HomeMy WebLinkAboutBUSINESS PLAN (3)
FACILITY NAME h - /S /) 1f 77 .3
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Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
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PH'oli No. No. of Employees
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UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business Plan and Inventory Program
.
Section 1: Business Plan and Inventory Program
a Routine
)( Combined
a Joint Agency
o Multi-Agency
a Complaint
aRe-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
a ApPROPRIATE PERMIT ON HAND
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f7( a BUSINESS PLAN CONTACT INFORMATION ACCURATE
K____.____~__________________.___.___._ _.__..______.~________,__.
~ _~_ VIS~~~ AD~~~~__________~_.__u___u _____________
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At a' VERIFICATION OF INVENTORY MATERIALS
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o VERIFICATION OF QUANTITIES
.____.._____._..___ ~____________._. .___._______._"___."._ .n_ _.______~_.__..._._..____________.._ _____~_____.._ . _..___..n_......_ ~ ______._.__
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~ a PROPER SEGREGATION OF MATERIAL i
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)( a FIRE PROTECTION I
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a SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?:
aYES
)(NO
EXPLAIN:
Fire Prevention 1 5t-ln/Shift of Site
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THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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White -- Environmental Services
Yellow - Station Copy
Pink· Business Copy
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
o
~o =* 77~
INSPECTION DATE
fD/tù/D4_
Section 4:
Hazardous Waste Generator Program
EP A ID #
o Routine Jk Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION
C V COMMENTS
EP A ID Number
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Nt? ?~r:~\
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Hazardous waste determination has been made
Authorized for waste treatment and/or storage
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Secondary containment provided
I
/
I
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
C-Compliance (j í }=V~tion
Inspector: 0 I}lf Jb/!h L J / III
Office ~onmentaT S;rvicelt(66 J¡ 326-3979
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Busìfièšs Site ReSþöñsTble Yarty
Pink - Business Copy
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FOODS CO #773
SiteID: 015-021-002232
Manager :
Location: 8200 ROSEDALE HWY
City BAKERSFIELD
BusPhone:
Map : 102
Grid: 29B
(661) 587-6265
CommHaz : Moderate
FacUnits: 1 AOV:
CommCode: COUNTY STATION 65
EPA Numb:
SIC Code:5411
DunnBrad:78-617-6628
Emergency Contact
DICK NEWTON
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ DIRECTOR
(661) 587-6265x
(310) 900-3700x
( ) - x
Emergency Contact
ALARM CENTER
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ RALPHS SECURITY
(310) 900-3700x
(310) 900-3700x
( ) - x
Hazmat Hazards:
Fire Press
ImmHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (310) 884-4288x
State: CA
Zip : 90220
Phone: (310) 884-9000x
State: CA
Zip : 90220
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : CARROL CHEN
MailAddr: 2201 S WILMINGTON AVE
City : COMPTON
Owner
Address
City
RALPH GROCERY COMPANY
: 2201 S WILMINGTON AVE
: COMPTON
Emergency Directives:
I, ~<)~fhODo hereby certify that 1 have
(Type or prInt name
reviewed the attached hazardous materials manage-
ment plan for jod5 t,; !:f;¡'9? and that it along with
(Name of BUlinen) -
any corrections constitute a complete and correct man-
agement plan for my facility.
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F FOODS CO #773
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-002232 9
By Facility Unit 9
Fixed Containers at Site 9
Hazmat Common Name...
PROPANE/" OD~Ð--:\ ~ ~
BLEACH .
FREON
,HELIUM Ðo~D-~ ~~.~
~
SpecHaz EPA Hazards
DailyMax
F P
G
L
G
G
182.00 FT3
125.00 GAL
22204.23 FT3
244.00 FT3
IH
IH
IH
IH
F P
F P
~þ.1 E ~ CoréÙS/Ò"\...; (YV h, h,r/zv
f\'10:5 fhðrl c- ><J i'1 J) 4Ø .J1
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MCP
Hi
Hi
Min
Min
10/08/2004
"
F FOODS CO #773
f= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 015-021-002232 9
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
PORTER'S ROOM
Map:
Grid:
CAS#
74-98-6
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
FIXED PRESS. CYLINDER
Largest Container
182.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
182.00 FT3
Daily Average
182.00 FT3
%wt. I
100.00 Propane
HAZARDOUS COMPONENTS
~
CAS #
749861
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / 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:
f- Ag .Define11
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-,
F FOODS CO #773
f= Inventory Item 0004
F= COMMON NAME / CHEMI CAL NAME
BLEACH
SiteID: 015-021-002232 9
Facili,ty Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
ISLE 11-B
Map:
Grid:
CAS #
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
125.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
125.00 GAL
Daily Average
125.00 GAL
%wt. I
100.00 Bleach
HAZARDOUS COMPONENTS
~
CAS# I
7681529
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
HAZARD ASSESSMENTS
Ag.Defined1:
Ag.Defined5:
Ag.Defined8:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
- Ag.Define11
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r,
F FOODS CO #773
f= Inventory Item 0001
F= COMMON NAME / CHEMI CAL NAME
FREON
SiteID: 015-021-002232 9
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
MACHINE ROOM
Map:
Grid:
CAS #
75-71-8
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
2204.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
22204.23 FT3
Daily Average
22204.23 FT3
%Wt. RS CAS#
100.00 Dichlorodifluoromethane No 75718
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:
Ag.Defined5:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined6: Ag.Defined7:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
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....
,
F FOODS CO #773
p= Inventory Item 0002
=== COMMON NAME / CHEMICAL NAME
HELIUM
SiteID: 015-021-002232 ï
Facility Unit: Fixed Containers at Site ï
Days On Site
365
Location within this Facility Unit
FLORAL DEPARTMENT
Map:
Grid:
CAS #
7440-59-7
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
244.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
244.00 FT3
Daily Average
244.00 FT3
%Wt. I
100.00 Helium
HAZARDOUS COMPONENTS
~
No
CAS # I
7440597
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.Defined9: Ag.Define10:
Ag.Defined8:
f- Ag .Define11
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