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~"~ ~ i ~~~ BAKERSFIELD FIRE DEPT.
. ~- _ ~ _ Prevention Services-- -.. ~- _~'~ ~ ~ Q
FIRE PREVENTION INSPECTION a EFiRE I L D 900 Truxtun Ave., ste. 210
- ARTM r Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 8 2-2171
DISTRICT BLOCK NO. DATE /` 0 ~ EE ~~ ~'JU
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FACILITY ADDRESS '
17 T
CITY,;STATE, ZIP~'~~~_ A~~r ~~/~ ~ S~C~
/1 /~
FACILITY NAME FACILITY PHONE NO.
MANAGER'S NAME
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No.
RY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE I D
VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal. (U.F.C.)
COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse boxlfire door (N.E.C.) (U.F.C.)
4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the
extinguisher not more than 5 feet above the floor. (N.F.P No. 10)
EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size _ ~ ________ portable fire extinguisher to be
immediately accessible for use in (area) ____________________ __ (U.F.C.)
g ach year, andlor after each use,
Re-charge all fire extinguishers. Fire extinguishers shall be serviced at I s n
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by a person having a valid license or certificate. (U.F.C.)
7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
SIGNS fire escape. (U.F.C.)
g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.)
g Repair all (crackslholes/openings) in plaster in (location) ______________________________________. Plastering
FIRE DOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
10 Remove/repair (item & location) _ ____________. Setf-closing
--------------------------------------------
" doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and
heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the
closing device. (U. F.C.)
EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)
12 Provide a contrasting colored and permanently installed electric light over or near required exit (location)
______________________________ to clearly indicate it as an exit. (U.F.C.)
STORAGE 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire
escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.)
14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
ELECTRICAL APPLIANCES where needed. (N. E. C.) (U.F. C.)
15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.)
OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield~Munici al Code B.M.C. re ardin fireworks.
OTHER 18 G /7? ~ ~ 1afY ' / C (•G.~ I/~. '.r', , I ('_ a .. f ~ -'L~..,r r~ ~ / .: -l T' I,.~ ( / ~ ~,t c
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CUSTOMER: ,~ ~t/~ it ~ / i 1 /j/. f. / ii//; (1 ~,)" (9l9 i ` )1 `-\ ~~ ~~~ j
E
ND.
'(Signature) ~ ~ ~ (Please Print Name Legibly, Title) F.C
C
CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
~
~ B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR:
(L7~Q AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
~
(Signature) / ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/original Yellow -station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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ADVANCE MUFFLER SERVICE SiteID: 015-021-000327
Manager LAWRENCE DALE
Location: 1120 22ND ST
City BAKERSFIELD
BusPhone: (661) 323-5188
Map 103 CommHaz High
Grid: 30A FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JASON DAL E / MECHANIC LAWREN CE DALE / OWNER
Business Phone: (661) 323-5188x Business Phone: (661) 323-5188x
24-Hour Phone (661) 303-3592x 24-Hour Phone (661) 703-0886x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact LAWRENCE DALE Phone: (661) 323-5188x
MailAddr: 1120 22ND ST State: CA
City BAKERSFIELD Zip 93301
Owner LAWRENCE DALE Phone: (661) 323-5188x
Address 5209 WINTERWOOD CT State: CA
City BAKERSFIELD Zip 93313
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
ENT'D ~ U L 1 ~. 20Q7
E3ased 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
su fitted and believe t. information is true,
c rate, and complete
~~ ~~~
ignature Date
-1- 06/29/2007
T ~ ~ f _,
F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ACETYLENE E F P IH G 682.00 FT3 Hi
OXYGEN F P IH G 1150.00 FT3 Low
WASTE OIL F DH L 55.00 GAL Low
ARGON F P IH G 336.00 FT3 Min
FREON 12 F P IH G 190.00 FT3 Min
-2- 06/29/2007
-3- 06/29/2007
i ti r '
F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE NE CRNR OF BLDG CAS#
74-86-2
STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE
~GaS I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
400.00 FT3 682.00 FT3 400.00 FT3
rit~~.ytclJ~ua ~~l~irvivrlvl~
%Wt. RS CAS#
100.00 Acetylene Yes 74862
t1AGAKL H ~5J;5~1~1J~;1V"15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
INSIDE NE CRNR OF BLDG
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 Co550100rFT3 Daily1150100m FT3 I Daily 550r00e FT3
I1tiGLiCCLV U.7 l..Vl"lt'V1V~1V 1 S
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
I1tlGtittL H.7 JL~~J.71°1J;1V 1 ~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-4- 06/29/2007
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P ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
ti[~G[jttLV U.7 wi~ir~tvr,ty t a
oWt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
t1HGKttL 1-1JJ~J51~1~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
ARGON
Location within this Facility Unit
NE CRNR
STATE TYPE PRESSURE =
Gas TPure ~-Above Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7440-37-1
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Co170100rFT3 Daily 336100m FT3 ( Daily 170r00e FT3
titiGtltCLV U.7. t~vlYlrvtv~ty t a
%Wt. RS CAS#
100.00 Argon No 7440371
ru-~c~ti.rcL .-~~a~~al~i~lyl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-5- 06/29/2007
F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
FREON 12 Days On Site
365
Location within this Facility Unit Map: Grid:
NW AREA OF BLDG CAS#
75-71-8
STATE T TYPE ~~ PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE _
Gas I Mixture I Above Ambient I Ambient I PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
79.00 FT3 190.00 FT3 79.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Freon 12 No 75718
I1HGL•iLCL 1-~,J.7.G.7.71~1~1V 1 .7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-6- 06/29/2007
~,
F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
~ Notif./Evacuation/Medical OveralloSite ~
~ Agency Notification 01/26/2000 ~
CALL 911.
Employee Notif./Evacuation 03/25/1992
VERBAL TO PEOPLE IN IMMEDIATE AREA; CALL 911; NOTIFY SURROUNDING BUSINESSES
AND RESIDENCES.
Public Notif./Evacuation 01/26/2000
VERBAL NOTIFICATION OF DWELLINGS IN THE AREA.
Emergency Medical Plan 06/10/1997
MICHAEL E DAVIES MD - 4580 CALIFORNIA AVE - 327-4527.
-7- 06/29/2007
~ n +
F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 01/26/2000 ~
SAFETY INSTRUCTION TO ALL EMPLOYEES; FOLLOW UP ON A REGULAR BASIS; USE OF
ABSORBANT AND DYKING MATERIALS AROUND SPILL; AND CALL 911 FOR ASSISTANCE IF
NEEDED.
Release Containment
USE OF ABSORBANT MATERIAL IN CASE OF SPILL OF ANY SORT.
03/25/1992
Clean Up 01/26/2000
NO CLEAN UP NECESSARY, DUE TO EVAPORATION (OXYGEN & ACETYLENE). WE HAVE A
RECOVERY UNIT FOR FREON.
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-8- 06/29/2007
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F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~JCC:1dl ildGdlUS
Utility Shut-Offs 05/31/2007
GAS - NW CTR OF BLDG
ELECTRICAL - NE CRNR OF BLDG
WATER - NE CRNR OF BLDG
Fire Protec./Avail. Water 11/29/2006
PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS SERVICED ANNUALLY.
FIRE HYDRANT - SE CRNR OF BLDG 22ND & N ST.
Building Occupancy Level 03/06/2006
5 EMPLOYEES
-9- 06/29/2007
. r ~ ~.
F ADVANCE MUFFLER SERVICE SiteID: 015-021-000327 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 11/29/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: WILL GO OVER MSDS WITH EMPLOYEES.
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-10- 06/29/2007