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HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007~~ ,/ u~ ~,' ~~ ~~ JOST FLOOR COMPANY 320 OAK STREET L- _ 1, 3~ ~1ti ~~ ~~/~~~ i~~ ~- 1 SEP ~ 8 2003 ~~; 'q1 ~~! ~:. 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. rayc u 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 ~~ ------- ---- - ADDRESS ~, PN~EN~'~~ ~ N ~E~yees _- ~ ~~ _~ Q ~ -=------ - -- ----- - --- -- ___ _ ------------ ----- ryLL FACILI O ACT , L,~ ~ ~t Business ID Number - ~~ D~~ ~~- ~B~~LS IS-021- ~~ 3j 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 -/ _. (~" ^ 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 's I~or Please Print ~~ Fire P eventio 1st-In/ hift of pe ( ) S Slte White -Environmental Services Yellow -Station Copy us esponsible~ ease Pri rn Pink -Business Copy ~~~ ~ g 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 l ~ INSPECTION DATE INSPEC(T+ION TIME / ~ 0 0 (~ ~. V ~ J ADDRESS ~~~ ^ ~ ~~~ PHO~NOi ~ ~ NO%PLOYEES FACT ITY CONTACT ~ 1A' / ~ln) Gnn~rt~~ vi~~ ~1' ~~S USINESS tD NUMBER 15-021- (~ Od7~ __ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r ~ ~~ 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