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HomeMy WebLinkAboutBUSINESS PLAN 4/23/20070 ~~~ lm~' I~ ~' l-~ a~~ ~ ~~~ ,. ~, 'y~ ~~ . -~~ ~ "~-C-E~ 1 ~~~:,. R~ r ---- ----- --- ----- - i~ -~ ~ --- 6 NDTTFdTS J~Q 1211.3 QTrII~ ~~ ~ ~ u ~ ~~ ~~ ~- - ;";"":1'·' >:{.:,:~:"<, ;' 't': ;'~\~~.';'." ::;;~'.:'.:;.':":: I ""0 Materials/Hazardous W'pe-'õte ~ Waste Unified Permit Hazardous CONDITIONS OFPERMIT'ON REVERSE SIDE It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment , Permit ID #:: 015-000-000280 BAKERSFIELD CITY FIRE #9 LOCATION: 7912 WESTWOLD DR , Approved by: Date lS!iue Expiration Date: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Issued by: Per it to Operil.te Hazardous Materials/Hazardous Waste ,Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE !rrnit is the followin s Mate und St, PERMIT ID# 015-021.QOO280 iigemel BAKERSFIELD CITY FIRE #9 , ,; .;; ii'!t, II~· :i,·I .... ;;,j!; LOCATION 7912 S ,rm:f¡' l:!.:·'!. lij'If¡·~¡I.~ '¡~·tï.'i¡i'i.II"II'· ~lli~:~mr~~~,~¡!~¡r~~þ¡;::~~d.illL,;;ij, II """ 1~1~1i.ij¡¡'¡,~ '",. " , ;~:~:~L , ! Issued by: Bakersfield Fire Department Approved by: _ ~ .. OFFICE OF ENVIRONMENTAL SER VICES ph 1715 Chester Ave., 3rd Floor fficc Bakersfield, CA 93301 Voice (805) 326-3979 Expiration Date: Jun FAX (805) 326-0576 I t ~ .g { \ ~ 6'.41' r"¡vn,:'~ H rv!M P P~ MAP SITE DIAGRAM I v/ I FÃCILITY DIAGRAM Business Name: ÆKA'-LJ'h.d:/../ .;:.;;,¿ A~. fÆ ., 7 Business Address: 71'/.:1 W~/W4¿./ ¿¿: For Office Use Only First In Station: Area Map # of NORTH -0 Inspection Station: Co,.JVAvI..'f" .1/80....£ ~tJ,.;l~ "A.tV~ 5 l~1 ,/ . I¡DO 0 G7A¡,.'7. DIES.£'- , , . '\ Sf()r~!Je She.cA.. " \ \ ' I,OOD , (.,#It.. S Gt4~o'" ~ ìU G- \ ' :.', ! .' I . I :! I " , :/ì', ,I,J ~ ~ ~ ~ .- .s... ~ Sfaf/Ofl /1/ò. o¡ W~'I'U S}f.JrQFP. W~+WðlJ. DL. flrtE-/ ~ ,JJ)I.~¡I ~ ~ ~ ~ '.0 J $ ~ ~ ,;. .; } " ~ ~ .g { \ ~ 6'AS SÂdnF"r H~MP PLANt MAP / . SITE DIAGRAM I V' I FACILITY DIAGRAM Business Name: ,/?~I/¿1ÆA!rh¡£¿~ h~d ./J~. J"Z;; #' 7 Business Address: 7Jl/,;( First In Station: Inspection Station: Co"'; 1/4<.J ¡,."(' ,l/f3ové (?4:J'-', JI~ TA.....~5 I I I I ·//t!}oo ~HtL.? D/€s.£L.. WPJ/W~¿/ A: For Office Use Only Area Map # of NORTH 0. Sforé{fjQ She..cA. \ \ I OOD C'7¡¡t¿.5 614~o¡(". / "-' ~ S faf/Of! Nò. Cf W4...U S}f.JroFF Weð+ Wà/cÁ Dt-. ~ ~ ~ ~ ~ -- .s... ~ f/tL6 ,/ . )¡I. ~lT ~ ~ ~ I.!J ~ ~ w ;:¡ ,{ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST , H E.R s F , n 90o Truxtun Ave., suite 210 -- ._..~.,._. _ _ _--_~ -:_ _.w__ ----~ ~--_-~ ___. ~._._ - -- FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ;; ''R"" ' Tel.: (661) 326-3979 i, ~ Fax: (661) 872-2171 FACILITY NAME e q INSPECTION DATE INSPECTION TIME i ADDRESSr~ /~ // /~ ~z vv~YGUDLQ ,~ PHONgE. N0. ~i < "~~~vO O OF EMPLOYEES FACILITY CONTACT / BUSINESS ID NUMBER 15-021- UaD,t~'~ ~~-G~ J~Gc S Section 1: Business Plan and Inventory Pr©gram ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ .APPROPRIATE PERMIT ON HAND ^ BUSII1eSS 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 zno~ ~/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES L!1 NO EXPLAIN: K~sr-tiui QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~~ In /Shift of Site/Station # Business Site I Respon Ible Party (Please Print) ~ILLG~ ~~~ '~17 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09!05 _j1 BAKERSFIELD FIRE DEPT 9 SiteID: 015-021-000280 Manager CAPTAIN Location: 7912 WESTWOLD DR City BAKERSFIELD BusPhone: (661) 398-1268 Map 123 CommHaz Moderate Grid: 09C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:9224 DunnBrad: Emergency Contact / Title Emergency Contact / Title RONALD J FRAZE / FIRE CHIEF / CAPTAIN Business Phone: (661) 326-3911x Business Phone: (661) 398-1268x 24-Hour Phone (661) 706-3651x 24-Hour Phone (661) 831-2787x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact CAPTAIN Phone: (661) 398-1268x MailAddr: 7912 WESTWOLD DR State: CA City BAKERSFIELD Zip 93309 Owner CITY OF BAKERSFIELD Phone: (661) 398-1268x Address 1501 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 PROG T - ABOVEGROUND STORAGE TANK ~NT~ A RR ~ 4 20 07 Based on my inr~~_~iry of those individf,a~• responsible for ok-,taini,~::;~ ti7e information, I certity under penalty of lave th=at I have persanaiiy examined and arr. f~~m~iirr ~rvith the information submitted and heiiev~ i:ne information is true, accurate, and complete. Signature Date -1- 04/16/2007 ~1~ C, F BAKERSFIELD FIRE DEPT 9 SiteID: 015-021-000280 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ I Hazmat Common Name... ISpecHazIEPA Hazards) Frm 4 DailyMax IUnitIMCPI UNLEADED GASOLINE L 1000.00 GAL Modl DIESEL L 1000.00 GAL Low -2- 04/16/2007 -3- 04/16/2007 F BAKERSFIELD FIRE DEPT 9 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this Facility Unit N CENTRAL END OF PARKING LOT SitelD: 015-021-000280 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average - 1000.00 GAL 1000.00 GAL 500.00 GAL r1ti~Hlcl~vua wl~ir~lv~ly 1 a oWt. RS CAS# 100.00 Gasoline No 8006619 tl."~GH2tL Ha JL'J51~1L'1V1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: N CENTRAL END OF PARKING LOT CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1000.00 GAL 1000.00 GAL 500.00 GAL 11EiGE~1tL V U .7 lL V1"lY V1V L" 1V 7 %Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 t3Y~G1~lC.U E'~.' 7JL" .7J1~1L' 1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 04/16/2007 F BAKERSFIELD FIRE DEPT 9 SiteID: 015-021-000280 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/21/1999 ~ CONTACT HAZARDOUS MATERIAL TEAM AND OFFICE OF ENVIRONMENTAL SERVICES BAKERSFIELD FIRE DEPT AND NOTIFY OF SPILL. Employee Notif./Evacuation 09/29/2006 ON-DUTY STATION CAPTAIN WILL BE NOTIFIED BY EMPLOYEES AND TAKE APPROPRIATE ACTION. Public Notif./Evacuation 09/20/1999 PUBLIC EVACUATION WILL BE CARRIED OUT BY EMERGENCY CREWS OF THE BAKERSFIELD FIRE DEPT IF DEEMED NECESSARY. Emergency Medical Plan 09/22/2006 HAVE INDIVIDUALS TRANSPORTED TO MERCY HOSPITAL BY WAY OF HALL AMBULANCE CO. -5- 04/16/2007 F BAKERSFIELD FIRE DEPT 9 SiteID: 015-021-000280 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/22/2006 ~ ELECTRICAL SHUT-OFF SWITCHES (EMERGENCY) NEAR GASOLINE AND DIESEL PUMPS. Release Containment 09/29/2006 DIKING OF SPILL AREA AND USE OF ABSORBENT MATERIALS OR SAND DEPENDING UPON QUANTITY OF FUEL SPILLED. Clean Up 09/22/2006 CONTACT OFFICE OF ENVIRONMENTAL SERVICES AND HAZARDOUS MATERIAL TEAM OF BAKERSFIELD FIRE DEPT TO DETERMINE PROPER CLEAN-UP AND DISPOSITION OF MATERIAL. V1~11C1 1<C w7V U1 l.:C 1'il:L1VCLL1V11 -6- 04/16/2007 F BAKERSFIELD FIRE DEPT 9 SiteID: 015-021-000280 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~1C l:1 ct1 nG.~ui u~ Utility Shut-Offs 01/25/2007 A) GAS - W SIDE OF BLDG B) ELECTRICAL - W SIDE OF BLDG C) WATER - 12FT S OF BLDG D) SPECIAL - EMER SHUT-OFF SWITCHES TO GAS & DIESEL PUMPS 12FT W OF PUMPS E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ENGINE ON PREMISES. NEAREST FIRE HYDRANT - 20FT S OF BLDG. 01/25/2007 Building Occupancy Level 03/10/2006 9 EMPLOYEES -7- 04/16/2007 T'. F BAKERSFIELD FIRE DEPT 9 SiteID: 015-021-000280 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/22/2006 ~ MSDS SHEETS AVAILABLE. BRIEF SUMMARY OF TRAINING PROGRAM: MINIMUM OF 24-HR ANNUAL HAZMAT FIRST RESPONDER TRAINING. rciyC G Held for Future Use Held for Future Use -8- 04/16/2007 UNIFIED PROGRAM INSPECTION CHECKLIST' ~-.....•J.~,.,,.-~4i":'CxF.... ''. .:... ,.:.tta}~.:',. s':. -: .. ..: ',.,e.i.~ .. n'.,.~.. '., r a.,_ .., Y-'.~. ..:L. F ... gyn.. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~~R~ D 900 Truxtun Ave., Suite 210 ~t>rr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAQQME (n~ ~UAK~~1 ~~ ~l Q.~ ~~i¢YiO~ `7 NSPECTION DATE I ~~lJG~G INSPECTION TIME ~a~ n~r/d 3' . ADDRESS 7Q'tz ~ES7~vo~...o l),e. , HO NO. :3 8 0 ~zlv ~ O OF EMPLOYEES FACILITY CONTACT~1 ~ ' ~ USINESS ID NUMBER 15-021- ot~ o.Z~ a rS [ /E .~/ B~r 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 J Itl ^ BUSIt12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCGUPANGY ^ VERIFICATION OF INVENTORY MATERIALS T'~ S E P 2 ~ 2006. ^ VERIFICATION OF QUANTITIES Cd' ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~ , ,/ ^ VERIFICATION OF HAZ MAT TRAINING L K - / Imo' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE' ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ,,.,/ LYJ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES Lrl N~ EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Q~~~ ~i aster S 4 -- ,R ~, Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site/School ite Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rav. 02/05) .~ UNIFIED PROGRAM INSPECTION CHECI(LIST SECTION 1: Business Plan and Inventory Program art a f!N/ ~Rr~r t BAKERSFIELD FIRE DEPT Prevention Services 900 Tnixtun Ave., Suite 210 Bakersfield, CA 93301 'Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ~ HONE NO. ~~ NO OF EMPLOYEES ~s ~o ,~ . ~~~z - . FACILITY CONTACT USINESS ID NUMBER 8~ 15-021- a~ ®.Z [.Ge~~/ t3 , 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 ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE CFY ^ VISIBLE ADDRESS (~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS L9d' ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION L~ ^ PROPER SEGREGATION OF MATERIAL Ll ^ VERIFICATION OF MSDS AVAILABILITY r I!~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION GY ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES CVO EXPLAIN: _ _ •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention ! 18` In / Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow - Station Copy Pink -Business Copy FD2049 (Rev. 02/05) --;::-. UNIFIED PROGRAM IN'ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 -----_._~_..- - ----------n-~r---------- ,. ~ l\ t ~Q" - INS~E TlfDATE II r¡¿j 02._ PHO E N _ 3'7%-/2t? INSPECTION TIME -~---- No, of Employees FACILITY 12... ---_.~.._----_. Business ID Number 15-021-000 2jÐ , , - Section 1: Business Plan and Inventory Program --- - , C] Routine C] Combined C] Joint Agency C] Multi-Agency C] Complaint C] Re-inspection C V ~D ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND --~---------------------'---------- -------------------------------------------------------------------------- I!f C] BUSINESS PLAN CONTACT INFORMATION ACCURATE --=~~~~~:~:==~~n:~:_~ :-/r~::=:~~__:-:=~=:::__::-===~~:=~:n~~~=_-s:-===~ C] CORRECT OCCUPANCY ~ 1"/ fY} 0 é) fa 7~- VERIFICATION OF INV~NT~RY MATERIAL:-------- I----------------:;~/:~-W------- -,-,- _n_____ C] VERIFICATION OF QUANTIT~ES ------------- (------ --n-----~(-~---.-t..-1-- ------------ , ----r--------------------c'-------------_..~ ------------------------------------------------------- ---------- ~ C] VERIFICATION OF LOCATION ~- PROPER SEGREGATION OF MATERIAL ~C] C] VISIBLE ADDRESS -----------------..--.---- ----------------.-- .-------------..------- -------.---..------------- --.--.--------------- ----.----.---....---..---- VERIFICATION OF MSDS AVAILABILlìYE ~------- ~ C] VERIFICATION OF HAT MAT TRAINING .---.-----.. .------.--- -----.-.------------- ----.-.--.-------------------.--.-------- ----------.------.---- ----------.--------.--------.-------.--------.----.---.-----.---- C] ~C] ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .--..-------.--.---- -_._---------_..__._-_._.._--_.__._--_.-._~-------------~----- EMERGENCY PROCEDURES ADEQUATE ---..---.--.---..- =--=--=~~==~~~~==~=-~ --------------------------------------7-- ------.------------..-- CONTAINERS PROPERLY LABELED ~----------" ~ C] HOUSEKEEPING -~-~------~~_. --..-----.- ¡g/ C] FIRE PROTECTION ~ C] SITE DIAGRAM ADEQUATE & ON HAND ---.------ -..--------------.------.----.-----.-.-----.--- .---.---------- ANY HAZARDOUS WASTE ON SITE?: C] YES ~O EXPLAIN: QUE!IT'ONS REGARDIN'/J'¡:;:¡a PLEASE CALL US AT (661) 326-3979 ~ ___________ 17 Inspector Badge No, While . Environmental Services Yellow - Station Copy -,--~--~--- Business Site Responsible Party Pink - Business Copy q ~ ~ - ~. e - BAKERSFIELD CITY FIRE #9 SiteID: 215-000-000280 Manager :' Location: 7912 WESTWOLD DR City BAKERSFIELD BusPhone: Map : 123 Grid: 09C (805) 398-1268 CommHaz : UnRated FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:9224 DunnBrad: Emergency Contact / Title Emergency Contact / Title RON FRAZE / FIRE CHIEF ALLEN ROBERTS / CAPTAIN Business Phone: (805) 326-3911x Business Phone: (805) 398-1268x 24-Hour Phone -. (805) 836-3341x 24-Hour Phone : (805) . 831-2787x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact : Phone: ( ) - x MailAddr: 7912 WESTWOLD DR State: CA City : BAKERSFIELD Zip : 93309 Owner CITY OF BAKERSFIELD Phone: (805) 398-1268x Address : 1501 TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP DIESEL 0 GASOLINE I, iI LLS-J ~dê1V'S Do hereby certify that ~ have (Typ.s or pnnt name) reviewed the atiachsd hazardous materials manage- ment plan for S71'tT ,o.v No . c¡ aoo ~h~~ i~ a~ong wifth (Nama of Business) any corrections constitute a oompll9te and oorr~ man,. agemení pi2!1 foU' my ~cili~. L L 1000 GAL Low 1000 GAL, Mod ~/~~ ~ion9ture q¿¢9i -1- 08/24/1999 e e f BAKERSFIELD CITY FIRE #9 f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME \ DIÈSEI,. '\ SiteID: 215-000-000280 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit N, CENTRAL END OF PARKING LOT Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTÀINER TYPE ABOVE GROUND TANK Largest Contâirier 1000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1000.00 GAL Daily Average 500.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Fuel Oil No. 1 No 70892103 T TSecret RS BioHaz Radioactive/Amount EP.A Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMEN S f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED GASOLINE Location within this Facility Unit N, CENTRAL END OF PARKING LOT Facility Unit: Fixed Containers on Site ì Days On Site 365 Map: Grid: CAS# 8006619 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 1000.00 GAL AMOUNTS AT THIS LOCATION Daily Maxi.mum 1000.00- GAL Daily Average 500.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARD AS S MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod SE S -2- 08/24/1999 e e SiteID: 215-000-000280 ì Fast Format ì Overall Site ì 03/25/1996 f BAKERSFIELD CITY FIRE #9 I p= Notif:/Evacuation/Medical Agency ,Notification CONTACT HAZARD0US MATERIAL TEAM AND HAZARDOUS MATERIALS DIVISION BAKERSFIELD FIRE DEPT OF SPILL. Employee Notif./Evacuation 03/25/1996 ON DUTY STATION CAPTAIN WILL BE NOTIFIED BY EMPLOYEES AND TAKE APPROPRIATE ACTION. Public Notif./Evacuation 03/25/1996 PUBLIC EVACUATION WILL BE CARRIED OUT BY EMERGENCY CREWS OF THE BAKERSFIELD FIRE DEPAT IF DEEMED NECESSARY. Emergency Medical Plan 03/25/1996 NOTIFY DR. CHRISTIANSEN OF INJURY TO EMPLOYEE AND HAVE INDIVIDUALS TRANSPORTED TO MERCY HOSPITAL BY WAY OF HALL AMBULANCE CO. -3- 08/24/1999 " e e SiteID: 215-000-000280 ì Fast Format ì Overall Site ì 12/04/1991 F BAKERSFIELD CITY FIRE #9 I p= Mitigation/Prevent/Abatemt Release Prevention ELECTRICAL SHUTOFF SWITCHES (EMERGENCY) NEAR GASOLINE AND DIESEL PUMPS. Release Containment 12/04/1991 DIKING OF SPILL AREA AND USE OF ABSORBENT MATERIALS OR SAND, DEPENDING UPON QUANTITY OF FUEL SPILLED. clean Up 12/04/1991 CONTACT HAZARDOUS MATERIAL DIVISION AND HAZARDOUS MATERIAL TEAM OF BAKERSFIELD FIRE DEPT TO DETERMINE PROPER CLEAN UP AND DISPOSITION OF Other Resource Activation -4- 08/24/1999 " e e F BAKERSFIELD CITY FIRE #9 I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-000280 ì Fast Format ì Overall Site ì I 12/04/1991 A) GAS - WEST SIDE OF BLDG B) ELECTRICAL - WEST SIDE OF BLDG C) WATER - 12FT SOUTH OF BLDG D) SPECIAL - EMERGENCY SHUTOFF SWITCHES TO GASOLINE & DIESEL PUMPS 12FT~EST OF PUMPS E) LOCK BOX - NO Fire Protec./Avail. Water 12/04/1991 PRIVATE FIRE PROTECTION - FIRE ENGINE ON PREMISES NEAREST FIRE HYDRANT - 20FT SOUTH OF BLDG Building Occupancy Level -5- 08/24/1999 :' ..ì, r¡ e e F BAKERSFIELD CITY FIRE #9 I F Training Employee Trairring SiteID: 215-000-000280 ì Fast Format ì Overall Site ì 12/04/1991 WE HAVE 9 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS AVAILABLE. BRIEF SUMMARY OF TRAINING PROGRAM: MINIMUM OF 24 HR ANNUAL HAZ MAT FIRST RESPONDER TRAINING. Page 2 [ I I Held for Future Use Held for Future Use -6- 08/24/1999 ,)'z;- e -, <;;. ;;;¡.. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 8A~6e":>FtE(.O FI IE'U3 .:tt Cf ADDRESS 7q /2.. W£5TfA.:N7LO D£.., FACILITY CONTACT hL..é1t/ ~~e7Z..7S INSPECTION TIME INSPECTION DATE /2 - 3 - 7' J" PHONE NO. 393 - /2 e:, ð BUSINESS ID NO. 15-210- 00 028'0 NUMBER OF EMPLOYEES .9 Section 1: æ(' Routine Business Plan and Inventory Program D Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection \ OPERATION C V COMMENTS Appropriate pennit on hand if Business plan contact infonnation accurate C Visible address C Correct occupancy ( Verification of inventory materials C Verification of quantities C. Verification of location C. Proper segregation of material C. Verification of MSDS availability V Verification ofHaz Mat training C Verification of abatement supplies and procedures Ie. Emergency procedures adequate C Containers properly labeled C Housekeeping C Fire Protection C Site Diagram Adequate & On Hand C C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o White - Env, Svcs, YeHow - Station Copy Pink - Business Copy t2t6v ~ Business Site Responsible Party Inspector:~ ~ Questions regarding this inspection? Please call us at (805) 326-3979 ...;, .".,---- -- -..' ~ 4 .. - - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME 13AKE£.sF/£l..O 1='112.& ÙePAÆ.cn1G.lUf FACILITY NAME S7'A-r;,o~ Jo. 9 SITE ADDRESS 7C¡ /1.. 1J¿5~~O~ D DIf!.. CITY BA¡¿E/Z..,': i £ L 0 STATE CJ1. ZIP 933é)9 NATURE OF BUSINESS ¡:, ilE S r,:¡-r;,o"J SIC CODE DUN & BRADSTREET NUMBER OWNERJOPERATORC,T'Y tpF" R,¡3,JC..E¿~;nF'££O PHONE ,~~3- 12tP8 MAILING ADDRESS 7 q I¿ J~srG(,.?oLD OLl. CITY -13AICER"!J¡:'/£LO STATE é:4 ZIP 93309 EMERGENCY CONTACTS NAME Rokl FR.AZl BUSINESS PHONE 3 Z ~ - 3 G:,5 I NAME A" El..I 'j¿ d~¿~ TITLE Juee C¡..¡ IEF 24 HOUR PHONE 33(0 -334 { TITLE CAPrA/AJ 24HOURPHONE 83/-27,17 BUSINESS PHONE 3qg· 12" ð' 1 ~OUS MATERIALS INVENT. Business Name BA"E~'FIE'O "F/~E S..,,,rlo<v îddress 7912. WEjfÞVOl.O CBEN.UCALDESC~ON I) INVENTORY STATUS: New [' ] Addition !,X] Revision [,Deletion [ 2) Common Name: D IE.S £. L - "- - ~._y ..... '>'- Oil.. Page_of_ Check if chemical is a NON Trade Secret [ ] Trade Secret [ ) 3) OOT # (optional) Chemical Name: ARM [ ) CAS # 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire [)C ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute)[ ] Delayed Health (Chronic)[ 5) WASTE CLASSIFICATION (3-digit code ftom DHS Form 8022) 6) PHYSICAL STATE Solid [ . Liq1Úd [~ ] Gas [ ] Pure [ 7) AMOUNT AND TIME AT F ACILfIY UNITS OF MEASURE Maximum Daily Amount I. ð Ð::J tñJfl->. Lbs [ ] Gal [1] ft3 [ Average Daily Amount y,~ t#/~ . Curies [ ] Annual Amount Largest Size Container l¡ 0(;) (;) êA t SO . # Days on Site Circle Which Months: 9)~: Li~ the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT lO)LOCAJlON A./D~~# CEAJr¿¿¡L . . EA.JÙ Dr /~KI'~t'7 Lor. USE CODE Mixture [ ] Waste [ ] Radioactive [ ] 8) STORAGE CODES a) Container: ({);Z. (A 6c)l~E C.-,Il.øuÑO) b) Pressure: 11111 A/h../T 'PR~Sc;¿6 c) Temperature,I -;e-wtP. All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS# %Wf ARM [ ] [ ] [ ] I) INVENTORY STATUS: New [ ] Addition [)(] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: U1JL~O~O GASÐÄ..I ¿(.)tf 3) OOT # (optional) Chemical Name: ARM [ ] CAS # 4) Physical & Health PHYSICAL HEAL 1H Hazard Categories Fire [V) Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 10)LOCATIOU 12.:rN CE-JfJ7£A~ ~IU.I) DF I?A~K"(.J~ k-r. I certify IUlder penalty ofíaw, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submined information is true, accurate and complete. 4l-l~Ai ~~~., ~p..,..",/.v PRINT Name & Title of Authorized Company Representative 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) 6) PHYSICAL STATE Solid [ Liq1Úd [VI Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount ~ ODD Average Daily Amount ')00 Annual Amount Largest Size Container , . 0 D ~ # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ;;r ft3 [ ] Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT USE CODE Mixture [ ] ~aste [ ] Radioactive [ ] 8) STORAGE CODES a) Container: t:) ðo\l~ G11lø~~ 0 b) Pressure: Jltwa ð 1b--7 'Il.E~I.IL.é c) Temperature <I -rewt p. All Year, J, F, M, A. M, J, J, A. s. 0, N, D CAS# %Wf ARM [ ] [ ] [ ] ¡Jffh(/ ~ Signature 1L,-/4-<¡'rI Date t 03/15/96 e e ~. fE(C'l~IJ\¥~ ~ MAR 2 5 1996 1 -;" . -,~ BAKERSFIELD CITY FIRE #9 215-000-000 Overall Site with 1 Fac. Unit /~ \~y/'> General Information ~ ~ -_.....-.......-. .. Location: 7912 WESTWOLD DR Map: 123 Haz:O Type: 3 City . BAKERSFIELD Grid: 09C FlU: 1 AOV: 0.0 . --- Contact Name Title --- Contact Name Title GA·JW ANGON A Ll.€.J (d,6#f..APTAIN D.COOPER I CAPTAIN Business Phone: (805) 398-1268x Business Phone: (805) 398-1268x 24-Hour Phone · ( ) - x 24-Hour Phone · ( ) - x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 7912 WESTWOLD DR D&B Number: City: BAKERSFIELD State: CA Zip: 93309- CommCode: 215-009 BAKERSFIELD STATION 09 SIC Code: 9224 Owner: CITY OF BAKERSFIELD Phone: (805) 398-1268 Address: 1501 TRUXTUN AV State: CA City: BAKERSFIELD Zip: 93301- Summary I , ',1}/len ~h~ Do hereby certify that I have (Typ&orpnntname) reviewed the attached hazardous materials manage- ment plan for S'r¿7roµ# c¡ and that it along with ( me of Business) any corrections constitute a complete and correct man- agement plan for my facility. ~~ ~/¡-i9t, ... ~ÏI e e 03/15/96 BAKERSFIELD CITY FIRE #9 215-000-000280 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 UNLEADED GASOLINE Liquid 550 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-002 DIESEL FUEL #2 Liquid 550 Low ~ Fire, Immed Hlth, Delay Hlth GAL · Co e e 03/15/96 BAKERSFIELD CITY FIRE #9 215-000-000280 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 UNLEADED GASOLINE ~ Fire, Irnmed Hlth, Delay Hlth Liquid 550 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 550 I 300.00 I 10,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambient 10FT NE OF BLDG - Conc l 100.0% Gasoline Components r; MCP ~uide Moderate 27 02-002 DIESEL FUEL #2 ~ Fire, Irnmed Hlth, Delay Hlth Liquid 550 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 550 I 300.00 I 5,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambient 10FT NE OF BLDG - Conc l 100.0% Diesel Fuel No.2 Components r; MCP ~uide Moderate 27 e e 03/15/96 BAKERSFIELD CITY FIRE #9 215-000-000280 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CONTACT HAZARDOUS MATERIAL TEAM AND HAZARDOUS MATERIALS DIVISION BAKERSFIELD FIRE DEPT OF SPILL. <2> Employee Notif./Evacuation ON DUTY STATION CAPTAIN WILL BE NOTIFIED BY EMPLOYEES AND TAKE APPROPRIATE ACTION. <3> Public Notif./Evacuation PUBLIC EVACUATION WILL BE CARRIED OUT BY EMERGENCY CREWS OF THE BAKERSFIELD FIRE DEPAT IF DEEMED NECESSARY. <4> Emergency Medical Plan NOTIFY DR. CHRISTIANSON OF INJURY TO EMPLOYEE AND HAVE INDIVIDUALS TRANSPORTED TO MERCY HOSPITAL BY WAY OF HALL AMBULANCE CO. ~ . e e 03/15/96 BAKERSFIELD CITY FIRE #9 215-000-000280 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ELECTRICAL SHUTOFF SWITCHES (EMERGENCY) NEAR GASOLINE AND DIESEL PUMPS. <2> Release Containment DIKING OF SPILL AREA AND USE OF ABSORBENT MATERIALS OR SAND, DEPENDING UPON QUANTITY OF FUEL SPILLED. <3> Clean Up CONTACT HAZARDOUS MATERIAL DIVISION AND HAZARDOUS MATERIAL TEAM OF BAKERSFIELD FIRE DEPT TO DETERMINE PROPER CLEAN UP AND DISPOSITION OF MATERIAL. <4> Other Resource Activation ii ~!. .. e e 03/15/96 BAKERSFIELD CITY FIRE #9 215-000-000280 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BLDG B) ELECTRICAL - WEST SIDE OF BLDG C) WATER - 12FT SOUTH OF BLDG D) SPECIAL - EMERGENCY SHUTOFF SWITCHES TO GASOLINE & DIESEL PUMPS l2FTWEST OF PUMPS E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ENGINE ON PREMISES NEAREST FIRE HYDRANT - 20FT SOUTH OF BLDG <4> Building Occupancy Level ,; 1~~" .. e e 03/15/96 BAKERSFIELD CITY FIRE #9 215-000-000280 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 9 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS AVAILABLE. BRIEF SUMMARY OF TRAINING PROGRAM: MINIMUM OF 24 HR ANNUAL HAZ MAT FIRST RESPONDER TRAINING. <2> Page 2 <3> Held for Future Use <4> Held for Future Use .... -~. e . ~ o ~~ . " STATION 9 215-000-001~~ (Ç œ.; D 'V#!ß 8/18/92 BAKERSFIELD FIRE DEPT Overall Site with 1 Fac. Unit I EP 28 1992 General Information By . Location: 7912 WESTWOLD DR Map: 123 Hazard: Unrated Community: BAKERSFIELD STATION 09 Grid: 09C FlU: 1 AOV: 0.0 --- Contact Name Title Business Phone - 24-Hour Phone GARY ANSON CAPTAIN (805) 398-1268 x ( ) - DARRELL WELBORN CAPTAIN (805) 398-1268 x (805) 871-6042 Administrative Data Mail Addrs: 7912 WESTWOLD DR D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: , Owner: CITY OF BAKERSFIELD Phone: (805) 398-1268 Address: 1501 TRUXTUN AV State: CA City: BAKERSFIELD Zip: 93301- Summary 1 (y~ ij fI, e. \-\ e ",cR.II"\ c:...-~c v-. Do hereby ~®iΡ~ ihat i haM® I (Tl/PS err print i\&)1ñ3) ú'e\ili®wsd ~h<e ~Uached hazardous materi~!S\ manag~~ msn~ [(\!ê\n ~©rr ,0 f ù tl I and ~ha~ iR ~iong with IF' (Nm10 of ßuslnsss) ~ny wrr~dñ©~~ OOri6t¡R\ß~~ S1 oomß)ims Slú1d c©rrrsd m~ß1c, ~©)®m®ú1t pian 1~r my ~~(Cij'û~y. i(¡. ~91LL {-ÂC¡--4~ Daw e e 08/18/92 BAKERSFIELD FIRE DEPT STATION 9 215-000-000280 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 UNLEADED GASOLINE ~ Fire, Immed Hlth, Delay Hlth Liquid 550 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 550 300.00 10,000.00 Storage UNDER GROUND TANK r Press T Temp ~ Location Ambient Ambient 10FT NE OF BLDG - Cone -I 100.0% Gasoline Components r; MCP -:-rList Moderate 02-002 DIESEL FUEL #2 ~ Fire, Immed Hlth, Delay Hlth Liquid 550 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 550 I 300.00 I 5,000.00 Storage UNDER- GROUND TANK r Press T Temp ~ Location Ambient Ambient/10FT NE OF BLDG - Cone l 100.0% Diesel Fuel No.2 Components . r; MCP -:-rList Moderate e e 08/18/92 BAKERSFIELD FIRE DEPT STATION 9 215-000-000280 00 - Overall Site Page 3 <D> Notif./Evacuation/Medica1 <1> Agency Notification CONTACT HAZARDOUS MATERIAL TEAM AND HAZARDOUS MATERIALS DIVISION BAKERSFIELD FIRE DEPT OF SPILL. <2> Employee Notif./Evacuation ON DUTY STATION CAPTAIN WILL BE NOTIFIED BY EMPLOYEES AND TAKE APPROPRIATE ACTION. <3> Public Notif./Evacuation PUBLIC EVACUATION WILL BE CARRIED OUT BY EMERGENCY CREWS OF THE BAKERSFIELD FIRE DEPAT IF DEEMED NECESSARY. <4> Emergency Medical Plan NOTIFY DR. CHRISTIANSON OF INJURY TO EMPLOYEE AND HAVE INDIVIDUALS TRANSPORTED TO MERCY HOSPITAL BY WAY OF HALL AMBULANCE CO. e e 08/18/92 BAKERSFIELD FIRE DEPT STATION 9 215-000-000280 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ELECTRICAL SHUTOFF SWITÇHES (EMERGENCY) NEAR GASOLINE AND DIESEL PUMPS. <2> Release Containment DIKING OF SPILL AREA AND USE OF ABSORBENT MATERIALS OR SAND, DEPENDING UPON QUANTITY OF FUEL SPILLED. <3> Clean Up· CONTACT HAZARDOUS MATERIAL DIVISION AND HAZARDOUS MATERIAL TEAM OF BAKERSFIELD FIRE DEPT TO DETERMINE PROPER CLEAN UP AND DISPOSITION OF MATERIAL. <4> Other Resource Activation .. ~ e e 08/18/92 BAKERSFIELD FIRE DEPT STATION 9 215-000-000280 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST SIDE OF BLDG B) ELECTRICAL - WEST SIDE OF BLDG C) WATER - 12FT SOUTH Of BLDG D) SPECIAL - EMERGENCY SHUTOFF SWITCHES TO GASOLINE & DIESEL PUMPS 12FTWEST OF PUMPS E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ENGINE ON PREMISES NEAREST FIRE HYDRANT -20FT SOUTH OF BLDG <4> Building Occupancy Level a ~ . e e 08/18/92 - BAKERSFIELD FIRE DEPT STATION 9 215-000-000280 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE 9 EMPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEETS AVAILABLE. BRIEF SUMMARY OF TRAINING PROGRAM: MINIMUM OF 24 HR ANNUAL HAZ MAT FIRST RESPONDER TRAINING. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use i ~ ? ~ ¡; -":IÞ e e D ~.ËCË'VED f L' 2 1991 AosíJ. ~ ~¡;þ HAZARDOUS MATERIALS MANAGEMENT PLAN Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 INSTRUCTIONS: 1. 2. 3. ~ 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions bélow for the business as a whole. Be brief and concise as possible. Id7·0t1~ , C! I .r G:, , ( SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: &~~AI.r/:;-// /:<tf'r 4~, ...r;t¡z;O.d -;1f?'? LOCATION: /'5'/,,:( tNz.r..7;'""'...v,.,'/ / .LZ? - MAILING ADDRESS: CITY: æ.K~~.f'/'l¿¿þ' ..5Ã.h1 .<: STATE:C'A· ZIP: 9.?,?ð7' PHONE: :1?Y /~~? DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: ß;¿ / hðZt-z::,..c/ OWNER: C!/'i c+ æ~4AP.r/;~¿/ MAILING ADDRESS: /,ç-e:?/ -//fu..Y?;;,A/ AoÁ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE 1. C;'A J A A/.fð,v / (1,¡4d; , J79r /<¿' r .::Y f' F/,2¿'? 77/6ð-Y,f 2. .,¿t';?,4'£¿/ \A/Æ"//OA'P ~~~' 1. FD 1590 . Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS M,ANAGEMENT PLAN ;¿; J SECTION 3: TRAINING: NUMBER OF EMPLOYEES: MÑð MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: M;,</ÚW'i(M ð~tlf 4dd.e.í AN#P"'~ #-IZ-M,,47" r;;.rf A''''-ý'tI''''~4''A''' 7:r/N,v~~, SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS. BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: 'I, 4AA;('/¿¿ \A/§'//ðA.-(/ CERTIFY THAT THE ABOVE INFOR- . MATI ON IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6,95 SEC, 25500 ET AL,) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. A£)~~~~. SIGNA TURE ¥ TITLE //-.!27-?/ DATE 2. FD1590 y ", e Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~.K'ÆJllff "e;¡¡.¿,¿l ..... ;- ¿A¿" fi~ ...r ¿ h ;:;.-</ -pi 9 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: ð~.#~&r //AZA~~Pš' AÂA~á/ 7?..,A4, A¡A/'/ ¡-/A:z..A;(~U'J" ~~¡;'¡4~'1.t?!¿ ./J¡Þ". ¿'A"£,A,fÞ¿U hAÆ' 4Á,//~' P~J/''//. B, EMPLOYEE NOTIFICATION AND EVACUATION: ð,v ;dq .r7!J7;:..P tY.A/ voI,'ll ,QÑ NÞ7íh~/J Aý /µ/4y.rr/ A,¡I/t/7Á/¿'Á A/.#"'U,#¿4A Ac-µ'eu. C. PUBLIC EVACUATION: /v 1./;.. £ ¿/Âcp"h,u;, \I4/./I)d eAA'",~;J1 e:ud /Jý £>'~~/(d~.urý C'Kkt<1</r d~ 7/'" &kIl'R,-n.i/.,/! /:44' #97- I"r" dK,rµ¡¡-/ ød'c.~r$"A~' D, EMERGENCY MEDICAL PLAN: #Þ7/,¡ý ¿" (!¿,f'/r$P,-Þ'" ð~ ,,~p';Lr 7$ #"~¿;i''''£" A,N/ .I.APd' /,~w~.#h.r.J /dA;t'/.¢d~7.?; 76 Âf/;t!c;/ #~Ç/ /y "<M¡/ 0 ~ /M¿L' A4p/A,#C¿' <:yD. 3. fDl$O · Bakersfield Fire Dept. e Hazardous Materials Division "'E", '\:- HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RELEASE PREVENTION STEPS: /¿ç~"é:~'/ .rh/,;/¡r:' t;A.rCJ¿~4' ~;V/ ~d-./.é/ ~p,.w/J'. f yo./; 7::4x-..r (. ~~tIt'6.c:v'l" ,) ,N¿!"A~ 8, RELEASE CONTAINMENT AND/OR MINIMIZATION: 4~¿"-b p./ -9';// .AA'k4 '/?#~ //.1'/ dß A¿rifN(¿;é4r /M"'~¿"¿ PA' .fA,v~ .4-//.....~¿.' U/pp àH"Nho/ p.;& ,/p.G"¿ ..s;A;¿4-~ C. CLEAN-UP PROCEDURES: ~¿ rjZ;e-T" //"".z.,;u¿p.s- A4A¿;;;P/ ;();"-'''Pð"v A~ /-/ALAA'¿ou AAA7,R,,;-/ 7..ú.M éJ5 &,e¿-;tl/X.i¿/ r;;eÇ 4¥;#;¡If 7d ,#~,ut';.#<ff /"'ð/¡£A' C ¿¿¡-A,;V 0/ A""./! .ai/dr',mµ ð~ ,;(.A.Æ7.e',;f/';'/' SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ¿,/'ih~A¿ t::' .4./ ~/u~ ~jt: \.VÆ....~ ~-;.,A: ð~ ¿t'¿~. ELECTRICAL: /¿.l!'~"ø;/A/ ' fLru// w¿"/~ ..r,';'¿ ðJ'C B'¿~ WATER: \N.47dA" ..J""'~'/;;.r~ /.;;1 hn'" ..f'ðdT,¡' Þ : ¿¿..#. SPECIAL: /~ LOCK BOX: .EAA£~6rÑ'C"./. _r~,T;.¡<:ç S""~¿Æ:r þ.¡:-;r \;'V".d;"~ ð';:- /P,..,.../.... YES~ IF YES, LOCATION: 7i> CA.r-"L.J;/ T .a;'r",r/ "c?u~.r SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A. PRIVATE FIRE PROTECTION: þ/t'// /.u¿";ÑÆ ð"" h,é,;r.UfR'J' B. 'WATER AVAILABILITY (FIRE HYDRANT): r;,,;¿/, /I,/~A/ 40 /7":" .r:øvnl cr/./";. 4. FD1590 . \)' , .' page_of~ CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ~. NON - TRÀDE SECRET and Agriculture 0 o ID NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL Standard Business .s-.li;. 90WNER NAME ADDRESS: CITY, ZIP: PHONE ,f: Farm BUSINESS LOCATION: CITY, ZIP PHONE # 13 '" by wt PROPER CODES 12 Location Where Stored in Facilit -- A/'/f 6~ FOR INSTRUCTIONS 9 10 11 Cont Cont Use Press Temp Code 7 9 6 4 1 Number NÙlllber Number . & C.A.S. & C.A.S. 171 Component . 1 Name Component , 2 Name o Number Ia"lmmødiate Health C.A.S o Physical and Health Hazard (Check all that apply) Ia'" Fire Hazard & C.A.S. Component . 3 Name Delayed Health Reactivity Sudden Release of Pressure o L/ Number Number Number & C.A.S. & C.A.S. & C.A.S Component , 1 Name Name Component . 3 Name Component , 2 Delayed Health o ~ a- Immediate Health Number Reactivity C.A.S o Sudden Release of Pressure Physical and Health Hazard (Check all that apply) o ~Fire Hazard Number & C.A.S. . 1 Name component Number C.A.S Physical and Health Hazard (Check all that apply) Ci 0 Number Number S. & C.A.S & C.A Component . 2 Name Component , 3 Name Delayed Health o Immediate Health o Reactivity o Sudden Release of Pressure Fire Hazard Number & C.A.S , 1 Name Component Number C.A.S Number & C.A.S Name Component , 2 o o Physical and' Health Hazard (Check all that apply) o Number & C.A.S. , 3 Name #2 Component Delayed Health o Immediate Heal th Reactivity Sudden Release of Pressure o Fire Hazard r /.il¿i? 24 Hr. Phone Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. . Titre 11 EMERGENCY CONTACTS of those inquiry -Pl7-?/ DATE SIGNED based on my and that . . S AUTHORIZED REPRESENTATIVE