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HomeMy WebLinkAboutBUSINESS PLAN 10/18/2006r FERGUSON ENTERPRISES ~ 6300 DISTRICT BLVD. I~ -~ UNIFIED PROGRAM INSPECTION CHECKLIST;; SECTION 1: Business Plan and Inventory Program B_ E R S F I D F/RE ABTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.:. (661) 326-3979 Fax: (661) 872-2171 AGILITY NAME ~ INSPECTION DATE INSPECTION TIME ADDRESS ~ C~3 cro ~ t` Teter' 3 t ~:~ PHONE NO. 3 C~ ~ i~ O OPLSIYEES .s~' FACILITY CONTACT BUSINESS ID NUM 15-U21 ~ 7 /~"~~ Section 1: Business Plan; and Invelntory 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 ^ VERIFICATION OF QUAI~hTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~/ L 7 ^ VERIFICATION OF MSDS AVAILABILITY fib ~f ~ / LE!' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ° EMERGENCY PROCEDURES ADEQUATE "~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ^ F E PROTECTION ~ ~ ~. .r ~ -~- D L ^ SITE DIAGRAM ADEQUATE & ON HAND r ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES I~NO nnr-Dula QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 . _ ~ ,. ., FIRE ORDINANCE VIOLATION A 0078 ~, L BAKERSFIELD FIRE DEPT. ' B BF~R~ ` .. n Prevention Services i{R~M T 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 -Tel.: (661) 326-3979 Fax: 661) 852-2101 OCCUPANCY DISTRICT BLOCK NO. ATE ~ '~ ~ K / TO ~~ ) ~~ TITLE ~~~~ ~ ~'- IRM OR DBA f v~ ~~ ~ COMPANY ADDRE (CITY, ST TE, ZIP) ~ 5~1 ~ ~G' ~ fA /~J USINESS PHONE OME PHONE CORRECT ALL REQUIREMENTS VIOLATIONS VIOLATION COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of.atl hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) ~. COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be services at least once each year, and/or after ` each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit SIGNS (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) _ _______________________________. FIRE DOORS/ E Plastering shall return the surface to its original fire resistive condition. (U.B.C.) FIR SEPARATIONS 10 Remove/repair (item & location) ____ _ _ _ _ __ _ _ _ _ Self-closing doors shall be designed to close by gravity or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved ELECTRICAL APPLIANCES electrical outlets where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) oUTDOORBURNING ig Violation of Section 1102 dealing with recreational fires or open burning. (U.F.C.) FIREWORKS 17 Violations of Section 7802 (U.F.C.) or 8.49.040 of the Bakersfield Municipal Code (B. M.C.) regarding fireworks. OTHER 18 ! y, ' ~i` 1~ ~OVV~~C 1 ~ {" Ili, ~~.~M~ ~yS U1/d l.°~ 4 ~vo'11 ~N~ J i3, ~.C, ~ ~~ , 33 ON (DATE) ~~ r'w-~~ AN INSPECTION WILL BE MADE, IF NO COMPLIANCE ~ PERS N R OF VIOLATION HAS BEEN MADE, ADDITIONAL REGULATORY ACTION MAY BE INITIATED. ~~ ^ AN ENFORCEMENT ORDER WILL BE SENT BY CERTIFIED MAIL PROVIDING A HEARING DATE. sIGNA RE AFTER VIOLATIONS ARE CORRECTED RETURN THIS BY ORD FTHEF ECHIEF DATE COMPLETE , NOTICE BY MAIL OR IN PERSON TO: ~ BAKERSFIELD FIRE DEPT. INSPECTOR slcNa RE INSPECTOR SIGNATURE OFFICE OF PREVENTION SERVICES LEND: C.F.C. CALIFORNIA FIAE CODE 900 TRUXTUN AVE., SURE 21O U.B.C. UNIFORM BUILDING CODE BAKERSFIELD, CA 93301 B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original .Yellow -Station Copy Pink -Prevention Services FD1916 tREV. osrosl ~1 + FERGUSON ENTERPRISE _________________________________ SiteID: 015-021-000704 + Manager Location: 6300 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661) 396-3200 Map 123 CommHaz High Grid: 15C FacUnits: 1 AOV: SIC Code:5074 DunnBrad: Emergency Contact / Title Emergency Contact / Title RON BAIZE / MANAGER STEVE WARD / ASST MANAGER Business Phone: (661) 396-3200x114 Business Phone: (661) 396-3200x108 24-Hour Phone (661) 589-1521x 24-Hour Phone (661) 836-8204x Pager Phone (661) 201-4045x Pager .Phone (661) 201-4046x Hazmat Hazards: Fire Press React ImmHlth Contact ~ - ~ ~~ Phone: (661) 396-3200x MailAddr: 6300 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner FERGUSON ENT Phone: (757) 874-7795x Address 12500 JEFFERSON AVE State: VA City NEWPORT NEWS Zip 23602-4314 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT ~-~~ ~ zdo Based ~on . _ _ _ _ ~ -- responsible for obt~lnln y of those IndlVldu~lg under penalty of laW~ha~ I ~~ Minn, I GePtify examined and am famlllar with the ~ prnmataion submitted and believe the information is true, accurappte~~ and complete. ~^~t S C3 3 I S ©~ S gnature ~~ Date -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program :l BAKERSFIELD FIRE DEPT Prevention Services ~~t~ 900 Truxtun Ave., Suite 210 ~wrM T Bakersfield, CA- 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY N~ ~TLC~u5m~, ~V~-'r4,n-~l~.l s4 NS,~fE~C'10' DAB ~ V CC l/~ INSPECTION DIME `l~~lV ADDRESS ~3®c~ ~ ~- ,- '~~~- ~~~ HONE NO. 3~'~-3~eo O OF~~IEES FACILITY CONTACT USINESS ID NUMBER 15-021- 7 (~ V ~ A ~~ 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 `Ei'" - ^ BUSIIl2SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~/ Nl ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ ^ VERIFICATION OF LOCATION C! d ^ PROPER SEGREGATION OF MATERIAL _ / E~J ^ VERIFICATION OF MSDS AVAILABILITY ~~ / ~ ~~ CI ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND P RO CEDURES - / L~'' ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~ ~oa T~ I,xLI~'~ rn 2 L - L ~v ~~ ~ ~ t~ ^ SITE DIAGRAM ADEQUA E & ON HAND ' I ~~ ANY HAZARDOUS WASTE ON SITE? ^ YES rJ NO EXPLAIN: _ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (681) 326-3979 ~~~ Inspector (Please Print) Fire Prevention / 1°' In /Shift of Stte/Station # White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2048 (Rev. 02/05) ,~ ~; FERGUSON ENTERPRISE Manager RON BAIZE Location: 6300 DISTRICT BLVD City BAKERSFIELD SiteID: 015-021-000704 BusPhone: (661) 396-3200 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:5074 DunnBrad: Emergency Contact / Title Emergency Contact / Title RON BAIZE / MANAGER STEVE WARD / ASST MANAGER Business Phone: (661) 396-3200x114 Business Phone: (661) 396-3200x108 24-Hour Phone (661) 589-1521x 24-Hour Phone (661) 836-8204x Pager Phone (661) 201-4045x Pager Phone (661) 201-4046x Hazmat Hazards: Fire Press React ImmHlth Contact RON PALMER Phone: (661) 396-3200x MailAddr: 6300 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner FERGUSON ENTERPRISE Phone: (757) 874-7795x Address 12500 JEFFERSON AVE State: VA City NEWPORT NEWS Zip 23602-4314 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those individuals responsiblQ for oktaining the information, I certify under penally of !aw that I have personally oxamined and am familiar with the information submitted and believe the information is true, accur, e, and complete. f _ ~ ~y/ signature Date ~Q~7 -1- 07/11/2007 ~. ~i F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 338.00 FT3 Hi ACETYLENE E F P IH G 150.00 FT3 Hi SULFURIC ACID F R IH L 25.00 GAL Hi -2- 07/11j2007 -3- 07/11/2007 7 F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NEXT TO GATE CAS# 74-98-6 ~GaSATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE TPure I Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 338.00 FT3 338.00 FT3 338.00 FT3 t1AGL~tCLVUa 1:V1~lYV1VL"1VT7J %Wt. RS CAS# 100.00 Propane Yes 74986 tiF~GAKL A~~L'~751~1L'~1V'1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit W SIDE OF WHSE STATE TYPE PRESSURE _ Gas TPure -Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co150100rFT3 Daily M50100m FT3 I Daily AOOr00e FT3 IIHGHKLV U.7 1.V1~lYV1V L' 1V 15 %Wt. RS CAS# 100.00 Acetylene Yes 74862 tla'~GH1[L 1~.7.7L' .7.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 07/11/2007 F FERGUSON ENTERPRISE ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME SULFURIC ACID Location within this Facility Unit WILL-CALL SHELF STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-000704 ~ Facility Unit: Fixed Containers on 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 I Daily Average 1.00 GAL 25.00 GAL 55.00 GAL t1AGHKLVVJ 1.V1~lYV1VL"1V1~7 oWt. RS CAS# 100.00 Sulfuric Acid (EPA) No 7664939 t1AGHKL A55Y5~~1~11'.1V 1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi -5- 07/11/2007 F FERGUSON ENTERPRISE SiteID: 015-021-000704 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 01/24/2000 CALL 911. Employee Notif./Evacuation 02/27/1990 CONTACT 911 AND FIRE DEPT HAZ MAT OFFICE AT 326-3979. THE SCENE MANAGEMENT OFFICERS MUST DETERMINE IF THERE IS ANY POTENTIAL DANGER TO INDIVIDUALS IN THE AREA AND TAKE THE APPROPRIATE STEPS TO NOTIFY AND EVACUATE. Public Notif./Evacuation 02/27/1990 THE SCENE MANAGEMENT OFFICERS MUST DETERMINE IF THERE IS ANY POTENTIAL DANGER TO INDIVIDUALS IN THE AREA AND TAKE THE APPROPRIATE STEPS TO NOTIFY AND EVACUATE. ASSISTANCE WILL NORMALLY BE FURNISHED BY LAW ENFORCEMENT AGENCIES. IN MAJOR INCIDENTS COUNTY AND/OR CITY DISASTER OFFICIALS WILL BE INVOLVED. IN MAJOR INCIDENTS EVACUATION, RECEPTION AND CARE WILL BE FOLLOWED AS DESCRIBED IN THE COUNTY MAJOR DISASTER PLAN. Emergency Medical Plan 03/24/2006 -ME-MOR~~Ia'- r'--~: ,s-,T~ z'---F~-rs(j~-~i~TE - --'-~ 1 ~~ a Ir~J~s~v~ir~~I° ~33~ f -6- 07/11/2007 F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/12/1993 ~ IN THE EVENT OF BREAKS OR LEAKS, OR SMELL OF GAS CALL 911. FIRE DEPT WILL BE DISPATCHED, AND IN THE EVENT OF MAJOR INCIDENTS, A SCENE MANAGEMENT OFFICER WILL BE REQUIRED, AS IN OTHER HAZARDOUS MATERIAL INCIDENTS. Release Containment 02/12/1993 CLEAN UP WITH RAGS. Clean Up 02/12/1993 THE SOAKED RAGS WILL BE PUT IN METAL CONTAINER WITH A LID. V1.11C1 ttC~VULC:C LiC,L1VaL1G7I1 -7- 07/11/2007 F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC l:1 cL1 na~aiu5 Utility Shut-Offs A) GAS - SW CRNR OF WHSE B) ELECTRICAL - MAIN PANEL NEXT TO MENS RESTROOM IN WILL-CALL C) WATER - SE SIDE OF WILL-CALL PARKING LOT D) SPECIAL - NONE E) LOCK BOX - NO 11/16/2006 Fire Protec./Avail. Water 11/16/2006 PRIVATE FIRE PROTECTION - ADT ALARM CO 322-1961. FIRE EXTINGUISHERS AND SPRINKLERS IN PLACE AND INSPECTED REGULARLY BY RED BARON FIRE PROTECTION. FIRE HYDARNT - NE END OF BLDG IN YARD. Building Occupancy Level 12/11/2006 35 EMPLOYEES -8- 07/11/2007 ;~ ~. P FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/27/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL NEW EMPLOYEES WILL BE REQUIRED TO SIGN A STATEMENT ON THE EMPLOYEE TRAINING LOG THAT HE/SHE HAS READ THE EMERGENCY RESPONSE PLAN, UNDERSTAND IT, HAD IT EXPLAINED TO HIM, AND HAS HAD A CHANCE FOR QUESTIONS. THIS STATEMENT WILL BE MAINTAINED ON FILE IN THE FACILITY. SAFETY RULES OF FERGUSON ENT, INCLUDING PROCEDURES FOR SAFE HANDLING OF HAZARDOUS MATERIALS, PROCEDURES FOR EMERGENCY RESPONSE COORDINATION AND USE OF EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES SHALL BE MADE AVAILABLE TO ALL EMPLOYEES ANNUALLY THROUGH SAFETY NEETINGS HELD QUARTERLY. ANNUAL REFRESHER TRAINING - ALL EMPLOYEES WILL BE INSTRUCTED ANNUALLY OF THE rayc c Held for Future Use -9- 07/11/2007 }; '~ F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Training Overall Site ~ _ ~ ~ r _ aaciu .L.vi t-u~..uic vac -10- 07/11/2007 l •_ FERGUSON ENTERPRISE Manager RON BAIZE Location: 6300 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: SiteID: 015-021-000704 BusPhone: (661} 396-3200 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: SIC Code:5074 DunnBrad: Emergency Contact / Title RON BAIZE / MANAGER Business Phone: (661} 396-3200x114 24-Hour Phone (661) 589-1521x Pager Phone (661) 201-4045x Hazmat Hazards: Contact : ~t'r~ll ~? IY]e,fr•" ~/t/Ltl''e[?4l.CS~ MailAddr: 6300 DISTRICT BLVD City BAKERSFIELD Owner FERGUSON ENT Address 12500 JEFFERSON AVE City NEWPORT NEWS Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, 1 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. _ 1ZtiC~ a2 ao ~`7 ignature Dat zoos Emergency Contact / Title STEVE WARD / ASST MANAGER Business Phone: (661} 396-3200x108 24-Hour Phone (661) 836-8204x Pager Phone (661) 201-4046x Fire Press React ImmHlth ~R~lti?~~ Phone: (661) 396-3200x State: CA Zip 93313 Phone: (757) 874-7795x State: VA Zip 23602-4314 TotalASTs: = Gal TotalUSTs: = Gal RSs: No -1- 01/31/2007 ,. F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 338.00 FT3 Hi ACETYLENE E F P IH G 150.00 FT3 Hi SULFURIC ACID F R IH L 25.00 GAL Hi -2- 01/31/2007 -3- 01/31/2007 F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NEXT TO GATE CAS# 74-98-6 ~GasATE T TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE I Pure I Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 338.00 FT3 338.00 FT3 338.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Propane Yes 74986 riHGHttL A7~L"~~~1~1t51V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE OF WHSE CAS# 74-86-2 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS I Pure Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest Co150100rFT3 Daily 150100m FT3 I Daily 100r00e FT3 I3EiGHtGJVU.7 I.VL~lYV1Vt51V l b %Wt. RS CAS# 100.00 Acetylene Yes 74862 rifiGE1K11 H55J;~~1~1J;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 01/31/2007 ~, F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SULFURIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: WILL-CALL SHELF CAS# 7664-93-9 LiTAid Mixture PRESSURE TEMPERATURE CONTAINER TYPE qu' L ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 25.00 GAL 55.00 GAL r1H~t~tcLVUa ~urirulVlJivla %Wt. RS CAS# 100.00 Sulfuric Acid (EPA) No 7664939 t1HGKtCL 1-'laJr,JJ1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi -5- 01/31/2007 F FERGUSON ENTERPRISE SitelD: 015-021-000704 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/24/2000 ~ CALL 911. Employee Notif./Evacuation 02/27/1990 CONTACT 911 AND FIRE DEPT HAZ MAT OFFICE AT 326-3979. THE SCENE MANAGEMENT OFFICERS MUST DETERMINE IF THERE IS ANY POTENTIAL DANGER TO INDIVIDUALS IN THE AREA AND TAKE THE APPROPRIATE STEPS TO NOTIFY AND EVACUATE. Public Notif./Evacuation 02/27/1990 THE SCENE MANAGEMENT OFFICERS MUST DETERMINE IF THERE IS ANY POTENTIAL DANGER TO INDIVIDUALS IN THE AREA AND TAKE THE APPROPRIATE STEPS TO NOTIFY AND EVACUATE. ASSISTANCE WILL NORMALLY BE FURNISHED BY LAW ENFORCEMENT AGENCIES. IN MAJOR INCIDENTS COUNTY AND/OR CITY DISASTER OFFICIALS WILL BE INVOLVED. IN MAJOR.INCIDENTS EVACUATION, RECEPTION AND CARE WILL BE FOLLOWED AS DESCRIBED IN THE COUNTY MAJOR DISASTER PLAN. Emergency Medical Plan 03/24/2006 MEMORIAL URGENT CARE - 6501 MING AVE - 397-4004 -6- 01/31/2007 F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/12/1993 ~ IN THE EVENT OF BREAKS OR LEAKS, OR SMELL OF GAS CALL 911. FIRE DEPT WILL BE DISPATCHED, AND IN THE EVENT OF MAJOR INCIDENTS, A SCENE MANAGEMENT OFFICER WILL BE REQUIRED, AS IN OTHER HAZARDOUS MATERIAL INCIDENTS. Release Containment 02/12/1993 CLEAN UP WITH RAGS. Clean Up 02/12/1993 THE SOAKED RAGS WILL BE PUT IN METAL CONTAINER WITH A LID. V1.11C1 1ZC.7~VU.L I:C til.:L1VCLL1V11 -7- 01/31/2007 ~ ~ F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ .~Nc~.ial. nac,aLU~ Utility Shut-Offs 11/16/2006 A) GAS - SW CRNR OF WHSE B) ELECTRICAL - MAIN PANEL NEXT TO MENS RESTROOM IN WILL-CALL C) WATER - SE SIDE OF WILL-CALL PARKING LOT D) SPECIAL -.NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/16/2006 PRIVATE FIRE PROTECTION - ADT ALARM CO 322-1961. FIRE EXTINGUISHERS AND SPRINKLERS IN PLACE AND INSPECTED REGULARLY BY RED BARON FIRE PROTECTION. FIRE HYDARNT - NE END OF BLDG IN YARD. Building Occupancy Level 12/11/2006 35 EMPLOYEES -8- 01/31/2007 e, F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL NEW EMPLOYEES WILL BE REQUIRED TO SIGN A STATEMENT ON THE EMPLOYEE TRAINING LOG THAT HE/SHE HAS READ THE EMERGENCY RESPONSE PLAN, UNDERSTAND IT, HAD IT EXPLAINED TO HIM, AND HAS HAD A CHANCE FOR QUESTIONS. THIS STATEMENT WILL BE MAINTAINED ON FILE IN THE FACILITY. ~r C-~u S Dic/ ~,cl~ SAFETY RULES OF W~:aa-T-BE INCLUDING PROCEDURES FOR SAFE HANDLING OF HAZARDOUS MATERIALS, PROCEDURES FOR EMERGENCY RESPONSE COORDINATION AND USE OF EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES SHALL BE MADE AVAILABLE TO ALL EMPLOYEES ANNUALLY THROUGH SAFETY NEETINGS HELD QUARTERLY. ANNUAL REFRESHER TRAINING - ALL EMPLOYEES WILL BE INSTRUCTED ANNUALLY OF THE rayc ~ 1ZC1V. LVL t UI.ULC V5C -9- 01/31/2007 F FERGUSON ENTERPRISE SiteID: 015-021-000704 ~ Fast Format ~ ~ Training Overall Site ~ ~ Held for Future Use - -10- 01/31/2007