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HomeMy WebLinkAboutBUSINESS PLAN 9/10/2007r --- ~ - - -- ~- -- --- 7L. ` - -- -- ---- ' - - - -- J i_ ~l - - Johnnys Food Mart -_ ~-__ T ~ 2612 Buck Owens Blvd .~.- ~ ' ~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >j F~i- D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° aerM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~~ PE TIO DATE . IN S INSPECTION TIME ' © f r l / ~ "t ADDRESS ~ ~ ~ {~ PHONE NO. NO OF~A LOYEES ~ ~ ~-~ s 3a~- s FACILITY CONTACT - ~ - BUSINESS ID NUMB R 15-021-~~ Section 1: Business Plan and Inventory Program -_ -- - _ _ ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~ - ~- J- - ^ PROPER SEGREGATION OF MATERIAL -~ ' ILJ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ Ll ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ W/ FIRE PROTECTION - ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES C9--I'd'O QUESTI REGA/RD~G T IS INSPECTION? PLEASE CALL US AT (661) 326-3979 I / /i ~ \ ctor (Please Print) Fire Pr~V~ntion / 1~' In /Shift of Site/Station # White -Prevention Services - Yellow -Station Copy ~/~. l\ Business Site / Respo si a Party Please Print) Pink -Business Copy FD 2155 (Rev. 09/05 i s- INSPECTIONS B E R S F I D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~©hdtuv i ~~~d ~C`r Section 2: Underground Storage Tanks Program INSPECTION DATE: Q ~ b 07 ^ Routine Q~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank Number of Tanks `~ ~ Type of Monitoring `lNl Type of Piping ~oLt1F~ OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ~/ V Business Site Respon ' e arty Pink -Business Copy :,~ KBF-7335 FD 2156 (Rev. 09/05) _ _ r CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT '`~ ~ 001546 PREVENTION SERVICES DIVISION 1600 TRUXTUN AVENUE, SUITE 401 (661) 326-3979 Location: n 1,~ ~ e 1~cIC ~t1J'~~ S ~1~ V2~ You re, hereby required to take the following action at the above location; l1VCORRECT & CALL FOR REINSPECTION ^ CORRECT & PROCEED Completion Date for Corrections: (v /~ /~ Received by: Inspector: Steve Underwood Initial Date: ~ /~ /~~ Desk Phone: (66i) 326-3190 (from B:OOam to 8:30am) KBF-9229 JOHNNYS FOOD MART SiteID: 015-021-000308 Manager HAING YAM Location: 2612 BUCK OWENS BLVD City BAKERSFIELD BusPhone: (661) 326-1309 Map 102 CommHaz Moderate Grid: 23D FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title HAING YAM / OWNER / Business Phone: (661) 326-1309x Business Phone: ( ) - x 24-Hour Phone (661) 663-8988x 24-Hour Phone ( ) - x Pager Phone (661) 703-8088x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact HAING YAM Phone: (661) 326-1309x MailAddr: 2612 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner HAING YAM Phone: (661) 663-8988x Address 1505 MCPHERSON LN State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST E~'M'1 n ~r U /'1 ~.7 zoos i3ased on my inquiry of those individuals responsible for obtaining thF: informati on, I certify under penalty of law that I have personally i exam ned and am familiar with the information sub ~' m , ,d and belie~~e the information is true ' , acc~ .ate anc co ~ p ete. Si nat r Date -1- 07/12/2007 F JOHNNYS FOOD MART SitelD: 015-021-000308 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: JOHNNYS FOOD MART Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper AARON KOOP <RICH ENVIRO> ICC Nbr: 5246187-UC PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type CORPORATION Name Address: City Type CORPORATION BOE UST Fee# 036116 Financ'1 Resp: STATE FUND Legal Notif Date:12/27/2001 Name:HAING YAM State UST # TANK OWNER INFORMATION Phone: ( ) State: Zip: Phone : (13 3 ) 6 - Ttl:OWNER 1998 Upg Cert#k: 00721 x x -2- 07/12/2007 F JOHNNYS FOOD MART = ~ Hazmat Inventory = ~ MCP+DailyMax Ordez = SiteID: 015-021-000308 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PREMIUM UNLEADED F IH DH L 10000.00 GAL Mod UNLEADED REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -3- 07/12/2007 -4- 07/12/2007 F JOHNNYS FOOD MART SiteTD: 015-021-000308 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR UST CAS# 8006-61-9 Liquid TMixtur~ AmbRent~E ~ AmbientT~E ~ UNDEROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL ru-~GHtCLVU~ 1.V1~lYV1V~1V1b %Wt. RS CAS# 100.00 Gasoline No 8006619 riAL,HKL A5~15~~1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR UST CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL ruyc~s-ucLV V a ~.vi~irvivai~ s S %Wt. RS CAS# 100.00 Gasoline No 8006619 ntjc~ruct~ r,~ a~aarir,ivta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 07/12/2007 F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR UST CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL 11tiGL-1CtLVUJ l.VP7YV1VtS1V1.7 %Wt. RS CAS# 100.00 Gasoline No 8006619 riF1GEitCL H.7 ~7~~J.71~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 07/12/2007 F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/02/2006 ~ CALL 911 EMERGENCY RESPONSE, OFFICE OF EMERGENCY SERVICES 800-752-7550 AND CORPORATION OFFICE 663-8988. Employee Notif./Evacuation 10/24/2006 EMPLOYEES ARE NOTIFIED TO GO ACROSS THE STREET TO DENNYS AND REMAIN THERE AND CALL 911. THEY ARE TO STAY THERE UNTIL IT IS SAFE. Public Notif./Evacuation 06/02/2006 MAKE SURE THERE IS NOBODY IN THE PARKING LOT IN THE EVENT OF ANY MAJOR ACCIDENT. BEFORE THEY LEAVE THE SITE, THEY ARE TO MAKE SURE NOBODY IS AROUND. Emergency Medical Plan 06/02/2006 MAKE SURE ALL THE EMPLOYEES FILL OUT THE FORM THAT HAS THEIR DOCTORS NAME & HOSPITAL NAME AND THE PHONE NUMBER WHERE THEY WANT TO BE TAKEN. ALSO, GET THE NAMES OF TWO FRIENDS OR RELATIVES WHERE WE CAN REPORT ANY EMERGENCY AND ALSO GET THEIR PHONE NUMBER. ALSO, WE HAVE A LIST OF MEDICAL FACILITIES CAPABLE OF HANDLING AN ACCIDENT INVOLING A HAZARDOUS MATERIAL EXPOSURE. -7- 07/12/2007 F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/24/2006 ~ LEAK DETECTORS, SUMP LIQUID DETECTORS W/TURBINE SHUT-OFF, EMERGENCY PUMP STOP AT REGISTER, AND EMERGENCY SHUT-OFF AT EXTERIOR WALL. ALSO, TO PREVENT OR MINIMIZE THE ACCIDENT HAPPENING, WE TRAIN EMPLOYEES ON HOW TO STORE THE HAZARDOUS MATERIAL. Release Containment 06/02/2006 SURROUND AND ABSORB WITH KITTY LITTER. KITTY LITTER IS STOCKED AND SOLD AT THE STORE AT ALL TIMES. MINIMUM STOCK IS 50 POUNDS. Clean Up 06/02/2006 WE ALSO TRAIN EMPLOYEES TO USE ABSORBENT FOR ANY SMALL GASOLINE SPILLS AND ALSO WHAT TO DO IF THERE ARE ANY MAJOR SPILLS. TURN OFF ALL THE TURBINE PUMPS AND CALL 911. EVACUATE ALL PEOPLE AND EMPLOYEES. v~.11Ci 1SC.7VlALUC liC:l.lVdl.lVi1 -8- 07/12/2007 .. ~- F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 10/24/2006 ~ GASOLINE HANDLING AND STORAGE. Utility Shut-Offs 10/24/2006 A) GAS - NONE B) ELECTRICAL - N SIDE INSIDE BLDG/STORAGE RM C) WATER - N SIDE OUTSIDE NEAR BATHROOMS D) SPECIAL - EMER SHUT-OFF SWITCH NW CRNR OF BLDG E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS FIRE HYDRANT - NW CRNR OF PROP OFF BUCK OWENS BLVD 06/02/2006 Building Occupancy Level 12/21/2006 5 EMPLOYEES -9- 07/12/2007 l • lz F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 06/02/2006 ~ MSDS SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: WE GIVE THEM TRAINING ON HOW TO HANDLE HAZARDOUS MATERIALS. THE CORRECT WAY TO USE EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES, EMERGENCY EVACUATION PLAN, CAL OSHA HAZARD COMMUNICATION STANDARD. HOW TO CALL FOR EMERGENCY ASSISTANCE IN THE EVENT OF AN ACCIDENT INVOLVING HAZARDOUS MATERIALS. rayc c. Held for Future Use nciu ivi ru~.u.~c vac -10- 07/12/2007 INSPECTIONS H E R S F 1 L D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ,'~nT Section 2: Underground Storage Tanks Program INSPECTION DATE: ~~~C~ ^ Routine Combined ^ Joint Agency ^ Multi-Agency ^ Ccyitplaint ^ Re-Inspection Type of Tank ~) ~ Number of Tanks `.~ Type of Monitoring ~ LGh Type of Piping (n OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility / Monitoring record adequate and current Maintenance records adequate and current 2 Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes o Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank BAKERSFIELD FIRE DEPT. Prevention Services o~ 900 Truxtun Ave., Ste. 21~~ Bakersfield, CA 93301 Tel.. (661) 326-3979 r~ Fax: (661) 852-2171 C, f~(~ Page 1 of 1 ~/ J (,~' OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill 1 overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services KBF-7335 Aggregate Capacity Number of Tanks Business Site Responsible Party Pink -Business Copy FD 2156 (Rev. 09/05) JOHNNYS FOOD MART Manager : ~ ~ 1~~ ~ A,~ Location: 2612 BUCK OWENS BLVD City BAKERSFIELD CommCode: KCFD STA 66 EPA Numb: /~, SiteID: 015-021-000308 BusPhone: (661) 326-1309 Map 102 CommHaz Moderate Grid: 23D FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title HAING YAM / OWNER / Business Phone: (661) 326-1309x Business Phone: ( ) - x 24-Hour Phone (661) 663-8988x 24-Hour Phone ( ) - x Pager Phone (661) 703-8088x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact - Icy 0.W1 Phone: (661) 326-1309x MailAddr: 2612 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner HAING YAM Phone: (661) 663-8988x Address 1505 MCPHERSON LN State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROD A - HAZMAT PROG U - UST ENS ~ ~ ~ ~ ~ ~~~ used on my inquiry of those individuals responsible for obtaining the information, I certify under pens Ity of law that_ I have personally examined nd am familiar with the information submitted • n believe the information is true, acc rat d o ple .. O S na Date -1- 02/01/2007 F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ - STORAGE CONTAINER DATA (UST FORM A) Last Action Type: -- FACILITY/SITE INFORMATION Business Name: JOHNNYS FOOD MAR Cross street 2~{~N- S~(?~-r' ~ ~uc.~-~~S 13~Va~- Business Type: ~-S~{UV~. w,~ F~x.Sv~i~Org Type: ~~01~4~1 Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper AARON KOOP <RICH ENVIRO> ICC Nbr: 5246187-UC PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type INDIVIDUAL TANK OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type INDIVIDUAL BOE UST Fee# 036116 Financ'1 Resp: STATE FUND Legal Notif Business Mailing Address Date:12/27/2001 Phone: (336) 609- x Name:HAING YAM Ttl:OWNER State UST # 1998 Upg Cert#: 00721 -2- 02/01/2007 ;~ -~ F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PREMIUM UNLEADED F IH DH L 10000.00 GAL Mod UNLEADED REGULAR GASOLINE F IH DH L 10000.00 GAL Mod UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod -3- o2jolj2oo~ -4- 02/01/2007 t i P JOHNNYS FOOD MART ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Location within this Facility Unit NE CRNR UST STATE TYPE PRESSURE Liquid ~ixture Ambient SiteID: 015-021-000308 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL - tit~~tix.l~vu.~ ~vlnr~lvlJlvl~ %Wt. RS CAS# 100.00 Gasoline No 8006619 riEiGHK1J 1-~a 71"~J 51~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED REGULAR GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR UST CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 rltic,titcl~ tia~l;~al~inlvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 02/01/2007 ;~ F JOHNNYS FOOD MART ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this Facility Unit NE CRNR UST STATE TYPE PRESSURE Liquid TMixture~Ambient SiteID: 015-021-000308 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 5000.00 GAL t1AGH.ttUVU~ 1:V1~lYV1V~1V'1'~ oWt. RS CAS# 100.00 Gasoline No 8006619 riAGHKL A~J~a~1~1~1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F' IH DH / / / Mod -6- 02/01/2007 t ~ F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/02/2006 ~ CALL 911 EMERGENCY RESPONSE, OFFICE OF EMERGENCY SERVICES $00-752-7550 AND CORPORATION OFFICE 663-8988. Employee Notif./Evacuation 10/24/2006 EMPLOYEES ARE NOTIFIED TO GO ACROSS THE STREET TO DENNYS AND REMAIN THERE AND CALL 911. THEY ARE TO STAY THERE UNTIL IT IS SAFE. Public Notif./Evacuation 06/02/2006 MAKE SURE THERE IS NOBODY IN THE PARKING LOT IN THE EVENT OF ANY MAJOR ACCIDENT. BEFORE THEY LEAVE THE SITE, THEY ARE TO MAKE SURE NOBODY IS AROUND. Emergency Medical Plan 06/02/2006 MAKE SURE ALL THE EMPLOYEES FILL OUT THE FORM THAT HAS THEIR DOCTORS NAME & HOSPITAL NAME AND THE PHONE NUMBER WHERE THEY WANT TO BE TAKEN. ALSO, GET THE NAMES OF TWO FRIENDS OR RELATIVES WHERE WE CAN REPORT ANY EMERGENCY AND ALSO GET THEIR PHONE NUMBER. ALSO, WE HAVE A LIST OF MEDICAL FACILITIES CAPABLE OF HANDLING AN ACCIDENT INVOLING A HAZARDOUS MATERIAL EXPOSURE. -7- 02/01/2007 F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/24/2006 ~ LEAK DETECTORS, SUMP LIQUID DETECTORS W/TURBINE SHUT-OFF, EMERGENCY PUMP STOP AT REGISTER, AND EMERGENCY SHUT-OFF AT EXTERIOR WALL. ALSO, TO PREVENT OR MINIMIZE THE ACCIDENT HAPPENING, WE TRAIN EMPLOYEES ON HOW TO STORE THE HAZARDOUS MATERIAL. Release Containment 06/02/2006 SURROUND AND ABSORB WITH KITTY LITTER. KITTY LITTER IS STOCKED AND SOLD AT THE STORE AT ALL TIMES. MINIMUM STOCK IS 50 POUNDS. Clean Up 06/02/2006 WE ALSO TRAIN EMPLOYEES TO USE ABSORBENT FOR ANY SMALL GASOLINE SPILLS AND ALSO WHAT TO DO IF THERE ARE ANY MAJOR SPILLS. TURN OFF ALL THE TURBINE PUMPS AND CALL 911. EVACUATE ALL PEOPLE AND EMPLOYEES. V1.11C 1. ACAVU1l.:C 1'91.:L1VGlL1V11 -8- 02/01/2007 n F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 10/24/2006 ~ GASOLINE HANDLING AND STORAGE. Utility Shut-Offs 10/24/2006 A) GAS - NONE B) ELECTRICAL - N SIDE INSIDE BLDG/STORAGE RM C) WATER - N SIDE OUTSIDE NEAR BATHROOMS D) SPECIAL - EMER SHUT-OFF SWITCH NW CRNR OF BLDG E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS FIRE HYDRANT - NW CRNR OF PROP OFF BUCK OWENS BLVD 06/02/2006 Building Occupancy Level 5 EMPLOYEES 12/21/2006 -9- 02/01/2007 J~ ,! F JOHNNYS FOOD MART SiteID: 015-021-000308 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 06/02/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE GIVE THEM TRAINING ON HOW TO HANDLE HAZARDOUS MATERIALS. THE CORRECT WAY TO USE EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES, EMERGENCY EVACUATION PLAN, CAL OSHA HAZARD COMMUNICATION STANDARD. HOW TO CALL FOR EMERGENCY ASSISTANCE IN THE EVENT OF AN ACCIDENT INVOLVING HAZARDOUS MATERIALS. rctyC G Held for Future Use nc.i.u tvi r u~uiC u~C -10.- 02/01/2007 ~, - 1 ;~ ,, Prevention Services UNIFIED-PROGRAM INSPECTION CHECKLIST'f ~ E R s F , D 900Truxtun Ave., Suite 210 ~_ ~.~~ ___________. _ .~-__. _ _. - - Fine Bakersfield; CA 93301 SECTION 1: Business Plan and Inventory Program '~ "R'"' r Tei•: (661) 3zs-3x79. Fax: (661) 872-2171 FACILITY NAME INSPEC ION D TE INSPECSIQ~i TIME ADDRESS ~ 2b l Z_ c~,~ t~ O ~ ~ r s t3? ~ ~ PHONE N Oct 3 1 NO OF EMP OYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ~~ - Section 1: Business Plan aid Mve~ttory Program ~ ~~ ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND l ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~N~,O ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HA2 MAT TRAINING i ^ 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? EXPLAIN: Q ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 C~ ~~=-- ~ - `'1 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # ^ YES ~NO nnr-Dula White -Prevention Services Yellow -Station Copy Pink -Business Copy V FD 2155 (Rev. 09/05 INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME:~'v~t~r-~S -~'ded 1+'~i-e-'~` Section 2: Underground Storage Tanks Program INSPECTION DATE: ~ ~Zdl d C ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ^_~nplaint ^ Re-Inspection Type of Tank ~'vo ~~bas,S~°sS Number of Tank,9s Type of Monitoring Type of Piping 'i ~si~~ D c_.) OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes -~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: G ~"~~°~---- Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Pink -Business Copy ~-;. .~ ~I BAKERSFIELD FIRE DEPT. ~~ Prevention Services B i a R s F~ t, n 900 Truxtun Ave., Ste. 210 p/RE Bakersfield, CA 93301 A/PTM T Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 KBF-7335 FD 2156 (Rev. 09/05) ., + JOHNNYS FOOD MART ___________________________________ SiteID Manager . Location: 2612 BUCK OWENS BLVD City BAKERSFIELD l 5 015-021-000308 BusPhone: (661) 326-1309 Map 102 CommHaz Moderate Grid: 23D FacUnits: 1 AOV: CommCode: KCFD STA 66 SIC Code:5541 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title HAING YAM / OWNER / Business Phone: (661) 326-1309x Business Phone: ( ) - x 24-Hour Phone (661) 663-8988x- 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 326-1309x MailAddr:-2612 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner HAING YAM Phone: (661) 663-8988x Address 1505 MCPHERSON LN State: CA City BAKERSFIELD Zip 93311 Period to TotalA5Ts: = Gal Preparers TotalUSTs: = Gal Certif'd: ~ RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG U - UST ENTO OCT 2 4 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. ,_ ~ ~ 6 ignature Date -1- 03/30/2006 is . + JOHNNYS FOOD MART ___________________________________ SiteID: 015-021-000308 + Manager Location: 2612 BUCK OWENS BLVD City BAKERSFIELD CommCode: KCFD STA 66 EPA Numb: BusPhone: (661) 326-1309 Map 102 CommHaz Moderate Grid: 23D FacUnits: 1 AOV: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title HAING YAM / OWNER / Business Phone: (661) 326-1309x Business Phone: ( ) - x 24-Hour Phone (661) 663-8988x 24-Hour Phone ( ) - x Pager Phone (jB(pl ) ~U 3 -~6Qgiv? x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (66i) 326-1309x MailAddr: 2612 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner HAING YAM Phone: (661) 663-8988x Address : 1505 MCPHERSON LN State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Prepares: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG U - UST Based on my inquiry of those individuals responsible for obtaining the information, ! c®r41fy under penalty of law that i have personally examin d and am familiar with the information su it d and believe the information is true, a ra n com e. << 3d ~~ Sio Da 5~~5~ ~ ~,n s~~~~ ENT ~~ !Y Q 2 ~o~ 6 -1- 03/30/2006 fl ~ +I` `! _ UNIFIED PROGRAM INSPECTION CHECKLIST ~; ~~~~ .SECTION 1: Business Plan and Inventory Pn~gram ~ ~ BAKERSFIELD FIRE DEPT Prevention Services 9001Yuxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- Section 1: Business Plan and Inventory Program ------ ^ ROUTINE C M81NED ^ JOfNT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~^. ^ BUSIt1t3SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - /C~ ^ VV EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~. ^ FIRE PROTECTION ~,~~ j E`=_~~-'-;'/:~~-F~?~=-E~ ^ SITE DIAGRAM ADEQUATE & ON HAND /2 ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - - I~. O STIONS REGARDING THIS iNSPECT10N1 PLEASE CALL U8 AT (ti61) 926-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station q Business Site/School Ne es sl a Party tease Prat) ., ~; White _ Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. lM/05) z • • `~ ~, . - ~'* . ~~~w~~' /'`~ ~~\ CITY OF BAKERSFIELD FIRE DEPAR'T'MENT `d ~ / ro; OFFICE OF ENVIRONMENTAL SERVICES ~`~ y~` UNIFIED PROCTRAM INSPECTION CHF.CKL,IST \`_w ~R%,/`'~~ 1715 Chester Ave., 3'~`' Fioor, Bakersfield, CA 93301 .. ,.~~ FACILITY NAME t7~~S ~~_//1~.~~ INSPECTION DATP~"~ O,~ Section 2: Underground Storage Tanks Program ^ Routine mbined ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank ,Dou (~ u.~,411 Number of Tanks Type of Monitoring ~ Type of Piping ®o.~~If i,.E..AI'~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations A Has there been an unauthorized release? Yes ~~"+- No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Tvpe of Tank AGGREGATE CAPAC[TY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/laheling [s tank used to dispense MVF? If yes, Does tank have overtilUoverspil) protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~~ti ~Y/4~~/~ ~'~~ Office of Environmental Services (661) 326-3979 white - f nv. Svcs. Pink - Business Cory ` Business Site Re siI e Part Y ' 4-.` '1': Tr ,; I•.' . tip' ! '" `.~ ~'1 ~~ `'1 BHr':~ "=:FIELD'? !.H. s _?4 J= It'{I,J_;.{TiJ='r' 4;EFiJf:'T rnHt.{ T FIJLD H t~aET 4850.0 C;~L "r'il~ LEI.:IEL 40.'414 ih{ ' IJLLHhE ~ ~' 84. ~ ~ HL TEt'1k'EF'~ITIIti;E ~" 'a i _~r.l • r ~ 1 I~IHTER Lt!v!LL 41,4_1'1 It'k ~ b1i~TE!=' l!C!L 4.1.1 !SAL r. r ,- ~H~:.EIZ.:'rlEf I?, !_Fi. 'a'T 41o _~iTE $t ?';?F~41 I}.{IyiE;•{Tit G,l..l RE^iI~;T ' T i-! t~ k:. t'i I_I . ,. 1 ._' 414_14_1 _ . Ij a L _ t,1 A'r•{'I r IJ L ~' - E. 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