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HomeMy WebLinkAboutBUSINESS PLAN 11/7/2007~~. ~-- L ~- ~- ~} ~~ L M C rl ~ O c ~ 0 u h G M `:i,. , ti ~ ~ ~ ~^~ ... .`~ _~ ... r ._~~ ~'t1- R t)II~AL .. ~ ~ t4~,ira..:,. ?ae. C113 r -. :~ ', f _~°~DISCOUNT FORKLIFT SERVICE __________ _________________ SiteID: 015-021-000347 + Manager MICHAEL S SIMPSON BusPhone: (661) 328-1377 Location: 1201 34TH ST Map 103 CommHaz Extreme City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:3537 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title REX THOMAS / PARTNER MICHAEL S SIMPSON / PARTNER Business Phone: (661) 836-9633x Business Phone: (661)834-2814x 24-Hour Phone (661) 632-9540x 24-Hour Phone (661) 632-4996x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MICHAEL S SIMPSON MailAddr: 1201 34TH ST City BAKERSFIELD Phone: (661) 328-1377x State: CA Zip 93301 Owner MIKE SIMPSON & REX THOMAS Phone: (661) 328-1377x Address 1201 34TH 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 T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals c,.,,,~;.~iu~e for oatai~~~~.g the iryfnrmation, I certify under penalty of law that I have personally examined and am famfllar wfth the information submitted and believe the infdrr~ation is true, accurate, and complete. Signature P~a4e ~ -1- 10/30/2007 `/( ~7 ti~ . c Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTt~ B E R"S F . D 900TruxtunAve., Suite-210 ___ _-- -- ~- ~ - ~ -~~" I ~ FiRE Bakersfield, CA 93301 ~~~ ~RrM t Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program ~ Fax: (661') 872-2171 FACILITY NAME INSPECTION D, TE INSP~~ N~Ju~ ADDRESS f o 3 ~'ti ~5'~ PHON N 3.-13 7 NO OFE PLOYEES ~ FACILITY CONTACT _ USINESS ID NUMBER 15-021- aOO3 ~~ Section 1: Business Ptah and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ 'RE-INSPECTION 1 C V ~ C=Compliance OPERATION V=Violation COMMENTS ~~, ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS -/ Ltd ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION I~ ^. 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 ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QU IONS REGAR G THIS INSPECTION? PLEASE CALL. US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party lease Print) C~5 ~az~si,~~ ^ YES ^ NO ner-oui~ White- Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ;~: DISCOUNT FORKLIFT SERVICE Manager (Y1'iC~~- ~- ~'~Ascz~ Location: 1201 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: 3b'~~ SiteID: 015-021-00034'7 BusPhone: (661) 328-1377 Map 103 CommHaz Extreme Grid: 19C FacUnits: 1 AOV: SIC Code:3537 DunnBrad: Emergency Contact / Title Emergency Contact / Title REX THOMAS / PARTNER M IKE SIMPSON / PARTNER Business Phone: (661) 836-9633x Business Phone: (661) 834-2814x 24-Hour Phone (661) 632-9540x 24-Hour Phone (661) 632-4996x Pager Phone __( ) - x - = - Pager -Phone ~ ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth ........... Contact ~1~C4~~ ~- S~vnPS~M Phone: (661) 328-1377x MailAddr: 1201 34TH ST State: CA City BAKERSFIELD Zip 93301 ....._.._.. Owner MIKE SIMPSON & REX THOMAS Phone: (661) 328-1377x Address 1201 34TH 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 T - ABOVEGROUND STORAGE TANK ENT'D MAR 2 8 2007 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of taw that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. I~' ~ 4 N ~ r~~ ~~ Signature Da4e -1- Ol/30/~t707 F DISCOUNT FORKLIFT SERVICE SitelD: 015-021-00034'7 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Si~~ ~ ................ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit [~+ICP ._......... PROPANE E F P IH G 750.00 FT3 EXt WASTE OIL F DH L 150.00 GAL Low TRANSMISSION FLUID F DH L 55.00 GAL Low MOTOR OIL F DH L 13 0 . 0 0 GAL P~t3.n -2- 01/30/2007 -3- O1/30/~007 F DISCOUNT FORKLIFT SERVICE SiteID: 015-021-000347 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 74-98-6 ~GaSATE T TYPE ~AboveSAmbEent TEMPERATURE CONTAINER TYPE Pure ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average _ FT3 - -° - 75'0 . 0 0 FT3~ - - 3 25.0 0 FT3 tll'~GLitCLVU~ 1:V1~lYV1VL"1V15 %Wt. RS CAS# 100.00 Propane Yes 74g$6 t11jG1'~KL H.7.7L' J.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies. F P IH / / / Ex ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE SW CRNR SHOP ON PALLETS CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid T Waste ~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 GAL 150.00 GAL 75.00 GAS ru-~G.~u~.l~vu~ ~v1~ir~1Vr;1V1a %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 17.HGKtCL 1-~7 JJ;JJ1~11;1V1a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / LC7GV -4- 01/30f~007 F DISCOUNT FORKLIFT SERVICE SiteID: 015-021-000347 ~ ~ Inventory .Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: SW CRNR SHOP CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum -55 ._00 -GAL -- - - .-- - -5-5:00- --GAL-- Daily Average _ _ -- ~ 2 5 . 0 0 GAL tl~~rircl.~vua ~vrir~lvriVl~ ~Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 rlr-~~~ru~ r~5~r:~~l~irJivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No / Curies F DH / / / Laf+u =~- Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 130.00 GAL 75.00 GAL i'1L'iG1'itCLVUiJ LVP'lYV1ViS1V1.7 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based - No 8020$35 t1Eil~L•i.[CL H. 7.71;J~ 71~11;1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F DH / / / Min ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SW CRNR SHOP STATE TYPE PRESSURE Liquid TMixture ~ Ambient, -5- 01/30/2007 F DISCOUNT FORKLIFT SERVICE SiteID: 015-021-00034' ~ Fast Forme ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/27/2006 ~ FOR EMERGENCY CALL 911. FOR NON-EMERGENCY SPILL GREATER THAN 55 GAL CALL HAZARDOUS MATERIALS DIV 326-3979 AND CA OFFICE OF EMERGENCY SERVICES 800-852-7550. Employee Notif./Evacuation 10/27/2006 EMERGENCY EXITS POSTED ON FRONT AND REAR. ROLL-UP DOOR EXITS AND OFFICE DOOR EXITS. FIRE EXTINGUISHER LOCATION AND EXIT MAP ALSO POSTED IN SHOP. Public Notif./Evacuation 10/27/2006 EMERGENCY EXITS POSTED ON FRONT AND REAR ROLL-UP DOOR AND OFFICE DOOR EXITS FIRE EXTINGUISHER LOCATIONS AND EXITS. MAP ALSO POSTED IN OFFICE. Emergency Medical Plan 10/27/2006 FOR EMERGENCY CALL 911. -6- Ol/30/~007 F DISCOUNT FORKLIFT SERVICE SitelD: 015-021-00034'7 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~ Release Prevention 10/27/20tl5 PROPANE TANKS ARE STRAPPED TO FORKLIFTS. OIL IS STORED ON PAVED SURFACE OAT PALLETS. Release Containment 10/27/20l~6 WE HAVE ABSORBENT MATERIAL TO CLEAN UP ANY SPILLS. ,.: -~ Clean Up 10/27/20175 WE HAVE ABSORBENT MATERIAL TO CLEAN UP ANY SPILLS AND ALL OILS AND WASTE OILS ARE ON PALLETS. V~.iicl Acavul~.c tilrl.lV0.lr1V11 -7- O1/30/~~07 F DISCOUNT FORKLIFT SERVICE SiteID: 015-021-00037 ~ Fast Format ~ ~ Site Emergency Factors Overall Sits ~ ~ Special Hazards Utility Shut-Offs 01/30/2047 A) PROPANE - TANKS STRAPPED TO FORKLIFTS B) ELECTRICAL - SW CRNR INSIDE BLDG C) WATER - NE CRNR BLDG ON SIDEWALK D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/30/20177 PRIVATE FIRE PROTECTION - FOUR FIRE EXTINGUISHERS IN SHOP: ONE IN PARTS ROOM; ONE IN OFFICE; ONE ON EACH SERVICE TRUCK - ALL MOUNTED AND TAGGED ANI.S POSTED WITH SIGNS. -_ _ ~-r~ _. - ---_ _ _ _ _ _ - __ _ _ _ ____- _ _-~_-_ _ - -- ---~ NEAREST FIRE HYDRANT - S SIDE 34TH ST W OF BLDG. Building Occupancy Level 2 PARTNERS 03/01/20175 -8- O1/30/~007 ,~ F DISCOUNT FORKLIFT SERVICE SiteID: 015 021-000347 ~ Fast Forma~€ ~ ~ Training Overall Sits ~ Employee Training 10/27/20ti6 I MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL SHOP PERSONNEL SHOULD BE FAMILIAR WITH THE MSDS SHEETS AND THEIR CONTENTS. HAVE SB-AB PROGRAM SAFETY MEETINt ONCE A WEEK. MSDS HANDLING OF HAZARDOUS MATERIALS AND TOXIC WASTE MEETINGS ON PROPER DISPOSAL AND EMERGENCY. DRILL ON WHAT TO DO IN THE CASE OF ACCIDENTAL SPILL. rc~yC a Held for Future Use Held for Future Use -9- Ol/30/~007 UNIFIED PROGRa41Vl INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program • FACILITY NAME ~ \ ADDRESS ____ __~~--o_ [ FACILITYCONTACT --- --__..__.l_~1~!.___~~~.C_e.._ __._._.._...._.__._.._._._.._..._......__._. Sr. Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: X661) 326-3979 ___ WSPECTION DATE INSPECTION TIME PHONE No No of Employees ~-/~77 2 Business ID Number is-o2i-r~D3 y7 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^hulti-Agency O Complaint ^ Re-inspection • C V nce) OPERATION COMMENTS lV=~oation p ~ L1I- ^ APPROPRIATE PERMIT ON HAND ^ J BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION ~) ^ PROPER SEGREGATION OF MATERIAL E~ ---- ._ ^ _ --- - --- --- ---- - . _ _ -- _ . - - - __ . _ _ VERIFICATION OF MSDS AVAILABILITYE _._ - -- . _. _ ..... _ _ ~~ Y- ~- -- ---- - -- ~ 2006 ^ VERIFICATION OF FIAT MAT TRAINING ! ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEOUATE ~ l I ----- ^ --- .....__ __ ____ . __ __ ...-- ---._.._.. .--- -- ----- - -- - -....._ CONTAINERS PROPERLY LABELED ------ ---..._._ .._..-- ... __---... __...__.._ ........... ..__._... .- - ---- - - -, `Q ^ _ -. ._. HOUSEKEEPING .. ^ ~ FIRE PROTECTION ~ ~ ~~-~ v~~~e r~ ( L~~~ I'~-a (e u,~s~~ -- . -- - - _. __. _ __. __ .. l~j ^ SITE DIAGRAM ADEQUATE 8t ON HAND ANY HAZARDO/U~S WASTE ON SITE?: YES ^ NO EXPLAIN: / !(7 5'~ ~2~ ` • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 --------~ ~ _--G~~.?~-- ------ ----- -- ~. -~,--~~ -. ----- _._ --- Inspector (Please Pnnt) dire Prevention 1st-In/Shdt of Site White -Environmental Services Yelknv - Stelpn Copy Business Site Responsible arty (Please Print) ~ Pink • Business Copy UNIFIED PROGRAIIA INSPECTION CHECKLIST -. ,~, , .. SECTION 1 Business Plan and Inventory Program • Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave ~ Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPECTION TIME SC.~J N I r2 FZGC/G7~ ~S, lSti'~ N ------ ~----" ---------1~-~- -------------------- - -----_ -- ---- - ----- ----- '-~' -~-"--- - ---------- P ONE No. of Employees ADDRESS ~ ~~ ~ ~ ~ ~ ~ / j4~~^~~~~ FACILITYCONTACT Business ID Number ~~~ ~ 15-021- 3~~ Section 1: Business Plan and Inventory Program ~toutine O Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection C V \V=Vioatlonncel OPERATION COIIAMENTS ^ APPROPRIATE )PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~Q -......_..---- ------ --- _ _......_..._ _ --._ ------ -------_.._ ELI ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ~ VERIFICATION OF MSDS AVAILABILITYE j f~ I ~ ,~/, --------------- - -- ------ -- - - -- -- I --- - - ~ . ~ V" -~~ ~ - _ -- ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE l ^ CONTAINERS PROPERLY LABELED ~^ HOUSEKEEPING ^ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: ~~ ~P (/ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US A7 ~66~ ~ 326-979 c c~-~--------------~ - .------~-~- _ ~' Inspector (Please Print) moire revention 1st-Ih/Shill of Site Business Site spons~(Please Print) rn S N White -Environmental Services Yellow -Station Copy Pink -Business Copy