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Home My WebLink AboutBUSINESS PLAN 8/20/2003Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SI'DE Permit ID #:: 015-000-000845 BIG 5 SPORTING GOODS #42 LOCATION: 3214'MING AVE !LD ~" ~; This =ermit is issued for the followirlg: El Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program r~ 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 Approved by: Expiration Date: d. p"'"u~. 0,~",,,-----~<~ Office of Eviro~mmt21~iccs'~''~' June 30; 2003 Issue Date Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ............. .,;~,,~,~i~?::~,,,!!i.~.~.,,~,,, .......... This permit is issued for the following: LOCATION 3214 MING ....:::::::.:.:::~ '~::-::::..:'-:~ J~:'""".:::'::~ ~, ',, '",~:~.~.~m:~?' .-,:~'.~m:~:~a~,'.~¢:,~: ,~,.-~:',~8::;,~,,."~'''''~ ............. ~i~::~:,~' ~',' i' , ?,.. "..,'~ ....... · %~....... "--- --:~,. .............. ~;*¢,;.~;;::.:,,::: ,~:'L/../..,&~:..,~¢,;.~;*S~ .......... · Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: ~dlph Huey~ Office of E~l~ental Scrvic~es June 30, 2000 ITE/FACI LITY DI FORM 5 NORTH SCALE: - 1" = 60' DATE: 4 / 7/88 BUSINESS NAME: FLOOR: I OF I United Merchandising Corp. dba Big 5 Sporting Goods FACILITY NAME: UNIT ~:1 OF I Big 5 Sporting Goods Store #42 (CHECK ONE) SITE DIAGRAM X FACILITY DIAGR.~M ARCO AM/PM - WATER. ,SHuToFF MINfi AV£1~Ulr 5If 5 SPORTINg ~OOD5 ORTHO ~21q (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - E/FACI LI TY D FO~ ~ RAM NORTH SCALE: BUSINESS NAME: FLOOR: I OF 1" = 30' United Merchandising Corp. dba Big 5 Sporting Goods DATE: 4./ 7 /88 FACILITY NAME: UNIT -~: I OF I Big 5 Sporting Goods Store #42 (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M X f( UTII.ITY ..~'rANb PIPE (EMPTY) AVE., I~.A KEF, SF--IELD., CA. Inspector's Comments): -OFFICIAL USE ONLY- - 5A - BIG 5 SPORTING GOODS :2 Manager : Location: 3214 MING AVE City : BAKERSFIELD CommCode: BAKERSFIELD STATION EPA Numb: SiteID: 015-021-000845 BusPhone: (661) 832-4161 Map : 123 CommHaz : Moderate Grid: 0lC FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title CHERIE SHCE~:~XE -- / MANAGER Business Phone: (661) 8~-4161x 24-Hour Phone : Pager Phone : ( ) Emergency Contact / Title RO ............. ASSISTANT MANAG _ Business Phone: (66) 832-4161x 24-HourPhone L~ ~v~) ~5 2~3x Pager Phone : ( ) x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 321,4 MING AVE City : BAKERSFIELD Owner b~iYED MERCHAi~DiSiNG CO~P~ Address : 2525 E EL SEGUNDO BLVD City : EL SEGUNDO Phone: (661) 832-4161x State: CA Zip : 93304 Phone: (310) 536-0611x State: CA Zip : 90245 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: ~, t'~o'm ~o{~,~ D0 hereby certify [he~ ~ have (Type or print name) reviewed ~he a~ached h~ardous materials manage- ment plan for ~~,,~~d ~hm i~ along wi~h ~ ~s~ons ~nsfimm ~ ~mpls~s a~d ~rrsc~ ~emen~ p~an ~or my 07/15/2003 BIG 5 SPORTING GOODS #42 = Inventory Item 0003 -- COMMON NAME / CHEMICAL NAME AMMUNITION Location within this Facility Unit WHERE IS IT LOCATED????????????? SiteID: 015-021-000845 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE -- TYPE PRESSURE Ambient Pure Solid TEMPERATURE Ambient BOX CONTAINER TYPE Largest Container 100000.00 AMOUNTS AT THIS LOCATION Daily Maximum 200000.00 Daily Average 100000.00 %Wt. I HAZARDOUS COMPONENTS TSecret No HAZARD ASSESSMENTS NoRS Bi°Hazl Radi°active/Am°untNo No/ Curies FEPA HazardsIDH NFPA/// I USDOT# UnR Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag.Defined9: Ag. Defined4: Ag.Defined7: Ag.Definel0: -5- 07/15/2003 BIG 5 SPORTING GOOD~ 2 SiteID: 015-021-000845 Fast Format Site Emergency Factors -- Special Hazards AMMUNITION LOCATED ON PREMISES. Overall Site 1 /08/200 --Utility Shut-Offs A) GAS - METER RM - ALONG W WALL B) ELECTRICAL - METER RM - W WALL C) WATER - SW PARKING LOT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO 05/20/1999 -- Fire Protec./Avail. Water 05/20/1999 PRIVATE FIRE PROTECTION - SPRIKLER SYSTEM: CALIFORNIA INDEPENDENT SPRINKLER CO FRESNO, CA (209) 485-3222 FIRE ALARM: CRIME CO~ITRCL--INC PQ--~KPx 1967 BAKERgWI~T.D, FIRE HYDRANT - E SIDE OF PARKING LOT ENTRANCE FROM MING AVE. Building Occupancy Level -8- 07/15/2003 BIG 5 SPORTING GOOD~ SiteID: 015-021-000845 Fast Format Training -- Employee Training Overall Site 05/20/1999 WE HAVE 5 EMPLOYEES AT THIS FACILITY. p ~- DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: IT IS THE RESPONSIBILITY OF EACH STORE MANAGER TO SEE TO IT THAT ALL CURRENT EMPLOYEES, AND EACH NEW EMPLOYEE, IS INSTRUCTED IN THE PROPER PROCEDURE FOR HANDLING HAZARDOUS MATERIALS. THESE INSTRUCTIONS SHALL INCLUDE CORRECT METHODS FOR LOADING, UNLOADING, STORAGE, AND SHELVING OF THESE MATERIALS. ALL EMPLOYEES SHOULD BE MADE AWARE OF THE LOCATION OF EMERGENCY EQUIPMENT AND INSTRUCTED IN ITS USE. AN EMPLOYEE CHECK-OFF LIST SHALL BE MAINTAINED IN THE MANAGER'S OFFICE, TO INSURE THAT EACH EMPLOYEE HAS BEEN INSTRUCTED PROPERLY. -- Page 2 -- Held for Future Use Held for Future Use -9- 07/15/2003 Big 5 Sporting Goods Store #42 3214 Ming Ave. Bakersfield, CA Corrections 1) New Manager: Gavin Quella 2) New 24-Hour Phone: (661) 398-6182 3) New Assistant Manager: Cynthia Nicholson 4) New 24-Hour Phone: (661) 854-1634 5) Correct Owner Name: Big 5 Corp. 6) Ammunition Location: 90% of stock in gun department, located in SE comer of building; remaining 10% of back room stock in NE comer storage room 7) New Fire Alarm: ADT Services, Inc.; 5400 W. Rosecrans Avenue; Hawthorne, CA 90260; 888-721-6612 8) Do we have MSDS on File: Yes, a red MSDS binder is located in the store manager's office. UNIFIED PROGRAM i~PECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 I~_.~A~..~E INSPECTION DATE INSPECTION TIME FAc 5 Po r, c__ / / 20 ADDRESS ~ NO. of Employees FAClLITYCONTA~T Business ID Number .' ,::, ,' ' rSectiOn 1: BUsiness Plan and In~/entory. Program [~outine [] Combined ~1 Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V [ C=Compliance ~ OPERATION \ V=Violation ./ APPROPRIATE PERMIT ON HAND [~/'[] BUSINESS PLAN CONTACT INFORMATION ACCURATE J~//'~ VISIBLE ADDRESS ~ [] CORRECT OCCUPANCY ~"/[] VERIFICATION OF INVENTORY MATERIALS [~/[] VERIFICATION OF QUANTITIES ~'/~[] VERIFICATION OF LOCATION COMMENTS ~[] PROPER SEGREGATION OF MATERIAL ~[] 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 ANY HAZARDOUS WASTE ON SITE?: EXPLAIN: [] YES [] No QUESTIONS REGARDING THIS/.~NSPECTION? PLEASE CALL US AT (661) 326-3979 · ~e ~-s~hs~e Party White - Environmental Services Yellow - Station Copy Pink - Business Copy Nov-01-01 04:03pm From-BIG .~ CORP +310-Zg?-?~S;"~; T-857 P.IO/IO F-Z47 UNITED MERCHANDISING COR~P.- -/ Corporate Offices: 2525 East El Segundo Boulevard 771 Segundo, California 90245-4632 (310,) 536-0611 The following is a list of approximate quantities of flammable and explosive materials expected to be located at each store location for the purpose of resale. Small Arms Ammunition Butane Gas Propane Coleman Fuel - SkelIite [Boiling Range TBP 100 F/38 C] ['Flash Point -14 F/-25.5C T.C.C.] 100,000 - 200,000 rounds 3 -7gal 11 - 40 gal 20 - 40 gal htu~nat2.doe v~,i~103/01/01 Nov-Ol~01 03:69pm From-BiG 6 ¢ORP +310-Zg?-?E?5 T-857 P.O1/IO F-247 BIG $ CORP. Corporate 2525 East El Segundo Boulevard El Segundo, California 90245-4632 DATE: November 1, 2001 TO: Ester Duran Bakersfield Fire Department 661-326-3979 FROM: KJmedy Hollfield-Harmon Big 5 Corp. - Accoun~ing Dept 310-536-0611 310-297-7575 Fax No. of Page($ 10 (Including Cover Sheet ) Encloaed la an updated version of l~e inform~ion ~a~ you have requested. If you have any questions, please address ~em to my attention at ~he number above, Hov-01-01 03:59pm From-BIG 5 CORP +310-Zg?-?U5 T-857 P.OZ/IO F-~47 BIG 5 SPORTING GOODS #42 SiteID: 01S-021-000845 Manager : Location: 3214 MING AVE BusPhone: (661) 832-4161 City : BAKERSFIELD Map : 123 Comm}{az : Moderate Grid: 0lC FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: Emergency Contact / Title "~o;~ ~o_ / MANAGER susiness Phone: (.66.1.). 832-4161x Paser Phone : ( '3~,. ) .' x ~azmat Hazards: Contact : Emergency Contact / Title Business Phone: (~61).. 832-4161x .24~~our Phone : Pas,e~ Phone : ( ) - x Fire Press Imm~lth DelHlth City ~: RAKERSPIELD Sta~e: C~ ~ ~ , Zip : 93304 City... : EL..SEGUNDO,. ~al Gal Emerg,ency.~-nlrect.ives ;., . :' :i . .¥~' i'::'" ,, :!.'1" ..... ..:'; ' ' ' i :.' ';"'" "~' , ~'.: ,': .. :.. , .; ,. ,.. . i: ., . .~.~ ' .,: ... .... f. . '. , ''~ .. ~ Hazma. t 'Inventoxy ~ ": ~ Alphabetical Order, ~ One Unified List ~ ' · "- ~ All ' .~acermals at Site Haz~at Co~n~Name' ' ' ' : . " F DH S '' 1'0000.00 ," 'F DH.' S ~.,.' 175.00 LBS Hi , ' ' '..- ..' ~ F'P jlH ..:" G 'P. J "2730, 00 FT3 Hi .raV~eW~,:d the ~:~.~c'he~ h~Z~i~Jcus' maie~ats '~a~ge:.' '." ..... . . .,-.---{~~) ~nd that it along ~i~h a .cor~eO~[o~?s Constitute a:comp'l~e,, O~mct'man:,..' ,.';q ,,-~ '. ...,,, .:.~ ,, 11/01/2001 Nov-01-01 03:$9pm From-BIG ~ CO~P +310-297-?UB T-857 P.03/10 F-247 BIG 5 SPORTING GOODS #42 ~ SiteTD: 015-021-000845 = Inventory Item 0005 Facility Unit: Pixed Containers on SAte ~ COM~4ON NAME / CHEMICAL NAME ---- ~ L~tion within thi~ Pacilicy Unit Map: Grid: STATE ~ TYPE '~~RRESS~E ~ ?E~SE~T~E CO~~ ~ ~O~T~'-:'AT..THZS LO.TmON .~ 50,00 Benzene TSecret BloHaz No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies .F DH CAS# 71432 NFPA /// Inventory Item .0002 .- m, . -' Facili.ty Unit. Pi COM~ON NAME / CHEMICAL NAMe. .~_~_ ~.=ux~.cy unit: Pixed Containers on SAte ~'~ "~ ~ ...... ~ ~O ' ~ . ~~ ~i~ ~hi~ ~i~ u.~~ - ''~: ~'~. j.. - ~ ..... ~IDDL~W~.~'T~L ROOM 1 ~ ..... . - ~u~~~ld: j" ~ STATE ~ TYPE Mixture SURE ~ TEMPERATUR~ ..... Ambient Largest Container. Dail' LBS LOC3kTION itroglycerin, . Solution ' BOX C~ Daily Average 20,00 LBS CAS~ 9004700 55630 ....... "~ HAZARD ASSESSMENTS .. _ _ ~' , , . /$~~B~i~o~EazJ R.a~di, oactive/Amount J..EPA .azards I NFPA I USDO'' MCp Nov-01-Ol 04:00pm From-BIG ~ CORP +310-297-TB75 T-857 P.04/lO F-247 *~ m 003 ~ Facilit ..... : ui5-021-000845 L°caCic~'-W~thin this Facilit,, Unit -- ~ 365 MIDDLE S WALL~ 1 z ~ap: Gri~: ~ STATE -- TYPE TEMPE~T~E CONTAI~R TYPE Solid Mixture A~ient A~lent BOX AMOUNTS IS LOCATION Largest Container DaLly Daily Average ~: ..,:.%~,s."' ,,~oooo.,. 8000.00 ~s %Wt. HAZARDOUS COMPONENTS 6 00 Barium Ni~rat~ .. '" ,i;.. ,, .... 80.00 'Solution 6.( i'de " ' ~' :" ~AZARD ASSESSMRNTS Radioactive/Amount EPA Hazards 'No : ~NO/ C~ries F ..... DH TSecret No CAS# 10022318 55630 1303328 : NFPA ~/// MCP .ael.~l~ty Unit: ,,Fixed Containers on Site 9 I' . .,... ' ; .i':., Map: TENPERATURE 'Ambieat Days On Site ; , 365 !Grid: -~ , CAS# . Daily Average I.,::l'' 150,00 LBS CAS# 7439921 7440360 100; L8 NPPA : !11' ion within =his Facility Unit ROOM t STATE -- TYPE Solid ... MlxCure, Ambien~ LOCAT I ON L~rgeS~ : ' '"" ' AMOUNTS AT , ContaIner. . DaiIy Maxi . , ' :' ..": i .I/RS : 175~00 ~~Azm~ous do~o~TS ~c. I '; : . , _2_O.OOJAntimon¥ ,. ,t :! ,. 20.O0'Barium ~i~=ate'.. : '.' . ," . 'No/' Curies Pi ' DH ii/oi/:ooi Nov-01-01 04:00pm From-BiG ~ CORP +~10-2g?-?~?~ T-657 P.O,/lO F-2d? BIG $ SPORTING O00DS #42 · ' · SiteID: 015-021~00084S = Inventory Item 0004 Facility Unit: Fixed Container8 on Site ~ COMMON NAME / C~{EMICAL NAME PROPANE Days On Location within this Facilicy Uni~ Map: Grid: 365 SAL~S FLOOR AND BACKROOM CAS# STATE ~ TYPE ===~=~ P.RESSURE ~ TEM.P~RATURE CONTAINER TYPE AMOUNTS AT THIS LOCATION ~, , , Daily Maximum; ' ~ Dail ..... ' ' ' ' J ~ ~verage 2730:. 00 , 'FT3 2000.00 FT3 HAZARDOUS COMPONENTS rppane ~ ~: , , . .. . : . . . ,. CAS# : .... ' ' : 74986 ~====~=~== HAZARD AssESSMENTS ii/oi/~ooi Nov-01-01 04:01pm From-BIG 6 CORP +310-ZgT-TU6 T-6E? P.06/I0 F-247 5 SPORTING GOODS ~42 ' ' Si' -- -- Notif./Evacuation/Medical Overall Site ~ Agency Notification ~ ~ 05/20/1999 : CALL 911. KE~N COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 861-3636. STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES (800) 852-7550. ~Employee No~if./~vacuation 04/11/1996 SHOULD EVACUATION BECOME 'NECESSARY,. A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE 'BEEN ~INSTRUCTED IN THS CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. = Public Notif-/Evacuation ~__ ~ 04/11/1996 S}{OULD EVACUATION BECOME NECESSARY,'.A MEMBER 0~ STORE..MA~A~EMSNT SHALL 'ALERT STORE PERSONNEL ~A_ND CUSTOMERS VIA: THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVZ BEEN INSTRUCTED IN, THE CORRECT PROCEDURE TO INITIATE a CALM AND ORDERLY EVACUATION. Emergency Medical Plan = - ' ' , ' 05/20/1999 -5- , 1~/o~/2o0~ Nov-al-D1 D4:alpm Fram-Bl~ B CORP +31D-2g?-?B?B T-BB? P.O?/IO F-247 BIG 5 SPORTING GOODS #42 ~ ~iteID: 015-021-o00a4S , ~ Mi~lgation/Prevent/Abatem~ Fas~ Format =Release Prevention - . Overall Site 05/20/1999 . ~ ~'Z~CTING ~RS~IELD CITY FIR~ .05/20/1999 INST =u~. YmL~'~'~AT~D CONTACT T RUOTI,ONS R~GARDING cn~ ~,o ~.~ ....... ' HE FIRE DEPT FOR Other :Res'ou'gce Activation. ~1~ ' ' -6- Nov-01-01 04:OZpm From-BIG S CORP +310-2g?-?US T-857 P.08/lO F-247 SiteID 015 0'' : - z~-000845 : Site Emergency Factors Fast Format --~- Special Hazards Overall Site m uN ? oNa _a mm ma nOCAT oO P EM SES. = UCility Shut-Offs A) ~AS - METER RH - ALONG W WALL B) ELECTRICAL - METER RM - W WALL C) WATER - SW PARKING LOT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO ~ Fire ProCec./Avail. Water ' ' 05/20/1999 PRIVATE ~IRE PROTECTION -. SPRIKLER-,SYSTEM; 'CALIFORNIA INDEPENDENT SPRINKLER CO FRESNO, CA (209) 48~-3222 RIRE :ALARM: CRIME CONTROL INC PO BOX 1967 BAKERSFIELD, CA (805) 322-1961. FIRE HYDRANT - E SIDE OF PARKING LOT ENTRANCE FROM MING AVE. -7- 1/o /2oo Nov-01-01 04:0gpm From-BIG (S CORP +310-21a?-?S?(S T-SJST P.09/10 F-247 F BIG S SPORTING GOODS #%2 ~-- . .. -'- SiteID: 015-o21-ooo8~5 : ~ Trai~in~ Fast Format ~ Employee Training overall Site , 05/20/1999: WE HAVE 5 EMPLOYEES AT THIS ~ACI'LIT~. DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON PILE? BRIEF SUMMARY OF TRAINING: IT IS THE RESPONSI TO S~E TO IT THAT ALL C . . BILITY OD ~ACH STORE MAN I URRENT EMPLOYEES, A~D NSTRUCTED IN T~E PROPE R PROCEDURE FOR HANDLING ~AZARDOUS MATERIALS. THES~ INSTRUCTIONS S~LALL.INCLUDE CORRECT M~THODS FOR LOADING, I/NLOADIN~ STORAGE, AND SHELVIN~ OP TH~SE MATERI~LS. ' , ALL EMPLOYEES SHOULD B~ MADE AWAR~ OF THE LOCATION OF ~MERGENCY ~QUIPMENT AND INSTRUCTED IN ITS USE. AN EMPLOYEE C~ECK-OFF LIST SKALL BE MAINTAINED IN THE ~AGER'S OFFICE, TO INSURE THAT EACH EMpLOyEE,HAS BEEN,' INSTRUCTED PROPERLY. ii/O~/2ooi 11/01/01 15:10 8681 326 0576 BFD HAZ MAT DIV ~001 *** ACTIVITY REPORT *** TRANSMISSION OK TX/RX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 1980 13102977575 11/01 15:03 07'21 11 OK B A K'E RS FI E L D FIRE DEPARTMENT ENVIRONMENTAL SERVICES 17 ! 5 Chester Ave. · Bakersfield, CA 9330 ! Business Phone (661) 326-3979 · FAX (661) 326-0576 FAX Transmittal TO: COMPANY: ~\~ ~-~ FAX No. COMMENTS: D IMPORTANT DO NOT DISCARD FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Dear Business Owner: California Law requires that all Businesses, which at any time during the year handle reportable quantities of hazardous materials, file a Hazardous Materials Business Plan, including inventory of hazardous materials with the local administering agency. Your business has filed such a plan. This same regulation requires businesses to review the business plan submitted to determine if revisions are needed, and to certify to the administering agencies that the review was made and that any necessary changes were made to the plan. As a reminder you are required to notify your administering agency within 30 days of any changes including: increase of a hazardous material, handling of a new hazardous material, change in business ownership, business address or business name. Your business hasn't revised their plan since 199~. To facilitate this review we have enclosed a computer print-out of the plan you last Submitted. Please review this plan in its entirety and make any necessary revisions on the print-out. When the review and revisions are completed sign the first page of the plan in the appropriate space certifying that the plan is complete and correct. Return the business plan along with any revisions to this office within 30 days of receiving these forms. Please note that one of the conditions of your Permit to Operate is that you review your business plan annually. If you have any questions or if we can be of any assistance please do not hesitate to call 326-3979. Sincerely, Esther Duran Office of Environmental Services BIG 5 SPORTING GOODS #42 SiteID: 015-021-000845 Manager : Location: 3214 MING AVE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: BusPhone: Map : 123 Grid: 0lC (661) 832-4161 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title CHERIE SHOEMAKE / MANAGER Business Phone: (661) 832-4161x 24-Hour Phone : (661) 832-1584x Pager Phone : ( ) - x Emergency Contact / Title RONNIE REVITA / ASSISTANT MANAG Business Phone: (661) 832-4161x 24-Hour Phone : (661) 325-2543x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 3214 MING AVE City : BAKERSFIELD Phone: (661) 832-4i61x State: CA Zip : 93304 Owner UNITED MERCHANDISING CORP Address : 2525 E EL SEGUNDO BLVD City : EL SEGUNDO Phone: (310) 536-0611x State: CA Zip : 90245 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory --Alphabetical Order Hazmat Common Name... I SpecHaz I EPA HazardsI BENZENE F DH BLACK POWDER F DH GUNPOWDER F DH PRIMER F DH PROPANE F P IH One Unified List Ail Materials at Site Frm I DailyMax UnitIMcP L 55.00 GAL Mod S 20.00 LBS Hi S 10000.00 LBS Hi S 175.00 LBS Hi G 2730.00 FT3 Hi I, 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. ii/Oi/200i Signature Date BIG 5 SPORTING GOODS #42 = Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME BENZENE Location within this Facility Unit 20FT FROM NW WALL, ROOM1 SiteID: 015-021-000845 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average I 40.00 GAL %Wt. I 50.00 Benzene HAZARDOUS COMPONENTS ITSecret ~SIBioHaz No N No HAZARD ASSESSMENTS I Radi°active/Am°unt EPA Hazards INo/ Curies F DH NFPA /// USDOT# MCP Mod = Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME BLACK POWDER Location within this Facility Unit MIDDLE WEST WALL ROOM 1 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE -- TYPE PRESSURE Solid Mixture Ambient TEMPERATURE Ambient BOX CONTAINER TYPE Largest ContainerLBS AMOUNTS AT THIS LOCATION I Daily Maximum I 20.00 LBS Daily Average 20.00 LBS %Wt . 80.00 20.00 HAZARDOUS COMPONENTS Cellulose Nitrate Nitroglycerin, Solution I CAS# N 9004700 55630 TSecret No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# IHiMCP 11/Ol/2OOl BIG 5 SPORTING GOODS #42 ~ Inventory Item 0003 -- COMMON NAME / CHEMICAL NAME GUNPOWDER Location within this Facility Unit MIDDLE S WALL ROOM 1 SiteID: 015-021-000845 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE ~ TYPE Solid /Mixture PRESSURE Ambient TEMPERATURE Ambient BOX CONTAINER TYPE Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 LBS Daily Average 8000.00 LBS %Wt. 6.00 80.00 6.00 HAZARDOUS COMPONENTS Barium Nitrate Nitroglycerin, Solution Arsenic Disulfide IRS No No No CAS# 10022318 55630 1303328 ITSecret No Radioactive/Amount EPA Hazards No I No No/ Curies F DH NFPA /// USDOT# MCP Hi = Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME PRIMER Location within this Facility Unit MIDDLE S WALL ROOM 1 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# V STATE TYPE PRESSURE Solid I Mixture I Ambient -- TEMPERATURE [Ambient BOX CONTAINER TYPE Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 175.00 LBS Daily Average 150.00 LBS %Wt. 20.00 20.00 20.00 ILead Antimony Barium Nitrate HAZARDOUS COMPONENTS IRSI CAS# No 7439921 No 7440360 No 10022318 ITSecret No I ~S BioHaz N No HAZARD ASSESSMENTS I Radi°active/Am°unt EPA Hazards INo/ Curies F DH NFPA /// USDOT# 3 11/01/2001 BIG 5 SPORTING GOODS #42 ~ Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit SALES FLOOR Ai~D BACKROOM SiteID: 015-021-000845 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 74-98-6 STATE TYPE PRESSURE Gas [ Pure I Ambient TEMPERATURE Ambient CONTAINER TYPE I PORT' PRESS' CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2730.00 FT3 Daily Average 2000.00 FT3 %Wt. 100.00 Propane HAZARDOUS COMPONENTS Yes CAS# 74986 TSecretNo N~SIBi°HaZNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# IHiMCP 4 11/Ol/2OO . BIG 5 SPORTING GOODS #42 SiteID: 015-021-000845 Fast Format = Notif./Evacuation/Medical --Agency Notification CALL 911. KERN COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 861-3636. STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES (800) 852-7550. Overall Site 05/20/1999 -- Employee Notif./Evacuation 04/11/1996 SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. -- Public Notif./Evacuation 04/11/1996 SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 OR CALL 911. 05/20/1999 -5- ii/0i/200i BIG 5 SPORTING GOODS #42 SiteID: 015-021-000845 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 05/20/1999 PREVENTION OF SPILLAGE WILL BE FACILITATED PRIMARILY THROUGH CAREFUL HANDLING AND STORAGE OF HAZARDOUS MATERIALS. CONTAINMENT AND CLEAN-UP WILL BE COORDINATED BY STORE MANAGEMENT AFTER CONTACTING BAKERSFIELD CITY FIRE DEPT FOR DIRECTION. (ALL MERCHANDISE PACKAGED FOR RETAIL SALE). Release Containment PRODUCT PACKAGED IN SMALL CONTAINERS FOR RETAIL SALE. 05/20/1999 -- Clean Up 05/20/1999 IN THE EVENT OF A SPILL, THE AREA SHOULD BE SECURED FROM EMPLOYEE AND CUSTOMER TRAFFIC, AND KEPT WELL VENTILATED. CONTACT THE FIRE DEPT FOR INSTRUCTIONS REGARDING CLEAN-UP OR DISPOSAL, AND HAVE THE INFORMATION REGARDING THE EXACT CONTENTS READY. Other Resource Activation -6- 11/01/2001 BIG 5 SPORTING GOODS #42 SiteID: 015-021-000845 Fast Format Site Emergency Factors -- Special Hazards AMMUNITION AND GUNPOWDER LOCATED ON PREMISES. Overall Site 05/20/1999 --Utility Shut-Offs A) GAS - METER RM - ALONG W WALL B) ELECTRICAL - METER RM - W WALL C) WATER - SW PARKING LOT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO o5/2o/1999 -- Fire Protec./Avail. Water 05/20/1999 PRIVATE FIRE PROTECTION - SPRIKLER SYSTEM: CALIFORNIA INDEPENDENT SPRINKLER CO FRESNO, CA (209) 485-3222 FIRE ALARM: CRIME CONTROL INC PO BOX 1967 BAKERSFIELD, CA (805) 322-1961. FIRE HYDRANT - E SIDE OF PARKING LOT ENTRAi~CE FROM MING AVE. Building Occupancy Level -7- ii/O1/2001 BIG 5 SPORTING GOODS #42 SiteID: 015-021-000845 Fast Format Training -- Employee Training Overall Site o5/2o/1999 WE HAVE 5 EMPLOYEES AT THIS FACILITY. DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: IT IS THE RESPONSIBILITY OF EACH STORE MANAGER TO SEE TO IT THAT ALL CURRENT EMPLOYEES, AND EACH NEW EMPLOYEE, IS INSTRUCTED IN THE PROPER PROCEDURE FOR HANDLING HAZARDOUS MATERIALS. THESE INSTRUCTIONS SHALL INCLUDE CORRECT METHODS FOR LOADING, UNLOADING, STORAGE, AND SHELVING OF THESE MATERIALS. ALL EMPLOYEES SHOULD BE MADE AWARE OF THE LOCATION OF EMERGENCY EQUIPMENT AND INSTRUCTED IN ITS USE. AN EMPLOYEE CHECK-OFF LIST SHALL BE MAINTAINED IN THE MANAGER'S OFFICE, TO INSURE THAT EACH EMPLOYEE HAS BEEN INSTRUCTED PROPERLY. -- Page 2 --Held for Future Use Held for Future Use 8 11/Ol/2OOl Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This _permit is Issued for the followin,',: ~~, [] H.~rdous Materials Plan ~.~'~ i: ;! ~'~:~/"?"'.'~'%~ E1 Underground Storage of Hazardous Materials Permit ID #:: 015-000-000845 _ a4T: ;.~C~' ~~"]~'~,~'~:~.i' ''~ El RiskManaeementProeram B,O- ~.. ~:;, ...,. , ~ . , . ..~ . · "...~,~ ",'; . .. ~. ,, ~' v'., '.. · ' / .'~ 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 Approved by: Office of Ev ~ices"'"" Expiration Date:June 30. 2003 Issue Date BIG 5 SPORTING GOODS #42 ~. ~, ~ SiteID: 215-000-000845 Manager : r~:.~ Q~c~9.~ BusPhone: (805) 832-4161 Location: 3214 MING AVE .-~',% · ~ Map : 123 Com~az : Moderate City : B~ERSFIELD ~ ..... ~,~,,~?~ Grid: 0lC FacUnits: 1 AOV: CommCode: B~ERSFIELD STATION~ SIC Code: EPA Nu~: DunnBrad: Emergency Contact / Title CHERIE SHOEMAKE / MANAGER Business Phone: (805) 832-4161x 24-Hour Phone : (805) 832-1584x Pager Phone : ( ) - x Emergency Contact / Title RONNIE REVITA / ASSISTANT MANAG Business Phone: (805) 832-4161x 24-Hour Phone : (805) 325-2543x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 3214 MING AVE City : BAKERSFIELD Phone: ( ) State: CA Zip : 93304 X Owner UNITED MERCHANDISING CORP Address : 2525 E EL SEGUNDO BLVD City : EL SEGUNDO Phone: (310) 536-0611x State: CA Zip : 90245 Period : Preparer: Certif'd: to TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: = Hazmat Inventory --Alphabetical Order Hazmat Common Name... BENZENE BLACK POWDER GUNPOWDER PRIMER PROPANE ISpecHazI EPA HazardsI F F F F hereby certify DH DH DH DH One Unified List Ail Materials at Site Frm I DailyMax Unit MCP L 55 GAL Mod S 20 LBS Hi S 10000 LBS Hi S 175 LBS Hi G 2730 FT3 Hi 05/10/.1999 BIG 5 SPORTING GOODS #42 = Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME BENZENE Location within this Facility Unit 20FT FROM NW WALL, ROOM1 SiteID: 215-000-000845 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE I TYPE iPRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 40.00 GAL %Wt. [ 50.00 Benzene HAZARDOUS COMPONENTS ITSecret ~S[BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA/// [ USDOT# Mod = Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME BLACK POWDER Location within this Facility Unit MIDDLE WEST WALL ROOM 1 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE TYPE PRESSURE Solid I Mixture I Ambient TEMPERATURE Ambient CONTAINER TYPE Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum I 20.00 LBS Daily Average 20.00 LBS %Wt. 80.00 20.00 HAZARDOUS COMPONENTS Cellulose Nitrate Nitroglycerin, Solution IRSI CAS# No 9004700 No 55630 TSecret No RS BioHazl HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No No[ No/ Curies F DH NFPA /// USDOT# -2- 05/10/1999 BIG 5 SPORTING GOODS #42 SiteID: 215-000-000845 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site UUIVUVlU~ N~Vl5 / U~£ U./-%./~ N~vl~ GUNPOWDER Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE W~EST WALL ROOM 1 CAS# STATE T TYPE PRESSURE Ambient Mixture Solid -- TEMPERATURE lAmbient CONTAINER TYPE BOX Largest ContainerLBS AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 LBS Daily Average 8000.00 LBS %Wt. RS CAS# 6.00 Barium Nitrate No 10022318 80.00 Nitroglycerin, Solution No 55630 6.00 Arsenic Disulfide No 1303328 HAZARD ASSESSMENTS TSecretl RoB BioHazl Radioactive~Amount I EPA HazardsI NFPA No N No No/ Curies F DH / / / USDOT# MCP Hi Inventory Item 0001 Facility Unit: Fixed Containers on Site ~lV~Vl~ ~Vl~ / ~1 £ ~Z-'~,..L, ~vj~ PRIMER Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE W_~2~ WALL ROOM 1 CAS# F STATE I TYPE PRESSURE Solid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE IBOX Largest ContainerLBS AMOUNTS AT THIS LOCATION Daily Maximum I 175.00 LBS Daily Average 150.00 LBS l-J.../~ ~ ./A_.l~ U U ~ ~U~U~'I'~ %Wt. RS CAS# 20.00 Lead No 7439921 20.00 Antimony No 7440360 20.00 Barium Nitrate No 10022318 TSecretNo N~S{Bi°HaZNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# IHiMCP -3- 05/10/1999 BIG 5 SPORTING GOODS #42 = Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit SALES FLOOR AND BACKROOM SiteID: 215-000-000845 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 74-98-6 STATE T TYPE PRESSURE Ambient Pure Gas TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2730.00 FT3 Daily Average 2000.00 FT3 %Wt. 100.00 Propane HAZARDOUS COMPONENTS s CAS# N 74986 TSecret No HAZARD ASSESSMENTS IRS BioHazI Radioactive/Amount EPA Hazards No No No/ Curies F P IH NFPA /// USDOT# MCP Hi -4- 05/10/1999 BIG 5 SPORTING GOODS #42 SiteID: 215-000-000845 Fast Format ~ Notif./Evacuation/Medical --Agency Notification CALL 911 KERN COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH (805) 861-3636 STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES (800) 852-7550 Overall Site 04/11/1996 -- Employee Notif./Evacuation 04/11/1996 SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. -- Public Notif./Evacuation 04/11/1996 SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTLIN AVE. - (805) 327-3371 OR CALL 911. 04/11/1996 -5- 05/10/1999 BIG 5 SPORTING GOODS #42 888~8888888~88888888888888~8 SiteID: 215-000-000845 i~ Mitigation/Prevent/Abatemt 8~88~88~8~8~8~88~88~8~ Overall Site i~8 Release Prevention ~8~88~888~888~88~88~888~88~8~8~ 04/14/1992 PREVENTION OF SPILLAGE WILL BE FACILITATED PRIMARILY THROUGH CAREFUL HANDLING AND STORAGE OF HAZARDOUS MATERIALS. CONTAINMENT AND CLEAN- UP WILL BE COORDINATED BY STORE MANAGEMENT AFTER CONTACTING BAKERSFIELD CITY FIRE DEPARTMENT FOR DIRECTION. (ALL MERCHANDISE PACKAGED FOR RETAIL SALE). ~e~e~ee~eee~eee~eee~e~ee~eeee~e~eeeeeee~eeeeeee~eee~eeeeee~eee~eee~ee~ i~ Release Containment ~~~~~~~~~ 04/14/1992 0 o PRODUCT PACKAGED IN SMALL CONTAINERS FOR RETAIL SALE. O zeeee Clean Up ~8~88~8~8~8~~8~~~~~ 04/14/1992 O o IN THE EVENT OF A SPILL, THE AREA SHOULD BE SECURED FROM EMPLOYEE AND o CUSTOMER TRAFFIC, ~ KEPT WELL VENTIlaTED. CONTACT THE FIRE DEPARTMENT FOR o INSTRUCTIONS REGARDING CLEAN-UP OR DISPOSAL, AND HAVE THE INFORMATION o REGARDING THE EXACT CONTENTS READY. O eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~eeee~~~~~f i~ Other Resource Activation O O 6 05/10/1999 BIG 5 SPORTING GOODS #42 ~~~~~~ SiteID: 215-000-000845 Site Emergency Factors ~~~~~~~~ Overall Site i~ Special Hazards ~~~~~~~~~~ 01/16/1990 AMMUNITION AND GUNPOWDER LOCATED ON PREMISES ~~~~~~~~~~~~~~e~ee~ee~eef i~ Utility Shut-Offs ~~~~~~~~~ 01/16/1990 O o A) GAS - METER ROOM - ALONG WEST WALL o B) ELECTRICAL - METER ROOM - WEST WALL o C) WATER - SOUTHWEST PARKING LOT ENTRANCE o D) SPECIAL - NONE o E) LOCK BOX - NO O · ~ Fire Protec./Avail. Water ~~~~~~~ 01/16/1990 O o PRIVATE FIRE PROTECTION - SPRIKLER SYSTEM: CALIFORNIA INDEPENDENT o SPRINKLER CO. FRESNO, CA (209) 485-3222 FIRE ALARM: CRIME CONTROL INC. o p. O. BOX 1967 BAKERSFIELD, CA (805) 322-1961 O O O O o FIRE HYDRANT - EAST SIDE OF PARKING LOT ENTRANCE FROM MING AVE. O O O -7- 05/10/1999 i~'~IG 5 SPORTING GOODS #42 ~~~~~~ SiteID: 215-000-000845 / i~ Trainin~ ~~~~~~~~~~~ Overall Site i~ Employee Trainin~ ~~~~~~~~~ 04/14/1992 o o WE HAVE 5 EMPLOYEES AT THIS FACILITY o o DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? o o BRIEF SUMMARY OF TRAINING: IT IS THE RESPONSIBILITY OF EACH STORE MANAGER o TO SEE TO IT THAT ALL CURRENT EMPLOYEES, AND EACH NEW EMPLOYEE, IS o INSTRUCTED IN THE PROPER PROCEDURE FOR HANDLING HAZARDOUS MATERIALS. o o THESE INSTRUCTIONS SHALL INCLUDE CORRECT METHODS FOR LOADING, UNLOADING, o STORAGE, AND SHELVING OF THESE MATERIALS. o o ALL EMPLOYEES SHOULD BE MADE AWARE OF THE LOCATION OF EMERGENCY EQUIPMENT o AND INSTRUCTED IN ITS USE. o o AN EMPLOYEE CHECK-OFF LIST SHALL BE MAINTAINED IN THE MANAGER'S OFFICE, TO o INSURE THAT EACH EMPLOYEE HAS BEEN INSTRUCTED PROPERLY. o o o i~ Held for Future Use ~~~~~~~~~~~i o o o o -8- 05/10/1999 04/03/96 Overall Site with 1 Fac. Unit Illl' General Information Location: 3214 MING AV ,e 0.01 Map:123 Haz:3 Type: 3 City : BAKERSFIELD Grid: 01C F/U: 1 AOV: ~H ~o~n~ A~am~te9~ Title Contact Name Title S~SAN JERE~,.~.A / MANAGER RONNIE REVITA / ASSISTANT MANAG Business Phone: (805) 832-4161x Business Phone: (805) 832-4161x 24-Hour Phone : (805) ~8-~F~KI 24-Hour Phone : (805) 325-2543x Pager Phone : ( ) - Pager Phone : ( ) - x Administrative Data Mail Addrs: 3214 MING AV D&B Number: City,: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-007 BAKERSF~IELD STATION 07 SIC Code: Owner:,~UNITED MERCHANDISING CORP Phone: (310) 536-0611 ~AA~ ~ ~' ~$~ ~. [~ ~qO~O %~.State: CA Address: 14~. OCEAN ........ City: " ~ %~0~0 Zip: ~ Summary AMMUNITION AND GUNPOWDER LOCATED ON PREMISES I, Do hereby certify that I have (Type or p,~nt n~n~) reviewed the a~tached hazardous materials ment plan for.&s ~.~,~,,r,~< ~s ar~ that it along with any corrections constitute a complete and correct man- agement plan for my facility. 04/0'3/96 Pln-Ref BIG 5 SPORTING GOODS #42 215-000-000845 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form Max Qty Page MCP 02-002 BLACK POWDER · Fire, Delay Hlth Solid 20 High LBS 02-003 GUNPOWDER · Fire, Delay Hlth Solid 10000 High LBS 02-001 PRIMER · Fire, Delay Hlth Solid 175 High LBS 02-004 PROPANE · Fire, Pressure, Immed Hlth Gas 2730 High FT3 02-005 BENZENE · Fire, Delay Hlth Liquid 55 Moderate GAL 04/03/96 BIG 5 SPORTING GOODS #42 215-000-000845 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-002 BLACK POWDER · Fire, Delay Hlth Solid 20 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS20 I Daily Average 20.00 LBS Annual Amount LBS 20.00 BOX Storage Press T Temp Location Iambient/ambientlMIDDLE WEST WALL ROOM 1 -- Conc Components 80.0% ICellulose Nitrate 20.0% Nitroglycerin, Solution MCP ---TGuide High 02-003 GUNPOWDER · Fire, Delay Hlth Solid 10000 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: BLASTING Daily Max LBS 10,000 I Daily Average LBS 8,000.00 Annual Amount LBS 50,000.00 BOX Storage Press T Temp Location IAmbient/Ambient MIDDLE WEST WALL ROOM 1 -- Conc 6.0% 80.0% 6.O% Components Barium Nitrate Nitroglycerin, Solution Arsenic Disulfide MCP Guide IHigh t42 High 26 Moderate 53 04/03/96 BIG 5 SPORTING GOODS #42 215-000-000845 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-001 PRIMER · Fire, Delay Hlth Solid 175 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS 175 I Daily Average LBS 150.00 --~--- Annual Amount LBS ..... 700.00 BOX Storage Press T Temp Location AmbientlAmbientlMIDDLE WEST WALL ROOM 1 -- Conc 20.0% ILead 20.0% Antimony 20.0% Barium Nitrate Components MCP ~Guide Low / 53 Low 53 High 42 02-004 PROPANE · Fire, Pressure, Immed Hlth Gas 2730 High FT3 CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 2,730 Daily Average FT3 2,000.00 Annual Amount FT3 25,800.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientlSaLES FLOOR AND BACKROOM -- Conc 100.0% IPropane Components MCP ---~Guide IExtreme I 22 02-005 BENZENE · Fire, Delay Hlth Liquid 55 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL55 I Daily Average40.00GAL Annual Amount GAL 720.00 Storage Press T Temp Location METAL CONTAINR-NONDRUMIAmDientlAmbientl20FT FROM NW WALL, ROOM1 -- Conc 50.0% IBenzene Components MCP ---/Guide IModerateI 27 04/03/96 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <D> Notif./Evacuation/Medical Page 5 <1> Agency Notification CALL 911 KERN COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH (805) 861-3636 STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES (800) 852-7550 <2> Employee Notif./Evacuation SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. <3> Public Notif./Evacuation SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AVE. BAKERSFIELD, CA (805) 327-3371 OR CALL 911 93305 04/03/96 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 6 <1> Release Prevention PREVENTION OF SPILLAGE WILL BE FACILITATED PRIMARILY THROUGH CAREFUL HANDLING AND STORAGE OF HAZARDOUS MATERIALS. CONTAINMENT AND CLEAN- UP WILL BE COORDINATED BY STORE MANAGEMENT AFTER CONTACTING BAKERSFIELD CITY FIRE DEPARTMENT FOR DIRECTION. (ALL MERCHANDISE PACKAGED FOR RETAIL SALE). <2> Release Containment PRODUCT PACKAGED IN SMALL CONTAINERS FOR RETAIL SALE. <3> Clean Up IN THE EVENT OF A SPILL, THE AREA SHOULD BE SECURED FROM EMPLOYEE AND CUSTOMER TRAFFIC, AND KEPT WELL VENTILATED. CONTACT THE FIRE DEPARTMENT FOR INSTRUCTIONS REGARDING CLEAN-UP OR DISPOSAL, AND HAVE THE INFORMATION REGARDING THE EXACT CONTENTS READY. <4> Other Resource Activation 04~03~96 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards AMMUNITION AND GUNPOWDER LOCATED ON PREMISES <2> Utility Shut-Offs A) GAS - METER ROOM - ALONG WEST WALL B) ELECTRICAL - METER ROOM - WEST WALL C) WATER - SOUTHWEST PARKING LOT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRIKLER SYSTEM: CALIFORNIA INDEPENDENT SPRINKLER CO. FRESNO, CA (209) 485-3222 FIRE ALARM: CRIME CONTROL INC. P. O. BOX 1967 BAKERSFIELD, CA (805) 322-1961 FIRE HYDRANT - EAST SIDE OF PARKING LOT ENTRANCE FROM MING AVE. <4> Building Occupancy Level 04/03/96 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <G> Training Page 8 <1> Employee Training WE HAVE 5 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: IT IS THE RESPONSIBILITY OF EACH STORE MANAGER TO SEE TO IT THAT ALL CURRENT EMPLOYEES, AND EACH NEW EMPLOYEE, IS INSTRUCTED IN THE PROPER PROCEDURE FOR HANDLING HAZARDOUS MATERIALS. THESE INSTRUCTIONS SHALL INCLUDE CORRECT METHODS FOR LOADING, UNLOADING, STORAGE, AND SHELVING OF THESE MATERIALS. ALL EMPLOYEES SHOULD BE MADE AWARE OF THE LOCATION OF EMERGENCY EQUIPMENT AND INSTRUCTED IN ITS USE. AN EMPLOYEE CHECK-OFF LIST SHALL BE MAINTAINED IN THE MANAGER'S OFFICE, TO INSURE THAT EACH EMPLOYEE HAS BEEN INSTRUCTED PROPERLY. <2> Page 2 <3> Held for Future Use <4> Held for Future Use 03/29/94 BIG 5 SPORTING GOODS #42 Overall Site with 1 215-000-000845 Fac. Unit Page General Information Location: 3214 MING AV Map:123 Haz:3 Type: 1 Community: BAKERSFIELD STATION 07 Grid: 01C F/U: 1 AOV: 0.0 Contact Name Titl~ Business Phone 24-Hour Phone~ ~ ~nT~'CFIELD- MANAGER (805) 832-4161 x (805) 833-8-3~.~ GH..ER!E ~QE..~.u=%KEt~ ASSISTANT MANAGER (805) 832-4161 x (805) 664-1662 Administrative Data Mail Addrs: 3214 MING AV D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: Owner: UNITED MERCHANDISING CORP Phone: (~) 536-0611 Address: .~O ~EA~ ~ATE AVFo ~k q~o~ State: CA City: B~4~g~-Lo~ ~ac~S / Zip: Summary AMMUNITION AND GUNPOWDER LOCATED ON PREMISES HAZ. MA ~ DI~ 03/29/94 Pln-Ref BIG 5 SPORTING GOODS #42 215-000-000845 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form Max Qty Page MCP 2 02-002 BLACK POWDER · Fire, Delay Hlth Solid 20 High LBS 02-003 GUNPOWDER · Fire, Delay Hlth Solid 10000 High LBS 02-001 PRIMER · Fire, Delay Hlth Solid 175 High LBS 02-004 PROPANE · Fire, Pressure, Immed Hlth Gas 2730 High FT3 02-005 BENZENE · Fire, Delay Hlth Liquid 55 Moderate GAL 03/29/94 BIG 5 SPORTING GOODS #42 215-000-000845 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-002 BLACK POWDER ~ Fire, Delay Hlth Solid 20 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER · Daily Max LBS Daily Average 'LBS I T 20 20.00 / Annual Amount LBS 20.00 BOX Storage Press T Temp Location IambientlAmbientlMIDDLE WEST WaLL ROOM 1 -- Conc80.0% Cellulose Nitrate Components 20.0% INit'roglycerin, Solution MCP ---q~uide High 02-003 GUNPOWDER ~ Fire, Delay Hlth Solid 10000 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: BLASTING Daily Max LBS 10,000 Daily Average LBS 8,000.00 Annual Amount LBS -- 50,000.00 BOX Storage Press T Temp Location Ambient/AmbientlMIDDLE WEST WALL ROOM 1 -- Conc 6.0% 80.0% 6.0% Components IBarium Nitrate Nitroglycerin, Solution Arsenic Disulfide MCP ---TGuide High ! 42 High /.26 ModerateI 53 03/29/94 BIG 5 SPORTING GOODS #42 215-000-000845 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 4 02-001 PRIMER ~ Fire, Delay Hlth Solid 175 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 36'5 Use: OTHER Daily Max LBS Daily Average LBS 175 150.00 Annual Amount LBS 700.00 BOX Storage Press T Temp Location IAmbientlAmbientlMIDDnE WEST WALL ROOM 1 -- Conc 20.0% ILead 20.0% Antimony 20.0% Barium Nitrate Components MCP 7uide Low 53 Low 53 High 42 02-004 PROPANE · Fire, Pressure, Immed Hlth Gas 2730 High FT3 CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 2,730 Daily Average FT3 2,000.00 Annual Amount FT3 25,800.00 Storage { Press T Temp I Location PORT. PRESS. CYLINDER AmbientlAmbient SALES FLOOR AND BACKROOM -- Conc 100.0% IPropane Components MCp uide I Extreme I 22 02-005 BENZENE · Fire, Delay Hlth Liquid 55 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL'55 I Daily Average40.00GAL Annual Amount GAL 720.00 Storage Press T Temp Location METAL cONTAINR-NONDRUMIAmDientlAmDientl20FT FROM NW WALL, ROOMi' -- Conc 50.0% IBenzene Components MCP ---~uide IModerateI 27 03/29/94 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <D> Notif./Evacuation/Medical Page 5 <1> Agency Notification CALL 911 KERN COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH (805) 861-3636 STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES (800) 852-7550 <2> Employee Notif./Evacuation SHOULD EVACUATION BECOME NECESSARy, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. <3> Public Notif./Evacuation SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. <4> Emergency .Medical Plan MERCY HOSPITAL 2215 TRUXTUN AVE. BAKERSFIELD, CA (805) 327-3371 OR CALL 911 93305 03/29/94 BIG 5 SPORTING GOoDs #42 215-000-000845 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention PREVENTION OF SPILLAGE WILL BE FACILITATED PRIMARILY THROUGH CAREFUL HANDLING AND STORAGE OF HAZARDOUS MATERIALS. CONTAINMENT AND CLEAN- UP WILL BE COORDINATED BY STORE MANAGEMENT AFTER CONTACTING BAKERSFIELD CITY FIRE DEPARTMENT FOR DIRECTION. (ALL MERCHANDISE PACKAGED FOR RETAIL SALE). <2> Release Containment. PRODUCT PACKAGED IN SMALL CONTAINERS FOR RETAIL SALE. <3> Clean Up IN THE EVENT OF A SPILL, THE AREA SHOULD BE SECURED FROM EMPLOYEE AND CUSTOMER TRAFFIC, AND KEPT WELL VENTILATED. CONTACT THE FIRE DEPARTMENT FOR INSTRUCTIONS REGARDING CLEAN-UP OR'DISPOSAL, AND HAVE THE INFORMATION REGARDING THE EXACT CONTENTS READY. <4> Other Resource Activation 03/29/94 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <F> Site Emergency Factors Page 7 <1> Special Hazards AMMUNITION AND GUNPOWDER LOCATED ON PREMISES <2> Utility Shut-Offs A) GAS - METER ROOM - ALONG WEST WALL B) ELECTRICAL - METER ROOM - WEST WALL C) WATER - SOUTHWEST PARKING LOT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRIKLER SYSTEM: CALIFORNIA INDEPENDENT SPRINKLER CO. FRESNO, CA (209) 485-3222 FIRE ALARM: CRIME CONTROL INC. · P. O. BOX 1967 BAKERSFIELD, CA (805) 322-1961 FIRE HYDRANT - EAST SIDE OF PARKING LOT ENTRANCE FROM MING AVE.. <4> Building Occupancy Level 03~29/94 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <G> Training Page 8 <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: IT IS THE RESPONSIBILITY OF EACH STORE MANAGER TO SEE TO IT THAT ALL CURRENT EMPLOYEES,'AND EACH NEW EMPLOYEE; IS INSTRUCTED IN THE PROPER PROCEDURE FOR HANDLING HAZARDOUS MATERIALS. THESE INSTRUCTIONS SHALL INCLUDE CORRECT METHODS FOR. LOADING, UNLOADING, STORAGE, AND SHELVING OF THESE MATERIALS. ALL EMPLOYEES SHOULD BE MADE AWARE OF THE LOCATION OF EMERGENCY EQUIPMENT AND INSTRUCTED IN ITS USE. AN EMPLOYEE CHECK-OFF LIST SHALL BE MAINTAINED IN THE MANAGER'S OFFICE, TO INSURE THAT EACH EMPLOYEE HAS'BEEN INSTRUCTED PROPERLY. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 03/29/94 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site '<G> Training .Page <4> Held for Future Use (Continued) 03/18/92 BIG 5 SPORTING GOODS #42 215-000-0~ 'age Overall Site with 1 Fac. Unit [ ~PR 1 0 1992 General InfOrmation 8y Location: 3214 MING AV Map: 123 Hazard: Moderate Community: BAKERSFIELD STATION 07 Grid: 01C F/U: 1AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- SAM BEDINGFIELD ~A~A~$~ (805) 832-4161 x (805) 833-0323 CHERIE SHOEMAKER ASSISTANT MANAGER (805) 832-4161 x (805) 664-1662 Administrative Data Mail Addrs: 3214 MING AV D&B'NUmber: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: Owner: UNITED MERCHANDISING CORP' Phone: Address: 14440 OCEAN GATE AV State: CA City: HAWTHORNE Zip: 90250- Summary AMMUNITION AND GUNPOWDER LOCATED ON PREMISES. Gabriel Friederichsen ~}0 h~'®b~ C~ r®vie~ed ~h'® ai~ached h~ardous ma~ria~ · Bfg 5 S~fng Goods ment plan fo~_ and ~ha~ ~ a~y co~ect~ons cons~u~ a ~D~ add CO~ a~s~n~ plan for ~y ~ac~. Date 03/18/92 BIG 5 SPORTING GOODS #42 215-000-000845 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 PRIMER · Fire, Delay Hlth Solid 175 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture'DaYs: 365 Use: OTHER Daily Max LBS Daily Average LBS 175 150o00 Annual Amount LBS 700.00 BOX Storage Press T Temp Location Ambient]AmbientlMIDDLE WEST WALL ROOM 1 -- Conc 20.0% ]Lead 20.0% Antimony, 20.0% Barium Nitrate Components { MCP I IMinimal .ILow IHigh List 02-002 BLACK POWDER · Fire, Delay Hlth Solid 20 High LBS CAS #: Form: Solid BOX -- Conc 80.0% 20.0% Trade Secret: No Type: Mixture Daily Max LBS 20 I' Storage Days: 365 Use: OTHER Daily Average LBS Annual Amount LBS 20.00 [ 20.00 Press T TempI Location AmbientJAmbientlMIDDLE WEST WALL ROOM 1 MCP IHigh High Cellulose Nitrate Components I~Nitroglycerin, Solution List 03/18/92 BIG 5 SPORTING GOODS #42 215-000-000845 02 - Fixed Containers on Site Hazmat Inventory Detail in. Reference Number Order Page 3 02-003 GUNPOWDER · Fire, Delay Hlth Solid 10000 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: BLASTING Daily Max LBS 10,000 I Daily Average LBS 8,000.00 Annual Amount LBS 50,000.00 BOX Storage Press T Temp Location IambientlAmbientlMIDDnE WEST WALL ROOM 1 -- Conc 6.0% 80.0% 6.0% Components IBarium Nitrate Nitroglycerin, Solution Arsenic Disulfide MCP i. List High High Moderate 02-004 PROPANE · Fire, Pressure, Immed Hlth Gas 2730 High FT3 CAS #: 74-98-6 Trade Secret: No Form:'Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 2,730 Daily Average FT3 2,000.00 Annual Amount FT3 25,800.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAmbient|AmbientlSALES FLOOR AND BACKROOM -- Conc 100.0% IProPane Components MCP List Extreme I 02-005 BENZENE · Fire, Delay Hlth Liquid 55 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL Daily Average GAL Annual Amount GAL 720.00 Storage Press I Temp Location- METAL CONTAINR-NONDRUMIAmbientlAmbientl20FT FROM NW WALL, ROOM1 -- Conc 50.0% IBenzene Components MCP List IModerateI 03/18/92 BIG 5 SPORTING GOODS %42 215-000-000845 00 - Overall Site <D> Notif./Evacuation/Medical · Page <1> Agency Notification CALL 911 KERN COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH (805) 861-3636 STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES (800) 852-7550 <2> Employee Notif./Evacuation SHOULD EVACUATION BECOME NECESSARY, A MEMBER OF STORE MANAGEMENT SHALL ALERT STORE PERSONNEL AND CUSTOMERS VIA THE STORE PUBLIC ADDRESS SYSTEM. STORE PERSONNEL WILL HAVE BEEN INSTRUCTED IN THE CORRECT PROCEDURE TO INITIATE A CALM AND ORDERLY EVACUATION. <3> Public Notif./Evacuation NONE LISTED SAME AS ABOVE(D <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AVE. BAKERSFIELD, CA (805) 327-3371 OR CALL 911 93305 03/18/92 BIG 5 SPORTING GOODS #42 215-000-000845 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention PREVENTION OF SPILLAGE WILL BE FACILITATED PRIMARILY THROUGH CAREFUL HANDLING AND STORAGE OF HAZARDOUS MATERIALS. CONTAINMENT AND CLEAN- UP WILL BE COORDINATED BY STORE. MANAGEMENT AFTER CONTACTING BAKERSFIELD CITY FIRE · DEPARTMENT FOR DIRECTION. (ALL MERCHANDISE PACKAGED FOR RETAIL SALE). <2> Release Containment <3> Clean Up SF~-~n~T~gCT~ED~-. <4> Other Resource Activation 03/18/92 BIG 5 SPORTING GOODS #42 215-000-000845 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards AMMUNITION AND GUNPOWDER LOCATED ON PREMISES <2> Utility Shut-Offs A) GAS - METER ROOM - ALONG WEST WALL B) ELECTRICAL - METER ROOM - WEST WALL C) WATER - SOUTHWEST PARKING LOT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRIKLER SYSTEM: CALIFORNIA INDEPENDENT SPRINKLER CO. FRESNO, CA (209) 485-3222 FIRE ALARM: CRIME CONTROL INC. P. O. BOX 1967 BAKERSFIELD, CA (805) 322-1961 FIRE HYDRANT - EAST SIDE OF PARKING LOT ENTRANCE FROM MING AVE. <4> Building Occupancy Level 03/18/92 BIG 5 SPORTING GOODS #42 215-000'000845 00 - Overall Site <G> Training Page <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? YES. BRIEF SUMMARY OF TRAINING: (SEE ATTACHED) <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use EMERGENCY RESPONSE PLANS IN THE EVENT OF FIRE: o 10. 11. 12. CALL THE FIRE DEPARTMENT FIRST. Do not attempt to fight the fire until someone has called the Fire Department. Small fires can quickly get out of hand. Turn off the air conditioning. Obtain the most accessible fire extinguisher and proceed to the fire. Our dry chemical extinguishers can be used on all types of fires (i.e., combustibles, liquids, electrical) from a distance of eight feet to twenty 'feet from the flame or smoldering material. All-purpose, dry chemical extinguishers are installed in every store, and are located in strategic areas. All employees should be aware of these locations. Get employees and customers out of the store if danger exists. Notify the Operations Department, the Security Department, and your'District Supervisor. Cooperate with Fire Authorities. Follow through on suggestions and corrective measures. If help is needed from the Maintenance or Security Departments, contact the Operations Department or your District Supervisor if they are not already there. See that these things are done as soon as possible. Do NOT throw out any burned or water damaged merchandise until an insurance inspection has been made, and then only if directed to do so. The Fire Department can supply you with exhaust fans to remove smoke from the store. Reopen the store if approved by the Fire Authorities. Stay with the store and protect the company's property after the fire.~ If guard service protection is needed, contact your District Supervisor or the Operations Department. JRM:jw DF1:030 HANDLING HAZARDOUS MATERIALS All propane and white gas fuel is shipped in factory sealed/D.O.T. approved cartons. This is the only acceptable manner in which to transfer or return combustible material. All hazardous materials are to be loaded and unloaded by hand, one carton at a time. Never throw or drop cartons containing hazardous materials. All hazardous and combustible materials are to be stored well away from heat generating appliances, and are not to be stacked or shelved in an unsafe manner. In the event of a spill, the area should be secured from employee and customer traffic, and kept well ventilated. Contact the Fire Department for instructions regarding clean-up or 'disposal, and have the information regarding the exact contents ready. JRM:jw DF1:029 EMPLOYEE TRAINING It is the responsibility of each store manager to see to it that all current employees, and each new employee, is instructed in the proper procedure for handling hazardous materials. These instructions shall include correct methods for loading, unloading, storage, and shelving of these materials. All employees should be made aWare of the locatiOn of emergency equipment and instructed in its use. An employee check-off list shall be maintained in the manager's office, to insure that each employee has been instructed properly. JRM:jw DF1:028 CITY of BAKERSFIELD "WE CARE~' FiRE DEPARTMENT 2101 H STREET D S NEEDHAM BAKERSFIELD. 9330~ FIRE CHIEF 326-3911 .RECEIVED JAU ~'2 1990 I~n~'tl ............ Enclosed please find a copy of your response to the Hazardous Material Management Plan (HMMP) request. We have found it necessary to reject your plan for the following reason(s) as checked below. ~--~ Illegible Management Plan information) . Section(s) ~i~ Inventory ~7~ Missing or (please print or type of HMMP incomplete. Incomplete. d'O~f~ Diagram Missing.or Incomplete. This is to be corrected and resubmitted within 30 days to: City of Bakersfield, Fire Department ~_ ~, ~q%q Hazardous Materials Division 2130 G Street ., Bakersfield, CA 93301 If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 G Street in person. Mazardous Materials Coordinator REH/ed N ,') t ,_ 'f , .," ',E ',,.-' a c u a t i o n / I"~ d i ,c a <l> ~qancv Notification A. In case of emergency - 911 B. Kern County Department of Environmental Health (805) 861-3636 C. State of California Office of Emergency Services (800) 852-7550 <2> Employee Notif./Evacuatlon 5A SEC 2) MGR ON DUTY WOULD USE A PA SYSTEM TO ALERT EMPLOYEES OR CUSTOMERS OF FIRE. EXIT THROUGH REAR EMERGENCY DOORS OR FRONT DOORS. <S> Public Notit:./Evacuation CITY of BAKERSFIELD - Farm and Agl:iculture [1 Standard Business ~HAZARDOUS MATERIALS TNVENI'ORY NON--TRADE SECRETS Page 1 )USINESS NAME: Bia 5'Soorting Goods Store #42Q_W_N_E_R__NAME: United Merchandisin,q Corp. NAME OF THIS FACILITY: .OCATION: '3LJ~4 ~.~gq Agenue ADI.)HI:5:3: ]4440 ocean Gate Agenue DUN AND BRADSTREET NUMBER ;IIY. ZIP: ~a~cer$~e-,~. Ca. 95~0~ ~IHTO~~ ~IP: ~aw~_~or~e, C'a. ~OX~O STANDARD IND. CLASS C0DE'.~ ,.o.E ,: coo s --- - of 2 Na~es of ~ixture/Co~ooneCs lrans !¥~e ~ax Average Annual Heasure Is)tl)XSe Cent Cent Cent Us Location Code code AmC AmC Est Units on lype Press lemp CoueStored ~n Facility See lnstructtons/ PhYsical And Health Hazard C.A.S. Humber N/A Component Il Hame I C.A.S. Humber 80 Nitroglycerin Solution {~he~t ~]1 that ~1~] 99 Retail Sales Nitrate ~ Fire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ ImmediaceC°~p°nenC 12. Name I C.A.S. Humber 6 Barium Health of Pressure Health Component 13 N.~e t C.A.S. Number 6 Arsenic Disul ~ Fire Hazard ~ Reactivity ~ Oelayed D Sudden Release D Immediate Health of Pressure Health Component 13 Name & C.X.S. Humber 20 Antimony Physical end Health Haz4rd C.A.S. Number 74-98-6 Component II Name I C.A.S. Number Propane 74-98-6 [Check ali Chat Apply) 99 = Re~e~Z Sales Componefl[ 12 Ha~e & C.A.S. Number ~ireHazard ~ Re4c[iyi[y ~ Delayed ~SuddenRelease · ~ Immediate " Health of Pressure He,ICh ' Componen[ 13 Name I C.A.S. Humber :Physical and ~ealth Hazard C.X.S. Humber N/A CoAponen[ II Hame I C.X,S. Humber (Check 811 Chat apply) 80 N~t~oceZZuZose 99 = Retail Sales ~ Fire Hazard ~ Reactivity ~ DelayedHealth ~ Suddenof PressureRelease ~ Im~i~ Component 12 Name i C.A.S. Number 20 Nitroglycerin Solution Component 13 Hsme ~ C,A.S. Humber EMERGENCY CONTACTS #i Samuel Bedingfield · Store Manager (805) i833-0323lt2 Cherie Shoemake 1st Asst. Manager nme TIC I e 2q-ITCTli~ e Hi~e T! [1 e erti[i~atioq .(Re~ ~,n~.~ign after compl~ti~g,~ll sectij~n~) his and all certify under oenalC~ olJ8~ tnqc J navepe(sonal~y, exa~lnqOaqo~m tamillar.'~itb the inter,etlon ~u~mitt~d in ~ believe that the [~ached.d~cvmen[~, 4n~ [~ac oaseo:~n.my I~qu~r[ ~.cnose ~now~euals responsie/e ~or obtaining the ~nrormac~on. ~,~ ~,,~/~///~/ ~Dml[Ceo Information IS cr~e, acc,.ace, 8 o co p ace. Gabriel A.:~ Friederichsen, O~erations ~.~ana~er (805) 664-1662 0/90 CITY of BAKERSFIELD Farm andAgticulture t1 Standard Business [] HAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS BUSINESS NAME' Big 5 Sporting Goods Store #42 OWNER NAME: United Merchandising Corp. NAME OF THIS FACILITY: LOCATION: 22'i4 Minn A~P.n~JP. ADDRESSip 14440 Oeman. GntP~ A'~enue STANDARD IND. CLASS CODE: CIIY, ZIP) ~~~,.~~_~- ~ ~. i_~tho~. C~. 90250 DUN AND BRAOSTREEI NUHBER PHONE ": (805) 8.32-~161 _~__ REFER ~O-~R~~R~ROPER CODES --- - Paqe 2 of 2~ 1 2 ) I 5 65it? 8 g 10 11~ 12 ~i!y Hames pt Nixture/:oeoonents Trans !y~e ~ax Average Annual Measure I OYse Cont Cont Cont Us Location.Whece. Code CODe Ami Ami Est Units on Type Press Temp COueStored ]n ~acl/lty See Instructions U i M I 50 I 40 I 720 I Gal.I 365 I13 I I I 4 I 99 120'FromN. W. Wall, Rm. 1 Physical andHealthHazard C.A.S. Number 100-14-1 Componentll Names C.A,S. Number 50 Benzeqe 100-14-1 (Check all that apply) Component Name C.A.S. Number ~Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release [] immediate Health of Pressure Health -- ~r Component 13 Name ~ C.A,S. Number Physical and Health Hazard C.A.S. Humber Component I1 Name I C,A,S. Number (Check all that apply) Component 12 Name S C.A,S, Humber ~ Fire Hazard ~ Reactivity [] Delayed [] Sudden Release [] ]mmediate Health of Pressure Health Component 13 Name ~ C.A,S, Number Physical and Health Hazard C.A.S. Number Component II Name t C.A.S. Number (Check all that apply) Component 12 Name ~ C.A.S. Number ~ Fire Hazard [] Reactivity [] Delayed ~ Sudden Release [] Im~i~ Health of Pressure Component ~3 Name a C.A.S. Number ;Physical and Health Hazard C.A.S. Number Component II Name & C.A.S. Number (Check all that apply) Component 12 Name & C.A.S. Number ~ Fire Hazard [] Reactivity [] Delayed ~ Sudden Release [] Health of Pressure Component ~3 Name I C.a,S. Humber EMERGENCY CONTACTS #1 Samuel Bedingfield Store Manager ~05) 833-0323#2 Cherie Shoemake 1st Asst. Manager ~05) 664~1662 ~me TT:le 2a-~lr~e N~e TI tle ferti[i;atioq ,(Re~3d ~,n.d.~ign a?~r compl¢~f~]g,al l sec~i,ons,) his ~nd all cer;,ty under ,ena,cy o,,a, ,nAt, nave personally, examln,(~ ,qo,m ,am(,,ar ,(th the in,orma;,on su~mittpd in, bel,eve that th.~?//././_....~ at~ached.docgmenB, eno tbac paged on.my Inquiry gl. Chose ~no~v]oua~s responsible for obtaining the ~ntorma~on. suomltteo lntormatlon is crum, accurace~ and complete. Gabriel A. Friederichsen, Operations Manager ' '' ~i~~~ of o~ner/o0~r~tOr u~ O~ner/0~t0r's ~uthoriied re,resiStive ~'ure . 1/10/90 Bakersfield Fire l pt. Hazardous Materials Inspection Date Completed Business Name: Location: O0 gEP 7 1989 Antd plan ID # 215-000O6~)$c/~(Top right comer Business Plan) Station No. '7 Shift (~ Inspector Adequate Inadequate Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: Verification of MSDS Availability Number of Employees Verification of Haz Mat Training Comments: /~s i) ~s Verification of Abatement Supplies & Procedures not Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram Special Hazards, Associated with this Facility: Violations: FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office IUS INESS NA~4E INSTRUCTIONS: AS A WHOLE ..~ RECEIVED APR ! ~ 1988 hsd.. . HAZ ;%I{DOUS BUSI NESS PL~ 1. To avoid furtherlactton, return this form by 2. TYPE/PRINT.~d~ISWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible.' SECTION 1: BUSINESS IDENTIFICATION DATA A. BUsI~ss NA~: Bi~-'~S' B.'LOCATION / ~TREET"ADDRESS: ~Zl'~- BUS. PHONE In case of ~n' emergency involving the release or threa%ened release of a hazardous material, call 91! and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the' State Office of E=ergency Services as required by .law. EMPLOYEES TO NOTIFY IN CASE OF F~ERGENCY: NAME AND TITLE. DURING BUS. HRS'. AFTER BUS. HRS. ' ' Ph~ 0 ~.~-0~,2-...~ , Ph# ~}")- SECTION 3: LOCATION OF UTILITY SMUT-O~FS FOR BUSINESS AS 'A WHOLE A. NAT. GAS/PROPANE:v',,,,f,,A~.~ ,'-oo',..,~- )o~--~.J'ec{ D. SPECIAL: E. LOCK BOX: ~S /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YEs / NO YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TE~M FOR BUSINESS AS A WHOLE Store management to coordinate all emergencies after notifying local Fire Department. If clean-up/disposal is required, a licensed waste disposal company will be contacted. SECTION 5: LOCAL EMERGENCY MEDICAL ASSIST.~CE FOR YOL~ BUSINESS AS A WHOLE M.ercy Hospit~a] ..' 2215 Truxtun Avenue Bakersfield, CA. 92305 (805) 327-3371 or Call 911 SECTION 6: EMPLOYEE TRAINI};G E.MPLO.VERS ARE REQUIRED TO :-lAVE A .~ROGRAM WHICH PROVIDES EMP%CV%~", WIT:{ INITIAL REFRESHER TRAINING IN THE FOLLCWr:;G AREAS. · ' CIRCLE YES OR NO iNITIAL ....................................... B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~, NO C. PROPER USE OF SAFETY EQUIPMEL~: .................. gF-~~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO SECTION 7: HAZARDOUS MATERIAL REFRESHER - ~-~ NO ~ NO ~0 CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS T~iN $00 POL~DS SOLID, 55 GALLONS OF A LIQUID, OR ZOO CUBIC FEET OF A COMPRESSED GAS: ...... I.~ .~.~/~/~ ~,~_+--~r~.~~ . certify that the above information is ac cur,re' I understand that t~ information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.98 Sec. 25500 E~ Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 BUSINESS NAME: OFFICIAL USE ONLY ID# · BUSINESS pLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by:~- 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY. UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# SECTION 1: MITIGATION, FACILITY UNIT N~ME: PREVENTION, ABATEMENT PROCEDURES ' Prevention of spillage will.be facilitated primarily through careful handl!ng and Storage of hazardous materials. Containment and clean-up will be coordinated by store management after contacting Bakersfield City Fire DePartment for direction. (Ail merchandise packaged for retail sale). ' ' SECTION 2: NOTIFICATION AND EVACUATION PROCEDb~ES AT THIS UNIT' ONLY' Should evacuation become necessary, a member'of store management shall alert store personnel and customers via the store pUblic addreSs system. Store personnel will have been instructed in the correct procedure to initiate a calm and orderly evacuation. - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. B..ire any of the hazardous materials a bona fide Trade Secret~ NO If. No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form aarked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. .List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Private fire protection. Sprinkler System: Maintained by- California Independent Sprinkler Co. Fresno, California - (209~ 485=3222 Fire Alarm: Crime Control, Inc,, p. O.'Box 1967, Bakersfield, CA. 93303 - (805) 322-1961 SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS Fire hydrant located at East side of parking lot entrance from Ming Avenue. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNiT ONLY. A. :~rAT. '~ . '~ ' Y~;' ,~AS/P~O~A.,,.~.: Meter room located along west side of building. B. ELECTRICAL: Meter room located along west side of building. C. WATER: West side of parking lot entrance from Ming Avenue. SPECIAL: N/A E. LOCK BOX: YES /' 'kNOj iF YES LOCATION: iF YES, SITE PLANS? FLOOR PLANS? YES / NO MSDSs? YES / NO YES / NO KEYS? YES / NO BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 Page 1 of 6~ NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ]3ig 5 Sporting Goods OWNER NAME: United Merchandising Corp. FACILITY UNIT #: ADDRESS: 3214 Ming Avenue ADDRESS: 14440 Ocean Gate Avenue FACILITY UNIT NAME: Store #42 C I Ty, Z I P: .... Bakersfield, CA. 93304 C I TY, Z I P: Hawthorne, CA. 90250 PHONE ~: (805) 832-4161 PHONE #: (213) 772-2772 [OFFICIAL USE CFIRS CODE I ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE OUIDE 1~ Middle West Wall Room 1 M 360,000 1,800,000 {ounds 11 West Wall Rm 2 in Vault Sm-l! Arms Ammunition CMSL Lcad. !n er ganic_and-lead-co .m~ . A Antimony and compounds/D~~ -- /~ ~& 1/ ~ ~ Arsenic and compounds~ ~ ~*~ t ~ Barium and compound~R,~ ~,~, . --~:~/~' ~O~ Nitroglycerin Middle West Wall Room 1 ~M 250 1,000 Boxes 11 West Wall Rm 2 in Vault Fire~m Prime~, Perc~ion Ca~ CMSL ~ ] ~ ~ ]] ~ ZO Lead Styphnate ~ Tetracene ~ Barium Nitrate ~q ~. Antimony Sulfide ~ Middle West Wall Room 1 ~ 20 80 Lbs. 11+13 6 West Wall Rm 2 in Vault Smokele~ Powde~ FLSL 2-40 Nitroglycerin (NG) skin 60-98 Nitrocellulose - Flammable Solid ~ 1/2 2 Gal. 9 32 15' From S.W. Wall Rm 1 TRU-OIL TO22, TO8 ~d TO FLLQ ~ 37 Odorless Mineral Spirits 3 DicvcloDentadiene-Sova CoDolvmer ~ 1 Mineral Spirits 1 Modified Linseed Oil M 1/4 1 Gal. 9 32 15' From S.W. Wall Rm 1 PERMA BLUE Liq~d G~ Blue PB22 CRMT 3 Selenious Acid - H2SeO3 3 Cupric Sulfate - CuSO45tt. O _ 3 Nitric Acid - I~ NAME Sam Bedingfield TITLE: Manager SIG DATE: EMERGENCY CONTACT: Sam Bedingfield TITI, E:__ Mana HOURS: 832-4161 AFTEI BUS HRS: 833-0323 ENERGENCY CONTACT: SueJereczek TITLE: Asst. Manager .. PHONE # BUS HOURS: 832-4161 · PR:INCIPAL BUSINESS ACTIVITY: RetailSales AFTER BUS HRS: 397-3607 - 4A-i - BAKERSFIELD CITY FIRE DEF'ARTMENT I.D. ~ FORM 4A-1 Page 2 of NON--TRADE SEC'RETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE ~: PHONE #: [0'F~ICIAL USE CFIRS CODE ! ONLY I 2 3 4 5 6 7 8 9 1 0 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~t BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE GUIDE M 1/2 1 Gal. 13 8 15' From S.W. Wall Rm 1 Cleaner-Degreaser GCll & GC32 FLLQ · 1 Methyl Alcohol - CH3OH v 5 NorlylPheno~;ypoly(ethyleneoxy)ethanol 1 Sodium Tetraborate Decahydrate- Na2B407 L~nder 2 Sodium Sesquicarbonate- Na2CO3 NaHCO3 L~nder i Sodium Dodecylbenzenesulfonate- c10H29so3 M 1/8 1/2 Gal. 10 32 15' From S.W. Wall Rm 1 PERMA BLUE Paste Gun Blue SBP2 CRMT ~nder 2 Selenious Acid - tt2SeO3 ~Jnder 3 __Cupric Chloride- CuC122H20 Under 4 Phosphoric Acid- H3PO4 Under 1 Ammonium Bifluoride,- NH4F HF Under Polyoxyethylene Stearyl Ether NAME: TITLE: SIONATURE: DATE: EN'EROENCY CONTACT: TITLE: PIIONE # BUS HOURS: AFTER BUS HRS: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: PR'INCIPAL BUSINESS ACTIVITY: AFTER BUS HRs: - 4h-i - BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Page 3 of NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE ~: PHONE #: [O'OFICIAL USE CFIRS CODE I ONLY 1 2 3 4 $ 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T .C. ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT ~qT. CHEMIqAL OR COMMON NAME CODE GUIDE M 1/4 1 Gal. 9+10 32 15' From S.W. Wall Rm 1 Cr-96 Gun Blue Cream #1064 CRMT 8.4 Selenous Acid 5,0 Nitric Acid 4.2 Copper Nitrate M 1/4 1 Gal. 13 8 15' From S.W. Wall Rm 1 G-96 Gun Treatment FLGS 28.0 Petroleum Distilates 24.0 Hydrocarbon Propellent 6.0 Methylene Chloride M 1/4 1 Gal. 9 32 15' From S.W. Wall Rm 1 G-96 Gun Blue Liquid CRMT ~ 8.4 Selenous Acid 5.0 Nitric Acid ' 4.2 Cupric Nitrate N~E TITLE: SIGNATURE: DATE: EM,ERGENCY CONTACT: TITLE: PHONE # BUS HOURS: ~ AFTER BUS HRS: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: PR~ffCIPAL BUSINESS ACTIVITY: AFTER BUS tlRS: .... BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Page 4 of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE ~: PHONE #: ~OFFICIAL USE CF~RS cODE I ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 1/4 1 1/2 Gal. 13 32 20' From N.W. Wall Rm 1 Fabric Waterproofing Spray FLGS .~ 4.0 Silicone 56.0 Chlorinated -- '30.0 Hydrocarbon Propellent M 1 1/2 6 1/2 Gal. 13 32 20' From N.W. Wall Rm 1 Thompson's Sportseal CMLQ 90.0 Mineral Spirits 10.0 Silicone Resin M 2 9 Gal. 9 8 15' From S.W. Wall Rm 1 HoDDes NO. 9 Gun Cleaning Solvent CRMT 90.0 Solvents M 3 24 Gal. 13 19 20' From N.W. Wall Rm 1 B. tRn~_ - CRmnin~ C.~. FLGS 2.0 Propane A 30.0 I,~o-bllt~na ~ 35.0 N-butane 30.0 20' From N.W. Wall Rm 1 M 11 80 G~]. We.~t WAll Rm 2 ProDane FLGS Propane Methane Ethane ISO-Butane & Butane N~ME: TITLE: SIGNATURE: DATE: E~ERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: EM~ERGENCY CONTACT: TITLE: PHONE # BUS HOURS: ' P~INCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: 4A-1 - " BAKERSFIELD CITY FIRE DEPARTMENT ~ I.D. # FORM 4A-1 Page 5 of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE #: PHONE #: [OFFICIAL USE CFIRS CODE { ! ONLY ! 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~; BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE , FACILITY UNIT WT. CHEMI(~AL OR COMMON NAME CODE GUIDE ..~ M 50 720 Gal. 13 19 20' From N.W. Wall Rm 1 Coleman Fuel - Skeilite CMLQ ~ 50 Benzene ~r' ~ 1/2 6 Gal. 13 19 20' From N.W. Wall Rm 1 Jon-E Fluid CMLQ 57.63 VM & P Apcothinner 39.44 Tolusol 5 13 ~ Middle E. W~11 RrI] 2 TOKO Wax Remover Fl,LO Isopropylalcohol Xylene 1.1.1-t richloroethane M 1 1 Gal. 13 8 Middle E. Wall Rm 2, Wax Remover FLLQ Naphtha Blend _ .O 1 5 Gal. 9 41 20' From N.W. Wall Rm 1 SANISCENT CRMT 18.3 Alkyl Dimethyl Benzyl Ammonium Chloride M 6 9.4 {o~mds 11 Middle W. WAll Rm I METEOR (12 Ga.) FLARE Magnesium TITLE: SIONATURE: DATE: EMERGENCY.. CONTACT: TITLE: PHONE # BUS HOURS: · . AFTER BUS HRS: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: P{~INCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: - 4A-1 - I.D. BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A- 1 NON--TRADE SECRETS HAZARDOUS lVlATE R I ALS I NVENTORY Page 6 of 6 BUSINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE ~: PHONE #: [OFFICIAL USE CFIRS CODE ONLY I 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~; BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE OUIDE M 6 24 Rounds 11 Middle W. Wall Rm 1 Parachute Flare (25,mm) Magnesium 1~~l'' $ 12 Rounds 11 Middle W. Wall ]~m 1 36mRO FLARE Magnesium Barium nitrate M 12 48 Rounds 11 Middle W. Wall Rm 1 Orange Smoke Methylene chloride Styrene Potassium chlorate M 3 12 Rounds 11 Middle W. Wall Rm 1 2HHR FlaPe NAME: TITLE: SIONATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: E~{EROENCY CONTACT: TITLE: .. PHONE # BUS HOURS: ' PR, INCIPAL BUSINESS ACTIVITY: AFTER BUS HR$: .~, - 4A-1 - Location: ._~ a~ //-it Plan ID # 215-000 Station No. '~ Bakersfield Fire Pt. Hazardous Materials Inspection Date Completed J _r~&,-~"~Top right comer Business Plan) Shift C Inspector Verification of Inventory Materials RECEIVED Adequate Inadequate Verification of Quantities Verification of Location Proper Segregation of Material Cornmen~: Verification of MSDS Availability Number of Employees Verification of Haz Mat Training Comrnents: ~cation of Abatement Supplies & Procedures Comments: Emergency Procedures Posted ontainers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this FacilityL FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office- "' '