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Home My WebLink AboutBUSINESS PLAN 8/24/2007I' BIG LOTS #4244 ! ,; 2621 FASION PLACE F BIG LOTS 4244 Manager TAMMY MACDARIS Location: 2621 FASHION PL City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: BusPhone: Map 103 Grid: 22A SIC Code: DunnBrad: SitelD: 015-021-003008 (661) 871-1546 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title TAMMY MACDARIS / ASST MANAGER ADT / Business Phone: (661) 871-1546x Business Phone: (800) 428-7124x 24-Hour Phone (661) 392-8707x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact TAMMY MACDARIS Phone: (661) 392-8707x MailAddr: 300 PHILLIPI RD State: OH City COLUMBUS Zip 43228 Owner BIG LOTS STORES Phone: (800) 877-7253x Address 300 PHILLIPI RD State: OH City COLUMBUS Zip 43228 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~~ "'~ ~~~7 Qased on my inquiry of those individuals respcnsible for obtaining the informati I on, certify under penalty ofi lav/ that I have personally exami ned and am familiar with the information submitted and believe th i e nformation is true, accurate, and complete. 8~2 y-o ~ re Date -1- 07/09/2007 F BIG LOTS 4244 SiteID: 015-021-003008 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH PAINT IH F IH DH L L 200.00 200.00 GAL GAL Hi Mod -2- 07/09/2007 -3- 07/09/2007 F BIG LOTS 4244 SiteID: 015-021-003008 ~ ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ ', COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: CENTER AISLE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 200.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 5.00 Sodium Hypochlorite No 7681529 tia'~GL~KL H.7 .7~.7.71~1iS1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PAINT Days On Site 365 Location within this Facility Unit Map: Grid: CENTER AISLE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 200.00 GAL nnc~rucL V u ~ ~.vi~irviv Div 1 ~ oWt. RS CAS# 25.00 Mineral Spirits No 8030306 15.00 Naphtha No 8030306 5.00 Methyl Ethyl Ketone No 78933 3.00 Ethylene Glycol No 107211 ru~c~rucL t~. ~a~~~i~ir,ly l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies F IH DH / / / Mod -4- 07/09/2007 F BIG LOT5 4244 SiteID: 015-021-003008 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification _, r ,~ P~ll1~J1VyCC 1VV 1x11 ~ P~VCLI.UQl.1 V11 i ~-. t U1,J111.: 1VV 1..11. ~ ~VCL I:UQ l.1 Vll Emergency Medical Plan -5- 07/09/2007 ~ ,: F BIG LOTS 4244 SiteID: 015-021-003008 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ICC1Cd.7"C Y1_CVC111.1V11 LCC 100..70 1.V 111.0. 1 111110 11 1. 1.100.11 V~J V 1.1101 1CCSV UI. I:C tit: 1.1Vd1.1 V11 -6- 07/09/2007 F BIG LOTS 4244 SiteID: 015-021-003008 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~c~.iai raac~aiua Utility Shut-Offs . ,. i~ iic riva.c~... / ravail . rvai.ct Building Occupancy Level -7- 07/09/2007 F BIG LOTS 4244 SiteID: 015-021-003008 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc c. 17C1u 1VL 1'UI.ULC USC nG 1lA lVl [~ ULILLC V.7-C -8- 07/09/2007 i• • UNIFIED PROGRAM INSPECTION CHECKLIST ~~ prevention Services B A F R s r , . „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program aerM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ / 1 r ~ ~ ~l " ~~`~ ~ INSPECTION DATE x-13-01~ INSPECTION TIME ~l~a _ ADDRESS ~~ a ~s~ r ou PHONE NO. s~ --15'`t~~ NO OF EMPLOYEES ~ S i FACILITY CONTACT ~ Ta~.~ /vl.~ a.v~c.~ BUSINESS ID NUMBER I 15-021- Q®3p0~ --- -_ _- Section 'l: Business Planand Inventory Program ~~~~~'~ ___.-. '~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS )~.. ^ APPROPRIATE PERMIT ON HAND ^ BUSIf't2SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~( ^ VERIFICATION OF QUANTITIES ~. ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~' ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~ ~~~~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES J~ ^ EMERGENCY PROCEDURES ADEQUATE .~. ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~ic ^ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 `` Inspector (Pleas Print) Fire Prev ntion 11~' In /Shift of Site/Station # Business Site ! sponslble Party ( lease rint~) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 COB 4/10/2007 7:56:57 AM PAGE 31010 Fax Server ~~ ~~ `''BIG LOTS 4244 SitelD: 015-021-003008 Manager : BusPhone: (661) 871-1546 Location: 2621. FASHION PL Map 103 CommHaz High City : BAKERSFIELD Grid: 22A FacUnitS: 1 AOV: CommCade: BFD STA 08 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title TAMMY MACDARIS / ASST MANAGER ADT / Business Phone: (661) 871-1546x Business Phone: (800) 428-7124x 24-Roux' Phone (661) 392-8707x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact TAMMY MACDARTS Phone: (661) 392-8707x MailAddr: 300 PHILLIPI RD State: OH City COLUMBUS Zip 43228 Owner BIG LOTS STORES Phone:. (800) 877-7253x Address 300 PHILLIPI RD State: OH City COLUMBUS Zip 43228 Period to TotalASTs: = Gal Prepar~r: TotalUSTs: - Gal Certif'd: RSs: No ParcelNo: Emergency Directives: (~ PROG A - HAZMAT Ly~7 ;~ ~ ~~~~ d}?Q~ v -1- 04/10/2007 COB 4/10/2007 7:56:57 AM PAGE 4/010 Fax Server F BIG LOTS 4244 SitelD: 015-021-003008 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DaiZyMax Order Fixed Containers at Sita ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH PAINT IH F IH DH L L 200.00 200.00 GAL GAL Hi MOd -2- 04/10/2007 COB 4/10/2007 7:56:57 AM PAGE 5/010 Fax Server '3' 04/10/2007 COB 4/10/2007 7:56:57 AM PAGE 6/010 Fax Server F BIG LOTS 4244 SitelD: 015-021-003008 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: CENTER AISLE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~lAmbient ~ Ambient -~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL - 200.00 GAL --- M W %,r•~xu~..~u5 C;V1y1r~1uL''1V'1~~ owt. RS CAS# 5.00 Sodium Hypochlorite No 7681529 HE1G/a K 1 ] A551;'~51~11;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Nof Curies IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PAINT Days On Site 365 Location within this Facility Unit Map: Grid: CENTER AISLE CAS# Liquid TMixture ~Ambient~E ~ AmbientTURE METAL CONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 200.00 GAL riFiGHiCUUU~ L:lJ1~lYV1Vt;1V-1-5 oWt . RS CAS$# 25.00 Mineral Spirits No 8030306 15.00 Naphtha No 8030306 5.00 Methyl Ethyl iZetone No 78933 3.00 Ethylene Glycol No 1.07211 - tiL~GF1K1J A~~J,;~,71y11:;N'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -4- 04/10/2007 COB 4/10/2007 7:56:57 AM PAGE 7!010 Fax Server F B2G LOTS 4244 SitelD: 015-021-003008 ~ Fast Format ~ ~ Notif./Evacuation/Meda.cal Overall Site ~ xy C11G.: ~/ 1V v V 1 l l C: a. l.1 U11 Employee Notif./Evacuation t LL[.7111: 1V V 1,.11 . / l~ V d.C l1cL L 1 Ui1 P~IILC,L tJ. CS1C: ~/ 1~1C111 C,f31 .C1 d11 -5- 04/10/2007 COB 4/10/2007 7:58:57 AM PAGE 8/010 Fax Server P BIG LOTS 4244 SiteID: 015-02Z-003008 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ 1CC.L CGI wS"C t'.L CVClll.1 U11 1S.CICCL~C 1rU111rd 111lllCll 1. l:leail U~J V1,11G.L tCCuULL.LC.C HC;L1VdL1OI1 -6- 04/10/2007 COB 4/10/2007 7:56:57 AM PAGE 9/010 Fax Server F BIG LOTS 4244 SitelD: 015-021-003008 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JC l:1 cL1 nciG ~l.L Us Utility Shut-Offs t'1J.c .c-~-V llc l.~riV 0.11. WCL I,Ct D 1.L11C.L11iy VL:(.; l.L~.1 d.C1C_~! LE."'V~1 -7- 04/10/2007 COB 4/10/2007 7:56:57 AM PAGE 10/010 Fax Server F'BIG LOTS 4244 SiteID: 015-021-003008 ~ Fast Format ~ ~ Traa.ning Overall Site ~ L' LllkJ llJyCC l.L~cL1 i11i1C,. r 0.G G i1Glu tV,l. tUVlliC U.7G r1C il.L iVL i {.L 1.. 1.LLC lJSC -8- 04/ZOf2007 ~~ ~ ~ ~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Environmental Services ~- ~ ~'~ '~`"` ~ 900 Truxtun Ave., Suite 210 SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)_326-3979 _____ FACILITY NAME ward. ~ n~rv vh~ c wor~a. ~ wn i imo _ ~ _ - -- __._.___ - .. _._.y... __ _ _._ _ -- --- ~.---.__ --------J~F ADDRESS PHON~No No. of EmployeeiJ ~ ~ c --------_ ------- --__ __- ------------ --- --------_D - . _. ------.--____. _ __ - --- - FACILITYCONTACT Business ID Number n.~ tJ' COQ D>= I $-U - I ~'7~ Section 1: Business Plan and Inventory Program ~ 300$ ~outine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ - ection C V (V=vo atonnCe~ OPERATION COMMENTS Z ^ ^ APPROPRIATE PERMIT ON HAND ~ O J~ ~~ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ PROPER SEGREGATION OF MATERIAL --------_...-.-----------.__----.._..----------___..__._.__..._-......r_._....----------- --- ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~IVO ExPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~GG'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-InlShift of Site Whfte -Environmental Services Yellow -Station Copy -~-- -- - Bu ' elite R ns' a arty ( ase Print) Pink - BUSIneSS Copy