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BUSINESS PLAN (2)
~~_ ~ .. KPS MOTORS _ -- _ ___ -=~'~~ '~~k1700 CALIFORNIA AVENUE - °-.. -- l _ _ I _ a Prevention Services UNIFIED .PROGRAM INS-PECTION CHECKLIST A . T R s e , . „ 9oo'IYuxtun Ave., Suite 210 - FiRE._ Bakersfield, CA 93301 SECTION" 1: Business Pian and Inventory Program i°Rr"' r Tel..: (661) 326-3979 • ~ Fax: (661) 872--2171 " FACILITY NAME - ~A~,~~~ L~~G i1.~'s L.vi3~t~ INSPECTION DATE , 2 , i -~~ INSPECTI N TIME ~~ '~ ADDRESS _ - ~ 1Ta~ GA~I~~otLr~iP ~ PHONE NO. ~ (~3 •1081 NO OF EMPLOYEES .~ FACILITY CONTACT ,Lr.~SL~ Stra~-~i'>'-j~ BUSINESS ID NUMBER 15-021- o0Z~Q3 _ _ ~_ Section 1: Business Plan and Inventory Program _ _l ~ Q ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION . C V ~ C=Compliance OPERATION- ~ V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS I~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~j ^ 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 ANY HAZARDOUS~~~~W~~AgqSTE ON SITE? YES ^ NO EXPLAIN: i/°"'~/~ ~[/1~./ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy ie /rResponsible Party (Please Print) FD 2155 (Rev. 09/05 ~~_, ..; ~j0~~ J ~. ~~ + PACIFIC EXPRESS LUBE ______________ ~_______________= SiteID: 015-021-002403 + Manager JESSE SINANTAL BusPhone: (661) 637-1091 Location: 1700 CALIFORNIA AVE Map 102 CommHaz Low City BAKERSFIELD Grid: 25D FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JESSE SINANTAL / OWNER / Business Phone: (661) 637-1091x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact JESSE SINANTAL Phone: (661) 637-1091x MailAddr:. 1700 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Owner JESSE SINANTAL Phone: (661) 637-1091x Address 1700 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PACIFIC EXPRESS LUBE STARTED BUSINESS AT THIS SITE THE END OF DECEMBER 2005. KPS MOTORS NLIB. BP SENT TO JESSE SINANTAL APRIL 19, 2006. BP STILL NOT RETURNED FROM PACIFIC EXPRESS LUBE, 1501 CALIFORNIA AVE. 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 an believe the informati n is true, acc rate, and omplete. ~~~~~,., Si ature Dat ENT'D I~q y ~ ,~ 2006 -1- 04/19/2006 - = ~~~ r ~ ~: ~_ ~ ~ BAI~ERSFIELD FIRE DEPT Prevention Services UNIPIE~D PROGRAM INSPECTION CFIECKLIST~ "p' ~,rR~ 900 Truxtun Ave., Suite 210 ~~- ~~~,~; ~~6~~~a.:,r ..~ ~ ~,~~~ .. _ .. ~ . .~, ~.~:. ~ ~ ~ ~v:~:. _. _ F ;:.,..:., ; -: ~R>r~ t Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~'' Tel.: (661) 326-3979 • Fax: (661) 872-2171 C FACILITY NAME NSPECTION DATE INSPECTION TIME P 5 is ~.~ ~ _ ~;>~ S ADDRESS HONE NO. O OF EMPLOYEES 1' t~1- I`~l A CJ f! Ga .~ I : G 1 ! _ FACILITY CONTACT USINESS ID NUMBER 15-021- ~ ~p'~ ..` IJ ~A 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 I~ „ ^ BUSIf1QSS PLAN CONTACT INFORMATION ACCURATE { C~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES [~) ^ VERIFICATION OF LOCATION / ~ ^ PROPER SEGREGATION OF MATERIAL C~1 ^ VERIFICATION OF MSDS AVAILABILITY ~+ ^ VERIFICATION OF HAZ MAT TRAINING I~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ©9 ^ EMERGENCY PROCEDURES ADEQUATE ( ~Ir} ^ CONTAfNERS PROPERLY LABELED / ~ ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~, NO EXPLAIN: t-QUESTIO//NS REGARDING THIS INSPECTION? fP`~L'EASE CALL US AT (661) 326-3979 ~„ 1 sn pector (Please Print) Fi`t'e'~revention / 1s' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) • ~y~ ~'~~ CITY OF BAKERSFIEI.D F1RE DEPARTMENT ~ ~ OFFICE OF ENVIRUN1tiiF.NTAL SERVICES m ~'~ UNIFIED PROGRAM iNSPECT[ON CHECKLIST s `w ,~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~.PS IM,u~~111/~ INSPECTION DATE, U7 ADDRESS ~ PHONE NO. FACILITY CONTACTS BUSINESS ID NO. IS-21U- 2~'~ INSPECTION TIME ~ NLIMBER OF EMPLOYEES~~_ _ Section l: Business Pian and Inventory Program '~toutine ^ Combined ^ Joint Agency ^MuIti-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 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 ~ j ~~~J Containers properly labeled GLG~,~~ r his / Housekeeping a.~.G~~ N ~ ~ `~ ~ ^c._ ~' Fire Protection ~~ " ~~ -D ~ Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Yes ^ No Questions regarding this inspection? Please call us at (661) 326-3979 Busin : s Site Responsible Party V White • Env. Svcs. Yellow • Station Copy Pink -Business Copy Inspector: i ~~r, ~~~ ~