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HomeMy WebLinkAboutBUSINESS PLAN (2)T~; IG• _ . L ~! CHE_VRON CUBE 4 IT= _ ~ -= -- --- - -= ~ -1629 CALIFORNIA A VENUE __ - - - --- t --- ~ - -- ,.-__~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business-Plan and Inve_ ntory Program • R E R S F_I P F1RE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTIO TIME ADDRESS PHONE NO. NO OF EMPLOYEES }~Z~1 CAVE}v,,~t~, gtq-~,N61 FACILITY CONTACT BUSINESS ID NUMBER j~.t9~L+,~r V~~'~•Ar7q 15-021- Ov16~{p Section 1: Business Plan and Inventory Program L~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ~~i~~D ^ RE-INSPECTIONN ' C V ~ C=Compliance OPERATION V=Violation COMMENTS ~ ~ APPROPRIATE PERMIT ON HAND / / V L~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~ r ~3' II.~ 'v ~j ©~ 1 J ~ ~^~' oo" L'~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~,.~ ~ ~~„ ~ P u ~ '~ A (•'~ ^ VERIFICATION OF INVENTORY MATERIALS `~.~ ~ v u rt- -~ ~6 I ~, a~ ~. v3L. ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION 0 ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY '~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I~ 0. -. EMERGENCY PROCEDURES ADEQUATE D L~ ^ CONTAINERS PROPERLY LABELED (~ ^ HOUSEKEEPING G~ ^ FIRE PROTECTION C~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS ,WIASTE ON SITE? DYES ^ ND EXPLAIN: '~J A S ~i G O L lr QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 (~ • SGr >,TGa'1 ~ 1 ti~~ S'f'j- 3 Q 5~~~' ~dh'7 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 UNIFIED PROGRAM INSPECTION CHECKLIST .SECTION 1: Business Plan and Inventory Program BAHERSFIELD FIRE DEPT Prevention Services >, r~t~ 900 Truxtun Ave., Suite 210 ~R~~r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME ADDRESS HONE NO. O OF EMPLOYEES ~~ zq ~-s~~~6~ FACILITY CONTACT USINESS ID NUMBER 15-021- ~ d ~- ~ Section 1: Business Plan and Inventory Program _~ ~ cJ ~_V ~ C ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI•AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance OPERATION V=Violation COMMENTS ^ [Dr APPROPRIATE PERMIT ON HAND ~/ ^ BUSIftASS PLAN CONTACT INFORMATION ACCURATE r VISIBLE ADDRESS CORRECT OCCUPANCY - VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL - ~----__..._ ^ VERIFICATION OF MSOS AVAILABILITY ~- ~N~°/~ ------_______~-----_...-- -- -.__i.JJ--~~~_~..~-..~~, ~~ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ D HOUSEKEEPING ^. ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD~O~U~,,S~[W~ASTE ON1 SITE? EXPLAIN: lAl~_~.L` _~ ^ NO PLEA8E CALL U8 AT (881) 326-3979 Print) Fire PreventionTl" In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rw. 02/05) ~i ~ JY + CH ON LUBE 4 U ____________________________________ SiteID: 015-021-001040 + Manager Location: 1629 CALIFORNIA AVE City BAKERSFIELD BusPhone: (661) 869-2469 Map 103 CommHaz Low Grid: 31A FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code:7538 2~ ~I EPA Numb: ~ DunnBrad:~j J ~ ~ ~ ~y` -___________________ Emergency Contact / Title Emergency Contact / Title C / OWNER / O R Business Phone: (661) 869-2469x B. -one: 24-Hour Phone (661) 8~ o~ ~' 24- one (661 ~x- Pager Phone (661) ___ _____-, Pa Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 869-2469x MailAddr: 1629 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 --------{r-------------------------------------------_- r!1 -------------------- Owner :'~DIS ' r ~z~ _~ ~~ lV°~ '~ ~~ ~x~.~2ctc~c-~ Phone • ( 661) 8~--~~.~ Address 1629 CALIFORNIA AVE State: CA -~ ~ 3 City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: dct ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN 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 submitt and lieve the information is true, ~aq~ Date ~5 ~ ~J~ ~ ~ E~ '~ U(i 2 9 26D6 -1- 07/31/2006 /- Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R E R s e , , „ 90o Truxtun Ave., suite 210 _~.a_.~._ ,~~,..~,_W . ~,..:..~;>~_...~..$..:,~~___.4 ~~~~~MM.~~.. ......M.__.~..:<.. ~~~~~_...,~ FIRE .Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "RrM Tel.: (661) 326-3979 - ~ Fax:.- (661) 872-2171 FACILITY NAME e- ii (1 IN/SPECTION DATE INSPECTION TIME ~ { .~ r ADDRESS ° PHONE NO. NO OF EM OYEES L ~-~ >v ~ ~-~~ ~ ~~ ~ z ~ 9 FACT ITY CONTACT ~/ ~ ~ ~~~ USINESS ID NUM615-021 ~O f 4 ~/ . L / - r Section 1: ;Business Plan and'Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compliance` OPERATION V=Violation / COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE ~ ~.~ ^ VISIBLE ADDRESS . ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ 'V PROPER SEGREGATION OF MATERIAL ~ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE Y,~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Bu ' s ; White -Prevention Services Yellow -Station Copy Pi usiness Copy 1 ~'S'ES ^ NO (Please FD 2155 (Rev. 09/05 . EAKERSFIELD FIRE DEPT 1, P D Prevention Services UN~IF4ED PROGRAII~ INSPECTION CWECKLIST~ ~.~R, 900TruxtunAve.,Suite210 ~~. :-~:::~~~,~..~:~. _ ~.x ,.t. .~:. ,~,.r.~ ~ : ............ ,.:;, .~ ,._ ,. h:,; .:. aRrul T Bakersfield, CA 93301 SECTION 1 : BUSIt'IeSS Plana and Inven$Ory PrOgCam Tel.: (661) 326-3979 • Fax: (661) 872-2171 t ~~ 1~ u 1 't FACILITY NAME INSPECTION DATE, INSPECTION TIME ADDRESS/ / ? G ff~~ HcONE fNO. ~J O OF E/MPLOYEES FACILITY CONTACT fr°1--,~a L! ~' ~j ~'~ LC'/ ""/~' J.,,.,' USINESS ID NUMBER 15-021- ~G' ~p`!i Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance) OPERATION V=Violation COMMENTS ~' ~ ^ APPROPRIATE PERMIT ON HAND ~' ~ _ '; (~ . ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE ' ~' ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ' ,I~'~ ^ VERIFICATION OF INVENTORY MATERIALS ~` ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION r~ ,~' ^ 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: .QUESTIONS REGARDING /TH~ISfIN~SPECTION? PLEASE CALL US AT (661) 326-3979 pector (Please Print) Fire Prevention / 1°~ In / Shift of Site/Station # Busir t - ^ YES ^ NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) ~~' CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ~~ UNIFIED PROGRAI~1 INSPECTION CHECKLIST s . yA ;~~~i 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~,i•11~1/Rcti3 ~.u~3t:. "- "~ ADDRESS,, °1 Irul~-t~l~ v~ FACILITY CONTACT C l~ )2.l S t NN l~- INSPECTION T1ME_ ~ INSPECTION DATE ~ ",~'G~ PHONE NO. ~ ~ ,2t~G1 BUSINESS ID NO. 15-210- G ~D NLIMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ^ Routine ~ Combined ^ Joint Agency ^Mu1ti-Agency f,] 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 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 Fire Protection Site Diagram Adequate & On Hand •%Tt," ? a o 1 ~ C=Compliance V=Violation - Any hazardous waste on site?: Yes ^ No Explain: G~ L Questions regarding this inspection'! Please call us at (661) 326-3979 Whirr -Env. Svcs. Yellow -Station Copy Pink -Business Copy ~~aA~ ,~.~~ ~ ~' ~vh~t Qw; ~.~~ Business Site Responsible Party Inspector: ~~' '~~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT ` ~ ~ ` ~ OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLIST `w "~gti~~ 1715 Chester Av ~., ~~~~or, Bakersfield, CA 93301 0 ,~~~ FACILITY NAME vP - Fc~Z- ~ ~pV INSPECTION DATE ~ r ~~~ ~ ~ ~ ~. c~ , Section 4: Hazar 'us Waste Generator Program EPA ID # CAL O (6 gS6 $C~a ^ Routine C~'- Combined ^ Joint Agency ^Multl-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made ~p,Q~ ~~',,,15 ~ ,~ EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazazdous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance :: -,~ Violado ~, ;- Inspector: ~~1/"5 Office of Envir ental Services (6 I) 326-3979 usin S e Res sibl arty -- " White -Env. Svcs. Pink -Business Copy ~.,. Section 2: Underground Storage 'Tanks Program i ^ Routine [Combined ^ Joint Agency ^Mult1-Agency Type of Tank Number of Tanks Type of Monitoring Type of Piping J ~~~~t Ff~ ~~~. ~~~ CITY OF BAKERSFIELD FIRE DEPARTMENT $~~ ~ ~ M OFFICE OF I;NVIRONII'IENTAL SERVICES ~`P y~`~ UNIFIED PROGRAM INSPECTION CHF,CKLIST •~ ~~ \~w ~gti,,~'~~ 1715 Chester Ave., 3r`' Floor, Bakierstield, CA 93301 FACILITY NAME Z-U~~ 'l-U INSPECTION DATE ~ S /a3 /~ OPERATION C V COMMENTS Proper tank data on the ~ - Proper owner;operator data on the Permit tees current Certification of Financial Responsibility Monitoring.record adequate and ent Maintenance records a uate and current Failure to corr prior UST violations Has re been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Progra TANK SIZE(S) ,.-(AGGREGATE CAPACITY Type of Tank f'~ Number of Tanks ____ __ OPERATION Y N COMMENTS SPCC available SPCC on the with OES '~ C~-tG-~,~ ~I c..~,~,.~-~ ~u`yLp o< S pC'~." Adequate secondary protection y/`~ Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have ove Il/overspill protection? Inspector: Office of Environmental Services (661) 326-3979 VJhitc -Env. Svcs. C=Compliance V=VioM ti< t Y=Yes N=NO Busi s ite Re onsib arty Pink - f3utiiness Ci~ny ^ Complaint ^ Re-inspection