HomeMy WebLinkAboutBUSINESS PLAN
Per
it
Operil.te
to
Hazardous Mate,rials/Hazardous Waste Unified Permit
CONDITIONS OF ,PERMIT ON REVERSE SIDE
. .·:'~~~:J,:.~'~'?::·A:':~·' . H .' l ..
~ '-:,'~' .:- .;;~.:_;t :~"o -.'¡
.. .;-
Permit 10 #:: 015-000-001506
LOCATION: 6620 S UNION AVE
I
Issued by:
I
I '
"';".:~.,:;, ,.-\ -
'"-'''.
'.
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES'
1715 Chester Ave.t 3rd Floor
Bakersfieldt CA 93301
Voice (661) 326-3979
FAX (661) 326-0576
, :, Approved by: '
.'-' .t
Issue Date
¡~ ' ;',-'
," June 30, 2003
.:.,
~""l :.~.. :
":;c .~]~xpiràtion Date:
"~·.:~~::;;;,~::13~jl:~;1:··· :~_ ~~
Per... it
to
Operil.te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
zardous Materials Plan
round Storage of Hazardous Materials
.q~gement Program
m'" Waste
6620 S UNION
PERMIT ID# 015-G21.o01506
BEACON WELDING WORKS
LOCATION
,j
Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rdFloor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
*~
ph Huey,
ffice of ental Servi es
Approved by:
Expiration Date:
June 30, 2000
" ,.
t
BEACON WELDING WORKS
Iti.
SiteID: 015-021-001506
Manager :
Location: 6620 S UNION AVE
City BAKERSFIELD
CommCode: COUNTY STATION 52
EPA Numb:
BusPhone:
Map : 124
Grid: 30B
(661) 831-3204
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:3449
DunnBrad:07-963-3772
Emergency Contact / Title Emergency Contact / Title
JIMMY MCCAY / OWNER CHIP CARROLL / OWNER
Business Phone: (661) 834-8217x Business Phone: (661) 398-0305x
24-Hour Phone : (661) - x 24-Hour Phone : (661) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact : Phone: (661) 831-3204x
MailAddr: 6620 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
Owner JIMMY MCCAY Phone: (661) 836-0146x
Address : 6620 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List ì
All Materials at Site ì
F Hazmat Inventory
p== Alphabetical Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
ACETYLENE
OXYGEN
I,
E F P IH
Do hereby certify that I ~aveIH
G
G
144.00 FT3 Hi
244.00 FT3 Low
(Type or print name)
reviewed the attached hazardous materials manage-
and that it along with
ment plan for
(Name of Business)
any corrections constituts a complete and correct man-
agement plan for my facility.
Signa1J(e
Date
-1-
07/02/2001
"
F BEACON WELDING WORKS
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
ACETYLENE
SiteID: 015-021-001506 ì
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
INSIDE E SIDE OF SHOP
Map:
Grid:
CAS #
74-86-2
STATE - TYPE
Gas Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
144.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
144.00 FT3
Daily Average
24.00 FT3
%Wt. RS CAS #
100.00 Acetylene Yes 74862
HAZARDOUS COMPONENTS
HAZARD AS ESSMENT
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
S S
p= Inventory Item 0001
F= COMMON NAME / CHEMICAL NAME
OXYGEN
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
INSIDE E SIDE OF SHOP
Map:
Grid:
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
244.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
244.00 FT3
Daily Average
244.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
HAZARD ASSESSMENTS
-2-
07/02/2001
,.
SiteID: 015-021-001506 ì
Fast Format ì
Overall Site ì
09/26/1994
F BEACON WELDING WORKS
I
f= Notif./Evacuation/Medical
Agency Notification
911 & (800) 852-7550 OR (916) 262-1621 THIS WILL NOTIFY THE FIRE DEPT AND
STATE OFFICE OF EMERGENCY SERVICES AS REQUIRED BY LAW.
Employee Notif./Evacuation
09/26/1994
SHOP IS SMALL SO IF THE BOTTLE WERE TO FALL WE COULD LEAVE THE BLDG UNTIL IT
EVAPORATES INTO THE AIR.
Public Notif./Evacuation
06/28/2000 1
06/28/2000
I NO.
Emergency Medical Plan
WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000 OR
MERCY HOSPITAL - 2215 TRUXTUN AVE - 632-5000.
..:.3-
07/02/2001
t' ii
F BEACON WELDING WORKS
I
p= Mitigation/Prevent/Abatemt
r== Release Prevention
Release Containment
SiteID: 015-021-001506 ì
Fast Format ì
Overall Site ì
I
09/26/1994
OXYGEN & ACETYLENE BOTTLES ARE SEPARATED AND CHAINED TIGHTLY AGAINST WALL.
ALL BOTTLES HAVE CAPS SEALED TIGHT.
Clean Up
09/26/1994
CALL FIRE DEPT THERE SHOULD BE NO NEED FOR CLEAN UP, ANY HAZARDOUS MATERIALS
IN SHOP WILL EVAPORATE IN AIR.
Other Resource Activation
-4-
07/02/2001
"
. "
F BEACON WELDING WORKS
I
p= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
A) GAS - NE SIDE OF SHOP OUTSIDE
B) ELECTRICAL - SE SIDE INSIDE BLDG
C) WATER - FAR E OF LAND
D) SPECIAL - NONE
E) LOCK BOX - BACK OF SHOP E
SiteID: 015-021-001506 ì
Fast Format ì
Overall Site ì
I
09/26/1994
Fire Protec./Avail. Water
06/28/2000
FIRE EXTINGUISHERS LOCATED AT EACH END OF SHOP AND IN OFFICE. WATER SUPPLY
LOCATED AT N & S SIDE OF BLDG. FIRE DEPT WATER SUPPLY ON CORNER OF PANAMA LN
& S UNION AVE.
Building Occupancy Level
i '
-5-
07/02/2001
-- . .. '.
F BEACON WELDING WORKS
I
F Training
Employee Training
SiteID: 015-021-001506 ì
Fast Format ì
Overall Site ì
06/28/2000
HOW MANY EMPLOYEES AT THIS FACILITY????????
MSDS SHEETS ON FILE IN MAIN OFFICE IN DESK BOTTOM LEFT DRAWER.
GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM:
Page 2
r
I
I
Held for Future Use
Held for Future Use
-6-
07/02/2001
/.
.
BEACO
N WELDING WORKS SiteID: 015-021-001506
Manager : BusPhone: (661) 831-3204
Location: 6620 S UNION AVE Map :, 124 CommHaz : Low
City : BAKERSFIELD Grid: 30B FacUnits: 1 AOV:
CommCode: COUNTY STATION 52 SIC Code:3449
EPA Numb: DunnBrad:07-963-3772
r\llllM v fl/\,· r' ^ ú' I . 1. ~ ",1'\1\ (
. \....r ;KI
Emergency Cåntact / Title Emerge cy Contact / Title
&fiaL CROWLEY- / OWNER ß'3L(-<gJ,\) JtJLIB CROWLEY; / OWNER "r 3t¡ r "aJ() .,.....
Business Phone: (805) B-;3.J.-J204.x Business Phone: (805) .831-3204* ~
24-Hour Phone : (805) 836-0146x 24-Hour Phone : (805) 836-0146x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact : Phone: (661) 831-3204x
MailAddr: 6620 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
Owner B'l.LL \,;.t<.ðiffiEY Phone: (661) 836-0146x
Address : 6620 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
f= Hazmat Inventory
P=: Alphabetical Order
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax MCP
E F P IH G 144.00 FT3 Hi
F P IH G 244.00 FT3 Low
Hazmat Common Name...
-ACB'I'~""'LENE
OXYGEN
.,,-...,~,,----..,
" - .....,"
·-i"""'\~"'-:-~~~
~:=:-
-1-
06/25/2001
FINANCE DEPARTMENT
CITY OF BAK!:RSFI!:LD
p,O, BOX 2057
BAKERSFIELD, CALIFORNIA 93303
oW
w'"
¡._<!
0::-'
0<">
(1)1....
i.1JU)
frO::
Cl.~
Lo"
f;j'~ ~.>-;"tJ~~.?:\}~Þ .~.9
æ~' "',.;¡
~ , "'I
)~r';;F q f) '} "(' 8 ~!
:::::ø~ ì.: l .f-. ¿ _
-..... .l!~
~.
t...~ I'vi',::-':;--·' '/.. "-".;:;::: ~.
.. .... .'.. r . ~ J ..... '., .
RETURN SEkVJCc
REOUES:ED
t\lL AMERICAN CITY
t)r.V~ERS¡:¡E:"D, CA
RETURN SERVICE REQUESTED
~or--
o
. (Pþ
lp
¥
~
/
6~ACé20* 933072005 ~50~ 07 Oé/~2/0~
RETURN TO SENDER
:6EACON WELDING WORKS
3~00 PANAMA LN STE F
6AKERSFIELD CA 933i3-3é98
.t1
',,-
A U n ..L .? 3..3..F. _ _...._
.::J~:.:.:.::_:.:.:.... ::=:i_::".:. {
illl!!! 1IIIII1III ì III!! I1IIII1II 1/1 II IIII I I I I I I I /'1
II III II' I . II II I I II! ,i, I I IS II ,. I
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H· Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H· Street
Bakersfield, CA 93301
. VOICE (661) 326-3941
FAX (661) 395·1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave,
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
-
-~
May 3,2001
Mr. Bill Crowley
Beacon Welding Works
6620 South Union Avenue
Bakersfield, CA 93307
Dear Mr. Crowley:
Enclosed, please find the Site and Facility Diagram Instructions packet. When your
Hazardous Materials Management Plan and Inventory were submitted it was lacking
the diagram portion. Please draw and submit the diagram(s) of your facility by
June 8, 2001.
The diagram should include the following:
1) name of your business;
2) business address;
3) indicate which direction is North;
4) the cross streets neighboring business addresses (within 300 feet)
5) entrances and exits
6) location of utility shut-offs;
7) location of the nearest fire hydrant;
8) portions of the building protected by automatic sprinkler system; and most
importantly
9) the location ofthe hazardous material(s).
If you have any questions, please feel tree to call me at (661) 326-3658.
Thank you for your assistance.
Sincerely,
RALPH E. HUEY, DIRECTOR
OFFICE OF ENVIRONMENTAL SERVICES
~d
Esther Duran, Accounting Clerk II
Office of Environmental Services
ED\db
Enclosures
~~ C/' 1/7 (/., (j7 dd' Ufl/ /I- (p .,.,
.]ò.-0Ú!;?' UI.£Þ r:ionl/~u/'/U(?, ._Y'~/~ J~(:)ope ,J./la/¿, ._ (? 0e/lÚ/'/'r
¡., j'
_ RFrEIVED
BEACON WELDING WORKS
e.
SiteID: 215-000-001506
Manager :
Location: 6620 S UNION AVE.
City BAKERSFIELD / .
BusPhone:
Map : 124
Grid: 30B
(805) 831-3204
CommHaz : UnRated
FacUnits: 1 AOV:
CommCode: COUNTY STATION 52
EPA Numb:
SIC Code:3449
DunnBrad:07-963-3772
Emergency Contact / Title Emergency Contact / Title
BILL CROWLEY / OWNER JULIE CROWLEY / OWNER
Business Phone: (805) 831-3204x Business Phone: (805) 831-3204x
24-Hour Phone : (805) 836-0146x 24-Hour Phone : (805) 836-0146x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact' : Phone: ( ) - x
MailAddr: 6620 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
Owner BILL CROWLEY Phone: (805) 836-0146x
Address : 6620 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
Hazmat Common Name...
One Unified List 1
All Materials at Site 1
p= Hazmat Inventory
p== As Designated Order
EPA Hazards
DailyMax
MCP
OXYGEN
ACETYLENE I· I If C 1
, UJI Olpt ,r-vi.ÙCJ
íType or prim name) ,
F P IH
E P IH
Do hereby certIfy ~hat I have
G
G
244.00 FT3 Low
144.00 FT3 Hi
reviewed the attached hazardous materials manage-
ment plan for~~Of ~n~~{,and that it along with
any corrections constitute a complete and correct man-
agement plan for my facility.,
- Gðæt2>
-1-
06/01/2000
i'
i
e
e
F BEACON WELDING WORKS
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
OXYGEN
SiteID: 215-000-001506 ì
Facility Unit: Fixed Containers at Site 1
Days On Site
365
,
Location within this Facility Unit
INSIDE E SIDE OF SHOP
Map:
Grid:
CAS #
7782-44-7
- TYPE
Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
244.00 FT3
Daily Average
244.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
HAZARD A ESSMEN
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
SS TS
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
ACETYLENE
Facility Unit: Fixed Containers at Site 1
Days On Site
365
Location within this Facility Unit
INSIDE E SIDE OF SHOP
Map:
Grid:
CAS #
74-86-2
STATE - TYPE
Gas Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
144.00 FT3
Daily Average
24.00 FT3
HAZARD
%Wt. RS CAS #
100.00 Acetylene Yes 74862
OUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
-2-
06/01/2000
..
e
e
F BEACON WELDING WORKS
I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 215-000-001506 ì
Fast Format ì
Overall Site ì
09/26/1994
911 & (800) 852-7550 OR (916) 262-1621 THIS WILL NOTIFY THE FIRE DEPT AND
STATE OFFICE OF EMERGENCY SERVICES AS REQUIRED BY LAW.
Employee Notif./Evacuation
09/26/1994
SHOP IS SMALL SO IF THE BOTTLE WERE TO FALL WE COULD LEAVE THE BLDG UNTIL IT
EVAPORATES INTO THE AIR.
Public Notif./Evacuation
09/26/19941
09/26/1994
I NO
Emergency Medical Plan
WHITE LANE MEDICAL CENTER - 5401 WHITE LN - 832-2000
MERCY HOSPITAL - 2215 TRUXTUN AVE - 632-5000
-3-
06/01/2000
'.
-
-
SiteID: 215-000-001506 1
Fast Format ì
Overall Site 1
I
F BEACON WELDING WORKS
I
p= Mitigation/Prevent/Abatemt
~ Release Prevention
Release Containment
09/26/1994
OXYGEN & ACETYLENE BOTTLES ARE SEPARATED AND CHAINED TIGHTLY AGAINST WALL.
ALL BOTTLES HAVE CAPS SEALED TIGHT.
Clean Up
09/26/1994
CALL FIRE DEPT THERE SHOULD BE NO NEED FOR CLEAN UP, ANY HAZARDOUS MATERIALS
IN SHOP WILL EVAPORATE IN AIR.
Other Resource Activation
-'4-
06/01/2000
'~ ..
e
e
F BEACON WELDING WORKS
I
f= Site Emergency Factors
r==. Special Hazards
Utility Shut-Offs
SiteID: 215-000-001506 ì
Fast Format ì
Overall Site ì
I
09/26/1994
A) GAS - NE SIDE OF SHOP OUTSIDE
B) ELECTRICAL - SE SIDE INSIDE BLDG
C) WATER - FAR E OF LAND
D) SPECIAL - NONE
E) LOCK BOX - BACK OF SHOP E
Fire Protec./Avail. Water
09/26/1994
FIRE EXTINGUISHERS LOCATED AT EACH END OF SHOP AND IN OFFICE. WATER SUPPLY
LOCATED AT NORTH & SOUTH SIDE OF BLDG. FIRE DEPT WATER SUPPLY ON CORNER OF
PANAMA LANE & SOUTH UNION.
Building Occupancy Level
-5-
06/01/2000
.., ~.~ ..
e
e
F BEACON WELDING WORKS
I
F Training
Employee Training
1h<7> OS ~-e.eA-s D\C.
IN MAIN OFFICE IN DESK - BOTTOM LEFT DRAWER.
SiteID: 215-000-001506 ì
Fast Format ì
Overall Site ì
09/26/1994
[
Page 2
? - -::t:± ot -e(Yì p\ 'ts\j -e é' ~
Held for Future Use
0,ve. Q ~Îì e...(' SùM(V\Qf 09- YOÙ( -+ra-ìt'\í (\
Held for Future Use
I
,
-6-
06/01/2000
r, .,
_, I. I'"
-), ..,
\ - .
cusr.e & NO. ES - 3bg-:¿
-
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE3-/~ -:tt
NEW ACCOUNT !
ADDRESS CHANGS
CLose ACCT I
: FINANce CHARGE
, OTHER ADJ I
CUSTOMER NAME ßé':o.C00.. \1)P \ck, ~~r:bíl<::.,
MAILING ADDRESS U"-:::o· 5. (.LA \ 0 (\ . - ~
-
CITY t2nle(c:::,~L\d STATE {};k ZIPCODEq~::ö/ ·
SITE ADDRESS
PARCEL NUMBER
(IF APPUCABlE)
ADJUSTMENT
I
R~\;S:'Ò'J!: ~ ~QrckC'J~ ~oJ\J-\(~
APPROVED BY
~-
"
, I-------~--------------~--------------------------~--------------------------1
I 04/~i:j/94 Right-to-Kno1!rFu'll List/by CommCode and"- Site 10 Page 1 I
I~-------,---------------------------------------------------------------------1
, BEACON WELDING WORKS 015-010-000132 ^A'1~¥
Overall Site With. 1 -/'ì~ ..::2jðL,
)bUp -.--
I=============================::::::~=~:::::::~::=============~~=~====I
I 1----------------------------------------------------------------------------1 I I
I I Location: 6620 S UNION AV Map: 124 Hazard: Unrated I I
I I City Grid: 29A 1 AOV: 0.01 I
I 1----------------------------------------------------------------------------11
11--- Contact Name -------- Tit"le --------II:J'\ÏW.Eontact Name ------.-.- Title -------11
II BILL CROWLEY / OWNER il ~."".. C(4)(;JLtij--' / oú/~¡;tC. / II
II Bus i ness Phone: @o.i)8313Q20r¡ x fí! Bus i ness Phone: {iv.rl 831-3?O</ ./ x II
II 24--Hour Phone : {þbS-)83/P-Olqro x II 24-Hour Phone : ~Ú Bg6-b/'i(p x II
II Pager Phone ~ x I I Pager Phone : ...é- x II
I 1--------------------------------------1 1-------------------------------------1 I
I 1,-----'----------------------- Admi n i st rat i ve Data ---·----·-----------------/--·-----01
I I Ma"j"¡ Add rs: 6620 S UN ION A V D&B Number: ()7-q~!3-377:Z 1 I
1 I City: BAKERSFIELD State: CA Zip: 93~ 7;~707 I I
II Comm Code: 015-520 GREENFIELD AREA-STA 52 SIC Code:'3L-tvt II
I I -------------------------------------------------------------___________L_ I I
II Owner: BILL CROWLEY / Phone: (B05)- . -- 1L-Y1"
II Address: 6620 ~ S UNION AV V State: CA 'b-()I<!1p I
I I City: BAKERSFIELD Zip: 93307-5707 II
I 1----------------------------------------------------------------------------1 I
I Summary ------------------------------------------------------_____________1 I
II "
I SINGLE HAND WELD SHOP WITH COMPRESSED GAS CYLINDERS SECURED TO NE CRNR I I
IIOF CORREGATEO I>1ETAL QUANSET HUT STURCTURE. II
II II
II II
II "
I 1---------------------------------------------------------------------------_1 I
1==============================================================================1
6J (/V tt /4 vi RECE I VED I
& ~I ø ( JUN I 5 1994/
KCFD HMCU
{u
I .11: Lt... (!.lCcw¿£L, do hereby certify that I have
"' (Type or Print Name)
, d the attached hazardous materials management pian
reVlewe .
Þ.~bJ.JL!¡)..ø(.,f)U)f ft.btI¿d that it, along with any
for_~...; .)
(1,lame of Business ..
. . ~fu
corrections. constitutes a complete and correct manage
plan for my facility.
~L~/fÎ7!
ðate
,~~
f\.~ Signature
:..iIÏ
4
KERN COUNTY FIRE DEPARTMENT
HAZARDOUS MATERIALS INVENTORY
FORM 4
OWNER NAME: ÚJ /Uilt1T\. Cfêð lJ Ü:-<¡
ADDRESS: {,(¿,ZO SO < UIV/ÒØ /HI.c-
CITY, ZIP: A..q<.I::~'72.s¡:;'''ld q~3GI/-;Ç?ó"
PHONE #: ~SJ 8=Ito-ð'"''
NAME OF THIS FACILITY:
'"
Farm and Agriculture
Standard Business [ v]
BUSINESS NAME: !5£A-l'oµ Wþ-z-p¡"V(;;, 4.Jc>ds
LOCATION: &~~ Sc:.> U/I.IÙJ,,(.J J"t~
CITY, ZIP: J::;i:1l-5ÇtfE/D q ?-SI):J,/
PHONE #: (.~) B 3i --3~'
STANDARD IND. CLASS CODE:
DUN AND BRADSTREET NUMBER
.
() ?- C¡b3 - .3? rj~
Page
1
of
',-
., ........................". ......................
.........................................................~...
......................................................,.. .'
........................................................... .
JB'.~J.lf4jÎ6~J~.·.
......................................................... .....
........................................................... ....
................................................... .......
................................................... . .......
..............................................-.. ...........
}~~þ71~~i~~~~~...··.
.............................................................
. .........................................................
RBFER ro INSTRUC!'IONS FOR PROPBR CODBS
I 1 2
Trans Type
, Code Code
3
Max
Amt
4
Average
Amt
5
Amual
Est
6 7 8 9 10 11
Measure Cont Cont Cont Use X by
Units Type Press Temp Code Wt
12
Names of Mixture/components
See Instructions
I
I [ ] Inmediate Health location ..j::-..vS I'DE £"/6 SI DE "r ..sJ ~
I t>c1Fire []Delayed Health CAS NUlber 11# /07"-'
I
I ]Reactivity [~Sudden Release of Pressure
I A- ! ,p I IJI¥ I 119-31 O$l! I I 1/ ! /'" l,ø"
I [ ]lnmediate Health I Location ;1::PSI fJê Glr.sr ~:/£ cf. S'~
I []fire []Delayed Health CAS NUlber Ü¡V Ia:JJ
I
I[ }Reactivity [ }Sudden Release of Pressure
olJ}¡pl <I
Component & CAS
# Days on Site [~]
I /' ¥ I/iIl 'fa!) I Procb:t I-
I
I
I
I
0)( 'r6éJ/
# Days on Site [.M1
, Procb:t 1- /I- ~ W-é¿ t",vE
, -
, Component & CAS
I
, Component & CAS
,
, Component & CAS
,
/Q(.)' Procb:t ...
, Component & CAS
, Component & CAS
,
, Component & CAS
P¡f-;..v¡r-
I
I
I
, ,·1
l
1\' I
.. 1.:'.-1
,.. I
. .' L'~~_
~.i.:I·'~
,'", , _1'- I
,:,~., I
I ,
I I
I I
I I
I
I
I
I
.
I
I
I Component & CAS
I
I Component & CAS
# Days on Site
2.
'f
I [ ] Inmedi ate Health Location....:;r;.-S/_
I
I WFire [)Delayed Health CAS NUlber
I
I[ ]Reactivity [ ]Sudden Release of Pressure
EMERGENCY CONTACTS .1
tv I-¿l. ('A--ß1.
eR...CJ W ¿t!;'- r
Name
OC-oJ,¡A/¿;-1L
Title
B3'G-o/c.,/t;
24 Hr Phone
.2
Name
Title
24 Hr Phone
Certification (Read and sian after completina all sections)
I certify ~r pe."I8lty of law that I have personally examined and am familiar with the information sl.bnitted in this and all attached doclJllents, and thrt ';."'"e:<~ on
my inquiry of those indiviÖJ8ls responsible for obtaining the information, I believe that the sl.bnitted information is true, accurate, and cOß1)lete.
(u ,7.,L/ JbVl Cleð(.l./¿~p ð~.IV¿-fL. . ~~Pý
Name and official title of ~r/operator 2! owner/operator's authorized representative Signature . DeSigned
--------
INVENTORY CODE SHEET e ~
e
Trans Code (Column 1) Use Codes (Column 10)
A Add This Item 01. Additive .'
D = Delete This Item 02. Adhesive
R Revised Information 03. Aerosol/Inflation
04. Anesthetic
Tyee Code (Column 2) 05. Bactericide
06. Blasting
P = Pure Material 07. Catalyst
M Mixture of Substances 08. Cleaning
W = Waste (Must Also: Add Appropriate 09. Coolant/Antifreeze
Waste Code from "Waste Code 10. Cooling
Sheet") 11. Drilling
12. Drying
Measure Units (Column 6) 13. Emulsifier /Demulsifier
14. Etching
LBS Pounds 15. Experimental/Analytical
TON = Tons (2,000 Ibs) 16. Fabrication
GAL = Gallons 17. Fertilizer
BBL = Barrels (42 gals) 18. Formulation/Manufacturing
Ft3 = Cubic Feet 19. Fuel
CUR = Curies " 20. Fungicide
21. Grinding
Container Tyee (Column 7) 22. Heating
23. Herbicide
01. Underground Tank 24. Insecticide
02. Aboveground Tank 25. Instructional
03. Fixed Pressurized Cylinders 26. Lubricant
04. Portable Pressured Cylinders 27. Medical Aid or Process
05. . Insulated Tank (Includes Cryogenics) 28. Neutralizer
06. Drums or Barrels - Metallic 29. Painting
07. Drums or Barrels - Non-Metallic 30. Pesticide
08. Carboy(s) 31. Plating
09. Glass Container(s) 32. Preservation
10. Plastic Container(s) 33. Refining
11. Box(es) 34. Sealer
12. Bag(s) 35. Spraying
13. Metal Containers (Not Drums) 36. Sterilizer
14. In Machinery or Processing Equipment, .37. Storage/In Storage
15. Bin(s) 38. Stripper.
16. Unlined Sumps 39. Washing
40. Waste
Container Pressure (Column 8) 41. Water Treatment
42. Welding Soldering
1 = Ambient Pressure 43. Well Injection or Service
2 = Greater Than Ambient Press 44. Oil Treatment
" 3 Less than Ambient Press 45. Resale
46. Aircraft Systems
~ Container Temeerature (Column 9) 47. Battery /Electrolyte
48. Breathing Air
',,4 = Ambient Temperature 49. Drafting Aid
5 Greater than Ambient 50. Finished Product
6 Less than Ambient Temp but not ' 51. Fire Protection
Cryogenic 52. Hydraulic Equipment
7 = Cryogenic Conditions 53. Road/Hwy Maintenance
'" 54. Testing
55. Wholesale Chemicals
, 99. OTHER· Specify on another page
,
.1
I - - - - -- --,- - -- - ----- - -- ---- ....-- -- - - --- -- --- - -- -- - -- --.- ,- - '-.- --,- - -- - -- -- ---- - -- -- --- - -- --
I 04/0?/94 Right-to-Kn~Full List/by CommCode and~ Site 10 Page 2 I
Ir--~---~----------------------------------------------------------------------1
BEACON WELDING WORKS 015-010-000132
02 - Fixed Containers at Site
Hazmat Inventory Detail in MCP Order
-----------------------------.-----------------------------------------.-----------
02-002 ACETYLENE
> Firs, Pressure
Gas
144 High
FT3
-----------------------------------------------------------------------
CAS #:
74862
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: FABRICATION
---- Daily Max FT3 ----1-- Daily Average FT3 --1--
144_00 1 24.00 I
------ Storage -------1 Press I Temp -1------------
PORT. PRESS. CYLINDER IAmbientlAmbientl
Annual Amount FT3 --
7,488.00
Location ----------
- Conc -1---------------------- Components -------------1- MCP --I Guide
100.0% ¡Acetylene IHigh I 17
---------------------------------------------------------------------------------
02-001 OXYGEN
> Fire, Pressure
Gas
244 Low
FT3
-----------------------------------------------------------------------
CAS #:
7782447
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: FABRICATION
---- Daily Max FT3 ----1-- Daily Average FT3 --1-- Annual Amount FT3 --
244.00 I 40.00 1 12,688.00
------ Storage -------1 Press I Temp -1------------ Location ----------
PORT. PRESS. CYLINDER IAbove ¡Ambient
- Conc -1---------------------- Components -------------1- MCP --¡Guide
100.0% I Oxygen, Compressed I Low I 14
I - - - - ---- -- - - - ,- ---------·1- - ------- - --- - -- ---- - - - -- - -- -a- -.,- -- - - - ------- -,--'- -- -- -- --- -- I
I 04/~5/94 Right-to-Kno Full List/by CommCode and~ Site ID Page 3 1
Ir------~----------------------------------------------------------------------1
BEACON WELDING WORKS 015-010-000132
00 - Overall Site
<D> Notif./Evacuation/Medical
--------------------------------------------------------------------------------
~~~-~~=~~~-~~~~~~:~~~~~ . ~
q.11 f ljoo) 8s;;J -f)S-.ß OJ( (fll/) ;;¿6'2.-/l-,e./
~ w1"U ¡VO+:~ ~ ~ ~p. ~\ ste.-fl ilw c.z' 8nuA~ ~~ ,
(L~.ÂÃ-r J 6.ï ~-
<2> Employee Notif./Evacuation
------------------------------
SHOP IS SMALL SO IF THE BOTTLE WERE TO FALL. LEAVE BLDG UNTIL
IT EVAPORATES INTO THE AIR.
<3> Public Notif./Evacuation
----------------------------
/
¡I/O
<4> Emergency Medical Plan
--------------------------
WHITE LANE MEDICAL CENTER
540'1 WHITE LN
8AKERSFIELD,CA 93304
(805) 832-2000
_ qAD-
M éfl-ey HØf:-fk(.
f tUY ftuo€.
~?-l f (/..c.J't , /"
b)t1..~~5 F/e(,ý.¡ f¡.i,{- f''J:14)'
CðO ç) - f.p '3;' ,;SøO
(
\-~~ï~;/~~-~~~~~=~~=~~~~:~~-~~~~ï~~-~~~~~~~~-~~~~-~~~~-~;---------~~~~---~-I
IT------'-~---------------------------------------------------------------------1
BEACON WELDING WORKS 015-010-000132
00 - Overall Site
<E> Prev./Minimization/Cleanup
.--------------------------------------------------------------------------------
<1> Release Prevention
~---------------------
<2> Release Containment
-----------------------
OXYGEN & ACYTYLENE BOTTLES ARE SEPARATED & CHAINED TIGHTLY AGAINST
WALL. ALL BOTTLES HAVE CAPS SEALED TIGHT.
<3> C'lean Up
-------.----...--
(AA--'- Ó{!4r ~¡:I"
tit(/1\. v.. f - (J.¡yt(f-
..eO <3¡, ~f.Are ~ PI \ R. -
-t/u-tu. s.,J..o.t,J cf. ð..c /Jt-o c/'fL« 1> ~
hAo. _.J...... - '- (.1 ¡fr.. .s I<Yð' t..J ,-¿(.
IJ~{)$ , . __"\...IIIU,.tl.
/
<4> Other Resource Activation
-----------------------------
\-~~/~~ï~~-~~~~~~~~~~~~;:~~-~~~~/~~-;~~~;~~~-~~~~-;~~~-~;---------;~~~---~-\
I~___~__~_____________________________________________-------------------------1
BEACON WELDING WORKS 015-010-000132
00 - Overall Site
<F> Site Emergency Factors
--------------------------------------------------------------------------------
<1> Special Hazards
-------------------
<2> Utility Shut-Offs
---------------------
A) GAS/PROPANE - NE SIDE OF SHOP (OUTSIDE)
(3) ELECTRICAL - SE SIDE (INSIDE BLDG)
C) WATER - FAR E OF LAND (WATER WELL)
D) SPECIAL - NONE
E) LOCK BOX - BACK OF SHOP E
<3> Fire Protec./Avail. Water
-------------------~----------
FIRE EXTINGUISHERS LOCATED AT EACH END OF SHOP AND IN OFFICE.
WATER SUPPLY LOCATED AT N & S SIDE OF BLDG. FIRE DEPARTMENT
WATER SUPPLY ON CRNR OF PANAMA LN & S UNION.
<4> Earthquake Vulnerability
~o r-' é
~
----------------------------
\-~~ï~~ï~~-~~~~~~~~~~~1IÞ~~~~-~~~~ï~~-~~~~~~~~-~~~IIr-~~~~-~;---------~~;~---~-:
I~---~-·-~----------------------------------------------------------------------1
,
BEACON WELDING WORKS 015-010-000132
00 - Overall Site
<G> Training
--------------------------------------------------------------------------------
<1> Training Record Location
----------------------------
f'IJ,4 ¡.IV
O:f.ç/~£f' - ....£µ ~.s/{'" (fvffom L£.jA- 2Yza~
<2> Describe Training Program
-----------------------------
<3> Emer. Agency Coordination
-----------------------------
<4> Emer. Response Equipment
----------------------------
\-~~ï~;ì~~-~~~~~=~~=~~~:~~-~~~~ï~~-~~~~~~~~-~~~JIJ-;~~~-~~---------~~~~---;-:
17------,------------------------------------_________-------------------------1
?
BEACON WELDING WORKS 015-010-000132
00 - Overall Site
<H> SCHOOLS WITHIN 1/2 MILE
--------------------------------------------------------------------------------
<1> High Schools
~---------------
<2> Jr. High Schools
--------------------
<3> Elementary Schools
----------------------
/
/
/
<4> Private & Pre Schools
/
-------------------------
/'
,
~~/
/
/
/
//
,Æ