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HomeMy WebLinkAboutBUSINESS PLAN 2/1/2007J~~, ~ DOUBLE TREE HOTEL -° - -T --` -- - `-~ !~ -!= 3100-CAMINO-DEL RIO-CT. -- r f i ~ ~ DOUBLE TREE HOTEL SiteID: 015-021-000208 Manager DOUG HEATON Location: 3100 CAMINO DEL RIO CT City BAKERSFIELD BusPhone: (661) 323-7111 Map 102 CommHaz High Grid: 26B FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:7011 DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN THOENNES / DIR/ENGINEERING DOUG HEATON / GENERAL MANAGER Business Phone: (661) 632-2242x Business Phone: (661) 632-2201x 24-Hour Phone (661) 597-1655x 24-Hour Phone (661) 589-9211x Pager Phone (661) 342-8026x Pager Phone (661) 342-8021x Hazmat Hazards: ~ Fire React ImmHlth DelHlth Contact ,()ov6LEr/ZE~ '`'fD~L Phone : ( 6 61) 3 2 3 - 7111x MailAddr: 3100 CAMINO DEL RIO CT State: CA City BAKERSFIELD Zip 93308 Owner INTEGRATED CAPITAL LLC Phone: (310) 441-8801x Address 10880 WILSHIRE BLVD 590 State: CA City LOS ANGELES Zip 90024 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs.: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals EN 1 U I ~ 1~ ~ ~ ~O responsible for obtaining the information, I certify l~! 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~ws~i d~ / - 7 gnature Date -1- 01/30/2007 F DOUBLE TREE HOTEL = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000208 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 90.00 GAL Hi DIESEL #2 F IH DH L 500.00 GAL Low HEAT TRANSFORMER OIL DH L 165.00 GAL Min -2- 01/30/2007 -3- 01/30/2007 F DOUBLE TREE HOTEL SiteID: 015-021-000208 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: LAUNDRY RM IN BASEMENT BLDG E CAS# 7681-52-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 90.00 GAL 90.0.0 GAL 60.00 GAL t1AGHKIJVUJ 1.V1~lYV1V1~,1V1a °sWt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 tiHG.HtCL 1~~7.5L' ~Jal"1J~,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CONCRETE BLOCK ENCL SE CRNR OF FAC CAS# 68476-34-6 STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00-GAL 500.00 GAL I 500.00 GAL IlEiL~liiCLVU.7 l..Vi~lYV1V1;1V 1.7 %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 I11-1G1-~lCL H~J .72S.7.91~1~1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 01/30/2007 F DOUBLE TREE HOTEL SiteID: 015-021-000208 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HEAT TRANSFORMER OIL Days On Site 365 Location within this Facility Unit Map: Grid: BOILER RM BASEMENT BLDG E PAINT RM CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 165.00 GAL 165.00 GAL HAZARDOUS COMPONENTS %Wt• RS CAS# 100.00 Mineral Oil No 8020835 r11iGKRL HJ iJP~.7J1°1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min -5- 01/30/2007 F DOUBLE TREE HOTEL SiteID: 015-021-000208 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 0.7/14/2006 UPON IDENTIFICATION OF AN UNAUTHORIZED RELEASE OF HAZARDOUS MATERIAL, EMPLOYEE SHALL NOTIFY DIRECTOR OF ENGINEERING. IF HE IS NOT AVAILABLE THEN ENGINEERING SUPERVISOR SHALL BE NOTIFIED. THE FIRST RESPONDENT SHALL BE DESIGNATED EMERGENCY RESPONSE CHIEF (ERC). HE SHALL DETERMINE IF LOCAL FIRE DEPARTMENT (KERN COUNTY FIRE DEPARTMENT 911) AND/OR EMERGENCY RESPONSE TEAM (ECOLAB 800-326-0026) SHALL BE NOTIFIED. THE EMERGENCY RESPONSE CHIEF SHALL NOTIFY MANAGER ON DUTY (MOD) OF SITUATION AND WHAT EMERGENCY PROCEDURES HAVE BEEN MOBILIZED. 9 Employee Notif./Evacuation 09/12/1996 EMPLOYEE NOTIFICATION SHALL BE BY VERBAL COMMANDS, EMPLOYEES SHALL EXIT THE AREA THROUGH THE NEAREST EXTERIOR DOOR AND MEET AT STAGING AREA. STAGING AREA WILL BE THE PARKING LOT ON THE EAST END OF THE PROPERTY. Public Notif./Evacuation 07/14/2006 SHOULD PUBLIC EVACUATION OF THE FACILITY BE ORDERED BY THE LOCAL AUTHORITIES, THE ERC SHALL DETERMINE IF THE EVACUATION SHALL BE PARTIAL (ONE ROOM, ONE FLOOR, ONE WING, ETC) OR TOTAL (ENTIRE PROPERTY). THE EVACUATIONS SHALL BE EITHER HORIZONTAL (MOVE GUESTS AND EMPLOYEES ACROSS FLOORS TO SAFE REFUGE AREAS, SUCH AS STAIRWELLS OR SEPARATE AREAS BEHIND FIRE DOORS), OR VERTICAL (MOVE GUESTS AND EMPLOYEES TO UP OR DOWN STAIRWELLS). ALL EVACUEES SHALL BE DIRECTED TO DESIGNATED STAGING AREAS, WHICH SHALL BE THE NEAREST PARKING AREA AWAY FROM THE HOTEL, FOR VERIFICATION OF EVACUATION. Emergency Medical Plan 11/02/2006 SHOULD THE ERC DETERMINE THAT THE UNAUTHORIZED RELEASE OF HAZARDOUS MATERIAL WOULD REQUIRE AN EMERGENCY MEDICAL RESPONSE, HE WOULD CONTACT ECOLAB 800-328-0026 AND BAKERSFIELD FIRE DEPARTMENT 911. EMPLOYEES EXPOSED TO HAZARDOUS MATERIAL WOULD BE TRANSPORTED TO MERCY HOSPITAL, 2215 TRUXTUN AVE. -6- 01/30/2007 F DOUBLE TREE HOTEL SiteID: 015-021-000208 ~ .Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/14/2006 ~ EMPLOYEES ARE TRAINED IN THE PROPER PROCEDURES FOR HAZARDOUS WASTE STORAGE, HANDLING AND LABELING. IN ADDITION, EMPLOYEES ARE TRAINED IN THE PROPER METHODS FOR HAZARDOUS WASTE DISPOSAL. RECORDKEEPING REQUIREMENTS ARE REVIEWED ANNUALLY, AS ARE MSDS UPDATES AND SAFETY PROCEDURES FOR HAZARDOUS MATERIALS HANDLING. Release Containment 07/14/2006 WHEN AN UNAUTHORIZED RELEASE OF A HAZARDOUS MATERIAL HAS OCCURRED, EMPLOYEES ARE TRAINED TO: SECURE AREA; TURN OFF ELECTRIC POWER TO SPILL AREA; LOCATE FIRE EXTINGUISHERS; CONTAIN SPILL WITH ABSORBENT MATERIALS; AND CONTACT DIRECTOR OF ENGINEERING OR ENGINEERING SUPERVISOR. EMPLOYEES ARE TRAINED IN THE USE OF PERSONAL PROTECTION CLOTHING AND SAFETY EQUIPMENT (PPE) REQUIRED TO CONTAIN A HAZARDOUS MATERIAL RELEASE. Clean Up 07/14/2006 ABSORBENT MATERIALS (KITTY LITER, ABSORBENT SOCKS AND DIKES, WIPES, ETC) WILL BE UTILIZED TO CONTAIN AND CLEAN-UP OF THE HAZARDOUS MATERIAL RELEASE. THE ABSORBENT MATERIAL SHALL BE PLACED IN A PROPERLY LABELED WASTE DRUM. WASTE DRUM TO BE DISPOSED OF AT A PROPERLY-LICENSED DISPOSAL FACILITY OR RECYCLED. SHOULD THE SPILL BE GREATER THAT 10 GALLONS, EMPLOYEES ARE TRAINED: TO SECURE AREA; TURN OFF ELECTRIC POWER TO SPILL AREA; USING PROPER SAFETY EQUIPMENT AND PROTECTIVE CLOTHING, ATTEMPT TO CONTAIN SPILL AND PREVENT IT FROM ENTERING STORM DRAINS OR RUNNING OFF-SITE. IF SAFE: LOCATE FIRE EXTINGUISHERS; AND NOTIFY DIRECTOR OF ENGINEERING OR ENGINEERING SUPERVISOR (ERC). THE ERC SHALL BE RESPONSIBLE FOR NOTIFYING THE FIRE DEPARTMENT AND ECOLAB 800-326-0026 TO ASSIST IN CLEAN-UP OPERATION. AFTER THE SPILL HAS BEEN CLEANED UP, A REVIEW OF EMERGENCY RESPONSE PLAN AND EMERGENCY NOTIFICATION PROCEDURES SHALL BE UNDERTAKEN BY THE DIRECTOR OF ENGINEERING TO ENSURE COORDINATION WITH THE LOCAL FIRE DEPARTMENT, CLEAN-UP -7- 01/30/2007 z- F DOUBLE TREE HOTEL SiteID: 015-021-000208 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~,_ V 1..1161 llcavulVG C~l~l.~lV0.l..1 Vll -8- 01/30/2007 F DOUBLE TREE HOTEL SiteID: 015-021-000208 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~JCC:1d1 ridGdIUS Utility Shut-Offs 01/30/2007 A) GAS - E SIDE OF SITE SE CRNR OF BLDG A B) ELECTRICAL - SW CRNR OF EXT OF BLDG A C) WATER - NW CRNR OF EXT OF BLDG B ADJ TO CT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 07/14/2006 NEAREST FIRE HYDRANT - 2 ON W, 1 ON N, 2 ON E & 1 ON S Building Occupancy Level 03/22/2006 13 EMPLOYEES -9- 01/30/2007 ~~` i1 F DOUBLE TREE HOTEL SiteID: 015-021-000208 Fast Format ~ Training Overall Site ~ Employee Training 07/14/2006 MSDS SHEETS ON FILE IN THE ENGINEERING OFFICE AND LAUNDRY. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES HAVING ACCESS TO AND/OR WORKING IN AREAS CONTAINING HAZARDOUS MATERIALS ARE TRAINED IN THE IDENTIFICATION OF HAZARDOUS MATERIALS AND KNOWLEDGE OF CAL OSHA HAZARDOUS COMMUNICATION STANDARD AS IT APPLIES TO HAZARDOUS MATERIALS. LOCATION OF MSDS AND WHAT INFORMATION IS LISTED ON THEM FOR EACH PRODUCT/CHEMICAL. LABELING AND SAFE HANDLING OF CONTAINERS CONTAINING HAZARDOUS MATERIALS. PROPER USE OF EMERGENCY RESPONSE EQUIPMENT (PPE, ABSORBENTS, FIRE EXTINGUISHERS, ETC) AND THEIR LOCATION IN THE WORKPLACE. HAZARDOUS SPILL CONTROL PROCEDURES: EMPLOYEES TO SECURE AREA, TURN OFF ELECTRIC POWER TO SPILL AREA, NOTIFY EMERGENCY RESPONSE CHIEF (DIRECTOR OF ENGINEERING OR ENGINEERING SUPERVISOR), LOCATE EMERGENCY RESPONSE EQUIPMENT AND CONTAIN SPILL USING PROPER PROTECTIVE CLOTHING, SAFETY EQUIPMENT AND ABSORBENT MATERIALS. IF SPILL IS LARGE (GREATER THAT 10 GALLONS), EMERGENCY RESPONSE CHIEF SHALL CONTACT ECOLAB 800-326-0026 TO ASSIST IN CLEAN-UP OPERATION. EVACUATION PROCEDURES: EMPLOYEES TO EVACUATE BUILDING THROUGH NEAREST 9 rayv ~ . ~ ~ r _ 11C1U 1Vl 1'U1.. 1.L1C VDC -10- 01/30/2007 ~:, F DOUBLE TREE HOTEL SiteID: 015-021-000208 Fast Format ~ Training Overall Site Held for Future Use 9 -11- 01/30/2007 J y~ l'~ + DOUBLE TREE HOTEL ___________________________________ SiteID: 015-021-000208 + Manager BusPhone: (661) 323-7111 Location: 3100 CAMINO DEL RIO CT Map 102 CommHaz High City BAKERSFIELD Grid: 26B FacUnits: 1 AOV: CommCode: BFD STA 01 SIC Code:7011 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact N/ Title ~ JOHN THOENNES / DIR OR ENGR / E ~UP ""~, 'y'nCyLw~~G ~~ Business Phone: (661) 632-2242x 0 Business Phone: ~- 2 4 -Hour Phone ( 6 61) 5 9 7 -16 5 5 x 2 4 -Hour Phone -(-6~6- - Pager Phone (661) 342-8026x ~ Pager Phone Hazmat Hazards: Fire React ImmHlth DelHlth Contact Phone: (661) 323-7111x MailAddr: 3100 CAMINO DEL RIO CT State: CA City BAKERSFIELD Zip 93308 " N Phoney- - Address ~~ ~ ~ rTtT-rr r"FNT~.)-~1_ State : _ C-'A- City Zip An~in Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: O~/H~~ s /ylF~~~T6l7 ~~~/~~G ~ 1 PROG A - HAZMAT /Q ~B~Q ~!J/G ~s.~ZE ,6G U~ PROG C - COMM HOOD ~ST~' S,O PROG T - ABOVEGROUND STO~GE TANK ~,.~s Ac,.v`~~~c~ ~~ 9~~~~ /~ f'/!o D , i rv~ : 3io ~~/ ~~o, ~ ~0~ Based on m in uir of those indivi ~` ~ C Y g Y duals ~/~ N~ responsible for obtaining the information, I certify ~/ under penalty of law that I have personally ~~ -['~ ~~ ~ A examined and am familiar with the information ~n ~„~,~" (~ aF Zoo6 submitted and believe the information is true, ~ ~~1-i ~`~\ accurate, and com~ple~te. ~ „yin C gnature Date -1- 06/14/2006 ` / ~~ ~ ~ + DOUBLE TREE HOTEL __________________ , _________________ SiteID: 015-021-000208 + ,,, lr ~ ~ e T /~~ ' ~ ~ " 1 7 h F,g o N ` J Manager ) 3 2 3 - one : ( 6 6 111 Bus P Location: 3100 CAMINO DEL RIO CT Map 102 CommHaz High City BAKERSFIELD Grid: 26B FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:7011 ~ EPA Numb: DunriBrad: Emergency Contact / Title t / Title Emergency Conta c JOHN THOENNES / DIR OR ENGR ' ~ ~E~SJoc~~~gToe// E.~ G/1~1, Business Phone: (661) 632-2242x Business Phone: (661) f~l=~'2~'lx ~3Z-Z 1 2 4 -Hour Phone ( 6 61) 5 9 7 -16 5 5 x 2 4 -Hour Phone ( 6 61) 3.~~-8~~x SAY •9 11 Pager Phone (661) 342-8026x Pager Phone (661) 3~.e--nix ~jyZ 2a/ Hazmat Hazards: Fire React- ImmHlth DelHlth Contact MailAddr: 3100 CAMINO DEL RIO CT City BAKERSFIELD Phone: (661) 323-7111x State: CA Zip 93308 Owner ~/I7~/a fed Ca/y,11~1 G.Q.G. Phone : ( 310 ) .~~~-~ 8'6~c Address ~ R /ogg© G3,/~,/e !3/~1, S~ 59o State : CA Q~•~ -g~o~ City ~°.>; ,~~ c,4.. 900 Zip ;'0 yooZ~ Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG T - ABOVEGROUND STORAGE TANK ,.Based on my inquiry of those individuals • responsible for obtaining the information, I certify under penalty of law tha4 I have personally examined and am familiar with the information submittt3d and believe the information is true, accurate, and complete. ~~/ ~~ O Signatufe Dat ~l ENT J~ ~ 14 Z~46 =1- 03/22/2006 KERN COUNTY FIRE DEPARTMENT PREPLAN /INSPECTION REPORT H = HAZ/MAT X Pur e E =EXEMPT g D =DELETE TARGET HAZARD P =PRIMARY 5 =SECONDARY D =DELETE - GENERAL USE D.B.A. LOCATION CITY ~ OCCUPANCY "` -~ PROPERTY I CLASS CLASS BUSINESS ~` ' a ~' ~ BUSINESS - -'• NO. OF NO. OF. '- JURIS- BSMT. (B) i MANAGER PHONE - BLDGS. STORIES DICTION s RES@ONSIBLE SHIFT ~ BUSINESS ~-+~ ' ~ ~ ~ 1 + ~. ~- ~ ~'' i" t ' •~ ; HOME ~ - '.. EMERGENCY I OWNER PHONE - PHONE - DATE OF 7 ~ N,- , ; LAST INSP. Disposition Sym. 1 -Corrected 2 -Will Correct 3 - V.N. Issued. Call Back Necessary 4 -Citation Issued 5 -Ref. BUILDING APPROVED DISP. REMARKS: ! ~" YES NA NO SYM ~ ``-1,~ Exit Doors-Hardware Exit Signs-Lighted 1 ::+: , ;,r ,; s: ;~ p; ",, i:~hs z f t- ; ~2. Exit Corridors a. i E7'' ''~ 3. Aisle Spacing-Seating 3 ~~;-;:; ; - 's'~`' ~ ,.\ -: . 4. Occupant Load Signs / ? r / i ~ t ~ - i fir` ( -, 5. Vertical Openings 5 -- I COMMON HAZARDS j r6~Electrrcal ~ ~ 6 ~~ ,~ += .~ . ~~ S r '"~ f~).~ °!~ ~, t~ y `;r;` ~~'>,~-,i'`~ ~/"Cr,;%f;~~~ I ~°'! Furnace/oiler Rooms-Heating Equipment 7 ~ ~ 1 J ' ' ` B. Cookin E ui ment 8 ~-f f f' ! f d ,2,A~ ,~ n ~.-, c~~-~. C 9. Decorations-Curtains-Drapes 9 i,r~~ ~~~-~.~i "3 ~' ~fi ~'~C ^~rr" f- ,~_;.1'r .-~ i,r,~ U>;~ 10: Housekeeping-Trash-Weeds 10 ""~ ~ ~ ~~' ~ ~`J ~ F1R~ PROTECTION EQUIPMENT ~ '`'~~1~'`~' '' ~ ~~ '` ~ ``~ "~'1 1. Fire Extinguishers 1 1 ~'1...1f2;,,Automatic Extinguishing Systems 12 ,~ ,r ~"T`;J./ i:f - ; .a to r_ % ~ % . 13. Wet-Dry Standpipes 13 - (; ii+c, ~ ~, ~ ,),7r , n .e. L r ,F- .. ~ ,/ ; ; ~; ,.' / ' 14. Alarm Sysytem 14 ,%i ~ irk _S ~+'~~ t7 ~.. _a -4 ~` t~ ~ t` fa ,.~ ..C' (;: O~ ,. f 15. Fire Assemblies-Fire Walls ]5 r-- 16. Fire Sprinkler Records OTHER HAZARDS 17. Grease Hbods & Ducts 17 18. Warning Signs 18 19. Compressed Gas 19 20. Other (see Remarks) 20 WiAZARDOUS MATERIALS 21. Training Records 21 22. MS[)S'S Available 22 23. Chemicallnventory 23 24. labeling 24 L REGULAR INSP. ~ , OMPLETE INSOPECTION . ~ } RE-INSPECTION ^ ha.,...1NSP. ^ . (PREVENTION ONLY) CLEARANCE - GRANTED ' DENIED ^ MISC.INSPECTION ^J~J (PREVENTION-ONLY) SCHEDULED DATE °' OF RE-INSPECTION ~ OWNER j MANAGER ~~ ~;IN~ EC70R SHIFT DATE MONTH INSPECTION DUE X -PREPLAN UPDATED" ^ A =ANNUAL O =ODD YEAR E =EVEN YEAR rw nu rr~i ~ui~~~r~ ~~ ~~ Prevention Services ,yUNIFIED PROGRAM .INSPECTION CHECKLIST'.. A A £ R s F,- ~ 9007YuxtunAve.,-Suite210 _~~,~,_,.~___.-~__. ~.~.a~_.~.. ~_~ ~ ,.._.-.. ~ ~._ _~._ ~.~~,~~ . _o__. _ - ~ _ .ate FARE Bakersfield, CA 93301 SECTION 1: Business Plan-and Inventory Program ° aRrM Tel.: (661) 326-3979 ~~ Fax: (661) 872-2171 FACILITY NAME INSPE TION DATE - INSPECTION TIME ADDRESS P NE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ro ~~ 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 ^ BUSInOSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~g ^ VERIFICATION OF LOCATION t ^ 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 ~~+ ~~~~ ~ia ~'" +~~)l ~j~c~I~--~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON,SIT~Ei? -AYES ^ NO EXPLAIN: \tJ~^ Ala ~ ~ ~ G~ ~ ~...-~ ~ ...vv+k1 ~ ~IOb~6- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-397 Inspector (Please Print) Fire Prevention / 1'~ 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 ,. ~. ,. F DOUBLETREE HOTEL SiteID: 015-021-000208 Manager DOUG HEATON Location: 3100 CAMINO DEL RIO CT City BAKERSFIELD BusPhone: (661) 323-7111 Map 102 CommHaz High Grid: 26B FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:7011 DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN THOENNES / DIR/ENGINEERING DOUG HEATON / GENERAL MANAGER Business Phone: (661) 632-2242x Business Phone: (661) 632-2201x 24-Hour Phone (661) 597-1655x 24-Hour Phone (661) 589-9211x Pager Phone (661) 342-8026x Pager Phone (661) 342-8021x Hazmat Hazards: Fire React ImmHlth DelHlth Contact DOUBLE TREE HOTEL Phone: (661) 323-7111x MailAddr: 3100 CAMINO DEL RIO CT State: CA City BAKERSFIELD Zip 93308 Owner INTEGRATED CAPITAL LLC Phone: (310) 441-8801x Address 10880 WILSHIRE BLVD 590 State: CA City LOS ANGELES Zip 90024 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ PROG C _ COMM HOOD P JUC ~ 3 007 ROG T ABOVEGROUND STORAGE TANK ~'~ sad on my inquiry of those individuals raap~.:nsibl2 for obtaining the informati on, I certify unc;er penalty of Saw that I have personally examrned and am familiar with the information suumitied and believe the information is true , accurate, and complete. L ----~=-gr =~ ure - Date ~ ~:CXa~ '/~7~~ (~~ ~'~~ -1- 07/11/2007 ,?F DOUBLETREE HOTEL SiteID: 015-021-000208 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 90.00 GAL Hi DIESEL #2 F IH DH L 500.00 GAL Low HEAT TRANSFORMER OIL DH L 165.00 GAL Min -2- 07/11/2007 ,~. -3- 07/11/2007 ~~ F DOUBLETREE HOTEL ' ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ~ SODIUM HYPOCHLORITE Location within this Facility Unit LAUNDRY RM IN BASEMENT BLDG E SiteID: 015-021-000208 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 90.00 GAL 90.00 GAL 60.00 GAL tll'~GHKLVU.7 LV1~lYV1VP~1V1S %Wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 lYEiGHKL H~ ~J;~~1~1J;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 L ti ithi thi F ilit it M U G id oca on w n n s ac y ap: r : INSIDE CONCRETE BLOCK ENCL SE CRNR OF FAC CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE Liquid Mixture Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 tiHGHtCL H~~~J~1~!L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low STATE TYPE PRESSURE Liquid TMixture ~ Ambient -4- 07/11/2007 ~`~P DOUBLETREE HOTEL SiteID: 015-021-000208 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HEAT TRANSFORMER OIL Days On Site 365 Location within this Facility Unit Map: Grid: BOILER RM BASEMENT BLDG E PAINT RM CAS# Liquid TMixture ~ AmbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 165.00 GAL 165.00 GAL tit~GHtCUVUJ wt~lrvlvL'1Y15 %Wt. RS CAS# 100.00 Mineral Oil No 8020835 riE~GHKL AS~t;~~1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min -5- 07/11/2007 d F DOUBLETREE HOTEL SiteID: 015-021-000208 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/14/2006 UPON IDENTIFICATION OF AN UNAUTHORIZED RELEASE OF HAZARDOUS MATERIAL, EMPLOYEE SHALL NOTIFY DIRECTOR OF ENGINEERING. IF HE IS NOT AVAILABLE THEN ENGINEERING SUPERVISOR SHALL BE NOTIFIED. THE FIRST RESPONDENT SHALL BE DESIGNATED EMERGENCY RESPONSE CHIEF (ERC). HE SHALL DETERMINE IF LOCAL FIRE DEPARTMENT (KERN COUNTY FIRE DEPARTMENT 911) AND/OR EMERGENCY RESPONSE TEAM (ECOLAB 800-326-0026) SHALL BE NOTIFIED. THE EMERGENCY RESPONSE CHIEF SHALL NOTIFY MANAGER ON DUTY (MOD) OF SITUATION AND WHAT EMERGENCY PROCEDURES HAVE BEEN MOBILIZED. Employee Notif./Evacuation 09/12/1996 EMPLOYEE NOTIFICATION SHALL BE BY VERBAL COMMANDS, EMPLOYEES SHALL EXIT THE AREA THROUGH THE NEAREST EXTERIOR DOOR AND MEET AT STAGING AREA. STAGING AREA WILL BE THE PARKING LOT ON THE EAST END OF THE PROPERTY. Public Notif./Evacuation 07/14/2006 SHOULD PUBLIC EVACUATION OF THE FACILITY BE ORDERED BY THE LOCAL AUTHORITIES, THE ERC SHALL DETERMINE IF THE EVACUATION SHALL BE PARTIAL (ONE ROOM, ONE FLOOR, ONE WING, ETC) OR TOTAL (ENTIRE PROPERTY). THE EVACUATIONS SHALL BE EITHER HORIZONTAL (MOVE GUESTS AND EMPLOYEES ACROSS FLOORS TO SAFE REFUGE AREAS, SUCH AS STAIRWELLS OR SEPARATE AREAS BEHIND FIRE DOORS), OR VERTICAL (MOVE GUESTS AND EMPLOYEES TO UP OR DOWN STAIRWELLS). ALL EVACUEES SHALL BE DIRECTED TO DESIGNATED STAGING AREAS, WHICH SHALL BE THE NEAREST PARKING AREA AWAY FROM THE HOTEL, FOR VERIFICATION OF EVACUATION. Emergency Medical Plan 11/02/2006 SHOULD THE ERC DETERMINE THAT THE UNAUTHORIZED RELEASE OF HAZARDOUS MATERIAL WOULD REQUIRE AN EMERGENCY MEDICAL RESPONSE, HE WOULD CONTACT ECOLAB 800-328-0026 AND BAKERSFIELD FIRE DEPARTMENT 911. EMPLOYEES EXPOSED TO HAZARDOUS MATERIAL WOULD BE TRANSPORTED TO MERCY HOSPITAL, 2215 TRUXTUN AVE. -6- 07/11/2007 F DOUBLETREE HOTEL SiteID: 015-021-000208 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/14/2006 EMPLOYEES ARE TRAINED IN THE PROPER PROCEDURES FOR HAZARDOUS WASTE STORAGE, HANDLING AND LABELING. IN ADDITION, EMPLOYEES ARE TRAINED IN THE PROPER METHODS FOR HAZARDOUS WASTE DISPOSAL. RECORDKEEPING REQUIREMENTS ARE REVIEWED ANNUALLY, AS ARE MSDS UPDATES AND SAFETY PROCEDURES FOR HAZARDOUS MATERIALS HANDLING. 9 Release Containment 07/14/2006 WHEN AN UNAUTHORIZED RELEASE OF A HAZARDOUS MATERIAL HAS OCCURRED, EMPLOYEES ARE TRAINED TO: SECURE AREA; TURN OFF ELECTRIC POWER TO SPILL AREA; LOCATE FIRE EXTINGUISHERS; CONTAIN SPILL WITH ABSORBENT MATERIALS; AND CONTACT DIRECTOR OF ENGINEERING OR ENGINEERING SUPERVISOR. EMPLOYEES ARE TRAINED IN THE USE OF PERSONAL PROTECTION CLOTHING AND SAFETY EQUIPMENT (PPE) REQUIRED TO CONTAIN A HAZARDOUS MATERIAL RELEASE. Clean Up 07/14/2006 ABSORBENT MATERIALS (KITTY LITER, ABSORBENT SOCKS AND DIKES, WIPES, ETC) WILL BE UTILIZED TO CONTAIN AND CLEAN-UP OF THE HAZARDOUS MATERIAL RELEASE. THE ABSORBENT MATERIAL SHALL BE PLACED IN A PROPERLY LABELED WASTE DRUM. WASTE DRUM TO BE DISPOSED OF AT A PROPERLY-LICENSED DISPOSAL FACILITY OR RECYCLED. SHOULD THE SPILL BE GREATER THAT 10 GALLONS, EMPLOYEES ARE TRAINED: TO SECURE AREA; TURN OFF ELECTRIC POWER TO SPILL AREA; USING PROPER SAFETY EQUIPMENT AND PROTECTIVE CLOTHING, ATTEMPT TO CONTAIN SPILL AND PREVENT IT FROM ENTERING STORM DRAINS OR RUNNING OFF-SITE. IF SAFE: LOCATE FIRE EXTINGUISHERS; AND NOTIFY DIRECTOR OF ENGINEERING OR ENGINEERING SUPERVISOR (ERC). THE ERC SHALL BE RESPONSIBLE FOR NOTIFYING THE FIRE DEPARTMENT AND ECOLAB 800-326-0026 TO ASSIST IN CLEAN-UP OPERATION. AFTER THE SPILL HAS BEEN CLEANED UP, A REVIEW OF EMERGENCY RESPONSE PLAN AND EMERGENCY NOTIFICATION PROCEDURES SHALL BE UNDERTAKEN BY THE DIRECTOR OF ENGINEERING TO ENSURE COORDINATION WITH THE LOCAL FIRE DEPARTMENT, CLEAN-UP -7- 07/11/2007 "'F DOUBLETREE HOTEL SiteID: 015-021-000208 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Other Resource Activation -8- 07/11/2007 f. ~ ,.:F DOUBLETREE HOTEL SiteID: 015-021-000208 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~Nc~.iai nac~aiu~ Utility Shut-Offs 06/18/2007 GAS - E SIDE OF SITE SE CRNR OF BLDG A ELECTRICAL - SW CRNR OF EXT OF BLDG A WATER - NW CRNR OF EXT OF BLDG B ADJ TO CT __ Fire Protec./Avail. Water 07/14/2006 NEAREST FIRE HYDRANT - 2 ON W, 1 ON N, 2 ON E & 1 ON S Building Occupancy Level 03/22/2006 13 EMPLOYEES -9- 07/11/2007 °F DOUBLETREE HOTEL SiteID: 015-021-000208 Fast Format ~ Training Overall Site ~ Employee Training 07/14/2006 MSDS SHEETS ON FILE IN THE ENGINEERING OFFICE AND LAUNDRY. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES HAVING ACCESS TO AND/OR WORKING IN AREAS CONTAINING HAZARDOUS MATERIALS ARE TRAINED IN THE IDENTIFICATION OF HAZARDOUS MATERIALS AND KNOWLEDGE OF CAL OSHA HAZARDOUS COMMUNICATION STANDARD AS IT APPLIES TO HAZARDOUS MATERIALS. LOCATION OF MSDS AND WHAT INFORMATION IS LISTED ON THEM FOR EACH PRODUCT/CHEMICAL. LABELING AND SAFE HANDLING OF CONTAINERS CONTAINING HAZARDOUS MATERIALS. PROPER USE OF EMERGENCY RESPONSE EQUIPMENT (PPE, ABSORBENTS, FIRE EXTINGUISHERS, ETC) AND THEIR LOCATION IN THE WORKPLACE. HAZARDOUS SPILL CONTROL PROCEDURES: EMPLOYEES TO SECURE AREA, TURN OFF ELECTRIC POWER TO SPILL AREA, NOTIFY EMERGENCY RESPONSE CHIEF (DIRECTOR OF ENGINEERING OR ENGINEERING SUPERVISOR), LOCATE EMERGENCY RESPONSE EQUIPMENT AND CONTAIN SPILL USING PROPER PROTECTIVE CLOTHING, SAFETY EQUIPMENT AND ABSORBENT MATERIALS. IF SPILL IS LARGE (GREATER THAT 10 GALLONS), EMERGENCY RESPONSE CHIEF SHALL CONTACT ECOLAB 800-326-0026 TO ASSIST IN CLEAN-UP OPERATION. EVACUATION PROCEDURES: EMPLOYEES TO EVACUATE BUILDING THROUGH NEAREST rayc c. Held for Future Use -lo- 07/11/2007 s w1r"" ~''~F DOUBLETREE HOTEL SiteID: 015-021-000208 ~ Fast Format ~ i F= Training Overall Site ~ nciu ivi ru~.uic vac -11- 07/11/2007