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HomeMy WebLinkAboutBUSINESS PLAN (3) UNIFIED PROGRAM INSPECTION CHECKLIST ~~~~~S§E~~~~~~!jrn~~~~~~"'æ SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ::r:da>t ~L)( . Ef\J+ ()~ ÃDDRESS~-~-----------------------_··--~-------I"\~- --------- ?7t!!£2__~~__CÆ~_____BtvJ.___.__._____.____ FACILlTYCONTACT un __.__~__.n___.____. INSP~~ON ~TE INSPECTION TIME /ð/ltB/tJi- P-HONE-ÑO~------ No. OrEmployees--- ð _1. Zu-{JZl l.- ______._. _ __m_____ ...__''5_________ Business ID Number 15-021- )( Routine . . o Combined Section 1 : Business Plan and Inventory Program .,. o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Complianc·e ) V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND ~___~.~_~__._____.___.___~___________.________________.,.___ _.____,.. _....___~__·_~m_. .._..__.. ___ ___.. ....___... . ___ _ "._.._.________.___..__ ___.._n_ o BUSINESS PLAN CONTACT INFORMATION ACCURATE _ .______________________n________________._._.______,_____________..__.__..~_____~ __._..u___~·_n____ _u .._..._______._.....___._____.__ .__.__.__. o VISIBLE ADDRESS --.-,---.,---.--..----------------..-------.----- --'--'- --------.-.----.------- .. .. _-. ._.__.___.u..._.___..___. o CORRECT OCCUPANCY ___.__._.u_____.__"___.~________.~_._.._________..~__.._.._..____ . _..__.__.n_______ _ n_ _._.___n__ __.. __ _"._____.__. .__,,_ ._....__ ..- .-....------- ~---------_....__-.- o ' VERIFICATION OF INVENTORY MATERIALS o VERIFICATION OF QUANTITIES ---:;;-A-cJjiA~¡jiJec9n·p~lf~-------- _ ____________H __n.. ..____. _p 1~-E~eA-n- 'btJ-1l<cd l ~ __ ___.______....__.._______________.____.~______._.___.__"_~ ___.______~_u._ ______.__.._....___ o VERIFICATION OF LOCATION --------..-"----..----------.-----. .----..-- _ _ __n_______ CJ PROPER SEGREGATION OF MATERIAL - --- .--.-.---- -...-.--- .--------.- ----.---<----.--..- o VERIFICATION OF MSDS AVAILABILlTYE --....-----------.------------.------------- .n.__ ._.,___ _._._ ____.__.._...u._...__________._......___ .____._..._u__...____ o VERIFICATION OF HAf.MAT TRAINING _.. _ __n_...._" __ _.__.___.. ___._.__n.. _____..__.__.__._______.._._ o VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .-- -____.__~__._.._._.___ _____.._..________________._. ____________..._. __. ___..__..__-."_____ .__.......________.___. _n____._._.___ ..._ ___..___.._______._ _ .__ ____nm. _ .._.___. ...._...._____ _.__________..__.__._.... o EMERGENCY PROCEDURES ADEQUATE - ---._._..._~.~._._------_.....~_.--._- --..-.--. . ---.-.----.-----...-----..--.-.---.-- _.__. ...______._._..______ ___ __ _.u._..__·".__.____.._....__ __.n ._.......____~__. __h.. ..~ _________._.___ o CONTAINERS PROPERLY LABELED ------ ----- --- -~- - -- -- -- ___u -- - n_ - - ____u - -- - - - -- _1-- o HOUSEKEEPING ----~-----_..- ------~-~-------- --- - - -- -- ----- --- - ----.. - - o FIRE PROTECTION -,...-.-..----.-.. .-.. ......__.._____._ __ __ __..... _.___ .___.____ ··___._._.n_.___._______.._._ _ __n._.______ -.-- -- - ...-----_.._----_._.._------_._--_.----~._.- -.--------- ---.---,,-.-------- -.- ._._----._.._----_.~------_.~_.._..._. -----.-.--- ----- ~ --.----------- -...---- -- - - .-- ---..--.--..---..- _....- .-.--- ---...- ------.-..-.. -'-.~-*"^-_.._--'-_.._---_._,_.__.._._._-_.. o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ YES 0 No EXPLAIN: Lh ê;J [); / ))~;~-~';;¡¡'PriOÌ) '" ~ 01 Pink - Business Copy ;- \ L..C..- -h v.sl- - ~ ~ / . IDEAL EQUIPMENT RENTAL SiteID: 015-021-002244 Manager : Location: 3730 BUCK OWENS BLVD City BAKERSFIELD BusPhone: Map : 102 Grid: 23B (661) 328-0219 ComrnHaz : High FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:7353 DunnBrad: Emergency Contact MIKE RANKIN Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 328-0219x (661) 978-9773x ( ) - x Emergency Contact FERNANDO ORTIZ Business Phone: 24-Hour Phone : Pager Phone : / Title / SHOP MANAGER (661) 328-0219x (661) 978-9772x ( ) - x Hazmat Hazards: Fire Press ImrnHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 328-0219x State: CA Zip : 93308 Phone: (661) 328-0219x State: CA Zip : 93308 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 3730 BUCK OWENS BLVD City : BAKERSFIELD Owner Address : 3730 BUCK OWENS BLVD City : BAKERSFIELD Emergency Directives: I -rY¿é ßÍJr7J I (fype or print name) reviewed the attached hazardous materials manage- and that it atong with Do hereby certify that 1 have ment pian for ;lõ(¿o¡ liB . aa) (Name 0 u8Ine_ any corrections constitute a complete and correct mana agement plan for my facility. ,~ --ç/ ß~ ¿?' Signeture .~ ".~ ·oø -1- 10/19/2004 . .' F IDEAL EQUIPMENT RENTAL f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-002244 9 By Facility Unit 9 Fixed Containers at Site 9 !specHaz!EPA Hazards! Frm ! Dai~y-~~~ IUnit,l~cp .~" "', , ~.l050. 0.9 G~i WO-:-Ó-OFT3 Hi 250.00 GAL Low 250.00 GAL Low 200.00 FT3 Low 250.00 GAL Min 240.00 GAL Min Hazmat Common Name... PROPANE '___.--.-n ,---.- ACETYLENE WASTE OIL HYDRAULIC OIL OXYGEN MOTOR OIL MOTOR OIL ,// .". .~ E E G G L L G L L F P·'-.I}I F P IH F DH F F F IH DH DH DH /' ~é\ ~ Dv\ .~ n 8~ u ''Ç . f-' {: 1...",\0ç ¡( 0~ o '. {O~Þ .~ ~.AI/ \7 l!C(\ l Y'J _ ?dvV"' tfO \ . .' ei , ~ ,O¡ [) . [X'Jr / ~ vv- - I ù·,w~) \ ~ 'J{bX",J6 ('1' _.A-. '(' 5:;/) \0\U9-1 ~ . /~ 'J{ . j ç¡,<~' 60J V'.f.,.~ -2- 10/19/2004 F IDEAL EQUIPMENT RENTAL f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-002244 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE W SIDE OF CANOPY CAS# 74-98-6 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 500.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1050.00 GAL Daily Average 1050.00 GAL %wt. I 100.00 Propane HAZARDOUS COMPONENTS G;] CAS# 749861 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined1: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -3- 10/19/2004 F IDEAL EQUIPMENT RENTAL f= Inventory Item 0005 == COMMON NAME / CHEMICAL NAME ACETYLENE ACETYLENE Location within this Facility Unit SiteID: 015-021-002244 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS# 74-86-2 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 200.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 200.00 FT3 Daily Average 200.00 FT3 %wt. I 100.00 Acetylene HAZARDOUS COMPONENTS ~ CAS# 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -4- 10/19/2004 F IDEAL EQUIPMENT RENTAL f= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME WASTE OIL SiteID: 015-021-002244 , Facility Unit: Fixed Containers at Site, Days On Site 365 Location within this Facility Unit INSIDE SE CORNER OF BLDG Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -5- 10/19/2004 F IDEAL EQUIPMENT RENTAL f= Inventory Item 0003 SiteID: 015-021-002244 9 Facility Unit: Fixed Containers at Site 9 WASTE DATA Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr. No Treatment UnitID: I Unit Type: Agency-Defined Text Label -6- 10/19/2004 F IDEAL EQUIPMENT RENTAL p= Inventory Item 0006 F= COMMON NAME / CHEMICAL NAME HYDRAULIC OIL HYDRAULIC OIL Location within this Facility Unit SiteID: 015-021-002244 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu... No 112345 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -7- 10/19/2004 F IDEAL EQUIPMENT RENTAL f= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME OXYGEN OXYGEN Location within this Facility Unit SiteID: 015-021-002244 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 200.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 200.00 FT3 Daily Average 200.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: f- Ag.Define11 -8- 10/19/2004 · c, F IDEAL EQUIPMENT RENTAL p= Inventory Item 0007 == COMMON NAME / CHEMICAL NAME MOTOR OIL MOTOR OIL Location within this Facility Unit SiteID: 015-021-002244 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: I- Ag.Define11 -9- 10/19/2004 ~ " F IDEAL EQUIPMENT RENTAL p= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-002244 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 240.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 240.00 GAL Daily Average 240.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -10- 10/19/2004