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HomeMy WebLinkAboutBUSINESS PLAN 7/23/2007~ RUSTY'S #11 6675 MING AVE. ~~~~ ~,~` .. RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 Manager CYNDI DUNCAN Location: 6675 MING AVE City BAKERSFIELD BusPhone: (661) 834-5753 Map 123 CommHaz Low Grid: 09B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CYNDI DUNCAN / OWNER / Business Phone: (661) 834-5753x Business Phone: ( ) - x 24-Hour Phone (661) 331-0688x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact CYNDI DUNCAN Phone: (661) 331-0688x MailAddr: 6675 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner RUSTYS PIZZA Phone: (661) 834-5753x Address 6675 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 ENT°D ~ ~~ ~. ~ 5 2oa~ PROG C - COMM HOOD [3ased on my inquiry of those individuals Er oh:Uining the information, I certify n^ible fr . respo under ~ena9iy of la.~~r that 1 have personally d and am fa:~siiiar with the information i r;e exam submitted and ~slieve the inforrnation is true, accurate, and c^m~lete. . Z3 ~L~7 Signatu~~~ - Date -1- 07/16/2007 C~ -~ F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CARBON DIOXIDE HELIUM F P F P IH IH G G 220.00 217.00 FT3 FT3 Min Min -2- 07/16/2007 f -3- 07/16/2007 r ~ F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: PREP AREA CAS# 124-38-9 ~GaSATE TYPE T PRESSURE ~~ TEMPERATURE CONTAINER TYPE TPure 1 Above Ambient I Crvoaenic INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 220.00 FT3 220.00 FT3 220.00 FT3 t1E~GFiKLVU.7 1:V1~lYV1VL" 1V 1 7 oWt. RS CAS# 100.00 Carbon Dioxide No 124389 t1AGE~ttL A~al"~J51~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit R OF CASHIER STATE TYPE PRESSURE _ Gas Pure Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co217100rFT3 Daily 217100m FT3 I Daily 217r00e FT3 nt~c~ritu~vua ~Vrirvlv~lvl~ %Wt. RS CAS# 100.00 Helium No 7440597 ri1~G1-~LCL 1~ 5~I;J~1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 07/16/2007 C1~; i5 7• F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification Ca! l g 11 /~ CaSC a~ R ~ y ~vy~ e~-~~zGt-~s' ,_ LIu l~J1VyCC 1VV l.1l / tlVdC:Udl.1 V11 l~u bi~c ~~td~$5 t~ ~ ~~~ ~e~~~ ~©y.~s ~?v~zcuw~'~e ouf sore-~l~ ~r`~Gl~tev~ ~ldor~. -5- 07/16/2007 F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/27/2007 ~ CO2 AND HELIUM BOTTLES CHAINED. HELIUM VALVE CLOSED UNLESS BALLOONS ARE BEING INFLATED. lCC1Cdi7~C l..Vll l.d 111111C11L l.1Cd11 V~J V 1.11C1 1CC .~.-V U.L I:C tiV l.lVdl.1 V11 -6- 07/16/2007 "- - F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rc~ial ncac~atu~ Utility Shut-Offs GAS - SW CRNR OF BLDG ELECTRIC - SW CRNR ENCLOSURE WATER - NW CRNR METERS 02/27/2007 Fire ProteC./Avail. Water CURRENT ANSUL SYSTEM/FIRE EXTINGUISHERS HOSE BIBS E & W SIDE 02/27/2007 Building Occupancy Level 02/27/2007 180 -7- 07/16/2007 ~Y F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/27/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: MOST EMPLOYEES TRAINED ON ANSUL/EXTINGUISHERS. rayc c -~ i r. iiciu tVi i•u~.utc Vic nGlu LVL rul. ulC V.7C -8- 07/16/2007 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 INSPECTIO~TE INSPECTION TIME _y ~ 3 ~~ f _0_._3_~__a_o ~__,_.,_S__. V PHON No. 1 No of Employees FACILITYCONTACT Business ID Number ~ ~0( O~~vG~tal 15-021- ooZlb'Y Section 1: Business Plan and Inventory Pn~gram C3~outine ^ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection V C \V=Vioatiolnncel OPERATION ) COMMENTS ~ L-i LJ A PROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY L~7 ^ VERIFICATION OF INVENTORY MATERIALS r ^ VERIFICATION OF QUANTITIES `~G-v/~% ' "'/j ~j.}'(i~/~~~1/ L./ : ~ /~~/7 ~ ~ ~ I.~ ^ VERIFICATION OF LOCATION _ ____ _ _ _ _ ` ~,, ~ -~,'~ ~. __ _ __ _ ^ = PROPER SEGREGATION OF MATERIAL - ._ ^ VERIFICATION OF MSDS AVAILABILITYE ^ V M ERIFICATION OF HAT AT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ERGENCY PROCEDURES ADEQUATE ~ i ` ' ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~ ~ ^ FIRE PROTECTION ~.~- ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES h0 IVO EXPLAIN: QUESTIONS REGARDING TH{S INSPECTIONS PLEASE CALL US AT (661 } 326-3979 _~~ ~~ - --------_..------ ~y/ ----~. Inspector Badge No. White -Environmental Services Yellow - Stefan Copy C 7 I r' Busir~ss Site Responsible Party fff Pink -Business Copy ~j ~'~ •. ;~' RUSTYS PIZZA PARLOR 11 Manager Gy~u,~~ ~ju~~,~.~ Location: 6675 MING AVE City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: SiteID: 015-021-002188 _ 53 BusPhone: (661) 834-578 Map 123 CommHaz Low Grid: 09B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CYNDI DUNCAN / , OGdNE~Q, / Business Phone: (661) 834-5753x Business Phone: ( ) - x 24-Hour Phone (661) 331-0688x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact e yN~ i ~U~lIG4{v ; Phone : ( 661) 83x MailAddr: 6675 MING AVE State: CA 33{_o~gg City BAKERSFIELD Zip 93309 Owner RUSTYS PIZZA Phone: (661) 834-57Szx Address 6675 MING AVE State: CA 53 City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENT'D F E B 2 6 2007 Lased on my inquiry of those individua;s respansibie for obtaining the infarmation, I certify under penalty of iaw Th t I a have personally examined and am familiar with the information submitted and believe the information is true , accurate, and co plete. Q~' ,~ 0 ~~~ S ignature Date -1- 02/06/2007 ,; F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CARBON DIOXIDE HELIUM F P F P IH IH G G 220.00 217.00 FT3 FT3 Min Min -2- 02/06/2007 -3- 02/06/2007 n P RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: PREP AREA CAS# 124-38-9 ~GdSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Cryogenic INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 220.00 FT3 220.00 FT3 220.00 FT3 - riL~G!-~KLVU7 1:V1~lYV1V151V1A %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 tit~GtltC1J A5 5L' S~~v~L~lv~l J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit R OF CASHIER STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATIONI Largest Co217100rFT3 Daily 217100m FT3 1 Daily 217~OOe FT3 17HGtiRLVUJ 1.V1~lYV1VP~1V1J %Wt. RS CAS# 100.00 Helium No 7440597 tltiGtiKL HJ A~.7.71"l~1V-l.'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/06/2007 n .~ F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ,~ P~Lll~J1VyCC 1VV 1.11. ~ P.,VdI.:UdL1V11 t'U1J111: 1VV 1.11. ~ L' VdC:Udl~l Vll r,ulcl_ycll~.~t ricul~.a1 r1d11 -5- 02/06/2007 r- ;, F RUSTYS PIZZA PARLOR 11 SiteID: 015-02.1-002188 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ xeiease rrevenLion G~ y ~,, N-c~~ k}1 43vtr~~3 crt-~, ~ ~-D l~"1~1 VM V/kc.JE Gc,osr`Q vNt.~~rS r3/kU-oe1J5 /~2c (3~-z+~r~.. t~ r-c~~U-p. _, itG1c0..7c 1. V111.0.111LLlCll 1. 1.160.11 tJ1.J v 1..11C1_ 1CC5Vlll.LC HL L1 Vdl.l Uil -6- 02/06/2007 v r, F RUSTYS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~ Site Emergency Factors Overall.Site ~ arc~ldi nd~diu5 Utility Shut-Offs Gds' SvuTN ~5T c:e2.t ~2 OF 4u~tc1 ~G- Et.+~.T~tc~c. sou.Tt+w~sr Co~62. C-~G~s~~~ W~b2 ~l0 2TtFw~T- Co2-.~t~ I~-l 6TL.,~S i'1lC rIVI~CI:./P''1Vd11 WdLCl Cu22cT'~T ,4,asu~ g.~STb'~-+ ~F~R6 I=XTINC.utSHt'~S ~~~ a~ g ErEST- 5 ~ OE ~ 58 ~r ~6 UTu~ i S t ~ G J~lAl llAllly Vl.. I. LL~J0.111.y LCVC1; t -7- 02/06/2007 ~. - f F RUST.YS PIZZA PARLOR 11 SiteID: 015-021-002188 ~ Fast Format ~ ~~Training Overall Site ~ ~ Employee Training h~t~r-~'r'• ~'M.p~oY~s -Fn.~r~it~ oN s~Nsuc. (cxnN~ucs~ rayc c iaclu tvt rUI.UtC l.1SC I1C1u 1V.L 1'UI.UlC U.S.S C'' -8- 02/06/2007 UNIFIED PROGRAM INSPECT~I®N CHECKLIST ~~; ~,~, ~.As .,.-.. .`,«*.~ta' +*k;e"^a7n.N4:X'di:w~l: ~v-.:~i?'w^R'QI143, tH.crr .:< -..i:, , .~.. aIS, ~..._ ~:.,,. ..,L.-:.. i.:. -..w.,-.,_: _,;.at. :.. .:,, ._ ~~rr r - SECTION 1: Business Plan and Inventory Program r ~ • BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAM NSPECTION DATE NSPECTION TIME r~s ,o , ~- ADDRESS s ~ ~ HONE NO. ~~~ O OF EMP~YEES 7. ~~ ~,~ . FACILITY CONTACT c~~ Q 4~~g ~/ ~3r- o6gg USINESS ID NUMBER is-o2~-vez ~~~ 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 PUSIf18SS PLAN CONTACT INFORMATION ACCURATE n k ~ O I ~ i1 ~ tc 7S Q~ f' '7 J d ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ 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: 'QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3979 ~ii~ ~od ~i'- ~ Inspector (Please Print) Fire Prevention / 1`~ In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy f., ^ YES NO FD2049 (Rev.02/OS) ~/ + RUSTYS PIZZA 11 _____________________________________ SiteID: 015-021-002188 + Manager BusPhone: (661) 834-5782 Location: 6675 MING AVE Map 123 CommHaz Minimal City BAKERSFIELD Grid: 09B FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CYNDI DUNCAN / / Business Phone: (661) 834-5753x Business Phone: ( ) - x 24-Hour Phone (661) 331-0688x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 834-5782x MailAddr: 6675 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner RUSTYS PIZZA Phone: (661) 834-5782x Address 6675 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 PROG C - COMM HOOD ~a~ad vn my inquiry of those individuals ro~pon~~ble for obtaining the information, f Certify urldCr ,penalty of law that I have personally s~ertiirled And am familiar with the Information ~u~mitted and believe the information is 4rue, AoCUrt~te, and complete. 8i j tu~~ Date ENT APR 1 ~ 2~~6 -1- 03/22/2006