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HomeMy WebLinkAboutBUSINESS PLAN 3/9/2006~U WWF a .a ~~ ~~ HH U ~ Wx i a ~, w~ ~~ ! ~i M + KERN CO ELECTRICAL APPRENTICE _______________________ SiteID: 015-021-001396 + Manager BusPhone: (661) 324-0105 Location: 325 19TH ST Map 103 CommHaz High City BAKERSFIELD Grid: 30D FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:l731 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JERRY MELSON / TRAINING DIR / Business Phone: (661) 324-0105x Business Phone: ( ) - x 24-Hour Phone (661) 366-7743x 24-Hour Phone ( ) - x Pager Phone (661) 203-1125x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact JERRY MELSON Phone: (661) 324-0105x MailAddr: 401 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner ELECTRICAL WORKERS TRUST Address 3008 SILLECT AVE 100 City BAKERSFIELD Phone: (661) 325-9471x State: CA Zip 93308 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT Sased on my inquiry of 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, and complete. d~~~1 3 9~-d=o g e Date EN~~ BAR ,~ ~ ~©®~ -1- 03/06/2006 G~ UNIFIED PROGRAM INSPECT~1®N CHECKLIST r :..',,.~.:^ .'~.,.--.~_'i.'O'3 .. _.~'.. ~~ "9 . ,,.F':,;v...- .' :.. cf- . , :`.'.: : .....,...... .'.;tea.. ... ~ .'.: ;- ... ;~> .: .SECTION 1: business Plan anc9 Inventory PrograrvP BAKERSFIELD FIRE DEPT B , p , D Prevention Services p«~q 900 Truxtun Ave., Suite 210 ~~r~ f Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ~-t. ~ ~ 3z5' ~(o l « S ~ HO ENO. NO OF EMPLOYEES FACILITY CONTACT ~Q`~~ USINESS ID NUMBER 15-021-OID i3 `1 ~ / ~{-~ Section 1: Business Plan and Inventory Program `J~ ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS _ ___ _ _ _____ ~^ _ APPROPRIATE PERMIT ON HAND _ ^ BUS{t12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL N ~ V p (Y ~~~~ v V ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND RO EDURES ^ - EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING FIRE PROTECTION ~ !~ ^ r~ ~©---7--/~~ -~ G 'T ( t C. L ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: .~ _ __ • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 J a,s~~.~,~.,~w.' Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # ^ YES ^ NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) UNIFIE® PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Progr m • FACILITY NAME WSPECTI N DATE INSPECTION TIME PHONE o. No. of Employees ADDRE~~ ~ ~ ~ ~~ ~ 1 .- FACILITYCON CT Business ID Number .~~,e,~y a~,~LSonJ ~ s-o21-c3o t3 9~ 1akersfield Fire Dept. ' Environmental ;Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 933~~~ Tel: (661) 326-3979 _ _'_62pQ5 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency DMulti-Agency ^ Complaint ^ Re-inspection C V ncel OPERATION t COMMENTS on \V=Vioa ^ APPROPRIATE PERMIT ON HAND Q ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE L~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY -.. ___ ~ ^ VERIFICATION OF INVENTORY MATERIALS y Ly ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION 'Q ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE Q ^ CONTAINERS PROPERLY LABELED ~ ^ HOUSEKEEPING ~Q ^• FIRE PROTECTION _ _. - -- -- ~ ^ SITE DIAGRAM ADEOUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l ,b Inspector (Please Print) Fire Prevention 1st-InlShik of Site While -Environmental Services Yellow -Station Copy Bu iness Site sponsible Party (Please Print) Pink -Business Copy OCT 6 2003 ~yQ~~Ln p~,~~ CITY OF BAKERSFIEI,D FIRE DEPARTMENT a ~ OFFICE OF ENVtRONI~IF.N1'AL SERVICES y _~,. ~ ~~ UNIFIED PROGRAM INSPECTION CHEC KLtST 'w ~a~ 1715 Chester Ave., 3'd Tloor, Bakersfield, CA 93301 ~ ~' ~-~ FACILITY NAME L Cr ~L~G i RiG1C flrf~i~" I (~ INSPECTION DATE ~,/~~~ 3 ADDRESS 3Z~ 1 ~ ' -~ y0 / PHONE NO. Z y ' o O FACILITY CONTACT ~,r~r ~~ ~ T BUSINESS ID NO. IS-21U- Cw13`l . INSPECTION TIME / 5" rn,.~ NUMBER OF EMPLOYEES ~-- ,~- Sectio .I: Business Ptan and Inventory Program Routine ^ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Cored occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training 1 ' Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 c (~ ~5 -~ c t% Business S'te Responsible Party Whirr -Env. Svcs. Yellow -Station Copy Pink -Business Copy Inspector: .~ t~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services a ar a ret~ 900 Truxtun Ave., Suite 210 ~Rra t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ~~ ~ ~ ~ HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER / 15-021-86 /.~ ~ b Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JO(NT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS - ----- --_ ~ ~---~--- -- ~/ L"1 ^ APPROPRIATE PERMIT ON HAND -_-~--- - - L~( ^ BUSK@SS PLAN CONTACT INFORMATION ACCURATE ~ ^ VISIBLE ADDRESS L (J~' ^ CORRECT OCCUPANCY ~^ VERIFICATION OF INVENTORY MATERIALS ,.~ L W ^ VERIFICATION OF QUANTITIES , _ / L7 ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL m~ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED NT'D OC T 1 ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l ~~` ~ ~ iii Ali ~'J Inspector (Please Print) Fire Prevention / 16' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05)