HomeMy WebLinkAboutBUSINESS PLAN (2)r _ °.
J',I
INTERSTATE BATTERY-
_,~.
---
_ --tom 1329 CALIFORNIA AVENUE
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST - A r R s F , ,_, -900 ~-uxtun Ave., suite 210
_>: ~ _ ~.~.r~3~~. ~ .:E . _ _ _ ~ Fiee ~ Bakersfield, ~CA 93301
SECTION 1: Business Plan and Inventory Program "Rr"' Tel.: (661) 326-3979-
' ~ Fax: (661) 872-2171
FA6+~tTY NAME INSPECTION DATE INSPECTION TIM
A
S 6~0.
1
, / NO OF EMP YEES
, ~
~ I ~ V~ ~` ~ ~
~
~
FA~ILITY CONTACT ~ =
..
~
~~ BUSINESS ID NUMBER
15-021- ~~ ~r~~~
1 V
J.-~p U G Ira ~
'(~
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
^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
i-
^ 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
^ 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
d~~r,~~ ~~~~ ~~
Inspector (Please Print) Fire Prevention / 1?/ Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
Y
INTERSTATE BATTERIES OF KERN CO
SiteID: 015-021-002033
Manager DOUGLAS EVERETT
Location: 1329 CALIFORNIA AVE
City BAKERSFIELD
CommCode: BFD STA 03
EPA Numb:
BusPhone: (661) 323-9344
Map 103 CommHaz High
Grid: 31A FacUnits: 1 AOV:
SIC Code:5013
DunnBrad:564-86-4648
Emergency Contact / Title Emergency Contact / Title
DOUGLAS EVERETT / OWNER JASON REED / ROUTE MANAGER
Business Phone: (661) 323-9344x Business Phone: (661) 323-9344x
24-Hour Phone (661) 664-7260x 24-Hour Phone (661) 472-4446x
Pager Phone (661) 213-7657x Pager Phone (661) 979-1971x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact DOUGLAS EVERETT Phone: (661) 323-9344x
MailAddr: 1329 CALIFORNIA AVE State: CA
City BAKERSFIELD Zip 93304
Owner DOUGLAS EVERETT Phone: (661) 664-7260x
Address 8705 LANDOVER LN State: CA
City BAKERSFIELD Zip 93311
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT EI
PROG H -
HAZ WASTE GEN VT~ JUL 18
2007,
Ba,ed 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,
urate, and compl-et~"
~/
~~,r.~" -~ 1 ~ ~
ignat a Date
-1- 07/12/2007
- 5
F INTERSTATE BATTERIES OF KERN CO
~ Hazmat Inventory
~ MCP+DailyMax Order
= SitelD: 015-021-002033 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BATTERY ELECTROLYTE F P R IH DH L 2100.00 GAL Hi
WASTE BATTERIES (SULFURIC ACID) F R IH S 55.00 GAL Hi
-2- 07/12/2007
-3- 07/12/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
BATTERY ELECTROLYTE Days On Site
SULFURIC ACID USED IN BATTERIES 365
Location within this Facility Unit Map: Grid:
CAS#
7664-93-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture~mbient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 2100.00 GAL 2100.00 GAL
t1AGH1[LV U 5 1,V1~lYV1VL" 1V 1 J
%Wt. RS CAS#
33.00 Sulfuric Acid (EPA) No 7664939
t1HGH1CL A~515551~1L~1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P R IH DH / / / Hi
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
WASTE BATTERIES (SULFURIC ACID)
Location within this Facility Unit
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid Waste Ambient Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
r1EiLtittLVUw7 ~.v!•lrvlvl~,1v1.7
oWt. RS CAS#
34.00 Sulfuric Acid (EPA) No 7664939
53.00 Lead No 7439921
rlti~titu~ r~~~~a~lnr.lvl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Hi
-4- 07/12/2007
r
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 07/14/2000 ~
WE PHYSICALLY CHECK OUR WAREHOUSE DAILY FOR ANY POSSIBLE SPILLS OR LEAKS.
Employee Notif./Evacuation 05/30/2006
TELL OUT EMPLOYEES VERBALLY TO EVACUATE UNTIL CLEANED UP. IF OUR DRIVER IS
OUT OF THE WAREHOUSE WE WOULD TELL HIM TO STAY AWAY UNTIL CLEANED UP. WE
WOULD ALSO CALL 911.
Public Notif./Evacuation
05/30/2006
OWNER, DOUG EVERETT, WOULD CALL 911 AND THE OFFICE OF EMERGENCY SERVICES.
IF HE IS NOT AVAILABLE, OUR WAREHOUSE MANAGER, CHRIS EVERETT, WOULD BE IN
CHARGE. THEY WOULD BE IN CHARGE OF CLEAN-UP IF SAFETY PERMITS.
Emergency Medical Plan
05/30/2006
CALL FOR AMBULANCE 911 OR DRIVE EMPLOYEE TO SAN JOAQUIN MEMORIAL HOSPITAL,
2615 EYE ST.
-5- 07/12/2007
e.
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
~ Release Prevention 05/30/2006
STORE BATTERIES WITH PROPER VENTILATION. MAKE CERTAIN VENT CAPS ARE TIGHT.
PLACE CORRUGATED CARDBOARD BETWEEN LAYERS. STACK NO MORE THAN 3 LAYERS OF
BATTERIES. USE BATTERY CARRIER TO LIFT BATTERIES. AVOID CONTACT WITH
INTERNAL COMPONENTS OF BATTERIES.
Release Containment 05/30/2006
REMOVE COMBUSTIBLE MATERIALS AND ALL SOURCES OF IGNITION. COVER SPILL WITH
KITTY LITTER, MIX WELL AND PLACE IN DRUM.
Clean Up
REMOVE COMBUSTIBLES AND ALL SOURCES OF
KITTY LITTER. MAKE CERTAIN MIXTURE IS
PLACE IN SUITABLE CONTAINER. DISPOSE
BOOTS, CHEMICAL FACE SHIELDS, CHEMICAL
CLOTHES.
05/30/2006
IGNITION. NEUTRALIZE THE SPILL WITH
NEUTRAL, THEN COLLECT RESIDUE AND
OF HAZAROUS WASTE, WEAR ACID-RESISTENT
SPLASH GOGGLES, AND ACID-RESISTENT
Other Resource Activation
-6- 07/12/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
A~1CC:1d1 nd~diu~
Utility Shut-Offs
A) GAS - SE CRNR OF BLDG
B) ELECTRICAL - SE CRNR OF BLDG
C) WATER - SE CRNR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
05/30/2006
Fire Protec./Avail. Water
05/30/2006
PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS: 1 BY OFFICE DOOR AND 1 BY
SIDE DOOR.
NEAREST FIRE HYDRANT - ACROSS STREET ON K.
Building Occupancy Level
4 EMPLOYEES, PLUS 2 OWNERS AT TIMES
05/30/2006
-7- 07/12/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/30/2006 ~
MSDS SHEETS ON FILE ON MAIN DESK IN OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE LISTED ALL POSSIBLE HAZARDOUS
MATEIRALS IN OUR WAREHOUSE. WE HAVE GIVEN OUR EMPLOYEES A MSDS SHEET AND
EXPLAINED HOW THEY CAN PROTECT THEMSELVES AGAINST BEING INJURED BY EACH OF
THESE CHEMICALS. WE HAVE SHOWN THEM LABELS ON CHEMICALS WHICH TELLS THAT IT
IS A HAZARDOUS CHEMICAL. WE ALSO GO OVER SAFETY DATA SHEET WITH EMPLOYEES,
EXPLAIN FIRST AID PROCEDURES IN CASE OF INJURY RELATING TO CHEMICALS.
rayc ~
Held for Future Use
_, r_
uciu ivt r ut.utc vac
-8- 07/12/2007
~~.. ~ ~'~
~_ _ .
INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033
Manager DOUGLAS EVERETT
Location: 1329 CALIFORNIA AVE
City BAKERSFIELD
CommCode: BFD STA 03
EPA Numb:
BusPhone: (661) 323-9344
Map 103 CommHaz High
Grid: 31A FacUnits: 1 AOV:
5IC Code:5013
DunnBrad:564-86-4648
Emergency Contact / Title Emergency Contact / Title
DOUGLAS, EVERETT / OWNER 'T~~vQr~~ ~'tSotJ RY.~ / ROUTE MANAGER
Business Phone: (661) 323-9344x Business Phone: (661) 323-9344x
24-Hour Phone (661) 664-7260x 24-Hour Phone (661) ~~~-1la~~ ~
~eege~. Phone (~~) a 13 - f~y5'j x ~ Phone ( ~~ ) -1 x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact DOUGLAS EVERETT Phone: (661) 323-9344x
MailAddr: 1329 CALIFORNIA AVE State: CA
City BAKERSFIELD Zip 93304
Owner DOUGLAS EVERETT Phone: (661) 664-7260x
Address 8705 LANDOVER LN State: CA
City BAKERSFIELD Zip ~ 93.3-11_.~
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
Based on my inquiry of those individuals ~IY~~ ~~,~
respon,ible for obtaining the information, f certify
ersonally
f law that I have
lt
d ~ ~ ~ ~ ~ ~
~
~
7
p
y o
er pena
un v
~
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
c,~ /~~~ d
Sign DDate
fG
-1- 02/01/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm
BATTERY ELECTROLYTE
T~T~T' 'TS e"" ^'^'T'nTT.~C+ ( CTTT FTmTr'i -a-p'~T)~
f~ ~S~T~ ~~~ C. ~UL~UP lG f~CID
F P R IH DH L
--~' R-I~i-- v _.
~ R ~. H s
DailyMax Unit MCP
2100.00 GAL Hi
SS ~ ~~~
-2- 02/01/200
-3- 02/01/2007
t
F INTERSTATE BATTERIES OF KERN CO
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
BATTERY ELECTROLYTE
SULFURIC ACID USED IN BATTERIES
Location within this Facility Unit
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
SiteID: 015-021-002033 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7664-93-9
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 2100.00 GAL 2100.00 GAL
HAZARDOUS COMPONENTS
sWt. RS CAS#
33.00 Sulfuric Acid (EPA) No 7664939
ntiatiecL s-~a J~JSi~i~lyla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P R IH DH / / / Hi
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE BATTERIES (SULFURIC ACID) Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
~SolidE TWaste ~AmbRentURE ~ A~PeRATURE OTHER NTSPECIFYYPE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL I 55.00 GAL
iirsc,ra«ivvo ~.vrtrvlvr~ly 1.S
%Wt. RS CAS#
34.00 Sulfuric Acid (EPA) No 7664939
53.00 Lead No 7439921
rttic~tucl~ 1-1. 7.7P~.7J1°1P~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No ~No No No/ Curies F R IH / / / Hi
-4- 02/01/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 3
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 07/14/2000 ~
WE PHYSICALLY CHECK OUR WAREHOUSE DAILY FOR ANY POSSIBLE SPILLS OR LEAKS.
Employee Notif./Evacuation 05/30/2006
TELL OUT EMPLOYEES VERBALLY TO EVACUATE UNTIL CLEANED UP. IF OUR DRIVER IS
OUT OF THE WAREHOUSE WE WOULD TELL HIM TO STAY AWAY UNTIL CLEANED UP. WE
WOULD ALSO CALL 911.
Public Notif./Evacuation 05/30/2006
OWNER, DOUG EVERETT, WOULD CALL 911 AND THE OFFICE OF EMERGENCY SERVICES.
IF HE IS NOT AVAILABLE, OUR WAREHOUSE MANAGER, CHRIS EVERETT, WOULD BE IN
CHARGE. THEY WOULD BE IN CHARGE OF CLEAN-UP IF SAFETY PERMITS.
Emergency Medical Plan 05/30/2006
CALL FOR AMBULANCE 911 OR DRIVE EMPLOYEE TO SAN JOAQUIN MEMORIAL HOSPITAL,
2615 EYE ST.
-5- 02/01/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 05/30/2006 ~
STORE BATTERIES WITH PROPER VENTILATION. MAKE CERTAIN VENT CAPS ARE TIGHT.
PLACE CORRUGATED CARDBOARD BETWEEN LAYERS. STACK NO MORE THAN 3 LAYERS OF
BATTERIES. USE BATTERY CARRIER TO LIFT BATTERIES. AVOID CONTACT WITH
INTERNAL COMPONENTS OF BATTERIES.
Release Containment 05/30/2006
REMOVE COMBUSTIBLE MATERIALS AND ALL SOURCES OF IGNITION. COVER SPILL WITH
KITTY LITTER, MIX WELL AND PLACE IN DRUM.
Clean Up
REMOVE COMBUSTIBLES AND ALL SOURCES OF
KITTY LITTER. MAKE CERTAIN MIXTURE IS
PLACE IN SUITABLE CONTAINER. DISPOSE
BOOTS, CHEMICAL FACE SHIELDS, CHEMICAL
CLOTHES.
05/30/2006
IGNITION. NEUTRALIZE THE SPILL WITH
NEUTRAL, THEN COLLECT RESIDUE AND
OF HAZAROUS WASTE, WEAR ACID-RESISTENT
SPLASH GOGGLES, AND ACID-RESISTENT
Other Resource Activation
-6- 02/01/2007
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
5pec:lal nazclrczs
Utility Shut-Offs 05/30/2006
A) GAS - SE CRNR OF BLDG
B) ELECTRICAL - SE CRNR OF BLDG
C) WATER - SE CRNR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS:
SIDE DOOR.
NEAREST FIRE HYDRANT - ACROSS STREET ON. K.
05/30/2006
1 BY OFFICE DOOR AND 1 BY
Building Occupancy Level 05/30/2006
4 EMPLOYEES, PLUS 2 OWNERS AT TIMES
-7- 02/01/2007
S
F INTERSTATE BATTERIES OF KERN CO SiteID: 015-021-002033 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 05/30/2006 ~
MSDS SHEETS ON FILE ON MAIN DESK IN OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE LISTED ALL POSSIBLE HAZARDOUS
MATEIRALS IN OUR WAREHOUSE. WE HAVE GIVEN OUR EMPLOYEES A MSDS SHEET AND
EXPLAINED HOW THEY CAN PROTECT THEMSELVES AGAINST BEING INJURED BY EACH OF
THESE CHEMICALS. WE HAVE SHOWN THEM LABELS ON CHEMICALS WHICH TELLS THAT IT
IS A HAZARDOUS CHEMICAL. WE ALSO GO OVER SAFETY DATA SHEET WITH EMPLOYEES,
EXPLAIN FIRST AID PROCEDURES IN CASE OF INJURY RELATING TO CHEMICALS.
rayc ~
Held for Future Use
nclu .LVL ruLUi~ u5C
-8- 02/01/2007
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:. Business Plan and Inventory Program
•
~J
Prevention Services
A E R s F ~ ,__„ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTM r Tel:: - (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~ -- ~
-
3 ~ INSPECTION DATE -
"Z
'~ INSPECTION TIME
f
.~NT~p~
LS ~ ~~Tl;~tLS
ATL Or .I f~J C ,. ~
~ ~ z
ADDRESS PHONE NO. O OF EMPLOYEES
73 Z~ C : ottiN ~vt: ~Z3 ~~Ny 3
FACILITY CONTACT BUSINESS ID NUMBER
~oUef,As (-vL~t~.L~ 15-02 1- d0-2.033
~, ___ _ _ T
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
t~J
~
[
IQI ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
!' ~OOO
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES O
^ VERIFICATION OF LOCATION
C/j ^ PROPER SEGREGATION OF MATERIAL
7/
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED ,
I~ ^ HOUSEKEEPING
^ FIRE PROTECTION
e~
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ^ NO
EXPLAIN: , ~~~h y
QUESTIONS REG RDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
c/ ~ ~~ /~
Inspector (Please Print) Fire Prevention 11s' In 1 Shift of SitelStation # Busines S esp sible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
,~_~' 'i7
+ INTERSTATE BATTERIES OF KERN C0 _____________________ SiteID: 015-021-002033 +
Manager DOUGLAS EVERETT
Location: 1329 CALIFORNIA AVE
City BAKERSFIELD
BusPhone: (661) 323-9344
Map 103 CommHaz High
Grid: 31A FacUnits: 1 AOV:
CommCode: BFD STA 03 SIC Code:5013
EPA Numb: DunnBrad:564-86-4648
Emergency Contact / Title Emergency Contact / Title
DOUGLAS EVERETT / OWNER ~'pm ~~lj~25 / ROUTE MANAGER
Business Phone: (661) 323-9344x Business Phone: (661) 323-9344x
24-Hour Phone (661) 664-7260x 24-Hour Phone (661) 588-7780x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact DOUGLAS EVERETT Phone: (661) 323-9344x
MailAddr: 1329 CALIFORNIA AVE State: CA
City BAKERSFIELD Zip 93304
Owner DOUGLAS EVERETT Phone: (661) 664-7260x
Address 8705 LANDOVER LN State: CA
City BAKERSFIELD Zip 93311
Period ~ to TotalASTs: = Gal
Preparers ~ TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
Based on my inquiry of those indivit~ua~~
responaibie for obtairting the Information, i G®rtlfy
under penalty of law that 1 have personally
examined and am familiar with the information
submitted and bellevs the information is true,
accurate, and eompl®te.
b ~ o~
ign Dat
t______________________________________
ENT'D JUN 2 9 2006
1I,~^ In
1~5 ~p~
-1- 05/30/2006
_ _ __ T
,.
~,s v S.
• ~;~ "fit
+ INTERSTATE BATTERIES OF FERN C0 _____________________ SiteID: 015-021-002033 +
Manager DOUGLAS EVERETTi' BusPhone: (661) 323-9344
Location: 1329 CALIFORNIA AVE Map 103 CommHaz High
City BAKERSFIELD Grid: 31A FacUnits: 1 AOV:
CommCode: BFD STA 03 SIC Code:5013
EPA Numb: DunnBrad:564-86-4648
Emergency Contact / Title Emergency Contact / ~U;~~'itle
DOUGLAS EVERETT / OWNER I~ MGR
Business Phone: (661) 323-9344x Business Phone: (661) 323-9344x
24-Hour Phone (661) 6F4-7260x 24-Hour Phone (661)~~34~
Pager Phone ( ) - x Pager Phone ( )J~$ -°77~jx
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact DOUGLAS EVERETT["' Phone: (661) 323-9344x
MailAddr: 1329 CALIFORNIA. AVE State: CA
City BAKERSFIELD Zip 93304
Owner DOUGLAS EVERETT' Phone: (661) 664-7260x
Address 8705 LANDOVER LN State: CA
City BAKERSFIELD Zip 93311
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
~ Emergency Directives: ~
PROG A - HAZMAT
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.
.t
ign t ire D t
EN~'D ~~~' ~ $ 2006
-1- 03/02/2006
_ _
c•.
+ INTERSTATE BATTERIES OF KERN CO _____________________ SiteID: 015-021-002033 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NCAME ______________________________+________=_______+
BATTERY ELECTROLYTE I Days On Site
SULFURIC ACID USED IN BATTERIES 365
Location within this Facility Unit Map: Grid: +----------------+
7664-9369
+= STATE _+= TYPE ___+_= PR,'~,''SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
Solid ~ Mixture I Ambient I Ambient ~ PLASTIC CONTAINER
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I LargesrJta~~ ~inL ~ Daily21I00100m GAL l Daily2100r00e GAL
+_______+______________ HA~~ARDOUS COMPONENTS =_____________+___+_______________+
I 33t00ISulfuric Acid (EPA~)'~ INoSI CAS#76649391
+_______+___+______+_______=__= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNcoretl.NRoSIBNOOHazI RNod~oa~'tive/Cu~ies I FPP RaIHrDH I jF~A/ I USDOT# I HiP l
-4- 03/02/2006
~~ J
+ INTERSTATE BATTERIES OF KERN CO _____________________ SiteID: 015-021-002033 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 07/14/2000 +
WE PHYSICALLY CHECK OUR WAREHOUSE DAILY FOR ANY POSSIBLE SPILLS OR LEAKS.
+__= Employee Notif./Evacuation ___________________________________ 07/14/2000 +
TELL OUT EMPLOYEES VERBALLY (WE HAVE 'EMPLOYEES) TO EVACUATE UNTIL CLEANED
UP. IF OUR DRIVER IS OU7["'OF THE WAREHOUSE WE WOULD CALL HIM TO STAY AWAY
UNTIL CLEANED UP. WE WOULD~ALSO CALL 911.
+___= Public Notif./Evacuation ____________________________________ 02/18/2003 +
OWNER DOUG EVERETT WOULD CALL 911 AND THE OFFICE OF EMERGENCY SERVICES. IF
HE IS NOT AVAILABLE, OUR 1.. E~3~T--~T-~I OULD BE IN
CHARGE. THEY WOULD BE IN CHARGE OF CLEAN ~ AFETY PERMIT
c~J~~~US ~ /Y1a hake (" Gh ~ ~ ~~ ~~ TT
+____= Emergency Medical P]Lan _____________________________________ 07/14/2000 +
CALL FOR AMBULANCE (911) OR DRIVE EMPLOYEE TO SAN JOAQUIN MEMORIAL HOSPITAL
LOCATED AT 2615 EYE ST.
-5- 03/02/2006
-~-_ _ca
+ INTERSTATE BATTERIES OF IC.~,"RN CO _____________________ SiteID: 015-021-002033 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________±
+______________________________________________________________________________fi
+__= Utility Shut-Offs =__-~________________________________________ 07/14/2000 +
A) GAS - SE CORNER OF BLD'G'
B) ELECTRICAL - SE CORNER. OF BLDG
C) WATER - SE CORNER OF B]C,DG
D) SPECIAL - NONE
E) LOCK BOX - NO
+___= Fire Protec./Avail. W~.ter ___________________________________ 07/14/2000 +
PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS; 1 BY OFFICE DOOR AND 1 BY
SIDE DOOR.
NEAREST FIRE HYDRANT - LOCATED ACROSS STREET ON K.
+___~ Building Occupancy .Level ___________________________________ 03/01/2006 +
~~EMPLOYEES ~/rte Z DC.^>IV~R~ ~Z-~'-'~'l"m~
-7- 03/02/2006
k
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UNIFIED PROGRAM INSPECTiOIV::C1ECKLIST
~.;x.r.P~'~v#"i4'Y~'i'8~?M.b1#S~~=Siv-: x.:~''.Cd.2+~a'FA.s+3.~ ~:ar:,L.C.2klQi1_.~:,.c.<^-.~. ~., ,.;:3 ,.'.:.e ,l`-:.}~.SK .e.n. a..~- k:. ~LY.'r _
SECTION 1: Business Plan and Inventory Program
•~ K'
BAKERSFIEI.D FIRE DEPT
H s p D Prevention Services
F/~, 900 Truxtun Ave., Suite 210
aArr r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171~~~~'~~
FACILITYiN+~AME ~~ ,~ ~+ NSPECTION DATE INSPECTIO~IME
ADDRESS HONE NO. NO OF EMPLOYEES
FACILITY CONTACT
' USINESS ID NUMBER
15-021- ~„ p ~
+~,. !' ~ ~
v ~ ~ ~.~ ~ ~.; V ~ ~
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
`~'J . ~ BUSIf113SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
~T
,,
g
L~J ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
C~ ^ PROPER SEGREGATION OF MATERIAL
qJ ^ VERIFICATION OF MSDS AVAILABILITY
r ^ VERIFICATION OF HAZ MAT TRAINING
D ^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
,n
^ EMERGENCY PROCEDURES ADEQUATE
N ^ CONTAINERS PROPERLY LABELED
C~~ ^ HOUSEKEEPING
I~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
t
ANY HAZARDOUS WASTE ON SITE1 ^ YES ~, NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~''
Insp ctor (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site//School Site espon~.ib e`Party (Please Print)
/' s. [f
White -Prevention Services Yellow - Slation Copy Pink -Business Copy FD2049 (Rev.1NL05)
•
~'~F CITY OF BAKERSFIEI,D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
•~ UNIFIED PROGRAl1.9 INSPECTION CHECKLIST
s .
_w ~a~.,i 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
-.......
FACILITY NAMF~.-~(111~+Si Y~ Z,o'L~'t,-`n,->Rj INSPECTION DATE ~~ b~ `
ADDRESS 1 ~,~ (`.!~ ul"~„~_,!I ~° PHONE NO. ?
FACILITY CONTACT~~v~; A12 [?'J -~-1,dd~ BUSINESS ID NO. 15-210- "~v77
INSPECTION TIME 1 - Nt1MBER OF EMPLOYEES ~
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^MuIti-Agency (] Complaint ^ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business 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
Emergency procedures adequate /_-
Containers properly labeled
Housekeeping ~ ~~-GG-LU ~ ~
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ^ Yes ^ No
Explain:
~ --
/~G~A9f~~ L~i'~~61~i~1~^'
Questions regarding this inspection? Please call us at (661) 326-3979
White -Env. Svcs. Yellow - Station Copy Pink -Business Copy
Busine s Site Responsible Party
Inspector: