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Home My WebLink AboutBUSINESS PLANL } d ~ V- H ~F- ~-1 ~ N ~ W H O M m N I',' _'_ '/ 1 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ' ~~ B A F R S F,, 0 900 Truxtun.Ave., Suite 210 F~AE Bakersfield, CA 93301 SECTION 1: ~Business_Plan and Inventory Program "Rr'" Tel:: (661) 326-3979 . , ` -Fax: (661) 872-2171 FACILITY NAME ~ INSPECTION DATE ~ INSPECTION TIME ADDRESS - PHONE NO. NO OF EMPLOYEES t23~ ~" 21 Sir 3z~3-t~b'7~ ~' FACILITY CONTACT ~r!4n~lK.S ~LLI~~I~~io..fS BUSINESS ID NUMBER 15-021-pOLS 7 ~9 Section 1: Business Plan and Inventory Program it~ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^. RE-INSPECTION C V ( C=Compliance OPERATION V=Violation ~ COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIIIeSS 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 AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~~ ~ > 444~~~ - '~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES la N~ EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 S . /~~(c.~ ~ z"i az ~ 2 e3 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # White -Prevention Services. Yellow -Station Copy Business Site /Responsible Party (Please Print) Pink -Business Copy FD 2155 (Rev. 09/05 f~ ~ ~ ~~ BOBS MUFFLER BusPhone: Map 103 Grid: 28C SiteID: 015-021-000749 Manager BOB CLEMMONS Location: 1230 E 21ST ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: (661) 323-0877 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title JAMES CLEMMONS / OWNER BOB CLEMMONS / MANAGER Business Phone: (661) 323-0877x Business Phone: (661) 323-0877x 24-Hour Phone (661) 477-2671rx 24-Hour Phone (661) 832-2566x Pager Phone ( x Pager Phone (661) 319-0877x Hazmat Hazards: Fire Press ImmHlth Contact BOB CLEMMONS Phone: (661) 323-0877x MailAddr: 1230 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner JAMES CLEMMONS Phone: (661) 363-5685x Address 5501 ROYANN AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT 3ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examin d am familiar with the information ~ ~ ° sub ed ~ nd believe the information is true, NT ~ ~~p ® 4 200 acc rate, d co plete. 7 Si ature Date i -1- 07/10/2007 F BOBS MUFFLER SiteID: 015-021-000749 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE OXYGEN E F P F P IH IH G G 450.00 500.00 FT3 FT3 Hi Low -2- 07/10/2007 _3^ 07j1Oj2007 F BOBS MUFFLER SiteID: 015-021-000749 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF BLDG CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 450.00 FT3 200.00 FT3 -- -- HALAhJJUUS CUMPUNEN'1'S %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1HGHlt1J I~JJI;JJI~IJ;IVIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF BLDG CAS# STATE T TYPE PRESSURE TEMPERATURE Gas I Pure Above Ambient Ambient 7782-44-7 CONTAINER TYPE _ PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 500.00 FT3 250.00 FT3 ti1~GL•iItLVUJ l:vlnrVlvJ;1v1J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t11~GHtCL HJJ~JJL~IJ;1V l J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/10/2007 F BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/06/2000 ~ CALL 911. Employee Notif./Evacuation VERBALLY NOTIFY AND CALL 911. 01/07/1990 tUL11l: 1VV 1.11. / L' VdC:Ud1.1 V11 Emergency Medical Plan 01/07/1990 NEAREST HOSPITAL. -5- 07/10/2007 F BOBS MUFFLER SitelD: 015-021-000749 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/27/2006 ~ MATERIALS CONTAINED IN APPROVED PRESSURIZED CYLINDERS. CYLINDERS PROPERLY STORED AND CHAINED. USE PROPER VALVES AND FITTINGS. Release Containment 10/20/1992 GASES ONLY STORED IN APPROVED PRESSURIZED CYLINDERS. 1.1C0.11 tJ~J V 1.11CL tCC~VUt C:~ 1~C:L1VaL1CJI1 -6- 07/10/2007 F BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aN~t:lai na~aiu~ Utility Shut-Offs ELECTRICAL - N SIDE OF BLDG OUTSIDE WATER - N SIDE OF BLDG 03/28/2007 Fire Protec./Avail. Water 10/13/2006 PRIVATE FIRE PROTECTION - NO FIRE EXTINGUISHERS OR SPRINKLER SYSTEM. Building Occupancy Level 03/28/2007 6 EMPLOYEES -7- 07/10/2007 '!' F BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 06/27/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS. rays a lZClu 1V1 t'uLULC 11 .5"C 17C1u 1VL 1'UI.ULC UDC -8- 07/10/2007 ,t ~; + BOBS MUFFLER ________________________________________ SiteID: 015-021-000749 + Manager Location: 1230 E 21ST ST City BAKERSFIELD BusPhone: (661) 323-0877 Map 103 CommHaz High Grid: 28C FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JAMES CLEMMONS / OWNER BOB CLEMMONS / Business Phone: (661) 323-0877x Business Phone: (661) 323-0877x 24-Hour Phone (661) d-~•6-~~ `-f77-Zt~'l ~ 24-Hour Phone (661) 832-2566x Pager Phone ( ) - x Pager Phone ( ~6 I) 3 1~ - ~p~7x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 323-0877x MailAddr: 1230 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner JAMES CLEMMONS Phone: (661) Address 3221 PARKLAND CT State: CA `363 -s6$S City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: - Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT~~~N272O 06 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examine and am familiar with the information sub a and be~ve the information is true, ac rat ,and co ete. ~~ ~I~O~ Date -1- 05/10/2006 ' ' J ~. t~ F BOBS MUFFLER SiteID: 015-021-000749 Manager Location: 1230 E 21ST ST City BAKERSFIELD BusPhone: (661) 323-0877 _~~- Map 103 CommHaz ~Ferate Grid: 28C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JAMES CLEMMONS / OWNER BOB CLEMMONS / Business Phone: (661) 323-0877x Business Phone: (661) 323-0877x 24-Hour Phone (661) 24-Hour Phone (661) 832-2566x Pager Phone ( ) ~~"'' ~ ~ Z67 ~ ~_.--_- . Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 323-0877x MailAddr: 1230 E 21ST ST State: CA City BAKERSFIELD ~ L ~-~+1 Zip 93305 Owner JAMES CLEMMONS Phone : ( 661) <83~i~~~ Address ---- ------'~~~ ~ =.W__ - ~ ~ ~ 1 q ~c.v.',~, v ~ State : CA `~V~ ;~~~ City BAKERSFIELD ~j~'3~(~ ~ Zip 93304 l~_ Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ,~/~~ I~~V ~ M~~ ~ ~ ~(~~7 t, J~~~s c -~~,ri~~..~ =Y~ ~, ar~rt ~BRTe, ®o hereby certify that I have revie~~~ad she attached h~3rdous materials mane e- ment plan for~/~-SM g '' ~ F ~ nano that it alon (Name oC ousiness) g with any corrections constitute a complete and correct man- a9ement plan for my fa itity. Signature ~ ~ ~ ~ ~~ ere -1- 07/15/2003 F BOBS MUFFLER SiteID: 015-021-000749 ~ ~ 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 450.00 FT3 Hi OXYGEN F P IH G 500.00 FT3 Low 9. -2- 07/15/2003 F BOBS MUFFLER SiteID: 015-021-000749 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF BLDG CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~bove Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 450.00 FT3 200.00 FT3 t1HGHKLVU.'~ 1.V1~lYV1V1=,1V1J %Wt. RS CAS# 100.00 Acetylene Yes 74862 riHGF~KIJ A.5.5L' S51~1L' 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi Ag.Definedl: Ag.Defined5: Ag.Defined8: Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: -3- 07/15/2003 ', F BOBS MUFFLER .Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit N SIDE OF BLDG SiteID: 015-021-000749 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 500.00 FT3 250.00 FT3 t1AGHttLVUS ~~i~tr~lv~ly 1 J °s Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiL~GL-~KL 1~5~L'~5b1~1L1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low Ag.Definedl: Ag.Defined5: Ag . Def ined8 Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: -4- 07/15/2003 F BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/06/2000 I CALL 911. = Employee Notif./Evacuation VERBALLY NOTIFY AND CALL 911. 01/07/1990 Public Notif./Evacuation NONE LISTED. 07/06/2000 Emergency Medical Plan NEAREST HOSPITAL. 01/07/1990 -5- 07/15/2003 1 F BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/06/2000 ~ MATERIALS CONTAINED IN APPROVED PRESSURIZED CYLINDERS. CYLINDERS PROPERLY STORED AND CHAINED. USE PROPER VALVES AND FITTINGS. Release Containment GASES ONLY STORED IN APPROVED PRESSURIZED CYLINDERS. 10/20/1992 ,,, l.1Cdi1 U~J Other Resource Activation -6- 07/15/2003 P BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ _ .7~JCC:1cl1 riaGatuS Utility Shut-Offs 07/06/2000 i f A) GAS - NONE B) ELECTRICAL - N SIDE OF BLDG OUTSIDE C) WATER - N SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 05/30/1997 PRIVATE FIRE PROTECTION - NO FIRE EXTINGUISHERS OR SPRINKLER SYSTEM. FIRE HYDRANT - NEAREST FIRE HYDRANT NOT KNOWN. tsuiluing occupancy Level -7- 07/15/2003 F BOBS MUFFLER SiteID: 015-021-000749 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 07/06/2000 I WE HAVE MPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: SAFETY MEETINGS. rage ~ Held for Future Use -8- 07/15/2003 UNIFIED PROGRAM INSPECTION CHECKLIST ~; :t..+(i;Y:~V9!'Nbst.LM`S~..w...: :.K..,,• Aim... _. .,, ., _. - .. ~, - .d.,...,. s... .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a p Prevention Services ~~~~ 900 Truxtun Ave., Suite 210 sRrr Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ~ ~3S -(r/rt - `~ / Vials i 3 ~O ADDRESS HONE NO. O OF EMPLOYEES / 230 lr" 2.i Sz- ~-' 3Z'S_U X77 FACILITY CONTACT USINESS ID NUMBER .S t M. Ccr lc.~ cL 15-021- Section 1: Business Plan and Inventory Program __~~~--~~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION , f 1 • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1t3SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSOS AVAILABILITY -9~ - - _ .. ^ VERIFICATION OF HAZ MAT TRAINING 6 ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES 1 m ^ EMERGENCY PROCEDURES ADEQUATE _ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~J NO EXPLAIN: - ~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 326-3978 S . ~~e ~s ~~ ~•f~ 2 ~3 Inspector (Please Print) Fire Prevention / 1" In / Shift of SRe/Stetion ff slness Site/ ool Site Responsible Part' (Please Prirt) White -Prevention Services Yellow - Station Copy Pink - Business Copy FD2048 (Rw. 02105)