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JACKS AUTOMOBILE SERVICE & SMOG
Manager :Tti&':::" Fi~b.~;
Location: 1231 N ST
City BAKERSFIELD
CommCode: BFD STA 03
EPA Numb:
SiteID: 015-021-000750
BusPhone:
Map : 103
Grid: 30C
(661) 395-1036
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact
JACK FABBRI
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNER
(661) 395-1036x
(661) 664-0741x
(661) 332-3363x
Hazmat Hazards:
Contact :::::rtic:k ~.tr,
MailAddr: 1231 N ST
City BAKERSFIELD
Owner
Address
City
JACK FABBRI
9109 COULTER CT
BAKERSFIELD
Period
Preparer:
Certif'd:
ParcelNo:
to
Emergency Directives:
PROG A - HAZMAT
PROG H- HAZ WASTE GEN
Based on my inquiry of ,those i,ndividu~IS
responsible for obtaining the mformatlon, \ certIfy
under enalty of law that I have person~\IY
examin~d and am familiar ~ith the ~nfo~matlon
submitted and believe the I ormation IS true,
accur~;~~ c e.
~/
./"
/
/ -
7.tu,e
g-J'd7
Date
Emergency Contact
FRANK FABBRI
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNERS FATHER
(661) 395-1036x
(661) 831-2597x
(805) 773-0463x
Fire Press
ImmHlth DelHlth
phone: (661) 395-1036x
State: CA
Zip 93301
phone: (661) 664-0741x
State: CA
Zip 93311
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
ENf'B PES 2 2 l~Or
-1-
02/01/2007
UNIFIED PROGRAM INSPECTION CHECKLIST
Prevention Services
. D 900 Truxtun Ave., Suite 210
. Bakersfield, CA 93301
Tel.: (661) 326~3979
Fax: (661) ~72-2171
SECTION 1: BUsiness Plan and Inventory Program
0007 ~t)
o MUL TI.AGENCY
v (c-cOmPlianCe)
V=Violation
OPERA TION
COMMENTS
0 ApPROPRIATE PERMIT ON HAND
0 Business PLAN CONTACT INFORMATION ACCURATE
0 VISIBLE ADDRESS
0 CORRECT OCCUPANCY
0 VERIFICATION OF INVENTORY MATERIALS El't'T'
0 VERIFICATION OF QUANTITIES
0 VERIFICATION OF LOCATION
0 PROPER SEGREGATION OF MATERIAL
0 VERIFICATION OF MSDS AVAILABILITY
0 VERIFICATION OF HAZ MAT TRAINING
0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
o EMERGENCY PROCEDURES ADEQUATE
o CONTAINERS PROPERLY LABELED
o HOUSEKEEPING
; 0 FIRE PROTECTION
r 0 SITE DIAGRAM ADEQUATE & ON HAND
--.stYES
lVl\~p~ 01 L--
EXPLAIN:
ANY HAZARDOUS WASTE ON SITE?
o NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~e0\t~\G\O~ f -1/
Inspector (Please P nt) Ir Prevention /1't In / Shift of Site/Station #
White - Prevention Services
Yellow. Station Copy
FD 2155 (Rev. 09/05
Pink - Business Copy
r<
Prevention Services
900'Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
I1.,J1
FACILITY CONTACT
~tlnN ~
~'f\'V "I, .
INSPECTION DATi
o~ ,,.~,,
PHONE NO.
l'i~.lo36
BUSINESS ID NUMBER
15-021-
INSPECTION TIME
,#.~
FACILITY NAME
.:sA t, )l. S
ADDRESS
NO OF EMPLOYEES
OOO)~f/
-~<_~,>t~~':~~E"-,'!'Y.4't/::\--< #0i,~:;_I-; <i -"!;~~<<' "'-'t~7;t:'~_~" -~<:S:<~8;,~:~:q ~~8t-h:::~~~_~-;~" -,>-'/~_O'3 ',-'o_"j t/
,:Ao;:olFoil':~~qtioii1'f ;~~iine~s;pii:~\\arfalri"entofy: prQ~"ra,;
o COMBINED. 0 JOINT AGENCY 0 MULTI-AGENCY. 0 COMPLAINT
c V ( C complianCe) OPERA TION COMMENTS
V=Violation
~ 0 ApPROPRIATE PERMIT ON HAND
~ 0 Business PLAN CONTACT INFORMATION ACCURATE
~ 0 VISIBLE ADDRESS
~ 0 CORRECT OCCUPANCY
~ 0 VERIFICATION OF INVENTORY MATERIALS
tsiI 0 VERIFICATION OF QUANTITIES
~ 0 VERIFICATION OF LOCATION
~ 0 PROPER SEGREGATION OF MATERIAL
~ 0 VERIFICATION OF MSDS AVAILABILITY
~ 0 VERIFICATION OF HAZ MAT TRAINING
I(l 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
-~ 0 ' EMERGENCY PROCEDURES ADEQUATE
"
0 CONTAINERS PROPERLY LABELED
o HOUSEKEEPING
be) 0 FIRE PROTECTION
~ 0 SITE DIAGRAM ADEQUATE & ON HAND
EXPLAIN:
ANY HAZARDOUS WASTE ON SITE?
W P\>'1~
011
)0 y~~
o NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
.
~rlt~~it.tJ
Inspector (Please Print)
f'7j. :l
13
Fire Prevention /1" In / Shift of Site/Station #
White - Prevention Services
Yellow - Station Copy
Pink - Business Copy
FD 2155 (Rev. 09/05
~~~~..:o.:~_::- > .'....- - >:"'--~ '?",-,~-"-'''''''-':.':,._ ,__"....._~A-,.,:'..:....~;-~....,,:-.~---.~..-7--,......-....~--.,.....= - ~.-~~-;:--;;::;.~~..;-~ '.' '..,,"'~:::';""-""''''':;::' ~'_.~.;
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'._ :;;l:..~.~~:>-"-::.(j~. J
Business Plan and Inventory'program
BAKERSFIELD FIRE DEPl' .
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
UNIFIED PROGRAM INSPECTiON CHECKLIST
" '
1
FACILITY CONTACT
('
INSPECTION DATE
'1""t;"'~Q(
HONE NO,
1&i ( Hil t
USINESS ID NUMBER
15-021-, ~- 0
INSPECTION TIME
.<:
o OF EMPLOYEES
,
~:,
.)1
~
ADDRESS
Section 1: Business Plan and Inventory Program
COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT
o RE.INSPECTION
'.
C V ( c=Compliance) OPERA TION COMMENTS
V=Violation
- -
q) r
0 ApPROPRIATE PERMIT ON HAND
,
~ 0 Business PLAN CONTACT INFORMATION ACCURATE
~ 0 VISIBLE ADDRESS
rvv 0 CORRECT OCCUPANCY
~ 0 VERIFICATION OF INVENTORY MATERIALS
~, ~ 0 VERIFICATION OF QUANTITIES
~ 0 VERIFICATION OF LOCATION
~ 0 PROPER SEGREGATION OF MATERIAL
-- --------~--_. ----..
'm 0 VERIFICATION OF MSDS AVAILABILITY
fij)
~ 0 VERIFICATION OF HAZ MAT TRAINING
,~ 0 VERIFICATION OF ABATEMENT SUPPLIES AND
OCEDURES
'~' 0 EMERGENCY PROCEDURES ADEQUATE
':~ 0 CONTAINERS PRO PERL Y LABELED
~ 0 HOUSEKEEPING
, 0 FIRE PROTECTION
~ 0 SITE DIAGRAM ADEQUATE & ON HAND
!
I',
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
DYES
~NO
PLEASE CALL US AT (661) 326-3979
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L-1.',B~neSs Site/School Site Responsible Party (Please Print)
/,
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White - Prevention Services
Yellow. Station Copy
Pink - Business Copy
FD2049 (Rev, 02105)
e
-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd J.'loor, Bakersfield, CA 93301
FACILITY NAM~ P(j "~ A vl u...... V tJlLe
ADDRESS }"""L"3 f ~ '
FACILITY CONTACTJ f\l. LJ-:tP9 nen...,
INSPECTION TIME )
INSPECTION DATE 'to M I () ]
PHONE NO. "3'i\' t~ll f t
BUSINESS 10 NO. 15-210- /(;()
NUMBER OF EMPLOYEES -;-
Section 1:
Business Plan and Inventory Program
1$ Routine
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION IC V COMMENTS
,
Appropriate pennit on hand
Business plan contact infonnation 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 ~) V
Veri fication of abatement supplies and procedures ~~
Emergency procedures adequate ~ c/i4)~ j ~;----
Containers properly labeled v
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance
V=Violation
Any ,hazard~us ~aste ~n site?: ---Byes 0 No
Explam: tt/4"( M t//L---
Questions regarding this inspection? Please call us at (661) 326-3979
White. Env. Svcs.
Yellow. Station Copy
Pink. Business Copy
. ess Site Responsible Party
~lfc~
,'" ~i
+ JACKS AUTOMOBILE SERVICE &: SMOG ===================== SiteID: 015-021-000750 +
Manager :
Location: 1231 N ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 30C
(661) 395-1036
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 03 SIC Code.:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
JACK FABBRI/OWNER FRANK FABBRI/OWNERS FATHER
Business Phone: (66l) 39'5,-1036x Business Phone: (661) 395-1036x
24-Hour Phone : (661) 664!-0741x 24-Hour Phone : (661) 831-2597x
Pager Phone : (661) 33r2:-3363x ~: (~ 773-0463x
+_ - _ _ _ - _ _ _ - _ _ _ - _ _ _ _ _ _ _ - _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ +_ _ rJJ~_ _ ~,,~~~~_ _ _ _ _.i'b~ _ _ _ _ - - _ _ - - _ _ - - _ _ +
I Hazmat_Hazards: Fire Press ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact : Phone: (661) 395-1036x
MailAddr: 1231 N ST State: CA
City : BAKERSFIELD Zip : 93301
+------------------------------------------------------------------------------+
Owner JACK FABBRI Phone: (661) 664-0741x
Address : 9109 COULTER C']" State: CA
City : BAKERSFIELD Zip : 93311
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif I d: RSs: No
parcelNo":
+-~---------------------------------------------------------------------~------+
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
r
Based ,on my inquiry of those individuals
responsible for obtaining the information, I certify
unde~ penalty of law that I have personal!
exam~ned and am familiar with the informatioX
submitted and believe th information is true
accuratek d complet , '
/
/
//'
fNT'D MAR 2 1 2006
,3-/ .>-cJ[
Date
+==============================================================================+
-1-
03/02/2006
--r