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Home My WebLink AboutBUSINESS PLAN 8/8/2016~, . TILE IN-STYLE 6500 DISTRICT BLVD. i/~~ %Y + TILE IN STYLE _______________________________________ SiteID: 015-021-002440 + Manager 1~~VID MURBACH Location: 600 DISTRICT BLVD 1 City BAKERSFIELD BusPhone: (661) 398-3335 Map 123 CommHaz High Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DAVID MURBl~;CH / / Business Phone: (661) 398-3335x Business Phone: ( ) - x 24-Hour Phone ( )~Q~- ~~~ 24-Hour Phone ( ) - x Pager Phony ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact DAVID MURBACH Phone: (661) 398-3335x MailAddr: X500 DISTRICT BLVD 1 State: CA City BAKERSFIELD Zip 93313 Owner Phone: ( ) - x Address 600 DISTRICT BLVD 1 State: CA City BP,KERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HA~MAT ENT q~ G~820 06 Based on my inquiry of those individuals responsible for obtaining the information, I certify ersonally under penalty of law that I have p examined an ~ believe~lthe~informatinnc is atue, submitted accur , an c ~~,/ j~c A Date 'b V l~-~ U ~aD~~ 55 -1- 08/09/2006 ~ ~ ~ ~~ F TILE IN STYLE SiteID: 015-021-002440 Manager DAVID MURBACH Location: 6500 DISTRICT BLVD City BAKERSFIELD BusPhone: (661) 398-3335 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title----; Emergency Contac t / Title DAVID MURBACH~ SF2. / ~ (,~/~' ~~ ~ / Business Phone: (661) 398-3335x Business Phone: ( ) - x 24-Hour Phone (661) 201-8867x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ~ ImmHlth Contact DAVID MURBACH;S~~ Phone: (661) 398-3335x MailAddr: 6500 DISTRICT BLVD ~ State: CA City BAKERSFIELD Zip 93313 owner ~~~' ~ D ~ ~-~-~$,>~ - S~K. Phone : (~ bl > 398 x Address 6500 DISTRICT BLVD ~ State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT c ~00~ ~~ 1 ENS"® ~' 1® ~, 1 Based on my inquiry of these indiv+duals resporsibie for obtaining the informati on, f certify under penalty of law that I have personally examined and am familiar with the information submitted and beli eve the information is true, accurate, and complete. Signature Date -1- 02/16/2007 F TILE IN STYLE SiteID: 015-021-002440 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 200.00 FT3 Hi TILE GROUT IH S 5 0.00 LBS UnR C~- ~01~ ~ ~~ S -2- 02/16/200 -3- 02/16/2007 F TILE IN STYLE SiteID: 015-021-002440 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 74-98-6 STATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GdS I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Co200100rFT3 Daily 200100m FT3 I Daily 200r00e FT3 .ns~ar~ucil~uJ ~:vrirvlvl,lvt~ %Wt. RS CAS# 100.00 Propane ~ Yes 74986 riHL,E~tCL H5J1;5J1~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME TILE GROUT Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# ~SolidE TMixture ~ Ambient~E ~ AmbientT~E BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 LBS 500.00 LBS 500.00 LBS HAZARDOUS COMPONENTS , °~wt . RSI CAS# i1tiG,tiRL tia JP.~J J1°1r,1V 1 r7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -4- 02/16/2007 t F TILE IN STYLE SiteID: 015-021-002440 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 08/18/2006 ALARM PAD ~~( ~~~ ~;~1~' Employee Notif./Evacuation 08/18/2006 NO EMPLOYEES Public Notif./Evacuation 08/18/2006 VERBAL NOTIFICATION Emergency Medical Plan 08/18/2006 WHITE LANE ER CLINIC -5- 02/16/2007 F TILE IN STYLE SiteID: 015-021-002440 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention, Release Containment 08/18/2006 NONE FOR PROPANE, SWEEP UP GROUT Clean Up REPLACE PROPANE CYLINDER, NONE FOR GROUT 08/18/2006 Vt,.11C1 1CC e7VU1GC til.:L1VCL I,..L V11 -6- 02/16/2007 F TILE IN STYLE SiteID: 015-021-002440 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aYa~iai na~al_ua Utility Shut-Offs 08/18/2006 ELECTRIC: IN ALLEY WATER: IN ALLEY Fire Protec./Avail. Water 01/23/2007 FIRE ALARM AND FIRE EXTINGUISHERS NEAREST FIRE HYDRANT - ACROSS ST DU11111111~ Vl:L lliJdllC.: ~/ LCVC1 -7- 02/16/2007 '' F TILE IN STYLE SiteID: 015-021-002440 ~ Fast Format ~ ~ Training Overall Site ~ .Employee Training ~ ~[~^ C~ ~~~5 rdy~ ~ .7 J L. aiciu ivi i' u~..uic vac Held for Future Use -s- 02/16/200 Prevention Services UNIFIED- PROGRAM INSPECTION CHECKLIST ~~ A t; R 5 >: , , „ 900'I'ruxtun Ave., Suite 210 .-,_~~ ~~_ _ _.mmy ___A ~~~ _vm ~ ~ ~ ~ ~,,..:.. ~:, ~ _~.~ ~.~~ ~~_~.- ._._ ~~~ _. ~ _ _ F~Re Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program '°R'"' Tel.: (661) 326-3979 Fax: (661) 872-2171 • i• Section 1: Business Pian andlnventor•y Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-II FACILITY NA ME INS ECTION DATE . P INSPECTION TIME ~ ~ /~ ~ ] ADDRESS PHON NO. NO OF EMPLOYEES O ~~ < 3 v 6/ :398'-335 FACILITY CONTACT ~~ . ~ ~ BUSINESS ID NUMBER ~ s-o21- c40z. ~l ~l0 r_ N C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ®/'1 ((~, ^ 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? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 _~ ~'t~:, ~ ~!' Gin 1 ~"~'~- J' Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # ^ YES fi~NO ~TarJ5~~~1 White -Prevention Services - Yellow -Station Copy Pink -Business Copy - - FD 2155 (Rev. 09/05