HomeMy WebLinkAboutBUSINESS PLAN
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TA =========- -============================= SlteID: 015-021-002842 +
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+ JMC
Manager : JIM CREECH
Location: 2323 S UNION AVE
City BAKERSFIELD
AUG 0 5 ZOlß
BusPhone:
Map :
Grid:
(661) 6/9 -0 ~ G) 0
CommHaz :
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 05 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
/ /
Business Phone: () x Business Phone: () x
24 -Hour Phone : () x 24 -Hour Phone : () x
Pager Phone : () x Pager Phone : () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire DelHI th I "
+------------------------------------------------------------------------------+ .
Contact : JIM CREECH Phone: (6~/) 8~ -Cf;5tß x
MailAddr: 4176 PINEWOOD LAKE DR State: CA
City : BAKERSFIELD Zip : 93309
+------------------------------------------------------------------------------+
Owner Phone: (HW ) x
Address: State:
Ci ty Zip
+------------------------------------------------------------------------------+
Period to ~ TotalASTs: = Gal
Preparer: -:J4M(;2,,S f/1 ( Ct-ee~ TotalUSTs: Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
tß~ '5~o3
+==============================================================================+
-1-
08/01/2003
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
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Bakersfield Fire Dept. ¿tJ
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
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Lf~'uJ
INSPECTION DATE INSPECTION TIME
_________'_'".. _._ __._____,____. ______,_,____,_,_" ~LI,~lct2------u--,--,-,---
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FACllITY:~ME__~ )~_c,___,_~(....?,_,
ADDRESS
o Routine
1ÍC0mbined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
FACllITYCONTACT \
~, I\A
Section 1: Business Plan and Inventory Program
c V
(C-COmpliance )
V-Violation
OPERATION
-,~
o 0 ApPROPRIATE PERMIT ON HAND
-_.__.-.__._.~_.__._-..
-_.__._._---_._"----,------_._----"_.._----_.,----~---
o 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE
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. - --..-..-.-.--.---- .....-........------.. . . .-..---"..-..--.
o 0 VISIBLE ADDRESS
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D 0 CORRECT OCCUPANCY
o 0 VERIFICATION OF INVENTORY MATERIALS
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o 0 VERIFICATION OF QUANTITIES
..__._._-~,---.-. -----,---------------------_._..~._-- -.. .-.---.----....-
o 0 VERIFICATION OF LOCATION
------------_._---_.~_.-_._--_._,------------_._-_._-_. .---....------.....-----.. .----.. .-- -.-.'..-..--. ..-.--------.... .-- -... _ -- .--.---.---+------ -.-.-....--..-.. .-...--.-------
-..--.---..-.-
- _._--_.._._--------_._-------~>-_._-_._---------_.._---.------.---------,
o 0 PROPER SEGREGATION OF MATERIAL
-_._.._._--~-------_._---------_._._---- ..__.__._-_._-~-_.__._--,--._.._.__._-_.- -. ._--_..~----_...- -->- .-..-...-..-... -- .. ... -..------.---.----- _.~_._------>. -..-.-,.----.---. ..--.-
o 0 VERIFICATION OF MSDS AVAILABILlTYE
o 0 VERIFICATION OF HAT MAT TRAINING
-------..--.------,--.----------..-.-. -.-.- ---- -----.--...---.--.-.. ,------------ --. -.---.-.--..--..----. . _ .-.-.------..-- ..-.-..-...--.-.......... -,._-~ .-
o 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
--.-.--.-----.---------.-_________ ____>__>__,~._.__ .________.._ '_"_'-_ ._.._._.___.__>.__. .___.._. ___~....."_ __._ ...._.._._..._..._. ._.. ____.. _._____ _. .__.~,_ ,_._~_~·h___.__ _.. ___.__._...~ __
o 0 EMERGENCY PROCEDURES ADEQUATE
--------.---.__.._,_, ,..mm_" ,_,..__,_..,..__..",.., __,_____________.." _____,.. ,'.. ,_,__~-,.--.. ,___,,'___.. .._, '''''___ _un'" _ _, ..,,_____ ..,_, ,
I']~ONTAINERSPROI'ERLYlAB...LED_n_ __ _. -1-.--- _ __ _._ __ __un _ _ _. nn ~ ~~
_ªt~;~S~:~~~~~~-~~=~_-=-= ~.~[~-~-=~-=- ~~~--=.~_---= ... -.-__.~_....... ~~ ~
o 0 SITE DIAGRAM ADEQUATE & ON HAND I
,
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1J(yES
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o No
ANY HAZARDOUS WASTE ON SITE?:
EXPLAIN:
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Inspector
Badge No,.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Wi N"C-5 ~ - ~
-.-...------~-_.---__ _·_"__··__·_._n _...·.___._._."...__._.______n_.________..
Wh,te . Environmental Services
Yellow . Slation Copy
Pink· Business Copy
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
. CITY OF BAKERSFIELD ..
OFF'i'l:E OF ENVIRO\fl\IENTAL S.'ICES
1715 Chester Ave., CA 93301 (661) 326-3979
~E,"!.___g ADD __,___n'?, DELETE
o REVISE
200
(OnB form PB' malenal per bur/ding or sroa I
Page at
- ---,.---.,...-----,
I. FACILITY INFORMATION
eusïÑESS NAMË (Same as FAc:ïLiiY NAME or DBA· Doing Bus,ness As)
,____~_0 C:._¥C:-.J ~~
CHEMICAL LOCATION IN ~,f,) e PA-....J r
iJ'-¡--: ~J T___...
"-"---'_..,--_.._--~
..-------------- -----
-FACILifYID# I
i
(3,.c) tJ 'iîFt
1; MAP Ii (optiÔñal) - ,
203
201 CHEMICAL LOCATION'
CONFIDENTIAL (EPCRA)
GRID # (optional) ,,---,-------, _d_ -.--Zó4"
o Yes 0 No 202
- ...-,- ...-....
II. (;iiEMICAL INFORMATION
..----
'-- _...,..~..,..._..._-_...
. ."........ ....---.-. .~,
, 20s'" "'TRADE SECRET
_.._-~
CHEMICAL NAME
o Yes 0 No 206
VJÆ~ ~
Pk, N F
If Subject 10 EPCRA, reter 10 ,nslructians
20r'
---.-------.------ .----.---
COMMON NAME
EHS·
o Yes 0 No 208
CAS #
209 ·If EHS ¡s·Yes. . aD amounts below IDIISI be in Ibs.
FIRE CODE HAZARDëLASSES (Compiëtë-¡freqi:iëSteCï bylöCãïÏirëèhiei)
210
o p PURE
o m MIXTURE
'~ ~~~~~-
213
-TYPE
w__~.. n_._____.._.<H P..__. .__.____u
. ,
R~OIOACTIVc
, ..
DYes ONo
-----*-
212 ¡ CURIES
, . --'.--'.. .--- ..-
....... ._- ---
PHYSICAL STATE
o s SOLID
¢ LIQUID
o g GAS
214
LARGEST CONTAINER
{b
215
. u,...... _.. _
_.. .- --_. .----
IÞ
.18 AVERAGE
DAILY AMOUNT
lG
~ CHRONIC HEALTH
219 STATE WASTE CODE
216
FED HAZARD CATEGORIES
(Check all thai apply)
ANNUAl WASTE
AMOUNT
~FIRE
o 2 REACTIVE
o 3 PRESSJRE F:ELEASE
o 4 A,;U~E HEALTH
_.-_. --,--._._~_. ,...----- -.---.-..--..
217 Mo\XlMUM
DAILY AMOUNT
220
____ .._____ _.__.~___._________._____ _n H.." .
.. ,--_.. --- .
UNITS·
~GAL OdCUFT
If EHS. amount must be in Ibs,
o Ib LBS
o tn TONS
221
DAYS ON SITE
222
,..-.------------..---,--------.----..-.-- ._--,------- -------_.~. --,
" STORAGE CONTAINER
(Check all that apply)
o a ABOVEGROUND TANK
Db UNDERGROUND TANK
DC TANK INSIDE BUILDING
pï(4. STEEL DRUM
De PLASTlClNONMETALLlC DRUM
Of CAN
o 9 CARBOY
o h SILO
o i FIBER DRUM
Cj BAG
Ok BOX
o I CYLINDER
o m GLASS BOlTLE
o n PLASTIC BOTTLE
o 0 TOTE BIN
o p TANK WAGON
o q RAIL CAR
o r OTHER
223
.. ..._.-~--_..,.,-----.- ...--------.-..-..-..
. -, ._~. -'.-'... -. -- .-. ....---
STORAGE PRESSURE
~a AMBIENT
o aa ABOVE AMBIENT
o ba BELOW AMBIENT
224
- - ".-'.' --- '-P' . -
- -.- q.----- ... .
-,----.._- .-----
STORAGE TEMPERATURE
% 1/fI";<!"iY1,
1 , 226 I
._"~---~-_.
2 230 ¡
1·-··--.;...------1.---- .---
I ' ,
: 3 , 234 I
i--.':'-'--~--
H--±~_~=__.....
I "',; ,
,
¡
~a AMBIENT 0 aa ABOVE AMBIENT 0 b3 BELOW AMBIENT
._.._~~RDOU~~~~~?_NE~!. __ ,____..,___" _____,_",..L,_ ,_~~~,
o c CRYOGENIC
225
<,';"<~.' .
,;.'. :.
CAS #
.- - -----.---
229
233
237
241
245
I
,
----Í
DATE 246
227
o Yes 0 No 228
..,_ 'u _.._.
-'-'---
231
o Yes 0 No 232
235
DYes 0 No 236
.._-.-----
239
DYes 0 No 240
- ..",-.---.
243
o Yes 0 No 244
."., ..-...,--,-.
,., '.._,.....-..
. ,. ...,..,. .---.,.-
""_... ..... -.._- --
III. SIGNATURE
! "PRINT NAME'& TITLE OF ÁUTHORIZË1)ëbM¡;ANY-i'¡¡;~þRESËNtAti\ÏEr·--u..d-.-'
SIGNÃfURÉ '
i
I" ...._,___..,_____,______.
. -...----------.--------'
UPCF (7/99)
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