HomeMy WebLinkAboutBUSINESS PLAN 8/23/2007® PALLA FARMS
420 FAIRVIEW ROAD
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PALLA FARMING CO RALPH SiteID: 015-021-000149
Manager RALPH PALLA
Location: 420 FAIRVIEW RD
City BAKERSFIELD
BusPhone: (661) 832-6143
Map 124 CommHaz Extreme
Grid: 19D FaCUnits: 1 AOV:
CommCode: BFD STA 05
EPA Numb:
SIC Code:0131
DunnBrad:77-011-5976
Emergency Contact / Title Emergency Contact / Title
RALPH PALLA / PARTNER GREG PALLA / PARTNER
Business Phone: (661) 832-6143x Business Phone: (661) 836-1775x
24-Hour Phone (661) 831-1036x 24-Hour Phone (661) 832-1111x
Pager Phone (661) 978-8330x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact RALPH PALLA Phone: (661) 832-6141x
MailAddr: 420 FAIRVIEW RD State: CA
City BAKERSFIELD Zip 93307
Owner RALPH PALLA FARMING CO Phone: (661) 831-1036x
Address 420 FAIRVIEW RD State: CA
City BAKERSFIELD Zip 93307
Period to TotalASTs: = Gale
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
nn
PROG T - ABOVEGROUND STORAGE TANK ENS'°D ~~ ~* ~,, 7 ~OV7
i3ased on my incluirv of those individuals
respon ibie nor o1:~2i
n~ng the intcrmation, I certify
under penalty of !a+F~
that I
examined and am y r .
h~eve peronally
submitted and h : a ~rriar'v~?ith the ;nform
ti
I
a
on
accurate, ~
"e'`Q the information is true,
and complete.
~j~
Signature ""---°---- ~- a 3 -o~
Date
-1- ~ 07/13/2007
~{ T
F PALLA FARMING CO RALPH SiteID: 015-021-000149 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PROPANE E F P IH G 650.00 FT3 Hi
ACETYLENE E F P IH G 300.00 FT3 Hi
DIESEL F IH DH L 1800.00 GAL Mod
SOLVENT F DH L 165.00 GAL Mod
FUEL OIL #2 F L 55.00 GAL Mod
OXYGEN F IH DH G 300.00 FT3 Low
HYDRAULIC FLUID F DH L 250.00 GAL Low
WASTE OIL F DH L 55.00 GAL Low
JPC PUMP OIL F DH L 250.00 GAL Min
MOTOR OIL F DH L 200.00 GAL Min
-2- 07/13/2007
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-3-
07/13/2007
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F PALLA FARMING CO RALPH SitelD: 015-021-000149 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
NE SIDE OF STORAGE YARD CAS#
74-98-6
~GaSATE TYPE PRESSURE ~ TAE~MPeRATURE T CONTAINER TYPE
TPure Above Ambient I FIXED PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 650.00 FT3 250.00 FT3
-- - ru~~.ytcL~u~ ~vinrviv~ivl5
%Wt. RS CAS#
100.00 Propane Yes 74986
t1E~GE~KL 1~5 J~J.~1~1L" 1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
.ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
MAINT SHOP CAS#
74-86-2
~GaSATE TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~
TPure Above Ambient I Ambient I PORT. PRESS. CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Co300100rFT3 Daily 300100m FT3 I Daily Average FT3
nr~as~tcLVU~ ~.vrirvNENTS
%Wt. RS CAS#
100.00 Acetylene Yes 74862
nriat3tct~ ri~ aaaatnr,ly t ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
-4- 07/13/2007
J' ~
ry
F PALLA FARMING CO RALPH
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
DIESEL
Location within this Facility Unit
W SIDE OF STORAGE YARD
STATE TYPE PRESSURE
Liquid Mixture Ambient
AMOUNTS AT THIS LOCATION -
Largest Container Daily Maximum I Daily Average
1800.00 GAL 1800.00 GAL 700.00 GAL
-- ri1~GHKLVUb 1:V1~lYV1VL"1VT~
~Wt. RS CAS#
100.00 Diesel Fuel No. 2 No 68476302
riHGtiKL Ej~ ~~JJ1~11;1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
SOLVENT
Location within this Facility Unit
MAINT SHOP
SitelD: 015-021-000149 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
68476-34-6
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient OTHER - SPECIFY
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 165.00 GAL 165.00 GAL
nr~c~rucLV~a ~.vrlrvtvalVtJ
oWt. RS CAS#
100.00 Naphtha No 8030306
rJtiL~tiRL HJ ~71'.iJ w71"11'.~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
-5- 07/13/2007
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z
F PALLA FARMING CO RALPH
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
FUEL OIL #2
Location within this Facility Unit
W SIDE OF STORAGE YARD
STATE TYPE PRESSURE
Liquid TMixtur~ Ambient
SiteID: 015-021-000149 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
68476-30-2
TEMPERATURE CONTAINER TYPE
Ambient DRUM/BARREL-METALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 20.00 GAL
- ~ nt~~t~rcLUUa ~urirviv~ivl~
%Wt. RS CAS#
100.00 Fuel Oil No. 2 No 68476302
tiE~GlitCL 1-~~7~~.7.71~1r,1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F / / / Mod
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
MAINT SHOP CAS#
7782-44-7
~GasATE TPureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
300.00 FT3 300.00 FT3 300.00 FT3
ruyc~rucLV v J ~.vrirvLV niv t a
%Wt . RS C'AS#
100.00 Oxygen, Compressed No 7782447
iltiL~L'uCL ti J JP.+J~J 1.1P~1V 1 ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-6- 07/13/2007
S
a
F PALLA FARMING CO RALPH SiteID: 015-021-000149 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
HYDRAULIC FLUID Days On Site
365
Location within this Facility Unit Map: Grid:
W SIDE OF STORAGE YARD CAS#
68649-42-3
Liquid I Mixture I Ambient~E ~ A~PeRATURE ABOVEOGROUNDRTANKE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 GAL 250.00 GAL 100.00 GAL
t1E~G1~fCLVUJ 1:V1~lYV1VL"1V1~J
$Wt. RS CAS#
100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu... No 112345
riAGHK1J A7JLJJl~lt'~1V 1 a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No Noj Curies F DH / / / Low
~ Inventory Item 0010
~ COMMON NAME / CHEMICAL NAME
I WASTE OIL
Location within this Facility Unit
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATIONI
Largest Con55100rGAL Daily M55100m GAL 4 Daily A55r00e GAL
ISI~GtitCLVU.7 1..V1~lYV1V~1V 1J
$Wt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
11HG1~ICLJ 1-~ J.7L~w7iJ1~1L' 1V 1 ~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-7- 07/13/2007
S ~
1
F PALLA FARMING CO RALPH SiteID: 015-021-000149 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
JPC PUMP OIL Days On Site
365
Location within this Facility Unit Map: Grid:
W SIDE OF STORAGE YARD CAS#
STATE TYPE _
Liquid TMixture
CONTAINER TYPE
ABOVE GROUND TANK
= PRESSURE TEMPERATURE _
Ambient ~ Ambient
AMOUNTS AT THIS LOCATION
Daily Average
100.00 GAL
Largest Container Daily Maximum
250.00 GAL 250.00 GAL
riAGAKLVUS 1:V1~1rV1v1'',lv't'S
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
tiAGHKIJ HS~~~a1~1~1V'1'S
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
MOTOR OIL
Location within this Facility Unit
W SIDE OF STORAGE YARD
STATE TYPE PRESSURE
Liquid Mixture Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
64742-65-0
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 20.0.00 GAL 100.00 GAL
nta~rucLVUa ~.Vi~irVlvr~ivtS
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
- til-jLtlltL t1J .7L'.7~1~1L'1V1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / f / Min
-8- 07/13/2007
j. A
F PALLA FARMING CO RALPH SiteID: 015-021-000149
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 06/02/2006
IN THE EVENT OF AN ACCIDENT OR EMERGENCY INVOLVING AN UNCONTROLLED RELEASE
OF A HAZARDOUS MATERIAL, THE BAKERSFIELD FIRE DEPT WOULD BE NOTIFIED BY
CALLING 326-3979 AND STATION 5 AT 397-6305 OR 911. IN THE EVENT THE
ACCIDENT OR EMERGENCY INVOLVED A PESTICIDE, THE KERN COUNTY AGRICULTURE
COMMISSIONERS OFFICE, PESTICIDE DIVISION, WOULD BE CALLED AT 861-2306.
Employee Notif./Evacuation
03/02/1993
NOTIFICATION OF EMERGENCIES OR ACCIDENTS IS PERFORMED BY ORAL COMMUNICATION
BY THOSE FIRST AWARE OF THE EMERGENCY WITH THE COMPANY SAFETY SUPERVISOR.
THEN THE EMPLOYEES AT THE LOCATION OF THE EMERGENCY WILL BE NOTIFIED OF THE
EMERGENCY AND DIRECTED TO EVACUATE THE SITE OF THE EMERGENCY.
Public Notif./Evacuation 06/02/2006
NEARBY PUBLIC NOTIFICATION WILL BE CONDUCTED THROUGH PERSONAL CONTACT OF
THOSE AFFECTED, BY THE COMPANY SAFETY SUPERVISOR, IN THE EVENT OF A
HAZARDOUS MATERIALS EMERGENCY,
Emergency Medical Plan
06/02/2006
ALL EMPLOYEES ARE INSTRUCTED TO PHONE 911 IN THE EVENT OF A SERIOUS MEDICAL
EMERGENCY AND/OR PHONE THE NEAREST MEDICAL FACILITY EQUIPPED TO TREAT
ACCIDENTS INVOLVING HAZARDOUS MATERIAL EXPOSURE: MERCY HOSPITAL, 2215
TRUXTUN AVE, 632-5275.
-9- 07/13/2007
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'1
F PALLA FARMING CO RALPH SiteID: 015-021,-000149 ~
Fast. Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 12/22/1997 ~
EMPLOYEES HAVE BEEN INSTRUCTED TO USE EXTREME CAUTION WHEN HANDLING
HAZARDOUS MATERIALS. THEY ARE TO USE THE APPROPRIATE TYPE OF PROTECTIVE
CLOTHING AND EQUIPMENT FOR THE MATERIAL THEY ARE HANDLING. DRIP CONTAINERS
ARE USED WHEN TRANSFERRING FUELS, LUBRICANTS, AND PESTICIDES FROM STORAGE TO
DELIVERY SYSTEMS.
Release Containment Ol/14/2000
IN THE EVENT OF AN ACCIDENTAL RELEASE OF A HAZARDOUS MATERIAL, EMPLOYEES ARE
INSTRUCTED TO FOLLOW CONTAINMENT PROCEDURES IN THE APPROPRIATE MSDS.
Clean Up
WE WILL FOLLOW THE RECOMMENDED CLEAN-UP PROCEDURES OUTLINED IN THE
APPROPRIATE MSDS.
06/02/2006
Other Resource Activation
-10- 07/13/2007
F PALLA FARMING CO RALPH SiteID: 015-021-000149 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aj~~c.lctl nci~a.iu5
Utility Shut-Offs
A) GAS - N/A
B) ELECTRICAL - S SIDE OF SHOP
C) WATER - AT PRESSURE TANK
D) SPECIAL - NONE
E) LOCK BOX - NO
03/02/1993
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
01/04/2007
Building Occupancy Level 03/07/2006
6 EMPLOYEES
-11- 07/13/2007
t
F PALLA FARMING CO RALPH SiteID: 015-021-000149 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 01/31/2007 ~
MSDS SHEETS ON FILE AT THIS LOCATION.
BRIEF SUMMARY OF TRAINING PROGRAM: HAZARDOUS MATERIALS TRAINING IS AN
INTEGRAL PART OF OUR COMPANYS SAFETY PROGRAM; THE COMPANYS SAFETY PROGRAM IS
WELL DOCUMENTED AND TRAINING OF NEW EMPLOYEES BEGINS PRIOR TO THEIR FIRST
DAY OF WORK. THEREAFTER, ALL EMPLOYEES ARE INSTRUCTED AND TESTED ON SAFETY
PROCEDURES AT LEAST FOUR TIMES PER YEAR; THE TRAINING PROGRAM INCLUDES
HANDS-ON OPPORTUNITIES TO TEST EMERGENCY RESPONSE EQUIPMENT AS WELL AS
ACCIDENT AVOIDANCE SYSTEMS; AND THE TRAINING .PROGRAM INSTRUCTS EMPLOYEES ON
THE PROPER PROCEDURES TO FOLLOW IN THE EVENT OF AN ACCIDENT OR AN EMERGENCY
INVOLVING HAZARDOUS MATERIALS.
rayc c.
11C1U 1VL lUI.ULC U5C
-12- 07/13/2007
;,
F PALLA FARMING CO RALPH SiteID: 015-021-000149 ~
Fast Format ~
~ Training Overall Site ~
t_
nciu ivi ru~.utc voc
-13- 07/13/2007
PALLA FARMING CO RALPH =
' Manager
Location: 420 FAIRVIEW RD
City BAKERSFIELD
CommCode: BFD STA 05
EPA Numb:
SiteID: 015-021-000149
BusPhone: (661) 832-6143
Map 124 CommHaz Extreme
Grid: 19D FacUnits: 1 AOV:
SIC Code:0131
DunnBrad:77-011-5976
Emergency Contact / Title Emergency Contact / Title
RALPH PALLA / PARTNER GREG PALLA / PARTNER
Business Phone: (661) 832-6143x Business Phone: (661) 836-1775x
24-Hour Phone (661) 831-1036x 24-Hour Phone (661) 832-llllx
Pager Phone (661) 978-8330x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact Phone: (661) 832-6141x
MailAddr: 420 FAIRVIEW RD State: CA _
City BAKERSFIELD ~ -Zip -
Owner RALPH PALLA FARMING CO Phone: (661) 831-1036x
Address 420 FAIRVIEW RD State: CA
City BAKERSFIELD Zip 93307
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
ENT F~8
2 s zo
07
13asPd pn my inquiry of those individuals
tio
the inform
~
i
e
e
ng
res oneibie for ebtein
rsona ly
-- --- under pen ~y_ --
e.xamined and am familiar with the in arma i
information is true,
h ~ - ~ - -
e
i,bmitted and believe t
s
accurate, and complete.
a-y-~~~b~
~
____-
-~~! Date .
Signatu e
-1- 01/31/2007
BAKERSFIELD FIRE DEPT
UNIFIED PROGRAM INSPECTION CFIECKLIST Prevention Services
~~~i t D 9001Yuxtun Ave., Suite 210
_~ri :, ~~, ~~.:..>. .. _ _- ., ..,:: .. ... _„ . , ::-, , .., .;,.;.; _ ,. ~eRr,wr r Bakersfield, CA 93301
SECTION 1: Business Plan an ~ Inventory Program ~' Tel.: (661) 326-3979
• ~^ ~ ^ ~ Q~ D~~ ~~~~ ice` ~ ^ Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS HONE NO. O OF EMPLOYEES
~,/ ~qf2 Zi 6-~~-~ ~
FACILITY CONTACT USINESS ID NUMBER
15-021- ~J.~9
k~ ~i4
Section 1: Business Plan and Inventory Program ~ a'~
ft~--ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^-~CTION
•
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
l~ ^ APPROPRIATE PERMIT ON HAND
~.... ^ BUSICi@SS PLAN CONTACT INFORMATION ACCURATE r
~
, ^ VISIBLE ADDRESS
rd
,
ie~. ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
~j ^ VERIFICATION OF QUANTITIES
~- ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL - - ~
-
~
^ -
VERIFICATION OF MSDS AVAILABILITY -
-
-
Brl ^ VERIFICATION OF HAZ MAT TRAINING
~-- ^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
~7- ^ CONTAINERS PROPERLY LABELED
~L- O HOUSEKEEPING
^ FIRE PROTECTION
~. ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? I~-YES ^ NO
EXPLAIN: (.t' A-- ~?T~ Z' ~ L- -- -- -- _ --- ----- -- - -
.QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ~~
Inspe (Please Print) Fire Prevention / 1°' In /Shift of Site/Station # Busi ess ite/School Site Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05)
~J
i~
+ PALLA FARMING CO RALPH ______________________________ SitelD: 015-021-000149 +
Manager
Location: 420 FAIRVIEW RD
City BAKERSFIELD
BusPhone: (661) 832-6143
Map 124 CommHaz High
Grid: 19D FacUnits: 1 AOV:
CommCode: BFD STA 05
EPA Numb:
SIC Code:0131
DunnBrad:77-O11-5976
+______________________________________________________________________________t
Emergency Contact / Title Emergency Contact / Title
RALPH PALLA / PARTNER GREG PALLA / PARTNER
Business Phone: (661) 832-6143x Business Phone: (661) 836-1775x
24-Hour Phone (661) 831-1036x 24-Hour Phone (661) 832-llllx
Pager Phone (661) 978-8330x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact Phone: (661) 832-6141x
MailAddr: 420 FAIRVIEW RD State: CA
City BAKERSFIELD Zip 93307
Owner RALPH PALLA FARMING CO Phone: (661) 831-1036x
Address 420 FAIRVIEW RD State: CA
City BAKERSFIELD Zip 93307
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
E~~1 SUN 0
9 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.
~~_ ~,~,~-®6 bin
ignat re Date
-1- 06/02/2006
~~~~' ~`~~~ CITY OF BAKERSFIELD FIRE DEPARTMENT
~~ ~~~ ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES
~`A ~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST
=_w ~gtii~ 1715 Chester Ave., 3rd Floor, Bakersfield; CA 93301
FACILITY NAME ~A ~ I A ~AQ.~ S
ADDRESS 'yao rA~e/)E~ tom.
FACILITY CONTACT jCE~~,~/ r~,i-~
INSPECTION TIME loco A~-,
INSPECTION DATE ~- X3-05
PHONE NO. X336-' -~~5
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES ~~
Section 1: Business Plan and Inventory Program
~outine ^ 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 x
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability X
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled X
Housekeeping
Fire Protection J~
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?; l~Yes ^ No
Explain: (~J~lSrht ~-~,.
~~
Questions regarding this inspection? Please call us at (805) 326-3979
White -Env. Svcs. Yellow -Station Copy Pink -Business Copy
Business Site Responsible Party
Inspector: ~ .~5~^'
UNIFIED PROGRAM 1..~PECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enixonmentai Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME
~
«~
~~~
~s
~ INSPECTION DATE
a~~ INSPECTION TIME
~~ ~i1~
.
-
-------------------------------
--
--
- _.
-.
ADDRESS PHONE No. No. 01 Employees
FACILITYCONTACT Business ID Number
15-021-
LP ~ L1
Section 1: Business Plan and Inventory Program
[~outine ^ Combined O Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
C V
^ lV=Vioatonncel OPERATION
APPROPRIATE JPERMIT ON HAND COMMENTS
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
~/
SCI ^ PROPER SEGREGATION OF MATERIAL
^ ~ VERIFICATION OF MSDS AVAILABILITYE
--- - ------------------ QF` ~~F />u,
-------C---..mod, ..---
^ VERIFICATION OF HAT MAT TRAfNING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - - '-
^ EMERGENCY PROCEDURES ADEOUATE
^ ~
^ CONTAINERS PROPERLY LABELED
HOUSEKEEPING
^
^ FIRE PROTECTION
SITE DIAGRAM ADEQUATE Sc ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO
~v
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~F)C)'I ~ 326.3979 ~,
In ector~,- Badge No. ' usines ite esponsible Party
y ~-~ .~ j.: f- ~-- --;
v, White - Environmental Services Yellow - Statbn Copy Pink -Business Copy `--,