HomeMy WebLinkAboutBUSINESS PLANII
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~' CAMPING WORLD #9
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6801 COLONY STREET
~ ~~
'~~` T~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT
• ~` ~ OFFICE OF ENVIRONMF,NTAIt, SERVICES
. ~ ~~ UNIFIED PROGRAM INSPECTION CIIECKLIST
~E ~,i~ 1715 Chester Ave., 3~" I~ loot, Bakersfield, CA 93301
FACILITY NAME l~15~/`i~°ING (NoRt,~ INSPECTION DATE _ l U ~ '~.i1' ~ ~ _
ADDRESS e;!g41 l~ t a a5 r PHONE NO. ~ 3 ~~~ °I~l ~ "~
FACILITY CONTACT_', (,alb S~l~ M 1 ~1'r BUSINESS ID NO. 15 ~ b~ (`' OU ~.~' a ~
INSPECTION TIME ,~ O ~,,.~ NUMBER OF EMPLOYEES ~.. q
•
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate J
Visible address .J
Correct occupancy J
Verification of inventory materials J
Verification of quantities
Verification of location J
Proper segregation of material
Verification of MSDS availability ~ p ~ ~~~
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled J
Housekeeping
Fire Protection J
Site Diagram Adequate & On Hand J
C=Compliance V=Violation
Any hazardous waste on site?: ^ Yes ^ No
• Explain:
Questions regarding this inspection? Please call us at (661) 326-3979
usiness Site Responsible Party i
White -Env. Svcs. Yellow -Station Copy Pink -Business Copy Inspector:.,, ~ R~f~s Q ~ ~ d ~`
~- ~ 3 `~~°
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+ CAMPING WORLD =_________~____________________________ SiteID: 015-021-002937 +
Manager BusPhone: (661) 833-9797
Location: 6801 COLONY ST Map 123 CommHaz High
City BAKERSFIELD Grid: 25B FacUnits: 1 AOV:
CommCode: BFD STA 13 SIC Code:5699
EPA Numb: DunnBrad:
Emergency C tact / 'tle Emergency Contact / Tit.e
JOHN SCHMIDT LES MANAGER ~ ~(~ ~~~~~ /(>e~'1 ~ /'
Business Phone: ) 833-9797x Business Phone: (/p~O~~j -k'~~x~
24-Hour Phon (866 99-9895x 24-Hour Phone (~~( )lol~ -p~'~Ux
Pager Pho ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
------------
Contact fJ ~'R c~ ~T~V' M/1 Phone : ( b ~() $3 3 - g ~~ x
MailAddr: 6801 COLONY ST State: CA
City BAKERSFIELD Zip 93307.
Owner (~' 1.t~ ~ Phone : r~( ) g33 ~ ~R ~x
Address 6801 COLONY ST State: CA
City BAKERSFIELD Zip 93307
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: = Gal
TotalUSTs: _ ~ Gal
RSs: No
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
~Ilrp ~p~
2 ~ 2006
Based an 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
sub~tezt~ind believe the information is true,
~~
-1- 03/14/2006
UNIFIED PROGRAM INSPECTION CHECKLIST'?
.SECTION 1: Business Plan and Inventory Program
BASERSFIELD FIRE DEPT
Prevention Services
e
~It~ 900 Trtixtun Ave., Suite 210
~Rrir Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-217
FACILITY NAME NSPECTION DATE NSPECTION TIME
N~ L ~l loa ~ 6
ADDRESS HONE NO. O OFEMPLOYEES
FACILITY CONTACT
('~ USINESS ID NUMBER
~s-o2~-0093"7
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ~ ^ COMPLAINT ^ RE-INSPECTION
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C V ~ C=Compliance OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
~- ^ BUSIft@SS PLAN CONTACT INFORMATION ACCURATE
C~' ^
/ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
C/Y ^ VERIFICATION OF INVENTORY MATERIALS
fL~ ^
/ VERIFICATION OF QUANTITIES
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^ VERIFICATION OF LOCATION
^
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING IT'D S E 119 2006
^ VERIFICATION OF ABATEMENT SUPPLIES AND
ROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
C~ ^ SITE DIAGRAM ADEOUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ^ NO
EXPLAIN: - _ _
.QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 528-3979
Inspect (Please Print) Fire Prevention / 1" In / Shift of SitelStation #
White -Prevention Services Yellow -Station Copy pink - Buaineae Copy FD2049 (Rev. 02/05)