Loading...
HomeMy WebLinkAboutBUSINESS PLAN 10/5/1994 ·. C(?~7./@I-92" . ~~ -?1L¡~o' rhit-iðLP-rO 2r .. \~. dI)~..:,!1 ~: (J~u-- t>r £.0 · I ~~¥ . ~. /"!<"'. -.. " . '.j~ - .. HAZARDOUS MA TEß,aS INSPECTION i' ~rstield Fire Dept. Haz.ous Materials Division ' ....,/ /. Business Name: 'C (! ",= ri II. (l f? i"'I '. ." ,-nil- U 11'/ '-=-J If"" -j ~-' \:/ LS{i;, OC'/- I, '.1 1:: 1004 i H ,,; ,,JJ /' 'I) I' : I,..L Location: Business Identification No. 215-000 Oðð - 7...1 L/ (Top of Business Plan) By_ Station No. ~ Shift g Inspector W ~.$" _ ~ ~ I/;?e.e Arrival Time: /1)' t> 2.. Departure Time: I t) tJ 7 Inspection Time: -r- 1"'-1/: ~ Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: g.. ¿, L7 <II! ~ ¡f/ t? / ~ ~ ,. , /' , J Verification of MSDS Availability Number of Employees: Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: , I I Adequate Inadequ~e LI r:J 0 0 D D r:J r:J ( 5 I 1-;.., Ltf/f "11'1 < ¿f 011 r:J r:J r:J r:J r:J r:J Emergency Procedures Posted Containers Properly Labeled Comments: D D r:J D r:J Verification of Facility Diagram Special Hazards Associated with this Facility: r:J Violations: I Business OwnerlManager PRINT NAME SIGNATURE White-Haz Mat Div Yellow-Station Copy \. ~ : All Items O.K D Correction Needed D Pink-Business Copy ¡;) ~ ¡¡ !!S N ~ CI u... ~. .._~~t= " -- - I ~ 02./23/94 BANTZ MOBILE HOME SALES 215-000-000214 Overall Site with 1 Fac. Unit General Informátion Page 1 Location: 5311 S UNION AV Map: 124 Haz:2 Type: 1 Community: BAKERSFIELD STATION 05 Grid: 18C FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone ORVAL BANTZ JR OWNER (805) 397-1029 x (805) 837-0405 KEVEN BANTZ (805) 321-0167 x (-805 ) 321-0167 --' '" Administrative Data Mail Addrs: 5311 S UNION AV ) D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC COde-: Owner: PAUL OR ORVAL BANTZ Phone: (805) 397-1029 Address: 5311 S UNION AV State: CA City: BAKERSFIELD Zip: 93307- Summary ì f .J i' .. e e 02/23/94 BANTZ MOBILE HOME SALES 215-000-000214 HazmatInventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-001 PROPANE . Fire, 'Immed Hlth, Delay Hlth Form Max Qty MCP Liquid 200 High FT3 e - 02/23/94 BANTZ MOBILE HOME SALES 215-000-000214 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 PROPANE ~ Fire, Immed H1th, Delay Hlth Liquid 200 High FT3 CAS :It: 74-98-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 200 .' 200.00 I 200.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Ambient Ambient WEST CENTER/FRONT - Cone l 100.0% Propane 'ì Components r; MCP ~uide Extreme I 22 '. e 02/23/94 e BANTZ MOBILE HOME SALES 215-000-000214 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 9~1-1 , <2> Employee Notif./Evacuation VERBAL I <3> Public Notif./Evacuation VERBAL <4> Em~rgency Medical Plan NEAREST HOSPITAL -' - '. e e ,õi , 02./23/94 BANTZ MOBILE HOME SALES 215-000-000214 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention r USE PROPER VALVES & FITTINGS. <2> Release Containment ABSORBENT. <3> Clean Up USE ABSORBENT, SWEEP IT INTO DRUM AND HAVE PICKED UP. <4> Other Resource Activation ,,- '-.- e e . " .. 02/23/94 BANTZ MOBILE HOME SALES 215-000-000214 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) PROPANE - IN SMALL TANKS B) ELECTRICAL - BIG POLE BY GARAGE C) WATER - BEHIND THE OFFICE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS NEAREST FIRE HYDRANT - AT THE CORNER OF UNION AVE. <4> Building Occupancy Level -:;.. ";¡ " e e 02/23/94 BANTZ MOBILE HOME SALES 215-000-000214 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 5-8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: NO TRAINING <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use <: -':, ¡,'. .r.. " . e 02'/23/94 BANTZ MOBILE HOME SALES 215-000-000214 00 - Overall Site Page 8 <M> Inspections R WATKINS 08/04/92 FOLLOW UP / / -. .~, .i-' .....~. ,. . e 02;/23/94 BANTZ MOBILE HOME SALES 215-000-000214 00 - Overall Site . Page 9 <M> Events "M" Overall List 'R WATKINS 08/04/92 FOLLOW UP / / NO MSDS SHEETS UNLISTED WASTE OIL BARRELS NO HAZ-MAT TRAINING NO EMERGENCY PROCEDURES POSTED EXTINGUISHER NEED SERVICE \.. · e ================================================~=============================== Page: 1 Account Billing/Collection Activity Inquiry SUTL108 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Acct SSN Name :. Svc Add: 706701 Cyc St: CL Parcel: BANTZ MOBILE HOME SALES 5311 S UNION AVE Bill St:, NO Cyc: 5 Rt: 1 SvcCls :e Seq: -------------------------------------------------------------------------------- Amt due: 254.38 Current Period Postings Lst Pmt: -87.00 Type Desc Date Amount Receipt =# Pmt Dte: 09/05/91 B92 FINANCE CHARGE 02/01/93 1.29 -- Prior Bills -- B91 PENALTY 03/01/93 9.90 Date Balance B92 FINANCE CHARGE 03/01/93 3.28 01/01/93 122.69 B92 FINANCE CHARGE 04/01/93 2.42 01/01/92 104.88 B92 FINANCE CHARGE 05/01/93 2.44 07/01/91 0.00 B92 FINANCE CHARGE 06/01/93 2.47 B92 FINANCE CHARGE 07/01/93 2.49 B92 FINANCE CHARGE 08/01/93 2.52 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Enter 'I' For Billing History, 'pi To Print Report, 'D' For Detail Page, or ! tIC' For Credit. and Deposit History or 'XX' To Exit ALT-F10 HELP I ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR CR r J~C\ ~~, q-\-q~ &~ 7Db/~····~ . . C\=6 ~~ \ \ L Þ-iJ\t)~c0ï;-~ -- 1!V .~ . e .// t 07/01/93 BANTZ MOBILE HOME SALES 215-000-000214 Overall Site with 1 Fac. Unit Page 1 General Information 35C/<C , LocatiOn: 5311 S UNION AV Map: 124 Hazard: Low COffißÌunity: BAKERSFIELD STATION 05 Grid: 18C FlU: 1 AOV: 0.0 ~ Contact Name Title Business Phone - 24-Hour Phone ORVAL BANTZ· JR OWNER (805) 397--1029 x (805) '837-0405 - KEVEN BANTZ (805) 321-0167 x (805) 321-0167 Administrative Data Mail Addrs: 5311 S UNION AV D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: - - -- ------ ,_ _h_ -- - ---- -- - - - -- - - Owner: PAUL OR ORVAL BANTZ Phone: (805) 397-1029 Address: 5311 S UNION AV State: CA City: BAKERSFIELD Zip: 93307- Summary RECEIVED AUG 1 7 1993 HAZ. MAT. DIV , --I I I I ()¡ufJrl ß· ~k--kl..DO hereby cèrtify that I have , (Type or print r;ame) r revievie(nheâ.tra"'Ched-hazardous-materialsmanage~ - ---- ment plan for~~_l__M..k-f~ ILA,~"ndthat it along with ~ any corrections constitute a complete and correct man- agement plan f '\ Y faClK' ~ty· í) I ' ,- ---- 0;----- ---~---___ __ __ """'_.:--...__ / ()1~ ~f\Y ~c-0 1~7dlj~' . . e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 RECEIVED SfP {} 3 1991 HAZ" MAT. DfV. ++0;) ~ ~ HAZARDOUS MATERIALS MANAGEMENT PLAN t::'Í ,0 . ~&G-~ INSTRUCTIONS: .. 1. 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH, Answer the questions below for the business as a whole. Be brief and concise as possible. SECTION 1: 'BUSINESS IDENTIFICATION DATA B'USINESSNAME:~~N\2 ~me. ~lQS LOCATION: 53 t\ ~ S. ~ ÌXm .f+u MAILING ADDRESS: SAme CITy:I3A<.&e.Si=='IGLf) STATE: C-A: ZIP: Q3307 PHONE: ~"7-1();)...7 , DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: ~H mo6~t, nomf><." ~ lJ~fd·Co..¡rs OWNER: (?)('\Icl\ bct'f\~"2.. Jr- MAILING ADDRESS: /340 ~ ~. LiJn~ Å0f:- SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS, PHONE l. r!) '('va \ <:6~ 2... ~ (" ðw(\(X 3C17-l Q;).. "1 2, KeNen ~AN"12- 3dl-OI~1 24 HR, PHONE , ß37 ~o4o~ 3 ;;).l- 0 l <0 I 1 , FD1590 r1'.:.1\!:~,~!~· J.';~~~ e Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ¡.; '''':, '~ ~ ,. . '. "i. , ~" 14'"'" !~X'¡ ',t, "'~¡.";; ,vìnsì2~flð~~3: TRAINING: A~ NUMBER OF EMPLOYEES: 5 - 8' , MATERIAL SAFETY DATA SHEETS ON FILE: C' BRIEF SUMMARY OF TRAINING PROGRAM: , Wo ..UL~~ æt , 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 "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER (SPECIFY REASON) ,SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE, I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ?10N HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT IN URATE INFORM TION C TITUTES PERJURY. r¡-~ -- 7/ SIGNATURE TITLE DATE 2, ~ ?.- . Bakersfield Fire Dept. Hazardous Materials Division e ~'"'-. . i' HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: ~ ql\ I '_ B, EMPLOYEE NOTIFICATION AND EVACUATION: ~ , , i C. PUBLIC EVACUATION: ~~' D, EMERGENCY MEDICAL PLAN: . vT\.9-.~ .~""tõ..Q 3. FD1S _..-J'-:'" -~~ : . I, I I. I. I e . ~ ~ ~ ~ Bakersfield Fire Dept. Hazardous Matèrials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7:' MITIGATION, PREVENTION AND ABATEMENT PLAN: A. , RELEASE PREVENTION STEPS: (!) cL i/V è 10 S e.~ ,~~ ~~o/~~ ~~ B, RELEASE CONTAINMENT,AND/OR MINIMIZATION: ~ ~o.£U2r~. ~ ur·~ C. CLEAN-UP PROCEDURES: ()..Sf, A5S0e.~f~.T).~ \.t VV'---tv dN-.vm ~ ~~ ~~CL l«p . , , I I SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: U(9 t-JE I p('(:J pCt/1 € 1 f\ 3ma.-L I f£LV\ ~s ¡ , . ELECTRICAL: ~~ {)ðl~by ~0J(05 G WATER: k~~n d +}~\e. Ø.ç.çìC.~ SPECIAL: _~ ~A f\e. LOCK BQX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: ~.re... e}(.+;f\Su;'ShQ.AfS B. WATER AVAILABILITY (FIRE HYDRANT): Ù(\~é)(\ ~e- oJ-c...-oYY'e...r 4, mlSQO ~ CITY OF BAKERSFIELD IlAZAROOUS MATERIALS INVENTORY ~ ): [] Farm and Agriculture o Standard Business , f page.:l oi~ BUSINESS NAME: ßA\J\2. fðìCD~ \%m-e.. ~\e~ LOCATION: '~~ ~,ù~~ .~ ~~~~É :~p~ -¡~{9: l 1 C-~ ~~~¡)7 NON - TRADE SECRET OWNER NAME: ð'('U':l\ ~2....:s., NAME OF THIS FACILITY: ADDRESS: l~40~ "::>' ~ ~ At) STANDARD IND. CLASS CODE: CITY, ZIP: ~~- ~FIi:; C.p.., C ~~7 DUN AND BRADSTREET NUMBER/FEDE~ PHONE #: '837- D 4 0 c.:;;- _ _ _ _ ID #, 1 13 'is by wt 14 Names ,of Mixture/Components See Instructions 'I e-. Physical and Health Hazard (Check all that apply) ~ire Hazard .'~udden Release of Pressure C.A.S. Number component · 1 Name & C.A.S. Number Component · 2 Name & C.A.S. Number component · 3 Name & C.A.S. Number -e. Component · 1 Name & C.A.S. Number Component , 2 Name & C.A.S. Number Component , 3 Name & C.A.S. Number -- o Reactivity' ~ediate ~elaYed Health Health Physical and Health Hazard C.A.S. Number (Check all that apply) B:ire Hazard '0 Sudden Release 0 Reactivity Q Immediate ~aYed of Pressure Health Health Physical and Health Hazard C.A.S. Number Component , 1 Name & C.A.S. Number (Check all that apply) 0 0 0 Component II 2 Name & C.A.S. Number Fire Hazard Sudden Release Reactivity 0 Immediate 0 Delayed of Pressure Health Health Component · 3 Name & C.A.S. Number component 1 Name & C.A.S. Number Component · 2 Name & C.A.S. Number Component , 3 Name & C.A.S. Number B31-(J40$' #2 24 Hr. Phone : I Physical and Health Hazard C.A.S. Number (Check all that apply) o Fire Hazard 0 Sudden Release 0 Reactivity 0 Immediate 0 Delayed of Pressure Health Health EMERGENCY CONTACTS #1 Title ents and that based on my inquiry of those NAME AND OFFICIAL TITLE OF CMNER/OPERATOR OR OWNER/OPERATOR'S AUTHORIZED REPRESENTATIVE ?-g-9'/ DATE SIGNED ~~~,,:!",~':i:? ~.'t ,.),.~ -"" Hl\!MP P~ MAP SITE DIAGRAM I I FACILITY DIAGRAM Business Name: ·6Af0T2- mob; I ~yY\e So(es Business Address: 53 t\ 3, LlÎ\ '0 ý\ For Office Use Only Area Map # of NORTH 0- . First In Station: Inspection Station: (fA- ..J ~ ¡)\ ý'I1"-/ §1. \'6Y1- ~ ~fi '" +~ ý.... ¡¿of.¡r.v ~f t. r.9.... ~ 1,a/ . /, " . b(4/ ~I''''¡' .,..'''- ~ / ¡ . -0-( '/ . 5 ¡pe¡\B /: '.' ::;J¡" - ( ':"- L- ·1 v ¡ . 1 --- ú )) ( b-v'\. . t:::: ~-- .....:...' .'~ .J ~ ·....~~..,. . Bakersfield Fire Dept. e / HAZARDOUS MATERIALS DIVISION 8-4-q-¿ ~ (Ç; r~JÎw ~ Business Identification No. 215-000 oon 214----.- (T~p .o! ~usiriess Plan) By. Station No. '? Shift (2) Inspector u)r.:rr to( I tJS / "Rot: I Adequate Inadequate ~ m'LùA6fe; OIL- D~\s RECEIVED o iAUG 06'\9921 o . HAZ. MAT. OlV. Date Completed Business Name: ' 'ß~ \..rr-z:M()bl\c;. \Ao - SA LS ~ Location: 53 ·t v!£.' , Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: -~---....~ [{ {t'f m' D mI Number of Employees Verification of MSDS Availablity 5 Verification of Haz Mat Training ~ Comments: Verification of Ab~ement Supplies & Procedures Comments: D ui D [{ Emergency Procedures Posted Containers Properly Labeled Comments: ~ g D mI' Verification of Facility Diagram Special Hazards Associated with this Facility: D ~. 'Violations: U) No I"\'&~~ E8í5 (Z) Uk! U "'>n:::tJ WASTB ð \ l.- 'W(1¡¡þ I ç L37 NO HAZ-M~ T\ëA\N\N,(4j t-Jo c.MEP4.CNCY~CëDÙ(2.E5 \pSTbÌ) (, L7) 6)(1"\t-.ì Ù\SV\-t.\L., 'S"'6(<...\J\CE FD 1652 (Rev. 1-90) All Items O.K. D Correction Needed rn- White-Haz Mat Div. Yellow·Station Copy Pink-Business Copy h._·· L .. ~~_J ·._tJ3~ . ~~d . .. I ~-~/J s_._~-~ R__- . ' "t . ::.ö~.-Lh.~ 23 .30 '2 . ].Q(g_7ð I , ~----. (!) J3~ . ~\~l} 7~ c./ ~ ~ ~L-s~6 _~ _j:a-uÞ (i'~.' c-~____ _ . j~~ . . ~~_u ~~_~______r~-- --- "',,; - ',,'" ,.- . .~. .. . J_ 'j. '-~'~~7'>':~";: ~4 .:..~ ,: . ,¡/ " ,() P';-Z , .----: " / ..:'.; ç .' ", ~ . ,- r~ . I ! : ,:"¡ " , 1.: " ~ ; , tr " . ~ ',~...' ,- .--',-,.:.... < . G3Vi::j~).3A /~üþ; '\- '1 '11 I ~ ¡.',¡';' , I {. t IJvA .Vlf) .TA"~ SAH . - ( '{ G~\ .::,>1:... ": " .. . I , .' " ; ~, .: , '.' "; ~ ". " . .-:J ... '.-" .j::' '<, #\,¡~·1.- -~.: . . ~ .' " '. , . ~ , ,\ , , I~--,tp~.-~jj~s~~ -- ! ":r~/J s_._~~_~ e ___ I "t ' 72 ~.-L1.. - 9.3:3 0 '2 -'lD(<9_7 (] I q - - r1 -~ . (!)--;;:<.- . ~~\af?---- I ~~-~ . .~ \L/~ ~-~ß . :t--f~ ~ ~ __-==. . _j7- Ib~ . ~--_GL____~_. Q~__!