The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 7/16/2007 " ,I,a" il. ri Ij :1 11 'I : " , , e, ~~3A .~ l TEXACO EXPRESS LUBE 1 370.1 MOUNT VERNON A ~-~J 13/ '/0/ J1/L ~' r:~--- I :-"1(,,, II '0'0) l____ J r~ 'r ~ TEXACO EXPRESS LUBE NORTHEAST SiteID: 015-021-000292 Manager : RICHARD YOUNG Location: 3701 MT VERNON AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 151 (661) 872-9101 CommHaz : Low FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:7549 DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD YOUNG / OWNER SAMIR MANSOUR / OWNER Business Phone: (661) 872-9101x Business phone: ( 661) 872-9101x 24-Hour Phone (661) 327-5133x 24-Hour Phone (661) 327-5133x Pager Phone ( ) x Pager Phone ( ) x Hazmat Hazards: Fire DelHlth Period Preparer: Certif'd: ParcelNo: to phone: (661) 872-9101x State: CA Zip 93306 Phone: (661) 872-9101x State: CA Zip 93306 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : RICHARD YOUNG MailAddr: 3701 MT VERNON AVE City BAKERSFIELD Owner Address City RICHARD YOUNG 3701 MT VERNON AVE BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK ENT'O AUG 0 1 Z007 7/J?~ .' -1- 07/16/2007 " " j; --' F TEXACO EXPRESS LUBE NORTHEAST F Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-000292 By Facility Unit Fixed Containers on site 1 =t =t DailyMax lunitlMCP Hazmat Common Name... IspecHazlEPA Hazards I Frm I F DH L L L F DH 550.00 GAL 55.00 GAL 1350.00 GAL Low Low Min WASTE OIL ANTIFREEZE MOTOR OIL -2- 07/16/2007 "7: " 'i -3- 07/16/2007 '1, :-~ ., F TEXACO EXPRESS LUBE NORTHEAST p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-000292 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit INSIDE NE CRNR OF BLDG Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 550.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 550.00 GAL Daily Average 220.00 GAL ZARD U MP %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HA 0 S CO ONENTS ARD TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZ ASSESSMENTS p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit INSIDE CAGE E SIDE OF BLDG Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 - TSecret- RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low , HAZARD ASSESSMENTS -4- 07/16/2007 'f- "; l~ ./ ./ F TEXACO EXPRESS LUBE NORTHEAST p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-000292 , Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit INSIDE NE CRNR OF BLDG Map: Grid: CAS # 8020835 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 1350.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1350.00 GAL Daily Average 500.00 GAL HAZ S MP %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 ARDOU CO ONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -5- 07/16/2007 1-: ~ ('J t-!", F TEXACO EXPRESS LUBE NORTHEAST I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000292 9 Fast Format 9 Overall Site 9 02/22/2000 FIRE DEPT 911 OR 871-7387 AND OFFICE OF ENVIRONMENTAL SERVICES AT 326-3979. Employee Notif./Evacuation 02/22/2000 HAVE THEM LEAVE THE BLDG. Public Notif./Evacuation 07/05/1995 HAVE THEM LEAVE THE BLDG. Emergency Medical Plan 02/22/2000 MEMORIAL HOSPITAL EMERGENCY - 420 34TH ST - 327-1792. -6- 07/16/2007 ';.i~ _.' ~ ~. ./ F TEXACO EXPRESS LUBE NORTHEAST I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000292 9 Fast Format 9 Overall Site 9 02/21/1992 WASTE OIL IS DRAINED FROM VEHICLES DIRECTLY INTO LINES WHICH FEED INTO THE STORAGE TANK. Release Containment 02/21/1992 STORED IN A CLOSED CONTAINER (STORAGE TANK). TANK IS PERIODICALLY PUMPED OUT BY A WASTE DISPOSAL TRUCK. WE NEVER ALLOW THE STORAGE TANK TO OVERFILL. Clean Up 02/22/2000 SMALL SPILLS - PICK UP AND PUT INTO WASTE STORAGE TANK. LARGE SPILLS - CALL OUT WASTE DISPOSAL COMPANY FOR CLEAN UP. Other Resource Activation -7- 07/16/2007 // c;'. ,j:., Jj, F TEXACO EXPRESS LUBE NORTHEAST I p= Site Emergency Factors Special Hazards SiteID: 015-021-000292 9 Fast Format "I Overall Site 9 Utility Shut-Offs A) GAS - N SIDE OF BLDG B) ELECTRICAL - E SIDE OF BLDG C) WATER - E EDGE OF PROP D) SPECIAL - NONE E) LOCK BOX - NO 11/14/2006 Fire Protec./Avail. Water 03/24/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CHRISTMAS TREE LN & NOEL PL. Building Occupancy Level 03/10/2006 1 EMPLOYEE -8- 07/16/2007 ./ ~ 1~ 'i;,~ rp- F TEXACO EXPRESS LUBE NORTHEAST I F Training Employee Training SiteID: 015-021-000292 1 Fast Format 1 Overall Site 1 11/14/2006 MSDS SHEET ORDERED. BRIEF SUMMARY OF TRAINING PROGRAM: I TRAIN THE EMPLOYEE BEFORE HE STARTS WORKING ON HOW TO CLEAN, IF HE SEES AN OIL SPILL, OR WHAT TO DO IN CASE THE BUILDING CATCHES ON FIRE. ALSO, I REMIND MY EMPLOYEE EVERY MONTH ABOUT HAZARDOUS MATERIAL. Page 2 Held for Future Use Held for Future Use -9- 07/16/2007 ;: .. J TEXACO EXPRESS LUBE NORTHEAST SiteID: 015-021-000292 Manager : Location: 3701 MT VERNON AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 151 (661) 872-9101 CommHaz': Low Facunits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:7549 DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD YOUNG / OWNER SAMIR MANSOUR / OWNER Business Phone: (661) 872-9101x Business Phone: (661) 872-9101x 24-Hour Phone (661) 327-5133x 24-Hour Phone (661) 327-5133x Pager Phone ( ) x Pager Phone ( ) x Hazmat Hazards: Fire DelHlth Period Preparer: Certif'd: ParcelNo: to Phone: (661) 872-9101x State: CA Zip 93306 Phone: (661) 872-9101x State: CA Zip 93306 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 3701 MT VERNON AVE City BAKERSFIELD Owner Address City RICHARD YOUNG 3701 MT VERNON AVE BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK Based .on my inquiry of those individuals responsible for obtaining the information I certify unde~ penalty ('I law. t_hat I. have pe'rsonally examl.ned and ,m familiar with the information submItted and e!ieve the information is true accurat;;. nd C Implete. ' E~rn FEf3 2 (; ZOQ7 1- 2 I-(J 1 Date -1- 02/16/2007 ~, :1' F TEXACO EXPRESS LUBE NORTHEAST f= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-000292 9 By Facility Unit 9 Fixed Containers on Site 9 SpecHaz EPA Hazards DailyMax MCP F DH L 550.00 GAL Low L 55.00 GAL Low F DH L 1350.00 GAL Min Hazmat Common Name... WASTE OIL ANTIFREEZE MOTOR OIL -2- 02/16/2007 r '1 ) -3- 02/16/2007 'i F TEXACO EXPRESS LUBE NORTHEAST f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-000292 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit INSIDE NE CRNR OF BLDG Map: Grid: CAS # 221 [ ~TA~E I TYPE ~ P~ESSURE --r TEM~ERATURE " =L~qu~d __waste ~mb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 550.00 GAL CONTAINER TYPE ABOVE GROUND TANK Largest Container 550.00 GAL Daily Average 220.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # -100.00 Waste Oil, Petroleum Based No 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low f= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit INSIDE CAGE E SIDE OF BLDG Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 HAZARD A SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies!, / / / Low S -4- 02/16/2007 F TEXACO EXPRESS LUBE NORTHEAST f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-000292 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit INSIDE NE CRNR OF BLDG Map: Grid: CAS # 8020835 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 1350.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1350.00 GAL Daily Average 500.00 GAL E %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPON NTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -5- 02/16/2007 " F TEXACO EXPRESS LUBE NORTHEAST I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000292 9 Fas t Format 9 Overall Site 9 02/22/2000 FIRE DEPT 911 OR 871-7387 AND OFFICE OF ENVIRONMENTAL SERVICES AT 326-3979. Employee Notif./Evacuation 02/22/2000 HAVE THEM LEAVE THE BLDG. Public Notif./Evacuation 07/05/1995 HAVE THEM LEAVE THE BLDG. Emergency Medical Plan 02/22/2000 MEMORIAL HOSPITAL EMERGENCY - 420 34TH ST - 327-1792. -6- 02/16/2007 c. F TEXACO EXPRESS LUBE NORTHEAST I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000292 9 Fast Format 9 Overall Site 9 02/21/1992 WASTE OIL IS DRAINED FROM VEHICLES DIRECTLY INTO LINES WHICH FEED INTO THE STORAGE TANK. Release Containment 02/21/1992 STORED IN A CLOSED CONTAINER (STORAGE' TANK). TANK IS PERIODICALLY PUMPED OUT BY A WASTE DISPOSAL TRUCK. WE NEVER ALLOW THE STORAGE TANK TO OVERFILL. Clean Up 02/22/2000 SMALL SPILLS - PICK UP AND PUT INTO WASTE STORAGE TANK. LARGE SPILLS - CALL OUT WASTE DISPOSAL COMPANY FOR CLEAN UP. Other Resource Activation ,-7- 02/16/2007 .: F TEXACO EXPRESS LUBE NORTHEAST I f= Site Emergency Factors Special Hazards SiteID: 015-021-000292 9 Fast Format 9 Overall Site 9 Utility Shut-Offs 11/14/2006 A) GAS - N SIDE OF BLDG B) ELECTRICAL - E SIDE OF BLDG C) WATER - E EDGE OF PROP D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/24/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CHRISTMAS TREE LN & NOEL PL. Building Occupancy Level 03/10/2006 1 EMPLOYEE -8- 02/16/2007 .;' ~ i ,..~ F TEXACO EXPRESS LUBE NORTHEAST I f= Training Employee Training SiteID: 015-021-000292 9 Fas t Format 9 Overall Site 9 11/14/2006 MSDS SHEET ORDERED. BRIEF SUMMARY OF TRAINING PROGRAM: I TRAIN THE EMPLOYEE BEFORE HE STARTS WORKING ON HOW TO CLEAN, IF HE SEES AN OIL SPILL, OR WHAT TO DO IN CASE THE BUILDING CATCHES ON FIRE. ALSO, I REMIND MY EMPLOYEE EVERY MONTH ABOUT HAZARDOUS MATERIAL. Page 2 Held for Future Use Held for Future Use -9- 02/16/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program . 4 ----. .............. Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME . A!JsscX1J.J2.D---G.~,I)-c~s.s....Lu.k-_.-----.-.-.-- '3 '2 DL__l~-I-_.lL~v-Y\-CJLL-Av.-~------.-.--- FACILITY CONTACT '1(..0 C \.- INSPECTION DATE INSPECTION TIME ..____m...._____ n_._u lJ:J._~.iJ~__ e.g. M__nu_ PHONE No. No. of Employees u_._______._m ~ 7 ~-CJ.1oL--~u----nm--.- Business 10 Number 15-021- ,. ., . ..... . . Section 1: .Business Plan and Inventory Program ~utine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Complianc'e ) V=Violation OPERATION COMMENTS . I 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE o ApPROPRIATE PERMIT ON HAND o VERIFICATION OF QUANTITIES -=~i:;~:~~~~::~;N~TER"L .. ~= _~-_- t= .. ~-=-__ .. __ ....=--=__ . o VERIFICATION OF MSDS AVAILABILlTYE__________.____+___ _ __.________ nn __ __ ..._._.._____ ___________,________.. ~t~:~~~~: ;-:;~~?~:E~~~~OCE;;U~sl-. =:==-=_. . . .....=:_=:- ~ _~_._-=~.=~~=NCY P~_~=~~R_=~~~~~~TE___u_______,_______..t.-..----...- _..._uu__..__..__._ .... __..____n . ......______..._u ~ 0 CONTAINERS PROPERLY LABELED I ~1--~---Hou~~;~~IN~-u------- ----- _n-----uu--------------t- .-.- ------.-- ---------------.-... _________..._______m__...nU__._________.________.n.___ _ -r.... -----...--- ... .~_ _________u__. _ _Un __ ___ I ;J 17.J.- tU e-c r2 SY:-~ o FIRE PROTECTION o -y.; SITE DIAGRAM ADEQUATE & ON HAND ~ ANY HAZARDOUS WASTE ON SITE?: ~'yES 0 No EXPlAIN ~ C<>.. <l.I1" (;:-,. G.h \..,.. ".- Lp ;- - ~ ~ e.-,ll / ID --/0- () s: .P ,-(',I::.- - U AL1 I ItA-S -I- O'-v"\ . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~2G.\..u\t-"-~ Q. c-r ~I~c)~ InSp8clor (Please-Print) ____u__3:<,:____ ---- irePrevention-lst=inishiftofSrte----- ~J~u1b."-_________ BUSiness Site Responsible Party (Please Print) ~ J2 White ~ Environmental Services Yellow - Station Copy 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 Tel: (661)326-3979 FA:I~TY_ ~A:~__~a/lLa_ ~/~--kI3A __ __ __ _ _ ___ __ __ ___ _ __ ___ _____ _ _ __ INS::~I:~__~::____~~~:~~TI:~~~:E__u ADDRESS./::"----I.f'/' PHONE No, No, of Employees -rXCICITYCONTA~--fll1-Jh.~n-4~--m-------------------------- i-le~i~f~l- ___/i________ --- z ~ 15-021- Section 1: Business Plan and Inventory Program ril.Boutine CJ Combined CJ Joint Agency CJ Multi-Agency CJ Complaint CJ Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS aR., 0 ApPROPRIATE PERMIT ON HAND IQL CJ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ VISIBLE A~DR~_~~___________________________________ _______ '._un______, __u _ n______ _____ _____________________ tt. CJ CORRECT OCCUPANCY Je...,. CJ VERIFICATION OF INVENTORY MATERIALS .____"_____ __ ____.______ __. n.____.__u.__ _. ___._____u..._..__ ..\:~~:,._..::.._-. ,.'" 'Y"?~~;>. ~ ~:"f."~- -=--.~1""';~;- ____.___________.____.._.____..u.. ____._____0___.....0.____....___...__ __. _.:'.'~:~-.,-~-::_ ..~... .-.~,f.-L._: ;;'.0; ~ Cl VERIFICATION OF QUANTITIES ---_._~._--,.._---_._------------_._----------- -..--.-----.----...- ;t..1'~ . _~ _~___~~~~~AT~~~_~OC~~~~_________________________.,.,., ~ CJ PROPER SEGREGATION OF MATERIAL , . ----.-------.--------.--.-.-- ...----------- --.-----.....- --..-- ......, ..-------....--...--..- tSl. CJ VERIFICATION OF MSDS AVAllABILlTYE a CJ VERIFICATION OF HAT MAT TRAINING ~- VERIFICATION OF -~~~TE~~NT ;U-~-;~;~~-~~~-;~~~~~~~~--------u-- -- ------------- ---------- ,------ ~--- EM~RGENC_; PR~~ED~;~--ADEQ~TE-----.--_--m----- _____________________________u______u ____u__________________ -" m --c:?mrl---C~NTAI~~~~-~~~~~~~~--:~~-~~~u----------------_____+________u____m____u___ , ,,------- .,.,- - u -----/---'------'-------________________________'___________n______ __+___,________________,____,________ _ _ _ n _ _ _ __ _ _ 1!1 CJ HOUSEKEEPING 1 -r?n---~~~--pR;~~~;~~ ----- -------- --- ------------ ______________n_ - -- --- m____________n____ ______m_ un -~ ______~ ______ _____ __ _____ ___ _______ _ _ ___ ____ ________ _ _______________ ________ _ _____ _ _____._._nu_.. ____. CJ SITE DIAGRAM ADEQUATE & ON HAND -., EXPLAIN: U/tMJ~ ~S a/ (] No Ai ~/iJ;;C?O ANY HAZARDOUS WASTE ON SITE?: "'-''- -------- --, QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~/J- j , 4~ ___~!;2Z2_ -----u--_m__!3_d_____u________ ~ ~ 7'--/ '-lfls6ect Badge No,,------ ----Bu~SiteREjspoMTtlirIPiirty ___n -pi' White - Environmental Services Yellow . Station Copy Pink. Business Copy ------- ~ .. .:r + TEXACO EXPRESS LUBE NORTHEAST ======================= SiteID: 015-021-000292 + Manager : Location: 3701 MT VERNON AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 151 (661) 872 - 9101 CommHaz : Low Facunits: 1 AOV: CommCode: BFD STA 08 SIC Code:7549 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title RICHARD YOUNG / OWNER SAMIR MANSOUR / OWNER Business Phone: (661) 872-9101x Business Phone: (661) 872-9101x 24-Hour Phone : (661) 327-5133x 24-Hour Phone : (661) 327-5133x Pager Phone () x Pager Phone () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire DelHlth I +------------------------------------------------------------------------------+ Contact : Phone: (661) 872-9101x MailAddr: 3701 MT VERNON AVE State: CA City : BAKERSFIELD Zip : 93306 +------------------------------------------------------------------------------+ Owner RICHARD YOUNG Phone: (661) 872-9101x Address : 3701 MT VERNON AVE State: CA City : BAKERSFIELD Zip : 93306 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of th '. ~~sg~~~~'~: t~ og:ali~~gt~h~ irf~r~at:g~,'~l~~r~~~ :~;~~~ed al ~ ~m .familia~ with ~~: fni~~~~~~~ accur t a a , aI/eve the information is true , n co te. ' FNTTJ MM z 4 ZOOS +========~-=============:====================================================+ 1r ,.1, b ro Date -1- 03/10/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~~~~___~~~~~lf1.:,~mYliir~~~~:;..tr.~~~Xi:r SECTION 1 Business Plan and Inventory Program . FACILITY NAME - -------- -/ e.y..-Aco-E~~~Lube---hl.-E-.--------- ---------- AOORE=-_31Q_LJ~~_~eg._Vill_~_________________________.___._________m__ FACllIIYCONTACT ~ 'n Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 _____ ~~~lbk-- IN7;~I~~I~~_ PH'iN{ No_ No_ of Employees _________ 8) 4_7Lf2L_~_~_________ m_ Business 10 Number 15-021-(i:t>'L'Iz.. Section 1: Business Plan and Inventory Program ~ Routine LI Combined LI Joint Agency, 0 Multi-Agency LI Complaint LI Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS 9' LI ApPROPRIATE PERMIT ON HAND --~'----'~'_._--------'-'-----"-----------'-'-_._---'-----------.-.-. .-..--.-..----,.. _.,.._-~._--_.,.._.-._----- .--- -'--' o BUSINESS PLAN CONTACT INFORMATION ACCURATE o 0 VISIBLE ADDRESS _'-k>-bcudCl'fJ6 -- -~/~pIQk-- ~ 0 CORRECT OCCUPANCY fa LI - VERIFICATION OF INVENTORY MATERIALS -----INT'D-- Nb'v -i-3-~~-'------ ---- ------- - ------ ---~-2006-- pl' LI VERIFICATION OF QUANTITIES _______________u..___._________.___._.._______ _ ___._,_,___", __ ._. .________mO._..___."_____u_.._ _ __________... . LI VERIFICATION OF LOCATION o ;zt- r:J PROPER SEGREGATION OF MATERIAL ______________________________________n_________ __________________________u -- ,_________m.___ - -- - - - -r-- - - - - __nn__ - -------- 11_ ~~~~:~~~:D~A~:~~YE-m -I ----- AMcO 1 ---~- ~_-;}~~~p~~N:~~~~~~~=oc:REs.l-=.--...~..~..~. ....~~~~D \: ._=-~=~_=- LI CONTAINERS PROPERLY LABELED I ==0 ~~~KE-'~~~==_=__=-=:-====-~t=-- _.. LI FIRE PROTECTION i 1"-n--;T~-D~~~~~ADE~~~T~--&--O~--HAN~------- -1---------------- n__m____ ANY HAZARDOUS WASlE ON SITE?: "'s. 0 No 1\ . () EXPLAIN: ~) ~ . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 White - Environmental Services Yellow - Station Copy -7/:#' A ~ ~~nsi:p~-i~eprinl)- m ;g N Pink - Business Copy :g .-------~i1bId:=~_-.---_.--------------SmB!L-_.------------.-__. Inspector (Please Print) Fire Prevention 1st-In/Shift of Site