HomeMy WebLinkAboutBUSINESS PLANMOULDING BIN
33 MONTEREY STREET
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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
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-3-
02/05/2007
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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 ~
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Ldll~llVyCC 1VV 1.11. / P~Vd1:LLd 1.1 V11
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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 ~
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1LC 1~.4 iVl L'Ul..LL1G V~7G
nclu tVi ruLUl~ Vse
-8- 02/05/2007
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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