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HomeMy WebLinkAboutBUSINESS PLAN 7/20/2007IA \_ ALBERTSnN'S ~ 35~J3 PAN€+MA LANE ALBERTSONS 6323 SiteID: 015-021-003010 Manager :.JOE BIEVER Location: 3500 PANAMA LN City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: (661) 827-0394 Map 123 CommHaz Extreme Grid: 23D FacUnits: 1 AOV: SIC Code:5`11~ DunnBrad :1 Q~01 `+~31 Emergency Contact / Title ~Ye Emergency Contact / Title JOE BIEVER j ~E€~ l~\recloY Wbdd~( Daq~~it~-4`~'eS j~SS~~Favtt ~toYeb~~ec.~r Business Phone: (661) 827-0394x Business Phone: (lDlO~ )`32.1 -~~~'x 24 -Hour Phone (~plD~) 3`l~ -~~Ox 24 =Hour Phone (lo~l ) SS"1 - `NoB~ x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Erie Fraw-Se~n Phone : 20 $ 395 . X1'19 t; 6~6-1-~ "-~°--~-~x MailAddr: P.o.'~3oX 20~ p2p1-•12•`~oS State: -E~ tb City Sois2 Zip 93-33-3 ~3-1Z10 ~L7~~DST21 Owner T7T N~.w Aiber'-!'sovt`~ 1~• ~ Phone : 20~ 39 S . '1 o ~ (-C-6~) -a-z.'L7-~ x n Da Address ~~ o o re R~ r r~ P•O• ~DX 2.0 ~ 02p't'•~i•Z..40~ ~..,~~- ~. State : -e.~r• r<o City uau~DCD r1+T n 2~OiSe, Zip .9~••3-13' ~3-12t0 Period : '7.1.O•l to to • 30.O$ TotalASTs : = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directi ves: PROG A - HAZMAT ~~07 I~a,pd on my inquiry of those individuals rE~,ponsible 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. Signature Date -1- 07/09/2007 r ,,,~, F ALBERTSONS 6323 SiteID: 015-021-003010 ~ ~ 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 2160.00 FT3 Hi BLEACH IH L 75.00 GAL Hi HELIUM F P IH G 434.00 FT3 Min -2- 07/09/2007 ~ K t V. -3- 07/09/2007 .,h } F ALBERTSONS 6323 SiteID: 015-021-003010 ~ ~ 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: OUTSIDE E SIDE OF STORE CAS# 74-98-6 ~Ga.SATE TYPE T PRESSURE ~ TAEmMbPeRATURE ~ CONTAINER TYPE Pure I Above Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum I Daily Average 180.00 FT3 2160.00 FT3 2160.00 FT3 ria'~Gi-~KLVU~7 ~V1~irUlVriV15 %Wt. RS CAS# 100.00 Propane Yes 74986 tiAG.~llUJ ASSL5~1~1C~1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 16 CAS# STATE TYPE _ Liquid TMixture = PRESSURE TEMPERATURE _ Ambient ~ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 1.00 GAL 75.00 GAL Daily Average 75.00 GAL riHGEitCLVUb 1=V1~lYV1VJ;1V1J °sWt. RS CAS# 100.00 Bleach No 7681529 Y1L-1GE1L<L E~S J~.~a1~11;LV 1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi CONTAINER TYPE PLASTIC CONTAINER -4- 07/09/2007 ., F ALBERTSONS 6323 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit PRODUCE BACK ROOM STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-003010 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 217.00 FT3 434.00 FT3 434.00 FT3 tll'aGHKLVU~ C_:V1YlYV1V~1V'17 %Wt. RS CAS# 100.00 Helium No 7440597 nt~~ritcL r~~~~5ari~ly 1'a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min \ -5- 07/09/2007 ~ ~ ~ ~ F ALBERTSONS 6323 SiteID: 015=021-003010 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/22/2007 ~ ALBERTSONS SAFETY MANAGER, LIZA FRIAS, 714-300-.6813 EMERGENCY 911 RISK MANAGEMENT CALL CENTER 800-526-9299 Employee Notif./Evacuation 02/22/2007 STORE MANAGEMENT ON DUTY EVACUATION Public Notif./Evacuation 02/22/2007 STORE MANAGEMENT ON DUTY EVACUATION CORP MEDIA RELATIONS 208-395-6392 Emergency Medical Plan 02/22/2007 EMERGENCY 911 -6- 07/09/2007 _, , F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/22/2007 ~ ALBERTSONS STORE STAFF MANAGER DIVISION SAFETY MANAGER, DEENA SHIN, 510-6843 Release Containment 02/22/2007 ALBERTSONS STORE STAFF MANAGER, ADAMS, 800-379-2967 Clean Up 02/22/2007 ALBERTSONS STORE STAFF MANAGER, ADAM5, 800-379-2967 V1~11C1 1CC w7VU1 l:C tiU l.1 VCLL1V11 -7- 07/09/2007 F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~/c~:1c~1 na~aiu~ Utility Shut-Offs 02/22/2007 BEH STORE IN UTILITY RM MANAGTER HAS KEY Fire Protec./Avail. Water ~ 02/22/2007 SPRINKLER SYSTEM, CHEMICAL SUPPRESSION SYSTEM, AND FIRE EXTINGUISHERS FIRE HYDRANT - FRONT OF STORE Building Occupancy Level 02/22/2007 110 EMPLOYEES -8- 07/09/2007 r. ~ti, F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: ASSOCIATES DETERMINED AND DIRECTED BY STORE DIRECTOR. ra~c c. nc~..u Lvt r u~.ui.c v.7C nclu tVt tULU1C lJ ~i.iC -9- 07/09/2007 ALBERTSONS 6323 SiteID: 015-021-003010 Manager ~O~ tf~l~~~e/. BusPhone: (661) 827-0394 Location: 3500 PANAMA LN Map 123 CommHaz Extreme City BAKERSFIELD Grid: 23D FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Con~tac / Title Emergency Contact / Title F9l~9I~~' ~3~r~r~(~~?~C)C'd/ ,~ MANAGER / Business Phone: (661) 827-0394x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ~JD °~ ~~d~ ~ Phone: (661) 827-0394x MailAddr: 3500 PANAMA LN State: CA City BAKERSFIELD Zip 93313 Owner ~j(/Ot~(~ Phone: (661) 827-0394x Address 3 00 PANAMA LN State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~~~ ~ ~ ~ ~~~~ Qased 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, a complete. v`~ S t o D e -1- 01/24/2007 Y S- F ALBERTSONS 6323 SiteID: 015-021-003010 ~ ~ 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 2160.00 FT3 Hi BLEACH IH L 75.00 GAL Hi HELIUM F P IH G 434.00 FT3 Min -2- 01/24/2007 -3- 01/24/2007 F ALBERTSONS 6323 SiteID: 015-021-00301.0 ~ ~ 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: OUTSIDE E SIDE OF STORE CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 FT3 2160.00 FT3 2160._00 FT3 rltaGrjtcLVUS ~V1~irVlv~ivt~ , %Wt. RS CAS# 100.00 Propane Yes 74986 t1HGHKL L~5~1;J,`71~12!i1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 16 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture TAmbient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 75.00 GAL 75.00 GAL 11HG1-iKLVUJ 1..V1~lYV1Vl;1V1b oWt. RS CAS# 100.00 Bleach No 7681529 nr~Gr-~tct~ t~~a1J~51~i1J1Vla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi -4- 01/24/2007 „ i F ALBERTSONS 6323 SiteID: 015-021-003010 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: PRODUCE BACK ROOM CAS# 7440-59-7 STATE T TYPE T PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~GaS I Pure I Above Amhi ent I Amhi Pnt I PORT ARFCR CVT.TTTTIF~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily~Average 217.00 FT3 434.00 FT3 434.00 FT3 - HAZARD OUS COMPONENTS sWt. RS CAS# 100.00 Helium No 7440597 ruyuru~u s-~, ~ar„~arlr~lvia TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 01/24/2007 i ~ F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification y ,~ ~~~ .~~s S~ ~e-~y /`~/a n~s~~ ~ i zGc ~" ~ ; a S ~7/Y .306~,~! 3 l rnevSPrec ~ cj employee ivoLi=.~~vacuaLion ` S ,~ tU1.J1l1. 1VVl.1L ~ P~VQtrUQl~1V11 p / 5'~d e i~Iac~cS~.yrP~c -~ ~ ~'c G~ K ~ ~ ~ v~cu~ ~; d tel. Coy MG~~~ Plc ~~ on s ~~~ 3sS~-~35.~ P emergency rieaical clan -6- 01/24/2007 F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ KC1Cd8~ YieV~Ill..1Ui1 ~L~~.~saz S/~~ 5~~~ i~~~~se-~ f J , (> ~' S i 4 vl SA '~~~ / /Vl ~ A6isG~r/' :~/~~~i, Ski ~ ~l I - T ~~-art ~~,3 Release Containment ~~r~ ~7~~t ~/GiNcis'~~ boo - 3~~ -~o~g~ ~ l.1Cdi1 U~J. ,,,,// C A'~Y- S x`04 " ~7~ - ~~ ~ V1.11C1 1CCaVU1.l.:C Hl:L1Vdl.lVll -~- oi/24/200~ F~ F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ . - J~JCl.:1C11 na~aiu5 /~ ~! ~ ; I : ~~ ~oo~c Du11u1i1c~. vc: c.:uYa.iic:y Level f /® ~SSOc is ~~' -8- 01/24/2007 t~ F ALBERTSONS 6323 SiteID: 015-021-003010 ~ Fast Format ~ ~ Training Overall Site ~ /employee lraiiiing ,'~ / ,~ / ~ -oG ~ ~ -~ s Gr 27P/ ~vt `~~ ,F- o~ ; i eG~e~ ~j~; ~~o ~ e ~ ; t e~ ,~~' rcxyc a nciu tvi ru~.uic vac ncl.u ivi ru~..u.c.c ~5c -9- 01/24/2007 -UNIFLED PROGRAM INSPECTION CHECKLIST _ SECTION 1: Business Plan and Inventory Program .• Prevention Services A _ E R s F_~ _~ - 900 Truxtun Ave., Suite 210 F/RE Bakersfield; CA 93301 ARTM r Tel.: (661) 326-3979 661 872 2171 F ) - ax: ( FACILITY NAME ~ ~ ~ _~ ~ - O /~/`J NSPEC.T101 ATE oO'~~ INSPECTION TIME I ADDRESS ~ -~j.~oZ~ . ~~- - L;w ~ PHONE NO. 8z~-o~9 NO OF EMPLOYEES ~©v FACILITY CONTACT ._- ~ /~ `- ~G~ t~.~~.. BUSINESS ID NUMBER 15-021- ~ ~ - .. _ - -- - - _- ..Section 1: Business Plan and Inventory Program / ~" ~ ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS - E~~~~ ~ ~j ~ / ~ ~'f 0 IIJJ -( ii ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES i ` I ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY '' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~/ lie? ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING U f1 1~~~~'~J (Q,~- Y Q~at~ „ ^ FIRE PROTECTION ~I°,PC~ ~ ~ ~n~S~ll/IK~- ~~ `~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ®YES NO EXPLAIN: ' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ r/ 3 In ctor ,(Please Print) Fire Prevention ! 1s' In /Shift of Site/Station # Busi ite / Resp Bible Pa (P ase Print) _ ~- - White -Prevention Services - ~" Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~ 3 C, UNIFIED PROGRAIIA INSPECTION ChIECKLIST #1yk444dr+ai2t' ~A51!+e=i- S'. SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 2i0 Bakersfield, CA 93 1 Tel: (661) 326-39__ ~ ?.'1 an~S FACILITY NAME ~ ION SPECTION TIME INSPECT ATE IN ADDRESS PHONE No No. of Employees Z FACILITYCONTACT Busines Number , -021- Section 1: Business Plan and Inventory Program 30 ~ ~ utine ^ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint - on C V (C=Compliance OPERATION `V=Vi tio l COMMENTS /~ ~'1 ~j i~ n o a X1 J ~ ^ ^ APPROPRIATE PERMIT ON HAND f U ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ ~ VERIFICATION OF INVENTORY MATERIALS ~`~~~~ ~-Lt(Jt~n ~l~~f ^ ^ VERIFICATION OF QUANTITIES 5(y,prt~ ~ tZ lid, y(.Z '? ~~i..Q(~ ,t~t(,~ 1 ^ ^ .VERIFICATION OF LOCATION ~ ~St ~~~C ~~ ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ~~ ^ ^ VERIFICATION OF HAT MAT TRAINING -- -~- - - ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ " ~ ~ ^ ^ EMERGENCY PROCEDURES ADEQUATE C~ _ ____ .... ............._ ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^. FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES /~IVO EXPLAIN: , ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 f /3 Inspector (Please Print) Fire Prevention 1st-In/Shik of Site White -Environmental Services Yellow -Station Copy Business Site Responsible Party ease Print) Pink -Business Copy _^,. + ALBER'T'SONS.6323 _____________________________________ SiteID: 015-021-003010 + Manager Location: 3500 PANAMA LN City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: (661) 827-0394 Map 123 CommHaz High Grid: 23D FacUnits: 1 AOV: SIC Code: 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) 827-0394x MailAddr: 3500 PANAMA LN State: CA City BAKERSFIELD Zip 93313 Owner Phone: (661) 827-0394x Address 3500 PANAMA LN State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT APR 1 ~ 2006 ~~~~d dt+ rhy Inqairy of those individuals P~~p4f~~i~f~ fir t~~ldir,lri~ the Information, I oertlfy ~~atdf' pd>~~Ity of few that I have personally ezs~i~iir,r~d gnd d~ femlllt~r with the information sudtfiltt~~ dnd bell ve the information is true, a~~ufdte; and dom te. ~'_ _ ~ D i" atuYe ~~ D e -1- 03/15/2006