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Home My WebLink AboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit Permit ID#:: 015-000-002001 TOP DOG SWIMMING POOL .CONDITIONS.. OF .PERMI?~ ~ ON REVERSE SIDE ' ' ~--~ .... ~ ,':: .... ~ This ~ermit is Issued for the followino: [] Hazardous Materials Plan E] Underground Storage of HazardOus Materials [] Risk Management Program [2] Hazardous Waste On-Site Treatment LOCATION: 7420 DISTRICT BLVD · .~' · ,, ~:~'. ~- , ~. Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA' 93301 Voice (661) 326,3979 FAX (661)326,0576 · Approved by: Expira~ t. ion Date: June 30:2003 ;i ISSUe Dale SECTION 1. Business Plan and InventorY Program Bakersfield Fire Dept~. Enironmenta!~"servic~s 1715 CheSter Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DA~F_.~ INSPECTION TIME ADDRESS · PHONE NO, No~-of E~-p~o~- .... ............. FACILITYCONTACT Business ID Number I 15-0~1- 'l~'Routine [] Combined · [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V ~,- C=Compliance ~ OPERATION ~, v=violation ./ ~ [] APPROPRIATE PERMIT ON HAND [ ] BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ [] V,S,~LE ADDRESS ~ [] CORRECT OCCUPANCY COMMENTS ~- [] VERIFICATION OF INVENTORY MATERIALS ~- [] VERIFICATION OF QUANTITIES ~' -~'~ VERIFICATION OF LOCATION ~ [] PROPER SEGREGATION Of MATERIAL ~ ~ VERIFICATION OF MSDS AVAILABILITYE ~- [] VERIFICATION Of Hat MAT TRAINING ~. [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ {~ EMERGENCY PROCEDURES ADEQUATE ~ [] CONTAINERS PROPERLY LABELED ~. [] HOUSEKEEPING ~- [] FIRE PROTECTION ~ [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: EXPLAIN: [] YES ~--No Inspector Badge No, Business Site Responsible Party White - Environmental Services Yellow - Station Copy Pink - Business Copy CITYOF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) ;}26-3979 INSTRUCTIONS: To avoid further action, return this form within 30 days ofreceipl. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. o Be___>_as brief.and~ -~- ~ ~:~-.~c°ncise as possib~.~; SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~ CO ~ LOCATION: '') Lk~°xO ~'~ PHONE: (~'?'x0 0 O" SIC CODE: DUN & BRADSTREET NUMBER: ~- MAILING-/~DRESS5- .--~ ~'x-~--~----* SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3' .TRAINING · NUMBER OF EMPLOYEES: ~ ,. r_,:,.;.!'.,.: . ~' , ', ,: ~ MATERIAL SAFETY DATA SHEETS ON FrI.~: "~ .. BlUfF SUMMARY OF TRAINING PROGRAM: ~_~ ~.. SECTION 4: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQ~S OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS.' "'" · .' ' WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) ~ECTION ~-: CER~iFI~(TI6~N .... ~IFORMATION iS A~CURATE. I UNDERSTAND THAT THIs INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFE/T~Y CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTEK 6.95 SEC. 25500 ET AL') TITHA: IN~:IATE INFORMATION CONSTITLrI'ES PEP'JUKY' S DATE 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCFDURE$ Ao Co EMERGENCY MEDICAL PLAN: HAZARDOUS MATERIALs MANAGEMENT PLAN SECTION 7: MITIQATION. PREVENTION AND ABATEMENT PLAN . A. RELEASE PREVENTION STEPS: %e~'ko ~%'Q~'~ %Me~-s SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACIL~ ' NATURAL OAS/PROPANE: ELECTRICAL: WATER: SPECIAL: L_OCK_BOX: YE~~ IF YES, LOCATION: i SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ~-,._'~' x ~3~,,a, ~.5 B. WA~R AV~~ITY ~ ~~): ~ ~ 4 ~ CITY OF BAKERSFIELD ~ OFFIEE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 '~"'*'"~~~"~'*~**" BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 SITE ADDRESS CITY 104 CA DUN & BRADSTREET lO6 Page __ Of Year Ending ~Ol BUSINESS PHONE lO2 lO3 ZIP ~0s SIC CODE 107 (4Digit#) COUNTY 108 OPERATOR NAME 100 OPERATOR PHONE 110 OWNER MAILING ADDRESS 113 ICONTACT NAME l~? CONTACT PHONE ~18 CONTACT MAILING 119 ADDRESS '~> ~ ~20--I STATE ~21 ZIP 122 CITY NAME ....~ //~ ,23 NAME ~.~ ~__..-'~.~(.r¢ ~ TITLE 125 TITLE /L'~6.1~_. 13o BUSINESS PHONE ~ - ~----7<~-~ 12~ BUSINESS PHONE 664- ~ 131 24-HOURPHONE G~ ~ ~1 ~' 127 24-HOURPHONE 6~ '~(/ 132 PAGER ~ 128 133 Certification: Ba~on my inqui~ of ~ose individuals res~nsible for ob~ining the info~atlon, I ce~ under penal~ of law Bat I have pemonally examined and am ~miliar ~th~e info~submiff~ in this invento~ and believe ~e info~ation is tree, accurate, and ~aplete. s,oNa u. o , ' NAMES OF OWNE~OPE~R (p~nt) NAME OF DOCUMENT PREPARER 135 DATE W~ TITLE OF 0 OPERATOR~,~ 137 UPCF (7~99) S:\CUPAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL· SERVICES 1'715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materfal per builcling or ama) KEW r-] ADD [] OELETE [] REVISE 200 . Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Detng Business As) 3 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) · FACILITY'ID # MAP # (optional) 203 GRID # (optional) 205 2O7 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions COMMON NAME EHS* [] Yes [] No 2~8 CAS # 209 HAZARD CLASSES (Complete if requested by local fire c~ie0 210 TYPE [] p PURE ~.m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213 PHYSICAL STATE· ~ SOLID rJl LIQUID [] g GAS 214 FED HAZARD CATEGORIES [] 1 FIRE [~ REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~ all that apply) 219 STATE WASTE CODE 220 ANNUAL WASTE 217 J MAXIMUM 21e I AVERAGE AMOUNT DA,LY AMOUNT ~"~)-~-~ DALLY AMOUNT UNITS' [~] ga GAL ' [] of CU FT ,[~lb ~ [] In' TONS 221 * If EHS, amount must be in lbs. DAYS ON SITE 222 STORAGE CONTAINER [] a ABOVEGROUND TANK .,~;~-eJ:%ASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTrLE [] 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 [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANKWAGON STORAGE PRESSURE .,~a AMBIENT [] aa ABOVE AMBIENT [] be BELOW AMBIENT 224 STORAGE TEMPERATURE ~'.-a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 234 238 242 235 []Yes[]No 236 237 ] 239 []Yes []No 240 241 j 243 [] Yes [] NO 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 UPCF (7/99) $:\CUPAFORM$\OES2731 .TV4.wizI FACILITY NAME ADDRESS '7,dc- 20 FACILITY CONTACT INSPECTION TIME CITY OF BAKERSF~IELD~Fi'~RE!DEpAR'>TMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST · 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. {"~ff_~d - q~ BUSINESS ID NO. 15-210- NUMBER OF. EMPLOYEES Section 1: [] Routine Business Plan and Inventory Program [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V 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 ) ~.,~ I C=Compliance V=Violation hazardous waste on site?: [] Yes ~[o Any Explain: Questions regarding this inspection? Please call us at (805) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Site Responsible Party Inspector: s wlMTOP, I')OG MING ~..~OL REPAIR-J · Pumps, Filters, Heaters 7420 District Blvd., · Fiber Optics/Remote Controls Bakersfield, CA 93313 · Neu-Dek Pool Supply State Lic. #590797 (661) 664-9000 Fax: (661) 837-1188 Factory Authorized Installation & repairs for all major brands of swimming pool equipment.