HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This hermit is issued for the followin_.:
[] Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
[] Risk Management Program .
[] Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-001423
STOCKDAI,E FLOOR
LOCATION 2300 5301
OFFICE OF ENVIRONMENTAL SER VICES'
1715 Chester Ave., 3rd Floor " Approved by: "(..Ralpl/Huey, V~] Issue Date
Bakersfield, CA 93301 Omc¢ofEvironm~Services ~
Voice (661) 326-3979
FAX(661) 326-0576 Expiration Date: 'June 30. 2003
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301
FACILITY CONTAGT_55~,.,z,~...-... BUSINESS ID NO. 15-210- o~ 1¥2..."5
INSPECTION TIME, /'5 v,.,. ,'-r- NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program ~'
Routine [~ Combined ~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Verification of quantities Y O-/~cc.,o~.q ~o ...~
/
Verification of location
Proper segregation of material
Verification of MSDS availability t~
Verification of Haz Mat training ~
Verification of abatement supplies and procedures t~
Emergency procedures adequate
Containers properly labeled '~' /tJ .,t/~4~ .,,
Site Diagram Adequate & On Hand /%0 / ' ' t/
C=Compliance V=Violation
Any hazardous waste on site,: [~Yes /~No ~//
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979 - l~u~i~ess Siie Responsible Party
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector."~. ~e..~.t_,
STOCKDALE FLOOR COVERIN SiteID: 015-021-001423
Manager : BusPhone: (661) 397-0568
Location: 2300 EYE ST Map : 103 Com~az : Low
City : BAKERSFIELD Grid: 30A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:
EPA NuB: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DON/PAMELA MAHAN / OWNERS ROXANNE OPPERMAN / BOOK KEEPER
Business Phone: (661) 397-0568x Business Phone: (661) 397-0568x
24-Hour Phone : (661) 871-6431x 24-Hour Phone : (661) 872-4248x
Pager Phone : ( ) ~'- x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 397-0568x
MailAddr: 1210 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93304-4128
Owner PAMELA MEHAN Phone: (661) 397-0568x
Address : 2708 SILVER DR State: CA
City : BAKERSFIELD Zip : 93306
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: Res: No
Emergency Directives:
PRODUCTS STORED.AT 2300 EYE ST, WAREHOUSE.
= Hazmat Inventory One Unified List
--Alphabetical Order Ail Materials at Site
Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax lunit MCP
EPOXY RESIN ADHESIVE IH DH L 100.00 GAL Low
PROPANE ~ E F P IH G 887.00 FT3 Hi
-1- 08/16/2001
STOCKDALE FLOOR COVERING SiteID: 015-021-001423
Fast Format
~Notif./Evacuation/Medical Overall Site
Agency Notification
-- Employee Notif./Evacuation 02/22/2000
VERBALLY INFORM ALL PERSON IN FACILITY AND MOVE TOWARD NEAREST EXIT.
-- Public Notif./Evacuation 02/22/2000
VERBALLY INFORM ALL PERSONS IN FACILITY AND MOVE TOWARD NEAREST EXIT.
Emergency Medical Plan 02/22/2000
CALL 911, NEAREST LOCAL MEDICAL FACILITY IS:
MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371.
2 08/16/2001
F STOCKDALE FLOOR COVERING SiteID: 015-021-001423
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 02/22/2000
MATERIALS ARE NOT OPENED INSIDE FACILITY.
-- Release Containment 02/22/2000
IF SPILL OCCURS, AN EMPTY METAL CONTAINER AND SCOOP ARE UTILIZED.
-- CleanUp
Other ResourceActivation
-3- 08/16/2001
F STOCKDALE FLOOR COVERING SiteID: 015-021-001423
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 02/22/2000
A) GAS - NW CORNER OF FACILITY
B) ELECTRICAL - NE CORNER OF FACILITY
C) WATER - NE CORNER OF FACILITY
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 02/22/2000
PRIVATE FIRE PROTECTION - FIVE EXTINGUISHERS - TWO IN WAREHOUSE AND THREE IN
SHOWROOM.
FIRE HYDRANT - APPROXIMATELY 50 FT FROM FRONT OF FACILITY.
Building Occupancy Level
-4- 08/16/2001
STOCKDALE FLOOR COVERING SiteID: 015-021-001423
Fast Format
= Training Overall Site
-- Employee Training 02/22/2000
WE HAVE 6 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARYOF TRAINING PROGRAM: DISTRIBUTE LITERATURE.
-- Page 2
Held for Future Use
Held for Future Use
5 08/16/2001
~ STOCKDALE FLOOR COVERING SiteID: 015-021-001423
~ Full Format Type+Category+Sub-Category+Date2(ASC) Order
One Unified List
INSPECTIONS
Reference Dates Summary Description
NICHOLS 11/20/1996 OK
SANDOVAL 12/07/1995. OK
MOFFATT 09/27/1994 OK
Reference Dates Summary Description
MOFFATT 10/15/1993 OK
MOFFATT 10/22/1992 OK
HOSEY 11/27/1990 OK
BUSINESS PLAN PROGRAM ROUTINE INSPECTION
Reference Dates Summary Description
THOMAS 06/09/1999 OK
-6- 08/16/2001
F STOCKDALE FLOOR COVERING SiteID: 015-021-001423
~ Full Format Type+Category+Sub-Category+Date2(ASC) Order
One Unified List
INSPECTIONS
BUSINESS PLAN PROGRAM ROUTINE INSPECTION
Reference Dates Summary Description
RAPP 09/02/1997 OK
-7- 08/16/2001
]~-_~ ~ ~![] OFFICE OF ENVIRONMENTAL SERVICES
~. -~- .. '7~ UNIFIED PROG~M INSPECTION CHEC~IST
~~~ 1715 Ch es ter Ave., 3~a Floo r, Bakersfield, CA 93301
FACILITY CONTACT BUS.ESS IDNO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Invento~ Program
~ Routine ~ Combined ~ Joint Agency ~ Multi-Agency _~ Co~plaint
OPE~TION ~ ~ ~ ~ COMMENTS
Appropriate pe~it on hand
Business plan contact info~ation accurate
Visible address ~~
Co~ect occupancy ~
Verification of invento, materials ~ ~~ ~.
Verification of quantities ~ ~ '
Verification of location
Proper segregation of material
Verification of MSDS availabili~
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
Explain: ,
Questions regarding this inspection? Please call us at (661) 326-3979 Businetfi Site Responsible p..Jrty
White - Env. Svcs. Yellow o Station Copy Pink - Business Copy Inspector:
STOCKDALE FLOOR COVERING I .......... SiteID: 215-000-001423
· I-'FEB 1 5 200
Manager : 0 BuSphone: (805) 397-0568
Location: 1210 WIBLE RD IBy: ' Map : 123 Comm}{az : Low
City : Bakersfield I Grid: 0lC FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 09 % SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DON/PAMELAMAHAN / OWNERS ROXANNE OPPERMAN / BOOK KEEPER
Business Phone: (805) 397-0568x Business Phone: (805) 397-0568x
24-Hour Phone : (805) 871-6431x 24-Hour Phone : (805) 872-4248x
Pager.Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 1210 WIBLE RD State: CA,
City : BAKERSFIELD Zip : 933044128
Owner PAMELA MEHAN Phone: ( ) - x
Address : 2708 SILVER DR State: CA
City : BAKERSFIELD Zip : 93306
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
?PRODUCTS STORED AT 2300 EYE ST?
= Hazmat Inventory One Unified List
-- MCP+DailyMax Order All Materials at Site
Hazmat Common Name... ISpocHazlEPA HazardsI Frm l DailyMax lUnitlMcP
PROPANE F P IH G 887.00 FT3 Hi
EPOXY RESIN'ADHESIVE IH DH L 100.00 GAL Low
~V~ Or p~nt ~)
anycorre~ions co~stiiu~ a compl~ls
agement plan ~or
12/21/1999
STOC~ALE FLOOR COVERING SiteID: 215-000-001423
~ Inventory Item 0003 Facility Unit: Fixed-Containers on Site
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:/~rj
WAREHOUSE //_/ CAS#
74-98-6
. AMOUNT~AT THIS LOCATION~
Largest Container ~ I / Daily Maximum Daily Average
~3~.~-/ 887.00 FT3 443.00 FT3
o ,~ r/HAZARDOUS COMPONENTS
100.00 Propane/ Yes 74986
r/ HAZARD ASSESSMENTS
TSecret '/~ BioHazINO JNo I No Radioactive/AmountNo/ Curies EPAF p HazardsiH NFPA/// IUsDOT# HiMCP
= Inventory Item 0002 Facility Unit: Fixed C?Qntainers on Site
EPOXY RESIN ADHESIVE ~/~//%ap: Gr Days3650n Site
Location within this ,Facility Uni id:
WAREHOUSE . ~ ~/%j~ CAS#
7631-86-9
STATE ~ TYPE _PRE/~E TEMPERATURE CONTAINER TYPE
Liquid I Mixture I .A~ent I Ambient PLASTIC CONTAINER
./ AMOUNTS AT THIS LOCATION
Largest ~erI Daily Maximum Daily Average
GAL 100 . 00 GAL 30 . 00 GAL
×, ~"L~Z,Z-'~.UU U ~ ~U~"~ ~'U~.~ ~.~ '.t'~
3.00 Petroleum Unrefined Hydrocarbons No 8002059
6.00 Silicon Dioxide No 7631869
~'-~'~ HAZARD ASSESSMENTS
TSecretINo NoRS I Bi°HaZNo Radioact ire/Am°unt I EPANo/ Curies Has ardsIIH DH /NFPA// USDOT# MCP
-2- 12/21/1999
STOCKDALE FLOOR COVERING SiteID: 215-000-001423
Fast Format
~Notif./Evacuation/Medical Overall Site
Agency Notification
-- Employee Notif./Evacuation 03/04/1992
VERBALLY INFORM ALL PERSON IN FACILITY AND MOVE TOWARD NEAREST EXIT
-- Public Notif./Evacuation 03/04/1992
VERBALLY INFORM ALL PERSONS IN FACILITY AND MOVE TOWARD NEAREST EXIT
Emergency Medical Plan 03/04/1992
CALL 911; NEAREST LOCAL MEDICAL FACILITY IS
MERCY HOSPITAL
2215 TRUXTUN AV
BAKERSFIELD, CA
(805) 327-3371
-3- 12/21/1999
STOCKDALE FLOOR COVERING SiteID: 215-000-001423
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention~ 01/07/1990
MATERIALS ARE NOT OPENED INSIDE FACILITY
-- Release Containment 01/07/1990
IF SPILL OCCURS, AN EMPTY METAL CONTAINER AND SCOOP ARE UTILIZED
Clean Up
Other Resource Activation
-4- 12/21/1999
~ STOCKDALE FLOOR COVERING SiteID: 215-000-001423
Fast Format
F Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 03/04/1992
A) GAS - NORTHWEST CORNER OF FACILITY
B) ELECTRICAL - NORTHEAST CORNER OF FACILITY
C) WATER - NORTHEAST CORNER OF FACILITY
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 03/04/1992
PRIVATE FIRE PROTECTION - FIVE EXTINGUISHERS'- TWO IN WAREHOUSE AND THREE IN
SHOWROOM.
FIRE HYDRANT - APPROXIMATELY 50 FEET FROM FRONT OF FACILITY
Building Occupancy Level
5 12/21/1999
STOCKDALE FLOOR COVERING SiteID: 215-000-001423
Fast Format
~ Training Overall Site
-- Employee Training 03/04/1992
WE HAVE 6 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING PROGRAM: DISTRIBUTE LITERATURE
Page 2
Held for Future Use
Held for Future Use
-6- 12/21/1999