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HomeMy WebLinkAboutBUSINESS PLANBAKERSFIELD POLICE DEPT RANGE Manager KEVIN STOKES Location: 3419 TRUXTUN AVE City BAKERSFIELD CommCode: BFD STA 01 EPA Numb: BusPhone: Map 102 Grid: 26D SIC Code: DunnBrad: SiteID: 015-021-003442 (661) 323-2250 CommHaz Moderate FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title KENNETH FARNSWORTH / RANGE MASTER JAMES RAMOS / RANGE MASTER Business Phone: (661) 323-2250x Business Phone: (661) 323-2250x 24-Hour Phone (661) 496-7928x 24-Hour Phone (661) 431-6717x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React Contact KENNETH T FARNSWORTH Phone: (661) 323-2250x MailAddr: 1601 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Owner CITY OF BAKERSFIELD Phone: (661) 326-3821x Address 1601 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D J U L 2 5 2007 Based on my inquiry of those individuals responsibEe far 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. a~ v`7- sl _ _ ig~ ature Date -1- 06/29/2007 F BAKERSFIELD POLICE DEPT RANGE ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-003442 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ANIMUNITION F R S 211.00 LBS UnR -2- 06/29/2007 -3- 06/29/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME AMMUNITION ~ Days On Site SMALL ARMS AMMUNITION 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TMixtur~Ambient~~ AmbientTURE BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 211.00 LBS LBS HAZARDOUS COMPONENTS ~ , $Wt. RSI CAS# riAY,AKL AS SL"~~~1~1~1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R / / / UnR -4- 06/29/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation tU1J111: 1VV l.1L ~ P~VQI: UQL1V11 Ij lllC .l y Clll:y 1.1C lAl 1:0.1 r 1CL11 -5- 06/29/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ KC1Cd.5'~ YLCVCi1l.lCJil Release Containment Other Resource Activation -6- 06/29/2007 .:~~ . , • . F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~jrv~lcal na~.aiu~ Utility Shut-Offs 06/29/2006 ELECTRICAL: NW CRNR RANGE HOUSE WATER: GRASS AREA OF PARK r11C t'LVI.CC:./tiVd11 Wdl.~l Building Occupancy Level 06/29/2006 2 EMPLOYEES -7- 06/29/2007 ~' i ~ F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ Fast Format ~ ~ Training Overall Site ~ Lilll~J1VYCC 11Qlllllly rayc ~ nclu 1V1 rut,uiC VSC nC 111 1V1 rul..U1C Ui.iC -8- 06/29/2007 a '' BAKERSFIELD POLICE DEPT RANGE SitelD: 015-021-003442 Manager ~,pp,, K- ~~~ Location: 3419 TRUXTUN AVE City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: BusPhone: Map 102 Grid: 26D SIC Code: DunnBrad: (661) 323-2250 CommHaz Moderate FacUnits: 1 AOV: I o Emergency Contact / Title Emergency Contact / Title KENNETH FARNSWORTH / RANGE MASTER JAMES RAMOS / RANGE MASTER Business Phone: (661) 323-2250x Business Phone: (661) 323-2250x 24-Hour Phone (661) 496-7928x 24-Hour Phone (661) 431-6717x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React Contact KENNETH T FARNSWORTH Phone: (661) 323-2250x MailAddr: 1601 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Owner CITY OF BAKERSFIELD (POLICE) Phone: (661) 326-3821x Address 1601 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~ ~ ~ f~~ ~ 3fa rillri~ tf;d li~f~ ifint ~di Il~o ~#Y ~es{ ~ under peflalty pf lbw th~4 I Hive personally examined and are farrtiliar with the information submitted and believe the information is true, lete d ~~N U g [AI" ' 2007 . comp a curate, an T D C!~ ~\ ~ ' Date Si nature -1- 05/21/2007 F BAKERSFIELD POLICE DEPT RANGE ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-003442 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP AMMUNITION F R S 211.00 LBS UnR -2- 05/21/2007 -3- 05/21/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ ,.,.....,._t _t,, ..,-, ~ .....~..T ,.,, r ~t,, ..,-, ~Soli~dE TMixture ~mbRent~E ~ TE~MPeRATURE BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 211.00 LBS LBS HAZARDOUS COMPONENTS -- %Wt. RS CAS# riAGEittL A~ J JJ J ~1~1iS1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R / / / UnR -4- 05/21/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 9 9 Employee Notif./Evacuation _,_ , ,,-, r UJJ 1 1 V 1Y V {.. 1 L .~ 1] V Q.l.. U0. V 1 V l l Emergency Medical Plan -5- 05/21/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 9 Release Containment cicaii v~ vl.llct Ace7vUtl.:C L-iU l.1 VCLL1Vll -6- 05/21/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oYC~:lal nd~atu~ Utility Shut-Offs 06/29/2006 ELECTRICAL: NW CRNR RANGE HOUSE WATER: GRASS AREA OF PARK 1'1lC rL VI.C I:./HVdl1 Wdl.Cl Building Occupancy Level 06/29/2006 2 EMPLOYEES -7- 05/21/2007 F BAKERSFIELD POLICE DEPT RANGE SiteID: 015-021-003442 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc c Held for Future Use nciu .LVt rut.utc vac -8- 05/21/2007 f }_~ :~ 1~ (HMMP) HAZARDOUS MATERIALS MANAGEMENT PIAN (UNFIED PROGRAM CONSOLIDATED FORNq APPLICATION QSMV92lOPERAT~OR D9JTFIC,ATION F'OfiM (HAZARDOUS MATERIALS FACILffY INFORMAT~N) ~3`~~ BAKERSFIELD FIRE D>E;PT. Prevention Services 900 TI'L1XIL1Z1 Ave., Suite 220 s_ >a q_s p_7 . n Ba.kersfiefd, CA 93301 ,*tR~ AST/ t Tel.: 661-326-3979 Fax: 66]-852-2]71 Page 1 of 2 1. FACILITY IDENTIFICATION t FACILITY ID N0. t Year Beginning t00 YOer Endrrg tOt BUSINESS NAME ISeme as FACR.r71' NAME w DBA- pomp Businasa As) 3 SIN PHONE t02 6 - I ~ cam. ~- -_,~- edcr= Ca(o 3-~1 ~a StrE ADDRESS ioa 3 ~ ~ ~. C to cA Ip 333v~ tm DUNN & BRADSTREtT 106 SIC GORE tm (4 Digfl #) COUNTY ~f~ t66 OPERATOR NAIL '100 OPERATOR PHONE 170 lt. OMttiER iNFORMATtON . ONRJERNAME ttt WNER ONE tt2 c.>,'r^( 4A a , BUD p~u (vt~i ~ ~(,~ - 3 X21 OVYNER MAW NG ADDRESS ns I (~t7 ! ~. / J'e. Ctr Y to STATE ns n6 R ~AKC~.~~ C1/P ~} '7 ~ 7~JOZ ttl. ENVIRpNMENTAL CONTACT CONTACT NAME itt COMTAC7PHONE tx CONTACT MAILING ADDRESS t10 ~ l ~1 ~ :/ CrrY 17D STATE 12t ~ 2rp t72 -PRIMARY tv. t71AERGENCY co>rTACrs -SECONDARY- NAME 123 NAME t 28 N -li `~ ~' 4i ti ~1n~J~ ~tht~f ~ fs N>~ s s? TnLE 124 TITLE 129 BUSINESS PHONE 125 BUSINESS PHONE ~ 130 3~~ _ ~~~ 3~~t3° ~ .~ 24+IOUR PHONE 12B 2aH0UR PHONE 131 +-~Y(~ - '~- ti d ~ 4.3'I - cp~-1 PAGER N0. 127 PAGFU2 NO. 132 t 733 V. CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the information, t Certify under penalty of law that !have personalty examined and dm familiar with the information submitted in this inventory and believe the information is trLle, accurate, and complete. 31 TORE OF S 136 DATE / 134 NAME OF DOCUMENT PHEPAP.Eft 135 OF OWNERIOPERATOR ISCIGNFIURE S PRINT) 137 TITLE OF OWNER/OPERATOR t36 ~oa`~~ FD 2142 (Rev. 09!05) ~. BAKERSFIELD FIRE. DEPT. ...._.. t/ ~ SITE DIAGRAM ~ ~ FACILITY DIAGRAM Business Name: ~ U ~ ~% - ~ Business Address: __ - ... __ ... _ ~. .._. w~ ;,air D 'C'Rd~N 'PSVG.. ~Jf ~ G Preventia~n Services _ B. S g_8 P, D g04 TTUXtUIl Ave., Suite 210 P~~e Bakersfield, CA 93301 air~l- r T'el.: 661-326-3979 Fax: 661-852-2171 -~ ~_~ {HMIIlP} .HAZAR170US MATERIALS MANAGEMENT PLAN ,,,,~. . . SITE ~ FACILITY DIAGRAM e~ z ofz NORTH Please indicate direction of North FD 2170 {Rev. Os~o5? UNIFIED PROGRAM=INSPECTION CHECKLIST SECTION 1: Business Plan an Inventory Program • ~" Prevention Services B F. R S F ~_ ._ D 900 Truxt~un Ave., Suite 210 FIRE Bakersfield, CA 93301- = ARTM Tel.: (661) 326-3979 2171 F x - (661) 872 - a : - FACILITY AME INSPECTION DATE INSPECTION TIME - a ~ - ~-P,--~ a ADDRESS ~ - PHONE O. NO OF EMPLOYEES FACILITY CONTACT ~ T-' BUSINESS ID NUMBER 15-021- '"~ L(~ D"~ ~.c..~C~ Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation :COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS F- 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 C~ ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGAR ING HIS INSPECTION? PLEASE CALL US A7 (661) 326-3979 • ~ I ector (Pleas rint) Fire Prevention / 1s` In /Shift of Site/Station # ^ YES ^ NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05