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HomeMy WebLinkAboutBUSINESS PLAN (2)'POP DOG SWIMMING POOL REPAIR 7420 DISTRICT BLVD. ~~`~~- + TOP DOG SWIMMING POOL REPAIR ________________________ SitelD: 015-021-002001 + Manager JERRY STONE Location: 7420 DISTRICT BLVD City BAKERSFIELD BusPhone: (661) 664-9000 Map 123 CommHaz Moderate Grid: 16C FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb : DunnBrad : ~~-~ 0$y'Z ----- ------------ ----------- --- -- Emergency Contact / Title Emergency Contact / Title ~ "~y JIM CECERO / OWNER JERRY STONE / MANAGER~~ . Business Phone: (661) 664-9000x Business Phone: (661) ~9'6'6'U`x 24-Hour Phone (661) 665-2138x 24-Hour Phone (661) 634-9611x Pager Phone (661) 809-5315x Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact Phone: (661) 664-9000x MailAddr: 7420 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner TOP DOG SWIMMING POOL REPAIR Phone: (661) 664-9000x Address 7420 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Period to Preparers Certif ' d: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT ENT'D APR 2 5 2006 Based on my inquiry 4f those indivldusls responsible for obtsining the information, i oertify under pen I of law that I have personally examined d am femiller with the information submitted,. a d beNeve the informatlon is true, accurate, ~ mplete. Date -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ©~` _______ _____ z4~~-~.._ 5~~-~.~.-~c.:~ To~ Lam.. ~~, ~~- INSPECTION DA INSPECTION TIME 1 bJzZ-~~ _ s ~-,~\ -_ R .-- ___ _ ADDRESS ~4v~ PHONE No. No. of Employees B i ID N b FACILITYCONTACT ~ um er us ness 15-021- Oa ~, oo i Section 1: Business Plan and Inventory Program 'Q~Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ^ \V=Vioadlonncel OPERATION APPROPRIATE JPERMIT ON HAND COMMENTS ~- ^ BUSINESS PLAN CONTACT fNFORMATION ACCURATE ~L ^ VISIBLE ADDRESS ^ 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 tZT- O CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ----------`---- ---------------- ~- !f3 ^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO EXPLAIN: QUE TIONS RE RDING THIS INSPECTIONS PLEASE CALL US AT ~GF)'I ~ 3Z6-3 9 {nspector Badge Nod ~ Business Site Responsible Party / (} ~~ White -Environmental Services Yellow - Statbn Copy Pink - Business Copy UNIFIED PROGRAM INSPECTION CHECKLISTS° wIII ~~.r. .r.:~~~,:v~ ~~-._~~..:~. ~~,._._:~ ...~_ ~ ,.~.~_., _,..,.~_ , . .,.-..,..~_~~..,_~:, .<,._ ART/ T ~. SECTION 1: Business Plan and inventory Program ~^ ~ • BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~^ 0~ ~ J i1~t~Yh~YIC~ ~~c°~- ~Itc.P.9-12 NS/PECTION DATE /~-Z$^OS NSPECTION TIME ~~.~ ADDRESS x`-12.0 ZJisre~c.r ~.u~ HONE NO. G4y-~aoo O OF EM LOYEES FACILITY CONTACT ~~.Z.p. S ~ Un ~ USINESS ID NUMBER 15-021- Z©O i Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS LBO ^ APPROPRIATE PERMIT ON HAND Cry' ^ BUSIf1t3SS PLAN CONTACT INFORMATION ACCURATE I~ ^ VISIBLE ADDRESS (la' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~/ 1.11 ^ PROPER SEGREGATION OF MATERIAL J l~S ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING L~ ^ 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 eT N~ EXPLAIN: _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 . ~ ~~ % L Inspector (Please Print) Fire Prevention / 1`t In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rav. 02!05) f:' -_ ~ I I~ ~ l ~' 4 TOP DOG SWIMMING POOL REPAIR 021 002001 Sit ID 015 - e : - Manager JERRY STONE BusPhone: (661) 664-9000 Location: 7420 DISTRICT BLVD Map 123 CommHaz Moderate , City BAKERSFIELD Grid: 16C FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JIM CECERO / OWNER JERRY STONE / MANAGER Business Phone: (661) 664-9000x ~~_- ~- ""~~~~~:~ (661) ~ 393-0842x 24-Hour Phone (661) 665-2138x 24-Hour Phone% -( Pager Phone (661) 809-5315x Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact .DER-~Y S`TeN ~= ~ Phone: (661) 664-9000x MailAddr: 7420 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner TOP DOG SWIMMING POOL REPAIR Phone: (661) 664-9000x Address 7420 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 A~ ~ D Erased on my inquiry of those individuals responsibie for obtaining the infarmation, 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. ,-~--~ ~ - Z_~ ~fgnat ~re Date -1- 02/16/2007 ti F TOP DOG SWIMMING POOL REPAIR ~ Hazmat Inventory ~ MCP+DailyMax Order = SitelD: 015-021-002001 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CHLORINE TABLETS DH S 500.00 LBS Mod -2- 02/16/200 -3- 02/16/2007 ~Y M1 F TOP DOG SWIMMING POOL REPAIR ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME CHLORINE TABLETS Location within this~Facility Unit NE CRNR SHOP INSIDE STATE TYPE ~~ PRESSURE Solid Mixture I Ambient SiteID: 015-021-002001 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 87-90-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Con25100rLBS Daily 500100m LBS I Daily 500r00e LBS t1HGKKLVU~ 1:V1~lYV1V~1VlJ %Wt. RS CAS# 96.00 Trichloro-s-triazinetrione No 87901 4.00 Dichloroisocyanuric Acid No 2782572 titi~t~tcl~ x~5~~alnrlvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -4- 02/16/2007 j. n F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/25/2006 ~ 911, HAZMAT, FIRE DEPT, AND AMBULANCE. Employee Notif./Evacuation 04/25/2006 CHECK FOR CUSTOMERS IN STORE, MAKE SURE ALL-CLEAR, EVACUATE IMMEDIATELY. Public Notif./Evacuation FRONT DOOR. 01/12/2000 Emergency Medical Plan 04/25/2006 911, AMBULANCE, HAZMAT, AND FIRE DEPT. -5- 02/16/2007 F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 01/12/2000 ~ REFER TO MSDS SHEETS. Release Containment 01/12/2000 REFER TO MSDS SHEETS. Clean Up REFER TO MSDS SHEETS, DEPENDING ON WHAT CHEMICAL. 04/25/2006 v~,aaci. n.cavu.a.~..c t]l..l.l V 0.1.1V11 -6- 02/16/2007 !'. ~ F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~JCC:1d1 ridGdLUS Utility Shut-Offs 04/25/2006 A) GAS - REAR OF BLDG B) ELECTRICAL - REAR OF BLDG NW CRNR C) WATER - SE CRNR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - EXTINGUISHERS IN FRONT AND REAR OF BLDG. NEAREST FIRE HYDRANT - NE CRNR OF LOT 7420 DISTRICT BLVD. 12/11/2006 Building Occupancy Level 8 EMPLOYEES 12/11/2006 -7- 02/16/2007 ~ r. F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/25/2006 ~ ONE MSDS SHEET ON FILE. BRIEF SUNIl~IARY OF TRAINING PROGRAM: EACH EMPLOYEE READS AND DISCUSSES MSDS SHEETS AND WE HAVE REGULAR MEETINGS ON THESE SUBJECTS. WE WILL ALSO BE KEEPING A LOG OF THESE SESSIONS THAT WILL BE DATED AND SIGNED. rayc c Held for Future Use azciu ivy.. ru~.uic vac -8- 02/16/2007 7 5 r TOP DOG SWIMMING POOL REPAIR Manager JERRY STONE Location: 7420 DISTRICT BLVD City BAKERSFIELD BusPhone: Map 123 Grid: 16C SiteID: 015-021-002001 CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: (661) 664-9000 CommHaz Moderate FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title JIM CECERO / OWNER JERRY STONE / MANAGER Business Phone: (661) 664-9000x Business Phone: (661) 664-9000x 24-Hour Phone (661) 665-2138x 24-Hour Phone (661) 393-0842x Pager Phone (661) 809-5315x Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact JERRY STONE Phone: (661) 664-9000x MailAddr: 7420 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner TOP DOG SWIMMING POOL REPAIR Phone: (661) 664-9000x Address 7420 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 ~~~7 E<a~;eG on my irc~uiry of those indivir~ua!s reJp='n^ibie for obt:pi i n ng the information, I certify und.ar penalty of law that i have pers examin d e onally and am farniliar with the information submitted and oe!i eve the information is true, accurate, and complete Sr ature~-'-- ~ a Z''~ ~~ Date -1- 07/16/2007 'r 3 F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CHLORINE TABLETS DH S 500.00 LBS Mod -2- 07/16/2007 -3- 07/16/2007 4 `Y F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORINE TABLETS Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR SHOP INSIDE CAS# 87-90-1 ~SolidE TMixture ~mbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 25.00 LBS 500.00 LBS 500.00 LBS 1'1tiG1-LCCLVUJ l.VllYV1V~1V1J %Wt. RS CAS# 96.00 Trichloro-s-triazinetrione No 87901 4.00 Dichloroisocyanuric Acid No 2782572 rlti[~tilSL HJ JL~J J1"1L~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH ~ / / / Mod -4- 07/16/2007 1 ~ F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/25/2006 ~ 911, HAZMAT, FIRE DEPT, AND AMBULANCE. ----- Employee Notif./Evacuation 04/25/2006 CHECK FOR CUSTOMERS IN STORE, MAKE SURE ALL-CLEAR, EVACUATE IMMEDIATELY. Public Notif./Evacuation FRONT DOOR. 01/12/2000 Emergency Medical Plan 04/25/2006 911, AMBULANCE, HAZMAT, AND FIRE DEPT. -5- 07/16/2007 ,? s F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 01/12/2000 ~ REFER TO MSDS SHEETS. Release Containment 01/12/2000 REFER TO MSDS SHEETS. Clean Up 04/25/2006 REFER TO MSDS SHEETS, DEPENDING ON WHAT CHEMICAL. Other Resource Activation -6- 07/16/2007 5 F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~Nv~lal nc«.c~iu5 Utility Shut-Offs GAS - REAR OF BLDG ELECTRICAL - REAR OF BLDG NW CRNR WATER - SE CRNR OF BLDG 04/04/2007 Fire Protec./Avail. Water 12/11/2006 PRIVATE FIRE PROTECTION - EXTINGUISHERS IN FRONT AND REAR OF BLDG. NEAREST FIRE HYDRANT - NE CRNR OF LOT 7420 DISTRICT BLVD. Building Occupancy Level 12/11/2006 8 EMPLOYEES -7- 07/16/2007 ,,~ ~ ;~ F TOP DOG SWIMMING POOL REPAIR SiteID: 015-021-002001 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/25/2006 ~ ONE MSDS SHEET ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE READS AND DISCUSSES MSDS SHEETS AND WE HAVE REGULAR MEETINGS ON THESE SUBJECTS. WE WILL ALSO BE KEEPING A LOG OF THESE SESSIONS THAT WILL BE DATED AND SIGNED. rctyc ~ nciu ivs. rut.uic vac nclu Lv.r. r u~uic u~C -8- 07/16/2007