HomeMy WebLinkAboutBUSINESS PLAN 5/12/2000
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1sT. CONTACT
2ND. CONTACT
3RD, CONTACT
DONMALONY 834-0132 }
A.R COLVIN 835-4807
STEVE :MIGHAEL 835-4817
EMERGENCY CONTACTS
0 ~H20
0 ~H20 H2O
1
~ELECfRICAL 0
o <-SS-I-H EMPTY
o ~POSKA 161
0 ~SIKAAIR
PLANT
0 STACKER
~DARAVAIR
0 ~WRDA-64 D DIESEL TANK
0 +-1,000 GAL.
~EMYIY EMPTY
0 ~WRDA-64
ELECTRIC
DOWNSTAIRS
ELECfRlCAL ROOM - 1 §I LEVEL - FIRE EXT.
2ND LEVEL - FIRE EXT.
SEATRAIN
EMERGENCY MEETING AREA
DISPATCH
REVISION
BY
16'
CaIMat Co
3200 SAN F£RNIoNOO RD.
LOS ....GELES. CA. 90065
N!
SOUTHWEST
4801 WIBLE RD.
BAKERSFIELD, CA.
93313
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t;JfA-N_- Sold ~ø~~+Y
SiteID: 215-000-00d58
CALMAT
Manager TONY SMITH
Location: 4801 WIBLE RD
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 13C
RFrEIVED
MAY 242000
CommCode: BAKERSFIELD STATI N 05
EPA Numb: BY:
, _,_J
SIC Code:3273
DunnBrad:
(805) 835-4800
CommHaz : Moderate
FacUnits: 1 AOV:
Emergency Contact / Title Emergency Contact / Title
GENE WESLOW / DISTRICT MGR TONY SMITH / PLANT MGR
Business Phone: (805) 835-4815x Business Phone: (805) 835-4816x
. 24-Hour Phone : (805) 872-6154x 24-Hour Phone : (805) 664-8482x
Pager Phone : (805) 979-9210x Pager Phone : (805) 329-0586x
Hazmat Hazards: Fire React ImmHlth DelHlth
,
Contact : Phone: (805) 835-4800x
MailAddr: PO BOX 22800 State: CA
City : BAKERSFIELD Zip : 93313
0wner CALMAT CO Phone: (805) 835-4800x
Address : PO BOX 22800 State: CA
City : BAKERSFIELD Zip : 93313
Þeriod : to TotalASTs: = Gal
I
:!?reparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
THIS IS AN SPCC SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS
AND SCHEDULE THIS INSPECTION WITH HOWARD WINES.
p= Hazmat Inventory
~ As Designated Order
Hazmat Common Name...
SpecHaz EPA Hazards
IDIESEL #2 F IH DH L
IDARAVAIR R L
CALCIUM CHLORIDE IH L
WRDA 79 ~ c::::... ~' ,J1..-__ R L
PORTLAND CEMENT I, J Q~ Y <;...JJnt \.,v ~o hereby certify thartHI ha'ffi
SIKA 161 (Type or print name) ? ? ??? L
SIKA AEA 15 reviewed the attached hazardou~ ti\atèri'àls ttlanage-
ment plan for Vu \c....'Pnf\J M~!:Iat it along with
(Name ~GSS)
any corrections constitute a complete and correct man-
J,~ <5;3-00
One Unified List ì
All Materials at Site ì
DailyMax MCP
400.00 GAL Low
500.00 GAL Mod
300.00 GAL Hi
1500.00 GAL Hi
400000.00 LBS Min
25.00 GAL UnR
25.00 GAL UnR
05/09/2000
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F ÇALMAT CO
p= Inventory Item 0001
F=='= COMMON NAME / CHEMI CAL NAME
J?IESEL #2
SiteID: 215-000-000580 l
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
CENTER OF YARD
Map:
Grid:
CAS #
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 GAL
Daily Average
200.00 GAL
U MP NENT
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
HAZARDO S CO 0 S
I
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMENTS
p=. Inventory Item 0003
== COMMON NAME / CHEMI CAL NAME
IDARAVAIR
Facility Unit: Fixed Containers on Site l
Days On Site (
365
i Location within this Facility Unit
E SIDE OF PROPERTY NEAR FENCE
Map:
Grid:
CAS #
1310-73-2
STATE - TYPE
~iquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average
50.00 GAL
HAZARD US COMPONENT
.%Wt. RS CAS #
2.00 Sodium Hydroxide No 1310732
o S
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
:No No No No/ Curies R / / / Mod
-2- 05/09/2000
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F CALMAT CO
p= Inventory Item 0004
==== COMMON NAME / CHEMI CAL NAME
CALCIUM CHLORIDE
SiteID: 215-000-000580 l
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
E SIDE OF PROPERTY NEAR FENCE
Map:
Grid:
CAS #
10043-52-4
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 GAL
Daily Average
150.00 GAL
HAZ D US C MP NEN
:%Wt. RS CAS #
133.00 Calcium Chloride No 10043524
ARO
o 0
TS
c
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
HAZARD ASSESSMENTS
p= Inventory Item 0005
==;= COMMON NAME / CHEMICAL NAME
WRDA 79
Facility Unit: Fixed Containers on Site l
Days On Site
365
. Location within this Facility Unit
J?ATCH PLANT
Map:
Grid:
CAS #
102-71-6
STATE - TYPE
~iquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROuND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1500.00 GAL
Daily Average
100.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
, 3.00 Triethanolamine No 102716
Diethanolamine No 111422
2.00 Formaldehyde ( EPA) Yes 50000
c HAZARD AS E ME TS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
'No No No No/ Curies R / / / Hi
S SS N
-3- 05/09/2000
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0006
CHEMICAL NAME
SiteID: 215-000-000580 ì
Facility Unit: Fixed Containers on Site ì
F CALMAT CO
f= Inventory Item
F==;= COMMON NAME /
:pORTLAND CEMENT
Days, On Site
365
Location within this Facility Unit
BATCH PLANT
Map:
. Grid:
CAS #
65997-15-1
, STATE - TYPE
Solid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
400000.00 LBS
Daily Average
200000.00 LBS
, %Wt. RS CAS #
TI..OO.OO Portland Cement No 65997151
HAZARDOUS COMPONENTS
, HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No Nol Curies DH / / / Min
f=; Inventory Item 0007
FT COMMON NAME / CHEMI CAL NAME
SIKA 161
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
CONTAINER TYPE
ABOVE GROUND TANK
[. ~TA~E - TYPE
=Llquld ~Mixtur~
PRESSURE ~ TEMPERATURE ~
AMOUNTS AT THIS LOCATION
Daily Maximum
25.00 GAL
Largest Container
GAL
Daily Average
6.00
GAL
HAZARDOUS COMPONENTS
G
CAS #
; %Wt.
[ HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
. No No No No/ Curies ? ? ? ?? ?? / / / UnR
I
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05/09/2000
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SiteID: 215-000-000580 ì
Facility Unit: Fixed Containers on Site ì
F CALMAT CO
f= Inventory Item 0008
e::== COMMON NAME / CHEMI CAL NAME
SIKA AEA 15
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
[. ~TA:E - TYPE
=Llquld ~Mixtur~
PRESSURE ~ TEMPERATURE ~
AMOUNTS AT THIS LOCATION
Daily Maximum
25.00 GAL
CONTAINER TYPE
ABOVE' GROUND TANK
Largest Container
GAL
Daily Average
6.00
GAL
. %Wt.· I
HAZARDOUS COMPONENTS
~
CAS #
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies ? ? ? ?? ?? / / / UnR
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05/09/2000
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F CALMAT CO
I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 215-000-000580 l
Fast Format l
Overall Site l
05/19/1998
CALL 911 AND NOTIFY THE STATE OFFICE OF EMERGENCY SERVICES AT 800-852-7550.
THE FACILITY EMERGENCY COORDINATOR OR HIS ALTERNATE WOULD ALSO NOTIFY OR
ORDER AN EMPLOYEE TO CALL THE AGENCIES AND INDIVIDUALS ON THE EMERGENCY CALL
[
LIST. THE FACILITY EMERGENCY COORDINATOR OR HIS ALTERNATE WOULD ALSO FOLLOW
THE EMERGENCY PLAN AND INSURE THAT ALL REQUIRED FACILITY SHUTDOWNS OF
EMERGENCY SWITCHES OR UTILITIES TAKE PLACE. THE EMERGENCY COORDINATOR WOULD
ASSIGN EMPLOYEES TO GUIDE OF "BIRD-DOG" INCOMING EMERGENCY UNITS AND TAKE A
HEAD COUNT OF FACILITY EMPLOYEES AND VISITORS AT THE ASSEMBLY AREA. THE
FACILITY EMERGENCY COORDINATOR IS RESPONSIBLE FOR THE IMMEDIATE NOTIFICATION
0F ALL AGENCIES IN THE EVENT OF AN INCIDENT, RELEASE OR THREATENED RELEASE
0F HAZARDOUS MATERIALS.
Employee Notif./Evacuation
05/19/1998
IN THE EVENT OF A HAZARDOUS MATERIAL EMERGENCY, THE FACILITY EMERGENCY
[
ÇOORDINATOR, OR HIS ALTERNATE, WILL DETERMINE IF FACILITY EVACUATION IS
REQUIRED. IF AN EVACUATION IS REQUIRED ALL EMPLOYEES, AND ANY VISITORS,
WOULD BE NOTIFIED BY WORD OF MOUTH, TELEPHONE, RADIO, OR INTERCOM TO PROCEED
TO MAIN EVACUATION AREA AT OUTSIDE SCALEHOUSE BLDG AT VISITOR PARKING AREA.
Public Notif./Evacuation
05/19/1998
IN THE EVENT OF A HAZARDOUS MATERIAL EMERGENCY THE FACILITY EMERGENCY
èOORDINATOR, OR HIS ALTERNATE, WILL DETERMINE IF FACILITY EVACUATION IS
REQUIRED. IF AN EVACUATION IS REQUIRED ALL EMPLOYEES, AND ANY VISITORS,
WOULD BE NOTIFIED BY WORD OF MOUTH, TELEPHONE, RADIO, OR INTERCOM TO PROCEED
TO MAIN EVACUATION AREA AT OUTSIDE SCALEHOUSE BLDG AT VISITOR PARKING AREA.
Emergency Medical Plan
05/19/1998
~EQUEST MEDICAL ASSISTANCE FROM LOCAL FIRE DEPT (911).
MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371
MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
WILLARD CHRIATIANSEN - 327-9617
I
HALL AMBULANCE - 832-0123
GOLDEN EMPIRE - 327-9000
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SiteID: 215-000-000580 l
Fast Format 'ì
Overall Site ì
05/19/1998
F CALMAT CO
I
F'Mitigation/Prevent/Abatemt
Release Prevention
HAZARDOUS MATERIALS ON SITE ARE STORED IN SPECIAL STORAGE AREAS.
INCOMPATIBLE CHEMICALS ARE ISOLATED OR SEPARAATED. ALL COMPRESSED GAS
CYLINDERS ARE STORED UPRIGHT WITH THE CAPS ON AND SECURED BY CHAINS OR
STRAPS. "NO SMOKING" AND OTHER HAZARD WARNING SIGNS ARE USED THROUGHOUT THE
FACILITY. SAFETY RULES AND PROCEDURES ARE ENFORCED AT OUR SITE AND LINE
MANAGEMENT MONITORS OUR OPERATION FOR CHEMICAL RELATED HAZARDS. IF IS OUR
PRACTICE TO CORRECT ANY UNSAFE CONDITIONS IMMEDIATELY AND COMPLY WITH ALL
[
FIRE CODES RELATED TO HAZARDOUS MATERIALS.
[
Release Containment
05/19/1998
ABSORBENT MATERIALS IS KEPT ON HAND TO CONTROL SMALL SPILLS. RESPONDER AID
IN CASE OF INJURY. WHEN NOTIFIED OF A HAZARDOUS MATERIAL SITE EMERGENCY
ÇOORDINATOR WOULD RESPOND BY NOTIFYING THE FIRE DEPT IF NECESSARY. IN A
MAJOR INCIDENT AN EMERGENCY RESPONSE CONTRACTOR WOULD BE CALLED IN TO ASSIST
IN MITIGATION OR HAZARD ABATEMENT. BECAUSE OF THE TYPE AND LIMITED CHEMICAL
VOLUME USED AT OUR FACILITY, CALMAT MITIGATION RESPONSE IS ORIENTED TO
CONTROL SMALL SPILLS OR FLAMMABLE OR SLIGHTLY TOXIC LIQUIDS.
Clean Up
05/19/1998
SITE EMPLOYEES ARE TRAINED IN SPILL CONTAINMENT, GENERAL CHEMICAL HAZARDS
AND TO USE PERSONAL PROTECTIVE EQUIPMENT SUCH AS CHEMICAL RESISTANT GLOVES
AND EYE PROTECTION. CALMAT EMPLOYEES ARE TRAINED TO DIKE SPILLS OF
~ON-TOXIC MATERIALS WITH SAND AND ABSORBENT MATERIAL BY USING SHOVELS OR
MOBILE EQUIPMENT. EMPLOYEES ARE ALSO TRAINED BY A SPILL OR RELEASE OF
?AZARDOUS CHEMICALS WILL BE DISPOSED OF IN ACCORDANCE WITH PROCEDURES AS
MANDATED BY STATE AND FEDERAL LAWS. COPIES OF MANIFESTS ARE KEPT.
Other Resource Activation
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05/09/2000
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SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
I
F CALMAT CO
I
f= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
05/19/1998
A) GAS - NONE
B) ELECTRICAL - SW CORNER ON THE GROUND FLOOR/MAIN IN STOREROOM
C) WATER - NW CORNER OF WIBLE AND CATTLE DR
D) SPECIAL - NONE
~) LOCK BOX - NO
Fire Protec./Avail. Water 05/19/1998
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS????????
~EAREST FIRE HYDRANT - SE CORNER OF WIBLE AND CATTLE DR.
Building Occupancy Level
-8-
05/09/2000
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F CALMAT CO
I
. í. Training
SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
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F CALMAT CO
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F Training
Employee Training
SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
05/19/1998
WE HAVE 1-5 EMPLOYEES. THIS PLANT DOESN'T OPERATE DAILY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN OFFICE.
BRIEF SUMMARY OF TRAINING: CALMAT TRAINS EACH EMPLOYEE ON AN ANNUAL BASIS
IN THE SAFE HANDLING OF HAZARDOUS MATERIALS. SAFE HANDLING TRAINING
INCLUDES THE USE OF PERSONAL PROTECTIVE EQUIPMENT SUCH AS CHEMICAL RESISTANT
GLOVES, EYE PROTECTION AND RESPIRATORS. ALL EMPLOYEES ARE INSTRUCTED TO
FOLLOW MSDS RECOMMENDED HANDLING PROCEDURES AND CHECK WITH THEIR SUPERVISOR
IF A QUESTION ABOUT CHEMICAL HANDLING OCCURS. APPROVED SAFETY CANS, PUMPS
AND CONTAINERS ARE USED WITH ALL HAZARDOUS MATERIALS.
~MPLOYEES ARE TRAINED TO REPORT ANY HAZARDOUS MATERIAL PROBLEMS TO THEIR
DIRECT SUPERVISOR. ALL CALMAT SUPERVISORS ARE TRAINED TO USE THE SITE
~MERGENCY PLAN AND TO NOTIFY THE FACILITY EMERGENCY COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES AND TRAINED TO TAKE THE APPROPRIATE ACTION REQUIRED
I
BY LAW. THE FACILITY EMERGENCY COORDIANTOR'S MAIN CONTACT WOULD BE THE FIRE
DEPT IN THE EVENT OF AN INCIDENT.
FACILITY EMPLOYEES ARE TRAINED ON AN ANNUAL BASIS IN CHEMICAL HAZARD
IDENTIFICATION AND EMERGENCY RESPONSE. EVACUATION DRILLS AND UPDATES
THROUGH SAFETY MEETINGS ARE GIVEN WHEN NECESSARY TO KEEP FACILITY EMPLOYEES
CURRENT ON PLANS AND PROCEDURES.
eALMAT EMPLOYEES ARE TRAINED ON AN ANNUAL BASIS IN MSDS RIGHT-TO-KNOW
MATERIAL AND FACILITY EMERGENCY RESPONSE PROCEDURES. UPDATES AND REFRESHER
TRAINING ARE GIVEN AT SAFETY MEETINGS WHEN NEEDED. INDIVIDUAL TRAINING
RECORDS ARE MAINTAINED ON SITE AT A DESIGNATED LOCATION FOR INSPECTION BY
THE FIRE DEPT.
ALL FIELD PERSONNEL HAVE BEEN ISNTRUCTED ON PROCEDURES TO FOLLOW IN CASE OF
TANK SPILLAGE: /
1. INSPECT FACILITY DAILY FOR ANY SIGNS OF SPILLAGE.
2. IMMEDIATELY NOTIFY FACILITY MANAGER UPON DISCOVERY OF A SPILL OR RELEASE.
3. FACILITY MANAGER NOTIFY FIRE DEPT X 911 IF EMERGENCY ASSISTANCE IS
REQUIRED AN IF SPILL EXCEEDS ONE BARRELL (42 GAL) qR OTHERWISE THREATENS
PERSONNEL OF THE WATER SUPPLY.
~. FACILITY MANAGER NOTIFY ENVIRONMENTAL DEPT X 3229.
5. DIRECTOR OF ENVIRONMENTAL AFFAIRS OR ENVIRONMENTAL DEPT DESIGNEE TO
DETERMINE IF AGENCIES BELOW REQUIRE NOTIFICATION.
OES - OFFICE OF EMERGENCY SERVICES (STATEO 800-852-7550
NATIONAL EMERGENCY RESPONSE CENTER 800-424-8802
INFORMATION TO BE PROVIDED:
A) EXACT LOCATION OF SPILL
B) NAME OF PERSON RESPORTING THE SPILL
C) THE HAZARDOUS MATERIAL INVOLVED
D) ESTIMATE OF THE QUANTITY OF MATERIAL RELEASED
E) POTENTIAL HAZARD POSED BY THE SPILLED MATERIAL.
VISQUINE, 6 MIL THICKNESS, IS KEPT ON SITE IN ORDER TO SEGREGATE ANY
CONTAMINATED SOIL. A LOADER IS ALSO AVAILABLE FOR CONSTRUCTING BERMS AND
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05/09/2000
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Held for Future Use
SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
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F CALMAT CO
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F' Training
r Page 2
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Held for Future Use
"
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05/09/2000
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SiteID:
CALMAT CO
(805) 83 - 0
CommHáz : Moderate
FacUhits: 1 AOV:
BusPhone:
Map : 123
Grid: 13C
Manager : TONY SMITH
Location: 4801 WIBLE RD
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 05
EPA Numb:
/ Title
/ PLANT MGR
(805) 835-4816x
(805) 664-8482x
(805) 329-0586x
/ Title
/ DISTRICT MGR
(805) 835-4815x
(805) 872-6154x
(805) 979-9210x
Emergency
TONY SMI
Busine s Phone:
24-H r Phone
pag Phone
Emergency Contact
GENE WESLOW
Business Phone:
24-Hour Phone
. Pager Phone
React ImmHlth DelHlth
Hazmat Hazards:
Phone: (805) 835-4800x
State: CA
Zip 93313
Phone: (805) 835-4800x
State: CA
Zip 93313
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact :
MailAddr: PO BOX 22800
City BAKERSFIELD
CALMAT CO
PO BOX 22800
BAKERSFIELD
0wner
Address
City
Period
Preparer:
Certif'd:
to
Emergency Directives:
A JOINT INSPECTION. PLEASE CALL ENV SVCS
HOWARD WINES.
THIS IS AN SPCC SITE AND
AND SCHEDULE THIS INSPE
F Hazmat Inventory One Unified List ì
~ Alphabetical Order All Materials at Site ì
Hazmat Common N SpecHaz EPA Hazards DailyMax MCP
CALCIUM CHLORIDE IH L 300 GAL Hi
DARAVAIR R L 500 GAL Mod
DIESEL #2 F IH DH L 400 GAL Low
PORTLAND CEMENT DH S 400000 LBS Min
SIKA 161 ? ? ? ? ? L 25 GAL UnR
SIKA ABA 15 ? ? ? ? ? L 25 GAL UnR
WRDA 79 R L 1500 GAL Hi
08/12/1999
-1-
¥'<' .
.-
~--,-
-'T~- u._~. ~
CUST~E & NO. ES -(')qq 7
~
--
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE3 -~ -Ð
NEW ACCOUNT 1
ADDRESS CHANGE
CLOSE ACCT i
: FINANCE CHARGE
, OTHER AOJ I
CUSTOMER NAME CaJ MoJr C 0
MAILING ADDRESS PO. bð¡( ~~oO
CllY A~~~ P-l eJJ STATE ( A
S!ITE ADDRESS L-t~o \ 0', \u \'f Rø >
ZIP CODE CJ33Q()
PAACELNUMBER
(lFIAPPUCABlE)
ADJUSTMENT
I
\ R~Af~S:'o;:; ~b ~ùr~~~ doJ\J'v~
\
'APPROVED BY_~
.y----~
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CITY OF BAKERSFIELD FIRE DEPARTMENT ,.~~
OFFICE OF ENVIRONMENTAL SERVICES ,,') ~
UNIFIED PROGRAM INSPECTION CHECKLIST ~
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
F ACILlTY NAME
INSPECTION DATE ì d- / fs I q ~
.
PHONE NO.
BUSINESS ID NO. 15-210-;:)1 Ç'-(JOl'/ -OOt>$" gD
NUMBER OF EMPLOYEES
tf~ (().
ADDRESS l.\~D( . ,'~~ .
F ACILlTY CONTACT
INSPECTION TIME
/
Section I:
Business Plan and Inventory Program
~ombined
D Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
D Routine
OPERA TION C V COMMENTS
Appropriate permit on hand ~A,'f .,/; ¿//' f V ¡un )~ t;r...
Business plan contact information accurate ~Q'(,fCjtf diAl ,¿ v C¿¡ / ",.,o.f ¡;tn.d
Visible address w/il ¿~ /JI1d,~J ~ It.. <. &~""'P-
Correct occupancy ¿"'t. £, &/1, 'Í v .
Veritication of inventory materials þtWPtl'~ wIll £ 110 /.01 ¡;.,p
I~/~ . ,
Veritication of quantities OJ...
Veritication of location
Proper segregation of material A ¡. ,prc!--f þ",1 IL (, .4Jn;lÆlfr/Y
)~/~r V{{J /¡~p~k ~
Veritication ofMSDS availability ,{
..
Verification of Haz Mat training ~"'-~ Áh',,..1 /~ QJ'
Veritication of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes
DNo
White - [nv, S\'es,
Yellow - Station Copy
Pink - BlI~incss Copy
Business Site Responsible Party
Inspector: ,;¡ii1f ~
Questions regarding this inspection? Please call us at (805) 326-3979
.
CITY OF BAKERSIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979
~ò
FACILITY INFORMATION
Page Of
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I.FA.Cll..ìTY,ìDENTIFICA.TIÔN'b;/ ';'" ,,;Þl"~~ .,.,
:,¡:S:-':,,' .::, ;;"",.-: ._-h'~::¡ ~/.:. -, -.:::.<' ¡~,"-" :..:-, ,': ,..; ":" >:. ,': ...'C';; :.<::::::-i;:.:,,' : :<:' ,-', :'- ',~(~:-:. ;"',
1 Year Beginning 100 Year Ending
BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As)
Cf'<l- A l'
3 BUSINESS PHONE
102 ,
SITE ADDRESS
103 '
4 <is() I
WfC>L.e
CITY
104 CA ZIP
105
DUN&
BRADSTREET
106 SIC CODE
(4 Digit #)
107
,,~::~Jjãil~~~~,~i:ç~,;(
119 ¡
J
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COUNTY
OPERATOR NAME
.' :~::>:.:;.~~ :<~:Y~;i~1;~;}{%>i/};( ~': :};;j ~:;),~:~: / ;:-;;1:j;~:(~;: -:~;ri>~<~%:::!1!:}K: '
IIjR~OWNER~INF,ORMA'TIQN1;~~.
.' -::-,,<';¡;~·:::_:r:-::::;·~::_~J.<:',~~~f·(·:':.":.:::,Ý.0~':-:;':f'.::t:f;Vi.~:,~W:é',·):';'·:.'-< :::~(::::/:1<::Z'Z
OWNER NAME
OWNER MAILING
ADDRESS
CITY
CONTACT NAME
CONTACT MAILING
ADDRESS
Cln:
NAME
,
120 STATE ZIP
:;:L0/:~~~:~~></,~:}·j!)~}::,:/;:}~~~;~:.~:>,::~"~~::~~:~X~:;.,:~~~:J.j;~;:;?)-:f·~':~:~:?~:;[!J.;}::0~~~:::': ,('\ ' t' : 'u '.'. "./.:'~-<' ~ '}"'~.
, ,.,fEMERGEN~'l;:C_QN¡rACTSÆ~;;";;,£~if"ff;: " : lSECONDARY'-' '- "
'";.':' f·~~/;~::~r,/z~;><;;.'.('~'.·,:.;.,'h.;.<.:<~'· (.,,:.>.,,':};:: :.:' '~, :-,~,,:-:y,~~.~,~~",:,:.<"._"%.:~:ç;::~<ø{.: ':?::~;.t/fhtt...;~;h::-;;§;~j-:'· «~ " '" ,""'"*. '. ,'--' ;~, ~t'../ :
123 NAME (ON<! ::; fvl ,1t-f
125 TITLE ~LA...J, rvt G-fL
126 BUSINESS PHONE -g '35' - 4 '8 16
127 24-HOUR PHONE 0(ó &:/ - '84 '8"-
128 3 ZC¡ - OS-%
,
122 i
I
" >g~Th2:~;t
TITLE
BUSINESS PHONE
24-HOUR PHONE
129 I
I
130 !
131 ;
I
132 :
133
Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have per onally examined
and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete.
SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 :
NAMES OF OWNER/OPERATOR (print)
136 TITLE OF OWNER/OPERATOR
137 :
0eJ~
~ Mc-!oy
----.-
~--
OES FORM 2730 (7/98)
P,IOES2730,TV4,wpd
CITY OF BAKERSFIJilrD
.FFICE OF ENVIRONMENT.SERVICES
1715 Chester Ave., CA 93301 (805) 326-3979
TYPE OF ACTION
(ChOCk one item only)
o 1 NEW SITE PERMIT
o 3 RENEWAL PERMIT
o 4 AMENDED PERMIT
UNDERGROUND STORAGE TANK FACILITY
Page of
o 5 CHANGE OF INFORMATION (State type of change)
o 6 TEMPORARY SITE CLOSURE
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
I. FACILITY I SITE INFORMATION
3 FACILITY ID #
NEAREST CROSS STREET
BUSINESS
TYPE
o 3 FARM
o 4 PROCESSOR
o 5 OTHER 403
o 6 COMMERCIAL
01 GAS STATION
o 2 DISTRIBUTOR
TOTAL NUMBER OF TANKS
REMAINING AT SITE
401
FACILITY OWNER TYPE
o 1 CORPORATION
o 2 INDIVIDUAL
o 3 PARTNERSHIP
Is facility on Indian Reservation or
trustlands?
·If owner of UST a public agency: name of supervisor of
division. section or office which operates the UST.
(This is the contact person for the tank records,)
404
ONo
DYes
405
II. PROPERTY OWNER INFORMATION
PROPERTY OWNER NAME
MAUliNG OR STREET ADDRESS
CITY
PROPERTY OWNER TYPE
o 2 INDIVIDUAL
o 3 PARTNERSHIP
01 CORPORATION
410 STATE
o 4 LOCAL AGENCY / DISTRICT
o 5 COUNTY AGENCY
C,'
III. TÁN~bw.NER.lNFORMA TION
TANK OWNER NAME
MAIl!ING OR STREET ADDRESS
crN
TANK OWNER TYPE
o 2 INDIVIDUAL
o 3 PARTNERSHIP
o 1 CORPORATION
417 STATE
o 4 LOCAL AGENCY / DISTRICT
o 5 COUNTY AGENCY
IV. BOARD OF ÉQUALlZATIO~ UST STORAGE FEE ACCOUNT NUMBER
TV (TK) HQ
Call (916) 322-9669 if questions arise
INDICATE METHOD(S)
V. PETROLEUM UST FINANCIAL RESPONSIBILITY
o 1 SELF-INSURED
o 2 GUARANTEE
o 3 INSURANCE
o 4 SURETY BOND
o 5 LETTER OF CREDIT
o 6 EXEMPTION
o 7 STATE FUND
o 8 STATE FUND & CFO LETTER
o 9 STATE FUND & CD
CheCk one box to indicate which address should be used for legal notifications and mailing,
Legal notification and mailing will be sent to the tank owner unless box 1 or 2 ;s checked,
·VI. LEGAL NOTIFICATION AND MAILING ADDRESS
o 1 FACILITY
o 2 PROPERTY OWNER
o 3 TANK OWNER
VII. APPLICANT SIGNATURE
Certification: I certify that the information provided herein is true & accurate to the best of my knowledge
SIG"IATURE OF APPLICANT
NAME OF APPLICANT (print)
STATE UST FACILITY NUMBER (For local use only)
(Formerly SWRCB Form A) July 1, 1998
DATE
426 TITLE OF APPLICANT
o 7 PERMANENTLY CLOSED SITE
o 8 TANK REMOVED
o 4 LOCAL AGENCY/DISTRICT'
o 5 COUNTY AGENCY·
06 STATE AGENCY·
o 7 FEDERAL AGENCY·
407 PHONE
411 ZIP
06 STATE AGENCY
o 7 FEDERAL AGENCY
PHONE
418 ZIP
o 6 STATE AGENCY
o 7 FEDERAL AGENCY
o 10 LOCAL GOV'T MECHANISM
o 99 OTHER:
424 PHONE
1998 UPGRADE CERTIFICATE NUMBER (For local use only)
P:\USTFAC-A,FM4.wpd
400
402
406
408
409
412
413 I
i
!
I
I
I
415
416
419
420
421
422
423
425
427
..e
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME
CAuvtA,-
INSPECTION DATE I l../1,. /9 ß
Section 2:
Underground Storage Tanks Program N'vlé :: S, 'íE: (S NOT ðp(.Jt..ArTr"""'/4-f-
o Routine 0 Combined
Type of Tank
Type of Monitoring
. Joint Agency 0 Multi-Agency
Number of Tanks
Type of Piping
ORe-inspection
OPERA TION
COMMENTS
Proper tank data on tile
Proper owner/operator data on tile
PellTlit fees current
Yes
No
Section 3:
Aboveground Storage Tanks Program
,( /() 00
TANK SIZE(S) _ L/
Type 0 f Tank (~)(..{ > p,.sC:r
AGGREGATE CAPACITY
('AA\I' úJNFotlV"l~ Number of Tanks
(oeD
(
OPERATION Y N COMMENTS
SPCC available t/ -r/Jrv.../IL v-ftu... 'Su.:>..J ßE ~~~
SPCC on file with OES V
Adequate secondary protection V
Proper tank placarding/labeling V
Is tank used to dispense MVF? /"
If yes, Does tank have overfilJ/overspilJ protection? V
C=Compliance
V=Violation
Y=Yes
N=NO
Inspector:
. Oftïce of Environmental Services (805) 326-3979
White - Env, Svcs,
t~(NC?
ÙN IVtAJ-rJ<;';-ç> $~ "\'E
Business Site Responsible Party
Pink - Business Copy
"
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,è
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
HAZARDOUSMATEmALS~NTORY
FACILITY DESCRIPTION
CHECK IF BUSINESS IS A FARM [ ]
BUSINESS NAME
C.ALJI}AT L~
FACILITY NAME
LùJ13L£ ST
/?.. M.e...
SITE ADDRESS
~gLJ/ LJ/f3LE.. ST
CITY 13AJ.(£Jls.FJE'LLJ
STATE C. A
ZIP 933/3
NATURE OF BUSINESS ¡OJUjLJLL~EÆ. - ILé..AtJY MIX f2LJNt2A.ETE
SIC CODE
DUN & BRADSTREET NUMBER
OWNER/OPERATOR C.JJLMAT PHONE L~as-'J 55.35'-Ljf{LJ/J
MAILING ADDRESS fl. LJ. f3n X '2 Z:8LJLJ
CITY ß /1/-<.£12..5 1='/ ELL]
STATE c.tJ .
ZIP 93.3 9b
EMERGENCY CONTACTS
NAME GEN~ LJ£.5LLJ¿J TITLE lJl.sT: MAIt/f}Ll:JEÆ.
BUSINESSPHONEi8l2S:"J ~:?.s--~2/S:- 24HOURPHONEL&ls""J 87Z-fL,/s9 I-
NAME LJ£)/I/ MA~A/::J TITLE fJll.¿JLJdc.ntJAI MI9NASE/t...
BUSINESS PHONE Œ175"J g:¡<J-LJ/.3L 24 HOURPHO~ .32C¡-:llLJ~
1
iJ'~'::""""":'
-:;
-"
.RDOUS MATERIALS INVENTOtt
Business Name
Address
CHEMICAL DESCRIPTION
,
Page_of_"
i) INVENfORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret[ ] Trade Secret [ ]
f) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #
4) Physical & Health PHYSICAL HEAL TIi
Hazard Categories Fire [ ] Reactive [ ] Sudden Release ofPreSSW'e [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [
5) WASTE CLASSIFICATION
(3~git code ftom DHS Fonn 8022)
6) PHYSICAL STATE
Liquid [
Pure [
Gas [ ]
Solid [
~) AMOUNT AND TIME AT FACILITY
Maximwn Daily Amount
Average Daily Amount
Annual Amount
Largest Size Container
# Days on Site
UNITS OF MEASURE
Lbs [ ] Gal [ ] ft3 [
Curies [ ]
Circle Which Months:
9)~: LiM
. the three mOM hazardous I)
, chemical components or 2)
any AHM components 3)
COMPONENT'
IO)LOCATION
, ...
'.
USE CODE
Mixture [ ] Waste [ ] Radioactive [
8) STORAGE CODES
a) Container:
b) PreSSW'e:
c ) Temperature
\ "
All Year, J, F, M, A. M, J, J, A. s. 0, N, D
CAS#"
%wr
AHM
[ ]
[ ]
[ ]
" :-
1) INVENfORY STATUS: Nèw [ ] Addition [ ] Revision t ] Deletion [ Check if chemical is a NON Trade Secret [ ] Trade Secret [ ]
2) Common Name: 3) DOT # (optional)
, Chemical Name: AHM [ ] CAS #
" '
4) Physical & Health
I Hazard Categories
PHYSICAL ' ' , \ HEALTIi
Fire [ ] Reactive [ ] Sudden Release ofPreSSW'e [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [
5) WASTE CLASSIFICATION
6) PHYSICAL STATE' . Solid [
(3-digit code fÎomDHS Form 8022)
Liquid [
Gas [ ]
Pure [
7) AMOUNT AND TIME AT FACILITY
Maximwn Daily Amount
Average Daily Amount
Annual Amount
LargeM Size Container
# Days on S~te
\ " \.
UNITS OF MEASURE
Lbs [ ] Gal [ ] ft3 [
Curies [ ]
Circle Which Months:
9)~: List
ithe three mOM hazardous 1)
Ichemical oomponents or 2)
'any AHM ~mponents 3)
, '
COMPONENT
. ,
10)LOCATION
"
USE CODE
Mixture [ ] Waste [ ] Radioactive [
8) STORAGE CODES
a) Container:
b) Pressw-e:
c) Temperature
All Year, J, F, M, A. M, J, J, A. s. 0, N, D
, ',\' ,', \ '\
CAS#
%wr
AHM
[ ]
[ ]
[ ]
'. ,'''.
....,
I certify under þerÙùty oflilw, that I havè personally examined and am familiar with the ihfoÌmation on this and all attached documents. I
believe the submitted infonnation is true, accurate and complete.
PRINT Name & Title of Authorized Company Representative
Signature
Date
'.0
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COMPANY
SiteID: 215-000-000580
Manager ToNY .5.MI'r/.J
Location: 4801 WIBLE RD
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 05
EPA Numb:
BusPhone:
Map : 123
Grid: 13C
(805)
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:3273
DunnBrad:053001617L
~mergency Contact / Title Emergency Contact / Title
'!GENE- NE5Lbw / 1J/.s~ - MANAGER [JON MAf,LJ.NY / .fJ/UJiJ. MANß-Il:£IG. '
Business Phone: (805) 2:SS::- /f8/S- Business Phone: (805) ß3q-ð/2 z -
24-Hour Phone : (805) &7Z -£'J.5'Y, 24-Hour Phone : (805) ;3Z</- 3'3LJ£>
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire React ImmHlth DelHlth
Emergency Directives:
'J:'HIS IS AN SPCC SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS
AND SCHEDULE THIS INSPECTION WITH HOWARD WINES.
F Hazmat Inventory One Unified List ì
p== MCP+DailyMax Order All Materials at Site ì
Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP
WRDA 79 R L 1500 GAL Hi
CALCIUM CHLORIDE IH L 300 GAL Hi
IDARAVAIR R L 500 GAL Mod
!DIESEL #2 F IH DH L 400 GAL Low
PORTLAND CEMENT DH S 400000 LBS Min
SIKA 161 ? ? ? ? ? L 25 GAL UnR
SIKA AEA 15 ? ? ? ? ? L 25 GAL UnR
-1-
02/18/1998
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SiteID: 215-000-000580 ì
Facility Unit: Fixed Containers on Site ì
F KERN ROCK COMPANY
p= Inventory Item 0005
~ COMMON NAME / CHEMICAL NAME
WRDA 79
Days On Site
365
Location within this Facility Unit
BATCH PLANT
Map:
Grid:
CAS #
102-71-6
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1500.00 GAL
Daily Average
100.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
3.00 Triethanolamine No 102716
Diethanolamine No 111422
2.00 Formaldehyde (EPA) Yes 50000
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Hi
p= Inventory Item 0004
p= COMMON NAME / CHEMICAL NAME
CALCIUM CHLORIDE
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
E SIDE OF PROPERTY NEAR FENCE
Map:
Grid:
CAS #
10043-52-4
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 GAL
Daily Average
150.00 GAL
U
%Wt. RS CAS #
33.00 Calcium Chloride No 10043524
HAZARDO S COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
HAZARD ASSESSMENTS
-2-
02/18/1998
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SiteID: 215-000-000580 ì
Facility Unit: Fixed Containers on Site ì
F KERN ROCK COMPANY
p= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
DARAVAIR
Days On Site
365
Location within this Facility Unit
E SIDE OF PROPERTY NEAR FENCE
Map:
Grid:
CAS #
1310-73-2
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average
50.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
2.00 Sodium Hydroxide No 1310732
HAZARD ASSESSMENTS
T$ecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
.No No No No/ Curies R / / / Mod
p= Inventory Item 0001
~ COMMON NAME / CHEMICAL NAME
IHESEL #2
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
CENTER OF YARD
Map:
Grid:
CAS #
68476-34-6
CONTAINER TYPE
ABOVE GROUND TANK
r · ?TA~E T TYPE ~ P~ESSURE I TEM~ERATURE I
L1qu1d Pure Amb1ent Amb1ent
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 GAL
Largest Container
GAL
Daily Average
200.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
·No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMENTS
-3-
02/18/1998
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SiteID: 215-000-000580 ì
Facility Unit: Fixed Containers on Site ì
F KERN ROCK COMPANY
p= Inventory Item 0006
F= COMMON NAME / CHEMI CAL NAME
PORTLAND CEMENT
Days On Site
365
Location within this Facility Unit
BATCH PLANT
Map:
Grid:
CAS #
65997-15-1
STATE - TYPE
Solid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
400000.00 LBS
Daily Average
200000.00 LBS
HAZ US MP ENTS
%Wt. RS CAS #
100.00 Portland Cement No 65997151
ARDO
CO ON
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Min
p= Inventory Item 0007
F= COMMON NAME / CHEMICAL NAME
SIKA 161
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
CONTAINER TYPE
ABOVE GROUND TANK
[ . STATE - TYPE
Liquid TMixtur;-¡
PRESSURE I TEMPERATURE I
AMOUNTS AT THIS LOCATION
Daily Maximum
25.00 GAL
Largest Container
GAL
Daily Average
6.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
G
CAS #
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies ? ? ? ?? ?? / / / UnR
HAZARD ASSESSMENTS
-4-
02/18/1998
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SiteID: 215-000-000580 ì
Facility Unit: Fixed Containers on Site ì
F KERN ROCK COMPANY
f= Inventory Item 0008
= COMMON NAME / CHEMICAL NAME
SIKA AEA 15
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
CONTAINER TYPE
ABOVE GROUND TANK
[ ,., ~TA~E - TYPE
=L~qu~d ~Mixtur~
PRESSURE ===r TEMPERATURE ~
AMOUNTS AT THIS LOCATION
Daily Maximum
25.00 GAL
Largest Container
GAL
Daily Average
6.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
~I
CAS #
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies ? ? ? ?? ?? / / / UnR
-5-
02/18/1998
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SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
03/24/1993
F KERN ROCK COMPANY
I
p=Notif./Evacuation/Medical
Agency Notification
AND NOTIFY THE STATE OFFICE OF EMERGENCY SERVICES AT
Employee Notif./Evacuation
03/24/1993
NOTIFICATION WILL BE VERBAL AND THE STAFF WILL EVACUATE TO THE DESIGNATED
AREA. THE CORPORATE OFFICE WILL THEN BE CONTACTED.
Public Notif./Evacuation
03/24/1993
EVACUATION OF THE PUBLIC WOULD BE UNDER THE DIRECTION OF THE BAKERSFIELD
FIRE DEPARTMENT.
Emergency Medical Plan
03/24/1993
MERCY HOSPITAL
MEMORIAL HOSPITAL
- 2215 TRUXTUN AV - 327-3371
- 420 34TH ST - 327-1792
WILLARD CHRIATIANSEN - 327-9617
~L AMBULANCE - 832-0123
GOLDEN EMPIRE - 327-9000
-6-
02/18/1998
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SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
01/17/1996
F KERN ROCK COMPANY
I
p= Mitigation/Prevent/Abatemt
Release Prevention
THE QUANTITIES OF HAZARDOUS MATERIAL STORED AT THE FACILITIES ARE MINIMIZED.
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAR AND UNCLUTTERED. CONTAINERS OF
HAZARDOUS MATERIALS ARE CHECKED PERIODICALLY FOR LEAKS, RUST, AND CORROSION.
EMPLOYEES ARE REQUIRED TO USE PERSONAL SAFETY EQUIPMENT AND REVIEW MSDS
COPIES. SIGNS ARE POSTED AND HAZARDOUS MATERIALS ARE LABELED.
Release Containment 01/17/1996
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAN AND UNCLUTTERED.
Clean Up 01/17/1996
SPILLED MATERIALS ARE DISPOSED OF IN ACCORDANCE WITH LOCAL, STATE AND
FEDERAL REGULATIONS. THE FIRE DEPARTMENT WILL BE NOTIFIED IMMEDIATELY IF
FACILITY PERSONNEL CANNOT CONTAIN THE EMERGENCY.
Other Resource Activation
-7-
02/18/1998
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SiteID: 215-000-000580 ì
Fast Format ,
Overall Site ì
I
F KERN ROCK COMPANY
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
03/24/1993
A) GAS - NONE
B) ELECTRICAL - SW CORNER ON THE GROUND FLOOR/MAIN
C) WATER - NW CORNER OF WIBLE AND CATTLE DR
Ð) SPECIAL - NONE
E) LOCK BOX - NO
IN STOREROOM
Fire protec./Avail. Water
03/24/1993
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS????????
LOCATION OF NEAREST FIRE HYDRANT - SE CORNER OF WIBLE AND CATTLE DR
Building Occupancy Level
-8-
02/18/1998
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SiteID: 215-000-000580 ì
Fast Format ì
Overall Site ì
03/24/1993
F KERN ROCK COMPANY
I
F Training
. Employee Training
WE HAVE 1-5 EMPLOYEES. THIS PLANT DOESN'T OPERATE DAILY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN OFFICE.
BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE SHOWN WHERE HAZARDOUS MATERIALS
ARE STORED. THEY ARE SHOWN WHERE FIRE EXTINGUISHERS AND PERSONAL PROTECTION
EQUIPMENT ARE LOCATED AND INSTRUCTION ON THEIR USE. THIS ORIENTATION IS
~IVEN BY THE PERSONAL DEPARTMENT AND THE TOUR OF THE FACILITY IS GIVEN BY
THEIR DEPARTMENT SUPERVISOR OR DESIGNEE.
1. READING A MATERIAL SAFETY DATA SHEET, AND WHERE TO FIND THEM.
2. REVIEW OF ALL MATERIAL SAFETY DATA SHEETS FOR CHEMICALS THAT MAY BE IN
THEIR WORK AREA.
3. WARNING ABOUT ALL HAZARDOUS MATERIALS AND WASTES IN THEIR WORK AREA.
4. HOW TO READ HAZARDOUS COMMUNICATION LABELS ON CONTAINERS.
5. USE OF PERSONAL SAFETY EQUIPMENT REQUIRED FOR EACH CHEMICAL.
6. REVIEW BUSINESS EMERGENCY PLAN. READ PLAN AND SIGN CERTIFYING THEY
tJNDERSTAND IT.
7. SAFE HANDLING AND HAZARD PREVENTION PROCEDURES AS DESCRIBED UNDER PLAN.
8. USE OF A FIRE EXTINGUISHER AND OTHER EMERGENCY EQUIPMENT.
9. EVACUATION PROCEDURES, AS IDENTIFIED UNDER EVACUATION PLAN.
10.WATCH FOR LEAKS, VAPORS, OR OTHER INDICATIONS OF POTENTIAL HAZARDS.
r Page 2 I
I Held for Future Use I
I Held for Future Use I
-9-
02/18/1998
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
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
BUSINESS NAME: t..ALMAr CCJ
LOCATION:
~ZLJJ tJJ13LE
¡¿IJALJ
CITY: ß/JJ.( ~ ILS PJ /tLn
22 gLJLJ ~ ßAJ< E./l..SF-'/E.LÐ. CA.
, "
STATE: CIJ ZIP: 933/3 PHONE:
fJ3390
MAILING ADDRESS: Þ, /), ~LJ y:
DUN & BRADSTREET NUMBER: SIC CODE:
PRIMARY ACTIVITy:PflLJiJtlt.E¡¿ - J<E..AlJY MIX c...fJNe..Æ.Eí£
OWNER:
c..AL MAT /21
MAILING ADDRESS: fl,!), l3lJX 29.5:'0
L.A.
CA~
9 /J CS'J
SECTION 2: EMERGENCY NOTIFICATION
CONTACT
TITLE
BUS. PHONE
24 HR. PHONE
2. (JlJN MALON Y
iJ/S.T MAN~!lJE/L Œ.t5"J 8.3S-"I8/.s- L8aS'J 27..2 -.IdS£!
JO/UJLJ. JVJAIJ¡:ß~¡¿ tzas-J Z3CJ-LJ/.3Z [Z{)$') .:12'1 -.3.:!,{)¿'
1. C,ENE ttJE..SLOLJ
1
CALMAT.I/A
8058342836
P.06
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FEB-18-98 12:42 PM
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BAZARDOUSMAT RMLSMANAGEMENTPLAN
SECTION 3: TRAINING
NUMBER OF EMPLOYEES: '
MATERlAL SAFETY DATA SHEETS 0
BRIEF SUMl\1ARY OF TRAINING PRO
CalMat--tr-aiRS--eacÅ-emplg.yee-oR-aR-aRooal-basls-m-the-saf-e-haRdliRg-of-haz-aJ:dGUS--materials.
Safe handling training includes the use of personal protective equipment such as chemical
resist-ant-gloves-;-eye-protect1on;-and-respirators-;--AH--emptoyees-are-:-infttCted to foHow
MSDS recor:nmended handling procedures and check with their supervisor if a question about
chemical I1mrdllng occurs. Approved safety cans, pumps, and contaIners are used wIth all
hazardous materials.
¡
Employees are trained to report any hazardous material problems to their direct supervisor.
All CalMat supervisors are trained to use the site emergency plan and to notify the facility
emergency coordinating activities with response agencies and trained to take the appropriate
action required by law. The facility emergency coordinator's main contact would be the Fire
Dep::lrtrneflt in thp t:'vpnt nf ::In inr.icient
Facility empleyee-s--are-tr-aiAed-en an aA AtJal-basts-ilH7Äemisa I , hazard identification and
emergency response. Evacuation drills and updates through safety meetings are given when
IIt:Ct:::>::>dJY Lo keep ràciliL~ employees CUllellt Oil plal15 àlld plOcedules.
. CalMat employee~. are tramed on an annual basIs m MSDS Right-to Know material and facIlity
emergency response procedures. Updates and refresher training are given at safety meetings
when needed. In~ividual training records are maintained on site at a designated location for
inspection by the fire department.
All field personnel have been instructed on procedures to follow in case of tank spillage:
1.
2
3.
4.
5.
,.
IRs peGt-f-aGilit.y-daily-fur-anv-signS-Gf-spilla g e.
Immediately notify Facility Manager upon 'discovery of a spill or release.
racility-Manager-notify-fire-Bepartmen~-9+1-1f-emergency-assist-ance-is
required and if spill exceeds one barrel (42 gallons) or otherwise threatens
personnel or the water supply.
Facility Manager notify Environmental Department at X 3229.
Director of, Environmental Affairs or Environmental Dept designee to determine
if agencies below require notification. .
OES - Office of Emergency Service (State) (800) 852-7550
National Emerg~_Be.sponse Center (800) 424-8802
Information to be provided:
a) Exact-Jocatiol1--Of-spill
b) Name of person reporting the spill
c;) T-he-hazardous-mater-iaHnvolved
d) Estimate of the quantity of material released
e) Potentta11mzaYds-p-o-sm!-byttTe-sþilhrd-materiãl.
Visquine, 6 mil thickness, IS kept on site m order to segregate any contaminated SOI..--A:
loader is also available for constructing berms and dikes around the spillage area and
segregating contaminated soil if require~.,
FEB-18-98 12:42 PM CALMAT.I/A
81358342836
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IDALSMANAGEMENTPLAN
~UATIONPROCED~S
A. . AGENCY NOTIFICATION PROC 'DURES:
The facility emergency coordinator or his alternate would also notify or order an employee
to call the agencies and individuals on the emergency call list. The facIlity emergency
coordinator or his alternate would also follow the emergency plan and insure that ~II
required facility shutdowns of emergency switches or utilities take place. The emergency
coordinator would assign employees to guide or "Bird-dog" incomin~ emergency units, and
take a head count of facility employe~$ and visi~ors }~(the assembly area. The'facility
emergency coordinator is responsi'ble":f'or' tHe immediate notification of aU age1ci~5if' 'th~ :
event of an incident, release or threatened release of hazardous materials.
B.
EMPLOYEl! NOTIFICATION fACUATION:
I
.. ---
In the event of a hazardous material emergency, the facility emergency coordinator, or his
alternate, \-,,'iII determine-U-facility e'facuation is required If an e"aclIation is required. all
employees, and any visitors, would be notified by word of mouth, telephone, radio, or
illtelcollI to pro Geed to main evacuation area at outside sGBlehouse building at visitor
parking area.
c.
PUBLIC BV ACUATION:
-S~ {YY\ \~
-Þr5
~ACe.~\? ~ 6 'A-~"f ~
D. EMERGENCY MEDICAL PLAN:
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3
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FEB-1S-98 12:43 PM CALMAT.I/A
81358342836
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A. RELEASE PREVENTION STEPS:
HazaroOUS naterials on site are stored in special storage areas. Incompatible chemicals
are isolated or separated. All oompressed gas cylinders are stored uprJ.gnt wJ.tn 1:he cap~
on and secured by chains or straps. "No Smoking" and other hazard warning signs are
used throughout the facility. Safety rules and procedures are enforced at our sue
and ] i ne rranagel1"ent mJnitors' our operation for chemical related. hazards. It is our
practice to correct any unsafe conditions irnœdiately, and comply with all fire axles
At-PC! to hA7.;::¡rnOl1~ TTli'itp.ri ñ 1 ~ _ " '
responder aid in case, of ìnJury. When notlÍJ.ed of a nazaraous--na1:erJ.a.1.p_
site emerqency coordinator would respond by notifying the Fire Depa.rtment if necessary.
In a najor incident an emergency response contractor wouJ..a. œ cal.leð. in to d~~i~L ill
rnìtiqation or hazard abateIœnt. Because of the type, and limited chemical volune used
at our facility', CalMat mitigation response is oriented to control srrall spill~ of
flarmable or sliqhtl y toxic liquids.
.
trained to use personal protective equipment such as chemical resistant gloves, and eye
protection. a at emp oyees are rame 0 I e Spl so non- OXIC ma erla s WI san
and absorbent material by using shovels or mobile equipment. Employees are also trained
in the use of plant fire extinguishers and first aid equipment. All materials contaminated
by a spill or release of hazardous chemicals will be disposed of in ~ccordance with
procedures as mandated by State and Federal Laws. Copies of manifests are kept.
¡'I/U u1\J\L UA~I.t'.KUl' AN.t.:
ELECTRICAL:
WATER:
SPECIAL:
LOCK BOX: YESINO
IF YES, tOCA ION:
SECTION 9: ~R1VATE F1RE PROTECTIO
y
A. PRIVATE FIRE PROTECTION:
B,
WATER AVAILABILITY (FIRE
RANT):
4
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a Bakersfield Fire Dept.
,-FIŒ OF ENVIRONMENTAL SERVIŒS
1715 Chester Ave.
Bakersfield, CA 93301
Date Completed / /- 6 ... <l 7
(fa "'-Me.. l; ,Ke-RA R,,~ I(. · Co ~ f" C:J~
R-,Q, D6>rl r0c&~/
Business Identification No. 215-000.... 000 5 ß () (Top of Business Plan) ~ (Yl~~_
Station No, 7 Shift ß Inspector, J< 0. .) %- \{ '0<" ~ (~ ,
Arrival Time: II; D n Departure Time: ;1< I S Inspection Time: / ~
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I
Fire Protection ~ 0
Electrical () 0 &if'
Comments: -C-l e. "'D A¡R o~ £. ,I e..,c t'1'2; <- l
VJ~Ñ~ I r
UST M~ng ProgrWT\ ~ 0 0
Comments: fV1[í
,
HAZARDOUS MATERIALS IN
CTION
vi
Business Name: C a... \
Location: ~ ß 0 l
K O-"i-
W ~b/e,
Address Visable
Correct Occupancy
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Adequate Inadequate
-- ~
5l 0
öël 0
Q. 0
g. 0
Verification of Facility Diagram
Housekeeping
Emergency Procedures Posted
Containers Properly Labled
Comments:
Comments:
Verification of MSDS Availablity
Number of Employees:
~~
~ 0
'"
~~nnits
Spill Control
Hold Open Device
Hazardous Waste EPA No, íC
.~.
~,
Verification of Haz Mat Training
Comments:
Verification of
Abbatement Supplies and Procedures
~ 0
'iL
Proper Waste Ðlsposal
Secondary Containment
Security
Comments:
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~ o....s }.) tI+ 'ße~\ tot ,J ~ .p-e.. ~Cí.. '<\- ~ ,.J S .,ç-'i<..o rv? 1"' J.,.. \£ .+'ø... c. ~ L· J
!tit Ç)d?-M"T ç )}I?e- ¡S6Qe}l-r-o !tétf1 AJ R.oc./C
Special H'azards Associated with tliis Facility:
Adequate Inadequate
f ~
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~ 0
.- 0
~ 0
g 0
ø- 0
~ 0
91 Cl.
Violations:
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Ill! ¡J( ¡/(¡;
Business OwnerlManager PRINT NAME
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SIGNATURE
All Items O.K 0
Correction Needed ;sl
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White-Haz Mat Div.
Yellow-Station Copy
Pink-Business Copy
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