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Home My WebLink AboutBUSINESS PLAN 4/18/2007~~ '' ; HOMETOWN BUFFET Manager STEVE LUECKE Location: 4221 S H ST City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: ~a~a SiteID: 015-021-002613 BusPhone: (661) 397-9363 Map 123 CommHaz Low Grid: 13D FacUnits: 1 AOV: SIC Code:5812 DunnBrad:12-117-7398 Emergency Contact / ,Title Emergency Contact / Title RAY TAVOKOLI j SR AREA DIR RICHARD MARIENTHAL f REGIONAL VP Business Phone: (209) 403-3861x Business Phone: (360) 608-0802x 24-Hour Phone (209) 403-3861x 24-Hour Phone (360) 608-0802x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact TERI BUTHAY/BRENT MORTENSEN Phone: (651) 365-2296x MailAddr: 1460 BUFFET WY State: MN City EAGAN Zip 55121-1133 Owner HOMETOWN BUFFET INC Phone: (651) 994-8608x Address 1460 BUFFET WY State: MN City EAGAN Zip 55121-1133 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD `~~' 4 ENT`D A ~ R 2 ~ 2007 ~N,5eM~ on m}, inquiry of those indilic~ t~fy the informatioe~ rsonally r~;sponsibie for obta~n~n9 f law that 1 have p tion unc9er penalty o familiar with the informa ue t , r examined and am the information is d bel submitted an le a accur. e, and comp ~ )~~ ~ / (v~•'r' ~ t ate ~ D Signature -1- 04/12/2007 -; ,. F HOMETOWN BUFFET SiteID: 015-021-002613 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm D ~j yMax Unit MCP CARBON DIOXIDE F P IH G 3 .80 FT3 Min q~ SuQ., ~ t ~, -~_ -2- 04/12/2007 -3- 04/12/2007 s F HOMETOWN BUFFET ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location, within this Facility Unit DRY STORAGE RM ~GasATE TPureE ~-AboveSAmbEent ~. AMOUNTS A ~~ Lar~st,Container Dail ;;~ ~ , 3690.60 FT3 ,` _ _ _ ~ ' HAZARDOUS CONl~ -%Wt . 100.00 Carbon Dioxide SiteID: 015-021-002613 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 M id G ap: : r CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER THIS~LOCATION ~ iMaximum ~ P,verage Daily ~. 8 0 ~ FT3 ;~ ~8 0 FT3 NENTS ~ ~~ . ~ ~ --_ ~ ' ~~~~ RS__ CAS# _ '- -- No' 124389 nx~t~tcL Ha~~~~i~-~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 04/12/2007 F HOMETOWN BUFFET SiteID: 015-021-002613 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/30/2007 ~ RAY TAVAKOLI, AREA DIRECTOR Employee Notif./Evacuation RAY TAVAKOLI, AREA DIRECTOR 01/30/2007 Public Notif./Evacuation 01/30/2007 RAY TAVAKOLI, AREA DIRECTOR Emergency Medical Plan 01/30/2007 DESIGNATED MEDICAL FACILITY: WILLARD B CHRISTIANSEN MD MED CLINIC, 1800 WESTWIND DR -5- 04/12/2007 F HOMETOWN BUFFET SiteID: 015-021-002613 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 01/30/2007 ~ REGULAR VISUAL INSPECTION i Release Containment 01/30/2007 REGULAR VISUAL INSPECTION BY SUPPLIER Clean Up 01/30/2007 RELY ON SUPPLIER FOR CLEAN-UP Other Resource Activation -6- 04/12/2007 ,. .~ ~• F HOMETOWN BUFFET SiteID: 015-021-002613 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JYCC:1d1 riclGdlUS Utility Shut-Offs 01/30/2007 NATURAL GAS/PROPANE: KITCHEN ELECTRICAL: OUTSIDE MECHANICAL RM WATER: BOILER RM LOCK BOX: YES FRONT Fire Protec./Avail. Water 01/30/2007 PRIVATE FIRE PROTECTION: SPRINKLERS AND FIRE EXTINGUISHERS. FIRE HYDRANT: HOOK-UP AT H ST NEXT TO BLDG. Building Occupancy Level 01/30/2007 25-40 EMPLOYEES -7- 04/12/2007 .~ F HOMETOWN BUFFET SiteID: 015-021-002613 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training O1j30/2007 ~ MSDS ON FILE NEXT TO TIME CLOCK. BRIEF SUMMARY OF TRAINING PROGRAM: ANNUAL HAZ COMM TRAINING; QUARTERLY EVACUATION DRILLS; MONTHLY SAFETY MEETINGS TO REVIEW VARIOUS PROCEDURES & HAZARDS; AND EMPLOYEES DO NOT HANDLE CO2 - SUPPLIER REPLENISHES CO2 FOR SODA DISPENSING. t 0.yC G aaciu iVi a.•u~.ua.c Vic aaC ll.a LVl t•UI.ULC V.7C -8- 04/12/2007