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Home My WebLink AboutBUSINESS PLAN 2/27/2007 ,l I' __.......J. _ _. . ___ . _____ _ v I: A': ~LBERTSONS, INC. i : ..2691 MOUNT VERNON AVE. , I 1:_________ ___ _, ___~ ______ :1 ~ .J :if I \ ~&rv fsft 4~7qo { .6,'- ."- " '- ' ~~ E f~~ ~~ ~ ( I [--~ --, ('"' \ ('1 '\ "~~- . ...'...,',..."m""'''.....,',., .'B' - , I ,'.' .'1~~ ' j~I'~..~" " ." 'I ALBERTSONS 6358 Manager : --B~E~~:&frl'S- Location: 269l MT VERNON AVE City BAKERSFIELD f}5~ SiteID: 015-021;001063 I" 'f BusPhone: Map : 103 Grid: 22A ( 661 ) 872 -3511 CommHa? : High FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: CAC000970592 SIC Code:5411 DunnBrad:-G00G9271S0 1'Obl~&;3' Emergency Contact / Title Dl\RREL WILLIS ~vt'\ t\,)~-c,/ STORE DIRECTOR Business Phone: (b'61) 872-3511x . 24-Hour Phone : .(661) 581' 49~Gx Pager phone : ( Lt'-". \) ~o _- ()'z.s::lc f'r ss,~n+ +rtb y~ D lY'ectc -r Emergency Contact / Tltie RONALD SOUOA jl1dine.DtlYl'\ey/ GROCERx MA1~AG:!R Business Phone: (661) 872-3511x 24-Hour Phone : (6s1) B33 0911x Pager Phone : (\p\.Q \) 33'2.._- '3~\,p~ Hazmat Hazards: Fire React ImmHlth DelHlth Contact : JEFF R-OOT EYiU\ FYIi\ V\<;eV'l MailAddr: PO BOX 20 DEPT 72405 City : BOISE Owner NE:VVALBERTSONS INC Address : PO BOX 20 DEPT 72405 City : BOISE Phone: (208) .-J-95 -4:792x State: ID ~~S -l/1t?J3 Zip : 83726 Phone: (208) ~ 4792J( State: ID :,tlS- L-llP13 Zip : 83726 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENT'D MAR 7 2007 Based on my inquiry of .those i.ndividua.ls responsible for obtaining the information, I certify under penalty of law that I have person~IIY examined and am familiar ~ith the .mfo~matlOn submitted and believe the mformatlon IS true. accurate, and complete. L'~ "I) :y(o~ rtftDo1 Signature Date -1- 01/24/2007 I' SiteID: 015-021-001063 9 By Facility Unit 9 Fixed Containers on site 1 IspeCHazlEPA Hazards I Frm I DailyMax IUnitlMCP R IH DH L 190.00 GAL Hi F IH DH L 60.00 GAL UnR F ALBERTSONS 6358 p= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... LIQUID BLEACH ASSORTED PESTICIDES -2- 01/24/2007 -3- 01/24/2007 " SiteID: 015-021-001063 9 Facility Unit: Fixed Containers on site 9 F ALBERTSONS 6358 p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME LIQUID BLEACH Days On Site 365 Location within this Facility Unit AISLE 16 Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 190.00 GAL Daily Average 95.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Sodium Hypochlorite No 7681529 Z AS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No NO/ Curies R IH DH / / / Hi HA ARD SESSMENTS f= Inventory Item 0002 Facility Unit: Fixed Containers on site 9 = COMMON NAME / CHEMICAL NAME ASSORTED PESTICIDES Days On Site 365 Location within this Facility Unit AISLE 13 Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 30.00 GAL %Wt. I 100.00 Pesticides HAZARDOUS COMPONENTS ~ CAS # 01 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR -4- 01/24/2007 SiteID: 015-021-001063 9 Fast Format 9 Overall site 9 04/02/1999 F ALBERTSONS 6358 I p= Notif./Evacuation/Medical Agency Notification CALL 911. Employee Notif./Evacuation 04/07/2006 IF WE HAVE A MAJOR SPILL, THE MANAGER WILL EVACUATE ALL CUSTOMERS AND EMPLOYEES THROUGH THE SAFEST EXITS. AFTER EVERYONE IS EVACUATED, THE FIRE DEPT WILL BE NOTIFIED. Public Notif./Evacuation ~ ~ t w~~\~ we C \Dse4 . Emergency Medical Plan 09/20/2006 MEDICAL EMERGENCIES ARE TRANSPORTED TO KMC ON MT VERNON. ALL DEPTS HAVE FIRST AID KITS AND FIRST AID LITERATURE FOR MINOR EMERGENCIES. --, -5- 01/24/2007 SiteID: 015-021-001063 9 Fast Format 9 Overall Site 9 02/28/1990 F ALBERTSONS 6358 I p= Mitigation/Prevent/Abatemt Release Prevention ALL EMPLOYEES IN THE STORE ARE CAUTIONED ON USING UTMOST CARE WHEN HANDLING HAZARDOUS MATERIALS. ANY SPILLS ARE MOPPED UP IMMEDIATELY. Release Containment \J:t '0\1Lj \\-\\v( it> t\.1L1S'\l~b YMtMO\ \ . clean Up j\Net~\J f 'P\<W1 \\*'v ~-ttWtlri;lS. Other Resource Activation -6- 01/24/2007 SiteID: 015-021-001063 9 Fast Format 9 Overall Site 9 F ALBERTSONS 6358 I p= Site Emergency Factors Special Hazards Utility Shut-Offs A) GAS - OUTSIDE SW CRNR OF B) ELECTRICAL - INSIDE REAR C) WATER - INSIDE REAR WALL D) SPECIAL - NONE E) LOCK BOX - NO 09/20/2006 BLDG WALL Fire Protec./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLERS, IN SERVICE DELI DRY POWDER OVERHEAD, AND ALL DEPTS, PERIMETER AISLES, BACKROOM AND OFFICES HAVE FIRE EXTINGUISHERS. FIRE HYDRANT - HOOK-UP ON COLUMBUS ST. Building Occupancy Level 03/22/2006 90 EMPLOYEES -7- 01/24/2007 SiteID: 015-021-001063 , Fas t Format 9 Overall Site 9 01/24/2007 F ALBERTSONS 6358 I p= Training Employee Training MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: RIGHT-TO-KNOW MANUAL IS ON PREMISES. Page 2 Held for Future Use Held for Future Use -8- 01/24/2007 f~-~;c'l~~~-<rl~'~1:tt~~~~~'i~;'~ ~?r:v,~:~. l CORRECTI-ON NOTICE r04626 BAKERSFIELO FIRE OEPARTMENT r. ," r Location L.. b &) i f'i\ T \.) ,aAJo AI Ii tiC.. 00 i t " t Name ~u;,tiRT..sO v J You are hereby required to make the following /.([ corrections at the above location: )~JD ~.. . Cor. No. ._;lali 1J,-,,~~ (o....&c..c+- 4 0..., J.I- a~ n .s; x7 /J\ ~ ,"& a. f>....... H... .J i;:.,. -/"'1.. <;. f'V', E. - ~ >? ., ~,~ d..."" ~ -t\.... ~ f v\. ,_ Tq 0...... f V\ J' H<<>. .,&1.. . !:) 'Ii- ..:\ I GI......., E.,::..J~".. ",~....." ~- :j(I(t.,..."... .... .~ J}- ,I\, L f:!- (./""." .. c: {...;;I1' , N 4"- f 5 ... c: ~ r : ir Completion Date for Corrections1)~ '2..... '2.0::.5 '- b. , I' }.' Date ,,} tl J oS ~.?€ !!.k'. J "" j Inspector 326-3951 " i FD 1950 ~ -.:Z ALBERTSONS 6358 SiteID: 015-021-001063 Manager : GREG DODGE Location: 2691 MT VERNON AVE City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: CAC000970592 BusPhone: Map : 103 Grid: 22A (661) 872-3511 ComffiHaz : High FacUnits: 1 AOV: SIC Code:S411 DunnBrad:780148537 Emergency Contact GREG DODGE Business Phone: 24-Hour Phone : Pager Phone : / Title / STORE DIRECTOR (661) 872-3511x (661) 301-0257x ( ) - x Emergency Contact / Title JODINE DORNER / ASST STORE DIR Business Phone: ( 661) 872-3511x 24-Hour Phone : (661) 332-3368x Pager Phone : ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (208) 395-4793x State: ID Zip : 83726 Phone: (208) 395-4793x State: ID Zip : 83726 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : ERICA FRANSEN MailAddr: PO BOX 20 DEPT 72405 City : BOISE Owner Address : City NEW ALBERTSONS INC PO BOX 20 DEPT 72405 : BOISE Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENfD JUL 2 0 Z007 lJf.lStJ(] on my inquiry of those individual$ l'esp{jf'1l}lbl~ for obtl11lnit'ig th(:} Information. I certify unde~ penalty of law ~hat I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signature Date -1- 07/09/2007 ~- --:J1. SiteID: 015-021-001063 9 By Facility Unit "I Fixed Containers on Site 9 I SpecHazIEPA Hazards I Frm I DailyMax IUnitlMCP R IH DH L 190.00 GAL Hi F IH DH L 60.00 GAL UnR F ALBERTSONS 6358 p= Hazmat Inventory p== MCP+DailyMax Order Hazmat Common Name... LIQUID BLEACH ASSORTED PESTICIDES -2- 07/09/2007 r< ,".1' UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (Form 2731) (one page per material per buildin" or area) l8IADD DDELETE DREVISE REPORTING YEAR 2007 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Albertsons #6358 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 IN FRONT OF STORE (EPCRA ) DYES 181 NO I I I I I I I I I I I I I I I I MAP# (optional) 203 I GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes 181 No 206 PROPANE [fSubject to EPCRA. refer to instructions COMMON NAME PROPANE 207 EHS* DYes 181 No 208 CAS# 74-98-6 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I CURIES N/A 213 HAZARDOUS MATERIAL 211 RADIOACTIVE DYes 181 No 212 TYPE (Check one item only) 181 a. PURE Db. MIXTURE Dc. WASTE 215 PHYSICAL STATE 214 5 gallon (Check one item only) o a. SOLID Db. LIQUID 181 c. GAS LARGEST CONTAINER FED HAZARD CATEGORIES 216 (Check all that apply) 181 a. FIRE o b. REACTIVE 181 c. PRESSURE RELEASE o d. ACUTE HEALTH o e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 135 135 N/A N/A 221 I DAYS ON SITE: 222 UNITS. o a. GALLONS o b. CUBIC FEET 181 c. POUNDS o d. TONS 365 (Check one item only) · If EHS, amount must be in pounds. STORAGE CONTAINER o a. ABOVE GROUND TANK De. PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM Om. GLASS BOTTLE o q. RAIL CAR D b. UNDERGROUND TANK o f.CAN o j. BAG On. PLASTIC BOTTLE o r. OTHER Dc. TANK INSIDE BUILDING o g. CARBOY o k. BOX o o. TOTE BIN o d. STEEL DRUM o h. SILO 1811. CYLINDER o p. TANK WAGON 223 STORAGE PRESSURE o a. AMBIENT 181 b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE 181 a. AMBIENT Db. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# I 226 227 DYes DNo 228 229 2 230 231 DYes D No 232 233 3 234 235 DYes DNo 236 237 4 238 239 DYes DNo 240 241 5 242 243 DYes DNo 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) ~p UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (Form 2731) -(one o""e per material per building or area) I8IADD DDELETE DREVISE REPORTING YEAR 2007 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Albertsons #6358 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 FLORAL DEPARTMENT (EPCRA ) DYES 181 NO FACILITY ID # I I I I I I I I I I I I I I I I MAP# (optional) 203 I GRID# (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes 181 No 206 HELIUM If Subject to EPCRA, refer to instructions COMMON NAME HELIUM 207 EHS* DYes 181 No 208 CAS# 7440-59-7 209 *IfEHS is "Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 212 I CURIES N/A 213 HAZARDOUS MATERIAL 211 RADIOACTIVE DYes 181 No TYPE (Check one item only) 181 a. PURE Db. MIXTURE Dc. WASTE 215 PHYSICAL STATE 214 219 (Check one item only) o a. SOLID Db. LIQUID 181 c. GAS LARGEST CONTAINER FED HAZARD CATEGORIES 216 (Check all that apply) o 8. FIRE o b. REACTIVE 181 c. PRESSURE RELEASE o d. ACUTE HEALTH De. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 219 219 NfA NfA 221 I DAYS ON SITE: 222 UNITS' 181 a. GALLONS o b. CUBIC FEET o c. POUNDS o d. TONS 365 (Check one item only) · If EHS, amount must be in pounds. STORAGE CONTAINER o a. ABOVE GROUND TANK De. PLASTlC/NONMETALLlC DRUM o i. FIBER DRUM o m. GLASS BOTTLE o q. RAIL CAR Db. UNDERGROUND TANK o f CAN o j.BAG o n. PLASTIC BOTTLE o r. OTHER Dc. TANK INSIDE BUILDING o g. CARBOY o k. BOX o o. TOTE BIN o d. STEEL DRUM o h. SILO 1811. CYLINDER o p. TANK WAGON 223 STORAGE PRESSURE Da. AMBIENT 181 b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 DYes DNo 228 229 2 230 231 DYes D No 232 233 3 234 235 DYes DNo 236 237 4 238 239 DYes DNo 240 241 5 242 243 DYes DNo 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) ,.... -3- 07/09/2007 -,' SiteID: 015-021-001063 9 Facility Unit: Fixed Containers on Site 1 F ALBERTSONS 6358 p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME LIQUID BLEACH Days On Site 365 Location within this Facility Unit AISLE 16 Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 190.00 GAL Daily Average 95.00 GAL %Wt. RS CAS # 100.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME ASSORTED PESTICIDES Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 13 Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 30.00 GAL %Wt. I 100.00 Pesticides HAZARDOUS COMPONENTS ~I CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR HAZARD ASSESSMENTS -4- 07/09/2007 ~ SiteID: ~15-021-001063 9 Fast Format 9 Overall Site "I 04/02/1999 F ALBERTSONS 6358 I f= Notif./Evacuation/Medical Agency Notification CALL 911. Employee Notif./Evacuation 04/07/2006 IF WE HAVE A MAJOR SPILL, THE MANAGER WILL EVACUATE ALL CUSTOMERS AND EMPLOYEES THROUGH THE SAFEST EXITS. AFTER EVERYONE IS EVACUATED, THE FIRE DEPT WILL BE NOTIFIED. Public Notif./Evacuation 03/08/2007 STORE WOULD BE CLOSED. Emergency Medical Plan 09/20/2006 MEDICAL EMERGENCIES ARE TRANSPORTED TO KMC ON MT VERNON. ALL DEPTS HAVE FIRST AID KITS AND FIRST AID LITERATURE FOR MINOR EMERGENCIES. -5- 07/09/2007 ~ F ALBERTSONS 6358 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001063 9 Fast Format 9 Overall Site 9 02/28/1990 ALL EMPLOYEES IN THE STORE ARE CAUTIONED ON USING UTMOST CARE WHEN HANDLING HAZARDOUS MATERIALS. ANY SPILLS ARE MOPPED UP IMMEDIATELY. Release Containment 03/08/2007 USE KITTY LITTER TO ABSORB MATERIAL. Clean Up 03/08/2007 SWEEP UP KITTY LITTER AFTERWARD. Other Resource Activation . . -6- 07/09/2007 ',;, ~-' ., SiteID: 015-021-001063 9 Fast Format 9 Overall Site 9 f ALBERTSONS 6358 I f= Site Emergency Factors Special Hazards Utility Shut-Offs 03/08/2007 GAS - OUTSIDE SW CRNR OF BLDG ELECTRICAL - INSIDE REAR WALL WATER - INSIDE REAR WALL Fire Protec./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLERS, IN SERVICE DELI DRY POWDER OVERHEAD, AND ALL DEPTS, PERIMETER AISLES, BACKROOM AND OFFICES HAVE FIRE EXTINGUISHERS. FIRE HYDRANT - HOOK-UP ON COLUMBUS ST. Building Occupancy Level 03/22/2006 90 EMPLOYEES -7- 07/09/2007 ..~ - ,. ..J ..,.- SiteID: 015-021-001063 1 Fast Format 9 Overall Site 9 01/24/2007 F ALBERTSONS 6358 I p= Training Employee Training MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: RIGHT-TO-KNOW MANUAL IS ON PREMISES. Page 2 Held for Future Use Held for Future Use -8- 07/09/2007 'f. ::1'. + ALBERT SONS 6358 ===================================== SiteID: O~S-021-00~063 + Manager : GREGORY DODGE Location: 2691 MT VERNON AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 22A (661) 872-3511 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 08 SIC Code:5411 EPA Numb: CAC000970592 DunnBrad:0006927180 +==============================================================================+ +==============~========================+======================================+ Emergency Contact / Title Emergency Contact / Title DARREL WILLIS / STORE DIRECTOR RONALD SOUSA / GROCERY MANAGER Business Phone: (661) 872-3511x Business Phone: (661) 872-3511x 24-Hour Phone : (661) 589-4956x 24-Hour Phone : (661) 833-0911x Pager Phone : ( ) -L! X Pager phone : () x +----------~----------------------------+--------------------------------------+ I Hazmat Hazards: Fire React ImmHlth DelHlth I + - - - - - - - - - - - - - - - - - - ---: - - - - - - - - - - - - - '" -: - ----.":: - =---..,.- - - - -:- -::;,:-.-: - - .,,-:---.-=------':: - - - - ." - -.--- -- --- - - - --- +- Contact: :- JEFF ROOT- . Phone: (208) 395-4792x MailAddr: PO BOX 20 DEPT 72405 State: ID City : BOISE Zip : 83726 +------------------------------------------------------------------------------+ Owner ALBERTSONS INC Phone: (208) 395-4792x Address : PO BOX 20 DEPT 72405 State: ID City : BOISE Zip : 83726 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Cert~f'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD - Based ,on-my inqLllry Of--those--lndlvfduals- responsible for obtair'llng the information. I certifY unde~ penalty of law that I have personally examined a . familiar with the information submltt and bel VEl the information is true ace Ie, and comp te. · ENrv A PRO 7 2006 3 -;;V~{}0 Date +==============================================================================+ -1- 03/22/2006 F ACILlTY NAME ADDRESS F ACILlTY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd 1<'loor, Bakersfield, CA 93301 . /p1;$<t /.JC INSPECTION DATE .IC PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES JAN 032006 Section I: ~ Routine Business Plan and Inventory Program gf( o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection . OPERA nON C v COMMENTS . Appropriate pennit on hand / Business plan contact infonnation accurate / Visible address .; Correct occupancy i/ Verification of inventory materials V Verification of quantities I Verification of location ( Proper segregation of material tI Verification of MSDS availability V Verification of Haz Mat training il Verification of abatement supplies and procedures /" 1/ Emergency procedures adequate / Containers properly labeled II Housekeeping II Fire Protection II Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: 0 Yes~o . Explain: Questions regarding this inspection? Please call us at (661) 326-3979 ,,, White - Env. Svcs. Yellow - Station Copy Pink - Business Copy . ss lte Responsible Party Inspec~WMiKJ