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Home My WebLink AboutBUSINESS PLAN 11/18/2013 '~ ,, ~ Bakersfield Fire Dept. - Enironmental Services 1715 Chester Ave SECTION I Business Plan and Inventory Program Bakersfield, CA 9330l Tek (661)326-3979 EAO,U~.AME %4 'L%~'~ 'NS"ECl'O" WE .NSPEC'r,oN ADDRESS PHONE No. No. of Employees ~21 ~~ ~o~-. ~-~o~ ....... ~ .............. FACIUTYCONTACT Business ID Number O ~~ ~tS~P ~5-02~- Rout ' ' Section 1: Business Plan and InventOry Program ine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V ~' C=Compliance '~ OPERATION ~. v=Violation PPROPRIATE PERMIT ON HAND d[] BUSINESS PLAN CONTACT INFORMATION ACCURATE ~//[] VISIBLE ADDRESS 1~[] CORRECT OCCUPANCY [] [~'/~/ERIF,CATION Of ,NVENTORY MATER,ALS ~VERIFICATION OF QUANTITIES [] VERIFICATION OF LOCATION [~[] PROPER SEGREGATION OF MATERIAL [] [~VERIFICATION OF MSDS AVAILABILITYE COMMENTS -~'/[] VERIFICATION Of HAT MAT TRAINING ~Z[] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~'/[] EMERGENCY PROCEDURES ADEQUATE --[~-[] CONTAINERS PROPERLY LABELED - ~//[] HOUSEKEEPING I~1/'[] FIRE PROTECTION ~[] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?; EXPLAIN: QUESTIONS REGARDING THIS INSPECTION.'? PLEASE CALL US AT (661) 326-3979 // ~j _ Inspector Badge No. White - Environmental Services Yellow - Station Copy Pink - CROC RY Manager : ~~ ~,~ ~i%~ ~Ou3~ BusPhone: Location: 6421 MING AVE ~%% Map : City : BAKERSFIELD %u"- Grid: CommCode: BAKERSFIELD STATION 09 SIC Code: EPA Numb: DunnBrad: SiteID: 015-021-002353 (661) 833-2180 CommHaz : FacUnits: 1 AOV: Emergency Contact / Title / Business Phone: ( ) - x 24-Hour Phone, : ( ) - x ~ Phone : (~)~ -~ x~6. Emergency Contact Business Phone: ( 24-Hour Phone : ( Pager Phone : ( / / ) ) ) Title x x x Hazmat Hazards: Contact : DUDa~E BISHOP MailAddr: 6421 MING AVE City : BAKERSFIELD Fire Press ImmHlth Phone: (661) 833-2180~~ State: CA Zip : 93309 Owner ~ BISHOP Address : 6421 MING AVE City : BAKERSFIELD Phone: (661) 833-2180N State: CA Zip : 93309 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: ~'~~l~~~ Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for~rr)c~,~f~_~-- and - (~~...) _ that it along with any corrections constitute a complete and correct man- for agement plan/~acility. -1- 08/13/2003 GROCERY OUTLET ~ Hazmat Inventory -- MCP+DailyMax Order PROPANE E F P IH SiteID: 015-021-002353 By Facility Unit Fixed Containers at Site Frm I DailyMax IUnitlMcP G ~ GAL Hi -2- 08/13/2003 GROCERY OUTLET ~ Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit INSIDE E BAY DOOR SiteID: 015-021-002353 Facility Unit: Fixed Containers at Site Map: Grid: Days On Site 365 CAS# 74-98-6 FGSTATE TYPE as I Pure PRESSURE , TEMPERATURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container ~ 2 ..... GAL AMOUNTS AT THIS LOCATION I Daily Maximum I Daily Average %Wt. 100.00 Propane HAZA/{DOUS COMPONENTS RSI CAS# Yes 74986 TSecretNo N~SIBi°HaZNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# MCP Hi -3- 08/13/2003 SOUTHWEST GROCERY OUTLET FACILITY NAME ADDRESS CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 64zl ~ ,,,,/6- FACILITY CONTACT INSPECTION TIME Section 1: INSPECTION DATE Z/'~//o2 PHONE NO. ~% ~ 'Zl'cgO f~,.~uoo BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Business Plan and Inventory Program Routine ~ Combined [~ Joint Agency [~ Multi-Agency ~.] Complaint [~ Re-inspection OPERATION CIV COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities I 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?: [~ Yes Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: 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 Section 1: INSPECTION DATE PHONE NO. 5~'~'~- C~,s-u(.~" BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Business Plan and Invento~ Program Routine [~] Combined [~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit ~h,,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=Violati~on Any hazardous waste on site?: [~]] Yes ~_No Explain: Questions regarding this inspection? Please call us at (661)32.6-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ' ~u~i'fss Site R//sponsible Party Inspector: SOUTHWEST GROCERY OUTLET 1008-A (11/98) (FRONT) :4EW l"] ADD I'"1 DELETE [] REVISE 2O0 CHEMICAL LOCATION FACILI~ ID ~ I ' : 2 ' ~ ~P ~ (DOt. hBO CITY OF BAKERSFIF~ OF ENVIRONMENTA~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form ~er materfal per building or area) Page ~ of 3 201 CHEMICAL LOCATION - : CONFIDENTIAL (EPCRA) ~ [] Yes [] No 202 ...................... ~-'*T GRID # (op*UOnel) 204-- CHEMICAL NAME COMMON NAME CAS # 205 i TRADE SECRET [] Yes [] No 206 If Subject to EPCRA. refer to instruc~3ns FIRE CODE HAZARD CLASSES (Complete if requested by local fire c~ie0 210 ; ~ CURIES 213 TYPE URN [] m MIXTURE [] w WASTE 2~: R.,OIOACTIVE [] Yes E~do 212 i ..YS,C~ST^TE [], SOLIO •l LIQUID D/.,j_~S ~,~ ~ LARC~STCOm~.NER '--Z--S"Z_ ='s FED HAZARD CATEGORIES ~ FIRE [] 2 REACTIVE E~'PRESSURE RELEASE [] 4 ACUTE HEALTH [] $ CHRONIC HEALTH 216 (CheoX ag that apply) ANNUAL WASTE 217 , .'vlAXIMUM 6~)/_.~.' 21S i AVERAGE 2.1.pI ST^TE WASTE CODE 220 AMOUNT ~. DALLY AMOUNT ; DALLY AMOUNT I UNITS* [] ga GAL ~.,.cf CUFT [] lb LBS I'-'1 tn TONS "221 ! OAYSONSITE · ff EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE r-J q RAIL CAR 223 (Check all that apply) [ [] b UNDERGROUND TANK [] f CAN r~ j BAG [] n PLASTIC BOTTLE [] r OTHER r"J c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO .J~ CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT ~..aa ABOVE AMBIENT [] ba 8ELOWAMBIENT 224 STORAGE TEMPERATURE /~ AIV'RIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225i I 226 227 J [] Yes [] No 228 [] Yes [] No 232 233 3 I 234 235 []Yes[] No 236 237 241 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE 239 -i [] Yes [] No 240 i 243 [] Yes [] No 244 ] SIGNATURE DATE 246 ~ UPCF (7199) S:~.CUPAFORMS\OES2731.TV4.wpd