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Home My WebLink AboutHAZ-BUSINESS PLAN 3/16/2015 (2)UNIVIED PROGRAM I HaMat Business Plan Inventory Program fi A b FiRt .4 q r!r 4400� E�7 NAME FF_ACILIT�, N 9 _T_ — m ADDRESS — _j FAC—UTY CONTACT ,Onsont to inspect Na itle BAXER8FMLD'F% 1?reVtjMtj7GrL %aw'te 2 101 jj St-ceet Bakersfield, CA 93301 TO]--- (661) 326-3979 r'ax-' (661) 852-2171 4kPECTiON GATE No_ ! - 7q,9 -_S C-O o o\ 3TE-6110ii TIME OF EMPLOYEES ---------- g h " S ee I K tl, tj f3 -Pro, m ROUTJ N*E q� COMBINED 0 JOINT AGE =NCY MULTI- AGENCY Y 4rant 11 C;0AAP6�1_Wr___ff RE -INS PtCTZN C V =cQmPjrai6!J VISI13LE AOJDR COMMENTS ESS 505.1, BMG. 15.52.020) APPnopRIATE PEjjmrr ON HANDI (8mc: I , 5.65-080) ----- 0 THE CURAENT CALENOAR YEZAR CERS UPDATED FOR I �K ____ — — _.— El BUSINESS PLAN OONTAC;T INFORIMATION .ACCURATE 11 (CCR-:Z729.1) WtRIFICATION OF INVENTORY MATERIALS- (CCR: 272q.3) VERIFICATION N OF OLIANTITIES 10OR:0729-4) VERIFICATION OF Lor ,ATION — --------- (OCR. 2729-2) 0 PROPER -SEGREGATION OF MATERIAL r'A04. 1) SAFETY DATA SHEET AVAILABILITY (CCR. 272,9.fta 0 VERIF(CAYION OF HAZ MAT THAINI (CCR: 2732) 0 VERIFtGA*FKM OFMATEMEN'__ LIES AND PROGEOURES (CCR:2711 (c)) EMERGENCY PROCEDURES ADEQUATE (CCR. 1731) CJ CONTAINERS PROPERLY 08e4eD U—S E —KE—E P — — — — — __ (COR: 66262,34 (1); C;FC: So (NG FIRE PROTECTION 05) '9frtE E)IAGIUM ADJEWATE a ON HAm NY RE) WASTE ON SJ'rE-? i_P_15 r—n: (CCR: 27229. the vjUjal'on(s) noted above by WitWn 5 days or c(nTeLtj 09911ofth V- Q�J 8akemfiew ri, )jept lations ci 0 aid M Prevcnlion -3e-rvic--S..210j ff ""OPY of this papt to. I California t 9:5301 cam C-py I. "est", I' nt2er rcr_ (0 (70MPjjn=' - ------ Crn 1;0 re rlif� ir Si9ftature (that all V101 7-- ations have (ecn. — ` - - ---- 00rreCtr4;1.'z nOL-d) Dsic t-D2 1 55 (Rev jtj 4) z000/z000e StLO XVJ WV66.*L1 VLOZ/9L/60 BAKERSFIEL► FIRE DEPARTMENT ,e-hr3WV--RW.A - JDATED FORMS E R 3 F UNIFIED PROGRAM CONSOt FIRE SMALL OUANTITY HAZARDOUS A R TM WASTE GENERATOR INSPECTIO lltn facility Name. I Sim Address! Owner/Operator (;Ajctl (.,4 AD Ar 'ST AMC of Ins riection 1%a4utine a Re-hispection[Follow-up 0 Combitlei Routine Inspection 0 Joint Lup 0 CONSENT TO INSPIM-7 GRAMI'M BY (Name /lInfle)- inspection may involve obtaiiiing photographs, review and ccTying of records, and determination C = Complaint V = Class 1, 11 or Minor Violation I ' V HAZARPOW WASx> ItE UEREMENT NIA I Recordkeeping(documentation Prevention Setvices LD 2101 H Street T Phone: eld, CA 661-326-3979 1=ax: 661-852-2171 Date: 'Time Jn! 71me ont: Phone: EPA ID tlon 0 Complaint 0 )Focused 0 Other of compliance with hazardous -waste handling requircriwnts. eERS violatioll# CONOWNTS Generator has an EPA H) number [HW. 25]43.13] 301171X)2 Haurdows, wa.-ne determination made for all ivastes 9 Analysis 0 Generator nlOwlOdge LCCR 66262AOI 3030005 - Contingen cy plan information posted near plLune- [CCR 66262.34(d)(2)] 3010022 Facility pervinnel dernnmstrate tminingJawareness (CCR 66262-34(d)(2)) M, 1J.1ifests/Cons-olidated Manifest receipts complete (CCR 66262.23(a)1 Blue cippy(s) of nianifcst maiW to IYrSC LCCR 66262-23(a)(4)) 3020001 3010008 MIMI I Bills of Ladindrucei is available [CCR 66262.40(a)] 3010010 LDR., available and comploto [CCR 66268.7 1 3030006 [14SC 25143 303001 Onsitc, Fcc cjinx rcpQ;Tcd using UP , 6 Cont gnerflank mnagSTeat Containers are in good condition [CCR 66262.34(dX2)] 3030013 Containers are closed except when addijagIfflinovitig rICCR66262,3•(d)(201 3030017 Satellite containers at or near point of zenerdLi'un (CCR 6626234(c)(1)(A)l Em containers are cm pty (L-)QR 66262.34(f)) 303CM7 Containers insrpmcd weckly [CCR 66267-34(d)(2)) 3010019 Tanks insjected dik [CCR 66262.34(d)(2). 40CTR 265-2011 I 3030027 One container Per waste 5U'e5nLAt satellite area. [CCR 66262,34(4)(2)1 3030022 Exclude recyclable materials stuird in auuordi,nur' with local ordinance/MzatJous materials code-$ I fH.'SC 2 5143. 101 3010016 — AecumulTtion Time Limits Wasto is accumulated not more than 9011801270 [CCR 66 I~Mpty containers managed within onRJM —1 '!L 662,62.34(d)j vmul waste accumulated less than one yeAT (CCR 66273-15(a)j 3(Y3()Dl 0 3030010 3030011 Used oil filtmnotfsitc within IN (I car <1 t n) [CCR 6620(,.j30(i;)(4)) 303000• Ph-acid batterics offsite within 180 G yr, < I ton) [CC966266,81(a)(3)1 1 3030002 Labellng/Marking I —3030007 -� Collawlea ate properly labeled t662.62 4(f)j— J Excludcdra y�IabFc—matcriabz marked pnn perl} LHSC- 2514,19(p)1 J 3050005 universal waste container properly IsWed I (= 66273.341 1 3030008 Used M filtem rnarkcd "drajmd vwd oil filterb" [CCR 66266,1301 3030WH Date written on spent lead-acid battmics I (CCR 66266.81 a 6 1371. 3030003 "Used Oil"muked ou all used oil lanW- COnLainers FCC;R.66279-21(b)l 30300017 Tauk marked with *haz waste, . contgntv, st34 date . [66262-34(f)) 3030007 Treatment Tran6art, and Vi9ponNither Have permittauthori72tioi to do IreatnW41t I 114SC 25136-21 1040003 Waste sent with authorized tranhport (gen. cliple) I CCR 66263,411 3050001 Waste disposed of to authorized point/parV I FHSC 25189.5(a ),j Failed to proNrly handle appli,'ylce wastes I [14sc 2521*2(a)j. Fire Protection I 16 -34(d)(2)] Print and sign In this box for rtteipt of this report %n4tvre o9is not Imply agreement 3030032 with randings only receipt of report. !Sign re t "tations have f=n corrected as noted) 7- Date 102171 (Rev 9114) INSPEMR POST INSPE MON INSTRUCTIONS: • Correct the violation(s) nixed above by Within 5 days of coffecting all of the violations, sir and retumii copy of this page to: Bakcrsficld Yoe I)cpt., Prevelitioa Sefvices. 2101 St. Bakersfield, CA 93301 `` -�. ( While — Busintfi-, Capy Ycllow— Station C0jjy Pink- P cvcnliofl Servicz.% COPY Z000/100018 9VLO XVJ NV86:LL VLOZ/9L/CO 25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER -BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR, Title 19 j Property Information: Name: 99 Only Store Address: 1501 White Line City: Bakersfield, CA. ZIP: 93307 Contact: Mike Alvarez Telephone: 213- 216 -0666 Occupancy /Use: Store Construction Type: No. Stories: 1 Year Constructed: 1984 �� "o > Contractor Information: 1 Number of System Risers Name: De Angelo Fire Protection Copy sent to: Address: 1021 -1/2 W. Kensington Rd Owner Date 3/28/15 City: Los Angeles Fire AHJ Date 3/28/15 State: California 90026 Contractor Date 3/28/15 Telephone: 213- 977 -0413 NOTES: Private Water Supply System 1) For specific inspection, testing, and CA License# 736161 maintenance requirements and information, Fire Pump see NFPA 25, 2002 Edition as amended by Job # 3010 California Code of Regulations, Title 19, §901 Water Storage Tank to §906. Performed by: Mke Alvarez (print) 2) Inspection Items may be performed by the Owner in accordance with California Code of Note: Contractor information may be pre - printed Regulations Title 19 904.1(a) Forms included with this report Chapte5 Number of Forms NIA FAIL* PASS Automatic Sprinkler System 5 Standpipe and Hose Systems 6 Private Water Supply System 7 Fire Pump 8 Water Storage Tank 9 ✓ Water Spray System 10 Foam Water Sprinkler System 11 I*See "Deficiencies and Comments" section at end of each respective form. State Fire Marshal AES 1 March 21, 2006 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System Page I of 4 NFPA 26, Chapter 6 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 3/28/15 System Riser ID: R-1 Property Information: Type of System: Of I CAIZ Name: 99c Only Store V1 Wet Pipe ❑ Dry Pipe Address: 1501 White Lane ❑ Preaction A-0 = After Operation ❑ Deluge 4W MI = Per Manufacturer's Instructions Restored Static Pressure: 60 (psi) City: Bakersfield, CA. 93307 Item Main, Drain Test Results: Abbreviation Key: I = Inspection Initial Static Pressure: 60 (psi) T = Test M = Maintenance Residual Pressure: 50 (psi) A-0 = After Operation MI = Per Manufacturer's Instructions Restored Static Pressure: 60 (psi) Item Activity Frequency Description NFPA25 Reference Fail N/A Pass Daily Preaction/Deluge Valves — Enclosure 12.4.3.1 1.1 1 Weekly temperature 1-2 1 Daily Dry Pipe Valves — Enclosure 12.4.4.1.1 X Weekly temperature Gauges (Dry, Preaction, Deluge 5.2.4.2 X 1.3 I Quarterly Systems) 5.2.4.3 1.4- I Quarterly Control Valves 12.3.2.1 X 1.5 I Quarterly Alarm Devices 5.2.6 X 1.6 1 Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 X 1.7 I Quarterly Hydraulic nameplate 5.2.7 X 1.8 1 Quarterly Pipe and Fittings 5.2.2 X 1.9 I Quarterly Sprinklers 5.2.1 X 1.10 1 Quarterly Spare Sprinklers 5.2.1.3 X 1.11 1 Quarterly Fire Department Connections 12.7.1 X 1.12 Quarterly Alarm Valves — Exterior Inspection 12.4.1.1 X 1.13 I Quarterly Preaction/Deluge Valves — Exterior 12.4.3.1.6 X Inspection 1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 X 1.15 I Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 X 1.16 I Quarterly Backflow Preventers 12.6.1 X 1.17 I Annually Buildings 5.2.5 X State Fire Marshal AES 2 March 21, 2006 25 -80 INSPECTION, TESTING, AND MAINTENANCE OF WATER -BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NFPA 26, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 3/28/15 System Riser ID: R-1 Property Information: Type of System: Name: 99c Only Store Cpl Wet Pipe 1501 White Line ❑ Dry Pipe Address: ❑ Preaction ❑ Deluge City: Bakersfield, Ca. 93307 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.18 I Annually Hangers 5.2.3 X 1.19 I Annually Seismic Braces 5.2.3 X 1.20 i 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 X 1.21 I 5 Years Seismic Braces (Accessible concealed spaces) 5.2.3.3 X 1.22 1 5 Years Pipe and Fittings (Accessible concealed spaces)__ 5.2.2.3 X 1.23 1 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.1.4 X 1.24 1 5 Years Alarm Valves — Interior Inspection 12.4.1.2 X 1.25 1 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 X 1.26 1 5 Years Check Valves — Interior Inspection 12.4.2.1 X 1.27 1 5 Years Preaction/Deluge Valves — Interior Inspection 12.4.3.1.7 X 1.28 1 5 Years Preaction/Deluge Valves - Strainers, filters, orifices 12.4.3.1.8 X 1.29 1 5 Years Dry Pipe Valves — Interior Inspection 12.4.4.1.5 X 1.30 1 5 Years Dry Pipe Valves - Strainers, filters, orifices 12.4.4.1.6 X 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 12.2.7 X 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 X 2.3 T Annually Antifreeze Test 5.3.4 X 2.4 T Annually Control Valve - Position 12.3.3.1 X 2.5 T Annually Control Valve — Operation 12.3.3.1 X 2.6 T Annually Supervisory 12.3.3.5 X 2.7 T Annually Preaction Valve — Priming Water 12.4.3.2.1 X 2.8 T Annually Preaction Valve — Low Air Pressure Alarm 12.4.3.2.10 X 2.9 T Annually Preaction Valve — Full Flow Trip Test 12.4.3.2.2 X State Fire Marshal AES 2 March 21, 2006 ANNEX B 25-81 Inspection, Testing, and Maintenance Fire Sprinkler System Page 3 of 4 NFPA 26, Chapter 6 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 3/28/15 System Riser ID: R-1 Property Information: 99c Only Store CA Type of System: O_ f !"!A 4 '& "--- " 0 Name: R9 Wet Pipe i/I . 1�1 Address: 1501 White Line ❑ Dry Pipe ❑ Preaction T ❑ Deluge A* City: Bakersfield, CA. 93307 12.4.4.2.1 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 X 2.11 T Annually Dry Pipe Valve — Low Air Pressure Alarm 12.4.4.2.6 X 2.12 T Annually Dry Pipe Valve — Quick-Opening Device 12.4.4.2.4 X 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 X 2.14 T Annually Back-flow Preventer Assemblies 12.6.2 X 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2 X 2.16 T 5 Years Gauges 5.3.2 X 2.17 T 5 Years Pressure Reducing Valve 12.5.1.2 X 2.18 j T 5 Years Fire Department Connection Backflush 12.7.4 X 2.19 T 5 Years Sprinklers — Extra High Temperature 5.3.1.1.1.3 X 2.20 T 5 Years Sprinklers — Corrosive environment or corrosive water 5.3.1.1.2 X 2.21 T 10 Years Sprinklers - Dry 5.3.1.1.1.5 X 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 X 2.23 T 50 Years Sprinklers 5.3.1.1.1 X 2.24 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 X 2.25 T Sprinklers manufactured prior to 1920 Replace 5.3.1.1.1.1 X 3.1 M Annually Control Valves 12.3.4 X 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 X 3.3 M Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 X 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 X 3.5 M 5 Years Obstruction Investigation Chapter 13 X State Fire Marshal AES 2 March 21, 2006 25-82 INSPECTION, TESTING, AND MAINTENANCE OF WATER -BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and Maintenance Fire Sprinkler System Page 4 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance: 3/28/15 System Riser ID: R -1 Property Information: Name: 99c Only store Type of System:' 91 Wet Pipe • Address: 7 501 White Line ❑ Dry Pipe ❑ Preaction ❑ Deluge,* City: Bakersfield, CA. 93307 Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: No Defect were found H See Continuation Page(s) (Indicate the number of continuation pages) PASS Miguel Alvarez � '° 3/28/15 ❑ FAIL M-20M,M175 Signature Date State Fire Marshal AES 2 March 21, 2006