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HomeMy WebLinkAboutBUSINESS PLAN 11/28/2005~~, ~~ ~~ ~_~ '~ 1~ r J ~c , i .- J c -:~ ~~ • ~ / N ~}1 fJ ..~` ~'t1~l~[NAL w 0113 ,,. 4 •. 353'i + PARK STOCKDALE CIVIC ASSOC INC ______________________ SiteID: 015-021-000166 + Manager Location: 205 RIO BRAVO DR City BAKERSFIELD BusPhone: (661) 323-.4302 Map 102 CommHaz High Grid: 34C FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad:95-611-7246 Emergency Contact / Title Emergency Contact / Title , BOB BRUHL / PRESIDENT BETTY HARRISON / SECRETARY/GUST Business Phone: (661) 323-4302x Business Phone: (661) 323-4302x 24-Hour Phone (661) 861-8686x 24-Hour Phone (661) 634-9664x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React ImmHlth DelHlth Contact TOM BELL Phone: (661) 323-4302x MailAddr: 205 RIO BRAVO DR State: CA City BAKERSFIELD Zip 93309 Owner PARK STOCKDALE CIVIC ASSOC INC Phone: (661) 323-4302x Address 205 RIO BRAVO DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PRESIDENT : ~L r- O1'I') BP's ~ VICE PRESIDENT: ~u~~ STS,°T3~~ ~ ~) NQ~il1(n TREASURE : e~le~t ~ COI L' (YI ~,-') SECRETARY : t~~nu*~ r•T•Tro r** Bob .~ f LC.h / E~~ A ~R ~ ~ ~®®6 Based on my inquiry of those individuals responsible for obtaining the information, t 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. /'~ ~' ~ 3 Signature Dat~~~~ -1- 03/13/2006 I I I~ UNiFIED~PROGRAM INSPECTION CMECI(LIST I=; §'S~..L>°>::~f,i"a~A.'.R94dtV§'~t„~~,*.:ar?i37?».:t~•+kfl',..,',~fs..~TYJY.,a+?..;,..:ni`?d ick..'<. .+.Mi~Sm,:';. ,.. ..w.n...,'-.S ~... '.f...F. :`.vi~.~ SECTION 1: Business Plan and Inventory Program ~~ ., . . FACILITY ME ~° i ~7 if1c~~(il''e C ((/ 1~~, _ SSCI C . J.. v1 ~ ~ • Z ~ ' U ~ ~ O ADDRESS ONE NO. - 37?-Z~'©i' ~ O OF EMPLOYEES 2 ~ io rave i; FACILITY CONTACT 1 ~ ~ ,~~~ USINESS ID NUMBER ~s-oz~- Qn©Ib~ Section 1: Business Plan and Inventory Program ! (C.~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compiiance~ OPERATION v=violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^" . ^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ 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 E~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE1 ^ YES L1YN0 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Ple se Prtnt) Fire Prevention / 1'~ In /Shift of SitelStation # Business Site/Sc ool Site s Bible arty (P rtnt) EAKERSFIELD FIRE DEPT Prevention Services ~~R~ 900 Truxtun Ave., Suite 210 ~s'rn t Bakersfield, CA 93301 ~~ Tel.: (661) 326-3979 Fax: (661) 872-217~F C~ NSPECTION DATE NSPECTION TIME ?O~s. White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B A F R s ~, . D 900~-uxtunAve., Suite 210 :~:_..,~_~~.~~._ ~~ ~..:: ~~r.. ~. ~.~s~~._.. ~~;~~~ ._a..:~~_~._~ .~~ P.~.:~ .~~ ~.~_:~ ,~~~~-_ FIRE Bakersfield, CA 93301 SECTION 1 : Bu$In@SS Plan and InV@IltOf'~F Program aRrM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NA ~ - INSPECTION ATE NSPECTION TIME ~ r~ ~, .i nIG, t Duo rI: v ADDRESS 2~ ;2,n HONE NO. ~Z,3 - 3e Z NO OF EMPLOYEES FACILITY CONTACT 2_~ ~. BUSINESS ID NUMBER 15-021- pa0/(afo T _ - _ .T _ - - _ - _ - Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ,,r .L'I ^ APPROPRIATE PERMIT ON HAND ,B' ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE 9 ~j e~° ^~ 2000 ,(~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ,,IY ^ VERIFICATION OF INVENTORY MATERIALS O ^ 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? EXPLAIN: . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 S- ~ti~e/'S 1l - C Inspecto~e Print) Fire Prevention / 1s` In /Shift of Site/Station # Hess Site /Respond le Party ( lease Print) White-_Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 ^ YES ~NO J/ _~. PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 Manager TOM BELL Location: 205 RIO BRAVO DR City BAKERSFIELD BusPhone: (661) 323-4302 Map 102 CommHaz High Grid: 34C FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad:95-611-7246 Emergency Contact / Title Emergency Contact j Title TOM BELL / PRESIDENT BILL ZOBEL / SECURITY Business Phone: (661) 323-4302x Business Phone: (661) 323-4302x 24-Hour Phone (66'1) 322-2801x 24-Hour Phone (661) 321-9565x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React ImmHlth DelHlth Contact TOM BELL Phone: (661) 323-4302x MailAddr: 205 RIO BRAVO DR State: CA City BAKERSFIELD. Zip 93309 Owner PARK STOCKDALE CIVIC ASSOC INC Phone: (661) 323-4302x Address 205 RIO BRAVO DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: EN~ J ~ L ~ ~ ~QQ~ PROG A - HAZMAT C sed on my inquiry of those individua.!s resp~3nsih!e for oUtw!ning the information, I certify under penalty of la~~ that i have personally examined and am farc~iiiar with the information su~amii.ted and believe 'the information is true, accurate, and compieie. Signature Date -1- 07/13/2007 F PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name:.. SpecHaz EPA Hazards Frm DailyMax Unit MCP POOL CHLORINE MURATIC ACID R IH E R IH DH L L 110.00 55.00 GAL GAL Hi Hi -2- 07/13/2007 P ` ~ -3- 07/13/2007 j. , l F PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POOL CHLORINE Days On Site 365 Location within this Facility Unit Map: Grid: POOL EQUIP RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATIONI .Largest Con551.00rGAL Daily MlOl00m GAL 1 Daily A~Or00e GAL t1AGE~CLUU.> 1:V1~lYUlVL"1V1J %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t1AGHKL 1-~S JL' J Jl~lL' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH j j / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME MURATIC ACID Location within this Facility Unit POOL EQUIP RM STATE TYPE PRESSURE Liquid Mixtur~Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7647-01-0 TEMPERATURE CONTAINER TYPE Ambient ~ CARBOY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL n1-iGt1KLVUJ l..vrlrUlvJ"_,1V1J %Wt. RS CAS# 100.00 Hydrochloric Acid Yes 7647010 IIHGHI'CL liJ Jl;JJ1~1tS1V-1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi -4- 07/13/2007 ,. F PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/12/2006 ~ 911 FOR EMERGENCY, REPORT TO HAZMAT DIV 326-3979 FOR ALL SPILLS WHICH THREATEN LIFE, HEALTH, OR THE ENVIRONMENT. Employee Notif./Evacuation LIFEGUARD STAFF WILL NOTIFY VERBALLY. 01/14/2000 -- Public Notif./Evacuation 07/03/1991 LIFEGUARDS WILL SUPERVISE EVACUATION THROUGH EMERGENCY OR MAIN EXITS. Emergency Medical Plan 01/14/2000 911. -5- 07/13/2007 ,_ ~ ., F PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/12/2006 ~ 55-GAL DRUM MAXIMUM STORED. DRUMS ARE RECEIVED AND INSPECTED IN GOOD CONDITION. PUMP ROOM IS INSPECTED REGULARLY DURING OPERATION. Release Containment 04/12/2006 PUMP ROOM IS ISOLATED FROM PUBLIC ASSESSIBILITY. HAZMATS CONTAINED WITHIN PUMP ROOM AT ALL TIMES. Clean Up 01/24/2003 SMALL SPILLS CAN BE MITIGATED BY NEUTRALIZATION WITH SODA ASH AND RINSED INTO EXISTING FLOOR DRAIN. LARGE SPILLS MAY BE BEYOND CAPABLITIES ON SITE OTHER THAN ISOLATION OF THE SPILL AREA. EMERGENCY RESPONSE NOTIFICATION WOULD BE REQUIRED AND PRIVATE CLEAN-UP CONTRACTOR MOBILIZED IF NECESSARY. V1.11G1 1ZG.7VUIVC 1"1U l.1 VCiL1V11 -6- 07/13/2007 F PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial riazaras Utility Shut-Offs 04/16/2007 NATURAL GAS - SE CRNR OF BLDG 20FT N OF CLUBHOUSE WALL ELECTRICAL - POOL EQUIP SHUT-OFF IN FILTRATION/CHLORINATION RM, MAIN ELECT SHUT-OFF N SIDE OF CLUBHOUSE WALL WATER - HOUSE VALVE 6FT FROM BLDG E SIDE OUTSIDE STORAGE RM; WATER MAIN VALVE IN VAULT AT ST CURB Fire Protec./Avail. Water 04/12/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - E OF CLUBHOUSE. Building Occupancy Level 3 EMPLOYEES 12/27/2006 -7- 07/13/2007 ~. .-, .t F PARK STOCKDALE CIVIC ASSOC INC SiteID: 015-021-000166 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/27/2006 ~ MSDS SHEETS ON FILE AT THIS FACILITY. BRIEF SUNIl~IARY OF TRAINING PROGRAM: TRAINING GIVEN TO OPERATOR BY EQUIPMENT SUPPLIER AND PSCA STAFF. TRAINING CONSISTS OF MATERIAL SAFETY DATA SHEET FAMILIARIZATION AND HAZARD COMMUNICATION REQUIREMENTS. TRAINING RECORDS KEPT ON FILE. rcxyC ~ nciu tut ruLUiC u~c Held for Future Use -8- 07/13/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACT TY NAME g I INSPECTION DATE INSPECTION TIME ` ~o ~~P fi-~ Q 2 c.- ~~AA a Gam. ~y ~~!'V_ 3 ___Hn ~~"~---- - ADORESS 2 -- -- -- - --- ----- - -~- L~~ -~ - - - PHONE No. No. o~f 7Employees ~._o~Q~-.~~- '-Q 1„1.x'` =~ V - _ - ---...---------- '~ ~'~ ~ 23 ` 3 LV _o_'~__ ___ ____ FACILITYCONTACT ~`~ Business I Number 15-021-c~~(oG Section 't: Business Plan and Inventory Pn~gram Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ncel OPERATION ti COMMENTS J \V=Vioa on ^ PERMIT ON HAND APPROPRIATE ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION - -_ -- =_-_-- __ -_- _ - (-_-- ^ -- PROPER SEGREGATION OF MATERIAL - -- ---- ----- -- - ^ i ~ - - - - VERIFICATION OF MSDS AVAILABILITYE - -------------- ------- - -----~---- ~ C n /~ - ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - I ^ EMERGENCY PROCEDURES ADEQUATE ^ L~ ---------- -~-~----------------- CONTAINERS PROPERLY LABELED -------------~-°----------------~------~-----~------...---- ~ ~ ~ ~. ^ p r - - -- -- ~ K ~ t~ a ~v ~ ~~1 C t Lc~ - -------- ----- __________ _ _ _ . . _ ---- ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ~ No ~~ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GC)'I ~ 326-3979 Inspector Badge No. White -Environmental Services Yellow • Station Copy ess Site spon ' e rty Pink • Business y \\