HomeMy WebLinkAboutBUSINESS PLAN 1990 ~J~akersfield Fire Dept. ·
Hazardous Materials Division
2130 "G" Street ~~
" Bakersfield, CA. 93301 t~lM~0 11~[~])
HAZARDOUS MATERIALS MANAGEMENT PLAN
RECEIVED
INSTRUCTIONS: MbR 0 1 1990
1. To ovoicl furtl~er action, ieturn tl~is form witl~in 30 clays of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH. * ~&,~, ~V~T. DI.V,
3, Answer tl~e Questions Toetow for tl~e IDusJness os o whole.
4. Be Drief onct concise os possiDle.
SECTION 1' BUSINESS IDENTIFICATION DATA
BUSINESS NAME: ][~ u, ~ ~_~r~ /~ u'i'o ~o'i-I U6 'p~i
LOCATION: ~f~ ~ ~4 ~ ~~T
MAILING ADDRESS: ~~ ~
-' ~' CITY: ~~ STATE:~Zlp~OI PHONE:
DUN & BRADSTREET NUMBER' SIC CODE:
PRIMARY ACTIVITY: ~'~UTO f'~'i~l~,-~rC.
MAILING ADDRESS: ~ P' tv,, ~-
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE' BIUS. PHONE 24 HR. PHONE
B~kersfield Fire Dept.
0 Hazardous 5[aterials Dtvis
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTIQ~!~:3:* TRAINING:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIE'F'S~MARY OF TRAINING PROGRAM:
SECTION 4: EXEMPTION REGUEST:
I CERTIFY UNDER PENALTY OF PERJURY'~HAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOus MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, I~UT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION $: CERTIFICATION:
I, ~-~ ~, fAO ~_ o ~,~ }~ ~' rU ~- r~ '~¢/ CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERST. AND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. ,20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
2.
FDI 5~N:)
Bakersfield Fire Dept. ',
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name: ~ ~'~~ ~ f~o'i'o~oT-IV~ ~"~PA 1~_.~
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
C~c-c_ ~x~p ~ O~,c~'c--
B. EMPLOYEE NOTIFICATION AND EVACUATION'
B ~u ~oo:-o~_c ~ ,~_c ~c":"', ¢~v--- "'m,~-e~' ~s ~ Q~t¢)
CD~~o~ %P~c~), pc~~~ ~v~ 'T~-~ ~-~
C. PUBLIC EVACUATION:
k,~-ov,.
D, EMERGENCY MEDICAL PLAN:
l~a~erszzetd Fire Dept.
Hazardous Materials Divi~'
HAZARDOUS MATERIALS MANAGEMENT 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:?"-~--\~,~c~¢,~ c~ to~C~ .~,,_ C/T~,
ELECTRICAL: ~~/~' ~~*e A~ r~- K~L~ :
WATER'
SPECIAL:
LOCK BOX: YES/NO IF YES, LOCATION'
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION:
FIr~¢ ~×tl ~,.c, ~s ~ ¢~[
B. WATER AVAILABILITY (FIRE HYDRANT):
CITY of BAKERSFIELD
Farm and Agriculture ri Standard Business ~HAZARDOUS
MATERTALS
TNVENTORY
NON--TRADE SECRETS · .~ ~ Page. I ,'ot''~-
-" ADDRESS' ~ STANDARD IND CLASS
LOCATION~ t~ '~W TH ~T~EE~ CITY. ztP: ~xk ~ ,~ DUN AND BRAD~TREET NUMBER ...................... ,
CHY. ZIP: ~.~&. ~A ~3~ {
PHONE fl: ~.~fq-~ PHONE ~' . ~ ' - -
REFER ~O~STRUCT~ONS~~ROP~ CODES -- -'
'l 2 3 4 5 , , 8 , lO 11 12 ,/~), ,a,es of ,,xture/~o,,onents
:Trans [y~e Nax Average Annual Neasure I~[e ~ont ~ont Cont UsStoredL°CaLj°n?eEe"tnracl~cy
'Code (cae Amt Ami EsL Un~ts on ~ype Press lemp Co~eaL See Instructions
i ~ical mod Health Hazard C.k,S. Number Component II Name I C,A,S, Number
ck al/ that apply)
ComponenL 12 Name I C,A,S, Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ lmmediaLe
Health of Pressure Health
Component 13 Name I C,A,S, Number
Physical mod Health ~alard C,~.S, Number ~q~- % ~ - ~ Coaponen~ II Name I C,A,S, Number
(Check al/ that App/H Cq 7q~-~ ~- G
Componen[ 12 Name t C.A.S. Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~
Hea/[h of Pressure
Component 13 Name I C.A.S. Number
PhYsical and Health PeTard C,A,S. Number ~ ~q ~ ~-10-~ Component II Name I C,A.S, Number
, (Check ali that App/H
Component 12 Name I C,A.S. Number
Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ ImmediaLe
Health of Pressure Health
Component 13 Name I C,A,S. Number
~o
Physical and ~ealth UaTard C,A,S. Number 0o~ ~ ~ ~ Componen[ II Name I C,A,S, Number
(Check 411 that app/yl
Componen[ 12 Name I C.A.S. Number
~ Fire Hazard ~ Reac[ivity ~ Delayed ~ Sudden Release ~ lm~i~
Hearth of Pressure
Component 13 Name I C.A,S, Number
EMERGENCY CONTACTS ~1
Name Title 24. Hr Phone Rame . TlEle
erLi[i~atioq ,(Re~d and.~ign after c~mpTgC fOg.~ 7 7 sec~
certify unoer pena~ o~8~ tn{L lflavepe(sonal~y examln~glqoim tami~lar. Vit~ the Inlo~macIOn ~u~mittpd in this and all . ~_
~C'[acned d~c~ment~, anl t~4c Daseo on.my ~nqu~ry ~r.tnose memoua~s responsible Tor obLa~n~n9 the ~mormac~on, I ber~ve th~ _
sUOmlt~d/Inlormauon IS tr~ccurace, eno
~~~1~ ct o~nerloperator ~ ouner/opera~r's authorized
· . ..
IJ Fire Ilazard ~ Retctivity ~ Oeloyed ~ Sudden Release . ~ IBnedlate
· Health of Pressure Helith COlponent
Physical lad Ueplth ~alard C.A.a. Humber
lCheck all that ePP YI .- ~ Component It Name I C.A.a. Number
~ Fire Hazard ~ ge4ctivitl ~ Oehyed ~ Sudden aelegse
Health of Pressure Health Component 13 Name I C.A.a. Number
C.A.a. Number Component II Name
Physic'al end Hellth ~lilrd
tCheck 411 ~haT app/yl
~? U Fire Hazard 0 Reactivity O Belayed ~ Sudden Release 0 Immediatec°"p°nenk Il Name I C.A.a. Number
dbalth of Pressure Health Component t~ Nasa I C.A.a. Number
f HERGE.CY COIITACTS Pt~,~ ~ ~tl~ ~--