HomeMy WebLinkAboutBUSINESS PLAN 2/3/2009UNIFIED PROGRAM INSPECTION CHECKLIST'~~ ~'evention Services
, e A ~ R S ~, 0 900 Truxtun Ave., Suite 210
~ _-.-_- _--~-- --- -- ------- -- ~__
- - - - - - - -J F/AE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ~; . D~AR~M T Tel.: (661) 326-3979
!, F~: (661) 872-2171
FACJLITY NA~ E~ /~ ~^ r~ ~~~-
v: ~ INSP.EZC~I ~N~DATE _ IN~ ECTIO~T'IME
Y
~~
ADDRESS PHONE NO. O OF EMPLOYEES
2Y Un~bn 2~- S~St ZO
FACILITY CONTACT
~
~ USINESS ID NUMBER
15-021- O ~ ~SSZ
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Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
^ BUSIfI@SS 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
L`~f ^ VERIFICATION OF HAZ MAT TRAINING
L''J ^ 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 LK NO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Ja~-~ ~ ~,~r, c~
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
+ GALBR.AITH VAN & STOR.AGE _____________________________ SiteID: 015-021-001552 +
Manager : BEN GEISSEL BusPhone: (661) 327-5151
Location: 241 S UNION AVE Map : 124 CommHaz : Extreme
City : BAKERSFIELD Grid: 05A FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:4214
EPA Numb: DunnBrad:
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
BEN GEISSEL / OPS MANAGER KEN GEISSEL / PRESIDENT
Business Phone: (661) 327-5151x Business Phone: (661) 327-5151x
24-Hour Phone :(661) 588-8635x 24-Hour Phone : (661) 322-8805x
Pager Phone :(661) 201-3548x Pager Phone : ( ) - x
+---------------------------------------+------------------ --------------------+
~ Hazmat Hazards: Fire Press ImmHlth ~
+---------------------------------------------------------- --------------------+
Contact : BEN GEISSEL Phone: (661) 327-5151x
MailAddr: 241 S UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
+---------------------------------------------------------- --------------------+
Owner KEN GEISSEL Phone: (661) 322-8805x
Address : 38 MINER ST State: CA
City : BAKERSFIELD Zip : 93307
+---------------------------------------------------------- --------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
+______________________________________________________________________________+
-1- 08/25/2008
+ GALBRAITH VAN & STORAGE ____________________________= SiteID: 015-021-001552 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHazIEPA Hazardsl Frm I DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
I PROPANE E F P IH G 3639.00 FT3 Hi I
+______________________________________________________________________________+
-2- 08/25/2008
+ GALBRAITH VAN & STORAGE _____________________________ SiteID: 015-021-001552 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
PROPANE Days On Site
I 365 I
Location within this Facility Unit Map: Grid: +----------------+
S OF BLDG I CAS# I
74-98-6
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPER.ATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ FIXED PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest C3639100rFT3 I Daily3639100m FT3 I Daily3639r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS~====__________+___+_______________+
I 100t00IPropane IYesl ~S# 74986I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Curles I FPp HalHrds I%F~A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-3- 08/25/2008
+ GALBRAITH VAN & STORAGE _____________________________ SiteID: 015-021-001552 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 12/03/1999 +
OFFICE OF EMERGENCY SERVICES (OES) - 800-852-7550 OR 916-427-4351,
EMERGENCY SPILL - 911, OR NON-EMERGENCY SPILL - CITY HAZ MAT - 326-3979.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 12/03/1999 +
EVACUATE TO FRONT OF OFFICE AT STREET ENTRANCE. CALL KCFD 861-2811.
CALL OWNER KEN GEISSEL 322-8805. CALL 9-1-1.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ 03/10/1995 +
SHUT OFF MAIN VALVE AT PROPANE TANK WHEN NOT IN USE. SHUT OFF VALVE AT HOSE
AFTER EVERY USE. IF A LEAK IS SUSPECTED CALL VAN GAS AND REPORT TO OFFICE
DO NOT GO NEAR THE LEAK.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 02/23/2007 +
MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371; MEMORIAL HOSPITAL, 420 34TH ST,
327-1792; DR PARRISH, 3535 SAN DIMAS, 325-4188; HALL AMBULANCE, 1001 21ST
ST, 327-4111.
+______________________________________________________________________________+
-4- 08/25/2008
+ GALBR.AITH VAN & STORAGE _____________________________ SiteID: 015-021-001552 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 03/21/2006 +
SHUT OFF MAIN VALVE AT PROPANE TANK WHEN NOT IN USE. SHUT OFF VALVE AT HOSE
AFTER EVERY USE. IF A LEAK IS SUSPECTED CALL VAN GAS AND REPORT TO OFFICE.
DO NOT GO NEAR THE LEAK.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 03/21/2006 +
IN CASE OF SPILL, SHUT OFF ELECTRICAL POWER. USE WATER LINE TO WASH OFF
EXCESS GAS. CALL KCFD 861-2811. WASH DOWN DRAIN HOLE WITH WATER. CALL THE
OWNER, KEN GEISSEL, 327-5151 OR 322-8805, AND CALL 911.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 03/21/2006 +
THE ONLY MATERIAL WE HAVE IS PROPANE SO THERE WOULD NOT BE ANY CLEAN UP.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-5- 08/25/2008
+ GALBRAITH VAN & STORAGE _____________________________ SiteID: 015-021-001552 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 07/24/2007 +
ELECTRICAL - N WALL OF DISPATCH OFFICE INSIDE
WATER - S WALL OF DISPATCH OFFICE OUTSIDE
SPECIAL - TIME CLOCK ON E WALL OF DISPATCH OFFICE
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ O1/31/2007 +
PRIVATE FIRE PROTECTION - 2" FIRE HOSE IN WHSES 1& 3: ONE BY GAS STORAGE
TANK AND FIRE EXTINGUISHER ADJ TO GAS PUMP.
NEAREST FIRE HYDR.ANT - CRNR UNION & BELLE TERR.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
25 EMPLOYEES
+______________________________________________________________________________+
-6- 08/25/2008
+ GALBR.AITH VAN & STORAGE _____________________________ SiteID: 015-021-001552
+_________________________________________________________________ Fast Format
+= Training _____________________________________________________ Overall Site
+_= Employee Training _____________________________________________ 11/17/2006
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: UPON HIRING, SHOW HOW TO FILL PROPANE
TANK. ONLY DISPATCHER AND WAREHOUSE ARE TO SHOW HOW TO FILL. DO NOT LEAVE
FILLING TANK UNATTENDED. ONLY FILL IN DESIGNATED AREAS. RECORDS OF
TRAINING SHALL BE KEPT IN OFFICE UNDER PERSONNEL FILES.
+
+
+
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+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-~- os/25/2oos
+ GALBR.AITH VAN & STORAGE _____________________________ SiteID: 015-021-001552 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
----------------
+______________________________________________________________________________+
+__= Plannin ______________________________________________________
g ---------------------------+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-8- 08/25/2008