HomeMy WebLinkAboutBUSINESS PLAN ~TATE~ENT OF ACCOUN0 PA~E
P 0 BOX 2057
BAKERSFIELD, CA 93303-2057
(661) 3~6-3658
DATE: 1/01/02
TO: JULiOS PAINT & BODY
i~ DOLORES ~
~AKERSFiELD, CA ~3~05
CUSTOMER NO: 3087~ CUSTOMEr. TYPE: ES/ ~017~
----CH~ -__r_C-~T~_ -DESC.R I PT~I ON .P~F,F~UMB ER-DUE-.DA,TE --]'dOTAL ~ AMOUNT--
i=¢Oi/Ol BE~INNIN~ BA~N'~E 63. O0
FOR ~UESTIONS OR CHANOES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
63.00
'D'O'E-]]'~:~173!--_£O%'~_ ........ ~, ............. ~.~ P-A-~M~NT-DU~.,TOTAL DUE:. ~63.00--~3~0~
DAT~: i/Ol/O~ DUE DATE: 1/31/O~ JULiOS PAINT ~ BODY
6USTOMER NO: 30879 6:USTOM~R TYPE: ES/ 40174
~EMiT AND MAKE 6HECK PAYABLE TO:
6ITY OF BAKERSFIELD
PO BOX 2057
BAKERSFIELD CA e3303-2057
(~61) 3~8-38S8
TOTAL DUE: S63.00
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES '
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME~C'''~'w'A~ - C/eL' INSPECTION DATE
ADDRESS PHONE NO. 2~-7- ~?~'-
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
{~l Routine ~LCombined [~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on band
Business plan contact information accurate /kd~..,d /5/4 't~ ~ 2f7
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 /~ [3LC:4~3~' ~.~nnPt. C"U~
Housekeeping '~
Site Diagram Adequate & On Hand ~
C=Compliance V=Violation
Any hazardous waste on site?:
No
Questions regarding this inspection? Please callus at (661) 326-3979 Business Site Responsible Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
~'!~i 1715 Chester Ave., 3r~ Floor, Bakerslield, CA 93301
FACILITY NAM to No.~ ~ C. Ed~t~tg.-~.,~t_., INSPECTION DATE 3 t'
Section 4: Hazardous Waste Generator Program
[] Routine /~Combined [] Joint Agency [] Multi-Agency [] Complaint []
Re-inspection
OPERATION C V COMMENTS
Hazardous xvaste determination has been made
EPA 1D Number (Phone: 916-324-1781to obtain EPA ID #)
Authorized for waste treatment and/or storage
Reported release, fire. or explosion within 15 days of occurance
Established or maintains,a contingency plan and training
Hazardous waste accumulation time fi'ames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
'~ontainers are kept~ xvhen not~
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Secondary containment provided
Condtlcts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Propel' management Of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
t,~ Retains manifests for 3 years
Retains hazardous waste analysis for 3years /
Retains copies of used ()il receipts for 3 years
Determines if waste is restricted fi'om land disposal
C=Compliance V=Violation
nspector: OO.'YC--5
Office of Environmental Services (805) 326-3979 ' Business Site Responsible Party
\Vhite - Env. Svcs. Pink - Business Copy
CITY OF BAKERSFIELD ·
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester AVe., CA 93301 (661)326-3979
FACILITY INFORMATION
P~,ge ~ · Of
SITE ADDRESS
DUN & ~ SIC CODE ~07
B~DSTREET (4 Digit
OPE~TOR ~ME ~ I OPE~TOR PHONE
OWNER ~ME 3~c(O ~, ~V~
O~ER ~ILING
I
117
CONTACT ~ME
CONTACT ~ILING --
ADDRESS
~ME ~ ~E
TITLE ~ TITLE
BUSINESS PHONE ~ BUSINESS PHONE. ~3~
24-HOUR PHONE ~ 24-HOUR PHONE 132
PAGER ~ 128 PAGER ~
SIG~TURE OF 0~E~TOR DATE
~MES OF 0~E~TOR (~N) 1 ~ TITLE OF 0~E~PE~TOR
" OFF'I E OF ENVIRONMENTAL SE'RVICES
t nnr t.t r · 1715 Chester Ave., CA 93301 (661) 326-3979
" CHEMICAL DESCRIPTION
~VS~IE . ~ (one ~ per mate~al per building or ama)
~ NEW ~ ADD ~ DELETE Page
BUSINESS ~ME (~me ~ FAClLI~ ~ME ~ DBA - ~ng Busin~ ~) ' 3
-' 205 T~DE SECRET ~ Y~ ~ No' 2~
~7 ~ EHS'
FIRE ~OE H~RD C~SSES (~plae if ~u~t~ by I~ fire ~i~ 210
~PE ~ p PURE ~ m MITRE WASTE 211 ~DIOACT~ ~ Y~ ~ ~ No 2~2 ~ CURIES 2a3
~s SOLID ~IQUID ~ g ~S 214
PHYSICAL
sTATE
215
FED H~RD ~TE~RIES ~FIRE ~ 2 ~CT~ · ~ 3 P~SSURE ~L~SE ~AC~ H~L~ ~ 5 CHRONIC H~L~ 216
(~ all that apply)
ANNUALWAS~ 217 ~I~M 218 AVENGE 219 ~ STA~W~DE
· E EHS. am~nt must be in lbs,
STOOGE CO~AINER ~ a A~VEGROUND T~K ~ e P~STI~ONM~ALLIC DRUM ~ i FIBER DRUM .~ m G~SS BO~LE ~ q ~IL ~R 2~
~pply)
~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r O~ER
~ c T~K INSIDE BUILDING' ~ g ~R~Y ~ k BOX ~ o TOTE BIN
SEL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N
STOOGE PRESSURE ~ A~IE~ ~ ~ A~VE A~IE~ . ~ ba'BELOWA~IE~ ~4
STOOGE
TEMPE~RE
CRYOGENIC
~5
1 ~ ~ 227 B Y~ B NO 228
~ ~ 231 ~ Y~ ~ NO 232 233
2
237
3 '~ 2~ ~5 ~Y~,~ NO 236
4 ~8 ~9 ~ Y~ ~ NO 240 241
5 ' 242 243 ~ Y~ ~ NO 244 245
PRINT NAME & TITLE OF AU~ORIZED COMPA~ REPRESE~ATIVE SIG~TURE , DAT~ 246
UPCF (7199) S:\CUPAFORMS\OES273~.-i V4.wPd