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Home My WebLink AboutBUSINESS PLAN 3/12/2007~~ . -~'' ~ 3, SUPER 99 CENT OR .MORE ti Manager ~A L_~~ ~ ~fl-T-Cp ~ BusPhone Location: 3400 PANAMA LN L Map 123 City BAKERSFIELD Grid: 23D CommCode: BFD STA 13 SIC Code: EPA Numb: DunnBrad: g15~3 SiteID: 015-021-003007 (661) 3~7-0251 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / _ Title Emergency Contact / Title DALBIR BANGA / ~ ~ W'Y1e'r / 7-025Ix Business Phone: (661) 3+ Business Phone: ( ) - x ~ 24-Hour Phone (66~ }$3 -9S15x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x. Hazmat Hazards: Fire Press ImmHlth Contact DALBIR BANGA Phone: (661) 397-0251x MailAddr: 3400 PANAMA LN L State: CA City BAKERSFIELD Zip 93313 Owner ~prt,(~~+~ ~,~11G1~ - Phone: (661) 397-0251x Address 3400 PANAMA LN L State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: _ Gal Certif' d: RSs : No ParceiNo: Emergency Directives: PROG A - HAZMAT [3ased on my inquiry of those indivi~oal~ responsible for obtaining the informatioh l tl# VO~ , oc~r y under l pena ty of law that I have par:~onally examined and am familiar with the Information submitted and believe the information is true , accurate and complete. '~^ 3 ~ Signature Date ~ ~ ~N~~~ MA ~ ~. ~ ~va~ -1- 02/16/2007 ~~ F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HELIUM F P IH G 219.00 FT3 Min -2- 02/16/2007 -3- 02/16/2007 F SUPER 99 CENT OR MORE ~ Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME I HELIUM Location within this Facility Unit NW CRNR BEH SALES COUNTER SiteID: 015-021-003007 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE = Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 I 219.00 FT3 tiyGtittL V U 5 l: V l~lr~ly 1",lv 15 %Wt. RS CAS# 100.00 Helium No 7440597 riL~GHtCL AS~L'.J~1~1L"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/16/2007 F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ L'il~Clll:y 1VV11111: GY 1.1 V11 Employee Notif./Evacuation Public Notif./Evacuation -5- 02/16/2007 - ,. F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention itC1C0.e7C L.V111..0.111LLLC liL 1..1 CGlll V~J V 1.11C1 2tC5VUiUC HC: l.1Vdl.l Vil -6- 02/16/2007 z~ F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards VL1.111..y ~J 11UL-Vllw> Fire Protec./Avail. Water DU11U111y VC.:LU~Jd11C:~/ LCVC1 -7- 02/16/2007 Fi. s -~ fj ~ ~`. F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Training. _ __ _. _ Overall Site ~ Employee Training /- rayc ~ nciu ivi ru~.uic vac nciu tvt r u~.u.LC ~~c -8- 02/16/2007 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A F R s r _, , 0 900Truxtun Ave., Suite 210 _ ~ ~ ~~- _ --- ~ ~~ ~ ~~~ FIRE ~ Bakersfield, CA 93301 -SECTION 1: ~Business^Plan and Inventory Program ''R"" r Tel.:. (661) 326-3979 _ _ - ~ Fax: (661) 872=2171 • FACILITY NAME .: ~ ~~ -r~. ^^~~~ 1 Y ~', INSPECT~~TE INSPECTION TIME e•`~7 ^J ~ ADDRESS ~ - _ ~ ( ~~~!/ PHONE NO. -/ry NO OF F~IPLOYEES FACILITY C NTACT ~L. ~ l ~ T~ IV ~' ~ BUSINESS ID NUMBE ~..~~,,~~//--~~ 15-021- `~~ / ~ Section 1: Business Plan and' Inventory Program ~ I ROUTINE ^ . COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C. ~ V (c=compliance OPERATION V=Violation COMMENTS - ^ APPROPRIATE PERMIT ON HAND 4J~ ^ ~ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ .VISIBLE ADDRESS ~ ~ ~~~ ~ ~ 20Q6 ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION O ^ 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 - `,e~ b ~t-[• ,' i ~ W ~';,~w ~I I 1" ` t ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES LtYIVV EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ l ~ - Spector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Bus - White -Prevention Services Yellow -Station Copy - Pink -Business Copy FD 2155 (Rev. 09/05 SUPER 99 CENT OR MORE SiteID: 015-021-003007 Manager DALBIR BANGA ""^. Location: 3400 PANAMA LN L City BAKERSFIELD BusPhone: (6'61) 397-0251 Map 123 CommHaz Minimal Grid: 23D FaCUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DALBIR BANGA / OWNER / Business Phone: (661) 397-0251x Business Phone: ( ) - x 24-Hour Phone (661) 835-9515x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards:"~ Fire Press ImmHlth Contact DALBIR BANGA Phone: (661) 397-0251x MailAddr: 3400 PANAMA LN L State: CA City BAKERSFIELD Zip 93313 Owner DALBIR BANGA Phone: (661) 397-0251x Address 3400 .PANAMA LN L State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Dared on my inguiry ofi those individuals c>nsible far ~l3t?~ning the information, 1 certify res~ under penalty ct !r a,a that 1 have personally examinf~d a,?zs am familiar with the information submittrcf a:nd `?~lieve the infiarmation is true, accurate, and comp pte. ..s .~ V~- _ D e Signature ENT'D J U L 31 2007 -1- 07/16/2007 F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... I SpecHazI EPA Hazards) Frm I DailyMax I UnitI MCP HELIUM F P IH G 219.00 FT3 Mini, -2- 07/16/2007 -3- 07/16/2007 :~ ? F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within-this Facility Unit Map: Grid: ~ NW CRNR BEH SALES COUNTER CAS# 7440-59-7 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 _ HA7.ART)nT7S C(~MPnTTFNTS cwt. 100.00 Helium RS CAS# No 7440597 tiHGHiCL AS~~~~1~1~1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 07/16/2007 i ~ ~, . F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification lau~~lvycc lvvt.ll . / P~Vdl.U0.l..1V11 _1_ l /.-. r ulJ 1 1 1. iV V 1.1 1 ~ Li V C1 V UCL 1. l V l l L'LtlCt yClll:y 1~1CU11:d1 t'1d11 -5- 07/16/2007 F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ICC 1Cd.7-C t'1_CVCll l.1 V11 Release Containment l...LCQ11 V~.! V 1.1161 itC w7V1A1 VC P11.. 1.1Vdl.l Vll -6- 07/16/2007 t F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rc~:lcal. na~al.ua Utility=.Shut=Offs~ . ,. 1~ 1tc rl_v ~. c ~... ~ rlvall . rra ~.cl D Ulll.ll lly VIa: U~JQ11U ~/ LCVC1 -7- 07/16/2007 i i:~ '! F SUPER 99 CENT OR MORE SiteID: 015-021-003007 ~ Fast Format ~ ~ Training Overall Site ~ r+lll1J1V~/CC 1tGL 111111y r1C 1lA 1Vl lUI.UiC Vn7C Held for Future Use -s- 07/16/2007 + SUPER 99 CENT OR MORE _______________________________ SiteID: 015-021-003007 + Manager Location: 3400 PANAMA LN L City : BAKERSFIELD BusPhone: (661) 327-0251 Map 123 CommHaz Minimal Grid: 23D FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title / / Business Phone: ( ) - x ~: Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x ~ Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 397-0251x MailAddr: 3400 PANAMA LN L State: CA City BAKERSFTELD Zip 93313 Owner Phone: (661) 397-0251x Address 3400 PANAMA LN L State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: - RSs : No Emergency Directives: PROG A - HAZMAT l~ ~ ~' ~~~ ~ N ~ EN`S°B q pR ~ 9 2006 f~aeed on my inquiry of those Indivlduaos re6pt~nsibla far attaining the information, I gertify under penalty of law that I have personally examined and am famlllar with the Information submitted and balleve 4he information Is true, accurate, and complete. ~etnc~ow~ ~y ~/ ~i . ~ ~ o G Signature Date -1- 03/15/2006