Loading...
HomeMy WebLinkAboutBUSINESS PLAN 7/9/2007i~ ,~ AUTOMOTIVE ENGINEERING - - ~ _. ___ ~ 516 GOLDEN STATE HWY. _ __ /~ _ _ - ,. AUTOMOTIVE ENGINEERING Manager NICK HEINTZ Location: 516 GOLDEN STATE AVE City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: BusPhone: Map 103 Grid: 30B SIC Code: DunnBrad: SiteID: 015-021-002847 (661) 327-3216 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title TERRY HEINTZ / OWNER NICK HEINTZ / OWNER Business Phone: (661) 327-3216x Business Phone: (661) 327-3216x 24-Hour Phone (661) 872-3449x 24-Hour Phone (661) 872-7125x Pager Phone (661) 619-7038x Pager Phone (661) 330-7743x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact TERRY HEINTZ Phone: (661) 327-3216x MailAddr: 516 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner TERRY HEINTZ Phone: (661) 872-3449x Address 5708 HARPY EAGLE AVE State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Prepares : --- - ~- - - TotalUSTs : = Gal Certif'd: RSs: No ParcelNo: Emergency _Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENrp ~u~ ~ ~ 20 o~ Qa,ed on my inquiry of those individuals the infermatian, I certify respcns~bie for obtaining f law that f have personally unr~er penalty o formationo is true, ex W il n the b~ tted a d believe su lete. accurate, and comp °°~ l .-~ - - 'date r Signature ~~ -1- 06/29/2007 l i, F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 200.00 FT3 Hi WASTE OIL F DH L 150.00 GAL Low HOT TANK F IH DH L 75.00 GAL Low -2- 06/29/2007 l ~ AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: BAY 5 CAS# 74-86-2 ~GasATE TYPE T PRESSURE TEMPERATURE ~ CONTAINER TYPE TPure I Above Ambient Ambient I PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co200100rFT3 Daily 200100m FT3 I Daily 200r00e FT3 nr~ZARDOUS COMPONENTS oWt. RS CAS# 100.00 Acetylene Yes 74862 nric,s~tcL r-~a a~aai~i~lvl~ 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: BAY 8 CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 150.00 GAL 150.00 GAL HAZARDO US COMPONENTS oWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 iltiGtiLCL ti. 7.7L~J.71"1P.~1V1D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 06/29/2007 F AUTOMOTIVE ENGINEERING ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HOT TANK Location within this Facility Unit BAY 7 SiteID: 015-021-002847 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# Liquid TMixture ~-AmbRient~E ~ AmbientT~E IN MACHINE/EQUIPPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average -_ 75.00 GAL 75.00 GAL 75.00 GAL - rlr~~r~tu~w5 ~ul~iruiv~iv"t"5 %Wt. RS CAS# 1.00 Sodium Metasilicate No 6834920 riHGH.tCL ,°,55L";551~1i~1V"1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 06/29/2007 S ~ AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/28/2007 ~ CALL 911 WITH DESCRIPTION OF PROBLEM. Employee Notif./Evacuation 02/28/2007 NOTIFICATION WOULD BE VERBAL. THIS BUSINESS IS SMALL IN NATURE WITH ONLY 5 EMPLOYEES, SO EVACUATION WOULD BE MADE AT ANY EXIT THAT IS SAFE TO DO SO. THEN WE WOULD CALL 911. Public Notif./Evacuation NOTIFICATION WOULD BE VERBAL. THAT WOULD BE SAFE TO DO SO. 02/28/2007 EVACUATION WOULD BE THROUGH ANY EXIT DOOR Emergency Medical Plan 02/28/2007 WE HAVE TWO INDIVIDUALS WHO ARE TRAINED IN FIRST AID WHO CAN HANDLE MINOR EMERGENCIES. FOR MORE SERIOUS EMERGENCIES, WE WOULD CALL 911. -6- 06/29/2007 P AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/28/2007 ~ SMALL OIL SPILLS ARE COMMON IN THIS BUSINESS AND ARE CLEANED UP WITH ABSORBANT MATERIAL OR WIPED UP WITH SHOP RAGS. Release Containment 02/28/2007 SPILL DYKES ARE SET UP AROUND WASTE OIL DRUMS TO CONTAIN ANY SPILL. Clean Up 02/28/2007 CLEAN-UP PROCEDURES WOULD INCLUDE THE USE OF ABSORBANT MATERIALS COMMONLY USED IN THIS SHOP. ALL HAZARDOUS MATERIALS LEFT OVER FROM A CLEAN-UP WOULD BE HAULED OFF BY OUR WASTE HAULING COMPANY. Vl.ilCl nCSC~urc:C 1~CL1vaL1OI1 -7- 06/29/2007 „ ~. F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 02/28/2007 GAS - SW CRNR OF MAIN SHOP BLDG WATER - SW CRNR OF SITE AT SIDEWALK ON GOLDEN STATE AVE Fire Protec./Avail. Water 02/28/2007 NO FIRE HYDRANT NEAR OUR SITE. Building Occupancy Level 02/28/2007 7 EMPLOYEES -8- 06/29/2007 ~~ i, '~ F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/28/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE TWO SAFETY/TRAINING MEETINGS PER YEAR, MORE IF NEEDED WITH NEW EQUIPMENT OR UPDATED PROCEDURES. rays ~ Held for Future Use _, , r_ nciu ivt rut.uic vac -9- 06/29/2007 UNIFIED PROGRAM INSPECTION CHECKLIST':' .SECTION 1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT Prevention Services a ~~ts 900 Truxtun Ave., Suite 210 ~Rtr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FAC ITYNAME,~t~~ p NSPE °~ION /T7E INSPECTIOt_NT_IME ADDRESS / f ~ ~(~ ~ HONE NO. O OF EMPLOYEES . A- C, 6C.~j[~ FACILITY CONTACT USINESS tD NUMBER 15-021-(~0 ~~C17 Section 1: Business Plan and Inventory Program ~ ~ v ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C C V (c.Compliance~ OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1QSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY.MATERIALS ENT'D N o v o ~_ o0 ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY `C~ ^ // VERIFICATION OF HAZ MAT TRAINING 1 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE _ r~J !!//~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WAS EXPLAIN: ~~ ~/~1 ON~SyI~T(~E? ~J YES ^ NO J~/IV (~ //~` ~ 1 .. l ~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 328-3979 n^•[~ r ~I(J~~ ~~ ~-~ Inspector (Please Print) Fire Prevention / t`~ In / Shift of Site/Station 1t Bus Site/School a spo arty ( Prirm White -Prevention Services Yellow -Station Copy Pink - Buainesa Copy FD2049 (Rev. lYl/OS) UNIFIED PROGRAM INSPECT~I®N CHECKLIST •SECTIO(~ 1: Business Plan and Inventory Program ~. BAKERSFIELD FIRE DEPT Prevention Services g ~>it~ n 900 Truxtun Ave., Suite 210 AI>r~ll r Bakersfield, GA 9 1 '~ Tel.: (661) 326-3 J G ,,~~ Fax: (661) 872-2171 ~~ §' FACILITY NAME INSPECTION DATE INSPECTION TIME ,'~~CI VI't~r v,Z. t/ ~ ~rN~C[,e r.~G l/ S 1 ~'b ADDRESS S'(6 hoc n z,~ s~.4-i c HONE N O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- t~DZ ~'j/'7 Section 1: Business Plan and Inventory Program ~OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C7 C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIrI@SS 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 ^ VERIFICATION OF HAZ MAT TRAINING I~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING `~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~~5~ D ~ , • li/Y~~ti. YES ^ NO •t]UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please rint) Fire Prevention / 18~ In /Shift of Site/Station # Busl ess i c I Site sp a Pa Please Prini) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05) .-. e: AUTOMOTIVE ENGINEERING BusPhone: Map 103 Grid: 30B SiteID: 015-021-002847 Manager N, L k }-~ 2 ~ N' I Z Location: 516 GOLDEN STATE AVE City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: (661) 327-3216 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title TERRY HEINTZ / O W hL ~~' N 1 CI< ~21 ~+ Z / Business Phone: (661) 327-3216x Business Phone: ((l0l )3~7 3a-!px 24-Hour Phone (661) 87a -3yygx Hower 24-Hour Phone ((~~1) $~a -IIaS x Nv+Me. P~e~ Phone (661) ~ l q -7o38x C Phone ((~61 ) 33 0 -77~ 3 x cel/ Hazmat Hazards: Fire Press ImmHlth DelHlth Contact TERRY HEINTZ Phone: (661) 327-3216x MailAddr: 516 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner TERRY HEINTZ Phone : ( 661) ~ ~' ~ -3 ~ +-~ C.i , _ __ Address ~~©~--~-=~~;,r-~~y ~~ ~:~ Avg, ~ State: CA _ City BAxERSFIELD - Zip q33 C~ ~ Period to TotalASTs: = Gal Preparers TotallJSTs: = Gal Certif'd: RSs: No ParcelNo: ' Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN of those individ~afs i ry ~3ased on my inqu Y responsible for obtaining the informatioe~rsonally w that I have p f t ~ a under penalty o with the o ~~~ examined and am familiar is true, tion ve the informa li ~OO, e submitted and be accurate, and complete. ~ ~~'~~ . _ Dat Signati -1- 01/25/2007 :, F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 200.00 FT3 Hi WASTE OIL F DH L 150.00 GAL Low HOT TANK F IH DH L 75.00 GAL Low -2- 01/25/2007 t r. ~ 3 -3- 01/25/2007 ~. _ , F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~C`~ ~ 74-86-2 ~Ga.SATE TYPE T PRESSURE ~~ TEMPERATURE CONTAINER TYPE TPure I Above Ambient I Ambient PORT. PRESS. CYLINDER Largest Container 200.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 200.00 FT3 Daily Average 200.00 FT3 ru~~xttl~~ua wl~irvlv~lvt~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 nr~~titcl~ r~5~~a~l~i~ly 1 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 Loc__a_tion within this Facility Unit Map: Grid: BAY ~ CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWaste -~mbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average 55.00 GAL 150.00 GAL 150.00 GAL riEiGHKL1VUJ 1.V1~lYV1VL'1V1~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 rlti~tit~c.l~ r-~~ a.c~a~ln~lvl5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 01/25/2007 F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847~~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ ~....._..__ ___._._ ...------_,..__ ___..r. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 75.00 GAL 75.00 GAL 75.00 GAL t1HG1~tCJJV UJ ~:vt~irvlvL' 1v 1 ~Wt. RS CAS# 1.00 Sodium Metasilicate No 6834920 ry.[~c~ss.cc.L r~~5n,a~ri~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 01/25/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient IN MACHINE/EQUIP it ,i\ ~ t F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ nyGill~y 1VV1..1111~Q1~1V11 C G~- ~ ~ q I ~ IA.J I ~'~ C~ 2SG,r ~ ~~" l ~ ~~ O-'r ~ r Ci~~ 2vv, _, r ,~ - 1~uiNlvycc lvv~.ll_ . / r,va~ua~.l~ll _ __ N o~ t -fir t L ~~ i s .-~ ~,~, ~~`~ b e V ~.r b~,,~ 'T~ ;~ b U 5 I -~ ~s s t s 5 Y---c~t i t,~ /y~.~r~11~ z. W tl'~ Cyr.[~~ ~ ~~ pl a7lzes ~ 5A c~vG.~~o..~- oar WOt/IcI b~ rn Ica ~ C...-~ e~.nr y ~~~~ -~- ~tL,e~~' t S s~~e TO ~ O s c> T1~e,f we w~v i ~ Cam` t ~ I I . V~rb~..l . ~ V~c~oti,-~~~~r wv~~ c~ t~ ctif w~, v (r~ log S c.~e 1'0 ~ t vi d v+c~.l s wl~o c~~e -1"~^u, K ~ ~ i ~+' -~~~r's~' ~Q l ~ J~'V1 Cn) ~ E? ~1 ~NC~v~f ~ f e 5 r ~Y' {~r~~~ w~v~r~ C~~ I q(l 1, O -6- 01/25/2007 - ~!! F AUTOMOTIVE ENGINEERING• SiteID: 015-021-002847 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ LCC ICQ.>-C r.LCVCll 1.1 V11 5~~.11 m', I Ski (~s a..~z C~ ~•, w,~~v i~ r~-i~s b vs~.~ess Cam. h~ U Ci.,r ~ ~l~Ci, rY ~ d V ~ tc~ i 'f' ~ ~b5 0 ~ 4~c .~t + vv- ~.~-e.~ t c... ~ ~ `~' w ~ p ~ ~- v P cv i •-I-I~ S~ a ~ •,r ~ ~ ~ , o - iCC1Cd5C 1.V11Ld1i1lLlClll. ~ ~ ~ i l cl ~~ `~. e' s ~.~ e s ~-~ ~ p c~..r v u .~ ~ ~ c~-s~-~ o ~ ( ~ r ~ wi s l.1Cdi1 U~J cc„b s vs b~ .,c-~- vv~.~;;.-~-e..r ~ ~1 s Co v-~, --n o.~ 1 ~ v s ~ ~ l~r,r ~"1~ is S ~ ~ P , ~~ 1 ~ c~ z ~~ ~ ~ v s •vY, c~,~-~,~ ~ ~ 5 l~-~~ o ve,r ~rc ~-~- c~ Gl~c~s~i u p t~,~ a v l c~ ~ ~. 1~. ~ v I ~ ~ ~ ~~ ~ y o v ~ wG. s-}-e 1.~.~ ~l~ ;~~ C'o~ ~~~ y . V1.11C1. 1cC5VUl-C:tr tiC:LlvaLlOn -7- 01/25/2007 ~ ~~~ _ + ~ F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~,~eciui nazc~rci5 = Utility Shut-Offs ~~,~ Cr~.s SV- c~' f3~sSs I ~l ~ Q Cc..~~~ ~'~ j 'Y1 P sOc.T~"L~ w e s~" CQ ~ ~~s O~ fi1~e vnr•.i.,i S~o~ ~vl lcU1~~,, I ~ ~ w~~~~ s~ v~ m-~ IOc~1v~ J`s Jo cr.1~2c1 c,_.~ s i~~ Lt~c;,,l-~ o.,! G olc~~nc ~ ~c~~e L4 ve . o ~( S o v -~-~1-- la~'e s~' ~o w i~t e ,r t~ -~ 10-~-, ,_ . ril_c rl_vt,c~../r~Vaii. vva~.c.a. ~ i-1r- ~ N k• ~ ®v c..v c 1 I In ~ v~ ~1'~ b ~ ~ nc~, ~~ ~ v ~ p c,u .,r l,vc,_-E- ems' o .-~ c~© ~~at See o~' kryow o~ ~ -~~~,~~ ~ycl~~~~ 1~~~.,~ 6 y , DU11Ullll~. VI~~: LL~JCllll:Y LCVC1 ( ~ ~v~r,,,~~ W®Y'~ ~©uv~s ~ ~, ~® TO S. ~~ /~O<-t'c~~y 1-~.b+tJ ~rir.~cxY 1 w e,'~ ~,..~ e `1 p ~G~I ~ T©~~.~ w~ e~ c~..~e 1~ ~,~~ oN c:~ ,re~vl~ ~ b ~s~c s , -8- 01/25/2007 . •. F AUTOMOTIVE ENGINEERING SiteID: 015-021-002847 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training r-, o~ e i ~ ~~ ~e e~ ~~ tv c f ~- ~~ ~ec..c~ ~ ~ v 1 ~ ~-- ~ -~~- ~ ~ v p cl ~-~- e G~ '~ r a ~ -~ fur -e s , rayc c nciu ivi ru~.uic vac nciu ivt ru~.uic V~G -9- 01/25/2007 ,, Wyk ,~ ~.~'~~ ~~ a' c~ ~~~~~ ~~~ ~_; L' ~ ~~ ~ ~ '-~ _ ~ . 4 read O _ __ !F b P~.~~~1 ~ ~ ~-~ ~ :, re.~ ~ o l C G-~.~~-. ~c~,r~ ~ ~ ~ ~ ~-~ YTtr• .~` ~ ~~ 6~ ~ ~ ~~S~ ~~~~~ _ - , ~ ~ ~ _ O~~{IC2r r, WG~^~" ~~ ~ ~ ~ ,~ _ i ~~rfC 2. O~~p'i L~ - -.. _..--- ---- r z' e S -#~~ ~ v _e ~ '6~,~ S ~ „' .~ ~~Y ~ _` w orb 6c.7 3 ~~ -~... ~y LJOr~ ~~~( `` aa.~ ~ {~ wvfi~ (3c,.y ~ ~ _ ~ r^ ok~~- 4 ~ 4 ~Nd Co~1c~~o°~° C~la>taa ~ - Prevention Services UNIFJED PROGRAM INSPECTION CHECKLIST R ,; R s r , 900 Truxtun Ave.,.Suite 210 __ _~~ a~~~_ ~ ,~~_...~-- ,~~.a__~_~s_~~_~ ~ .,~:~~ . ~~.__._ FiRe Bakersfield; CA 93301 SECTION 1.: Business Plan and Inventory Program „ ° ARr~ Tel.: (661) 326-3979 - ~, ~ Fax: (661) 872-2171 FACILITY NAME ~ INSPECTION DATE INSPECTION TIME ADDRESS S(~ ~o o~D f.~v ~,e4T ~ PHONE NO. NO OF EMPLOYEES s' FACILITY CONTACT BUSINESS ID NUM615'~21 ~ ~`~~7 SS ~ Section 1: Business Plan and Inventory Program LT ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ~^ COMPLAINT ^ RE-INSPECTION ' C V ~ C=Compliance OPERATION V=Violation COMMENTS C~ ^ APPROPRIATE PERMIT ON HAND LT ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS , ,/ L7 ^ VERIFICATION OF QUANTITIES l~ ^ VERIFICATION OF LOCATION i~ ^ PROPER SEGREGATION OF MATERIAL L!~ ^ VERIFICATION OF MSDS AVAILABILITY ,,_,/ I~ ^ VERIFICATION OF HAZ MAT TRAINING LET ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L~J ^ EMERGENCY PROCEDURES ADEQUATE B~ ^ CONTAINERS PROPERLY LABELED ' ^ HOUSEKEEPING [A~'p~r D ~, ~/ L7 ^ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZfAR~DO+U~S WASTE ON SITE? l1d'YtS ^ NO EXPLAIN: 1~-~ST~ n ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~° Y SOh /~cr{W:TO~ S~ /3 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Busln s i e Respons rty ri White -Prevention Services Yellow -Station Copy Pink -Business Copy _ FD 2155 (Rev. 09/05