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Home My WebLink AboutBUSINESS PLAN 7/31/2007~~~ ~. ~~ , J fIG ~, ~ r ~.,_~~ TRADER JOES r_ .`.;,~ri 8200 STOCKDALE NWY_#C-1_ i~ ~.~ f ,~ O,r~~ Per . it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit Is Issued for the following: It! Hazardous Materials Plan .~"'~ . 0 Underground Storage of Hazardous Materials ,,~ 0 Risk Management Program . .r', ,.J. ^ , . , .,. . '~::~~~::,; . 0 .HazardOUS Waste On-Site Treatment ' ,'",,~ .... ""'~tP~ ",I') ~ ""', ' -- ,...¡ -t "'\. (.. \ ,......,:\.... '-...... f'1..../_! '1\..,.:...... '''''~--. ..: v\" '" · " J '.), . "." ".').1'" ' '..j "'-,.,~. -"""J 'v('''' . '.--~ \, ',,, 1 \:.'-' Ir ~\ _..'~. PERMIT ID # 015-021-002150 TRADER JOES LOCATION: . Issued by: CA 93311 Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield. CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: ~~\ '''.·0 Issue Date June 30, 2003 .~, TRADER JOES 14 BusPhone: Map 123 Grid: 05B SiteID: 015-021-002150 Manager JIHAN SWEIS Location: 8200 STOCKDALE HWY C-1 City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: (661) 837-8863 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title LACEY JONES / FAC CONTACT / Business Phone: (661) 837-8863x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact JAY URETSKY Phone: (661) 837-8863x MailAddr: 8200 STOCKDALE HWY C-1 State: CA City BAKERSFIELD Zip 93311 Owner TRADER DOES Phone: (626) 599-3700x Address 800 S SHAMROCK AVE State: CA City MONROVIA Zip 91016 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD t3ased on my inquiry of those individu2is respensibie for oh3taining the information, !certify under penalty of iaw that ~ have personally examined and am fiamiliar with the information submitted and believe the information is true, accurate, and complete. ZJ Si atu Date ENT'D A U G 0 9 2007 -1- 07/16/2007 ~' Y F TRADER DOES 14 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002150 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP FREON F P IH G 396.00 FT3 Min -2- 07/16/2007 -3- 07/16/2007 F TRADER JOES 14 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME FREON Location within this Facility Unit COMPRESSOR RM REAR OF STORE STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002150 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 75-71-8 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 132.00 FT3 396.00 FT3 132.00 FT3 - riHGHKLVU~ ~v1~1rv1vli1v1-~ oWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 ru~~titc~ xaa~aai~i~iv 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies F P IH / / / Min -4- 07/16/2007 F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ H~e11C~/ 1VUG111Cd1.1U11 Employee Notif./Evacuation ruull.c: lvv~ii . ~ ~va~:ua~.i~ll Luic~.~cli~.Y i•acui~.a.L riaii -5- 07/16/2007 j' , F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment ~.iCdll VN V1.11Ct .RCwS'VULI:C HC:l.1Vdl.1V11 -6- 07/16/2007 F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, _,_ ~~~~~a~ ~~a~aLU~ Utility Shut-Offs t'1LC t'LVI.CC:./tiVd11 WdI.CL D u11U1111~ VGC: U~J di1C ~/ L@Ve1 -7- 07/16/2007 a~ ~ F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc c. Held for Future Use nciu ivl. ru~uic u~c -8- 07/16/2007 _ ~~ ~+~ TRADER DOES 14 SiteID: 015-021-002150 Manager :: ~, In.F,v~-~ ~ c,32;tS \ Location: 8200 STOCKDALE HWY C-1 City BAKERSFIELD BusPhone: (661) 837-8863 Map 123 CommHaz Minimal Grid: 05B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title LACEY JONES, / FAC CONTACT / Business Phone: (661) 837-8863x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ,: ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact JAY URETSKY Phone: (661) 837-8863x MailAddr: 8200 STOCKDALE HWY C-1 State: CA City BAKERSFIELD Zip 93311 Owner TRADER JOES Phone: (626) 599-3700x Address 800 S SHAMROCK AVE State: CA _ City : MONROVIA Zip 91016 Period to TotalASTs: = Gal Preparers TotalUSTs: _ Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT b PROG C - COMM HOOD used on ~ y in uiry of those individuals ' respon ,,~e for oh,aining the information, I certify un r p natty fi law that I have personall y e .. mi a an am familiar with the information ~ '. d nd believe the informat' n is true, ac r d complete. *~ p '~N"r'® ~ ~ f~ 3 O ZQO~ ign tur D e L -1- 02/20/2007 ,. ., F TRADER JOES 14 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002150 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP FREON F P IH G 396.00 FT3 Min -2- 02/20/2007 -3- oa/ao/2oo~ F TRADER JOES 14 SiteID: 015-021-002150 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site 365' Location within this Facility Unit Map: Grid: COMPRESSOR RM REAR OF STORE CAS# 75-71-8 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 132.00 FT3 396.00 FT3 132.00 FT3 til-1GI~ttLV U 7 l=vl~lr~lv~ly 15 oWt. - RS CAS# 100.00 Dichlorodifluoromethane No 75718 riE~GE~IKL AJ5t5~51~11'~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/20/2007 F TRADER DOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ,_ Ldll~JlVyCC 1VV 1.11. ~ ~VCL I: LLCLL1V11 t U1.J11V 1VV L11~.G Vp.I.: UCYL1V11 Emergency Medical Plan -5- 02/20/2007 F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment V1GGL11 V~./ V l..llcl 11caVU1VC L'11~1..1V0.1..1 V11 -6- 02/20/2007 U F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .+j/c~.ias. rlac~dtu.~ ~ .,,- V 1.1111~y U11LL1.-V11w7 rli~ r.cc~~cc;.~r-~va.ii, water DLL1111111y Vl~I.:U~Jd11C:y LCVE.''1 -7- 02f20f2007 ,^~ / ~ F TRADER JOES 14 SiteID: 015-021-002150 ~ Fast Format ~ ~ Training Overall Site ~ ~LLl~J1VyCC 11.Q1111111~. rayc a nCiu Lui ru~ui~ use _, r_ i1c 1lA 1V1 t ul.UlC VAC -8- 02/20/2007 + TRADER JOES _________________________________________ SiteID: 015-021-002150 + Manager Location: 8200 STOCKDALE HWY C-1 City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: -- BusPhone: (661) 837-8863 Map 123 CommHaz Minimal Grid: 05B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact__ _- / _~._.Title ~ -. - - _ - LACEY JONES- ~~_-_ - - -~ _____~<=FACILITY ° CONT~ - ~ ` / Business Phone:-(661) 837-8863x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact JAY URETSKY Phone: (661) 837-8863x MailAddr: 8200 STOCKDALE HWY C-1 State: CA City _: BAKERSFIELD Zip 93311 Owner TRADER DOES Phone: (626) 599-3700x Address 800 S SHAMROCK AVE State: CA City MONROVIA Zip 91016 Period to TotalASTs: = Gal Preparers TotalUSTs: Gal Certif'd: .~ - __ - _---s-. ;-=.:r~ . -. _ ~_--a_>, _~`RSs=: 'NoJ~- -.~-__ _ ~ _ ___..- .- - ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENTD JUN 0 8 2006 Based on my inquiry of those individuals responsible for obtaining the information, I Certify under penalty of law tha4 I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ^-- Sign -ur. " - ~- ~ = __J-'~~==(3-~-=,-~t~--_ -_ ==G_~-; - , _ --_., _ -- - Date ~~ \ -1- 03/22/2006 UNIFIE® PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93~O1 ~~ 1 Cl: tOV 1 JJGID-Jy / ~ ~ ~ FACit.ITY NAME INSPECTION DATE INSPECTION TIME -- --- --I---------- -~ - -----" ------- -------- -- --- ----- - --- - ---- --- - ---- -------- ------ ---- ---- ---------- -- - AOORESS PHONE No. No. ot` Employees ~ 2 Uv S7oci-cD/tt ~, Nw~ C - ~ (,'~!- S ~K 19K3 LI S" FACIUTYCONTACT~ _ ___..__,_.._____.___._ Business ID Number J 4Y ~r2>, • I5-o21-vozi rG Section 1: Business Plan and Inventory Pmgram l ~~ outine ®Combined ®Joint Agency OMulti-Agency D Complaint O Re-inspection ~C ~/~ l V=V o atlonnCB) OPERATION COMMENTS ;tf~" ® APPROPRIATE PERMIT ON HAND I[~l' ® BUSINESS PLAN CONTACT INFORMATION ACCURATE t.~/~u ~/ISIBLE ADDRESS ---------------- --------- ----------..--..._ i __ --------- -- _ -------...--------------...__.._. - _ _ ------ ~® CORRECT OCCUPANCY Ld/ LJi VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES ® VERIFICATION OF LOCATION ~® PROPER SEGREGATION OF MATERIAL ® VERIFICATION OF MSDS AVAILABILITYE ~/~ VERIFICATION OF HAT MAT TRAINING C~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE ® CONTAINERS PROPERLY LABELED -- - ® HOUSEKEEPING C3 ® FIRE PROTECTION ® SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: YES ®NO EXPLAIN: __~~ ~ ~'~ L ~I'L ®!.> l~~~L Ira( i~4ry1 Y 7Hf>`~l= QUESTIONS REGARDING THIS tNSPECTION~ PLEASE CALL US AT (661) 326-3879 -~,l~~J~. __~~fs - i~n~-T z.s7 ----..---- - ------------- ~nspector Badge No., sin s it esp sible Party While • Environmental Services Yellow • Station Copy Pink -Business Copv coos ·- UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 -------,---_.------~-------,~- INSPECTION DATE INSPECTION TIME la~\~-õ! U·.~<:J jA.;".¡ PHONE No, No, of Employees <6r:t -~<6{,> ->~ Business ID Number ,_,_n..n_.., 15-021- Z. \ ~~ z; ü() FACILlTYCONTACT M~k. Section 1 : BusinesS Plan and Invèntoryprogram C] Combined C] Joint Agency C] Multi-Agency C] Complaint C] Re-inspection C V ( c=comPliance) V=VioJation OPERATION COMMENTS , , ~.$- Ap!ROPRIATE PER~~ ON _HAN~______._,_____.___ ,_Cl~1__,_,~_,~~.--,----..,"'--,--,------"""-,- LI BUSINESS PLAN CONTACT INFORMATION ACCURATE ------....--.----------.-.--- -- ----+~----_._-- >..--.-.--.-.------.--.----------..- -,- .-_..-,._._...."-----_...~. ...---------- C] VISIBLE ADDRESS ._._------~._-----_.._-, .-.--. - -.----.------...-------...------.-.--.---..--.--...---------.....-.------..-..- C] CORRECT OCCUPANCY ---_.._----_._--_._~_.__._._----_._.._._-----------_.~-.------.---..-...- --...-.-.----. . ~ VERIFICATION OF INVENTORY MATERIALS '7.,. ti Î L Þt L Z ~. ~U L , --','--..,--,-------- -rJl.~,-------·-l..------,----,-----,--,----..,----""--,--- "---..,...,., C] fJ( VERIFICATION OF QUANTITIES --------_._--------_._-~-_.._---_._----- ----.---------.-..--..-.---.--.---.-----.-.-..--.-----.-----..---...--,-- ~ VERIFICATION OF LOC~TION J( C] PROPER SEGREGATION OF MATERIAL '~ ,..---,-----.--"--....,--, ~ C] VERIFICATION OF MSDS AVAILABILlTYE -----------.---.----.---------.--------------.--- ---------_._-_._---~_.--- ....---------------- ------.--.----.---,...-...-.--- ------ ._--_.~---_..--_._-_.._- ----.-.--.-----..----.....--..--.--------------.----.--- C] ;( VERIFICATION OF HAT MAT TRAINING ----.--------.--..----- .--------..------ ,~m~~_~_==~~~~~~=:=-=~~~=,:~~=~'=:~:~~~-~: C] C] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~9' C] EMERGENCY PROCEDURES ADEQUATE ----------_.~---_._--_._--- ...----------.-.---------------------.----...----.-.----------....--- ,.--- ===~==~=~_:=~==~==,..~ CONTAINERS PROPERLY LABELED ---------------..---.---.----.---....--..--. ------------------.---..-----.------ C] FIRE PROTECTION --------..---.------ ----------.------...----------------..--....------. C] ~. SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: C] YES C] No EXPLAIN r¡> I A-v 'ði'('lPS (A~ ~A-~! ~'>:.~'~l z:~ ~ne.r¿ 1::c,'" QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~{.4~~__.._____ C'O_~~_ Inspector Badge No, White, Environmental Services Yellow ' Slation Copy Pink, Business Copy ~'Íw- ~ U MAR-06-02 WED 01:07 PM ~ ~~, HILL PHOENIX . FAX NO. 19095904566 . P. 02/02 ..--,.-- ..,.......-- HIlI PHOENIX E :;;-'-'ç I". I.. L £i N -- ç ¡;' March 6, 2002 Dave Hetzel Trader Joe's 800 S. Shamrock Avenue Monrovia, CA 91016 ILf RE: Store #~ Bakersfield Dear Dave¡ ILf The refrigerant used at store #~ Bakersfield, is Chlorodifiuoromethane (or R22). The refrigerant safety group is A 1. The store's refrigeration consists of nine individual systems. All systems are less than 7.5HP with a refrigerant charge under 225# each. Therefore, the refrigeration system is exempt from UFC Article 63 requirements. Sincerely, e{y¿~~ ¿5 Sales Engineer P. E. Hill Phoenix MOl Walnur AVf., CIrino, CølifO/'Ija. 91710. 909·Sf){).44.:¡2 909-3!l()-4.56ðF'lL~ 674/ Slnf(l Courl. St.ir.' Co VI/bUrr_ c.~Cl/if(}rnia. 9./5611, 5¡O·81.~·9)9,S S/O·828·84.H fax '0. J a Ì!!GJ!.~) ."'.n...... .......,. ~ ':", """ . . + TRADER JOES ----------------------------------------- ----------------------------------------- SiteID: 015-021-002150 + Manager : Location: 8200 STOCKDALE HWY C-1 City BAKERSFIELD BusPhone: Map : 123 Grid: 05B (661) 837-8863 CommHaz : Minimal FacUnits: 1 AOV: Co~mCode: BAKERSFIELD STATION 11 SIC Code: EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title LACEY JONES / FAC CONTACT / Business Phone: (661) 837-8863x Business Phone: () x 24-Hour Phone : () x 24-Hour Phone : () x Pager Phone : () x Pager Phone : () x +-----------------------------~~-~-=--~~+----~-----~-~-------------------------+ I Hazmat Hazards: Fire Press ImmHlth I +------------------------------------------------------------------------------+ Contact: Phone: (661) 837-8863x MailAddr: 8200 STOCKDALE HWY C-1 State: CA City : BAKERSFIELD Zip : 93311 +------------------------------------------------------------------------------+ Owner TRADER JOES Phone: ~61) Q37 a~ (~~ Address : ,,133A....M-r-S~ION 3'¥ 8cx:> ~ , .siA/?..Y'v\.,II'(;X-ic. Au-¿, State: CA .5"'1'1~3 C i t Y : .-S-- ¡:!'!\.S.'ill EN.". .M-b VI.. ý' D v-l CJ.- Zip : ---.9-l 0 3 1 - c:¡ t CJ I ~ +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No +------------------------------------------------------------------------------+ Emergency Directives: +==============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... SpecHazEPA Hazards Frm I DailyMax UnitMCP ~-----------~--------------------+-------+-----------+----~+-----~--~~+----+---+ FREON F P IH G 396.00 FT3 Min I, 12AIf I D 'riG. 1'2 £ 1..00 hereby certify that I have . (fype or print nama) reviewed the attached hazardous materials mar:age- ment plan for5(2.lrDlE~ ~'.sand that it along with (Name of usiness) , any corrections constitute a complete and correct man- agement plan for --==~J=. ~ñ'-- ~-----------------+ --~~~=~----------------- Q- ~ ~ 01/29/2002 ~lW +============================ · . + TRADER JOES ========================================= SiteID: 015-021-002150 + += Inventory Item 0001 =============== Facility Unit: Fixed Containers at Site + +-- COMMON NAME / CHEMICAL NAME ------------------------------+----------------+ -- ------------------------------ ---------------- FREON I Days On Site I 365 +----------------+ I CAS # 75-71-8 r> .... Location within this Facility Unit INSIDE COMPRESSOR RM REAR OF STORE Map: Grid: +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 132.00 FT3 396.00 FT3 132.00 FT3 +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt. I IRS I CAS# I 100.00 Dichlorodifluoromethane No 75718 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F P IH / / / Min +=======+===+======+====================+=============+=========+========+=====+ ~~~-g~ .. z- z- ç 'It- (Z...Z2- ~. pZ-~ ~ 4.¡ c:~ -2- 01/29/2002 + TRADER JOES . ----------------------------------------- ----------------------------------------- . ~ ~ += +-- -- I SiteID: 015-021-002150 + +================================================================= Fast Format + Notif./Evacuation/Medical ==================================== Overall Site + =======================================================+ I Agency Notification +==============================================================================+ +--- Employee Notl'f /Evacuatl'on -----------------------------------------------+ --- . ----------------------------------------------- I I, +==============================================================================+ +---- Publl'c Notl'f /Evacuatl'on ------------------------------------------------+ ---- . ------------------------------------------------ I I +==============================================================================+ +===== Emergency Medlcal Plan =================================================+ I I +==============================================================================+ -3- 01/29/2002 + TRADER JOES . . ~ ~ SiteID: 015-021-002150 + +================================================================= Fast Format + Mitigation/Prevent/Abatemt =================================== Overall Site + Release Prevention ========================================================+ I ----------------------------------------- ----------------------------------------- += +-- -- I +==============================================================================+ +=== Release Containment ======================================================+ I I +==============================================================================+ +==== Clean Up ================================================================+ I I +==============================================================================+ +===== Other Resource Activation ===================~==========================+ I I +==============================================================================+ -4- 01/29/2002 7. .~. . + TRADER JOES ========================================= SiteID: 015-021-002150 + +================================================================= Fast Format + += Site Emergency Factors ======================================= Overall Site + +== Special Hazards ===========================================================+ I I +==============================================================================+ +=== Utility Shut-Offs ========================================================+ I I +==============================================================================+ F' P /A '1 +==== lre rotec. val. Water ===============================================+ I I +==============================================================================+ +===== Building Occupancy Level ===============================================+ I I +==============================================================================+ -5- 01/29/2002 + TRADER JOES ==========~=========================~ + + J' r....-¡ SiteID: 015-021-002150 +================================================================= Fast Format Overall Site + Training =========================================================+ I += Training +== Employee I ----------------------------------------------------- ----------------------------------------------------- +==============================================================================+ +=== Page 2 ===================================================================+ I I +==============================================================================+ +==== Held for Future Use =====================================================+ I I +==============================================================================+ +===== Held for Future Use ====================================================+ I I +==============================================================================+ -6- 01/29/20,02 - . 5!}ie "3c¡ /1 CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd li'loor, Bakersfield, CA 93301 FACILITY NAME -¡YALlt.v- c101.S ADDRESS g2lJ() 6focJ¿~ 1ft«¡ e.-I FACILITY CONTACT Ú~)~·5 INSPECTION TIM E.J5: IY' ~ 't ' INSPECTION DATE if -;JS=.Ò I PHONE NO. ~?-g-l)(o 'S BUSINESS ID NO. 15-210- 0 ';}-/ ~ () NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate pennit on hand v .... Business plan contact infonnation accurate V Visible address v Correct occupancy T/ ". Verification of inventory materials 1., '" Verification of quantities / V Veri fication of location V" Proper segregation of material "'" ,-- Verification of MSDS availability \. '" Verification of Haz Mat training V '" V erification of abatement supplies and procedures I ",.- Emergency procedures adequate ¿, / kJ,H Q;d( ~t-.~t fu ~ lKfu (Jv\ Containers properly labeled "'.... ~lÞh~ ~c.tJ. pla,V\. Housekeeping v Fire Protection v Site Diagram Adequate & On Hand v C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~ ~n1ty Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: 04/20/01 11: 45 'B661 326 0576 BFD HAZ MAT DIV 141001 e e """"""""""""'" **' ACTIVITY REPORT '" """"""""""""'" TRANSMISSION OK TXlRX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 9655 8324068 MBF STOCKDALE 04/20 11: 40 04'44 11 OK ------- - FAX'ransmittal Cover Sheet ~ . BAKERSFIELD CALIFORNIA Bakersfield Fire Dept. Office of Environmental Services 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (6()q 326-0576 .. Bus No. (:661) 326-3979 Today's Date 4/~ö/ bl Time II :35 No. of Pages II TO: ~:t~~~¡~1!~A7dí COMP'^N\ij;....'· %kt.:L':'f e.:;Øi"""'<:co"S· .. '......... ........... .........., M. }rl~I~.·~····· '.~; t;} ;}::.::::: ...:.:;::::::::~;~;;:::.;:,. ··::::::~;tjt:::::~lt:;:::::~··:;.): :,:~¡.::j.:.::,:;:",:,:::,:::;:::::::::,¡::}:,:::":t,::::j: Þ.',;::,':::·· ,.,::::\:> ':::C:,;:·::: ,}.:.:,.:: .,:::::,:,:":,, ,./(...,,: ,,},,"' "'.::::::;:::::::¡::::::.:.':::;::;:;::;:::;::;::::::::';.::'.'::::::: . ...". .' ... . .....:. ..:....:.;.:.:.:.;.:.:...:.:.. 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'''e -.. ?-q?oh ( 8/50 CITY OF BAKERSFIELD FIRE DEPART Cß OFFICE OF ENVIRONMENTAL SERVICES l d-3 -() '0, UNIFIED PROGRAM INSPECTION CHECKLIST . 1715 Chester Ave., 3'" Floor, Bakersfield, CA 93301 çç ( I ( C FACILITY NAME 1~DeZ-" ~E(S INSPECTION DATE n¡" I~ ADDRESS ~ZðO Sït>CI<.:i>A~ ;j;JI,Jt! :!;t::C-t PHONE NO. <61.7.; <Þ<ð63 FACILITY CONTACT LAã:;-'! BUSINESS ID NO. 15-210- CIVC-r.J INSPECTION TIME NUMBER OF EMPLOYEES '"2-8' Section 1: Business Plan and Inventory Program ~outine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials F("(.eo,J ~ COLQ S~Rð.Gê Verification of quantities VGR.J.F,C-I) ~y M { '<.. cfZé<; í A, R .c-. 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 ?LC-ASE Cc>"1flß1C ¿f leïúP..N C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes )lNo +( LJ.. Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs, Yellow - Station Copy Pink - Business Copy Inspector: ¿,J ( '\.JC-;S FACILITY INFORMATION e CITY OF BAKERSFIELD e OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 FACILITY ID # Page ·.·.):~~i:,::;,::~rr*-i~i;::}:;~\t~t¿':\Î~it~çlLm·:i~~~:hÊ~Ç~Tlþ~.'",;}:t;'.·.~;;;:~t\~~~~f*t:it,;:;..~,:~~;r;,. ' 1 Year Beginning '2~ 100 Year Ending Of 101 102 103 105 . 107 , 108 110 BUSINESS NAME (Same as FACILITY NAME or DBA- Oolng Business As) v~ ...JoE's SITE ADDRESS 2{'2.cx:J ~cc;::"OA<.é ~ V 3 BUSINESS PHONE .::;r+- C _ I 104 CA ZIP 106 SIC CODE (4 Digit #) CITY DUN& BRADSTREET COUNTY OWNER NAME OWNER MAILING ADDRESS CITY 112 ' 113 CONTACT MAILING ADDRESS 119 ' CITY NAME TITLE 125 TITLE 130 128 131 127 24·HOUR PHONE 132 ' PAGER II- 128 PAGER # 136 I I Certification: Based on my inquiry of those Individuals responsible for obtaining the information. I certify under penalty of law that I have personally examined and am familiar with the Information submitted In this Inventory and believe the Information Is true. accurate. and complete. SIGNATURE OF OWNER1OPERATOR DATE 134 NAME OF DOCUMENT PREPARER NAMES OF OWNERIOPERA TOR (ptfnl) 136 TITLE OF OWNERIOPERATOR 131 FOUt ~ ("99) . HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ... CITY OF BAKERSFIELJA OFPK:E OF ENVIRONMENTAL SJ!If{VICES 1715 Chester Ave., CA 93301 (661) 326-3979 CHEMICAL LOCATION 200 (one form per material per buitding or area) Page ot ;g:;.EW ,:,~~~i't~lï~€SfiÄ~~:::~¥:;J~~~~~\ "';;)é::',""" .~ " 3 ,-, ~ í<:~ oJ.: 2011 DYes 0 No 202 204 FACILITY 'D # CHEMICAL NAME ~t:OuJ DYes 0 No 206 It Subject to EPCRA. refer to instructions 207 COMMON NAME CAS # 209 i FIRE CODE HAZARD ClASSES (Complete if requested by local flre chief) 210 TYPE RE o m MIXTURE o w WASTE 211 RADIOACTIVE DYes ONo 212 CURIES 213 PHYSICAL STATE o 5 SOUD o I LIQUID ~S 214 LARGEST CONTAINER /3 --z.- 215 ! 217 MAXlt.lJM DAILY AMOUNT o 4 ACUTE HEALTH 05 CHRONIC HEALTH 216 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 1 FIRE 0 2 REACTIVE AVERAGE DAILY AMOUNT 219 STATE WASTE CODE 220 UNITS· o ga GAL I&.d CU FT . If EHS, amount mliÍ be 'n Ibs. o Ib LBS o In TONS 221 DAYS ON SITE 222 STORAGE CONTAINER o a ABOVEGROUND TANK o e PLASTlCINONMET ALLlC DRUM o i FI8ER DRUM o m GLASS BOTTLE o q RAIL CAR 223 (Check all IJJal apply) o b UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOTTLE o r OTHER DC TANK INSIDE BUILDING o 9 CARBOY ßtBOX o 0 TOTE BIN o d STEEL DRUM o h SILO CYLINDER o P TANK WAGON STORAGE PRESSURE o a AMBIENT ~ ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE o as ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 2 I 230 o Yes 0 No 232 3 234 235 o Yes 0 No 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 DYes 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd