HomeMy WebLinkAboutBUSINESS PLAN
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KIRK S. CARLISLE
Terminal Manager
&l=morORFREICHT
600 Williams Street
Bakersfield, CA 93305
(805) 324-9681
(800) 362-9509
(805) 324-9693 Fax
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ComplIRt¡
Per
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Operil.te
to
Hazardous Materials/Hazardous Waste Unified Permit
, CONDITIONS OF ,PERMIT ON REVERSE SIDE
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This permit Is Issued for the following:
It! Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
LI Hazardous Waste On-Site Treatment
Permit ID #:: 015-000-000718
'- LocATION: 600 WILLIAMS ST
Issued by:
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'Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES'
,1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576"; -',
Approved by:
Issue Date
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'Expiration Date: ,J,une 30, 2003
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Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
,·:ttt~ardous Materials Plan
"", (ground Storage of Hazardous Materials
agement Program
Waste
600
PERMIT ID# 015-021.000718
CONSOLIDATED FREIGHTWA
LOCATION
Issued by:
WILLIAMS
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
~akersfield, CA 93301
Voice (805) 326-3979
E AX (805) 326-0576
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ffice of ental Servi es
June 30, 2000
Approved by:
Expiration Date:
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DATE: 1//0 Ie ì FACILITY NAJ'iE:
(CHECK ONE)
FACILITY DIAGR.~'i
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SITE DIAGRA)I
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9. Lock (key) Box
10. MSDS Stora~e Box
11. Rei 1 road Tracks
12, Fence or Barrier
a. Wire
b. Masonry
c, Wood
d. Gates
13. Powerlines
14. Guard Station
15. Storall;e Tanks:
Identify the
capacity in 11;111-
a. Above ¡round
b. Under¡round
16. Dikine; or Ber.
17. Evacuation Route
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SITE DrAGRAH (ReqUir)IIÞteaS)
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1. ~ddte9s: Identi(y the
principle buildin~s
by the Street nuabera.
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2. Street(s), Alleys.
Driveways. and Parkina
Areas adjacent to the
property. Include the
street na.es.
3. Stora, Drains. Culverts.
Yard Drains
4. DrainaKe Canals. Ditches.
Creeks.
5. Buildings
a. Frame construction
c. Metal construction
d. Acceas Door
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6, Utility Controls
a. Gaa
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b. Electricity
c. Water
7. Fire Suppression Syste.s:
a. Fire Hydrants
18. Evacuation Area:
Identi(y the
location "here
e.ployees .i11
...t.
b, Fire Sprinkler
Connections
19. Outside Hazardous
Wa.te Storllle
c. Fire Standpipe
Connection.
'aD. Outsida Hazardous
Material StoraKe
d. Water Control Valves
(or protection ayate.s
21. Outside Hazardoua
Material
Uae/Kandlinl
e. Fire PUllP
22. Type of Hazardous
Materid/waate
Stored
or Used (See
Below)
8. Pire Depart.ent Access
TYPE OF HAZARDOUS MATERIAL
F · Pluaable E · Explosive L · Liquid
C · Corrosive 0 · Oxidizer G · Gas
W · Water Reactive T · Toxic S · SoUd
R . Radiolo¡ical
\
P . Poilon
K . Cryolenic
~
o . Waste 8 . Et1olo¡ical
Exaaplt: Fla..able Liquid· FL
FACILITY D!AGRAN (Required it..s in àdditlon to the above)
1. Rhers (or Sprinkler. 8. Pire Escapee
/' 2. Partition. g, Air Conditioninl Untt.
3. Stair"ays: Indicate tbe 10. Windowa
¢- levels served fro.
bleheat to low.at. 11. Inaide Hazardous Waste
stOrll'S
4. Escalator: Indicate the
levels served (ro. la. Inside Hazaróoua
hiah.st to lo"sst. Materiale Storace
5. Elevator 13. Inside Hazardous
Materials Use/Hand1inr
a. AtUc Acces.
14. Sewer Drain Inlets
'7. Skyl1vhta
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SITE/FACILITY DIAGRAM
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DATE: 7 //0/67 FACILITY NAME: 8p,~&fs¡::Jt;?t.Ù
FLOOR:! OF /
UNIT f:: ¡OF I
(CHECl, ONE)
SITE DIAGRAJI
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FACILITY DIAGRA~
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(Inspector's Comments) : -OFFICIAL USE ONLY-
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MADE IN USA
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78100-10
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Moore BUS'Îness
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+ CONSOLIDATED FREIGHTWAYS
----------------------------
----------------------------
SiteID: 015-021-000718 +
Manager :
Location: 600 WILLIAMS ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 28C
(661) 324-9681
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02 SIC Code:4225
EPA Numb: DunnBrad:04-411-0690
+==============================================================================+
+=~=====================================+======================================+
Emergency Contact / Title Emergency Contact / Title
KIRK CARLISLE / TERM MANAGER DAVID COTTER / SUPERVISOR
Business Phone: (661) 324-9681x Business Phone: (661) 324-9681x
24-Hour Phone : (661) 393-3303x 24-Hour Phone : (661) 326-0928x
Pager Phone : () x Pager Phone : () x
+-T-------------------------------------+--------------------------------------+
Hazmat Hazards: Fire Press ImmHlth DelHlth I
+_l____________________________________________________________________________+
Contact : Phone: (661) 327-9681x
MailAddr: 600 WILLIAMS ST State: CA
City : BAKERSFIELD Zip : 93305
+-~.----------------------------------------------------------------------------+
Owner CONSOLIDATED FREIGHTWAYS Phone: (415) 326-1700x
Address: 175 LINFIELD DR State: CA
City : MENLO PARK Zip : 940253799
+-~----------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
+-,----------------------------------------------------------------------------+
Emergency Directives:
KERN SECURITY - 588-4357 (24HRS)
+==============================================================================+
+=.Hazmat Inventory ========================================= One Unified List +
+=T Alphabetical Order ================================= All Materials at Site +
+-~------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... SpecHazEPA Hazards Frm I DailyMax UnitMCP
+--------------------------------+-------+-----------+-----+----------+----+---+
ÇOOLANT F DH L55.00 GAL Low
MOTOR OIL F DH L 55.00 GAL Min
PROPANE E F P IH G 1455.60 GAL Hi
R\5 tll,-\'l \',1'
\"S N'ò lCfY'l-'?fi-- ,).J
b v' S ,'¡í1/e.. ~ .s
.AS
"t'
{O/7 102....
+=~============================================================================+
-1-
03/27/2002
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-
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CITY OF BAKERSFIEIJD FIRE DEPARTMENT
OFFICE OF ENVIRONMENT AI... SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
FACILITY NAME Cð N S ò L IÞATE\:>
ADDRESS ~DC LV ì U " A YY\ S £ -,-
FACILITY CONTACT
INSPECTION TIME ,D '^' J rJ
INSPECTION DATE c¡ 12'-1 (0 ~
PHONE NO. lDiDl 3;)'1- 9ÚJf?1
BUSINESS 10 NO. 15-210- 000 ~ I g
NUMBER OF EMPLOYEES I
Section I:
~tine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate '00 s.~ 1\J~.s. S 2fJ
Visible address Fh. L.I' L.\'Ì\I L-lð~~\J
Correct occupancy ß ,:J
A"-,,k (') ,"- l ,-U
r
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly lab~led
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ~
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs,
Yellow - Station Copy
Pink - Business Copy
Busin s.· esponsible Party
lnspecto~ ~
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CONSOLIDATED FREIGHTWAYS
SiteID: 015-021-000718
Manager :
Location: 600 WILLIAMS ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 28C
(661) 324-9681
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:4225
DunnBrad:04-411-0690
Emergency Contact / Title Emergency Contact / Title
KIRK CARLISLE / TERM MANAGER RENE ADKINS / SUPERVISOR
Business Phone: (661) 324-9681x Business Phone: (661) 324-9681x
24-Hour Phone : (661) 393-3303x 24-Hour Phone : (661) 588-5684x
Pager Phone : (661) 978"'"2430xCELL Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 327-9681x
MailAddr: 600 WILLIAMS ST State: CA
City : BAKERSFIELD Zip : 93305
Owner CONSOLIDATED FREIGHTWAYS Phone: (415) 326-1700x
Address : 175 LINFIELD DR State: CA
City : MENLO PARK Zip : 940253799
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
KERN SECURITY - 588-4357 (24HRS)
F Hazmat Inventory One Unified List ì
p== Alphabetical Order All Materials at Site 9
Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP
COOLANT F DH L 55.00 GAL Low
MOTOR OIL F DH L 55.00 GAL Min
PROPANE E F P IH G 1455.60 GAL Hi
" K\te(. Ct\12.lI..sur Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
CCitJSc1l.IOAfX,o
ment plan for J=1l.ßA '=Hr~A'\1 (' and that it along with
1ameofBusl~
any corrections constitute a complete and correct man-
J-6-(f¿"
Date
11/07/2001
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KIRK S. CARLISLE
TERMINAL MANAGER
BAKERSFIELD/SANTA MARIA
L,.. COnSOllDRTED FREICHTUJR'IS
600 WILLIAMS STREET
BAKERSFIELD, CA
1-661-324-9681
1-800-362,9509
FAX 1-661,324-9693
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F CONSOLIDATED FREIGHTWAYS
f= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
COOLANT
SiteID: 015-021-000718 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
OUTSIDE DOCK AREA
Map:
Grid:
CAS#
107-21-1
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
30.00 GAL
%Wt. RS CAS#
100.00 Ethylene Glycol No 107211
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
f= Inventory Item 0002
¡= COMMON NAME / CHEMICAL NAME
MOTOR OIL
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
OUTSIDE DOCK AREA
Map:
Grid:
CAS#
8020835
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. RS CAS#
ioo.oo Motor Oil, Petroleum Based No 8020835
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD ASSESSMENTS
-2-
11/07/2001
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F CONSOLIDATED FREIGHTWAYS
f= Inventory Item 0004
F== COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 015-021-000718 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
STORED IN YARD AT REAR OF TERM DOCK.
Map:
Grid:
CAS #
74-98-6
- TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
1455.60 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1455.60 GAL
Daily Average
873.36 GAL
%Wt I
]oo.åo Propane
HAZARDOUS COMPONENTS
Gg]
Yes
CAS#
749861
HAZAR SSE T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
D A SSMEN S
-3- 11/07/2001
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F CONSOLIDATED FREIGHTWAYS
I
f= Notif./Evacuation/Medical
r=: Agency Notification
CALL 911.
Employee Notif./Evacuation
SiteID: 015-021-000718 ì
Fast Format ì
Overall Site ì
12/08/1999 1
01/24/1996
NOTIFY 324-9681. FOLLOW HAZARD SPILL PROCEDURES - CLEAR IMMEDIATE
AREA FROM HUMAN EXPOSURE. IDENTIFY THE MATERIAL. ISOLATE SPILL FROM
STRUCTURES IF POSSIBLE. CALL HELP IF REQUIRED - CHEMTREC, SHIPPER, FIRE
DEPT IF NECESSARY. IF POSSIBLE MINIMIZE THE LEAK OR SPILL. CLEAN UP.
DO REPORTS REQUIRED.
Public Notif./Evacuation
01/24/1996
WE WOULD NOTIFY THE BAKERSFIELD FIRE DEPARTMENT IF THERE WAS A RELEASE OF
ANY KIND AND THEY WOULD HAVE TO DETERMINE IF A PROBLEM EXISTED.
Emergency Medical Plan
12/08/1999
DR CHO - 327-2225 OR MEMORIAL HOSPITAL - 327-1792.
-4-
11/07/2001
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F CONSOLIDATED FREIGHTWAYS
I
f= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-000718 ì
Fast Format ì
Overall Site ì
01/24/1996
TRAIN ALL EMPLOYEES IN PROPER HANDLING. KEEP DAILY INVENTORY RECORDS OF
DIESEL FUEL AND TEST FOR WATER. KEEP AREA CLEAN. HOLD REGULAR SAFETY
MEETINGS.
Release Containment
12/08/1999
CLEAR THE AREA FROM HUMAN EXPOSURE; IDENTIFY THE PRODUCT; ISOLATE THE SPILL;
CALL HELP IF REQUIRED (CHEMTREC); IF POSSIBLE MINIMIZE THE LEAK OR SPILL;
CLEAN UP; AND DO THE PAPERWORK.
Clean Up
12/08/1999
CALL CHEMTREC AT 1-800-262-8200 OR 202-887-1315.
CALL AREA SAFETY SUPERVISOR, JIM NEWSOM 909-681-4210.
Other Resource Activation
-5-
11/07/2001
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F CONSOLIDATED FREIGHTWAYS
I
f= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
SiteID: 015-021-000718 ì
Fast Format 9
Overall Site ì
I
12/08/1999
A) GAS - N SIDE OF OFFICE WALL, NE END OF BLDG
B) ELECTRICAL - NE END OF BLDG ON N WALL
C) WATER - NE CORNER OF LOT IN DRIVEWAY
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
12/08/1999
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, 1 IN OFFICE, 2 ON DOCK
AND 1 ON FUEL ISLAND.
FIRE HYDRANT - FRONT OF THE ISOTHERM COMPANY.
Building Occupancy Level
-6-
11/07/2001
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F CONSOLIDATED FREIGHTWAYS
I
F Training
Employee Training
SiteID: 015-021-000718 ì
Fast Format ì
Overall Site ì
12/08/1999
WE HAVE 15 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES HAVE BEEN TRAINED IN
HANDLING HAZARDOUS MATERIALS AS IS SET FORTH IN DOT REGULATIONS. ALL
EMPLOYEE PERSONNEL FILES ARE SO DOCUMENTED. ALL EMPLOYEES HAVE BEEN NOTIFIED
OF HAZARDOUS MATERIALS IN THE WORK PLACE ACCORDING TO IIRIGHT TO KNOWII
REGULATIONS AND HAVE THAT DOCEMENTED IN THEIR PERSONNEL FILES. THE MSDS
FILE LOCATION IS POSTED ON THE BULLETIN BOARD.
Page 2
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Held for Future Use
Held for Future Use
-7-
11/07/2001
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CONSOLIDATED FREIGHTWAYS
S·
J.teID: 015-021-000718
Manager : BusPhone: (661) 324-9681
Location: 600 WILLIAMS ST Map : 103 CommHaz : Low
City : BAKERSFIELD Grid: 28C FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02 SIC Code:4225
EPA Numb: DunnBrad:04-411-0690
( Œ. N Þ A "k' IIJ <:. .e:-"'i<" x c:"....c,..CQ K'I
Emergency Contact / Title Emergency Contact / Title
KIRK CARLISLE / TERM MANAGER DA·v·ID COTTER / SUPERVISOR
Business Phone: (661) 324-9681x Business Phone: (661) 324-9681x
24-Hour Phone : (661) 393-3303x 24-Hour Phone : ( (t5'I) .a2 G O~28Á
Pager Phone : (CGI.l..)¡ 7 g -;),-/3Ð Pager Phone : ( ) - x
,
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 327-9681x
MailAddr: 600 WILLIAMS ST I State: CA
City : BAKERSFIELD , Zip : 93305
Owner CONSOLIDATED FREIGHTWAYS Phone: (415) 326-1700x
Address : 175 LINFIELD DR State: CA
City : MENLO PARK Zip : 940253799
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Èmergency Directives:
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax
F DH L 55.00 GAL Low
F DH L 55.00 GAL Min
E F P IH G 1455.60 GAL Hi
F Hazmat Inventory
f== Alphabetical Order
Hazmat Common Name...
COOLANT
MOTOR OIL
PROPANE
,(Œl2.rJ
~c...J R.-t,y- ð» 8- L(:?S- 7 (?c.¡ Ïfæ.)
-1-
07/06/2001
,:
-' -'J
~- - , -
,
CONSOLIDATED FREIGHTWAYS
--
SiteID: 215-000-000718
Manager :
Location: 600 WILLIAMS ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 31B
(805) 324-9681
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:4225
DunnBrad:04-411-0690
Emergency Contact
KIRK CARLISLE
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ TERM MANAGER
(805) 324-9681x
(805) 393-3303x
() x
Emergency Contact / Title
DAVID COTTBR ~~~ / SUPERVISOR
Business Phone: (805) 324-9681x
24-Hour Phone (805) )26 OJ28x
Pager Phone () 32..i.f - gðaó x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Owner
Address
City
CONSOLIDATED FREIGHTWAYS
175 LINFIELD DR
MENLO PARK
Phone: (
State: CA
Zip 93305
Phone: (415) 326-1700x
State: CA
Zip 940253799
x
Contact :
MailAddr: 600 WILLIAMS ST
Çity BAKERSFIELD
Period
Preparer:
Certif'd:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
I, KlelL 6(2 LIS L'í.. Do hereby ~Artify that I have
!Type or print ~)
reviewed the attached hazardous matelials manage-
meni plan 10r ~lA ot\1)(vO and that it along with
~~ìtt1S
any cori'ectio~s (Constitute a complete and correct man-
agement plan for ú'iJy ~cmty.
// / '
/,
¡, ,/ '
Zo'tl...'."'~" ";fJ';..7C,-i·"
- ',~ J l~:i~
/
(1<-' , /
/7C j 199;
'--,/(. -.... . ; ..... "-.
Emergency Directives:
.'- '.
-
/1-'23-91
Date
-1-
11/15/1999
"
l' .
F CONSOLIDATED FREIGHTWAYS
f=. Hazmat Inventory
p== MCP+DailyMax Order
e
e
SiteID: 215-000-000718 ì
By Facility Unit ì
Fixed Containers òn Site ì
Hazmat Common Name...
PROPANE
COOLANT
MOTOR OIL
SpecHaz EPA Hazards DailyMax MCP
F P IH G 40.00 GAL Hi
F DH L 55.00 GAL Low
F DH L 55.00 GAL Min
-2-
11/15/1999
,
e
e
,
F CONSOLIDATED FREIGHTWAYS
p= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 215-000-000718 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
STORED IN YARD AT REAR OF TERM DOCK.
Map:
Grid:
CAS #
74-98-6
- TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
40.00 GAL
Daily Average
24.00 GAL
HAZARDOUS COMPONENTS
~I
CAS #
749861
I%Wt I
: 100,ÒO Propane
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
p= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
COOLANT
Facility Unit: Fixed Containers on Site ì
Days On Site
,365
Location within this Facility Unit
OUTSIDE DOCK AREA
Map:
Grid:
CAS #
107-21-1
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
30.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Ethylene Glycol No 107211
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
HAZARD ASSESSMENTS
-3-
11/15/1999
·;
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F CONSOLIDATED FREIGHTWAYS
p= Inventory Item 0002
= COMMON NAME / CHEMI CAL NAME
MOTOR OIL
SiteID: 215-000-000718 l
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
OUTSIDE DOCK AREA
Map:
Grid:
CAS #
8020835
.
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD ASSESSMENTS
-4-
11/15/1999
· '
e
e
Employee Notif./Evacuation
SiteID: 215-000-000718 9
Fast Format 9
Overall Site 9
01/24/1996 1
01/24/1996
F CONSOLIDATED FREIGHTWAYS
I
p= 'Notif./Evacuation/Medical
r=: Agency Notification
~ALL 911
NOTIFY 324-9681. FOLLOW HAZARD SPILL PROCEDURES - CLEAR IMMEDIATE
AREA FROM HUMAN EXPOSURE. IDENTIFY THE MATERIAL. ISOLATE SPILL FROM
STRUCTURES IF POSSIBLE. CALL HELP IF REQUIRED - CHEMTREC, SHIPPER, FIRE
DEPT IF NECESSARY. IF POSSIBLE MINIMIZE THE LEAK OR SPILL. CLEAN UP.
DO REPORTS REQUIRED.
Public Notif./Evacuation
01/24/1996
WE WOULD NOTIFY THE BAKERSFIELD FIRE DEPARTMENT IF THERE WAS A RELEASE OF
ANY KIND AND THEY WOULD HAVE TO DETERMINE IF A PROBLEM EXISTED.
Emergency Medical Plan
01/24/1996
IDR. CHO - 327-2225 OR MEMORIAL HOSPITAL - 327-1792.
-5-
11/15/1999
e
e
SiteID: 215-000-000718 ì
Fast Format ì
Overall Site ì
01/24/1996
F CONSOLIDATED FREIGHTWAYS
I
p=Mitigation/Prevent/Abatemt
Release Prevention
TRAIN ALL EMPLOYEES IN PROPER HANDLING. KEEP DAILY INVENTORY RECORDS OF
DIESEL FUEL AND TEST FOR WATER. KEEP AREA CLEAN. HOLD REGULAR SAFETY
MEETINGS.
Release Containment
01/24/1996
1) CLEAR THE AREA FROM HUMAN EXPOSURE
2) IDENTIFY THE PRODUCT
3) ISOLATE THE SPILL
4) CALL HELP IF REQUIRED (CHEMTREC)
5) IF POSSIBLE MINIMIZE THE LEAK OR SPILL
6) CLEAN UP
7) DO THE PAPERWORK
Clean Up
01/24/1996
1) CALL CHEMTREC AT 1-800-262-8200 OR 202-887-1315.
2) CALL AREA SAFETY SUPERVISOR. Jl t-I\ N~WSot-1 q all - "~/- 42. 0
Other Resource Activation
-6-
11/15/1999
"I~
e
e
F CONSOLIDATED FREIGHTWAYS
I
p=Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
SiteID: 215-000-000718 ì
Fast Format ì
Overall Site ì
I
01/07/1990
A) GAS - NORTH SIDE OF OFFICE WALL, NORTHEAST END OF BUILDING
B) ELECTRICAL - NORTHEAST END OF BUILDING ON NORTH WALL
C) WATER - NORTHEAST CORNER OF LOT IN DRIVEWAY
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
01/07/1990
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, 1 IN OFFICE, 2 ON DOCK
AND 1 ON FUEL ISLAND
FIRE HYDRANT - FRONT OF THE ISOTHERM COMPANY
Building Occupancy Level
-7-
11/15/1999
~ I ,; i-:
.
e
e
F CONSOLIDATED FREIGHTWAYS
I
F Training
Employee Training
SiteID: 215-000-000718 1
Fast Format 1
Overall Site 1
01/07/1990
WE HAVE ~EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES HAVE BEEN TRAINED IN HANDLING HAZARDOUS MATERIALS AS IS SET
FORTH IN DOT REGULATIONS. ALL EMPLOYEE PERSONNEL FILES ARE SO DOCUMENTED.
ALL EMPLOYEES HAVE BEEN NOTIFIED OF HAZARDOUS MATERIALS IN THE WORK PLACE
ACCORDING TO "RIGHT TO KNOW" REGULATIONS AND HAVE THAT DOCEMENTED IN THEIR
PERSONNEL FILES. THE MSDS FILE LOCATION IS POSTED ON THE BULLETIN BOARD.
Page 2
r
I
I
Held for Future Use
Held for Future Use
-8-
11/15/1999
tIÞ STATEMENT OF ACCOUNT 4It
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-5201
"(à05)t;~326:-3,979' ~
'~ " ' "~ ,,:, ' '
CUSTOMER NO:
DATE: 9/01/98
/ ,c ,: ~,',' ',__ _ ,
TO: CONSOL I DA TED FREJGI~ft¡.;JA YS
600 WILLIAMS aT< '. .' ,'. .,
BAKERSFIELD, ;;C'A193305~<'
,',0 ,~;\\\ ~'"/
, ~
CUSTOMER.TYPE: ES/
3071
,,-~ .' ,_A,,_ ~"" {,,_ .~" " ,~',' , '
---------------------.-------------------------------------------------------
'>' . - ' ,- -, ~ ~' ' .,
DATE DJFSC R IPT~í ON ,REF -NUM~ ERDUEDAJ.e;
------ -------- -:.,;:.;:----7:---;;...,.,.......:....;..---..::.;.;...--'- .;;.----....-....:...- -------- --------------
; '~-
TOTAL AMOUNT
CHARGE
REFND
'-' '
8/01/98 BEGIN¡'fìN~ BALANCE·',
6/26/98 PÁYMENT \"" ,,'
8/19/98 MR: :(!'IT REFUND VCHRS,
178.50
197. 00--
18. 50
" , i,
, '
FOR OUEST IONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
-------------- -------------- -------------- --------------
-------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
DUE DATE: 10/01/98
PAYMENT DUE:
TOTAL DUE:
18. 50--
$18. 50--
-.:-~ "4
~::-Î
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CITY OF BAKERSFIELD
CLAIM VOUCHER
I Vendor No.
I certify that this claim is correct and valid, and is a proper
charge against the City Agency and account indicated.
CLAIMANT'S NAME AND ADDRESS:
Consolidated Freightways Corp.
600 Williams St
Bakersfield, CA 93305
(AUTHORIZED SIGNATURE OF CITY AGENCY)
Date: 08-12-98 Initials of Preparer:
CITY DEPARTMENT: FINANCE
PLEASE PROVIDE SHORT EXPLANATION OF PAYME
(Including Contract Number if Applicable)
This business overpaid their Hazardous Materials bill by $18.50. For that reason they now have a
credit of $18.50 which we will be refunding.
Fund Dept.
Base Ell Objt Project #
Invoice #
Amount
Date of Invoice
011 0000
123
7900
$18.50
,
f
I
I
,
¡
I
I
VOUCHER TOTAL
$18.50
SECTION 12, PENAL CODE FINANCE DEPT. USE ONLY
Section 12, Presenting False Claims. Every person who with intent to defraud,
presents for allowance or for payment to any state board or officer, or any
county, town, city district. ward or village board or officer, authorized to allow
or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount
or writing, is guilty of a felony.
·0
io1-:r '-, ~
~
BAKERSFIELD
FIRE DEPARTMENT
.
.
-
MEMORANDUM
DATE: July 30, 1998
TO: Susan Chichester
FROM: Esther Duran
SUBJECT: Claim Voucher
I
Please issue a Claim Voucher to refund over payment of $18.50 made by
Consoiidated Freightways Corp. They made a payment of$197.00 on 6/26/98.
That payment was $18.50 in excess of the amount due, which was $178.50. They
now have a credit of$18.50. Please send a refund of$18.50 to:
Consolidated Freightways Corp
600 Williams St
Bakersfield, CA 93305
Thank you,
led
I
I'
'Y~õfe W~ ~OP~OPe ~ ~ W~ "
·.
~
'.- t" "
--
ST A TEME!\IT OF' ..-\CCtJUNT .
CITY OF BAKERSFIELD
1501 TRUXTUI'4 AVE
BAKERSFIELD, CA 93301-5201
(805) 326-3979
DATE: 6/30/98
TO: CONSûLIDAIED FREIGHTWAYS CORP
bOO i.JILLIAMS SI
BAKERSFIELD, CA 93305
CUSTOì'1ER NO:
3071
CUSTOMER TYPE: ES/
3071
-----------------------------------------------------------------------------
CHARGE
DATE DESCRIPTION
REF-NUMBER DUE DATE
TOTAL AMOUNT
------ -------- ------------------------- ---------- -------- --------------
6/11/98 BEGINNING BALANCE
6/26/98 PA'{MENT
178.50
197. 00--
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
-------------- --------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- --------------
DUE DATE: 7/30/98
PAYMENT DUE:
TOTAL DUE:
18. 50--
$18, 50--
DATE: 6/30/98
DUE DATE: 7/30/98
PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
, PO BOX 2057
. BAKERSFIELD CA 93303-2057
CUSTOMER NO:
3071
CUSTOMER TYPE: ESI
TOTAL DUE:
3071
$18. 50-
"M'. f' .,¡,
i\¡,,[, ),} OJ () '/
......1...., ..
c u s tom e l' [D
L,c¡st statement
Last .i.nvoi.ce
C lll' l' e n t b a 1 a n c e
t'ei1ding
CITY OF BAKERSFIELD .
M~el1aneous Receivables In ry
'¡ ,
, /
3L/~_~8
l l; : 3 5 : 1 J
3071
6/30/98
0/00/00
18,50-
,00
Name:
Addr:
CONSOLIDATED FREIGHTWAYS CORt'
600 WILLIAMS ST
BAKERSFIELD, CA 93305
A ACTIVE
ENVIRONMENTAL SERVICES
Ty~e options, press Enter.
5=Disp1ay
Opt Trans Date
6/30/98
6/26/98
6/11/98
6/10/98
6/10/98
6/01/98
6/01/98
5/01/98
4/01/98
F3=Exit
Combined Detail
Chg
Code Description Amount Balance Typ
stmrn Statements Processed .00 18.50-
PAYMENT 197.00- 18.50-
stmrn Statements Processed .00 178.50
HM017 HAZ MAT ANNUAL INSPE 50.00 178.50
HM005 HAZ MAT HANDLING FEE 110.00 128,50
stmrn Statements Processed .00 18,50
SSOOl CA STATE SURCHARGE 18 ,50 18,50 A
stmrn Statements Processed .00 ,00
stmrn Statements Processed .00 .00
+
Bnk G
Cd L
00 Y
F12=Cancel
* = Pending
.J'"'; ..
e
STATEMENT OF ACCOUNT
e
CITY OF BAKERSFIELD
1501 ïRUXïUN AVE
BAKERSFIELD, CA 93301-5201
(805)326-3979
/; / /' /'''.1 " f" _.} F ..;-;' ~?
DATE:
8/01/98
f j
TO:
CONSOLIDATED
600 WILLIAMS
BAKERSFIELD.
/, ¡ ,
FREIGHTWAYS
~ /,"
S-r \ \ ,.
/" ~ :, y' " , " ,
.CA93305 ,!
, '.. ^ ->,:-)
1"'_"
, "jj,..
, CUSTOMER NO: ' , ;/~071c" CUSTOMER TYPE: ESt 3071
--------------------~~~--~--------~-~~---------------~---~~~----------------
CHARGE DATE DES~R·IPTÌ'oN . f REF-NUMBER DUE DATE TOTAL AMOUNT
------ -------- -~~~~~~~~-~~~-~~~~~~----~. ---------- -------- --------------
< .-c/ -. - " >- ,., -~ - > , ' ' " .
;>¡
18. 50--
6/30/98 BEGINNING
">,~ ,
\" }
FOR· GUEST IONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT,
-------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- --------------
DUE DATE: 8/31/98
PAYMENT DUE:
TOTAL DUE:
18. 50--
$18. 50--
ie, f
~
04/25/96
e
A--'
...-.
CONSOLIDATED FREIGHTWAYS 215-000-000718
Overall Site with 1 Fac. Unit
General Information
/ge
1
Location: 600 WILLIAMS ST Map:l03 Haz:2 Type: 3
City . BAKERSFIELD Grid: 31B F/U: 1 AOV: 0.0
.
-;- Contact Name Title - Contact Name Title
, , / SUPERVISOR
KIRK CARLISLE / TERM MANAGER DAVID COTTER
Business Phone: (805) 324-9681x Business Phone: (805) 324-9681x -tJb.~
24-Hour Phone · (805) 393-3303x 24-Hour Phone · (805) .oTO x32b- ~
· ·
Pager Phone · ( ) - x Pager Phone · ( ) - x
· ·
Administrative Data
Mail Addrs: 600 WILLIAMS ST D&B Number: 04-411-0690
City: BAKERSFIELD State: CA Zip: 93305-
.Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 4225
Owner: CONSOLIDATED FREIGHTWAYS Phone: (415) 326-1700
Address: 175 LINFIELD DR State: CA
City: MENLO PARK Zip: 94025-3799
Summary RECEIVED
:JUN 0719%'
HAZ. MAT. DfV.
-. 'i
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04/25/96 CONSOLIDATED FREIGHTWAYS 215-000-000718 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02.,..003 COOLANT Liquid 55 Low
~ Fire, Delay HIth GAL
02....002 MOTOR OIL Liquid '5~ -i6::J ..MiRimor
~ Fire, Delay HIth GAL tyI í1- 2(
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04/25/96
CONSOLIDATED FREIGHTWAYS 215-000-000718
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-003 COOLANT
~ Fire, Delay Hlth
Liquid
55 Low
GAL
CAS #: 107-21-1
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL --
55 I 30.00 I 550.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~ Location
Ambient AmbientOUTSIDE DOCK AREA
- Conc l
100.0% Ethylene Glycol
Components
'~ MCP ----rGuide
Low I 27
02~002 MOTOR OIL
~ Fire, Delay Hlth
Liquid
165 Minimal
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
---- Daily Max GAL =---r-- Daily Averag,e GAL ~ Annual Amount GAL --
55' ~ I 5"S ,¡gg gg I ~ l,ii! 09
Storage r Press T Temp ~ Location
DRUM/BARREL-METALLIC Ambient AmbientOUTSIDE DOCK AREA
- Conc l Components
100.0% Motor Oil, Petroleum Based
I~ MCP ----rGuide
Minimal I 27
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04/25/96
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
NOTIFY 324-9681. FOLLOW HAZARD SPILL PROCEDURES - CLEAR IMMEDIATE
AREA FROM HUMAN EXPOSURE. IDENTIFY THE MATERIAL. ISOLATE SPILL FROM
STRUCTURES IF POSSIBLE. CALL HELP IF REQUIRED - CHEMTREC, SHIPPER, FIRE
DEPT IF NECESSARY. IF POSSIBLE MINIMIZE THE LEAK OR SPILL. CLEAN UP.
DO REPORTS REQUIRED.
<3> Public Notif./Evacuation
WE WOULD NOTIFY THE BAKERSFIELD FIRE DEPARTMENT IF THERE WAS A RELEASE OF
ANY KIND AND THEY WOULD HAVE TO DETERMINE IF A PROBLEM EXISTED.
<4> Emergency Medical Plan
DR. CHO - 327-2225 OR MEMORIAL HOSPITAL - 327-1792.
e
e
04/25/96
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
TRAIN ALL EMPLOYEES IN PROPER HANDLING. KEEP DAILY INVENTORY RECORDS OF
DIESEL FUEL AND TEST FOR WATER. KEEP AREA CLEAN. HOLD REGULAR SAFETY
MEETINGS.
<2> Release Containment
1) CLEAR THE AREA FROM HUMAN EXPOSURE
2) IDENTIFY THE PRODUCT
3) ISOLATE THE SPILL
4) CALL HELP IF REQUIRED (CHEMTREC)
5) IF POSSIBLE MINIMIZE THE LEAK OR SPILL
6) CLEAN UP
7) DO THE PAPERWORK
<3> Clean Up
1) CALL CHEMTREC AT 1-800-262-8200 OR 202-887-1315.
2) CALL AREA SAFETY SUPERVISOR.
<4> Other Resource Activation
I' .
e
e
04/25/96
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
, <2> Utility Shut-Offs
A) GAS - NORTH SIDE OF OFFICE WALL, NORTHEAST END OF BUILDING
B) ELECTRICAL - NORTHEAST END OF BUILDING ON NORTH WALL
C) WATER - NORTHEAST CORNER OF LOT IN DRIVEWAY
D) SPECIAL - NONE
E) LOCK BOX - NO
<3>.Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, 1 IN OFFICE, 2 ON DOCK
AND 1 ON FUEL ISLAND
FIRE HYDRANT - FRONT OF THE ISOTHERM COMPANY
<4> Building Occupancy Level
--------¡-
.. 'I ,. C
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04/25/96
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
7
<G> Training
<1> Employee Training
WE HAVE 11 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES HAVE BEEN TRAINED IN HANDLING HAZARDOUS MATERIALS AS IS SET
FORTH IN DOT REGULATIONS. ALL EMPLOYEE PERSONNEL FILES ARE SO DOCUMENTED.
ALL EMPLOYEES HAVE BEEN NOTIFIED OF HAZARDOUS MATERIALS IN THE WORK PLACE
ACCORDING TO "RIGHT TO KNOW" REGULATIONS AND HAVE THAT DOCEMENTED IN THEIR
PERSONNEL FILES. THE MSDS FILE LOCATION IS POSTED ON THE BULLETIN BOARD.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
';>"';~¡ ~--~~
BAKERSFiELD CITY FIRE DEPARTMENT
e e
OFFICE OF ENVIRONMENTAL SERVICES
1715 CHESTER AVENUE, 3RD FLOOR
BAKERSFIELD, CA 93301
(805) 326-3979
HAZARDOUS MATERIALS INVENTORY
. .- .
FACILITY DESCRIPTION
,
I
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I
, CHECK IF BUSINESS IS A FARM [ ]
: BUSINESS NAME c,~
. I ~ 0
! FACiLITY NAME '-t-
~ SiTE ADDRESS c:'OO
C:TY ~¥-GtZSç'GlD
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CJUN & BRADSTREET NUMBER kö 7A-K.. iL q0- N'1tf7'1¡
OWNE::;¡CF=~A TCR
PHONE
MAIUNG ACCRESS
C;TY
S7,'; --;-=
-IP
L.
=:ME::1GcNCY CONTACTS
NAME ~\~t ~t'LJ.-(S-LG
BUSiNESS ¡::~ONE &-Þ-- 3~ -Q0ts
TITL= JttZV1AI"'~ MJ4-AJ~1L
24-HOUR PHONE <6t/5 - 3t:¡]- 330 3
; NAME U¥t\/ \ f) ~e--r-1~
BUSINESS r=HONE 0:f:0 - 3~ - q "'E? \
., -
ï!TL= 16r2\Nt \ J\)41 3v f Ð\.1) IS E> fl-
24-HGUR PHONE 90s- - 873-0/ s:v
~XLSIIII:
AI!CIIQN'V LDC STNICAAO '"
Jsiness Name :..~ Ú 'yv\'("Tóf2J2y¿tJ~,: ,: :iÁddress
.~~ '~-,
BAKERSFI~D CITY FIRE DEPA~ENT
HAZAR~US MATERIALS INVENTdW'V :
~ WI t I'A-~ 5" ÞK (:- ,«.·'Q3JDŠ'
i
,
"! ì
~...~~"'-:
Page_of_
I Wi -.'
CHEMICAL DESCRIPTION
.,;;,:.:...... ....
~'~/~ ~ .
') INVENTORY STATUS: N_ ( ) Addition (~vision (
2) CommonN_: ()
Chemical Nlme: NM;~, ~i;c.
Deletion ( ]
Check if chermc.t is . NON TJlACE SECRET' ~ SECRET [ I
3) DOT.. (opâoMl) 111.) I Dì ç
AHM ( J CAS ,tt - ro
/ PHYSICAL
Fire (~ Reactive (J Sudden RelelSe of Pressure ( 1
~) PHYSICAL & HEAlTI-I
HAZAAD CATEGORIES
'3) WASrE CLASSIFICATION
(3-digit code from DHS Form 8(22)
HEAlTI-I
Immediate Health (Acute) (~1ayeG Health (Chronic) ( )
USE CODE
3) PHYSICAL STATE
Solid (J uQuid ( ]
GIS
~
Pure [~ure ( ]
WlSte []
RadIo.c:tiw I I
. 0) LocatIon
Circle 'Nhich Mont
. M. A. M. J, J. A. S. 0, N, D
I
8) STORAGE CODES / / I'
a) Container: "7
b) Pressure: ---'- 9.(P. ¡;;PI b (ç¡) ÆÞ ,.,..1
c) Temperaure: ~ I
I
I
I
I
I
,
I
I
I
1
,
-I
,
:HEOCN.J.. TUAT APPl,
7) AMOUNT AND TIME AT FACIUlY ~
Maximum Daily Amount:
Average Daily Amount:
Annual Amount: 0
Largest SizeContamer:
4 Days On Site ?;0
UNITS OF MEA§.IdffÉ
ibs [ ] gal 1(1( 113 [ ]
cunes [ ]
9) MIXTURE: ust
:l1e three most nazaroous 1 )
cnemlcal components or
any AHM components
%wr
5",0
37.S-
7",6
AHM
[ J
[ J
( ]
...
CHEMICAL DESCRIPTION
~, INVENTORY STATUS: New ( Addition r ] Revision ( ) Deletion ¡ ]
Check if chemical is a NON TRADE SECRET (J TRADE SECRET ( )
2) Common Name:
3) DOT # (optional)
ChemIcal Name:
AHM [ ]
CAS #
.1) PHYSICAL.3. HEALTl-i
"'¡~D CATEGORIES
F¡re
PHYSICAL
"'eactlVe ( ] Suaden Release of Pressure
HEAl TI-I
Immediate Health (Acute I (I Delayed Health (Chronic) ( J
3) WASTE CLASSIFICATION
':3-dígrt coce f.·om OHS Form 8022)
use CODe
5) PHYSICAL STATE
Solid [] Ijould ( Gas [ I
Pure ] Mixture [
Waste ( ]
Radioactive ( J
~-<iEO( ALl. 0-ilor ~y
7) AMOUNT AND TIME AT FACIUlY
,'..1axlmum Dally Amount,
Average Dally Amount:
Annual Amount:
Largest Size Container.
,; Days On Site
UNITS CF MEASURE
:bs [ ¡ gaJ ( ) tl3 [ ]
~unes [ ¡
8) STORAGE CODES
a) Container:
b) Pressure:
c) Tempenøure:
Cirde 'Nhich Months: AJI Year. J. F, M. A. M. J, J, A, S. O. N. D
3) MIXTURE: Ust
:l1e three most hazl!l1Clous
cl'lemlCai components or
any AHM components
COMPONENT
CAS #
%wr· AHM
( )
( I
[ ]
1)
Z)
J,
1, 0) loc:ation
ocumen&:l. e/leve l11e
{j~~I~
D..
~
01/!~/96
i> '
-
e
~~(Ç~D-~r~~\~¡
1'1
; "JAN 2 4: 1996Pa ,I/~:;
By ~ j
==- -- --~,
~- ..':<'.. .
1
CONSOLIDATED FREIGHTWAYS 215-000-0007
Overall Site with 1 Fac. Unit
General Information
Location: 600 WILLIAMS ST Map: 103 Haz:2 Type: 3
City . BAKERSFIELD Grid: 31B FlU: 1 AOV: 0.0
.
---- Contact Name Title --- Contact Name Title
KIRK CARLISLE I TERM MANAGER ,~TTrnm QIIThlIÐIRI.IIf I ~q:--~ Fell_nan
Business Phone: (805) 324-9681x Business Phone: (805) 324-9681x
24-Hour Phone · (805) 8tH 10Cht 24-Hour Phone · (805) 8TI ! ..... Jf"
· ·
<
Pager Phone · ( ) - x Pager Phone · ( ) - x
· ·
Administrative Data
~ail Addrs: 600 WILLIAMS ST D&B Number: 04-411-0690
. City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 4225
... (415) 326-1700
Owner: CONSOLIDATED FREIGHTWAYS Phone:
Address: 175 LINFIELD DR State: CA
City: MENLO PARK Zip: 94025-3799
Summary
Q.Lf }-f()vrz- Pf/-Q ¡vç 1r97 /(¡æ/C ~h¡{ e pps- - J1 ] - 330 "$
.
CSQM-lf4--L-T tf=.- ;;L ,~ 1) I'1-v ~ I'J VT~/5VP6¡f(,A/JO¡¿
/Jl{ '../(9///2 !J If()/V'~ t7'3 -01 [l(
I, DJ4..vIO C,vrrF;í2.. Do hereby certify that] have
(Ty~ or print nama)
reviewed the attached hazardous mz~~erials manage-
ment plan fortç.. MDtD~6Hrand that it along with
(Name of Business)
any corrections constitute a complete and correct man-
agement plan for my facility.
~
~
--{. Signature
l - 2i~-c¡ h
Date
e
e
0~/1~196
CONSOLIDATED FREIGHTWAYS 215-000-000718
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
P1n-'Ref , Name/Hazards Qty MCP
Form Max
~TgtT I Ii ri:","B~U!WH GAS Gas 55 High
~ Fire, Pressure, Immed Hlth, Delay Hlth GAL
COOLANT Liquid 55 Low
~ Fire, Delay Hlth GAL
MOTOR OIL Liquid 165 Minimal
~ Fire, Delay Hlth GAL
"prl(9r>At0t
~; l1<¡ ,
-
is
¡1/v
t()N~ {JS~ (Q) ~
~~,~_nl] Mn~~ øç
. ~UeJ::~~\~;J5-q\o
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01/12/,96
j, :>
CONSOLIDATED FREIGHTWAYS 215-000-000718
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
PROPANE - LIQUIFIED PETROLEUM GAS Gas
~ Fire, Pressure, Immed Hlth, Delay Hlth
55 High
GAL
A/D LøI1l~S #: 74-98-6
íì fF6rm: Gas Type: Pure
V~ (tV
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
55 30.00 ' I 2,000.00
Trade Secret: No
Days: 365
Use: FUEL
~
Storage
f-t4í.A'íl PORT. PRESS. CYLINDER
'7 - Cone l
100.0% Propane
r Press T Temp -:ì
Above Ambient ION DOCK
Location
Components
r; MCP ~Guide
Extreme I 22
02-.-003 COOLANT
~ Fire, Delay Hlth
Liquid
55 Low
GAL
CAS #: 107-21-1
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
55' 30.00 550.00
Storage r Press T Temp -:-, Location
DRUM/BARREL-METALLIC Ambient AmbientlOUTSIDE DOCK AREA
- Conc l Components ~ MCP iUide
100.0% Ethylene Glycol Low 27
02-002 MOTOR OIL Liquid 165 Minimal
~ Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
165 I 100.00 I 1,650.00
Storage r Press T Temp -:ì Location
DRUM/BARREL-METALLIC Ambient AmbientOUTSIDE DOCK AREA
,- Conc l Components
100.0% Motor Oil, Petroleum Based
r; MCP -¡Guide
Minimal I 27
~,
e
e
o II 1~/!96
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> ~gency Notification
CALL 911
(,
'-~
I <2> Employee Notif./Evacuation
NOTIFY 324-9681. FOLLOW HAZARD SPILL PROCEDURES - CLEAR IMMEDIATE
AREA FROM HUMAN EXPOSURE. IDENTIFY THE MATERIAL. ISOLATE SPILL FROM
STRUCTURES IF POSSIBLE. CALL HELP IF REQUIRED - CHEMTREC, SHIPPER, FIRE
DEPT IF NECESSARY. IF POSSIBLE MINIMIZE THE LEAK OR SPILL. CLEAN UP.
DO REPORTS REQUIRED.
<3> Public Notif./Evacuation
WE WOULD NOTIFY THE BAKERSFIELD FIRE DEPARTMENT IF THERE WAS A RELEASE OF
ANY ~ AND THEY WOULD HAVE TO DETERMINE IF A PROBLEM EXISTED.
K,II1>
f"
~,
<4> Emergency Medical Plan
T'\T'> =TTAN~Ji!N -~:n j..,PT- OR MEMORIAL HOSPITAL - 327-1792
. - --
317 - 7JJ..s"
DR, c./-I-'O,"
"
e
e
o~/ 1~/"'96
CONSOLIDATED FREIGHTWAYS 215-000-000718
~" 00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
TRAIN ALL EMPLOYEES IN PROPER HANDLING. KEEP DAILY INVENTORY RECORDS OF
DIESEL FUEL AND TEST FOR WATER. KEEP AREA CLEAN. HOLD REGULAR SAFETY
MEETINGS.
<2> Release Containment
1) CLEAR THE AREA FROM HUMAN EXPOSURE
2) IDENTIFY THE PRODUCT
3) ISOLATE THE SPILL
4) CALL HELP IF REQUIRED (CHEMTREC)
5) IF POSSIBLE MINIMIZE THE LEAK OR SPILL
6) CLEAN UP
7) DO THE PAPERWORK
"
~.
I <3> Clean Up
A) CALL CHEMTREC AT 1-800-262-8200 OR 202-887-1315.
2) CALL AREA SAFETY SUPERVISOR.
<4> Other Resource Activation
~;
e
e
01/JfA96
.'
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
,c:
<2> Utility Shut~Öffs
A) GAS - NORTH SIDE OF OFFICE WALL, NORTHEAST END OF BUILDING
B) ELECTRICAL - NORTHEAST END OF BUILDING ON NORTH WALL
C) WATER - NORTHEAST CORNER OF LOT IN DRIVEWAY
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avai1. Water
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, 1 IN OFFICE, 2 ON DOCK
AND 1 ON FUEL ISLAND
FIRE HYDRANT - FRONT OF THE ISOTHERM COMPANY
<4> Building Occupancy Level
~".>
e
e
o 1/.1~fi96
...
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
7
<G> Training
C;-'
I <1> Employee Training
'-:i-J.'~
WE HAVE 11 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES HAVE BEEN TRAINED IN HANDLING HAZARDOUS MATERIALS AS IS SET
FORTH IN DOT REGULATIONS. ALL EMPLOYEE PERSONNEL FILES ARE SO DOCUMENTED.
ALL EMPLOYEES HAVE BEEN NOTIFIED OF HAZARDOUS MATERIALS IN THE WORK PLACE
ACCORDING TO "RIGHT TO KNOW" REGULATIONS AND HAVE THAT DOCEMENTED IN THEIR
PERSONNEL FILES. THE MSDS FILE LOCATION IS POSTED ON THE BULLETIN BOARD.
<2> Page 2
<3> Held for Future Use
~.,
~
<4> Held for Future Use
It 0 ~(ÇŒiDW
CITY of BAKERSFIEL' AUG
.. WE CARE"
HAZARDOUS MATERIAL RELEASE REPORµ;X_
r 7/-,/-' (!.~
~. .. - ,
"~1'1'1~'Ht:I::I"
B^I<cnsrl[-tß-~~
326,3911
Notifv C¡~
o . E _ S, ( 800 )
85'2 - 7 ~. ~ J:,
FIRE DEPARTMENT
D, S, NEEDHAM
FIRE CHIEF
Company 'Name'
:J' \_
ëons'ol idated Freightways
--..-............-...,.............- .
Address
600 Williams St.
Bakersfield, Ca. 93305
. .-----------.............-.......-.....-..-------
Chemical Name
Cyclohexylamine
Hazard Level - Low
Moderate XXX
High
Extreme (Acute)
Estimated Quantity of Release
55 Ga 11 ons
Time
1900
, "
',' "I:?a te" '~--1J2!1I- q4
hrs.
25
min.
Duration of Release
Medium into which release occurred:
55 gallon drum leaked into a trailer
and then into the parking lot of the yard.
--~
Hea-l-t h-r-:-i-sk.s--kr.:1 0 ;"'¡,r:I_O.t:.. _a,r:Lt,i.cip a_t ed :_ _C.Q.r. rO~.LY1L to-D95.e..JT1...Qu t h . and
throat. Irritation skin, eyes, and mouth,throat and stomach if ingested.
Possible adrenerqic effects.
Poisonous if swallowed. Fire may cause irritating or poisonous gases.
Proper precautions:
EPA level B protection, gº~gJes or encapsulated
suit, SCBA, impermeable gloves, boots,clothes, t~r~outs,suits.
-......-..- .
Contact Person
David Cotter
....._.R.___._ø_..__.._____
.----.-.
Telephone Number
805-324-9681
____.R_____..___.__.._.__.._···..·..·······_··_·_··_··..·"·...............-...--.-.-.----------..-
J
ì'
:,1
,.
. ..
. . ."" ~.- '.... - - .~ -
HAZ~RDOUS MATERIAL RELEASE FOLLOW UP REPORT
-. .._-.,.. ... - ... _. -- .
NUMBER OF PEOPLE .AFFECTED BY RELEASE
5
"
EXTENT OF ANY HEALTH RELATED PROBLEMS 2 people were observed for caughing,
all were observed for irritating eyes and minor inhalation. 2 chest x-rays were
ta ken
DATES OF CLEANUP 7/29/94
CONTRACTOR Kern County Health Servi ces
CONTRACTOR'S REPRESENTATIVE Len
TIME OF CONTRACTOR ARRIVAL 2030
TIME OF EQUIPMENT ARRIVAL 1925
DESCRIPTION OF EXTENT OF CONTAMINATION 55 ga 11 ons 1 ea ked out of drum
.'f;.;.. .
SOIL
WATER
AIR
: ~~~ ~.: ~.~
, ,
"'.+ .
..'
DESCRIPTION OF CLEANUP PROCEDURES USED
OTHER The asphalt of the terminal yard and cement pad.
rinsed with H20
QUALITY OF HAZARDOUS MATERIALS REMOVED (identificatio~
procedures, lab results if available)
---'..' -YfìfõfñíaTiòtíiÇ1í6-t-ãVafTatHe' ---- - ..' --" -- -_..~.. --,------ -- -'--~'--
__I
TIME AND DATE JOB WAS COMPLETED
N/A
N/A;
2315
HAULER t N/ A
REGISTERED HAULER UTILIZED
MATERIAL TRANSPORTED TO
MANIFEST I N/ A
CURRENT STATUS OF SITE
Cleared
it
REPORT BY
David Cotter
AGENCY
BFD:HMOl
-
-
,""'"
.. '-
, ~C?~
Bakersfield Fire Dept. e
HAZARDOUS MATERIALS DIVISION
e
Date Completed
, Business Name: (! qN-,""~l/~ltrrl ;F-¡¿nl-~rÞt~S
~ . Location: bOO W;¡;i:Lð~ -
. ,'ì!) Business Identifi~ion No. 21!HJOO ~ 7 I 'J (Top ~ BU'i~' Plan)
IJ \ Station No..4.. Shift Inspector ~--
v/
I~-J.,À-C¡Â
RECEIVED
DEC 2 8 1992¡
HA7 MAT nlV.
/~/
/
Adequate
D
D
~
V
~
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments:
Verification of MSDS Availablity
II
.
~
Number of Employees
Verification of Haz Mat Training
Comments:
Inad~
~
D
D
o
o
Verification of Abatement Supplies & Procedures
Comments:
~
o
Emergency Procedures Posted
Containers Properly Labeled
~
~
Comments:
D
D
Verification of Facility Diagram
Special Hazards Associated with this Facility:
v
D
Violations:
All Items O.K.
Correction Needed
FD 1652 (Rev. 1-90)
D
~
White-Haz Mat Div. Yellow-Station Copy Pink· Business Copy
-"
e
e
" '
. '
~
04/20/92
CONSOLIDATED FREIGHTWAYS 215-000-000718
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 600 WILLIAMS ST Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 02 Grid: 31B FlU: 1 AOV: 0.0
,--Contact Name Title Business Phone - 24-Hour Phone ~
KIRK CARLISLE TERM MANAGER (805) 324-9681 x (805) -::;- ~:.."
STUART CHAMBERLIN DOCK FOREMAN (805) 324-9681 x (805) 87'2-8453
Administrative Data
Mail Addrs: 600 WILLIAMS ST D&B Number: 04-411-0690
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 4225
Owner: CONSOLIDATED FREIGHTWAYS Phone: (415) 326-1700
Address: 175 LINFIELD DR State: CA
City: MENLO PARK Zip: 94025-3799
Summary
A/f.W .;2.1.{ HOll ~ £'\+ou 1:, .it J::ofZ. KI~K eAR L:]:;SL£
(S?os) 23 I -I Z f.ø 7..
/.; ,
~
:<.
ó~
1. 5~"A.~T C\-\-::&£:e/JiDo hereby certify that I have
~~~~m r
reviewed the attached hazardous materi,1ls manage-
ment plan for (!r ~ðr~ñ~Jãnd that it along with
(NaIM of BU6inessl
any corrections constitute a complete and correct man~
agament plan for my facility.
RECEIVED
'lAY , 1 \992
HA7 MAT. OW.
r¡J', , '
~Ju~,
jlj/!)~,LL S -//- 9 Z
Signalllre ()ate
-:-
e
e
, 04/20/92
CONSOLIDATED FREIGHTWAYS 215-000-000718
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02~001 PROPANE - LIQUIFIED PETROLEUM GAS Gas
~ Fire, Pressure, Immed Hlth, Delay Hlth
55 High
GAL
CAS #: 74-98-6
Trade Secret: No
Form: Gas
Type: Pure
Day~: 365 Use: FUEL
Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
55 I . 30.00 2,000.00
Storage r Press T Temp ~
PORT. PRESS. CYLINDER Above . AmbientON DOCK
Location
- Conc l
100.0% Propane
Components
r; MCP -¡List
Extreme I
02-002 MOTOR OIL
~ Fire, Delay Hlth
Liquid
165 Minimal
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL ----r-- Daily Average GAL~ Annual Amount GAL --
165 I 100.00 I 1,650.00
Storage r Press T Temp ~ Location
DRUM/BARREL-METALLIC Ambient AmbientlOUTSIDE DOCK AREA
- Conc l Components
100.0% Motor Oil, Petroleum Based
r; MCP :-rList
Minimal I
02.,.003 COOLANT
~ Fire, Delay Hlth
Liquid
55 Low
GAL
CAS #: 107-21-1
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: COOLANT/ANTIFREEZE
Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
55 I 30.00 I 550.00
Storage r Press T Temp -:-1 Location
DRUM/BARREL-METALLIC Ambient AmbientOUTSIDE DOCK AREA
- Conc -,
100.0% Ethylene Glycol
Components
~ MCP -¡List
Low I
~
e
-
,
04/20/92
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
NOTIFY 324-9681. FOLLOW HAZARD SPILL PROCEDURES - CLEAR IMMEDIATE
AREA FROM HUMAN EXPOSURE. IDENTIFY THE MATERIAL. ISOLATE SPILL FROM
STRUCTURES IF PQSSIBLE. CALL HELP IF REQUIRED - CHEMTREC, SHIPPER, FIRE
DEPT IF NECESSARY. IF POSSIBLE MINIMIZE THE LEAK OR SPILL. CLEAN UP.
DO REPORTS REQUIRED.
<3> Public Notif./Evacuation
WE WOULD NOTIFY THE BAKERSFIELD FIRE DEPARTMENT IF THERE WAS A RELEASE OF
ANY KING AND THEY WOULD HAVE TO DETERMINE IF A PROBLEM EXISTED.
<4> Emergency Medical Plan
DR. CHRISTIANSEN - 327-9617
MEMORIAL HOSPITAL - 327-1792
~
~
e
e
04/20/92
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release.Prevention
~
\
TRAIN ALL EMPLOYEES IN PROPER HANDLING. KEEP DAILY INVENTORY RECORDS OF/
DIESEL FUEL AND TEST FOR WATER. KEEP AREA CLEAN. HOLD REGULAR SAFETY
MEETINGS.
<2> Release Containment
1. CLEAR THE AREA FROM HUMAN EXPOSURE
2. IDENTIFY THE PRODUCT
3. ISOLATE THE SPILL
4. CALL HELP IF REQUIRED (CHEMTREC)
5. IF POSSIBLE MINIMIZE THE LEAK OR SPILL
6. CLEAN UP
7. DO THE PAPERWORK
<3> Clean Up
, 1. CALL CHEMTREC @ 1 800 262-8200 or 202 887-1315
2. CALL AREA SAFETY SUPERVISOR
<4> Other Resource Activation
~
.:t ~
e
e
04/20/92
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
5
<F> Site Emergency Factors
<1> Special Hazards
i <2> Utility Shut-Offs
A) GAS - NORTH SIDE OF OFFICE WALL, NORTHEAST END OF BUILDING
B) ELECTRICAL - NORTHEAST END OF BUILDING ON NORTH WALL
C) WATER - NORTHEAST CORNER OF LOT IN DRIVEWAY
D) SPECIAL - NONE
E) LOCK BOX - NO
i <3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS, 1 IN OFFICE, 2 ON DOCK
AND 1 ON FUEL ISLAND'
FIRE HYDRANT - FRONT OF THE ISOTHERM COMPANY
<4> Building Occup~ncy Level
;\'
" '.
e
e
04/20/92
CONSOLIDATED FREIGHTWAYS 215-000-000718
00 - Overall Site
Page
6
<G> Training
<1> Page 1
WE HAVE 11 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES HAVE BEEN TRAINED IN HANDLING HAZARDOUS MATERIALS AS IS SET
FORTH IN DOT REGULATIONS. ALL EMPLOYEE PERSONNEL FILES ARE SO DOCUMENTED.
ALL EMPLOYEES HAVE BEEN ,NOTIFIED OF HAZARDOUS MATERIALS IN THE WORK PLACE
ACCORDING TO. "RIGHT TO KNOW" REGULATIONS AND HAVE THAT DOCEMENTED IN THEIR
PERSONNEL FILES. THE MSDS FILE LOCATION IS POSTED ON THE BULLETIN BOARD.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
á) j-L
RECEiVED
.;;"¡
AUG 1 6 \990 " \
. HAZARDOUS MATERIALS INVENTORY ~
farll and Agticu1ture 0 Standard BUS1ness 0 HAZ MAT. 0\\1. ,. I
, . NON-TRADE SECRETS ' . Pagè _____ of L-
B~~I~I~~.NAME:~~· l,~' ~~, "':'~\ ~~~~~S~~HE: ~qA'i'lo 1#.;:<I-r>vÞ)~~~~D~~DT~~B. F¿mp~òQ.,~~1',¡S .
bYT¢ ZIP: ~=====~~ CITY zIp: DUN AND BRADSTREET NUMBER----'u---------'----
PHONË It: ~ - 5 PHONË It: rD DES - - - - - - - --
, REFER TO-rNS I HUe 11 uNS f-UH fJHUPr:;n CO - - .
1 2 3 4 6 1 8 9 10 11 12 13 U
Tr~ns TYÐe Mu Average Mea$ure 1 Oys Cont Cant Cant Us~ loc~tion Vhere 'by HaIleS of ~ixture{CoIlPonents
Code Code Allt Allt UnIts on SIte Type Press Temp Code Stored In FacIlity Wt See Instru: Ions
CITY of BAKERSFIELD
Ph~~ic~l ,~d ~ealth Haiand C.A.S. Number Component 11 Name & C.A.S. Number
( ee a t at app 1 y ·
o Fire Hazard [] Reactivity [] De Jared [] suddfn Release Component '2 Name & C.A.S. Number
[] Immediate
Hea th o Pressure Health
Component 13 Name & C.A.S. Number
\J 1> 0 30 ON. 1)Qct:.. Oó
¡
Ph~~ie~1 ,~d ~ealth ~aiard Name & C.A.S. NUllber lll'-'1:?¡;"r¿S
( ee a t at app y ,
o Fire Hazard [] R~activity o oelared ~sudd;n Release COllponent 12 Name & C.A.S. Number
o Immediate
Hea th o Pressure Health
Component .3 Name & C.A.S. Number
o
Component 11 Name & C.A.S. Number
o ;-rn ~
3 --55" ~
1EU¡V\~
~O~)
I k.t., ú:o (.A...1t'
~S-' 6A-l
Component 11
f1 Fire Hazard
[] Reactivity
o Oelared 0 SUddfn Release
Hea th 0 Pressure
Component 12 Name & C.A.S. Number
o Immediate
Health
Component 13 Name & C.A.S. Number
. Component 12 Name & C.A.S. Number
o ImmedIate ìO
Health
Component 13 Name I C.A.S. Number to ~thyl&Nr:? GL CO L ~
EMERGENCY CONTAds 1t\8I1~{1<~, ~£USUL r"JM'M tAHJ~lh~le:rSì tt2H~Mr ~!dJL T~ ~~ ~;¡~;~~S~
Certifjcatioo fRera· d and sign afrf3r cçmp7t!7ting Çi77 sections) .
I ~ertlfy under penal\ï 0 la~ th~t I have persona Iy examln~O aod om familIar with the informatIon $ub~itted In this and al1
attached documents, anQ t at Þased on my Inquiry 0 those IndlVlduals responsible for obtaIning the InformatIon. I belIeve that th
submItted Infor~atlon IS true, accurate, and complete.
iZllc.. ~ (k,i It :)L- I tvk'L- ' ,
~ft ~f!, 0 C ð e IIn, 0 rL r owner pera or s au orlle reoresen a Ive . ~ ure
o Fire Hazard
o React iv i ty '1'i..oe 1ared 0 SuddÐn Re I ease
"'- 'Hea th of Pressure
u~~!f.;¿q c
.,...- .- ---'~~
~-~
;. ...."j '3A ;(2"',
f.\.. ..'C'"'" .,. ~.s-',
... .J '.' . ~.,
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;è] ;~~, :,; )'
l<: ~_: _) ~"
,(' ,.,.. '~, /
,1E~;/
. . -11 '3 I ~~~!~~~~
CITY of BAKERSFIELD ~/q(P<V Æ"j::,\'/0~~~'à
t? -,"' ,\~ -'-
" WE C. -'t R E . , : \; ~; S);;;
~... ,-, ·if
:;:"-"'_~'.~"7\\;.'. ,¡':,.:j
â'I'ÎÜú7
0A#C¡ !µ, ~/2tCk.
(tYDe or prin~ name)
RECEIVED
JAN 2 7 1989
Ans'd...
.......
Do hereb:;- certify that I ha-,-e re\-ieh-ed the
attached Hazardous Materials business plan
for
~A.J :JoG / (),.q/(;>"Ð fì~ 6J1/t...J AlI.s
~"~
~
(name of business)
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
,~~~~~
I 1?0 rm
date
[) 0-
of- 1;t\·
. O~/Ø .~.
~
,~
BUSINESS NAME CONSO~ATED FREIGHTYAYS
LOCATION 600 WILLIAMS ST
ID N.ER Z 15-000-000718
HIGH HAZARD RATING 2
t. OVERVIEW
LAST CHANGE 10/07/88 BY ESTER
JURIS CODE 215-002 JURIS BAKERSFIELD STATION øz
MAP PAGE 103 GRID 318 FACILITY UNITS 1 HAZARD RRTING Z
RESPONSE SUMMARY
ZA SEC 4) POSITIVE INCIDENT CONTROL 399-8778.
EMERGENCY CONTACTS ZA SEC 2)
GARY DETRICK - 324-9681 OR 834-8294
ROX."',tmc DCNNCTT - 3Z4-9681 OR 8318332 ('A,{(o(.. /VIAu(..D/N ~-zr.f-q681 012 B~~-85qS
UTILITY SHUTOFFS ZA SEC 3)
A} GAS - N SIDE OF OFFICE WALL, NE END OF SLOG B> ELECTRICAL - NE END OF SLOG
ON N WALL c) WATER - NE CORNER OF LOT IN DRIVEWAY D> SPECIAL - NONE
E) lOCK BOX - NO
2. NOTIFICATION I PUBLIC EVACUATION
.t '1
LAST CHANGE . 111</ ~v
bAlb- ?L""'I~(C r::..
ft-:>6 {¡...>oùL:Ù µo/,ft( -rí+6 ~(Lé)L7F'¿;Lù F-(~œ?í If 7(~
t?Pt~ I\- ~L@\"~ oP A-,....~ r2 ''''''U AlVô ~ ú->ouL.. Ù HAW TD
leíc#M (¡VB (I- A f/2o?i<:fM l3X(5""'-~.
-< NO INFORMATION RECOHOED FOR THtS SECTION>
PAGE t
12n7/88 17:00
MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800
"
BUSINESS NAME CONSOLIDATED FRE1GHíWAYS
LOCATION 600 WIl.LIAMS 51'
10 NUMBER 215-000-000718
HIGH HAZARD RATING Z
3. HAZ MAT TRAINING SUMMARY í .IJ. ¿,
LAST CHANGE ~c 'Z/~ f3T tvþ.Plr ~'ï¡,- ¡Cf
ALL €iM?cd-/egS, f..t4~ ~ ï(2AI~ìJ ~ IN HAcr-..>Ù(/J.-b /-{AZA,7ùo....7
3Y\P('Ø,AlJ7 A'J \? ~¡S(. [:.Ð1J1µ. ¡u D.~'T.~6o LATior~./::>. At~tt¡§ii
~-?oru/V~l p-(Uff? AfJ¿ 5:> 1)oC(..JN\8"1'--'I~. PrH 61MPlOl¡é&~ /-{t4.4? ~~t-->
~o'1IÇ-,ŒU DC-- f-1A2A¡2.~S (v\A-r&!2lrt¿S ¡tv I~ t-x:>r2fC' 'PtA(§
< NO INFORMATION RECORDED FOR THIS SECTION>
A CCo(l1)11'--f::::;> (0 ( ar(,/4í To ¥r0oc....> I( Pe6uLA,/(Q(/-JS A~Ò H~
Tr+At' 'Mv NÎ@-.>,j\) r tù 'í' ~(í2 '~fùd£(' ç r Lcr-;, , T7f. t? M) 1)'-;
( ilÆ [0 CP<'1Í~ (s '¡::b.¡nd> eN 'THe ÒJ[,Ú§-íÍ'µ ~fI<¡2.C)_
~)
Ii·of!-;
~'--'
4. LOCAL EMErn7ENCY MEDICAL ASSISTANCE
LAST CHANGE 10/07/88 BY ESTER
ZA SEC 5) DR. CHRISTIANSEN ~ 3Z7~9617
MEMORIAL HOSPITAL .- 327-1792
PAGE Z
11/27/88 17:00
I
MATERIAL SAFETY DATA SYSTEI'1S, INC. (80S} 648-6800
<:
e
e
'"
!.
BUSINESS NAME CONSO~ATED FREIBHTWAY5
LQCATION 600 WILlIAMS 5T -
FACILITY UN!T 01
10 N~R 215-000-000718
HIGH HAZARD RATINC1 Z
A. OVERALL HAZARDOUS MATERIALS INVENTORY
lAST CHANGE 10/07/88 BY ESTER
10
TYPE NAME
LOCATION
~AX AMT UNIT HAZARD
USE
CONTAINMENT
PURE DIESEL FUEL
UNDER FUEL ISLAND N UNÒER6ROUND TANKS
10 PERCENT COMPONENTS
t 178.03 100.0 DIESEL FUEL NO.1
950Ø GAL MODERATE
FUEL
HAZARD LIST
MOOËRATE
Z PURE PROPANE - LIQUIFIED PETROLEUM GAS 35 GAL ExtREME
FORKLIFT/INTERIOR W END PORTABLE PRESS. CVL. FUEL
ID PERCENT COMPONENTS HAZARD LIST
1155.0Ø 100.0 LIQUEFIED PETROLEUM GAS EXTREME
B. FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 10/07/88 BY ESTER
3A SEC 4) 4 FIRE EXTINGUISHERS. 1 IN OFFICE. Z ON DOCK AND I ON FUEL ISLAND
FOR FIRE PROTECTION.
3A SEC 5) FIRE HYDRANT IN FRONT OF THE ISOTHERM CO.
PAGE 3
12/2'7188 17:00
MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-,6800
BUSINESS NAME CONSOLIDATED FREIGHTYAYS
LOCATION 600 WILLIAMS ST
ID NUMBER ZIS-Ø0Ø-000719
HIGH HAZARD RATING Z
o~ EMPLOYEE NOTIFICATION I EVACUATION
LAST CHANGE 10/07/88 BY ESTE~
3A SEC l) NOTIFY 324-968t. FOLLOW HAZARD SPILL PROCEDURES - CLEAR IMMEDIATE
AREA FROM HUMAN EXPOSURE. IDENTIFY THE MATERIAL. ISOLATE SPILL
FROM STRUCTURES IF POSSIBLE. CALL HELP IF REQUIRED - CHEMTRt:C.
SHiPPER, FIRE DEPT IF NECESSARY. IF POSSIBLE MINIMIZE THE LEAK OR
SPILL. CLEAN UP. DO REPORTS REQUIRED.
E. MITIGATION / PREVENTION / ABATËMENT
lAST CHANGE 10/07/89 BY ESTER
3A SEC 1) TRAIN ALL EMPLOYEES IN PROPER HANDLING. KEEP DAILY INVENTORY RECORDS
Or- DIESEL FUEL AND TEST fOR tJATE:R. KEEP AREA CLEAN. HOLD REGULAR
SAFETY MEETINGS.
PAGE 4
tZlZ?/Ba 17:00
MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800
~.
-
-
CIT}T of BAKERSFIELD
HAZARDOUS MATERIA~S INVENTORY
NON-TRADE SECRETS P /fL
a9r ____ 0 ___
NAME OF Tft"tS ~AJ~JL.!.TY: ~()V'Jct 1l)1'11f:!D &16IIT/..JAiIj
STANDARD IND. CLASS CODE Z. ~ Z -
DUN AND BRADST,EET NUMBER £ ð
~':l-~ll.-º'E?Zº
Far. and Aqriculturr
:25
'--'
Standard Bus ;nr55
BUSINESS NAME :~¡v6G>~/fÀ'f"~1) {f4;lbj./n......IHI~
LOCATION: b-ø;0 ~f¿~ "5í
CITY. ZIP: AU, '2-,? - CA 433oS-
PHONE ,: Bo<; - "'31--,,/.. qt-, P, ,
OWNER NAME:(éJµ~/i.)qï&b ~IHlTvlN.s
ADDRESS:
CITY. ZIP:
PHONE .:
RDD 2'0 IIISf'RUcrIOIIS roB PROrD CODIlS
1 2
Iran, Tyoe
(od, Cod,
]
III.
Mt
7 1
1 Oys Cant
an Sit. Type
t TO
Cant Cant
PreI. 7..,
.
avl"aql
Mt
5
Annua I
Est
&
.....u'"
Units
¡ Ph~;c.1 and HH Ith IIIrll'd
fr.hrck .11 that .pply)
,..A ra-., ~, ,..-., r-.,
L"';r. Hnard L_..I Røcthoity ~..I Oflayld L_..I SudcMn hl_ L_..I I..tlte
HH Ith of PI'llIUI'I ....Ith
()
r--"
L -... I..tlte
....Ith
Phys ica I and IIH hh IIIrll'd
(Check .11 thlt IPply)
C.A.S. .......
r-, ,..-., r-., r-" ,..-.,
L _.J Ftr, Hazlrd L -... React ivity L _..I Of layed L -... Suddrn II.IHu L -... I..t.t.
HH I th of Pl'ISlur. HH I th
__L___________L____________1__________1______L_L__l_
II
Un
Code
U
LØClt1an IIhII'I
II
__ of lIiJltUl'l/c-tl
See IlIItructilll'll
..... . U.S. .....
?»;:{;a .'
-~-~
----- -
ta.Qønlnt 12 ...... U.S. ~
--- --
~t.3 .... C.A.S. .....
DIV 7)oc)é
;OD 'rl2oPA~
----- - -
..... . C.A.S. .....
-------
CaIDonInt 12 .... C.A.S. ......
CaIDonInt IJ .... C.A.S. .....
'---------- -----
to.paMnt II .... C.A.S, .....
CϿanent 12 11_' C.A.S, .....
~t IJ ...... C.A.S, .....
1__....1__
C.A.S. .... _________________.,_ to.paMnt II .... C.A.S. .....
COIIICIMIIt 12 .... C.A.S, ....,.
PhysiClI and HHhh lillii'd
(Chrck a 11 that ." Iy)
,.-, ~-., ,..-., ,.-., ,..-,
L _.J Flr@ Hazard I.. -... IIHc:t;vity L -... Dt)ayed L -... Suddrn 1I@),"r I.. -.. I..tat.
Health of Pressure H.alth
------ -----
------------------------ ------
c-t IJ .... C.A.S. IluHer
'URGENCY CIMTACTS II 1i~~~~-_-~1f!L.Çj5------------~-~-LI1-Q~------ ~t=p~t-?-~-- 12Q'~?_...!.'1..~!::.Þi..~________ T1m~-E.~M!!.~---- n~r-~f?9..i:.-
,t.nilication (RftlJd IInd sign 'lifter coapJeting 1111 sections)
I ~~rtHv undrr llMlty of 1.. that I hav, øersanally ,.a.intd and a. f...ilill' with the inforll8ti u.itttd t
for obtè..i",1nq the infOl'lI8t Ian. I be Ii.v@ that tll! su.itttd 1nfo,..,t 1an is true. accurat.. and c P I't .
11_- 0_Aa~~¡ßJ.Jj·-lJ ~l-~J Tff~ÇlÉ----D'"7'(.fR-~-^"7-!.~-!YJ.~---t-.·-- '--
4.. an 0 ',IC!f Tn, 0 oo-1fr, Ooerd tor oo-1@r OOf!ralOr 5 fUlT1l>rll~ r,or"rn fllV'
, ,~ '""
.' .....
I ;¡. ~ ,,"--":
this and al1 .tt~. and that blstd an -V inqutry of those indtviduell rllllll'lsible
- __~__~~________um, o¡ti-Si9~L~~J~i---------------
KIRK S. CARLISLE
Terminal Manager
EF COnsOLIDRTED FREICHTWRI'S
600 Williams Street
Bakersfield, CA 93305
(805) 324-9681
liE]
''''''~
-'"
/;; -,}~'::' -'
Þ:i_, r L
, .» (!) I
e e
BAKERSFIELD CITY FIRE DEPARTMENT REC~, Vr-O
2130 "G" STREET r: c.
BAKERSFIELD. CA 93301 J U L , S fOGl
(805) 326-3979 11'10
I 03 -~ß ~ Ans·d..........
':::w5P ..
OFFICIAL USE 0_ -Y
ID#
Illld-
USINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
000718
1, To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business
4. Be as brief and concise as possible.
as a whole.
SECTION 1: BUSINESS IDENTIFICATION DATA
A, BUSINESS NAME: t'OrvS:,ttbAíJD Ç,2e/0Hít,..JfWS
B. LOCATION / STREET ADDRESS: <000 ~/LL(AMt> -::::>1
CITY: &\f~St'€LÙ
ZIP: q 33c>S
BUS. PHONE: (60'S) 3Zl/--Qf,8 I
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material. call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.
A. &c.,2""¡ Ver¡2/CI? íd¡VI,,..,p,/., f'/IANA6¿¿ Ph# 32.~ -'1bßI
B. ¥c>X A\.Jf\.ß ~N,véí"" 1:oClt {.Dtfl€rJ1AfU Ph#"3 -z,y-Qfo8 I
AFTER BUS. HRS.
Ph# ~3L( - BZ9 1../
Ph# 8"3( - 8qcr2..-
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A, NAT. GAS/PROPANE: Nt\1vAAL M~- NOI:~·n.f SlOG&: e-t{.-'Œi-:>Ot(,L--I\JoIØrt.jBV-\·¡j-(~ì;)BuIL01"6
B. ELECTRICAL: No¡2"n~ ({Ie")"" (J1\I D or:- B 1.)' CD{f'.-b ON {Vo/2.-rH £"'-P<l.L.
C, WATER: Nc{l."q.{ éfl<,;>1 Co(k...4l. cf: (0'" ,tv 'òr2,\)i3"{¡....~ ?Þ-rUG~ (,;,00 I\¡.ot) b'L fµILiIp..,,^~
D. SPECIAL: ~~~,
E. LOCK BOX: YES /@9> IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
MSDSS? YES / NO
KEYS? YES / NO
- 2A -
,/
e
e
1:
~,
t
!A........':..
."':",
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
YO~I-r,V& (tuC'b~T Co~l{2oL 3jq - 8,75
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
V,2, (' (..(.'j2< ~'ï (AN £S&N 3"Zc- ~H;), 7
B,~~~Fté(..0 (\II€,,^o(2,A-L Hc>~t=1-{A-L '327- IÎ~z..
.... '..:'
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS: . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:.................,..,.....
C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . , . . . . . . . . .
D. EMERGENCY EVACUATION PROCEDURES: . . , , . . . . . . . . . . , . .
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. .." .'
INITIAL
6£) NO
éli& NO
~~~
~NO
REFRESHER
YES NO
YES NO
YES NO
YES NO
YES NO
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR (§ì
DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL IN QUANTITIES LESS THAN 500 POUNDS O~
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES~
I, C::A(lu, ~(2IC~ , certify that the above information 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 constitutes perjury.
'SIGNATð."'I\~. " TITLE /Äi2"'NP<L MI-..f DATE) {IO lS'7
- 2B -
;-~, ',-'"
,¡.
J'f';'. .
~ ì
e
e
.'
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G"STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
------
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2, TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
Còr-.-<50L (bAí~b r:-l2€lbH:J:.(....j~yS
FACILITY UNIT# BVç. FACILITY UNIT NAME: t5~¡¿¿--tst:((~ D
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
i. -r~Q""ttJ AiL ØtvtPtcNli"§'] IN ?to~.¡:(l I-ÍANÌ)Ul\.,Jb.
2. "¡e~ J:>Pdt\. I~Wy(f¡¡¡Z'1 ~otD~ or; 'D (¡f-$($( FueL tf -r~<'ir fo"R. ~Píc.4.
3. ¡L.g~? A-,~ C~t->.
4, I.{aV\) ()é6v LQ\('2 ~¡:¡g""Y M5&í, ~6 7 p
SECTION 2: NOTIFICATION AND EVACUATION PROCEDL'RES AT THIS UNIT ONLY
t-Ioí' ,,:...., "3"2. 4 -q b 8 I
i-!Ø,ZA{1í) S?II..L. 'P¡2o Cé?)v(2€~
).. LL<€A~ 'M,,^&Ì') ¡A-íð p.{k~ (~M µv",^A""" 6 XPo"5u,Z.f
Z < I't,)@-.'"Í (Fi .- /'to&" fv1 Ä"f cfiLl P. L-
3. IScL¡6.ï'5 -S7,1...(, Pr2orl\ 1>í'l2vtr(.Jclé~ (p- ~-s4(B{~,
Lf, Ô'Ht. I1GL P IF ,f2rsGìv¡(2¿~, ~1-\<flVI'~(' I '5 ('('(Þ,J..f"IZ, ~(I2€ í)ç¡::>¡- \ F- tv6C6'T7At-ù¡,
,5. , F rt>'i4, 8l~ (VI. f ,_.J!)V\ 12€ í'11l!' L~¡¿ o¡. ""Sþ¡ i L .
(po CLtP<.N ur;).
1. '1)c ¥~ (~'1? VøQv r V6îJ I
- 3A - '
e
e
_.--'-.
i~~¡;;'
" '. 'ì
,I
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A, Does this Facility Unit contain Hazardous Materials?.. ... ~ NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES ~
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form #4A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
F "~ é Kíi' 1U(ó'"W:) f..h,~12S: 'r ~ 0(:: ç ( C§
Z o~ voc..e:::
I ON r::~~<.. I ?U\II'->Ì)
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
'Prf'J¿ I.fYì)/ZA/Ví IN f/lotv'( 0(:. 6:>s (,tv/tttAM,? óT Ar- -rH.:i- I:5Ctf-l-e:#1VI eo,
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS/PROPA~~~
f\jtf}-rl-l: ~p.U... of: oç..ç. r C(? A-r f\Jo¢:"n..\: G*'JÎ C 012(\)# oC- ~ {(... í) r~ .
B. ELECTRICAL:
µ p (J"q~ \,-1\ (,. L c£ cJ.r:-, CI? f\ í
(VQ'ZTHl:f1t5T C~~ oÇ {3ull- j)rA..J(6.
C. WATER: 1:"\
tJo(2..t\~ ~6"( Co¢tu~ oç 9120 p<:ia-n..¡ (/\.J òi2,\)€£.-..>A-lj ~IW€€{\...) ~ AÑ!.J
00 ¡ /...J t L L. ( A íV\ 4) ,
D. SPECIAL:
NV(\.Jff
E. LOCK BOX: YES / ® IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO MSDSs? YES / NO
I
FLOOR PLANS? YES / NO KEYS? YES / ~o
38
II.D. ·
I
I
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-1
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
. .
BUSINESS NAME: ,C'o~~l \ i;)AT~') F{~lbHf¡..J\l/sOWNER NAME tD"-ÓOLrÙP\TJù ~1(br-rr(....)AY S FACILITY UNIT #: ~f(.c
ADDRESS: !noo ~¡LL IA-"^t '6\" ADDRESS: lï:S LlfVç.r.5<-V òr2 FACILITY UNIT NAME: BA{t\?iSÇ(§L(~
C I TV, ZIP: ~AIÄir2-'S¡,C I¿;L.' CA Q"3 30.,:5" CITY, ZIP: "A,~ Lo ¡>A,'7(L . e,., -qt..f02~- 379<1
PHONE #: eo.:s--'3'2'-{-<1bS/ PHONE #: '-'-fI-';--~Z.b-1700 IOFFICIAL USE CFIRS CODE
ONLY
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAJ" CONT USE LOCATION IN THIS % BV HAZARD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
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.
RECE~T CHANGES ON CITATION
F' Wy,+e..- Ot1t'1
"Violations": Put U.F.C. or B.H.C.
where applicable, code number and a
brief written explanation. Example:
1.
B.~.C. 15.64.140 (Traffic)
Parking in a Fire Lane
2. "".c. F . C. S ec .
Obstructing
Traffic)
12.103(d) (Non-
Fire Escape
Put a specific day of the month 21
days past the date of the citation
in the blank, and "Traffic Court"
after "8.30 AM". For other than
traffic, put "1:00 P~1". bllllsJ;DY1 G
-
If the person is not in attendance,
fill out all the information avail-
able regarding the vehicle; and
leave the "Violator's Copy" on the
windshield.
SIGN YOUR NAME LEGIBLY SO WE WILL
KNOW WHO ISSUED THE CITATION IN
CASE IT GOES TO COURT.
If you feel an additional memo
needs to be written to further
explain, attach it to the citation.
;: :,;; "~":"·~'~;"~;';;":""~i~.i:;":¡;~ ~j,:",;::~",~:::'~~ ~;:~~;~ ....:: i.~.~ "L:.~. :'~,:: ~ :~ '::'(~;}'~~"i ::J;;; ~; :'.~,::~~ ~.:~~;/ ;~,
e
BAKERSFIELD FIRE DEPARTMENT
8976
NOTICE TO APPEAR
DATE
DAY OF WEEK
9 M T
W
T F' 9
TIME
18
..
NAMe (FIRST, ..DDI.E, LAST)
RESIDENCE ADDRESS
CITY
BUSINESS ADDRESS
CITY
DR11/ER'9 UCENSE NO,
SEX
RACE
YEAR OF VEHICLE
......KE
BODY STYLE
COLOR
-
REGISTERED OWNER OR LESSEE
-
ADORESS OF OWNER OR LESSEE
VIOLATION(S
--
BOOKING
REOUIRED
o
LOCATION VIOIATION(S)
o OFFENSE(S NOT COMIoISTTED IN MY PRESENCE, CERTIFIED ON INFORMATION AND BEUEF I CERTIFY
UNDER PENALTY OF PERJURY TIiAT THE FOREGOING IS TRUE AND CORRECT EXECUTED ON THE DATE
SHOWN ABOVE AT
_LING OFRCE"
CALIF
BADGE NO,
IPL'CI'J
NAME OF ARRESTING OFFICER· IF DIFFERENT FROM ABOVE
BADGE NO.
WITHOUT ADMITTING GUILT, I PROMISE TO APPREAR AT TIiE TIME AND PLACE CHECKED BELOW:
X SIGNATURE
j(IoIUNICIPALCOURT, 1215TRUXTUN AVE. BAKERSFIElD. CAUF.
o JUVENILE COURT. = RIDGE ROAD. BAKERSFIElD. CAUF.
o JUST1CE COURT
ONTHE_DAYOF
ATl:30A,... -rrqff¡ t VolArT
l:ooP'" ðJ VIS 10 n G
f()AM N"PAOÆD BY TtE Jt.DCIN.. cc:u.ca. ~
CAIIOfIrM FEY. 11·'''' P.c. e3.a
SEE ",""ERSil SIDE
COURT COpy
SF, D, - 1=
---------.
--- -- --- --- --- --.
-- - -- -
- --_._~~---------
.
.
.
.
.
.
.
.
e
RECE~T CHANGES O~ CITATION
"Violations": Put U.F.C. or 8.N.C.
¡.;here appl icable, code number and a
brief written explanation. Example:
1. 8.\1.C. 15.6·+'1-+0 (Traffic)
Parking in a Fire Lane
2.
12.103(d) (Non-
Fire Escape
V.F.C. Sec.
Obstructing
Traffic)
Put a specific day of the month 21
days past the date of the citation
in the blank, and "Traffic Court"
after "8.30 AM". For other than
traffic, put "1:00 P~1"."D'VI~;On G
If the person is not in attendance,
fill out all the information avail-
able regarding the vehicle; and
leave the "Violator's Copy" on the
windshield.
SIGN YOUR NAME LEGIBLY SO WE WILL
KNOW WHO ISSUED THE CITATION IN
CASE IT GOES TO COURT.
If you feel an additional memo
needs to be written to further
explain, attach it to the citation.
e
BAKERSFIELD FIRE DEPARTMENT 8427
NOTICE TO APPEAR
D"TE I TIMe I DAYOFWEeK I
19 M
S .. T W T F s
N..ME (FIRST. IotIDDLE. LAS'!) ,- ¡
I
RESIDeNCe ADDRESS CITY i
BUSINESS ADDRESS CITY
DRIVeRS UCEHSE NO. ST"TE I BtRTHDATE
i
SEX I HAR I evES I HEIGHT I WEIGHT I~e I
!
VEHIClE UCENSE NO, ST..TE ,
YeAR OF VEHICLE ¡.....KE BODY S1YLE COLOR
i
REGISTERED OWNER OR LESSEE I
- i
AOORESS OF OWNER OR LESSEE I
..
V1Ol.4T1OII(S B.m.c. ;5: ,~. l4-ò ,
.-. .1Ìtrk:tr"\'1 ¡VI 0- ~Io-"G- Lal"'te- ,
ì
. ,
'., i
BOOKING 0
I
REQUIRED
LOCATION VIOLAT1OII(S ¡
¡
o OFFEHSE(s NOT COMMITTED IN tn' PRESENCE. CERTFlED ON INFORIoIAll0N AND BBJEF I CERTIFY
UNDER PENALTY OF PERJURY THATTliE FOREGOING IS TRUE AND CORRECT EXECUTED ON TliE DATE
SHOWN ..øove"T '.
ISSUINQ Ol'ACEII
CALIF BADGE NO. !
(PUICE) ,
N....e OF ARRESTING OFFICER - IF DIFFERENT FROM "BOVE BADGE NO. I
WITHOUT ..OMITTING GUILT. I PROMISE TO ..PPREAR ..T 111E TIME AND PlACE CHECKED BE1.OW: I
X SIGNATURE I
o MUNICIP..LCOURT. 1215 TRUXTUN "VE, 8Al<ERSFIELD. CAUF, I
o JUVENILE COURT. 200S RIDGE ROAD, BAKERSFIELD. CAUF,
o JUSTICE COURT ..T8:30..,... Ira ff, c. C~'1r't
OONTHE_D..YOF
---
FOAM,IrPPAOÆD BY nE JUJlClAI. COMeR. Of
CAl.,FCHrMREV.11-1G-1i1P.C,æ.:u
SEE REVERSE SIDE
COURT CC?Y
SF, D, - '933
-.. --- --.
41