HomeMy WebLinkAboutBUSINESS PLAN 1/14/2009U~NIFIED PROGRAM INSPECTION CHECKLIST;
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SECTION 1: ~usiness Plan and Invento Pro ram !~
P A ~ F. R S F I D
F/RE
D ARTM ~7
~
P~evention Services
900 ~Yuxtun Ave:, Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE NSPECTION TIME
• -,~ ~ -> - 0 13 3
ADDRESS
L HONE NO. O OF EMPLOYEES
(~ ~~• ~ ~ 3zz-s~ss ~ ~
FACILITY CONTACT USINESS ID NUMBER
15
021
~O ~ ~( Z~
-
-
.
Section 1: Business Plan and Inventory Program
^ ROUTINE O COMBINED ~ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
~f ^ APPROPRIATE PERMIT ON HAND
^ BUSIf18SS 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
O VERIFICATION OF HAZ MAT TRAINING
L+3" ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? NYtS ^ NO
EXPLAIN: ~°- g'r` l,o) i 1
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ) 326-3979
/°1; k ~ ~~~ s~-. ~~ ~.
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
a
+ AUTOZONE 5332 ______________________________________= SiteID: 015-021-001426 +
Manager : RUDI ROSETTE
Location: 1615 BRUNDAGE LN
City : BAKERSFIELD
BusPhone: (661) 322-5155
Map : 103 CommHaz : High
Grid: 31C FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:5531
DunnBrad:15-723-3511
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
RICHARD TORRES / DISTRICT MGR ALARM CENTR.AL / ON DUTY
Business Phone: (661) 322-5155x Business Phone: (800) 313-9693x
24-Hour Phone :(800) 303-8441x 24-Hour Phone :(800) 313-9693x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+-------------------------------------- -+--------------------------------------+
~ Hazmat Hazards: RSs Fire React ImmHlth DelHlth ~
+-------------------------------------- ----------------------------------------+
Contact : ANDREW BEAVEN Phone: (901) 495-6949x
MailAddr: 123 S FRONT ST 8190 State: TTT
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
Preparer: TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
PROG H- HAZ WASTE GEN
PROG T- ABOVEGROUND STORAGE TANK
+______________________________________________________________________________+
-1- 08/25/2008
+ AUTOZONE 5332 ______________ _______________ _________ _ SiteID: 015-021-001426 +
+= Hazmat Inventory __________ _______________ _________ ______ _ By Facil ity Unit +
+_= MCP+DailyMax Order _______ _______________ ________ Fixed Containers on Site +
+--------------------------------+-------+-----------+ -----+---------- +----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
BATTERY ACID F R IH L 600.00 LBS Hi
WINDSHIELD WASHER SOLVENT DH L 50.00 GAL Hi
WASTE OIL F DH L 220.00 GAL Low
ANTIFREEZE L 90.00 GAL Low
MOTOR OIL F DH L 2400.00 GAL Min
WASTE ABSORBANT F IH S 440.00 LBS UnR
WASTE BATTERIES IH L 160.00 LBS UnR
+______________________________________________________________________________+
-2- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
BATTERY ACID I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
SALES FLOOR I CAS# I
7661-93-9
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ OTHER - SPECIFY ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont4100rLBS I Daily 600100m LBS I Daily 300r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 34t00ISulfuric Acid (EPA) INosl CAS#7664939I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPA RalHrds I%F~A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
t______________________________________________________________________________+
-3- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
WINDSHIELD WASHER SOLVENT Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SALES FLOOR ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER I
+_________+____------+_______________+____-----------+-------------------------+
------ ----------- -------------------------
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
1.00 GAL 50.00 GAL 30.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 4Wt00IMethyl Alcohol INosl CAS# 61651I
+_______+--------------------------------------------------+___+________-------+
------------------------------------------ -------
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No INo I No I No/ Curies I DH I~~~ I I Hl 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.Defineli ----------------------------------------------------------------+
*______________________________________________________________________________+
-4- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0007 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
WASTE OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
STOCKROOM I CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambient ~ Ambient ~ ABOVE GROUND TANK ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co22a~i~ne~rG~ I Daily 22x~im~u~m G~ I Daily 110r00e GAL I
+--------------------------+-------------------------+---_---------------------+
---------------------- ------------------------- -------------------------
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 99t00IPetroleum Oil INosl CAS#8002059I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPA HazarDH I%F~A/ I USDOT# I Low 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-5- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0007 _______________ Facility Unit: Fixed Containers on Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I Treated On Site I CA Code I US Code I GAL Generated/Mo.l GAL Generated/Yr.l
No
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: I
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
+______________________________________________________________________________+
-6- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ANTIFREEZE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SALES FLOOR I ~107-21-11
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
1.00 GAL 90.00 GAL 75.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
°sWt . RS CAS#
95.00 Ethylene Glycol No 107211
5.00 Diethylene Glycol No 111466
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZAR.D ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No INo I No I No/ Curies I I/// I I L°w 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-'7- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
MOTOR OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SALES FLOOR I 64742-54-7I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient I PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Contii00rG~ I Daily2400100m G~ ( Daily1800r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 80t00ISolvent Refined Distillate, Heavy Paraffin INosl ~564742547I
+_______+--------------------------------------------------+---+-_-------------+
---------------------------------------------- --- ---------------
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN~oHazl RN~d~oactive/Cur1'es I FPA HazarDH jF~A/ I USDOT# I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-8- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL NAME ______________________________+________________+
WASTE ABSORBANT Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
STOCKROOM ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Solid ~ Waste ~ Ambient ~ Ambient ~ DRUM/BARREL-METALLIC ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co440100rLBS I Daily 440100m LBS I Daily 220r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
~~Wt. ~ ~ RS~ CAS# ~
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No I No/ Curies I F IH I/// I I UnR I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-9- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers on Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I Treated On Site I CA Code I US Code I LBS Generated/Mo.l LBS Generated/Yr.l
No
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: ~
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
t______________________________________________________________________________+
-io- os/2s/2oos
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
WASTE BATTERIES I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
STOCKROOM ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambient ~ Ambient ~ OTHER - SPECIFY ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont4100rLBS I Daily M60100m LBS I Daily A80r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 34t00ISulfuric Acid (EPA) INosl CAS#7664939I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies I IH I/// I I UnR I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
*______________________________________________________________________________+
-11- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers on Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I Treated On Site I CA Code I US Code I LBS Generated/Mo.l LBS Generated/Yr.l
No
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: I
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
+______________________________________________________________________________+
-12- 08/25/2008
+ AUTOZONE 5332 ______________________________________= SiteID: 015-021-001426 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 08/10/2006 +
STORE MANAGEMENT CALLS LOCAL AGENCIES AND INFO TRAC. INFO TRAC REPORTS TO
STATE AGENCIES.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 09/07/1999 +
VERBAL.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ___________________________________= 09/07/1999 +
STORE MANAGEMENT.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 08/10/2006 +
FIRST AID AND CALL LOCAL HOSPITAL: MERCY HOSPITAL, 2215 TRUXTUN AVE,
+______________________________________________________________________________+
------------------ -------------------
-13- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 08/10/2006 +
ALL MATERIALS ARE STORED IN PROPER CONTAINERS AND HANDLED WITH CARE.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 08/10/2006 +
ABSORBENT MATERIALS ARE READILY AVAILABLE FOR THIS PURPOSE.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 08/10/2006 +
SMALL SPILLS ARE CLEANED UP WITH ABSORBENTS AND PROPERLY DISPOSED OF. LARGE
SPILLS, INFO TRAC WOULD BE CONTACTED FOR PROPER PROCEDURES.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-14- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 10/11/2007 +
ELECTRICAL - SW SIDE OF BLDG
WATER - E OF BLDG
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 03/24/2006 +
PRIVATE FIRE PROTECTION - 5 FIRE EXTINGUISHERS.
FIRE HYDR.ANT - N OF BLDG ACROSS BRUNDAGE LN.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
18 EMPLOYEES
+______________________________________________________________________________+
-15- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 08/10/2006 +
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRI~M: TRAINING CONDUCTED BY STORE MANAGEMENT
AND UPDATED ANNUALLY.
+______________________________________________________________________________+
+-_- Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-16- 08/25/2008
+ AUTOZONE 5332 _______________________________________ SiteID: 015-021-001426 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-17- 08/25/2008