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HomeMy WebLinkAboutBUSINESS PLANi '~I J~ L 61 ~ ~ . ~ BTT.,T. WRIGHT TOYOTA (`~a r` `~ ~ 4110 WiBLE RD ~M ~~~~/ ~ , / ' \ ~ `~7 y ~ ~•~- 1, . ~~J 7~ 1b7o . , ~~ `~, ~ / - I ,~~ ~. NLIB ~ ~ ~, l:i<~" ~_; l' \'-' ~ '-2..;. .. 1. ~ ¡ :¡ORTH o I AGR_~~! ./ID 4Jlbk. Ed 1070 Ir1~ 7 tr+'T' £ >., .. ,- S I TE/F _~C I L I TV ~e FOR.:v£ 5 :)F' 9F v ~ w 1 1.0 ~ 6'{f, c...£ -£ vJ- ~ y "f h &Jý crJV 'oJ t- .. t ....¡ 5 .sh () f' E: '>--.. ~ 3 'i\.. \'C \.( I- ..¡ r SC':'Lê:: BUS r:-;ESS ~/U!E: DAT~; .I / (CHECK ONE) SITE DIAGR.~I FAc:trTY DIAG~.~I ~ } :ff. I fV\ S ~y '-\-C' A . '1'~ tJU'Io '- c ¡;Iv ~~ ß,~-r Shop c'" C- ø<,0 1- -1 t \-... wO ~,~ f¡f'() '- ~ ~1'3 / rn )\{. (rnspecto~'s Comments): -OFFICIAL GSE o~ty- - 5A - ^ <;.t j 1:( \£: '~ ~----- ~ - ---....... -- ¡VL)ß rMczJ ¥zS--1j ~ - - ...~ - " '---- . -.........' -. _.. ,. BlUllrøI!li / . '. "',.' .,. ..,.'" ,',\ll@W@1f5S< - RECEIVED SEP 2 5 19911 HAZ, ""tAT. O'V. September 24, 1991 City of Bakersfield Fire Department 2130 G Street Bakersfield, Ca. 93301 Jo J~.J C( . ~ ~r o@~~ ~ ~/t {VV- 0 G 6-/0 ~ ? ~( Re: Bill Wright Body Shop To Whom It May Concern: The Bill Wright Toyota, Inc. Body Shop, located at 4110 Wible Road, was closed down and the contents moved to the newly constructed location at 5100 Gasoline Alley Drive, Bakersfield, Ca. 93313, effective July 31, 1991. Should you have any questions, please feel free to contact me. Sincerely, BILL WRIGHT TOYOTA, INC. H. M. Mayfohrt Chief FinanciaI HMM:kb 5100 GASOLINE ALLEY DRIVE BAKERSFIELD, CA 93313 (805) 398-8697 .. ...~,~.~ 08/27/91 - e BILL WRIGHT TOYOTA 215-000-001070 Overall Site with 1 Fac. Unit RECEIVED Page 1 .,. . ,.. - - .. General Information SEP2 5 1991 I-IAZ. M,lH. DIV. Location: 4110 WIBLE RD Map: 123 Hazard: Moderate Ident Number: 215-000-001070 Grid: 13C Area of Vu1: 0.0 ~ Contact Name Title Business Phone - 24 Hour Phone VICTOR GONZALES PAINTER (805) 835-0517 x (805) 835-0517 ( ) - x ( ) - Administrative Data Mail Addrs: 4110 WIBLE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-013 BAKERSFIELD STATION 13 SIC Code: Owner: BILL WRIGHT Phone: (805) 835-0517 Address: 5100 GASOLINE State: CA City: BAKERSFIELD I Zip: 93313- Summary , , ~. crylit' ¡¡r print name) reviewed the attache::7 materials manage- ment plan for and that it along with (N Ðulllooos) smuts a complete and corrGCt mano 'i, Signature Dare . 08/27/91 dill WRIGHT TOYOTA 215-000-~070 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 THINNER Fire, Reactive, Immed Hlth Liquid 55 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL 55 Daily Average GAL 5.00 Annual Amount GAL 275.00 Storage r Press T Temp ~ Location DRUM/BARREL-METALLIC Ambient AmbientlO/S S END OF BLDG Conc 30.0% 20.0% 10.0% 10.0% ,5.0% 5.0% Components MCP List Moderate Moderate Moderate Moderate Moderate High Acetone Toluene n-Propanol n-Butyl Acetate Xylene, Mixed Methanol 02-002 PAINT Fire, Delay Hlth Liquid 55 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL 55 . I Daily Average GAL 55.00 Annual Amount GAL 200.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient SOUTH OF BLDG Conc 40.0% 10.0% 5.0% 5.0% 5.0% Components MCP List Moderate Moderate Moderate Moderate Moderate Xylene, Mixed Toluene n-Butyl Acetate Naphtha Mineral Spirits · 08/27/91 ~ WRIGHT TOYOTA 215-000-tlk070 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-003 OXYGEN Fire, Pressure, Immed Hlth Gas 376 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 376 Daily Average FT3 375.00 Annual Amount FT3 2,500.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient MOBILE BODY SHOP - Conc -, 100.0% Oxygen, Compressed Components ~ MCP --¡List Low I 02-004 ACETYLENE Fire, Pressure, Immed Hlth Gas 375 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 375 Daily Average FT3 375.00 Annual Amount FT3 2,500.00 Storage r Press T Temp -:-1 Location PORT. PRESS. CYLINDER Above AmbientlMOBILE BODY SHOP - Conc l 100.0% Acetylene Components ~ MCP --¡List High I 02-005 CARBON DIOXIDE Fire, Pressure, Immed Hlth Gas 425 Minimal FT3 CAS #: 128-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 425 Daily Average FT3 210.00 Annual Amount FT3 1,275.00 Storage r Press T Temp -:-1 PORT. PRESS. CYLINDER Above Ambient wELDER Location - Conc l 100.0% Carbon Dioxide Components r; MCP :--rList Minimal I · 08/27/91 ~L WRIGHT TOYOTA 21S-000-1It070 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in Reference Number Order 02-006 WASTE THINNER Fire, Immed Hlth, Delay Hlth Liquid 70 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL 70 Daily Average GAL 35.00 Annual Amount GAL 550.00 Storage DRUM/BARREL-METALLIC r Press T Temp ~I Ambient Ambient BEHIND BLDG Location - Cone -, 100.0% Thinner Components MCP -:--rList r;oderate · 08/27/91 ~ WRIGHT TOYOTA 215-000-~070 00 - Overall Site <D> Notif./Evacuation/Medical Page 5 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation 4 EXITS - 1 ON EACH SIDE OF BUILDING AND BY THE USE OF PAGING SYSTEM <3> Public Notif./Evacuation <4> Emergency Medical Plan BAKERSFIELD OCCUPATION MEDICAL GROUP, 4580 CALIFORNIA AVE, 327-4527 NEAREST HOSPITAL · 08/27/91 diaL WRIGHT TOYOTA 215-000-~070 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention PREVENT SPILLS BY HAVING DRUMS STORED IN FENCED AND LOCKED IN AREA. ALL MATERIAL IS PUMPED FROM DRUMS. CALL 911 <2> Release Containment METAL CONTAINERS IN METAL CABINET <3> Clean Up DRY MATERIAL ABSORBANT AND SHOP RAG <4> Other Resource Activation .........,...-- ~ \" '. .... . ~ WRIGHT TOYOTA 215-000-~070 00 - Overall Site ~ Page 7 08/27/91 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - FRONT CENTER OF BUILDING NORTH SIDE OUTSIDE B) ELECTRICAL - FRONT CENTER OF BUILDING BY BATHROOM INSIDE C) WATER - FRONT CENTER OF BUILDING, NORTH SIDE OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - WE HAVE SPRINKLER SYSTEM AND FIRE EXTINGUISHERS FOR EACH METAL MAN & FOR EACH PAINTER & FRAME MAN FIRE HYDRANT - 60' NW FROM THE NORTHWEST CORNER OF THE BUILDING <4> Building Occupancy Level ~ ~), ~~ ~.. to. 08/27/91 ~L WRIGHT TOYOTA 215-000-~070 00 - Overall Site Page 8 <G> Training <1> Page 1 WE HAVE 9 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ·~ ~ cp~ e Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION . ''l~';--~- Date Completed Business Name: -:Hil/ LJ¿¡am- --¡;:; yðr,¡ Location: 4-11 () ?<J¡tL ~ Business Identification No. 215-000 fX)/ð'7 D (Top of Business Plan) Station No. /3 Shift (--- Inspector ~ß Verification of Inventory Materials Verification of Quantities Verification of Location Adequate D ~ If ~ Proper Segregation of Material Comments: ~.---=--- / 9-/¿;-9( RECEIVED SEP 1 1. '1991 Ans'd............ Inadequate ~ III'd Ii> Æty) II d4So /J íU.., J- ðl6 D -/0 IItJ Vb? 70.ø.¡ D D Verification of MSDS Availablity Number of Employees 70 Verification of Haz Mat Training ~- D ~ ~n;;nts: Verification of Abatement Supplies & Procedures Comments: D ~ D Emergency Procedures Posted Containers Properly Labeled ~ ~ Comments: D D Verification of Facility Diagram Special Hazards Associated with this Facility: G----- D Violations: All Items O.K. D Correction Needed rn----- IL ~drJ..('J.~ Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy '"" ~,i ~_ __ J¿ - BILL WRIGHT TOYOTA Site as a Whcole . P¿:~ge 001 01/08/'30 6\ ~ General Information ---------------, Map: 123 Hazard: Moderate I Grid:13C Area of Vul: Location: 4110 Wible Rd Ident Number: 215-000-001070 r-Mail Addrs' 4110 WIBLE I City: BAKERSFIELD GeoSubdiv: BAKERSFIELD ---..--.. Administrative Data RD D&B \iumbel'~: State: CA Zip: SIC Code: 9~S31 ~3-" STATION 07 ...---..--...-- Owner: BILL WRIGHT Addrs: 5100 GASOLINE City: BAKERSFIELD Phone: (805) 835-3502 State: CA Zip: r::ß313- Surnrnal'~y : 1m If I Title ~ Bu.si1"'ess Ph01"112i+ ~ ' ~ () 835 ;::;502 ( íJ/AJ7 þ![ W~J) -B;::;::J 3::J(¡ë. ( 7..1. )- tfJ.5Î 7 Gð,A) 7--.4-/-.ÞJ !})-"-ðFÍT l"'k'I_\1'~ Ph c'1"1 e ) 3'33-2766 ) 832-Tr:B CCtY'lt act 1\:1AR8HPIL CC!FFi'IAN n I CIIf!tRD 'v'EBA 2A SEC 2) Ó'-' ,(i .~, 1"1 J' , \, ¿r===- ...-- [Þ!./??V. /.,',.,0"( I l/ñ4 ¡ , /./ll ,-() ,/, J \ /' '"'"" BILL WRIGHT TOYOTA r f! ~ ,_ #"" ¿, "'/ IJ ("",-,~ . e 01/08/'::30 Overall Site HAZMAT INVENTORY - LIST 01-001 Th i Y'1Y',et~ > :;;y&)5 High 01-004 Acetylene > ~~f».II t::"c.... ,j;:J GAL 375 FT3 Page 002 High 01-002 Pa i Y'lt > II} (gJt, ~Ì;' 01-003 OxygeY'1 > r1. t:) ¿í~ 55 GAL M,:,det~at e LClw 376 FT3 01/08/'30 tit BILL WRIGHT TOYOTA e Page 003 Overall Site HAZMAT INVENTORY - DETAILS fE'/? ,[J;9tf , GAL High - 01-001 Th i r' j"let~ > ,~~þ 55 Form: Unknown Type: Mixture Days in use: Use: -- Daily Max Amt -r-- Daily Average Amt 55 I -1- Arli'lual Amourlt i Ur"IÌ t GAL 550 C01"lt a i 1"let~ DRUM/BARREL~~TAL rl '"t~eSSTTemp I Locat iC11"1 10/S S END OF BLDG - CClnc. 5.0't. 30.0't. 20.0't. 10.0't. 10.0't. 5.0't. Comporlerlt s MCP --.-I. i s t - I ,- High MCldet~ate MCldet~ate MCldet~at e ¡Viod et~ ate ¡V odet~ate I ¡VIet h a rlc' 1 Aeet 1:lne T cll uerle n-Pt~clparlcll rl-Butyl Acetate Xylerle, vlixed ~002 Pa i rlt > I - GJ, )~ 13~r Unknown Type: Mixture Days ~n use: 55 MI:ldet~ate GAL Form: Use: '- -- Daily Mo::_o:::':x Amt T Dai ly Ave\'~age Amt ----,-- Arlrlual Amc'I.lY"It ---rUr,it - ~~ I 500 IGAL - CI:.rlt a i rlet~ DRUM/BARREL-NONMETAL r:lt~eSsTTemp 1 Loeat iorl N WALL PAINT SHOP - CClne. 40.0't. 10.0't. 5.0't. 5.0't. 5.0't. --Cclmpo1"lerï~ s r: MCP :fist-- IVjc.derate t'k.de\'~ate I ¡Vlcldet~ate I Mc.det~ate I ¡Vlcldet~at e I Xylene, ¡VIi xed Tol ue1"le n-Butyl Acetate Naphtha Vli1"let~al Spit~its 01-003 Oxygen > 376 LClw FT3 Form: Unknown Type: Pure Days i 1"1 use: Use: -- Daily Max Amt T Daily Average Amt 376 A1"I1",ual Amclu1"lt ---rJ1",i t - 3,000 FT3 - Contai 1"let~ ---TPt~essTTemp r:-:= Lc.eat iC11"1 PORT. PRESS. CYLINDER I ¡MOBILE BODY SHOP 01/08/'30 e BILL WRIGHT TOYOTA - Page 004 I Overall Site HAZMAT INVENTORY - DETAILS - CCq",c·l 1 00.01- Oxygen, C.:lmpcq",ent s Compt~essed JViCP -....L t I I_is - ILow I 01-004 Acetylene ) 3"1 :=; High FT3 Form: Unknown Type: Pure Days i....1 use: Use: - Da i 1 Y YJax Amt ", Da i 1 Y Average Amt 375 A....,....'ua 1 Amou"nt --,-u...., i t 3,000 FT3 - Cc.....'tai....'et~ rPt~eSsTTemp 1 Lc,c.:ltic....., PORT. PRESS. CYLINDER MOBILE BODY SHOP -- Co....'c. r: 100.01- Acetylene CClm pc.....le....'t s f MCP -rt-ist- IHigh I L ; 01/08/90 (D} BILL WRIGHT TOYOTA Notif./Evacuation/Medical for: 00 - Site as a Whole e e Page 005 I' < 1} Agerlcy NClt i f i cat i I:.n - 1//~ <2} Employee Notif./Evacuation 3A SEC 2) 4 EXITS - 1 ON EACH SIDE OF BUILDING IJ¡ JÍ¡~ tI¡Þ¿Jr ílr~/;;& fjfffM I <3} Public Notif./Evacuation tl° ~ ~ . II, . e e 01/08/90 BILL WRIGHT TOYOTA Notif./Evacuation/Medical for: 00 - Site as a Whole (D) Page 006 (4) Emergency Medical Plan 2A SEC 5) BAKERSFIELD OCCUPATION MEDICAL GROUP, 4580 CALIFORNIA AVE, 327-4527 NEAREST HOSPITAL ii, , '. . 01/08/'30 BILL WRIGHT TOYOTA <E} Mitigation/Prevent/Abatemt for: 00 - Site as a Whole e e Page 007 <1} Release Prevention 3A SEC 4) PREVENT SPILLS BY HAVING DRUMS STORED IN FENCED AND LOCKED IN AREA. ALL MATERIAL IS PUMPED FROM DRUMS CALL '311 <2} Release Containment M ÞRr /.- c;Jl/J/)l~ IT/( f /11/ )lJÞ*~ ($/l/;Vfr <3) Clear. Up BRj /l{ð-;þ¡fÍ!1Þ dð.f¿tIt'M.v/' 1 J-t¡ ¿¡/7 L e 01/08/90 BILL WRIGHT TOYOTA Mitigation/Prevent/Abatemt for: 00 (E> e - Site as a Whole Page 008 (4) Other Resource Activation ~. ' 01/08/90 BILL WRIGHT TOYOTA (F> Site Emergency Factors for: 00 - Site as a Whole e e Page 009 (1) Special Hazards (2) Utility Shut-Offs 2A SEC 3) A) GAS - FRONT CENTER OF BULDG N SIDE OIS B) ELECTRICAL - FRONT CENTER OF BLDG BY BATHROOM liS C) WATER - FRONT CENTER OF BLDG, N SIDE OIS D) SPECIAL - NONE E) LOCK BOX - NO (3) Fire Protec./Avail. Water 3A SEC 4) WE HAVE SPRINKLER SYSTEM FIRE EXTINGUISHERS FOR EACH METAL MAN & FOR EACH PAINTER & FRAME MAN 3A SEC 5) FIRE HYDRANT - 60' NW FROM THE NW CORNER OF THE BUILDING 01/08/90 BILL WRIGHT TOYOTA <F> Site Emergency Factors for: 00 - Site as a Whole e e Page 010 ~ < <4> Held for Future use ~ II, I;~ 0, ¡; e BILL WRIGHT TOYOTA Training for: 00 - Site as a Whole e Page 011 01/08/'30 (G) <1} Page 1 WE HAVEr EMPLOYEES AT TH I S FAC I L I TY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: 't JíJrÞ7j'-jfÞ7P' wÎrffi? !ðé'l'f¡ ;:,,1( nCII Þfi1?Mj'Þ'p-' - --...4 -- ' ,~ <2} Page 2 as needed <3} Held for Future Use I~ <I' ~ ., '.. 01/08/90 e e BILL WRIGHT TOYOTA Training for: 00 - Site as a Whole <8> Page 012 <4> Held for Future Use .,.' REceiVED H47. MAT. D1V. Paga -J-- of ~ NAME OF THIS FACILITÝò·-.ó.t'11 1eJ,cì.1h.J- 7Õv()ffJ. .g¡~ STANDARD IND. CLASS C 0[:-- '--f--'---, , DUN AND BRADSTREET NUMBER--' --------' - - 1990 MAR 0 8 of B~KER , MATERIAL INVENTORY NON-TRADE SECRETS ,J- ---- SFIELD S CITY OWNER NAME /IJ __ ADDRESSt' ~~ CITY~ Z P: -- PHONt: It: ~-.:3 --REFER TOlNSTI- HAZARDOUS o ness Standard Bus [] cu !ture and Agt Farm 12 loc~tion Whe~e Store In FacI Ity tJ~ Jðtl7í/ 6J'p //t-/Àð - Component Name & C.A.S. Number ~ Component.2 Name & C.A.S. Number Immediate , Hea I th Component.3 Name & C.A.S. Number Ll- / -.# I f lw~ )Í9v.T)J ð'P #~ I Component.1 NaDle & C.A,S. Number [] Component.2 Name & C.A.S. Number Immediate ' : Health Component.3 Name & C.A.S. Number Ð ~ l 1(.:: ,~r '1---I~B)t£ - /h;y f/JðÞ Component., Name C,A.S. Number o Component.2 Name C.A.S. NUDlber Immediate Health Component'3 Name C.A.S. NUl1ber CODES 7 Dys SIte suddfn Release o Pressure S . on S'Uddfn Re I ease I 0 Pressure 6 Measure Units o Number [] Number Delayed Health C.A ~~im~ S C.A o 4 Average Allt "5' GI} h d th Halard apply [] vity StJ aHdt~:t Hazard pn~ i Ct l;re þ~ r:fJ I Cjf'S, Number ~ ~ Delayed ~S~ddfn Release Health , 0 Pressure I Reactivity ty v Hazard re t.)}JtP A :/ r '2 Name & C.A.S. Number .3 Name & C.A.S. Number Immediate Component Health Component NUllbe¿r Suddfn Release o Pressure S Delayed Health C o th ~ala d app I YI Reactivity aHdt~:t Physics (çhrCk ~Fire Hazàrd 87/-1951 z:flìflJñor¡e-- MNbf(! Sf#?V IC£ n SUA W . th . s ond a 11 $ubllitte~ In I ~elleve t~at , InformatIon. // v / ó'I1, 9 n ä;rül It Certifiçatio~ fReed and $ign afji3r c9mp7~ting ~77 sections) I certIfy under enallï 0 la th t I have persona 1\ exam]n Q 0 d DI familIar it the informatIon aitaçhed dQcUllen~s, anO t at ~ase~ on I1Y InquIry 0 lhose Inålv,l~ua's responsib1e ~or obtaIning the submItted Infprllatlon IS true, _accurate, and cOllplete , f5/S~N ' îÇJ8 'e EMERGENCY CONTACTS ~ of 2---- Page N I I THIS FACILITY: S'nN ,,,,0 IND. CLASS COOE:-'--- DUN AND BRADSTREET NUMBER-'- - - rv of HAKEHSFIELO DHAZARDOUS MATERIALS INVENTORY ~ ~~S~~ON-TRADE SECRETS Þ"*-' OWNER NAME: IAM.E DF ~ ADDRESS.T A I D,A n _ -- CITY zip: ' I ----------- PHON~ It: ------- , --- REFER TO-INSTRUCTIONS-FOR-PROPER I CI ness Bus Standard o ture cu BUSINESS NAME LOCATION: CITY ZIP PHOU~ 11:_ Agt and Farm 3 , by lit t _Ll.V 5 Annua Est 4 Average Allt 2 IYÐe Code 1 Trans Code ~--so C 3tr /' Number Number C.A.S C.A.S Name Name .2 .3 Component Component ~te Health S ~red 0 Hea th A th Ha¡ard applYI - - Sudd~n Release of Pressure I'L 7 C.A.S ty é) v React o aod Health Hafard a II that apply pn~~~~ ,/ Number Number C.A.S C.A.S Name Name Component t2 Component 13 mmediate Health o Sudd~n Re lease of Pressure o De tared Hea th o ty Reactiv o Hazard re o Number Number NUllber C.A. S C.A,S C.A.S Name Name Name 12 .3 Component Component IIImediate Health Component o Sudd~n Release of Pressure Number o S Delared Hea th C,A o th Ha{ard applYI Reactivity o and Hea all that Hazard re Physica (Check o NUllber C.A.S Name Component NUllber NUlllber NUllber C.A.S C.A.S Nallle Nallle 12 13 Component mmediate Health Component o Sudd~nRelease of Pressure o C.A.S De tared Hea th o ty v th Hafard apply React o and Hea all that re Hazard Physic! I check o H -1IfTIï~- qfë~ TtO and all leve that ¡his be 112 Rããie CertifiC3tio~ (Rerad and $ign af)ßr cÇJmp1eting, Çl11 sect.ions] " I certlf under enalt 0 la th t I have pe(sona I~ exalllln Q a d m falllllla( it the Info(lIIatlon $U I1ltte~ In 'It'th'd'docU,,,fs a,! t at !as, 0' " ',q,'r, 0 those ¡,å,y,å,.', r'SPo,s¡bl. ~o~¡,g the "Ior..t,on 'submItted Inforllat on IS true, accurate. and cOllplete. . -¿J¿'J~ r!tor UI( owner/õØëfãtõf'nutñõffIëOfëPresentã Ie' 24Hnliõñe- Ttt 1 R!fie tt EMERGENCY CONTACTS qfjië~¡i(ronffinl ..",¡ ~ >'-'¡ '01> ¡ - T Co \ ' , ..., '-, -'.' r/-- ':><1,-, . :- 'v>1t o ¡Iv - e BAKERSFIELD CITY FIRE DEPARTME~ 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RECEIVED JAN 2 6 1988 Ans·d.... ........ OFFICIAL USE ONLY ID# 35/ US IXESS ~A.\1E INSTRUCTIONS: --- ~--- --.- ---. --. - --.,-- -- _. '-'" -ð'ð (I~ :3 ~Cr~ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 1. To avoid further action, return this form by 1r//~J'J1 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 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: Rì)\ t , U)R} ~ 1)+ '~ln+ J4r J. -Jj lY W j b j e~ R ~ ZIP: 933 13 ß Jd1 M, BUS.PHONE: (8'o~ i"35 - ~~oá B. LOCATION / STREET ADDRESS: CITY: ~4K ~Y'<:' -{;è<-_1-l 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 required by law, E~PLOYEES TO NOTIFY IN CASE NAME AND TITLE A .MA-f\S; h A-I B. R. \{).\I.t~ rotf-m AN °4 ;q.- OF E~ERGENCY: .3 rf5' - <66q 7 . . ~ DURING BUS. HRS. -fa,N 16'r Ph# .g3~ _=15bJ... Pdì~Ph# ¥'~5 ....~s;CJ ~ AFTER BUS. HRS. Ph# :<; '1.~ .;2. '7 C; ¡.; Ph: 83J- 7713 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS YES, LOCATION: A. NAT. GAS/PROPANE: B. ELECTRICAL:' C. WATER: '"f D. SPECIAL: E. LOCK BOX: IF YES, DOES IT CONTAIN SITE PLANS? YES / ~O :.fSDSS? YES .I NO FLOOR PLANS? YES / ;';0 KEYS? YES / ~O - 2A - e -- --,..~.,.-' '" .1 .:: '.. - 'I!.'" ! .i' ·~-"~i':"'-\ .~ ' , ,0 "'" SECTION 4: PRIVATE RESPO~SE TEA~ FOR BUSINESS AS A WHOLE AlP SECTION 5: LOCAL EMERGE~CY ~EDICAL ASSISTAi'lCE FOR YOUR BUSINESS AS A ~vHOLE ~~~tJ ~ ~~~ 1-Jf5'lO ~~ ~ ~~ I~' 13.501 f05-3~7-'f(7t1 ~ kJ~). SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PtOYEES WITH I~ITIAL A~D REFRESHER TRAIXING IN THE FOúLOWING AREAS. . CIRCLE YES OR NO IXITIAL REFRESHER A. ~ETHODS FOR SAFE HA~DLING OF HAZARDOUS !1ATERIALS: . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . , . . . .. YES NO YES NO C. PROPER USE OF SAFETY EQUIP~EXT:,................. YES NO . YES NO D. E~ERGENCY EVACUATION PROCEDURES:...... ......,....' YES NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING REC.ORDS:.. .....! . .. YES @!þ YES NO ~1 ..'do- I q ~~ --- YES NO SECTION 7: HAZARDOUS MATERIAL CIRCL~J> - NO - NONE DOES YOUR ~USINESS HANDLE,HAZARDQUS ~~TERIAL I~ QUANTITIES LESS THAN 500 POUNDS OF~ SO\~. 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:..... .Y?S ~ I t ---m JJ.- I, ~. certify that the above information is accurate. I u derstand that t is 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 AI.) and that inaccurate information constitutes perjury. , I' SrGNATUR+~ _~uMv TITLEM¡,~'¡.,.~DATEI:Jµ-J&'1 - 28 - .'/~ l - ~*"a,~~ ~, ~ " ,. It ei /' BAKERSFIELD CITY FIRE DEPART:'-ŒXT 2130 "G" STREET BAKERSFIELD. CA 93301 OFFICIAL [SE OXLY ID# ------ BUS DìESS X.·\~Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS '2 rJ (] 1. To avoid further action. this form must be r~tul'ned hY:V-!!--ð ð. 2. TYPE/PRIXT YOUR AXSWERS IN ENGLISH. 3. An~!~er the (lUest ions bp.lot,' for _THE _FACJJ,ITY eXIT LISTED BELOW 4.'Be-as BRISF and Cm~CrSE as possi.ble: ~--"._- ....:--,~~--~~ --~ ,-~. ~ ~'"= FACILITI UNIT# I FACILITY UNIT NÞ."';, a ,'II tJJ\l1~ì7TÌ;¡ ~~J'1 S~4f , PROCEDUR s~~,+)~ ~ : 6..ut..~ r ~} ..... :.. SECTION 1: ~ITIGATIO~ ~~ aua. . (JJJl. 'fv\.. ~ £:\11 ~ SECTION 2: NOTIFICATION AND EVACt'ATIO~ PROCEDCRES AT THISt:iTT O~LY 4 "'0iit= Þ7'l ~ .~ 1 ¡&.d.,P..:-, - .3:-\ - e - , - ~0 .-G.O: " f-': , .¡r, rn < ....". .. SECTIO~ 3: HAZARDOUS ~ATERIALS FOR THIS L:¡IT OXLY A. Does this Facility Unit contain Haz:1råous ~aterials?..... ®~o If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES~ If No. complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS OXtY (white form #4A-l) 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 o~ly the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTIOX >!/·W~~ ~~ ~-~~----_._-- ,J..:J-ùÞ ~ ~ ..þv ~ Yn~ ma....-.- ~ fI~ +- ~ 'w\.~" - .-.....------- - .. -- ~"~ SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~RGENCY RESP~NDERS t1 60 / AI~ 'w~ ft1m7lJt¡v IVI'~1~ Ules1 Gt~_.a.v' OJ- Bu J~dlív7 SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UXIT OXLY. A. XAT. G~S¡PRO?ANE~ /-~ /IJ c'Y"ì'h 'S,;J. e- ~ .' ~Z,11 Jj':Vr - '1~~ I B. SLECTRICAL:...J...,V s,'J~ Buì (J/Iv¡- )ð ~_ ~ ð~ rßkrJci(À 1/ ...----~--_.- ---~---'- C. WATER: /V~ ~JJe-ØJ'gL<,Jd/~'l -i-~ ~ D. SPECIAL: E. LOCK BOX: YES ~I~ YES, LOC~TIO~: IF YES, SITE PLANS? YES I XO FLOOR PLAXS? YES / ~O ~SDSs? YES ~o ~EYS? YES / ~O - 38 - ~."1'~, r , ~,' , ~j ~ of - Page B^KEBSF 1 EI.U t; 1 'n to J HE UEI'I\H lNhN l' FORM 4A-l NON-TRADE SECRETS AZARDOUS MATERI ALS' I NVENTORV f o - H NAflF., B~ I\. W~1 bJ; ~1~"" OHNF.R NAME, ~ ~.,.~~ FACILITY UNIT ., tt} ,ð W I b t t:'.... R' ,~ AOORESS, 5% ~~' J . ,I FAC I L I TY UNIT NAME, r : B~k,.:¡ ~~ .p,ti·) J t'.o . ~~ ~ l-?::' C I TV . ZIP: :v-.<; ,.' "~"2 8~'5- 3s D d... . , PIIONE.: . ' - &; 7 (OFFICIAL USE CFIRS CODE ONLY , 2 3 4 5 6 7 8 9 10 YI'/è M^X ^ N N" ^" CONT USE LOC^TION IN TillS !t nv "^7.^HIJ ),O.T ,[JUE ^MOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CIIEMICAL OR COMMON NAME CODE GUIDE FJ-Jii ~~ó~ ðð"V " Oß - S .~~¡iflfJ. M{,,/Ñ~ ,? ...,.. ~¡"o,J..... ~ ~g\ ~ ,'1 :2.9 ~ c/ V 4 {) )ð:jlf! . Sa? ;'a1 N. 1lJafl) - ~~. ~1/A/1+((~) U , (V~) - '-- ..od. " I"" I _r:"\ .., , .- ..-t...... - . I /11 ,-#-Æ/I 7\ d\f " I 1,.11 { , I ' , , . / .i " . . \ - $' e¡/J-I .. } ( f.J JI"I A ~ (I, _5 .J> u" "".J!7:1 ) ,J J , 1 \ ~ ~ ~ .: . I 7J!L1 . -i~n Ahl / 0;;'1 . vuJO I y/<h ¡..It" :r ~ v '~ v ~"'Glf >' , JrA1:.t. -:rrßAAJ, Á"A dJ (QJJ..IJ w~ lilJA' ~o /ß~ '" - ... .. ~ JL/1 - - A-~ ~376 3000 I~ @q 12- ,¿ ~/.:z f3~J'~ (!JXI-' a ~ JÚ . Q.3'64. I 0 I r;.~ ~3A5" BOOò /4 01{ '17 -v I /-k ~-+lll eu tE- l ;;;J ~ \. ;/ . ,; r..... _I I II err- 1 ~ ' , ,.. - /1, J Lð frrJ:;) . / l ./ A (\ Ij~ --.-" ('¡,AdA r.,/V">Anl~ TITLE:/joJ'1S'J1C1f1/)?Ib?~~ SION^TURE:~I, ^,'--\ L I~ - DATE: t-!l..~ -ß~ JMIE: :MERGENCY CONTA~T: ]) 1.0\ h 1--. Goo~J ;...> T I 11. E: Bc:i ,0 '1 Sh.. ,1,1 /lA4 IL f:'" PIIO~ f nus t!þURS: B~.s- -.j~()"1..- I:'JrER nus IIRS: K'3;} -y;}-~ 3e¡ ¡:-- Ft, 'i 7 ':51 -.,S72..Q ONE t BUS HOURS AFTER BUS. IIRS: II P (J.A...; - ,41\- K~cÞ' ACTIVITV NTACT: SINESS (1 tJ c n MEIH~ENCY RINClrA"