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Home My WebLink AboutBUSINESS PLAN 1/30/2002 Hazardous Materials/Hazardous Waste Unified Permit .~. C ONDi TIONS ..- ..... OFPERMIT~.. ,, ,... ,. O N RE V E R SE 'SIDE. · · .~..~.~%.~.~:.,~-.: .... · ~- -*:~., ... This oermit is issued for the followir~_: [] Hazardous Matedals Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001736 [] Risk Management Progmm BAILEYS FLOORING [] LOCATION: 5880 DISTRICT BLVD #12 OFFICE OF ENVIRONMENTAL SER VICES'' ,'" 1715 Chester Ave.,' 3rd Floor ApProved by:.. .' . . LR~p I'luCy, D'~~! l~u~ Date Bakersfield, CA 93301 :: . . o~or£~i~'rs~im ~ Voice (661) 326-3979 :, FAX (661) 326-0576 ExP'U~tion:Date: :.June 30.. 200:3 Hazardous Materials/Hazardous Waste Unified Permit CO-NDITI-ONS OF PERMIT ON REVERSE SIDE ........ ,~,,,,~:,:i~,?i~7~ :i~':~i~i~i~,,~ ........ This permit is issued for the following: ..... ~,"~i~?'/' ~ ~!i i::22;ZZ,~::2:;ii:5~::::~:;:i;:::!i~:~Hazardous Materials Plan ,~?(!~"jj,~!~.:!::*¢~'~:'~'"'~'~::;;} }}~}}}} i,~ i!i ~'~ ii;::;~:iiiii~!i~:OFde[ground Storage of Hazardous Materials PE~T ~ ~ 015-021-001736 ~ '-. '-4 "'j ...... ""':~:V""":,~g~; ~h ~.',~" ~ ~ ] i ~ ~"'~",~ .... 'h~'~. .}~J }...'"-::~ LOCA~ON 5880 ~?....~!ST~CT ~3...' '- ~.~ ~_.~.% ~'~ =.... =.. ~-~- ~ .. · ,,~ I~ by: B~er~field Fke D~mment Approv~ by: O~CE OFE~RO~AL 1715 Chewer Ave., 3rd Floor B~e~el~ CA Voice {805) 32~979 F~ (805)3264576 Expiration Date: June 30, 2000 ~ :.%2-17-1996; 1: 34.PM FROM BAILEY 885 833 64.45 P. 3 ~.. Et4 E E SCA ... OUTE :'l I I 04~ ,': ~ ' '2. ~ , A, 2-17-1995 I:3BPM FROM BAILEY 80B 833 SAAB P.A ITE DIAGRAM t , FAC[I../TY DIAGRAM , I~ustness Name: "~ "~-coo~_ ~Accc~W ' . NORTH RECORD OF TELEPHONE CONVERSATION Location: ~'~ ~ ~' ~3'~'c''~ :~ ~7=" ID~ Business N~e: Conta~ N~e: Business Phone: F~: Inspemor's N~e: Time of C~l: Date: l/~/~ Time: ~ ~ · Min: Type of C~I: Incoming [~ Outgoing [ ] Returned [ ] Content of C~I: Time Required to Complete Activity # Min: BAILEYS FLOORING GALLERY SiteID: 015-021-001736 + Manager : BusPhone: (661) 831-5454 Location: 5880 DISTRICT BLVD #12 Map : 123 CommHaz : Low City : BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code: EPA Numb: DunnBrad: Emergency Contac~t ..~/ Title I Emergency Contg~t /,,-Title CRAIG BAILEY 0~ ~t~/;/ O~ER . ~ MI~ C~CY/ // Business Phone: (661)831-5454x ~ Busines~one: ~ 93~54x 24-Hour Phone : (661) 664-1413x ~.~ ].. 24-Ho~Phone :~61) 87~3 x .~ Phone : (661) ~ ~ Pag~ Phone / ~ ~ / - x Hanmar Hazards: Fire DelHlth ~ Contact : ~ Phone: (661) 831-5454x MailAddr: 5880 DISTRICT BL~~ S~ate: CA City : BAKERSFIELD Zip : 93313 ............................... · - n P + Owner C~IG BAILEY ~f ~~ -~- h : ~ one (661) 664-1413x Address : ~C~ CLEE20~ CT ~~ ~~ ~gage: C~ City : B~KERFSIEBD ~ ~ip : Per~od : ~o To~al~STs: = Preparer: To~al~STs: = Gal Certif 'd: RSs: ~o += Hazmat Inventory One ~nif~ed BSse + +== ~lphabetical Order ~11 ~aterials at 8ire + ............... + + -+ ..... +- -+ .... +- - -+ Hazma~ Common ~ame... I SpecHazlSP~ Hazards I Frm I Da~ly~ax l un~ +- + + + -+- -+ .... ~I~ DH~ SErB F B ~60.00 G~B ~nR ~STE P~I~T RE~TED ~TERI~BS- ~ DH B ~ 150.00 G~B HnR ~oo~ ~hoo~ ~8~s~w . ~ -5~ s ~0.00 ~ un~ 3 ~, hereby cedi; ~ha~ ~ have ' Uy~pHnt reviewed ~he attached h~ardous materials manage- any corrections constitute a complete and coffe~ man- agement plan for my facility. + BAILEYS FLOORING GALLERY ..... SiteID: 015-021-001736 += Inventory Item 0001 Facility Unit: Fixed Containers at Site +== COMMON NAME / CHEMICAL NAME ~ MINWAX DURA SEAL I Days On Site 1365 Location within this Facility Unit Map: Grid: + ................ NW CORNER OF WAREHOUSE CAS# += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE I Liquid I Mixture I Ambient I Ambient I PLASTIC CONTAINER + + ~ .4 ~------ ~ + AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GAL I 60.00 GAL 60.00 GAL += + HAZARDOUS COMPONENTS ==+===+ ......... I %Wt. I I RSI CAS# += += ----+===+ + +===+= =4 HAZARD ASSESSMENTS ===4 ~ + ..... ITsecretNo N~s Bi°HazINo Radioactive/AmountNo/ Curies EPA HazardsIF NFPA/// USDOT# unRMCP + +===+======.4 ~ =4 + += Inventory Item 0003 Facility Unit: Fixed Containers at Site +== COMMON NAME / CHEMICAL NAME == ~ ..... WASTE PAINT RELATED MATERIALS Days On Site 365 Location within this Facility Unit Map: Grid: + ................ NW CORNER OF WHSE CAS# 4 .... 4 += STATE =+= TYPE ===+== PRESSURE =:=+ TEMPERATURE ==+ .... CONTAINER TYPE I Liquid I Mixture I Ambient I Ambient DRUM/BARREL-METALLIC 4 t- + i- ..... 4 .... + AMOUNTS AT THIS LOCATION I Largest Container Daily Maximum Daily Average 25.00 GAL 150.00 GAL 75.00 GAL 4 4 ..... 4 ~ HAZARDOUS COMPONENTS .............. + = = = 4 I wt. I I Rs l CAS# 4 ~ ~-===.4 4 ~===4 .4 HAZARD ASSESSMENTS ===.4 + ~ ..... [ TSecretINo NoRS I Bi°HazINO Radi°active/Am°unt I EPANo/ Curies F HazardsDH NFPA/// IUSDOT# unRMCP .4 k===4 ~ + ~ .4 + ~-=====+ -2- 01/18/2002 BAILEYS FLOORING GALLERY SiteID: 015-021-001736 Inventory Item 0002 Facility Unit: Fixed Containers at Site +== COMMON NAME / CHEMICAL NAME WOOD FLOOR ADHEASIVE Days On Site 365 Location within this Facility Unit Map: ~Grid: + ................ INSIDE S WALL OF WHSE CAS# += .... ~ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE Solid I Mixture I Ambient I Ambient I PLASTIC CONTAINER ~-~ 7= ~+ +-- ~ AMOUNTS AT THIS LOCATION Largest ContainerGAL [ Daily Maximum90.00 GAL I' Daily Average75.00 GAL ~ ~ --+ + HAZARDOUS COMPONENTS ...... +===4 wt. I +===~ ~ HAZARD ASSESSMENTS ===4 + ~ ..... ITSecretl RSIBi°Hazl Radi°active/Am°unt EPA Hazards NFPA I USDOT# MCP INo No No No/ Curies / / / UnR ~===4 ~ ~= ~ + ~ 3 01/18/2002 + BAILEYS FLOORING GALLERY SiteID: 015-021-001736 ~ Fast Format += Notif./Evacuation/Medical Overall Site +== Agency Notification 06/06/1996 TELEPHONE IN OFFICE TO BE USED TO DIAL 9-1-1. +=== Employee Notif./Evacuation 06/06/1996 WORD OF MOUTH SUFFICIENT BETWEEN OFFICE AND SHOP EMPLOYEES EQUIPED WITH + + .... Public Notif./Evacuation 06/06/1996 PUBLIC WILL EXIT THROUGH SHOWROOM DOOR. + Emergency Medical Plan 03/05/1999 FIRST AID KIT IN SHOP AND/OR MERCH HOSPITAL. -4- 01/18/2002 + BAILEYS FLOORING GALLERY SiteID: 015-021-001736 + ~ Fast Format + += Mitigation/Prevent/Abatemt Overall Site + +== Release Prevention 07/31/1996 + AMOUNTS OF MATERIALS STORED ARE KEPT BELOW EXEMPT AMOUNTS PER U.F.C. +=== Release Containment == 07/31/1996 + FLAMMABLE LIQUID STOP~AGE CABINET. + + .... Clean Up -- 07/31/1996 + SHOP RAGS AVAILABLE TO SOAK UP SMALL SPILLS AS MOST CONTAINERS ARE QUART + ~ Other Resource Activation -5- 01/18/2002 + BAILEYS FLOORING GALLERY ........ SiteID: 015-021-001736 + Fast Format += Site Emergency Factors Overall Site +== Special Hazards .... Utility Shut-Offs 03/05/1999 A) NATURAL GAS/PROPANE - NONE B) ELECTRICAL - INSIDE SW CORNER OF WAREHOUSE C) WATER - OUTSIDE ROLL UP DOOR D) SPECIAL - NONE E) LOCK BOX - NO +---- + .... Fire Protec./Avail. Water 03/05/1999 PRIVATE FIRE PROTECTION - AUTO SPRINKLERED BLDG. NEAREST FIRE HYDRANT - FIRE HYDRANT LOCATED DIRECTLY W OF YARD GATE. Building Occupancy Level + + ~ 6 01/18/2002 + BAILEYS FLOORING GALLERY -- SiteID: 015-021-001736 ~ Fast Format += Training Overall Site +== Employee Training 03/05/1999 WE HAVE~E~LOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES SIGN A DOCUMENT INSTRUCTING THEM ON APPLICATIONS WHERE RESPIRATOR USE IS REQUIRED. + +=== Page 2 + .... Held for Future ~se .... Held for Future Use + -7- 01/18/2002 FLOORING G .ALLERY HARDWOOD FLOOR SPECIALISTS Refinishing · Carpet ° Vinyl · Laminate CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Bakersfield, 'CA 93301 . FACILITY NAME ~/~[~-~' F~Y-)O/~~Ot~ _ INSPECTION DATE . ./1-7_..0--_0/ ........ "ADDRESS ff$9 ~lz-. PHONE NO. ~ 5/- -'FACILITY CONTACT L -sLz ~,~d.e-~ BUSINESS ID NO. 15-216r. t~['7~ INSPECTION TIME ! $'- ' NUMBER OF EMPLOYEES ..... Section 1: Business Plan and Inventory Program ' Routine [~ Combined l~ Joint Agency 1~ Multi-Agency [~ Complaint [~1 Re-inspection OPERATION C V COMMENTS Appropriate permit on hand I~f .... Business plan contact information accurate . t~J~,~ ~ ~ Visible address 4.~ 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 I./ Verification of abatement supplies and procedures b / Emergency procedures adequate I., ~ "' Containers properly labeled ~.~ Housekeeping ~ Fire Protection p '~ Site Diagram Adequate & On Hand ,,t. "~ C=Compliance V=Violation . Any haza. rclous waste on site?. [~g] Yes {~] No Questions regarding this inspection? Please call us at (661) 326-3979 { /[~tginess Site ~C~)?arty Whi~e - Env. Svcs. Yellow - Stalion Copy Pink - Business Copy Inspector: Dear Business Owner: FIRE CHIEF RON FRAZE This notice is meant to act as a reminder that the California Health ~M,N,Sm~TWe SE.VICES and Safety Code, Chapter 6.95, requires any handler of hazardous materials 2101 'H' Street Bakersfield, CA 93301 to revise their hazardous materials business plan within 30 days of any one VOICE (805) 326-3941 of the FAX (805) 395-1349 IOllOw]ng events: SUPPRESSION SERVICES 2101 'H' Street (1) A 100 per cent or more increase in the quantity of a Bakersfield, CA 93301 previously-disclosedmaterial. VOICE (805) 326-3941 FAX (805) 395-1349 (2) Any handling of a previously-undisclosed hazardous PREVENTION SERVICES 1715 Chester Ave. material, subject to the inventory requirements of Chapter Bakersfield, CA 93301 VOICE (805) 326-3951 6.95. FAX (805) 326-0576 ENVIRONMENTAL SERVICES (3) Change in business ownership. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 (4) "~cnange in business address. FAX (805) 326-0576 TRAINING DIVISION (5) Change of business name. 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805)3094607 Any questions regarding these required revisions, please call the FAX (805) 399-5763 Hazardous Materials Division at (805) 326-3979. Sincerely yours, Director, Office !of Environmental Services CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~{(-~-~/.~ 'F~-)O/~/'dj~ INSPECTION DATE ./j-ZO'"O ADDRESS ._~t') PHONENO. ~]- ~~ FACILITY CONTACT_ d.~'-$d.]~' ~,~[{.t~t~ BUSINESS ID NO. 15-210- INSPECTION TIME ! ~ ' NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~] Combined [~ Joint Agency [~l Multi-Agency ~.] Complaint [~] 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 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 haza. r~lous waste on site?: []it] Yes [~ No Questions reg.ding ,is inspection? Please call us at (661 ) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspgctotl / + BAILEYS FLOORING GALLERY SiteID: 015-021-001736 + Manager : BusPhone: (661) 831-5454 Location: 5880 DISTRICT BLVD #12 Map : 123 Comml{az : Low City : BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code: EPA Numb: DunnBrad: ergency Contact / Title Emergency COntact / Title RAnG BAILEY / OWNER MIKE CLANCY / Business Phone: (661) 831-5454x Business Phone: (661) 831-5454x 24-Hour Phone : (661) 664-1413x 24-Hour Phone : (661) 872-3 x Pager Phone : (661) 331-0710x Pager Phone : ( ) - x + + + I Hazmat Hazards: Fire DelHlth +- -+ IContact : phone: (661) 831-5454x I MailAddr: 5880 DISTRICT BLVD State: CA City' : BAKERSFIELD " Zip : 93313 +- -+ Owner CRAIG BAILEY Phone: (661) 664-1413x Address : 8904 GLEESON CT State: CA City : BAKERFSIELD Zip : 93311 +- -+ Period : to TotalASTs: = Gall Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: THIRD CONTACT CHRISTINE SIMPSON 831-7844. + + += Hazmat Inventory One Unified List + +== Alphabetical Order Ail Materials at Site + + + + + +- + .... +- - -+ I Hazmat Common Name... ISpocHazlEPA HazardsI Frm I DailyMax lUnitlMCPI + - .~ -~ + + ~ .... +- - -+ MINWAX DURA SEAL F L 60.00 GAL UnR WASTE PAINT RE~LATED MATERIALS F DH L 150.00 GAL UnR WOOD FLOOR ADHEASIVE ........ S 907'00 GAL~ UnR I, Do hereby certify that I have frT~, or p;!nt name) review.ed the attached hazardous materials manage- me..."¢, p~an for and that it along with (Name of Business) any corrections constitute a complete and correct.man- agement plan for my facility. =---------------------------- =-t- -1- 01/18/2002 $igna,,,m 'Date B A K £ R $ F I E L D Cove~ Sheet CALII~ORNIA 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 ~-/~-~C~ Time c~,: c~ ~) No. of Pages TO: , F~OM': ~'BAILEYS FLOORING GALLERY FAX NO. : 805 831 2080 ~ Mar. 18 1999 08'41AM FLOORING GALLERY HARDWOOD FI.OOR SPECIALISTS Refinishing · Carpet · Vinyl · Laminate March 02, 1999 City of Bakersfield 1501 Truxtun Avenue Bakersfield, CA 93302-5201 Re: ES, / 9452 Hazmat Inventory To Whom It May Concern: The followin9 are items that are listed below, need to be added to our Hazmat inventory List. Thank you. 1. Laquer Thinner Bortz 2. Toluene Chevron 3. Moisture Curin~j Polyurethane McGrevor 4. Polyurethane - Winwax 5. 711 E~ 911 Wood FloorAdhesive Franklin. 6. Mastic Bruce 7. 2X Catalyst, H, vdroline Sealer - Basic Coatin~js, Inc. 8. Wood Floor Adhesive Bostiks 9. 80 Adhesive, ~tO0 Adhesive, Bpra, v Tone, Pattern Plus Shine Hartco l O. Gymseal ~ Valspar Serving central California Over Fitly Years · License #436618 5880 DISTRIC~t BLVD., SUITE 12 · BAKERSFIELD, CA 93313 ° PHONE 661/831-5454 o FAX 661/831-2080 0~8/99 14:14 8805 326 0576 BFD HAZ MAT DIV ~001 *** ACTIVITY REPORT TRANSMISSION OK TX/RX NO. 0860 CONNECTION TEL 8312080 CONNECTION ID START TIME 03/18 14:11 USAGE TIME 02'29 PAGES 2 RESULT OK FROM ~ BRILEYS FLOORING GALLERY~ FAX NO. : 805 851 2080 Mar-. 18 1999 08:40AM Pi STATEMENT OF ACCOUNT BAKERSFIELD BAKERSFIELD, C~ ~330~-5201 CUSTOMER NO: ?452 CUSTOHER TYPE: ES/ 9452 CHAROE DATE DESCRIPTION REF-NUHBER DUE DATE TOTAL AMOUNT CURRENT OVER 30 OVER &O OVER ~0 178. 50 DUE D~TE: 3/03/~ P~YMHNT DUE' 178, 50 TOTAL DU~- ~178.50 CUSTOMER NO: ~452 CUSTOi"~ER TYPE: FROM : BAILEYS FLOORING GALLERY FAX NO. : 805 831 2080 Mar. 18 1999 08:41AM P2 FLOORING GALLERY HARDWOOD FLOOR SPECIALISTS Refinishing - Carpet * Vinyl - Laminate March 02, ~ 999 Ci~ of~Bake~eld ~ 50~ Truxtun Avenue Bakers~eld, CA 9330~-520~ R~' ES [ 9~52 Hazma~ Inven~o~ TO Whom ~ May Concern: The following are items that are li~ed below, need ~o be added to our Ha~ma~ Inven~o~ List. Thank you. ~. Laquer Thinner ~o~ - Z Toluene Chevron 3. Moidore CuNno Po~urethane - McGrevor 4. Po~ure~hane - Winwax 5. ?~ ~ 9~ wood Floor Adhesive - ~rankl~n 6. Ma~c - 8r~ce ~. 2X Cata~ Hydroline Sealer - Basic Coatinos, Ina 8. Wood Floor Adh~ive Bo~iks 9. 80 Adh~ive, ~00 Adh~iv~ Spray Ton~ Pa~ern Plus Shine Halco ~ O. Gymseal - Valspar Serving Central California Over Fifty Years * License Igf36618 5880 D1STI~ICT BLVD., SUITE 12 · BAKERSFIELD, CA 93313 · PHONE 661/831-54S4 ° FAX 661/831-2080 SiteID: 215-000-001736: I J Manager : [ /AFM R 51999 ~Usph°ne'12 (805) 831-5454 Location: 5880 DISTRICT BLVD ~2 ~ Rap : ~ CommHaz : Low City : BAKERSFIELD ~l~y~' Irid: 15C FacUnitS: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emerg~ency Contact / Ti,tle CRAIG BAILEY / OWNER RICK ~ICi~ii~$GN Business Phone: (805) 831-5454x Business Phone: (805) 831-5454x 24-Hour Phone : (805) 664-1413x 24-Hour Phone : (805) Pager Phone : ( )~51 -O%~)xc~. Pager Phone : ( ) - x Hazmat Hazards: Fire Contact : Phone: ( ) - x MailAddr: 5880 DISTRICT BLVD state: CA City : BAKERSFIELD Zip : 93313 Owner ~N ~_~ ~~ Phone: (805) Address : ~~ c~~~ State: CA City : ~D - ~ ~C~r ~5~ ~ Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: THIRD CONTACT CHRISTINE SIMPSON 831-7844. = Hazmat Inventory One Unified List : -- As Designated Order All Materials at Site : Hanmar Common Name... ISpooHazIEPA HazardsI Frm DailyMax IUnit[MCP MINWAX DURA SEAL F L 60 GAL UnR WOOD FLOOR ADHEAS IVE S 90 GAL UnR t, 1z4~ ~r.~.~ Do hereby certify that I have L~ reviewed the attached hazardous materials manage- '~-+o. JL~ men! plan ,or. ewerS...~_ ~--~-.eJ~-Cl--~at Jt along with ~d ~ ~~.~ any corrections constitute a complete and correct man- agement plan for my facility.. -1- 02/18/199! THE FLOOR GALLERY SiteID: 215-000-001736 = Inventory Item 0001 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME MINWAX DURA SEAL Days On Site 365 Location within this Facility Unit Map: Grid: NORTHWEST CORNER OF WAREHOUSE. CAS# FSTATE --~TYPE PRESSURE TEMPERATURE' CONTAINER TYPE Liquid I Mixture Ambient I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum } Daily Average GALI 60.00 GAL I 60.00 GAL HAZARD ASSESSMENTS I TSecret I RS I BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP NO No No N~/ Curies F / / / UnR = Inventory Item 0002 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME WOOD FLOOR ADHEASIVE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SOUTH WALL OF WAREHOUSE CAS# STATE -- ~YPE · PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient --~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 90.00 GAL 75.00 GAL HAZARD ASSESSMENTS ITsecretl RS BioHazI Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR 2 02/18/1991 F THE FLOOR GALLERY SiteID: 215-000-001736 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 06/06/1996 TELEPHONE IN OFFICE TO BE USED TO DIAL 9-1-1. -- Employee Notif./Evacuation 06/06/1996 WORD OF MOUTH SUFFICIENT BETWEEN OFFICE AND SHOP EMPLOYEES EQUIPED WITH -- Public Notif./Evacuation 06/~06/1996 PUBLIC WILL EXIT THROUGH SHOWROOM DOOR. Emergency Medical Plan 06/06/1996 FIRST AID KIT IN SHOP. MERCH HOSPITAL. -3- 02/18/199! THE FLOOR GALLERY SiteID: 215-000-001736 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 07/31/1996 AMOUNTS OF MATERIALS STORED ARE KEPT BELOW EXEMPT AMOUNTS PER U.F-.C. ~ Release Containment 07/31/1996 FLAMMABLE LIQUID STORAGE CABINET. ~ Clean Up 07/31/1996 SHOP RAGS AVAILABLE TO SOAK UP SMALL SPILLS AS MOST CONTAINERS ARE QUART Other Resource Activation -4- 02/18/199! ~ THE FLOOR GALLERY SiteID: 215-000-001736 Fast Format ~ Site Emergency Factors Overall Site Special Hazards ----=.Utility Shut-Offs 06/06/1996 ELECTRICAL: INSIDE SW CORNER OF WAREHOUSE WATER: OUTSIDE ROLL UP DOOR SPECIAL: NONE LOCK BOX: NO -- Fire Protec./Avail. Water 06/06/1996 AUTO SPRINKLERED BUILDING FIRE HYDRANT..LOCATED DIRECTLY WEST OF YARD GATE. Building Occupancy Level -5- 02/18/199 THE FLOOR GALLERY SiteID: 215-000-001736 : Fast Format : ~ Training Overall Site : --= Employee Training 06/06/1996 : NUMBER OF EMPLOYEES: .,~ ~ MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES SIGN A DOCUMENT INSTRUCTING THEM ON APPLICATIONS WHERE RESPIRATOR USE IS REQUIRED. Page 2 -- Held for Future Use Held for Future Use . -6- 02/18/199: Hazardous Materials/Hazardous Waste Unified Permit CONDITION-S OF PERMIT ON REVERSE SIDE. .,:::~,~,~,~,,~,~,~,~,,~,:~,~, ........ This permit is issued for the following: ???~:'i'?~?!:i?'~:~"~i ii! ~ i!!i iii;ii?iiii*'i}}i~::;i~e;round Storage of H~rdous Mateflals ~ :~ ~ ~=~i.::,==,~ ~, ~.?.' ~,~ ~ ~.~ ,) ' .~ "C.~'~ ~%'", F ~ =;;, -, ......... ~':~I'~I~~~ '11 ~ ' ~ ~'~... ~,~ ~- ._ "'~ .. =.... -- -.~.:.......;:,,.-,~. =. '~.,~q~,~ ~_. "--% '~ ........... ~ ~" '~ :?~-;'~.g,I ,~. ;-,,:~, Bakersfield Fke Depa~ment Approved by: ~715 Chewer Ave., 3rd Floor c B~e~fiel~ CA 93301 Voice (805) ~26-~979 F~ (80s)~26~576 Expiration Date: ~n~ ~O~ ~OOO 2-17-1996; 1: 33PM FROM BA I L. EY 805, 8:33 6;zl. AS I::'. 1 PHONE (',~'z2,~'.) ..~___~____:12-17-1996 I:3APM FROM BAILEY 80B 833 6AAB P. 2 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM iNSPECTION CHECKLIST 1715 Chester Ave., 3~ Floor,'Bakersfield, CA 93301 / O FACILITY NAME __ ,/'O/Z- <~(.L,~z:,~, INSPEC'.HON DATE / ,.-...o ~-'r //,' ~ ¢ ,-r' ~ ' .. ADDRESS L~.',5"~ C) ""' :~'~ J 2.- PHONE '.NO. ~ ..- 1 -- ~.5' z.t_q' FACILITY CONTACT ~7/.r,,Lg, i~./]t£r~"c--~ BUSINESS ID NO. 1:5-210- ~2D/7 INSPECTION TIME ~,c,o~,~ · /' .~ ' r .... /q, A/ NUMBE, R OF EMPLOYEES S~cfion 1: Business Plan and Inventory Program Routine [~ Combined [~i Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit ~n h~nd ~ ~ Business plan contact information ~ecur~te /~~ Visible address Correct oecupency ~ /" Yefifi~ation ~f invemory m~tefials ~'~' Vefificafio~ of quantities ,~ Proper segregation ~fmateri~l -~.... Verification of MSDS awil~bili~ v ~ Verification of ~z Mat training V~fifi~tion of ~bate~ent supplies and procedur~ ~ ~ Emergency pmc~duve~ adequate ~ ~' Cont~ners properly l~beled ,~~" ~o~ekeeping ~ " Fire Protection ~ ~ · Site Di~ Adequate & On ~na ...... C~Compli~nce V~Violation ~y hazardous waste on site?: ~ Yes ~ No / : ..q '. Explain: ' .' i ~ .... ' : ~ .'" ~ .... ' 'N ~' .. t [ / ~cstiom, regarding ~is ins~ction? Pl~c call us at (g05) 32&3979 '~'~Si~gS~ . ~ , ,.. ..- ,. ' ~itc - E~v, Svcs. Yellow - Station Copy ~nk - B~in~s Co}?y l~spgctor: .-~ · RECORD OF TELEPHONE CONVERSATION Con~ N~e: Busin~Phone: ~ - ~~ iF~: Insp~or's N~e: ~ ~< ~ Time of C~I: D~e':, ~o~,. Time: //oO ~ Min: Type of C~I: Incoming ~ Outgoing [ ] Returned Content of C~l: ~'~ ~~ ~~ ~'~ Time Required to Complete Activity # Min: 1 ~ BAKEI FIELD CITY FIRE DIL iARTMENT HAZARDOUS MATERIALS DIVISION HAZARDOUS MATERIALS MANAGEMENT PLAN t. To avoicl further action, return this form within 30 aays of receigt. 2. ~PE/PRINT ANSWERS IN ENGLISH. 3. Answer me questions Delow for the Ousiness cs a whole. Be Daef cna concLse cs possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME' ~-- .', ~'--, -~',' .*."~ ~-"-'W~TV. --THE FT,OOR G~T.T,ERY ,"x~:v~,xr ,.~,... ,,¥., . BAILEY, DENNEY I ASSOCIATES ~'~ ' · Installers · Refinishers Professional Installation B, ~ ~ 0 Sanding and Finishing D~~. Craig Bailey Pat Denney ~ . Bakersfietd. CA 93305 ~ (sos) ::~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. ,=HONE .24 HR. PHONE -- t-~rdous ~a~erialm Division -.- HAZARDOUS MATERIALS MANAGEMENT PLAN ' SECTION 3: TRAINING: NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECTION ,4: EXEMPTION REQUEST: ~ CERTIFY UNOER PENALTY OF =:~l~iuv ~ .... , ~"- ' , ........ ,,--iA~ MY .BUS~NE~-~ IS EXEMPT FROM THE ~qE?CRTING REC.,.UIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FC.R THE FOLLGWING REASONS: N-_. CO NOT HANDL :-',AZA[iDCUS MATERIALS. WECC HANDLE HA7:.RDCJS MATERIALS, ~.UT ~HE QUANTITiES AT NO ~ iMcz..xCcz'~ THE M NIMUM, R:PCRTING,.."' ~,UANTFFIES. SECTION 5' CERTIFICATION: l, ~--~q~/ofF Z~. ,/~/Jr-gO,/u) CERTIFY THAT THE ABOVE INFOR- MATiON IS ACCURATE. t UNDERSTAND THAT THIS INFORMATION WILL SE USED TO FULFILL MY FIRM'S CSL1GATICNS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON ,,AZARDOUS MATERIALS (D~V..,0 CHAPTER 6.95 SEC 25500 ET AL.) AND THAT INACCURATE INFORMATION.C~NSTiTUI'ES PERJURY. Y'- -¢. ¢: ~_~'~ .SiGNATUr~E x.... TITLE DATE ...... HAZAP. DOLIS. MATERIALS MANAGF. MENT PLAN Facility Llnit Name: " SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: EMPLOYEE NOTIFICATION AND EVACUATION' ~B~k~rsfield Fire Dept. HA~DOU~ MA~R~AhS MAMAG~M~MT SECTION 7: MITIGATION, PREVEN~ON AND ABATEMENT PLAN: A. REL~AS~ PREVENTION STEPS: B. RELEASE-CON'TAINMENT AND/OR MINIMI~TION: SECTION 8: UTILITY SHUT-OFFS ~'LCCATiCN CF SHUT-OFFS AT YOUR FACILITY): NATURAL ~AS/?RO?ANE: WATER o,~%, ' ~'~" ~,~,'~,x ECX: NO ::F v=: ....-' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FiRE PROTECTrON' /~dEE:, %?~,~:e.z~o '&o")(.~_ B. WATER AVAILABIUTY (FIRE HYDRANT): BAKERSFIELD CITY FIRE DEPARTMENT H/t3 RDOUS MATERIALS INVEIIiORY Page_of__ .~usiness Name ~ iC:/-~Y-X'~- ~.~/_~_.~?._c~,, Address ~ ~ ~ ~ ~ ~/'~ CHEMIC~ DESCRI~ON 1) IN--DRY STA~S: N~ ( ] ~n { ] R~mn ( ] ~n [ ] Ch~ ~ ~ ~ a NON ~DE S~R~ [ ] ~ S~R~ [ ] C~m~ N~: ~M :[ ] CAS · 4) PHYSICAL & H~ PHYSIC~ H~ H~D CA~ES Rm ~ Re~ [ ] S~en Re~ of Pre.urn [ ] I~e He~ ~e) [ ] 5) WAS~ C~SSIRCA~ON (~ig~ ~e ~m DHS Fo~ 80~) USE CO~ 6) PHYSlC~STA~ ~1~ [ ] Uqu~ ~ ~ [ ] Pure [ ] M~ ~ W~te [ ] ~ [ ] ~ ~OUNT ~D ~ME AT FAClU~ UN~S OF M~SURE 8) STOOGE CODES M~mum ~ ~u~: ~ ~ [ ] g~ ~ ~3 [ ] a) Co~ne~ A~O~N~um: ~O cudes [ ] b) Pressure: ~n~ A~unt: ~O~ c) Tem~r~m: ~g~t Size'Con~ · Da~OnS~e '~ Cimle~ichMomhs: AIIYe~. J, F, M, A, M, J, J, A, S. O, N, O 9) MITRE: ~st COMPON~ CAS · % ~ ~M chem~ com~ne~ or ~y AHM ~m~ 2) [ ] [ ] CHEMICAL DESCRI~ION 1) IN~TORYSTA~S: New[ ] Add,ion[ ] Re.sion{ ] ~le~on[ ] Check~chemi~is~NON~DESECR~ [ ] Chemi~ N~e: AH~'[ ] CAS · 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire [ ] Rea=lye { ] Sudden Rele=e of Pressure { ] lmmedi~e He~h (Ac~e) ~ ~la~d He~h (Chmn=) [ ] 5) WA$~ C~S~IFICA~ON (3-~ig~ co~e ~om OHS Fo~ ~022) USE CODE 6) PHYSICALSTA~ Solid ~ Liquid [ ] G~ [ ] Pure [ ] Mi=u~ ~ W~te [ ] Radi~ [ ] 7) AMOUNT AND TIME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES M~imum O~ly Amoum: ~ ~ i~ [ ] gm ~ ~3 [ ] a) Contmner: Average Omly Amount: ~7 ~ tunes [ ] b) Pressure: Annu~ Amoum: '~ ~ c) Tem~r=ure: ~ges= Size Contmner: · O~ On ~ite ~' Circte~ich Months: AllYe=. J, F, M, A,, M, J, J, A, $, O, N, D 9) MITRE: ~st COUPONENT CAS · % ~ AHM the three most h~==ous 1) t, ~ I ~1~(~~.~ [ ] chemJ~ core.hen= or ~y AHM ~m~nents 2) [ ] 10) Lo~ion /~, D~ ~ ~ O~ ce~ under pen~ of law, ~at I have pe~onally ex~m~ ~d ~ f~lli~ wr~ ~e infoma~on su~mi~ on ~is ~ ~1 a~c~ ~umen~ I believe ~ubmi~ info~a~on is ~e, accumm, ~ compleX. PRI~ N~e & ~e of ~z~ Comfy Represenm~ve ~ /~S~m ~ ' Dam BAKERSFIFi D CITY FIRE DEPAR ENT HAZARDOUS MATERIALS INVENTORY Page__of.._' usiness Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Additk~ ( ] Revision [ ] Deletion [ ] Che~k if chemical i~ & NON TRADE SECRET [ ] TRAi3~ SECRET [ ] 2) Common Name: 3) DOT ~ (Ol~i~,-~') ChemicaJ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire {'] Reactive[ ] Sudden Release of Pressure [ ] Immediate Health (Aeute) [ ] Delaye~Heal~(Chmnio) [ ] 5) WASTE CLASSIFiCATION ,(3-digit code f~om DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] ~ [ ]. 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gaJ [ ] ft3 [ ] a) Container. Average Daily Amount: cudas [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N. D 9) MIXTURE: list COMPONENT CAS # % WT AHM the three most hazardous 1). [ ] chemical components or any AHM components 2) [ ] 3) [ l 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical-Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed HeaJth (Chronic) [ ] 5) WASTE CLASSIFICATION .{3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] L~cluid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] ga [ ] ft3 [ ] a) Container. Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Teml3ereture: largest Size Contmner: # Days On Site Circle Which Months: AllYe~r, J. F, M, A,i M, J, J, A, S. O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most haz~dous 1) [ ] chemicaJ components or any AHM components 2) [ ] 3) [ l 10) Locmion cer~fy un, er penatty of law, that t have personally examined an¢t am fam#iar with the infomet~on submitted on this an¢t all attacJled documell~. I believe the Jbmitted inforrne#on is true, accurate, and complete. RINT Name & Title of Authorized Company Representa#ve Signature Dat~