HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007~~
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~~ JOST FLOOR COMPANY
320 OAK STREET
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JOST-FLOOR CO INC SitelD: 015-021-000733
Manager DAVID JOST BusPhone: (661) 327-7701
Location: 320 OAK ST Map 102 CommHaz Extreme
City BAKERSFIELD Grid: 36C FacUnits: l AOV:
CommCode: BFD STA 03 SIC Code:
EPA Numb: DunnBrad:95-3310310
Emergency Contact / Title Emergency Contact / Title
DAVID JOST / PRESIDENT DUANE JOST / VICE PRESIDENT
Business Phone: (661) 327-7701x Business Phone: (661) 327-7701x
24-Hour Phone (661) 587-8425x 24-Hour Phone (661) 589-4521x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact DAVID JOST Phone: (661) 327-7701x
MailAddr: 320 OAK ST State: CA
City BAKERSFIELD Zip 93304
Owner DAVID & DUANE JOST Phone: (661) 327-7701x
Address 320 OAK ST State: CA
City BAKERSFIELD Zip 93304
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif ' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~NT°D J U L 1 ~ Zpp~
Qased on rt?y inquiry of those individuals
responsit;le for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
su ~ ~tted and believe the information is true,
acc ira~~, and ~. p,~te.
`I ~-D~
~~
Signa re
Date
-1- 07/12/2007
r. i
F JOST FLOOR CO INC =
~ Hazmat Inventory =
~ MCP+DailyMax Order
= SitelD: 015-021-000733 ~
By Facility Unit ~
Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PROPANE E F P IH G 728.00 FT3 Hi
5-325 CLEANER R IH L 30.00 GAL Hi
5-235 MULTI PURPOSE ADHESIVE F R L 100.00 GAL Mod
5-405 FLOOR CLEANER R IH L 30.00 GAL Mod
5-280 SEAM ADHESIVE R L 10.00 GAL Mod
5-665 SEAM ADHESIVE F R L 3.00 GAL Mod
MOTOR OIL F DH L 50.00 GAL Min
CARPET ADHESIVE L 100.00 GAL UnR
-2- 07/12/2007
-3- 07/12/2007
~ I
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
74-98-6
~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE
I Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
182.00 FT3 728.00 FT3 728.00 FT3
t1AGL-1KLVUb 1=V1~lYV1VL'1V1J
%Wt. RS CAS#
100.00 Propane Yes 74986
t11~GLi.1CL H~JJ;J51~1J;1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
S-325 CLEANER
Location within this Facility Unit
SHOWROOM
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
111-76-2
TEMPERATURE CONTAINER TYPE
Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 30.00 GAL 20.00 GAL
11HGKKLVU.7 1.V1~lYV1V~1V 1.7
%Wt. RS CAS#
2.00 Sodium Metasilicate No 6834920
2.00 2-Butoxyethanol No 111762
2.00 Ethanolamines (family name) No 141435
ilti[~KRL 1-x. 7.7 P~J~71~1J;1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 07/12/2007
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
5-235 MULTI PURPOSE ADHESIVE Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
108-88-3
Liquid TMixtur~ AmbRent~E ~ AmbientT~E METALOCONTAINRTNONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 GAL 100.00 GAL 85.00 GAL
t1HGHKIJ V U 5 lL V1~lY V1V ~1V 1 J
oWt. RS CAS#
3.00 Toluene No 108883
riHGEiKL r-~a~~aal~l~ivl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R / / / Mod
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
S-405 FLOOR CLEANER
Location within this Facility Unit
SHOWROOM
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
111-76-2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~ Ambient ~ Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
1.00 GAL 30.00 GAL 20.00 GAL
nti~tucLVU~ ~:V1~1rVlv~tvla
°sWt. RS CAS#
10.00 2-Butoxyethanol No 111762
I1HGHiCL L-i~J .71;.7J1°11;1V1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
-5- 07/12/2007
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
5-280 SEAM ADHESIVE Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE SHELVES CAS#
108-88-3
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
0.25 GAL 10.00 GAL 5.00 GAL
- HAZARDOUS COMPONENTS
sWt. RS CAS#
4.00 Toluene No 108883
43.00 Amorphous Silicon No 7440213
rl.l'iGt'l.CCL riJ .71'.~J J1.1P~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Mod
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
5-665 SEAM ADHESIVE
Location within this Facility Unit
WHSE SHELVES
STATE TYPE PRESSURE
Liquid TMixture ~mbient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
108-88-3
TEMPERATURE CONTAINER TYPE
Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
0.50 GAL 3.00 GAL 2.00 GAL
nric~rinl~v~a l..Vl"!t'V1VP~1V 1.7
'°Wt• RS CAS#
10.00 Toluene No 108883
20.00 Ethyl Alcohol No 64175
5.00 Silicon Dioxide No 7631869
11tiGri2CL riJ ~JP~J.91~1J•S1V-1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R / / / Mod
-6- 07/12/2007 'i
F JOST FLOOR CO INC SitelD: 015-021-000733 ~
~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
8020835
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~-Ambient ~ Ambient DRUM/BARREL-METALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
50.00 GAL 50.00 GAL 50.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
tiE~GKCCL L~.7 ~L" ~.71~11;1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
CARPET ADHESIVE Days On Site
365
Location within this Facility Unit Map: Grid:
WH5E CAS#
Liquid TMixture ~AmbRent~E ~ AmbientT~E ~ PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 GAL 100.00 GAL 100.00 GAL
HAZARDOUS COMPONENTS ~ ,
%Wt.
RSI CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-7- 07/12/2007
P JOST FLOOR CO INC SitelD: 015-021-000733 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 09/21/2000 ~
CALL 911 AND EXPLAIN TO FIRE DEPT TYPE OF SPILL/ACCIDENT THAT HAS OCCURED.
Employee Notif./Evacuation 09/21/2000
USE OFFICE INTERCOM SYSTEM TO NOTIFY EMPLOYEES TO EVACUATE BLDG. CONTACT
KERN COUNTY HEALTH DEPT IN CASE OF MINOR SPILL OR CALL 911.
Public Notif./Evacuation
09/21/2000
USE TELEPHONE INTERCOM SYSTEM TO WARN EMPLOYEES OF DANGEROUS SITUATION OR
TO EVACUATE THE BLDG. SALES AND OFFICE PERSONNEL WILL HELP EVACUATE
CUSTOMERS ON SALES FLOOR TO THE CLOSEST EXIT.
Emergency Medical Plan 09/21/2000
CALL 911 FOR EMERGENCY MEDICAL TREATMENT. FOR NONEMERGENCY ACTION CALL
KAISER PERMANENTE RESPONSE - 328-9631 FOR TREATMENT. MERCY HOSPITAL IS A 10
MINUTE DRIVE FROM THIS PROPERTY.
-8- 07/12/2007
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 09/21/2000 ~
TANKS ARE MONITORED DAILY TO CHECK FOR LEAKS. NOZZELS HAVE AUTOMATIC SHUT
OFF DEVICES. EMPLOYEES ARE INSTRUCTED TO USE CAUTION AROUND HAZARDOUS
MATERIALS. ALL CONTAINERS WILL BE INSPECTED TO INSURE THAT LIDS ARE PROPERLY
SEALED.
Release Containment 09/21/2000
ALL IN SOLID FORM, WOULD JUST PICK UP AND PUT BACK.
Clean Up 09/21/2000
IF A SPILL OCCURS, USING A BROAD BLADE PUTTY KNIFE SCOOP MATERIAL BACK INTO
CONTAINER AND SECURE LID. USE A WET TOWEL TO CLEAN UP ANY RESIDUE AND
DISPOSE OF TOWEL OR RINSE OUT AND DRY.
v1.11C1 1CC .7-V U1 l.:C 1'il: 1.1 VGLL1V11
-9- 07/12/2007
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
_,
.~~c~.iai nac~atua
Utility Shut-Offs
A) GAS - OUTSIDE OF BLDG SW CRNR
B) ELECTRICAL - INSIDE OF BLDG NE CRNR
C) WATER - OUTSIDE OF BLDG S SIDE AT OFFICE EXT
D) SPECIAL - NONE
E) LOCK BOX - NO
12/07/2006
Fire Protec./Avail. Water 12/07/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN WHSE AND OFFICE.
FIRE HYDRANT - 60YDS N OF PROP ON OAK ST.
Building Occupancy Level 12/07/2006
10 EMPLOYEES
-10- 07/12/2007
:~~ , _ ~~
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 12/07/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: INSTRUCTED EMPLOYEES ON EVACUATION AND
ALSO TO CALL 911 IF EMERGENCY, AND USE INTERCOM SYSTEM. INSTRUCTED EMPLOYEES
ON SAFE HANDLING OF THE HAZARDOUS MATERIALS USED ON THE JOB. WRITTEN HAZARD
COMMUNICATION PROGRAM ON FILE.
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nclu iii ru~utc u5c
nciu ivi ru~uiC u5c
-11- 07/12/2007
1
JOST FLOOR CO INC
Manager : `Dtq V. ~ ~ J mgr
Location: 320 OAK ST
City BAKERSFIELD
SiteID: 015-021-000733
BusPhone: (661) 327-7701
Map 102 CommHaz Extreme
Grid: 36C FacUnits: 1 AOV:
CommCode: BFD STA 03
EPA Numb:
SIC Code:
DunnBrad:95-3310310
Emergency Contact / Title Emergency Contact / Title
DAVID JOST / PRESIDENT DUANE JOST / VICE PRESIDENT
Business Phone: (661) 327-7701x Business Phone: (661) 327-7701x
24-Hour Phone (661) 587-8425x 24-Hour Phone (661) 589-4521x'
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact ~14V-Y~ O5`r Phone: (661) 327-7701x
MailAddr: 320 OAK ST State: CA
City BAKERSFIELD Zip 93304
Owner DAVID & DUANE JOST Phone: (661) 327-7701x
Address 320 OAK ST State: CA
City BAKERSFIELD Zip 93304
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ls
d ~N~'~
ua
Bas~ad on my inr~uiry of those indivi
btaining the information, I certify
f
or o
responsible
f law that I have personally
under penalty o
exa ~ ~. ed and am familiar with the information
lieve the information is true,
b
e
sub it ~d and
acc~ ratE ,and corr te.
/
~- b ~ 0
_
Signat~ ire Date
-1- 02/01/2007
-~
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PROPANE E F P IH G 728.00 FT3 Hi
S-325 CLEANER R IH L 30.00 GAL Hi
5-235 MULTI PURPOSE ADHESIVE F R L 100.00 GAL Mod
5-405 FLOOR CLEANER R IH L 30.00 GAL Mod
5-280 SEAM ADHESIVE R L 10.00 GAL Mod
5-665 SEAM ADHESIVE F R L 3.00 GAL Mod
MOTOR OIL F DH L 50.00 GAL Min
CARPET ADHESIVE L 100.00 GAL UnR
-2- 02/O1j2007
'3' 02/01/2007
T FLOOR CO INC 015-021-000733
Sit
ID
F JOS ~
e
:
~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~
I
A
COMMON NAME / CHEM
C
L NAME
PROPANE Days On Site
365
i hi
hi
i
ili
i id
G
Locat
on w
t
n t
s Fac
ty Un
t Map: :
r
WHSE CAS#
74-98-6
STATE T
~GaS I TYPE PRESSURE
Pure Above Ambient TEMPERATURE
Ambient CONTAINER TYPE
PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
182.00 FT3 728.00 FT3 728.00 FT3
ril-~GHtt1J V U 5 1. VL~LY V1V L' 1V 1 J
%Wt. RS CAS#
100.00 Propane Yes 74986
ril'~GHtt1J 1-~7.7~47.71~LL" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
__ 5-325 CLEANER _ _ _ Days On Site
365
Location within this Facility Unit Map: Grid:
SHOWROOM CAS#
111-76-2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 30.00 GAL 20.00 GAL
TTT ATTlT1l1TTA /'Y /'1T ~TTl/~TTTTTTA __... __
rirac~rucLV ~ a ~.viirviv niv t J
%Wt. RS CAS#
2.00 Sodium Metasilicate No 6834920
2.00 2-Butoxyethanol No 111762
2.00 Ethanolamines (family name) No 141435
L1FiGKK1J HJ .91~.7.71~L~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 02/01/2007
~. ~,
F JOST FLOOR CO INC
~ Inventory Item 0008
COMMON NAME / CHEMICAL NAME
5-235 MULTI PURPOSE ADHESIVE
Location within this Facility Unit
WHSE
STATE TYPE PRESSURE
Liquid TMixture~ Ambient
SiteID: 015-021-000733 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
108-88-3
TEMPERATURE CONTAINER TYPE
Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 GAL 100.00 GAL , 85.00 _GAL
tiAGAttLVU~J 1:V1~lYV1VL;1Vl~
~Wt. RS CAS#
3.00 Toluene No 108883
t11-~G.HtCL 1~~ .71",~~1~1L"1V15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R / / / Mod
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
_ 5-405 FLOOR CLEANER
Location within this Facility Unit
SHOWROOM
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
111-76-2
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 30.00 GAL 20.00 GAL
r1HGKCCLVUS LV1~lYV1VI;1V 1..7
~Wt. RS CAS#
10.00 2-Butoxyethanol No 111762
I1HGtittL t]i J.7L" ~w71~11;1V-1 ~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
-5- 02/01/2007
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
5-280 SEAM ADHESIVE Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE SHELVES CAS#
108-88-3
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container. Daily Maximum Daily Average
0.25 GAL 10.00 GAL 5.00 GAL
- HA6Atl.llUUS C:UMYUN~N'1'S
%Wt. RS CAS#
4.00 Toluene No 108883
43.00 Amorphous Silicon No 7440213
t11'~G1~KL F~.~.7~5.~1~1~1V 1 ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Mod
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME _
5-665 SEAM ADHESIVE Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE SHELVES CAS#
108-88-3
STATE
TYPE
PRESSURE TEMPERATUR
CONTAINER TYPE
T
Liquid I ~
Mixture I ~
Ambient ~ E
Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
0.50 GAL 3.00 GAL 2.00 GAL
nr~as-ucl~vua ~.vl~lrvlvl~,lvt~
%Wt. RS CAS#
10.00 Toluene No 108883
20.00 Ethyl Alcohol No 64175
5.00 Silicon Dioxide No 7631869
I1HGHlt1J H.7.7P~w7w71Y1L' 1V 1 ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R / / / Mod
-6- 02/0112007
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
8020835
Liquid TMixture ~mbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
50.00 GAL 50.00 GAL I 50.00 GAL
t1E~GHKL V U 5 1. V1~lY V1V L' 1V 1 J
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
t1HGt~t'CL 1~~ J.7~.7J1~11;1V 1 ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / j Min
~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
-~-CARPE.T--ADHESIVE _ _ - -- - -- - _ _ - - Days On -Site - --
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 GAL 100.00 GAL 100.00 GAL
HAZARDOUS COMPONENTS
%Wt.
RSI CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-7- 02/01/2007
F JOST FLOOR CO INC SitelD: 015-021-000733 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency. Notification 09/21/2000 ~
CALL 911 AND EXPLAIN TO FIRE DEPT TYPE OF SPILL/ACCIDENT THAT HAS OCCURED.
Employee Notif./Evacuation
09/21/2000
USE OFFICE INTERCOM SYSTEM TO NOTIFY EMPLOYEES TO EVACUATE BLDG. CONTACT
KERN COUNTY HEALTH DEPT IN CASE OF MINOR SPILL OR CALL 911.
Public Notif./Evacuation 09/21/2000
USE TELEPHONE INTERCOM SYSTEM TO WARN EMPLOYEES OF DANGEROUS SITUATION OR
TO EVACUATE THE BLDG. SALES AND OFFICE PERSONNEL WILL HELP EVACUATE
CUSTOMERS ON SALES FLOOR TO THE CLOSEST EXIT.
Emergency Medical Plan 09/21/2000
CALL 911 FOR EMERGENCY MEDICAL TREATMENT. FOR NONEMERGENCY ACTION CALL
KAISER PERMANENTE RESPONSE - 328-9631 FOR TREATMENT. MERCY HOSPITAL IS A 10
MINUTE DRIVE FROM THIS PROPERTY.
-8- 02/01/2007
;,
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 09/21/2000 ~
TANKS ARE MONITORED DAILY TO CHECK FOR LEAKS. NOZZELS HAVE AUTOMATIC SHUT
OFF DEVICES. EMPLOYEES ARE INSTRUCTED TO USE CAUTION AROUND HAZARDOUS
MATERIALS. ALL CONTAINERS WILL BE INSPECTED TO INSURE THAT LIDS ARE PROPERLY
SEALED.
Release Containment 09/21/2000
ALL IN SOLID FORM, WOULD JUST PICK UP AND PUT BACK.
Clean Up =
09/21/2000
IF A SPILL OCCURS, USING A BROAD BLADE PUTTY KNIFE SCOOP MATERIAL BACK INTO
CONTAINER AND SECURE LID. USE A WET TOWEL TO CLEAN UP ANY RESIDUE AND
DISPOSE OF TOWEL OR RINSE OUT AND DRY.
Other Resource Activation
-9- 02/01/2007
F JOST FLOOR CO INC SiteID: 015-021-000733 9
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~JC l: 1ct1 naz.ai u~
Utility Shut-Offs 12/07/2006
A) GAS - OUTSIDE OF BLDG SW CRNR
B) ELECTRICAL - INSIDE OF BLDG NE CRNR
C) WATER - OUTSIDE OF BLDG S SIDE AT OFFICE EXT
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec. /Avail . ^Water - ~ '- ^~ _ - ~_ J _~ _- ~ __. ~_~ - ~12/07/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN WHSE AND OFFICE.
FIRE HYDRANT - 60YDS N OF PROP ON OAK ST.
Building Occupancy Level
l0 EMPLOYEES
12/07/2006
-10- 02/01/2007
o.
F JOST FLOOR CO INC SiteID: 015-021-000733 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 12/07/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: INSTRUCTED EMPLOYEES ON EVACUATION AND
ALSO TO CALL 911 IF EMERGENCY, AND USE INTERCOM SYSTEM. INSTRUCTED EMPLOYEES
ON SAFE HANDLING OF THE HAZARDOUS MATERIALS USED ON THE JOB. WRITTEN HAZARD
COMMUNICATION. PROGRAM ON FILE.
Page 2
nelca tc~i ru~u.ce use
nclu iu.c rULUte use
-11- ~ 02/01/2007
Bakersfield Fire Dept.
IJNI~IED PROGRAM INSPECTION CHECKLIST Enironmental services
,_ ~ _ . ~::, , ~ ~ ~~ , ~, 1715 Chester Ave
SECTION 1 Business Plan and Inventory Program ~ Bakersfield, CA 93301
`~ Tel: (661)326-3979
FACILITY NAME ~ INSPECT N DATE INSPECT TIME
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FACILI O ACT , L,~ ~ ~t Business ID Number
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Section 1: Business Pfan and Inventory Progr m
^ Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C ~ \V=Vioationncel OPERATION COMMENTS
MJ' ^ APPROPRIATE JPERMIT ON HAND
lam' ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
(1`J/ ^ VISIBLE ADDRESS
~^ CORRECT OCCUPANCY
Q/^ ~ VERIFICATION OF INVENTORY MATERIALS
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(~" ^ VERIFICATION OF QUANTITIES
~^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE I'
-- - - _ _r - - ---- __ --- ..._.__ ----- - - --- -_
^ VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
,,f - - - - - - -- ---- ------- ------_..____-_ _-_-----... _..------ - - -.----
~d ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
Ld ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES C~O
EXPLAIN:
• QUESTI GARDIN IS INSPECTION? PLEASE CALL US AT ~ 61 ~ 326-3979
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I~or Please Print ~~ Fire P eventio 1st-In/ hift of
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White -Environmental Services Yellow -Station Copy
us esponsible~ ease Pri
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Pink -Business Copy
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UNIFIED PROGRAM INSPECTION CHECKLIST''
SECTION 1: Business Plan and Inventory Program
•
Prevention Services
a E R s F _, 0 900 Truxtun-Ave., Suite 210
FIRE Bakersfield, CA 93301
~erM ~ Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME D
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~ INSPECTION DATE INSPEC(T+ION TIME
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~
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ADDRESS ~~~ ^ ~ ~~~ PHO~NOi ~ ~ NO%PLOYEES
FACT ITY CONTACT ~ 1A' /
~ln) Gnn~rt~~ vi~~ ~1' ~~S USINESS tD NUMBER
15-021- (~ Od7~
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Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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~~
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON NAND
Q~ ^ BUSIPIBSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY ~ - O~~
^ 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? ^ YES ^ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~ ~-~+~~- ~ S~ta,3 C ',2~ -`lZ~~
Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # .
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05