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HomeMy WebLinkAboutBUSINESS PLANr MERVY'S #217 -- - - - - - --- ( i 2800 MALL VIEW ROAD ~/ ?>~ _, MERV~NS 217 - EAST HILLS SiteID: 015-021-002923 Manager JAI GRISHAM Location: 2800 MALL VIEW RD City BAKERSFIELD BusPhone: (661) 872-8808 Map 103 CommHaz Moderate Grid: 22A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:5311 DunnBrad:00-796-8670 Emergency Contact / Title Emergency Contact / Title JAI GRISHAM / STORE MANAGER DANIEL QUINTANA / ASST OPS MGR Business Phone: (661) 872-88 08x Business Phone: (661) 872-8808x 24-Hour Phone (661) 619-41 33x 24-Hour Phone (661) 397-9975x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact ROBERT H LUCACHER Phone: (510) 727-3237x MailAddr: 22301 FOOTHILL BLVD MS4025 State: CA City HAYWARD Zip 94541-2771 Owner MERVYNS LLC Phone: (510) 727-3000x Address 22301 FOOTHILL BLVD MS4025 State: CA City HAYWARD Zip 94541-2771 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~~~~ ~~ ~~/J. ~arrd an my inr~uiry of those Individuals re;g~+~ncible for oGtaining the information, !certify un~~nr penalty of la~1r that l have personally examined and am familiar with the information su~rritteci aror' r,~;lieve the information is true, accurate, and complete. orgnat-uVre _ Dat 1~' -1- 07/12/2007 F MERV"YNS 217 - EAST HILLS SiteID: 015-021-002923 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DIESEL, EMERG. GEN. FUEL L 125.00 GAL UnR -2- 07/12/2007 -3- o~/ia/aoo~ F MERVYNS 217 - EAST HILLS SiteID: 015-021-002923 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL 11jAME DIESEL, EMERG. GEN. FUEL Days On Site 365 Location within this Facility Unit Map: Grid: NW EXTERIOR CRNR OF BLDG INSIDE EMER GEN CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 125.00 GAL 125.00 GAL 100.00 GAL tiF~GF~tCLV U.7 l:vt~lrvlvL' lv 15 oWt. RS CAS# 100.00 DIESEL FUEL NO. 2 No 68334305 riAGijiCL ASS~J~1~1J;1V~1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -4- 07/12/2007 F MERVYNS 217 - EAST HILLS SiteID: 015-021-002923 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 10/05/2006 IN CASES WHERE A HAZMAT SPILL EXCEEDS THE CAPABILITIES OF ON-SITE RESOURCES, CAPABILITIES OR TRAINING, AND/OR POSES A SPECIAL OR UNIQUE HAZARD TO LIFE, SAFETY OR THE ENVIRONMENT, MANAGEMENT WILL CALL 911 AND, IF APPLICABLE, THE OFFICE OF EMERGENCY SERVICES AT 800-852-7550. IN CONJUNCTION WITH THIS NOTIFICATION, AN EXTERNAL CONTRACTOR, CAPABLE OF SAFELY CLEANING UP THE SPILL, WILL BE SUMMONED TO THE SITE. FOR NON-EMERGENCY SPILLS, THE BAKERSFIELD FIRE DEPT OFFICE OF ENVIRONMENTAL SERVICES WILL BE NOTIFIED AT 326-3979. Employee Notif./Evacuation SEE AGENCY NOTIFICATION. 08/24/2005 Public Notif./Evacuation SEE AGENCY NOTIFICATION. 08/24/2005 Emergency Medical Plan 03/16/2007 IN CASE OF INJURY OF EXPOSURE, EMPLOYEES WILL BE TAKEN TO: BAKERSFIELD OCCUPATIONAL CENTER, 4570 CALIFORNIA AVE. -5- 07/12/2007 F MER~TYNS 217 - EAST HILLS SitelD: 015-021-002923 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/06/2006 IN ORDER TO PREVENT A RELEASE FROM OCCURRING, ALL EMPLOYEES ARE TRAINED ON PROPER HAZARDOUS MATERIAL HANDLING AND STORAGE PROCEDURES. ALL HAZARDOUS MATERIALS ARE KEPT IN THE ORIGINAL CONTAINERS AND WHENEVER POSSIBLE SMALLER ITEMS ARE STORED IN LIP-CUT CONTAINERS SO AS TO PRECLUDE ANY ACCIDENTAL SPILLS. DEPARTMENT PERSONNEL VISUALLY INSPECT PRODUCTS ON A DAILY BASIS. Release Containment 10/05/2006 IN THE EVENT OF A FUEL SPILL THE AREA WILL BE IMMEDIATELY ISOLATED AND THE ON DUTY STORE MANAGER WILL BE NOTIFIED. THE STORE WILL CALL MERVYNS ALERT ONE ALARM CENTER WHICH OPERATES 24/7, TO REPORT THE HAZRDOUS MATERIAL INCIDENT. THE CALL WILL THEN BE TRANSFERRED TO MERVYNS HAZARDOUS MATERIALS RESPONSE CONSULTANT WHICH OPERATES 24/7. THE HAZARDOUS MATERIALS RESPONSE CONSULTANT WILL ASSIST STORE PERSONNEL IN SAFELY EVALUATING, MANAGING AND ABATING THE HAZARDOUS MATERIALS SPILL. IF THE ON DUTY STORE MANAGER AND HAZMAT RESPONSE CONSULTANT DETERMINE THE SPILL IS SMALL, WITHIN THE CAPABILITIES OF ONSITE RESOURCES AND APPLICABLE TO THE SCOPE OF EMPLOYEE TRAINING, STORE PERSONNEL WILL ATTEMPT TO CLEAN UP THE SPILL. IF THE ON DUTY STORE MANAGER AND HAZMAT RESPONSE CONSULTANT DETERMINE THE SPILL EXCEEDS THE CAPABILITIES OF ON-SITE RESOURCES, CAPABILITIES OR TRAINING, AND/OR POSES A SPECIAL OR UNIQUE HAZARD TO LIFE, SAFETY OR THE ENVIRONMENT, THE LOCAL HAZMAT RESPONSE AGENCY WILL BE NOTIFIED AND A EXERNAL CONTRACTOR CAPABLE OF SAFELY CLEANING UP THE SPILL WILL BE SUMMONED TO THE SITE. Clean Up 10/05/2006 THE ON DUTY STORE MANAGER, MERVYNS ALERT ONE ALARM CENTER, AND THE HAZARDOUS MATERIALS RESPONSE CONSULTANT WILL WORK TOGETHER AS A TEAM TO ABATE THE HAZARD. IF THE ON DUTY STORE MANAGER AND HAZMAT RESPONSE CONSULTANT DETERMINE THE SPILL IS SMALL, WITHIN THE CAPABILITIES OF ONSITE RESOURCES, AND APPLICABLE TO THE SCOPE OF EMPLOYEE TRAINING, STORE PERSONNEL WILL ATTEMPT TO CLEAN UP THE SPILL. WASTE MATERIALS WILL BE PLACED IN 5-GALLON BUCKETS, SEALED WITH THE LID, LABELED WITH APPROPRIATE IDENTIFICATION INFORMATION, AND STORED IN ACCORDANCE WITH LOCAL, STATE, AND FEDERAL REGULATIONS. IF THE ON DUTY STORE MANAGER AND HAZMAT RESPONSE CONSULTANT DETERMINE THE SPILL EXCEEDS THE CAPABILITIES OF ON-SITE RESOURCES, CAPABILITIES OR TRAINING, AND/OR POSES A SPECIAL OR UNIQUE HAZARD TO LIFE, SAFETY OR THE ENVIRONMENT, THE LOCAL HAZMAT RESPONSE AGENCY WILL BE NOTIFIED AND AN EXTERNAL CONTRACTOR CAPABLE OF SAFELY CLEANING UP THE SPILL WILL BE -6- 07/12/2007 F MER~JYNS 217 - EAST HILLS SiteID: 015-021-002923 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site V1.11Ct 1CCAV{..LL IBC B'11~L1VGl l.1 V11 -7- 07/12/2007 F MERVYNS 217 - EAST HILLS SiteID: 015-021-002923 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7LlCt:1d1 tidGd.LU~S' Utility Shut-Offs 03/16/2007 ELECTRICAL: W SIDE OF BLDG IN STOCKROOM WATER: .EXTERIOR CRNR OF BLDG Fire Protec./Avail. Water 03/16/2007 PRIVATE FIRE PROTECTION: FIRE EXTINGUISHERS AND AUTOMATIC FIRE ALARM SYSTEM. FIRE HYDRANT: SW PARKING LOT. Building Occupancy Level 03/16/2007 80-120 SEASONAL EMPLOYEES -8- 07/12/2007 i _ ~_ F MER~YNS 217 - EAST HILLS SiteTD: 015-021-002923 Fast Format ~ Training Overall Site ~ Employee Training 12/29/2006 MATERIAL SAFETY DATA SHEETS ON FILE AND AVAILABLE ONLINE AND VIA FASCIMILE FROM MERVYNS HAZARDOUS MATERIALS RESPONSE CONSULTANT (OPERATING 24/7). BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED IN THE PROPER HANDLING AND STORAGE OF HAZARDOUS MATERIALS PERTAINING TO THE GENERATOR DURING THEIR INITIAL ORIENTATION. THEY ALSO RECEIVE TRAINING IN HAZARDS COMMUNICATION AND WORKPLACE SAFETY. EMPLOYEES ALSO BECOME FAMILIAR WITH THE FUNDAMENTALS OF THE EMERGENCY RESPONSE PLAN, CLEAN-UP PROCEDURES FOR MINOR SPILLS, AND STORE EVACUATION PROCEDURES. EMPLOYEES ALSO RECEIVE ANNUAL SAFETY UPDATES AND MONTHLY SAFETY MEETINGS ARE CONDUCTED BY STORE rage Held for Future Use nciu tvi ru~.utc u~c -9- 07/12/2007 Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST !Environmental Services vi=a "'~~" 900 Truxtun Ave., Suite 210 SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 • Tel: (661)_326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME U ~ V~ s ..........- --._. _ ._ .. _ . --- l --- ---- 5- --------_ ._ _....- - ADDRESS 1 PHONE No. No. of Employees FACILITYCONTAC? , `Business ID Number (5 ar'T ~ ~ ~~ 15-021- vU ZQ'23 Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE: OYES 1]a'IVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I ~ 326-3979 ~~a~ ~b~ _ _ _ _ Inspector (Please Print) Fire P ntion tst-In/Shift of Site Whke -Environmental Services Yellow -Station Copy -- -- -~~ - Site esponsible Party ase rint) o~ Pink -Business Copy + MERVYNS 217 _________________________________________ SiteID: 015-021-002923 + Manager Location: 2800 MALL VIEW RD City BAKERSFIELD BusPhone: (661) 871-7444 Map 103 CommHaz Low Grid: 22A FacUnits: 1 AOV: CommCode : BFD STA 08 SIC Code : S 3 I I ~S3`1`T EPA Numb : DunnBrad : p p - '~qF, - $6~-O Emergency Contact / "lL"itle Emergency Contact / Title / BECKIE DILTZ / STORE MANAGER Business Phone: ~"'' "","" -= Business Phone: (661) 872-8808x 24-Hour Phone - 24-Hour Phone (661) 205-1178x Pager Phone ( ) - x Pager Phone ( ) - xN/A Hazmat Hazards: Contact ROBERT H LUCACI$ER Phone: (510) 727-3237x MailAddr: 22301 FOOTHILL BLVD MS4025 State: CA City HAYWARD Zip 94541 Owner MERVYNS LLC Phone: (510) 727-3237x Address 22301 FOOTHILL BLVD MS4025 State: CA City HAYWARD Zip 94541 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STO.GE TANK Based ors ri`+y inquiry of those individuals responsibi~ #~f ~i~teirtitlg the Information, I certify under penglty 4f 18~w that 1 h8vs personally examined anr~ err- farrslliar with the Information submitted and belleVe the Information is 4rue, accurate, and complete. 3 ~ Signature Date t'Merc~e.~,cy eoN+IaU-F • .T4i G~- jSh4M Assis~'aNf' MaM4~e!', _O~perar'~"~~^tS (3vs~'Ness PtioNe ~ 661-619 - 433 ~y hr Pho~te, ~ 66~~g~2.-8808 A P R o s zoos -1- 03/10/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan-and Inventory Program • • Prevention Services B A F R S F, n 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 aRrM Tel..: (661) 326-3979 Fax: (661) 872-2171- .. - FACILITY NAME ~~ v t ~ `~j INSPECTION DATE ~ - l3 ~ c~ INSPECTION TIME ll~~S ADDRESS ~ ~Q© ~~ jj C/t'e w PHONE NO. ~~a - ~s~o~ NO OF EMPLOYEES `~S FACILITY CONTACT - ~ ~ ~°Y' GGl N G~ BUSINESS ID NUM 15-U21-capes of ~J :. ~ a~ - Section 1: Business Plan and Inventory Program ROUTINE ^ .COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS `~ ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~] ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS O ^ VERIFICATION OF QUANTITIES ,~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL i~Q ^ VERIFICATION OF MSDS AVAILABILITY ~O ^ VERIFICATION OF HAZ MAT TRAINING yC[ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ,Z~O~ ^ CONTAINERS PROPERLY LABELED '~ ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~ IN~IMI ~ C ~.~v~v~l/ Inspector (Pleas Print) Fire P[ vention / 1~' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy - Pink -Business Copy ~ FD 2155 (Rev. 09/05