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Home My WebLink AboutBUSINESS PLAN 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 ::::~-m~~¿-~~G- __m_ __u__ ~f~- ::::~- ._S_._~_._.._________.._.__.__.___.______._._.______.._._ ___. ___..__.__._._.._._ _.___ ~----':i- ------..---------.-.- FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program LI Joint Agency LI Multi-Agency LI Complaint LI Re-inspection C V ( c=comPlian~e) V=Violation ~ ~ ~:~:.~:: :~A: :F:~':TI~N A~U'-:~ ---- .--- -- -.. ... --- ----.--------.-- .-.--.- ..--.- ..-- -··\-·O-·-~-·~·r-oA.J-~æ.~~\~:.:::.ru.-- ----------. J(__~..._ VI~~.:~~~~ES~_~._m____~~_-_.._..~~_~-__-__~-_:_~_-_~-_--~- . .._._._..~.~_~.._ ... .~ ~ )( LI CORRECT OCCUPANCY ~--~.~-~E~;~;~~~~;~-~~-;~~E~~~~·~~~~~I~~~-------·---·····n____··__ n_ .-. -..------.......-.--- -~~~_-~~E~I~i~~~-~;~~~~~~~~~~~~~~~~-·--~~~~_~=-_~--~_~~~_~~_~-__-----~~-_~_~_-~_-~=~_ ~ LI VERIFICATION OF LOCATION _____,__,__.______~____..____.____~._._____~_ '___n__.__... .__._ ~__._ __.._.___ _._.__~_______________'_ _._____.____,_..______.___.. _. .___.__ __._ !t_~_.~~~~~~_SEG~_~<:.~~~~_~_~~~E_~I~~u_____n __.__ _____00_ n__ __n. __ .00_ ___ .nn. ______00 _ . _00_..____ __ _ ___ . .._m.n ___00________ ~L~._~~RIFIC~~~~~n~.~SD!._~~~!LABILlTYE ~_~___~~I~~C~~ON ~~~~~~~R~~I~G_._ ._____.u___.....u.._.____ _ ._______ .. ._..uu_..__ .. /J1..... LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .________..__~__.._.._..__.._________..__________~~____ ___...".._______ '·_·'''__·___n_..._..._." ____._._..____.____. ___________.___.____. .___.._.____ .."_ __._ ~ LI EMERGENCY PROCEDURES ADEQUATE --------_._.._--_._._..__.~-_.__._------_..._._----_.- ~_.._--- - ----.-----.-.--.--.----.- ¡J.' LI CONTAINERS PROPERLY LABELED ~ ~_~_.__~~~~~~:~~~~~=~~-=~_~.~~~-...~~.=_=_==.=~~........~._]~~..~u_._..~_._... .___. .. .___.._......_. .. . -....-..--.-- ~-....~....~...-_=....~_--.~.~n~.-.~~=._ ~Ij FIRE PROTECTION I ~. O--;~~-D~AG~~~-ADE~~~T~-&O~ -·HAND--·--- ---·---r----- ____n__ --- nun --- ---..-- . - n __m_._ ____m___u______..n..____ OPERATION COMMENTS .. .. ._'.. .__. __ 0...... __ '. .,_....._____.___._"____..._..__. ._...u_ __._ . "... --.-----.------ --------- ------.--- --.-..---..-- _ ,_u,__,·_·'·_,__m_ _._,._ ____·_··_··__._n....._.________u.__"._ _ _____m__.__ ____u___. __..____.__________.__ _ m.__ ------.---..----------. -- --------......---------------.- '-..-.. .--~---------- --- ------------- - --.._----_.__..._----~--------- ----.--------.- _._.n___.._n__. . ---------- --- --- _ ..._u...____. ____..._~_ __.... ___m________.__.... ._ ..___._.______ ANY HAZARDOUS WASTE ON SITE?:· LI YES XNO EXPLAIN: Fire Prevention 1 st-In/Shift of Site ~\"\I\~~I~ ~/^ ----~~-_.- .lUl~~----- us ss Site Resp sible Party (Please Print) 0> ;; N E THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 - ._---.----_._------------~_.~--~----._----_.-------, White· Environmental Services Yellow· Station Copy Pink· Business Copy i:' FOOD MAXX #402 SiteID: 015-021-000464 Manager : BING HEWETT Location: 4128 CHESTER AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: BusPhone: Map : 103 Grid: 19A (661) 325-7314 CommHaz : Low FacUnits: 1 AOV: SIC Code:5411 DunnBrad:94-124-5496 Emergency Contact MARK TILLETT Business Phone: 24-Hour Phone : Pager Phone / Title / STORE MANAGER (661) 325-7315x (661) 834 -7831x () x Emergency Contact BOB SPENGLER Business Phone: 24-Hour Phone Pager Phone / Title / DISTRICT MANAGE (661) 835 - 9036x (661) 836 - 8996x () x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : SAVEMART SUPERMARKETS Phone: (209) 577-1600x MailAddr: PO BOX 4278 State: CA City MODESTO Zip 95352 Owner SAVE MART SUPERMARKETS Phone: (209) 577-1600x Address PO BOX 4278 Stat;.e: CA City MODESTO Zip 95352 Period to TotalASTs: Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, Do hereby certify that , have ype or print name) reviewed the attached hazardous materials manage· ment plan for ~ \n¡¡px)<. and that it along with (Name of Bulinesa) any corrections constitute a complete and correct man· agement plan for my facility. 1D {~\Dtl 0aI8 -1- 10/08/2004 F FOOD MAXX #402 SiteID: 015-021-000464 ì f= Hazmat Inventory By Facility Unit ì f== MCP+DailyMax Order Fixed Containers on Site ì Hazmat Common Name... specHazEPA Hazards I Frm I DailyMax unitlMCP BLEACH +-Å ~ ~ L 6000.00 GAL Hi PROPANE ~.... lo¡\.+-4\>\ Ç? F P IH L 1980.00 FT3 Hi MOTOR OIL 'B ß F DH L 600.00 GAL Min CHLgp.mE ~~ F P IH L 170.00 GAL Min INSECTICIDES ~~ F L 250.00 GAL UnR FL~PPER L 165.00 GAL UnR FLOO EALER L 165.00 GAL UnR ~6 -2- 10/08/2004 F FOOD MAXX #402 f= Inventory Item 0005 === COMMON NAME / CHEMICAL NAME BLEACH SiteID: 015-021-000464 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 3000.00 GAL HAZARDOUS COMPONENTS ~ CAS# I 7681529 I l~~~öoIBleaCh TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -3- 10/08/2004 F FOOD MAXX #402 f= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-000464 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit Map: Grid: 13l>~ \'- ~~~ ~ f{~1 D-t t;~\-h~1 D«-.(-s.~G CAS# 74-98-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1980.00 FT3 Daily Average 1980.00 FT3 HAZARDOUS COMPONENTS ~ Yes CAS# 749861 I l~~~ôolpropane ARD A MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZ SSESS S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag .Define11 -4- 10/08/2004 SiteID: 015-021-000464 ì Facility Unit: Fixed Containers on Site ì F FOOD MAXX #402 f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 600.00 GAL Daily Average 500.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: f- Ag.Define11 -5- 10/08/2004 F FOOD MAXX #402 f= Inventory Item 0007 == COMMON NAME / CHEMICAL NAME CHLORINE KEM KLOR I I Location within this Facility Unit SALES FLOOR/BACKROOM SiteID: 015-021-000464 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Map: Grid: CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 170.00 GAL Daily Average 150.00 GAL %Wt. RS CAS # 12.50 Sodium Hypochlorite No 7681529 0.80 Sodium Hydroxide No 1310732 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -6- 10/08/2004 SiteID: 015-021-000464 9 Facility Unit: Fixed Containers on Site 9 F FOOD MAXX #402 f= Inventory Item 0002 ¡:=:= COMMON NAME / CHEMI CAL NAME INSECTICIDES Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 200.00 GAL %wt. I 100.00 Insectlcides HAZARDOUS COMPONENTS ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -7- 10/08/2004 F FOOD MAXX #402 f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME FLOOR STRIPPER SiteID: 015-021-000464 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 100.00 GAL %Wt. I HAZARDOUS COMPONENTS ~I CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: I- Ag. Define11 -8- 10/08/2004 F FOOD MAXX #402 f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME FLOOR SEALER SiteID: 015-021-000464 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 100.00 GAL %Wt. I HAZARDOUS COMPONENTS ~ CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: f- Ag.Define11 -9- 10/08/2004