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HomeMy WebLinkAboutBUSINESS PLAN 1/8/2007~. i 1 Ate' ~ Ox ~'~ o ~y N ~ O U ~ . . t _~ CITY BODY WORKS SiteID: 015-021-000730 Manager Location: 800 20TH ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: BusPhone: (661) 323-6226 Map 103 CommHaz High Grid: 30A FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD D ICKARD JR / OWNERS SON HELEN DICKARD / OWNER Business Phone: (661) 323-6226x Business Phone: (661) 323-6226x 24-Hour Phone (661) 324-9367x 24-Hour Phone (661) 325-9707x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 323-6226x MailAddr: 800 20TH ST State: CA City BAKERSFIELD Zip 93301 Owner HELEN DICKARD Phone: (661) 325-9707x Address 3000 ELM ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives : y~~~{,t,'~C' ~ti PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG S - SPRAY PAINT BOOTH ~~ ®~' Eiased on my in uir q y res ibl of those individuals I 1 ® 2©07 pons e far obtaining the information, I certify under penalty of lave that I have perspnally e xamined and am fa ili r with thQ Information submitted and belle e t i f accurate, and compl.te. e n ormation is true, , ' Signature b a -1- 07/10/2007 ~., -~ z, F CITY BODY WORKS SiteID: 015-021-000730 ~ ~ 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 1320.00 FT3 Hi PAINT F IH DH L 60.00 GAL Mod INDUSTRIAL GRADE OXYGEN F P IH G 1124.00 FT3 Low ARGON/CARBON DIOXIDE F P IH G 230.00 FT3 Min WASTE PAINT F DH L 20.00 GAL UnR -2- 07/10/2007 -~ C .tip -3- 07/10/2007 ~ ~ 1- ^P' F CITY BODY WORKS SiteID: 015-021-000730 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR MAIN SHOP CAS# 74-86-2 ~GaSATE TYPE PRESSURE ~~ TEMPERATURE CONTAINER TYPE -TPure Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1320.00 FT3 1320.00 FT3 1320.00 FT3 - t1AGL-~1'CLV U.7 1.V1~lYV1VI;1V7 5 %Wt. RS CAS# 100.00 Acetylene Yes 74862 riHGHKlJ A55J;~~1~1r;1V'1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME PAINT Location within this Facility Unit NW CRNR Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid TMixture~Ambient = TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 GAL 60.00 GAL 40.00 GAL ••- HAZARDOUS COMPONENTS %Wt. RS CAS# 25.00 Mineral Spirits No 8030306 15.00 Naphtha No 8030306 5.00 Methyl Ethyl Ketone No 78933 3.00 Ethylene Glycol No 107211 1'LHG1itCL d-~. 7 ~ L' ~ b1~1L' 1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -4- 07/10/2007 ~. c ~ F CITY BODY WORKS SiteID: 015-021-000730 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INDUSTRIAL GRADE OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR MAIN SHOP CAS# 7782-44-7 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1124.00 FT3 1124.00 FT3 1124.00 FT3 - tiHGxKilVUJ ~vinrvivnivlS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riHGf-lt[U 1~~br,Ja1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ARGON/CARBON DIOXIDE Location within this Facility Unit SE CRNR MAIN SHOP STATE TYPE PRESSURE _ Gas Mixtur~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 Co230100rFT3 Daily 230100m FT3 I Daily 230r00e FT3 t3tiGtitCLVU~ ~vrir~lv~ivl~ oWt. RS CAS# 25.00 Argon No 7440371 75.00 Carbon Dioxide No 124389 r1HGHKL 1-~S ~~J~1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 07/10/2007 i ~ 5 F CITY BODY WORKS SiteID: 015-021-000730 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE PAINT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWaste I Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 GAL 20.00 GAL 20.00 GAL HAZARDOUS COMPONENTS r %Wt. RSA CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -6- 07/10/2007 f ~ F CITY BODY WORKS SiteID: 015-021-000730 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/20/2000 ~ CALL 911. Employee Notif./Evacuation 01/07/1990 VERBAL & CALL 911. Public Notif./Evacuation CALL 911. 10/20/2000 Emergency Medical Plan 04/14/2006 DONALD NELSON MD, 2108 24TH ST OR KERN COUNTY URGENT CARE CENTER, 3550 Q ST. -7- 07/10/2007 .~ F CITY BODY WORKS SiteID: 015-021-000730 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/14/2006 COMPRESSED GAS CYLINDERS CHAINED, USE PROPER VALVES AND FITTINGS. ALL PAINTS AND THINNERS PROPERLY STORED IN SEALED METAL CONTAINERS. Release Containment 04/14/2006 WE ARE PREPARED TO HANDLE A SPILL BEFORE IT HAPPENS. TO PREPARE FOR SPILLS, THE PRODUCT LABEL AND MSDS ARE THE BEST PLACE TO START. WHILE EACH MSDS GIVES THE SPILL INFORMATION. WE ARE SURE THE MATERIAL IS STORED IN AN APPROVED CONTAINER. WARNING LABELS ARE IN PLACE ON THE CONTAINERS. Clean Up 04/14/2006 INFORM THE SHOP MANAGER. THE SPILL SECTION OF THE CONTAINER LABEL OR THE MSDS WILL TELL YOU: WHAT TO USE TO ABSORB OR SOAK UP THE MATERIAL AND WHAT PERSONAL PROTECTIVE EQUIPMENT TO WEAR TO PREVENT EXPOSURE DURING CLEAN-UP. Other Resource Activation -8- 07/10/2007 F CITY BODY WORKS SiteID: 015-021-000730 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 04/14/2006 ~ SPRAY BOOTH - FLAMMABLE LIQUIDS. Utility Shut-Offs 04/14/2006 A) GAS - SW CRNR OUTSIDE MAIN SHOP B) ELECTRICAL - SW CRNR OUTSIDE MAIN SHOP C) WATER - NW CRNR OUTSIDE MAIN SHOP ON SIDEWALK D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - NE CRNR 20TH & P ST AND NW CRNR 20TH & Q ST. 04/14/2006 Building Occupancy Level 12/21/2006 8 EMPLOYEES -9- 07/10/2007 ~ ~ h F CITY BODY WORKS SiteID: 015-021-000730 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/23/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES REVIEW THE MATERIAL SAFETY DATA SHEETS. rayc ~ nc~..u iut r u~,uLC u~c Held for Future Use -10- 07/10/2007 ,:,;,~: ,.,~~.,,...~.~-~- - -_-~=--~~cnrv""%CiUIWl`Y A{R rs(3LLUTI0N CONTROL DIS~''NICl' 2700 "M" Street, Suite 275 Bakersfield, California 93301 Telephone: (805) 861-3682... ~~ _; f ~ "' ~ ~ ~, ~ I APPLICATION FOR: ~` ... i ^ Authority to Construct (ATC) ~Ptrmlt to Operate (PT01 ^ Banking Certificate ^ ATC - Modification ^ PTO -Modification ~ ^ Transfer of Locatiol 4 ^ ;. ATC -Renewal ^ PTO -Transfer of Ownership '~ AN APPLICATION IS REQUIRED FOR EACH SOURCE OPERATION AS DEFINED IN RULE . 102, SECTION cc. 1. PERMITTTO ~BE -ISSUED T0: Name of organization to operate the following equipment: ~/~/ ~O G~ ~~~o ~~ ri ~ 2. MAiLI ADDRESS: ~~~ ~D T// ~~ Zip Code: ~3~U. 3. LOCATION AT WHICH THE EQUIPMENT IS TO BE OPERATED: WITHIN 1000: FT, OF A SC j~`lfi~„~ ~ r Yes ^ No Lr 4. ~ GENERAL' NATURE OF BUSINESS: ~~Tv ~::~T~~ 5. ~ EOUIPMEtJT FOR WHICH APPLICATION IS MADE: '.~ • i Provide additional information as required by District "Instructions". ., 6. ,TYPE AND ESTIMATED.COST OF AIR POLLUTION CONTROL EQUIPMENT: i 7, TYPE AND ESTIMATED COST OF BASIC PROCESS EQUIPMENT: 8. SIGN U OF IC T ~~ TITLE OF SIGNER: l , 9. TYPE OR PF;INT NAME OF SIGNER: DA7 PH NE NO.: '. DATE RECEIVED Validation (For APCD Use Only) • :_ a~:'r' FILING FEE: $ RECEIPT NO.: GATE: 1 - ~ - Air Pollution 580 8118 011 (nav t t ti ~ ~ - d. " ~ ~„ ~ _~ .,~ -- ~.V : f ~--.. i //~y 3~ _- .~~....~ -~ ... ~: t: ._._......._..._,_.__~.._---~ _ ..~.` ; _ ~ o /Y t - i } . }} i . t. z b, i. .yb..'. a. 1~ ~ ~ ~r i ~. Y?4~~~i i~ w .1- ~ _ ...-.. ate.. .. ~r .~.. ..r._. ._ ... _ .. .. s,. ..4 ,yt.;,~Y ~.. ~i ~a ~ ~~ opt ~ ~ _ :~ .. _ - ~ - sue; . + ~ -- - - - -.- ~- -- ` r ~' h 7 ~ - • : ~ ~ •.b 1 e ~ i ~ f ~ ( S ) ~ t t 3 _, ~ i ~. _ ~ ..,, ,.. . , ~ ~ ~ Y f ~ ~ r I v{ ih;' ~ .i fi ~ ~ ~ ~ 1~ ~~ SM~ti~ ~~vx Mme.. 5rt h ~ ~~ ~:... < M , i ~ i+.n~~ ~i' : .a F ~ ~e+w~. ~.~..~~. ..+. ..«.n-~.~-.1: ~ f,3 !.f-g13. t, ~ t e . r ~ j. -- t i r ~ t ''~ F ~. .s a~ Ti ~~. 3j is l . J~~ .. ~. ~.... ' ... ..'~• - ~ r ~ s ~ f ~ (( ' ,s F~ 3 ~ .• `3~v,~ ~ to r`, V. ~ i ' _y~i~ .~ _ - I,L~.4aiJl,l~'',~~~. rlt. i.!(' t ~ 1,: 'i ~ ~I~c~t`'{~'~ ~~'" ~ ` ; i .. 3150 E. PIC,O BLVD. ~ LOS.~IS~LES, CA ~~ ` ~ ~ ~~ (~ - (800) 752-1566 ,,,:., ; ~,,.; , , ~,..,, ,: r._.: ... . EPA CAD~9P.~52`~~fi!'ilw::(w L;r+'.~C`t.1~iEl`L1Tb3 Ij .~.. ,.,-4::~ -, p i TI ,~1._....~;1 Ci: c h,f,' ..,. .. c1'_,.._ i, tK .tl Ciro: f.'•I'. r~r; afi(1 ~:~ ~i!L DUi :tl? .~:si?;"(l% ... ....... ... ..~' L`c ~'i: V" ;D ;: r! :ir.O fl ir~,C'ci ~'t"_~..li"3:~.{cr. „,r _ ~Iql ,~~' f ~ ,r I ~:.'.. _.__ _ .! ~ ,:?i+.rr~ 9U.xl . _~~ ir.~i.~Y!_.I- y._~4~ti,'~k= _ - .,q BODY SHOP N0. DEUVEpYCYCLE ~. Mt CUSTO~AER~S~$IQNATU~RE~~ , JOBBEflNO. ~ ~ ~ 'NAME"" t ...;._ i ... -ti ,- .: ,.I , . ,. ~., 1 _~ ,. ... .,..., t AUTOMATICALLY ,4„i~. TO INSURE YOU PRINTED ;'e= OF ACCURACY ~cta' PflODUCTNO. ` f (~ I !='H(~TCliv~tEl~f4!~l~~Y_ 13Ef~CT 2'~f.E': `.;'~~r~; ~~, - ,. ., - - - _; t ~, 1 - .. ~J i.: is • ~ I ': iJ ; C:.> ~. !' ~x , 'GALLON READING -. FlNISH . -.10 ,. ..,~,'v `. L : ,..,;:'GAIION READING '.START: , COMMENTS _ _ ,. . ., i .t~ ,.. ;.. r.. ,,.-, TRUCK LICEWSE DflIVER ~ MANIFEST NQ. ~.- .~i~ 'I ~„ S ,i~ ~ i I'ktl`I ` :. 4 r~ r.~T .'Y , (1 ii_I': li[il .+y ~'~ - WEIGHMASTER CERTIFICATE THIS IS TD CERTIFY that the following described commodity was weighed. measured. or counted by a weighmaster, whose signature is on this cenificate, who is a recognited authority of accuracy, as prescribed by Chapter 7 (commencirq with Section 12700{ of Division 5 of the California Business and Professions Code, administered by tfie Division of Measurement Standards of the California Department of Food and Agriculture. PCL -WEIGHMASTER: BY: _ _ _~ _. DEPUTY r INSERT FACE DOWN •.• THIS END FIRST _ _ _ n Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ' B E k s F , D 9ooTruxtun Ave., suite 2io n~.__ ~. ___.~._ __ ___._ -----a- __ _~.. _ _._ _ _~_._. -_. FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "RrM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME - ~ INSPECTION DATE INSPECTION TIME ~ uJD In16~~5 7i 3a od ~~ la ADDRESS - ~' PHONE NO. ~ NO OF EMPLOYEES 3 S~ 00 ~-o ~-3 G z Z- ~ FACILITY CONTACT BUSINESS ID NUMBER ~~~ b ~ ~~~ - 15-021- ~ 730 Section 1: B~s~ne~s Plan and inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ 2 ~ 20 ^ 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 8 ON HAND Kur-oui~ ANY HAZARD'~O(US WASTE ON SITE? YES ^ NO EXPLAIN: V' ~S~ ~at~~ QUESTIONS REGARDING THIS I~ CTiON? PLE~SE CALL US AT (661) 326-3979 1N ~~ Inspector (Please Print) Fire revention / 1S1 In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 `*'' ~ ~,: ~i ~_ `~'7 + CITY BODY WORKS =____===-t___________________________ SiteID: 015-021-000730 + Manager BusPhone: (661) 323-6226 Location: 800 20TH ST Map 103 CommHaz High City BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD DICKARD JR / OWNE''RS SON HELEN DICKARD / OWNER Business Phone: (661) 32'3'-6226x Business Phone: (661) 323-6226x 24-Hour Phone (661) 32'4-9367x 24-Hour Phone (661) 325-9707x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact - Phone: (661) 323-6226x MailAddr: 800 20TH ST State: CA City BAKERSFIELD Zip 93301 Owner HELEN DICKARD Phone: (661) 325-9707x Address 3000 ELM ST State: CA City BAKERSFIELD ~ Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG S - SPRAY PAINT BOOTH. ~N~`p A P~ ~ 4 2®06 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 submitted and lieve the information is true, accurate, a c ete. Signature Date '\ -1- 02/27/2006 ~~ ;~-, r , r V j i .: `.. . '.~. ~ ~ > *: " ;' ,, 4 i !,. .. ~ ~e9 4L ~F y~~tr,'.vr4 h'~Y`a't :,x »y a."' ~' ..k~; °b.r~, i i..~e ., `~;. '<~ ~._~S~a ~.A=; z t ~ ~. ti ' - ~ F ~ e _ ~~ ~ ~ ~ r~- r a . ~ ~., ~ .. f '. , ; _ ,` ~~ ~ ~-;~ • ' , ~. • f 1'BLVD ~kOS'AN EL'E,,:CAS ~ ~;~':.~.~ ~>;~.# ~ ~ ~ ~ ~ ' OD23 ~~ : ~ 1252405f' si. `~' ~~°~ a y~"~1 ~ ~i / ti+E, :~ 1 Ff 3~ °I]~ i.J _: ~ly,~ f~R~(y~Lv~~' -~- ~y 4 '~ ~~ .,~~~ r ; iy ,Work's ~ ~ ~~ ~, 'j s ,E~ CRD9 °474bo7~ ~ ,. s Sts^eet' :~~' y "': ' ~ t .661~3P3-62>'6" y I _ e 1 a, : CA ~933+b 1 f ' 64 ~ ` z x Rick Dickard~ ~ C ! p j tdda'ps°ograe~,to reduce the voluee~tirF~t~r;a7id toxi :'t tt {I ± ~ " .~ ~ w } ~, 9 y " c?, Y ~ . ~~ ~. . ~dous~wast~e to;,,the~degree~,to Abe econar2callyxpraiticdtlej f fees`than-i ~ ~.., b ~ ~ wont }#rf~azardo ~ ~:-~ ~ ~t '~ _ ' r 3&6} I?~ife2' ~~ Paints # 9 ~~~~ Y `P 1, a fi i - ~ t } rya ?' " ` ,~«. ~ ~ ~~' i TO INSURE YOU '~. ~ :~. N,TED; , ~}~ t r~ ~,.8= M ,Y OFyACCURACYy'~} ;~ , . ; ~_ - ~,~.~ ~I"~!` tPHOTOC woes o ~ t ~- . Y , ~ gut ~ •~ ~ f: ~ tiF~~JK:IRL~'Y~'RE=ACTF`4'E'~"`, ~ r, ' iV i tl~RSA COMPL~"T PINT a $OL:. " "'~ K ' p~ s r M BULK ~~ s IGlUPD AX RDOUS WASTE _; x~ :, ~. y;~ ~ r4',-' H ~., T. - .. -. k~S1~L~CJ9Q~t t~ ~t~-r ~ ~~,SOlild€ir'~ ~ .:gip p_t.ik ~ • rrss l T?~'' ~ i pti r .~ f ~ ~ a f ~ "~l ' ~[ ~ f - 5 ih R~ - 5: P '1^e5 . ~ i' _~r fi~ry.,.s~t.. .fir ~, t; 5: ~3 w~4? r~ rJ~`. yf x, .I .s,~t~~Ft' i~ Y~~ .. ..., e ~ ,,.. " t I., t W Y , ~ ,, y 4 . ~FR~` 6it~TE"~QA~NTF REIATEDrt~TERIRL;x 3, I~112b3, F ~ ' • : P6IIf;>;iA881~~' 214 ; ~; ~, t x r~ j ~ {f~ ,~ C It t r 1 - i t ~~ MM L+/~ I ~ r+ P~ ~ ~~ •b 4 t ° ~r •1i4 rSq r' ~ ~~i 1119 1777~~~~{I .- ~ ,z ` ~ t i t. d ~ ctlu a~{ 'si; .'.1 rs " 4ti .~ sd ,t ~ ~ ~~ '~ I .. .•p ~ ' } s~ ~ ~ i. yWEICiHb1A$TERCERTIFlCATE ~d,• i ,•~y r ~, TH1S 6 TU~CfATIFY that the foUowup'desa"bed odiry~waa weighed -.measured `~ unted~ .a wei hmaster whose4~ N s"pnatimsfa on tha certificate who is a rec ea au by ., - p ~ • ~ y f ~ 12700) of Omswn 5 of Me'Califaroa Bus sa and foot ionsafCoda; edmm star stn t>pter 7 (commencirq with Section ~ ~ , eN t ^ the CaUfamia k,,*,. 9~t~~s"on of Meaauiement Standards of k T DaD~etlt of (road and ' ncultu f a ~ '~ ,a: ~ , •t ~~ i k~ ~~tt~'k ~tdK'4*lf a~ri 's. ~ ~ ~x 1~ ~ a, ei~ i Fi J f ." t ~ Pa WEIC3HMASTER BY n • . ~ ~x~y~ a ~h J~'a t + ~~, ~ ; ,",~' ~ .t~~.~,~ ,, , $ ~ ~ , f _ DEPUTY' , ~ _ ~ t~ INSERT FA DOWNS a: ,T END FIRST ,~`~~~ ' f ~' t xt sty ,~; n r ~ •~ ~ tsy,,.' . '~ 1 ~ - ' "r ~ ~ ~ ` x ~ ~' . 'Ll~/r/ cr .' . _ t S `` f ¢ ~' \ t /- - x p ~y i J ~ f r ~ ^F , } LS.. ~ a~~ Y ~ ., UNIFIED PROCRAH01 INSPECTION CHECKLIST ~~r~ ~~~ SECTION 1 Business .Plan and Invent®ry Prograrr~ Bakersfield ~lre Dept. Environmental Services 900 Truxtun Ave., Suite 0 Bakersfield, CA 9330 C,~?0 FACILITY NAME INSPECTION DATE INSPECTION TIME a t~--~ ! 7 b Z' 3~ ~"'t ADDRESS ~ ~ y~ PHONE No. ~ s$ No. of Employees 111 v( ~ ~Q ~ Z - 3~ --~--- r D I _3 3 ~_z-z-~ -- - ------- _.. __ _---~- _._.__.___-----T"___ ...__._.---___.___._~.3_. ---- _---~---- - _ _ _ -- ~ FACILITYCONTAC - Business ID Number ~~ ~~ ~ ~~-~ ~ 15-021- ~7~0 Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE7: YES ONO EXPLAIN: C/LJ ~ LT 1,~ _'~ ~ l "l -'~'J ~,~ { a/ ~s~ F' " 1 " ~i ~~ ~I/F- l~ ~ 1y ~,~ ~~~i~G_ i2~Sav~~ f~~~c~-~,/, QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT 661 326-3979 _ C-~s ~~~ _ _ _ Inspector (Please Print) Fire Prevention 1st-InfShift of Site White -Environmental Services Yellow • Staten Copy Business Site Responsible Pany (Please Print) 8 Pink -Business Copy aG~- r/'~~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT v 24 2043 ~° OFFICE OF ENVIRONMENTAL SERVICES NO UNIFIED PROGRAA4 INSPECTION CHECKLIST s . w ~a~~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~~ ~,r ~/~/ GVyr~r INSPECTION DATE /~- ~~ ~~ _ ADDRESS UO >k S;. PHONE NO. J~~- ~2~~ FACILITY CONTACT ~'~-c G~ ~ c / BUSINESS ID NO. 15-21 U- 7~0 INSPECTION TIME ~.+~..~. NCIMBER OF EMPLOYEES /0 Section 1: Business Plan aad Inventory Program ^ Routine ^ Combined ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand l Business plan contact information accurate ~ Visible address ~ /fir G~ c~ i 1C /~' Correct occupancy L Verification of inventory materials ~~ l - C...~ Verification of quantities ~~--~~--~c.a ;~~ . a ~, ~ -~ ~~ ~ ~,~~.~ ;~ ~ Verification of location s t~t~, ~, y- 4~ ,_-•~r-t '~f Proper segregation of material "~ "~'`~"'~"`'~' ~/~~ yy Verification of MSDS avaitabiliry ~'~~-~ Verification of Naz 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: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow - Station Copy Pink -Business Copy :~~ usiness Site Responsibl Party i Inspector: ~ . 1 r~L,r