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HomeMy WebLinkAboutBUSINESS PLAN 4/25/2007~,~~ GROCERY OUTLET ~~~~ 6421 ,,,~ MING A VE. ~ a~~~ z~~-~: ~ s , - yid ~ ~ Sf P . g 2003 GROCERY OUTLET 17W~1h °~ Manager E & JENNIFER BISHOP Location: 6421 MING AVE City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: NroG4 SiteID: 015-021-002353 BusPhone: (661) 833-2180 Map 123 CommHaz Extreme Grid: l0A FacUnits: 1 AOV: SIC Code: DunnBrad: Emer ncy Contact / Title Emergency Contact / Title ~E BISHOP / OWNER / Business Phone: (661) 833-2180x Business Phone: ( ) - x 24-Hour Phone ( ) ~3S- 021gQ~ ho-~~. 24-Hour Phone ( ) - x Pager Phone (661) 900-1130x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact D fE BISHOP Phone: (661) 833-2180x MailAddr: 6421 MING AVE State: CA City BAKERSFIELD Zip 93309 . Owner DST & JENNIFER BISHOP Phone: (661) 833-2180x Address 6421 MING AVE State: CA City : BAKERSFTELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT /y~ ~( J ~'~,in~ Lased on my inquiry of those individuals sible for obtaEning the information, 1 certify respon under penalty of law that I have personally examined and am familiar with the information tion is true ~~„~.,~ ~~~ ~~~ ~ ~ ~OQ~ , submitted and believe the informa accurat ,and complete. ~~ 7 Sig re Date -1- 04/25/2007 ., ~ .;. F GROCERY OUTLET SiteID: 015-021-002353 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE HELIUM TANKS E F P F P IH IH G G 756.00 200.00 FT3 FT3 Hi Min -2- 04/25/2007 t.,~ i' f- -3- 04/25/2007 r.~ - ,. F GROCERY OUTLET ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit INSIDE E BAY DOOR STATE TYPE ~- PRESSURE _ Gas TPure ~ Above Ambient SiteID: 015-021-002353 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 288.00 FT3 756.00 FT3 900.00 FT3 ntj~titc~vu~ wrirViv~ivl~ °sWt. RS CAS# 100.00 Propane Yes 74986 ti1~GF~ttL ti55~Ja1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM TANKS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7440-59-7 ~GasATE T TYPE PRESSURE ~ TAmEbMPeRATURE ~ CONTAINER TYPE I Pure Above Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average fit X9.6--0'0 FT3 ~~b ~fr@-®0 FT3 200.00 FT3 I1HGt1KLVU.7 1..V1~lYV1Vr,1V 1.7 %Wt. RS CAS# 100.00 Helium No 7440597 ntit~s-ucL s-~~~~~~i~ir.lyla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 04/25/2007 r F GROCERY OUTLET SiteID: 015-021-002353 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tiyclll.:y 1VV1.1111~a1.1V11 /~ Prlll~J1VYCC 1VVl.1l . ~ L~VdC:Udl~1V11 _ L l _ ! L / YY L l.Ll../i l\. lYV l..ll . ~ JJ VGZVl.1GLV1Vli L'lllGl yGllt.y 1.1GU11.Q1 r1d11 -5- 04/25/2007 ~% z F GROCERY OUTLET SiteID: 015-021-002353 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 1CC1Cdu7C lrVll l.d 111ILIC1IL I..LCQ.ll Vj.,l V lr11Ct 1CC~V UI.LC HLI.lVdl.l Vll -6- 04/25/2007 ~, _ y C_ F GROCERY OUTLET SiteID: 015-021-002353 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ D~JCC:1c11 nciGdlUS Utility Shut-Offs ,.. rl.ic rtv~..c~... ~ rava.Li . vva~.ci Building Occupancy Level -7- 04/25/2007 F GROCERY OUTLET SiteID: 015-021-002353 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training ruyc ~ aiciu ivi. ru~..uic vac rlclu 1Vl rul. LL1C V.7C -8- 04/25/2007 Emer~encv Phone Numbers ~_~~T_-Police _non-emer_genc_y_ . ~s,-~~.327._7_1_el_l _~s-_ ~~_~-~~_.____ _ Dwayne cell 900.1130 Jennifer home 835.0260 cell 900.1061 G4I 800. Property management Atkins(Sagepoint Center) 334.4800 PG&E act# 305 6867 462-3 800.743.5000 Phone: Arrival Communications (tech support) 888.950.2100 Credit Card Help Desk 510.704.6565 Forklift: Power Machinery 323.6041 A/C or Freezer Deli Maintence American Air 559.651.1776 Bay Door Extreme Door 334.1418 Kern Door 834.1656 Front Door Capitol Door 559.252.9160 Security M&S Security 397.9616 Plumber HPS 397.2121 Glass Repair Manny's Stockdale Glass 323.6913 Copier Turk's 324.3737 Fire Sprinkler (see tag) RHL 322.934 Fire: What to Do? Basically, GET OIJT OF THE Bt~ILDING! ! ! If you can encourage customers to follow you without endangering your own life, please do so. Fire Extingishers are located at: Both Pillars in aslie 3 Both pillars in asile 6 Exit doors: 1:front door 2: door by bread racks 3: double doors by women's bathroom Meeting area: Front: first tree, in front of the store. Back: Tree, behind the store, but try to make your way to the front of the store. Do not leave until you have checked in with a manager. We want to make sure we have everyone accounted for. If you know of customers or employees are still trapped in the building please inform management or emergency personal as to their location. If you know of employees who have been taken by ambulance please inform management. Earthquake: Basically, GET OUT OF THE BUILDING! ! ! If you can encourage customers to follow you without endangering your own life, please do so. Fire Extingishers are located at: Both Pillars in aslie 3 Both pillars in asile 6 Exit doors: l:front door 2:door by bread racks 3: double doors by women's bathroom Meeting area: Front: first tree, in front of the store. Back: Tree, behind the store, but try to make your way to the front of the store. Do not leave until you have checked in with a manager. We want to make sure we have everyone accounted for. If you know of customers or employees are still trapped in the building please inform management or emergency personal as to their location. If you know of employees who have been taken by ambulance please inform management. Employee Accidents: Wor_kma_ n's com_ _p #_ _ __ -~ -~-_~.Y Vernon Sorenson is-our workman's ^--1~--~_r~.___,~__~_~__,_~_.__~ comp doctor. They ~t may not see another doctor unless authorization form is in their file, At this time no one has this form. Get the employee medical attention. If they want an ambulance or you feel it this that serious, please do so. The employee will be drug tested as part of your workman's comp. policy: make sure Vernon Sorenson knows. Within 24 hours the Workman's Cop. Claim form must be filled out and, faxed to and then send the original in the mail in the purple envelope. Make sure the employee and the manager signs it. Workman's Comp forms can be found in the bottom filing cabinet, under INSURANCE in a YELLOW FILE FOLDER. As soon as you can, call ?~~ ~~ 1 ~-/~~ . And inform them of a pending claim. They will typically call back the next business day, the manager who was on duty at the time should handle that call. ~ ` _ ,a s ~' ~' I ~ ~av~ 1 Customer Accident: _~- NumbEx-one:-be-calm!`-~--- _ _ -__--- Be compassionate. Make the customer as comfortable as possible. Mostly listen, don't advise. What does the customer want`? Try to get their name, address and phone number. Even if they don't want a doctor. Give them a business card. If they want an ambulance, that's okay. If they want to see their family doctor, that's okay. Fill out an accident claim form on the first aid kit box: red file folder. Try to get photos without embarrassing the customer. After the customer has left, call our insurance company: Power Outage: wait at least 5 minutes before you react! It might come back on. Phones, credit cards, EBT cards, debit cards, check authorizations, computer, intercom, security alarm wild not work. 1) turn off the white button (on the red stand under the flip down cover) on Registers 2 thru 5. (protects them from power surges.) Turn off copier, time clack monitor, and anything else that could be damaged by a power surge. 2) contact PG&E via cell phone to find out how long they estimate the power being out. 3) direct customers to Register # 1. You can run it for 35 minutes before the UPS battery runs out. 4) in the office, please run reports within that 35 minutes. 5) The store must maintained a staff until the alarm can be secured. Hazardous Materials: i ;~5 Helium: 2 tanks behind vitamin rack ~ ,~ ~'l Propane: 1) 5 gallons: buffer machine in women's bathroom area 2) 2 8 gallon tanks: either on forkli#~ or stored by back bay door. Floor cle~.ning supplies: Stored in hallway by restrooms (near floor scrubber). ~\~V`~ ® ,~~ s~ ~~~.~~~ ~j ~~ ~,~ a~~~~. .... 1. ~~ ~~-,c~ f N ,~ e,~ Yy W /~ Y :J J .J 3 ~ 3 +- { ~ ~ ;. v~ N i N ..~~ .~. ~ "'~! u .? !~ i.~- ~~~~i ~~,~ U ~~y' ~r~'` CITY OF BAICF.RSFIELD FIRE DEPARTMENT ~` b~ OFFICE OF ENVIRONMENTAL SERVICES ~~' ~"~ UNIFIED PROGRAM INSPECTION CHECKLIST ~_!w ~g~,p~~t 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ~~~~~o~/ FACILITY NAME ~'/~c~,~;- ©~r~-E'Y INSPECTION DATE 9~~~ ~O ~ ADDRESS .Z /Yl~.t/l c PHONE NO. f~ 3 3-- z l R'~ FACILITY CONTACT_ ~.~~N6 0 2 rf r6r2BUSINESS ID NO. 15-210- ~~z 3~ 3 INSPECTION TIME !S ~-1~•v s • Nt1MBER OF EMPLOYEES z Section 1: Business Plan and Inventory Program (Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand (r Business plan contact information accurate C. Visible address C, Correct occupancy 2 ~' Verification of inventory materials Verification of quantities C Verification of location s/ Proper segregation of material Verification of MSDS availability C Verification of Haz Mat training L Verification of abatement supplies and procedures C Emergency procedures adequate Containers properly labeled Housekeeping ~ Fire Protection C Site Diagram Adequate & On Hand C=Compliance V=Violation ~ 1 Any hazardous waste on site?: ^ Yes f~No Explain: Questions regazding this inspection? Please call us at (661 j 326-3979 M sines Site Responsible Party Inspector: White -Env. Svcs. Yellow -Station Copy Pink -Business Copy 'i. + GROCERY OUTLET ______________________________________ SiteID: 015-021-002353 + Manager DWAYNE & JENNIFER BISHOP BusPhone: (661) 833-2180 Location: 6421 MING AVE Map 123 CommHaz High City BAKERSFIELD Grid: l0A FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: Emergency Contact / 't'itle Emergency Contact / Title DWAYNE BISHOP / OWNER / Business Phone: (661) 83~-2180x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone (661) 90p-1130x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact DUANE BISHOP Phone: (661) 833-2180x MailAddr: 6421 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner DUANE & JENNIFEF BISHOP Phone: (661) 833-2180x Address 6421 MING AVE State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT Based ern my inquiry of those individuals responsible for obtaining 4he information, I Certify under penaVty of iaw that f have personally examined and am familiar with the information sub fitted and beli®ve the information is 4rue, ac~yi. atE..~ complete. ~ f~ Date ENrp ~~~ z s Zoos -1- 03/10/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ 1Q0 INSPEC IOQNj/D~~~JTE I INSPECTION 71ME Q ADDRESS •' PHO E No. I No. of Employees FACILITYCONTACT p L.ua~,~~ ~ ~ ~-vP Business ID Number t5-o2t- .2,353 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection V \ V=~oationnce l OPERATION C COMMENTS , ., ~ ^ LW NPPROPRIATE PERMIT ON HAND L ov,...i~ O 7 4..0 N cA~ '_~_________ ________________ - __ ___ t1~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE __ . _ __ _ _ _ - ~^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY -- --- ` G ^ L f VERIFICATION OF INVENTORY MATERIALS ^ ~i~UP ~N~ - ~-~} d l,d VERIFICATION OF QUANTITIES ^ V ERIFICATION OF LOCATION r (S~ .^ PROPER SEGREGATION OF MATERIAL ---- ^ VERIFICATION OF MSDS AVAILABILITYE ~E~ r-.m~ NEB r us'/i ^ V M ERIFICATION OF HAT AT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~MERGENCY PROCEDURES ADEQUATE ~ ` ^ C ONTAINERS PROPERLY LABELED ~ Lid U t10USEKEEPING --- -~-._ _.-..-- --- --------------------- -- ' ---~---- Ll -^ FIRE PROTECTION --- ---- --- --- ------ ---- - -- (~^ SITE DIAGRAM ADEQUATE St ON HAND ANY HAZARDOUS WASTE ON SITE: EXPLAIN: O YES 13 No C' QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (6C)'I) 326-3979 Inspector Badge No White -Environmental Services Yellow - Sletbn Copy Pink - Pally ~-' j ~~•. / ,. UNIFIED PROGRAM INSPECT~I®N CHECKLIST'`' SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~/t~ 900 Truxtun Ave., Suite 210 ~w>rM f Bakersfield, CA 93301 ~~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ~'~ vr~E is liS b~ b5-+,~~K~ ADDRESS HONE N0. O OF EMPLOYEES (o ciz v~' - ,Z ~~~7 ~ 5 FACILITY CONTACT U NES:i ID NUMBER 15-021-v o Z3v ~ A ~ P „ 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 ^ BUSIrt@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS / L~" ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY w~i~ cou~°~ Sv /mar ~ N1503 ^ VERIFICATION OF HAZ MAT TRAINING LK ^ 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 C~NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) r Fi Prevention / 1" In /Shift of Site/Station # Business ttE>'/Sch i e ns a Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)