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Home My WebLink AboutBUSINESS PLAN ~.. .;ï: "l.:~ _'" ,/.; KEEIJAN Pip€' YA~O Ke.EJ./AN S vpp '( J:N C- . ')J,o V/iJ)ì¡t/ms. ST. Col..OM~O <: oH6-rRv(;.Tì (¡AI ,)Y w;,I,/tMS Sr. Hl\fMP P~ MAP SITE DIAGRAM FACILITY DIAGRAM Business Name: eK t4-¡JY1Jl--CIJ\.~'V\ZJ ~ Business Address: ~D5 ~wtltt~'r'f\-AJ First In Station: Inspection Station: For Office Use Only ~ G\~ J O?J of ~~ G NORTH -0. Area Map # !ìVLE I - 'b~ ;::, r t4 "OIl..AfJ r E. Ti<ux¡U¡"¡ \-- \J) \f) ~ SJ: ~ .1 \:. 'lI ~ \) ,~ ~ \I.. - - $ 110 V'ðlr é/G(1fLì C.; .sh1lT4 IX1 w"'1'e:~ mAlA.! Sh"'k' ot:,.. I I , VAC,A"'¡I i3v; Id,'J.J£i, -$ Y,4 R D ,c~Eé/AJI'{) PJ.. v rnh;IJG Jlt>IS £. TfI,tJ..¥TtJN /lye. OR~vl!w"y' ì'o ßfk.k YIi¡i.¡) of- ¡::-í<ée.lI1A1i> P~vmb/.vG1. FeN' E. ChA,'W I-t/4.lk ¡::e;.¡,€ (!. . \<. £¡./6,IÌ'¡GtE.RìA/fp ')05 '.I.dl/¡'R~$ sr. - ÝflRD- ~I 9«,D~ - r " - ~ÆD- ~ ~ 1;\ t\\ ~ ~ ~FI.A'MmIlbJ£ ¡' &iI~ 6Tt>ll..IIG€ .£ HoP oøøf- (, FF"c € IrH' RÞøn\ DR; vð 14/1 To b/1t;k };¡12.0 es-f ~, k. £Io/GIN~çRIÌJ6. V Ac. A¡..JT fš\., ; \d ; IV £? ~ Y A(J.i:> STATEMENT OF ACCOUNT ~\0 'ß-' y CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD. CA 93801-0000 TO: C,K ENGINEER I 705 WILLIAMS BÅKERSFIELD, / " DATE: 6/01/96 , .~ c;' ,,'v/ ,)<~:;::~ \ CUSTOMER NO: ",' "" " '" CUS150MER\\!:YÞE: ESI 3309 -' "';-~----~---------~,,~,~"7;-~~·'::':::;i;;:!---:-7.;;o.,.....--~-~-~~-;'~-'~-~,4'~~---_·_---_..!~,~<'~-T<~-~,~";;"-------------- CHARGE DATE DEScfnPTÍON',' . \ \ \ REF-NUMBER ÐI...!Êr>D'Ä~E TOTAL AMOUNT ______ ________ _'...:.-~':.l_:::.!,':::...__:li:_~______..:..___ _L:J.:.:....:..__~__ l?_':.~'_~..>~"t -------------- \.. ~.- /,i -, -.~ '''.,,,, ,..... \;':'!: "/; J ":::"','""'";,,,,,1,,,'::,;,',',"\, f/ " ,\,,, \ :. ~,<:,',:_ _:' ~ "< ;,::,,-:, :t,;.:',,-\<:-:~~: . / ~" ~~-~,,;,?i-~;-~':; ~ ;f \. ~''> -, ,- ~~ ,:.> / ¡"'-- '<:, ;'",\,<:{I' 158.00 5/01/96 BEGINNING \;i~:.: , ,) \.~ .e ( \_->:\~' C\ \ t?~é) O\~\ \:. ~, " , , FOR QUESTTONSOR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- --------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- -1.58. 00 DUE DATE: 6/03/96 PAYt1ENT DUE: TOTAL DUE: 158.00 $158.00 STATEMENT OF ACCOUNT cS,O \ \~ CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFiELD. CA 93801-0000 ". (865) t :326"';39'i~; ';(()1ni,,;!;:~ ·cJ " "/¿,~..;»;>. DATE: 4/01/96 TO: C K ENGINEER ING,éå \,.j/ 705 WILLIAMS ST\i ." \ BAKERSFIELD, /C;A93305»;~i) "", ", <" '~/ -<'( ;;,-~' (3:;~\~~~~~;~\:\ " ;<'~'i::';';:':-':)\ -~, ^o \ ;~ ~"\_\)- '~- (" "'~'~::< ~':::'>\ ! >. ':' " ~^ '" ' ' ~\ '\ ,if ¡ <: \~,j'\>,¡<-.- ~/ /_'\,~',::_',':-,*\:\ ___:~:~~~:~_~~~__~~~~:~~¿~_~____~_~~_~___________:~:~~~~~~I~r:~_::~_____::~: CHARGE DATE 5~~~~:~1i~ils~l:~~~~r~_~~; ~2~~~:~>/b~ì:Ê tOT AL AMOUNT ------ -------- I" F' '" , ' "I ," ,.,' ~...::-~-~~n -------------- I ~~:~' /,! >< . il i;.r}if¡/:'/j:l:;jl~ ,: i\'¡ I 3/01/96:) ¡(\~~! 158.00 ,',./,~,,;,5.,~~,',:·:/:)' - , , ,'" }-"j \""\,,-''*')! 1;~\~:~"~"1 I,,~, %, ,,,"' l\:~\\)/r " ", 'i1 ~ /" f 1;.i...,}" ¡: \. \, I':'" ~. "--,, , ,> '^ "( ,\ ' ,'! ^ '\ '{"; FOR GUESTlbÑs'mf CHANGES REGARD I NG YOUR ACCOUNT PLEASE CALL 326-3979. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 158.00 DUE DATE: 4/01/96 PA YMENT DUE: TOTAL DUE: 158.00 $158.00 .- ....,J...'i "i'--'~" . .. 'k:ENbiNéEKJ}JCo Co, . .' C ~ ~~LDING 215-000-001166 Overall Site with 1 Fac. Unit ~~~~,~~~~ ' ~ MAY 13 1992 ~ Page 1 ~ 04/14/92 General Information By Location: 705 WILLIAMS ST Community: BAKERSFIELD STATION 02 Map: 103 Hazard: Moderate Grid: 28C F/U: 1 AOV: 0.0 .- '----Contact Name , I '7Õ/II1 CrlMENlsc# J ÎM CAméN,'s"JI Title OW/'{GtZ. ß/?ot-JleL Business P1;1pne---- __24-Hour ,phone, (805) 324-5529 x (805) ~~31 (805) i93S:'rðf'? (805) 3C¡p-)(J'I~ Administrative Data Mail Addrs: 705 WILLIAMS ST City: BAKERSFIELD Comm Code: 215-002 BAIŒRSFIELD STATION 02 Owner: 7õ/Vl CANJE'N''sø! Address~'705 WILLIAMS ST Ci ty:, BAKERSFIELD \, D&B-NUmber: - State: CA Zip: 93305- _' SIC Code: ---~- Phone: (805) '~~~-~I State: CA Zip: 93305- Summary ó~ 1,"%"11I) CA/l//ENI!;çll Do hereby certifY that 1 have (Type or print name) reviewed the attached hazardous materials manage- ment plan for~k;.6I6¡.NéERI;VG~d that it along with (NamO 01 BUIIlltQoo) any corrections constitute a complete and correct man- agement plan for my facility. Á/-p2 /- f;2- Date t #.Ù", '\ e e -¡>-, 04/14/92 C K WELDING 215-000-001166 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 OXYGEN ~ Fire, Pressure, Immed H1th Gas 6540 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure ,Days: 365 Use: WELDING SOLDERING Daily MaxFT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 6,540 , I 1,685.00 I 6,540.00 Storage r Press T Temp ~I Location PORT. PRESS. CYLINDER Above AmbientlNORTH SIDE OF BUILDING - Conc _I 100.0% Oxygen, Compressed 'Components r=- MCP ----rList Low I 02-002 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 4620 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 4,620 924.00 I 4,620.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientNORTH SIDE OF BUILDING - Conc l 100.0% Acetylene Components r; MCP ----rList High' I 02-003 ARGON ~ Fire, Pressure, Immed Hlth Gas 3870 Minimal FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 3,870 I 774.00 I 3,870.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientRIGHT CENTER OF BUILDING - Conc l 100.0% Argon Components r; MCP :-rList Minimal I .. ,z e e 04/14/92 C K WELDING 215-000-001166 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation LEAVE BUILDING FORM OPEN DOORS ON EACH END OF BUILDING OR SIDE DOOR ON NORTH SIDE CALL FIRE DEPARTMENT OR 911 <3> Public Notif./Evacuation WE HAVE NO CUSTOMERS IN THE BUILDING AND NO CLOSE NEIGHBORS <4> Emergency Medical Plan KERN MEDICAL CENTER 1830 FLOWER ST 323-7651 ... II' e e 04/14/92 C K WELDING 215-000-001166 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention CHAIN TANKS AS DIRECTED BY THE FIRE DEPARTMENT, USE PROPER VALVES AND FITTINGS <2> Release Containment TURN OFF VALVES <3> Clean Up <4> Other Resource Activation '. .1" e e 04/14/92 C K WELDING 215-000-001166 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SOUTH SIDE OF BUILDING INSIDE (CENTER) C) WATER - FRONT OF BUILDING D) SPECIAL - NONE 'E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - NORTHWEST CORNER OF EDISON HWY & WILLIAMS <4> Building Occupancy Level ,~ e e n~ ") ". 04/14/92 C K WELDING 215-000-001166 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE NO EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~, ~ - e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakers!ield, CA. 93301 ~cß'0\ HAZARDOUS RECEIVED DEC 0 3 1991 HAZ, MAT. DIV. ANAGEMENT PLAN INSTRUCTIONS: 1. 2. 3. 4. To avoid further action, ret his form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. L1. '0 ¡r¡q I SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: {! KJ £N6/>~ .EEl<. /}./~ Co, , , ' LOCATION: 705 WI/II fJ171 S STi?I3EI MAILING ADDRESS: ?OS W/J/ /ilm S SrKEE/ 'CITY: gllkE~.s.ç,E/C/ STATE: {'II ZIP: 9MoSPHONE: 3~L/-5Sil9 DUN & BRADSTREET NUMBER: 5'}0 :"'1'8- 3ILfL1_ SIC CODE: '7{Pqc¡ . I PRIMARY ACTIVITY: GEAlf3RI'IJ.. K£{}t9J~ :.- "c¡;¡?m /J1,f-ch¡'II)£I<Y 1//fI9,}E.R5. . , , , OWNER: -¡Om L/9mEN/'scll MAILING ADDRESS: ~J13 eov/..TER (!;;, 933JI SECTION 2: EMERGENCY NOTIFICATION: CONTACT ' TITLE BUS. PHONE 1. Tóm L/lfJ?r3NI'.scll 01<//1/££ 3;2.'/-SStl1 2. J ; ~-n e /I mENISc fi- !fRcrk¿ "835"- '1ô JI(j' . 24 HR. PHONE ¿(¿;f-?;?3J 37/ - /1f'/ 9 , :ç. ......~ -"", 1 . FD1590 __ Bakersfield Fire Dept. __ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN .- ". l' '" ,". ' SECTION 3: TRAINING: \')~...J .......": . ~ ~ NUMBER OF EMPLOYEES: Y . ~,- -~. ---'- -.-.--'-.""- .-;-- 7.--, .,__ ......u_..~F_._·_ ....__...._~.._____.~____.. ~-'_.__~ .'.u,.. Y~.5 MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: %¡.ç £mpJOYEO SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE IICALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, tõm L/lm£JJ /Sc)-/ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6,95 SEC. 25500 ET AL.) AND THAT INACCUR E INFO ATION CONSTITUTES PERJURY. _ . _.u ," "_.____h._. wlJ£ ¡(, TITLE l:i v: d?S 17C¡ / DATE 2, FD1590 ... ~ + ~., "i - Bakersfield Fire Dept. . Hazardous Materials DivisioP HAZARDOUS MATERIALS MANAGEMENT PLAN , Facility Unit Name: {! J<,¡Ç N h ; ¡./ £E j{ / N b {! 0 I SECTION 6: . NOTIFICATION-AND EVACUATIONPROCEDURES:- -. . --- -- - - -- ~.""--- ..,..... .---... ..- -~~-- , A. AGENCY NOTIFICATION PROCEDURES: - ¡/11'Zi1!2.c/OUS f/1/1TI3i.,'t4h. S ù¡'yl'$ /dXJ .57íJT¡'oYU A/o,:< , 7 I ¿, £ - J- I 5í¡2 E E / ..5 ;;, (.? - 3 9&;;' B. EMPLOYEE NOTIFICATION AND EVACUATION: VE~bífh C. PUBLIC EVACUATION: V€~hA l D. EMERGENCY MEDICAL PLAN: efl/I 1/1 ¡E'rn £f2.3ENCY S£~Vlc£> I' B/ik~(lS {,lEI d m£mo~ ,''/.}- ~ JI ø5P,"ìl9)... , '-/;¿D3lf t1' .5TiREET 3. R:>lfOO tit Bakersfield Fire Dept. e' Hazardous Materials Division r::- ;:? ?- . it HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: , -----------' ;-·--A~-----R-ECEÄSE-PR'ËV'ENfIÖN--STE'PS:-'--I!/l~-DrI6/,;J- /Ie. El'/).£AI& c- $ flR60j/t) 6017"/£.5 Ill{£- Etv/pEt) w/"t't, PRofE ¿. l/Í?/vtÇs ,/?,vO ¡:-¡Ti;tUbS, ThEy J1~E 57õKEù IAI 1'9 $EC.úKEj) ~~E~, ' B. RELEASE CONTAINMENT AND/OR MINIMIZATION: ,41/ 8dÎT/E"5 /!K E .5;O¡(E() rl\J ONE CErvTI!.II-f,... l1t<ei'l, /l/I V/?II/G:5 fJi<.£ ~h£ckE¡) / /!ND 5/7vl ðÇ...{' /lr ThE EN)) o-Ç EVEt2y D/Jý,' C. CLEAN-UP PROCEDURES: IN'ThE eVEN! ð-F J9 KEi.E&~E M 664š5£S / TA E /lI<EI1 /l/ov)c! bE ¡/Eìv~ ¡'L. # tEð , , SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: NO 61/5 ð R i1zoPIf(\JE .5é¡2.I//~E /IT IJ?Y .4C1?1",'C/N, ELECTRICAL: <)~ vTA U/1E'5I (7o,<f\Jo£', ð-F c5!;éJf/ ~{/¡)e- o-Wc.E < WATER: 4pfþ!J~, dS) ;::Xuwt Souìh l{) EsT aRltlc;/? o'.-Ç· bu/" D,'-¡¡Jq I SPECIAL: LOCK BOX: ,;Esg IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: B. , . PRIVATE FIRE PROTECTION: rh~G£ (3) /0/h5. IJ-B-C ¡:]RE 6TJ)./J{)I~ ()J!S{I)...;l~ .Jill, tfjlJil3i!- &ÎIÌtJjU¡'5Á;¿. o N ~ 15 l, (J ''Î e::::. \. t J_ WATER AVAILABILITY (FIRE HYDRANT): S. ()t?( t:-:.rTrNjtJISN?L, _ F/R E lIydIZv9/U1 J.. OGII ¿-£rJ) IJ¡JP¡¿o-r ~.j-O r ¡::-l<tJfV! 5hofJ, ..$ovTh wt=="sT CoRwoL 0+ E. Tj({)~ìvlV /lNO J/./iï/r/1m 5 ST, 4. FD 1 590 A. C:a:rI'·Y .BAKERSFIELD HAZARDOUS MATERIALS INVENTORY OE" J?; CJ Farm and Agriculture~standard Business t NON - TRADE SECRET OWNER NAME:7õM CAMéNISC# ADDRESS: '11/3 COÙ~TE KaT', CITY, ZIP: 6AKE:R.5 lEid, 93311 PHONE #: {pIAtt - )?'g 3 I ' Page_of-L l NAME OF THIS FACILITY:, STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID # 52 9 - _9_73_ - ~ '- l./_'_ 14 Names of Mixture/Components Bee Instructions €.N Physical and Health Hazard (Check all that apply) ~Fire Hazard ~Budden Release of Pressure Number ª' Readtivit'y 0 Inonediate L8t Delayed Health Health Number Component , 3 Name & C.A.S. Number / T CO¡¿NOl. Ð-(' 5/10 P , o¡..j Physical and Health Hazard (Check all that apply) o Fire Hazard ~ Budden Release of Pressure C.A.B. Number TI40 - 3'7 -, '\ /omponent , 1 Name & C.A.B. Number 'V Component /I 2 Name & C.A.S. Number o Reactivity 0 IDDllediate t:8"'Delayed Health Health Component , 3 Name & C.A.B. Number Physical and Health Hazard (Check all that apply) ~ Fire Hazard ~ Budden Release g- Reactivity of Pressure otìff \i.lE~7ï CðþlC)¡! o-Ç' / , , 1 Name & C.A.B. Number t..€NË ~ Immediate r=J Delayed Health Health 2 Name & C.A.B. Number Component /I 3 Name & C.A.B. Number Physical and Health Hazard C.A.S. Number (Check all that apply) o Fire Hazard D Budden Release 0 Reactivity 0 Immediate 0 Delayed' of Pressure Health Health Component . 1 Name & C.A.S. Number Component /I 2 Name & C.A.B. Number Component " 3 Name & C.A.B. Number EMERGENCY CONTACTS U-rOM CAM.EI'I ¡'SC;./ Name ov./NE Æ. Title {¡;lP'/- ~~ I 24 Hr. Phone '2 J Name Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and~ttached documents and that based on my ,inquiry of those individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, 7.1.et2-' 10M CI4MIEN¡.sc!f OWNEt. AIov: ;2S, /991 NAMÉ AND OFFICIAL TITLE OF OWNER/OPERATOR OR OWNER/OPERATOR'S AUTBORIZED REPRESENTATIVE DATE SIGNED ' , e e .. General Information RECEIVED SfP 1 3 1990 Page 1 09/06/90 C K WELDING 215-000-001166 Overall Site with 1 Fac. Unit Location: 705 WILLIAMS ST Ident Number: 215-000-001166 Map: 103 Hazard: Moderate Grid: 28C Area of Vul: 0.0 CC'Y'lt act Name FRANK CAMENISCH ~ð é'A111e n15c..~ Title Bus i Y'less Phc'Y'le (805) 324-5529 x ( > 5goj- .31/~ x 24 Hour Phc'Y'le (805) 832-9759 fglJt513'BQ -;.)7 J Mail Addrs: City: C.::omrn Cc.de: Adminístrative Data 705 WILLIAMS ST BAKERSFIELD 215-002 BAKERSFIELD STATION 02 D&B Number: 51(0 30 3 ~ I State: CA Zip: 93305- SIC Cc.d e : Owner: FRANK CAMENISCH Address: 705 WILLIAMS ST City: BAKERSFIELD Phc'Y',e: (So:»Ø1'- -9751 State: CA Zip: 93305- Summary ~ BtJ1<ih1~t1¡¡m~((~c-G D It "" . ( y~ or print name) 0 erel\JY certify that ¡ have reviewed the attached hazardous materials manage- ment plan fo~~IÕ(~ J"~ø . . (Nama 01 ßU5~$S) and thai It along¡ with any corrections constitute a complete and correa man- agemiÐnt plan for my ~acility. ~~ 9-¡;r-f?iJ ~~ 09/06/90 C K WELDING 215-000-001166 Hazmat Inventory List in Reference Number Order Page 2 02 - Fixed Containers on Site PI Y'I-Ref Name/Hazards Form QuaY'lt it Y MCP 02-001 OXYGEN ? 1, 685 LClw FT3 02-002 ACETYLENE ? 924 High FT3 02-003 ?InRCON Af&-ó Ai ? 774 LClw FT3 e e , e e ;- 09/06/90 C K WELDING 215-000-001166 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification (AU ~l\ <2> Employee Notif./Evacuation LEAVE BUILDING FORM OPEN DOORS ON EACH END OF BUILDING OR SIDE DOOR ON NORTH SIDE CALL FIRE DEPARTMENT OR 911 <3> Public Notif./Evacuation \)JQ... ~ rNJ ~ ~~~ lI\v vlrLL~lLM'6 ~ /"(VJ (4) Emergency Medical Plan KERN MEDICAL CENTER 1830 FLOWER ST 323-7651 09/06/90 C K WELDING 215-000-001166 00 - Overall Site Page 4 <E} Mitigation/Prevent/Abatemt <I} Release Prevention CHAIN TANKS AS DIRECTED BY THE FIRE DEPARTMENT, USE PROPER VALVES AND FITTINGS <2} Release Containment ~ ~ lJ~ <3} Clearl Up <4} Other Resource Activation - e " e e 09/06/90 C K WELDING 215-000-001166 00 - Overall Site Page 5 <F} Site Emergency Factors <1) Special Hazards (2) Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SOUTH SIDE OF BUILDING INSIDE (CENTER) C) WATER - FRONT OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO (3) Fire Protec./Avail. Water ~ f\ '~A^c.A~1JLAj PRIVATE FIRE PROTECTION _ ???1??11111 _~ ~~r~~-__,___ FIRE HYDRANT - 111?1??1?1?? N'vJ 0.:;vvwv <Ø' ~cLu; Öì'\ " 4 ~úJt.J.k~ <4} Held for Future use '-.., I. 09/06/90 C K WELDING 215-000-001166 00 - Overall Site Page 6 <G> Tra irli \'"Ig <1> Page 1 kJ' WE HAVE Y EMPLOYEES AT TH I S FAC I L I TY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? ye~ BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use !, - e ~ 'i r. []HAZARDOUS MATERIALS INVENTORY farm and ~gticulture [] Standard Business NON-TRADE SECRETS BUSINESS NAME: C-¡( ,v.Jdd~f\S OWNER NAME: ,;~At..J¡¿ r¡t'\ìSb(/^ NAME OF THIS FACILITY: LOCA T ION' l,J.",C= W~ r'I"\ L. ADDRESS' ~I\....~ ~"!. _ 2. ~-.L~ ST ANDARD IND. CLASS CODE:-'--- CITY ZIP: µ"A-jl<.. . ~ ~ (-:::;-- CITY zlp~~ ' 0 DUN AND BRADSTREET NUt·IBER--- ----- PHot~t ,,: ß .. __ ,. --- ~~30'5---- PHONË It: --:~;):....;::--:- -- -- 3;;)~-,5S) 1 REFER TO-r7V$TRU 1-. S-FDFrPROPER CODES - - - - 1 2 3 5 6 7 8 9 10 II .12 13 It Tr~ns Tyae Max Annual Mea$ure I Dys Cont Cont Cont Usa locatIon Where 'by Hailes of ~ixture{ço~oonents Code Code A.,t Est Units on SIte Type P!ess Temp Code Stored In FacIlIty Wt See Instruc Ions ' U P fb54Q (0540 ~f3 3(05 ÓLt ó. 1\1 uJ ~ r Physical ond Health Ha¡ard C.A.S. Number COllponent II Name & C.A.S. Number (Check all that apply) ~re Hazard [] Reactivity [] Delayed ~dfn Release Health 0 Pressure CITY of HAKEHSrlELU P;<t&EN Component.2 Name & C.A.S. Number [] Immediate Health Component 13 Name & C.A.S. Number f''' ~ Physical opd Health Harard ICheck all that apply) ~ire Hazard [] Reactivity :;;r Name & C.A.S. Number [] Delayed ~fn Release Health 0 Pressure [] Component.2 Nalle & C.A.S. Number Immed iste Health Component.3 Name & C.A.S. Number Component.1 Name & C,A.S, Number ~e Hazard [] Delayed ~fn Release Health 0 Pressure Component.2 Name & C,A.S. Number [] Immediate Health Component.3 Nalle I C,A.S. NUllber [] Reactivity Physical 'nd Health Ha¡ard (Check a I that apply) C.A,S. NUllber Component.1 Name & C.A,S. NUllber [] F ire Hazard [] Reactivity [] De layed [] suddfn Re lease Health 0 Pressure . Component.2 Name & C.A.S. Number [] 1ll1med18te Health Component 13 Name & C.A.S. Number EMERGENCY CONTACTS "1 ä2 RIlle Tttle, Z4 Hr Phone Rãliie ntle Certifjçatioij (Reed and $ign af1f3r cÇJmp7eting ~77 se.c~ions) . I certIfy under penaltx 0 la~ th~t I have persona I~l examlna~ Oijd 011 familIae vith the InformatIon $ubmitte~ In ¡his end all attaçhed dQcUllents. ano t at based on my Inquiry 0 hose IndiVIdualS responsible for obtaln,ing the InformatIon. bellev~e t~.t t~,--~ ~ submItted InformatIon IS true. accurate, and co~plete, ~ ~ ~ \ ~ Ilflie arifofmrTl1t leaf OwnU/operatOr UR ownerfõPërator's 8uthorllea representative t' 9 a ure " .J.o~~,~ ~-£ -?-. ! .,i:' , Page __'__n!" of L _ ..----...------ Hl!fTñ~ 9_J,~-~ tfã t e~ Ïqñë(-' e Mr. Frank Camenisch C K Welding 705 Williams Street Bakersfield, Ca. 93305 Dear Mr. Camenisch: September 5, 1990 e Enclosed you will find a computer printout of the Hazardous Materials Management Plan that is currently in our computer, We have highlighted the areas that need to be revised. Also due to a change in the law that went into effect January, 19B9, we need to have a new inventory form (enclosed) filled out. These forms must be filled out and returned to our office by September 2B, 1990. If you have any questions please don't hesitate to contact us at (B05) 326-3979. REH:vp Enclosures Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator , .&" ""-\: ,",-,'¿o' "~ 1",=> .',' ,-''''< /~~ e _ .'~'. : h...';,. ." .. t)'\A\ . ~\~/ BAKERSFIELD CITY FIRE DEPAR~NT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 RECEIVED DEC 2 1 1987 Ans'd......uuu OFFICIAL CSE ONLY '001166 ID# US IXESS :JA.'vfE 'á c2f'-~ ob HAZARDOUS MATER I ALS ~ (!øcf2p :3 BUSINESS PLAN AS A WHOLE 2' /"./ FORM 2A V:-eQ~ §.- INSTRUCTIONS: 1. To avoid further action, return this form by ~~- ~¡r--~~ 2. TYPE/PRINT ANSWERS IX ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: ~ 1< Lûr ld.l-VVý . . B. LOCATION / STREET ADDRESS: 7 ¿J 5 /ùJ, II L~~~ IT CITY: Sa ~~f-/1 f, ~/d ZIP:1d{ð S- BUS. PHONE: (¡oS-) 32-4-~-S-Z- ~ 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 departmenL and the State Office of Emergency Services as required by law. E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY: NAME AND TITLE ~ A. rfl '7"" ,£ & 11" ~ ~ t~ I" I, DUR ING BUS. HRS. PM ¡?..2:.4'" 6'6¿Q . AFTER BUS. HRS. Ph#' yo? 1- e¡ 7!:J-tý B. Ph#' Ph#' SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NA T. GAS /PROP ANE : if!.:? ;:f , B. ELECTRICAL: ~ ~ð£l;¡-""-{;' ',Q - tf?~ J\LI [,1,'"7 ,. It t"1.J tP C. WATER: ,Fro" ~ oý ¡S·l:(..l U ''-'ý D. SPECIAL: ~ E. LOCK BOX: YES / NO IF YES, LOCATION: (I'~~~'- ) IF YES. DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO ~SDSS? YES! NO KEYS? YES / NO - 2A - _;__.....t '~_, e . "" , \.:, 'i -.., ,_ ") '. .'~~ . :'ì ~ . .' , SECTION 4: PRIVATE RESPONSE TEA'" FOR BUSI~ESS AS A \~HOLE /;NlJ;? J'/:ð. ,i ,.·t·~.; ,t.\.~·j SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOL~ BUSINESS AS A WHOLE 1<. M . C!..ß SECTION 6: EMPLOYEE TRAINING &-' "£ ""F [~r~~7, E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH I~ITIAL A~D REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR~ A. METHODS FOR SAFE HANDLING OF HAZARDOUS :-IATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.......................... C. PROPER USE OF SAFETY EQUIPME~T: . ...... .. ...... . . . D. EMERGENCY EVACUATION PROCEDURES:................. ' E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:,...... INITIAL REFRESHER YES NO YES NO YES :':0 YES XO YES NO YES NO YES :':0 YES XO YES NO YES NO SECTION 7: . HAZARDOUS MATERIAL CIRCLE YES -~NÒ -®~ DOES YOUR BUSINÊSS HANDLE HAZARDOUS ~~TERIAL IN QUANTITIES LESS THAN 500 POUNDS SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: '., ". I. rK- 1=1'14k ~~..",)s&L , 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. SIGNATUREjt{~~~___~~~ £ TITLE tØ &.V~ ~v-- DATE ) j" - '{ - $'7 - 29 - ~ ,r~~ ;. < - > ';1,,¡ ~.. '. ',¡ ¿; tit e " ,¡ BAKERSFIELD CITY FIR:: DF.PARTIEXT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFlClAL CSE OXLY ID# ------ BUSINESS :\AME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 7 1. To avoid further action. this form must be returned by: I~--~/~~ 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY tJXIT LIS7ED BELOW - 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT N~~: /1 ~- SECTION 1: MITIGATION, PREVENTION, ABATEM~JL PROCEDL~ES '-" " I ' ,{ )t ¿: ~ 4 ~ e 1Ì1-rt, 1..:>1. R d 0 (V G ~'i- .r-.b -Dfft i).3(l. PROf€R- {Q.ll/fJ>" tf7 Th<t ñ~~ 11/ ITIAJj S, V', SECTION 2: NOTIFICATION A~~ EVACUATION PROCEDL~ES ,AT THISL~IT O\LY --C~L:( f{~'6f?(í1r r 1-' ~ .~ ~ ,j .- , ~ -:. ~ ,~...",. ,~ - - 1 {,{ r--Þ' t)f"'- ~t)1 ~ ¡,~, 1 ( 'L t;,q v-e- tf w I U ¡ -tVI' ¡;:::, ørt/"--' '1'01;" J / '^" ~ o~ t4?l e:~à, uf , j?udlJ'~9, C! yo- .... 11 ð e t1eJ~\- GP~ ?1ø~~ i¡J/9 .'" ·1 , ~ Of-' ~ 711 ...~ ----- .... , fq~- 1,,- ~Ý..'1 ~ fkc. ~:r.9"íf., f-e. . , , (v \' 4-1) l '{' ~, - . \II ~~i-\~1L \;U Pr 1è:"'- lif'~ II- , '---'---- 'I -~ ),.- :::_ '0.1- ¡ :: qt' . .~ ~ ~ .i ~ "I' I t. -~'- - J. ''(; . . D~ ;V,? íI ~'-?t,_ -;. -- ,---- ' - '""i ~ - ~-\ - L . \ e e " rO'''' ''-:'¡. . t;· " SF.CTIO~ 3: HAZARDOTJS !TATERIALS FOR THIS u~nT ONLY A. Does this Facility Unit ~on~ain Haz~rdous ~ate~inls?,.,., YES ~O If YES, see B. If NO. continu~ with SECTiON 4. B. Are any of the hazardous materials a bona fide TrQ.de Secret. YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes. complete a hazardous materials inv~ntory form markp.d: TRADE SECRETS ONLY (yellow for~ #4A-2) in addition to the non-trade secr~t for~. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTIO~ ... . ."~' .'~ - ~- ... ~ . ,".. . ,--,~-"",--,~.- SECTION 5: LOCATION OF WATER Su~PLY FOR USE BY ~GENCY RESPO~ERS SECTIO~ 6: LOCATIO~ OF UTILITY SffUT-OFFS AT THIS UXIT ONLY. A. XAT. GAS/PROPA~E: B. ELECTRICAL: C. ~'lATER: '. ' ...; . 0, SP¡::C:AL: E, LOCK BOX: Y::::S I NO T: YES, LOc.\TTO~~; Tf YES, SfTE PLA~S0 ~~.OOR pr..\Xs') '!ES / :"0 \0 :'-[SDSs') "~··~S ,...., '" ::r.:"-:"S" '''r: ,... \:0 t ",') '11'.1:'("'0 Y .......) - 33 - .-, II^'( L lun j I:; I. U t.; j I~' " II I:, U L I'll ( 1 /,1 L II 1 FORM 4A-' NON-TRADE SECRETS IIAZARDOUS MATE'RI ALS' I NVENo-rOHY I' IlIP! ~ nf '~'-"'ß 1\ f /" f' q II"; 1111::':' N MI r. : C:..\(, j..U-ç\ ~ )~?" ,IIIIHI,~,~: ----'7ß-'f~t~' ~ 1'r- ',' \. 7. 11' .~- t'W~~lð IIII Ii F !: -:J.,4?--,,~:11 c...'iø 17 ,OHNER NAME: fyt!t.WA-/t... (!k~ç¿-f;t,¿~~t.. F^CII.ITY UNIT': A IJ 11 n E S S t F A C 11. I T V UNIT N Mt E : _-__ __ _ - CITV,ZIPI tELl~tt:>~ PIIONE II ,/12.,t;''7fJ-9 OffICI^I, USE crlns cnnr ONLY ~--- -- 1 /\NN"^'. ~~!Q~,~ r 6S-QD ~ t&:. 2.. 0 J1itL ,-- -- - -- -- 1 r, n 7 CUIH (ISH l.ne^T I ON I N Till S _ J:!1iU CUUE, CUU~ __F ^C f L f TV UN I T ,.. ~ _ N :: 5 a ð\r'y<A¡ e V'- ø ~ 0't ~1. ßUllà,~L; F..."'l.J.,......'1:' ~ t-L- ¿ 0:..f.).o-~e- Ðf~ r:r; D Lt 4: 1- J{",,~ A/~. ¡-IN.~~&,k Y: .3 "f(.'1jd' ~"-t~1o-' oý . _&_,-'1~ ~ ,~u.,tl~,~t "'~+1.>;. ÅP, Ð , nv WT. 9 In 1I^7.^11I1 11.111 -.!J!\J f~ lì II III E , I -----~ ,- CIIE" Il;flL on CU!H!ON NAME CJ ><7 r~-1AJ ~ .;:(3 JCf . ¡:¡ c e-VE N F / :I'll . 75/ fi/ñ6,.-fl fI-wI-17?pbl~ f1s /:L.!3 t>. :S~ R-~~ AI I 76:Æ~ (Ý 1'0 ~ ;:1..151' ~-fIf5':7;~ / .3~~ {j '- fjrL EJ'-FL ¡;¿'rC-f'L -----. .!l ~~_ 77-1-·· -e -'- .-------- -- -'--- - . --.- ---'----- -- ._~-- --~-- ---'-- ---- - _He ---- ---~---- _.,------ ----- --~---- ._---~- J"/' Y \/11' 'c--#---~k~~f rÜ'HlìEflCY cotn^,: : -- ,~o-"'L e _ ~""~i7 L- 0 Ä T E : il--~~'t~~i., PliO N E Inti S II () "It S :~~-!f""" lj"":.5J.- ., _,___ A FTE R n us II R S : ?'-ð ~ - 9 7Jí.!/-_,__- PIIONE , ous IIOURS: AFTER OUS, IIRS: TITLE: -' Cß . r~ r!('U,{t- l:I"If/t "f4¡' "i C; t,. {(?(-'~1~ ¿........ TfTllEt SION^TUREI d..,,~....~ .. 'II}!?I; r II (' Y C 11 N T M: T : '" i'llIfll'^" nllSINESS ACTIVITY:' " TITLEI ------ - "1\-1 - ~ , e SI TE/FÞ,.CI LI TV FORM 5 DAGRAM 705 Wd{l~ ( 1 (p(ø - L" ~ '2. ~- -. ¿,-~~ ,I '''''" _h #.. .,.\ - ') - --. i NORTH SCALE: -&--' BUS INESS NAi>1E : 't:, FLOOR: OF DATE: ,j / FACILITY ~A..\fE : UNIT :. RF ~l . (CHECK ONE) SITE OIAGRA.'r FACILITY o I AGRA.\r - - ~ - " ~~- r ----- =-._- -..... ~--_.- -- .- tP-, f&~-11t rJ ~- t , - &6> 1.." " k '<\ , i "'- I, ~ Ii (Tb .,c,e-e'~. , ~ ~tk,~tJ:: '(J1Q... ~, ~,~ V~o.(, 6""V ~ ¡þ~ ~ ~ (let. ,l<:."lkf ~ o ~1 \Ie ~ J.~ ) Gt(.þ«..-'r~ ~d w ~4Jt,' ::_ i3r~'-'t'Yh ~ /l.v. 1'$ ø 1-1.- fó",'-(-h i' J.~, t9f t.( s. 1-1.JJ, "?&' 1 k.J.t1~~ l ¿P f-e. V(A... Ífø I 1tL-Jr, -~------~- ;~ fí" 't ? ~ ¿; 9-)1\.; c.- q -#' G r ..,. ~ :tw !~tLJ/~ (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - SITE DIAGRAM (ReqUir~te~S) e " -''Ii' ':.'" \. ->; .. ""'---":' '. .. ~ 1. Address: Identify the principle buildings by the Street numbers. 9, Lock (key) Box 10. MSDS Storage Box 11. Railroad Tracks 12. Fence or Barrier a. Wire b. 1'Iasonry c. Wood d. Gates -. II , 2. Street(s), Alleys, Driveways. and Parking Areas adjacent to the property. Include the street names. 3. Storm Drains. Culverts. Yard Drains 4. Drainage Canals, Ditches. Creeks. 5. Buildings a. Frame construction 13. Power lines 14. Guard Station 15. Storage Tanks: Identify the eapaci tv in p,l. a. Above rround b. Undercround 18. Diking or Ben 17. Evacuation Route 18. Evacuation Area: Identify tile 10catioD wbere _ployee. .111 _to b. Masonry construction e. Metal construction d. Access Dool' 6. Utility Centrols a. Gas b. Electricity c. Ifater 1. Fire Suppression Syste..: a. Fire Hydrants b. Fire Spl'inkler Connections 19. Outside Hazardous "ste Storage c. Fire Standpipe Connections 20. Outside Hazardous Material Storage d. Water Control Valves tor protection system. 21. Outside Hazardous Material Use/Handline e. Fire PuIIp 22. Type at Hazardous Material/Waste Stored or Used (See Below I 8. Fire Department Access TYPE OF HAZARDOUS /ofATERIAL F · PllUlllable ! · Explosive L · LiqUid 'C · Corrosive 0 · Oxidizer G · Gas W · Water Reactive T · Toxic S · Solid R - Radiolog1cai p . Poison II - Cryogenic D . Wsste B . Etiological Example: Fla..able Liquid· FL FACILITY DIAGRAM (ReqUired items In addition to the above) l- Risers for Sprinklers 8. Fire Escapes 2. Part! tions 9. Air Conditioning Uni ts 3. Stairways: Indicate the 10. Window. levels served from highest to lowest. 11. Inside Hazardous Wsste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Materials Use/HandlIng 6. Attic Access 14. Sewer Drain Inlets 7, Skyliehts ..~~ ,õ. ;.." e e í í (¿;, No ¡<,.TH 2/:2(" 4 RECEIVED ~~ , iJUl 2 0 1990 -1 ""," HA~, MAT. DJV. J £b~ o-v¡ ¡j'{ J ;> ') ) :t I f,t~ ~ ' -- - - - - -, - - - -, p\,..1Y }- - 'f"- " ~ .~ - ....,; .- . -') ~ 0':,110(.., Tv ~c- ~ "- ?,e-. c:. e.- ~., ",-, ~ ~,,-- -~- ~-~ C:::'~ l> $t~qr~' ,,~ flrífl~ ~t c It tV~ lð. I~t ~ , -'- ~ ~ '70 $' tVI ¡ ( I ~ ff<'i '1f ~ .........11). ,.:I.. t?r.::c- ~...-...... t:t l{~ It, c~ <yf!ø5 d 7' '~ ~ ~ (~..J kL .3.1L1,-S~J-9 'i. '. ~ -' ~ !: r Jl~? ~~) ~ ..~ ~" ............" .c" ------., "'~ 7~ /JR."/¿ '"TéJ 8'a G k-. .......--~ ~ \§ ~ , [" ,....,."._--, ,- ~1 oJ. " ~.Ç 1r}V) 1 ~ \.t. t Q:. ð ¡..ì fllo ,e- No /Ilq1'~v4 L c;..1 IN j "",,¡¿ I 1/''7- ; ÑQ Mei'r""," To' tš'¡¿,ì}d ,";"", ~ T ß~c.. k. Ft \.. L ð r('"'.II.