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HomeMy WebLinkAboutBUSINESS PLAN 10/7/2005 / , Bakersfield Fire Dept. UNIFIED PFtOGIZAIVI INSPECTION ChIECKLIST /A / Enironmental Services - , - _ _ : _ V 1.715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 '' FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHO~No. No. of Employees FACILITYCONTACT Business ID Number ~• r...~;.. >~ : „ ~ / ~ ~ 15-021- r.~ ~ ~' ~; `7 y • Section 1: Business Plan and Inventory Program I~Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V \V=Vioatonncel OPERATION J COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE F ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~`I ^ VERIFICATION OF QUANTITIES /0, ^ VERIFICATION OF LOCATION ^ --- ---- PROPER SEGREGATION OF MATERIAL ----------------------- -------------------~----- ~!~- ~ ~~~ ~~ I ,~,~,5_~ sY~__V~-r~~~ ___ ~ ---- -.k ~ ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~° ^ EMERGENCY PROCEDURES ADEQUATE ^ ~~ CONTAINERS PROPERLY LABELED ^ ~ HOUSEKEEPING - ---- l~ ^ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ~ ~ ,fin ~,~~; ~~.h • ANY HAZARD OUS WASTE ON SITE: ^ Y ES ^ NO r / EXPLAIN: •d"..y~. oZ,,. ~/YT~Vk'sVy4~L~fi'-r l ty ~ vt/'~. C5 . ~ ~ ~+'Lc°iL..[~. t5ti~' l ~ '~1~ ~t!`T C-i~Q.n'1 tf~/) -~c~ ~"~'~~+i.~' /~-~P~J/~~ J ~-r ~ ~ ttJli LCc~ ~L~L 2rr Fa ~ry~IyL1>~ SC! i^~ j ~~ iti- Pr-r ~ tL~~1~ (~.~o ~~ j f p {'-~ .~ ~ ~ a'~r :LQ~ rJ e+iy' ,rz• t races f l rr .-lt.st: I ~ ~° ~C. ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~GF)'I ~ 326-3979 ~:i,-m ~~c~..~~~ ~z~ L l~ owvv~cw. ~•' ~ ,~Jr r~a h ~~u ~e 5 Inspector (Please Print) Fire Prevention 1st-In/Shik of Site Business Site Responsible Party (Please Print) rn g N White -Environmental Services Yellow -Station Copy Pink -Business Copy ~s ~~6~ + MIDAS MUFFLE _ ____--- ---------------------------- SiteID: 015-021-001679 ~~ l~,t~..,t ~s~~ -------------------------- Manager ~®~~~~~~3 ~. Bus Phone : ( 6 61) 8 7 3 - 8 212 Location: 3723 AUBURN ST Map 103 CommHaz Low City BAKERSFIELD Grid: 22B FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:7538 DunnBrad: +------------------------------------------------------------------------------t ~ Emergency Conta~t / '~'itle Emergency Contact / Title j STORE MANAGER KEN JACHIM / OPERATIONS MGR Business Phone: (661) 873-8212x Business Phone: (661) 873-8969x 24-Hour Phone ( - 24-Hour Phone (661) 204-7774x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards:. Fire Press ImmHlth DelHlth ~ ~ ~ ~ r cy -tti.~ Contact ~ Phone: (661) 873-8212x MailAddr: 3723 AUBURN ST State: CA City BAKERSFIELD Zip 93306 Owner VINCENT MILLER BAKERSFIELD LLC Phone: (661) 837-8969x Address 6919 WHITE LN State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN ~~~ JUG ®7 2006 Based on my inquiry of those individuals + t'1 responsible for obtaining the information, I certify V `~/ under penalty of law that I have personally , (~I1 examined and am familiar with the information ~ ~" ~ submitted and believe the information is true, , ,,~ accurate, and complete. ~~l ~ ~ ~ 5~ Date Sign ~v r ~~ ~~ ~~y -1- 03/10/2006 i~ ~~ ,~--,°"r MIDAS MUFFLER-3723 AUBURN ST ~~a~ Manager SK ~~-~~~ ~~~+K-I~U Location: 3723 AUBURN ST City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: SiteID: 015-021-001679 BusPhone: (661) 873-8212 Map 103 CommHaz High Grid: 22B FaCUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title ~'~ ED KENEFSKY / STORE MANAGER KEN JACHIM / ~~"" Business Phone: (661) 873-8212x Business Phone: (661.) 873-8969x 24-Hour Phone ( ) - x 24-Hour Phone (661) 204-7774x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ~~ -~ - Fire-_Press ImmHlth DelHlth Contact ~'"'~"°'""~ (~o;,,,r ~(V Phone: (661) 873-8212x MailAddr: 3723 AUBURN ST State: CA City BAKERSFIELD Zip 93306 Owner VINCENT MILLER BAKERSFIELD LLC Phone: (661) 837-8969x Address 6919 WHITE LN State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ PROG H - HAZ WASTE GEN ' ~~ ~z ~ Z~,~7 ® s ENT ~3Q~>ed on my inquiry of those individuals I certify or~~1~,i6 #n~ ae~fctir~iri~ the 1~lfiafr~iati~n, rq~~? untfer ~~nl=+lty r?~ I~~ tk~~t I HAVO pars©nally i on examined ar~d am f~mlliar 4vltt~ the informat ~~e the infarr~ation is true, submitted and beli l accurate, and comp --{tee 1T' .~ ~ a natu Date 5 ig (.I -1- 02/05/2007 UNIFIED PROGRAM INSPECTION CFIECKLIST nd Inventory Program SECTION 1 Business Plan a FACILITY NAME FACILITYCONTACT ~~ k J~ Routine Z:' ~" ~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 INSPECTION DATE INSP/E~CTION TIME ---- -- -~~~~~~ ---- -~/.vO ._...---- PH No. of Employees X73 8~ t Z Business ID Number 15-021-~Rb?9' `Section 1: Business Plan and Inventory Program ~(~ ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ncel OpERi0.T10N ti COMMENTS J on \V=voa ^ PERMIT ON HAND APPROPRIATE -~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS -- ^ ------ VERIFICATION OF QUANTITIES ----- ------ ------ --._._._. _...----------- - - -- ..... - ~ ~~r~ ^ VERIFICATION OF LOCATION ! Q ~ ~ n ~ ~ ~J / ^ PROPER SEGREGATION OF MATERIAL - - - - __ .. ..- -_ -- - V O~ --- --- ~ ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING --- --- ----------- ------- -- -- --------- - _--- - E--- - - - --- ------ - -- ~~ --- - -- _ _ _----- ----- -- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES , ~PJ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~I ^ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE & ON HANG ANY HAZ~AGRDOUS WASTE ON SITE: YES ^ NO EXPLAIN:, l Z~ ~© 4A Z ~ure~ w~~ ~~ii'~.t' • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~G6'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow - Station Copy Pink -Business Copy rn g N