HomeMy WebLinkAboutBUSINESS PLAN 11/7/2007~~.
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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
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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