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Home My WebLink AboutBUSINESS PLAN 7/5/2007i UNIFIED PROGRAM INSPECTION~CHECKLIST SECTION 1: Business Plan and Inventory Program ~" Prevention Services B F R s F, . 0 - 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM Tel.: (661) 326-3979 Fax: (661) 872-2.171 INSPECTION DATE FACILITY NAME TION TIME INSPE C / 1P!`L~= ^I r` F~ i Q~= T T l v i~l ~ ~ ~ - `J - ~ ~ ~ / ~`~'G+~t~ ADDRESS HONE O. ( ld ( 3 i- ~'1 NO OF EMPLOYEES 4 o v to H 1 s ~- FACILITY CONTACT BUSINESS ID NUMBER c>~~= n-( ~~.~-_- l ~~ 15-021- a t~/~S~ Section 1: Business Plan and Inventory Program L+J ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ 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 AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING tii~i~ id ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES IQ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES LEI NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Business Site I Responsible Party (Please Print) - _ - White -Prevention Services - Yellow -Station Copy - Pink -Business Copy FD 2155 {Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST:; .SECTION 1: Business~Plan and Inventory Program ~ ~ Tel.: (661) 326-3979 ~ Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPE CTION TIME A~ ~ JZ,S r r 1 T'~ 1-' i ~l C7 ~Q n ~ 7 .~~ ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- ` ~/ (~> cA~~Aj ~ Section 1: Business Plan and Inventory Program --~P ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSInt?SS 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 AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ENT'D ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ' ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: - _ - .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 326-3979 .~. ~~c,t~ y 13Z ~ Z `$ U Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station A Site/School SHe Responsible Part' (Please Print) HARERSFIELD FIRE DEPT Prevention Services ~~ts 900 Truxtun Ave., Suite 210 aRrr ~ Bakersfield, CA 93301 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) _~ ~' BAKERSFIELD FIRE DEPT 2 SiteID: 015-021-001155 Manager CAPTAIN BusPhone: (661) 631-8720 Location: 716 E 21ST ST Map 103 CommHaz Moderate City. BAKERSFIELD Grid: 29D FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:9224 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RONALD J FRAZE / FIRE CHIEF / Business Phone: (661) 326-3911x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CAPTAIN Phone: (661) 631-8720x MailAddr: 716 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner CITY OF BAKERSFIELD Phone: (661) 326-3911x Address 1501 TRUXTUN AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~~~&~l F1 ~ ~ ~ t~l ~~ ~1 Eased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of lavr that I have personally examined and am familiar with the information submitted and believe the info ation is true, accurate, and comple a r Date -1- 04/13/2007 ~, F BAKERSFIELD FIRE DEPT 2 ~ Hazmat Inventory ~ MCP+DailyMax Order = = SiteID: 015-021-001155 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP UNLEADED GASOLINE F IH DH L 500.00 GAL Mod OXYGEN F P IH G 1200.00 FT3 Low DIESEL NO. 2 F IH DH L 500.00 GAL Low -2- 04/13/2007 -3- 04/13/2007 ( ~ F BAKERSFIELD FIRE DEPT 2 SiteID: 015-021-001155 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: E END N PROP LINE CAS# 8006-61-9 Liquid TMixtur~ AmbRent~E ~ AmbientT~E ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 500.00 GAL 500.00 GAL GAL riti~tLttLVUS ~:vrirviv~ivl~ %Wt. RS CAS# 100.00 Gasoline No 8006619 t1EiGf~KL AJJL5~1~1L"~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SW CRNR APPARATUS FLR STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co249100rFT3 Daily1200100m FT3 ( Dailyl000r00e FT3 Ilt]GHiCLVU.7 l.Vl"lYViV~1V 1 ~J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I1tiGHiCL L-1. 7.7~J.71~1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 04/13/2007 ., F BAKERSFIELD FIRE DEPT 2 SiteID: 015-021-001155 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL NO. 2 Days On Site 365 Location within this Facility Unit Map: Grid: E END N PROP LINE CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 500.00 GAL 500.00 GAL GAL r~~r~xlivu5 ~uinruN~N~1~5 oWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 nr~~r-ucL raaa~a~i~i~iv-l~a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 04/13/2007 F BAKERSFIELD FIRE DEPT 2 SiteID: 015-021-001155 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification. Employee Notif./Evacuation 05/03/2006 THIS IS A PROFESSIONAL FIRE DEPT WITH A DIRECT LINE TO BAKERSFIELD FIRE DEPT COMMUNICATION CENTER AND KERN COUNTY FIRE DEPT CONTROL 4 DISPATCH CENTER FOR IMMEDIATE NOTIFICATION OF ALL PERSONNEL, ,._ ru1.l111.: 1VV1.11 ~ LiVQI,:UCLL1V11 Emergency Medical Plan 05/03/2006 THE PROFESSIONAL FIREFIGHTERS STATIONED AT THIS ADDRESS, THE NEAREST OR AVAILABLE AMBULANCE COMPANY AND BAKERSFIELD FIRE HAZMAT TEAM FROM STATION 11 ON STOCKDALE HWY, AND, IF NEEDED, MUTUAL AID WITH KERN COUNTY FIRE DEPT HAZMAT TEAM FROM STATION 66, LANDCO. -6- 04/13/2007 F BAKERSFIELD FIRE DEPT 2 SiteID: 015-021-001155 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 05/03/2006 THE FIRE DEPT EMPLOYS A SAFETY OFFICER THAT CONDUCTS ONGOING PERSONAL AND INDUSTRIAL SAFETY PRACTICES. ALL OUR CONTAINERS HAVE PUMPS AND VALVES FOR DISPENSING, AS WELL AS, LOCKS FOR ILLEGAL OR UNAUTHORIZED DISPENSING. THIS DEPARTMENT HAS A HAZMAT RESPONSE TEAM THAT HANDLES ALL HAZMAT INCIDENTS WITHIN CITY AND SOME OF KERN COUNTY. ITS COMPANY WOULD BE CALLED IN FOR CLEAN-UP. FOR SMALL SPILLS AROUND THE STATION, WE HAVE RICE HULL FOR ABSORBING THE MATERIAL. 9 Release Containment I.lCQ11 V~.7 V 1.11C1 LCCu7VU1 l.:C til:L1VGLL1Vll -7- 04/13/2007 F BAKERSFIELD FIRE DEPT 2 SiteID: 015-021-001155 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial nazarus Utility Shut-Offs A) GAS - ALLEY NE CRNR OF BLDG 09/29/2006 B) ELECTRICAL - ONE IN BASEMENT W WALL AND ONE IN WORK SHOP S & SE WALLS C) WATER - ALLEY NE CRNR REAR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/25/2007 PRIVATE FIRE PROTECTION: NORMALLY ONE FIRE ENGINE. THERE ARE EMERGENCY GENERATORS, LIGHTING AND AQUEOUS FILM FORMING (AFFF) FOAM CONTAINERS. FIRE HYDRANT: GREEN-TOP FIRE HYDRANT 400FT FROM STA. Building Occupancy Level 03/01/2006 3 FIREFIGHTERS -8- 04/13/2007 ,r .: F BAKER5FIELD FIRE DEPT 2 SiteID: 015-021-001155 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/03/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ROUTINE REGULAR HAZMAT TRAINING. ra.y ~ ~ Held for Future Use iiciu iv.~ ru~..uic vac -9- 04/13/2007 UNIFIE® PR®GR~4M INSPECTION CHECKLIST SECTI®N 1~~usiness Plan~and Inventory Program Eakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 TPl • (ffi 11 '~?_C,-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME _ ~- ~- ~- ADDRESS PHONE No No. of Employees FACILITVCONTACT Business ID Number C 7.` ~...,z..~P.r~ 15-021-115 Section 1: Business Plan and Inventory Program Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V noe) OPERATION tl COMMENTS lV=voa on ^ APPROPRIATE PERMIT ON HAND "'ti~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE "~ ^ VISIBLE ADDRESS '~ ^ CORRECT OCCUPANCY I~ ^ ~ VERIFICATION OF INVENTORY MATERIALS I ^ VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL -.. ..- ~ R O /~ - Zi;Jos---_. - ----...__. _._ ....._._. -_ .. _._....._-... ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -- -~ ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ----. _.._-.... ^• ------ _____ -----._._.__.._ __ _.....__.. _-_..-_...----._..._... ..._..._- FIRE PROTECTION i_. ..-~---._.._ .. ... .. - .. ._ ..-- ._... .-...... _... ... - ----.... _- -- ........---- -- ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT 661 ~ 326-3979 ---------- -?y---------___..---------._ --------._--------------._.. _____ _. __ _ Inspector (Please Print) Fire Prevention 1st-InlShift of Site WhHe • Envvonmental Services Yellow -Station Copy Business Site Responsible Party (Please Print) 8 Pink -Business Copy