HomeMy WebLinkAboutBUSINESS PLANUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business .Plan and Inventory Program
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Bakersfield Fire Dept.
'; Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: X661) 326-3979 _ _
FACILITY NAME WSPECTION DAZE INSPECTION TIME
------- ~'~~ ~.~ 1~'--z'-------- ------ -- _ ----- - o_--i /-off' ---.~ 1-~ ~_ _ _ _ __
ADDRESS PHONE No. No. of Employees
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FACILITYCONTAC~t,~ Business ID Number
l~Jo .-~ O e_ Y` ~ S ~-.~- 15-021- ~`j Cd 0 S c9 `~'
Section 1: Business Plan and Inventory Program
Routine ^ Combined O Joint Agency ^MultI-Agency O Complaint ^ Re-inspection
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C V ~ V=Vio atlonn~~ OPERATION COMMENTS
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^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ ~ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ .VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
.
--- -- - - -- -- - - ---- -- ..... -- -- - -- -
^ G~' VERIFICATION OF HAT MAT TRAINING
_. i _ _ .. - .-. _...- - . .... _ ... ...... ... . . ---. .. _
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^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ E
MERGENCY PROCEDURES ADEQUATE
^ C
ONTAINERS PROPERLY LABELED
^ lam" ~"IOUSEKEEPING
^. FIRE PROTECTION ---
^ SITE DIAGRAM ADEQUATE ~ ON HAND I ----- ----_ __-_
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ANY HAZARDOUS WASTE ON SITE?: L7 TES ^ IVO
EXPLAIN: ~ °'1•r~%f-~-eel-:~c_ Ate- 1. (~ ~ c-~i L 1. f ~'1 ~l r d C! ~i',ba ~ ~~ 7 ~i
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~6F)'I ~ 326-3979
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Inspector (Please Print) Fire Prevention 1st-INShift of Site
White • Environmental Services Velknv - Station Copy
Business Site ible PaAy (Pleas ~ rintj
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Pink -Business Copy ~ -
KLEENERZ SiteID: 015-021-000589
Manager DON DOERKSEN
Location: 2221 BRUNDAGE LN
City BAKERSFIELD
BusPhone: (661) 325-3374
Map 102 CommHaz Low
Grid: 36D FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:l541
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TIMOTHY DENARI / PRESIDENT DON DOERKSEN / GENERAL MGR
Business Phone: (661) 664-0950x Business Phone: (661) 325-3374x
24-Hour Phone (661) 203-9900x 24-Hour Phone (661) 599-5800x
Pager Phone (_ ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact TIMOTHY DENARI Phone: (661) 664-0950x
MailAddr: 5001 CALIFORNIA AVE 140 State: CA
City BAKERSFIELD Zip 93309 _
Owner TIMOTHY DENARI Phone: (661) 664-0950x
Address.: 5001 CALIFORNIA AVE 140 State: CA
City BAKERSFIELD Zip 93309
Period ~ to TotalASTs: _ Gal
Preparers TotalUSTs: = Gal
Certif ~ d: RSs : No
ParcelNo:
Emergency Directives:
FORMERLY ONE HR MART, NAME .CHANGE 2-21-05. ED
~ Hazmat Inventory One Unified List ~
~ Alphabetical Order All Materials at Site ~
Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI
G R
` _ ' nn q L R
S~ h ~~ ~ C-- /`~~ 1 ~ ~'1c C i~^Cr '~~ C~CGS C G /`~ c7 ~'~
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L 150.00 GAL Low
L 25.00 GAL Low
/ 5?5 :o ~
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-1- 03/31/2005