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HomeMy WebLinkAboutBUSINESS PLAN 10/29/2007~.~ ~ a ~ J. a ~' d I'~, ~~ LESLIES POOL SUPPLY - -- - - ~~ _ _ a, 2651 OSWELL ST STE F _ _ cui°~ ~~~~ au~ 3 0 ~~ Hazardous Materials/Hazardous Waste, Unified Permit CONDITIONS OF,PERMIT ON REVERSE SIDE Permit ID#:: 015-000-001801 .LESLIES POOLSUPPLY ~LOCATION: 2651 osVVELL ST F ' Thi~ I~rmit is issued for the f°llowin_.: [] Hazardous Materials Plan [] Underground Storage of HazardOuS Materials [] Risk Managemmat Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department · OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661). 326-0576 '! OffiCe ofEv~Services ~ ',June 30. 2003 Issue Date LESLIES POOL SUPPLIES 261 SiteID: 015-021-001801 Manager JOE FERRERA Location: 2651 OSWELL ST City BAKERSFIELD BusPhone: Map : 103 Grid: 23A (661) 873-8880 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code: 5999 DunnBrad: Emergency Contact / Title Emergency Contact / Title GREG CANFIELD / DISTRICT MGR MIKE JENNINGS / REG AFFAIRS MGR Business Phone: (559) 307-9815x Business Phone: (602) 366-3946x 24-Hour Phone : (559) 307-9815x 24-Hour Phone : (480) 227-9249x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth Contact : MIKE JENNINGS MailAddr: 3925 E BROADWAY RD 100 City : PHOENIX Period : Preparer: Certif'd: ParcelNo: to Phone: (602) 366-3946x State: AZ Zip : 85040 Phone: (602) 366-3999x State: AZ Zip : 85040 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address City LESLIES POOLMART : 3925 E BROADWAY RD : PHOENIX Emergency Directives: PROG A - HAZMAT I~~ / lol -Z.f1 { d 1 ~ -1- 10/22/2007 , . F LESLIES POOL SUPPLIES 261 F Hazmat Inventory p= MCP+DailyMax Order SiteID: 015-021-001801 By Facility Unit Fixed Containers at Site Hazmat Common Name... I SpecHazIEPA Hazards I Frm I CHLORINE BLEACH/R/L/250.00 GAL/ HI MURIATIC ACID/R/IH/L/200.00 GAL/ HI TRICHLORO-S-TRIAZINETRIONE/S/8000.00 LBS/MOD SODIUM DICHLORO-S-TRIAZINETRION/S/6000.00 LBS/MOD CALCIUM HYPOCHLORITE/S/4500.00/LBS/MOD SODA ASH/F/IH/S/800.00 LBS/LOW SODIUM BICARBONATE/R/IH/S/800.00 LBS/MIN FRESH AND CLEAR/S/1000.00 LBS/UNR SEE ATTACHED INVENTORY SHEET -2- 10/22/2007 F LESLIES POOL SUPPLIES 261 F Inventory Item 0002 COMMON NAME / CHEMICAL NAME Location SiteID: 015-021-001801 9 Facility Unit: Facility Unit Map: Grid: F Inventory Item 0006 ~ COMMON NAME / CHEMICAL NAME CHLORINE BLEACH Facility Unit: Fixed Containers at Site 9 Location within this Facility Unit NW CRNR BACK RM Days On Site 365 Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 200.00 GAL %Wt. RS CAS # 10.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Hi HAZARD ASSESSMENTS -4- 10/22/2007 F LESLIES POOL SUPPLIES 261 F Inventory Item 0005 i== COMMON NAME / CHEMICAL NAME MURIATIC ACID SiteID: 015-021-001801 ; Facility Unit: Fixed Containers at Site; Days On Site 365 Location within this Facility Unit N END BACK RM Map: Grid: CAS # 7647-01-1 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 120.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 32.00 Muriatic Acid Yes 7647010 HAZARD ASSE SMENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi S S F Inventory Item 0003 = COMMON NAME / CHEMICAL NAME TRICHLORO-S-TRIAZINETRIONE CHLORINATOR TABLETS Location within this Facility Unit CTR SALES FLR Facility Unit: Fixed Containers at Site; Days On Site 365 Map: Grid: CAS # STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 40.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 8000.00 LBS Daily Average 4000.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Trichloro-s-triazinetrione No 87901 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -5- 10/22/2007 F LESLIES POOL SUPPLIES 261 p= Inventory Item 0004 F== COMMON NAME / CHEMICAL NAME SODIUM DICHLORO-S-TRIAZINETRIONE SiteID: 015-021-001801 9 Facility Unit: Fixed Containers at Site 9 DIHYDRATE Days On Site 365 Location within this Facility Unit E END SALES FLR Map: Grid: CAS # STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 6000.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS Daily Average 3000.00 LBS HAZARDOU COMPONENT %Wt. RS CAS # 100.00 Sodium Dichloro-s-triazinetrione Dihydrate No 2893789 S S HAZARD ASSE SMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod S p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location withi~ this Facility Unit N CTR SALES FLR/BACK ROOM Map: Grid: CAS # STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 100.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 4500.00 LBS Daily Average 2000.00 LBS %Wt. RS CAS # > 65.00 Calcium Hypochlorite No 7778543 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS -6- 10/22/2007 F LESLIES POOL SUPPLIES 261 F Inventory Item 0007 F== COMMON NAME / CHEMICAL NAME SODA ASH SODIUM CARBONATE Location within this Facility Unit NE CTR SALES FLR SiteID: 015-021-001801 1 Facility Unit: Fixed Containers at Site 1 Days On Site 365 Map: Grid: CAS # 497-19-8 STATE Solid TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 50.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 800.00 LBS Daily Average 600.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Sodium Carbonate No 497198 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low F Inventory Item 0008 = COMMON NAME / CHEMICAL NAME SODIUM BICARBONATE ALKALINITY VP Location within this Facility Unit NE CTR SALES FLR Facility Unit: Fixed Containers at Site 1 Days On Site 365 Map: Grid: CAS # STATE Solid TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 30.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 800.00 LBS Daily Average 600.00 LBS HAZARDOU COMPONENTS %Wt. RS CAS # 100.00 Sodium Bicarbonate No 144558 S HAZARD ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Min ASS -7- 10/22/2007 -L _. ay LESLES POOL SUPPLIES 261-OSWELL Manager JOE FERRERA Location: 2651 OSWELL ST City BAKERSFIELD CommCode: BFD STA OS EPA Numb: ~~~i SiteID: 015-021-001801 BusPhone: (661) 873-8880 Map 103 CommHaz High Grid: 23A FacUnits: 1 AOV: SIC Code:5091 DunnBrad: Emergency Contact / Title -f- ~~ ~ ` Emergency Contact f Title Business s G : ~ u ~ ~ L~.,.~,'r,~ rrt / ~c~.,~r,, f'.~ Phone: (-6 ) - 7~~ 0 I~-'~e3'E~;D s ~~iness P~o~ie: / `~~gr~. 4~8 (-6.6z) `~ ~ ~ ~ ~~ ~ ~ ~ . _ -1~ • 2 4 -Hour Phone ( -1--) 3 ~3 2 4 -Hour Phone x 8 () Pager Phone (~~) 3`~~ - `~~~~-~ Pager Phone (K~~) 4L~ - CjL~(~ Hazmat Hazards: Fire Press React ImmHlth Contact MIKE JENNINGS Phone: (602) 366-3999x ~9~!(.t MailAddr: 3925 E BROADWAY RD 100 State: AZ City PHOENIX Zip 85040 Owner LESLIES POOLMART Phone: (602) 366-3999x Address 3925 E BROADWAY RD State: AZ City PHOENIX Zip 85040 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT F^Sased on my inquiry of those individuals ible for obtaining the information, I certify respons under penalty of lave that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. z .who ~ ~N~'b ~~~' ~ ~ Sig -1- 02/02/2007 F LESLIES POOL SUPPLIES 261-OSWELL SiteID: 015-021-001801 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM PERSULFATE F P S 1500.00 LBS Hi CHLORINE BLEACH R L 250.00 GAL Hi MURIATIC ACID E R IH L 120.00 GAL Hi TRICHLORO-S-TRIAZINETRIONE S 8000.00 LBS Mod SODIUM DICHLORO-S-TRIAZINETRION S 6000.00 LBS Mod CALCIUM HYPOCHLORITE S 4500.00 LBS Mod SODA ASH F IH S 800.00 LBS Low SODIUM BICARBONATE R IH S 800.00 LBS Min -2- 02/02/2007 -3- 02/02/2007 J ~ F LESLIES POOL SUPPLIES 261-OSWELL SiteID: 015-021-001801 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SODIUM PERSULFATE Days On Site OXIDIZER II 365 Location within this Facility Unit Map: Grid: N CTR SALES FLR CAS# ~SolidE TMixture~mbient~E ~ AmbientT~E ~PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 45.00 LBS 1500.00 LBS 1000.00 LBS t1HGKKLVUJ 1:V1~lYV1V1;1V1.7 oWt. RS CAS# 100.00 Oxone Monosulfate Compound No 70693628 t11~GF~KL E~JJ~JJ1~11",1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORINE BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: NW CRNR BACK RM CAS# 7681-52-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient _~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 250.00 GAL _ 200_.00 GAL ntiGtltCL V U .7 1, V1~lY V1V P~1V 1 J oWt. RS CAS# 10.00 Sodium Hypochlorite No 7681529 l11-~GHiCL HJ .7P~J.71~11;1V 1.7 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Hi -4- 02/02/2007 F LESLIE5 POOL SUPPLIES 261-OSWELL ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME MURIATIC ACID Location within this Facility Unit N END BACK RM STATE TYPE PRESSURE Liquid TMixtur~ Ambient SiteID: 015-021-001801 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7647-01-1 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Co120~00rGAL Daily M20100m GAL I Daily 120r00e GAL r1~~r~.c1~VU~ wlnrVivrivla oWt. RS CAS# 32.00 Muriatic Acid Yes 7647010 t1F~GLiKL Ij~J~JJ1~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME TRICHLORO-S-TRIAZINETRIONE CHLORINATOR TABLETS Location within this Facility Unit CTR SALES FLR Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Solid TMixture ~mbient TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 40.00 LBS 8000.00 LBS 4000.00 LBS riliGEitCLVU~J 1..V1~lYV1VL"1V1~ %wt. Rs cAS# 100.00 Trichloro-s-triazinetrione No 87901 ru~aricu~ r~a ~l;~~l~il;ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies j / / Mod -5- 02/02/2007 F LESLIES POOL SUPPLIES 261-OSWELL SiteID: 015-021-001801 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SODIUM DICHLORO-S-TRIAZINETRIONE DIHYDRATE Days On Site 365 Location within this Facility Unit Map: Grid: E END SALES FLR CAS# ~SolidE TMixtur~AmbRent~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 6000.00 LBS 6000.00 LBS 5000.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Sodium Dichloro-s-triazinetrione Dihydrate No 2893789 ri1'aGEjtCL E~, 7.7.C~.7Jl~lrJ1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: N CTR SALES FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 LBS 4500.00 LBS 4500.00 LBS Ila`~GL~ICLVU.7 l.Vl"lYV1VU'1V 1~7 ~Wt. RS CAS# 65.00 Calcium Hypochlorite No 7778543 tu~Gtu[L ti~ ar,a5l~ll:,lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -6- 02/02/2007 t F LESLIES POOL SUPPLIES 261-OSWELL ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME SODA ASH SODIUM CARBONATE Location within this Facility Unit NE CTR SALES FLR STATE TYPE PRESSURE Solid TMixture Ambient SiteID: 015-021-001801 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 497-19-8 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 800.00 LBS 600.00 LBS nx~H.tcL~ua ~vrirulv~iv,~~ %Wt. RS CAS# 100.00 Sodium Carbonate No 497198 tu~~tattt~ r-~5 5~aai~i~ly l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME SODIUM BICARBONATE ALKALINITY VP Location within this Facility Unit NE CTR SALES FLR STATE TYPE -~-~ PRESSURE Solid. TMixture I Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient l~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest-Con30100rLBS Daily 800100m LBS I Daily 600r00e LBS t1L~G1-ucJJVUJ w1~1ru1vL'1v1~ %Wt. RS CAS# 100.00 Sodium Bicarbonate No 144558 t11~L,LiKL 1~~ J~JJ1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Min -7- 02/02/2007 F LESLIES POOL SUPPLIES 261-OSWELL SitelD: 015-021-001801 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/06/1997 ~ 3 PHONES AVAILABLE TO CALL 911. Employee Notif./Evacuation 04/19/2006 VERBAL IN STORE. REGULATORY AFFAIRS FOR CORPORATION 800-275-5882 X-3946. Public Notif./Evacuation 04/19/2006 OUT MAIN ENTRANCE TO WEST. EMERGENCY EXIT AT NORTHEAST CORNER OF SHOWROOM. Emergency Medical Plan 07/19/2006 COMPANY-DESIGNATED URGENT CARE/HOSPITAL AND FIRST AID KIT IN STORE. -8- 02/02/2007 F LESLIES POOL SUPPLIES 261-OSWELL SiteID: 015-021-001801 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/19/2006 ~ SEPARATION OF INCOMPATIBLES. PRODUCT IN FINAL CONSUMER PACKAGING. Release Containment 10/06/1997 OVERPACK BUCKETS AND NEUTRALIZATION MATERIALS. Clean Up CHEMICAL BROOM AND DUST PAN FOR BUCKETS. 10/06/1997 Other Resource Activation 04/19/2006 EMERGENCY RESPONSE CONTRACTOR: EMI 800-510-8510. -9- 02/02/2007 F LESLIES POOL SUPPLIES 261-OSWELL SiteID: 015-021-001801 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JeC:1dl tld"GdlUS Utility Shut-Offs 04/19j2006 A) GAS - OUTSIDE E DOOR BACK RM B) ELECTRICAL - INSIDE NE CRNR BACK RM C) WATER - OUTSIDE E DOOR BACK RM D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/14/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND SPRINKLERS. Building Occupancy Level 5 EMPLOYEES 03/10/2006 -10- 02/02/2007 aI' ~~ ~~~ a F LESLIES POOL SUPPLIES 261-OSWELL SiteID: 015-021-001801 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/19/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS AND TRAINING UPDATES. rayC 4 nc.iu Lvi r u~uic vac nciu ivi r u~ul.c vac -11- 02/02/2007 UNIFIED PROGRAM INSPECTION CHECKLIST .. ~ _ _. .: -SECTION 1: Business.Plan and Inventory Program • C Prevention Services' R E R s F_, 900 Truxtun Ave., Suite 210 FIRE Bakersfield, GA 93301 ARTM r . Tel.: -(661) 326-3979 ' Fax: (661) 872-2171 FACILITY NAME ~ - ~ ~S ~t mss' ~eso' SGI !l ~S (o INSPECTION DATE %f- / 3 -ate INSPECTION TIME ~~66 ADDRESS ~ S DSrt/c 5-f , PHONE NO. ~ ~3 - ~~ro NO OF EMPLOYEES ~ FACILI TY CONTACT ~~'!/~ t/'Gt BUSINESS ID NUMBER 15-021- 00/ SOr f ~ - - -_ __ _ ____ - ~ - -- Section 1: Business Plan and Inventory Program ~ ~LJ~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance) OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND l~i ^ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE f"? (~ ~ 0 ~ ~,OO~ ~J tJ ~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS fLl ^ 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 `yl. ^ FIRE PROTECTION {~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 32.6-3979 • J [ Ir~lr~ t ~ ~ etrli~t Inspector (Plea Print) Fire revention / 1s~ In /Shift of Site/Station # Bus' es ite Responsible Party (PI a Print) White -Prevention Services Yellow -Station Copy ~ - Pink -Business Copy - FD 2155 (Rev. 09)05 .. ; ~,ar ,~ + LESLIES POOL SUPPLIES 261 ___________________________ SiteID: 015-021-001801 + 2 ~-~~r~r Manager E~-I3~- BusPhone: (661) 873-8880 Location: 2 WELL ST ~' ~ ~~I o~watt 5-F - Map 103 CommHaz High City B IELD ~~~~>~.rr,~rlt Grid: 23A FacUnits: 1 AOV: CommCo BFD STA 08 SIC Code:5091 EPA Numb: DunnBrad: Emergency Contact JOE FERRERA / Title rgency Con cN / ~~ Ti~tl~ . ~.c, ~~ ~ ~" ~ ~' S~i2~D~2 ~ / MA AGER ~TE`S•S N f Business Phone: (661) 873-8880x Busi s hone: (661) ~~-~-r~Ox 2 4 -Hour Phone (6 61) -3-9~' - 3~3-8~ 2 4 - H hone (-8-8~-) 8~-~ 3~-1~--~ Pager Phone ( ) ~ ~ `~ ~ Zy3 ~ P r Pho (~~) 3 ° 7 - `/S f Sx Hazmat Hazards: Fire Peres-s~ React ImmHlth om` ~` ~ Z ~~tl °" ~ Y n ~ ~ ~ = ~ f ~ Contact G~ N ~ 8 7 ~ Phone : 6-1) Mai lAddr : 2-6-7~. L--53-1F' 3 yZ~ ~- ~a.E~ ~w~( ~~ • State : -G~,: ,f9Z City ~az„,~; ~- Zip 93.3.0.6 ~ ~-~~.-(~~p O S ES •.i.~cc. Ph P 6LMAR'~' L-esrr~ e`er y~'o~~vvcaf~ 8~~3=~2-1~~ • (> wner , one - Address 20630 ER ST 3925 ~, ys-oc~r~~w~ /~vt'• State: ~: ~Z- City CHAT OR ~~oP~+ ~ Zip 9-331 ~ S~'-t ~ Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: ~ Emergency Directi ves: ~ PROG A - HAZMAT E3ased on rrty Ihc~uiry gf those individuals responsible for obtainlnQ 4he informetian, I certify undar penally of law that I have personally examined ar~d am 4amlllar with the Information submitted and bollpve the information is true, accurate, and complete. y O Gl a ure Date ENr~ A ~R ~ 9-.Zoos -1- 03/10/2006 LESLIES POOL SUPPLY Manager : MIKE HIBLER Location:. 2651 OSWELL ST F City : BAKERSFIELD CommCode: BAKERSFIELD STATION EPA Numb: SiteID: 015-021-001801 BusPhone: Map : 103 Grid: 23A FacUnits: '(661) 873-8880 CommHaz : Moderate 1 AOV: SIC Code:5091 DunnBrad: Emergency Contact ~.f~ T~le Business Phone: (661) 873-8880x 24-Hour Phone : (661) 397-3'938x Pager Phone : ( ) - x Hazmat Hazards: Emergency Contact / Title STEVE NESS / SUPERVISOR Business Phone: (661) 873-8880x 24-Hour Phone : (888) 876-9321x Pager Phone : ( ) - x ' Fire Press React ImmHlth Contact : MailAddr: 2671 OSWELL ST F City : BAKERSFIELD Phone: (661) 873-8880x State: CA Zip : 93306 Owner LESLIES POOLMART Address : 20630 PLUMMER ST City : CHATSWORTH Phone: (818) 993-4212x State: CA Zip : 91311 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: Hazmat Inventory Alphabetical Order // Hazmat Common Name... ALSTAR II CHLORINATING LIQUID CALCII/M HYPOCHLORITE MURIATIC ACID SODA A: SODIUM ODIUM 'ODIUM RICHL( ISpecHazI EPA HazardsI R R IH One Unified List Ail Materials at Site Frm I ~n~l~Max IUnitlMCP  250.00 GAL Hi 1900.00 LBS Mod L %~O ~.00 GAL Hi ASH BICARBONATE DICHLORO-S-TRIAZINETRION PERSULFATE DRO-S-TRIAZINETRIONE F IH R IH F P 800.00 LBS Low 800.00 LBS Min 6000.00 LBS Mod 1500.00 LBS Hi 1800.00 LBS Mod 1 07/18/2003 p LESLIES POOL SUPPLY SiteID: 015-021-001801 Fast Format ~ Notif./Evacuation/Medical --Agency Notification 3 PHONES AVAILABLE TO CALL 911. Overall Site 10/06/1997 -- Employee NOtif./Evacuation 10/06/1997 VERBAL IN STORE. REGULATORY AFFAIRS FOR CORPORATION (800) 275-5882 X 3880. -- Public Notif./Evacuation OUT MAIN ENTRANCE TO W. EMERGENCY EXIT AT NE CORNER OF SHOWROOM. 03/24/20001 Emergency Medical Plan SOUTHWEST URGENT CARE AND 2 FIRST AID KITS IN STORE. 03/24/2000 ~, .I.."'~ ~1~ ,~or~ lc'/ .0o hereby certify that I have (Type or print name) reviewed the attachea hazardous materials rnanags- ment plan forL~.._sL~.~ ~o~. m,',~.4'and that it along with (Name of Business} any corrections cor~sti~ute a complete and correct man- agement plan for myfadlitlf. ' 2 07/18/2003 UNIFIED PROGRAM INt~PECTION CHECKLIST SECTION 1 Business Plan and Inventory Program BakerSfield Fire Dept. Enh'onment~l Semrlces 1 ? 15 Chester Ave Bakersfield, CA 03301 ~.. Section 1: Business Plan and Inventory Program Routine -~Combined ~ Joint Agency ~ Multi-Agency ~1 Complaint ~ Re-inspection (C=Com~,a~oe'~ OPERATION ~, V=Violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS COMMENTS ~//[~ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ~'~-"-~.,~,-c-~,-o~'-o-;~-o~-~;,';~- ...................................................................................................................................... '-~---~~;~;~--~;~;~: ................................................................................................................ ~D VERiFiCaTiON OF MSDS AVA~LAa~U~E .................................................................................................. -~--~;~.,o" ;~'~~ ....................................... ~ .................................................................................. i~----~:;~-;;.~--~-~;~~ ........... ~ .................................... I'~- ....... ~ ~,;~'~:~?-~N-~-~ ....................... 1- ................... :- ........................... ........... ~ ......... · ...................... ANY HAZARDOUS WASTE ON SITE?: i'1 YES ~ NO EXPLAIN: QUEST~O/~REGARO~t~LZ.~" ~,~s ,NSPECT, ON. PLEASE CALL US AT (661) 326-3979 Ins~ctor Badge No,, le Pa~ White - Environmenlal Services Yellow - ~lalion Copy Pink · Business Copy LESL]IES POOL SUPPLY ,,~ |~· -- SiteID: 215-000-001801 ~ 2::~( ,~.~ ~ I 'MAR :~4.;'000 / ~( Manager : ~ '~,k~,~ I/'~ Bu~Phone: (~) 873-8880 Location: ~OSWELL ST ~ ~l~r.~- Ma~ : 103 Com~az : Moderate City : B~ERSFIELD ~1~¥ G~Id: 23A FacUnits: 1 AoV: CommCode: BAKERSFIELD STATION 08 EPA Numb: SIC Code:5091 DunnBrad: Emergency Contact / Title -SEA~--~PE ~,k~tb~c~,/ MANAGER Business Phone: (8~M3) 873-8880x 24-Hour Phone : (~ff5) 397-3938x Pager Phone : (&~,) - x Emergency Contact / Title ,~0~¢~ ~~z ~ / ~AGER Business Phone: (~-0~-~--8-7-3= $88Ox 24-Hour Phone : ~5-~x Pager Phone : (~) ~qG -~XI x Hazmat Hazards: Fire Press React ImmHlth Contact : MailAddr: 2671 OSWELL ST E City : BAKERSFIELD Phone: (805) 873-8880x State: CA Zip : 93306 Owner LESLIES POOLMART Address : °n~--P~I.,.~D4~ ~ City : CHATSWORTH Phone: (818) 993-4212x State: CA Zip : 91311 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, ..-~--t~,.~J~, ~..~ ,Do hereby certify that I have · ' (Type or print name) reviewed the attached hazardous materials manage- ment plan for .~(.~-'~'=~[~:>~,~.~-~and that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility, 1 02/29/2000 F LESLIES POOL SUPPLY ~ Hazmat Inventory --Alphabetical Order Hazmat Common Name... ISpecHazI EPA HazardsI SiteID: 215-000-001801 By Facility Unit Fixed containers at Site Frm I DailyMax IUnitlMcP ALSTAR II CHLORINATING LIQUID CALCIUM HYPOCHLORITE MURIATIC ACID SODA ASH SODIUM BICARBONATE SODIUM DICHLORO-S-TRIAZINETRION SODIUM PERSULFATE TRICHLORO-S-TRIAZINETRIONE F F P R R IH IH R IH L S L S S S S S 250 00 GAL 1900 00 LBS 300 00 GAL 800 00 LBS 800 00 LBS 6000 00 LBS 1500 00 LBS 1800 00 LBS Hi Mod Hi Low Min Mod Hi Mod 2 02/29/2000 F LESLIES POOL SUPPLY = Inventory Item 0006 -- COMMON NAME / CHEMICAL NAME ALSTAR II CHLORINATING LIQUID Location within this Facility Unit NW CORNER OF BACK RM SiteID: 215-000-001801 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# STATE I TYPE PRESSURE Ambient Mixture Liquid -- TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 200.00 GAL %Wt. 10.00 HAZARDOUS COMPONENTS Sodium Hypochlorite  S CAS# N 7681529 TSecretl RS BioHazI HAZARD AiSESSMENTSI Radioactive/Amount EPA Hazards NFPA No No No No/ Curies R / / / USDOT# MCP Hi = Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Location within this Facility Unit N OF CENTER OF SALES FLOOR Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# STATE -- TYPE PRESSURE Ambient Pure Solid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 75.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 1900.00 LBS Daily Average 1500.00 LBS HAZARDOUS COMPONENTS %Wt. 65.00 Calcium Hypochlorite 7778543 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA I USDOT# I MCP / / / Mod -3- 02/29/2000 LESLIES POOL SUPPLY Inventory Item 0005 COMMON NAME / CHEMICAL NAME MURIATIC ACID Location Within this Facility Unit N END OF BACK RM SiteID: 215-000-001801 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 7647-01-1 rSTATE TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 300.00 GAL Daily Average 250.00 GAL %Wt. 32.00 Muriatic Acid HAZARDOUS COMPONENTS Yes CAS# 7647010 ITSecret No HAZARD ASSESSMENTS I RS Bi°HazlRadi°active/Am°unt EPA HazardsNo No No/ Curies R IH NFPA /// USDOT# MCP Hi = Inventory Item 0007 -- COMMON NAME / CHEMICAL NAME SODA ASH SODIUM CARBONATE Location within this Facility Unit NE OF CENTER SALES FLOOR Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 497-19-8 STATE TYPE PRESSURE --[ TEMPERATURE Solid ~Pure Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 50.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 800.00 LBS Daily Average 600.00 LBS I%Wt. 100.00 HAZARDOUS COMPONENTS Sodium Carbonate CAS# 497198 ITSecretI RSIBioHaz No No No HAZARD ASSESSMENTS I Radioactive/Am°unt IEPA HazardsNo/ Curies F IH NFPA /// USDOT# MCP Low -4- 02/29/2000 LESLIES POOL SUPPLY ~ Inventory Item 0008 -- COMMON NAME / CHEMICAL NAME SODIUM BICARBONATE ALKALINITY VP Location within this Facility Unit NE OF CENTER OF SALES FLOOR SiteID: 215~000-001801 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# F STATE T TYPE PRESSURE Ambient Pure Solid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 30.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 800.00 LBS Daily Average I 600.00 LBS HAZARDOUS COMPONENTS I%Wt. I 100.00 Sodium Bicarbonate N~S CAS# 144558 ITSecret N~SIBioHaz No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies R IH NFPA /// USDOT# MCP Min ~ Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME SODIUM DICHLORO-S-TRIAZINETRIONE Location within this Facility Unit E END OF SALES FLOOR Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 3¢5 CAS# ~ TYPE STATE ~Pure Solid PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS Daily Average 5000.00 LBS %Wt. 100.00 HAZARDOUS COMPONENTS Sodium Dichloro-s-triazinetrione N 2893789 ITSecretI RSIBioHaz No No No HAZARD ASSESSMENTS Radioactive/AmountNo/ Curies I EPA Hazards NFPA /// USDOT# I MCP Mod -5- 02/29/2000 LESLIES POOL SUPPLY SiteID: 215-000-001801 Inventory Item 0002 Facility Unit: Fixed Containers at Site SODIUM PERSULFATE Days On Site OXIDIZER II 365 Location within this Facility Unit Map: Grid: N OF CENTER OF SALES FLOOR CAS# STATE -T- TYPE PRESSURE Ambient Pure Solid -- TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 50.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 LBS Daily Average 1000.00 LBS %Wt. 75.00 HAzARDous COMPONENTS Sodium Persulfate RN~oRS CAS#7775271 HAZARD ASSESSMENTS TSecret oRSlBioHazI Radioactive/Amount I EPA HazardsI NFPA No N No No/ Curies F P / / / USDOT# IHiMCP Inventory Item 0003 Facility Unit: Fixed Containers at Site ~lv~vl~ ~vl~ / ~£ ~-Ll~ ~Vl~ TRICHLORO-S-TRIAZINETRIONE Days On Site CHLORINATOR TABLETS 365 Location within this Facility Unit Map: Grid: CENTER OF SALES FLOOR CAS# F STATE ~ TYPE Solid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE pLASTIC CONTAINER Largest Container 40.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 1800.00 LBS Daily Average 1500.00 LBS HAZARDOUS COMPONENTS I%Wt. I 100.00 Trichloro-s-triazinetrione I CAS# 87901 ITSecretI ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// IUSDOT# MCP Mod 6 02/29/2000 LESLIES POOL SUPPLY ~/~/~/~/~5/~/~/~/~/~~ SiteID: 215-000-001801 i i~ Notif./Evacuation/Medical ~~~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 10/06/1997 i o 3 PHONES AVAILABLE TO CALL 911. ° o i~ Employee Notif./Evacuation ~~~g~~~ 10/06/1997 i O VERBAL IN STORE. REGULATORY AFFAIRS FOR CORPORATION (800) 275-5882 X 3880. o i~ Public Notif./Evacuation ~~~~~~ 10/06/1997 i o OUT MAIN ENTRANCE TO W. ° EMERGENCY EXIT AT NE CORNER OF SHOWROOM. ° o i~ Emergency Medical Plan ~~~~~~ 10/06/1997 i o SOUTHWEST URGENT CARE. ° 2 FIRST AID KITS IN STORE. ° o aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~~f -7- 02/29/2000 LESLIES POOL SUPPLY/~/~/5/5/~/~/~6/5/~/~/5/5/5/5~6/5/5/5/~/~6/5~6~6 SitelD: 215-000-001801 Mitigation/Prevent/Abatemt ~~~~~ Overall Site i~ Release Prevention ~~~~~~~ 10/06/1997 O SEPARATION OF INCOMPATIBLES. ° O i~ Release Containment ~~6~~~6~6~~6~ 10/06/1997 o OVERPACK BUCKETS AND NEUTRALIZATION MATERIALS. o i~ Clean Up ~6~66~6~~6~~~ 10/06/1997 o CHEMICAL BROOM AND DUST PAN FOR BUCKETS. ° o i~ Other Resource Activation o O -8- 02/29/2000 LESLIES POOL SUPPLY ~~~~~ SitelD: 215-000-001801 i~ Site Emergency Factors ~~~~~~ Overall Site O i~g Utility Shut-Offs EEE~EE~EEEE~E~EE~E~~ 10/06/1997 A) GAS - OUTSIDE E DOOR TO BACK RM ° B) ELECTRICAL - INSIDE NE CORNER OF BACK RM ° C) WATER - OUTSIDE E DOOR TO BACK RM ° D) SPECIAL - NONE ° E) LOCK BOX - NO ° i~ Fire Protec./Avail. Water ~~~~~ 10/06/1997 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ° NEAREST FIRE HYDRANT - SPRINKLERED BLDG o ii~i~ Building Occupancy Level -9- 02/29/2000 i LESLIES POOL SUPPLY ~/~/~gi~/~/~/~~i~/~~ SiteID: 215-000-001801 i~ Tra~ng ~~~~~~~~ Overall Site i i~ Employee Tra~g ~~~~~~~ 10/06/1997 i O o WE ~VE 5 EMPLOYEES AT THIS FACILITY. o o WE DO ~VE MSDS SHEETS ON FILE. o o B~EF SUM~RY OF T~INING PROG~M: O 0 0 o o o SAFETY MEETINGS AND TRAINING UPDATES. O -10- 02/29/2000 FACILITY NAME ADDRESS ~ FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE ~/"7-'g//oO PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~1 Routine [~1 Combined [~ Joint Agency I~ Multi-Agency I~ Complaint {~1 Re-inspection OPERATION C V COMMENTS ApprOpriate permit on hand ~ <2:c/~_ (["-crr_j~ Cr~o Business plan contact information accurate /'d'~-~,) 5o ~ ~'~ t-Dc Visible address Correct occupancy Verification of inventory materials Verification of quantities 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?: l~l Yes ~.~1o Explain: / - Questions regarding this inspection? Please Call us at (805) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy B(..~ness Sit[ ~t~s~onsible Party Inspector: ~'/~- JOE FERRARA STORE MANAGER (66 t ) 873-8880 · FAX (66 ! ) 873-8882 2651-E OSWELL ST. #F 0 BAKERSFIELD, CA 93306 INSTRUCTIONS; CITY OF BAKERSFIELD, ~E OF ENVIRONMENTAL GROUND STORAGE TANK? ester Ave., Bakersfield, CA (805) 326-3979 · . ..... . /~c),/~ '.-,~EE-z~ - ': 'ff ' ', F'/o 2. 3. 4. To avoid further action, remm this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be as brief and concise as possible. SECTION l' BUSINESS IDENTIFI~ATION DATA BUSINESS NAME': L. LOCATION:.-:3..~:~-..- M~H.ING ADDRESS: '~ ",C" /," CITY: :" DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: OWNER: MARLING ADDKESS: SIC CODE: SECTION 2: EMERGENCY NOTIFICATION CONTACT .... TITLE BUS. PHONE 24 HR. PHONE 3S2'- :z~-3 ~-' ~.~, -? - 3~3~v