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HomeMy WebLinkAboutBUSINESS PLAN 8/27/2007~~~ HOME MART #955 h ~ ~! 2611 S. "H" STREET ~) [C. HOME MART 955 BusPhone: Map 123 Grid: 12D SitelD: 015-021-002925 Manager :~'!~ ~ i ~ ~i,~drade. Location: 2611 S H ST City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: (661) 827-8118 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title Q~~~ D~ `~~0~ / O(~lvP~ / -$usiness Phone : (6~! ) $ d'1 -'8 ~~$ Business Phone: ) - x ( 2 4 -Hour Phone ( (v4 ~ )~~} q - ~,3a~ 2 4 -Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth -_ 1 Contact : ~Gl~te ~`~~~ 4 Phone: (661) 827-8118x MailAddr: 2611 S H ST State: CA City BAKERSFIELD Zip 93304 ``~~ Owner ~f}I~?D~'~ DN/(,Wiv ; Phone: (661) 827-8118x Address 2611 S H ST State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D S E P 0 5 2007 C3ased on ,m}~ inquiry of those individuals responsible for obtatnii.y the information, !certify under penalty of law t hat I have personally examined and am famili ar with the information submitted and believe t he information is true, accurate, - nd comple ~~-7,0 i lure Date -1- 07/12/2007 (_ 5 F HOME MART 955 SitelD: 015-021-002925 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH HELIUM IH F P IH L G 100.00 291.00 GAL FT3 Hi Min -2- 07/12/2007 -3- o~/ia/aoo~ .~ , F HOME MART 955 SiteID: 015-021-002925 ~ ~ 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: NW CRNR OF STORE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 GAL 100.00 GAL 100.00 GAL HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Bleach No 7681529 ru~~ti.tcL x,~a~a~i~i~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit SE CRNR INSIDE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER STATE TYPE PRESSURE _ Gas TPure Above Ambient AMOUNTS AT THIS LOCATION Largest Co291100rFT3 Daily 291100m FT3 I Daily 291r00e FT3 ru~c~titcyvu~ ~.vinrvivr,ly l ~ oWt. RS CAS# 100.00 Helium No 7440597 t1HGHt<L 1j.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 / / / Min -4- 07/12/2007 ;,~ ti F HOME MART 955 SiteID: 015-021-002925 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification _, r ~~ ~u~~ivycc i~v~.ii . ~ L' V0.l.U0.1.1V11 Public Notif./Evacuation r,uici..~cLi~.y L-LCUi~.ai r.Laii -5- 07j12/2007 S !~ F HOME MART 955 SiteID: 015-021-002925 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention Release Containment ~icaii vt/ v~.iici iccwu.~uc til:l.lVQl.1V11 -6- 07/12/2007 r.; .. F HOME MART 955 SiteID: 015-021-002925 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~c~iul na~,aiu~ ~ ~a_ ..rr Vl..llll..y allul.-V11.7 Fire Protec./Avail. Water Building Occupancy Level -7- 07/12/2007 R^ ~ r' - P HOME MART 955 SiteID: 015-021-002925 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc ~ iaciu ivt ru~.utc v7c I1C1u 1V1. t U1.111.C USC -8- 07/12/2007 UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 SECTION 1 Business Plan and Inventory Program • FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees ~~~ $~78~~8 ~~~ - Z !o l ( Sa FACILITYCONTACT /~ Business ID Number Q ~•7 ~ , , 1.' a ~... ,Y .... ~0 1~_ ._ ,.. ~ a ~-` 1 S'021' o~ ~2 G/S Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^ Muiti-Agency ^ Complaint ^ Re-inspection C V (c=Compliance OPERATION .COMMENTS V- lolation ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ,,,/ ~(~, _. _.. .. - ---. "..._. - fem. C° N IJ ^ VISIBLE ADDRESS %"~TMY M AtC-IE`' `7l -7"$ F~ (~` ^ CORRECT OCCUPANCY ~J ^ • "VERIFICATION OF INVENTORY MATERIALS ^ LJ VERIFICATION OF QUANTITIES ~L~L~~ ~~ ~ N.~ I•`y ~v Eta ~. ©D 6A'- ^ ~ .VERIFICATION OF LOCATION ,,//~~L1;A CH ~N STOCI~/L/ ~M . ~~ H1:L.IN. M.,A~ , ------ L~ _....._....- - _ _ _ .. L~ ^ PROPER SEGREGATION OF MATERIAL ANY HAZARDOUS WASTE ON SITE7: ^ YES ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~6G'I ~ 326-3979 P j ~• 1 I I p Inspector (Please Pnnt) Fire P ention 1st-InlShitl of Site Business Site Responsible Party (Please Print) m X47-! 30 - NTile -Environmental Services Yellow -Station Copy Pink • ausinesa~Copy UNIFIED PROGR~4M INSPECTION CHECKLIST~~' -~- SECTION 'L: Business Plan and Inventory Program "~ Tel.: (661) 326-3979 Fax: (661) 872-2171 • 1 t FACILITY NAME NSPECTION DATE NSPECTION TIME . ADDRESS HONE NO. O OF EMPLOYEES f~ lY ~/ ,? (~ 5ff t , ~ ~ ~ V ~I ~/ V FACILITY CONTACT USINESS ID NUMBER 15-021-~.w ""~ i Section 1: Business Plan and Inventory Program ~~ ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance` OPERATION / COMMENTS V=Violation ® APPROPRIATE PERMIT ON HAND ~ '~t,r ~ ~~ ~ ~ ~ - ~ l "~i~ (;'~ l .-~ l~ BUSineSS PLAN CONTACT INFORMATION ACCURATE ^ s-- _ ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~-- ~ /' 4~ ^ VERIFICATION OF LOCATION DOC U ' ^ PROPER SEGREGATION OF MATERIAL ^ ~ VERIFICATION OF MSDS AVAI ABILITY L ~ ~~ ~ ft~ `~ ~ ~^ VERIFICATION OF HAZ MAT TRAINING ~; ©'~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO CEDURES / Lff' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING !;!1. ^ FIRE PROTECTION ^ ~I/SITE DIAGRAM ADEQUATE & ON HAND J/ ANY HAZARDOUS WASTE ON SITE? ^ YES ~O EXPLAIN: - I QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (681) 328-3978 Inspects (Please Print) Fire Prevention / 1°' In / Shift of SRe/Statfon # Business Site/School`Site Responsible Pally (Please Print) „ f ~r~,~ , _,~ _ - HAKERSFIELD FIRE DEPT a Prevention Services ,w1e~ 900 Truxtun Ave., Suite 210 ~Rtr Bakersfield, CA 93301 White -Prevention Services Yellow -Station Copy Pink - t3uainese Copy FD2049 (Rev.1Y2/0~