HomeMy WebLinkAboutBUSINESS PLAN 5/30/2006N }
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+ OSCiARS GOAD SERVICE _________________________________ SiteID: 015-021-001993 +
Manager
Location: 728 1/2 E 19TH ST
City BAKERSFIELD
BusPhone: (661) 325-1400
Map.: 103 CommHaz Moderate
Grid: 29C FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DOLORES GUERRERO / MAINTENANCE DANNY ULLOA / MAINTENANCE
Business Phone: (661) 325-1400x Business Phone: (661) 325-1400x
24-Hour Phone (661) 631-4600x 24-Hour Phone (661) 871-3313x
Pager Phone ( } .- x;~ Pager Phone ( ) - x
Hazmat Hazards: - E~.,~'e Imm~-.T.lt:~~. DelHlth. - .
~~ x
Contact OSCAR LEON Phone: (661) 325-1400x
MailAddr: 5409 MONITOR ST' State: CA
City BAKERSFIELD Zip 93307-6335
Owner OSCAR LEON .Phone: (661) 325-1400x
Address 5409 MONITOR ST' State: CA
City BAKERSFIELD Zip 93307-6335
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd:~ RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
Based 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
submit and believe th information is true,
accytP,and complete.~j
~~,~~,~ Date
~~~ ~~A /
. / z s ZDOs
-1- 03/01/2006
~-ptmul
Q~ LD pfd
~' CITY OF BAKERSFIEI.D FIRE DEPARTMENT
b OFFICE OF ENVIRONMF,NTAL SERVICES
. ~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST
;wF g~,i~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME O'SCgrs ~®E ~ S~etrt~
ADDRESS ~ ~ ~ / z ~;, /ST'' Sr'
FACILITY CONTACT
INSPECTION TIME
INSPECTION DATE ~~ ~ ~ o - o
PHONE NO.
BUSINESS ID NO. 15-~Ek ~ t -. cx~t9~l Z
Nt1MBER OF EMPLOYEES
Section 1: Business Ptan and Inventory Program
~^ Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
OPERATION C V 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
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: ~ris~c ~]:~
Questions regarding this inspection? Please call us at (661) 326-3979
White -Env. Svcs. Yellow -Station Copy Pink -Business Copy
(!
Business Site Responsible Party
Inspector:~g., d~; ~~~. o~,l~
OSCA~2S ROAD SERVICE
i
Manager _
Location: 728- 1/2 E 19TH ST
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
SiteID: 015-021-001993
BusPhone: (661) 325-1400
Map 103 CommHaz Moderate
Grid: 29C FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DOLORES GUERRERO / MAINTENANCE DANNY ULLOA / MAINTENANCE
Business Phone: (661) 325-1400x Business Phone: (661) 325-1400x
24-Hour Phone (661) 631-4600x 24-Hour Phone (661) 871-3313x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards:
Fire ImmHlth DelHlth
Contact OSCAR LEON Phone: (661) 325-1400x
MailAddr: 5409 MONITOR ST State: CA
City BAKERSFIELD Zip 93307-6335
Owner OSCAR LEON Phone: (661) 325-1400x
Address 5409 MONITOR ST Stater CA
City BAKERSFIELD Zip 93307-6335
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gall
Gal
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
Sased on my inquiry af. those individuals
responsible fnr obtaining the information, 1 certify
under pe .y of law that I h •e personally
examine a d am familiar w'.n e information
submi d nd beli v the of mation is true,
accu~a ~• nd compJ~e.
Signature Date
~ ~ ~ov~
-1- 02/05/2007
,•
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name..., SpecHaz EPA Hazards Frm DailyMax Unit MCP
SOLVENT F DH L 55.00 GAL Mod
OXYGEN F IH DH G 200.00 FT3 Low
WASTE OIL F DH L 110.00 GAL Low
TRANSMISSION FLUID F DH L 75.00 GAL Low
WASTE ANTIFREEZE F DH L 55.00 GAL Low
MOTOR OIL F DH L 120.00 GAL Min
-2- 02/05/2007
-3- 02/05/2007
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at .Site ~
COMMON NAME / CHEMICAL NAME
SOLVENT Days On Site
142 SOLVENT 365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL OF SHOP CAS#
= STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
aWt. RS CAS#
100.00 Naphtha No 8030306
Y1HGHtCL H.7.7tS.7.71~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL OF SHOP CAS#
7782-44-7
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
200.00 FT3 200.00 FT3 200.00 FT3
ru~c~rucLVV.~ ~.va•irvivrly 1 J
oWt. RS CAS#
100.00 Oxygen, Compressed No 7782447
- I1riGtiLCL H~ 7 w7 L' iJ w71"1L' 1V 1 .7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 02/05/2007
.~
F OSCARS ROAD SERVICE SiteID:.015-021-001993 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
~ASTE OIL Days On Site
365
Location within this Facility Unit
OUTSIDE S WALL OF SHOP
Map: Grid:
221
CAS#
Liquid Waste 1 AmbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 110.00 GAL 55.00 GAL
t1F~G1~KLVU~ 1;V1~lYV1VL"'1V"1~
oWt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
tll-~GH1[L 1-~~~~5J1~1C;1V 1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
TRANSMISSION FLUID Days On Site
AUTOMATIC TRANSMISSION FLUID 365
Location within this Facility Unit Map: Grid:
NE CRNR OF SHOP CAS#
0
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient -Lmbient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
75.00 GAL 75.00 GAL 25.00 GAL
t11iG1-1tCL V U.7 l: V 1~1Y V1V J;1V 1 w7
°sWt. RS CAS#
100.00 Transmission Fluid (Petroleum-Based) No 0
riL'~GH.1tL 1~~ S~JJ1~1.C;1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-5- 02/05/2007
g
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL OF SHOP CAS#
107-21-1
Liquid TWaste ~mbient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
30.00 Ethylene Glycol No 107211
t1AGHKL A771"~~~1~1tS1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
MOTOR OIL
Location within this Facility Unit
NE CRNR OF SHOP
STATE TYPE PRESSURE
Liquid TMixture ~mbient
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
8020835
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
120.00 GAL 120.00 GAL 60.00 GAL
11HGt~1CLV U.7 1..V1~lYUlV L" 1V 1.~
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
ri1~G1-1KL E~~~r,J~1~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6-
02/05/2007
i
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/19/1999 ~
WHEN FILTERS ARE DISCARDED AND/OR IF THERE IS AN OIL LEAK IT WILL BE NOTICED
AND TAKEN CARE OF.
Employee Notif./Evacuation 10/19/1999
COLES SERVICE 322-8258.
Public Notif./Evacuation;.
Emergency Medical Plan 10/13/2003
MEDICAL FACILITY: MEMORIAL HOSPITAL, 34TH STREET
-7- 02/05/2007
r
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/19/1999 ~
THE ONLY HAZARD WOULD BE IF THE BARREL SPRUNG A LEAK OR OVERFLOWED. THIS IS
USUALLY NOT A PROBLEM COLES SERVICE COMES ON A REGULAR BASIS.
Release Containment 10/19/1999
IF A LEAK WAS DETECTED AND IMMEDIATE CLEAN UP WOULD BE DONE AND IF THERE WAS
AN OVERFLOW WE WOULD CALL COLES SERVICE TO REMOVE THE WASTE.
Clean Up
COLES SERVICE 322-8258.
10/19/1999
V1.11C1 1CC.7VULl.:C HLl.1Vdl.1CJ11
-8- 02/05/2007
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
oNv~ial na~cxiu~
Utility Shut-Offs 01/04/2007
A) GAS - NONE
B) ELECTRICAL - NW CRNR N WALL
C) WATER - APPROX 3FT E OF COVERED PATIO N SIDE OF GATE
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec.jAvail. Water
PRIVATE FIRE PROTECTION - 5 FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - 100FT FROM DRIVE-IN GATE ON KING ST.
02/05/2007
Building Occupancy Level
2 EMPLOYEES
03/01/2006
-9- 02/05/2007
A.
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/26/2006 ~
MSDS SHEETS ON FILE ALONG WITH EMERGENCY NUMBERS IN OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: HAVE SHOWN EMPLOYEES HOW TO OPERATE FIRE
EXTINGUISHERS, WHERE THE FIRE EXTINGUISHERS ARE LOCATED, WHERE WASTE
CONTAINERS ARE, THE EMERGENCY SHUT-OFFS ARE FOR THE POWER AND WHERE THE
EMERGENCY CONTACT NUMBERS ARE LOCATED.
rays ~
nciu ivi. r u~.uic Vic
i1C 1lA LV.C L'UI. UlC V.7-C
-10- 02/05/2007
~~,~ ;~ ~r
OSCAR,S,ROAD SERVICE SiteID: 015-021-001993
Manager OSCAR LEON
Location: 728- 1/2 E 19TH ST
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
BusPhone: (661) 325-1400
Map 103 CommHaz Moderate
Grid: 29C FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact
DOLORES GUERRERO
Business Phone:
24-Hour Phone
Pager Phone
Hazmat Hazards:
/ Title
/ MAINTENANCE
(661) 325-1400x
(661) 631-4600x
( ) - x
Emergency Contact
DANNY ULLOA
Business Phone:
24-Hour Phone
Pager Phone
Fire
/ Title
/ MAINTENANCE
(661) 325-1400x
(661) 871-3313x
( ) - x
ImmHlth DelHlth
Contact OSCAR LEON Phone: (661) 325-1400x
MailAddr: 5409 MONITOR ST State: CA
City BAKERSFIELD Zip 93307-6335
Owner OSCAR LEON Phone: (661) 325-1400x
Address 5409 MONITOR ST State: CA
City BAKERSFIELD Zip 93307-6335
Period to
Preparers
Certif'd:
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
TotalASTs: _
TotalUSTs: _
RSs: No
~N~~~ ~ U ~ ~ ~ ~8~}
f~~uc~d on my inquiry of those individuals
re~p~~nri~le for obtaining the information, I certi#y
uridt;r I~ena!ty ofi law that I have personally
~,iamined a . am familiar with the information
~u~mit~e ' 2~ d he!ieve the ', ormation is true,
~~cura,9 , a~+d complete.
~r~~~
Date
Gall
Gal
-1- 07/13/2007
1-
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
SOLVENT F DH L 55.00 GAL Mod
OXYGEN F IH DH G 200.00 FT3 Low
WASTE OIL F DH L 110.00 GAL Low
TRANSMISSION FLUID F DH L 75.00 GAL Low
WASTE ANTIFREEZE F DH L 55.00 GAL Low
MOTOR OIL F DH L 120.00 GAL Min
-2- 07/13/2007
~~ ,..
-3-
07/13/2007
r
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
SOLVENT Days On Site
142 SOLVENT 365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL OF SHOP CAS#
Liquid TMixtur~ AmbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
oWt. RS CAS#
100.00 Naphtha No 8030306
IlEiGEitCL 1-~. 7J~.7.71~1L~1V1~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
OUTSIDE S WALL OF SHOP
STATE TYPE PRESSURE _
Gas TPure ~-Above Ambient
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7782-44-7
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 FT3 200.00 FT3 200.00 FT3
HA
ZARDOUS COMPONENTS
oWt. RS CAS#
100.00 Oxygen, Compressed No 7782447
r1t~L~ti1CL t"1J ~7 LiJ ~71~1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 07/13/2007
r-
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL OF SHOP CAS#
221
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 110.00 GAL 55.00 GAL
- HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
ti1~GHKL A~ ~ 1"~ J Jl~lt~ly l a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
TRANSMISSION FLUID
AUTOMATIC TRANSMISSION FLUID
Location within this Facility Unit
NE CRNR OF SHOP
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
0
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Con~5100rGAL Daily M75100m GAL I Daily A25r00e GAL
ntic~tucLVUa ~.vrirviv~ivtS
%Wt• RS CAS#
100.00 Transmission Fluid (Petroleum-Based) No 0
ruyc~s-ucL r~a a~a~ll~ly t a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-5- 07/13/2007
~, ,
7
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE ANTIFREEZE ~ Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL OF SHOP CAS#
107-21-1
Liquid TWaste -~mbient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
tix~r~tclivua ~vrirvlv~ivla
%Wt. RS CAS#
30.00 Ethylene Glycol No 107211
t1F~GHKL HaSC;aa1~1L"1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
NE CRNR OF SHOP CAS#
8020835
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixtur~mbient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
120.00 GAL 120.00 GAL 60.00 GAL
i1HG1-]iCLVU.7 1.V1~lYV1Vl;1V 1.7
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
t11~GtittL H. 7.7C~~1~1tS1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 07/13/2007
L~ ~'
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/19/1999 ~
WHEN FILTERS ARE DISCARDED AND/OR IF THERE IS AN OIL LEAK IT WILL BE NOTICED
AND TAKEN CARE OF.
Employee Notif./Evacuation
COLES SERVICE 322-8258.
10/19/1999
Emergency Medical Plan 10/13/2003
MEDICAL FACILITY: MEMORIAL HOSPITAL, 34TH STREET
-7- 07/13/2007
.!~ 4
~.
F OSCARS ROAD SERVICE SiteID: 015-021-001993 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/19/1999 ~
THE ONLY HAZARD WOULD BE IF THE BARREL SPRUNG A LEAK OR OVERFLOWED. THIS IS
USUALLY NOT A PROBLEM COLES SERVICE COMES ON A REGULAR BASIS.
Release Containment 10/19/1999
IF A LEAK WAS DETECTED AND IMMEDIATE CLEAN UP WOULD BE DONE AND IF THERE WAS
AN OVERFLOW WE WOULD CALL COLES SERVICE TO REMOVE THE WASTE.
Clean Up 10/19/1999
COLES SERVICE 322-8258.
V1.11C1 1CCSVULLC Eil.:l.lVdl.1CJ11
-8- 07/13/2007
,'c c
:l
F OSCARS ROAD SERVICE SitelD: 015-021-001993 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~JCC:1d1 rid'Gdl U.S.'
Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - NW CRNR N WALL
C) WATER - APPROX 3FT E OF COVERED PATIO N SIDE OF GATE
D) SPECIAL - NONE
E) LOCK BOX - NO
01/04/2007
Fire Protec./Avail. Water 02/05/2007
PRIVATE FIRE PROTECTION - 5 FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - 100FT FROM DRIVE-IN GATE ON KING ST.
Building Occupancy Level 03/01/2006
2 EMPLOYEES
-9- 07/13/2007
a c-
S "
F OSCARS ROAD SERVICE SitelD: 015-021-001993 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/26/2006 ~
MSDS SHEETS ON FILE ALONG WITH EMERGENCY NUMBERS IN OFFICE.
BRIEF SUNIlKARY OF TRAINING PROGRAM: HAVE SHOWN EMPLOYEES HOW TO OPERATE FIRE
EXTINGUISHERS, WHERE THE FIRE EXTINGUISHERS ARE LOCATED, WHERE WASTE
CONTAINERS ARE, THE EMERGENCY SHUT-OFFS ARE FOR THE POWER AND WHERE THE
EMERGENCY CONTACT NUMBERS ARE LOCATED.
rayv ~
aic~.u Lvi t•u~..utc vac
11C1u 1VI rul.ulC UDC
-10- 07/13/2007
UNIFIED PROGRAM INSPECTION CHECKLIST~~'
~'4 r.-, ^nv. '.-4:.?8F6.tiYl'6i..e^':. i9T.v: .cF.:i :.. 2 ~i_ .:..- ... ... ...
.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
a Prevention Services
~~t~ 900 Trtixtun Ave., Suite 210
~Rrr r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: {661) 872-2171
FACILITY NAME ,~ /
~ NSPECTION DATE
~ INSPECTION TIME
a r /Coord /i
c I - O Ca 00
ADDRESS HONE NO. O OF EMPLOYEES
,~ ~~ /~ ~~
FACILITY CONTACT NESS ID NUM ER
/~ /; /1
(
( t
/ 0 ~
15-021-
_~6
~J
Section 1: Business Plan and Inventory Program d~
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIfi@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
J U L 19 200------
~ZI ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
OCEDURES
"~ ^ EMERGENCY PROCEDURES ADEQUATE
D CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~l. ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? `YES ^ NO
EXPLAIN: _ ~ ---.-,-.
I/I~Gi S ~ C>' / / ~ s~v~ a c /ln ~'c~ i~
REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979
KvN~h f~-/n~3~Ur c, L~_
Inspector (P ase Print) Fir revention / 1 In !Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD21)49 (Rev. 02t05)