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HomeMy WebLinkAboutBUSINESS PLANGOLDEN VALLEY HIGH SCHOOL 800 HOSKING AVENUE -,,:; <~~ + GOLDEN VALLEY HIGH SCHOOL ___________________________ SiteID: 015-021-003025 + Manager WILLIAM SANDOVAL Location: 800 HOSKING ~B ~U,(~ City BAKERSFIELD.. BusPhone: (661) 827-0800 Map 124 CommHaz High Grid: 30A FacUnits: 1 AOV: CommCode: KCFD STA 52 SIC Code r EPA Numb: DunnBrad: I Emergency Contact / Title Emergency Contact / Title WILLIAM SANDOVAL / PRINCIPAL OTIS JENNINGS / ASST PRINCIPAL Business Phone: (661) 827-0800x Business Phone: (661) 827-0800x 24-Hour Phone : (661) 827-0126x 24-Hour Phone (661) 827-0126x Pager Phone ( ) - x Pager Phone (661) 333-5608x Hazmat Hazards:- Fire Press ImmHlth DelHlth Contact WILLIAM SANDOVAL ~ Phone: (661) 827-0800x MailAddr: 800 HOSKING ~e$ ~~ State: CA City BAKERSFIELD ~ Zip 93307 Owner WILLIAM SANDOVAL ~ Phone: (661) 827-0800x Address 800 HOSKING ~~ State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: ~ ~ PROG A - HAZMAT ~ ~~ y ~I ~~ Based on my inquiry of those individuals responsible for obtaining the information, !certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, acc e, and plate. ~ ~G a,~ gnature Date ~5~'~ ~/Vj~ U J~i ~ X006 -1- 03/28/2006 ». ~. William Sandoval _, Principal GOLDEN VALLEY HIGH SCHOOL 800 Hosking Avenue Bakersfield, CA 93307 Phone: (661) 827-0800 Fax: (661)827-0480 -mail: waandoval@khsd.kl2.ca.us ~~ `~~ Bakersfield Fire Dept. Environmental Services UNIFIED PROGRAM INSPECTION CHECKLIST g~'~rp '~°"~`°''~`" ~ 900 Truxtun Ave., Suite 210 SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661.)_326-3979 FACILITY NAME WSPE TION ATE INSPECTION TI111~ u~ ADDRESS ~~ PHONE No. No. of Employees 5 FACILITYCONTACT Business ID r~ _ Z,.N1~y,rG T~ ~ C-t,t~ 15-021- /~/L-LtI Section 1: Business Plan and Inventory Program # ~2~ Routine f7 Combined D Joint Agency ~ Multi-Agency O Complaint action ~ ANY HAZARDOUS WASTE ON SITE?: ^ YES 'I~NO EXPLAIN: G~t-"C.~Y~ ~CSfL C..~V~'TL ©t<. IN ~litllfLf.: '~ Tl-fC.-'~ (.•~1r(-i_ ~gL~nl~-2sit f.~fJk3~ O1C~ QUESTIONS REGARDING 7NIS INSPECTION? PLEASE CALL US AT ~6G'I ~ 328-3979 -------1~~~-5 ---__._.___--------------.------------.-- Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White - EnvironmenUl Services Yellow - Statbn Copy rint) o, 8 Pink -Business Copy c.~- 8usine Site Responsible Party (Please P (HMMP) HAZARDOUS,MATERJALS MANAGEMENT ~' UNIFIED PRROOCGRAM CONSOLIDATED FORMS ~ H S R S A~ D HAZARDOUS MATERIALS INVENTORY ~ sari s CHEMICAL DESCRIPTION FORM ~.E W ^ ADD ^ DELETE ^ REVISE 200 tiAtilb'K,r'1L''LL !''1KL~.' iJL''Yl'. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 (One loan per material, per building, or area.) Paaei of 2 . ~ I. FACILITY INFORMATION NAME (Same as FACILITY ME or DBA-Doing Business As) BUS IN ESS NA 3 // ~ y f ` / v""-'~~'v V ~~..L~~T' '~' ~~41t'NL CHEMICAL LOCATION 201 CHEMICAL LOCATION 20 (/~~r(~[ (~O' ~.~~ n_ (~.,!_ ivYl V ~ CONFIDENTIAL(EPCRA) ^Yes^ N FACILITY ID No. 1 MAP No. (oprionar) 203 GRID NO. (opfioner) 20 II. CHEMICAL INFORMATION CHEMICAL NAME 205 20 ~~,/~ / _' (TlJ v TRADE SECRET ^ Yes ^ No ' ect to EPCRA rater to instructions If Sub COMMON NAME 207 EHS• ^Yes ^ No 20 CAS No. 209 •If EHS is °Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE 211 212 CURIES 21 °.Z~p,eURE ^ m MIXTURE ^ w WASTE RADIOACTIVE: ^Yes G No LARGEST CONTAINER 215 PHYSICAL STATE ^ s SOLID ^ I LIQUID ~ GAS 214 2 ~Z FED HAZARD CATEGORIES G i FIRE pE~REACTIVE .PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 21g AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT s % _ 4 YJ DAILY AMOUNT CODE ^ UNITS ^ ga GAL h'r~f CU FT ^ Ib LBS ^ to TONS 221222 DAYS ON SITE ~If EHS, amount must be in lbs. 22 STORAGE CONTAINER ^ k BOX ^ p TANK WAGON (Check ell that apply) ^ a ABOVEGROUND TANK ^ f CAN ^ b UNDERGROUND TANK ^ g CARBOY I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ^ a AMBIENT ~aa ABOVE AMBIENT ^ ba BELOW AMBIENT 22 STORAGE TEMPERATURE °~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 226 227 ^Yes ^ No 228 22 2 230 231 ^Yes ^ No 232 23 3 234 235 ^Yes ^ No 236 23 4 238 239 ^Yes ^ No 240 241 5 242 243 ^Yes ^ No 244 245 Ili. SIGNATURE PRINT NAME R TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGN DATE ATU RE 246 ~~ 11 tt t ~-P~ S"f3 r"~S~ FD2086 (Rev. 02/05) (HMMP) HAZARDOUSJMATEf3fALS MANAGEMENT '~f UNIFIED PROGRAM CONSOLIDATED FORMS ~~ B_ H R A I D_ HAZARDOUS MATERIALS INVENTORY ARrir r CHEMICAL DESCRIPTION FORM NEW ^ ADD ^ DELETE ^ REVISE 200 ~3A~iL~'K~r-L.b'LL ~'1KL'' LL''Yl'. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 (One Corm per material, per building, or area.) Paae1 of 2 I. FACILITY INFORMATION .. r DBA -Doing Business As) BUSINE N A ME (Same as FA CI LITY NA E o SS 3 M /~ qq~~ a . , ,~~ t ~ CHEMICAL LOCATION 201 CHEMICAL LOCATION 20 ~O~S r ~E (~ ~ ~ ~~ ~' ~v„„ l ~O~ t ~-- ice" ~ CONFIDENTIAL (EPCRA) ^ Yes ^ N FACILITY ID No, 1 MAP No. (optional) 203 GRID NO. (optioneq 20 11. CHEMICAL INFORMATION CHEMICAL NAME 205 20 /\ ~~ n ~~~ ~ ~c -1 ?' C TRADE SECRET ^ Yes ^ No ' .. If Sub ect to EPCRA refer to instructions COMMON NAME 207 EHS' ^ Yes ^ No 20 CAS No. 209 'If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 211 212 CURIES 21 f,>~PURE ^ m MIXTURE ^ w WASTE RADIOACTIVE: ^ Yes ^ No LARGEST CONTAINER 215 PHYSICAL STATE ^ s SOLID ^ I LIOUID /~,gGAS 214 /.~~ FED HAZARD CATEGORIES ~tFIRE ^ 2 REACTIVE (~3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM P18 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ~~~ ~ DAILY AMOUNT CODE 221222 ^ UNiTS ^ ga GAL ,,,~"` CU FT ^ Ib LBS ^ to TONS :~ DAYS ON SITE ~If EHS, amount must be in lbs. . 22 STORAGE CONTAINER (Check ell tAat epplyJ ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX _ ^ p TAN K WAGON ^ b UNDERGROUND TANK ^ g CARBOY I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN 22 STORAGE PRESSURE ^ a AMBIENT ~~a ABOVE AMBIENT ^ ba BELOW AMBIENT STORAGE TEMPERATURE~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 226 227 ^ Yes ^ No 228 22 2 230 231 ^ Yes ^ No 232 23 3 234 235 ^ Yes ^ No 236 23 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 24 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 ~~S 1 ~~' FD2086 (Rev. 02/05) w -: I_* + GOLDEN VALLEY HIGH SCHOOL ___________________________ SiteID: 015-021-003025 + Manager WILLIAM SANDOVAL Location: 800 HOSKING RD City BAKERSFIELD BusPhone: (661) 827-0800 Map 124 CommHaz High Grid: 30A FacUnits: 1 AOV: CommCode: KCFD STA 52 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Con act ~ Title_ ' ~ ~ WILLIAM SANDOVAL / PRINCIPAL 333-SG / ({~,~sTA~.f~ L ~,~in?Ci OTrS ~Tfi~/~1~11G-5 ~1 P Business Phone: (661) 827'-0800x Business Phone: (661) 827-0800x 24 -Hour Phone ((o(Q ~) $'d ~ -pt 2 ~ x 24 -Hour Phone ((~(o ~) $'a ~- - of L ~ x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact WILLIAM SANDOVAL Phone: (661) 827-0800x MailAddr: 800 HOSKING RD State: CA City BAKERSFIELD Zip 93307 Owner WILLIAM SANDOVAL Phone: (661) 827-0800x Address 800 HOSKING RD State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ Based on responsible fort' inquiry of those under obtaining the inform individu • +s Penalty of law that ation examined and am f I have ' I certify subm~ d and amii-ar with the nfor °nally 3c ate an complete. the information is ation ~~ true, REG~ MAR 0 2 2406 -1- 12/21/2005 :~ ~~ Pas;~2 of°~ •) SECTION II 2,: ':,RELEASE RESPONSE:PLAN--CONT. UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: • WATER: SPECIAL: T S I~1 {~ {~(jryr ~/(J ~~44`` -°^X~ ~VFS fl'N(1 IF VFS I f1(`ATI(1N~ / ~CK ~ • ~/C~VI ~f ~ C~ 1`I~~1 ~ C~ ~~ ~-~ , ~ tiSN d t~2~~ ~ ~k~ . C.Pr ~ PRNATE FIRE PROTECTIONNVATER AVAILABILITY: A. PRNATE FIRE PROTECTION: .. _ ., - ~ B. WATER AVAILABILITY (FIRE HYDRANT): ~'/ ~~~ SECTION, III: TRAINING x -. _ ___ __ _ _ - - - --- - NUMBER OF EMPLOYEES: ~~ MATERIAL SAFETY DATA SHEETS ON FILE: Cusrv~~~ vF ice', BRIEF SUMMARY OF TRAINING PROGRAM: ~5~~.~) 5rh)it/i~h~RVr~,~ ,ert,~G~ENC~ M,~v~-G~M,~~/% ~ysT~M - CERTIFICATION Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIG R OF WNE TOR OR DESIGNATED REPRESENTATNE DATE ~ ~ ~ ~ 477 OF SIGNE (pri 478 TITLE OF SIG ER 479 DT S ~1 .~1 ~~~5 i ,9~1 i ~~c/rr~~ o~ f~.l~J~9~~/~~ r FD 2169 (Rev. os/o5) \, Y', `, _ ~,~~ n`s~ (HMMP) ~--~ HAZAR APP FOR S NOTIF i .~~ SECTION X11.2: RELEASE RESPONSE PLAN C - - - A. HAZARD ASSESMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MRIGATION: l C. CLEAN-UP AND RECOVERY PROCEDURES: + . . _• r .. DOUS MATERIALS MANAGEMENT PLAN BAKERSFIELD FIRE DEPT. ;~ LIGATION i'° ECTION DISCOVERY AND t (CATION (FORMS) INSTRUCTIONS 1. To avoid further action, return this form within 30 days of receipt. 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. ' ~ _ _ _ - ___ SECTION I:. FACILITY IDENTIFICATION_ _ _ ~i BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) o~D~n- ~(~LL_~~ ~ -+IGI~ H~o L ADDRESS (For local use only) 8'o i v5 (~ v E . fl K'E.~.~5~ (E~ ~ FACILITY ID NO. ~ -~~f~' - ) 5' c~ 2 ~ 0 3 o z SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: ~3 C. ENVIRONMENTAL RESPONSE MANAGEMENT: i, D. EMERGENCY MEDICAL PLAN: Prevention Services B 9 F I p p~Re 900 Truxtun Ave., Ste. 210 T A Bakersfield, CA 93301 ~ Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 } i FD 2169 (Rev. os)os> r ~~~r'/ 5rtv.~ c~F ~~ v uxur II '°^ ~ U ~ o ®~~ ., la' a 3W s~ O '03 ew '°' o '°° '°' '^' ~ r'~~~ eo3 x3 O 3a3 ~ 1 ~~= 30! O O p ~ es3 • -$ e 1 p p .W \ 1 3°03 ~ px1~ p GOLDEN VALLEY HIGH SCHOOL ~yyy~ ~ ~-TS ~~~ , ~s ~ V _ ~v eAmeAU ^ C U/~.-_/ S C xx ~ x X ®® ~ ~~ :~ tom. MAOOt3N \' ~~ l~:ea aeor !~ 1x3 1xa 1x3 ixi p 131D \ IOW 1x1 13L3 ~// '`\ O ~ O /1.~ O O p O 1l0 l-/`~ Sa3 ~ sm3 O 1 I3L 3.W 1301 13W 1=OI /~. 1 1006 iW Q 1x1 ..e. o 1301 iS01 ELECTRICITY MAIN _~ WS MAIN ^ VATER NAIN 1 1 I I I,' .1 I ~ i I ~ I I ~ i .~ .. arw M ,,, xe 801 HOSKING AVENUE ; BAKERSFIELD, CA. 93307 ~55~~ e 6 I 3W ~` fi s ~o V 64LLs aon .~\l .~ O ~ I 1 I k,.,._~__ ~__ 1 L , , i ~ i 1 ' to ~._._.1._, _._.L._._.~~j 1 _ _ _ _L._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. _._._._ I le 1 i ~~ ~ ~~' J r-- i I 1 I I 1 I I ~ii ~ ~ i OLDEN VALLEY HIGH SCHOOL 801 HOSKING AVENUE BAKERSFIELD, CA. 93307 ~~ INDICATES HANIDCAP ACCESS HNSKING AVENUE . ~- ~~. ~, _ ® ~ _ ® ~` 207 n 4 ~-- rl ® ~i_ 6OS 703 TExT - p 602 ~ 7os ~ Nu oo ~'_ \ 601 607 rq ~ \ U 7os ® ®'~ 0 701 0 0 ~, 904 903 //~' CI ® °- L~ ~ 995 ~ ! 1003 ° /"~, ~' 1096 902 ~ ~ ~ ~'!~1-,l-~y+ 907 901 / 1002 1005 ! r i~l ~ 1001 1~, ° LUULJJI ~ CAFETERIA D ~~ ~ ~~ ~~ ~0 ~ ~~ ~ 6NOP r F 17u fns ,--.-.. ~~ a X17 1725 i 1702 . _ ~_ . 1 y`~\ \ eJ rz~t~ ~f ~/ 807 ~~ ~~ / 301 O 304 303 2 O C 07 '1C~ PERFORMRNG AA 0 340 ~ 328 319 ~1 1~~ f~ i ~' !~ yy~~o ~i y ~i 0 .~ .p GYM ~~`<`~ `f~ ~~ A d" ~WRESTI~G` 1301 1904 11~ ~ V \~ - _ 12D2 ~ 1107 r1~3012 1305 ® 1208 ~ 1103 ~ p 1306 h~i- tifYY~ 1203 ~'~ 1303 1207 \`~ 1307 ^O ~o 0 0 1101 :1.C _ v l~-~ ~\ -- i i~~;•_~. ,~ ~ ;~~ 1~- .m ~' • a~ y/y/y, y~~ GOLDEN VALLEY HIGH SCHOOL Li7J j ~ '°' ~ 801 HOSKING AVENUE ~~~~~ ","' a; ~ BAKERSPIELD, CA. 93307 ~yi~S~ ° a 1. y_ _ i! I ®•: ~, a e~ :a m• r O 'E' •~• ~ ~a O ®'~ ° o a•s \ \ :` :r :a O ° Q •i •i 0 a; ° S ~.°la° >: I. _ ~ 1 as I! x x Q :° ~' m I x ~ ^ ^ ~y v _.T._. _._I_. (~nwnV~~fl e x e l V Q' • all ~ /~ 4~- sew '' /~^ ` sw.e sxa. \ ads s se aba s `~` ° nw aka i f / ~\ ° ~ ~ o spa ~i ° ° ° o `~01 siw ~+ a;ea sew ~• ~~ saw uos ads ~~ s~Oa a{oa O • saga Q o s sew s~ef ;' ~~°` im aaw a s~ aiot r /: s>~s ~~ s ~ i ~,\ FIRE HYDRANT ^ FIRE EXTINGUISHER I i i r,. ,' i i ! i i i! i i i ! i I !.! .! I ._._._._._. _._._ _._.L.-~-'-~--'-~- -~-'--'-'-- 1 I !~ ~ ~I 1 I K _ _ _ _ _ _ I I I ' ' ' ~f I 1 1 ~._._..1._._._, L. _._.~ '~ ~. i i ~~ ~__~ i 1 I ~~ ,;, ~ i ! V ~:,,. I I .. I s~~ . I I I i'~'~ ' ~~~ ° i ~ ~ L' ~ J .i . a,li~ 1 t 41 I k, k; I I o I I ~} I i I ! I I I i'~ I r-, i ~~ I i _ ___ J! T__~ t _._._._.7___ ~~----~~`-~ ~---~ 1