HomeMy WebLinkAboutBUSINESS PLAN (3)v 1__
~ ~ RITE AID DRUG STORE
1425 SO. "H" STREET ~ _ ~---
f4 ,z
+ RITE AID DRUG STORE 5811 ____________________________ SiteID: 015-021-002029 +
Manager MARK MONTANIO BusPhone: (661) 833-1680
Location: 1425 S H ST Map 124 CommHaz High
City BAKERSFIELD Grid: 06C FacUnits: 1 AOV:
CommCode: BFD STA 05 SIC Code:5912
EPA Numb: DunnBrad:
.Emergency Contact / Title Emergency Contact / Title
MARK MONTANIO / MANAGER MARCIA YOURGULEZ / ASST MANAGER
Business Phone: (661) 833-1680x Business Phone: (661) 833-1680x
24-Hour Phone (661) 869-0912x 24-Hour Phone (661) 873-1733x
Pager Phone (661) 805-1136x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact TODD CRABTREE Phone: (661) 322-6073x
MailAddr: 1425 S H ST State: CA
City BAKERSFIELD Zip 93304
Owner RITE AID CORP Phone: (717) 761-2633x
Address PO BOX 3165 State: PA
City HARRISBURG Zip 17105
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
~N~~ ®~ ~ ~ ~ X886
-1- 03/09/2006
UNIFIE6 PROGRAM INSPECTION CHECKLIST`
.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
4 p 1Prevention Services
rw~Rl 900 Truxtun Ave., Suite 210
ARrAI f gakersfleld, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME .. ,/ NSPECTIO
N DATE INSPECTION TIME
/ v 1 ~ { r
/
~~~ / 'Q ~O ~
~
ADDRESS r HONE NO.
d O OF EMPLOYEES
'
~ e
` x;33-/68 /
FACILITY CONTACT USINESS ID NUMBER
15-021- Cdr Zd2.]
Section 1: Business Plan and Inventory Program 3' S~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ Business PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS ,: , ~ ~ ~ ~~~~'
Fd ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS ~~~ ~ -
^ . VERIFICATION OF QUANTITIES 1
`
^ VERIFICATION OF LOCATION y
l/
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY - /.~1 G~~ ~ /~
/ ' ~/
^
VERIFICATION OF HAZ MAT TRAINING _
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
(~' ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
/~ltt ~ ~ ~~-- e~ f ~-~T~~~
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? YES fjd N
EXPLAIN:
.QUESTIONS REGARDING THIS INSPECTION? PLEA8E CALL US AT (861) 326-3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Sfte/Stetion q
White -Prevention Services Yellow - Station Copy Pink -Business Copy FD2049 (Rev. 02/05)
UNIFIED 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 ~ . INSPECTION DATE INSPECTION TIME
. -___-_ ---- _ ......__...._ ...............---_ _._.-._. --------_--- -- --.i: - .._..__...---
ADDRESS 11 PHONE No. / No. of~Empl/oy~ees
FACILIIYCONTAC~.~~~ ..~-=-1~--~~-,----...--------------- -...._._...____.__---_..._____-_....._- __. __- ~~~/buO ---G~J- --- -
//~~ Business ID Number
IlGro n i c- ~~-- t~--~~ V ~7,. 15-021- c~G >=~~~
Section 1: Business Plan and Inventory Program
Routine O Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection
C V l V=Vio ati%nn~ l OPERATION COMMENTS
~^ A
PPROPRIATE PERMIT ON HAND
R
T
B
^
A
USINESS PLAN CONTACT INFORMATION ACCU
E
"
^ V
ISIBLE ADDRESS
CT OCCUPANCY
^ C
R
RE
O
^ " VERIFICATION OF INVENTORY MATERIALS
^ V
ERIFICATION OF QUANTITIES
^
V
ERIFICATION OF LOCATION
.
^ P
ROPER SEGREGATION OF MATERIAL
_~J- _ .._- - -"----- - - -- -- - - __ ._ -- . _. _ _
Qi7 ^ VERIFICATION OF MSDS AVAILABILITYE _... ---. _ ._ _. - -_._. ....
^ VERIFICATION OF FIAT MAT TRAINING ! ~f-~ ,~r _ PrQ~ '1~ ~~ ~~ C,' (L ~p ~
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
-. _ ...
^ iy~' EMERGENCY PROCEDURES ADEQUATE
-------- _._._
-----
_
---
-- _
~ ~~ ~ ~ ~~ S
.
...-------
__
-
-
^ ^ CONTAINERS PROPERLY LABELED I
^ HOUSEKEEPING
--- . _ ._- - --- _- __- --- .. _. .
. .. .. ---
~ ~'~ G ~~~5
_-~~~ ~.~-~.~ ~_ro U h_~
^. FIRE PROTECTION 1
- -- -------- -----.. ..._..
^ SITE DIAGRAM ADEQUATE ~ ON HANG -i -- -._..__.._... _ _ __-_.. _...--. .
ANY HAZARDOUS WASTE ON SITE?: ^ YES L~J NO
EXPLAIN:
•
QUESTIONS REGARDING THIS INSPECTIONZ PLEASE CALL US A7 ~66') ~ 326-3979
Mike- ~~~.v-g ~~ (~ ~-
Inspector (Please Print) Fire Prevention 1st-In/Shik of Site
White - Ernironmental ServiC~ Yellow • Station Copy
Business R sible Party se Print)
a
Pink • Business Copy
+- i
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME INSPECTION DATE ~ INSPECTION TIME
_5~~~_-- --- --- --
-~..------------1---~ ------r-`-~--- ---------f-----q,}- ~..~-Q~---~~ ---------- PHONE No.` No. of Employees
ADDRESS `r
1 ~ d33-/Lr30~--- --
FACILITYCONTACT Business iD Number
~ L•A,w~ ~ 15-021-G~zoZq
Section 1: Business Plan and Inventory Program
O Routine ^ Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection
C V ncel OPERATION
Pl COMMENTS
)
\V=Vioa
on
^ APPROPRIATE
PERMIT ON HAND l~ Lpp3
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
~. ^ VERIFICATION OF INVENTORY MATERIALS r
^ VERIFICATION OF QUANTITIES / ~ ~ ~f /~+'~ ~t 1 L
^ VERIFICATION OF LOCATION ~"
^ PROPER SEGREGATION OF MATERIAL /
^ VERIFICATION OF MSDS AVAILABILITYE ''~^~r~ ~ 'G'd°:~~ ~ r_,;~
~. ^ VERIFICATION OF HAT MAT TRAINING f,.; .:- ,~ r ,R. ~~ ~
_~
_ ~~ ~ ~_ '
`~,I ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~'r;>s... ~~,/' ``''"~ "`~'
a
~~
^
EMERGENCY PROCEDURES ADEQUATE ..~..a+'Lf..~.ILM' /•-/ / ire
~ a ~ 7
~I ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
-
- ^
--- FIRE PROTECTION
----- ----------- -
----
--
-
--------
--
-
{
y
~
,
,1~ ^ -
SITE DIAGRAM ADEQUATE St ON HAND ---------
-----
-
------------
-
ANY HAZARDOUS WASTE ON SITE?: ^ YES ~'NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector Badge No
White • Environmental Services Yellow - Slatan Copy
v
t~. ---
Business Site Responsible Party
Pink -Business Copy