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 AmbientSOUTH 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 AmbientMOBILE 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 AmbientwELDER
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 AmbientBEHIND 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
¡Vodet~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"