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Home My WebLink AboutBUSINESS PLAN (4)i~ _ it FOODS CO. ~~ l _ ~~ ; 8200 ROSEDALE HWY._ _ C, G"U ~'~ ~~ ~ 5 3a2~ ~Z-- ~U~ 3 0 203 'a ~ :: .. FOODS CO 773 Manager TAMMY REISENAUER Location: 8200 ROSEDALE HWY City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: SiteID: 015-021-002232 BusPhone: (661) 587-6265 Map 102 CommHaz High Grid: 29B FacUnits: 1 AOV: SIC Code:5411 DunnBrad:78-617-6628 Emergency Contact / Title Emergency Contact / Title TAMMY REISENAUER / MANAGER ALARM CENTER / RALPHS SECURITY Business Phone: (661) 587-6265x Business Phone: (310) 900-3700x 24-Hour Phone (661) 204-2693x 24-Hour Phone (310) 900-3700x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth. Contact ~~ ~'~~'m Phone : ( 310 ) MailAddr: PO BOX 54143 State: CA ~O®'" 3Z`~y City LOS ANGELES Zip 90054 H ~9 ~f'~S'~' G ~~~° 10) 884-9000x Address ~ S W~~~TGT.o~~-~4VE ~~bb l1Ji State: CA City COMPTON Zip 90220 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Direct ives: PROG A - HAZMAT QaSed on res my inguiry of those individuals ponsible for obtaining the i under nfor penalty of law that 1 oration ! examined and a have certify s m fa per sonally miliar with the i ubmitted and ; accurate. aelieve the informations ation and complete t ENT'D FEB ~ 6 9 ~~o . rue, / ~~ Signature ~,. ~~ ~ ~ Date -1- 01/31/2007 F FOODS CO 773 SiteID: 015-021-002232 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH IH L 125.00 GAL Hi FREON F P IH G 22204.23 FT3 Min -2- 01/31/2007 F FOODS CO 773 SiteID: 015-021-002232 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid:' AISLE 11B CAS# Liquid ~ TYPE ~ PRESSURE TEMPERATURE ~ CONTAINER TYPE ,Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 125.00 GAL 125.00 ,GAL rl[j~HrcL~u~ ~vi~lrvlvl,lvl~ oWt. RS. CAS# 100.00 Bleach No 7681529 t1HGL~tCL H.`7.7L" .7J1Y11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME FREON Location within this Facility Unit MACHINE RM STATE TYPE T PRESSURE _ GasPure I Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 75-71-8 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2204.00 FT3 22204.23 FT3 22204.23 FT3 t1HGtiCCLV U.7 1,V1~1rV1VL" 1V 1.7 %Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 ruic~.ylcL r~a ~lJ~~lnlJlvta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 01/31/2007 F FOODS CO 773 SiteID: 015-021-002232 ~ Fast Format ~ ~ Notif./Evacuation/Medical ,Overall Site ~ ~ Agency Notification Employee Notif./Evacuation 04/24/2006 THE FOLLOWING ALARM SIGNALS WILL BE USED: BELLS AND VERBAL. UPON HEARING THE EVACUATION ALARM OR PA ANNOUNCEMENT, EMPLOYEES WILL EVACUATE AND REPORT TO DESIGNATED MEETING AREAS. THE STORE DIRECTOR OR PERSON-IN-CHARGE IS RESPONSIBLE FOR MAKING THE ANNOUNCEMENTS AND TO ENSURE THAT ALL EMPLOYEES EXIT SAFELY. ,_ t UlJl ll: 1VV 1.11. / P~VaLLLQL1V11 Emergency Medical Plan 04/24/2006 INDUSTRIAL MEDICAL GROUP OF BAKERSFIELD, 2501 G ST, 327-2225. -5- 01/31/2007 F FOODS CO 773 SiteID: 015-021-002232 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/24/2006 SMALL SPILL - EMPLOYEES ARE TRAINED TO STOP AND CONTAIN THE LEAK LARGE SPILL - EMPLOYEES ARE TO NOTIFY THE STORE DIRECTOR OR PERSON-IN-CHARGE AS WELL AS THE LOCAL FIRE DEPARTMENT TO RESPOND. WHEN SAFE TO DO SO, EMPLOYEES WILL ATTEMPT TO ISOLATE THE LEAK. FIRE EMPLOYEES ARE TO CALL THE FIRE DEPARTMENT. TRAINED EMPLOYEES ARE TO USE THE FIRE EXTINGUISHER TO CONTROL THE FIRE WHEN SAFE TO DO SO. WHEN NECESSARY, THE EMPLOYEES WILL BE NOTIFIED TO EVACUATE THE STORE SAFELY. ALL EMPLOYEES ARE TRAINED IN HAZARD COMMUNICATION THAT INCLUDES SAFE HANDLING PROCEDURES OF HAZARDOUS MATERIALS. IN SOME CASES EMPLOYEES DO NOT COME INTO DIRECT CONTACT WITH THE HAZARDOUS MATERIAL DUE TO SELF-CONTAINED UNITS OR CLOSED-LOOP SYSTEMS. WHEN SAFE TO DO SO, EMPLOYEES WILL DON PERSONAL PROTECTIVE EQUIPMENT TO STOP THE RELEASE, CORDON OFF, THE AREA FROM FURTHER TRAFFIC, AND CONTAIN THE RELEASE WITH ABSORBENT. THE WASTE IS THEN PLACED IN A LABELED WASTE DRUM FOR PROPER DISPOSAL. THE FIRE DEPARTMENT AND/OR A CLEAN-UP CONTRACTOR WILL BE CONTACTED TO CONTROL AND ABATE LARGE SPILLS. _, ncl.ca~c VV11l.CL111LLLCllI. Clean Up 04/24/2006 ADVANCED CLEAN-UP TECHNOLOGIES INC CACTI), 20928 LAMBERTON AVE, CARSON, CA 90810, 800-334-2284 OR 310-763-1423. -6- 01/31/2007 F FOODS CO 773 SiteID: 015-021-002232 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Other Resource Activation 9 -7- 01/31/2007 F FOODS CO 773 SiteID: 015-021-002232 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~cc:~.ul nci~ul.u~ Utility Shut-Offs Fire Protec./Avail. Water DU11u111y VC.:(.:u~lallUy LCVC1 -8- 01/31/2007 ,z F FOODS CO 773 SiteID: 015-021-002232 Fast Format ~ Training Overall Site ~ Employee Training 11/17/2006 BRIEF SUMMARY OF TRAINING PROGRAM: PERSONNEL ARE TRAINED IN THE FOLLOWING PROCEDURES: INTERNAL ALARM/ NOTIFICATION; EVACUATION/RE-ENTRY PROCEDURES AND ASSEMBLY POINT LOCATIONS; EMERGENCY INCIDENT REPORTING; EXTERNAL EMERGENCY RESPONSE ORGANIZATION NOTIFICATION; LOCATIONS AND CONTENTS OF EMERGENCY RESPONSE PLAN; FACILITY EVACUATION DRILLS THAT ARE CONDUCTED AT LEASE. EMPLOYEES ARE TRAINED IN HAZARD COMMUNICATION UPON HIRING. EMPLOYEES ARE INSTRUCTED IN SAFE HANDLING PROCEDURES OF HAZARDOUS MATERIALS, EMERGENCY RESPONSE PROCEDURES AND EVACUATION AND NOTIFICATION PROCEDURES. A CHEMICAL SAFETY VIDEO AND HANDBOOKS ARE USED IN THE TRAINING PROGRAM. REFRESHER TRAINING IS PROVIDED ANNUALLY. STORES DO NOT HAVE ONSITE EMERGENCY RESPONSE TEAMS. THE STORES RELY ON THE LOCAL FIRE DEPARTMENT AND HAZARDOUS MATERIALS SERVICES FOR ASSISTANCE IN A CHEMICAL RELEASE OR OTHER INCIDENT. 9 rayc c. _ i ~ r _ 11G 1U 1V1 1' Ul.Ulc VAc -9- 01/31/2007 . :.. F FOODS CO 773 SiteID: 015-021-002232 Fast Format ~ Training Overall Site r= Held for Future Use -10- 01/31/2007 is k r( + FOODS CO 773 ________________________________________ SiteID: 015-021-002232 + Manager Location: 8200 ROSEDALE HWY City BAKERSFIELD BusPhone: (661) 587-6265 Map 102 CommHaz High Grid: 29B FacUnits: 1 AOV: CommCode: KCFD STA 65 SIC Code:5411 EPA Numb: DunnBrad:78-617-6628 Emergency Contact / Title Emergency Contact / Title TAMMY REISENAUER / MANAGER ALARM CENTER / RALPHS SECURITY Business Phone: (661) 587-6265x Business Phone: (310) 900-3700x 24-Hour Phone (661) 204-2693x 24-Hour Phone (310) 900-3700x Pager Phone ( ) - x Pager Phone ( ) - x "~~-Hazmat Hazards: ~ Fire Press ImmHlth Contact: CARROL CHEN Phone: (310) 884-4288x MailAddr: 2201 S WILMINGTON AVE ~ State: CA City COMPTON Zip 90220 Owner RALPH GROCERY CO Phone: (310) 884-9000x Address 2201 S WILMINGTON AVE State: CA City COMPTON Zip 90220 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted anSl-~~lieve t~~~nformation is true, accurate, aid gomplete,,~"/ E-Yt~ ,~ ~R ~ ~ 20~ s -1- 03/28/2006 .~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 ' Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME --~o~~-----`~-- 3 --------------- - - - - ADDRESS PHONE No. No. of Emp~ees FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine Combined O Joint Agency ^Mulfi-Agency O Complaint ^ Re-inspection C V ~V=Coatolnnce) OPERATION COMMENTS Aj' ^ APPROPRIATE PERMIT ON HAND ~/ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS Ly' LJ LORRECT OCCUPANCY I ~^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES LSY ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE L~ lJ CONTAINERS PROPERLY LABELED ~ ~Y ^ ~"'tOUSEKEEPING FIRE PROTECTION L.J' ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: QUESTION 'REGARDING THIS INSPECTION? PLEASE CALL US AT ~F)C)') ~ 3Z6-3979 ,,~1 ,, Inspector Badge No., ~ usiness BSI Responsible Party White -Environmental Services Yellow -Stefan Copy Pink -Business Copy ~ ~' + FOODS CO #773 Manager Location: City ~~~ BusPhone SiteID: 015-021-002232 + 8200 ROSEDALE HWY ~~ Map 102 BAKERSFIELD ~~~ Grid: 29B ~~ (661) 587-6265 CommHaz Moderate FacUnits: 1 AOV: CommCode: KCFD STA 65 ~~~~! SIC Code:5411 EPA ,Numb: DunnBrad:78-617-6628 Emergency Contact / Title Emergency Contact / Title / DIRECTOR ALARM CENTER / RALPHS SECURITY Business Phone: (661) 587-6265x Business Phone: (310) 900-3700x 24-Hour Phone (310) 900-3700x 24-Hour Phone (310) 900-3700x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact CARROL CHEN Phone: (310) 884-4288x MailAddr: 2201 S WILMINGTON AVE State: CA City COMPTON Zip : 90220 Owner RALPH GROCERY COMPANY Phone: (310) 884-9000x Address 2201 S WILMINGTON AVE State: CA " City COMPTON Zip 90220 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~~~ - ~Z~i~s~'/~ .-- Cpl( ~ ~ u~Z ~~1 ~ ~ `~ ~~ ~,~ -1- .10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + += Hazmat Inventory _________________________________________ By Facility Unit + +_= MCP+DailyMax Order ______________________________ Fixed Containers at Site + Hazmat Common Name... ~SpecHaz~EPA Hazards Frm ~ DailyMax ~Unit~MCP~ I BLEACH IH L 125.00 GAL Hi f FREON F P IH G 22204.23 FT3 Minl -2- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + += Inventory Item 0004 _______________ Facility Unit: Fixed Containers at Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ ISLE 11-B ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid I Pure I Ambient ~ Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Co125100rGAL I Daily 125100m GAL I Daily 125r00e GAL +_______+______________ HAZARDOUS COMPONENTS =__-__________+___+_______________+ 100t00IBleach IIVoSI CAS#76815291 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNox'etINoSIBN Hazl RNod~oactive/Curses ` EPA HaiHrds ~ %F~A/ I USDOT# I HiP +__________________________ MISC. LOCAL AGENCY DATA =__________________________+ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Definel0: +- Ag.Definell ----------------------------------------------------------------+ -3- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + += Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ FREON Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ MACHINE ROOM I CAS# 75-71-8 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER +__________________________+ AMOUNTS AT THIS LOCATION =____________-___________+ Largest C2204~OOrFT3 I Dai122204123m FT3 I Dai122204r23e FT3 +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 100t00IDichlorodifluoromethane INoSI CAS# 757181 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP No No No No/ Curies F P IH / / / Min +__________________________ MISC. LOCAL AGENCY DATA =__________________________+ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Definel0: +- Ag:Definell ----------------------------------------------------------------+ -4- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + +_________________________________________________________________ Fast Format + += Notif./Evacuation/Medical ____________________________________ Overall Site + +_= Agency Notification _______________________________________________________+ +__= Employee Notif./Evacuation ___________________________________ 03/04/2002 + THE FOLLOWING ALARM SIGNALS WILL BE USED BELLS AND VERBAL. UPON HEARING THE EVACUATION ALARM OR PA ANNOUNCEMENT, EMPLOYEES WILL EVACUATE AND REPORT TO DESIGNATED MEETIN AREAS. THE STORE DIRECTOR OR PERSON-IN-CHARGE IS RESSPONSIBLE FOR MAKING THE ANNOUNCEMENTS AND TO ENSURE THAT ALL EMPLOYEES EIXT SAFELY.E +___= Public Notif./Evacuation ________________________________________________+ +____= Emergency Medical Plan =____________________________________ 03/04/2002 + . INDUSTRIAL MEDICAL GROUP OF BAKERSFIELD 2501 G STREET BAKERSFIELD CA 93301 661 327-2225 -5- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + +_________________________________________________________________ Fast Format + += Mitigation/Prevent/Abatemt ___________________________________ Overall Site + +_= Release Prevention ____________________________________________ 01/10/2002 + SMALL SPILL-EMPLOYEES ARE TRAINED TO STOP AND CONTAIN THE LEAK LARGE SPILL EMPLOYEES ARE TO NOTIFY THE STORE DIRECTOR OR PERSON-IN-CHARGE AS WELL AS THE LOCAL FIRE DEPARTMENT TO RESPOND. WHEN SAFE TO DO SO, EMPLOYEES WILL ATTEMPT TO ISOLATE THE LEAK. FIRE EMPLOYEES ARE TO CALL THE FIRE DEPARTMENT. TRAINED EMPLOYEES ARE TO USE THE FIRE EXTINGUISHER TO CONTROL THE FIRE WHEN SAFE TO DO SO. WHEN NECESSARY, THE EMPLOYEES WILL BE NOTIFIED TO EVACUATE THE STORE SAFELY. ALL EMPLOYEES ARE TRAINED IN HAZARD COMMUNICATION THAT INCLUDES SAFE HANDLING PROCEDURES OF HAZARDOUS MATERIALS. IN SOME CASES EMPLOYEES DO NOT COME INTO DIRECT CONTACT WITH THE HAZARDOUS MATERIAL DUE TO SELF-CONTAINED UNITS OR CLOSED-LOOP SYSTEMS. WHEN SAFE TO DO SO, EMPLOYEES WILL DON PERSONAL PROTECTIVE EQUIPMENT TO STOP THE RELEASE, CORDON OFF THE AREA FROM FURTHER TRAFFIC, AND CONTAIN THE RELEASE WITH ABSORBENT. THE WASTE IS THEN PLACED IN A LABELED WASTE DRUM FOR PROPER DISPOSAL. THE FIRE DEPARTMENT AND/OR A CLEANUP CONTRACTOR WILL BE CONTACTED TO CONTROL AND ABATE LARGE SPILLS. +__= Release Containment ______________________________________________________+ +___= Clean Up ____________________________________________________ 03/04/2002 + ADVANCED CLEANUP TECHNOLOGIES INC(ACTI)20928 LAMBERTON AVENUE, CARSON, CA 90810 1 800 334-2284.; 310 763-1423 +____= Other Resource Activation ______________________________________________+ I -6- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + +_________________________________________________________________ Fast Format + += Site Emergency Factors _______________________________________ Overall Site + +_= Special Hazards ___________________________________________________________+ ------------------------------- ---- --------- +___ Utility Shut-Of.f.s~ ________________________________________________________+ --_---- , ---- ---- +____ {Fir-e P-r-otec-._/Avail. Water,~_______________________________________________+ +____= Building Occupancy Level _______________________________________________+ -7- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 +_________________________________________________________________ Fast Format += Training _____________________________________________________ Overall Site +_= Employee Training _____________________________________________ 01/10/2002 PERSONNEL ARE TRAINED IN THE FOLLOWING PROCEDURE: INTERNAL ALARM/NOTIFICATION;EVACUATION/RE-ENTRY PROCEDURES & ASSEMBLY POINT LOCATIONS;EMERGENCY INCIDENT REPORTING;EXTERNAL EMERGENCY RESPONSE ORGANIZATION NOTIFICATION;LOCATION(S) AND CONTENTS OF EMERGENCY RESPONSE PLAN;FACILITY EVACUATION DRILLS, THAT ARE CONDUCTED AT LEASE (SPECIFY) EMPLOYEES ARE TRAINED IN HAZARD COMMUNICATION-UPON HIRING. EMPLOYEES ARE INSTRUCTED IN SAFE HANDLING PROCEDURES OF HAZARDOUS MATERIALS, EMERGENCY RESPONSE PROCEDURES AND EVACUATION AND NOTIFICATION PROCEDURES. A CHEMICAL SAFETY VIDEO AND HANDBOOKS ARE USED IN THE TRAINING PROGRAM. REFRESHER TRAINING IS PROVIDED ANNUALLY. STORES DO NOT HAVE ON-SITE EMERGENCY RESPONSE TEAMS. THE STORES RELY ON THE LOCAL FIRE DEPARTMENT AND HAZARDOUS MATERIALS SERVICES FOR ASSISTANCE IN A CHEMICAL RELEASE OR OTHER INCIDENT. g =------------------------------------------------------------------ +__= a e ---------------------------------------------------------------+ +___= Held for Future Use _____________________________________________________+ +____= Held for Future Use ____________________________________________________+ ------- -------------------------------------------------------------- -8- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + +_________________________________________________________________ Fast Format + += Response/Risk Management _____________________________________ Overall Site + +_= Operations ----------------------------------------------------------------+ ------------------------------------------------------------ +__= Planning _________________________________________________________________+ +___= Logistics _______________________________________________________________+ +____= Finance/Administration _________________________________________________+ -9- 10/05/2005 + FOODS CO #773 _______________________________________ SiteID: 015-021-002232 + += Full Format ___________________ Type+Category+Sub-Category+Date2(ASC) Order + +____________________________________________________________ One Unified List + +________________________________ INSPECTIONS =________________________________+ BUSINESS PLAN PROGRAM ROUTINE INSPECTION 'Reference Dates Summary Description Raymond 10/12/2004 Business Plan Inspection OK Removed Propane and Helium from inventory. WINES 11/16/2001 OK OBTAINED ON INSPECTION INVENTORY MATERIALS AND SITE DIAGRAM t------------------------------------------------------------------------------+ BUSINESS PLAN PROGRAM OTHER INSPECTION Reference Dates Summary Description Steve 07/30/2003 Business Plan Inspection OK -10- 10/05/2005 UNIFIED PROGRAM IN~ECTION CHECKLIST ~.. SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services ` 1715 Chester Ave a Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ ~G ~ ~ ~ ~ INSPECTION DATE INSPECTION TIME - -- ------ ~ - - `'~ -- --~~--------- --- - ---- -- ---- - - - -- --- -- --- - ___-....-.-_ . -..- - ~~-T/J/-/~0~-- --------------- ADDRESS PHO E No. No. of Employees FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and inventory Program ^ Routine Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V \ V=Vio ationnce l OpERATiON ^ APPROPRIATE JPERMIT ON HAND ^ BUSINESS 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 AVAILABILITYE ^ VERIFICATION OF F'IAg.AIIAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE St ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO EXPLAIN: QUESTIONS REGARDI THIS INSPECTION? PLEASE CALL US AT ~66~ ~ 3Z6-3979 Spector (Please Prin Fire Prevention 1st-In/Shift of Site White -Environmental Services YeAow -Station Copy ` Bu s Ite Responsible Party ( rint) rn 8 N Pink -Business Copy ~ . y,,.. `` Fj~ ~ . ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES b .y UNIFIED PROGRAM INSPECTION CHECKLIST rr•,,`' 4ti,~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 r...._ ~. FACILITY NAME ~A~-,fit" ,~ ~~ ~3~200 ~~-~ a-- ~--=--~-°-~ Section 4: Hazardous Waste Generator Program INSPECTION DATE ~ ; `IIL , EPA ID # ^ Routine j~ Combined D Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number a~ ~~~ Authorized for waste treatment and/or storage ~ Reported release, fire, or explosion within 15 days of occurcence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~ompi~ance v=v~o tion Inspector: Office nv onmental ervice (66 326-3979 White -Env. Svcs. V Busi , ess Site Res nsible art Y Pink -Business Copy n 5 ~IFOODS CO #773 • • iteID: 015-021-002232 Manager BusPhone: (661) 587-6265 Location: 8200 ROSEDALE HWY Map 102 CommHaz Moderate City BAKERSFIELD Grid: 29B FacUnits: 1 AOV: CommCode: COUNTY STATION 65 SIC Code:5411 EPA Numb: DunnBrad:78-617-6628 Emergency Contact / Title Emergency Contact / Title DICK NEWTON / DIRECTOR ALARM CENTER / RALPHS SECURITY Business Phone: (661) 587-6265x Business Phone: (310) 900-3700x 24-Hour Phone (310) 900-3700x 24-Hour Phone (310) 900-3700x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact CARROL CHEN Phone: (310) 884-4288x MailAddr: 2201 S WILMINGTON AVE State: CA City COMPTON Zip 90220 Owner RALPH GROCERY COMPANY Phone: (310) 884-9000x Address 2201 S WILMINGTON AVE State: CA City COMPTON Zip 90220 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: !, ~ Do hereby certify that t bade (type or print name hazardous materials manage- reviewed the attached / ment plan for~d5~ ~~~and that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. f2 lure Si g -1- 10/08/2004 „ ~ • F FOODS CO #773 SiteID: 015-021-002232 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP Pd~-T ~~ ;~ D ,S ~ c~, E F P I H G 18 2. 0 0 FT 3 H i ~ BLEACH l IH L 125.00 GAL Hi FREON F P IH G 22204.23 FT3 Min ~~~' .H£B-I-~3M ~ .~.~ ~ 1~,~- F P IH G 244.00 FT3 Min ~•---/~- ~1 a~ ~~l~l c- ~ Ci-t ~ _ ~I -2- 10/08/2004 ,- • • F FOODS CO #773 SiteID: 015-021-002232 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: PORTER'S ROOM CAS# 74-98-6 ~GasATE TPureE ~-AboveSAmbEent AmbientTURE FIXED PRESSER CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 182.00 FT3 182.00 FT3 182.00 FT3 riHGHKLV U 5 1.V1~lYV1V L"i1V 1 .5 %Wt. RS CAS# 100.00 Propane Yes 74986 t1HL+HKL 15.71; A 51~1L"ilV l b TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi MISC. LOCAL AGENCY DATA = Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined5: Ag.Defined6: Ag.Defined8: Ag.Defined9: Ag.Definell Ag.Defined4: Ag.Defined7: Ag.Definel0: -3- 10/08/2004 ~~ ~ ! 73 FO DS O Sit ID 015 021 002232 O C #7 F ~ : - e - 0004 I It ilit it Fi F U d t Site i C t ~ nventory em n xe ac y : ~ on ners a a L N ME OM N ME CH MIC MO NA / E A A C BLEACH Days On Site 365 hi i i hi F ili it M id U G Locat on w t n t s ac ty r : n ap: ISLE 11-B CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 125.00 GAL 125.00 GAL 125.00 GAL t1HGHKLVUA 1:V1~lYV1VL"LV1J ~SWt . RS CAS# 100.00 Bleach No 7681529 riHGt1KL H7 5~bb1~1~1V1D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi Ag.Definedl: Ag.Defined5: Ag.Defined8: Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: -4- 10/08/2004 . ~ . P FOODS CO #773 SiteID: 015-021-002232 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site 365 Location within this Facility Unit Map: Grid: MACHINE ROOM CAS# 75-71-8 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2204.00 FT3 22204.23 FT3 22204.23 FT3 HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 t1AGHKL A57L5~1~1151V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min Ag.Definedl: Ag.Defined5: Ag.Defined8: Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: -5- 10/08/2004 . ' ~ ..; FOODS CO #773 Sit 015-021-002232 ID F e ~ : ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL ME NA HELIUM Days On Site 365 L i i hi hi ili i id ocat on w n t t s ty Un t Map: Fac Gr : FLORAL DEPARTMENT CAS# 7440-59-7 STATE T TYPE T PRESSURE TEMPERATURE ~GaS I Pure I Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 244.00 FT3 244.00 FT3 HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Helium No 7440597 t1HGHKL HJ bL'ibb1~1L"1VlA TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min Ag.Definedl: Ag.Defined5: Ag.Defined8: Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: -6- 10/08/2004 `UNIFIED PROGRAM INSPECTION ~~~~ R7~5..:r,!'*'v^`A'~'?e.:zF4....4isK°J..._.`....:..«.'?',e_..k±`~.d'%a .Y.e,XY, ~... ai't~t3.. a.-~':~` ~~K. :: ." ...~~~; ~;'.5 .. ..~..... yt:~a.,. d. e...,+_ _. ~~rr r SECTION 1: Business Plan and Inventory Program `~ ~ BAKERSFIELD FIRE DEPT Prevention Services 900 TrLUCtun Ave., Suite 210 Bakersfield, CA 93301 Tel:: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ~o ~' ~zs 2 ~ ~s" ADDRESS HONE NO. O OF EMPLOYEES ~"~p dS w FACILITY CONTACT USINESS 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 BUSIRBSS PLAN CONTACT INFORMATION ACCURATE C~ ^ 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 P CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~' ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES J~NO DUE IONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3978 Inspector (Please Print) Fire Prevention / 1°' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. 02/05)