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Home My WebLink AboutBUSINESS PLAN 9/29/2005UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) .326-3979 __ FACILITY NAME W PECTION GATE INSPECTION TIME -- ~'~~~.1~l.Yf_,~~CGJ-----~(.~,~ c_%r../_._ f .._..._.__..~'~__7J..~ O ...---_ .__ ...-. __._~~-d,~__ ~D ry,r,J.__..__. ------- - ADDRESS PHONE Flo. ~ ~ No. of Empbyees p~ `• .~ ----------~---- `!-F- -- S c~ ~''~ S / 2- V / `~-- - v ` O _ Business ID Numt~er FACILITYCONTACT n ~- \/ 15-021- DoZO ~( Section 1; Business Plan and Inventory Pn~gram Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ~ V=Vw atpi nn`~~ OPERATION COMMENTS l3 ^ APPROPRIATE PERMIT ON HAND 1J U BUSINESS PLAN CONTACT INFORMATION ACCURATE LJ L'1 VISIBLE ADDRESS ~^ CORRECT OCCUPANCY --J- __. ... _ -- ----~-----.. _ ___ __... .. _... -- _ __ ._. __. _.. ... _. ._..... _. .. Ll ^ ~ VERIFICATION OF INVENTORY MATERIALS _ i ~~ -- - o-mot, _ . ~ ~ p ~ ~^ VERIFICATION OF QUANTITIES ---------...-----._..------- ----._.__.. _.__. _...-- - ...r.-------_ -..- -.- __ __-_......._..__. -_ _.. .._ .----- - - -...---- ...__ __._ ^ SITE DIAGRAM ADEQUATE 8t ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES rl IVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT 661 326-3979 In 'actor (Please Print) Fire Prevention 1st-INShitt of Site WAite -Environmental Services Yelkriv -Station Copy 1~----~ Business Site Responsible PaAy (Please Print) rn Pink -Business Copy "~~- ® PERFORMANCE QUALITY AUTO X4501 GRISSOM STREET U '' T~'` CITY OF BAKERSFIELD FIRE DEPARTMENT b~ OFFICE OF ENVIRONMENTAL SERVICES •y UNIFIED PROGRAM INSPECTION CHECKLIST :W ~4ti/~~ 1715 Chester Ave., 3`d Floor, Bakersfield, CA 93301 `~WllIIW' ~1 FACILITY NAME .Pr ~ Yom.-rr-~-e V~-iry~ ADDRESS S~/ ~ his ~h-, ST FACILITY CONTACT o n ~ ter / INSPECTION TIME /y 3 y Section 1: Business Plan and Inventory Program INSPECTION DATE 9 - // - d ~ PHONE NO. ~~ 4 - S ~' -7 8' BUSINESS ID NO. 15-210- ~o~C NUMBER OF EMPLOYEES Z a~ ~~ Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency a Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ~ ENT'D Visible address Correct occupancy Verification of inventory materials ~~-o?~'t % ~n.rir~~l ji ~ ~~ 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 Containers properly labeled Housekeeping ~~, C~ t ~e~ // Fire Protection l ~' ~ F F / c "e-. Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous was a on site?:~ ~es ^ No • Explain: \ Questions regazding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy i~ ~j ,Business Site Responsible Party I,n~spector: + PERFORMANCE QUALITY AUTO ____________________________ SiteID: 015-021-002086 + Ma~.ager Location: 4501 GRISSOM ST City BAKERSFIELD BusPhone: (661) 834-5578 Map 123 CommHaz Low Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RON DYER / OWNER / Business Phone: (661) 834-5578x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x ~'Hazmat Hazards:- - _ Fire - DelHlth Contact Phone: (661) 834-5578x MailAddr: 4501 GRISSOM ST State: CA City BAKERSFIELD Zip 93313 ~; Owner RON DYER ~ Phone: (661) 834-5578x Address 4501 GRISSOM ST State: CA City BAKERSFIELD Zip 93313 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 e~~~d on inquiry of those individuals rQ°^F>~ =~~' ~ ~ taining the information, I certify ~ un~'Y r~'~-' f law'that I have personally exams^~r a, jn familiar with the information S~~hm"~^~' ~a 'elieve the information is true, o--- _ r~Z~ Signature Date . EN1"~"~~~ 0 7 2006 ~\o a ~~0 4 y5°~ I I -1- 06/05/2006 t ,. M ~. ?~a~5~ PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 Manager Ian .~J "~ BusPhone: (661) 834-5578 Location: 4501 GRIS~OM ST Map 123 CommHaz Low City BAKERSFIELD Grid: 15D FacUnits: 1 AOV: ~. CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RON DYER / OWNER / Business Phone: (661) 834-5578x Business Phone: ( ) - x 2 4 -Hour Phone (Cowl ) ~3t 4 f ?A x 2 4 -Hour Phone ( ) - x Pager Phone (~,~) S~ -Z~r~ x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Y`_ rp-- Phone: (661) 834-5578x MailAddr: 4501 GRISSO ST State: CA City BAKERSFIELD Zip 93313 Owner RON DYER Phone: (661) 834-5578x Address 4501 GRISSOM ST State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN - ST EN~J~N 07 2007 Based on my in~ra,i~y afi those individuals onsibka fir obt~ihiH9 the information, I certify resp under pEnaliy of ita~u that i have personally examined and em f&rr~lliar with the information submitted and bell®ve the information is true, accur , and c mplete. 5 ~L3~~ _ Signature Date -1- 05/16/2007 r F PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL F DH L 55.00 GAL Low TRANSMISSION FLUID F DH L 55.00 GAL Low COOLANT F IH L 55.00 GAL Low MOTOR OIL F DH L 55.00 GAL Min -2- 05/16/2007 -3- 05/16/2007 F PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 ~ ~ 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: ~-~t--~: ,,,~ ~l ~v~ 2~„~ e ~ CAS# 221 ~ ~.~.., STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ril-~G1iKLVU~ 1;V1~lYV1VI;1V 15 °sWt . RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riHGHKL HJ J~5J1~1L'1V1a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~ °1~ Co+atJ~ ~ ~t STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average TTT ATTTI/1T TC~ /9 /'YT?Tll'1TTTITTT l7 - - _ -. _.. - nric~rucLV~.~ ~.vrirvlvr~1v1.7 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 IIHGHCCL H. 7 ~.7 L', w7 w71T1L" 1V 1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 05/16/2007 ,- ' F PERFORMANCE QUALITY AUTO ~ Inventory Item 0004 ~ COMMON NAME / CHEMICAL NAME I COOLANT SiteID: 015-021-002086 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Location within this Facilit Unit Map: Grid: S VJ ~o +r-/~t~" CAS # r ~~ ~~~~~ w+~ STATE Liquid TYPE PRESSURE TMixtur~mbient ~ TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~ ~ ~ ' L~ _c,~,~_. __. j~ a.,Q GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Ethylene Glycol No .107211 riAGAitL ASSli~51~1iS1V-15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: !N C.a-tlr-d1 ~e~r- CAS# ~ ~ S ~Y.~-C 8020835 Liquid TMixtur~ Ambient~E ~ T~PeRATURE ~OVEOGROUNDRTANKE AMOUNTS AT THIS LOCATION Large t Container Daily Maximum ~~Dal Average ~- - ~ _ ru~~,tircLVUa ~vl~irviv~lV 1 ~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riHGEittL H. 7.7~.7.'~1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 05/16/2007 F PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tly Clll.y 1VV 1.1111.:d 1..1 V11 rJlll~J1V~/CC 1VV~.11 / tSVdCUdl.1V11 _,_ ~ i., t I.LJ.J111. 1VV l.lt ~ P~VQI.:Udl.l Vll ~LtlC l.yClll,:y 1.1CU1C:d1 t'1d11 -6- 05/16/2007 F PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ 1CCICGL~C t'1CVCll l.1 V11 Release Containment c_:iea.n up ~~~~`~ ~- Other Resource Activation -7- 05/16/2007 F PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oNc~.iai nac.aiu~ v~.s.ii~.y ~iiu~-viii - r-ire rrotec.~AVai1. water Building Occupancy Level 12/08/2006 2 EMPLOYEES -8- 05/16/2007 F PERFORMANCE QUALITY AUTO SiteID: 015-021-002086 ~ Fast Format ~ ~ Training. _ Overall Site ~ ~ Employee. Training _ l ruyC ~ Held for Future Use nciu ivi. ru~.uic u~c -9- 05/16/2007