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Home My WebLink AboutBUSINESS PLAN 9/30/2003 SANDY ONG 5544 Stockdale Hwy., Bakersfield, CA 93309 (661) 859-1100 Fax (661) 859-0287 .,.- 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 ~£JY:.r'----'---- '----------''----'-'-- .5 he! ~k_lflV.y.-r--,-O~\ 'l.~ ~~~ INSPECTION DATE INSPECTION TIME -30-(/3 3e?1"'7 --- --?--- PHONE No. No, of Employees "t:JL(JO __,Í.~~q Business 10 Number 15-021- OO).2{i"'t Se.cti901 : Businèss Plan and Inventory Program ~outine LI Combined LI Joint Agency LI Multi-Agency LI Complaint LI Re-inspection ~. c V ( c=comPliance) V=Violation OPERATION COMMENTS ~ D ApPROPRIATE PERMIT ON HAND ---.-------------.---------------------- .---.--.---.-----.----------------------.----.--.---..--.--------..--...--.-.-.-- D ~ BUSINESS PLAN CONTACT INFORMATIO~,~~~~~~_=__,_____,__ ,Jf~d..._.l:P,_~!f_~¡?:".~i.dtt!.tt.----,-,..-"---..-u-,----,--- r¡y' D VISIBLE ADDRESS ---------+--------_._-- .-.-- -..---------.------..---------.-----.-.-----.---.....--.__._--_.._..__._---_._._,-~ ~ D CORRECT OCCUPANCY ----...---..--- -----~.._-_.__._--_._-_.__.-~------_.._._--_._._----,------.-------..-..-- --.---..------- ~LI VERIFICATION OF INVENTORY MATERIALS -----.-.------------..-.---- ._--_._--_.._._._-~-_._._.._--_._-_._-_.__._---_.._-------_.__._--~-......__. ~ LI VERIFICATION OF QUANTITIES ~--------~----------_.._._-----_._---_._---- ----------_._------_._-----_._-------~-_.__._.__._-----.------.-..........-..--- ~ D VERIFICATION OF LOCATION --------------.--- ---------~---_._.._--------------_._---_._----_.__._--.---. a" D PROPER SEGREGATION OF MATERIAL _~ ~ERIFIC~TION OF MSDS AVAILA~ILI'~~_=-~~~~_~,',-_~l_ D r;;y VERIFICATION OF HAT MAT TRAINING --------------------_._----_._--~ -..--------.-- ....-..-------------- -----.,--.---....--..-.--- ,~~L-fp-,_Ø£2ø¿-,--------"---..,---,-,--- _~~t:cl~_,cb...~,___,_____""__"_,_____,___"'_.. ~D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ---.--.----- --.---------..-..--...---------------....------.-----.--.------.--- D D EMERGENCY PROCEDURES ADEQUATE ---------~-------------_._---_._--_._--- ..---------..-.-.-.------.---------------------,---.-.._------~--_._.._-- ~LI CONTAINERS PROPERLY LABELED -------------~------~----_._--_._-_._-----.._-_.__. ~._-_.._-----------_._-------_.._._.__._-_.__...._----.-..---------..- ANY HAZARPOUS WASTE ON SITE?: f ~ ::$::::~QU~-& ON H~~- =~--~=~:j~-~:z~~=-=--=-~--~~~~~ ¡./~ ~ HrnðO/ I1!/)JOt7 8800 I DYES ær" No ~-' / EXPLAIN: ----- ~ White, Environmental Services Yellow ' Station Copy QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~___~!"3:2___ Inspector Badge No, ì - - CITY OF BAKERSFIEl.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I,'loor, Bakersfield, CA 93301 FACILITY NAME t;uJi Sj, , ADDRESS çr;-q . ~ ~Æ. ' #= F ACILITY CONTACT 1(JtlcI ¡{( 1/ 1,&,,,,,/ INSPECTION TIME !!. 0 P7'¿~. f INSPECTION DATE 12 ...../£t -ð 2.. PHONE NO. 'E' ~7 - 1/ tPCJ BUSINESS ID NO. 15-210- &0 ?~.r~ NUMBER OF EMPLOYEES / ¿. Section 1: Business Plan and Inventory Program K Routine D Combined D Joint Agency o Multi-Agency o Complaint D Re-inspection OPERATION C V COMMENTS Appropriate penn it on hand II Alõrl- hA ¿un ,,/ Business plan contact infonnation accurate v .AI, .~ ~ L,"A> '" ...L.[ - , Visible address .' ¡/ Correct occupancy v Verification of inventory materials ,. / VerificaÚon of quantities ¡/ Veri fication of location ,/ Proper segregation of material ./ Verification of MSDS availability ,/ &:e/ k!J ~,,, VI¡t, 1/ ' , Verification of Haz Mat training jI/~aI h .4/1.,;.4'/ c. , Verification of abatement supplies and procedures Emergency procedures adequate ./ ¿u<:- Containers properly labeled 1/ Housekeeping / Fire Protection 1/ Site Diagram Adequate & On Hand ./ Ale- d ~ /ru¡/¡d-, C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o White - Env. Svcs. Yellow· Station Copy Pink - Business Copy /~ '--' ~Siness Site Responsible Party Inspector: ~~~~ fttNt!t!-/ } / ~, Questions regarding this inspection? Please call us at (661) 326-3979 - e CITY OF BAKERSFIEl..D FIRE DEPARTMENT OFFICE OF ENVIRONMENT AIL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., Jrd Hoor, Bakersfield, CA 9J30] INSPECTION DATE '8" /z..<:¿!o<- PHONE NO. ~sq - {IOO BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES ( 3 FACILITY NAME P~TV CA.<r'( ADDRESS '>5"44- S~~ .uv. FACILITY CONTACT 100" ~~/!ilJ(. INSPECTION TIME Section 1: Business Plan and Inventory Program ~Routine D Combined D Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy Veritìcation of inventory materials ..J:.t~ Veritìcation of quantities ~ '2...ÇèV G. F'"- Veritìcation of location I^'S·l)é $-rœ~~ Proper segregation of material Veritìcation of MSDS availability Veri tìcation of Haz Mat training Veri tìcation of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping .jt f"L.C..¡).~ t<e;.p &L~ &,(T$ ~ ctt:Al'2- Fire Protection ~ ?1..C...p.;.é It 'Kéc...p 1"Þ C;~ ~ Sftt.,,.;K<. Site Diagram Adequate & On Hand ~' C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes r;ØNo Questions regarding this inspecûon? Please call us at (661) 326-3979 Business Site Respo SI e Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: WINE> ,- '-'. "".~ . '\-:-.. ' ~~.~ ,,1?.""""\ : ) .\. ."; """. ~ f..1 '>"",J' CITY OF BAKERSFIEl..D FIRE DEPARTMENT OFFICE OF 'ENVIRONMENT AI.. SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I~loor, Bakerstield, CA 93301 ' FACILITY NAME PNC..r<t/ C,l 7"' Y AD D RESS'>S- 44 S '1'õe.K QAt.~ JJr".y. FACILITY CONTACT 100P KoY~Þ/Ut. INSPECTION TIME INSPECTION DATE g I z.. <is'! ()"Z... PHONE NO. ~{'q- (/06 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES ( 3 Section 1: Business Plan and Inventory Program diQ"Routine o Combined .. o Joint Agency 0 Multi-Agency o Complaint ORe-inspection OPERA TION C ,V COMMENTS Appropriate penn it on hand Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials ~Et.-l~ Verification of quantities ~ '2.. ÇW c... r:-... Verification of location qN-:'. ()t $"'(t1e.~~ Proper segregation of material Verification of MSDS availability Veri fication of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled ,Housekeeping IÍ' 'f'r..C~~ t<€£P r....-- &.6t- e..rT1> c<.~ Fire Protection ~ " ~ p",GÞ~ 'l4;C:P ,~ C~ ~ Sft{·AJf(<. Site Diagram Adequate & On Hand ~ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~No ~. Business Site Reš'i><msìõJePãrty ----'. ~;fit Questions regarding this inspection? Please call us at (661) 326-3979 White· Env, Svcs. Yello~ - Station Copy Pink - Business Copy Inspector: WINE> . ¡. --. I J C/ . CITY OF BAKERSFiEl,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTiON CHECKLIST 1715 Chester Ave., 3rd Ji'loor, Bakersfield, CA 93301 tf1Vt 0 1 $-Routine o Joint Agency INSPECTION DATE 7/2.> /01 PHONE NO. ~$'"9 -'tLðf> BUSINESS ID NO. 15-21 0- NC.~ NUMBER OF EMPLOYEES 36-- (to-iS, / 01 3ó 3 ,4 ?Jr9 o Complaint A"'- ïr.....i) II FACILITY NAME ,?-A<t1-Y Gt'-TY ADDRESS £"5"44. >~<Q£\uS ~'V FACILITY CONTACT -;:¡>µ1)'( c:>~ INSPECTION TIME Section 1: Business Plan and Inventory Program o Combined o Multi-Agency ORe-inspection OPERA nON C v COMMENTS Appropriate pennit on hand L./ll....L .$G4J1) "to V<:>.J I ~ MAIL Business plan contact infonnation accurate Visible address Correct occupancy Veri fication of inventory materials ..J..\~<'u",^- Verification of quantities '27-ðr:/+ C.ç:-... Verification of location ~'t\ ~~ c£- S"7Üe& 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 V'" ..... ? t...J3M;G ~-P ~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes .~ 'te Responsible Part LJ 1~5 Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs, Yellow - Station Copy Pink - Business Copy Inspector: ·-- -; - ..---.,- i';t ! " ... ~ : .' ~. II ~ . i ",' j I CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENT AI.. SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~d f'loor, Bakersfield, CA 93301 +f~O I ¡ , '1 FACILITY NAME 'í(-AR-¡\( c...''íY ADDRESS £'S 44- ><fZ'C,<Oðt.é FACILITY CONTACT S¡>JJ1)Ý ò"'""6- INSPECTION TIME .\, ., 'v ~) INSPECTION DATE 7/2.3/0, PHONE NO. ~ $'""&¡ -I (ðb BUSINESS ID NO. 15-210- ,..J ~ NUMBER OF EMPLOYEES ~ -' (/O-IS, I ,J 363 14-, ? 3s-9 " o Complaint .1.,.. ',....0 Section I: Business Plan and Inventory Program II S-Routine o Combined o Joint Agency o Multi-AgeQcy o Re-inspec,tion , (.Ii "') OPERÀ TION C V COMMENTS Appropriate peon it on hand , . L.,)II....<... S(.AlI) ïð ~ .,.J MA'L Business plan contact infoonation accurate Visible address Correct occupancy Verification of inventory materiàls ,~( (J¡..A.. , Verification of quantities ' ( C-ç:;~ "'2... "t.ØÙ 04- Verification of location , ~ t1 ~ C..ast. o? SWe<.: .~. .- Proper segregation of material " ,. Verification òf MSDS availability Verification of Haz Mat training '. . , Verification of abatement supplies and procedures '..... ~ Emergency procedures adequate Containers properly labeled " Housekeeping v ? L(-<>/;G ~-P ~()f!.~ " Fire Protection Site Diagram Adequate & On Hand /! .J I: , ~~ C=Compliance V=Violation Any hazardous waste on site?: ExplaiQ,: . QYes ~o ~ ._'t!' 'te Responsible Part);: WINe:$" Questions regarding this inspection? Please call us at (661) 326-3979 While - Env, Svcs. Yellow - Station Copy Pink - Business Copy Inspector: j,..L· : ~ HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION A CITY OF BAKERS FIE. 01lPICE OF ENVIRONMENTAL ~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 PNEW o ADD 0 DELETE 0 REVISE ~ ..' . ',"'. ,.:_,:: ~;;:t;ì;:;¿;;,. .1~;;;, .. :>,::;r]\·::;~'t!:>:;t<{~:~rir:;;ê~}t;;1\~'ì!{~~6¡riî¥,ij~~~~ÅTiö~,;';Y:"k::;:i::"','::, BUSINESS NAME (Same as FACILITY NAME Of DBA· Doing Business As) ?IYèTV c..., 'TV 200 (one form par malarial par build;ng or area) Page of . . 3 CHEMICAL LOCATION \NS ''=>E 5.~~ 1 MAP # (opäonal) 201i CHEMICAL LOCATION I CONFIDENTIAL (EPCRA) 203 GRID # (opäonal) o Yes 0 No 202 204 ·à:;~:;~:§~~~~1e~·;;~1;~~~(~@'1£~r~!§[~~~.9~;: :. ~, CHEMICAL NAME ~é:l... ( UfV'\ o Yes 0 No '206 If Subject to EPCRA. refer to Instructions 207 COMMON NAME EHS· DYes 0 No 208 CAS # 209 ~~~;~~~l~~1~~,!:~;;'ZVi'f!i; FIRE CODE HAZARD CLASSES (Complete if requested by local fire cI1ief) 210 TYPE ~PURE o m MIXTURE o w WASTE 211 RADIOACTIVE DYes ONo 212 CURIES 213 PHYSICAL STATE o s SOLID o I LIQUID ~GAS 214 LARGEST CONTAINER 2/'1 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT 01 FIRE o 2 REACTIVE ~, PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 217 MAXIMUM ",~-., DAILY AMOUNT "'- '"2....~ o 9a GAL ~ CUFT . If EHS, amount must be in Ibs. 218 AVERAGE DAILY AMOUNT o Ib lBS 0 In TONS 219 STATE WASTE CODE 220 UNITS· 221 DAYS ON SITE 222 STORAGE CONTAINER o a ABOVEGROUND TANK o e PLASTIClNONMETALLlC DRUM o i FIBER DRUM o m GLASS BOTTLE o q RAIL CAR (Check all thaI apply) o b UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOTTLE o r OTHER o c TANK INSIDE BUILDING o 9 CARBOY Ok BOX o 0 TOTE BIN o d STEEL DRUM o h SILO a.,CYLlNDER o p TANK WAGON STORAGE PRESSURE o a AMBIENT ~aa ABOVE AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE ø'-a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 223 224 225 230 231 D Yes 0 No 232 233 234 235 o Yes D No 236 237 238 239 Dyes DNa 240 241 242 243 Dyes 0 No 244 245 ()N~ SI RE ~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd