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HomeMy WebLinkAboutBUSINESS PLANMOULDING BIN 33 MONTEREY STREET - J ;y- ,. ~ MOULDING BIN SiteID: 015-021-003022 Manager RUTH RODRIGUEZ Location: 33 MONTEREY ST City BAKERSFIELD BusPhone: (661) 631-1450 Map 103 CommHaz Extreme Grid: 29A FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title ~ Emergency Contact /, .Title RUTH RODRIGUEZ / ~j`u ~?~ JOSE CASTRO /. '~ h tt°S Business Phone: (661) 631-1450x Business Phone: (661) 631-1450x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact RUTH RODRIGUEZ Phone: (661) 631-1450x MailAddr: 33 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Owner RUTH RODRIGUEZ Phone: (661) 631-1450x Address 33 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D ~ ~ B 2 ~. ~Op7 Based on my inquiry of th¢~9a individuals btaining th~a information, I certify f , or o responsible hat I hive personally u~~ f f l . a under penalty o examined and i n familiar with the information submitted and believe the information is true, accurate, and complete. ~ a~_ Jate nature -1- 02/05/2007 F MOULDING BIN SiteID: 015-021-003022 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 252.00 FT3 Hi -2- 02/05/2007 ry } -3- 02/05/2007 .l r_ f ~ F MOULDING BIN SiteID: 015-021-003022 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: FORKLIFT CAS# 74-98-6 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~~ CONTAINER TYPE _ Gas I Pure Above Ambient I Ambient I PORT_ PRESS_ CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 252.00 FT3 252.00 FT3 252.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Propane Yes 74986 i11-~G1i1CL H. 7~~.7 ~.71~1L'1V -1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 02/05/2007 F MOULDING BIN SiteID: 015-021-003022 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ t~ lly Cilt.Y 1VV I..lllt.d L1V11 t / .-. Ldll~llVyCC 1VV 1.11. / P~Vd1:LLd 1.1 V11 i ~.. t lAi.J111. 1VV L.11 ~ PTV d1:Ud1.1 Vl1 IJ IIICLy Clll:y 1.1C U1C:d1 Y1d11 -5- 02/05/2007 F MOULDING BIN SiteID: 015-021-003022 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Ke1~ci5~ Yr'eV~i1l.1U11 Release Containment ~.icall vN V1.11CL 1CC.7VULl:C til.:L1VCLL1Vll -6- 02/05/2007 F MOULDING BIN SiteID: 015-021-003022 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 11d"G dl U.5' Utility Shut-Offs ,~ ,_ r-ire rrozec.~xvail. water , Building Occupancy Level 03/20/2006 1 EMPLOYEE -7- 02j05/2007 F MOULDING BIN SiteID: 015-021-003022 ~ Fast Format ~ ~ Training Overall Site ~ _, , i,u~~iVYcc 1lalllllly rc~yG ~ _, , t_ 1LC 1~.4 iVl L'Ul..LL1G V~7G nclu tVi ruLUl~ Vse -8- 02/05/2007 ~~K ~ ~~ ate. a IINIFIE® PROGRa4M 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 ~ uvarc~. ~ inn h~ c inarct~ r wn ~ imc Y'~-nib 61 YJ. ~~A~ d~ ADDRESS PHONE No. No. of Empby C 3 ~ ~ r~~u-Y _ - _ _ . - ----- _.__.._ ~p --- ------ ----- -- N - - --- ....q~ - --- ------- ,_ _.._ _ ._.- - - ------ ~ ~ FACILITYCONTACT ~ business I umber ~ , 15-021- ,.~~ Section 1: Business Plan and Inventory Program 3D2Z outine O Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-t C V OPER/4TION ~ n~ COMMENTS V=vio ation l °~'2`~ A ^ ^ APPROPRIATE PERMIT ON HAND ~y! P 1 ' -l~J I ~I~l~. ~ l ~ (~ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ----- ^ ~ - - VERIFICATION OF INVENTORY MATERIALS --- ------ __---- ------- --- __ _-_------- ___ -- _ ~ ~~~ P-_____. . ^ ^ VERIFICATION OF QUANTITIES '7 G,/~(- ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL -- ---..._ -- _ _ -.. ._.__.- _ _.... _ _. Q~/1 ...__ ...._....__ _.... -- -----------... ^ ----- ^ ---- VERIFICATION OF MSDS AVAILABILITYE -. _---------- -- -------- ---- - ....._..... ----_ _ - ~~~~ ((~~JJ ~ ___ __ .... ___- __.. ~....._ -. D. ~._ .... .......... ----_ - ---___... ^ ^ VERIFICATION OF HAT MAT TRAINING- ! 1 ~~' ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~`~ _-. ~ `~ ^ ^ EMERGENCY PROCEDURES ADEQUATE ~ - ^ ------ ^ -_..-...__...--------.._..-----.....---...----.._....------------------ -- ...._ ._. CONTAINERS- PROPERLY LABELED . I ---- --- __ _ _ ..... __ _. _ .._ --. -. -.._.. __.. -.._...._ _ __ ---- - .....- ----.- ....- } ^ ^ HOUSEKEEPING ^ -- ~ --- FIRE PROTECTION - - -_ _- ----- --- - --- -~ - - -- --- - - _ .. .. I .. ~ ~1.C-A.St., ..$'(~.J~c~_ ~ .A~QD ~Ki i~.f?.tl~~ '-TO u2J(C,1C _ . ^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES t~0 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~CF)'I ~ 326-3979 - - ---..-.1,~ ~ n'G'S --- _ -------------------------~--3----------_---- Inspector (Please Print) Fire Prevention 1st-In/ShiN of Site White • Environmental Services Yelbw - Stetgrt Copy usiness Site Res sible Party (Plea rint Pink -Business Copy /~ ,~~ _.-- e E R S F I D P/R!' ARTM T '. /iii,/I/ ~.ANrw/.. C[TY Ot~ I3AKERSFIELD . .~ • • OFFICE OF ENVIRONMENTAL SERV[CES 1715 Chester Ave., CA 93301 (661) 326-3979 ~.4~ HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~VEW ^ ADD ^ DELETE ^ REVISE 200 _ _ I. FACILITY Ir`IFORMATION '~ BUSINESS NAME (Same as FACILITY NAME or DBA - Ooing Business As) N(QL.JL(~ i ~IYs- ~ l ~ CHEMICAL LOCATION ~ ~~c.l ~- r Ns I ~C- gA.~ ~2 ,- FACILITY ID # ~ ,, y'; ~ ( j ~ ti MAP # (optional ~ I I ,, , ,& ; ~_ ~ ... is=' ---~..__.........- `- ........--------... _-_-......___.---'-- ..... il. CHEMICAL INFORMATION CHEMICAL NAME ~~~ COMMON NAME CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local (ire chietj (one form per material per building or area) Page _ of I 3 20 t CHEtdICAL LOCATION ^ Yes ^ No 202 CONFIDENTIAL (EPCRA) 203 GRID # (optionaQ 204 205 TRADE SECRET ^ Yes ^ No 206 I! Subject to EPCRA, refer to instructions 207 ... ------- --- - --- EHS' ^ Yes ^ No 208 209 •If EHS is'Yes,' all amounts below must be in lbs. ' 210 TYPE ' -__--~'_--~--. _--~- - ~ ~ ~ _ _ PURE ^ m MIXTURE ^ w WAS"; °_ .. -__'_--- ... -.- --' . .. _. _.-. .. . -.. ~ R-,OIOACTIVc ... _ ^ No 212 CURIES ^ Yes ..-- -_---~ -_-__~~_'_ 2t3 --.---- PHYSICAL STATE ^ s SOLID ^ I LIQUID ~ GAS 279 LARGEST CONTAINER ~ ~~ r 2t5 FED HAZARD CATEGORIES FIRE ^ 2 REACTIVE ~+3 PR::S3 JRE F.ELE~SE L i 4 .> :U"'E H "'~ EALTH ^ S CHRONIC HEALTH 2t6 (Check all that apply) ...- / :--- - --- ANNUAL WASTE ' ------.. -- - ... _..... -- - -- - - - . - - 217 ,d4XIMUM c18 Z~Z - A.Vh-RAGE 2~Z .. .....----------- 219 j STATE WASTE CODE ----- 220 AMOUNT DAILY AMOUNT _ DAILY AMOUNT j -- --- --._.._-. -..._._.9_.__. -...---- - _~--_._.._ .. UNITS' ^ a GAL cf CU rT ^ Ib LBS ^ to TONS 221 ~ DAYS ON SITE 222 ' If EHS, amount must be in lbs. STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ' ^ b UNDERGROUND TANK ^ f CAN u j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ~.L~ CYLINDER ^ o TANK WAGON STORAGE PRESSURE ^ a AMBIENT ~ ABOVE AMBIENT ^ ba BELOW AM8IENT 224 L_- _..__,-_ STORAGE TEMPERATURE _____.. .._-.. -_ _. - -..... .. _.- .. .. .- .. _.. .... ..... .. .._.. _.._..--_-_.~__- AMBIENT ^ as ABOVE AMBIENT ^ b3 BELOW AMBIENT ^ c CRYOGENIC 225 %WT HA7ARDOUS COMPONENT t EHS I :, CAS # ; . 1 , 226 I 227 ~ ^ Yes ^ No 228 I i _ i ' 2 230 ~ ~ 231 ~ ' ~ ! ^ Yes ^ No 232 I-----I---_..._.-.- ------- ~ --- -- .... i i - 3 ~ 234 i 235 ^ Yes ^ NO 236 i.- --- --- -'-------'--'---~--._--.... a 238 ~ 239 ^ Yes ^ No 240 f_. _, i 229 233 237 24t 5 i 242 243 j 245 ..~._-------~-'-'----- -'-"-----_......_....__.......... __ .... _ .. ................... ..... ........ ._.. .. - ... _ ....._-. . _......_ ...i ^ Yes._.__.NO 244 ---....-'-•-~--------- ~- - - ~'--- - __ __ III. SIGNATURE _ _ _ PRINT NAME 8 TITLE OF AUTHORIZEd~COMPANY RE~PRESENTATIVE~ ~~~~~~~ ~ ~~~'-- ~ ~~ ~ ~ ~ SIGNATURE DATE 246 UPCF (7/99) S:\CUPAFORMS10ES2731.TV4.wpd . , _-,. ~U~oiN~ B Large Selection of Mouldings Interior 8 Exterior Doors We Make Doors To Size SE HABLA ESPANOL RUTH RODRIGUEZ MONDAY -SATURDAY JOSE CASTRO (661) 831-1450 33 MONTEREY ST. FAX: (661) 631 -1451 BAKERSFIELD, CA 83309 + MOULDING BIN ________________________________________ SiteID: 015-021-003022 + Manager RUTH RODRIGUEZ BusPhone: (661) 631-1450 Location: 33 MONTEREY ST Map 103 CommHaz High City BAKERSFIELD Grid: 29A FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code: EPA Numb: DunnBrad: Emergency Contact / ~"'itle Emergency Contact / ~ Title RUTH RODRIGUEZ / JOSE CASTRO / Business Phone: (661) 631-1450x Business Phone: (661) 631-1450x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact RUTH RODRIGUEZ Phone: (661) 631-1450x MailAddr: 33 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Owner RUTH RODRIGUEZ Phone: (661) 631-1450x Address 33 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT E~~~p BAR 2 0 Zoos Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. 'Snature Date ~U Cf"L~..~~.e 5 -1- 02/28/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business- Plan and Inventory Program Prevention Services e A F a s r• t ~__„ 9001YizxtunAve.,-Suite-210 FIRE Bakersfield,. CA 93301 a a rM Tel.: (66 i) 326-3979 Fax: (661} 872=2171 - FACILITY NAME ~ ~ i''1 DLcL G ~~~ INSPECTION DATE ~! '/ ~ - D~ INSPECTION TIME 09 3 d ADDRESS ~ ~ -'~ or~T/"L21~ PHQNE-tJ % - / ~ ~~ i/9 3 NO OF='PLOYEES - ~- FACILITY CONTACT O~ ~ ~ ~7Yv BUSINESS ID NUMBER 15-021- 00,30 Z Z ROUTINE Section 1: ^ COMBINED ^ JOIP Business Plane and Inventory Program ~ ~~"~ f AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance~~ OPERATION ~ V=Violation ' COMMENTS ~/ I d ^ APPROPRIATE PERMIT ON HAND ,, / L~J ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS L~J ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION A ~ //), •V JV / L~J ^ PROPER SEGREGATION OF MATERIAL // 1 t ~ n 1/, / /li -/ LN ^ VERIFICATION OF MSDS AVAILABILITY - ,~ n ,~{ 1~/ /// ~~/// , / L~J ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1 LJ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION I~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 i /_~/U~l f{~iYY G~~6~4~ 2- ~/~ Inspector -(Please Print) Fire Prevention / 1s' In /Shift of Site/Station # ^ YES ~O White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy .- FD 2155 (Rev. 09/05