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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