e.... (\eQre'-s-\- ÖC\'2.. ~
I S' e e- 9; ~ ~ 6.hð.. 9 \-6.... W\, r (i\ -)¿ \VI è¡ L I.L +- .
1- ---
p~+ Oa.rJ~".
-- - ----- ---.-
- - - - ~ ~ ~
<4> Building Occupancy Level
..
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10i22/9'1
AAA ~FHCAN AUTOMOTIVE 215-00(.-01177
~ 00 - Overall Site·
Page
5
<G} Tt~a i n i rIg
< 1} Page 1
WE HAVE ONLY 1 PERSON WORKING AT THIS FACILITY
WE HAVE MSDS SHEETS ON FILE
I GO OVER ALL MSDS MATERIALS·
.~ t~'-' '1
(o{\ LÙhct+ tAsís - fYlDrrt'h I~, q uClI-l-f>rfy I \feel rfï J
.-
<2} Page 2 as needed
<3} Held for Future Use
<4} Held for Future Use
~.
/:
, i
\,.'J
Page l..-of J ¿}
.BAKER.SFIELD
MATERIALS
INVENTORY
<JEW
HAZARDOUS
C I r.J.....Y-
and Agriculture ~ Standard Business
o
lOw
NAME OF THIS FACILITY:~
STANDARD IND. CLASS CODE:
DUN AND BRADSTREET NUMBER/FEDERAL
'Î'J""d' _ît'- - b1i3.JJ_
TRADE SECRET
NON -
OWNER NAME
ADDRESS: (
CITY, ZIP:
PHONE f:
p
Farm
BUSINESS NAME
LOCATION::?~
CITY, ZIP: ,
PHONE ,
13
% by
wt
FOR PROPER
REFER TO
8
Cont
6
4
1
;e .....-
Number
& C.A.S
Name
1/ 1
Component
Number
C.A.S
Physical and Health Hazard
(Check all that apply)
Number
& C.A.S.
Component 1/ 2 Name
o
D
tReaCtiVity
o
e
Number
& C.A.S.
Component 1/ 3 Name
Delayed
Health
Immediate
Health
Sudden Release
of Pressure
Fire Hazard
Number
Number
Number
& C.A.S.
& C.A.S
& C.A.S
Name
Name
Component II 3 Name
Component II 1
Component II 2
Delayed
Health
o
IDDDediate
Health
Number
o
Reactivity
C.A.S.
o
Sudden Release
of Pressure
Physical and Health Hazard
(Check all that apply)
o 0
Fire Hazard
Number
& C.A.S
Component 1/ 1 Name
Number
C.A.S.
Physical and Health Hazard
(Check all that apply)
CI 0
Number
& C.A.S
Component II 2 Name
o
o
D
Number
& C.A.S
Name
Component 1/ 3
Delayed
Health
IDDDediate
Health
Reactivity
Sudden Release
of Pressure
Fire Hazard
Number
Number
Number
& C.A.S
& C.A.8.
& C.A.8.
Name
Name
Name
Component II 1
Component 1/ 2
o
Numbet
C\
C.A.B
o Reactivity
Physical and Health Hazard
(Check all that apply)
o
o
Component 1/ 3
Delayed
Health
IDDDediate
Health
Budden Release
of Pressure
Fire Hazard
'2
)(.,-I~"3 j
24 Hr. Phone
,...,. ¡'Ii ~
"'-"
i
11
EMERGENCY CONTACTS
I
\
Certification (READ AND SIGN AFTER COMPßETING ALL SECTIONS)
I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents
individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete.
'"
Name
those
inquiry of
my
based on
and that
I
Ç' t\ c\ U~<
NAME AND OFFICIAL TITLE OF OWNER/OPERATOR
~,\
'\
\
· Bake~e~
HAZARDOUS MATERIALS DIVISION
¡.'V
Business Name:
A V'-\. ~ y. ~ c.",,,,,
I\AI\.
7() 0 \ \V~A~
L." II ~
Location:
~
Date Completed 3" - \ '3 - "R E. C E , V ED
Ävtt) """'O~ ~ V'L- AUG 1 5 1991
Ans'd....
........
Business Identification No. 215-000 - 00 1\ ì 7 (fop ~~si",¡~s Plan)
Station No. '1 Shift C Inspector ~ _~
Adequate
Verification of Inventory Materials D
Verification of Quantities ~
Verification of Location {]/
Proper Segregation of Material Q'
Comments: If ý 3 0 \ \0') R - \) F r f' 0'" (3 ~ I c.... . -C.l")
Number of Employees
Verification of MSDS Availablity
\
Verification of Haz Mat Training
Comments:
Inadequate
m--
D
D
D
C\ ~JPß
D
m
rrr-
D
D
Verification of Abatement Supplies & Procedures
Comments:
rnr
Emergency Procedures Posted
Containers Properly Labeled
Comments:
8'
IT(
D
D
D
Verification of Facility Diagram
Special Hazards Associated with this Facility:
1:9"
Violations:
#('~
"tusiness Owner/Manager
FD 1652 (Rev. 1-90)
All Items O.K. D
Correction Needed ø
White-Haz Mat Div. Yellow·Station Copy Pink-Business Copy
¡::;:
~. ' ~
r /"_-~-
,/<'òAi(t~-"
"·'0' ',' I?,,-
;' . ~:-:..~' ~'" '>~. ,
i,,~ ..-,', ~\\
,- .::::. - ~~- ("- )'
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i", -:---;~'/. .
\.'._~ -'~. 1_'"",.'
,\ ~- -.",
, \ - i
- , C' " - J
-:4IS;.,:'-'¡\.'I~·/
-<~-
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1 ) 11 \\\\\~~~~~~.
CITY of .BAKERSFIELD _ ,{~/~33~l;;~~D3~:~\
., LVE C -1 RE" () ?fI a~:o~tJ ";,:-
~ o~..... ~ ~ /~
~--~:'.~ 7..\:.." /.~
àJ'1Ííj~
I
5' e-J} G' Lf-¿)~
( t ;,"D e 0 r p r in t
name)
RECEIVEO
JAN 2 5 1989
Ans' d............
tile
~
Do hereb:;-
C 0. ~... i +' ee
"-.... L...-.J......\
tha t I ha,-e
rev i el,'ed
attached Hazardous Materials business plan
for
--A~A. A w\(?tr\Ccuv\ ?1V~"'~c9~\J~-
(name of business)
and that, it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
~~(~
slgnature
9~. f
'7
/911
date
/ ,j
'1~'(
() ¡rð 9
"!"l
,
a,
NAME OF Tft1S ~~JL~TY:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
- -
-- ---
of BAKERSFIELD
CIT}T
Standard 8US1n~ss
'--.
L..-.J
far. and Aqricultu"
BUSINESS
LOCATION:
CITY, ZIP:
PHONE .:
It
lIixt_/c:o.on.ntl
Inttl'llCtiCIII
.... of
s..
1]
'by
lit
U
locet1an ....,..
Stcnd In Fec:lltty
~fu~~_____
.... . U.S.
5
IIMIU...
Units
3
11111
Alat
2
TVIII
Code
1
Iran,
(ode
W
PhysiC' I and HH Ith HIl.rd
ICIwck .11 thlt 'OIIly)
r--,
L. - -' RIICtivlty
....
....
....
IUbIr ______ ec.pcnnt I
,. - , Caliaønlnt 12
L._-'
ec.pcnnt
C,..S
....
.......
.......
· U.S.
· C...S.
· C...S
...
...
...
...
1__lltt
....Ith
SucIHn Rt 1_
of P....su...
C...S.
r-v',
L.¡:.J SucIHn hl_
of P.....-
r--,
L._-'
OII.~
HHlth
fir. Haz.rd
_~______.__~~_~___4__?:-!!..t!..__
Phys ic.1 and Htt Ith HIl.rd
(Check .11 thlt IPply)
,-.q., ,..-, ,..-,
LA -' FI... Hlllrd L. - -' Rtactlvlty L. - -' OII.yeII
Htt Ith
2-(j)tJ
r--,
L._-'
,
~'/;:,
ec.pcnnt II
to.øanInt 12 11_
to.øanInt 13 ...
ð_l__Ll~_\.:L__L_j_h_____l~Q.__J~Øll ~~ Uº_LJ I Y ll~~
Physical IIIcI HHlth IIlIlrd C...S. IIuMItr /J In ta.ooMnt 11 .... C...S
(Check .11 thlt ."Iy) ______~.L:z.._________
,...;j , r- - , ,. - , Co.øanent 17 ...
L ~-' flr~ Huard L. - -' Rtectivity L. _-'
to.øanInt 13 ...
1__I.tt
....lth
· C...S
13
,.-,
L._.J
,.., !!..£..._-
3_~____
JL ___;le º____
Phys Ic.1 and Htt Ith HIl.rd
(Check .11 thlt 'OIIly)
r--"
fIre Hazard L. - -' Reactivity
· C...S
r-d,
OII.yed L. p-,
HHlth
,..,J-.,
L~-'
,.-.,
L._-'
,.-,
L._-'
· C...S.
· C...S,
1__I.t.
HHlttl
Suddtn R.IHI.
of P....IU...
,.-,
L._-'
,.-,
L._-'
ý)G. - ;'f' J
n"1lr-I'IIIIIII--;:'--
-.., 'f" )
-~
;JJ~
nur
· C...S
-
12 Q~L(\ (.\...aJ..il~i_~__________
~~r:-:~i->-::=-
3~~-'7'f1~
1__lat.
HHlth
Tì~!..v.I.~!..~------
-------
Sudden RelHle
of Preslur.
De laytd
Health
11 5 (!..
Ii¡¡¡-~-
II(AGENCY ClllTACTS
thlt based an -V inquiry of those Individual. respon.iblt
Jfrš(iji¡a--i--,~itt_----------
Car k.tion (Rt!ad IInd sign lifter co.pleting 1111 st!ctionsJ
I certify under ItIIIlty of 1.. that I hay. Dlrson.lly ....inld and .. fHili.r .Ith the 1nfor..tion subllitttd In thll 1IIII..lllttlChed doc_tl, II1II
for obta:n1nCj¡¡-ht infcw.~tion. I bel1.y~ thlt tM subll1ttld Inforutlon IS true. .ccurate, and co-plet, G) .J /./.
Ç~r C-.Cµ"S 't:M.u"'~"", .~¿ ~tC4
R4W - iña- iiJHè iil- t ¡tli-õJ- ö;ñir ToØiritõr -OR-ö;ñir 7õÖir ¡¡I õr'š-iüt fiõ¡:¡i¡a-¡:i¡¡¡:iSiñI ¡¡t¡Ÿi Si ijñ. ürë-----------------------
1rF
r;"'~
BUSINESS NfìME f\AA Ar_CAN AUTOMOTIVE
LOCATION 7001,-,115 WHITE LN
1. OVERVI EW
10 NAR 215-000-001177
~ HAZARD RATING :3
LAST CHANGE 12/22/87 BY EVAMC
JURIS CODE 215-009 JURIS BAKERSFIELD STATION 09
MAP PAGE IZ3 GRID 160 FACIlITY' UNITS' f' HAZARD RATING 3
RESPONSE SUNMARY
ZA SËC 4) NO PRÎVATE RESPONSE TEAM
EMEH6ENCY CONTACTS ZA 5!:C 2)
SCOTT GILLES 838-1433 OR 324-7445
UTILITY SHUTOFFS ZA SEC 3)
H> GAS - EAST END OF SUITE IN COVERED WALKWAY B) ELECTRICAL - MANUAL CIRCUIT
BREAKERS ON BATHROOM WALL CENlER OF BUILDING C) MOTER -? D) SPECIAL - NONE
E) LOCI< BOX .. NO
Z. NOTIFICATION I PUBLIC EVACUATION
ø· VoZj
l.AST CHANGE / I BY
Jt} 0 I-
/J5?Y
< NO INFORMATION RECORDEU' FOR THI S SECTION>
PAGE 1
t·1ATERI At SAFETY DAn) SYSTEMS. I NC. (80S) 648-6BOO
t V Z 0/ SB 1 Z ~ 1 9
M
\
BUSINESS NAME AAA AMERICAN AUTOMOTIVE
LOCATION 7001-115 WHITE IN
10 NUMBER 215-000-001177
HIGH HAZARD RATING 3
...
3. HAZ, MAT TRAINING SUMMARV
[ftST'CHftNGE I I BY
¿;;JNY O/Úé ?.é/Z-SOV I~
01/él2- /)13 /)/JSLJS $'þ~e!s
~ .
/'/? £/2-£ / S
/1/'I-Jd ¿ )2ÆArbð'
»7A#/2-/*h,1
< NO INFORMATION RECORDED FOR THIS SECTION>
7h":S Af¿,f.5/~ffb5
~ /hE
4. LOCAL Et1ERGENCY HEm CAL flSSTSTANCF' i
"lAsr CHANGE tllZZl87 BY EVAMC
ZA SEC 5) NEAREST HOSPITAL
Pf\GE Z
MAlERIAL SAFETY DATA SYSTEMS; INC. CB0S)'B48':SB0Ø
.
4t
IZTZ0/SS' TT:n:r
~ ~~
.:-.~:;;.-'--
BUSINESS NAME APIA AMERICAN AUTOMOTIVE
LOCATION 7001-115 WHITE LN
FACILITY UNIT 01
10 NUMBER 215-000'-001177
HIGH HAZARD RATING :3
A. OVERALL HAZARDOUS MATERIAl.S INVENTORY
Lfì5TCffANGE' lZ/lZl87 BY [VAMC
10
TYPE NAME
LOCATION
CONTAINMENT
MAX AMT UNIT HAZARD
USE
PURE ACETYl.ENE
SW CORNER t~ORTABLEr PRESS,; eyr.:.
10 PERCENT COMPONENTS
1 241 . Ø0 ¡ 00. o HCETYLENE
3ØØ FT3 EXTREME
WELDr Nt-1/ SOLDERl NG
HAZARD LIST
EXTREME
1
PURE OXYGEN
SW CORNER PORTABLE PRESS. CVL.
10 PERCENT COMPONENTS
Z 359. øø 1 øø. ø Q)(YGËN 3 COMPRESSED
5ØØ FT3 HIGH
~JElOI NGíSOLDERI NG :
HAZARD LIST
HIGH
S. FIRE PROTECTION I WATER SUPPLIES
LAST CHANGE t ZIZZ/87 BY EVANC
3A SEC 4) THERE ARE NINETEEN OVERHEf\O SPRINKL.ERS
FIRE EXTINGUISHER ON THE NORTH WEST WALL
FIRE EXTINGUISHER ON THE SOUTH EAST WALL'
3£1 SEC 5} ?
PAGE :3
Iz/Z0/88 tz: 19
MATERI AL SAFETY DATA SV$TEr'iS, " ¡We; , (80S) 64B-EiBØ0
.
e
,;'
r'"
BUS¡NE5S NAME APIA iAICAN AUTOMOTIVE
lOCATION ?ØØ1~~ WHITE LN
10 ~ER 215-000"001177
:m'I3H HAZARD RATING 3
:<..
Ð. EMPLOYEE NOTIFICATION / EVACUATION
, tfìS'TCHflNGE' lZlZ2I8? BY EVAMC
3A SEC 1.) I AM THE ONLY PERSON WORKING IN SHOP AND IN THE EVENT OF A PROBl.EM
I WOULO LHIVE BY ONE' OF"TUaOUOR5 fl'NDTA[[ g-J r
E. MITIGATION f PREVENTION / ABATEMENT
UlSrCffflNGE IUZZlB? BY EVAMC
3A SEe 1) ALL FOUR CYLINDERS ARE STORED IN SW CORNER OF BlJILDINß AND SECURED
TO WALL AND CHfHNED TO BOLTS -r
PAGE 4
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MATERI At SAFETVDATASYSTEMS.' TNt. ('8'Vi5')' 'B48;':;6E00
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BAKERSFIELD CITY FIRE DEPAR~E~l
2130 "G" STREET
BAKERSFIELD. CA 93301
(805) 326-3979
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RECEIVED
DEC 1 4 1987
Ans'd.
...........
OFFICIAL CSE O~LY
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001177
9
ID~
US IXESS ~A.\1E
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HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
--Ilea (!cßÓl2 3
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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
A. BUSINESS NAME: AAA AMERICAN AUTOMDrTVE
B. LOCATION / STREET ADDRESS: 7001 #115/106 WHITE LANE
CITY: BAKERSFIELD CA.
ZIP: 93309
BUS. PHONE: ( 805 ) R 1ñ _ 1 411
/
SECTION 2: EMERGENCY ~OTIFICATIONS
In case of an emergency involving the release
hazardous material, call 911 and 1-8QO-852-7550 or
your local fire departmerit and the State Office of
I,', i
aw. r
, ,
or threatened release of a
1~916-427-4341. This will notify
Emergency Services as required by
, /1 j
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i
E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY:
NAME AND TITLE
A. Scott GilleR Ownp.r Ph;;
DURING BUS. HRS.
836-1433
B.
No Employees
Ph;;
Ph:;/:
AFTER 8t;S. HRS.
111_ 74ú. r:¡
Ph~
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE ,
:f;:~": ðct.S't-: ~Nd-. (!)~ ß:G{~t-e. I '!...:o~e~QJ. , eua¿ltWar
_ ,.1'; 5~ S.Îð ~ ~~. n. ~ -t, _ < lJ-rn ~
circuit breaKp.rA ð~, h~\hrnn~ w~ll ~!nter ~f B~ilèin~
s.~ s.~-r~ ~ Q"'..ø.... lL:ri...:¡ ~lG~C....WLW\.~
NONE
YES:' (9) IF YES, LOC'\TIO~:
A. NAT. GAS/PROPANE:
B. ELECTRICAL: Manual
C. WATER:
D, SPECIAL:
E. LOCK BOX:
IF YES. DOES IT CO~TAIX SITE PLA~S? YES / ~O
FLOOR PLA~S? YES / ~O
- 2:\ -
!1:SDSS,? YES / ~O
KEYS? YES / ~o
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SECTION 4: PRIVATE RESPONSE TEA." FOR BGSIXESS AS A \'/HOLE
-'. " ~'" 1'j'
"b ~ ", ~ ¡, ;, '
N /' Å -. ',- ~
SECTION 5: LOCAL EMERGE~CY ~EDICAL ASSISTANCE FOR VOU~ BUSINESS AS A WHOLE
~<2-~oe..5T
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..
SECTION 6: EMPLOYEE TRAINING
NCY ¥~-
E~PLOYERS ARE REQUIRED TO HAVE A PROGRA~ WHICH PROVIDES E~PtOYEES WITH I~ITIAL A~D
REFRESHER TRAIXI~G I~ THE FOLLOWING AREAS.
CIRCLE YES OR~~ IXITIAL REFRESHER
A. METHODS FO~FE HA' LING OF HAZARDOUS
!1ATERIALS: . . .. . . . . . :;0 YES:;O
B. PROCEDURES FOR COOR
WITH RESPONSE AGE~C YES XO
C. PROPER USE OF SAFE YES NO
D. E~ERGENCY EVACUATIO. YESXO
E. 00 YOU MAINTAIN EMP YES NO
SECTION 7: HAZARDOUS MATERIAL
---. -.,
CIRCLi~ÈJ~ - NO - NONE
DOES Y~~-;àUSINESS HANDLE ~AZARDOUS :1.t\T~RIAL;: IN QUANTITIES LESS THAN 500 POCX~~ O~-\
SOLID. ;,);,) GALLONS OF A LIQCID. OR 200 CUJ3IC . EET OF A COMPRESSED GAS:,..... H.S ~
I, Scnt:t: (H 11 P'fQ , certify that the above informa tion 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 con'sti tutes per jury.
SIG"An;RE_~~~
TITLE t1u~
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BAKERSFIELD CITY FIRE DEPARDEXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFIC~A~ CSE OXLY
ID:
------
BUS INESS :\A:>'!E:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOGR ANSWERS IN ENGLISH,
3. Answer the questions below for THE FACILITY L~IT LISTED BELOW
4. Be as BRIEF and CONCISE as 9ossible.
, .
FACILITY. UNIT:: ·11 5/106
~ACILITY UNIT NA.'IE: AAA' AMF.RH~AN ATT'T'OMNT'TV'i',
,
SECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES
....
',h.e. O",,} q h", i:,..~~t:k,U\..S ì-nø....--r&.â..-~, .s-to~-e.d' ð~ L~CA..-"i"'()~
\ S 3ðO P"'f~ ð (J . A (!,~'T<..4 ,~W~, ¿, 500 ~'t'~. O,,~~~ - A \\ ~~
(1'1 \"M~& a,~ Si'Ðr~ ÚJ S,w. ßo"'~ 0 D b~ ~J.~6 ~
.S.e.<:.A-\~ \0 b\"c.,..\C... w(:wU (...û i~ ~'-1~ bo\'r~ s.~~'".-e.-d
-ro w ~(, ~I ~~(t,~~.e.d "'to kJo \\5:; LJ ~a h~s k.e. t-J
a-PP~ b ''( ':~·,':.e.-d·t2- {JC4'~T~;;Q.N"-;'
SECTION 2: ~OTIFICATTON A~~ EVACGATION PROCEDtrtES AT THIS T~TT O\LY
, .
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S:::CTTO\' 3: Hi\'7.!\RDOC~ :'>fùT~RTALS FOR T¡-nS 17~~TT nXLY
A. Ones this filcilìty Cnit r.ont2.:n [1,-¡z::l'åous ~íate!'Ll~~~?,.",. (j;i) ~O
If YES, see B.
If NO, continue with SECTrox 4.
B. Are any of the hazardous rnate~ials a bona fide Tr~de Secret YES ~
If No, complete a separate hazardous materials inventory
form marked: NOX-TRAOE SECRETS OXLY (white form ~4A-l)
If Yes. complete a hazardous materials inventory form marKp.d:
T~ADE SECRETS O~LY (yellow for~ #4A-2) in addition to the non-trade
secrpt for~. List only the trade secrets on form4A-2.
., ,
SECTION ~: PRIVA~ FIRF. PROTECTTO~
There are nineteen ove;rhead. sprinkle,J;s,,". water. One mod~~ M-,19, ABC,
fLee ex.tinguisher on 'the north west wall; andu(),ne,:~o~ejl'GP-20"ABC"
fire, ext inguisher on the south east wall..
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SECTIOX 5: LOCATION OF WATER SüPPLY FOR USE BY~~GE:rcy RES?O~ERS
, , S~e 6:~ '-P \Q,,~
'....
.------ ....,..
6: LOCAT.rO~ OF UTILITY SHtIT-OFFS AT THIS ~TT ONLY, . - ,
GAS: PROPANE:
~~ . P 'G\. ht ~a.. édd"1 f>\c..,¡,J .
6JT~ .4
SECTIO~
A. xxr.
B. ELECTRICAL:
Manual circuit breakers on outside of bathroom wall in center of
the building. Main breaker is located in power room off of breaze
way in center of building complex.
C. ~'¡ATER: ,', fL. ~ . ('C\,.. , J
5~ :S\'T~.~, ~t \~""1' ,-.,;.;1 1
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0, S?F.:C:U.:
None
E. LOrK BOX. Y:::S '@ EYES, LOC \TTO~::
fr YE5, S'7~ P~À\S~
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FORM 4A-J
NON-TRADE SECRETS
AZARDOUS MATERIALS INVENTORY
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