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HomeMy WebLinkAboutBUSINESS PLANNXS CUSTOMS & ACESSORIES 3951 SO. "H" STREET, STE. A c ~ ~1 ' ~~/// + NXS CUSTOMS & ACCESSORIES ___________________________ SiteID: 015-021-002417 + Manager STEVEN SHAMBLIN Location: 3951 S H ST A City BAKERSFIELD BusPhone: (661) 397-5500 Map 123 CommHaz High Grid: 18A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVEN S SHAMBLIN / OWNER j Business Phone: (661) 397-5500x Business Phone: ( ) - x 24-Hour Phone (661) 588-3001x 24-Hour Phone ( ) - x Pager Phone (661) 9.7:9-0008x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVEN SHAMBLIN Phone: (661) 397-5500x MailAddr: PO BOX 20309 State: CA City BAKERSFIELD Zip 93390 Owner STEVEN SHAMBLIN Phone: (661) 397-5500x Address 17030 PANADERO.CT State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of 4hase indlviduats responsible for obtaining the information, 1 certify under penalty ofi iaw that I have personally examined and am familiar with the Inforrnation submitted and believe the in Pmation is true, ac/uQate, and comp+et~ ~, ~i`~ ~s~~c7- S ~~~ ~US~~~S NAPS j ~A~ ~$i~0~0 ,~~ ~: 7 ~ ignature Date ENT'D MAR 2 4 2006 -1- 03/07/2006 UNIFIED PROGRAM INSPECTION CHECKLIST • • SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 _ _ FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Em loyees ~~~~ 5 ~ _ ~7-s~~ FACILITYCONTACT Business ID Number ~T>;vE-.1 ~~M dUN 15-021-oouJJ-7 - Section 1: Business Plan and Inventory Program Routine D Combined ~ Joint Agency OMulti-Agency O Complaint O Re-inspection ANY HAZARDOUS WASTE ON SITE: ^ YES ExPLAIN: /// • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~BG'I ~ 326-3979 ~v/'~' ~ nspector (Please Print ~ Fire Prevention 1st-INShik of Site yyhile - Envaonmental Services Velkriv -Station Copy - ~~ `.~Su _ - i ~~..~ Busi Site Responsittle Party (Pleaso Print) ~ Pink • Business Copy ' 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 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number 15-021- ~ ~ ~ 7 S~~„ s~ Section 1: Business Plan and Inventory Program ^ Routine, ^ Combined D Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection C V OPERATION nCe t COMMENTS ~ on \V=Vioa l ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE P ^ VISIBLE ADDRESS ^ - CORRECT OCCUPANCY - ---- - - -- VERIFICATION OF INVENTORY MATERIALS ~~ , ~~ rr100 9 _ ~~.,7--- -------.._....-.------ VERIFICATION OF QUANTITIES `SS ~ ~ ~ ^ ~ VERIFICATION OF LOCATION - - ~, ~ 7/1 LJ 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 ..~------------------------- -.....- -_..----f- ^ HOUSEKEEPING V n ^ FIRE PROTECTION / -- ---- ~ --------------- ------------------ -------------------------.--_._---- ----_l~_--.-_.-._ ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ~"No QUESTIONS REGARDDIN~G THIS INSPECTIONS PLEASE CALL US AT (681 3ZG-3g7g Inspector Badge No. ~, ~~-~ ~• 4~ ~ ~~~U -`- `~. ! ~ Whde - Ew~honmemai Services Yellow - Slalwn COPY Business Sde Responsible Party Pink Business Copy I"1 it ~~J ~~