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
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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
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(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..
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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