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HomeMy WebLinkAboutBUSINESS PLANV `` ~ ~ ,~ ~_ ~ , UNIFIED PROGRAM INSPECTION CHECKLIST P"°C i• SECTION 1: Business Plan and Inventory Program L Prevention Services B. E a S F, 0 900 Truxtun Ave., Suite 210 F/AE Bakersfield, CA' 93301 AATM T Tel.: (661) 326-3979 Fax: (661) 872-2171 -~`t INSPECTION DATE INSPECTION TIME !I / ~ ~ CU 3 ~ ADDRESS / PHONE NC s~ / '' .St-n try-' FACILITY CONTACT ~ ~~, _ 3Z'3 - (Z~ BUSINESS JoSe.. ~ o.nf~~ ~' 1~c. o` Z Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT -iN0 OF E~YEES 171 ID NUMBER 15-021- o00 7Y,,(, ~~~-~- ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENT S ,~ / L td ' ^ APPROPRIATE PERMIT ON HAND ~ , / Ld' ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE i ~ 111` W ~~k~ S t~~ tc~ f M 6d" ^ VISIBLE ADDRESS i G7' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS I~ ^ i VERIFICATION OF QUANTITIES N`~ `~~ IV ~`~5, ~~-S~ ^ VERIFICATION OF LOCATION .~ (~ ^ PROPER SEGREGATION OF MATERIAL - - Ltd' ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING i ,~ / Ltd ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES / C>~ ^ EMERGENCY PROCEDURES ADEQUATE I ^ CONTAINERS PROPERLY LABELED ~'~\\ \ abe~ a ~Q o ^ HOUSEKEEPING I~' ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE 8 ON HAND i KBF-6013 ANY HAZARDOUS WASTE ON SITE? Lvf YES ^ NO EXPLAIN: ~aS~Q- ~~ '~~;e2~.S N~S1~`7 1-,~~mS . 3~~.,~~~~a c~~c~cx~ ,nm I c~r~~~ ~o~n~~ ~JaS~P Ot QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 . Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Business Site es onsi P ase Print) White -Prevention Services - Yellow -Station Copy - Pink -Business Copy ~ FD 2155 (Rev. 09/OS ~; . APATZO AUTO REPAIR Manager JOSE ANAYA Location: 2113 Q ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-000746 BusPhone: (661) 323-1269 Map 103 CommHaz Low Grid: 30B FacUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title JOSE ANAYA / OWNER DIANA ANAYA / OWNER Business Phone: (661) 431-6741x Business Phone: (661) 431-6741x 24-Hour Phone (661) 431-6741x 24-Hour Phone (661) 717-2850x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact DIANA ANAYA Phone: (661) 717-2850x MailAddr: 2113 Q ST ~ State: CA City BAKERSFIELD Zip 93301 Owner JOSE & DIANA ANAYA Phone: (661) 323-1969x Address 704 P ST B State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~Nt~ ,1 ~ ~ ~ 8 2007 C3a~ed on my inquiry of these individualFS he informatioe' ng' ll - - . rsona Y respcnsible for obtairn t withahe formation under penalty °f Ifamil aa e , examined and am , ve the information is tru d bell ' submitted an accura'" , a d comp 7 ~© ~7 ., _ Dat Signat~ r° -1- 06/29/2007 i ~ F APATZO AUTO REPAIR = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000746 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE OIL DH L 200.00 GAL Low -2- 06/29/2007 -3- 06/29/2007 F APATZO AUTO REPAIR SiteID: 015-021-000746 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SW OUTSIDE CAS# Liquid TWaste ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 200.00 GAL 100.00 GAL t1t~~tircLVU~ wl~irvivlJivl~ °sWt. RS CAS# 10-0.00 Waste Oil,_Petroleum Based No 0 riAGL-1hCL A77t5aJ1~1iS1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low -4- 06/29/2007 F APATZO AUTO REPAIR SitelD: 015-021-000746 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/05/1999 ~ CALL 911. Employee Notif./Evacuation CALL BAKERSFIELD_.FIRE. DEPT AND VERBAL EVACUATION. 10/26/2006 Public Notif./Evacuation DUE TO SIZE OF SHOP NO EVACUATION IS NEEDED. 03/05/1999 Emergency Medical Plan NEAREST HOSPITAL. 01/07/1990 -5- 06/29/2007 F APATZO AUTO REPAIR SiteID: 015-021-000746 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/19/2007 ~ WE STORE HAZARDOUS MATERIAL IN BARRELS AND PAY COLES SERVICES INC TO GET RID OF IT. IF SPILL SHOULD OCCUR I WOULD CALL THE BAKERSFIELD FIRE DEPT. Release Containment 03/05/1999 ACETYLENE/OXYGEN_- ATTEMPT TO STOP SOURCE OF RELEASE. EVACUATE ALL PERSONNEL FROM AFFECTED AREA. REMOVE SOURCE OF HEAT OR IGNITION AND VENTILATE AREA. SOLVENT - STOP FLOW AND SHUT OFF ALL SOURCES OF IGNITION. WIPE OR MOP UP OR ABSORB WITH DIATOMACEOUS EARTH OR OTHER INERT MATERIAL. WASTE OIL - AVOID BREATHING OF OIL MIST, REMOVE OIL SOILED CLOTHING, WASH THROUGHLY AFTER EXPOSURE. Clean Up 03/05/1999 ACETYLENE/OXYGEN - NO DISPOSAL PROBLEM GAS WILL DIFFUSE INTO THE ATMOSPHERE. MOVE CYLINDER TO A REMOTE OUTDOOR AREA. SOLVENT - WIP OR MOP UP, ABSORB WITH DIATOMACEOUS EARTH OR OTHER INERT MATERIAL. WASTE OIL - MOP OR WIPE UP OR ABSORB WITH CLAY, DIATOMACEOUS EARTH OR OTHER INERT MATERIAL. Other Resource Activation -6- 06/29/2007 . - F APATZO AUTO REPAIR SiteID: 015-021-000746 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, .~L/c~..~.a~. RaG0.1U.7 Utility Shut-Offs 06/19/2007 GAS - ALLEY NW CRNR--OF-BLDG- -- _ - _ ELECTRICAL - INSIDE NW CRNR OF BLDG WATER - FRONT SIDEWALK Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS. FIRE HYDRANT - CRNR 21ST ST & Q ST. 10/26/2006 Building Occupancy Level 1 EMPLOYEE 03/06/2006 -7- 06/29/2007 F APATZO AUTO REPAIR SiteID: 015-021-000746 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/26/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: REVIEW ALL MATERIAL SAFETY DATA SHEETS. Page 2 nalu ivi ru~uic u5c Held for Future Use -8- 06/29/2007 :. + DAVENPORT AUTOMOTIVE GENE ___________________________ SiteID: 015-021-000746 + Manager BusPhone: (661) 323-9535 Location: 2113 Q ST ~ Map 103 CommHaz Low City BAKERSFIELD Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:7538 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title GENE DAVENPORT / CORVIN DAVENPORT / Business Phone: (661) 323-9535x Business Phone: (661) 323-9535x 24-Hour Phone (661) ~~ '~~ 24-Hour Phone (661) 831-0375x Pager Phone ( (06 r) 7~-{1- 4°1 /~ Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact Phone: (661) 323-9535x MailAddr: 2-113 Q ST State: CA City BAKERSFIELD Zip 93301 ------------------------------------ +- -------------------------- - --'j~~- ~~~ -rte -+ Owner GENE DAVENPORT Phone: (661) ~~Jl~x 1S Address 32339 AMY ST State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~NNT°D BAR 15 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accu nd comp e. ~ . ature Date -1- 03/06/2006 • UNIFIED PROGFi~-M INSPECTION CHECIfLIST - ., SECTION 1: Eusiness Plan and Inventory Program _J a aPt a SIR/ wRrM T FACILITY NAME ~ov~,~ or-4-' I~,,.~ r d ...~ NSPECTION DATE ( l I- z- d 5 INSPECTION TIME 1 /o c~ ADDRESS Z 1 13 ~ S~.-c,~e~ HONE NO. 323 - ~}5 3 S O OF EMPLOYEES i FACILITY CONTACT Ge~~ mover ~~ USINESS 10 NUMBER 15-021- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS __ ____ ^ APPROPRIATE PERMIT ON HAND Gd' ^ BUSint?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ -/ Lid ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS L1Y ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~ ~/ Ud ^ VERIFICATION OF MSDS AVAILABILITY ____ ^ VERIFICATION OF HAZ MAT TRAINING W' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PR OCEDURES J L"~' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING GY ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES Q NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # BAI~ERSFIELD FIRE DEPT Prevention Services 900 Trtixtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326=3979 Fax: (661) 872-217~E~ 1 61005 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)