HomeMy WebLinkAboutBUSINESS PLAN 7/2/2004~H
as
O~
~a
~~
N
O
N
d°C' ~ ~S ~ Bakersfield Fire Dept.
UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Services
1715 Chester Ave
SECTI®N 1 Business Plan and Inventory Program Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME ~ ~~ ~~~ - I ~ / L t~O ~ INSPECTION TIME
---- -- -
---- ~ z..i ~------ 5 (- -- ----------.. - ----
ADDRESS PHONE No. No. of Employees
I.
- -- --
Business ID Number _
FACIUTYCONTACT ------ ----------------~~~- --~~~-
15-021- NUJ
Section 1: Business Plan and Inventory Pn~gram
^ Routine l~embined ^ Joint Agency ^Multl-Agency O Complaint ^ Re-inspection
..~:r'
'~ '!~:
C V \V=Vioatonnce~ OPERATION
^ ^ APPROPRIATE PERMIT ON HAND
-----------------------------------------------------'r.....-..-------- -
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
------------ --- ------ ------ ---_. ..- ------ -- --1 --.__-----
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
COMMENTS
-_- .--- --- _~-~~~b~--
~~
-. --_
----------------------.__-._. ----______----------------- --- l~n_~~
- .. (
^ ^ VERIFICATION OF INVENTORY MATERIALS
^ ^ VERIFICATION OF QUANTITIES ~~ -, ~` ` ~~~
__._...
^ ^ VERIFICATION OF LOCATION ~ Cgt1'TS~1~L= ~„J ~` ~ /~
^ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITYE
^ ^ VERIFICATION OF FIAT MAT TRAINING ~
- -r-------- ----
^ ^ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ~^ EMERGENCY PROCEDURES ADEQUATE
- -- - -- - -- --
^ ^ CONTAINERS PROPERLY LABELED ~ 1" K: "`~C / ,~JZ,`-c t~t~~ ~~~/~
^ ^ HOUSEKEEPING ------ -------- ------ ~~G?~SL -._- R~-O~`~' ~~-- ~~~ ±-- -`~~-~-J~----
^ ^ FIRE PROTECTION l`
^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ~
i
ANY HAZARDOUS WASTE ON SITE: ~XES ^ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66'I ~ 326-3979
(~~-~~
Inspector Badge No., Business Site Responsible Party
White -Environmental Services Yellow -Station Copy Pink -Business Copy
`I - `. ~.
~s Avra R~aiR
Auto Computer Diagnostics
Foreign & Domestic
Tune-ups • Clutches • Brake Specials
Jorge Bautista
Tel. (661) 859-1507 Cell. (661) 201-6727
2021 ~ Street Bakersfield, CA 93305
FACILITY NAME
Section 4: Hazardous Waste Generator Program
^ Routine ^ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made
EPA ID Number
Authorized for waste treatment and/or storage W,~~C '~~n~ -gyp 3C ~Ycc~C~
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive wastei located at least 50 feet from property line
Secondary containment~provided
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
i.
i
Proper management of lead acid batteries including labels
~~
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
L=t.;ompuance v=vtolatton
Inspector: !.3 ` ~~
Office of Environmental Services (661) 326-3979
White -Env. Svcs.
'~~` CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
•y UNIFIED PROGRAM INSPECTION CHECKLIST
~'~gti ~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301
-3 ~ ~~ ~"`"``~ INSPECTION DATE ~ ~r/Z ~
Pink -Business Copy
EPA ID #
siness Site Responsible Party
~-ZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
vE`N ]ADO ~ DELETE ~7 REVISE 200
s
Bakersf)el O1
Tel: (661)326-3979
(one corm per rnatenal per bullCrng a area)
Pagel of
I. FACILITY INFORMATION
3USINESS NAME (Same as FACILITY NAME or 08A - Oomq Busrneaa As) 1
J ~ ~Jri Z~ (ZC~A~i2
CHEMICAL LCCA iION 201 i CHEMICAL LOCATION 202
~TS7 ~~ ` ' ~~ ~~
W 'CONFIDENTIAL (EPCRA) ^ '!es ^ No
i
FACILITY 10 No. ~
I ~ ~
I ~ ; t MAP No. (opfwnaQ 203! 3810 No. (ophona0 • 204
II. CHEMICAL INFORMATION ..
CHEMICAL NAME 205 ~ TRADE SECRET ^ Yes ^ No 206
(~~ -~ ~) (_ If SuDlect to EPCRA, rater to ~nsWdons
CCMMCN NAME 207
EHS' ^ Yes ^ NO
208
CAS No. 209
'II EMS iYYes.' ap amounts Delow must De
m IDs.
FIRE CODE HAZARD CLASSES (Compete if requested by kxal fire chief) 270
TYPE ^ p PURE ^ m MIXTURE ~w WASTE 277 RADIOACTIVE ^ Yes ^ No 272 CURIES 213
PHYSICAL STATE ,~, / 214
^ s SOLID LJ4 LIOUID ^ q GAS LARGEST CONTAINER
~r
J 215
FEO HAZARD CATEGORIES
~i FIRE ^ 2 REACTIVE ^ J PRESSURE RELEASE ^ 4 ACUTE
HEALTH ^ 5 CHRONIC HEALTH 218
(Check all that apply)
ANNUAL WASTE ~ 217 MAXIMUM 278 AVERAGE 279 STATE WASTE 220
AMOUNT S S DAILY AMOUNT ~~ DAILY AMOUNT ~ f'~
•J CODE
UNITS' ~ GAL ^ cf CU FT ^ ib LBS ^ N TONS 227 DAYS ON SITE 222
11 EHS, amount must bo in IDs.
223
STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON
(Cneclr atl fflaf apply)
^ D UNDERGROUND TANK ^ q CARBOY ^ I CYLINDER
^ q RAIL CAR
^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER
~d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE
^ e PIASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN
STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ oa BELOW AMBIENT 224
STORAGE TEMPERATURE ~a AMBIENT ^ as ABOVE AMBIENT ^ Da BELOW AMBIENT
^ c CRYOGENIC 225
%WT HAZARDOUS COMPONENT EHS CAS #
1 ~g 227 ^ Yes ^ No 228 229
y Y30 231 ^ Yes ^ No 232 233
1 234 235 ^ Yes ^ NO 238 237
d 238 219 ^ Yes ^ No 240 241
5 242 241 ^ Yes ^ NO 24d 245
III. SIGNATURE
PRINT NAME 6 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248
Bakersfield Fire Dept.
6 a , P , o Environmental Service
f/R~ 171 Chester Ave
~wrr r ~ d CA 933
N