HomeMy WebLinkAboutBUSINESS PLAN
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
~__ 7íi7JoD4-E INSPECTION TIME
~~ ~~~~~~- No-2Zts_-~:- _
Business ID Number
15-021-
FACI~ITY_:~~~BJ!~~___Q~~__j?d~_~~_~.._._.
?f,~~_____:2\.__\Jç-~tu____kL_ -----.-------.----..---------.--
FACILlTYCONTACT
ADDRESS
Section 1: Business Plan and Inventory Program
þ( Routine
D Combined
D Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
C V
( C=Complianee )
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
- n____._________ ..__ _______._.__.__.. .. _.___.__ __~_____ _.____.. ...__ ..___ ___ ____+_
+_ '__ __._.___..n___________.____.___._.. ...__.___._
D BUSINESS PLAN CONTACT INFORMATION ACCURATE
__ _____.______~____________.______________.._,_.__,_...___._. ___________...___._____.._ _ ____. _m____._ _n . _.___
_ ___ ~________.__.m._'__.___ .__._"_~.
D VISIBLE ADDRESS
---.------_.__.._--------------_.__..._._.._-----_.-.._~--.-.- ------.----..-----------.-..... -.-
...-----....-...---
.. .....- -- .__._~._..._......- ---. - ------..
D CORRECT OCCUPANCY
-_._---------~-._-_.__._._.._.__..._-----------------.--..---.-----.-------.-.--.--.----.---.---.--
-. _.__.._-------~_._..__.__.._- ---"-- .
... .-. -------_.- -------...--...--..- .--....---- ---
D . VERIFICATION OF INVENTORY MATERIALS
-- .__._-----_..._~------_._------+._-----_._----_._--_.---.---.--.----- ~ -- .-----.. --..-.....--- - ~--_._.._._--_.__._--.-"--- -----_.._~
. .-....-----.-.--. -- - ..-----..-... -.....
D VERIFICATION OF QUANTITIES
__.___________...___________________..__._.___.___ ____"___._ ...._ ..__._.__._....___________.._..~ . _______._n ...... ......_ _____ .__________. _... .
___. m.._ __.~_"__.__ ._u._.._._.____...
D VERIFICATION OF LOCATION
_~_.___~_______...._____.___________ __...."_._____ ____._._.. _n_._n._____.____n_.__~_._____' _____..__.__.....__ _..__.._.._.___.__ ___ _
-... .- .-.. ---------..-. ..-.-.-------.- .-'
CJ PROPER SEGREGATION OF MATERIAL
~._.._____._______.______~________________._____________.__.__. _.._____.__.. ____.._....___._____.._.___...._.. u____._____.n. _... __ ____._.._ _....___ .. .._.._________ _..._..__.__.____~._.__.._.___ .u.___~___ _._.._.n__.__.____~___.._.
D VERIFICATION OF MSDS AVAILABILlTYE f
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.... -~1~~:~::2f~~::.?~~N~~OGEDU-~S .[. n .._ ._. ....;. ...~-......_....-....~_~--.=_~~...~_
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D FIRE PROTECTION I
----.-.---.. ----.----.-~.-.--.-.-.---.-..-----.-.-.---.---. . ..--- ·U__.. .-c--l.--.--.-.---.--. .____... -- .-. _.._.__..__. _ m..._._._ ._._ __.___u._ --_.__._.._ ...__________._....
I
...----.--'--.---- -----_.._..._------~~---_..-
..-----. .- ......--.- -.-
----_.__._..._-~_._-_. ....._-_.__._.--~,--
D SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?:
DYES
tfNO
EXPLAIN:
HIS INSPECTION? PLEASE CALL US AT (661) 326-3979
·________._____·__._.________'_m__
I e Responsible partŸ·\PI~ P,j"l;
.:::::>
Fire Prevention 1st-In/Shift of Site
Yellow - Station Copy Pink· Business Copy
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BUCK OWENS PRODUCTION CO
Manager :(~Jee.. ~ZQLt..e"Z-
Location: '3-2-z-3--S-I-bLEeT AVE
City BAKERSFIELD
SiteID: 015-021-000179
BusPhone:
Map : 102
Grid: 23D
(661) 326-1011
CommHaz : Moderate
FacUnits: 1 AOV:
CommCode: KCFD STA 66
EPA Numb:
SIC Code:
DunnBrad:19-357-0314
EmergencX,Contact /
P\ \de.e.. vel r:\c:Q ke.Z-/
Business Phone: (661)
24-Hour Phone : (661)
Pager Phone : ( )
Title
Emergency Contact
TERRY GAISER
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ RADIO CHIEF
(661) 326 -1011x
(661) 366-2211x
( ) - x
ENG
326-1011x
- x
- x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Contact : r\ \.ð..e.e \f e.-l A z- ~l e <-
MailAddr: 3223 SILLECT AVE
City : BAKERSFIELD
Period :
Pre parer:
Certif'd:
Parcel No:
to
Phone: (661) 326-1011x
State: CA
Zip : 93308
Phone: (661) 326-1011x
State: CA
Zip : 93308
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Owner
Address
City
BUCK OWENS PRODUCTION CO INC
: 3223 SILLECT AVE
: BAKERSFIELD
Emergency Directives:
I, ~ \Xe~ {~~L1\>_u.eL. Do hereby certify that , have
(Type or print name)
reviewed the attached hazardous materials manage-
ment Plan for Bu.c.\'l)))ð1~~and that it along with
(Name 01 BUSIness)
any corrections constitute a completé and correct man-
agement plan for my facility.
()~
~
=-.---
(I/,fór.t
Date
Signature
-1-
10/19/2004
\
~~
, .
.
F BUCK OWENS PRODUCTION CO
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-000179
By Facility Unit
Fixed Containers on Site
Hazmat Common Name...
specHaz EPA HazardS Frm I
F P IH L
F DH L
LIQUEFIED PETROLEUM GAS
DIESEL
9
9
9
DailyMax IUnit MCP
~OO. QO... GAL Hi
500.00 GAL Mod
,.....-
-2-
10/19/2004
· .
F BUCK OWENS PRODUCTION CO
f= Inventory Item 0002
= COMMON NAME / CHEMI CAL NAME
LIQUEFIED PETROLEUM GAS
SiteID: 015-021-000179 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
BEHIND OFFICE
Map:
Grid:
CAS#
74-98-6
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
FIXED PRESS. CYLINDER
Largest Container
500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average
300.00 GAL
%Wt. RS CAS#
100.00 Liquefied Petroleum Gas No 68476404
HAZARDOUS COMPONENTS
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.Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
Ag.Defined8:
- Ag.Definel1
-3-
10/19/2004
..
F BUCK OWENS PRODUCTION CO
f= Inventory Item 0001
== COMMON NAME / CHEMICAL NAME
DIESEL
SiteID: 015-021-000179 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Location within this Facility Unit
BEHIND OFFICE
Map:
Grid:
CAS#
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average·
250.00 GAL
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No NO/ Curies F DH / / / Mod
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
-4-
10/19/2004