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HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/HaZardous Waste Unified Permit . CONDITIONS OF .PERMIT.ON REVERSE SIDE " · · -': i,).?;' '. .-~ This =ermit is issued for the followin~ : [] H~-~rdous M~'ials PI~ [] Underground Storage of Hm,-rdous Materials Permit ID #:: 015-000-001558 13 Risk Management Program SAVEMART SUPERMAR [] Hazardous Waste On-Site Treatment LOc~,TIoN: 2733 CAL~0WAY DR OFFICE .OF ENVIRONMENTAL SER VICES' Bakersfield, CA 921301 o~,~or£¥i~rs~ic~ Voice '(661) 326-3979 : FAX (661) 326-0576 .Exp'~uationDate: '.June 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ; ~:~i~'~:~;*~i~ .......... This permit is issued for the following: LOCATION ' 2733 CALLOWA~ '~i: .......... ~i %.~, ~ .....:: :?.;:~ ..:$ ,~ 2~' ~ ,. -.~ -~ '%~. .......... ~.% .~i~i' ~,_,-'"" ..  B~ersfield Fire D~a~ment Approv~ by: OFFICE OF EN~R O~AL S~ ~CES 1715 Chewer Ave., 3rd Floor ce of~~ B~e~fiel~ CA 93301 Voice (805) F~. (80S) ~2~0576 Expiration Date: SAVEMART SUPERMARKETS' 9 SiteID: 0 1558 Manager : · BusPhone: (661) 588-8020 Location: 2733 CALLOWAY DR 102 CommHaz Low City : BAKERSFIELD ~ ~%~ Map : : Grid: 20C FacUnits: 1 AOV: CommCode: COUNTY STATION 65 SIC Code:5411 EPA Numb: DunnBrad:94-124-5496 Emergency Contact / Title Emergency Contact / Title STEVE WOODS / STORE MANAGER ~A~ ~ C~~-- / GROCERY MANAGER Business Phone: (661) 588-8020x Business Phone:~ (661) 588-8020x 24-Hour Phone : (661) - x 24-Hour Phone : ( ) - x Pager Phone : (661) 765-9503x Pager Phone : Hazmat Hazards: ImmHlth .Contact : Phone: (661) 588-8020x MailAddr: 2733 CALLOWAY DR State: CA City : BAKERSFIELD Zip : 93389 Owner SAVE MART SUPERMARKETS Phone: (209) 577-1600x Address : PO BOX 4278 State: CA City : MODESTO Zip : 95352-4278 Period : to TotalASTs: = Gal Preparer: TotalUSTs.: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, ~;/9~/_,~ //~ . DO hereby certify that I have [ ~yl;)e or I~nt name) reviewed the aEached h~ardous materials maimge- ment plan for ~q~r'trr~ and that i~ along with (Name of Bu~i~) any ~rm~ions constit~e a complete and ~rre~ man- agement plan ~or my facility. -1- 10/21/2003 sAVEMART SUPERMARKETS #69 SiteID: 015-021-001558 Manager'- BusPhone: (805) 588-8020 Location: 2733 CALLOWAY DR Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 20C FacUnits: 1 AOV: CommCode: COUNTY STATION,65 SIC Code:5411 EPA Numb: DunnBrad:94-124-5496 Emergency Contact / Title Emergency Contact / Title ~ff-t~Z"KER / S~ORE-~R RICK EERDEXEIA / GROCERY MANAGER Business Phone: '(805) 588-8020x Business Phone: (805) 588-8020x 24-Hour Phone : (805) ~9~-~ 24-Hour Phone : Pager Phone : (-~[) ~A--~g~x Pager Phone : Hazmat Hazards: ImmHlth Contact : Phone: (805) 588-8020x MailAddr: 2733 CALLOWAY DR State: CA City : BAKERSFIELD Zip : 93389 Owner SAVE MART SUPERMARKETS Phone: (209) 577-1600x Address : PO BOX 4278 State: CA City : MODESTO Zip : 95352-4278 Period : t° TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP Hazmat Common BLEACH IH L 250 . 00 GAL Hi ~i~; (~y_~p~rf~ _. DO hereby certify ~hat I have rev~ew~,c~ the attached h~.ardous materials manage- merit plan for&.~.,~o/~.~"~) and that it along with any corroctions constituto a complo~o and corroct man- a~omon't plan ~or . , mt~ 12/20/2000 SAVEMART SUPERMARKETS #69 SiteID: 015-021-001558 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site BLEACH Days On Site SODIUM HYPOCHLORITE 365 Location within this Facility Unit Map: Grid: BACKROOM & ON THE SHELVES IN THE MIDDLE OF STORE CAS# 7681-52-9 V STATE I TYPE PRESSURE --[ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS ATTHIS LOCATION Largest Container I Daily Maximum Daily Average 1.00 GAL] . 25'0.00 GAL 200.00 GAL HAZARDOUS COMPONENTS %Wt. ~SI CAS# 100.00 Bleach N 7681529 HAZARD ASSESSMENTS [TSecretNo NoRS BioHazl Radioactive/Amount I EPA HazardsINo No/ Curies IH NFPA/// USDOT# I MCPHi 2 12/20/2000 SAVEMART SUPERMARKETS #69 SiteID: 015-021-001558 Fast Format = Notif./Evacuation/Medical Overall Site -- Agency Notification 04/05/1995 ALL PROCEDURES ARE CONTAINED IN OUR FIRE/EMERGENCY ACTION PLAN BOOK. WE ADDRESS EMERGENCY SYSTEM INFORMATION, EVACUATION, DISASTERS. -- Employee Notif./Evacuation 04/05/1995 FIRE PROCEDURES, GAS/ELECTRICAL, AND A MAP OF STORE. Public Notif./Evacuation Emergency Medical Plan -3- 12/20/2000 SAVEMART SUPERMARKETS #69 SiteID: 015-021-001558 Fast Format Mitigation/Prevent/Abatemt Overall Site Release Prevention ~ Release Containment -- Clean Up Other Resource Activation -4- 12/20/2000 F SAVEMART SUPERMARKETS #69 SiteID: 015-021-001558 Fast Format ~ Site Emergency Factors Overall Site iSpecial Hazards --Utility Shut-Offs 04/05/1995 NATURAL GAS/PROPANE: LOCATED ON RIGHT NEAR CORNER OF STREET. ELECTRICAL: BACKROOM. ALL MAIN SHUT OFFS ARE IN THE SAME GENERAL AREA. LOCK BOX: NO. Fire Protec./Avail. Water 04/05/1995 THE STORE IS EQUIPPED WITH FIRE EXTINGUISHERS AND SPRINKLERS. WATER IS LOCATED AT SOUTH ENTRANCE ON ROSEDALE HWY. ALSO ONE AT EACH ENTRANCE ON CALLOWAY. Building Occupancy Level -5- 12/20/2000 SAVEMART SUPERMARKETS #69 Trai~ng ~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~ 04/05/1995 NUMBER OF EMPLOYEES: 78 MATE~AL SAFETY DATA SHEETS ON FILE: YES o o B~EF SUMMARY OF T~INING PROG~M: AT THE TIME OF HIRE THE EMPLOYEES A~ o T~INED IN THE COMPONENTS.OF OUR ~ZARD COMMUNICATION PROG~M. THEY ALSO RECEIVE T~INING IN OUR FIRE/EMERGENCY ACTION PLAN. THIS T~INING IS THEN o REVIEWED ANNUALLY. o i~ Held for Fumre Use i~ Held for Future Use ~¢~~~~~~~~i O O © CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~,fit}CY ~{1,'T- INSPECTION DATE I& (,,1010~) ADDRESS ~3"i 33 Aallowaq, PHONE NO.... FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~1~ Routine [21 Combined [21 Joint Agency [21 Multi-Agency [21 Complaint [2J Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location L, / Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: {~1 Yes Explain: Questions regarding this inspection? Please call us at (661) 326-3979 ible Party White- Env. Svcs, Yellow- Station Copy Pink- Business Copy Inspector: CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAl, SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY ~ ~P~ 1 ?~? FACILITY DESCRIP~ON ~ BUSlNI~SS IS AFARM [ ] OWNER/OPERATOR ~o~m~'~ ~'ulo'Jm~r~T~ PHONE ~99-577-1(oOO MAILING ADDKESS -~.0. ~2mo~' /~ ~7 ~) .CITY ~oOe-f:~vz~ STATE ~ Z~P qs~sf--dZ-7~ EMERGF~CY CONTACTS BUSINESS PHONE ~OS - 5~'~ - t~,o'ZO 2..A HOUKPHONE f:~5 - ~ql '- qO01 BUSINESS PHONE ~o5 - 5~ - ~o2_o 24 HOUR PHONE Loft - ~ q..v - ~[50 1 ~~ DES~ON ~) w~ C~S~CA~ON (~ ~ ~ V~ ~ SO~) USE CODn 7) ~O~ ~ ~ AT FAC~ q~( ~ OF ~~ S) STOOGE COD~ ~m~y~t ~5~ Lbs[ ]~]~[ ] a) C~ I)~ORY~A~:New[ ]~fi~[ ]Re~i~[ ]~l~on[ ] Ch~ff~aNONT~~[ ]T~[ 5) W~ C~S~CA~N (3~t c~ ~ D~ F~ ~2] ~ CODE 7)~O~ ~ ~ AT FAC~ ~ OF ~ ~) STO~ ~D~ M~D~y~t L~[ ]~[ ]~[ 1 ~ ~ c) T~ ~ ~ mo~ ~ 1) [ ] IO~A~ON i ~ ~ ~ of~, ~ I~v~ ~y ~4~ ~ ~ ~ ~ ~ ~fion on ~ ~ ~ e~ ~- I PRINt Nam~ & T/tle ofAulh~ C~mpany Repr~mial/w Signstu~ Dab,- FAX 'llansmittai Cover Sheet Bakersfield Fire Dept. Office of Environmental Services 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (805) 326.0576 · Bus No. (805) 326-3979 Today's Date '~ - '~ a-- COMPANY: FROM:" Bakersfield Fire Dept. · Office of En¥ironmentalService$ AVE MART ~ UPERAiA. R. KETS P.O. Box 4278, Modesto, California 95352-4278 1800 Standiford Avenue, Modesto, California 95350 Corporate Office (209) 577-1600 Merchandising (209) 577-2733 January 20, 1995 City of Bakersfield 1715 Chester Avenue Bakersfield, CA 93301 Attn: Mr. Ralph E. Huey Hazardous Materials Coordinator Dear Mr. Huey: Per our conversation I am enclosing a complete Hazardous Materials Management Plan for our store location in Bakersfield. I have included the necessary site maps, the chemical inventory, and the management plan in general. Save Mart is committed to providing a safe working environment not only for our employees but also the community that we serve. We hope this will provide you with sufficient information for your department. If you require any additional details, don't hesitate to contact me. Sincerely, Pamela Marcks Risk Management Specialist FACiLiTY DIAGRAM. ~. SITF_ DIAGRAM. i ~ ~ ~t.,~..M~" ~ustnes~ N~me: ~, Firs~ tn Stc:~cn: Arec Mc= ¢ cf [nscec:',cn Sic;ica: NORTH ~~ ~]t)IU3 69 2733 CAI.IOWA¥ DR., I]AKEi~F[E[D, CALII:OI~NIA 933119 The majority of all Hazardous Materials that we have on the sales floor are displayed on aisles 1 and 2. We do have charcoal lighter fluid displayed at the front of the store. '~' . .. BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION · · BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT P~N · 2. , ~PE/PRINT ANSWERS IN ENGLISH:- 3. Answer the ques~i°ns below for the business as'a whole.- ~. Be 5,ie, ond concise as po~ible. : , ~0¢,~ ,.30~' ' SECTION l' BUSINESS IDENTIFICATION DATA ' .' MAILING ADDRESS: CiTY:~4~ STATE'. ~' ZIP: ~~ PHONE: SECTION2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE . Bakersfield Fire Dept. ~'. ~, ~azardous 1V~aterials Division ' HAZARDOUS MATERIALS MANAGEMENT PLAN ' .~ SECTION 3: TRAINING: NUMBER OF EMPLOYEES' BRIEF SUMMARY oF TRAINING PROGRAM: SECT[ON 4: EXEMPTION REQUEST: ' I CERTIFY UNDER PENAETY OF PERJURY THAT-MY BUSINESS IS EXEMPT FROM THE REPORTING.. RE©UIREMENTS OF C:.HAPTER 6.96 OF THE "CALIFORNIA HEALTH SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE OD HANDLE HAZARDOUS MAT'ERIALS, BUT THE QUANTITIES AT NO TIMEEXCEEO 'THE MINIMUM REPORTING QUANTrTtES. ' OTHER (SPECIFY RE,ASON) SECTION 5': CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- ' MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL-BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS' (D[V'. 20 CHAPTER 6:95 SEC. 255G0.'ET AL.) AND TH,~,T INACCURATE INFORMATION.CONSTITUTES PERJURY. SIGNATURE TITLE DATE. .-.-~.:: Bakersfletcl FEte ]Dept. " ~t~zardous 1V~aterials Division ~ '- HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: g. EMPLOYEE NOTiFiCATION ANO EVACUATION: C.. PUBLIC EVACUATION: O. EMERGENCY MEDICAL PLAN' ~ B~Hersfiel& Fire Dept. Hazardous Materials Division ...... HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. RELEAsE-C~NIV.iN OR,, MINIMIZATION' C. CLEAN-UP PROCEDURES: , SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACiLiTY): NATURAL GAS/PROPANE: SPECIAL: LOCK BOX: YES~ IF YES, LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: ~v,,~. -~"~v~~, ~ ~:~ i,'~-./~--~.~[JEO ~- REC'D SAVE MART UPERMARKETS P.O. BOW 4~78, Modesto, California Co.orate Office (gO~) 577-I ~00 December 30, ~ 994 Merchandising (209) 577-2733 City O1 Bakersfield 17~ 5 Chester Avenue Bakersfield, CA 93301 A~n: Mr. Ralph E. Huey Hazardous Materials Coordinator Dear Mr. Huey: Pursuant to your general request for a Hazardous Materials Management Plan, we contacted Surtec, Inc., requesting that our store inventory be evaluated. Surtec has advised us that none of our materials are listed as hazardous according to the state and federal regulations. We have attached a copy of Surtec's letter to that effect. Save Mart, as a general policy, has conscientiously moved in the direction of eliminating all hazardous materials from our stores in the interest of customer and employee safety as well.as continuing to be a responsible business within th~, community that we serve. - ~ ~,~~_,~.~ Yours truly,_ . 29334 PACIFIC STREET HAYWARD, CALIFORNIA 94544 · TELEPHONE (510) 582-7800 December 22, 1994 Save Mart P.O. Box 4278 -- Modesto, CA' 95352 Attn: Ms. Pam Marcks With reference to your questions on the janitorial chemicals~you use in your stores, none of them are haz- ardous according to state and federal regulations. We have provided M.S.D.S. sheets on all of our products even though it is not required by O.S.H.A. for non-hazardous materials. It is our feeling that all products, should have a M.S.D.S. so you and your SB-198 training will have information to indicate both hazardous and non-hazardous materials. If you or the inspectors have further questions, please call me directly. Sincerely, -- '~ ~2. Fro~'~, V.P. Research & Development DF/mts. NORTH