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Home My WebLink AboutBUSINESS PLAN~ PRUDENTIAL AUTO BODY & PAINT 500 OAK ST #110 ~~ C ~ m ,`.~ r A ~ ~ ~; j ~; Bakersfield Fire Dept. UNIFIE® PROGRAM INSPECTION CHECKLIST ~ Enironmental Services .~ ~ ,; _~~ , _ 1715 Chester Ave SECTION 1 Business Plan and Inventory Program ~' Bakersfield, CA 93301 r Tel: (661)326-3979 i• Section 1: Business Plan and inventory Program ^ Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection FACILITY NAME - • 1 ~ 1NSPTION DATE INSPECTION TIME __ __ __. ADDRESS ~ PHO No. No. of Employees ------------D -O-~k-- - -~ ----- ~ ~~-- - -- -- ---- =C~1~ - FACILITYCONTACT Business ID Number -- . [ Cc is-o2i- d bEs2 C V \V=Vioationncel OPERATION I COMMENTS ^ APPROPRIATE )PERMIT ON HAND ^ -BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS Ul. ^ CORRECT OCCUPANCY ' ^ ~ VERIFICATION OF INVENTORY MATERIALS -- --- --------------------------- ------ --- - --- - I - --- ------- ----- _ _--_. __.-.........._.. ------ ^ VERIFICATION OF QUANTITIES l -- -- ------------ -- -- ---_ _- - --- ---- - ----- -------I - ---- - ... __ _ _ - --- ---- - - - ^ VERIFICATION OF LOCATION ~I ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF HAT MAT TARAINING E _ ---- ---..----...-----.-----...--------------------__.-- - - ---- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE `~ ^ CONTAINERS PROPERLY LABELED I ----- ------------------ ---- -- ----- __- _ T ^ HOUSEKEEPING ^ FIRE PROTECTION - ------------------- ---------------I -------------- -------- -------- - ------------------_------------ ~' ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ~ No i__ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979 ~~ Ins ctor ( ease Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy -~~t - ~ ~.---- Business Site Respo ib a (Please Print) g N Pink -Business Copy UNIFIED PROGRAM INSPECTION CHECKLISTi SECTION 1: Business Plan and Inventory Program ~.~ B E R S F I D -- ----- _ FIRE ARTM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NA b~N"rl Arl. ~0 c QA~I~I' INSPECTION DATE ,v-3o- o~ INSPECTION TIME i (~' ~ ADDRESS ~~ oin~ ~~~ ~'~ ~ ~'~ PHO NQJ~~ ~ ~ NO OF EMPLOYEES 3 FACIL CONTACT ~ ~~` ~~ZOC ~ USINESS ID NUMBER ~ 15-021- bd ~°S'Z7 rI ~. Section 1 Business Plan and Inventory program ~ ~ #~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=compliance OPERATION V=Violation COMMENTS ~~// L~]' ^ APPROPRIATE PERMIT ON HAND LY ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS D E C Q ~ 206 ^ 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 PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD~OU/~S,W~ApSTE ON SITE?[ / ^YES ~NO EXPLAIN: ~~•~"wt"o rvy`eet' ~E-3 YtQQ~%S '`" nTtty~ LJ7 (2 ~0 6 ~ (1P~'^J CJCt-~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~,~~~ Q -~P.~4n-'~-~~ S~X~ ice 3 z - ~ 2~-~ ~r~~ Inspector (Please Print) Fire Prevention / 1 In /Shift of Site/Station # usiness Site /Responsible Party (Ple a Pr' t) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~ -~. PRUDENTIAL AUTO BODY & PAINT SiteID: 015-021-001527 Manager ABRAHAM GEZALYAN Location: 500 OAK ST 110 City BAKERSFIELD BusPhone: (661) 863-0162 Map 102 CommHaz High Grid: 36A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:7532 DunnBrad: Emergency Contact / Title Emergency Contact / Title ABRAHAM GEZALYAN / MANAGER SAMI DABBAS / BROTHER-IN-LAW Business Phone: (661) 863-0162x Business Phone: (661) 664-1288x 24-Hour Phone (661) 832-5684x 24-Hour-Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 863-0:162x MailAddr: 500 OAK ST 110 State: CA City BAKERSFIELD Zip 93304 Owner MARTHA HANNA DABBAS Phone: (661) 863-0:162x Address 500 OAK ST 110 State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A- HAZMAT Nip g P R 2 3 2047 (~ E PROG S - SPRAY PAINT BOOTH ~ S ~ b e~L~y~ C~V Cn~c~~- a.M-~ ~^, a C~ w c,ss ~ ut, ~- - ~ +N et-4C. S N[.W rh.c~ w ~ s ,~ ._ Oa^ad on my inquiry of those individuals ~ ~ S ~ ^.~_~,~~,pt.~J (( b responsible for obtaining the information, I certify a, under penalty of law that 4 have personally tion f Q gy } C- ~ q 3 3 orma d ~~~ examinrsd and am familiar with the in ~ L p , e~-~ ~ `~ 1 submitted €rnd believe the information is true, accurate, and complete. ~ !/ Signature ate -1- 04/12/2007 n F PRUDENTIAL AUTO BODY & PAINT ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001527 ~ By Facility Unit ~ Mobile Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE OXYGEN E F P F IH IH DH G G 110.00 747.00 FT3 FT3 Hi Low -2- 04/12/2007 R ~ F PRUDENTIAL AUTO BODY & PAINT SiteID: 015-021-001527 ~ ~ Inventory Item 0002 Facility Unit: Mobile Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CART CTR OF SHOP CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co110100rFT3 Daily M10100m FT3 I Daily 110r00e FT3 - tiHGl-1hCL V U 5 l: Vl~lY V1V .C,1V l J %Wt. RS CAS# 100.00 Acetylene Yes 74862 tiHGHKL I~Sat'~5J1~11'~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Mobile Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 L ti ithi thi F ilit it M U id G oca on w n s ac y n ap: r : CART CTR OF SHOP CAS# 7782-44-7 STATE TYPE Gas TPure PRESSURE TEMPERATURE ~-Above Ambient Ambient CONTAINER PORT. PRESS. TYPE CYLINDER AMOUNTS AT THIS LOCATION Largest Co249100rFT3 Daily M47100m FT3 I Daily A47r00e FT3 I1t~L~t~tCLVUA l.V1YlYV1V~1V1~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 1'lEiGtitCL tiJ J rJ ~ ~ 1~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -3- 04/12/2007 F PRUDENTIAL AUTO BODY & PAINT SiteID: 015-021-001527 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/30/1997 ~ PHONES AVAILABLE IN OFFICE AND SHOP TO DIAL 911. _, ,~ P~LLl~J1VyCC 1VV 1.11. ~ P~VCI I. UCL l.1 V11 Public Notif./Evacuation 09/30/1997 WOULD EVACUATE TO W END OF COMPLEX TO OAK ST. Emergency Medical Plan 09/30/1997 KAISER. -4- 04/12/2007 ^, F PRUDENTIAL AUTO BODY & PAINT SiteID: 015-021-001527 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/30/1997 ~ COMPRESSED GAS CYLINDERS KEPT CHAINED TO CART. Release Containment Clean Up 09/30/1997 SAFETY KLEEN SERVICES PAINT GUN CLEANER. Other Resource Activation -5- 04/12/2007 Cf F PRUDENTIAL AUTO BODY & PAINT SiteID: 015-021-001527 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~1C l.:1Q1 L1QGQ1 U.7 Utility Shut-Offs 12/07/2006 A) GAS - N SIDE OF S AUTO PARTS BLDG B) ELECTRICAL - INSIDE W WALL OF SHOP C) WATER - OUTSIDE SW CRNR OF BLDG D) SPECIAL - SOME THINNERS AND REDUCERS KEPT IN ROOM NEXT TO PAINT BOOTH E) LOCK BOX - NO Fire Protec./Avail. Water 12/07/2006 PRIVATE FIRE PROTECTION - PORTABLE FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CRNR OAK & DRACENA. Building Occupancy Level 12/07/2006 3 EMPLOYEES -6- 04/12/2007 :. ,~ : , F PRUDENTIAL AUTO BODY & PAINT SiteID: 015-021-001527 ~ Fast Format ~ ~ Training Overall Site ~ 1'+lll~JlVyCC 1Ld111111y rdyc ~ nciu 1V1. r ul.U1.C USe nclu l.vi r u~ure use -7- 04/12/2007