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HomeMy WebLinkAboutBUSINESS PLAN 2/27/2007~ ROADHOUSE GRILL 8490 ROSEDALE HWY. ROADHOUSE GRILL ,, SiteID: 015-021-003499 Manager , Location: 8490 ROSEDALE HWY City BAKERSFIELD BusPhone: (661) 587-8039 Map 102 CommHaz Low Grid: 20D FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title / / Business Phone: (b61) 357- ~o3~lx Business Phone: ( ) - x 2 4 -Hour Phone ( (o u 1) 3 3~ - ~~ 11x 2 4 -Hour Phone ( ) - x Pager Phone (Noirve - x _ Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Kai q~~ ( Phone: (661) 587-8039x MailAddr: 8490 ROSEDALE HWY State: CA City BAKERSFIELD Zip 93312 owner QR(~', i~C,. --- Phone: (661) 587-8039x Address 8490 ROSEDALE HWY State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD -~:'p ~~ ~B 2 ~ ~N ~QO7 ~~~•s~d on my inquiry of those individuals r' ' = ="7+~~<<>>h;r~ for attaining the information, I certify u~~d~r i~onalty of law that I have erson ll p a y F4~irnined and am familiar with the information subrnitt d r~ 8r d believe the information is true, adcu~~'a, an ~ complete. S~g~ ~dturt3 - °~ _ ~ ~ _~ - Date -1- 02/06/2007 F ROADHOUSE GRILL SiteID: 015-021-003499 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LIQUID CARBON DIOXIDE F P IH G 3400.00 FT3 Min -2- 02/06/200 -3- 02/06/2007 F ROADHOUSE GRILL SiteID: 015-021-003499 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LIQUID CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: STOREROOM CAS# 124-38-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3400.00 FT3 3400.00 FT3 3400.00 FT3 r~~r~tc.uuv5 uui~irulv~iv'i'S sWt. RS CAS# 100.00 Carbon Dioxide No 124389 riAY,L-1ttL 1-~~515a~1~1L"~1V 1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/06/2007 F ROADHOUSE GRILL SitelD: 015-021-003499 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification L~Lll~J1VyCC 1VV1.11./L~VdUUdl.lVil i,-. t UiJl ltr 1VV l.1L / P~VdVLLdl.l Vll P~IIICLy Clll:Y 1"1C C11C.:d1 t'1d11 -5- 02/06/2007 F ROADHOUSE GRILL SiteID: 015-021-003499 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention ~tt ~ 1J Pc~ ~ O if~a 1~ Release Containment Clean Up C~ ~ s ~o~ V1.11C1 tcc5c~uic.:C HLL1VciL1Oi1 -6- 02/06/2007 F ROADHOUSE GRILL SiteID: 015-021-003499 ~ _ _ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~YC~:.iai nci~aiu5 /~ Utility Shut-Offs ~ SoJ~ ~~~-e ~~~ C9- y ~ S ~ ~~~~ - ~~ Sf s'~ ~~ ~~ ~~~ t ,,f ,~~~ ~u't~ ~ ~ v~~l s ~ a~ 5 Fire Protec./Avail. Water S ~r ~,ti~~,.p r 5 ~ ~r~ ~t~~ tis ~ ~ g~-P/~ D U11U111tJ~~\yVCa: U~JCil1C: ~/ LCVCl F ~~ '\ -7- 02/06/2007 ~, . Held for Future Use SiteID: 015-021-003499 ~ Fast Format ~ Overall Site ~ ~ riela =or r~uLUre use F ROADHOUSE GRILL ~' `i ~ Training -8- 02/06/2007 r Prevention Services UNiFiED PROGRAM INSPECTION CHECKLIST;; H E R S F, _D_ 900TruxtunAve., suite 210 --. = _ - - -- ~--- -_-- ~- __~ _. _ - - FARE ~~ ~ ~ Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "RrM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSP E CT ON DAT INSPECTION TIME /~ ~ ~/+ QQ ~~ ~ l ~ I ~/ ADDRESS PHONE NO. NO OF EMPLOYEES Li Q~L1'>~t~ ~~)~ .~[~ ~~ ~~ / t FACILITY CONTACT _ BUSINESS ID NUMBER _ 15-021- ~' Sec#ion 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 ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS /. t Qt31~ G- ~ ,-` _ ~ ~~>1 ~,~ LYZ _lz'~-~ ^ ^ VERIFICATION OF QUANTITIES ~~~ ~ .S ^ ~ 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 ~ `r) ~/ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND / ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-397~~ Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # ~ ~ Business Site /Responsible Party (Please ` V ~n~-nv ^ YES ~O White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05