HomeMy WebLinkAbout2201 R STREET~~
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
900 ZYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
Ot~~~ST~cA~ ~H-'~~~~ Co c ~u C INSPECT ON TE
9<< 08' INSPECTION TIME
ADDRES~~~ ~^
( 2 .~ ~ , PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT ~ BUSINESS ID NUMBER
15-021-~C.1^~,~`~ $'
Section 1: Business Plan and Inventory Program
OUTINE' ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY ,
^ ^ VERIFICATION OF INVENTORY MATERIALS
^ ^ VERIFICATION OF QUANTITIES D~/ D-
V
^ ^ 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
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
o YES ^ No
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979
` /,,~ ~
• 1 L~Ge`~ ~~ ` tll'!'~1`r
Inspe~ ctor (Please Print) Fire Prevention I 1" In / Shift of Site/Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
Manager : DAVID KETTLER
Location: 2201 R ST
City : BAKERSFIELD
BusPhone: (661) 323-6523
Map : 103 CommHaz : Extreme
Grid: 30B FacUnits: 1 AOV:
CommCode: BFD STA 04 SIC Code:5063
I
EPA Numb: I
DunnBrad:95-776-9380
+_____________________________________ _________________________________________+
+_____________________________________ __+______________________________________+
Emergency Contact / Title Emergency Contact / Title
DAVID KETTLER / MANAGER RICK ALVORD / OWNER
Business Phone: (661) 323-6523x Business Phone: (951) 273-2210x105
24-Hour Phone :( ) - x 24-Hour Phone :(714) 299-2578x
Pager Phone :(661) 549-9621x Pager Phone :( ) - x
+------------------------------------- --+--------------------------------------+
~ Hazmat Hazards: RSs React ImmHlth DelHlth ~
+------------------------------------- -----------------------------------------+
Contact : RICK ALVORD Phone: (951) 273-2200x105
MailAddr: 122 ENTERPRISE CT State: CA
City : CORONA Zip : 92882
+------------------------------------- -----------------------------------------+
Owner RICK ALVORD Phone: (951) 273-2200x105
Address : 122 ENTERPRISE CT State: CA
City : CORONA Zip : 92882
+------------------------------------- -----------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: Yes
ParcelNo:
+------------------------------------- -----------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
+______________________________________________________________________________+
-1- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers on Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
I SULFUR.IC ACID (BATTERIES) R IH DH L 900.00 GAL Hi I
PROPANE E R IH DH G 576.00 FT3 Hi
+______________________________________________________________________________+
-2- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site +
+_= CONII~ION NAME / CHEMICAL NAME ______________________________+________________+
SULFURIC ACID (BATTERIES) I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
STORAGE RACKS I CAS# I
7664939
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
I Liquid ~ Mixture ~ Ambient ~ Ambient ~ OTHER - SPECIFY ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
5.00 GAL 900.00 GAL 700.00 GAL
+__________________________+_________________________+____---------------------+
---------------------
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 40t00ISulfuric Acid (EPA) INosl CAS#7664939I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlYeslBNoHazl RN~d~oactive/Cu~l'es I EPA RaIHrDH 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
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL NAME ______________________________+________________+
PROPANE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
FORKLIFT I CAS# I
74-98-6
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas I Pure I Above Ambient I Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
288.00 FT3 576.00 FT3 360.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IPropane ' IYeSI CAS# ~4986I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNoHazl RN~d~oactive~Cu~rl'es I EPA RaIHrDH 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-4- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 10/30/1998 +
CALL 911 AND FIRE DEPT.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 10/30/1998 +
ALL EMPLOYEES EVACUATE TO SIGN IN PARKING LOT. SOUND BUZZER.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ________________________________________________+
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 05/22/2006 +
FIRST AID TREATMENT ON SITE. FURTHER CARE, CALL 911 OR TAKE TO: MEMORIAL
HOSPITAL, 420 34TH ST, 327-1792.
+______________________________________________________________________________+
-5- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 10/30/1998 +
WE HAVE CONTAINMENT BOXES FOR ALL ACID FOR CONTAINMENT OF ACID SPILLS.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 10/30/1998 +
SPILL CONTAINMENT FOR BOXED ACID.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 04/25/2006 +
NOCO CLEAN-UP KITS. SODA ASH TR.ANSPORTED TO SMELTER.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+------------------------------------------------------------------------------+
------------------------------------------------------- ----------------
-6- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 05/21/2007 +
GAS - FRONT OF BLDG ON 22ND ST
ELECTRICAL - FRONT OF BLDG ON 22ND ST
WATER - FRONT OF BLDG ON 22ND ST
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 05/21/2007 +
FIRE HYDR.ANT - FRONT OF BLDG ON R ST
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 04/25/2006 +
4 EMPLOYEES
+______________________________________________________________________________+
-7- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 04/25/2006 +
MSDS SHEET AVAILABLE ON FILE.
BRIEF SUNIMARY OF TRAINING PROGRAM: NEW HIRE TRAINING AND MONTHLY SAFETY
MEETINGS.
+______________________________________________________________________________+
+__= Page 2 _______________________________________
_____________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-8- os/25/2oos
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ____________________________________________________ 04/05/1993 +
STORAGE OF WET CELL BATTERIES ONLY. NO BULK ELECTROLYTE STORAGE. NO STORAGE
OF CONCENTRATED SULFURIC ACID.
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+.
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-9- 08/25/2008
+ POWERSTRIDE BATTERY CO INC __________________________ SiteID: 015-021-000398 +
+_________________________________________________________________ Fast Format +
+_ - ____________________________________________________________ Overall Site +
+______________________________________________________________________________+
-io- os/25/2oos