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HomeMy WebLinkAboutBUSINESS PLAN 6/13/2006~- ~i ~~ ~C ~ ~;~ ~~~ ~~;~ ~.-~ '. t'I~ ~, ? :~~~ tom. - r --- E HILLS MALL RENOVATION 3000 MALL VIEW ROAD ~~ ~. -- + DANIELS _____________________________________________ SiteID: 015-021-003046 + Manager - A ~~ ~~,~ i S~A/LoS BusPhone: (661) 872-7980 Location: 3000 MALL VIEW RD 1015 Map 103 CommHaz High City BAKERSFIELD Grid: 22A FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title / STORE MANAGER / Business Phone: (661) 87.2-7980x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth -------------------------------------------- Contact - ~Gt C[f~le"v'vc Phone: (661) 872-7980x MailAddr: 3000 MALL VIEW RD 1015 State: CA City BAKERSFIELD Zip 93306 Owner ~'~ G(~j'~~t Phone: (661) 872-7980x Address 3000 MALL VIEW RD 1015 State: CA City BAKERSFIELD Zip 93306 Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT Based an my inquiry of those individuals ®~ responsible for obtaining the information, t certify , n under penalty of law that I have personally , l,u~'i` r examined and am familiar with the information t(~(` Q` submitt d and believe the information is true, ~~ a urate, nd complet --~3 -~ ~ Date Sig at ~ , ~N~ ~ ~~ l3 2pp6 -1- 06/08/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~..~~_ ~ ,,..~ ~: -~,._ ~ ~~,~ e~_- _.:_ _ ___ . ~ __ SECTION 1: Business Plan and Inventory- Program Prevention Services A F R s , , „ 900 Truxturi Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 '~ Fax: (661) 872-2171 FACILITY NAME ® ~ ~ IN~+~~N DAT INSP~CT~TIME a~t~ ~ ~ ~ II 33 ADDRESS - _ 3~ G''t~t U `e r.~ PHONE NO. ~~a -'~~lso EMPLOYEES NO OF ~ FACILITY CONTACT 1j/'a GcsL't~'oS BUSINESS ID NUMBER ~5-021-~3a~6 __ ,; ___ Section 1 Bus°iness Plan and lnven#ory~Program ~ /~ f ~ :...., ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~- ^ BUSIf1eSS 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 ^ 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? ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Pri t) Fire Prevention 1s' In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 , ~, B_ BA_SPS _D FIRE ORDINANCE .VIOLATION. ~„r, .~, ,~~:~.,~,,~ ~:~ ~ ~ ~asr ~. J !-~ ~ ~-~ r ~' BAKERSFIELD FIRE DEPT. ~ ~ Prevention Services ~~ 900 Truxtun Ave., Ste. 210 ~ (' Bakersfield, CA 93301 Tel.: (661) 326-3979 X Fax: (661) 852-2171 OCCUPANCY DISTRICT BLOCK NO. DATE ~ ~ ~ r/ G Gn TO . \ -~ ~ - TITLE '- Q ~ I,l J / FIRM OR DBA Gt'- / C- G 5~ ~ ¢ ~~ ~ ~ /'~ ~' 1` if COMP ANY ADDRESS (CITY, STATE, ZIP) ~~~~ ~~~ ` ` , , ~ ~\ ~ ~}, V c~ BUSINESS PHONE ~ ,, ~ ~/ ~ C~ HOME PHONE CORRECT ALL VIOLATIONS vauTroN REQUIREMENTS CHECKED BELOW No. RY TIB / 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUS LE WASTE D VEGEraTwN 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and. rubbish pending its ~ safe disposal (U.F.C.) ~ -~ COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor Luse box/tire Idoor (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) ___~~__~___ _~ poRtable fire extinguisher to be immediately accessible for use in (area) __~____ ____~ (U.F.C.) a g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT° sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U. F.C.) g Repair all (cracks/holes/openings) in plaster in (location) __~_ ________"_______________. Plastering FJREDOORS/ S shall return the surface to its original fire resistive condition. FlRE SEPARATK)N 10 Remove/repair (item 8 location) ______________~__________~_,_________~____________. Self-closing ~- doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) ExlT3 11 Remove all obstruction from hallways. Maintain atl means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) to clearly indicate it as an exit. (U. F.C.) ------------------------------ STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U. F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FlREWORKS 17 violations of Section 7802 U.F.C. or 6.49.040 of the Bakersfield Munici al Code B.M.C. re ar din fi r works. e OTHER ~ 8~ ( ' 1 ` ~~ ~ t1 ) ~"~ ~ ~ f ~ h Gc% ~ ~ ~ 4, .,., J r < ' '.- J~ v~ ~ u ,.-- ~ ~ ~ ~ ~ ~ ~ ~ t ~ c ~ ~~. - ~ P r~ar~ ~ (~G3. ~ C ~ - ~1 c ~ ,.~ 't'-r r 1 _~ _ -- `` ` 1 5f U a t7'ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLUWCE HAS BEEN MADE, ADDITIONAL t+ER50N RECEMNO NOTN~ OF VIOLATION REGULATORY ACTION MAY BE INRIATED. t j ~: ; _.--- ,. '"~ ~, ~'l ~ f ~ , .__ ._ r RCE R WI E ENT BY C RTI L P D IN A H DAT ~NATU~" ` AFTER VIOLATIONS ARE CORRECTED, RETURN THIS ~~ROFTHEF~CN~ ( /tMTECOMFLETEOc.. ~" ' NOTICE BY MAIL OR IN PERSON TO: t~-!~ ~----- BAKERSFIELD FIRE DEPT. W8PECTOReIONATURE / wsvECTORSIaNATifRE OFFICE OF PREVENTION SERVICES ~°~Dc V c.F.c. cAUFORNa FMiE cooE 900 TRUXTUN AVE., SUITE 210 u.B.c. uNtFORM BUtLDINO CODE t3AKERSFIELD,CA 93301 B.M.C. eAKErtsF1ELD MUNx7PAL CODE NFPA NATpNAL FIRE PR07ECTION AeeOCL1TlON N.E.C. NATIONAL ELECTRIC CODE White-Customer/Original Yellow-StetionCopy Pink-Prevention Services i FD1916 (REV. otios) -.. i , - .. ~ - -- ::. .-. ,~: ~:. .. .. :- -...- _ .y ,. _- ~ - -- ~-i Irv -`t.-~ ,. r zer. , .. BAKERSFIELD FIRE DEPT. Prevention Services FIRE PREVENTION INSPECTION » EFiRE r D 900 Truxtun Ave., ste. 21o i~~ >. ARTM T 1 Bakersfield, CA 93301 ~~ ~, Tel.: (661) 326-3979 ^ Fax: (661) 52-2171 DISTRICT BLOCK NO. DATE 2 ~ ~ / ~? EE ~ ~~ FACILITY ADDRESS CITY, STATE, ZIP FACILITY NAME ~ ~~ O 0 ~ ~ , ` ~ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND DD ESS r-j .a.,i~:r ~ ~ ~\ ,~ (\ ~~" CITY, STATE, ZIP OWNER'S PHONE NO. ~ ~ ~- ~ ~ L, C G yr 1 2t2 `7C~- _ BILL TO: (IF DIFFERENT FROM ABOVE) N' ME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS vio~~r~oN REQUIREMENTS CHECKED BELOW Ho. COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse boxlfire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTING HERS (~ Provide and install (amount) _~___ approved (type 8 size) ~~~. ~ __~~cS~g____ portable fire extinguisher to be " ~ `..~ immediately accessible for use in (area) ~)_ r~-1!i~~_}1~~p__________ (U.F.C.) ~ 4~'~ ~ g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain °EX17" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) ___________________ _ _____ ___________________. Self-closing doors shall be designed to close by gravity, or by the acti a e i I evice, or by an approved smoke and ~ heat sensitive device. Self-closing doors shall have no attachm t ~e~f ~ev~ the operation of the closing device. (U.F.C.) C EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ____________,________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Vi olations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M .C. re ardin fireworks. OTHER ~ ('(~ + y 1 0 S e -S Q. r \ C i q '^ Q~ ~ Ur 4 ~1 ~ N n d i^. ~ e~ COOe.q a D r N, ~ f Q ~ I G C 6 s v /Iha n I !5 r 2~ hood iY1ws~ Con a c-} ;..i-a Mq~1 r h.~ S ~-'a~•- t ~ <--~, CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE ~..~ (Signatur,~)1 (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE ~~~._/~ /11 ~~= L~" B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: - J./ AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE I White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) FIRE ORDINANCE VIOLATION. ~.~ ~~- ~~ "/ ~ , BAKER8FIELD FIRE DEPT. l N H_$ ~ P..> D Prevention Services 0 ,flRl ARfr .900 Truxtun Ave., Ste. 210 ~0 Bakersfield, CA 93301 Tel.: (661) 326-3979 X Fax: (661) 852-2171 OCCUPANCY DISTRICT BLOCK NO. DATE ~ ~~ J G TO ~,~ t3.t R,, TITLE (mac ,'~°•~:. r FIRM OR DBA / _ ~ ~ 6 N~~ :1 c~ S COMPANY ADDRESS (CITY, STATE, 2IP) ~~ ~~r` ~•~ ~ ^ 3 '~ _ BUSINESS PHONE ~ ~If i ;/ HOME PHONE CORRECT ALL VIOLATIONS vaunox REQUIREMENTS ~ ' CHECKED BELOW xo. ` ` RY O S E T / 1 Remove and safely dispose of ald hazardous refuse and dry vegetation on the above premises (U.F.C.) MBU TIBL WAS E D C VEGETATION i l a 2 ts iners with tight fitting lids for the storage of combustible waste and rubbish pending e cont Provide non-combustib safe disposal. (U.F.C.)~ COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U. F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _ ~~ approved (type 8 size) _ ~~_ C~ ~S ~ portable fire extinguisher to be ---- immediately accessible for use in (area) _~~________,_____~_^~ (U. F.G.) "~' g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once~@ach year, and/or after each use, by a person having a valid license or certificate. (U. F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U. F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ~____________________,________________. Plastering FJREDOORS~ shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Remove/repair (item & location) ________Y_____________~_~________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U. F.C.) ExITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U. F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ________~__________ __ a ate it as an exit. {U.F.C.) STORAGE 13 Remove alt storage o t ctions from fire escape landings and stairways stair shafts. {Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U. F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FlREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER ` ~ [ 18 ~ ` y J \ t G c"`= ~c c l? `Cc C~J'~ ti. r~ ~~ o ~~t ~ ~ ~'~ C ti '1 c~ ~ ~~.~1 - y~ ~.r ,~.. /-+ -- ; -~ ~- - r `r ~ t r~ ~ , , ..,. ,, 4 ~ c • l t-c , 1 -^- ~ c ~ ~ G 1 ~.. ~~. L ~l ~ _ --~, ~ ~, ~:. C. p. ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDITIONAL PERSON RECEMN NOTICE oa ^noN - REGULATORY ACTKN7 MAY BE INITIATED. ~l ~ f~/ r -S E T RD L E F T BY C AI P D I A NG DA agNA RE } V AFTER VIOLATIONS ARE CORRECTED, RETURN THIS BV ORDER OFTNEFIRECN~F ' DATECOMPI.E7Ep: NOTICE BY MAIL OR IN PERSON TO: ~ .~L=i? ~' -- BAKERSFIELD FIRE DEPT. erePECroR SIONATUI~ 9aPECTOR SwNATURE OFFICE OF PREVENTION SERVICES ~~Dc c.F.C. CALIFORNIA FHlE CODE 900 TRUXTUN AVE., SUITE 210 u.B.c. uNtFORM auILDINe coDE BAKERSFIELD,CA93301 ~•C• eAxEasF~tDAtuNlcwwLC~oE NFPA NATIONAL FlRE PROTECTION Aae0CY1TgN N.E.C. NATN)NAL ELECTRIC CODE ~}- White-Customer/Original Yellow-StetionCopy Pink-IPreventioanServices yFjD1818 tREV.joz~oel V°Y'2. ~~~v~,.R,.- .sA S ~j~ yU'j~ ~^~J"~ vr~JaC~,, a1~CjGJ~. ~•-G0....,s., /n"~ ~r`) ~o.T~ C.~O'g~ ~ ~ ~~ ILO i''ta~ ~1~~ ~. -i'r.D~,c7 ~ a Scd17 r C~_ ~~r Fli,g 02 200 1s22PM [RST t12LL5 fiIFILL ig6!$724Q46 p.1 a8/021208b 09;42 9592714x30 ZRAh~ ~Ai.ES PaCi` 02 NorfMerlJ ~'At/I9'llYffeAYsvadd S¢91~ N ~3oltl~n 5{atm 9I.+Vp aasor+ MaslrpwHs ~~ Ssles Alstt-ct firaano, GA 9372 ~7+~ 8blvfce ethnager 7~ Ti~rnv ovrrrpeny TeI 556$74*4625 w~aw.tr~nrr~caml8®crarnCn~ Fax 559-~7i-4630 August ~, ~4D~ fast Hills Mali aooa .n, view 1 some i x~a Bet[s.~$~u1d, CA, 4330, 4~~ Attu: Qgr~at-~ Ro: 3~,tolCe 1]etccta~ Ueat Crystal: We have v~SQd ti~at all aP, yaur VAC e~ui~rxae~x tl~t we raa~tain dlaes hnve srn,,akc dstecl~vrs. 'Fl,ss includes all tha tcneoat ,A,C twins s~ aril of the ~a11 AC uzitg. ~honlcl you aced easy atlu~ Juffnrrnatlam plc, fael fxco tb aatataat rye iditect~+, '~hartk yotx,' far ellawirlg as ma t~aiaMain yam Fi;YAC ayuligme~t to meet yon business requltarnents. ~-e laok 4bTward to Coutat]ttC being your p~Fp~rcd ~ftice pt+C+videar in the ~tuRV. ~yoi~ 4ave any questions ~ cctna;en~. Qira~s eoz~tact xqe as tss9) 271-a6~S x ',t.107 3imce~rely, dam, I~b mitz .4r~aa 5esvica il+iaeager M. ,~br+B~lern.,4~wnda,rf berry)Fny !r."•a~Anleib7nrniRn7!~l`N' ~'~ TRANSNNITTAL ~r of eakersfleld Tdp Film >prevention ProaAa inland Arahibects 1=a~ 852-2771 ntten#ione have Weirather By: Jeff Goodspeed #06010 Jlob #s Dale. Thursday, August 03, 2006 Re: CCU the C] Ungenrt ©i'or Review ^ Please Comme~t# C] Pease Reply ^ Please Recycle •Commelr~#s; Dave ...Please find attached a letter from TRANS stating the mechanical units at the ~East'!_tills_Mall,all have smoke detecting systems- 1 appreciake you fiormrarding your approval t4 Mike Mullin and Steve Ewing at the City Building dept. Thank you, Jeff Goodspeed R S F I_L D F/RE ARTM l RONALD J. FRAZE FIRE CHIEF January 13, 2006 Gary Hutton, Senior Deputy Chief Administration Mr. Earl Cooper, Operations Director 326-3650 Valley Plaza Management 2701 Ming Avenue Deputy Chief Dean Clason Bakersfield, CA 93304 Operations/Training 326-3652 Dear Mr. Cooper: Deputy Chief Kirk Blair We have reviewed your proposal for a five (5) minute delay in the voice Fire Safety/I'revention Services evacuation message at the Valley Plaza. This is consistent with our 326-3653 previous discussions and hopefully will enable elimination of most false alarms and, therefore, a better and more consistent response plan when a true emergency occurs. The system has been tested and found to be 2101 "H" Street functional and, therefore, does meet the approval of this office. Bakersfield, CA 93301 OFFICE: (661) 326-3941 Sincerely, FAX: (661) 852-2170 RALPH E. HUEY, DIRECTOR PREVENTION SERVICES Ra ph E. Hu y, FIRE SAFETYSERVICES•ENVIRONMENrAL SERVICES Director of Prevention Services 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 REH:db OFFICE: (661) 326-3979 FAX: (661) 852-2171 cc: David Weirather David Weirather Steve Underwood Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 "Servin.~ tie Co~~rnru.~tity ~~or More man A Cc~r.tu.ry" -. /1 __ _ r ~ ~ ~~ l~J ~ Ba-kersfield Fire Dep~~C UNIFIED PROGRAM INSPECTION CHECKLIST 'Environmental Services ~ s?DDS ~~~~ •"`~~'' 900 Truxtun Ave., Suite 210 SECTION 1 Business .Plan and Inventory Program Bakersfield, CA 93301 Ir;~ 1~" \ Tel: (661) 326-3979 _____. _ _ _ Y FACILIT NA ME INSPECTI N D TE INSPECTION TIME ( ;~ ~ ,~ ~ C ,,~ ~ ~ ADDRESS l~~~ 3cxo ~~. ~i~ t~ ~ i0 t.~ PHONE No. No. of Employees ~= ~" .._ FACILITYCONTACT Business ID Number ~ 15-021 N~-z-J Section 1: Business Plan and Inventory Program ~outine ^ Combined ^ Joint Agency ^Multr-Agency ^ Complaint ^ Re-ins C V (V=VioatonnCe~ OPERATION COMMENTS ~~/~~~.~+~ J ^ ^ APPROPRIATE PERMIT ON HAND , v17~ p t'~t ~" ~ i.~ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ ~ VERIFICATION OF INVENTORY MATERIALS i P~~~ I (~X,`J~-~/ f~2tU~ ^ ^ VERIFICATION OF QUANTITIES ~ l ~ CAL I ~ ~ ~+~ 'Z ~i ~ ~ ~ - ^ ^ .VERIFICATION OF LOCATION I~r`~+Qrr ~~~-t,F~+'L'S gTY~rris~ S~;,K~~ C~-C+S~ ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE -- - " ^ ^ ---- - -- T T H V M -...._... _ ...._...__ .._ ...... -. lJ. -..... . ! ERIFICATION OF AT RAINING A n(~ ~` 1 ~4 ---. ^ _. ^ __...___.--- ------ --------- _----_ - ---- ....._ ._... VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _..__. _.. _... .._._..._.._~~~_ .__- ... _..._._ __._._..-- -----....--- ^ ^ EMERGENCY PROCEDURES ADEQUATE ~ - ^ ----- ^ ------- -._ .. -------- _ _----... _ --...-- --__... -- -------------. _ ........_ ._.. CONTAINERS PROPERLY LABELED .. I _- -_ ..... __ --- _ _..._. ___ ....... _ _. _... _ _ _ - - __ __ ........ _ -- -_. .._ _- -- - - - - ^ ^ HOUSEKEEPING ^ ^• FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEOUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~F)G'I ~ 32t)-3979 Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business Site Responsible Party (Please Print) Pink -Business Copy MARIA LEMOS-PARADA Store Manager ~~~V~ HJG~/~ YOUR FAMILY JEVJEIER SINCE 1948 East Hills Mall bbl) 872-7980 ~ i/ ~ p C, ,~ ..._. .~_ CITY OF BAKERSFIELD B E R s F' _ OFFICE OF ENVIROiYMENTAL SERVICES P/R~ Ali<TM T 1715 Chester Ave., CA 93301 (661) 326-3979 '~~~~~~' HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW ^ ADO ^ DELETE ^ REVISE 200 I. FACILITY INFORMATION (~ ... BUSINESS NAME (Same as FACILITY NAME ~or DBA -Doing Business As) ~ - ./~-aJ l Cti I ~ .J Cw C-~-L`~ UNITS' ^ ga GAL ~d CU FT ^ Ib LBS ^ to TONS If EHS. an?ount must be in lbs. ^ a ABOVEGROUND TANK ^ e PLASTIGNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ b UNDERGROUND TANK ^ f CAN ~, j BAG ^ n PLASTIC BOTTL ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO l=am` CYLINDER ^ p TANK WAGON ^ a AMBIENT r~,~ r18,,ya ABOVE AMBIENT ^ ba BELOW A MBIENT CHEMICAL LOCATION ~ 201 CHEMICAL LOCATION I~ S i >7~ .~'f~~'l.Sr`2- S (/.)~/(.I~ s~-~(vy~ CONFIDENTIAL (EPCRA) ^ Yes .^ No 202 FACILITY ID # --r`-~~"' I-- ~-~--~ ; ~ ~- , - ~ ---- ~ 1i~ MAP # (opfionen-- ~ - -- -- ~ ~ 203 ~ GRID # (optrona4- ~- ~ - ~----------------- 20a r ~ kit _ ~ , _fi il. CiiEM1CAL INFORMATION i -_--._. _._.. _._..._..___-..__ .-_....__.--------.._._.- ..... ........._.._._...----.___.._. __.__._ CHEMICAL NAME ----- PAP/-~ COMMON NAME CAS # I FIRE CODE HAZARD CLASSES (Complete if requested by local fire d?ie~ i 205 TRADE SECRET ^ y~ ^ No 206 I! SuDjed to EPCRA, refer to instructions 207 EHS' ^ Yes ^ No 208 209 •If EHS ii Yes,' all amounts below must be in lbs. i TYPE - ..._...._._...-- -' ---- - .. ... .. t~,PURE ^ m MIXTURE ^ w WAS-E .. i?-J~iOACT(Vc ^ Yes ^ No 2t2 PHYSICAL STATE ^ s SOLID ^ I LIOUIO ~g. GAS 214 LARGEST CONTAINER ) G U FED HAZARD CATEGORIES ~y-FIRE ^ 2 REACTIVE ~5.,°RESS JRE I:ELE~:SE ^ a .4 ;U'E HEALTH ( O ^ S CHRONIC HEALTf (Check all that apply) ~ ANNUAL WASTE 217 ;d4XIMUlb? 218 AVERAGE AMOUNT DAILY AMOUNT S~i-c~ ~ DAILY AMOUNT i i STORAGE CONTAINER (Check all that apply) I 1 '. PRESSURE STORAGE TEMPERATURE ."'~ _ ~ (one loan per material perbuilding orarea) Page _ of _ 210 CURIES 2t3 2?5 2t6 219 i STATE WASTE CODE 220 221 DAYS ON SITE 222 ^ q RAIL CAR 223 E ^ r OTHER 224 /~aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ....:. i - : %WT :.. `:' ` `. ` HAZARDOUS COMPONENT EHS i :' 1 226 ~ 227 ^ Yes ^ No 228 I 2 230 231 ~ ^ Yes ^ No 232 , , I I-- ------- __ __ _ __ --------- - . - - -- -.. .. ... _ _ ... .. __. -- - -. ------ 3 234 i 235 ^ No 236 ^ Yes i -..-..r----------'-'---.-.-_~.--'--- ._..... - -- 4 I 238 i 239 ! ^ Yes ^ No 240 ~ ~ I i 6 , 242 I ~ 243 ^ Y - _ -~_------....._...--°......_... ..._.-.. . ~_......._e$.. ._-No 244.._.. ------~- __. III. SIGNATURE - - - ~ - - ~Pj21NT NAME 8 TITLE OF AUTHORIZED COMFANY~f2EPRESENT`Al'IVE ~ SIGNATURE CAS # 229 233 237 2a1 -----___-_ - ------- 2a5 --.--.-------.._.____ DATE 246 4 /g~~- UPCF (7/99) ~ S:\CUPAFORMS10ES2731.TV4.wpd __ _ _ ___ CITY OF I3AI{ERSFIEI.D ~~>.~ B E R S F I . Do OFFICE OF ENVIRONMENTAL SERVICES ~ ~~~ ~RrM r 1715 Chester Ave., CA 93301 (661) 326-3979 ~~~~~~ HAZARDOUS MATERIALS INVENTORY ~ CHEMICAL DESCRIPTION (one /orm per material per building or area) NEW ^ ADD ^ DELETE ^ REVISE 200 Page _ of _ i. FACILITY INFORMATION __ I- BUSINESS NAME (Same as FACILITY NAtatE or DBA -Doing Business As) 3 CHEMICAL LOCATION s"f~Ctf f[OdYIII 201 CHEtdICAL LOCATION I ~S t nC CRUZ- ~ L' LOS~~ CONFIDENTIAL (EPCRA) ^ Yes ~ No 202 _. -- - - - - FACILITY ID # ' ( 1~ MAP # (optionan _ - 203 GRID # (ophonaQ 204 i ~ i I f-- - __ .. --- - ---- - -- --- ~- -- -' °- ~ ~ :, ~ ~ ~ ~ ~ 8. CNEMiCAL INFORMATION i CHEMICAL NAME I 205 i -TRADE SECRET ^ Yes ^ No 206 i ~~ I vy~ ~ If Subject to EPCRA, refer to instructions - 207 COMMON NAME EHS' ^ Yes ^ No 208 i CAS # 209 •If EHS is'Yes,' all amounts below roust be is lbs. 1 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief 210 ., -- - TYPE ---- --- - -- --- ------- ---- --- - - ; - . ...._ _ . _ .... -- _ -- ^ No 212 i CURIES 213 pPURE ^ m MIXTURE ^ w WAS-E ~' : r,-,DIOACTIVE ^ Yes PHYSICAL STATE ^ s SOLID ^ I LIOUID {~.g,GAS 214 LARGEST CONTAINER iJ ~ / 215 I ___ C_ ` FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE (~ PRESSURE RELEi.SE ^ 4 ,4JU'E HEALTH ^-5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 Iv14XIMUtvt 2!Z` 218 I P.VERAGE ~ ~ ~ 219 j STATE WASTE CODE 220 AMOUNT ~ DAILY AMOUNT j I DAILY AMOUNT UNITS' ^ ga GAL ~ CU FT ^ Ib LBS ^ to TONS 221 ~ DAYS ON SITE 222 ' If EHS, amount must be m lbs. - I STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check aN that apply) ^ b UNDERGROUND TANK ^ f CAN ~ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^ a AMBIENT ~a ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ,.. ~~%WT ~ ~ HAZARDOUS COMPONENT ~ EHS ~ ~~' CAS, # ' ~ ~ -_ ---- --- --------=-- ----- ---------------------_.._ ..--- ._ _.-._. _..--- ..__.._ _~._-._ ~ _ I 1 ~ 226 ~ -- -- -- - ~ - --- ---- --- _-- ~ _ . _ _ 227 I ^ Yes ^ No 228 ~ 229 ----~------- I - ------ ----- - I_ -- 2 I 230 i 231 ^ Yes ~ -------- 233 I ^ No 232 I ~ - ----- 3 ~ 234 235 Yes ^ No 236 237 i 4 238 239 i ^ Yes ~ 241 ^ No 240 5 242 - 243 ^ Yes ^ No 244 i 245 -~ _ T ._..,-.__....--- .._.._.- -----...__.__ ..._...---_ ....._. ,._ __.....-_.. ._---..__.._. r-_. _. _.. ..----- -- III. SIGNATURE ~__ -_--~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE - ~ ~ ~ ~~ SIGNATURE - ~ ~~~ ~ ~ ~~~~~~ ~~- - -~- ~- -~ ~~- - -~ ~~ ~ ~~-~ ~ J DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd