HomeMy WebLinkAboutBUSINESS PLAN 11/15/2006i
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UNIFIED PROGRAM-INSPECTION CHECKLIST;t B
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SECTION 1: Business Plan and Inventory Program ~~ '
•
FACILITY NAME
~,L~Z ~~oL SJ INSPECTIO
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ADDRESS
(r~j ~ ~`~'~^- ~ ~ PHONE NO.
~ Z7 ~ 9 5 ~ NO OF EMPLOYEES
s
FACILITY CONTACT
~ ~
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' BUSINESS ID NUMBER
15-021- ~o X99
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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 ~
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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.
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-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