HomeMy WebLinkAboutBUSINESS PLAN 12/7/2005t
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~ UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FACILITY NAME triES ~~9tra/ /4i0.sli PECTION DATE
NS NSPECTION TIME
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ADDR SS HONE NO. O OF EMPLOYEES
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FACILITY CONTACT USINESS ID NUMBER
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5-02
Section 1: Business Plan sand Inventory Program
UTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OpERAT10N
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
. ^ BUSIt1QSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
O VERIFICATION OF MSDS AVAILABILITY
~^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
EDURES
^ EMERGENCY PROCEDURES ADEQUATE _
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^"YES ^ NO
~UE TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3879
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Inspector (Please Print) ire Prevention 1" In / Shilt of Site/Station p Business He/School Ske Responsible Party (Please Print)
BAKERSFIELD FIRE DEPT
Prevention Services
9001Ytixtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171DEC ? 32445
White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. 02/05)
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UNIFIED PROGRAM INSPECTION CHECKLIST;;
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.SECTION 1: Business Plan and Inventory Program
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BAKERSFIEiLD FIRE DEPT
a Prevention Services
~itRa 900 Trtuctun Ave., Suite 210
aRfM t Bakersfield, CA 93301
Tel.: (661) 326-397~C ~
Fax: (661) 872-21 3105
FACILITY NAME NSPECTION DATE INSPECTION TIME
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ADDRESS HONE NO. O OF EMPLOYEES
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FACILITY CONT~ USINESS ID NUMBER ~ n n~
15-021- (-~
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Section 1: Business Plan and Inventory Program
~OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI•AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
~- ^ BUSIt18SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
iS~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
~
v ^ VERIFICATION OF LOCATION
1
/~, ^ PROPER SEGREGATION OF MATERIAL
r~ ^ VERIFICATION OF MSDS AVAILABILITY
r~ ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
CEDURES
^ EMERGENCY PROCEDURES ADEQUATE
t~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~/ ^ FIRE PROTECTION
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^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITES ^ YES ^ NO
EXPLAIN:
~- STIONS REGARDING THIS INSPECTION4 PLEASE CALL US AT (Bt31) 526-3979
Inspector (Please Print) ire Prevent' 1`~ In / Shift of SRe/Station q Btuir~ss ~e/School Site Responsible Party (Please Print)
White -Prevention Sarvicea Yollow -Station Copy pink - Buainesa Copy FD204e (Rev. 02/05)
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+ WORLD OIL CORP/~~-Fr=_________________________________ SiteID: 015-021-001393
Manager BusPhone: (805) 589-9615 I
Locat
+ WORLD OIL CORP ______________________________________ SiteID: 015-021-001998
Manager ~~j
Location: ~~-5~ COFFEE RD
City BAKERSFIELD
BusPhone: (661) -
Map 102 CommHaz Low
Grid: 29B FacUnits: 1 AOV:
CommCode: KCFD STA 65 SIC Code:
EPA Numb: DunnBrad:
~mergency_Contact /. .Title. ~ Emergency Contact / Title
Business Phone: (661) - x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact Phone: (562) 928-O100x
MailAddr: 9302 S GARFIELD AVE State: CA
City SOUTHGATE Zip 90280
Owner WORLK OIL CORP Phone: (562) 928-O100x
ddress 9302 S GARFIELD AVE State: CA
City SOUTHGATE Zip 90280
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
~ Emergency Directives: ~
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