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HomeMy WebLinkAboutBUSINESS PLAN GALLAGHER FAMILY CHIROPRACTIC ~ttealth at its best" DR. BRETT D. G,4LIAGHER Chiropractor 1665 F Street Palmer Graduate Bakersfield, CA 93301 (661). 324-7724 CITY OF BAKERSFIELD FIRE DEPARTMENT omc og s avtc S 1715 Chester Ave., 3~a Floor, Bakersfield, CA 93301 FACILITY NAME ~~ ~"q ~~ ~SPECTION DATE ADD.SS 166g ff, Sr PHONE NO. 3~- FACILITY CONTACT BUSINESS IDNO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program J~j Routine ~Combined J~j Joint Agency J~ Multi-Agency [~ Complaint J~j 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 Any hazardous waste on site?: '~-¥es [~No Explain: /~d~$ '1'~ f::'t Questions regarding this inspection? Please call us at (661) 326-3979 (/"' ""J3t~sin~s Site l~3Js~onsible White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: ~,~1~ ,,x~5'-'5 ' , crrY OF BAKERSFIELD FIRE DEPARTMENT /02 2.~f/~ / ,, OFFICE OF ENVIRONMENTAL SERVICES · ~ UNIFIED PROGRAM INSPECTION CHECKLIST 17.15 Chester Ave., 3~ Floor, Bakersfield, CA 93301 FACILITY NAME ~~ ~ ~~ ~SPECTION DATE II ADD.SS [~ ~ ~r' PHONENO. 3~-~7Z4 FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Invento~ Program ~ ~ Routine . ~Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate pe~it on hand Business plan contact info~ation accurate Visible address Co.ecl occupancy Verification o~nvento~ materials ~~ ~t 'Verification of qu~n~ies ~ ~ Verification of location I~O~ ~~ 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 Si~e Diagram Adequate & On Hand C=Compliance V=Violation Any hazardouswasteonsit'?: ~Ye, ,No ~~.:~. '" Explain: ~~ ~ ~ Quesfons reg~ding ~is inspection? Pleas~ call us ~:~.(661)~26-3979 ~~si~s Sitd w~it~- ~,,. s,~. W,o~- sta~io, Copy el,k- a~i~e~s Copy Inspector: ~ ~ ~ / CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~ ~.,o ~q.,cb~ee.~cg~ INSPECTION DATE b[/JO/o7 Section 4: ltazardous Waste Generator Program EPA ID # I"1 Routine /~--.Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line econda~~provided ~.~ ?~__.4~ ~~ Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violationl t,~'~ ~~~~ff/~ Inspector: L'~ ' Office of Environmental Services (661) 326-3979 ponsible Party White - Env. Svcs. Pink - Business C ~~o[~---~' CITY OF BAKERSFIEI ~ FII~ ~ OFFICE OF ENVIRONMENTAL SERVICES t~mr~l~rr 1715 Chester Ave., CA 93301 (661) 326-3979 "~~'~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fo~ per matedal per building or ama)  NEW ~ ADD ~ DELETE ~ REVISE 200 Page BUSlNESS~E (Same ~ FACILI~ NAME or DBA - D~ng Busings ~) 3 CHEMI~L LO~TION /~{O~ ~~ ~C~ ~--~" ~ ~--~ 201;, CONFIDENTIALCHEMICAL LO~TION(Epc~) .,:, ~, .,.. ;~ ~,.~ · , II. C~EMICAL INFORMATION ~, "- - ;'.~ ~:~ 205 ~ T~DESE~ ~Y~ ~ 206 CHEMI~L ~ME 207 ~ COM~N~ ~ EHS* ~ Y~ ~ No 208 FIRE CODE H~D C~ES (~plete if r~u~t~ by I~1 fire ~ie0 210 ~PE D p PURE D m MIXTURE ~ASTE 2:: RADIOACTIVE ~ Y~ D No 212 i CURIES 213 PHYSICAL STA~ ~ s SOLID ~LIQUID ~ g ~S 214 ~RGESTCONTAINER ~ 215 FED H~RD CATE~RIES ~ 1 FIRE ~ 2 REACTIVE ~ 3 PRESSURE RELEASE .~ ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (Ch~ all that apply) UNITS' ~ga GAL ~ d CU FT ~ (b LBS ~ tn TONS 221 DAYS ON SffE ~2 · If EHS, am~nt must be in tbs. STOOGE CONTAINER ~ a ABOVEGROUND T~K ~P~S~ONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R 223 (Check all that apply) ~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC BO~LE ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN ~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p T~K WAGON STOOGE PRESSURE ~ AMBIENT ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT ~4 '1 . 227 Y~ ~ No 228 229 2 230 231 ~ ~y~ ~No 232 233 4 ~8 2~0 ~ Y~ ~ ~o 240 5 242 243 ~Y~ ~No 2~ ~ 245 PRINT NAME & TI~E OF AU~ORiZED COMPANY REPRESE~AT[VE SIGNATURE DA~ 246 UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd