HomeMy WebLinkAboutBUSINESS PLANRANDY'S INDEPENDENT MERCEDES-BENZE
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UNIFIED PROGRAM INSPECTION ChIECI(LIST
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SECTION 1: Business Plan and Inventory Program
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~,. BAKERSFIELD FIRE DEPT
a p Prevention Services
rlRR 900 Truxtun Ave., Suite 210
artrw r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECTION D TE INSPECTION TIME
~ Dy S ~av~ep~v~,t:o~ll le~~~a--,e ~t.>;,-t-c,~ io Z~ Cllo 1 bw-~-.--
ADDRESS HONE NO. O OFEMPLOYEES
Z(~ ( ~ s ;
FACILITY CONTACT USINESS ID NUMBER
15-021-QO 3 D.S'6
Section 1: Business Plan and Inventory Program ~~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance` OPERATION
V=Violation l COMMENTS
^ APPROPRIATE PERMIT ON HAND
~, . ^ BUSIt18SS PLAN CONTACT INFORMATION ACCURATE
/ ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY {~{- -~j (~~`
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
•OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print)
Prevention / 1°' In /Shift of Site/Station q
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev.02/05)
ANY HAZARDOUS WASTE ON SITE? ~ES NO
EXPLAIN: .. - //! ~~~y .
UNIFIED PROGRAM INSPECTION CWECKL.IST
f~~ ~~
SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dept. ~~~"~'
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301 '
Tel: (661) 326-3979
FACILITY NAME
~Nh~' ~5
t%J'O~Atr1~G-~ MG~a~ d
f~°Z.- INSPECTION D TE INSPECTION TIME
~l~z-Sl~v~
_
----
ADDRESS
2(3 ( ~ S ~ - PHONE No. No. of Employees
FACILITYCONTACT ________ _
Business ID Number
15-021- /~-~
Section 1; Business Plan and Inventory Program
^ Routine ~ombined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V \ V=vio atonnce ~ OPERATION
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^. FIRE PROTECTION
^ ^ SITE DIAGRAM ADEOUATE ~ ON HAND
ANY HAZARDOUS WASTE ON SITE?: YES r ^ NO
EXPLAIN: ~1kS c~ Dl e- ~ 1' ~ (~tL~-e~5
IN
R E P A I F2
2'13'1 R Street
[Corner of 22nd 6 R]
Bakersfield, CA J330'I
~ ,
EPEN~ENZ
C E N T E R
6B'I /E3'I -0667
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (1361) 320)-3979
Inspector (Please Print) Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
COMMENTS ~n--~
/~ .~"
l ~ ` ~j
I
Bu mess Sit Ible arty ( lease Print)
Pink -Business Copy
,V,4~T. -"c~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT
c
~~ CA
FACILITY NAME ~'S ~ ~~ - rnc'~- - C~G~Z_ INSPEC N DATE~2-~ ~~
{
Section 4: Hazardous Waste Generator Program EPA ID ~'~''~t- Q~ 250 6~~
cwt- ~ 2 ~o ~ 33
^ Routine ~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
OPERATION C V .COMMENTS
Hazardous waste determination has been made
EPA ID Number ~;t-i~iGe~ G~ 1~llPCfCI~
Authorized for waste treatment and/or storage
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 waste located at least 50 feet from property line
Secondary containment provided
Conducts daily inspection of tanks
Used oil. not contaminated with other hazardous waste
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
C=Compliance V=Violation
Inspector: 'N i ~L: S
Office of Environmental Services (661) 326-3979
White -Env. Svcs.
b OFFICE OF ENVIRONMENTAL SERVICES
.y UNIFIED PROGRAM INSPECTION CHECKLIST
''°°'g~ ~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
Busi s Responsible Party
Pink -Business Copy
(HMMP) '~~
HAZARDOUS MATERIALS MANAGEMENT PLAIV-
CHEMICAL DESCRIPTION FORM
HAZARDOUS MATERIALS INVENTORY
NEW ~~ ADD ^ DELETE ~ REVISE 200
tsaxersneia r-ire liept.
Environmental Services
f/Rt 900 Truxtun Ave., Ste. 210
ARTr t Bakersfield, CA 93301
Tel: (661) 326-3979
(Ong form per rnaterial, par building, Or araa. )
Paget of 2
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As)
'2~Y S
CHEMICAL LOCATION 201 CHEMICAL LOCATION 20
I~JS ~~1. SLJ C2~2 p,(= S,~.P CONFIDENTIAL (EPCRA) ~^ Yes ~^ N
FACILITY ID No. 1 MAP No. (oprioner) 203 GRID NO. (oprioner) 20
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 20C~
~>,~"~.
~(^"~«
J
^
O TRADE SECRET ^ Yes
' ^ No
- t•~+~.,-.h
r
,SS~.JnJ F~c IfSub
ectto PCR rfertoinstructions
COMMON NAME 207
EHS' ^ Yes ^ No
20
CAS No. 209
'If EHS is'Yes,' all amounts b elow must be
in 4bs.
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21
,TYPE 21t 21~ CURIES
f 213
PURE ^ m MIXTURE , w WASTE RADIOACTIVE: .Yes ~o
(
t
LARGEST CONTAINER 21 S
PHYSICAL STATE ^ s SOLID ~I LIOUID ^ g GAS
214
S i
2161
FED HAZARD CATEGORIES ~t FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH
(Check all that apply)
ANNUAL WASTE 217 MAXIMUM P1g AVERAGE 219 STATE WASTE 220
AMOUNT DAILY AMOUNT ~~ DAILY AMOUNT S-S-- CODE
221222
UNITS ~a GAL
J cf CU FT ^ Ib LBS ^ to TONS DAYS ON SITE
lf EHS, amount must be in lbs.
22
STORAGE CONTAINER _
(Cneok ell that apply) a ABOVEGROUND TANK ~~ f CAN k BOX p TANK WAGON
^ b UNDERGROUND TANK ^ g CARBOY ~~ f CYLINDER q RAIL CAR
^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER
~d STEEL DRUM ^ i FIBER DAUM ^ n PLASTIC BOTTLE
^ e PLASTIC/NONMETALLIC DRUM G j BAG ^ o TOTE BIN
22
STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT
STORAGE TEMPERATURE ~r~a AMBIENT ^ as ABOVE AMBIENT
^ ba BELOW AMBIENT
c CRYOGENIC 22
%WT HAZARDOUS COMPONENT EHS CAS #
t 226 227 ^ Yes ^ No 228 22
2 230 231 ^ Yes ^ No 232 23
4 238 239 ^ Yes ^ No 240 241
6 242 243 ^ Yes ^ No 244 24
' Ili. SIGNATURE
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246
~1 4 z~~aS
FD2086
(HMMP) ~~! t~axersneia r-1re Uept.
HAZARDOUS MATERIALS MANAGEMENT PLAN. Environmental Services
8 A 3 P I p
p,1Rt 900 'IYuxtun Ave., Ste. 210
CHEMICAL DESCRIPTION FORM ~~ r sakers8eld, CA 93301
HAZARDOUS MATERIALS INVENTORY Tel: (661) 326-3979
('`,NEW ~ ADD J DELETE ~~ -REVISE 200
(One loan per malarial, par building, or area.)
Paae1 of 2
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Dang Business As) 3
6~~Y S
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
h1StOC- S,C.-~ CR~NZ UG S K~f CONFIDENTIAL (EPCRA) ^ Yes ^ No
FACILITY ID No. 1 MAP No. (optionep 203 GRID NO. (optional) 204
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 20
~O ~~ ~ ~ TRADE SECRET ^ Yes ~~ No
'
ect to PCRA refer to instructio s
II Sub
COMMON NAME 207
EHS° G Yes No
20
CAS No. 209
'If EHS is °Yes,' all amounts below must be
in lbs.
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chiel) 21
TYPE 211 21 CURIES 21~
~URE ^ m MIXTURE ^ w WASTE RADIOACTIVE: _ Yes ^ No
I
i
LARGEST CONTAINER 2t S
~''
PHYSICAL STATE ^ s SOLID /~ xIOUID ^ g GAS 21a
6d
21
FED HAZARD CATEGORIES `FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH
(Check all that apply)
ANNUAL WASTE 217 MAXIMUM 216 AVERAGE 279 STATE WASTE 22
AMOUNT DAILY AMOUNT ~ u~
Cam.! DAILY AMOUNT ~ ZO CODE
221222
UNITS ~jZfa.GAL ^ cf CU FT ^ Ib LBS ^ to TONS DAYS ON SITE
-If EHS, amount must be in lbs.
2z3,
STORAGE CONTAINER
(Check all trial apply) ~La ABOVEGROUND TANK ^ f CAN
~ k BOX p TANK WAGON
^ b UNDERGROUND TANK ^ g CARBOY ~ I CYLINDER ~= q RAIL CAR
^ c TANK INSIDE BUILDING ^ h SILO m GL SS BOTTLE !^ r OTHER
^ d STEEL DRUM ~ i FIBER DRUM ~= n PLASTIC BOTTLE
^ e PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN
22
STORAGE PRESSURE .tea AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT
STORAGE TEMPERATURE AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22
%WT HAZARDOUS COMPONENT EHS CAS #
1 226 227 ^ Yes ^ No 228 22
2 230 231 ^ Yes ^ No 232 23
4 238 239 ^ Yes ^ No 240 241
5 242 243 ^ Yes ^ No 244 24
Iil. SIGNATURE
PAINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATUR
E
DATE 2a6
lx
~
/, ,
~Cl.~ ~~~/V,'
FD2086
(HMMP) •~'
HAZ~IRDOUS MATERIALS MANAGEMENT PLAN `F
CHEMICAL DESCRIPTION FORM
HAZARDOUS MATERIALS INVENTORY
•J~P1.EW ~~ ADD ^ DELETE ^ REVISE 200
- tsaxersneia r•ire liepc.
Environmental Services
p
p/,~ri 900 Truxtun Ave., Ste. 210
ARfr f Bakersfield, CA 93301
Tel: (661) 326-3979
(Ona /orm par nultanal, par building, or area. )
Paae1 of 2
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA • Doing Business As) 3
~~~ S
CHEMICAL LOCATION 201 CHEMICAL LOCATION 20
J~ ~C w ~ ~ S'!-~
tT~+ CONFIDENTIAL (EPCRA) ^ Yes ~ N
FACfLITY ID No. t MAP No. (oprioner) 203 GRID NO. (oprionar) 20
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 20
L~ 7Z O ~ ~ TRADE SECRET ^ Yes
' ^ No
ect to PCRA ref to in
If Sub structio s
COMMON NAME 207
EHS' ^ Yes ^ No
20
CAS No. 209
'It EHS is "Yes," all amounts b elow must be
in lbs.
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21
TYPE
p PURE ^ m MIXTURE ~w WASTE 211
RADIOACTIVE: a Yes ~~lo 21 CURIES 21~
LARGEST CONTAINER 2t
PHYSICAL STATE ^_ s SOLID ~LIOUID ^ g GAS 274 ~.-~~
~ ,~
2 7
FED HAZARD CATEGORIES ~j FIRE ^ 2 REACTIVE ^ 3 PRES SURE RELEASE ^ 4 ACUT E HEALTH p~'S CHRONIC HEALTH
(Check all that apply)
ANNUAL WASTE 217 MAXIMUM 21g AVERAGE 219 STATE WASTE 22d
AMOUNT DAILY AMOUNT ~ r ~ DAILY AMOUNT , ~ ^,
V CODE
UNITS ~ GAL
~ cf CU FT ^ Ib LBS ^ to TONS 221222
DAYS ON SITE
•If EHS, amount must be in tbs.
22a
STORAGE CONTAINER ~ k BOX ~ p TANK WAGON
/cnecx an roar appry) ^ a ABOVEGROUND TANK f CAN
^ b UNDERGROUND TANK ^ g CARBOY '~ I CYLINDER ~ q RAIL CAR
^ c TANK INSIDE BUILDING ^ h SILO ~ m GLASS BOTTLE ^ r OTHER
Off' 1 STEEL DRUM ^ i FIBER DRUM C n PLASTIC BOTTLE
^ e PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN
STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT
^ ba BELOW AMBIENT 22
STORAGE TEMPERATURE ~ AMBIENT ^ as ABOVE AMBIENT
^ ba BELOW AMBIENT
G c CRYOGENIC 22
%WT HAZARDOUS COMPONENT EHS CAS #
1 226 227. ^ Yes ^ No 228 22
2 230 231 ~ Yes ^ No 232 233
1
4 238 239 ^ Yes ^ No 240 241
5 242 243 ^ Yes ^ No 244 24
III. SIGNATURE
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE
DATE 24
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FD2086