HomeMy WebLinkAboutBUSINESS PLAN 1992 Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
B, EMPLOYEE NOTIFICATION AND EVACUATION:
C, PUBLIC EVACUATION:
D. EMERGENCY MEDICAL PLAN'
Bakersfield Fire Dept.
Hazardous Materials Divisi
HAZARDOUS MA?ERIAL$ MANAGI:M~:NT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A, RELEASE PREVENTION STEPS: ,
B, RELEASE CONTAINMENT AND/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)'
NATURAL GAS/:PROPANE
SPECIAL:
LOCK BOX: YES(NO/ IF YES, LOCATION'
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PRC~TE_CTION:
g. WATER AVAILABILITY (FIRE HYDRANT)' ,~ ..
4. FDh
~.~ ~; .,~ Bakersfield Fire De ~i ~
~'~",~,~' Hazardous Materials Division 3. 1992'
-~llllllll"~- 2130 "G" Street
~ ~~kersfield, CA. 93301 By~
'HAZAR~ATERIALS MANAGEMENT PLAN
1. To avoid further action, return this form withtn 30 days of receipt.
2. WPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as po~ible.
SECTION 1' BIJSINESS IDENTIFICATION DATA
MAILING ADDRESS' ."5'/z//,'? ~,."
DUN & BRADSI'REET NUMBER: SIC CODE:
PRIMARY ACTIVITY'
· ~ . ~ .'..~/~ , _ ~
" ~
MAILING ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION:
, = CONTACT TITLE BUS. PHONE 24 HR, PHONE
~ ._1tl///~ ~ (" .?.l~;'~fz~. ~co,~'zzz ~-~-._~.~47
2,
·Bakersfield Fire Dept. ~, ...
Hazardous Materials Divis
H,~ZARDOUS MATERIALS MANAGEMENT PLAN
;ECTION 3: TRAININ(7."'
;qUMBER OF EMPLOYEES: ~--~
MATERIAL SAFL:TY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
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 "CALIFORNIA HEALTH &
SAFET~ 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, CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
?ULFILL MY FIRM'S OBLIGAT ONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC.' 25500 ET A!~'.) AND THAT
INACCURATE 'INFORMATION CONSTITUTES PERJURY.
/
· SIG/u,N/A Tu'R ~-- -TITLE DATE
2.
f D1590
CITY OF BAKERSFIELD
HAZARDOUS ~ATERIALS INVEN'i~RY
~ Farm and Agriculture~Standard.Business ~ Page offs_
NON - TRADE SECRET
LOCATION: ~'~.,~'.~_ ' _ ADDRESS: /~,~/~,,~2//~.~/~Z,_~/',~' ~- ~ STANDARD IND. CLASS CODE:
CITY, ZIP: ~, o ~ 3~th
PHONE #: BaKersfi~td, C.A a~a~ CITY, Z~P~~//~/~//~ ~ ~/'~d~ mUN ~Dm~ST~ET~N~BE~/,~g~ ~D
· Phone o~, -o23~
~R ~ INS~U~IONS ~R PROPER
~ 1Trans ~e ~x Average ~nual Measure ~ Days Cont Cont Cont Use Location ~ere % by N~s of M~ture/C~nents
Code C~e ~mt ~t ~t ~its on Site ,~ Press Te~Cc~ St°red in Faclltty, ~ / /~ ~
.~ , ~ , ~ See InstrUctions
Physical and H~lth Hazard C.A.S. N~er Co~onent ~ 1 N~ ~ C.A.S. N~er --
(Check all that apply)
Co~onent ~ 2 N~ & C.A.S. N~er
~Fire .azard ~ Sudden Release 'm R,ctivit, ~ Im~i~t. ~D.l~
of Pressure ~ealth ~ealth Component ~ 3 N~ & C.A.S. N~er
Physical and ~lth ~azard C.A.S. Nu~er - -~ Co~onent ~ ~ N~ & C.A.S. N~er
of Pressure Health H~lth Co~onent ~ 3 N~ & C.A.8. H~er
·
Physical and H~lth Hazard C.A.S. N~er Co~onent ~ i N~ & C.A.S. N~er
(Check all that apply) Co~onent ~ 2 N~ & C.A.S. N~er
· of Pressure H~lth H~lth Component ~ 3 N~ & C.A.S. Nu~er
I I I I I I I I I I I
Physical and H~lth Hazard C.A.S. Nu~er Com9onen~ ~ i N~ & C.A.S. N~er
(Check all ~ha= apply)
Component ~ 2 N~ & C.A.S. N~er
~ Fire Hazard ~ Sudden Release ~ R. ctivity ~ I.edtate ~ Delay~
of Pressure H~lth H~lth Co~onent ~ 3 N~ ~A.S. Nu~er
E~RGENCY CONTACTS ~1,/~//~/ ';~/~<j~)~l%~' ///_ ,:.. ,-~3/'~--. , ~ .~' ~/~/ ~ ~~~////~// ~' '-~i.~f'
~ame '~ Titl~ "24 ~. Phone' ' ' ~e [~ /~' T!t!e
Certification (~ ~D SIGN AFTER .COMPLETING ~L SECTIONS)
I certify ~der p~nlty of law t~t I hayer ~rsonally ~ln~ and ~ f~lliar with the 1nfo~ation su~itted In th~ ~d all attached d~ents and that ~sed on ~ in~i~f of %hose
individ~.ls res~nsible for o~iniig the info~tion. I believe t~t the su~itted 1nfo~ation is t~e, acc~t~ and cc~nle~e~
,/~ /~,. ,, ~ ., ..z~ .... , /' ,/~/~/~.~/~,~ "- ~ ..... ' ..... '/~/~4~~
SITb O:' ilAM .P--~-'---'--l%,,~ FACILITY DIAGRAM
/ X ''/'~ -- / .
For OffiCe U~e Only
First In Station: Area Map # of __
Inspeofion Station: NORTH
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