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HomeMy WebLinkAboutBUSINESS PLAN 11/15/2006i _ I, UNIFIED PROGRAM-INSPECTION CHECKLIST;t B E R S__F_ 1_ D _c=YW - ~ -- - ._ __T_ FIRE - __- SECTION 1: Business Plan and Inventory Program ~~ ' • FACILITY NAME ~,L~Z ~~oL SJ INSPECTIO ~r /~06 ~: ro ADDRESS (r~j ~ ~`~'~^- ~ ~ PHONE NO. ~ Z7 ~ 9 5 ~ NO OF EMPLOYEES s FACILITY CONTACT ~ ~ Q ` ' BUSINESS ID NUMBER 15-021- ~o X99 I wt t s /k L l Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION"OF MATERIAL O ^ VERIFICATION OF MSDS AVAILABILITY ~X ^ 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 ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 • S ~~ (~ ~. Inspector (Pleas Print) Fire Prevention / 151 In /Shift of Site/Station # uslness Site /Responsible Party (Please Print) Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 N D TE INSPECTION TIME White -Prevention Services - Yellow -Station Copy Pink -Business Copy - - FD 2155 (Rev. 09/05 i L~ .. L~ ACME POOL SUPPLY Manager CHIGGER ALLEN Location: 818 19TH ST City BAKERSFIELD SiteID: 015-021-000299 BusPhone: (661) 327-8955 Map 103 CommHaz Extreme Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title WILLIAM M BAYLY / OWNER SAL DE L RIO / EMPLOYEE Business Phone: (661) 327-8955x Busin ess Phone: (661) 327-8955x 24-Hour Phone (661) 301-2511x 24-Hour Phone (661) 301-4181x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth Contact CHIGGER ALLEN Phone: (661) 327-8955x MailAddr: 818 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner WILLIAM M BAYLY Phone: (661) 391-0833x Address 5301 UPLANDS OF THE KERN DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT ~uL ~ ° zoos Rased on my inquiry of those individuals responsible for obtaining the infor u d n mation, I certify er penalty of law that I ha e ve personally xamined and am familiar with the information submitted and beli eve the information is true, accurate, and complete. Signature Date -1- 06/29/2007 Y- F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BROMINE TABLETS F R IH S 60.00 LBS Ext DRY CHLORINE E S 1000.00 LBS Hi LIQUID CHLORINE - HYDROCHLORIC E L 100.00 GAL Hi SODIUM HYPOCHLORITE L 100.00 GAL Hi CONDITIONER - CYANURIC CHLORIDE S 300.00 LBS Mod SODIUM DICHLOR S 300.00 LBS Mod CALCIUM HYPOCHLORITE S 200.00 LBS Mod SODIUM CARBONATE S 400.00 LBS Low SODIUM BISULFATE S 100.00 LBS Min SIMAZINE-2 CHLORO-4 S 40.00 LBS UnR -2- 06/29/2007 -3- .06/29/2007 F ACME POOL SUPPLY ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME BROMINE TABLETS Location within this Facility Unit SHOWROOM STATE TYPE PRESSURE Solid Mixture~Ambient SiteID: 015-021-000299 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Cont6100rLBS Daily M60100m LBS I Daily A30r00e LBS --• - nr~GtitcL~u~ ~ui~iruiv~iv 1 oWt. RS CAS# 92.50 Bromochlorodimethylhydantoin No 126067 riHGHKL L-~J .7~~7J1~1L"1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Ext ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DRY CHLORINE Location within this Facility Unit SHOWROOM Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 1000.00 LBS 600.00 LBS iu-auruu~v~~ ~vrirvlv~lvlJ %Wt• RS CAS# 90.00 Trichlorosilane Yes 10025782 I1tiGtiRL HJ J L' .7.71"1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -4- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID CHLORINE - HYDROCHLORIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient i~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL 40.00 GAL •-- tiAGl~ttLVUJ ~V1~irVivl~Jlyla oWt. RS CAS# 12.50 Hydrochloric Acid Yes 7647010 tiAGE~KL A~5i5~J1~1t51V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Location within this Facility Unit SHOWROOM STATE TYPE PRESSURE Liquid Mixture 1 Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681529 TEMPERATURE CONTAINER TYPE Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL 80.00 GAL tiHGrittLVUA 1.V1~lYV1V~1V1.7 %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 - riEiGEitCL AJJiSJ51~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -5- 06/29/2007 F ACME POOL SUPPLY ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME CONDITIONER - CYANURIC CHLORIDE Location within this Facility Unit SHOWROOM & N SIDE BLDG STATE TYPE PRESSURE Solid TMixtur~Ambient SiteID: 015-021-000299 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 LBS 300.00 LBS 150.00 LBS tit~~t~tcL~uS winrvlv~ivl~ %Wt. RS CAS# 100.00 Cyanuric Chloride No 108770 tit~~xttL r~aa~aaln~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME SODIUM DICHLOR Location within this Facility Unit SHOWROOM STATE TYPE PRESSURE Solid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE I~I Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION - Largest Con25100rLBS Daily 300100m LBS I Daily 250r00e LBS rujc~rucLVUa ~.vl~irvivl,lvi~ oWt. RS CAS# 65.00 Sodium Dichloroisocyanurate No 2893789 11t]GEiKL HJ JP~~~71.1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -6- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# ~SolidE TMixture l Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Con25100rLB5 Daily 200100m LBS ~ Daily 100r00e LBS t1AGEitCLV V ~J trV1~lYV1V2S1V l.7 %Wt. RS CAS# 65.00 Calcium Hypochlorite No 7778543 rlr-~GEU~c,I~ r~aar.~~ri~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME SODIUM CARBONATE Location within this Facility Unit SHOWROOM Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 497198 ~SolidE TMixture ~ Ambient~E ~ AmbientT~E -~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Con50100rLBS Daily 400100m LBS I Daily 200r00e LBS I1HGE'1[CLVU.7 1.V1~lYV1VI;1V 1.7 %Wt. RS CAS# 100.00 Sodium Carbonate No 497198 t1HGL~tCL L-1J~JL',w7~71~1L'LV1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -7- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM BISULFATE Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 LBS 100.00 LBS 50.00 LBS rita~.yttL~ua ~:~inr~iv~ivl~ %Wt. RS CAS# 91.00 Sodium Bisulfate No 10034845 ru~~t~tcL t~aa~~~i~ir,lvl a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SIMAZINE-2 CHLORO-4 Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~ Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 40.00 LBS 40.00 LBS 20.00 LBS HAZARDOUS COMPONENTS r r %Wt . RSA CAS# HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -8- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/19/2000 ~ CALL 911. Employee Notif./Evacuation WE HAVE THREE EMPLOYEES - TRAINED IN BASIC HAZ MAT PROCEDURES. 09/15/2005 Public Notif./Evacuation WOULD VERBALLY NOTIFY ANY NEIGHBORS IF A PROBLEM OCCURRED. 03/12/1992 Emergency Medical Plan 04/09/1998 HALL AMBULANCE SERVICE - 1001 21ST ST MERCY HOSPITAL - 2215 TRUXTUN AV SAN JOAQUIN HOSPITAL - 2615 EYE ST -9- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 01/19/2000 ~ LIQUID CHEMICALS ARE IN SECONDARY PLASTIC CASES. ALWAYS KEEP 100 LBS OF SODA ASH CONTAINER OPEN TO PUT ON ANY ACID SPILLS AND FIRE EXTINGUISHERS AT DOOR ENTERING STORAGE ROOM. WATER HOSE & BIB READY TO FLOOD ROOM. ALL DRY CHEMICALS ON PALLETS ABOVE ANY LIQUID SPILL IN ROOM. Release Containment 03/02/2006 STORAGE ROOM MASONARY WALLS W/CEMENT FLOORS Clean Up 04/14/1994 WOULD CLEAN UP WITH LICENSED ENVIRONMENTAL CONTRACTOR. V1.11CL 1CC~VULC:C ACl.1Vdl.1U11 -10.- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC l:1d1 lldGdl U.y.' Utility Shut-Offs 11/29/2006 A) GAS - E SIDE FRONT OF BLDG B) ELECTRICAL - INSIDE BLDG 818 C) WATER - D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/29/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - NW CRNR 19TH & N ST. Building Occupancy Level 11/29/2006 27 EMPLOYEES -11- 06/29/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/29/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: BASIC TRAINING GIVEN IN WHICH CHEMICALS WILL NEUTRALIZE EACH OTHER AND SOME FIRE DEPT SEMINARS ATTENDED AND NSPI TRAINING FOR SWIMMING HANDLING PROCEDURES. rayc ~ Held for Future Use nclca i.vi r u~u.~C u5C -12- 06/29/2007 C, ~ .~. .: ACME POOL SUPPLY SiteID: 015-021-000299 Manager ~~,~~(~ ~t-~~ Location: 818 19TH ST City BAKERSFIELD BusPhone: (661) 327-8955 Map 103 CommHaz High Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title WILLIAM M BAYLY / OWNER SAL DEL RIO / EMPLOYEE Business Phone: (661) 327-8955x Business Phone: (661) 327-8955x 24-Hour Phone (661) 301-2511x 24-Hour Phone (661) 301-4181x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Ha za rds: Fire React ImmHlth n/ ~~ Contact :l:t~~~g'Z£ ~,l,.t~ Phone: (661) 327-8955x MailAddr: 818 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner WILLIAM M BAYLY Phone: (661) 391-0833x Address 5301 UPLANDS OF THE KERN DR State: CA City BAKERSFIELD ~ Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENS ~~'~ ~ z ~oa~ l;~t~~:~1 On my inquiry of those individuals rE;snonsible for obtairnng the information, I certify ur,~ar penalty of taw that I have personally E:r~~minQd and am familiar with the information sui'~mltted and believe the information is true, accurat&, and complete. 1=~-~- _ igna a Date -1- 01/24/2007 ;, ;. F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BROMINE TABLETS F R IH S 60.00 LBS Ext DRY CHLORINE E S 1000.00 LBS Hi LIQUID CHLORINE - HYDROCHLORIC E L 100.00 GAL Hi SODIUM HYPOCHLORITE L 100.00 GAL Hi CONDITIONER - CYANURIC CHLORIDE S 300.00 LBS Mod SODIUM DICHLOR S 300.00 LBS Mod CALCIUM HYPOCHLORITE S 200.00 LBS Mod SODIUM CARBONATE S 400.00 LBS Low SODIUM BISULFATE S 100.00 LBS Min SIMAZINE-2 CHLORO-4 S 40.00 LBS UnR -2- O1/24j2007 -3- 01/24/2007 ,. F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BROMINE TABLETS Days On Site 365 Location within-this Facility Unit Map: Grid: SHOWROOM CAS# ~SolidE TMixture ~mbient~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 6.00 LBS 60.00 LBS 30.00 LBS r~~r~tcLwa wi~irvlv~ly 15 °sWt . RS CAS# 92.50 Bromochlorodimethylhydantoin No 126067 riHGHKL AJSL' ~51~1r,1V 17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Ext ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DRY CHLORINE Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE Solid TMixture Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 1000.00 LBS 600.00 LBS nrac~t~LV u ~ ~.vrirvly ~lv t ~ ~Wt. RS CAS# 90.00 Trichlorosilane Yes 10025782 IIHGHKL 1-1~ ~7~J,71~1tS1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -4- 01/24/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID CHLORINE - HYDROCHLORIC ACID Days On Site 365 'Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL 40.00 GAL t1HGHtCLVU.7 ~.vrirvlvnivl~ oWt. RS CAS# 12.50 Hydrochloric Acid Yes 7647010 L1riGrittL HA .7L~JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ .COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# 7681529 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 .GAL I 80.00 GAL ru~uruu~v~a ~.vi-trvlvr,lvtS oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 rLtiutilCL tiJ .71S.7.71"1LilV 1 A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -5- 01/24/2007 i ~ F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CONDITIONER - CYANURIC CHLORIDE Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM & N SIDE BLDG CAS# ~SolidE TMixture ~ Ambient~E ~ AmbientT~E ~STICTCONTAINERE AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 100.00 LBS 300.00 LBS 150.00 LBS ns~arucLVUa uurirulv~lvt~ oWt. RS CAS# 100.00 Cyanuric Chloride No 108770 riHGEit'CL L~.7.>L" ~.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM DICHLOR Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# ~SolidE TMixture ~mbient~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Con25100rLBS Daily 300100m LBS I Daily 250r00e LBS rirauruu~vva ~viirvivr~iv t S %Wt. RS CAS# 65.00 Sodium Dichloroisocyanurate No 2893789 rltiL~tii'CL H. 747.G.7 Jl•1P~lV 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -6- 01/24/2007 F ACME POOL SUPPLY ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Location within this Facility Unit SHOWROOM SiteID: 015-021-000299 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# ~SolidE TMixture ~ Ambient~E ~ AmbientT~E -~STGICTCONTAINERE~ AMOUNTS AT THIS LOCATION Largest Con25100rLBS Daily 200100m LBS I Daily AOOr00e LBS tiHGAttL1VU~ 1:V1~lYV1Vt;iV 15 ~Wt. RS CAS# 65.00 Calcium Hypochlorite No 7778543 ntj~titc.u t~~5~5~ln~ivta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME SODIUM CARBONATE Location within this Facility Unit SHOWROOM STATE TYPE PRESSURE Solid TMixtur~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 497198 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION . Largest Con50100rLB5 Daily 400100m LBS I Daily 200r00e LBS riHGl-iK1JVUJ 1.V1~lYV1V~1V7.7 %Wt. RS CAS# 100.00 Sodium Carbonate No 497198 ritiGKKL H.7 .7J;~.71~1L'1V1.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -7- 01/24/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM BISULFATE Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE ~~'' CONTAINER TYPE Solid TMixture ~mbient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION( - Largest Cont5100rLBS Daily MOOl00m LBS' I Daily A50r00e LBS tit~~tucL~u~ ~:~inr~lvr~ivl~ SWt. RS CAS# 91.00 Sodium Bisulfate No 10034845 riKL,F~ltL A55li~~1~1L"~1V"15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SIMAZINE-2 CHLORO-4 Days On Site 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture~ Ambient Ambient BAG AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 40.00 LBS 40.00 LBS 20.00 LBS HAZARDOUS COMPONENTS , %Wt. RSA CAS# nr,~r-ucU r~a a~~~i~i~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / ~/ UnR -8- 01/24/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/19/2000 ~ CALL 911. Employee Notif./Evacuation WE HAVE THREE EMPLOYEES - TRAINED IN BASIC HAZ MAT PROCEDURES. 09/15/2005 Public Notif./Evacuation 03/12/1992 WOULD VERBALLY NOTIFY ANY NEIGHBORS IF A PROBLEM OCCURRED. Emergency Medical Plan 04/09/1998 HALL AMBULANCE SERVICE - 1001 21ST ST MERCY HOSPITAL - 2215 TRUXTUN AV SAN JOAQUIN HOSPITAL - 2615 EYE ST -9- 01/24/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt .Overall Site ~ ,Release Prevention 01/19/2000 ~ LIQUID CHEMICALS ARE IN SECONDARY PLASTIC CASES. ALWAYS KEEP 100 LBS OF SODA ASH CONTAINER OPEN TO PUT ON ANY ACID SPILLS AND FIRE EXTINGUISHERS AT DOOR ENTERING STORAGE ROOM. WATER HOSE & BIB READY TO FLOOD ROOM. ALL DRY CHEMICALS ON PALLETS ABOVE ANY LIQUID SPILL IN ROOM. Release Containment STORAGE ROOM MASONARY WALLS W/CEMENT FLOORS 03/02/2006 Clean Up WOULD CLEAN UP WITH LICENSED ENVIRONMENTAL CONTRACTOR. 04/14/1994 V1..1161 11G w7V LL1VC 1'11.V1V0.L11l11 -10- 01/24/2007 F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~l.a.~ nac~aiua Utility Shut-Offs 11/29/2006 A) GAS - E SIDE FRONT OF BLDG B) ELECTRICAL - INSIDE BLDG 818 C) WATER - D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/29/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - NW CRNR 19TH & N ST. Building Occupancy Level 11/29/2006 27 EMPLOYEES -11- 01/24/2007 .~ F ACME POOL SUPPLY SiteID: 015-021-000299 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 11/29/2006 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: BASIC TRAINING GIVEN IN WHICH CHEMICALS WILL NEUTRALIZE EACH OTHER AND SOME FIRE DEPT SEMINARS ATTENDED AND NSPI TRAINING FOR SWIMMING HANDLING PROCEDURES. rayc ~ nciu tvi rut,uic U5C nc1~.a ivi ruI.ULC UDC -12- 01/24/2007 + ACME POOL SUPPLY =______=____________________________ SiteID: 015-021-000299 + Manager.: BusPhone: (661) 327-8955 Location: 818 19TH ST ~ Map 103 CommHaz High City BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code: EPA Numb: DunnBrad: Emergency Contact / ~"'itle Emergency Contact / Title WILLIAM M BAYLY / OWNER SAL DEL RIO / EMPLOYEE Business Phone: (661) 32.T-8955x Business Phone.: (661) 327-8955x 24-Hour Phone (661) 30!1-2511x 24-Hour Phone (661) 301-4181x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth ~ 5~' ~ ~ • Contact ~ ~ Phone: (661) 327-8955x MailAddr: State: CA City BAKERSFIELD Zip 93301 Owner WILLIAM M BAYL~d` Phone: (661) 391-0833x Address 5301 UPLANDS OF'THE KERN DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT RECD MAR 0 2 2006 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 and believe the information is true, ~~ accurate, and complete. ,G 2oOC Sign lure' a~~ Date -1- 02/27/2006