HomeMy WebLinkAboutBUSINESS PLAN (2)
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A i~~ ARTHRITIS aSSOC ADAPTIVE AQUA
~_ _ i_ 1800 WESTWIND DR #500
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ARTHRITIS ASSOC ADAPTIVE AQUATICS
Manager ~~b `~. O~C~.q`
Location: 1800 WESTWIND DR 500
City BAKERSFIELD
SiteID: 015-021-002142
BusPhone: (661) 322-9411
Map 102 CommHaz High
Grid: 26D FacUnits: 1 AOV:
CommCode: BFD STA O1
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DEBORAH S OFTEDAL / EXEC DIRECTOR JEANNIE MOTON / PROG DIRECTOR
Business Phone: (661) 322-9411x Business Phone: (661) 322-9411x
24-Hour Phone (661) 871-5643x 24-Hour Phone (661) 836-8034x
Pager Phone (661) 333-5448x Pager Phone (661) 340-0874x
Hazmat Hazards: React ImmHlth
Contact : DEBORAH S OFTEDAL Phone: (661) 322-9411x
MailAddr: 1800 WESTWIND DR 500 State: CA
City BAKERSFIELD Zip 93301
Owner ARTHRITIS ASSOC ADAPTIVE AQUATICS Phone: (661) 322-9411x
Address 1800 WESTWIND DR 500 State: CA
City BAKERSFIELD Zip 93301
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, .certify
under penalty of law that I have personally
examined and am familiar with the information EN~ F C p
submitted and believe the information is true,
CC DD 2
2
2007
accurate, and complete.
i nature Date
-1- 01/25/2007
;~
F ARTHRITIS ASSOC ADAPTIVE AQUATICS SiteID: 015-021-00212 ~
~ Hazmat Inventory ;By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SODIUM HYPOCHLORITE R IH L 85.00 GAL Hi
-2- Olf25f2d07
Y,
-3-
01/25/2n07
F ARTHRITIS ASSOC ADAPTIVE AQUATICS SiteID: 015-021-002142 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
SODIUM HYPOCHLORITE Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE N END OF BLDG CAS#
7681-52-9
Liquid TMixtur~Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
115.00 GAL 85.00 GAL 55.00 GAS,
I1riGt1RLV U J 1.U1~lYU1V L' 1V l a7
%Wt. RS CAS#
12.50 Sodium Hypochlorite No 7681529
L1tiGtliCL 1-~J a7L' a7iJ1~1L'1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 01/25/2007
!~ ry
F ARTHRITIS ASSOC ADAPTIVE AQUATICS SiteID: 015-021-00214,2
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 09/25/2006
NO LEAK DETECTIOND DEVICE. DAILY VISUAL WALKTHROUGHS FOR MONITORING
CHEMICAL ROOMS. POOL STAFF NOTIFIES EXECUTIVE DIRECTOR OR PROGRAM DIRECTOR
IF ANYTHING UNUSUAL HAPPENS IN CHEMICAL ROOM.
Employee Notif./Evacuation 09/25/2006
EXECUTIVE DIRECTOR DETERMINES NATURE OF EMERGENCY, NOTIFIES ALL OFFICE
OCCUPANTS AS WELL AS STAFF, CLENTS IN POOL AREA OF THE UNAUTHORIZED RELEASE
AND COORDINATES A HASTY, BUT ORDERLY, EVACUATION PROCEDURE USING THE EXITS.
IMMEDIATE ROLL CALL AND FURTHER INSTRUCTIONS WILL TAKE PLACE AT THE MEETING
AREA IN THE NORTHWEST PARKING LOT. CALL 800-852-7550 OR 326-3979.
Public Notif./Evacuation
09/25/2006
EXECUTIVE DIRECTOR IS RESPONSIBLE FOR NOTIFYING OFFICE OF EMERGENCY AT
800-852-7550. IF THE EXECUTIVE DIRECTOR IS NOT AVAILABLE, THE PROGRAM
DIRECTOR WILL TAKE OVER RESPONSIBILITIES TO ALERT STAFF. CLEAN-UP WILL BE
OUR RESPONSIBILITY. ARRANGEMENTS HAVE BEEN MADE WITH ROSEDALE POOLS AT
588-3692.
Emergency Medical Plan 09/25/2006
SPILL/FIRE/AMBULANCE 911, OFFICE OF EMERGENCY SERVICES 800-852-7550.
MEDICAL/PROFESSIONS HEALTHCARE, 327-9617, OR MEMORIAL HOSPITAL, 420 34TH S'T,
327-4647.
-5- 01/25/2007
r.
F ARTHRITIS ASSOC ADAPTIVE AQUATICS SitelD: 015-021-002142
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
~ Release Prevention 09/25/206
CALIFORNIA SAFETY TRAINING PERFORMS A QUARTERLY WALKTHROUGH OF THE ENTIRE
BUILDING. CHLORINE IS DELIVERED MONTHLY BY BCS TO THE CENTER IN AN 18-WHEEL
TRUCK AND PUMPED INTO 115-GALLON DOUBLE-CONTAINED TANK. CL FLOWS THROUGH
SMALL TUBING FROM TANKS INTO EQUIPMENT ROOM. ONE TO TWO ONE-GALLON JUGS OF'
CL ARE KEPT IN LOCKED EQUIPMENT ROOM.
Release Containment 09/25/2005
CHEMICALS ARE MAINTAINED IN DOUBLE-CONTAINED BARBELLS IN A LOCKED, SIX-FOOT,
FENCED AREA ON THE NORTH SIDE OF THE BUILDING NOT ACCESSIBLE TO THE PUBLIC.
GATE IS LOCKED AT ALL TIMES AND ONLY APPROPRIATE STAFF HAVE KEYS. TN CASE
OF AN INCIDENT, ONLY THE EXECUTIVE DIRECTOR, PROGRAM DIRECTOR, AND EMERGENCY
AGENCY WILL BE ALLOWED IN.
Clean Up
IN CASE OF A RELEASE OF OUR ACID,
HAND, WHICH ACTS AS A NEUTRALIZER,
BE DILUTED WITH WATER ALSO. WE DO
WASTE. WE DO NOT GENERATE WASTE.
09/25/2006
WE HAVE BEEN ADVISED TO KEEP SODA ASH ON
THEN DILUTE IT WITH WATER; CHLORINE CAN
NOT HAVE A COMPANY WHO REMOVES HAZARDOUS
v~.tici icc.~vut~.c t~~.~.i.va~.lvit
-6- 01/25/2007
~- ~ s
F ARTHRITIS ASSOC ADAPTIVE AQUATICS SiteID: 015-021-002142 ~
Fast Form~.t ~
~ Site Emergency Factors Overall Site ~
~peca.al tiazaras
Utility Shut-Offs 01/25/2007
A) GAS - E SIDE OF BLDG BET TWO BACK DOORS OUTSIDE
B) ELECTRICAL - CHEM STORAGE ROOM E WALL HALLWAY L WALL S ENTR
C) WATER - FRONT OF BLDG ENTR
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
01/25/2007
PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS AND CEILING WATER SPRINKLERS.
NEAREST FIRE HYDRANT - L OF FRONT MAIN ENTR.
Building Occupancy Level 03/15/2006
15 EMPLOYEES
-7- 01/25/2007
Fs
F ARTHRITIS ASSOC ADAPTIVE AQUATICS SiteID: 015-021-00212 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 09/25/2046 ~
MSDS SHEETS IN POOL OFFICE AND EQUIPMENT ROOM.
BRIEF SUMMARY OF TRAINING PROGRAM: PUT ALL SAFETY EQUIPMENT ON WHEN
CHANGING CHLORINE TANKS. NO BARE FEET IN THE CHEMICAL ROOM. CALIFORNIA
SAFETY TRAINING PROVIDES ANNUAL TRAINING/TESTING FOR ALL STAFF THAT COVERS
THE CAL OSHA HAZARD COMMUNICATION STANDARD. SAFETY DRILLS ON FIRE
EXTINGUISHERS/FIRST AID SUPPLIES KEPT UP; KNOW HOW TO USE THEM. IN THE
UNLIKELY EVENT OF ACID SPILL WHILE WORKING ON DOUBLE-CONTAINMENT BARRELS,
PUT ON SAFETY EQUIPMENT, THROW SODA ASH ON ACID TO DRY IT UP.. '
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azc~..u ivl. ru~.uic vac
Held for Future Use
-8- O1/25/2b07
UNIFIED PROGRAM INSPECTION CHECKLIST~~ prevention Services
,I B_ _e._g__s F_..., D 900 TTUxtun Ave., Suite 210
~__._ .~ ~m~ _~_ __._ _ _.___ __ _ ~ __ _.__.__ _ _ __ _ ____ _- __ . _ ___ __, Fine Bakersfield, CA 93301
_ ~ - ~ ~..__ __ _ _._.__~__ __ _ ___I=
(` Tel.: (661) 326-3979
SECTION 1: Business Plan and Inventory Program ARTM >,
LE ~ Fax: (661) 872-2171
FACILITY NAME
i is ~5 ~tD~~tl~e uAi1c~5 INSPECTIO DATF~
i~ 2•~ oc INSPECTION TIME
z ~ ~-~
ADDRESS
goo P.5 t D ~ S~ PHONE N
~zz a~f(c NO OF EMPL~ ES
is
FACILITY CONTACT
i,~
P1 tJ t ~ Val oT~~ BUSINESS ID NUMBER
15-021- ~ Z (~2
~~ Section 1~. -Business Pl~h arlcl Inventory ~?rograEn ~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
~~
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
. ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE ~~r~
^ 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
l`'' ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES L~ NO
EXPLAIN: ~` "
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~ C~~Y ~°w . l ~
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