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Home My WebLink AboutBUSINESS PLANII ~ VENTURE OUT RV'S ~ - _ - - _- - - _J ~ 6801 COLONY STREET f/ \ ~- .. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST'` e F R s F. p 9o0TruxtunAve., suite 210 FIRE Bakersfield, CA 93301 SECTION 1:. Business Plan and Inventory Program ~ aRTM Tel.: (661) 326-3979 - ~ Fax: (661) 872-2171 FACILITY NAME - INSPECTION DATE INSPECTION TIME ~) ~ V ' D' ~ ADDRESS PHONE NO. NO OF EMPLOYEES ~ D L-6 N FACILITY CONTACT BUSINESS ID NUMBER ~ ,~~LL 15-021- ~~ ~C~' J 7 --- 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 Via- U.- ~ ^ ^ SIf1G'SS PLAN CONTACT INFORMATION ACCURATE C~ , (`~ j3 'J~ ^ ^ VISIB E ADDRESS Z ~1A~ ^ ^ CORREC OCCUPANCY ^ ^ VERIFICATION,OF INVENTORY MATERIALS ^ ^ VERIFICATION O QUANTITIES ^ ^ VERIFICATION OF LO ATION ^ ^ PROPER SEGREGATION F MATERIAL ^ ^ VERIFICATION OF MSDS AV LABILITY ^ ^ VERIFICATION OF HAZ MAT TR INING ^ ^ VERIFICATION OF ABATEMENTS PLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQU TE / ~ ~~ ~~~~~~ G - ^ ^ CONTAINERS PROPERLY LABELED ~~ U C ~ ~~ ~ ~ /2 /.~ ~ ^ ^ HOUSEKEEPING ~ ^ ^ FIRE PROTECTION 0 ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTION~S..R~EGxARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~L~-~S Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Business Site /Responsible Party (Please Print). White -Prevention Services Yellow -Station Copy ~ Pink -Business Copy FD 2155 (Rev. 09/05 ~`, ^ YES ^ NO 44~~ FAR 4y ~ ~~ ~ ~ C~ .y p ~, `~k'R r-44;dr CITY OF BAKERSFIELI) FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I~ toor, Bakersfield, CA 93301 FACILITY NAME~I~1 U~~F dui ; V ADDRESS ~f ~Dl C'oL®N~ ~ FACILITY CONTACT_~': /~fA~uk~- A~Ls'olV INSPECTION TIME ~~ r,,r~. INSPECTION DATE /!//aZ~~Uf _ PHONE NO. 9 31-.5' ~ S"l BUSINESS ID NO. 15-~1- Uri NCIMBER OF EMPLOYEES S°.f' Section l: 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 Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability a ~ ~ y Verification of Haz Mat training Verification of abatement supplies and procedures _Emergency procedures adequate Containers properly labeled J Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ^ No • Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy Business Si~ Responsible Party Inspector:/iJ~/J~z[~ /D~yN v//t ~~~ ~O ~ Y' r- S VENTURE OUT RV Manager Ro ~~~~ ~TIWF: 1 I Location: 6801 COLONY ST City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: Map 123 Grid: 25B SIC Code: DunnBrad: SiteID: 015-021-002917 (661) 831-5451 CommHaz Extreme FacUnits: 1 AOV: Em ~ on 'c~t~ / Title Emerge y ontact / Title / PARTS/SERV DIR C~Bz '..,S / PARTS/BERN DIR Business Phone: (661) 831-5451x Business Phone: (661) 831-5451x223 24-Hour Phone (j~) ) X1753 -Co731 x ("C5vi1) 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact ~a~~irL ~~~J ~ ~ Phone: (661) 831-5451x MailAddr: 6801 COLONY ST State: CA City BAKERSFIELD Zip 93307 Owner BUDDY MALTONE/LEE FITZGERALD Phone: (661) 831-5451x Address 6801 COLONY ST 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 - ce/ HAZ WASTE GEN EIVT'D n U~ j "zseu+ on my inr~~air~~ of ±h:~~ ~ ~ ~. ~e indiv~c,u,~,;, re~~iwn~!bJif? i; i ~ ~'( i r ~ 0 ~~ tFlc? Int~rn1~iiL~n, i C'3ititV under penalt~~ c' is,~,, that i h 2ve , pe~sonaiij aXamir;ed ~ ~-_: am f,~ miiiar ~~?ith the inforn2tion submittP ~ a ,c+ b^li8ve the ~~'.~rmation is true ' , accura z, ".cd co;~plete. "--- ~ ~~~~ Scgnature Date -1- 07/16/2007 r _~ F VENTURE OUT RV SiteID: 015-021-002917 ~ ~ Hazmat Inventory By Facility Unit a ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 1500.00 FT3 Hi WASTE OIL F DH L 300.00 GAL Low LUBE OIL F DH L 480.00 GAL Min WASTE PAINT F DH L 55.00 GAL UnR -2- 07/16/2007 ~~ -3- 07/16/2007 'fl -, F VENTURE OUT RV SiteID: 015-021-002917 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP CAS# 74-98-6 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure ~AbOVP_ Amhi Pnt I Amhi Pnt I PORT PRF~~ _ (''YT,TNI~RR I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1500.00 FT3 1500.00 FT3 1500.00 FT3 _ 111iGKRLUUJ 1..U1~lYUlV2S1V1J oWt. RS CAS# 100.00 Propane Yes 74986 I11iGKKL liJ Jr,JJ1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE E WALL OF SHOP CAS# 221 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 300.00 GAL ( 300.00 GAL rJ.L"]L.iP9LCLVUJ l.Vl•12'V1V L'1V1J %Wt• RS CAS# 100.00 Waste Oil, Petroleum Based No 0 r1tiL~tiLCL 1-1J JP.~J J1~1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 07/16/2007 -r F VENTURE OUT RV SiteID: 015-021-002917 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LUBE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixtur~ AmbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 480.00 GAL 480.00 GAL I 480.00 GAL I11iGLi.RLVU.7 l.Vl"lYUlV~1V 1 J %Wt• RS CAS# 100.00 Lubricating Oil (Petroleum-Based) No 8020835 l12iGH1LL L-1.7 .7~.7.71~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE PAINT Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W WALL OF SHOP CAS# Liquid TWaste ~ AmbRient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ruyuril~l~vUa L.v1.1rv1vP~1V1J '°Wt• RS CAS# 100.00 waste Paint Sludge No 0 r1tiGliiCL Lii J iJ ~.7.71"11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -5- 07/16/2007 ;r F VENTURE OUT RV SiteID: 015-021-002917 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/22/2007 ~ IF EMERGENCY OCCURS, 911 IS CALLED. IF EVACUATION IS REQUIRED, EMPLOYEES ARE INSTRUCTED VIA PA TO EVACUATE TO ASSEMBLY POINT AT NE CRNR OF FRONT PARKING LOT. Employee Notif./Evacuation 03/22/2007 EMPLOYEES ARE INSTRUCTED VIA PA AND NEXTEL AS NEEDED TO EVACUATE FACILITY AND TO PROCEED TO ASSEMBLY POINT AT NE CRNR OF FRONT PARKING LOT, AND REPORT TO THEIR MANAGER OR SUPERVISOR. Public Notif./Evacuation 03/22/2007 PUBLIC IS NOTIFIED IN SAME MANNER AS EMPLOYEES, VIA PA, AND INSTRUCTED TO USE CLOSEST EXIT AND PROCEED TO NE CRNR OF PARKING LOT. Emergency Medical Plan 03/22/2007 CALL 911 IMMEDIATELY, THEN CONTACT DEPT SUPERVISOR. -6- 07/16/2007 s P VENTURE OUT RV SiteID: 015-021-002917 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/22/2007 ~ USE OIL RECOVERY TANKS AND PAINT RECOVERY SYSTEM TO PREVENT RELEASE OR SPILLAGE OF HAZMAT. PROPANE TANK SERVICED BY DELTA LIQUID ENERGY, NOT FOR RETAIL, SHOP USE ONLY IS LOCATED OUTSIDE AT SW CRNR OF SITE. Release Containment 03/22/2007 USED PAINT IS STORED IN APPROVED CONTAINERS (55-GAL) AT WEST END OF SHOP. USED AND NEW LUBRICATION OIL IS STORED IN ABOVEGROUND TANKS AT EAST END OF SHOP. Clean Up 03/22/2007 IN THE EVENT OF OIL SPILL, OIL IS TO BE RECOVERED AND PUT IN WASTE TANK, RESIDUAL OIL IS TO BE CLEANED UP WITH OIL ABSORBANT GR.ANNUALS. Other Resource Activation -7- 07/16/2007 r F VENTURE OUT RV SiteID: 015-021-002917 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~1C1:1d1 nd~diu5 Utility Shut-Offs GAS: EXTERIOR E END OF BLDG IN DETAIL AREA ELECTRICAL: SE CRNR OF BLDG INTERIOR RM WATER: EXTERIOR SE CRNR OF BLDG ON LOADING DOCK 03/22/2007 Fire Protec./Avail. Water 03/22/2007 FIRE EXTINGUISHER, SPRINKLER SYSTEM FIRE HYDRANT: S FENCE ADJ TO SHOP, E END OF SHOP IN DETAIL AREA, S END OF COLONY ON W SIDE OF ST, AND SALES LOT 40FT N OF BLDG. Building Occupancy Level 03/22/2007 EMPLOYEES ~~ -8- 07/16/2007 ~, ,a P VENTURE OUT RV SiteID: 015-021-002917 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY SAFETY MEETINGS ARE CONDUCTED BY MANAGERS OF DEPTS. rciyc L Held for Future Use nc.LU ivi ru~uic use -9- 07/16/2007 ~C V' ~ J\ ~~VENTURE OUT RV SiteID: 015-021-002917 s ,Manager +~SF'6 ~R~~- ~ BusPhone: (661) 831-5451 Location: 6801 COLONY ST Map 123 CommHaz Extreme City BAKERSFIELD Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title J MANUEL CARLSON / PARTS/SERV DIR CODY WALTERS / PARTS/SERV DIR Business Phone: (661) 831-5451x Business Phone: (661) 831-5451x223 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: - Fire _Press _ImmHlth--DelHlth Contact ~~M e>ARROLL. Phone: (661) 831-5451x MailAddr: 6801 COLONY ST State: CA City BAKERSF IELD Zip 93307 Owner l31JJu)Y N1a4CTpAS~/t-~~ F'ST-~G~RA1~ Phone: (661) 831-5451x Address 6801 COLONY ST State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Prepares: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN - f?ased on my inquiry of -those indiviruais resp;?nsible for obtaining the information, I certify under penalty of law that t gave personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signature Date ~~~~ ENT Mq R ~ 2 z0o~ -1- 02/20/2007 F~ VENTURE OUT RV ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002917 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 1500.00 FT3 Hi WASTE OIL F DH L 300.00 GAL Low LUBE OIL ~F DH L 480.00 GAL Min WASTE PAINT F DH L 55.00 GAL UnR -2- 02/20/2007 -3- 02/20/2007 ,-VENTURE OUT RV Si F teID: 015-021-002917 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facilit Unit Ma Grid y p: : INSIDE SHOP CAS# 74-98-6 STATE T TYPE ~GdS I Pure PRESSURE ~ Above Ambient I TEMPERATURE Ambient ~ CONTAINER TYPE ~ I PORT. PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1500.00 FT3 1500.00 FT3 1500.00 FT3 - _ HAZARDOUS COMPONEN-T-S °sWt • RS CAS# 100.00 Propane Yes 74986 17tiL~tiRL LiJ JP~J Jl"1P~1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No. No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE E WALL OF SHOP CAS# 221 ~Liquid~TWaste -~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 300.00 GAL 300.00 GAL iaraurutLVVO L.V1•lr V1V L~1V1J -- %Wt• RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ru-a[~n[c1~ 1'i JJP.+JJ1"11j1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 02/20/2007 F~"VENTURE OUT RV SiteID: 015-021-002917 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LUBE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixtur~ Ambient ~ Ambient_ DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 480.00 GAL 480.00 GAL 480.00 GAL - riAY,1~KLCJV~ 1:V1~lYV1Vl";1Vt-S %Wt. RS CAS# 100.00 Lubricating Oil (Petroleum-Based) No 8020835 t1HGF1KIJ AS~J;S~1~1J;1V~1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE PAINT Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W WALL OF SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL rit-~GEiCCLVUD 1:V1~lYV1VL'1V1~ %Wt. RS CAS# 100.00 waste Paint Sludge No 0 rJE~GHKL H.7JL' J.71~1L' 1V l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -5- 02/20/2007 F~~VENTZJRE OUT RV SiteID: 015-021-002917 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notifcaton_ , G-'1~'~(`,ltita 9 ~ ~ .vO . ' ~ ~ ~N/~ ` ae~ ~L- 9 9 Employee---Notit : /Evacuation _ - - - - rr~.¢~a~~ ~ eye ~ ., N~~ ~~ ~ ~ . ~ ~~~ Public--NOt~if ~ /Evacizat-ion ,~~~~ ,;~,~ ,yin ~Zam~¢. ~ice~lznl~+- ago ~ Emergency Medical Plan; .~~""u~tv",c ryCmae~i,•s.G~ c-c cuwo-, 9~~ ,~,;, .td ,~ Grimm O .~i~,.v~oG,a~,~.. c ~j~-a~y.u-uu:~e~--, -6- 02/20/2007 ~ F~>VENTURE OUT RV SiteID: 015-021-002917 Fast Format ;~~Mitigation/Prevent/Abatemt Overall Site ~I~-= ~ ~ .;Release Prevention c~ cu.L ~zccocwul e~ a,+.aL~oae~n~~~¢.Ce~tta~y ,~v ~~m, ~~~~ ~-0~~ ~~f~.y ~ec~i a~~acaL~ ~~aS~ O 9 9 Release Containment L~~ ~C?~~~fjlt~j .60 ~-~ ~.~~ g~ L..1GQ11 VjJ- ~ ~~ ~,G Vl.ilCL xesc~urce AcLlvaLlon `7` 02/20/2007 F. VENTURE OUT RV SiteID: 015-021-002917 ~ r ~ Fast Format ~ ~~ Site Emergency Factors Overall Site ~ _ ~ Special Hazards Utility .Shut-=Of-f-s--~_ - -~- - - -- - ~~. ~ ~~ ~ ,~ i-iic riv~..c~,.. / rivai.i.. vva~c.L /j ~f~ ~•. ' ~~`~~~~~ = Building Occupancy Level ~Q Q/ -8- 02/20/2007 ~ ~ ;~ F a' TENTURE OUT RV SiteID: 015-021-002917 ~ Fast Format ~ Training_ ~ Overall Site ~ ==Employee Training 7'Yt6 ~L,¢_ Ci~L~ L.~iG ~. ~P_age:~ 2, nciu iii r u~.uic ~~c nciu ivi r u~.uic v5c -9- 02/20/2007 UNIFIED PROGRAM INSPECTION CHECKLIST ~? itlk~+ .: nq"~? ...-i*.a'!'i4 iJ v.e'^'.e.: ..... a k 'a;•~- ,t ...; :':'. i't .... _~-':-. .• ... ..:. ,'. ~~: ..:~'......:.. ....ua.c, ...:...:', .:~.: SECTION 1: Business Plan and Inventory Program y • BASERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-21?,;1 FACILITY NAM NSPECTION DATE INSPECT~O ~ ME ` FJ ~~T ~ ~ ~ ~,, D ;r3 ADDRESS HONE NO. O O EMPLOYEES ~v ~~ ,ls ~' - S~,s" I 0 FACILITY CONTACT USINESS ID NUMBER ,s-oz,- 04a~ 17 ~ u i i S®ction 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY i ^ COMPLAINT ^ RE-INSPECTION C V (c=Comptiance~ OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSfr12SS PLAN CONTACT FNFORMATtON ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS - VERIFICATION OF QUANTITIES ~~_~ ~~/ `l~dNU ~~1~i`A L- ^ 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 ENT"D ^ HOUSEKEEPING I~ ~^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ~ ~~_ ANY HAZARDOUS WASTE ON SITE? l~ YES ^ NO EXPLAIN: _ /// ''~~~`'' _ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3979 ,2ynlo~- /.~-~ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/S18tion if wlt/ ~Rr~r } ~,p^ u~/~v r UVi\G,l,!'' White - Prevention Sorvices Yellow -Station Copy Pink - Buainesa Copy FD2049 (Rw. 04/05) '.:a + VENTURE OUT RV ______________________________________ SiteID: 015-021-002917 + Manager BusPhone: (661) 831-5451 Location: 6801 COLONY ST Map 123 CommHaz High City BAKERSFIELD Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title E ergency Contact / Title J MANUEL CARLSON / PAF~,TS/SERV DIR ~(~>~ ~Ik(,,')"~,S /''S1~S{.YV, ~I~ Business Phone: (661) 831-5451x Business. Phone: (lolal) ~ 31 - Sr:~Ix ZZ3 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x' Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 831-5451x MailAddr: 6801 COLONY ST State: CA City BAKERSFIELD Zip 93307 Owner Phone: (661) 831-5451x Address 6801 COLONY ST 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 ENT'D ~ u N ~ s Zoos Based on my inquiry of those individuals responsible for obtaining the information, I certify underr~eenalty of law that I ve personally submit ~d apXi familiar ith ~e information ~~ b lieve t~ infor ation is true, ~„ ~~ ~. _ ~ ~~ re ~, Date -1- 03/14/2006