HomeMy WebLinkAboutBUSINESS PLAN 9/26/2006'f . ~r"
KINOSHITA CHIIZOPRACTIC
~- ~ ~ 4437 MING AVENUE _._
1: ~
•
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
. / r
__ INSPECTION DATE INSPECTION TIME
- -
ADDRESS
~ PHONE No. No. of Employees
FACILITYCONTACT
L '-
~
t Business ID Number
is-o21- ®o~9-fr3
. ~ n
ti:.
~. .. _ ..
Section 1: Business Plan and InventoryProgram
C~Routine. ^ Combined D Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
,~
C V ncel OPERATION
t COMMENTS
on
\V=Vioa
^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
l~ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^
`
VERIFICATION OF LOCATION -- ---- --------------------
~ ^ PROPER SEGREGATION OF MATERIAL
C~ ^ VERIFICATION OF MSDS AVAILABILITYE f
~~
- -
^ -- -- ------------------------
VERIFICATION OF HAT MAT TRAINING ------_--
t ~- ~ - ---- ---
~ ` ~ ~ Q
- ----- ------- ---------- ~---------- -------QJ---~
^
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
i /~
~V
^ EMERGENCY PROCEDURES ADEQUATE `
^ CONTAINERS PROPERLY LABELED
If7~ ^ HOUSEKEEPING ~
,~I ^ FIRE PROTECTION
l~ ^ SITE DIAGRAM ADEQUATE & ON HAND T
ANY HAZARDOUS WASTE ON SITE?: ES ~'NO
QUESTI S REGARDING THIS INSPECTIONS PLEASE CALL US AT ~G6'I ~ 326-3979
In Badge No. Business Site esponsible Party
White - Environmental Services Yetlow -Station Copy ~ Pink -Business Copy
t ntSP % ~r`" Bakersfield Fire Dept.
UNIFIED PF~OGRAM INSPECTION CHECKLIST Environmental Sernces
SECTION 1 Business Plan and Invento Pro ram ,.~ 900Truxtun Ave., Suite~.~~l
ry 9 Bakersfield, CA 93301 ? 01000
Tel: (661)-326-3979 _ _ _ _
FACILITY NAME , / a L WSPECTION OA E INSPECTION TIME
~~~1c~5E-1trA .~if-FC,W1'+`+~..~~J ._._..._ `TrZ~~Os
ADDRESS .. _ _ - PHO~ O ~ ~~~ No. of Employees
FACILITYCONTACT Business ID Number
i 15 1- n~1~~
Section 1: Business Plan and Inventory Program ~ ~ ~~
^ Routine ^ Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-'
C V nce~ OPERATION
t
( COMMENTS
on
v=Vioa ~~~
~
^
^ ^
^ APPROPRIATE PERMIT ON HAND
T
T
FORMAT
ON ACCURATE
B '1
~,
USINESS PLAN CON
AC
IN
I
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ ' VERIFICATION OF INVENTORY MATERIALS ~Z
^ ^ VERIFICATION OF QUANTITIES Ste, ~,~,~
^ ^ .VERIFICATION OF LOCATION j~s, ~~ fl~~. R~C~~
^ ^ PROPER SEGREGATION OF MATERIAL
^
- - - ^
--- VERIFICATION OF MSDS AVAILABILITYE
---
-
-
-
I
f
^ -
^ ...-- -
- -.. -- - __ _ ..... _... -- ---
---------------_~ _-
-- - - --
VERIFICATION OF HAT MAT TRAINING .....-
_... _ - - ...............- - _ _...- ..._ _.. ...
r Q 1 _ _ -
_ _----.. ----. ----._._...-
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ~ v
^ ^ EMERGENCY PROCEDURES ADEQUATE i
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^. FIRE PROTECTION ~
------ ------------- _ __---._ _ ----~.. _--- ---._ . __
- -------
•
r. Larry M
Kinoshita
~1
^ ^ SITE DIAGRAM ADEOUATE 8t ON HAND .
ANY HAZARDOUS WASTE ON SITE/?:
EXPLAIN: ~^~S'~C \ l~
CHIROPRACTOR r
Palmer Graduate ,~
a
OYES ^ No
KINOSHITA CHIROPRACTIC
4437 Ming Avenue • Bakersfield, CA 93309
(661) 398-9100 • Fax (661) 398-5188
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~C)G/'I~ 3Z6-3979
- -- --- -L~J'r •~~ _.. _.- ..__. ---- - ---._.----- ----Pl 3.._ -_._ _ _ _
Inspector (Please Print) Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
B ite Responsi le P rty (Please rint)
Pink • Business Copy
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~U~.loSµ ~-rn C~~rZC>Q~nL
Section 4: Hazardous Waste Generator Program
^ Routine ~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made
EPA ID Number
Authorized for waste treatment and/or storage
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers aze kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Secondary containment provided / PL.~~ f~c~%/7L'r
Conducts daily inspection of tanks
Used oil. not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
C=Compliance V=Violation
Inspector: ~ ~ ~~~
Office of Environmental Services (661) 326-3979
White -Env. Svcs.
Pink -Business Copy
INSPECTION DATE ~IZ~/°`~
EPA ID # ~~~'
usiness Site esponst le Party