HomeMy WebLinkAboutBUSINESS PLAN 10/23/2003 ul-30-01 OZ:O3pm From-BiG 5 CORP +310-2g?-~575 T-T4Z P.04/11 F-z?g
Big 5, 3203 'Mall View Drive, Bakersfield, CA
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SECTION 1. Business Plan and Inventory Program
Bakersfield Fire Dept.
Enlronmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME ~ INSPECTION DATE INSPECTION TIME
ADDRESS ................. PHONE No. N~'~o~ Employees
FACILITYCONTACT Business ID Number
15-021- oe-/q,,
I '~o'utine
Section 1' Business Plan and Inventory Program
I-! Combined I~ Joint Agency i=1 Multi-Agency ~ Complaint I-I Re-inspection
C V /C=Cor. p,ence'~ OPERATION
\ V=Violation
' {~ APPROPRIATE PERMIT ON HAND
-.
i"1 VISIBLE ADDRESS
CORRECT OCCUPANCY
i'1 VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
BUSINESS PLAN CONTACT INFORMATION ACCURATE
VERIFICATION OF MSDS AVAILABILITYE
VERIFICATION OF HAT MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
~ ~"~ SITE DIAGRAM ADEQUATE & ON HAND
COMMENTS
ANY HAZARDOUS WASTE ON SITE?:
EXPLAIN:
I'"1 YES
QUESTIONS
REGARDING THIS INSPECTION? PLEASE CALL US AT (661)
326-3979
White · Environmental Services Yellow - Station Copy
Business Site Responsible Party
Pink - Business Copy
FACILITY NAME ~)[
ADDRESS gZo5
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
P ONE NO.
BUSINESS ID NO. 15-210-000o°¥(o
NUMBER OF EMPLOYEES 'ZO
Section 1:
.~outine
Business Plan and Inventory Program
~ Combined [~ Joint Agency [~ Multi-Agency
Complaint
Re-inspection
OPERATION C V COMMENTS
Appr. opriate 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 hazardous waste on site?:
Explain:
Yes /~No
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs.
Yellow. Station Copy
Pink - Business Copy
Business Site Res/ponsible
Party
lnspector~ .~- ~
BIG 5 SPORTING GOODS #
Manager : DARIN MEYER
Location: 3203 MALL VIEW RD
City : BAKERSFIELD
CommCode: BAKERSFIELD STATION 08
EPA Numb:
SiteID: 015-021-000846
BusPhone: (661) 872-4947
Map : 103 CommHaz : Moderate
Grid: 22A FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title
DARIN MEYER / MANAGER
Business Phone: (661) 872-4947x
24-Hour Phone : (661) 665-0882x
Pager Phone : ( ) - x
Emergency Contact / Title
PHIL HERNANDEZ / ASST MANAGER
Business Phone: (661) 872-4947x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Contact :
MailAddr: 3203 MALL VIEW RD
City : BAKERSFIELD
Phone: (661) 872-4947x
State: CA
Zip : 93306
Owner BIG 5
Address : 2525 E EL SEGUNDO BLVD
City : EL SEGUNDO
Phone: (310) 536-0611x
State: CA
Zip : 90245
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
I, '~o,¢,~ Do hereby certify that I have
(T¥1~ or
reviewed the attached hazardous materials manage-
merit plan for"~,(~ 3 r-;,~4.r._/. ~,"~,:~ that it along with
any corrections constitute a complete and correct man-
agement plan for my facility.
1 07/15/2003
I!~Kar~r{'crawf°rd- Re: 'busines~ info ........ ,Page 1 i
From: Ralph Huey
To: Alan Neumann
Date: 6/11/03 8:56AM
Subject: Re: business info
Alan;
Karen Crawford is now responsible for the Haz mat inventory program. I will foreword these to her. In the
future please have the businesses contact us direct, we may have other questions on their business plan.
Ralph,
>>> Alan Neumann 06/10/03 07:55PM >>>
Ralph, I am sending this to you because I am not sure who is in charge of entering info for the Haz Mat
inspections since Esther, Dana, & Betty are gone to other places, so please forward this to whoever does
it.
The following businesses have these changes in Emergency contacts:
Target T-614 Site ID 015-021-000534
Randy Lemons Manager
No assist Manager
Vons #2505 Site ID 015-021-001334 ~---.G
Bernard Alvarez Manager
Big 5 Sporting Goods #272 Site ID 015-021-000846
Darin Meyer Manager
Business Phone 872-4947
24 Hour Phone 665-0882
Phil Hernandez Assist manager
Thanks, A. Neumann
CC:
Karen Crawford
BIG $ SPORTING GOODS ~74 :: == *-~ ~- ~ ...... ~:- ~ Si~eID: 015-021-000846
Location: ~,
City : BAKERSFIELD
CommCode: BAKeRSfIELD STATION 08
EPA Numb:
SIC Code:
DunnBrad:
/ Titl~
/ MANAGER ~':
(661) 872-~272x
{.661 ) 6~4'- 6838x'
(661}
~mergency Contact
KORENAPOLINARIS
Hazma~ Ha=ar~e:
CO.taCt :
Mail.dr: 1619 COLII~U~ ST
Bu~ines~ Phone:
~2~our Phone
Pa~er Phone :
/ Title
/ ASST MANAGER
(661) S72-$272X
(661) 397-1971x
(661) 636-5708X
Fir~ Press Imm~lth DelHl=h
Phone: (661)
872-5272x
Phone: (310) 536-06tlx
Stat~: CA
Zip : 902%5
Period : to
Preparer: TotalUSTs:
Certif'd: -' ...... =- RSs: ~o
Gal
Gal
Emergency Dir~cclves: -' .~ · /
i ", ':3 ~
-: :: ,, :.. - ~ , , ~ ff--:~- :- - "-~ ?
---~ Hazma~ Inventory =-: ~ .:
~ ~phabe=ical Order"~ ..... : ....
B~ZENE '+~ ', F ~ L
P~P~ E F 'P IH
merit plan for..-~~nd. = ~hz~ ~ a~cng with
- ............ One Unified List
Ail Material~ at Site
~5.00 GAL Mod
~730.00 F~3
06/20/200i
+310-2~7-7575
T-?42 P.09/11 F-279
Big 5 EPORTIN~ GOODS %74 __ = ..... ,_ SiteID: 015~021-000846
B~~ ' J Days On Site
20FT PROM ~ W~L, ROOM 1 .
-- ~ ' - ~ J'~'- -= ' - ~ : - ~ :~ 3;' ''~-- , ~ ~ . = .- ~: ~ ~U~'~-~ ~ ....... ~ _'
~ STATE ~ ~PE ~ PR~SS~ .~ TE.P~~E
-=~= - = = ..... ~ ~ ~ ~--' % ~O~TS AT THIS LO~TION
~0 O0 Benzene
~ ~,~ !,,...~ ~ .... -~ .~ ....... __ -=-~.~_ ~ I
71432
~o /~° I~ l ~o/ ~., · ~*~ l ~"="
Inventory I=~m 000l'L -a~ -= -,=c, - Facility Unit: Fixed Containers on site
P~OPANE :' '"" · ...... Days On Site
Location wiuhin t~is Facility Uni~]' '-:-,-'~a~: Grid: , ~~ -,
S~.S FLOOR IN BAC~.OM --' ..... ':"~ ='= ~~~
~.. '~. , ~'~ '. .. ,' .'2 '~~_ %$4 -98-6
06/20/2001
,Ju~-3O-01 02:O4pm ~:rom-DIC, 5 CORP
T-742 P.07/11 F-279
~ ~,.- SiteID: 015-021-000846
~. :3 -: ~ .~ .... ~ - ....Fast Format
- ~'-'" ' .... Overall Si=e
F BIG 5 SPORTING GOODS
= Noti~./Evacua~ion/~edical
~ Agency No=ification ~- .... - - * ~:,- ....... 11/02/2000
CALL 911. K~P/~ COIINTY DEPT OF ~NVlRONME~TAL HEALTH 861-~636. STATE
~IFO~IA OFFICE 0F E~GEN~ $~RVI~S (800)
~ ~lo~ee Notif./Evaeuatlon - ---' "- -~ i1/02/2000 ,
~~ ON D~Y WOULD USE A ~A SYST~ TO.~ERT EMPLOYES OR ~STO~RS OF
FI~. ~XIT T~OU~H ~'~ERG~ DOORS-OR FRONT DOORS.
- · ~lic No~if./~vacuation_ := , ' . · ~' · ..... -' ..... 1~/02/2000
~A~ER ON D~ WO~D USE A ~A SYSTE~ ~ ~RT ~STO~RS OF D~R. ~IT
,.)~'
F ~IG 5 ~ORTI~G C~OOD~ ~74 ~ ,~- ...... : ' ,-~ SiteID: 015-021-000846
~reve~t' '
~ Mitigation/ /Aba=em~ ~,-~--' - Overall sit~ :
~Relcase Prevention ,,','~ ' -' .... 11/02/2000:
ALL PRO~AN~ AND WHITE ~AS FUEL IS SHIP~ED: IN FACTORY SEALED/DOT AJ~PRO,VED
CJuRTONS. TI{IS IS THE ONLY ACCEPTABL~ MANNER iN WHICH TO TRANSFER OR R~TURN
COMBUSTIBLE ~ATERIAL.
ALL HAZARDOUS MATERIALS A/~E TO BE LOADED AND UNLOADED BY HAND, ONE CARTON AT
A TIldE. NEVER THROW O~ DROP CARTONS CONTAININ~ HAZARDOUS MATERIALS.
ALL PLu~ZARDOUS AND CO}4BUSTIBLE ~T~RIALS-ARE TO BE STORED W~LL AWAY FROM krEAT
SEN~RATiN~ APPLIANCES, ANI1 A~E NOT TO BE _~,TACF~ED OR SHELVED IN AN UNSAFE
P~ODUCT PACY~%G~.D I~ SMALL QUA/~fITI~S FOR RETAIL
THE ~ OP A SPILL, ~E ~ SHOED BE SE~D FRO~ ~PLOYEE
~STO~R T~FIC, ~ ~PT ~ ~I~TED. CO, ACT T~ FIRE DE~T FOR
REG~IN~ ~ ~CT CO~S
Other Resource Actlv~=ion..- ...... ~ '~'"' - - ' -
ooo
,. '.- ; .' .. !.. _:: ',.
06/20/200~
BIG 5 SPORTING GOODS #74 = - ·
T-?4Z P.11/11 F-279
SiteID: 015-021-000846
· Past Forma:
Site Emergency Factors
A94UNSpecial Hazards. . ·
ITIONAND GUNPOWDER LOCATED ON PREMi~ES.
-- Utility Shut-Offs ' - .
A) GAS - NONE
B) ~.LECTRICAL - S EIDE IN W-LECTRICAL. ~OO.M, OF BAC~OO~
C) WA~ - O~SIDE OF BLD~ S SIDE "
E) LOCK BOX - NO
~ :~ ) ,l~ %. ,' .' ."- 'r
Overall Site
:'::-: 06/26/1992 :
li/o2/2ooo ,
.. Fire p=otec./A~a£1, Water 11/02/2000
PRIVATE FIR~ PROTECTION - 5 FIR~ EXTINGUISHERS IN BLDG, ALL S~RVICED
REGIrLA/~L~A~DALSO HAVE A ~PRIAV~LER SYSTEM IN C~ILI~GAND~ SYSTEM,
FI~ ~~ - BY STREET ON COLEUS.
Occupancy Level .... " '"
0612!01=0Ol
T-?4Z P.10/11 F-z?g
Si=eIP: 015-021-000846
~ Past Format
Overall Site
-. li/o2/2ooo
B~IEF SUMMARY OP IT I5 ~..THE ~SPONSIBILITY O~ F~ACH STORE MANAGER
TO SEE
INS~UCTED IN
T~SE INS~UCTI~S S~L IN~E C0~ECT ~E~ODS FOR LO~ING, ~~IN~,
STO~E,
~ ~LOYEES SHO~ BE ~E AW~ OF THE LO~TION OF ~ER~CY EQUIP~
: -.. - _ ~ : . : .: '~:....: : -..~ ~:i' ; . :~ ~ --, :_ ..........
. ,,
'
-6-
06/20/200~
Jul-30-01 OZ:OZpm
BIG 5
From-BIG E CORP
COR?.
+i~IO-ZgT-?ETE T-?4Z P.O1/ll F-Z?9
tt,
Offices:
Corpora e
2525 East E1 Segundo Boulevard';
E1 Seg~ndo, California 90245-4632
FAX TRANSMISSION COVER SHEET
FROM:
FAX #:
LISA SMITH
~ 297-75?5
DEPT: ACCOUNTING
Phone: (310) 536-0611
Ext. 5107
DATE: July 27, 2001
TO: Ester/Ralph
COMPANY Environmental Services
FAX# ff.~ ~'/_.]=~- 3 2 6- 0 5 7 6
Number of Pages (Including Cover Sheet): 10
Comments: Site & Facility Diagram for Haz Mat Managemem Plan
This is for our Big 5 Sporting Goods #272 on Mall View in Bakersfield.