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HomeMy WebLinkAboutBUSINESS PLAN 3/1/2007KRAGEN AUTO PARTS #279 {I '~~ 2627 HALEY STREET v ,-. KRAGEN AUTO PARTS 0279-HALEY Manager RICHARD RENTERIA Location: 2627 HALEY ST City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: CAL000186885 SiteID: 015-021-000509 BusPhone: (661) 872-3564 Map 103 CommHaz High Grid: 21B FacUnits: 1 AOV: SIC Code:5531 DunnBrad:04-931-7357 Emergency Contact ROBERT WINTERS Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (559) 739-2726x (559) 270-7824x ( ) - x RSs Emergency Contact RICHARD RENTERIA Business Phone: 24-Hour Phone Pager Phone / Title / STORE MANAGER (661) 872-3564x (661) 778-7776x ( ) - x Fire Press React ImmHl'th DelHlth Contact 3E CO/REG DEPT C/O CSK AUTO INC Phone: (760) 602-8700x MailAddr: 1905 ASTON AVE 100 State: CA City CARLSBAD Zip 92008 Owner CSK AUTO INC Phone: (602) 631-7203x Address PO BOX 6030 State: AZ City PHOENIX Zip 85005 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, I c°rtify under penalty of law that I have personally examine and am familiar with the information submi ..d and believe the information is true, accur e, and complete. '3 0 ignature D e TotalASTs: _ TotalUSTs: _ RSs: Yes C,Y~D ~~ ©~J Gall Gal -1- 02/02/2007 F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WINDSHIELD WASHER CONCENTRATE DH L 250.00 GAL Hi LEAD ACID BATTERIES L 1575.00 LBS Low WASTE ABSORBANT CONTAINING OIL S 550.00 LBS Low WASTE MOTOR OIL F DH L 185.00 GAL Low ANTIFREEZE L 151.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 150.00 GAL Low MOTOR OIL F DH L 1044.00 GAL Min FREON R-12 F P IH G 371.00 FT3 Min WASTE LEAD ACID BATTERIES F R IH L 1050.00 LBS UnR -2- 02/02/2007 -3- 02/02/2007 F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 ~ ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WINDSHIELD WASHER CONCENTRATE Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 250.00 GAL 125.00 GAL TTT A T T1T1/'1TTA /"1/1T~RTl/'1T.TTlT.TT I"1 - _ ruic,ru~t~v~~ ~.vrirvlv~lvlJ °sWt. RS CAS# 30.00 Methanol No 67561 IIHGHICL Ei. 7.7~J.71~1L"1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LEAD ACID BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.50 LBS 1575.00 LBS 787.50 LBS ru~aurucLVVa COMPONENTS oWt. RS CAS# 35.00 Sulfuric Acid (EPA) No 7664939 34.00 Lead No 7439921 31.00 Lead Dioxide No 1309600 riti[~tiRL tii J JP.~J J1.1L~1V 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 02/02/2007 }, F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE ABSORBANT CONTAINING OIL Days On Site 365 Location within this Facility Unit Map: Grid: STOCKROOM CAS# ~SolidE TWaste ~Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 550.00 LBS 550.00 LBS 275.00 LBS ntiarucyvu~ ~.vrlrvlv~lyta %Wt. RS CAS# 25.00 Waste Petroleum Hydrocarbons No I1HGL-~tCL 1~.7.7~.7al~lr,ly l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Days On Site 365 Location within this Facility Unit Map:l Grid:H-3 STOCKROOM CAS# 221 Liquid TWaste -~mbRient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 185.00 GAL 185.00 GAL 92.50 GAL ru-~c~tucLV~~ ~.vl•irvtvaly 1 a %Wt• RS CAS# 100.00 Waste Oil, Petroleum Based No 0 i11"~LJriRL L'iJ ~P~iJ J1"1L'1V 1iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# .MCP No No No No/ Curies F DH / / / Low -5- 02/02/2007 ~, F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit RETAIL SALES FLR STATE TYPE -~-~ PRESSURE Liquid Mixture I Ambient Map: Grid: TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 151.00 GAL 75.50 GAL tiAGH.tI,LVUS LV1~lYV1VJ;-1V1J %wt. Rs cAS# 95.00 Ethylene Glycol No 107211 5.00 Diethylene Glycol No 111466 t1A6HKL A~~J;~S1~1J;N"1~5 TSecret RS BioHaz .Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0007 ~ COMMON NAME / CHEMICAL NAME I AUTOMATIC TRANSMISSION FLUID Location within this Facility Unit RETAIL SALES FLR STATE TYPE ~~ PRESSURE Liquid Mixture I Ambient_ Facility Unit: Fixed Containers on Site ~ CAS# Days On Site 365 Map: Grid: CAS# TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.25 GAL .150.00 GAL 75.00 GAL - HAZARDOUS COMPONENTS %Wt. ~ RS CAS# ti1jG1'~tCL 1~J ~r,~J1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 02/02/2007 r F KRAGEN AUTO PARTS 0279-HALEY ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit RETAIL SALES FLR STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000509 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 1044.00 GAL 522.00 GAL riHGKKLVU~ 1:V1~1rV1V~1V'1'~ %wt. Rs cAS# 100.00 Motor Oil, Petroleum Based No 8020835 riAGHttL 1'~J~L"i551~1L"1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME FREON R-12 R-12, R-134a Location within this Facility Unit STOCKROOM & RETAIL SALES FLR Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TMixture ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 93.42 FT3 371.00 FT3 1 185.50 FT3 rlti~t-ucLVU~ wlnrVtv~ivl~ %Wt. RS CAS# 25.00 Dichlorodifluoromethane No 75718 75.00 1,1,1,2 - Tetrafluroethane No 811972 riE'~GE1KL 1~55~551~1L"1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -7- 02/02/2007 rl F KRAGEN AUTO PARTS 0279-HALEY ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE LEAD ACID BATTERIES .Location within this Facility Unit STOCKROOM SiteID: 015-021-000509 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~-Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.50 LBS 1050.00 LBS 525.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 35.00 Sulfuric Acid (EPA) No 7664939 34.00 Lead No 7439921 31.00 Lead Dioxide No 1309600 riE~GHKL H551'~551~1L~1V 1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F R IH / / / UnR -8- 02/02/2007 F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 08/11/2006 IN THE EVENT OUTSIDE NOTIFICATION WOULD BE REQUIRED FOR AN INCIDENT AT KRAGEN, THE MANAGER ON DUTY OR CORPORATE PERSONNEL WILL NOTIFY APPLICABLE FEDERAL, STATE, AND LOCAL AGENCIES. THE FIRE DEPT WILL BE CONTACTED IMMEDIATELY FOR ALL SPILLS OVER 5 GALLONS, AND FOR SMALL SPILLS, THE MANAGER WILL CONTACT 3E CO FOR ASSISTANCE IN CLEAN-UP PROCEDURES. 9 Employee Notif./Evacuation 08/11/2006 THE MANAGER ON DUTY WILL NOTIFY PERSONNEL AND CUSTOMERS VERBALLY. EMPLOYEES ARE TRAINED TO EVACUATE THROUGH THE NEAREST EMERGENCY EXIT AND TO MEET AT THE DESIGNATED STAGING AREA. EMPLOYEES WILL ASSIST CUSTOMERS FOR IMMEDIATE EVACUATION. IN THE EVENT THAT AGENCY NOTIFICATION IS REQUIRED, THE MANAGER ON DUTY OR CORPORATE PERSONNEL WILL NOTIFY APPLICABLE FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FIRE DEPARTMENT WILL BE CONTACETD IMMEDIATELY FOR ALL SPILLS OVER 5 GALLONS. Public Notif./Evacuation 10/21/1998 EMPLOYEES ARE INSTRUCTED TO ESCORT CUSTOMERS OUTSIDE TO THE CLOSEST EXIT. Emergency Medical Plan 08/11/2006 IN CASE OF EMPLOYEE INJURY, EMPLOYEES WILL BE TAKEN TO THE CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP INC, 4100 TRUXTUN AVE 200, 632-1540. IF A MEDICAL SITUATION SHOULD ARISE, THE MANAGER ON DUTY WILL ASSESS THE SITUATION AND DETERMINE WHETHER TO ADMINISTER FIRST AID. IF IMMEDIATE MEDICAL TREATMENT IS REQUIRED, 911 WILL BE CONTACTED. IN THE EVENT OF AN EXPOSURE TO A PRODUCT OR A POISON, 3E CO WILL BE CONTACTED TO RECEIVE ASSISTANCE FROM POISON CONTROL. -9- 02/02/2007 F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 08/11/2006 NEW EMPLOYEES ATTEND TRAINING COVERING THE PROPER STORAGE AND HANDLING OF HAZARDOUS MATERIALS UPON ORIENTATION. RETAIL CONSUMER PRODUCTS ARE STORED IN THEIR ORIGINAL PACKAGING. THE WASTE MOTOR OIL TANK IS CONSTRUCTED OF STEEL AND IS DOUBLED-WALLED SO AS TO PREVENT A SPILL. Release Containment 08/11/2006 SPILLS WILL BE MAINTAINED WITHIN STORE KITS AND/OR OUTSIDE EMERGENCY HAZARDOUS SPILL CONTRACTORS. IN THE EVENT OF A SPILL THE AREA WILL BE SEALED OFF FROM NON-ESSENTIAL PERSONS. USUALLY AN ABSORBENT MATERIAL WILL BE IMMEDIATELY POURED ON THE SUBSTANCE AND ANY ADJACENT DRAINS WILL BE COVERED TO PREVENT CONTAMINATION: IF THE SPILL IS UNDER 5 GALLONS, 3E CO WILL BE CONTACTED FOR INSTRUCTIONS ON CLEAN-UP. Clean Up 08/11/2006 IF THE SPILL IS OVER 5 GALLONS OR THE FACILITY IS NOT CAPABLE OF IN-HOUSE CLEAN-UP, A PRIVATE EMERGENCY RESPONSE TEAM WILL BE CONTRACTED TO ASSIST IN CLEAN-UP BY CSK CORPORATE RBK MANAGEMENT AT 800-842-3070 X-7203 OR X-7057 DURING BUSINESS HOURS. OUTSIDE BUSINESS HOURS, 3E CO WILL BE CONTACTED AT 800-451-8346. SMALLER SPILLS WOULD BE ABSORBED AND REMOVED, PLACED IN A LABELED CONTAINER BY THE TRAINED EMPLOYEES, AND SET ASIDE AS WASTE. V1.11C1 iCC.S.~VU1.l:C HLl.1Vdl.1V11 -10- 02/02/2007 f ~ { F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 Ild'GdL ll~ Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - OUTSIDE SE CRNR OF BLDG C) WATER - OUTSIDE SE CRNR OF BLDG ADJ TO ELECT D) SPECIAL - CIRCUIT BREAKER INSIDE SE CRNR OF BLDG E) LOCK BOX - YES OUTSIDE SE SIDE OF BLDG 12/14/2006 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS. FIRE HYDRANT - CRNR HALEY & COLUMBUS ACROSS FROM FAC. 12/14/2006 Building Occupancy Level 6-8 EMPLOYEES 03/30/2006 -11- 02/02/2007 ~- F KRAGEN AUTO PARTS 0279-HALEY SiteID: 015-021-000509 ~ Fast Format ~ ~ Training Overall Site q ~ Employee Training 02/02/2007 ~ MSDS ON FILE OR BY ELECTRONIC ACCESS VIA 3E CO. BRIEF SUNIMARY OF TRAINING PROGRAM: IN COMPLIANCE WITH OSHA HAZARD COMMUNICATION STANDARD, CSK AUTO PROVIDES EMPLOYEES WITH HAZARDOUS MATERIALS TRAINING, MATERIALS SAFETY DATA SHEETS, AND LABELING OF ALL PRODUCTS. CHECKER AUTO PARTS EMPLOYEES ARE INSTRUCTED IN IDENTIFICATION AND HANDLING OF HAZARDOUS MATERIALS IN THE WORKPLACE. ADDITIONALLY, EMPLOYEES ARE TRAINED IN THE CONTAINMENT AND MITIGATION OF SMALL .CHEMCIAL RELEASES. THIS TRAINING IS PROVIDED IN THREE WAYS: 1) THE EMPLOYEE-RIGHT-TO-KNOW BOOKLET 2) VIDEO PRESENTATION; AND 3) REFRESHER TRAINING COURSES. rayc ~ nciu ivi r u~u.LC u5C nclu. i.vi ruuuL~ use -12- 02/02/2007 • • 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 v ~~ ~U ~ O ---- --- ------ _ - l Z ~ O ~ s~'S~ -~ ADDRESS PHONE No. mployees No ` Z ~ ~ ~ l~'" ~~ ----- - --- --- ~------- _ - ---- - __ FACILITYCONTACT ~ ~ ~ R ~ Business ID Number 15-021- vvc~ 50 ~ e c ~FY2 ~,;~~ Section 1~: Business Plan and Inventory~Program ~ ~ ~~ r Routine ^ Combined ~ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection C V ~^ - J ti0 ^ IV=Vioationncel OPERATION APPROPRIATE JPERMIT ON HAND --------------------------- BUSINESS PLAN CONTACT INFORMATION ACCURATE ------------------------------ VISIBLE ADDRESS COMMENTS -- ------------------------------------------- --- ---------.. _ ----------- -- ..---------- ---------- - - --_ -- - LV ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES LSD U VERIFICATION OF LOCATION ~~ S LN U PROPER SEGREGATION OF MATERIAL -- - ---------- ,E~j ----- ---- - - - -- ~ ~f Lld ^ VERIFICATION OF MSDS AVAILABILITYE ~®ob' ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ERGENCY PROCEDURES ADEQUATE C " ^ 1.11 - ^ CONTAINERS PROPERLY LABELED ----- --- - ------ -------- --- ----- H 7 ~1 / - --- --------- v" OUSEKEEPING ^ F P IRE ROTECTION !~d' Ll SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: LYTES ^ NO EXPLAIN: `~~C ~~T~' (~S QUESTIONS jRE~GARIDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 --- - rl<7G~~~c!~-_------- l y ~ ----- ---- Inspector Badge No B i s Site Responsible Party ~~ White -Environmental Services Yellow -Station Copy Pink -Business Copy ti? 4 - ±~,q t '' ~ , + KRAGEN AUTO PARTS0279 _______________________________ SitelD: 015-021-000509 + Manager ROBERT WINTERS Location: 2627 HALEY ST City BAKERSFIELD BusPhone: (661) 872-3564 Map 103 CommHaz High Grid: 21B FacUnits: 1 AOV: I CommCode: BFD STA OS SIC Code:5531 I EPA Numb: ~ALf~p~igb ~$~ DunnBrad:04-931-7357 Emergency Contact / Title Emergency Contact / Title ROBERT WINTERS / DISTRICT MGR ADT SECURITY / AVAILABLE 24/7'3 •S Business Phone: (559) •C-8.8-5-G~-rx~~f~•2~•?.~ Business Phone: (800) 848=2872x 24 -Hour Phone ( 55 9 ) ^ 4 `' ~ x z~ -`~'d2~ 24 -Hour Phone ( ADO) ~1~ - ~~~Z x Pager Phone (~~~ ) - x Pager Phone (,~~(=~ ) - x Hazmat Hazards: RSs Fire Press Reac t ImmHlth DelHlth +-------------- ~ lC~ra.~ Contact 3E CO(~•~~u«'`"~r ~@~ r~}•rv-•Enfi,G1 C.~ i~ i<F~•ta;xr~~~ phone- (760) 602-8700x - MailAddr: 1905 ASTON AVE •1-~8 5:!ii-~ iO~ State: CA City CARLSBAD J Zip 92008 Owner CSK AUTO] INC Phone : ( 6 0 2 ) ~ ~ ~- o `~ n n"'~ ~ n Address PO BOX 6030 State: AZ ~3I ' ~-z~3 City PHOENIX Zip 85005 +- Zcob ---- -~//~fZ~o'~-------- ~ /I~ ------- ~j -------- + to { / Period TotalASTs: r t Gal Preparers TotalUSTs; = Gal Certif'd: RSs: Yes ~ ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. 5/ E ~0 ~~ p~~ ~ 5~1 5 ENT ~D AUG l ~ooU ~1~~ aoa6 ature Date -1- 03/30/2,006 CALIFORNIA ANNOTATED SITE MAP `BUSINESS NAME: KRAGEN #279 ,SITE ADDRESS:BAKERSF ELD,SCAEE93305 (MAP #: 1 OF 2I A B C D E F G H I 1 2 3 4 5 7 ~~Y X -~- ~. ~a cP OUND TANK - ITOR OIL r D [SHER AD ACID 'sS [D iS SORBENT fNG OIL ;ZE 'IC SSION LLD FLUID AEIFpRNIA ~ ANNOTATED SITE MAP _ ' BUSINESS NAME: KRAGEN #z79 A B C D E 2 3 4 5 s ESITE ADDRESS:2627 HALEY STREET MAP #: 2 pF BAKERSFIEI_D, CA 93305 F G H I R SIDE TIAL o C LUIVI US S REE a ~ ~ ~ LH P -~ F--. O ~ ® ~t~R~ N~ aT E LB E 1VIARK T VACA T D ILDIN 7 i SCA E NAT Tp SCALE r Y X r fi~~ e~ t SAFE REFUGE AREA FIRE HYDRANT LOCK BOX IYATER MAIN ELECTRIC MAIN UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program FACILITY NAME ADDRESS PHONE No. No. of Employees FACILITYCONTACT 8ueinesa ID Number 15-021-Ov0 56 ~ Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 _ _. Sec~on 1: Business Plan and Inventory Program outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection ANY HAZARDOUS WASTE ON SITE?: LY T ES ^ (VO EXPLAIN: W IA ~ T iZ- ~ i~Y'e' 21 ¢..~ WIaSiG ~I~- QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (001 ~ 320-3979 Inspector Please Print Fire Prevention tst-IMShik of Site White -Environmental Services Yelk„v -Station Copy Business Site Re sible Party (Please Print) Pink -Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 TeI: (661)326-3979 FACILITY NAME ------------------ ------ -~ .~ ~G~ ---~-cis.-~---- ~~5 ~ °~ 1-~--- ------ i INSPECTION DATE INSPECTION TIME ii i~~o __/_/. _______ _ ~ No of Employees PHONE No ADDRESS - ----~~ -~_- 1~-~~-fit-- ------- - . g Z~s~S~---- 5~-------- Business ID Number FACILITYCONTACT /t/ _ ~/ y~(/'~D(~ 15-021- ~~5-c~l Section 1: Business Plan and Inventory Program ^ Routine ^ Combined ^ Joint Agency ^ Muiti-Agency ^ Complaint ^ Re-inspection C V \V=VioatonnCe/ OPERATION COMMENTS ^ APPROPRIATE PERMIT ON HAND ~USINESS PLAN CONTACT INFORMATION ACCURATE /vim LOS ~- ^ - VISIBLE ADDRESS - ---------- ---~ ---o~----------- - -----------.-....----- ^ CORRECT OCCUPANCY 200,E ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ~ PROPER SEGREGATION OF MATERIAL ~y~SC~~ ~ ~L~ ~~~i'Y/vi~''/ e v s ` _ VERIFICATION OF MSDS AVAILABILITYE 4 ~ ~ ~ ~ " ~ O ~d~~ . ~ i' f~ i ~ ~ ~ ~~ ~ D ^ VERIFICATION OF HAT MAT TRAINING _ 0/7 ~J S ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE - ~/~~ ^ CONTAINERS PROPERLY LABELED - ------.~ .-- -~-'- -~ ~~ ----- yam ©~ o ~._ ~ ~ o w ^ ~ HOUSEKEEPING ~~~~~~ ^ --- FIRE PROTECTION ---- ------ --- --- -- ~ - ~~ ~ , ~ ^5 ~~ ~ ---~--- __ --~---- ^ SITE DIAGRAM ADEQUATE St ON HAND ANY HAZARDOUS WASTE ON SITE?; ~I YES ^ NO EXPLAIN: QUESTIONS REG DIN THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979 ------ Y~-~-~L~~ -- Inspector Badge No ~ Bu nes ite esponsible Party J ~/ White -Environmental Services Yellow - Slatbn Copy Pink -Business Copy