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Home My WebLink AboutBUSINESS PLAN 9/13/2006~ BIG 5 SPORTING GOODS ~ 3203 MALLVIEW ROAD UNIFIED PROGRAM INSPECTION CHECKLIST. SECTION 1: Business Plan and Inventory Program • B E R S F I P FIRE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~~ 5 s ~ ~ao~ a72~ INSPECTION DATE -~3 -~ INSPECTION TIME ~o .~ ADDRESS ~ 03 ~~ ll v~~w PHONE NO. ~~a_ ~ ~. NO OF EMPLOYEES ~ FACILITY CONTACT ~~; I~1~ ~ BUSINESS ID NUMBER 15-021-~ ~Y6 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 ,~ ^ VERIFICATION OF QUANTITIES '~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~ i ^ VERIFICATION OF MSDS AVAILABILITY 6 ~' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ J ~ ~~ I ~ Inspector (Plea Print) Fire P evention / 1s' In /Shift of Site/Station # B ine s Site / Res Ible Pay ease Print) White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 ;, + BIG 5 SPORTING GOODS 272 ____________________________ SiteID: 015-021-000846 + Manager DARIN MEYER Location: 3203 MALL VIEW RD City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: BusPhone: (661) 872-4947 Map 103 CommHaz High Grid: 22A FacUnits: 1 AOV: SIC Code: DunnBrad: ----------------- her I--~ ~e~ = . ----------------- ----- - Emergency Contact / "l~'itle Emergency Contact / Title DARIN MEYER / MANAGER '~"_'=- _____._- -__ / ASST MANAGER Business Phone: (661) 87,2-4947x Business Phone: (661) 872-4947x 24-Hour Phone (661) 655-0882x 24-Hour Phone ( ) - x Pager Phone. ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 872-4947x MailAddr: 3203 MALL VIEW RD State: CA City BAKERSFIELD Zip 93306 Owner BIG 5 Phone: (310) 536-0611x Address 2525 E EL SEGUNDO BLVD State: CA City EL SEGUNDO Zip 90245 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ' ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my Inquiry of those individuals responsible for obtaining the informatioersonally under penalty of law that I have p examined and am familiar with the information submate and complete, the information is true, 3-12-~~ ^ -~'- Date Signature ~NrD ,~A~ 2 4 2006 -1- 03/10/2006 J~ 5 ~' 1 `BIG 5 SPORTING GOODS 272 SiteID: 015-021-000846 Manager DARIN MEYER BusPhone: (661) 872-4947 Location: 3203 MALL VIEW RD Map ; 103 CommHaz Extreme City BAKERSFIELD Grid: 22A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DARIN MEYER / MANAGER SHERYL LILES / ASST MANAGER Business Phone: (661) 872-4947x Business Phone: (661) 872-4947x 24-Hour Phone (661) 665-0882x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone :. ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHltli Contact s ~artw µQ~6~ Phone: (661) 872-49.47x MailAddr: 3203 MALL VIEW RD State: CA City BAKERSFIELD Zip 93306 Owner BIG 5 Phone: (310) 536-0611x Address 2525 E EL SEGUNDO BLVD State: CA City EL SEGUNDO Zip 90245 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENrp F EB . Based on my inquiry of those individuals _ 2s2 _ D~7 responsible for obtaining the information, i certify under penalty of lavr that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~-3D-a7 ~ Signature Date -1- O1/26/~b07 F`BIG 5 SPORTING GOODS 272 SiteID: 015-021-00084 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Silo ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE BENZENE E F P IH F DH G L 2730.00 55.00 FT3 GAL ~#i Mod -2- of/26j~oo7 -3- Ol/26/~~07 '~ ' 1 F SIG 5 SPORTING GOODS 272 SiteID: 015-021-000846 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ EOMMON NAME / CHEMICAL NAME PROPANE Days On Site • 365 Location within this Facility Unit Map: Grid: SALES FLR IN BACKROOM CAS# 74-98-6 STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 2730.00 FT3 2730.00 FT3 2000.00 FT3 • nr~~tixLVUa wi~ir~lv~ly 15 %Wt . ___ _ - .__ --- - - RS CAS# 100.00 Propane Yes 749$6 t1AGHKL Aa 5.C~5J1~11';1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MRCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BENZENE Days On Site 365 Location within this Facility Unit Map: Grid: 20FT FROM NW WALL RM 1 CAS# 100-14-1 Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE TMixtur~ Ambient ~ Ambient METAL CONTAINR-NONDRUI~`I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 55.00 GAL 55.00 GAL Daily Average 40.00 GAL nHaruclivv~ ~.vivirviv~ly l %Wt. RS CAS# 50.00 Benzene No 71432 ns~c~rucL r-~aa~~ai~i~lyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mr~c7. -4- 01/26/2007 F BIG 5 SPORTING GOODS 272 SiteID: 015-021-000845 ~ Fast Format ~ ~ Notif./Evacuation/Medical _ Overall Site ~ ~ Agency Notification 10/05/2046 ~ CALL 911. KERN COUNTY DEPT OF ENVIRONMENTAL HEALTH 861-3636. STATE OF CALIFORNIA OFFICE OF EMERGENCY SERVICES 800-852-7550. = Employee Notif./Evacuation 11/02/2001 MANAGER ON DUTY WOULD USE A PA SYSTEM TO ALERT EMPLOYEES OR CUSTOMERS OF FIRE. EXIT THROUGH REAR EMERGENCY DOORS OR FRONT DOORS. Public Notif./Evacuation 11/02/20b0 MANAGER ON DUTY WOULD USE A PA SYSTEM TO ALERT CUSTOMERS OF DANGER. EXIT THROUGH REAR EMERGENCY DOORS OR FRONT DOORS. Emergency Medical Plan 11/02/20b MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. -5- 01/26/2007 F-BIG 5 SPORTING GOODS 272 SiteID: 015-021-000846 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/05/20tl5 ~ ALL PROPANE AND WHITE GAS FUEL IS SHIPPED IN FACTORY-SEALED/DOT-APPROVED CARTONS. THIS IS THE ONLY ACCEPTABLE MANNER IN WHICH TO TRANSFER OR RETURN COMBUSTIBLE MATERIAL. ALL HAZARDOUS MATERIALS ARE TO BE LOADED AND UNLOADED BY HAND, ONE CARTON A'~' A TIME. NEVER THROW OR DROP CARTONS CONTAINING HAZARDOUS MATERIALS. ALL HAZARDOUS AND COMBUSTIBLE MATERIALS ARE TO BE STORED WELL AWAY FROM HEAT-GENERATING APPLIANCES, AND ARE NOT TO BE STACKED OR SHELVED IN AN UNSAFE MANNER. Release Containment - 06/26/1992 PRODUCT PACKAGED IN SMALL QUANTITIES FOR RETAIL SALE. Clean Up 10/05/20CS6 IN THE EVENT OF A SPILL, THE AREA SHOULD BE SECURED FROM EMPLOYEE AND CUSTOMER TRAFFIC AND KEPT WELL VENTILATED. CONTACT THE FIRE DEPT FOR INSTRUCTIONS REGARDING CLEAN-UP OR DISPOSAL, AND HAVE THE INFORMATION REGARDING THE EXACT CONTENTS READY. V1.11C1 1CG w7VU1 l.:C til,: 1.1 VCiL1V11 -6- O1/26/2b07 F BIG 5 SPORTING GOODS 272 SiteID: 015-021-000846 ~ Fast Format ~ ~ Site Emergency Factors Overall Side ~ ~ Special Hazards 01/26/2007 ~ AMMUNITION AND GUN POWDER ON SITE. Utility Shut-Offs 10/05/20176 = A) GAS - NONE B) ELECTRICAL - S SIDE ELECT ROOM IN BACKROOM C) WATER - S SIDE OF BLDG OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/26/20177 = PRIVATE FIRE PROTECTION - 5 FIRE EXTINGUISHERS, SPRINKLER SYSTEM, AND ALARM SYSTEM. Building Occupancy Level 03/10/2005 17 EMPLOYEES -7- 01/26/2007 • ~ ~. F BIG 5 SPORTING GOODS 272 SiteID: 015-021-000845 ~ Fast Format ~ ~ Tr"aining Overall Side ~ ~ Employee Training 10/05/2005 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF STJNIMARY OF TRAINING PROGRAM: IT IS THE RESPONSIBILITY OF EACH STORE MANAGER TO SEE TO IT THAT ALL CURRENT EMPLOYEES, AND EACH NEW EMPLOYEE, IS INSTRUCTED IN THE PROPER PROCEDURE FOR HANDLING HAZARDOUS MATERIALS. THESE INSTRUCTIONS SHALL INCLUDE CORRECT METHODS FOR LOADING, UNLOADING, STORAGE,; AND SHELVING OF THESE MATERIALS. ALL EMPLOYEES SHOULD BE MADE AWARE OF THE LOCATION OF EMERGENCY EQUIPMENT AND INSTRUCTED IN ITS USE. AN EMPLOYEE CHECKLIST SHALL BE MAINTAINED IN THE MANAGERS OFFICE, TO ENSURE THAT EACH EMPLOYEE HAS BEEN INSTRUCTED PROPERLY. Page - z .._~ ~ r___ .-.__~____ rt- L1C 1\A 1V1 t'UI. l.L1C VAG r1G Lli 1V1 t'Ul..U1C V.SC -8- O1/26/~007 UNIFIED PROGRAM INSPECTION CHECKLIST ~/ SECTION 1 Business .Plan and Inventory Program • Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 __ --__ FACILITY NAME WSPECTION DATE INSPECTION TIME ADDRESS . ~° ~ PH E No No. (Employees FACILITYCONTACT ltuemesa ID Number r ~ ~ ~ ,~.~ 15-021- Section 1: Business Plan and Inventory Program j~'Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection ,~ 7.~ ANY HAZARDOUS WASTE ON SITE: OYES ^ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 i Inspector (PPrint~ Fire Prevention 1st-INShift of Site White -Environmental Services Vellow -Station Copy Busin nsi aAy (Please Print) m Pink - Businefe Copy