HomeMy WebLinkAboutBUSINESS PLAN 11/21/2006----
. ~ ~~~~ 7 OAKS COUNTRY CLUB (1VIAINT.) Y
~~~-'' 2250- BUENA-VISTA ROAD---
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ~ B E R s F , D 9ooTruxtun Ave., Suite 210
_ _
~_ ___ _..~,___-. ---.___ _ FIRE - - Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ' ~RrM r Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE - INSPECTION TIME
i ~-. 4t w' t / ~~ 0 6 / mi ~.
ADDRESS
/ PHO NO.
6 NO OF EMPLOYEES
~-,~
~,-~~ 6 6 ~ - 6 i3 ~
FACILITY CONTACT BUSINESS ID NUMBER
!
v 15-021- 666 (9 b
~ ` ~ t
s
`
~Seciion 1: Busir><~ss Ptart ar~d Irv®nio~y Pfiogra~n
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
~I ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE D ~ C ~ ~, 2006
^ VISIBLE ADDRESS
`~l ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~/
L~.
^
VERIFICATION OF MSDS AVAILABILITY ,, (~
~v \
\
^ 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 SITI
EXPLAIN: ~ ~ rS /z, rA ~ 1
^ NO
QUESTIONS RE'GA1RDING THIS INSPECTION? PLEASE CALL us AT (669) 326-3979
Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05
Bakersfield Fire Dept.
IINI~IED PF~OGRAM INSPECTBON CHEC~(LIST Enironmental Services
SECTION 1 Business Plan and, Inventory Program 1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME INSPECTIO DATE INSPECTION TIME
- ) ~
ADDRESS HONE o. No. of Employees
FACILITYCON ACT ~ Business ID Number
~/ 1>0~ IS-021-
Section 1: Business Pfan and Inventory Program
Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V (v=Vioatioinncel OPERATION COMMENTS
^ APPROPRIATE JPERMIT ON HAND
^ USINE S PLAN CONTACT INFORMATION ACCURATE
- LE ADDRESS /~
-- -- ----- - ------- _ __---- -- -- -------- -- -- --- - ...-.._ __ _ _ _ -t~.~?- r
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
• %^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF HAT 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 SITjE~: ~ YES ^ NO
EXPLAIN: ~<' f °L. ~ ~~/'_ ~/2 . lJi /S o i, t,~; l I ~ ~0 {~ /TP ~"~ S ,f
} ~ Pi C~ ~ QrU y,Y1f~/ ( 6 ~ ~~ ~ LA.f/14.(
• QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979
Ins-pector (Please Print) Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
~A P.~ a~ is ~ s~ ~
Business Site Responsible Party (Please Print)
rn
N
Pink -Business Copy ~O
~~+ ~VEN OAKS COUNTRY CLUB _____________________________ SiteID:
anager
ocation: 2250 BUENA VISTA RD
City BAKERSFIELD
BusPhone:
Map 123
Grid: 07A
015-021-000196 +
(661) 366-2085
CommHaz Moderate
FacUnits: 1 AOV:
CommCode: BFD STA 09 SIC Code:
EPA Numb: DunnBrad:00-896-5428
`~~ ---
Emergency Contact / Title Emergency Contact / Title
MICHAEL SWING / SUPERINTENDENT n. ~3~TT~ T;~3~3G*`-~° / ASSISTANT SUPER
Business Phone: (661) 664-6046x Business Phone: (661) 664-6046x
,_ _ _____ _'~_rQ _ (ti5, ! ~~a ~'-= ___ - 24-Hour Phone (661) 664-6136x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact Phone: (661) 664-6046x
MailAddr: 2250 BUENA VISTA RD State: CA
City BAKERSFIELD Zip 93311
Owner CASTLE & COOKE CALIFORNIA INC Phone: (661) 664-6500x
Address PO BOX 11165 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
reparer: TotalUSTs: = Gal
ertif'd: RSs: No
arcelNo:
Emergency Directives: ~
Mark Wllaon
Golf Course Superintendent
eve ~e ~/ ~a 3
Shipping Address:
2250 Buena Vista Road
664-6136 Office Bakersfield, CA 93311
(661 J 664-0115~x Billing Address:
P.O. Box 11165
mwilson@casUe'cooke.com
a_ ~_ ~ Bakersfield, CA 93369-1165
~
-1- 08/12/2005
SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196
Manager BusPhone : ( 661) 3fr~'tl'Sr
Location: 2250 BUENA VISTA RD Map 123 CommHaz Moderate
City BAKERSFIELD Grid: 07A FacUnits: 1 AOV:
CommCode: BFD STA 15 SIC Code:
EPA Numb: 1"IM1~a,H'ht~~l DunnBrad:00-896-5428
m rgency Contact Title Emergency Contact / Title
/ SUPT ADRIAN MALDONADO / SHOP MANAGER
Business Phone: (661) 664-6136x Business Phone: (661) 664-6136x
24-Hour Phone (~I~" 24-Hour Phone (661) 852-1837x
Pager Phone ( ) g~~- ~ .~~c Pager Phone (~j ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact s~=a ~z~T=~D Phone : ( 661) §~= o o-~-
MailAddr: 2250 BUENA VISTA RD State: CA
City BAKERSFIELD Zip 93311
Owner CASTLE & COOKE CALIFORNIA INC Phone: (661) 664-6500x
Address PO BOX 11165 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT ENT'D I' 99
~ U ~ O
PROG H - HAZ WASTE GEN
?asod 1 2007
PROG T - ABOVEGROUND STORAGE TANK on my inquiry of those individuals
responsible for ofYtai
i
n
n
under penalty of Iav~
e~amir
d g the information, I certify
that t have p2~•sonall
e
and =gym fam
su®mitted and relie y
iliar with the information
ve
accura+ ~ , a icy .,omplete. the information is true,
Signature -~°~ ~- -- g~
~
Dat
-1- 07/16/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
UNLEADED FUEL F IH DH L 500.00 GAL Mod
DIESEL FUEL F IH DH 'L 500.00 GAL Low
OXYGEN F IH DH G 220.00 FT3 Low
WASTE OIL F DH L 110.00 GAL Low
TORQUE FLUID F IH L 70.00 GAL Low
.WASTE ANTIFREEZE F DH L 2.00 GAL Low
MOTOR OIL F DH L 70.00 GAL Min
FERTILIZERS IH S 30000.00 LBS UnR
FUNGICIDE F IH DH L 100.00 LBS UnR
INSECTICIDES F IH DH S 100.00 LBS UnR
HERBICIDES - LIQUID IH L 36.00 GAL UnR
-2- 07/16/2007
-3- 07/16/2007
w ,
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
UNLEADED FUEL Days On Site
365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
8006-61-9
Liquid TMixture ~mbient~E ~ AmbientT~E ABOVEOGROIUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL 250.00 GAL
rit~.~ritcL~ua ~:vinruiv~ivl,~ --
~Wt. RS CAS#
100.00 Gasoline No 8006619
tu~~tittL xa ~~aai~i~lvl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / ~ Mod
~ Inventory Item 0001
COMMON NAME / CHEMICAL-NAME
DIESEL FUEL
Location within this Facility Unit
OUTSIDE IN FENCED AREA
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
68334-30-5
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL 250.00 GAL
nx~titc~vua winrviv~ivta
%Wt. RS CAS#
100.00 Diesel Fuel No. 2 No 68476302
ri1~G1iK1J A~~GSSM~N'1'~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 07/16/2007
i ~• `~
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
STORAGE BIN CAS#
7782-44-7
~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
220.00 FT3 220.00 FT3 135.00 FT3
ti1jGHKLVU.7 ~vrirvlvl;lvl~
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
t1E~GL-1ttL H~~I;b.71~11;1V l
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
STATE TYPE PRESSURE
Liquid TWaste Ambient
TEMPERATURE CONTAINER TYPE _
Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I- Daily Average
55.00 GAL 110.00 GAL 1 55.00 GAL
-- nr~Gr~1ZDOU~ ~.vl~irvlvlJlvla
aWt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
riHGl~ii'CL li. 7.'~L",.7w>1~1L'1V1-.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-5- 07/16/2007
` i ~
' SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
F
Inventor Item 0011 Facilit Unit: Fixed Containers on Site
~ Y Y ~
COMMON NAME / CHEMICAL NAME
TORQUE FLUID Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE E WALL OF SHOP CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
70.00 GAL 70.00 GAL 35.00 GAL
T M
- ntic~HrcLVUa ~.vrirvlvlJlvl~
%Wt. RS CAS#
100.00 Petroleum Unrefined Hydrocarbons No 8002059
riHGHitJJ H55t'~JJ1~1t51V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / Low
~ Inventory Item 0010
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE
Location within this Facility Unit
OUTSIDE CTR E WALL
STATE TYPE PRESSURE
Liquid waste ~ Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
107-21-1
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 2.00 GAL 1.00 GAL
I1HGKiCLVUA 1.V1~1rV1VL"1V1.~
%Wt. RS CAS#
30.00 Ethylene Glycol No 107211
i1HGtiCCL H~J ~JJ;.7.7P7r,1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-6- 07/16/2007
F SEVEN OAKS COUNTRY CLUB
~ Inventory Item 0009
COMMON NAME / CHEMICAL NAME
MOTOR OIL
Location within this Facility Unit
', INSIDE E WALL OF SHOP
STATE TYPE PRESSURE
Liquid TMixtur~mbient
SiteID: 015-021-000196 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
8020835
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
70.00 GAL 70.00 GAL 35.00 GAL
t1HG1~tCLVU~J ~v1~1rv1Vr;lv15
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
__ ns~as~tcli s-~~ ~na~i~i~lyla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
FERTILIZERS
Location within this Facility Unit
EQUIP YARD
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid TMixture l Ambient ~ Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
50.00 LBS 30000.00 LBS 1000.00 LBS
HAZARDOUS COMPONENTS ,
oWt.
RSA CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-7- 07/16/2007 ~
F SEVEN OAKS COUNTRY CLUB
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
FUNGICIDE
Location within this Facility Unit
EQUIP BIN
STATE TYPE PRESSURE
Liquid TMixture TAmbient
SitelD: 015-021-000196 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient IN MACHINE/EQUIP
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 LBS 100.00 LBS 10.00 LBS
t~u~~xttl.~~ua ~vl~irvlvl;lvla
oWt. RS CAS#
Fungicide No 0
ri1~G1.1KL P,S~J~;JJ1~1L~1V'1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / UnR
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
INSECTICIDES
Location within this Facility Unit
STORAGE BIN
STATE TYPE PRESSURE
Solid TMixture TAmbient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
2843-00-6
TEMPERATURE CONTAINER TYPE
Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 LBS 100.00 LBS 10.00 LBS
t1HGKtCLVU.7 l.Vl°lYV1VJ;1V 1.5
°sWt. RS CAS#
Insecticides No 0
ill-]GKKL 1-1J .7L' .7~1~11;1V 1 ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / UnR
-8- 07/16/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ i
COMMON NAME / CHEMICAL NAME j
HERBICIDES - LIQUID Days On Site
365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
~E T~E E
N
Liquid TMixture~ Ambient ~ Ambient ARREL
NONMETAL~
DRUM/B
AMOUNTS AT THIS LOCATION II
Largest Container Daily Maximum Daily Average
2.50 GAL 36.00 GAL 15.00 GAL
HAGAKI~UUS C:UMl'UNEN'1'~ i,
aWt. RS CAS#
50.00 Herbicides No 0 ~
t1HGE~tCL 1:5J~a~1~1tS1V'17
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-9- 07/16/2007
~~,
F SEVEN OAKS COUNTRY .CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 12/20/2000 ~
CALL 911.
Employee Notif./Evacuation
VERBALLY AND RADIO.
12/20/2000
Public Notif./Evacuation
VERBALLY.
12/20/2000
Emergency Medical Plan 12/20/2000
FAMILY MEDICAL CENTER.
-10- 07/16/2007
;~' :.
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 06/12/2007 ~
ABOVEGROUND, SIGNED, CONVAULT TANK, WITH STEEL POSTS AT CORNERS.
Release Containment 11/22/1996
CONVAULT ON LOCATION.
Clean Up
06/12/2007
PRODUCT ON SITE FOR SPILL CLEAN-UP - ABSORBENT, GRANULAR, 33-GAL CONTAINER.
LISTING OF COMPANY FOR LARGE SPILL. EXCAVATION, IF NECESSARY.
v~.aici iccavutVC til:l.lVC1l.1V11
-11- 07/16/2007
~.
P SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~7~JCC:1d1 rid'GdiU~
Utility Shut-Offs 06/12/2007
GAS - NW CRNR OF BLDG
ELECTRICAL - PUMP STA AND OFFICE
Fire Protec./Avail. Water 12/22/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER.
FIRE HYDRANT - 3 HYDRANTS OUTSIDE SHOP AREA ALONG BUENA VISTA RD.
Building Occupancy Level 12/22/2006
32 EMPLOYEES
-12- 07/16/2007
e°
r -~ ~ -.
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/12/2007 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE INITIAL TRAINING, MONTHLY, AND
BI-ANNUAL.
rayc c
riciu ivi r u~.uLC vac
nciu ivi r uLU.LC v~C
-13- 07/16/2007
. _ _ I.k U \
Q
SEVEN OAKS COUNTRY CL ~D~M ~' `k ~t R
Manager Q~Ii6QA~® BusPhone
Location: 2250 BUENA VISTA RD Map 123
City BAKERSFIELD Grid: 07A
CommCode: BFD STA 15
EPA Numb:
SiteID: 015-021-000196
(661) 366-2085
CommHaz Moderate
FacUnits: 1 AOV:
SIC Code:
DunnBrad:00-896-5428
Emergency Con / e Emergency Cont ct / e
c ~ ~ N STEV O PT
Bus' a 6- 0 Bus o 6 6 4- 04
24- ou h - 24 61 6 - 6x
Pag P ( - x Pager P e ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact 4M ~tv tr Phone: (661) 664-~1,0A~f~lc
MailAddr: 2250 BUENA VISTA RD State: CA (~/3~0
City BAKERSFIELD Zip 93311
Owner CASTLE & COOKE CALIFORNIA INC Phone: (661) 664-6500x
Address PO BOX 11165 State: CA
City BAKERSFIELD Zip :.93389
Period t_o TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
~
~
~~
PROG A - HAZMAT /nt/ ~nG
~
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK ~
~l!' -
~r
A~ ^^ 11
f
ftfsT' S„
Cu
d~n ~
us;,u s~ - G6 5~- G /3G
~l; ~ a~ ti~ ~s ~
Based on my inquiry of those individuals
1 certify
the information;
in
i
bt
f ~,/ ~~
~ A~~, c^ /~1 ~ ~RD~1 ~ /f~
a " ~~d~/'r~~sf~
,
g
n
a
or o
responsible
under penalty of law chat I have personalty
eramined and am familiar with the information
~v3 ~ M SS - ' /
G 6y- ~j/,3~
submitted and believe the information is true,
accurate, and complete. a7~ ~io~/ - ~jSo? ^ 1 fl3
~
G~~ia~ ~~.._~
,~..9
Signature Date
ENY'D ~ U N 1 ~ ~00~
-1- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
UNLEADED FUEL F IH DH L 500.00 GAL Mod
DIESEL FUEL F IH DH L 500.00 GAL Low
OXYGEN F IH DH G 220.00 FT3 Low
WASTE OIL F DH L 110.00 GAL Low
TORQUE FLUID F IH L 70.00 GAL Low
WASTE ANTIFREEZE F DH L 2.00 GAL Low
MOTOR OIL F DH L 70.00 GAL Min
FERTILIZERS IH S 30000.00 LBS UnR
FUNGICIDE F IH DH L 100.00 LBS UnR
INSECTICIDES F IH DH S 100.00 LBS UnR
HERBICIDES - LIQUID IH L 36.00 GAL UnR
-2- 02/06/2007
-3- 02j06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
UNLEADED FUEL Days On Site
_ 365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
8006-61-9
STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture I Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL 250.00 GAL
-- t~~.yttLUUS ~:vrirvl~r;l~1a
%Wt. RS CAS#
100.00 Gasoline No 8006619
H1~GEitCL I~a .7~JJ1~1L'1V-1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
DIESEL FUEL
Location within this Facility Unit
OUTSIDE IN FENCED AREA
STATE TYPE PRESSURE
Liquid TMixtur~Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
68334-30-5
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 .GAL 250.00 GAL
nt~~i-~,tcLUUa 1..V1~iYV1V~1V 1.>
%Wt. RS CAS#
100.00 Diesel Fuel No. 2 No 68476302
t11-~Gt1KL HJ5~5J1~1tS1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
STORAGE BIN CAS#
7782-44-7
~Ga.SATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Co220100rFT3 Daily 220100m FT3 I Daily 135r00e FT3
tiAGHttLVUS t_:V1nrViv~lvl5
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
t1AL11~CL AS~iL' S151~1t;1V'15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
- ~E T~E E
Liquid TWaste ~mbient ~ Ambient DRUM/BARREL
METALLI~
AMOUNTS AT THIS LOCATION
Largest Con55100rGAL Daily M10100m GAL I Daily A55r00e GAL
1~L'iLJ l'~,LVV17 L.V1Y1r VIV r.11V 117
%Wt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
riE'~LIEiKL 1-~J .7J;~~1~1L"1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / ~ Low
-5- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
TORQUE FLUID Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE E WALL OF SHOP CAS#
STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture I Ambient ~ Ambient DRUM/BARREL-METALLI~
Largest Container
70.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
70.00 GAL
Daily Average
35.00 GAL
rlr~~~.tc.uvu~ ~:vlnr~lv~ly 15
°sWt. RS CAS#
100.00 Petroleum Unrefined Hydrocarbons No 8002059
t1F~L,Att1J A~5i55~1~1~1V'1'S
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / Low
~ Inventory .Item 0010
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE
Location within this Facility Unit
OUTSIDE CTR E WALL
STATE TYPE PRESSURE
Liquid TWaste ~mbient
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 2.00 GAL 1.00 GAL
riEiGH1[LVUJ 1.V1~lYV1VL'1V1~
oWt. RS CAS#
30.00 Ethylene Glycol No 107211
t11~GE~KL 1~~ ~L' A ~1~1r;1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
107-21-1
TEMPERATURE ~ CONTAINER TYPE
Ambient I PLASTIC CONTAINER
-6- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE E WALL OF SHOP CAS#
8020835
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
70.00 GAL 70.00 GAL 35.00 GAL
IIY+GHCCLVU~ 1.U1~lYUlVr,1V1J
°s~^1t • RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
ritiGL-1CCL HJ .7JJ.7.71~1L' 1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
FERTILIZERS Days On Site
365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid Mixture Ambient ~ Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
50.00 LBS 30000.00 LBS 1000.00 LBS
%Wt.
HAZARDOUS COMPONENTS
RSA CAS#
i1tiL+riRL L'iw 7.7 L' JJ1°1r,1V 1 r7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-7- 02/06/2007
F SEVEN OAKS COUNTRY CLUB
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
FUNGICIDE
Location within this Facility Unit
EQUIP BIN
SiteID: 015-021-000196 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~-Ambient ~ Ambient IN MACHINE/EQUIP
AMOUNTS AT THIS LOCATION
Largest Cont5i00rLBS Daily MOOl00m LBS I Daily AlOr00e LBS_
nt~~.~,tcLVU~ wt~iruiv~ly 1
oWt. RS CAS#
Fungicide No 0
Y11~GHKL 1~~~~JJ1~1C;1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / /~/ UnR
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
INSECTICIDES Days On Site
365
Location within this Facility Unit Map: Grid:
STORAGE BIN ~ CAS#
2843-00-6
~SolidE Mixture~~ PRESSURE TEMPERATURE CONTAINER TYPE
I Ambient ~ Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 LBS 100.00 LBS 10.00 LBS
rit~~KtcLUU~ ~uinr~iv~lvl~
%Wt. RS CAS#
Insecticides No 0
riAGHKL AJ:il'~~JJ1~1~,1V1a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / UnR
-8- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
HERBICIDES - LIQUID Days On Site
365
Location within this Facility Unit Map: Grid:
EQUIP YARD CAS#
STATE TYPE ~- PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture I Ambient ~ Ambient DRUM/BARREL-NONMETAL
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
2.50 GAL 36.00 GAL 15.00 GAL
I1HGEitCLUU.7 LV1~lYUlVL"1V1~
oWt. RS CAS#
50.00 Herbicides No 0
IlE~GL~tCL HJ5~551~1J;1VlJ
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-9- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 12/20/2000 ~
CALL 911.
Employee Notif./Evacuation 12/20/2000
VERBALLY AND RADIO.
Public Notif./Evacuation 12/20/2000
VERBALLY.
Emergency Medical Plan 12/20/2000
FAMILY MEDICAL CENTER.
-10- 02/06/2007
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 11/22/1996 ~
ABOVE GROUND, SIGNED, CONVAULT TANK, WITH STEAL POSTS AT CORNERS.
Release Containment 11/22/1996
CONVAULT ON LOCATION.
Clean Up 12/20/2000
PRODUCT ON SITE FOR SPILL CLEANUP - ABSORBENT, GRANULAR, 33 GAL CONTAINER.
LISTING OF COMPANY FOR LARGE SPILL. EXCAVATION IF NECESSARY.
Other Resource Activation
-11- 02/06/200
. _ ..
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
a~v~:.La.l na~caLUa
Utility Shut-Offs 12/22/2006
A) GAS - NW CRNR OF BLDG
B) ELECTRICAL - PUMP STA AND OFFICE
C) WATER - NONE
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 12/22/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER.
FIRE HYDRANT - 3 HYDRANTS OUTSIDE SHOP AREA ALONG BUENA VISTA RD.
Building Occupancy Level 12/22/2006
32 EMPLOYEES
-12- 02/06/2007
:g:
o _i~ `
F SEVEN OAKS COUNTRY CLUB SiteID: 015-021-000196 ~
Fast Format ~
~ Training Overall Site ~
Employee Training 01/19/2007
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE INITIAL TRAINING, MONTHLY, AND
BI-YEARLY.
rays
nci.u iVi ru~uiC VSC
L1c 1V. tVt r ul.UlC V.7-C
-13- 02/06/2007