HomeMy WebLinkAboutBUSINESS PLANI ' ~~
~ Y
~~ ~ i~ COB - BFD STATION 1
_ ~_ --_ - - ~I " 2101 H STREET l
~~ -
l- - - _ - ___ - _ - - -- - - - _--- --- -
UNIFIED PROG-RAM INSPECTION- CHECKLIST ' ~ prevention Services
e . e R s ~ , „ 900'IYuxtun Ave., Suite 210
;~._~.~~~e_ __.~.~ _...~A~~~A~a~_._~~ ..~-~~__.~,c-~ __. ,_-~:m.m,~.~~~~,._ ~-~m.___,~ FIRE Bakersfield, CA 93301
SECTION 1: Business Pian and Inventory Program r°'~'"' - Tel.: (661) 326-3979
- ~ -Fax: (661) 872-2171
FACILITY NAME ~ INSPECTION DATE INSPECTION TIME
~; r l3la a~
ADDRESS PHONE NO. O OF EMPLOYEES
FACILITY CONTACT - BUSINESS ID NUMBER
15-021-vooQ3 ~ .
Section 1: Business Plan and Inventory Program
[~OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
Q~ ^ APPROPRIATE PERMIT ON HAND
i~ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
i~ ^ VISIBLE ADDRESS
I~ ^ CORRECT OCCUPANCY
(S ^ VERIFICATION OF INVENTORY MATERIALS
(~ ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
i~ ^ PROPER SEGREGATION OF MATERIAL ,
Y ^
CC VERIFICATION OF MSDS AVAILABILITY
r
L7 ^ VERIFICATION OF HAZ MAT TRAINING
i~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
i~ ^ EMERGENCY PROCEDURES ADEQUATE V~
^ CONTAINERS PROPERLY LABELED o6
i~ ^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION'?RJPLEASE CALL US AT (661) 326-3979 qI
tl l ~0.~1c~-~ ~ v f I'~ ~k~
Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party (Please Print)
_-White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105
^ YES ~O
~~ _
BAKERSFIELD FIRE DEPT 1
Manager CAPTAIN
Location: 2101 H ST
City BAKERSFIELD
CommCode: BFD STA~Ol
EPA Numb:
SiteID: 015-021-000934
BusPhone: (661) 326-3911
Map 102 CommHaz Moderate
Grid: 25B FacUnits: 1 AOV:
SIC Code:
DunnBrad:
............
Emergency Contact / Title Emergency Contact / Title
RONALD J FRAZE / FIRE CHIEF /
Business Phone: (661) 326-3911x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
..............
Hazmat Hazards: Fire Press ImmHlth De1Hlt~i
.............
Contact CAPTAIN Phone: (661) 326-3911x
MailAddr: 2101 H ST State: CA
City BAKERSFIELD Zip 93301
Owner CITY OF BAKERSFIELD Phone: (661) 326-3911x
Address 1501 TRUXTUN AVE State: CA
City BAKERSFIELD Zip 93301
.............
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG T - ABOVEGROUND STORAGE TANK
Based on my inquiry of those individuals
responsible for obtaining the Information, I certify
under
enalt
f l
h
p
y o
aw t
at I have personally
~
examined and am familiar with the information
FEB
2
submitted and believe the information +s true, 2
007
accurate, and complete.
~ ( ,~ , ~`~
Signatur Date
-1- O1/25/~007
z' '
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-00093 ~
~ Hazmat Inventory By Facility Urit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MrP
GASOLINE F IH L 500.00 GAL Mid
DIESEL F IH DH L 500.00 GAL Mod
SOLVENT F DH L 100.00 GAL Mod
MEDICAL OXYGEN F P IH G 1350.00 FT3 Low
KEROSENE F DH L 55.00 GAL Low
COMPRESSED AIR G 5000.00 FT3 Min
2-CYCLE OILS L 75.00 GAL Min
CLASS A FOAM L 15 0. 0 0 GAL t7riR
A FFF FOAM L 150.0 GAL UZR
GOLD CREW LIGHT WATER L ~ 00 GAL IIiR
~ ~, aA y~;l. ~,~,~
-2- 01/25/2bo7
-3' 01/25/2007
f ~
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-000934 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
GASOLINE Days On Site
365
Location within this Facility Unit Map: Grid:
50 FT N OF NW CRNR OF BLDG CAS#
8006619
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION -
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL 350.00 GAL
t1HY,HKLVUJ 1.:V1~lYV1VL'1V15
~Wt. ~ RS CAS#
100.00 Gasoline No 8006619
t11~GHttL 1-~~.7~Ja1~1~1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~
No No No No/ Curies F IH / / j Merl
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
DIESEL
Location within this Facility Unit
50 FT N OF NW CRNR OF BLDG
STATE TYPE PRESSURE
Liquid TMixture~Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
68476302
TEMPERATURE CONTAINER TYPE
Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION ""
Largest Container Daily Maximum Daily Average
500.00 GAL 500.00 GAL 350.00 GAL
nxc~i-itc,l~vva ~.viYirvlv~ly i ~
°sWt. RS CAS#
100.00 Diesel Fuel No. 2 No 684763b2
riEiGHKL 1~JJ~J51~1~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCh
No No No No/ Curies F IH DH / / / Mdd
-4- Ol/25/~~07
F BAKERSFIELD FIRE DEPT 1
~ Inventory Item 0011
COMMON NAME / CHEMICAL NAME
SOLVENT
Location within this Facility Unit
N OF FUEL TANKS
SiteID: 015-021-00093 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
Liquid TMixture ~ Ambient~E ~ AmbientT~E OTHERONTSPECIFYYPE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
100.00 GAL 100.00 GAL 100.00 GAL
ru~GxttLVU~ ~vrirvlv~ivi~
%Wt. RS CAS#
100.00 Naphtha No 8030306
riHGHKL AJ~7~J.51~1L"1V1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No Noj Curies F DH / / / Mad
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
MEDICAL OXYGEN
Location within this Facility Unit
COMPRESSOR RM MAINT SHOP
STATE TYPE PRESSURE _
Gas TPure ~-Above Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7782-44-7
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION "'"
Largest. Container Daily Maximum Daily Average
FT3 1350.00 FT3 1100.00 FT3
ns~GrucL~ua ~.vinrvlv~tvta
%Wt. RS CAS#
100.00 Oxygen, Compressed No 778247
tiHGHtCL L~.7.7~.7J1~1L'1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Law
-5- 01/25/2007
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-00093 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
KEROSENE Days On Site
365
Location within this Facility Unit Map: Grid:
REAR YARD BY FUEL TANKS CAS#
8008-2C7=6
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
tiHGH.KLVUJ cvlnr~ivrivl5
~Wt. RS CAS#
100.00 Kerosene No 708921b3
t1L~GHtCL tip 51;~ al~ll;ly l w7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / L~i4v
~ Inventory Item 0014 Facility Unit:- Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
COMPRESSED AIR Days On Site
5000 PSI 365
Location within this Facility Unit Map: Grid:
MAINT SHOP & APPARATUS RM CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas TMixture Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest C5000100rFT3 Daily5000100m FT3 I Daily5000r00e FT3
ritiGHKLVUD 1.V1~lYV1VJ;1V1J
%Wt. RS CAS#
100.00 Air No 0
t1L-~GHKL EiJ Jr,aJ1~1r,1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
-6- 01/25/2007
F BAKERSFIELD FIRE DEPT 1
~ Inventory Item 0012
COMMON NAME / CHEMICAL NAME
2-CYCLE OILS
Location within this Facility Unit
REAR YARD BY FUEL TANKS
STATE TYPE PRESSURE
Liquid TMixtur~mbient
SiteID: 015-021-000934 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient METAL CONTAINR-NONDRUI~+I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
75.00 GAL 75.00 GAL 75.00 GAL
riAG1~KLVU~ 1:V1~lYV1VJ;1V1A
owt. Rs cAS#
100.00 Motor Oil, Petroleum Based No 8020F335
t1E~GEiK1J F~~Jl;JJ1~1.C,1V 1_a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
~ Inventory.Item 0009 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
CLASS A FOAM Days On Site
365
_..
Location within thi Facilit Unit Map: Grid:
MAINT SHOP r~~ov~,~ ~~~G~a~) ~~~'~s CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid- TMixture~ Ambient ~ Ambient METAL CONTAINR-NONDRU
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 150.00 GAL 150.00 GAL
°swt .
RSI CAS#
t1tjGljxL 1~.7a~5J1~iC~1Vla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Uf~2
HAZARDOUS COMPONENTS
-7- O1/25/Z007
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-00093 ~
~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
A FFF FOAM Days On Site
365
Location within this Facility Unit Map: Grid:
MAINT SHOP CAS#
Liquid TMixture ~mbRent~E ~ AmbientT~E METALOCONTAINRTNONDRUP~+I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 150.00 GAL 150.00 GAL
HAZARDOUS COMPONENTS
%Wt.
HAZAR
RSA CAS#
D AS SESSMENTS -
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UrR
~ Inventory Item 0013 Facility Unit: Fixed Containers on-Site ~
COMMON NAME / CHEMICAL NAME
GOLD CREW LIGHT WATER Days On Site
365
_..__.
Location within this Facility Unit Map:1 Grid:
REAR YARD BY FUEL TANKS d' „~,,. ;~~.~ ~ ff~i<cwc t. JiL_.,~o ,G~i7 W~u CAS#
Liquid TMixture Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5 5. 0 0 GAL ~'~c~; 5 5. 0 0 GAL ~~;~ ;, 5 5. 0 0 GAL
HAZARDOUS COMPONENTS
oWt.
RSA CAS#
~ZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-8- Ol/25/2b07
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-000934 ~
Fast Formal ~
~ Notif./Evacuation/Medical Overall Site ~
ACS. ~i1C~/ 1VU1.1L1Cdl.1Ui1
= Employee Notif./Evacuation 05/16/1995
RADIO ALARM SYSTEM W/SPEAKERS AND PA SYSTEM.
,...
r w.~ii~ i~v wit ~ r,vc«.uca ~.1U11
Emergency Medical Plan 05/16/1995
MEMORIAL HOSPITAL.
-9- Ol/25/2b07
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-000934 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention _ 09/29/2005 ~
DAILY METER AND STICK READING OF BOTH TANKS. 1500 SPM TRIPLE COMBINATION
PUMPER W/FOAM CAPIBILITY.
iCC1Cd.5'C 1.V111.d1i1llLCill.
l.1Cd11 VLJ
V 1.11C1 RCSVI.Il_(.:C HUl.1Vdl.l Vll
-10- 01/25/2007
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-00093 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
orc~ial na~.at~.a~
Utility Shut-Offs 09/29/2017
A) GAS - NW CRNR OF STA
B) ELECTRICAL - N SIDE OF APPARATUS FLR (MAIN IN BASEMENT)
C) WATER - 21ST ST W OF APPARATUS DOORS
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 01/25/20(77
PRIVATE FIRE PROTECTION - YES BAKERSFIELD FIRE STATION.
NEAREST FIRE HYDRANT -BACK YARD N SIDE 21ST & H ST AND 22ND & G ST.
Building Occupancy Level 02/27/20176
22 EMPLOYEES /,Jai ~;~
-11- 01/25/2007
F BAKERSFIELD FIRE DEPT 1 SiteID: 015-021-000934 ~
Fast Format ~
~ Training Overall Site ~
P~lll~J1VYCC- 1S,d1i1111y
rdyC ~
11c 11A 1V1 rul.uLC VAC
nclu ivl. rul.ulC UCC
-12- Ol/25/~b07
- - .~_~
~~- ~~~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKI.tST
wa''"'atii~ 1715 Chester Ave., 3rd I~'loor, Bakersfieid, CA 93301
FACILITY NAME ~~ft.~zrJ C~~ ~~~ ~J
ADDRESS Z ~ S
FACILITY CONTACT ~
INSPECTION TIME
INSPECTION DATE ~~9~~3 _
PHONE NO. Z - ~
BUSINESS (D NO. 15-21U-G~Oq
Nt1MBER OF EMPLOYEES
Section 1: Business Plan and inventory Program
Routine Combined ^ Joint Agency ^Muhi-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 f
Verification of Haz Mat training
Verification of abatement supplies and procedures j/'
Emergency procedures adequate
Containers properly labeled-
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ^ Yes -~No
Explain:
,'~`.a
p ry? o~
Questions regarding this inspection'! Please call us at (661) 326-3979
White -Env. Svcs. Yellow • Station Copy Pink -Business Copy
~ r. L
Inspector:
~~
Bakersfield Fire Dept.
UNIFIED PROGR~-M INSPECTION CHECKLIST ~
,; - _ _ ...- ~ ~ , , _ ~ ~., / ~ Enironmental Services
~ 1715 Chester Ave
SECTION 1 Business Plan and Inventory Programs Bakersfield, CA 93301
Tel: (661)326-3979
•
FACILITY NAME INSPECTION DATE INSPECTION TIME
•.._ ~
ADDRESS PHONE No. Na. of Employees
~.L01 _ L-l----gT. --------- - ----------------------- --------- --- re3i__&''-ta-l__ __a_ _7_ _ __ __
FACILITYCONTACT Business ID Number
15-021- ®oo q s y
Section 1: Business Plan and Inventory Program
L~'Routine O Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V ~V=Vioationncel OPERATION COMMENTS
l~ ^ APPROPRIATE )PERMIT ON HAND
C3 ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
L'7 ^ ~ VERIFICATION OF INVENTORY MATERIALS
lJ ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
D ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITYE
LN ^ VERIFICATION OF HAT MAT TRAINING
IJ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
J _------- -- --- - --- --- - ------ ... __ _-- - - -.-..._...--- - --
WJ ^ CONTAINERS PROPERLY LABELED
-- --
^ HOUSEKEEPING
^ FIRE PROTECTION ~
-f---- - ---- _ ---- ------- --- -- -----------~ ------ -- --- -- - - --- _ -..-.. -- - -- -- --- - _ _- ----------
U ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: ^ YES L7 I~IO
EXPLAIN:
r
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~6F)'I ~ 328-3979
~;1~ ~~~~
Inspector (Please Print) Fire Prevention 1st-InlShift of Site
White -Environmental Services Yellow -Station Copy
Busi~Res Bible Party (Please Print)
rn
g
N
Pink -Business Copy