HomeMy WebLinkAboutBUSINESS PLAN 8/4/2007i
:WHITE LANE AUTOMOTIVE
4150 MEXICALI DRIVE
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WHITE LANE AUTOMOTIVE SiteID: 015-021-000406
Manager STEVEN HENDRIX
Location: 4150 MEXICALI DR
City BAKERSFIELD
BusPhone: (661) 397-4406
Map 123 CommHaz High
Grid: 16D FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
STEVEN R HENDRIX / OWNER ROY HENDRIX / RELATIVE
Business Phone: (661) 397-4406x Business Phone: (661) 665-8083x
24-Hour Phone (661) 978-9738x 24-Hour Phone ( ) - x
Pager Phone (661) 663-7242x Pager Phone ( ) - x
Hazmat Hazards: Fire Press. ImmHlth DelHlth
Contact STEVEN HENDRIX Phone: (661) 397-4406x
MailAddr: 4150 MEXICALI DR State: CA
City BAKERSFIELD Zip 93313
Owner STEVEN R HENDRIX Phone: (661) 397-4406x
Address 4150 MEXICALI DR State: CA
City BAKERSFIELD Zip 93313
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
(C~(1pw~U,p~1,T,
0
~ /(~±y~y ~~J`[
_...rr
on my i,.quiry of those individuals
resnan~:i~'e for ot~aining the information. I certify
under ;:enalty of lave that i have personally
examined and am familiar v~r;th the inbrmation
submitted and b?lieve the information is true,
accurate, and complete.
Signature _ Date
-1- 07/16/2007
.`-1`~: }
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ACETYLENE E F P IH G 300.00 FT3 Hi
OXYGEN F IH DH G 300.00 FT3 Low
WASTE OIL F DH L 55.00 GAL Low
ARGON F P IH G 300.00 FT3 Min
MOTOR OIL F DH L 55.00 GAL Min
-2- 07/16/2007
~t~~ ..
~.
-3-
07/16/2007
s
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
S SIDE OF BAY 2 CAS#
74-86-2
~GasATE ~PureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Co300100rFT3 Daily 300100m FT3 I Daily 300r00e FT3
17LiC~rilSLVIJJ 1.V1~lY V1V L~1V1J
swt. Rs cAS#
100.00 Acetylene Yes 74862
r11iGL-iRL riJ JP~JJl•1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA, Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
S SIDE OF BAY #2 CAS#
7782-44-7
~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum ( Daily Average
300.00 FT3 300.00 FT3 300.00 FT3
ru~uruu~vvo L.V1•lr V1V J;1V 1.7
owt. Rs cAS#
100.00 Oxygen, Compressed No 7782447
riL'i4riLCL riJ J1;A JP71J1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 07/16/2007
2t-1i
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
E END OF BLDG C'AS#
221
= 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 55.00 GAL 40.00 GAL
HAZARDOUS COMPONENTS
oWt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
riHG1~KL 1~5JL' S,`71~1~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
ARGON
Location within this Facility Unit
S SIDE OF BAY 2
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7440-37-1
~GasATE ~PureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum -~ Daily Average
300.00 FT3 300.00 FT3 300.00 FT3
r1P9C.it1RLVl.1J ~..vrlrvivrJivlJ
gWt• RS CAS#
100.00 Argon No 7440371
rlti[~tiRL tiJ J 1'.~ J J 1"1r.1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-5- 07/16/2007
_..~•,. Y
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
E END OF BLDG CAS#
8020835
Liquid TMixture 1 AmbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 40.00 GAL
tiHGtiKLVUa ~vinrvlv~lyl~
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
t1AGHKL H~JJt;5~1~1~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 07/16/2007
~~, 4
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Notif./EvacuationjMedical Overall Site ~
~ Agency Notification 05/10/1993 ~
IN THE EVENT OF EMERGENCY NOTIFY FIRE DEPT BY TELEPHONE. IF SITUATION
EFFECTS ADJACENT BUSINESS NOTIFY OWNER/MANAGER IN PERSON. NOTIFY PROPERTY
MANAGER IF THE COMPLEX IS EFFECTED.
Employee Notif./Evacuation 01/23/2001
EMPLOYEES WOULD BE MADE AWARE OF PROBLEM AND THEN HELP CONTROL AND CORRECT
THE PROBLEM.
Public Notif./Evacuation
01/23/2001
SHOULD A CUSTOMER BE ON THE PREMISES AND AN EMERGENCY AROSE I WOULD ANNOUNCE
IT AND REQUEST THEM TO MOVE OUT OF THE BLDG AND MOVE TO THE VACANT FIELD
DIRECTLY ES OF THE SHOP.
Emergency Medical Plan 01/23/2001
MOST MEDICAL EMERGENCIES CAN BE HANDLED BY THE MEDICENTER AT ASHE & MING OR
THE MEDICENTER ON WHITE LN. IF THE NEED IS MORE SERIOUS THEN ER AT SAN
JOAQUIN OR MERCY HOSPITAL ARE THE CLOSEST.
-7- 07/16/2007
~ ~~
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 05/10/1993 ~
ALL MATERIALS (IE. MOTOR OIL, WASTE OIL, ETC.) ARE STORED IN APPROVED
CONTAINERS. WASTE OIL IS PICKED UP AND REMOVED FROM THE PREMISES ON A
REGULAR SCHEDULE. WASTE AND TRASH ARE PLACED IN METAL CONTAINERS WITH LIDS.
Release Containment 05/10/1993
CONTAINERS ARE IN GOOD CONDITION & FREE OF RUPTURES. CONTAINERS ARE
PROPERLY LABELED AND SITUATED AWAY FROM TRAFFIC AREAS. OVERSIZED FUNNELS TO
PREVENT SPILLS.
Clean Up 05/10/1993
STOP OR REROUTE TRAFFIC AWAY FROM SPILL. CAPTURE & CONTAIN SPILLS WITH
ABSORBING MATERIAL & TRANSFER TO WASTE BARREL FOR DISPOSAL.
VV11G1 iZG.7llUl l.C 1'il.: 1.1 VCL l.1 V11
-8- 07/16/2007
r y` ^~a
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aNv~:lcal nac~ciiu~
Utility Shut-Offs
ELECTRICAL - NE CRNR WALL NEXT TO RESTROOM
WATER - S WALL OF BLDG E OF ROLL-UP DOOR
03/21/2007
Fire Protec./Avail. Water 03/21/2007
PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLER SYSTEM. FIRE EXTINGUISHER
MOUNTED ON SHOP WALL.
NEAREST FIRE HYDRANT - 200FT N OF SHOP.
Building Occupancy Level 12/11/2006
4 EMPLOYEES
-9- 07/16/2007
~* rt
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Training Overall Site ~
Employee Training 03/21/2007
MSDS SHEETS ON FILE.
BRIEF SUNIMARY OF TRAINING PROGRAM: I HAVE BEEN TRAINED IN THE HANDLING OF
HAZARDOUS AND POTENTIALLY HAZARDOUS MATERIAL BY PRIOR EMPLOYERS. I AM SELF
TRAINED THROUGH CONTINOUSLY REVIEWING MY HANDLING PROCEDURES. EMPLOYEES ARE
AWARE OF ALL HAZARDOUS MATERIALS AND KNOW PROPER HANDLING PROCEDURES.
HANDLING PROCEDURES ARE REVIEWED PERIODICALLY.
rayc c.
riC1U LV.C rULU=C USC
riCLU LVL PUI. I.LLC U`.5C
-10- 07/16/2007
UNIFIED PROGRAM INSPECTION CHECKLIS~~~ ~~ prevention Services
e FRS,: , 0 900 Truxtun Ave., Suite 210
_ - : - FARE Bakersfield, CA.93301
SECTION. 1: Business Plan and-Inventory Program "RrM Tel.: (661) 326-3979-
. ~ _ Fax: (661) 872-2171
FACILITY NAME
~ i ~ L ~~ t~~ ~~ I<~ INSPEC ION DATE
`~ Z~ - a7 INSPECTION TIME
~v l D
ADDRESS ~
`~lsa m ~a~, ~~. PHONE NO.
357~~1ye 6 NO OF E P YEES
FACILITY CONTACT
S! vii ~t/ i2 Ol. BUSINESS ID NUMBER
15-02
1- ~0(,
- - _ _ - ___
Section 1: Business Plan and Inventory Program
_- -
IS 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
~,/
L'( ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY . .
,~
~/
L''I ^ VERIFICATION OF HAZ MAT TRAINING ~ "
LAY ^ 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? L'~YtS ^ NO
EXPLAIN: .d r
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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. 09/05
T~ _.: 1
~~~
WHITE LANE AUTOMOTIVE SiteID: 015-021-000406
Manager ~~~e~ ~`~ir/c~~`/~ BusPhone: (661) 397-4406
Location: 4150 MEXICALI DR Map 123 CommHaz High
City BAKERSFIELD Grid: 16D FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact /, .Title- -- ~.
STEVEN R HENDRIX / OWNER ROY HENDRIX / ~e~a ~`~C
Business Phone: (661) 397-4406x Business Phone: (661) 665-8083x
24-Hour Phone (661) 978-9738x 24-Hour Phone ( ) - x
Pager Phone (661) 663-7242x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact ~ ~~~~ ~"'~-~''~ Phone: (661) 397-4406x
MailAddr: 4150 MEXICALI DR State: CA
City BARERSFIELD Zip 93313
Owner STEVEN R HENDRIX Phone: (661) 397-4406x
Address 4150 MEXICALI DR State: CA
City BAKERSFIELD Zip 93313
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN n
DO
[`
k3r~&ed on my inquiry of those indivi~i~~rJ~
r~r~fnP+~.i{a;r--~ #f;r dbt?Inin~ thd~ infr?rrr~atipn, I ~e~rtiiy
r~onally E~1'+n
U A~^~
rv'rl ~ ® ~oo
)rtri;-rity of 1~-rw that I have p~,
undr r ~ ,
,
eYan`iin~~r~ pni, tam fet~ili~r with thc> information
submitted and boilevG the iniovmaiion is true,
accurate, and complete.
~ ~ 7
'ignature Date
-1- 02/20/2007
1,
F WHITE LANE AUTOMOTIVE SitelD: 015-021-000406 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ACETYLENE E F P IH G 300.00 FT3 Hi
OXYGEN F IH DH G 300.00 FT3 Low
WASTE OIL F DH L 55.00 GAL Low
ARGON F P IH G 300.00 FT3 Min
MOTOR OIL F DH L 55.00 GAL Min
-2- 02/20/2007
-3- 02/20/2007
S.
F WHITE LANE AUTOMOTIVE
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
ACETYLENE
Location within this Facility Unit
S SIDE OF BAY 2
SiteID: 015-021-000406 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-86-2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum ~ Daily Average
300.00 FT3 300.00 FT3 300.00 FT3
tiAGiit[LVUJ 1=V1~1rV1vi51vla
°sWt. RS CAS#
100.00 Acetylene Yes 74862
tiHG1~1CL 1~w 7.71",JJ1~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
S SIDE OF BAY #2
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
300.00 FT3_ 300.00 FT3 I 300.00 FT3
riEiGEitCLVUJ 1,V1~lYV1V~1V1J
awt. Rs cAS#
100.00 Oxygen, Compressed No 7782447
tlL~l~tiKL H J.7L'.7AlY1L"1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 02/20/2007
f ~
F WHITE, LANE AUTOMOTIVE SiteID: 015-021-000406 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:.
E END OF BLDG CAS#
221
STATE
Liquid TYPE
TWaste PRESSURE
Ambient
~ TEMPERATURE
Ambient CONTAINER TYPE
DRUM/BARREL-METALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 40.00 GAL
t11~GE~tCL V U 5 lL V1~lY V1V L' 1V 1 ~
owt. Rs cAS#
100.00 Waste Oil, Petroleum Based No 0
t1E~GL~KL E~55t;5J1~1L'1V15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ARGON Days On Site
365
Location within this Facility Unit Map: Grid:
S SIDE OF BAY 2 CAS#
7440-37-1
~GaSATE TYPE ~f~'~ PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~
TPure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
300.00 FT3 '300.00 FT3 I 300.00 FT3
nt~~tuc.uvua Lvl~lrvlv~lyl~
~Wt. RS CAS#
100.00 Argon No 7440371
ri.HG1itCL I~J ~1;5J1~1r,1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-5- 02/20/2007
1
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
E END OF BLDG ~ CAS#
8020835
Liquid TMixture ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 40.00 GAL
t1E~G.E1ttUVUa 1:V1~lYV1V~1V'1J
oWt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
tir~~tittL r~~5~5,~i~i~lvta
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-6- 02/20/2007
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 05/10/1993 ~
IN THE EVENT OF EMERGENCY NOTIFY FIRE DEPT BY TELEPHONE. IF SITUATION
EFFECTS ADJACENT BUSINESS NOTIFY OWNER/MANAGER IN PERSON. NOTIFY PROPERTY
MANAGER IF THE COMPLEX IS EFFECTED.
Employee Notif./Evacuation 01/23/2001
EMPLOYEES WOULD BE MADE AWARE OF PROBLEM AND THEN HELP CONTROL AND CORRECT
THE PROBLEM.
Public Notif./Evacuation
01/23/2001
SHOULD A CUSTOMER BE ON THE PREMISES AND AN EMERGENCY AROSE I WOULD ANNOUNCE
IT AND REQUEST THEM TO MOVE OUT OF THE BLDG AND MOVE TO THE VACANT FIELD
DIRECTLY ES OF THE SHOP.
Emergency Medical Plan
01/23/2001
MOST MEDICAL EMERGENCIES CAN BE HANDLED BY THE MEDICENTER AT ASHE & MING OR
THE MEDICENTER ON WHITE LN. IF THE NEED IS MORE SERIOUS THEN ER AT SAN
JOAQUIN OR MERCY HOSPITAL ARE THE CLOSEST.
-7- 02/20/2007
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 05/10/1993 ~
ALL MATERIALS (IE. MOTOR OIL, WASTE OIL, ETC.) ARE STORED IN APPROVED
CONTAINERS. WASTE OIL IS PICKED UP AND REMOVED FROM THE PREMISES ON A
REGULAR SCHEDULE. WASTE AND TRASH ARE PLACED IN METAL CONTAINERS WITH LIDS.
Release Containment 05/10/1993
CONTAINERS ARE IN GOOD CONDITION & FREE OF RUPTURES. CONTAINERS ARE
PROPERLY LABELED AND SITUATED AWAY FROM TRAFFIC AREAS. OVERSIZED FUNNELS TO
PREVENT SPILLS.
Clean Up
05/10/1993
STOP OR REROUTE TRAFFIC AWAY FROM SPILL. CAPTURE & CONTAIN SPILLS WITH
ABSORBING MATERIAL & TRANSFER TO WASTE BARREL FOR DISPOSAL.
V1.11CL 1CCSVULLC LiC.:l.1Vdl.lVil
-8- 02/20/2007
e
~, ,
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aj/c~ial nc«.aiu~
Utility Shut-Offs 12/11/2006
A) GAS - NONE
B) ELECTRICAL - NE CRNR WALL NEXT TO RESTROOM
C) WATER - S WALL OF BLDG E OF ROLL-UP DOOR
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 12/11/2006
PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLER SYSTEM. FIRE EXTINGUISHER
MOUNTED ON SHOP WALL.
NEAREST FIRE HYDRANT - APPROX 200FT N OF SHOP.
Building Occupancy Level 12/11/2006
4 EMPLOYEES
-9- 02/20/2007
~, ~ £'_
F WHITE LANE AUTOMOTIVE SiteID: 015-021-000406 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 12/11/2006 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: I HAVE BEEN
TRAINED IN THE HANDLING OF HAZARDOUS AND POTENTIALLY HAZARDOUS MATERIAL BY
PRIOR EMPLOYERS. I AM SELF TRAINED THROUGH CONTINOUSLY REVIEWING MY
HANDLING PROCEDURES. ~ ,~'~
~~1J4~,~/~F5 ~.L~C ~ccJi¢~C o j~` l1 /~ ./hW~c~ ~/4l~c /~aa~'
Page 2
Held for Future Use
nclu tvi ru~ul.c lJSc
-10- 02/20/2007
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
a E R S F r n 900 Truxtun Ave., Suite 210
__ _.
FIRE Bakersfield, CA 93301
ARTM r Tel.: (661) 326-3979
Fax: (661) 872-2171
AGILITY NAME~I. * ~ ~
~ ~ INSPECTION DATE// INSPECTION TIME i
T(j i'VL®?~/~
W ~'~~~ L ~ ~ '~ '~!d
ADDRESS ~
~-r
~ PH NO.
7- ~`~0~ NO OF PLOYEES
(
(sue ~ ~ ~c a-
FACILITY NTACT ^
<- J\ BUSINESS ID NUMBER i
15-021- ~ p (P
Section 1_:Business Plan and inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance .OPERATION
V=Violation - COMMENTS
^ APPROPRIATE PERMIT ON HAND
~ ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE
1~ ^ VISIBLE ADDRESS EN1'~
[-
^ CORRECT OCCUPANCY
IQ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION /~
(f'
^ PROPER SEGREGATION OF MATERIAL
~^ VERIFICATION OF MSDS AVAILABILITY
B
~
^ VERIFICATION OF HAZ MAT TRAINING
^
/
1~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
..tom ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZA/`RDOUS('W~ST{E~ONf~SIT ~ ~/1e~$ ^ NO
EXPLAIN: /_ ~)~IS2~~Ji~~ ~ //!/~a~{~.- D/
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
2 ~/ ~
I ector (Please Print) Fire Pr ention / 1s` In /Shift of ite/Station # Business Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
Prevention Services
rft~ 900 Truxtun Ave., Suite 210
ARTAI t gakers8eld, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECTION DATE INSPECTION TIME
ADDRESS HONE NO.
35'
-y OOF EMPLOYEES
~~
tso ~~.~x ~ 7
4oc~
FACILITY CONTACT USINESS ID NUMBER
S`
~ 15-021- i{ D(Q
C~ ~~~
rc i~.Z.
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
_
-/
l~l' ^ APPROPRIATE PERMIT ON HAND
^ BUSIIIQSS PLAN CONTACT INFORMATION ACCURATE
l~ ^ 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
~/'
L7 ^ 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:
^ YES ^ NO
.QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire revention / ts' In / Shift of Site/Station # Bust ss Site/School Site Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rav. tYllOS)
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business Plan and inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME
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Section 1: Business Plan and Inventory Program
Routine ^ Combined O Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection
C V \V-Vioatpiolnncel OPERATION
^ APPROPRfATE )PERMIT ON HAND - COMMENTS
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
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^ CORRECT OCCUPANCY
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lid ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF pUANTITIES
~ ^ VERIFICATION OF LOCATION
l~ ^ PROPER SEGREGATION OF MATERIAL
l~ ^ VERIFICATION OF MSDS AVAILABILITYE - -
L'7 ^ VERIFICATION OF HAT MAT TRAfN4NG - -
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^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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l~ ^ CONTAINERS PROPERLY LABELED
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^ HOUSEKEEPING
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13 ^ FIRE PROTECTION --
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L7 ^ SITE DIAGRAM ADEQUATE H~ ON HAND - - -
ANY HAZARDOUS WASTE ON SITE: ~ES ^ NO
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EXPLAIN: ~ ~ ~ , C'91 ~ ''CV ~+G/S
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 } 325-3979
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Inspector Badge No.
White -Environmental Services Yellow - Statbn Copy
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• Business Slte Responsible Party ''
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Pink -Business Copy