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HomeMy WebLinkAboutBUSINESS PLAN 11/27/2007WATSONS STRIP SHOP ' 4100 EASTON DRIVE, SUITE #5 - - -- - - - --~-~-=T--- ~ ` ---- ~_s L- --- ---- -- --- - -.. ~.r- Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the following: I~ Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-000797 E] Risk Management Program [3 Hazardous Waste On-Site Treatment WATSONS STRIP SHOP LOCATION: 4100 EASTON DR 5. 'IELD ~ ' OFFICE OF EN~R ONM~NTAL SER VICES  1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 F~ (661) 326-0576 Expiration Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ............. ,,,,,~;~,?:,,~?~,, ....................... This permit is issued for the following: [ssu~ by: 0 B~ersfield F~e D.~ment Approv~ by: ~~~' ]715 C~e~e~ Ave., ~rd ~loor B~ersfiel& CA 93301 Voice (805) 32~3979 F~. (80S)~6-0S76 Expiration Date: ~n~ ~O~ ~OOO ~~ '* WATSONS STRIP SHOP SitelD: 015-021-000797 Manager ROBERTA WATSON Location: 4100 EASTON DR 5 City BAKERSFIELD BusPhone: (661) 322-0855 Map 102 CommHaz High Grid: 35A FaCUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:7641 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERTA WATSON / OWNER GERALD WATSON / OWNER Business Phone: (661) 322-0855x Business Phone: (661).322-0855x 24-Hour Phone (661) 871-1088x 24-Hour Phone (661) 871-1088x Pager Phone (661) 301-9777x Pager Phone (661) 301-9777x Hazmat Hazards: Fire React Contact ROBERTA WATSON Phone: (661) 322-0855x MailAddr: 4100 EASTON DR 5 State: CA City BAKERSFIELD Zip 93309 Owner ROBERTA WATSON Phone: (661) 322-0855x Address 4100 EASTON DR 5 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT EN~p ,~ ~ ~. ~ ~ 2007 e3ased on my in~;.iry of those individuals respcnci,~!e for obtaining the information, !certify under penalty of iav~~ that I have personally examined and am famlNar ~rrth the intarmation submitted and `'~iie~'2 the infcrmation is true, accu „ and campiete. ~- ~- l ~ tG~ (,~ Signature Date -1- 07/16/2007 ~, _~ F WATSONS STRIP SHOP = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000797 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ST-1 STRIPPER F L 84.00 GAL Hi ST-1 STRIPPER F L 42.00 GAL Hi ST-1 STRIPPER F L 5.00 GAL Hi LACQUER F R L 30.00 GAL Mod -2- 07/16/2007 n ' a -3- 07/16/2007 ,~ F WATSONS STRIP SHOP ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ST-1 STRIPPER Location within this Facility Unit E END OF #$5 STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000797 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 84.00 GAL 42.00 GAL riAGAKLVUS wl~irvlvL'lvla %Wt. RS CAS# 75.00 Dichloromethane No 75092 20.00 Methanol No 67561 5.00 Oxalic Acid No 144627 t1HG1~KL A. S~JL" .7J1~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ST-1 STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: E END OF #5 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 42.00 GAL 21.00 GAL t1AGf1KLVU.7 LV1~lYV1VL"1V1J oWt. RS CAS# 75.00 Dichloromethane No 75092 20.00 Methanol No 67561 5.00 Oxalic Acid No 144627 tiHGHKL L~~51;J~1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi -4- 07/16/2007 r ~ F WATSONS STRIP SHOP SiteID: 015-021-000797 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ST-1 STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: E END OF #5 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 5.00 GAL 2.00 GAL riHG1itCLV U.7 1.V1~lYV1V ~1V 1.7 °sWt. RS CAS# 75.00 Dichloromethane No 75092 20.00 Methanol No 67561 X5.00 Oxalic Acid No 144627 l1HGE1[tL Ei.7 .7r,.7J1~liS1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies F / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LACQUER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 30.00 GAL 20.00 GAL sWt raa~c~rutt~vvo L,vrirviv~ivl.7 _.____ • RS CAS# 100.00 Lacquer Thinner No 78933 i~c~rucL ri a.~~a~r1~1v 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R / / / Mod -5- 07/16/2007 ~, F WATSONS STRIP SHOP SiteID: 015-021-000797 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 11/30/1999 ~ CALL 911. Employee Notif./Evacuation 04/03/1990 VERBAL NOTIFICATION, LEAVE BLDG AND CALL 911. Public Notif./Evacuation 11/30/1999 CALL 911 AND INFORM IMMEDIATE BUSINESSES VERBALLY OR BY PHONE OR PERSONAL CONTACT. Emergency Medical Plan 04/03/1990 NEAREST HOSPITAL AND WE HAVE A WASH STATION. -6- 07/16/2007 e .-:: F WATSONS STRIP SHOP SiteID: 015-021-000797 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/29/1992 ~ STRIPPER IS PUMPED FROM INVENTORY TO TANK AS NEEDED, APPROXIMATELY 42 GAL AT ONE TIME. WIPE UP OR SCRAPE UP ANY LEAKAGE OR SPILLAGE WASH AREA THROUGHLY WITH DETERGENT AND WATER - VENTILATE Release Containment 09/29/1992 AN ABSORBENT MATERIAL IS KEPT IN THE AREA (KITTY LITTER) AND IS APPLIED TO ANY SPILL. Clean Up 09/29/1992 ABSORBED MATERIALS IS PLACED IN HAZ WASTE DRUM. V1.11CL 1CC e7"V UL I:C l'iU L1VGLVLVII -7- 07/16/2007 ~~ S ~ ~.:. F WATSONS STRIP SHOP SiteID: 015-021-000797 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~.iai na~aiu5 Utility Shut-Offs 11/30/1999 A) GAS - S END OF BLDG B) ELECTRICAL - S END OF BLDG C) WATER - S END OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/07/2006 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS IN UNIT #5, ONE IN UNITS #3-6-7, AND A WATER HYDRANT IN UNIT #5. FIRE HYDRANT - N END OF COMPLEX (BORDERING EASTON DR). Building Occupancy Level 03/01/2006 2 EMPLOYEES -8- 07/16/2007 _~ F WATSONS STRIP SHOP SiteID: 015-021-000797 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/07/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TOLD WHAT TO DO IN CASE OF SPILL AND WHAT CONTACT WILL DO. THEY ARE SHOWN HOW TO REACT IN CASE OF SPILL OR CONTACT. rayc ~. nciu ivi ru~uic v~C _~ t_ aiciu ivi ru~.uic u~c -9- 07/16/2007 _~ WATSONS STRIP SHOP SiteID: 015-021-000797 ~~ ~~u/~'J ~i/ BusPhone: (661) 322-0855 Location: 4100 EASTON DR 5 Map 102 CommHaz High City BAKERSFIELD -Grid: 35A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:7641 DunnBrad: ~~ Emergency Contact / Title Emergency Contact / Title ROBERTA WATSON / OWNER GERALD WATSON / OWNER Business Phone: (661) 322-0855x Business Phone: (661) 322-0855x 24-Hour Phone (661) 871-1088x 24-Hour Phone (661) 871-1088x Pagers Phone_ _ _ ~ _ (661) ,301-9777x Pager Phone (661) 301-9777x Hazmat Hazards: Fire React Contact :_ ~Gf~~yj ~j Phone: (661) 322-0855x MailAddr: 4.100 EA~ON DR 5 State: CA City BAKERSFIELD Zip 93309 Owner ROBERTA WATSON Phone: (661) 322-0855x Address 4100 EASTON DR 5 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT L© Al~*® f ~, ~ ~ ~ ~~~~ E 111 Eaasd on my inquiry of those individuals re:upon 7ible for obtaining the information, I certify under penalty of law that f have personally examined and am familiar with the information submitted and believe the information is true, co mplete. accurate, and Q ~ Signature Date -1- 02/20/2007 UNIFIED PROGRAM INSPECTION CHECKL13T~ Prevention services ~ e__ E_R s_F , _0 900 Truxtun Ave., Suite 210 -- - -- -__-=--- -_--_ FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~ ARTM T Tel.: (661) 326-3979 Fax: (661) 872-2171 I FACILITY NAME 5~N5 ~~~(L.P ~~P INSPECTION DATE -3U-off INSPECTION TIME t . ~~m, /\ ADDRESS l D i vtJ p~ ~ S ~ PHONE NO. ~22 - D~SS NO OF EMPLOYEES FACILITY CONTACT Q ~~ }~ISO/J BUSINESS ID NUMBER 15-021- DOC~"I ~7 $ec#ion 1. Business Plan acid Inventor~r Pragralm ~ ~' ® ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND IL}~ ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~~~~ ~ ~ ~ ~ S ~V O~ V ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL W/ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L:V ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES GIiiVO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 - Inspect (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # ~~ White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05 + WATSONS STRIP SHOP __________________________________ SiteID: 015-021-000797 + Manager Location: 4100 EASTON DR 5~ City BAKERSFIELD BusPhone: (661) 322-0855 Map 102 CommHaz High Grid: 35A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:7641 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERTA WATSON / OWNER GERALD WATSON / OWNER Business Phone: (661) 322`-0855x Business Phone: (661) 322-0855x 24-Hour Phone (661) 871.-1088x 24-Hour Phone (661) 871-1088x Pager Phone (~' (~ ) 38( - gy~7 x Pager Phone ( (~~ ) ~~~ - ~ ~~x Hazmat Hazards: Fire React_ Contact ~,. ~ Phone: ;661) 322-0855x MailAddr: 4100 EASTON DR 5~ ~~ - - State: fMA City. BAKERSFIELD Zi~JC: 93309 Owner ROBERTA WATSON Phone:" (661) 322-0855x Address 4100 EASTON DR 5~ State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~~ ~- - _ _ Emergency Directives: PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ignature Date ENT'D MAR 0 ~ 2006 -1- 03/02/2006 UNIFIED PROGRAM INSPECTION CtiECICLIST~' SECTION 1: Business Pian and Inven#ory Program ~ ~` '~/ • BAKERSFIELD FIRE DEPT Prevention Services 900 Trtixtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ' ~~ i 5vr~5 ~~.( S~~vP INSPECTION DATE -9-o INSPECTION TIME i i 15 ADDRESS coo ~,~5~0~ 2- ~ 5 HONE NO. 322-dam O OF EMPLOYEES Z.._ FACILITY CONTACT " ~ ~ ~ USINESS ID NUMBER 15-021- ~)~ q~ J (~. O C~ ~ ~ Section 1: Business Plan and Inventory Program [~'! ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C~ J C V ~ C=Compliance OPERATION V=Violation COMMENTS ____ ___ _______ ^ APPROPRIATE PERMIT ON HAND L~ ^ BUSIr12SS PLAN CONTACT INFORMATION ACCURATE L'I ^ VISIBLE ADDRESS CtY ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS C-3~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION C~ ^ PROPER SEGREGATION OF MATERIAL Ca'~ ^ VERIFICATION OF MSDS AVAILABILITY IY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING Ly' ^ FIRE PROTECTION C~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 5i r,~l~.. )~ c t ~4i~,S 3 ~ -3 Inspector (Please Print) Fire Prevention / 16~ In !Shift of Site/Station # ^ YES ^-I~O w/aI Harr r ~, White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME/'~,.)z~.j~'o~ ,,,v[~_?~, j'~'Lo~ INSPECTION DATE 7 - ADDRESS ~/C)~ ~_~.~.~/~ p,~.! .f'"' / PHONE NO. FACILITY CONTACT ~/,~,o. b'~'~.',/o~, BUSINESS ID NO. 15-210- INSPECTION TIME ,/ f r~ ~, NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program l~,outine I~ Combined ~ Joint Agency [~] Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate -.,/ Visible address Correct occupancy 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 labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Questions regarding this inspection? Please call us at (66 I) 326-3979 Busines ite Responsible Party / ~; LJ D ~ l~ `~ pI ~h~~ ~V IP~yQ '~~ F BAKERSFIELD FIRE DEPARTMENT ~ ~ OFFICE OF ENVIRONMF,NTAL SERVICES •': UNIFIED PROGRAlt1 INSPECTION CHECKLIST 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 FACILITY NAME~,~ l o ~ ~J a: ~G-~ v ADDRESS /Od •~ FACILITY CONTACT ~ ~ ~~ INSPECTION T1ME__ % r~ ~ ~~ INSPECTION DATE ~ " Z 3 ' ~ ~ _ PHONE NO. :322 - O~.s' BUSINESS ID NO. i5-21U- CO1S- X21-C}oo Nl1MBER OF EMPLOYEES_~_`_ Section 1: Business Plan and Inventory Program ~outine ^ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy 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 labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes (~No Explain: Questions regarding this inspection'' Please call us at (661) 326-3979 Business-bite Responsible Party White - Ens-. Svcs. Yellow -Station Copy Pink - Husmess Copy Inspect · -,~-== SiteID: 215-000-000797 WATSONS STRIP SHOP I n~.~ ..----,~_: Manaoer : ~OOV.; 1 1999 BusPhono: (~e~/ 322-0555 Location: 4100 EASTON DR 5 ~~ Map : 102 CommHaz : Moderate City : BAKERSFIELD , / Grid: 35A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:7641 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERTA WATSON ~ GER3tLD WATSON (~ CO-OWNER Business Phone: ( ) 322-08552 Business Phone: ) 322-08552 2R-Hour Phone : (.~57) 871-10882 24-Hour Phone : ' (~) 871-10882 Pager Phone : (~[) - x Pager Phone : (~&[) - x Hazmat Hazards: Fire React Contact : Phone: ( ) - x MailAddr: 4100 EASTON #5 DR State: CA City : BAKERSFIELD Zip : 93309 Owner ROBERTA WATSON Phone: (~,~) 322-08552 Addres~ : 4100 EASTON #5 DR State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: reviewed the a~ach~ h~~ m~s ~n~- merit plan ~or ~~ ~,~ ¢~ ~ it alo~ ~th any ~ons ~nstit~ a ~mp~et~ and ~rr~ ~n- agemsnt plan for ~ A~. 1 10/04/1999 F WATSONS STRIP SHOP SiteID: 215-000-000797 = Hazmat Inventory By Facility Unit --As Designated Order Fixed Containers on Site Hazmat Common Name... ISpooHa~IEPA HazardsI Frm I DailyMax IUnitlMcP ST-1 STRIPPER F L 42 GAL Hi ST-1 STRIPPER F L 84 GAL Hi ST-1 STRIPPER F L 5 GAL Hi LACQUER F R L 30 GAL Mod 2 10/04/1999 F WATSONS STRIP SHOP SiteID: 215-000-000797 ---- Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ST-1 STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: E END OF #5 CAS# FSTATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Mixture I Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container DailY Maximum Daily Average GAL 42.00 GAL 21.00 GAL HAZARDOUS COMPONENTS %Wt. oRS CAS# 75.00 Dichloromethane N 75092 20.00 Methanol No 67561 5.00 Oxalic Acid NO 144627 HAZARD ASSESSMENTS ITSecret NoRSIBiOHazNo No Radi°active/Amount I EPA HazardsNo/ Curies F NFPA/// IUSDOT# HiMCP Inventory Item 0002 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ST-1 STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: END OF #5 CAS# ESTATE IMixtureTYPE AmbientPRESSURE --[ TEMPERATUREAmbient MACHINE/EQuIpCONTAINER TYPE Liquid IN AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GAL[ 84.00 GAL 42.00 GAL HAZARDOUS COMPONENTS %Wt. oRSI CAS# 75.00 DiChloromethane N 75092 20.00 Methanol INo I 67561 5.00 Oxalic Acid No 144627 HAZARD ASSESSMENTS TSoorot I RS Bi°HaZNo No No Radioactive/AmountNo/ Curies EPA HazardsF NFPA/// I USDOT# 'lMCPHi -3- 10/04/1999 WATSONS STRIP SHOP SiteID: 215-000-000797 Inventory Item 0003 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ST-1 STRIPPER Days On Site 365 Location within this Facility Unit 'Map: Grid: END OF #5 CAS# STATE TYPE PRESSURE -- TEMPERATURE CONTAINER TYPE ~Liquid [ Mixture Ambient ~ Ambient METAL CONTAI NR- NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 5.00 GAL 2.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 75.00 Dichloromethane N 75092 20.00 Methanol No 67561 5.00 Oxalic Acid NO 144627 HAZARD ASSESSMENTS TSecretl RSIBioHazI Radioactive/AmountNo No No No/ Curies EPA HazardsF NFPA/// I USDOT#' MCPHi = Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NA~4E / CHEMICAL NAME LACQUER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# r STATE -- TYPE PRESSURE i TEMPERATURE iCONTAINER TYPE Liquid Pure I Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 30.00 GALI 20.00 GAL HAZARDOUS COMPONENTS 100.00 Lacquer Thinner N 78933 HAZARD ASSESSMENTS ITSecretl RSIBioHaz Radioactive/Amount EPA Hazards I NFPA USDOT# MCP No No No No/ Curies F R / / / Mod -4- 10/04/1999 F WATSONS STRIP SHOP SiteID: 215-000-000797 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 04/03/1990 CALL 911 -- Employee Notif./Evacuation 04/03/1990 VERBAL NOTIFICATION, LEAVE BLDG AND CALL 911. Public Notif./Evacuation 04/03/1990 CALL 911 AND INFORM IMMEDIATE BUSINESSES VERBALLY OR BY PHONE OR PERSONAL CONTACT -- Emergency Medical Plan 04/03/1990 NEAREST HOSPITAL AND WE HAVE A WASH STATION. -5- 10/04/1999 F WATSONS STRIP SHOP SiteID: 215-000-000797 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 09/29/1992 STRIPPER IS PUMPED FROM INVENTORY TO TANK AS NEEDED, APPROXIMATELY 42 GAL AT ONE TIME. WIPE UP OR SCRAPE UP ANY LEAKAGE OR SPILLAGE WASH AREA THROUGHLY WITH DETERGENT AND WATER - VENTILATE Release Containment 09/29/1992 AN ABSORBENT MATERIAL IS KEPT IN THE AREA (KITTY LITTER) AND IS APPLIED TO ANY SPILL. -- Clean Up 09/29/1992 ABSORBED MATERIALS IS PLACED IN HAZ WASTE DRUM. Other Resource Activation -6- 10/04/1999 ~ WATSONS STRIP SHOP SiteID: 215-000-000797 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 04/03/1990 A) GAS - SOUTH END OF BUILDING B) ELECTRICAL - SOUTH END OF BUILDING C) WATER - SOUTH END OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 04/03/1990 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS IN IMMEDIATE UNIT #5, ONE IN UNITS #3-6-7 AMD A WATER HYDRANT IN UNIT #5 FIRE HYDRANT - IS ON NORTH END OF COMPLEX (BORDERING EASTON DR). Building Occupancy Level -7- 10/04/1999 WATSONS STRIP SHOP ~~~~~&~~~ SiteID: 215-000-000797 Training ~~~~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~~~ 04/03/1992 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE TOLD WHAT TO DO IN CASE OF SPILL AND WHAT CONTACT WILL DO. THEY ARE SHOWN HOW TO REACT IN CASE OF SPILL OR aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee 08/05/92 .WATSONS. STRIP SHOP 215-000-000797 Page 1 Overall Site with 1 Fac. Unit General Information Location: 4100' EASTON DR. 5 -' .Map.~102 Hazard: Moderate BAKERSFIELD STATION 03 [Community: Gr~: 35A F/U. 1 AOV: 0.0 Contact Name Title ~ ' Busi~ss Phone 24-Hour Phoneq · Administrative-Data - : Mail Addrs: 4100 EASTON DR #5 D&B Number: City: BAKERSFIELD State: CA ZiP: 93309- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 7641 owner: ROBERTA WATSON' Phone: (805) 322=0855 Address: 4100 EASTON DR #5 State: CA City: BAKERSFIELD Zip: 93309- Summary RECEIVED SEP I 5,1992 HAZ, HAT. DIV. ! 0, '~/~',~/)~.y.,. ~,.,7-.=,,,)C~'Fr~'~)°.. hereby ~ reviewed ~he ~ach~d h'~ardous mmerials me.nt Plan for ~.,~ c~ C~d ~ha~ i~ (~o of suS~s) - any ~r~ons consfit~s a ~plete and corr~ . ~r .. ,~,::~,~ . . , . ~-~ ~'.. 4=% -,-. , 08/05/92 WATSONS STRIP SHOP 215-000-000797 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 ST-1 STRIPPER Liquid 42 High · Fire ~ GAL CAS #: Trade Secret: No F6rm: Liquid Type:-Mixture Days: 365 Use: STRIPPER Daily Max GALI Daily Average GAL I . Annual Amount GAL 42 ~ 21.00 902.00 Storage Press T TempI Location' DRUM/BARREL-METALLIC AmbientlAmbientlE END OF #5 -- ConsI Components i MCP iList 75'.0% Dichloromethane High 20.0% Methanol High 5.0% Oxalic Acid Low 02-002 ST-1 STRIPPER Liquid 84 High · Fire GAL CAS #: Trade Secret:' Nb Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL Daily Average GAL Annual Amount GAL 84 I 42.00 I 902.00 Storage Press T Temp Location IN MACHINE/EQUIP Ambient]AmbientlE END OF #5 -- Conc Components I MCP iList 75.0% IDichloromethane IHigh 20.0% Methanol IHigh 5.0% Oxalic Acid ILow 08/05/92 WATSONS STRIP SHOP 215-000-000797 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference NUmber Order 02-003 ST-1 STRIPPER Liquid 5 High · Fire GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GALI Daily Average GAL 1 Annual Amount GAL 5 , 2.00 60.00 Storage~l~PressT Temp Location METAL CONTAINR-NONDRUMIAmbient~AmbientI~E END OF #5 -- ConsI Components [ MCP ~List 75.0% Dichloromethane High 20.0% Methanol High 5.0% Oxalic Acid Low ~' 02-004 LACQUER Liquid 30 Moderate · Fire, ReaCtive GAL CAS ~: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: PAINTING Daily Max GALI Daily Average GAL [ Annual Amount GAL~ Storage Press~ Temp ~ Location- DRUM/BARREL-METALLIC Ambient ~ Ambient METAL. CONTAINR-NONDRUM Ambient Ambient --Consi Components i MCP iList 100.0% Lacquer Thinner Moderate 08/05/92 WATSONS STRIP SHOP 215-000-000797 Page 4 00- Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL NOTIFICATION, LEAVE BLDG AND CALL 911. <3> Public Notif./Evacuation CALL 911 AND INFORM IMMEDIATE BUSINESSES VERBALLY OR BY PHONE OR PERSONAL' CONTACT <4> Emergency Medical Plan NEAREST HOSPITAL AND WE HAVE A WASH STATION. ,08/05/92 WATSONS STRIP SHOP' 215-000-000797 Page 5 00 - Overall Site <E> Mi t igat ion/Prevent/Abatemt <1> Release Prevention STRIPPER IS PUMPED FROM INVENTORY TO TANK AS.NEEDED, APPROXIMATELY 42 GAL AT ONE TIME. WIPE UP OR SCRAPE UP ANY LEAKAGE OR SPILLAGE WASH AREA THROUGHLY WITH DETERGENT AND WATER - VENTILATE <2> Release Containment <4> Other Resource Activation 08/05/92 ~WATSONS STRIP SHOP 215-000-000797 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility shUt-offs " A) GAS - SOUTH END OF BUILDING B) ELECTRICAL '- SOUTH END OF BUILDING C) WATER - SOUTH END OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire-Protec./Avail. Water PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS IN IMMEDIATE UNIT #5, ONE IN. UNITS #3-6-7 AMD A WATER HYDRANT IN UNIT #5 FIRE HYDRANT - IS ON NORTH END OF COMPLEX (BORDERING EASTON DR) . <4> Building Occupancy Level 08/05/92 wATSONS STRIP SHOP 215-000-000797 Page 7 00 - Overall Site <G> Training <i> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE.MATERIAL SAFETY DATA'SHEETS ON FILE .~ BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE TOLD WHAT TO DO IN CASE OF SPILL AND WHAT CONTACT WILL DO. THEY ARE SHOWN HOW TO REACT IN CASE OF SPILL OR CONTACT. <2> Page 2 as needed' <'3> Held.for Future Use <4> Held for Future Use (t:~e or przn~ name> RECEIVED Do hereby certify'that I have reviewed the attached Hazardous' }'laterials business elan ~n~e of bus~ness~ and that it along with the attached additions ~* ~_ a complete and co~ect or correct,ions consti~'~ Business Pl'an for my faeilit,v. :' BUSINESS NRME WRTSO ,NITRIp SHOP ID IR · ~, ' LOCRTION 4100-S'q,z~-RSTON DR HRZRRD RRTING 1. OVERVIEW LRST CHRNGE 10/24/88 BY VRL JURIS CODE 215-~3 JURIS BRKERSFIELD STRTiON 03 HBP PRGE'102' GRIO 3SA FRCILITY UNITS 1 HAZRRD RRTING 3 RESPONSE SUMMRRY 2R SEC'4') TERM CONSISTS OF RNY OR ALL PERSONNEL. EMERGENCY CONTRCTS-ZR SEC Z> ROBERTR WRTSON- 3ZZ-0855 OR 871-1088 · UTILITY SHUTOFFS ZR SEC. 3) R) GRS' S ENO OF BLDG B) ELECTRICRL- S END OF BLf_TG C) WRTER- S END'OF BLDG D) SPECIRL- NONE E) LOCK BOX - NO Z. NOTIFICRTION / PUBLIC EVRCURTION ' LRST CHRNGE / / BY < NO INFORMRTION RECORDED FOR THIS SECTION PRGE 1 1Z114/88 MATERIAL SAFETY DRTR SYSTEMS, INC. (805) G48-B800 BUSINESS NAME WATSONS' STRIP SHOP' ID NUMBER 21S-0(~0-~8r/97 LOCATION . 410~S EASTON OR HIGH HAZARD RATING Z M(~T TRAINING SUMMARY LRST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > LOCAL EHERGENCY MEDICAL ...... E~ST CHflNG~ 1-8/~4/88 BY VAL SEC S) NEAREST HOSPITAL AND WE HAVE R WASH STATION. MATERIAL SAFETY DflTfl'SYSTEMS,-INC.._~80S) G48-B800 BUSINESS NAME uATSO4TRIP SHOP ID R LOCATION 4100~S~"~EASTON DR HAZARD RATING 3 FACILITY UNIT 01 A. OVERALL HAzARDous MATERIALS INVENTORY LAST CHANGE 10/24/B8 BY VA[. ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1' MIXTURE. ST-1 STRIPPER 42.GAL HIGH E END OF tS DRUMS OR BARRELS MET.. STRIPPER ID PERCENT COMPONEN'FS HAZARD LIST 2234.00 7B.0 METHYLENE CHLORIDE × 'MODERATE 1145.0~ 20.0 METHANOL J HIGH 2158.00 5.0 OXALIC ACID MODERATE Z MIXTURE.ST-I STRIPPER 84 GAL HIGH E END OF ~5 IN PROC. MACHINERY STRIPPER ID PERCENT COMPONENTS HAZARD LIST 2234.00 75.0 METHYLENE CHLORIDE MODERATE 1145J00 20.0 METHANOL HIGH 2158.00 S.O'OXALIC 'ACID ~x MODERATE 3 MIXTURE ST-I STRIPPER 5 GAL HIGH E END OF ~5 METAL CONTAINERS STRIPPER ID. PERCENT COMPONENTS HAZARD LIST 2234.00 ?S.0 METHYLENE CHLORIDE MODERATE 1145.00 Z0.0 METHANOL HIGH 2158.0~ 5.0 OXALIC ACID . -~' MODERATE B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 10/24/88 BY VAL SEC 4) 3 FIRE.EXTINGUISHERS IN IMMEDIATE UNIT~S, ONE IN UNITS ~3-B-7 AMD A ~TER'HYDRANT IN UNIT tS'FOR FIRE PROTECTION. SEC.5> FIRE HYDRANT IS ON N END OF COMPLEX (BORDERING EASTON DR>. ' PAGE.3.. 1ZA14/88 17:05 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME wRTsoNS STRIP SHOP I0 NUMBER Z;5-000-00~797 LOCATION 4100--5 EASTON OR HIGH HAZARD RATING'3 O. EMPLOYEE NOTIFICATION / EVACUATION L~S'r CHANGE 10/~4t8B BY VAL SEC 2) VERBAL NOTIFICATION, LEAVE BLDG AND CAL'L 9.11. E. ~MITIGRTION / PREVENTION / ABATEMENT LAST CHANGE 10/24/88 BY.VAL SEC l> STRIPPER IS' PUMPED FROM'INVENTORY TO TANK' AS NEEDED, APPROXIMATELY 4Z'GRL 8T ONE TIME. WIPE UP OR SCRAPE UP ANY LEAKAGE OR SPILLAGE WRSH RRER THROUGHLY-WITH DETERGENT AND WATER - VENTILATE 'PROE 4. 1ZI14/88 i?:05 MATERIRL SRFETY DR"rA SYSTEMS, INC. (885) G48-G800 CITY of BAKERSFIELD NON--'I?RADE SECRETS , .L. CITY, ZIP:-~ CITY, ZIP: ff3~.~ ' DUN AND BRADSTREET ~MB~R~ of P~ ~lth ~lth of P~ ~lth ' P~ical ~ ~lth ~z4~ C.A.S. ~ ~ ~t II ~ ~ Fire Hazaed ~ ~ RHCt~v~ty ~--a ~la~ ~ ~ ~ Reline ~g~ I~late - ~ - ~ [ - ] ~ - ~ - ~lth of Pe~suee ~ealth ~t 13 ~&C.i.S. ~r Certtficati~ (Re~d and SiKh after co.pier,nE ali sections) I c~rtL~y ~dee ~lty of 1~ t~t I ~ve ~esmellyexaein~ end aa f~ilJar etth t~ Jflfor~tJm-su~Jtt~ Jn this ~ ell ett~ ~ts. ~ tMt ~s~ m ~ i~J.~ of t~e JMJvJ~ls ~sible for~obtainin9 t~ inf~tJm. I ~lieve tMt t~ su~Jtt~ infomtJm is t~. accurate. ~d '~, ~ , , HATERIAL ?BE SAVOGRAN ~]OMPAN~, 259 LENOX ~. PHONE: 617-762-5400 EFFECTIVE DAT~: 02 OCT. 80 PRODUCT' NAMe: S.I. #1 (I '~I H.~SSIF!CATION: Paint packaging requirements 173.51 SECTION 2 ~GiRE,D I ENTI Methylene Chloride Methanol ' Oxalic Acid SECTION 3 Initial Boiling Point: 104OF i Vapor Pressure: Retarded i Vapor Density: Heavier than ailr her So].ubility in Water: Apprecia~l!e SECTION 4 ,S'ION D~ Flash Point: None-Tag Open Cup, Flammable L~mits: Unknown EXTINGUISHING MEDIA: Water fog dry chemical, but NON-FLAMMABLE. HAZARDOUS DECOMPOSITION PRODUCT, S acid, carbon dioxide, carbon moln small amounts of phosgene and SPECIAL FIREFIGHTING PROCEDURES: with a full face piece operated ~ positive pressure mode, ~i I" UNUSUAL FIRE AND EXPLOSION HAZAR] . SECTION 5 ~D D~TA THRESHOLD LIMIT VALUE: See Sect Con:tinuei SECTION 5 HE~ T~ CO EFFECTS OF OVEREXPOSURE: Eyes: Can cause severe irritati tearin Skin: Short contact - no irr ~d dr .i repeated contact - can ca e "~'idermatitis' ~ · Inhalation: Excessive inhalatio an caus respiratory irritation, d~= kness, headache, nausea, possibl ness Swallowing: Ingestion can cause a~sea, diarrhea, gastrointest!i~'al a~d FIRST AID: ' i Skin 'Contact: Wash thoroughly' ~r.~ ~i [ ~ d thoroughly launder cont ~efor~ ~reuse. Eye Contact: Flood with plenty mi~ and get medical attention In'halation: If illness oecurs~,' breathing is difficult, giv stopped, start artifidiAlf~ Swallowing: Immediately give~ ! .~ate physician, hbspital emerge~ mson con for way to induce vomiting, i~!ian mmmee~ Never give anything, by' '' sc'~'°us' ~eri .!' ~ ': CAUTION: Drinking alcohol~ sh~0r ' ~.e~ exposure to some solvent!k SECTION 6 RE~ STABILITY: Stable HAZARDOUS POLYMERIZATION: Will INCOMPATIBILITY (MATERIALS TO AVOID): (e.g. ~itric.acid, permangana~e~ (e.g. NaOH, ammonia, etc:.) CONDITIONS TO AVOID: Vapors an surfaces such as stoves, w furnaces, electric or gash welding arcs or torches ma or corrosive to metals. ............................ cot~le~ct-in~'low spots/ SECTION 7 SPill STEPS TO BE TAKEN IN CASE SMALL SPILLS: Wipe up or scra Wash area thoroughly with ~ adequately. Keep away froTM · ,~ SECTION 7 SPIL ROCEDURE TI LARGE SPILLS: Wear proper prote . S .i . ;a ~) sOurce, dike area of spill ~ ~ead: ~ ~d out of ground water and str~ e: i mate~ri t ~ containers. Absorb remaind~ , ay-, ,leal absorb'ant, or other materia~ o co~ ' Then wash area thoroughly ~i~terg. l~t ~t i.I · adequately. Keep away from aha open.: lame WASTE DISPOSAL METHOD: Dispose ~' and spent solvent to a reclaime ing] imate~a~ s ~n approved incinerator or. alt b an approved land fill or, th , t ~' .dry at a safe distance from ~ui]'ding tatei and federal regulations per ct to hazardous waste regulati SECTION 8 SP VENTILATION:. The vapors are hca Ir ~d du re ' be exercised to prevent the ctii~g in unventilated areas. Good a ~. at 'ifloor ho'uld · .be .provided. by normal cro.s.~ explosion proof exhaust fan ~pnce~trat solvent in air to TLV. il I RESPIRATORY PROTECTION: Below 2~,0 re.q ~els ~LJ up to 2% for ½ hour or less' fU~l'l ~ organic canister should be~ an approv~ed self-contained ~ ~i * s~a face piece operated in a pr pressure mode is adgised. ~fety. equ nl supplier. GLoVEs: Industrial quality cqtt ,.pr~ne~ gl .w. ith. close .......... fitting wristlets. EYE PROTECTION: Safety glasseS stations and safety showers ' :! Plastic glasses may be dis -OTHER PROTECTIVE EQUIPMENT: ~6 however, wear long sleeved skin against splashes. . SECT ION 9 S P~ ~'~IONS' EMPTIED CONTAINERS: Emptied con~ne[ ~'retlain P i.,I S (e.g. vapor and liquid or solid~) !refOr:e, a be~obser " given in this sheet must~ SECTION 9 StE~ AL ,CA~i~TION~ PRECAUTIONS TO BE TAKEN IN HANDL G ,ST,0RINq: St~re tin · place - out of hot sun and welding torches near full o'} InformatSon g~ven hereSn ~s in good fafth; however, no war~a~i is made. It is strongly suggest advance of need. that the informa :u~ren~ ~p ',~ to their situation.. BAKERSFIELD CITY FIRE DEPARTMENT R E C [ I U 2150 '"G" STREET "BAKERSFIELD, CA 93301 JUL 8 1987 (so5) 326-s979 l OFFICIAL USE ONLY ID# USINESS NAME HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A I NSTRUCTI 0NS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. .us NEss A. AME: CITY: g~'~f~'/~ d~"C ZIP: 9~3 BUS.PHONE: 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 req~lired by l~w. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. B. Ph~ Ph~ SECTION 3: LOCATION'OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: ,~u ~;4_~ 0 ~ .~,~/~O~ ~.~ B. ELECTRICAL: ~ ~'0 ~ _'f'~,/~,~ ~ C. WATER: ~ F~ ~? ~3~ D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / N0 FLOOR PLANS? YES / NO KEYS? YES / N0 - 2A - SECTION 4: PRIVATE RESPONSE TEAi~ FOR BUSINESS AS A ~IOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TI~INING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...- .................................... (YE~ NO YES NO v B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... E~ NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: ..................~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~-~-~qT, NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES NO SECTION ?: HAZARDOUS NATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUND,S_OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... Y~ NO I, , 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 Al.) and that inaccurate information constitutes perjury. SIGNATURE TITLE DATE SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EI~ERGENCY I~DICAL ASSISTANCE FOR YOUR' BUSINESS AS A ~,-IOLE SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL AND REFRESHER TRAINING IN.THE FOLLOWING AREAS. ... .CIRCLE' YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAzARDous. MATERIALS:...' .................................. NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: ................... ~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES:..' ..... · ............ ~.~' NO YES NO E. DO'YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES~j~~ YES NO SECTION ?: HAZARDOUS MATERIAL CIRCLE YES OR NO' .. DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500'POUND_S_OF A SOLID, ~5 GALLONS OF A LIQUID, OR 200 CUBIC FEET'0FA COMPRESSED GAS:._ .... /YES_...N0 'I, ~J~// l~/"~~ , certify that the above information is accurate. . I understand~th&t this information will be used to fulfill my f}rm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.9~ Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATURE .~, ,:~f / TITLE ~&-/L,,/~- DATE BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301:~ OFFICIAL USE ONLY BUSINESS NAME: ; BUS I NESS PLAN ' SINGLE FACILITY UNIT FORM SA ~ · 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~ .~:.-~.' FACIL'ITY UNIT# 8'* FACILITY UNIT NAME: SECTION 1: MITIGATION, PRE~NTION~ ABATE~EN~ PR0CED~ES "' SECT'ION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY ..... '.. / ~ ~ d · ~ ,'.~ " ,., ".. , - 3A - ~ECTION $'~HAzARDOUS MATERIALS FOR THI~ UNIT ONLY i' A. Do~sf'this'Facllity Unit contain;Hazardous Materials? ...... YES NO NO, continue with B. Are any of the hazardous, materials a bona fide Trade Secre(~j NO 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 ~ECTION 5: lOCATION OF ~ATER SUPPLY FOR USE BY EI~ERGENCY RESPONDERS SECT]IoN' ~: LOCATION OF UTILITY SHUT-OFFS' AT THIS UNIT ONLY. A. NAT. GAS/PROPANe': E. LOCK BOX: YES / NO IF'YES, LOCATION: IF..YES, SITE PLANS?' YES 7 NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - SB - BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Page o~,, NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME: ~,_/v//~.'~_,~/~,H . ~~ ~ OWNER NAME: rA ~/~/'~/~ FACILITY UNIT ~: . ADDRESS: Q]~O ~37~/) ~.~t~%~ ADDRESS: FACILITY UNIT NAME: CITY, ZIP: q'fi~ ~ CITY,ZIP: PHONE ~: ~ f~' PHONE ~: OFFICIAL USE CFIRS C0~E ONLY , 1' 2 3 4 5 6 7 8 9 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T .~ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL 0R COMMON NAME CODE GUIDE NAME: TITLE: SIGNATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: EMeRGeNCY CONTACT: TITLE: .. PHONE # BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: - 4A-1 -