HomeMy WebLinkAboutBUSINESS PLAN 10/9/2007
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Prevention Services -
UNLFIED PROGRAM INSPECTION CHECKLIST:.. A . F R s t , , n 900 Truxtun-Ave., Suite 210_---
..... FIRE -.Bakersfield, CA 93301 -
SECTION 1: Business Plan and Inventory Program ° aRrM Tel.:- (661)-326-3979
'Fax: (661) 872-2171-
i FACILITY N ME (INSPECTION DATE- INSPECTION TIME
I trot o,aJ.c X33 `7 ! / ~l9 e 7 i 1'~~-~
!ADDRESS PHONE NO. !NO OF EMPLOYEES
~ 3 ~(D $ V N [G/1J ~ VL
I _
FACILITY CONTACT - BUSINESS ID NUMBER
15-021- pQpg 77
Section 1:' Business Plan and Inventory Program j
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^= RE-INSPECTION I
C=Compliance
C V ( ) OPERATION COMMENTS
V=Violation
C"T ^ APPROPRIATE PERMIT ON HAND
I
~
^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
_
/
C7 ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY ~ i
I~^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
(~ ^ VERIFICATION OF LOCATION
III' ^ PROPER SEGREGATION OF MATERIAL
i
~/
L~J ^ VERIFICATION OF MSDS AVAILABILITY i
i
CY ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~
i
~,/
L7 ^ EMERGENCY PROCEDURES ADEQUATE
I~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
p" ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND -
i
ANY HAZARDOUS WASTE ON/S41T'E?~ EYES ^ NO
EXPLAIN: L.12Sk ~~ I K~(A 7 1(/ /1 I,/J .. Q
r
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
/~
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station #
White -Prevention Services _ Yellow -Station Copy -Pink -Business Copy -- FD 2155 (Rev. 09/05
G ~; -iti
~.
AUTOZONE 5337 SiteID: 015-021-000877
Manager ~( ~~ ~ clt ~Y
Location: 3408 UNION AVE
City BAKERSFIELD
BusPhone: (661) 395-0721
Map 103 CommHaz High
Grid: 20A FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
SIC Code:5531
DunnBrad:15-723-3511
Emergency Contact / Title Emergency Contact / Title
RICHARD TORRES / DISTRICT MGR ALARM CENTRAL / ON DUTY
Business Phone: (661) 395-0721x Business Phone: (800) 313-9693x
24-Hour Phone (800) 313-9693x 24-Hour Phone (800) 313-9693x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire React ImmHlth DelHlth
Contact JIM DAVIS Phone: (901) 495-7240x
MailAddr: 123 S FRONT ST State: TN
City MEMPHIS Zip 38103 -3607
Owner AUTOZONE INC Phone: (901) 495-6500x
Address 123 S FRONT ST State: TN
City MEMPHIS Zip 38103 -3607
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
ENT'p FEg
8esed on my inquiry ®f those indvi~iudi~ 2 2
2007
res~an~lula fQr 9btairling the Inf9tmatpn, : c®rtify
under penalty of lavr thai I have personally
examined and am farnlllar with the information
sub ~ *^ and befleve 4he information is true,
a urate, .nd complete.
~~~~~ 1 3t~ d ~
~
ig ture Date~~
-1- 01/25/2007
,. -~
F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BATTERY ACID R IH L 600.00 LBS Hi
WINDSHIELD WASHER SOLVENT DH L 50.00 GAL Hi
ANTIFREEZE F DH L 90.00 GAL Low
MOTOR OIL F DH L 2400.00 GAL Min
WASTE ABSORBENT S 440.00 LBS UnR
WASTE OIL F DH L 220.00 GAL I7nR
WASTE BATTERIES F_ R IH L 160.00 LBS UnR
-2- 01/25/2007
-3- 01/25/2007
F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on-Site ~
COMMON NAME / CHEMICAL NAME
BATTERY ACID Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
7664-93-9
Liquid TMixtur~mbRent~E ~ AmbientT~E OTHER NTSPECIFYYPE
AMOUNTS AT THIS LOCATION
Largest Cont4100rLBS Daily 600100m LBS I Daily 300r00e LBS
tiAGAl[LVUS 1:V1~lYV1V1'~1V"1 J
°sWt . RS CAS#
34.00 Sulfuric Acid (EPA) No 766439
riAGAbCL 1-~55~551~1L'~1V-15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No Yes No No/ Curies R IH / / / Hi
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
WINDSHIELD WASHER SOLVENT
Location within this Facility Unit
SALES FLOOR
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid: --
CAS#
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
TEMPERATURE CONTAINER TYPE
Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 50.00 GAL 30.00 GAL
r1t~~x1c1~VU~ ~VrirviVl=,lVla
%Wt. RS CAS#
47.00 Methyl Alcohol No 61651
t1E~L,Lj.t<L 1~55L' JJi~li'~1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Hi
-4- 01/25/2007
F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid: -
SALES FLOOR CAS#
107-21-1
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
1.00 GAL 90.00 GAL 75.00 GAL
ia~uruu..vvJ l.Vi•1rV1VP~1dTS ----
%Wt. RS CAS#
95.00 Ethylene Glycol No 107211
5.00 Diethylene Glycol No 11166
ril"~At]i[.L HJ JL~J Jl•1L'1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid: -----
SALES FLOOR CAS#
64742-54=7
Liquid Mixture PRESSURE TEMPERATURE TSTOICTCONTAINERE
T -~mbient ~ Ambient
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 2400.00 GAL 1800.00 GAL
HAZARDOUS COMPONENTS
°sWt. RS CAS#
80.00 Solvent Refined Distillate, Heavy Paraffin No 64742547
HAZARD
A SSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-5- O1/25/~007
F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
/'Y/\T R11 R/11.T 1.TT LRT / /'YTTTwRT rYTr ~tw wwr
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
440.00 LBS 440.0.0 LBS 220.00 LBS
HAZARDOUS COMPONENTS
°sWt .
RS CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / U
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Sits
365
Location within this Facility Unit Map: Grid:
STOCKROOM CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
220.00 GAL 220.00 GAL 110.00 GAL
11t9ut1RLlJV w7 L. Vl~lr V1V P~1V1J
%Wt. RS CAS#
99.00 Petroleum Oil No 8002059
rlt]utuCL ti~ 7 JP~w7.71"1L~1V 1 J -- ---
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / U1R
-6- 01/25/2007
"1'H'1'~ '1'YY~ YK~SSURE TEMPERATURE CONTAINER TYPE
Solid TWaste Ambient ~ Ambient METAL CONTAINR-NONDRUM
F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE BATTERIES Days On Site
365
Location within this Facility Unit Map: Grid: --
STOCKROOM CAS#
STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TWaste I Ambient ~ Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 LBS 160.00 LBS 80.00 LBS
HAZARDO
US COMPONENTS
%Wt. RS CAS#
34.00 Sulfuric Acid (EPA) No 7664939
IlYi[~tilCL ti J JJ;J JI~1J_S1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# -MCP
No No No No/ Curies F R IH / / / UriR
-7- 01/25/2007
F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 03/24/2006 ~
PERSON IN CHARGE WILL CALL 911 AND OFFICE OF EMERGENCY SERVICES
800-852-7550.
Employee Notif./Evacuation 06/01/1999
INFORM EMPLOYEES OF A PROBLEM AND CALL 911.
Public Notif./Evacuation
03/24/2006
ALL NON-EMPLOYEES WILL BE ASKED TO LEAVE THE STORE BY THE NEAREST EXIT THAT
IS SAFE.
Emergency Medical Plan 08/10/2006
BAKERSFIELD MEMORIAL HOSPITAL, 420 34TH ST, 327-1792.
-8- 01/25/2007
F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 08/10/2006 ~
STORE MATERIALS IN PROPER CONTAINERS. A BIG SPILL WOULD INVOLVE TWO QUARTS
OF OIL AND COULD BE EASILY CLEANED UP.
Release Containment
09/26/2006
WE KEEP ABSORBENT MATERIALS ON SITE TO CONTAIN SPILLS AND OR LEAKS. A
SUPPLY OF HAZARDOUS MATERIALS WASTE CANS, BAGS, ZIP-LOCK BAGS, AND RUBBER
GLOVES.
Clean Up
08/10/2005
MATERIAL WILL BE APPLIED TO SPILL THEN PUT INTO A DESIGNATED HAZARDOUS
MATERIAL CONTAINER, WHICH IS THEN REMOVED TO OUR STOCKTON WAREHOUSE VIA
COMPANY VEHICLES.
U1.11CL t'CC.S'Ut1LC:C HGl.1Vdl.lUil
-9-
Ol/25/~007
F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
-~ -,-
.~~c~.iai nac~aiu~
Utility Shut-Offs 03/24/2006
A) GAS - SE CRNR OF BLDG
B) ELECTRICAL - SE CRNR INSIDE BLDG
C) WATER - S OF BLDG ON SIDEWALK
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - INTERNAL HAND-HELD FIRE EXTINGUISHERS.
FIRE HYDRANT - SE CRNR OF BLDG.
08/10/2006
Building Occupancy Level
8 EMPLOYEES
03/06/2006
-10- 01/25/2007
-~
F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 09/26/2046 ~
BRIEF SUMMARY OF TRAINING PROGRAM: ALL NEW HIRES RECEIVE AUTOZONE NEW
EMPLOYEE ORIENTATION. PART OF THAT 2-DAY PROCESS INCLUDES AN ENVIRONMENTAL
RESPONSIBILITY PROGRAM. ITS PURPOSE IS TO INCREASE EMPLOYEES AWARENESS OF
THE DANGERS OF HANDLING HAZARDOUS MATERIALS AND HOW THEY AFFECT OUR
ENVIRONMENT. SOME OF THE FOCUS INCLUDES: SAFETY, RIGHT=TO-KNOW LAW,
CHEMICAL HAZARDS, AND RESPONDING TO EMERGENCIES.
rayc ~
nclu l.c~i r u~.uie use
azciu ivt rUI.ULC V5C
-11- 01/25/2007
UNIFIED PROIaRAM INSPECTION CHECKLIST
.SECTION 1: Business Plan and Inventory Program
BAKERSIH'IELD FIRE DEPT
apt Prevention Services
~l~s 900 TYuxtun Ave., Suite 210
~,*>rr Bakersfield, CA 93301
-
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILIT NAME
L(
vlt 01~ ~ ~ NSPECTION DATE
U(
f ~ I' INSPECTION TIME
Z
,
~O 2n~v~ ~
tJ o
~ 1
ADDRESS ~ ~
t>~v loN f} v~ HONE NO. O OF EMPLOYEES
FACILITY CONTACT
~~~~ ~! USINESS ID NUMBER
15-021-p6Og'77
~ - -
Section 1: Business Plan and Inventory Program cJ I `~ "
`' ' ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliarxe` OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSineSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^
^ CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS .
~ ~~~ 1{
'/
~1 ^
(
" VERIFICATION OF QUANTITIES
~
^ VERIFICATION OF LOCATION
~1 ^
l~ ^
/ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
U 111
~ ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
ROCEDURES
pJ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
~I ^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3979
'n 'c ~
~~ ~ n- ICU ~Si'Y~
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Stetion q B ~ School a espons' Party (Please Prirt)
YES ^ NO
White - Prwention Sarvieaa Yellow -Station Copy Pink - Buainese Copy FD20~9 (Rw. 0105)
- UNIFIED PROGRAM (UP) FORM
BUSINESS OV!lNER/®PERATORIDENTIFICATION ~ ~~
^ NEW BUSINESS ^ OUT OF BUSINESS ^ REVISE/UPDATE (EFFECTIVE / / ) PAGE OF
I. IDENTIFICATION
FACILITY ID# 1 BEGINNING DATE 100
03/01 /2006 ENDING DATE
03/01 /2007 101
BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) 3
AUTOZONE #5337 BUSINESS PHONE
661-395-0721 102
BUSINESS SITE ADDRESS
3408 UNION 103
BAK ERSFI ELD` 104 CA zIP CODE 93305 ,05
DUN & BRADSTREET 15-723-3511 ~ 106 SIC CODE 4 di it # 5531 107
COUNTY -KERN 108 UNINCORPORATED ^ Yes ® No 133a.
BUSINESS OPERATOR NAME
RICHARD TORRES 109 BUSINESS OPERATOR PHONE
661-395-0721 110
11. BUSINESS OWNER
OWNER NAME
AUTOZONE INC. 111 OWNER PHONE
901-495-6500 11z
OWNER MAILING ADDRESS
123 SOUTH FRONT STREET 113
CITY MEMPHIS 114 STATE TN 115 ZIP CODE 38103 116
III. ENVIRONMENTAL CONTACT
CONTACT NAME
JIM DAVIS ~ 117 CONTACT PHONE
901-495-7240 11s
CONTACT MAILING ADDRESS
-123 SOUTH FRONT STREET 119
CITY MEMPHIS 120 STATE 121 IP O 03 122
-PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY-
NAME
RICHARD TORRES 123 NAME
ALARM CENTRAL 1za
TITLE
DISTRICT MANAGER- 124 TITLE
AUTOZONER ON DUTY 129
BUSINESS PHONE 661 -395-0721 125 BUSINESS PHONE 800-313-9693 130
24-HOUR PHONE 800-313-9693 126 24-HOUR PHONE 800-313-9693 131
PAGER # N/A 127 PAGER # N/A 132
V. ADDITIONAL LOCALLY COLLECTED INFORMATION 133
NUMBER OF EMPLOYEES 10 133b FEDERAL TAX IDENTIFICATION NUMBER 62-1482048 133c
MAILING/ BILLING INFORMATION
ADDRESS 1334 CITY 133e STATE 133f ZIP CODE 133g
123 SOUTH FRONT STREET. ~ MEMPHIS TN 38103-3607
Certification: Based my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally
examined and fa Iliar with the information submitted and believe the information is true, accurate, and complete.
SIGNA~ NER/OP~R OR.D NATED PRESENTATIVE i DATE 134 ! NAME OF DOCUMENT PREPARER
C3/ i 7/0~ BRYAf\ BLAIP. 135
NAM~OF S` E~onnt) 13E -TITLE OF SIGNER 13%
3?``, I~ B~ :4f=~~ =I~I`~/l~I~f~li~~l~-A S= ~~{AL1~- I
~o
`~
~~ l
~~
~~
UP Facility Information ~~ 4 LAC4: UP Form L3
~
- Facility Site Plan/Storage Map
(Hazardous Materials Business Plan Module)
Site Address: ~'(" Q~ ~ i'~ f ~ .~:! y~~~i}~cs Ft~~
Date Map Drawn: ~ / 7 / a ~ Map Scale: NOT TO SCALE Page 1 of 1
A B C D E F_ G H I J K L M N O P O R S T U V W X Y 7
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xal~truction~ are ~rintecl oal the full®~vin~ pagA.
un-ozo -11n~
www.unidocs.org
Rev. 01/16/02
~~~~
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_ ~
64
I~ .: ~: ,
UNIFIED PROGRAM INSPECTION CHECKLIST
_. ~ _
.~,: ....._ _.. _... . a . ,.. _,.: ,::
SECTION ~: Business Plan and Inventory Program
•
:7
a art a
w/~/
A_ RIAI f
FACILITY NA E INSPECTION DATE INSPECTION TIME
~/ C ~ Z~~t~ ~~
ADDRESS
3~-(D $ c~,v tom tF- /~c HO N O OF EMPLOYE S
FACILITY CONTACT USINESS ID NUMBER
15-021-Qc~~ '7'~
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
C~. ^ BUSIr12SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
'IUD ^ 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 I
^ EMERGENCY PROCEDURES ADEQUATE '
I~" ^ CONTAINERS PROPERLY LABELED
/
~ ^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO
EXPLAIN: - - _.
'• QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
a~n ~ ~i~
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station #
White -Prevention Services Yellow -Station Capy Pink -
BAKERSFIELD FIRE DEPT
Prevention Services
900 Trtixtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979//~~
Fax: (661) 872-217ri'EC , s?~S
12!05)
+ AUTOZONE 5337 _______________________________________ SiteID: 015-021-000877 +
Manager ,.in'=z~~~~~,.~~\_ ~~c~i.; BusPhone: (661) 395-0721
Location: 3408 UNION AVE Map 103 CommHaz High
City BAKERSFIELD Grid: 20A FacUnits: 1 AOV:
CommCode: BFD STA 04 SIC Code:5531
EPA Numb: DunnBrad:15-723-3511
Emergency Contact / Title Emergency Contact / Title
K t\~C~c.~rc\~~/5 DISTRICT MGR AUTOZONE ALARM /
Business Phone: (661) 395-0721x Business Phone: (800) 313-9693x
24-Hour Phone (800) 313-9693x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth
Contact Phone: (901) 495-7217x
MailAddr: 123 S FRONT ST State: TN
City MEMPHIS Zip 38103
Owner AUTOZONE INC Phone: (901) 495-6500x
Address 123 S FRONT ST State: TN
City MEMPHIS Zip 38103
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif~d: RSs: Yes
ParcelNo:
~ Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
ENT°D MAR 2 4 2006
Based on my inquiry of those individuals
responsible for obtaining the information, 1 certify
under penalt of law that I have personally
examined a am familiar with the information
submitted d believe the information is true,
accura~nd complete.
~'/ ~ ~ ~ ~e
Ginn urP
-1- 03/06/2006
.~ ~)
T~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
s UNIFIED PROGRAM INSPECTION CNECKI.IST
~F' ;a~,,!~ 1715 Chester Ave., 3rd floor, Bakersfield, CA 93301
FACILITY NAME~~ ~o ZoN L INSPECTION DATE ~~ ~ ~~O 3
ADDRESS 3 y D $ ~ N ~O N .9 t/~ PHONE NO.~'~~? z-(
FACILITY CONTACT ,~~a~.,.~ 1~~j6 ~ BUSINESS ID NO. 15-210- ~o$ 77
INSPECTION TIME ~ M ~ vi NCIMBER OF EMPLOYEES /O
Section 1: Business Plan and Inventory Program
~utine ^ Combined ^ Joint Agency ^Multl-Agency [] Complaint Re-ins ection
^ p
OPERATION C V COMMENTS
Appropriate permit 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 availability
Verification of Haz Mat training ~ ~
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection ~~ • T~ '
Site Diagram Adequate & On Hand
C=Compliance V=Violation ~~~~ //
Any hazardous waste on site?: Yes ^ No -'--J~ ~~%~~~ ~ '
Explain: c.J,;tS.~ ~. i ~ S ~ ~.~,~o, ~~ ~; ~~ .~, ~ .,
Q _ .~
G~
Questions regarding this inspection'' Please call us at (661) 326-3979 Business Site Responsibt~Party
,~
White - Em-. Svcs. Yellow -Station Copy Pink - Husmess Copy Inspector: / ~ ~ a
~~
L. 1
AUTOZONE 5337 SiteID: 015-021-000877
~~a i+11 2C,~~~,~
Manager P __
Location: 3408 UNION AVE
City BAKERSFIELD
BusPhone: (661) 395-0721
Map 103 CommHaz High
Grid: 20A FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
SIC Code:5531
DunnBrad:15-723-3511
Emergency Contact / Title Emergency Contact / Title
RICHARD TORRES / DISTRICT MGR ALARM CENTRAL / ON DUTY
Business Phone: (661) 395-0721x Business Phone: (800) 313-9693x
24-Hour Phone (800) 313-9693x 24-Hour Phone (800) 313-9693x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: RSs Fire React ImmHlth DelHlth
Contact S ~~ ~.v~r~ Phone : ( 901) 4 95 ~~
MailAddr: 123 S FRONT ST 8190 State: TN ~~~'~°~
City MEMPHIS Zip 38103 -3607
Owner AUTOZONE INC Phone: (901) 495-6500x
Address 123 S FRONT ST 8190 State: TN
City MEMPHIS Zip 38103 -3607
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
ENT'D ~~T 11 2007
Oas,:d en xmy irquiry of thos:v indiyi~uais
res~~`r'si le ;cr obtair;ing th info
°
~
{on,
rma
c; rtify
under penalty of la:~ that I have
personall~,~
examined and am familiar with the information
sub
it
m
~ , and believe the information is true
,
accur;r~„ and complet
.
e
Si
nat
~ ~
,,
ure pa
-1- 10/02/2007
i -~
F AUTOZONE 5337
~ Hazmat Inventory =
~ MCP+DailyMax Order
= SiteID: 015-021-000877 ~
By Facility Unit ~
Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BATTERY ACID R IH L 600.00 LBS Hi
WINDSHIELD WASHER SOLVENT DH L 50.00 GAL Hi
ANTIFREEZE F DH L 90.00 GAL Low
MOTOR OIL F DH L 2400.00 GAL Min
WASTE ABSORBENT S 440.00 LBS UnR
WASTE OIL F DH L 220.00 GAL UnR
WASTE BATTERIES F R IH L 160.00 LBS UnR
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F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
BATTERY ACID Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
7664-93-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~ Ambient ~ Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 LBS 600.00 LBS 300.00 LBS
HAZARDOUS COMPONENTS
oWt. RS CAS#
34.00 Sulfuric Acid (EPA) No 7664939
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No Yes No No/ Curies R IH / / / Hi
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WINDSHIELD WASHER SOLVENT Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
Liquid TMixture ~ Ambient~E ~ AmbientT~E ~LASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 50.00 GAL 30.00 GAL
HAZARDOUS COMPONENTS ,
owt.
47.00 Methvl Alcohol
ZAR
RSI CAS#
No 61651
~-, D A SSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Hi
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F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
107-21-1
Liquid TYPE PRESSURE TEMPERATURE TSTOICTCONTAINERE
TMixtur~ Ambient ~ Ambient
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 90.00 GAL 75.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
95.00 Ethylene Glycol No 107211
5.00 Diethylene Glycol No 111466
I3tiGtilCL L•'1J JLiJ J1.1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
64742-54-7
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~ Ambient ~ Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 2400.00 GAL 1800.00 GAL
rlri[~ti.1CLVVJ l..Vllt'V1V L'1V 1.7
oWt. RS CAS#
80.00 Solvent Refined Distillate, Heavy Paraffin No 64742547
Ilt~Gti1CL P'1J JP~J J1"1L1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
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F AUTOZONE 5337 SiteID: 015-021-000877 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE ABSORBENT Days On Site
365
Location within this Facility Unit Map: Grid:
STOCKROOM CAS#
~SolidE Twaste ~ Ambient~E ~ AmbientT~E METALOCONTAINRTNONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
440.00 LBS 440.00 LBS 220.00 LBS
HAZARDOUS COMPONENTS ~ ,
cwt.
RSA CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
STOCKROOM CAS#
Liquid TWaste ~ AmbRient~E ~ AmbientT~E ABOVEOGROUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
220.00 GAL 220.00 GAL 110.00 GAL
rll-~L.,t]itLll l.1J COMPONENTS
oWt. RS CAS#
99.00 Petroleum Oil No 8002059
r1tiL,l~itCL 1"~J JL,J J1"11;1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
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F AUTOZONE 5337 S1teID: 015-021-000877 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE BATTERIES Days On Site
365
Location within this Facility Unit Map: Grid:
STOCKROOM CAS#
Liquid TWaste ~mbRent~E ~ AmbientT~E OTHERONTSPECIFYYPE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 LBS 160.00 LBS 80.00 LBS
L1riGt1iCLVUJ l.Vl"lYV1V P~1V 1.7
°sWt. RS CAS#
34.00 Sulfuric Acid (EPA) No 7664939
111-1Gti[tL HJ JP~JJI~IP~IVIJ
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / UnR
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F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 03/24/2006 ~
PERSON IN CHARGE WILL CALL 911 AND OFFICE OF EMERGENCY SERVICES
800-852-7550.
Employee Notif./Evacuation 06/01/1999
INFORM EMPLOYEES OF A PROBLEM AND CALL 911.
Public Notif./Evacuation 03/24/2006
ALL NON-EMPLOYEES WILL BE ASKED TO LEAVE THE STORE BY THE NEAREST EXIT THAT
IS SAFE.
Emergency Medical Plan 08/10/2006
BAKERSFIELD MEMORIAL HOSPITAL, 420 34TH ST, 327-1792.
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F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 08/10/2006 ~
STORE MATERIALS IN PROPER CONTAINERS. A BIG SPILL WOULD INVOLVE TWO QUARTS
oOF OIL AND COULD BE EASILY CLEANED UP.
Release Containment 09/26/2006
WE KEEP ABSORBENT MATERIALS ON SITE TO CONTAIN SPILLS AND OR LEAKS. A
SUPPLY OF HAZARDOUS MATERIALS WASTE CANS, BAGS, ZIP-LOCK BAGS, AND RUBBER
GLOVES.
Clean Up 08/10/2006
MATERIAL WILL BE APPLIED TO SPILL THEN PUT INTO A DESIGNATED HAZARDOUS
MATERIAL CONTAINER, WHICH IS THEN REMOVED TO OUR STOCKTON WAREHOUSE VIA
COMPANY VEHICLES.
V t~11C.L iCC .7 V U1. l:C L'iC: l.1 V d 1.1 U11
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~1 ~
F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.~Nc~.iai nac~aiu~
Utility Shut-Offs 03/24/2006
A) GAS - SE CRNR OF BLDG
B) ELECTRICAL - SE CRNR INSIDE BLDG
C) WATER - S OF BLDG ON SIDEWALK
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 08/10/2006
PRIVATE FIRE PROTECTION - INTERNAL HAND-HELD FIRE EXTINGUISHERS.
FIRE HYDRANT - SE CRNR OF BLDG.
Building Occupancy Level 03/06/2006
8 EMPLOYEES
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F AUTOZONE 5337 SiteID: 015-021-000877 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 09/26/2006 ~
BRIEF SUMMARY OF TRAINING PROGRAM: ALL NEW HIRES RECEIVE AUTOZONE NEW
EMPLOYEE ORIENTATION. PART OF THAT 2-DAY PROCESS INCLUDES AN ENVIRONMENTAL
RESPONSIBILITY PROGRAM. ITS PURPOSE IS TO INCREASE EMPLOYEES AWARENESS OF
THE DANGERS OF HANDLING HAZARDOUS MATERIALS AND HOW THEY AFFECT OUR
ENVIRONMENT. SOME OF THE FOCUS INCLUDES: SAFETY, RIGHT-TO-KNOW LAW,
CHEMICAL HAZARDS, AND RESPONDING TO EMERGENCIES.
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