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Home My WebLink AboutBUSINESS PLAN (2)~ ROBERTSON TILE 3801 EL POTRERO LANE ~y ,.. ,, . .,a _/t I ROBERTSON TILE`/16-lll// SiteID: 015-021-000841 Manager MAUREEN ROBERTSON Location: 3801 EL POTRERO LN City BAKERSFIELD BusPhone: (661) 832-3535 Map 123 CommHaz High Grid: 13A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:l743 DunnBrad:10-305-6560 Emergency Contact / Title Emergency Contact / Title RICHARD BLOOMQUIST / TILE SETTER MARCELLE ROBERTSON / SUPERVISOR Business Phone: (661) 832-3535x Business Phone: (661) 832-3535x 24-Hour Phone (661) 834-5358x 24-Hour Phone (661) 664-9700x Pager Phone ( ) - x Pager Phone (661) 979-2135x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MARCELLE ROBERTSON Phone: (661) 832-3535x MailAddr: 3801 EL POTRERO LN State: CA City BAKERSFIELD Zip 93304 Owner. ALVIDREZ & TILLETT TILE INC Phone: (661) 832-3535x Address 3801 EL POTRERO LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers ~ TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: (~ PROG A - HAZMAT PRO T ABOVEGRO ND STORA E ~` ~ ~~ ' ~ ~QQ~ G - U G TANK ~N~ ® + Oaz3ed 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 suhmittGd and believe the information is true . , accurate, and complete. 5igrd'are - - - _ --____l ~l/ ~~ ~ n, Date ~i ~ -1- 02/06/2007 F ROBERTSON TILE ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000841 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 330.00 FT3 Hi TILE MASTIC F L 75.00 GAL Hi UNLEADED GASOLINE F IH DH L 500.00 GAL Mod LIME R IH S 1250.00 LBS Low OXYGEN F P IH G 337.00 FT3 Low STARGON F P IH G 336.00 FT3 Low CEMENT IH S 3500.00 LBS Min GROUT IH S 1000.00 LBS UnR -2- 02/06/2007 -3- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: N CTR SHOP CAS# 74-86-2 STATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure Above Ambient I Ambient I PnRT _ PRF:S~ _ ~'YT.TNi~F AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 330.00 FT3 330.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS %Wt• RS CAS# 100.00 Acetylene Yes 74862 nsic~tstcL t-~a~~aat~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TILE MASTIC Days On Site 365 Location within this Facility Unit Map: Grid: UNDER CARPORT E SIDE CAS# ~LSquid TMixture ~mbient~E ~ AmbientT~E I PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 75.00 GAL 40.00 GAL iuyc,rucLVV.~ ~.vi•1rv1vr~ly 1 S %Wt. RS CAS# 5.00 Petroleum Naphtha No 8030306 2.00 1-Chloro-2,4-dinitrobenzene No 97007 r1t~L~tiRL Yi~ J ~7 r+J J1.1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi -4- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR OUTSIDE SHOP CAS# 8006-61-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 250.00 GAL tiHGi-~ttUVUJ ~vlnrviv~lvl5 °sWt. RS CAS# 100.00 Gasoline No 8006619 riHGKttL A~ ~l"~5J1~11"~1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME LIME Location within this Facility Unit UNDER CARPORT E SIDE STATE T TYPE ~- PRESSURE Solid I Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1305788 TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Con50100rLBS Daily1250100m LBS I Daily 500r00e LBS nri~rircLVU~ ~.VlnrvlVnivl~ oWt. RS CAS# 100.00 Calcium Oxide No 1305788 rlt~~r-ucL H~ ~l,~al~ir.lyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Low -5- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: N CTR SHOP CAS# 7782-44-7 STATE TYPE T PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~GaS Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 337.00 FT3 337.00 FT3 200.00 FT3 t11~Gt1t[UVUa 1:V1~lYV1V~1V'1'S °sWt . RS CAS# 100.00 Oxygen, Compressed No 7782447 t].EiGtiKL 1~.7.7L' w7 ~71~1L"ilV 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME STARGON Days On Site 365 Location within this Facility Unit Map: Grid: N CTR SHOP CAS# 7440-37-1 STATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure ~Abc~vP_ AmY~i tint I Amhi Pnt- I PC1RT PRF.~~ CVT,TNTIF~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 336.00 FT3 _336.00 FT3 200.00 FT3 ruyc~ruc.~vu~ ~.vrtrvlvalvlS ~Wt• RS CAS# 90.00 Argon No 7440371 7.50 Carbon Dioxide No 124389 2.50 Oxygen, Compressed No 7782447 ilriGitil.CL ti4 7~7L' w7 J1°1P~1V liJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -6- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CEMENT _ Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 65997-15-1 ~SolidE I Mixture~~ PRESSURE TEMPERATURE CONTAINER TYPE I Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3500.00 LBS 3500.00 LBS 3500.00 LBS r1t~~ratcLUUS wl~iruivl,iv_1.~ %Wt. RS CAS# 100.00 Portland Cement No 65997151 riHGKKL A~ 5t5~51~11"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GROUT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1000.00 LBS 1000.00 LBS 1000.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# HAGAI~D ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -7- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/24/2000 ~ CALL 911. Employee Notif./Evacuation NO FORMAL PROCEDURE, WORKING DAY. OF THAT THE EVENT OF A NEEDED NORTH AND SOUTH SIDES ANYONE IS IN THE BLDG ALWAYS UNLOCKED. 04/26/2006 3MPLOYEES ARE ONLY ON SITE NO MORE THAN 30 MIN PER 30 MIN THEY SPEND ABOUT 10 MIN INSIDE OUR SHOP. IN EVACUATION, WE WOULD EXIT THE BLDG. EXITS ARE ON THE WITH THE SOUTHERN DOOR, WHICH ARE ALWAYS OPEN WHEN (IT IS ABOUT 12 FT WIDE), AND THE NORTHERN DOOR IS Public Notif./Evacuation CALL 911 OR DO IT OURSELVES UNTIL AGENCY ARRIVES. 01/02/1991 Emergency Medical Plan 03/24/2000 APPLY FIRST AID. CALL EMERGENCY FACILITY: MINOR - FIRST AID OR MERCY SW URGENT CARE; MAJOR - AMBULANCE SERVICE 911 AND TRANSPORT TO HOSPITAL. -8- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/26/2006 STORED IN PROPER CONTAINERS, THAT IS, THE ONES THE MATERIALS WERE PURCHASED IN. CONTAINERS KEPT IN GOOD CONDITION (INSPECTED AS THEY ENTER THE SITE OR AS THEY ARE REFILLED). IF SPILLED ON CONCRETE, SAND CAN BE USED TO ABSORB AND CONTAIN; ON DIRT, WE HAVE A TRACTOR WHICH CAN SCOOP UP SATURATED DIRT. 9 Release Containment 04/26/2006 ON CONCRETE - SAND CAN BE USED TO ABSORB AND CONTAIN. ON SOIL - TRACTOR WE OWN CAN SCOOP UP SATURATED SOIL AND/OR A PROFESSIONAL CAN BE CALLED IN. Clean Up IF SPILLED ON HAVE A TRACTOR PROFESSIONAL. 04/26/2006 CONCRETE, SAND CAN BE USED TO ABSORB AND CONTAIN; ON DIRT, WE WHICH CAN SCOOP UP SATURATED DIRT; AND/OR CALL IN A Other Resource Activation -9- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~c~lai na~.c~tu~ Utility Shut-Offs 04/26/2006 A) GAS - NE CRNR OF RESIDENCE B) ELECTRICAL - NW CRNR OF RESIDENCE C) WATER - E CENTRAL NEXT TO ST D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/12/2007 PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS AT EXITS AND LOTS OF SAND ON SITE. FIRE HYDRANT - SE CRNR OF LOT. Building Occupancy Level 03/07/2006 14 EMPLOYEES -10- 02/06/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/12/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE IS INFORMED OF THE PROPER USE OF EACH SUBSTANCE AND THEIR POTENTIAL HAZARDS. rage ~ nca.u ivi ru~uiC u~c Held for Future Use -11- 02/06/2007 .~ ROBERTSON TILE Manager MAUREEN ROBERTSON Location: 3801 EL POTRERO LN City BAKERSFIELD SiteID: 015-021-000841 BusPhone: (661) 832-3535 Map 123 CommHaz High Grid: 13A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:l743 °DunnBrad:10-305-6560 Emergency Contact / Title Emergency Contact / Title RICHARD BLOOMQUIST / TILE SETTER MARCELLE ROBERTSON / SUPERVISOR Business Phone: (661) 832-3535x Business Phone: (661) 832-3535x 24-Hour Phone (661) 834-5358x 24-Hour Phone (661) 664-9700x Pager Phone ( ) - x Pager Phone (661) 979-2135x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MARCELLE ROBERTSON Phone: (661) 832-3535x MailAddr: 3801 EL POTRERO LN State: CA City BAKERSFIELD Zip 93304 Owner ALVIDREZ & TILLETT TILE INC Phone: (661) 832-3535x Address 3801 EL POTRERO LN State: CA City. BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: ~ RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK 8asec9 on my inquiry of those individuals resp~~nsit;ie 4Gr Gist ±ninc3 the information, I Ge~-tity under f;enaif~=• ri I,~~~ that ! have p~;rsonally exa,7lned ~61~' urn fan7ii~ar Vdith ttte information sut~mitterr -sr?c? ,..,H~ia~r~ the information is true , accurate, and corn piece. J~ G ~ / ..~~naturQ Date ~~~~ ~~L '~ ~ ~QO~ -1- 07/13/2007 ' ~ r f- F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 330.00 FT3 Hi TILE MASTIC F L 75.00 GAL Hi UNLEADED GASOLINE F IH DH L 500.00 GAL Mod LIME R IH S 1250.00 LBS Low OXYGEN F P IH G 337.00 FT3 Low STARGON F P IH G 336.00 FT3 Low CEMENT IH S 3500.00 LBS Min GROUT IH S 1000.00 LBS UnR -2- 07/13/2007 -3- 07/13/2007 :, ,, ;~ F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: N CTR SHOP CAS# 74-86-2 STATE T TYPE PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~ ~Ga.S I Pure Above Ambient I Ambient I PORT _ PRESS _ C'YT~TNI~ER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 330.00 FT3 330.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 IIHGHICL liw7 .7L' .7w71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TILE MASTIC Days On Site 365 Location within this Facility Unit Map: Grid: UNDER CARPORT E SIDE CAS# Liquid TMixture ~ AmbRent~E ~ AmbientT~E I PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL _7.5.00 GAL I 40.00 GAL r1P3L.il"1LCLVlJO ~.va•irvtvntvt.S _-- %Wt• RS CAS# 5.00 Petroleum Naphtha No 8030306 2.00 1-Chloro-2,4-dinitrobenzene No 97007 1'lYi4tiLCL L-~i J .7 L' JJ1"1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi -4- 07/13/2007 ~~ _ ,t F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR OUTSIDE SHOP CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 250.00 GAL TTT ff T TlTI/1TTM /"Y/1T RTll1TTTl'1.TTA 11tiGHtCLVUJ l.V1T1YV1VL~1V1J %Wt. RS CAS# 100.00 Gasoline No 8006619 I11~GrittL HJ J~JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIME Days On Site 365 Location within this Facility Unit Map: Grid: UNDER CARPORT E SIDE CAS# 1305788 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 1250.00 LBS 500.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Calcium Oxide No 1305788 riF~GHKL A55JJ551~1lJ1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Low -5- 07/13/2007 ~, ~' i %4 ~; F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: N CTR SHOP CAS## 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 337.00 FT3 337.00 FT3 200.00 FT3 • HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiHGHKL H~~~~51~11;1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME STARGON Location within this Facility Unit N CTR SHOP STATE TYPE PRESSURE _ Gas TPure -Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7440-37-1 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 336.00 FT3 336.00 FT3 200.00 FT3 riHGHiCLVU.7 1.U1~lYUlVr,1V 1 ~ %Wt. RS CAS# 90.00 Argon No 7440371 7.50 Carbon Dioxide No 124389 2.50 Oxygen, Compressed No 7782447 r1s~c~Hlcl~ H~ alJ~~lnn,ly l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH j / / Low -6- 07/13/2007 ~. ~~ / .[y F ROBERTSON TILE SiteID: 015-021-000841 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CEMENT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 65997-15-1 ~SolidE I Mixture~~ PRESSURE TEMPERATURE CONTAINER TYPE I Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3500.00 LBS 3500.00 LBS 3500.00 LBS ti1~L,H.tCLV U5 lLV1~lYV1Vt51V 1 J ~Wt. RS CAS# 100.00 Portland Cement No 65997151 tiHL,Htt1J AJ~tSJ~1~11;,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GROUT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TMixture T Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1000.00 LBS 1000.00 LBS 1000.00 LBS HAZARDOUS COMPONENTS -, , %Wt. RSI CAS# 11HGLitCL Ei.7 bJ;a,J1~1J~,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -7- 07/13/2007 ~, _ _~ ~~~- F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/24/2000 ~ CALL 911. Employee Notif./Evacuation 04/26/2006 NO FORMAL PROCEDURE, WORKING DAY. OF THAT THE EVENT OF A NEEDED NORTH AND SOUTH SIDES ANYONE IS IN THE BLDG ALWAYS UNLOCKED. 3MPLOYEES ARE ONLY ON SITE NO MORE THAN 30 MIN PER 30 MIN THEY SPEND ABOUT 10 MIN INSIDE OUR SHOP. IN EVACUATION, WE WOULD EXIT THE BLDG. EXITS ARE ON THE WITH THE SOUTHERN DOOR, WHICH ARE ALWAYS OPEN WHEN (IT IS ABOUT 12 FT WIDE), AND THE NORTHERN DOOR IS Public Notif./Evacuation 01/02/1991 CALL 911 OR DO IT OURSELVES UNTIL AGENCY ARRIVES. Emergency Medical Plan 03/24/2000 APPLY FIRST AID. CALL EMERGENCY FACILITY: MINOR - FIRST AID OR MERCY SW URGENT CARE; MAJOR - AMBULANCE SERVICE 911 AND TRANSPORT TO HOSPITAL. -8- 07/13/2007 err-r~. 1j '~I , F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/26/2006 ~ STORED IN PROPER CONTAINERS, THAT IS, THE ONES THE MATERIALS WERE PURCHASED IN. CONTAINERS KEPT IN GOOD CONDITION (INSPECTED AS THEY ENTER THE SITE OR AS THEY ARE REFILLED). IF SPILLED ON CONCRETE, SAND CAN BE USED TO ABSORB AND CONTAIN; ON DIRT, WE HAVE A TRACTOR WHICH CAN SCOOP UP SATURATED DIRT. Release Containment 04/26/2006 ON CONCRETE - SAND CAN BE USED TO ABSORB AND CONTAIN. ON SOIL - TRACTOR WE OWN CAN SCOOP UP SATURATED SOIL AND/OR A PROFESSIONAL CAN BE CALLED IN. Clean Up 04/26/2006 IF SPILLED ON CONCRETE, SAND CAN BE USED TO ABSORB AND CONTAIN; ON DIRT, WE HAVE A TRACTOR WHICH CAN SCOOP UP SATURATED DIRT; AND/OR CALL IN A PROFESSIONAL. Other Resource Activation -9- 07/13/2007 F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ •7~JC l:l A.l nct c. cLi u~ Utility Shut-Offs 04/23/2007 GAS - NE CRNR OF RESIDENCE ELECTRICAL - NW CRNR OF RESIDENCE WATER - E CNTRL NEXT TO ST Fire Protec./Avail. Water 01/12/2007 PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS AT EXITS AND LOTS OF SAND ON SITE. FIRE HYDRANT - SE CRNR OF LOT. Building Occupancy Level 03/07/2006 14 EMPLOYEES -10- 07/13/2007 ' Ys~ T, c, F ROBERTSON TILE SiteID: 015-021-000841 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/12/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE IS INFORMED OF THE PROPER USE OF EACH SUBSTANCE AND THEIR POTENTIAL HAZARDS. rays ~ Held for Future Use azciu ivt r u~.utc ~~c -11- 07/13/2007 UNIFIED PROGRAM INSPECTION CHECKLIST ~' .SECTION 1: Business Plan and Inventory Program • BAHERSFIELD FIRE DEPT Prevention Services ~l~s 900 Trtixtun Ave., Suite 210 ~wr~r ~ Bakersfield, CA 9330 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DAT NSPECTION TIME ~ ~, l ~ ~ ~ `~ ~~ /s ~t~ ADDRESS / 3~p 1 ,E f Po~/'~ro f~nt~ HONE NO. O OF EMPLOYEES FACILITY CONTACT -~ ~ t ~ G / ~~ 1 C.(~ ' Pr~f Sc i~l ~ ~ 1 ` 3S S~ USINESS ID NUMBER 15-021- va~~Y Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r~ L_J C V (c=Compliance` OPERATION V=Violation l COMMENTS ^ APPROPRIATE PERMIT ON HAND ~. ^ BUSIt1QSS PLAN CONTACT INFORMATION ACCURATE 16 ~r® t ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~ ~~~~~~ ~ ~~/~ ~° ~ t~l~'/y j~i~~~ U ^ VERIFICATION OF QUANTITIES lJ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY - / L>f' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE _ ^ CONTAINENS PROPERLY LABELED ^ HOUSEKEEPING ^. FIRE PROTECTION ~~~ ~~ .4!`n'~ ~~ ~ ~ - ~--- - ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES ^ YES ~ EXPLAIN: •~O/UJESTIONS REEGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3978 /// - ~~G! ~Ul~ Inspector (Please Print) Fire Prevention / 1°~ In / Shift of Site/Station # Business Site/Sch~ White -Prevention Services Yellow -Station Copy Pink -Business Copy FD204e iRev. 02!05) s j + ROBERTSON TILE ______________________________________ SitelD: 015-021-000841 + Manager MAUREEN ROBERTSON Location: 3801 EL POTRERO LN City BAKERSFIELD BusPhone: (661) 832-3535 Map 123 CommHaz High Grid: 13A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:1743 DunnBrad:10-305-6560 Emergency Contact / Title Emergency Contact / Title RICHARD BLOOMQUIST / TILE SETTER MARCELLE ROBERTSON / SUPERVISOR Business Phone: (661) 832-3535x Business Phone: (661) 832-3535x 24-Hour Phone (661) 83'4-5358x 24-Hour Phone (661) 664-9700x ~ Pager Phone ( ) - x Pager Phone (661) 979-2135x Hazmat Hazards: Fire Press React ImmHlth DelHlth ~ Contact MARCELLE ROBERTSON Phone: (661) 832-3535x MailAddr: 3801 EL POTRERO LN State: CA City BAKERSFIELD Zip 93304 Owner ALVIDREZ & TILLETT TILE INC Phone: (661) 832-3535x Address 3801 EL POTRERO LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENT'D A p~ 2 ~~® 6 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 Ileve the information is true, accura nd o p te. i _~~~~ atu e a e --------------------------------------------- ----------------- -1- 03/07/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program r~ Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)-326-3979 FACILITY NAME WSPECTION DATE INSPECTION TIME ~o ~r soy, 2z-o ~o ADDRESS PHONE No. No. of Empbyees ~~'o/ F I ~o fr~!'o ~ ~ 832-335 X30 FACILITYCONTACT Business ID Number 6 ~ ~ K- o Q3EKTSo..S 3 - ~s 15-021- two f3 y/ Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection CJV l V=vo aGonn~ / OPERATION Lb ^ APPROPRIATE PERMIT ON HAND [J ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS -~--f--=..-------- ---- -- --- -- __ ...-- - ...--- -._._ .. - -- _ _ _ _.._. `U' ^ CORRECT OCCUPANCY COMMENTS mot? _.i°~ ~ -4 . F'Z4!v!~ -- ---- . _ _ .._.- _ _ __ .. _..__ ... ._. ._. .. ._._.4... .. _.o _...._. ~ o ~A c.~ ^ ~ VERIFICATION OF INVENTORY MATERIALS • _.... ._ i~DD lo~2at°A•JC~.. `tiJLEgUEDG S 6 ntE __. _- ~ -- ^ VERIFICATION OF QUANTITIES 7 (~ M~STi ~ 6a.J£ '~"f K S'('(.V~ Fj ~~E ,a ------ ------- -- - _._ _ ._ __...._ .._ ._. -- --- -~ ~1ccq ~Tu.~,E_ _G.~ ~Z D__Am.~ _. _._ . _ _ _--_ _ .. .J ANY HAZARDOUS WASTE ON SITE?: ~ES ^ NO EXPLAIN: G~If~~S?'~ D(L SC~A~- • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~~1 ~ 326-3979 Inspector (Please Print) ~ Fire Prevention 1st-INShik of Site White -Environmental Services Yellow -Station Copy Bu Hess Site Responsible lease Pnnt) ~ Pink -Business Copy "F CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRUNMF.NTAL SERVICES '~ UNIFIED PROGRAM INSPECTION CHECKLIST :w,;" ~ti,~~~~ 1715 Chester Ave., 3`d Floor, Bakersfield, CA 93301 FACILITY NAME o S~-u ~~• ~e ADDRESS G o c~ L~.• FACILITY CONTACT ..• ~e ~I ~~ ltsou INSPECTION TIME /5,,.~ t ~•.. INSPECTION DATE~~ 6~ PHONE NO. ~il~_"-..~5 .~ BUSINESS ID NO. I5-210- 8 NUMBER OF EMPLOYEES /- Z Section 1: Business Plan and' Inventory Program Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate X 03 Visible address , ^ ~1 ~ Correct occupancy x I Verification of inventory materials x ~.~d~ Verification of quantities ~ ~`jy~ p~ ~ Verification of location Proper segregation of material 1( Verification of MSDS availability X Verification of Haz Mat training ~( Verification of abatement supplies and procedures ~( Emergency procedures adequate a( Containers properly labeled )C Housekeeping 1( Fire Protection Site Diagram Adequate & On Hand X C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~ No Explain: Questions regarding this inspection'' Please call us at (661) 326-3979 i .~ /" t~J~-~~ Bustness Site Responsible Party White - Fnv. Svcs. Yellow -Station Copy Pink • Husiness Copy Inspector: _u ~l C~~'~ ~o~ s".6 , ' t. J, .