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HomeMy WebLinkAboutBUSINESS PLAN - ¡ . / .. ~ v::\~~. , UNIFIED PROGRAM INSPECTION CHECKLIST': SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME '"'"',,---1:; ~ :;-{~Æ:...ÉJ.~'r~þ,:t -------- - ~,tf-~'(- ¡g~""i..C- . (Ä . _.________________ ___~__Z_..m_ FACILlTYCONTACT ----------.--- _.__.______m_ Business 10 Number 15-021- Z gyS- Section 1: Business Plan and Inventory Program -;!!! Routine a Combined a Joint Agency a Multi-Agency a Complaint aRe-inspection c v ( C=Compliance ) V=Violation OPERATION COMMENTS a a ApPROPRIATE PERMIT ON HAND _._________.__ __ ____m__. ...~_ ._.____..._._.. .. .". . __ _.._m_._·__ ----.-> /Ou-f-o ~-----6WI:I1-e-ç,j" - ¿ '......._........n_ .__.,,.___.__~..___.......__......_.. _...n_n -.---.--- -----.---------------.------.-------------------.--".--..------ . ....m_ __.__.___._.. ___.__u______.____.. ._____ _.._.........._.__.... ._....._...____. ____..____..._. 0 ..on.... a a BUSINESS PLAN CONTACT INFORMATION ACCURATE a a VISIBLE ADDRESS f--. ._____.___._._____._________..__. .___...____._ ____......._. ... ._..._h_.____._.__..__.._ ..U" ____ ___.____ n._..__."....____.~ .____._._. ._.. _.. a a CORRECT OCCUPANCY 1-____ --.------------------------..--.-----.--.---..-. __._1-...____.______.. . -.-.--.- -----.-----....-------.--- -_. -- --.... ____m_·___ ....n.._. a a VERIFICATION OF INVENTORY MATERIALS r---~_._____._____..______._m.n____m__m __mnm________.________._ .n_ __.____. _. ______._. __ _._______.__ n __.____._.__. ...._. u_.__._ _ _ ..._ a a VERIFICATION OF QUANTITIES r---.---..m--_.__...__________.___..m.__m__.....__.________...___...__.._m -.---.--------.--. --.. -..---.-.-.-..-.-.--.---.....-.....----..-.---...-. _. ---........__._----~--. ...- a a VERIFICATION OF LOCATION ____ ~___ _____ ____________ ________.__ _________ ____ ____ _____~__~_._._______.__._.._. ._.._._._...__.__._____._.._ __..__...._..u_._ ._.....___.___ _. _._.._.__. a a PROPER SEGREGATION OF MATERIAL ------~------ -----------.-- - ---- ------.-- - --.--- ---.------- - - -.- -.- ~- . __..______.___.____.____.__._____. _.._.__.__._.n ._..___._ a a VERIFICATION OF MSDS AVAILABllITYE I-------------~--._____.___.______________.____.___ __'_'___".."._h. ._.__.____ _ _..._____.__.__.._____._. .__ ___. ..n_...n...__..mmn______._n__.n.. .______n_ _ __. __. __ __ __._ a a VERIFICATION OF HAT MAT TRAINING I--~----_._____.______________._______ _..__ .. __ _.___ _____________ h _.___._n_..__.n__..._ _ ..._________.. .____.___...__. .._..___ ._ a a VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - f---.------.___n_ ______.___..___.___.____..._.._ ._..____ m_._.___.__.____________.n._______.__.._.._..__ _.. ____.____ _._ ._.._______m.__ _.. _._..__. __~ __~__ ::~~~::~~:~:;:~;~BA~~:UA:~--mm--------n-- __ -+ _____ _ __ _ _ ____ ___mm_________ ________________ _n_mm___m___ .__~__n_ ______ .__ _ ___... __ _ ......._______..._ a a HOUSEKEEPING j I---m_mm_ ___ ____ _ _____ _____________ _______ ____ __ ____ __ _m_ ________ ___mm_.._ __ __ n____ ______ ____._ __ ______.. __ a a FIRE PROTECTION - -- -------- ~------ ---- - -- -- -- - ----------- - ---.- ---- -----___ _ ______________ ..___.__ _ ____..__ _.._ _ _ . _ __ _ ._·___h____... a a SITE DIAGRAM ADEQUATE & ON HAND i -- ----- - - -- - --- -- .---..- ....----..-. ._ n_~___.._._ _ . ANY HAZARDOUS WASTE ON SITE?: aVES a No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~¿ ..:ff?'/ '~~sponsible Party ---.---.-------.----- -.--.--..---.-... .-._-_. -.-.....--.--.----..----------. Inspector Badge No,. White - Environmental Services YeHow - Slation Copy Pink - Business Copy \(/\)~~\?<' CO_ RECTION N TIC BAKERSFIEL. D FIRE .DEPARTMENT Location You ~e co~ections at the above location: Completion Date for corrections ~, / ~ / 0 Z~ Date ~/'~/0"~ Ld,~"'~..~ '?!: Inspector -?~ FD 1~ 326-3951 ':~I 900 E. California Avenue ~ ~ Bakersfield, CA 93307 ~ "~ Todd M. DiPietro (661) 322-4454 HVAC Division Fax (661) 322-4464 Cell (661) 979-9510 . CITY OF BAKERSFIE~ ~ ~E OF ENVIRONMENTAt~II~RVICES ~mr_~lrr~ 715 Chester Ave., CA 93301 (661) 326-397~ *~'~"~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION O P~e . '-" .,~-':.'; .' I. FACILI~ INFORMATION '~ . ' ' :'~ ....~ ':. I ,:..~;?,~.~:.,.. , .' . ... , ,.-... ' ',.: .'.'.~:-: ~--"- " II. C~EMICAL INFORMA~ON · ' T~E SE~ ~7 ~N ~ EHS' · :. . ........ :,,.,:....~.~ -.-.~.~,~.~.~. ..,.~ ! F~ ~OE ~ ~ES (~ ~ ~ ~--~ -- 210 TYPE [] p PURE [] m MIXTURE ~:w WAST=- ~.': : R~DIOACTIVE [] Yes [] No 212 i CURIES 213 PHYSICAL STATE []., SOLID [~LIQUID .[] g GAS 214 ~ LARGEST CONTAINER ..~'~:)(.~ 215 FED HAZARD CATEGORIES ~ FIRE 1'-12 REACTIVE ' r'13 PRESS~JRE RELEASE []4 A.,.,~fTE HEALTH F-IS CHRONIC HEAl. TH 216 (C~ec~ ~ ~hat ANNUAL WASTE 217i' DAII.YAMOUNT'~IAXIMUM ~ 218 !I AVERAC~DAILYAMOUNT ,~--'~,.~ 219 Ii STATE WASTE CODE 220 AMOUNT ,i ........................................... UNITS' ~ GAL [] c~ CU FT [] lb LBS [] tn TONS 221 i DAYS ON SITE 222 · If EHS. amount must be in lbs. STORAGE CONTAINER '!~--I- ABOVEGROUND TANK [] · Pt. ASTIC/NONMETALUC DRUM [] i FIBER DRUM [] m GLASS BO'FILE [] q RAIL CAR 223 (Check all iflat a~oly) . r-I b UNDERGROUND TANK [] f CAN I--~ j BAG [] n PLASTIC 00'FFLE [] r OTHER l-'J c TANK INSIDE 8UILOING r-I g CARBOY ~-I k BOX r'~ o TOTE BIN I"l d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ AMBIENT [] aa ABOVE AMBIENT [--I ~a 8ELOWAMBIENT 224 STORAGE TEMPERATURE ~A.MBIENT [] ABOVE AMBIENT [] ba BELOWAMBIENT [] CRYOGENIC 225 aa c 2 230 I 231 ~'"lyes []No 23;2 I 233 3 234 235 [] Yes [] NO 236 i 237 I 238 239 [] Yes [] No 240 241 I 242 243 [] Yes ~ NO 244 245 PRINT NAME & TI'n.E OF ,~ UTHORIZED COI~ANY REPRESENTATIVE '~I-~NA*--"~'~ DATE 246 i UPCF (7199} CITY OF BAKERSFIELD FICE OF ENVIRONMENTA ERVICES 715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fonn ~er ma~l ~ bu~g or ama) ~NEW ~ ADO ~ OELETE ~ REVISE P~ -- ~0 ' '.~"* .¥-:.h'~ :: I. FACILI~ INFORMATION . ~ ' ' :..:?:'?,~:%,': ~ . · ' '.:.,~ ./ ",c.' · ..,~,,~, .b:' ....... .~" ,'""- II. CNEMICAL INFORMATION .*',.-" .... .... '"~ .... ~ 2~5 , T~E'~' ~7 . CO~N ~ ~ EHS' . .~ ..................... 210 ~PE ~ p ~RE ~RE ~ w WASTE [': R.O~ACT~ ~ Y~ ~ ~ 212 ~ CURIES ~3 ~YSI~L STAre ~ s ~LID ~ I LIQUID ~ ~S 214 ; ~R~ST ~NNER ~ ~ O 215 FED ~ES ~ 1 FI~ ~ 2 ~ ~PRESSU~ REL~E ~ 4 AC~ H~L~ ~ 5 ~NIC H~ 216 ~ DALLY A~U~ ~ ;' DALLY ~U~ ~ ~ O A~U~ J ............... ~ .................................... UN~S' ~ ~ ~ ~d ~ ~ lb ~S ~ ~ TONS ~1 ~ DAYSON '~S.~t m~ ~in ~. ~' STOOGE ~NER O a ~VE~U~ T~ ~ · ~~UC ~UM ~ i FIBER ~M ~ m G~S BO~LE ~ q ~IL (Check all ~at a~) ~ ~ UNDE~UNO T~ ~ f ~N ~ j BAG ~ n P~STIC 80~ ~ r O~ER ~ c T~K ~SIDE ~ILDING ~ g ~Y ~ k ~X ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~LI~ER ~ p T~K WA~N STOOGE PRESSURE ~ a ~IE~ ~ A~VEA~IENT O ~ 8ELOWA~IE~ ~4 STO~ TE~ ~1~ ~ ~ ~IE~ ~ ba BELOW~IE~ ~ c CRYOGENIC ' 2 ~ ~ ~Y~ ~o232 ~3 : 3 =~ ~ ~5 ~Y~o 23~ ~7 242 ~Y~ ~No 2~ J 245 243 , b · "-:'; :':'.'. ; .~ ~. ' ' .::. .... ._ ..,.<~=~ ':',;.*;~ ., ,. ~:; ~ '; .~,~',.~ .~::t: ',, :. ,J PRINT ~ & T~ OF ~ EPRESE~A~E ~E "' . DA~ 2 : UPCF (7199} S:\CUPAFORMS\OES2731~.T~/4.wpd  CITY OF BAKERSFIE4~Lll]I~ , OF ENVIRONMENTA~'~¥ ICES 115 Chester Ave., CA 93301 (661) 326-3979 ' ~ ~ ~" ~ H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~l ~r bu~ Or ama) · : '..,. -~.:.:., . I. FAClLI~ INFORMATION . ....................... .~._ . - ._ ~ ........ ~-~(~ CHEMI~L ~~ ~ ff ~ to EP~ ~ ,o ins~ ~7 · ~N ~ ~ EHS' · ..:., ...... ... ..~..-~ 210 ~PE .~ ~ m gRE ~ w WASTE t': . [O~ACT~ ~ Y~ 212 ~ CURIES ~3 ~,SI~L STA~ DS ~LID D, L~UID ~S 214 ; ~"GE~NNER Z~~ 215 FED ~ ~ES ~ 1 FI~ ~~ ~ PRESSU~ REL~E O 4 AC~ H~Lm ~ 5 ~NIC H~m 216 ~NU~WA~ 217 ~M 218 ~ A~ 219 STA~W~ ..................................... UN'S* ~ ~ ~ ~ CU~ ~ lb ~S ~ m TONS ~1 OAYSONS~ ' ~ ~, ~t m~t ~ in [~. STOOGE ~NNER ~ a ~VE~U~ T~ ~ · ~N~UC ~UM ~ i FIBER ~M ~ m G~S BO~LE (Check a8 ~at ~ b UNDE~UND T~K ~ f ~N ~ j BAG ~ n P~C 80~ ~ r O~ER ~ c T~ I~IDE ~ILDING ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d $~EL DRUM ~ h SILO ~ ~LINDER ~ p T~K WA~N ' STO~ PRES~RE ~ s ~IE~ ~ A~ A~IENT ~ ~a BELOW A~IE~ ~4 ~O~ TE~ ~1~ ~ ~ ~VE~IE~ ~ ba BELOW~IE~ ~ c CRYOGENIC .....?~ ':.~. ,.:. :..~...~;e.~ ~<~ ~.~.~..:, ct':-:~?,. ,.,... :...c..... :~..:..~.~..~:~:'+,~;:~,:, ,:,.... ~. _ · . .':,. . ..-.~.:~ - ....... ~ ~ .... ~. ....?';:..-?'.' ...... , ........ ,.,..-,..~: ......- -~ .... .. ~:':~?~:~::-::c~s 1 ~ ~7 ~ Yffi ~ No ~ j 2 ~ ~1 ~Y~ ~NO~2 ' 3 ~ ~ ~Y~No 2~ ~ ~7 4 ~ ~9 ~ ~y~ ~No 2~~ 241 ........ PRINT ~ & T~ OF ~ ~O~D ~ REPRESE~A~ 5~ UPCF (7/99) S:XCUPAFORMSXOES2731.TV4.wpd E OF ENVIRONMENTA gL"RVICES 715 Chester Ave., CA 93301 (661) 326-3979 '"" <" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form l)ef matetfal ~r ~ or ama) ' "'*: ".~'*~,,~ I. FACILI~ INFORMATION ~ ~'~;~ ' '* ~:" ~USINE~ ~ (~e ~ FACILI~ ~~'~'~'~'~ ........................ 3 . ':..~:?..:.~::..../. . ...., - .,..~...~ .~.- ,'-";, II. C~EMICAL INFORMATION ' .......- 2~5 : T~E SE~ CHERYL ~ ~7 . FI~ ~DE ~ ~ES (~ E ~ ~--~ ~ 210 ~PE RE ~ m ~RE ~ w WASTE 2': ~O~ACT~ ~ Y~ ~ ~ 212 ~ CURIES 213 ~SI~LSTA~ ~ s ~LID ~UID .~ g ~S 214 ; ~RGEST~NNER ~ 215 FED ~ ~ES ~ 4 AC~E H~L~ ~ 5 CH~NIC H~ 216 (~ ~ ~ ~) ~ Fi~ ~ 2 ~ ~ 3 ~ESSU~ ~ ~LY ~U~ ~ ~ ~ DAILY ~U~ '~ ~ A~U~ t ........ ~ .................................. UN~S' ~ ~ ~ ~ ~ ~ lb ~S ~ ~ TONS ~1 { DAYSON STOOGE ~NNER ~ ~ q ~IL (Check a~ mat a~) -- ~VE~U~ T~ ~ · ~~ ~M ~ i F~ER ~M D m G~S BO~E ~ b U~E~OUNO T~K ~ f ~N ~ j ~G ~ n P~STIC BO~ ~ r O~ER ~ c T~K I~IDE BUILDING ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d S~EL DRUM ~ h SILO D I ~LI~ER ~ p T~K WA~N STO~GEPRES~ ~a ~IE~ ~ ~ A~VE ~IENT ~ ~ 8ELOWA~IE~ ~O~TE~ ~1~ ~ ~ ~IE~ ~ ba BELOW~IE~ ~ c CRY~IC ~...'..,r-:~,,,.,-'.,'=.,~..~,~~-~-~-"..~.:,~/'?~'-- ..........~-.:'"~:.~'~,~.:~.~ ...... ~ ...., -'~'~ ...... ~.~4=~ ..... '.~"..'="' ' · ~'.~:??~;~%~:~~:.'~:~%~.~ ::,.'H~SCO~ONE~:';".::.; .'.~.::' . . .'-./?/r~' ;'EHS '' ~r-':~;',-~{;~"~S~;~'~:~.'~ 2 ~1 ~Y~ ~No 232 r 3 ', ~ ~ ~Y~NO 236 ................................. ,, S 242 243 ~ ~y~ ~ 2~ 245 ~-'~' ~ " :'(:~'r'":~- ""'"v:,' ; : ~ ";' ":'::"'.:i~;~' ': ...... "' .... . -.' " ~.~ .....~.. ,- ......... ~,... ~.81G~TURE ': :... : - ....'/,~; ;.:;..;~ ~j~7~:,.~;.¢~,.,~,.,. ;,, . .... ..... .~:.......,, ...... , .. . . ,.~,.. :..'?:; ..,.~;;;%¢;;~¢<~c'~:(~','k; PRINT ~ & TI~ OF ¢ ~O~D ~'~'RE~ESE~A~E ~E DA~ 2~ UPCF (7199) S:~CUPAFORMS~OES2731 .TV4.wpd ~., ,~' CITY OF BAKERSFIE.~I~Mk E OF ENVIRONMENTA~P~q~IVICES 715 Chester Ave., CA 93301 (661) 326-3979 '~-"'~~'""" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ~ ~t ~u~ or ama) CONFIOE~L (E~) FACILI~ ID , .:..¢. ?.:.~:~.:....,... ...... ... CHERYL ~E ~7 CO~N ~ EHS' ~ y~ ~ ~ ~ 210 ~PE ~ ~ ~ m ~RE ~ w WASTE [': : ~D~ACT~ ~ Y~ ~ 212 ~ CURIES ~3 (~ ~ mat ~) * ~ EHS. ~nt m~ ~ ~ ~. j STOOGE ~NER ~ ~VE~U~ T~ ~ · ~~IC ~UM ~ i F~ER ~M ~ m G~S 80~LE (Check a~ ~at a~) ~ b U~E~UND T~K ~ f ~N ~ j BAG ~ n P~STIC aO~ ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d S~ DRUM ~ h SILO ~ I C~INDER ~ p T~K WA~N STO~GEP~ ~a ~IE~ ~ ~ A~VEA~IENT ~ ba 8ELOWA~IE~ ~4 ~ ~VE~IE~ ba BELOW~IE~ c ~YOGENIC STO~ T~~ ~ ~ ~3 2 ~r ~ ~1 OYm ~No232 ~ ', 3 ~ ~ ~ OY~ONo 236 ~ ~ ~9 ~Y~ ~No 240 J 241 UPCF (7199) S:~CUPAFORMS~OES2731.TV4.wpd