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Home My WebLink AboutBUSINESS PLAN 8/20/2007{ f ;' LESLIES SWIMMING POOL SUPPLIES ~~ . - -- '' .3360 STINE RD --- - --- - - - . _~ a ~~ SEP g 2oa,~ ~,~ ~~ LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 Manager KRIS GASTREICH \, ~(\~ Location: 3360 STINE RD 'l iStr\ City BAKERSFIELD BusPhone: (661) 835-7817 Map 123 CommHaz -High Grid: 14A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:5999 DunnBrad:05-010-6095 Emergency Contact / Title Emergency Contact / Title GREG CANFIELD / DISTRICT MGR MIKE JENNINGS / REG AFFAIRS MGR Business Phone: (559) 307-9815x Business Phone: (602) 366-3946x 24-Hour Phone (559) 307-9815x 24-Hour Phone (480) 227-9249x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React ImmHlth DelHlth Contact MIKE JENNINGS Phone: (602) 366-3946x MailAddr: 3925 E BROADWAY RD 100 State: AZ City PHOENIX Zip 85040 Owner LESLIES POOLMART Phone: (602) 366-3999x Address 3925 E BROADWAY RD 100 State: AZ City PHOENIX Zip 85040 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D AUG 2 ~ 2007 Fused on mY inquiry of those individuais resp<?;,sihle for orata,ni ng the information, I certify under penalty of iau~ that f have personally examined and am tamifiar +Nith the information suiamitted and i 7e); . e;ve the information is true, accurate, and complete. ~'" Sf~ «t --- g re - Gate -1- 07/12/2007 F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm I DailyMax (Unit MCP MURIATIC ACID LIQUID CHLORINE CHLORINE TABLETS CALCIUM HYPOCHLORITE CHLOR BRITE FRESH AND CLEAR E R IH R IH DH R L 250.00 GAL Hi L 250.00 GAL Hi S ~; ~-4~9~8 . 0 0 LBS Mod S 4500.00 LBS Mod S 3500.00 LBS Mod S 750.00 LBS UnR -2- 07/12/2007 -3- 07/12/2007 F LESLIES POOL SUPPLIES-STINE ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MURIATIC ACID Location within this Facility Unit RETAIL SALES FLR STORAGE STATE TYPE PRESSURE Liquid Mixture~Ambient SiteID: 015-021-001925 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7647-O1-1 TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 250.00 GAL 100.00 GAL r~~t~tcLUUa uuriruiv~lvla %Wt. RS CAS# 31.40 Muriatic Acid Yes 7647010 t1E~GKCCL H. 7.7~.7.71~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LIQUID CHLORINE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 250.00 GAL 100.00 GAL iu-au~at~a~v~a ~.v~~arvl~r~i~tS - %Wt. RS CAS# 15.00 Sodium Hypochlorite No 7681529 iltiGtiRL 1'ia JP.+A~71.11'.ilV 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/12/2007 F LESLIES POOL SUPPLIES-STINE ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME CHLORINE TABLETS Location within this Facility Unit RETAIL SALES FLR STORAGE STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-001925 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 87-90-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 35,500 LBS goQc~~~8b.00 LBS r~,~p~8~0.00 LBS tiHGHttLVU~ 1:V1~lYV1VL"1V15 ~Wt. RS CAS# 99.90 Trichloroisocyanuric Acid No 87901 t1E',GHKL 1-~JJI;JJ1~11;1V 1 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Location within this Facility Unit RETAIL SALES FLR STORAGE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# ~SolidE TMixture ~-Ambient~E ~ AmbientT~E ~PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 LBS 4500.00 LBS 2500.00 LBS I1tiG1-l.RLVUJ ~.vlnrvllENTS %inlt . RS CAS# 2-00 Calcium Hypochlorite No 7778543 I1tiGt1RL ,tiJ JLiJJ1~1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -5- 07/12/2007 F LESLIES POOL SUPPLIES-STINE ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME CHLOR BRITS Location within this Facility Unit RETAIL SALES FLR STORAGE STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-001925 ~ Facility Unit: Fixed Containers at Site ~ ~ Days On Site I 365 Map: Grid: CAS# i TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 40.00 LBS 3500.00 LBS 1500.00 LBS ~Wt. RS CAS# t1flGEitCL AJJ~.7.71~1~1V l.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Mod ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FRESH AND CLEAR Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE T TYPE ~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE Solid I Mixture I Ambient ~ Ambient I OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average e~ S .a-5-0 : 0 0 LBS 7 5 0. 0 0 LBS ~-(O d ~-5~0 . 0 0 LBS HAZARDOUS COMPONENTS oWt. RS CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARDOUS COMPONENTS -6- 07/12/2007 F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/23/2007 ~ PHONES AVAILABLE TO CALL 911. Employee Notif./Evacuation 03/04/1999 EVACUATE PREMISES. Public Notif./Evacuation 03/04/1999 NOTIFY CUSTOMER AND/OR NEIGHBORS TO EVACUATE THE PREMISES. Emergency Medical Plan 02/23/2007 COMPANY-DESIGNATED URGENT CARE/HOSPITAL. FIRST AID KIT IN STORE. -7- 07/12/2007 F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/04/1999 ~ NO PACKING, REPACKAGING, USE OR DISPOSAL OF HAZARDOUS MATERIALS TAKES PLACE ON SITE. Release Containment 03/04/1999 DISPLAYS OF SOLIDS WILL NOT EXCEED 150-170 LBS. LIQUIDS DO NOT EXCEED 1 GAL PER PACKAGE. Clean Up DESIGNATED CHEMICAL SPILL CLEAN-UP EQUIPMENT ON HAND. 02/23/2007 Other Resource Activation 02/23/2007 EMERGENCY RESPONSE CONTRACTOR - EMI 800-510-8510. -8- 07/12/2007 F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~J~C:1d1 riclGd.LUS Utility Shut-Offs 07/19/2006 A) GAS - N/A B) ELECTRICAL - STORAGE AREA NEAR BATHROOM C) WATER - RESTROOM IN STORAGE AREA D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION -~YWATER AND 1 ABC FIRE EXTINGUISHER AND SPRINKLERS. ~ NEAREST FIRE HYDRANT - ON- AND OFF-SITE. 12/14/2006 Building Occupancy Level 03/09/2006 1-4 SEASONAL EMPLOYEES -9- 07/12/2007 a~ F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/19/2006 ~ MSDS SHEETS ON FILE IN THE STORE OFFICE. BRIEF STJNIlKARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED CONCERNING THE PROPERTIES AND PROPER HANDLING PROCEDURES FOR ALL HAZARDOUS MATERIALS SOLD IN THE STORE. CONDUCT MONTHLY SAFETY MEETING. rctyC L Held for Future Use nClu Lui ruLUiC u5~ -10- 07j12/2007 UNIFIED PROGRAM INSPECTION CHECKLISTP -SECTION 1: Business Plan and Inventory Program - ~ ~ ~ Prevention Services e _ E_ R S F ,_ ___D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ~RrM r Tel.: (661) 326-3979 Fax: (66.1) 872-2171 FACILITY NAME \ ~ INSPECTION DATE INSPECTION TIME ADDRESS ~~~ ~ S ~ PHONE NO. ~ ~ O OF EMPLOYEES ~ ~ ` ; ~. FACILITY CONTACT //'' BUSINESS ID NUMBER 15-021- C7(~ `~ Section 1: Business Plan and Inventory Program.. ~~ ~' I ~( ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION 4 C V (C=Compliance OPERATION V=Violation . COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ` ~ ^ VERIFICATION OF LOCATION \ l~Q ^ PROPER SEGREGATION OF MATERIAL ` ': QO ^ VERIFICATION OF MSDS AVAILABILITY ~' ` v ^ 'VERIFICATION OF HAZ MAT TRAINING O ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES \ ~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: rear-uuis QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~-~ ~~C~s~ ~~~~~ Inspector (Please Print) Fire Prevention / 1' In /Shift of Site/Station # Busi a /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 -., .~ . F LESLIES POOL SUPPLIES-STINE SiteID: Manager KRIS GASTREICH Location: 3360 STINE RD City BAKERSFIELD CommCode: BFD STA 07 EPA Numb: -~~?i 015-021-001925 BusPhone: (661) 835-7817 Map 123 CommHaz High Grid: 14A FacUnits: 1 AOV: SIC Code:5999 DunnBrad:05-010-6095 Emergency Contact / Title Emergency Contact / Title B~sirfes~s ~ / '~;t~~~~~~.Q~-ems ~-1,.) .~~~1 x ~ S ~.r,~~ ~P-~~~~-.,~ usiness one : /"~ _~ s ~ f, ) x ~ 24 -Hour Phone (3-) X07 0 - t3 ~ 1 24 -Hour Phone ~Z ( ) 7 3 ~ ~ - - . ~ ~ ~ Pager Phone (~~) 3a ~ - y8r Pager Phone (, ) Hazmat Hazards: React ImmHlth DelHlth Contact MIKE JENNINGS Phone: (602) 366-3999x3~K~ MailAddr: 3925 E BROADWAY RD 100 State: AZ City PHOENIX Zip 85040 Owner LESLIES POOLMART Phone: (602) 366-3999x Address 3925 E BROADWAY RD 100 State: AZ City PHOENIX Zip 85040 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those ind"ividuals x`A~ responsible for obtaining the information, I certify <,~i D ~ ~ e under penalty of iaw that I have personally tion f C7 A ,G orma examined and am familiar with the in e t i ~~®~ , ru s submitted and believe the information accurate. and complete. ~ ~~(~7 S• re Date -1- 02/02/2007 F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP MURIATIC ACID E R IH L 250.00 GAL Hi LIQUID CHLORINE R IH L 250.00 GAL Hi CHLORINE TABLETS DH S 4500.00 LBS Mod CALCIUM HYPOCHLORITE S 4500.00 LBS Mod CHLOR BRITE R S 3500.00 LBS Mod FRESH AND CLEAR S 750.00 LBS UnR -2- 02/02/2007 -3- oa/oa/aoo~ ~i. F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MURIATIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLR STORAGE CAS# 7647-O1-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 250.00 GAL 100.00 GAL i7.Y,GHtCUVUA 1.:v1Y1rv1vL'1v1~ %Wt. RS CAS# 31.40 Muriatic Acid Yes 7647010 r~c~,~tatcu ~~a~~ari~lv_1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LIQUID CHLORINE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~mbient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 250.00 GAL 100.00 GAL ruac~r~tcLUU~ ~:vi~irviv~lvl~ %Wt. RS CAS# 15.00 Sodium Hypochlorite No 7681529 ru~,~tircL r~a a~~ai~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 02/02/2007 F LESLIES POOL SUPPLIES-STINE ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME CHLORINE TABLETS Location within this Facility Unit RETAIL SALES FLR STORAGE STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-001925 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 87-90-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 4500.00 LBS 2500.00 LBS rua~r~ru~~u~ wlnr~lv~lvl~ - - %Wt. RS CAS# 99.90 Trichloroisocyanuric Acid No 87901 riHGF1KL 1~7 ~L' .7.71~1I!i1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CALCIUM HYPOCHLORITE Location within this Facility Unit RETAIL SALES FLR STORAGE STATE TYPE PRESSURE Solid. Mixture ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Co100100rLBS Daily4500100m LBS I Daily2500r00e LBS rujc~rucLVUa l.Vl"1rV1Vl~,1V1J %Wt. RS CAS# 65.00 Calcium.Hypochlorite No 7778543 t1HGE~tCL 1-~~ J.~.G.7J1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -5- 02/02/2007 F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLOR BRITS Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLR STORAGE CAS# ~SolidE TMixture 1 AmbRent~E ~ AmbientT~E ~ PLASTCICT ONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 40.00 LBS 3500.00 LBS 1500.00 LBS HAZARDOUS COMPONENTS , %Wt. HA RS CAS# ZARD A SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Mod ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FRESH AND CLEAR Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE T TYPE -~- PRESSURE TEMPERATURE CONTAINER TYPE ~SOlld I Mixture I Ambient ~ Amh; Pnt-_ ~nTUF.R - CAFr''TT:V AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 750.00 LBS 750.00 LBS 750.00 LBS HAZARDOUS COMPONENTS , %Wt RS CAS# HAZARD AS SESSNir,ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Ung, -6- 02/02/2007 i F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Lic~.C11C:y 1VV1.111C:dl.1Vi1 Employee Notif./Evacuation 03/04/1999 EVACUATE PREMISES. Public Notif./Evacuation 03/04/1999 NOTIFY CUSTOMER AND/OR NEIGHBORS TO EVACUATE THE PREMISES. Lu~ciycii~.y ricul.~al rl.dll (/I 0 ~~ e. 5 Q v Gc- ~~ Q 6 L~ ~o c Gc 1~ ~ ~ 1- -~- 02/02/200 r~ F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/04/1999 ~ NO PACKING, REPACKAGING, USE OR DISPOSAL OF HAZARDOUS MATERIALS TAKES PLACE ON SITE. Release Containment 03/04/1999 DISPLAYS OF SOLIDS .WILL NOT EXCEED 150-170 LBS. LIQUIDS DO NOT EXCEED 1 GAL PER PACKAGE. Clean Up ;~~. 5.9.E ~~- ~ J~- ~.,i. in. «. ,,` d~ . sp,~~/ ~ l«~ ~ /~ V 1.11C.L 1CC~V UI. C:C tiC: l.lVdl.l Vll ~~ ,.~.u- ~i c,-`. E„~ ~e sp~~ s ~ ~~ ~" ~.v~ ~ - ~ v"C ( 8o D- ~(a ._ ~sro -$- 02/02/200 ,t~ E F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial riazaras e Utility Shut-Offs 07/19/2006 A) GAS - N/A B) ELECTRICAL - STORAGE AREA NEAR BATHROOM C) WATER - RESTROOM IN STORAGE AREA D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 1 WATER AND 1 ABC FIRE EXTINGUISHER AND SPRINKLERS. NEAREST FIRE HYDRANT - ON- AND OFF-SITE. 12/14/2006 Building Occupancy Level 03/09/2006 1-4 SEASONAL EMPLOYEES -9- 02/02/2007 - - f ___ __ _. ____ // i .~ ~ ~ /' ~ ~ . F LESLIES POOL SUPPLIES-STINE SiteID: 015-021-001925 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 07/19/2006 ~ MSDS SHEETS ON FILE IN THE STORE OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED CONCERNING THE PROPERTIES AND PROPER HANDLING PROCEDURES FOR ALL HAZARDOUS MATERIALS SOLD IN THE STORE. CONDUCT MONTHLY SAFETY MEETING. ruyG ~ nciu ivi ru~.uic ~~c Held for Future Use -10- 02/02/2007 UNIFIE®-PI~~GRAM INSPECTION CHECKLIST i• SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ~~~~~~___ ~ _~w.~-- --- ~o~`,~ --~-\;~ - - \a ~-nS acs ~,...: ~- ADDRESS PHONE No. No. of Employees Business ID Number FAC ILITYCONTACT ~c- ;.~ ~~:~ 1 15-021- ~`~aS Section 1: Business Plan and Inventory Pn~gram Routine ^ Combined ~ Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C ~ \V=Vioatonnce) OPERATION COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8c ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS I~ ^ CORRECT OCCUPANCY I ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES l~ ^ VERIFICATION OF LOCATION ~` ^ PROPER SEGREGATION OF MATERIAL __ ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~ ANY HAZARDOUS WASTE ON SITE?: ^ YES v ja IVO EXPLAIN: ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-$979 Inspector Badge No., White • Environmental Services Yellow -Station Copy --- A =~ -- --- ---- Business Site Responsible Party Pink • Business Copy ~- .~ ~. ' LESLIES SWIMMING POOL SUPPLIES Manager Location: 3360 STINE RD City BAKERSFIELD CommCode: BFD STA 07 EPA Numb: SiteID: 015-021-001925 BusPhone: (661) - ' Map 123 CommHaz Moderate Grid: 14A FacUnits: 1 AOV: SIC Code:5999 DunnBrad:05-010-6095 Emergency Contact Business Phone: 24-Hour Phone Pager Phone / Title / STORE MANAGER (661) 835-7187x (661) 663-0546x ( ) - x / Title / DIST. MANAGER (559) 222-9995x (559) 434-3077x (559) 994-6382x Emergency Contact STEVE MESS Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards : ~~ ~ '~~ `~ ~~~~`~ React ImmHlth DelHlth Contact L ~~-~uc~ -~V, Phone: (661) - x MailAddr: ~ 3360 STINE RD State: CA City BAKERSFIELD Zip 93309 Owner LESLIE'S POOLMART Phone: (602) 366-3999x Address 3925206 E BROADWAY RD 100 State: AZ City PHOENIX Zip 850401 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: -1- 08/22/2005