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HomeMy WebLinkAboutBUSINESS PLAN UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Pian and Inventory Program Prevention Services e A F R s r, 0 900'IYuxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 a R rM Tel.: - (661) 326-3979 .Fax: (661) 872-2171 FACILI NAME ~ - INSPECT N DATE ~ ~ ~ INSPECTION TIME i ~~' cam ~ (Z S T ~ I~ czvl o 1 ADDRESS . ~ y ~~. s , ~-~-~ PHONE NO. ~ 3 ~ -'7iri NO OF EMPLOYEES '~ FACILITY CONTACT - ~~i+~3VJ6 BUSINESS ID NUMBER 15-021-GQ2385' Section 1: Business Plan,and Inventory Program ~~~~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r C V ( C=Compliance O-PERA_ TION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ® ~ ,, .,/ ' LJ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE C°f ^ -VISIBLE ADDRESS - L'J ^ CORRECT OCCUPANCY C+lr ^ VERIFICATION OF INVENTORY MATERIALS l ~ ^ VERIFICATION OF QUANTITIES ,. / ~ 1 1d ^ VERIFICATION OF LOCATION , ~ / LK ^ PROPER SEGREGATION OF MATERIAL ^ (~ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING M ~ ~. 11.. ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I~ ^ EMERGENCY PROCEDURES ADEQUATE (~ ^ CONTAINERS PROPERLY LABELED ©~ ^ HOUSEKEEPING C~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD US WASTE ON SITE? C9'YES ^ NO EXPLAIN: -~ /~51-~- /~'LO (~ cL_ !~ J r. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 V L vT c.+~~~rz a - c, C. Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~ , ~~ e ARBYS AUTO MOBILE SERVICE ___________________________ SiteID: 015-021-002384 + '; _: y ~ .+ Manager BusPhone: (661) 637-7111 Location: 404 18TH ST Map 103 CommHaz Low City BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RUDY BRIANO / OWNER / Business Phone: (661) 637-7111x Business Phone: ( ) - x 24-Hour Phone (661) 859'-1941x /~~. 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth +---------------------------------------------------------------------------0---+ Contact Phone: (661) 637-7111x P9. MailAddr: 404 18TH ST State: CA City BAKERSFIELD Zip 93301 P Owner Phone: (661) ,9• 637-7111x Address 404 18TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: J _ ~~ PROG H - HAZ WASTE GEN ~ ~N /~ I !V t~ ~` c Based on my inquiry pf those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, ac urate, an co plete. r Sig ature D to 2 20Q6 -1- :' 03/01/2006 ~~~~ .~ v ~~~ -3- 03/01/2006 Bakersfield Fire Dept. UNIIFIED PROGRAM INSPECTION CHECKLIST Enironmental Services ... 1715 Chester Ave SECTION 1 Business Plan and Inventory Program sakersfield, CA 93301 Tel: (661)326-3979 ~ • is "~~ ~~ i AniU INSPEC ION DAT L~~~~D ~ INSPECTION TIMF~ / /a5 n-~ ~ w --- _ -_ -.._._ - --- PHONE No. - No. of Employees - --- ---- (~ 3 7-?i~~- Business ID Number 15-021 -1- ----- ---- - -~1023$~/ `.Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection ,C' V \V=Voatoinnce~ OPERATION LtiJ ^ APPROPRIATE PERMIT ON HAND LrD ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS L`7 ^ CORRECT OCCUPANCY -r-/---- -- --- --------------- ----- ----_ -- ----------------- ----...._._ J ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES L~3 ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING L'7 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ----------------- ------------------------------------------ U ^ EMERGENCY PROCEDURES ADEQUATE C~ ^ CONTAINERS PROPERLY LABELED --- ----------------------------------- --------------------- ^ HOUSEKEEPING ~^ FIRE PROTECTION l~^ SITE DIAGRAM ADEQUATE 8c ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE?: Lif TES ^ IVO EXPLAIN: W ~ S ~ rL MO ~~. OC `~--- • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979 ~ C~ Inspector (Please Print) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow -Station Copy t r sine ite Responsible Party (Please Print) rn g N 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 NAM2E F~ ~,^_ ~ ~~--~ ----~_~..0---___~--~~-----------_~Q- ~~ ----------------_. ~ INSPECTION DATE INSPECTION TIME ~mployees PHONE o ~ No ADDR SS ~~~- s- ~ ~-----~----~--~~-~ ---- - . . g ~- ~ N ---~_- ---~~-------~~- FACILI YCO TA ~o ~ ; Business ID Number 15.02>_~2~~y `. Section 1: Business Plan and Inventory Program Routine ^ Combined O Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C V ^ IV=Vioatonncel OPERATION APPROPRIATE PERMIT ON HAND COMMENTS ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ^ ^ VERIFICATION OF FIAT MAT TRAINING h( JA- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~- -------------------------.--- --------------.._---- ^ I"~OUSEKEEPING ^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE Ec ON HAND --- -------------------- ------------- ANY HAZARDIO'UrS WASTE ON SITE: YES ^ NO EXPLAIN: (,UA a ~ ~ ~ ~~ d 2 d ~ ~ S F C~ 1/ ~4 ~. ~ c c-~'~ C s QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 r - --------- --- - ----- - - - ---- 1--~---------- -- ----- - - - -- ~ ------------ --= Inspector Badge No. Business ite esp nsible Party While -Environmental Services Yellow - Statbn Copy Pink -Business Copy ----•