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Home My WebLink AboutBUSINESS PLAN CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME(_~6~-,~L(-~ (~)/~5 ..~--A.\~ 1NSPECTIONDATE ADDRESS [9 { q I g 't~ ,5'T- PHONE NO. FACILITY CONTACT~/~c-~'~z- l~6dSa N BUSINESS IDNO. 15-210- ~SPECTION TIME ! ~ ~ {x~ NUMBER OF EMPLOYEES -/ Section 1: Business Plan and Inventory Program [~outine [~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C ¥ COMMENTS Appropriate permit on hand Business 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 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 C=Compliance V=Violation ~ %% 7t--'c:Z_. Jf..._..__~ ~ /¥ ~ C) t 7 Explain: White - Env. Svcs. Yellow - Station Copy Pink - usiness Copy Ins GORILLA PAINT BALL SiteID: 015-021-002288 Manager : BusPhone: (661) 323-1066 Location: 614 18TH ST Map : 103 CommHaz : City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title GENE HANSON / / Business Phone: (661) 323-1066x BusineSs Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : GENE HANSON Phone: (661) 323-1066x MailAddr: 614 18TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner Phone: (661) 323-1066x Address : 614 18TH ST State: CA .City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... SpooHazlEPA HazardsI Frm DailyMax IUnitlMCP CARBON DIOXIDE F P IH G 1275.,00'FT~3 /Min I, '~¢rr'v 5.~'... Do hereby csr~ify tha~ ! have re¥-ie~ed the ~ached h~ardous ma~sri~s merit plan for ~ 0~/06/2003 GORILLA PAINT BALL SiteID: 015-021-002288 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site CARBON DIOXIDE Days On.Site 365 Location within this Facility Unit Map: Grid: INSIDE REPAIR AREA AT REAR OF SHOP CAS# 124-38-9 Gas /Pure A~ove Ambient Cryogenic INSUL,TAlgK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 425,00 FT3 1275,00 FT3 1275,00 FT3 HAZARDOUS COMPONENTS %Wt', R~NoRS~ CAS# 100,00 Carbon Dioxide 124389 HAZARD ASSESSMENTS TSecret ~SlBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F P IH / / / Min 2 '" ' 01/06/2003 GORILLA PAINT BALL SiteID: 015-021-002288 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification -- Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -3- 01/06/2003 GORILLA PAINT BALL SiteID: 015-021-002288 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention ~ Release Containment -- Clean Up Other Resource Activation -4- 01/06/2003 GORILLA PAINT BALL SiteID: 015-021-002288 Fast Format ~ Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level -5- , 01/06/2003 GORILLA PAINT BALL SiteID: 015-021-002288 Fast Format ~ Training Overall Site Employee Training -- Page 2 --Held for Future Use Held for Future Use 6 01/06/2003 1715 Chester Ave., 3 FACILITY NAME ~t ~ ~,~ ~ ~SPECTION DATE ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Invento~ Program ~outine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint OPERATION C V COMMENTS Appropriate pc~it on hand Business plan contact info~ation accurate Visible address Co~ect occupancy Verification of invento~ materials' 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 Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~ Yes ~o Explain: Questions regmding ~is inspection? White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: ~? cITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM I.NSPECTION CHECKLIST 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 FACILIIY GONTACT_ ~ ~r~ BUSINESS ID NO. 15-210- ~ ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Invento Program ./'~ ~0 . ..D .::~ ~Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint OPERATION C V COMMENTS Appropriate permit on hand ~ ~'~-~'~'T ~ Business plan contact information accurate Visible address Correct occupancy Verification of inventory mate. r!als .... ~ ~. Verification of quantities '7~ ~ -~O :ff~(6 ,'-.,<' Verificationoflocation . ttO~ ~O~ O.~'~t~,C~ Proper segregation of material Verification of MSDS availability Verification of Haz Mat training " Verification of abatement supplies and procedure's Emergency procedures adequate Containers properly labeled Housekeeping S. ite, Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: I~] Yes ~o White- Env. S~,cs. Yellow- Station Copy Pink- Business Copy inspector: CITY OF BAKERSFIELJ~ ;E OF ENVIRONMENTAL 51liVICES 1715 Chester Ave., CA 93301 (661) 326-3979 '~'~'~~"'~ ~" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matedal per building or area) ,~EW [] A~D [] DELETE [] REVISE 200 Page __ of __ CHEMI~L ~ME 207 COM~N ~ME EHS' ~ Y~ ~ NO 2~ FIRE CODE H~ C~SSES (~plete if r~umt~ by t~l fire ~ie~ ..... 210 PHYSICALSTA~ ~ s SOLID ~I,LIQUID ~S 214 ~ ~RGESTCONTAINER 215 FED H~RD ~TE~RIES ~ 1 FIRE ~ 2 REACTIVE ~ 3 PRESSURE EELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (~ all that apply) ANNU~WASTE 217 M~IMUM ~ ~ 218 ~ AVENGE 219 STA~ WASTE ~DE UNITS' ~ ga GAL ~ CU FT ~ lb LBS ~ tn TONS 221 DAYS ON SITE * If EHS, am~nt must be in lbs. STOOGE CO~AINER ~ a ABOVEGROUND TANK ~ e P~STI~NONM~ALLIC DRUM ~ i VIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR (Check alt ~at appty) ~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC BO~LE ~ r O~ER ~ c TANK INSIOE BUILDING ~ g CARBOY ~ k BOX ~ o TOTE BiN ~ d STEEL DRUM ~ h SILO ~yLINDER ~ p T~K WA~N STOOGE PRESSURE ~ a AMBIENT ~a ABOVE AMBIENT ~ ba BELOW AMBIENT ~4 STOOGE TEMPE~TURE ~a AMBIENT ~ aa ABOVE AMBIENT ' ~ b3 BELOW AMBmENT ~ c CRYOGENIC 225 227 i I 226 ~ ~Y~ ~No 228 3 ~ 2~ 235 [ ~y~No 236 237 239 i ~ ~ 241 238 ~ ~Y~ ~No 240 242 ~ Y~ ~ No 2~ 245 ' ~'7~ ' ~ PRINT ~ME & TITLE OF AU~ORIZED COMPANY REP~ESENTATI~- SIGNATURE DATE 2~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd