HomeMy WebLinkAboutBUSINESS PLAN~ RELIABLE FLOOR MACHINE REPAIR
4551 GRISSOM STREET, SUITE A ___~
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
•
Bakersfield Fire Dept.
' Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661) 326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE No. No. of Employees
_. _ \ r
----~ 5~ ..__...__~~.,~I S S._ _.~_ ~_. --- -----_ . _~ .__ .._ -.._ .._ _ _
FACILITYCONTACT Business ID Number
15-021- pot z57
Secllon 1: Business Plan and Inventory Program
Routine O Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
C V o ce) OPERATION
ti
( COMMENTS
o
v=vioa
^ ^ APPROPRIATE PERMIT ON HAND
^
^
BUSINESS PLAN CONTACT INFORMATION ACCURATE - --
(l~n ~ ~- _ o U - f ~ ~ ~„(J J
I , j
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^
- --- ^ ~
_ ....- VERIFICATION OF INVENTORY MATERIALS }
- -------- -_ ----------- ----- ---- -.--._.-_ __._ ........_..
______ .. .._ ___._- . ..._. _ _ _.. .._.. ...... -- --.... __.....__......
^ ^ I
VERIFICATION OF QUANTITIES
^ ^ V
ERIFICATION OF LOCATION
.
^ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITYE
^ ^ VERIFICATION OF FIAT MAT TRAINING
^
------ ^
- - VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1
-._._. .__ ---
-------------------...__.........._.... _.
...._. _....__, ._ ...
.
^
^ -
EMERGENCY PROCEDURES ADEQUATE ....
.... ........ .. _.. ---- - ----._. .._...._.._....._
I
~
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^. FIRE PROTECTION ~
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO
EXPLAIN:
.~
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GC)'I ~ 326-3979
3 - _ __
Inspector (Please Print) Fire Prevention 1st-tn/Shift of Site
While -Environmental Services Yelk7w -Staten Copy
_..._..----.... ------...--------------
Business Site Responsible Party (Please Print)
S
Pink -Business Copy
FACILITY NAME
omc ov s mc s
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 ~-.~, ~'"'~,
Ft._ootL M,&e.~. INSPECTION DATE ~'--/'2.~./ot
Section 4: Hazardous Waste Generator Program
EPA ID# i/:~/°g~
Routine [~:ombined [~l Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION
Hazardous xvaste determination has been made
EPA 1D Number (Phone: 916-324-1781 to obtain EPAID#)
Authorized for waste treatment and/or storage
Reported release, tko. or explosion within 15 days of occurance
Established o7' maintains a contingency plan and training
Hazardous xvaste accumulation time fi'ames
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
Secondary containment provided ~
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper rnanagement of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous ~vaste with completed manifest
Sends manifest copies to DTSC
Retains manifests Ibc 3 years
C V
COMMENTS
Pick~up & Delivery ' Preventative Maintenance
Contracts Available
' Floor Mae!¥ine: Repair.
ANGELO F!GUREIDA -.Owner
4551 Grissom St., Suite A
Bakersfield, CA 93313
office (661)'834,0174
Fax (661)8347~432
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts .tbr 3 years_~.~
Determines if waste is restricted fi'om land disposal
C=Compliance V=Violation
Inspector:
Office of Environmental Services (805) 326-3979
White - Kev. Svcs.
Pink - Business Copy
~sible
CITY OF BAKERSFIEL
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
FACILITY INFORMATION
BUSINESS NAME (Same a~ FACILITY NAME or OBA,- Doing Business A~)
Year Ending ~
102
BUSINESS.,~PHONE
SITE ADDRESS
CITY
DUN &
BRADSTREET
lO4 CA I ZIP
I
lo~ I SIC CODE
I
(4 Digit #)
I03
107
108
COUNTY
OWNER NAME //]o,.J~/._O ° F(~___~(..j/~C~.~ (*'~ ~ 111 I O~ER PHONE 112
OWNER MAILING
ADDRESS
l:.::~ :,..::~:~'~.:::.'.;:~::~ ? ~~
"J CONTACT ~ILING .. · ~9 :
] ADDRESS
CI~
.: ..........-;:"' ' ':": ..'.:: ~': ~ :' ...... ; ~'~"~; ~ ~'::'~ .:,:.~x ~;" '~" '~;~:~ ?' ~' ':~'~:~' ~...,~.~ ~¥~ ...,~T,~.
TITLE ~ ~2l TITLE S~c-z~j,~ ~...~.(.. ,3o
BUSINESS PHONE ~2e BUSINESS PHONE ,31
24-HOUR'PHONE ~"'~._"~ ~ ~3'"~'~ ,2/
PAGER # 128
Certification: Based on my Inquiry of those Individuals responsible for obtaining the Information. I certify under penalty of law that I have personally examined
and am./,a~ar with the Information submitted in this Invenlory and believe the Information Is true, accurate, and complete.
NAt,,~IE~'OF OWNE~DPERATOR (l~lnl)
136 TmT~OF OWNJ~/OPERA 137
FOgM- 2'/'"JO
I
CITY OF BAKERSFIE~
O CE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION ].~C~* '~
'one form Der mate~fal per budding or ama)
Page __ of __
.,,~EW r'"l ADD i--I DELETE I--I REVISE 200
· ~. :~-',,,:~ ...... ; .:'='. ~'~-.".'~.~. ~,.:~ '. ",:,L FACILrT¥ INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
CHEMICAL LOCATED" )/'J $ ~b~ ~-%~,, 20~i CHEM, CA''OCAT,ON []
CONFIDENTIAL (EPC~)
FAC,LI~ID~ ~ ~ 1 ~P . (op~naO 203 ~ ORlD . (opt~naO 2~
205 : T~DE SECRET
CHEMI~L ~ME
I If Subj~ to EPC~, r~ to instm~i~s
207
COMMON NAME ' EHS° [] Yes C No 208
FlEE CODE HAZARD C~SSES (~plae if r~u~t~ by I~1 fire ~i~
210
TYPE [] p PURE [] m MIXTURE ,~.._WASTE 211 RADIOACTIVE []Yes []No 212 I CURIES 213
PHYSICAL STATE [] s SOLID .~J~L. LLIQUID [] g GAS 214 LARGEST CONTAINER ~'~ .. 215
FED HAZARD CATEGORIES
(Chec~ all that apply) FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216
I MAXIMUM ~"-"' 218 AVERAGE 220
DAILY AMOUNT DALLY AMOUNT
.~ GAL [] cf CU FT [] lb LBS [] tn TONS 222
EHS, amo~Jnt must be in lbs.
ANNUAL WASTE 217
AMOUNT
UNITS*
219 STATE WASTE CODE
I DAYS ON SITE
221
STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-rLE [] q RAIL CAR 223
(Check all that apply)
[] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER
[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN
~LSTEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON
STORAGE PRESSURE ~ AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224
STORAGE TEMPERATURE D,.~'~a...AMEiENT [] aa ABOVE AMBIENT [] ba BELOWAMEIENT [] c CRYOGENIC 225
1 226 227 [] Yes [] No 228
2 230 231 [] Yes [] No 232
234 235 [] Yes [] No 236
238 239 [] Yes [] No 240
· ;.i';?:?..:. ;·".': ··..;~::;: ~, ," '
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE
SIGNATURE
229
233
237
241
245
o~ ~ ~
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