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HomeMy WebLinkAboutBUSINESS PLAN 11/7/2006N -/ t!'T. ° ~ . ~ TODAY CLEANERS ~ 5151 MING AVE. ~~j4 y t~ ~. ''t9 r ~ W UNIFIED PROGRAM INSPECTION CHECKLIST -- - SECTION 1: Business Plan and Inventory Program i Prevention Services H._ _E~_R .S .F I „p 900 ZYuxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME~~ l ~ INSPECTION DATE INSPECTION TIME I©~w ~fw~~dt it-1-Ob C~o,i~ _ ADDRESS S 15" 1 r~l,Nb ~~~ ', .~ PHONE NO. 3 - laly: . NO OF EMPLOYEES FACILITY CONTACT t ~ ~ BUSINESS ID NUMBER 15-021~D'7I~ ,.t lgw•S QI Section 1: Business Plan and Inventory Program C V ( C=Compliance OpERATiON V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND 111 ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE I. ~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY n 2Vo~ L( ^ VERIFICATION OF INVENTORY MATERIALS ~~ vtlo /' 2 r ~/~ ~Pw- ^ VERIFICATION OF QUANTITIES ~ ~ ^ VERIFICATION OF LOCATION ~E~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~] ^ VERIFICATION OF HAZ MAT TRAINING O ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERL"Y LABELED --- ~' ^ HOUSEKEEPING r-'; - c r' '- --° ^ FIRE PROs TECTION-- - T~' ^ SITE DIAGRAM ADEQUATE & ON HAND i ANY HAZARDOU WASTE/ON SITE? EXPLAIN: ~< ~P ~'" YES ^ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # iness Ite / Res on ble Party (Please Print) White -Prevention Services Yellow =Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 f, .T. + TODAY CLEANERS 14 =_____-.-___________________________ SiteID: 015-021-000714 + Manager BusPhone: (661) 634-1214 Location: 5151 MING AVE Map 123 CommHaz Moderate City BAKERSFIELD Grid: lOB FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code:7216 EPA Numb: CAD983666884 DunnBrad:02-788-0566 Emergency Contact / Title G.1'Y1• Emergency Contact / Title MIKE DANIEL / ~'_"^^ "n""T"°~ JEFF NEWMAN JR / -PRESIDENT ', Business Phone: (661) 634- ii3a Business Phone: (661) 634- ilia ' 2 4 -Hour Phone (-6 6~1T--~~~-~•8~~x 33.t~b~ ~"- 2 4 -Hour Phone c~~' ` °'' "' ° ^ " '''" 33-3 83) ~ Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MailAddr: 121 MONTEREY ST City BAKERSFIELD Phone: (661) 631-1130x State: CA Zip 93305 Owner RICHARD K NEWMAN & ASSOCIATES INC Phone: (661) 634-1130x Address 121 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT pR~~ ~- ~ N~ ~ ~~~~'~ ~~ Ba~ott on my inquiry of those individuals reaponsible for obtaining the information, I certify under pgnaity of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete, Signature `~ Date EN~~ A PR ~ ~ 2000 -1- 03/09/2006 UNIFIED PROGRAIVI INSPECTION CHECKLIST ~`, SECTION 1: Business Plan and inventory Program IA BAKERSFIELD FIRE DEPT Prevention Services w~tr D 900 Truxtun Ave., Suite 210 ~RfM r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME C~Ulcs- C\P~v~ ~ ~ INSPECTION DATE \ -Lo~d~ INSPECTION TIME ~Q i-1.~ ADDRESS S\S~ ; ~. ~J~. HONE NO. -~ O OF EMPLOYEES FACILITY CONTACT ~~~ ~ USINESS ID NUMB R 15-021- ~p~` :~ Section 1: Business Pfan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfI@SS 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 OCEDURES ^ 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 C~~- ~-~~~~ ~~~ Inspector (Please Print) Fire Prevention / 18' In /Shift of Site/Station # L 1 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02105)