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Home My WebLink AboutBUSINESS PLAN 8/13/2007 II \\~\ ( II ! ' 441't "'\,. _\~' , \ , I .. ".,._...~/. - '-'.. ~ ~~N JO~QUIN V ALLEY COLLEG~I . 201 NE,WSTINEJ!9^n"STE..#-~90J _____.._-'----""_-'---_______ --~-._" _____I ~ 01G C6bj ~ S15 Eli cujO~ tOrch ---- @;~~ ,"1'0 , " \'~j~ .. II ,~) rl ~~ ,f 'I ~: '; :(, ...i v SAN JOAQUIN VALLEY COLLEGE SiteID: 015-021-001066 Manager : GINA MOORE Location: 201 NEW STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 02B (661) 834-0126 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title GINA MOORE / SECURITY DAVE KIRK /FACILITIES MGR Business Phone: (661) 834-0126x Business Phone: (661 ) 834-0126x 24-Hour Phone : (661) 330-2884x 24-Hour Phone : (661) 301-9725x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (559 ) 734-9000x State: CA Zip : 93277 Phone: (559) 734-9000x State: CA Zip : 93277 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MIKE & MARK PERRY MailAddr: 3828 W CALDWELL AVE City : VISALIA Owner Address : City MIKE & MARK PERRY 3828 W CALDWELL AVE : VISALIA Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals reS~OT):bl: fcr ot';,;ining the information, I certify under ~,e"ally aT I,aw, ~hat '. have personally examrned and am fGmil!ar Il\Ilth the information submitted and believe the information is true accurate, and complete, ' ~~( Signature f -{ 'J'-CJ7 Date ENT'D AUG 13 2007 -1- 07/16/2007 " ~ SAN JOAQUIN VALLEY COLLEGE f= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-001066 , By Facility Unit , Fixed Containers on Site 9 IspecHazlEPA Hazards I Frm I DailyMax lunitlMCP E F P IH G 1160.00 FT3 Hi F IH DH G 2248.00 FT3 Low F DH L 15. 00 GAL Low G 952.00 FT3 Min F P IH G 912.00 FT3 Min F DH L 15.00 GAL UnR Hazmat Common Name... ACETYLENE OXYGEN WASTE OIL COMPRESSED AIR NITROGEN WASTE COMPRESSOR OIL -2- 07/16/2007 -3- 07/16/2007 ~ ~ c, f~ SAN JOAQUIN VALLEY COLLEGE p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 015-021-001066 , Facility Unit: Fixed Contaihers on Site, Days On Site 365 Location within this Facility Unit TOOL RM (RACT) Map: Grid: CAS # 74-86-2 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 145.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1160.00 FT3 Daily Average 580.00 FT3 %wt. I 100.00 Acetylene HAZARDOUS COMPONENTS G;I CAS # 748621 HAZARD ASSESSMENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P .IH / / / Hi S p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME OXYGEN Facility Unit: Fixed Containers on Site, Days On Site 365 Location within this Facility Unit TOOL RM (RACT) & STORAGE RM (RCP) Map:- Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 281.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2248.00 FT3 Daily Average 1124.00 FT3 HAZARDOUS COMPONENTS %'Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Ha.zards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/16/2007 <.. F. SAN JOAQUIN VALLEY COLLEGE f= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001066 , Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SW CRNR STORAGE CAGE Map: Grid:' CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 30.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15.00 GAL Daily Average 15.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME COMPRESSED AIR Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit MED OXY STORAGE RM Map: Grid: CAS # - TYPE Mixture PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 238.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 952.00 FT3 Daily Average 476.00 FT3 HAZARDOUS COMPONENTS ~ No CAS # 01 I %Wt. I 100.00 Air TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS -5- 07/16/2007 r; \.. SiteID: 015-021-001066 , Facility Unit: Fixed Containers on Site 9 F, SAN JOAQUIN VALLEY COLLEGE f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit TOOL RM (RACT) Map: Grid: CAS # 7727-37-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 304.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 912.00 FT3 Daily Average 304.00 FT3 %Wt. RS CAS # 100.00 Nitrogen No 7727379 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME WASTE COMPRESSOR OIL Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 30.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15.00 GAL Daily Average 15.00 GAL %Wt. I HAZARDOUS COMPONENTS G CAS # N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR HAZARD ASSESSME TS -6- 07/16/2007 ~I '" I F.SAN JOAQUIN VALLEY COLLEGE I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001066 , Fas t Format, Overall Site , 11/02/2000 CALL 911. Employee Notif./Evacuation 11/02/2000 STAFF AND STUDENTS ARE INFORMED OF EVACUATION ROUTES AND MEETING AREAS. Public Notif./Evacuation 11/02/2000 STAFF AND STUDENTS ARE INFORMED OF EVACUATION ROUTES AND MEETING AREAS. Emergency Medical Plan 11/02/2000 HALL MEDICAL EMERGENCY IS NOTIFIED FOR MEDICAL ASSISTANCE. -7- 07/16/2007 . . ~ I' . SiteID: 015-021-001066 9 Fast Format 9 Overall Site 9 05/02/2006 F.SAN JOAQUIN VALLEY COLLEGE I f= Mitigation/Prevent/Abatemt Release Prevention ALL REFRIGERANT IS KEPT IN STORAGE ROOM IN CHAINED RESTRAINTS. ALL WELDING SUPPLIES ARE KEPT IN APPROVED CARTS AND STORED IN STORAGE AREA WHEN NOT IN USE. Release Containment 02/28/2007 ALL REFRIGERANT IS KEPT IN STORAGE ROOM IN CHAINED RESTRAINTS. ALL WELDING SUPPLIES ARE KEPT IN APPROVED CARTS AND STORED IN STORAGE AREA WHEN NOT IN USE. Clean Up 02/28/2007 N/A Other Resource Activation -8- 07/16/2007 / .. 'i;.~ I ,," C / F~SAN ,JOAQUIN VALLEY COLLEGE I f= $ite Emergency Factors ,Special Hazards SiteID: 015-021-001066 9 Fast Format 9 Overall Site 9 Utility Shut-Offs 02/28/2007 GAS - LANDSCAPED AREA W SIDE 20FT FROM PATIO ELECTRICAL - RM NEXT TO W MAIN ENTR WATER - SIDEWALK 100FT N OF E SIDE OF BLDG LOCK BOX - YES FRONT DOOR Fire Protec./Avail. Water 02/06/2007 PRIVATE FIRE PROTECTION - HAND-HELD EXTINGUISHERS IN EACH ROOM, SPRINKLER SYSTEM, AND ALARM SYSTEM. _ 17Lt p.j--~tu €AsT G:.t;veL + ,No"-+a 6/fsr COitN6c'l.. NEAREST FIRE HYDRANT -~FT ~_ DI'1?ELON R~T,-Im AND U.NEOCATR 150FT- C 0F-==-R '-SIDE OF :3I'FBr: ON l\J~w 'STiN e ' KD Building Occupancy Level 12/27/2006 115 EMPLOYEES -9- 07/16/2007 I (~ l'r' !" . " F",SAN (JOAQUIN VALLEY COLLEGE I , F Training Employee Training SiteID: 015-021-001066 9 Fast Format 9 Overall Site "I 05/02/2006 , I BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES RECEIVE ANNUAL TRAINING ON FIRE PREVENTION AND EMERGENCY ACTION. SPECIFIC EMPLOYEES (RACT, RCP, & DA) RECEIVE ANNUAL TRAINING ON USE OF COMPRESSED GASSES. Page 2 Held for Future Use Held for Future Use -10- 07/16/2007 UNIFIED PROGRAM INSPECTiON CHECKLIST ,: BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 _~,i::::'<.;'I_'$':":t;'~~",~):l~~r.::<;~;;.~'\:_':;F'-\i:-=.;t.;>'d'-'1.;";" '-, 'r;~:'":';,~:"'-i.'.~}- i_;'-;,~;,: '..>.-.1<;;_' ."l:".",""""'" <," ..; ....:~'.'1' '_.. "~';'-!:'J' ,- ".'.:'" J:.',-,",,' i, SECTION 1: Business Plan and Inventory Program NSPECTION OA TE INSPECTION TIME L--i IV DA- SOU Wl371 $tI tZ.6 /Ct-tt.- ~77 /lie f2-j) 11= /30 f3{;IO (JW/5 T r]....-7-tJfp 2:30 o OF EMPLOYEES '31 (p - 1'9 (JlJ /~ USINESS 10 NUMBER 15-021- 3 { ( '2AJ / FACILITY CONTACT 1l ROUTINE Section 1: Business Plan and Inventory Program -J.. () 1) 11 , ---, . -------,---------1J-(J:.j---- o COMBINED 0 JOINT AGENCY 0 MUL TI.AGENCY 0 COMPLAINT 0 RE.INSPECTION c V (C=compliance) V=Violation OPERATION ~ 0 ApPROPRIATE PERMIT ON HAND ~. 0 Business PLAN CONTACT INFORMATION ACCURATE ')6. 0 VISIBLE ADDRESS )(( 0 CORRECT OCCUPANCY ~ 0 VERIFICATION OF INVENTORY MATERIALS .~. 0 VERIFICATION OF QUANTITIES ~ 0 VERIFICATION OF LOCATION ~ 0 PROPER SEGREGATION OF MATERIAL ~~---------_._---------_.._.--._----_.._-_.._._---- .___._ n _ .___ ...._.._ .___. __.._._ ~\ 0 VERIFICATION OF MSDS AVAILABILITY ~ 0 VERIFICATION OF HAZ MAT TRAINING o HOUSEKEEPING -m.. 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES )!t 0 EMERGENCY PROCEDURES ADEQUATE o CONTAINERS PRO PERL Y LABELED o FIRE PROTECTION o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZAR~~ W(STE ON SITE? ~ YES 0 NO EXPLAIN: N\ lh vJ~ (.)10 ,~) IS I<<if! lJrJ_'&T?- _tjNT(J~__.!30::f1lf~O_~ -IIMl?S l\-""e~K_~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U ~ Lc.)~v\ I (-Ar Inspector (Please Print) Fire Prevention /1" In / Shift of Site/Station # White - Prevention Services Yellow. Station Copy Pink - Business Copy FD2049 (Rev. 02/05) UNIFIED PROGRAM INSPECTiON CHECKLIST ,;' BAKERSFIELD FIRE DEPT Prevention Services 900 1iuxtun Ave.. Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661)872-2171 .:ot~:H"",:~.;'J,~-"';~':;'~~W~~;..;~"!-:;:,"~~r-"~t:_,-,:,:;;,::.~,:,,, :- "-"';Y(i't~~:: ,.:'~:rc-;.::F~:'-.-::;;;''"o.'. .,.".'_"',,',",',,:-,-:..',1_',;' ~":;:;I".'~"--.' "~';'~:'.'- '.:<-'~~-;::'_'i': ';--.' .....; SECTION 1: Business Plan and Inventory Program FACILITY NAME 5A,J ::IDA I IV {AU {k}?l-Eb E ADDRESS 2x:J I 7i AlE ~f:> FACILITY CONTACT DWc K.lfLlL NSPECTION TIME ROUTINE Section 1: Business Plan and Inventory Program o COMBINED '0'- JOINT-AGENCY--o MUlTI-AGENCy-'O-'CO-MPLAINr-ORE.INSPECTION-- I~Lf C V ( C=compliance) OPERATION V=Violation - _._---,----- 0 ~ ApPROPRIATE PERMIT ON HAND ~ 0 Business PLAN CONTACT INFORMATION ACCURATE )xl 0 VISIBLE ADDRESS "I 0 CORRECT OCCUPANCY pq: 0 VERIFICATION OF INVENTORY MATERIALS )t 0 VERIFICATION OF QUANTITIES ~ 0 VERIFICATION OF LOCATION J{ 0 PROPER SEGREGATION OF MATERIAL --_._-------_._---_._--_.~--_._~----_...._-,_.---- ~ 0 VERIFICATION OF MSDS AVAILABILITY 't( 0 VERIFICATION OF HAZ MAT TRAINING ~ 0 VERIFICATION OF ABATEMENT SUPPLIES AND OCEDURES ~ 0 EMERGENCY PROCEDURES ADEQUATE j( 0 CONTAINERS PROPERLY LABELED }if 0 HOUSEKEEPING 0 ltL FIRE PROTECTION 9t 0 SITE DIAGRAM ADEQUATE & ON HAND :T'n DB. 0 ~ G' ' . COMMENTS ~.\-.U----..::.-_---~._.-------------_. -..-------,.-----,..-..- -------------,.. /)/ oN tttJqVT'> tD t~~~ ...~ cfltJ! ~j.:.T fJU, tiP D~ ANY HAZARDOUS Wf-STE ON SITE? 'iJ YES 0 NO . ' n EXPLAIN: ~otr~l C()"l'-..c..c,I,J\ 01'1 WIi..:JI::L or ~__ QUESTIONS REGARDING THIS INSPECTION? -j(;Lu~ Y) Inspector (Please Print) I \-4- PLEASE CALL US AT (661) 3'28 8871 3'Y8-11b9- ~/~( Business Site/School S'lIe Responsible Party (Please Print) Fire Prevention /1" In / Shift of Site/Station # White - Prevention Services Yellow. Station Copy Pink - Business Copy FD2049 (Rev. 02105) -~. i \,... - "j" + SAN JOAQUIN VALLEY COLLEGE ========================== SiteID: 015-021-001066 + Manager : GINA MOORE BusPhone: Location: 201 NEW STINE RD Map : 123 City : BAKERSFIELD.~ Grid: 02B CommCode: BFD STA 11~\\ j "'fV\D\~G1 SIC Code: EPA Numb: \/~ l'1, Y1M D\ l> \ DunnBrad: +================================f1~~=FI)~=====================================+ +==================================~~V~======================================+ Emergency Contact / Title <.J Emergency Contact / Title GINA MOORE / DAVE KIRK / Business Phone: (661) 834-0126x Business Phone: (661) 834-0126x 24-Hour Phone : (661) 330-2884x 24-Hour Phone : (661) 301-9725x Pager Phone .. () x Pager Phone () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : Phone: (~) 834-0126x MailAddr: 4800 W MINERAL KING AVE State: CA )-rr-7,>l( -?tfC" City : VISALIA Zip : 93291 +----------------------------------------------------------------------~-------+ Owner MIKE & MARK PERRY Phone: (&6-1-)-- 8-J.4-0 126:x- Address : 4800 W MINERAL KING AVE State: CA rS-<i- 7)Lf~ 9,,0 () City : VISALIA Zip : 93291 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: (661) 834-0126 CommHaz : High FacUnits: 1 AOV: PROG A - HAZMAT PROG H - HAZ WASTE GEN t.m'tl W\P-'t Il t 'l.\l\l~ ~L-/PL Signature Lt---Zl - 6 ~ Date ~")A+/:J.-C/;- rw Jf./ -e. k j4-d (l. <R )' ) r / c,' /.' 1) 4c1 a /L. .p-S S' _ .'{/t pt/<. r"C- r /1' Lclwel(; ,4v~ ') ! Z,d bU.l'lt )u/f..(( /1 ~ / . . ~# q]t. 7 '7 Vi:">. Sf"f 4.; 14 I V . . Jh C;rJOO fAt1('/ -L f )'1- 7 ,- Based on my inquiry of those i,ndivlduals responsible for obtaining the informatIon, I certify under penalty of law that I have person~lIy examined and am familiar with the !nfo~matlOn submitted and believe the information IS true, accurate, and complete. +============================================: ====+ -1- 03/24/2006 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd )<'Ioor, Bakersfield, CA 93301 FACILITY NAME S4.v -rd4-c.?u.,J VkL.velj {uL<-G6f:. INSPECTION DATE J /;%t ADDRESS :2 VI Je,,-, ~ U PHONE NO. '7f34- DI;)I:, FACILITY CONTACT 'D~.... 'L\f2,i<. BUSINESS ID NO. 15-210- /Okb INSPECTION TIME Y 1Y\IAI NUMBER OF EMPLOYEES I 00 Section 1: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate permit on hand C Business plan contact information accurate C. Visible address G Correct occupancy iC- Veri fication of inventory materials C Verification of quantities C Verification of location C. Proper segregation of material (' Verification of MSDS availability C. Verification of Haz Mat training C ENTO FEB 07 ?nnFl Verification of abatement supplies and procedures C Emergency procedures adequate C. Containers properly labeled C Housekeeping G Fire Protection C Site Diagram Adequate & On Hand c.. C=Compliance V=Violation Any hazardous waste on site?: Explain: 1 J fr(l \ w")~ 0 ,I Questions regarding this inspection? Please call us at (661) 326-3979 urv es DNo White - Env, Svcs. Yellow - Station Copy Pink - Business Copy rI<ttp:/~ Business Site Responsible Party Inspector: ~~~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301 FACILITY NAME5vo::::/~r.f~:(/( ADDRESS ';Jot Newu ~{ FACILITY CONTACT L.~J... ()( oo^'-tlv~~ INSPECTION TIME INSPECTION DATE ,()( 0(;, PHONE NO. '3q~ -i?'100 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES S J / 1"=1- Section I: Business Plan and Inventory Program ~ Routine D Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA nON C v COMMENTS "r Appropriate pennit on hand ./ Business plan contact infonnation accurate \/ Visible address V' ,;' Correct occupancy V Verification of inventory materials v Verification of quantities / ~ /' Verification of location ./ Proper segregation of material \I Verification of MSDS availability J / Verification of Haz Mat training Ii ENTO FEB 07 2006 Verification of abatement supplies and procedures J Emergency procedures adequate ./ Containers properly labeled ./ Housekeeping ..; Fire Protection 'II Site Diagram Adequate & On Hand / C=Compliance V=Violation White - Env, Svcs. Yellow - Station Copy Pink - Business Copy Any hazardous waste on site?: Explain: DYes ~No Questions regarding this inspection? Please call us at (661) 326-3979 ~ UNIFIED PROGRA~. "~~SPECTION 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 ./ / _ .. ./ . / /7"<:'- ~/~"'-- ~~~ ---------~----------_._---_.---~._---_.__._._._---~-------- ADDRESS ~/ Nc-z-J J:h.1/~ /4::490 .# ./ J 1:> FACILlTYCONTACT ~/NO~-- /(/ ~~;;~/,IV;";- ---,------ Section 1: Business Plan and Inventory Program "'" ~Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Compliance ) , V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND jr"O kO ~O ..J3'O BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS o VERIFICATION OF QUANTITIES ~ 0 VERIFICATION OF LOCATION % 0 PROPER SEGREGATION OF MATERIAL ~ 0 VERIFICATION OF MSDS AVAILABILlTYE ------ ~ 0 VERIFICATION OF HAT MAT TRAINING .k 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES k 0 EMERGENCY PROCEDURES ADEQUATE o CONTAINERS PROPERLY LABELED I ---------------- ---.----.----- "---'-'- +-,--_._----------_._~_._---_._--,------_._-_.,....._--.-..---------.. o HOUSEKEEPING 1 ----------------------.---...-----.----.-- ----.-..------.-------.-----.------.----.-----.----.------ o FIRE PROTECTION +----------.------.------.-------------- --- ---.-- _._--------- ---- .------.-----..-..--... --._-- --.----.-.-.,-.- -- '-..' ..--..-- .--_. o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES ~O -"<1..\ /~ I -~ /1 ~ ,---,- - 1.---1 r ..-- ~.:.L- ,..-"\ I' -f".J\ ,.--./ .h-~- - ~ t.......t..-....'--~~.<:....- "--.1'" ____~ \ . ! EXPLAIN: QUESTIONS REGARDING THIS INSPECT ON? PLEASE CALL US AT (661) 326-397~' ~ //. .~ (lfir:'r ~~ ~?_~ ,#" 0/ I. _. ......_. ._....~_u_ .._..'_,_..... .._.......... .ou___..._.__._.'un_ . ,_ . .. , Inspector Badge No. _,__ou ,- -SuSlness'Si e Respo;;sibIElPany-.-..-~nou--- ~-- .('./'-, . .. " . ~..../ .'? i J ~ WhIle. En....ironmental Services '- Yellow - StatIOn Copy P,nk ' BUSIness Copy n UNIFIED PROGRAI\. ')jSPECTION CHECKLIST) SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enlronmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILlTYNAME c.MA.J J;~-,~ V..cf(~ ~!~~o~:_____,__.__ ADDRESS 02...0 / /VL":-~ J7,.,/v('::;:-" ~40 _________.___________OM FACILlTYCONTACT #,4V<.:::-- ~ ~ ~ 'NS~~cT ON DATE INSPECTION TIME th ~/aJ / flIO .,1IZr. PHONE6-::--- NOY~OYe..s---- 'U0o/~ (/ u Business 10 Number 15-021-~~~~~ / fi Routine Section 1: Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND a' 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE fJY" 0 VISIBLE ADDRESS .clr' 0 CORRECT OCCUPANCY j:r 0 VERIFICATION OF INVENTORY MATERIALS .!ir' 0 VERIFICATION OF QUANTITIES Ar 0 VERIFICATION OF LOCATION K 0 PROPER SEGREGATION OF MATERIAL Jlr' 0 VERIFICATION OF MSDS AVAILABILlTYE ------ ------------------ -_.~_._.__._--_._---_._---------------_._._---_._---- k 0 VERIFICATION OF HAT MAT TRAINING K 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ---- ------_._-~_..................... ----------tRr~n~--n-....... ... ........ --_.~~-----_._--- o EMERGENCY PROCEDURES ADEQUATE o CONTAINERS PROPERLY LABELED ;ir 0 HOUSEKEEPING ~ ~. 0--' FI~; ~~~ECTION - ~~~~=~._=~_ ==~-_-~~~=~~=_~-~.=_~,=~=~~-~'~=~,-~:-'~~~_~_ o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES )rNO ~~ :2~ C/U1\OJ L-- ( EXPLAIN: QUESTIONS REGARDING THIS INSPECTI~? PLEASE CALL US AT (661) 326-3979 - ....<~~__&A~ _u_~-d-:Z____ K n Inspector :......... i .-+~ ) , ,~/ .-- ::) White. Environmental ServIces Yellow, StallOn Copy n~~~kt~(.n -T0 Business Site Responsible Party Badge No P,nk ' Business Copy