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HomeMy WebLinkAboutBUSINESS PLAN ~~ ~_.~~~ ~ ~-'°~ Prevention Services UNIFIED PROGRAM INSPECTFON CHECKLIST H r R s F ~_ , ,, 9oo~lYuxtun ave.; suite 210 m ~~~~~,<.-~~~ ~~.~~;a~~~u. ~_~- ,~..__~A,~,;~~~~. ~~._~~~,~...,~ - F-R6 Bakersfield, CA 93301 _ SECTION ~ : BUSI11@SS Plan 81101 lnv@I1t01"~/ PPOgP8111 aRrM r Tel.: (661) 326-3979 - - ~ Fax: (661) 872-217-1 FACILITY NAME _ INSPECTION DATE INSPECTION TIME p C.~ ~ ~ t nC / ~~aO f o S- o'ZO nµw ADDRESS PHONE NO. NO OF EMPLOYEES I ,rt, -r ~ 3~ 6.Ya-3 ~ FACILITY CONTACT BUSINESS ID NUMBER 15-021- ooo3gg _ . _ -- 1 ~~ .Section 1: Business Plan and Inventory Program j LS ROUTINE - _ _ _ _ ^ COMBINED ^ JOINT AGENCY ^ MULT!-AGENCY ^ COMPLAINT ^ RE-1NSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSItIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ,_,/ L 9 ^ CORRECT OCCUPANCY - / (~" ^ VERIFICATION OF INVENTORY MATERIALS I~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION r ^ PROPER SEGREGATION OF MATERIAL L ~ i°" _ / L 1 . ^ VERIFICATION OF MSDS.AVAILABILITY , _ , / LId' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Cea" ^ EMERGENCY PROCEDURES ADEQUATE - C~!" -^_- CONTAINERS PROPERLY LABELED - ^ HOUSEKEEPING •- ^ FIRE PROTECTION LAY ^ $ITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 !~ '~~L~ ~,1,1c~r~ •` I Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Please ^ YES ^ NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~ + POWERSTRIDE BATTERY CO INC'__________________________ SiteID: 015-021-000398 + Manager RB'~"~~f~ ~`~ ~~ (~tS~-Pi~c.91~ BusPhone: (661) 323-6523 Location: 1700 24TH ST Map 102 CommHaz High City BAKERSFIELD Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:5063 EPA Numb: DunnBrad:95-776-9380 ~ Emergency Directives: ~ Emergen y Contact / Title E rg nc Conta / Title / MANIAGER ~~ ~ ~,~r/C12 ~ / Bus ine s s Phone : ( 6 61) 3 2 3 - 6 5 2 3 x Bus ine s s Phone : (~'~ l) i7 3 -~ZG~i7x f c~ ~ 24 -Hour Phone (}- 4 ~ x 24 -Hour Phone (`~i ~') y9 ~j Z, x Pager Phone ( ~ )S~ - ~ ~ ~ .~ ~ ~ ~ (~ Pager Phone ( ) - '~ ~ -Hazmat-Hazards_----RSs---..---------------------------React ~ ImmHlth DelHlth Contact RICK ALVORD Phone: ~9~9~9) 273-2200x105 MailAddr: 122 ENTERPRISE CT State: CA City CORONA Zip 92882 Owner RICK ALVORD Phone: (! ) 273-2200x105 Address 122 ENTERPRISE CT State: CA City CORONA 'Zip 92882 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: ~ ~,~~~ ( RSs: Yes ParcelNo : ~ 1 ~~ ~' l ~~ PROG A - HAZMAT ENT°D APR 2.5 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signature Date -1- 02/27/2006 - Bakersfield Fire Dept. Enironmental Services UNII'IED PROGI~4M INSPECTION CHECKLIST ,:>: _ ~._ :.: ~ . ~ 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 - Tel: (661)326-3979 i• FACILITY NAME INSPECTION DATE INSPECTION TIME ~ 6 M ~, - ~~ ~_~ ~_-~~Q-~ 1---C° ~ ---------------------- -- ----- -_ _____..- _ _-- -tioft~t fad=-- ~~tso ~..---- ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number Go- 'Te. \ urr. 15-021- ovo 3 5 ~l Section 1: Business Ptan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection ,_C,/ V \V=Viotatiionnce~ OPERATION COMMENTS L'7 ^ APPROPRIATE PERMIT ON HAND LJ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ,,f - ---- --- -- - IJ ^ VISIBLE ADDRESS - ~.I/ ^ CORRECT OCCUPANCY tY ^ VERIFICATION OF INVENTORY MATERIALS ,f - ...- ---- - - LI ^ VERIFICATION OF QUANTITIES rr- ------- -_--------- -------._..- ..----- --...--- __--- ----- - --- __ ------------- - -._... __...-.. ._ _ -- ---- - ----- - - L~~J/ ^ VERIFICATION OF LOCATION © ^ PROPER SEGREGATION OF MATERIAL Lm7 ^ VERIFICATION OF MSDS AVAILABILITYE L~7 ^ VERIFICATION OF I"IAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -IJ ^ EMERGENCY PROCEDURES ADEQUATE L`7 ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING -- -------------------------------------- ^ FIRE PROTECTION ~ ^ L~J SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YESL'1 IVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow - Statbn Copy usiness es nsi a arty (Please Print) g N Pink -Business Copy ~° r ~- -~ ~a ~ .. y r ~'~w~5 d ~% '0 `~ g,~g CAtt~~/ N/~ FACILITY NAME~~[ ADDRESS 17C.1'~ FACILITY CONTACT INSPECTION TIME_ f0 CITY OF BAKERSFIEI.D FIRE DEPARTMENT ' OFFICE OF F,NVIRONMF.NTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ~~ ~~~'2 Y INSPECTION DATE /U - / 7- D .~ ~ _S~' PHONE NO. "~ 2~ - CoSZ 3 ~(F ~~I2 BUSINESS ID NO. 15- ~ ' O~•3~ ~i~ NUMBER OF EMFLOYEES _~ Section 1: Business Plan and Inventory Program ^ Routine ~ ombined ^ Joint Agency ^Mulri-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities P~ f}N ~ - ~~ 6~ Verification of location 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 J Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: ~`~_ ^ Yes (~ No ~ ~ __ ~ .~ ,; V ~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink • Husmess Copy Bus' ess Site Responsible P, rty Inspector: ~ ~ _. ~ ~~.