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HomeMy WebLinkAboutBUSINESS PLANi ~. ~, ~i ~.~ ~r~ ,.+m ~I~ 'r ,~ ~~~y ~~~ ~, ~~ IItON WORKS SPEED & KUSTOM ~,~, 2201 R STREET ~- ,~-- + IRONWORKS SPEED & KUSTOM ____________________________ SiteID: 015-021-003016 + Manager RODGER LEE Location: 2201 R ST City BAKERSFIELD BusPhone: (661) 323-4766 Map 103 CommHaz Minimal Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:- EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RODGER LEE / / Business Phone: (661) 32'3-4766x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards:- Fire Press ImmHlth Contact RODGER LEE - Phone: (661) 323-4766x MailAddr: 2201 R ST State: CA City BAKERSFIELD Zip 93301 Owner RODGER LEE Phone: (661) 323-4766x Address 2201 R ST State: CA City BAKERSFIELD Zip 93301 .Period to TotalASTs: _ "Gal Prepares: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~ BAR ~ ~ 2406 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined nd am familiar with the information submitt~y(d beli a the information is true, accurat', d co te. '3 - 3 - D(Q Date r_ -1- 02/27/2006 UNIFIED PROGRAM INSPECTION CHECKLIST'; RtE+c --:°.~„!«a~~~'0.'~J4Y'sB.. ea:.~l t1 ~- > 1,.:, ~: ~;. ~' -i.': ,.. ~'. .. .',::.,.. .~,~.. .... x~.=i ~ ~ ..-.. .SECTION 1:~ Business Plan and Inventory Program ~~ BARERSFIELD FIRE DEPT Prevention Services ~;rss 900 Truxtun Ave., Suite 210 att~ r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~Ro,u c~oRKS ~'PzCA ~ ~~ u Sio~vl NSPECT ON D TE /0 Z7 ~ ~ INSPECTION TIME / ADDRESS ^ 5,~...~ Z~ ( K HONE NO. O OF EMPLOYEES FACILITY CONTACT (Qa~d f i~ ~2t~ USINESS ID NUMBER 15-021-4d s'O 1 Section 1: Business Plan sand Inventory Program ~ ~ ~~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION :] C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND . ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ©~ ~~l(~l t~ a G~ ~I ^ CORRECT OCCUPANCY tJ~, ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION /~ ~f ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND OCEDURES _ ^ EMERGENCY PROCEDURES ADEQUATE ff 1~ "•' ~k•f D CONTAINERS PROPERLY LABELED `~ ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES ^ YES ~NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U8 AT (861) Sts-3879 Inspector (Please Print) Fire Prevention / 1" In / Shift of SRe/Station IF de/ ool a esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink - Buainesa Copy FD204e (Rw. 02/05) Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Environmental Services _ ._.._._ ' ~ "~''~°~'~~`"~ 900 Truxtun Ave., Suite 210 SECTION 1 Business .Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)_326-3979 _ _ FACILITY NAME mare./~ vn vr~ mama. ~ vr~ ~ ~mc ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business umber 15-021- /`jC~ j Section 1: Business Plan and Inventory Program `~ 3 0 I fo ~outine D Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint e-inspection C V (C=Compliance OPERATION COMMENTS ~~`~~ `V=Violation ^ ^ APPROPRIATE PERMIT ON HAND ~ ®~ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ---- ^ ~ VERIFICATION OF INVENTORY MATERIALS ------ --------.._ .----- ------- ---..._. . -- -------....._.... I ~~~ ' S~~n,(~~~ ~~~ /_. _ _ 3.~.._ --._..... . _.. . ^ ^ VERIFICATION OF QUANTITIES t ( ~~ X 3 '~^~( ^ ^ .VERIFICATION OF LOCATION (N~S1 ~~ 5 L~~ ^ ^ PROPER SEGREGATION OF MATERIAL _ O `~ ^ ^ VERIFICATION OF MSDS AVAILABILITYE \ ^ ^ VERIFICATION OF HAT MAT TRAINING ' ~~ ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ ^ CONTAINERS PROPERLY LABELED ^ F'IOUSEKEEPING ~ I~LyK'C ~ ~d:~l•-rtn~ ~~,- 5 7~ ~~"~y~s ^ FIRE PROTECTION _ _ ~ ~ ~ 1PC.~.A~c~ ~ St°~zvr~ ~ IZc: /Zta3Z~/'f" ~~r~y</rs~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ' , O EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~G6') ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shift of Site B i ess Si esponsible Party (Please Print) rn 8 White -Environmental Services Yelbw -Station Copy Pink -Business Copy _, _. i _ _ ~ _I - - ,.~ CITY OI' I$AI~ERSI,IELD .o B EpiR,B ` ° OFFICE OF ENVIRONMENTAL SERVICES ~ ~~~ ABTM t 1715 Chester Ave., CA 93301 (661) 326-3979 • _ ~,~.,.~ HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matedal per building orareaJ NEW ^ ADD ^ DELETE ^ REVISE 200 Page of ,: . ~ _ I. FACILITY INFORMATION •. ,~->: BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~ ,- 3 j ~2o7JGJVrLkS S~E~~ ~ 'K~1S~t~M I---- - ---- - -._ .. - - ----- CHEMICAL LOCATION ~.. 20t, CHEtdICAL LOCATION ^ Yes ^ No 202 (/JSrOC S'f-(cl~ CONFIDENTIAL(EPCRA) - - ---- - FACILIIY ID # ~ ~ I ~ i ~ 1I MAP # (ophonap 203 GRID # (opGonan 204 ,, L-~-- _-. ____-. _- .- _-: __ _ ___ ..._ _-_ - _._-- .--. ____ _ __-_..._-. ~S 1. ,--- , IL CiiEM1CAL INFORMATION 205 TRADE SECRET CHEMICAL NAME ~~~ 1 ^ Yes ^ No 206 ; YV If Subject to EPCRA, refer to instructions ~ ----- -.._. _.... - ---- ._ _. -207 -~--- --- ---- OC MMON NAME EHS' ^ Yes ^ No 208 L~ - - - -.. - :.- - ~ CAS # 209 •If EHS is"Yes all amounts below musE be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chie(j 210 PTY E -- - - -- - - ------------- ----- - -- -.- . ..- ... --- ~ - - - - - _ -- - ------------ j CURIES 213 .. . LIRE ^ m MIXTURE ^ w WAS-_ .. R-d!IOACTIVE ^ Yes ^ No 212 ~ ------- --- ----------- --- - --- -. . -----..---------- -~ --._..- __..- - - i.. - --- - ~ -- - - --- ---- ---------- ~ -- ~! PHYSICAL STATE of LARGEST CONTAINER ~2~ 215 j ^ s SOLID ^ I LIQUID `ce'g GAS 214 i I FED HAZARD CATEGORIES r~~ ~ r ( 4 i ~ (Check all that apply) ^ 1 FIRE ^ 2 REACTIVE ~-PRESSJRE ,;ELEI,SE ~ A::U-E HEALTH ^ S CHRONIC HEALTH 216 ANNUAL WASTE _ 217 t~A4XIML'M 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT ~ OCR ~ ~ DAILY AMOUNT t ~ ~ ; ---- - UNITS' -` - ----- ----------- - -_ - - i.- -- - -- - - - -- - - -- - - - -- ~ DAYS ON SITE 222 i ^ ga GAL ~,tf CU FT ^ Ib LBS ^ to TONS 221 I ' If EHS, amount must be in lbs. i STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ~ ^ b UNDERGROUND TANK ^ f CAN Ci j BAG ^ n PLASTIC BOTTLE ^ r OTHER I ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ~ CYLINDER ^ p TANK WAGON I STORAGE PRESSURE ^ a AMBIENT ~-ae ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ,AMBIENT ^ as ABOVE AMBIENT ^ b3 BELOW AMBIENT ^ c CRYOGENIC 225 , %1NT HA7ARDOUS COMPONENT EHS CAS # . ii -7- _.... - -_ _ -_ ----- -- 1 22 I _ _.___. ---------- 227 ~ 229 ^ Yes ^ No 228 I 2 230 -- - ~- - - 231 233 ~ ~ i ^ Yes ^ No 232 i I --- - --- --- ._..--- -_ . ! -~ ---- - r--- - I 3 234 235 237 ! ~ ~ ^ Yes ^ No 236 ~ _' 4 238 239 Yes ^ No 240--,---- - -------- 241-1 --1------ - --- _..----__ _ .. --- ------ - -- - _ -_ __- - 1_ 5 ------ 242 -:--------..._.-...-__...__-..-.-..--__..._._...._.-.._-...-...__...--._..._--....-.....-.-......-----_----~---_.__243..._.^-Yes^No 244._-...--- ___.-_- 245 ~ ' III SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZEb COMPANY REPRESENTATIVE - ~ -~ ~~ ~ ~ SIGNATURE ~ ~~-~ ~ ~ ~ ~ ~~~~~ ~~~ ~ ~ ~ ~ ~ ~ ~ DATE 246 i ---- --- - -... - - o~ UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd (HMMP) -~~ tsaxersnela mire t~ept. HAZARDOUS MATERIALS MANAGEMENT PLAN Environmental Services s iPI P p//fit 900 Truxtun Ave., Ste. 210 CHEMICAL DESCRIPTION FORM << r Bakersfield, CA 93301 HAZARDOUS MATERIALS INVENTORY Tel: (661) 326-3979 ~N~EW ~ ADD ^ DELETE ~ REVISE 200 (One lorm par material, par building, or area. ) Paae1 of 2 i. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3' CHEMICAL LOCATION 20! CHEMICAL LOCATION 20 t/tfsr v~~ s r~~ CONFIDENTIAL (EPCRA) ^ Yes ~= Nd FACILITY ID No. 1 MAP No. (opr~onar) 203 GRID NO. (oprionar) 20 II. CHEMICAL INFORMATION CHEMICAL NAME 205 20 TRADE SECRET ^ Yes ^ No If Sub'ect to PCRA ref r to instructions COMMON NAME 207 S~~~~'~/^ ~,,, ^ ~9 CJC~, J EHS' ^ Yes ^ No 20 CAS No. 209 'If EHS is'Yes; all amounts b elow must bg in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE // 211 27~ CURIES RADIOACTIVE: _ Yes ~ No 21~ ^ p PURE r7~.MIXTURE ^ w WASTE i 111RGEST CONTAINER 21 PHYSICAL STATE ^_ s SOLID ^ I LIOUID ~c~GAS 214 FEO HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE '~ PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21 (Check all that apply) ANNUAL WASTE 217 MAXIMUM E1g AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ~ I ~~ DAILY AMOUNT r / ~ ~ CODE UN17S~ ^ ga GAL ,,1 ~5; cf CU FT ~ Ib LBS ^ to TONS 221222 DAYS ON SITE -It EHS, amount must be in lbs. < 22~ STORAGE CONTAINER _ k BOX ^ p TANK WAGON /cneck err roar appry) ^ a ABOVEGROUND TANK = f CAN i ^ b UNDERGROUND TANK ^ g 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 PLASTIC/NONMETALLIC DRUM ^ j BAG ^ o TOTE BIN 22 STORAGE PRESSURE ^ a AMBIENT "~ as ABOVE AMBIENT ^ ba BELOW AMBIENT 225 STORAGE TEMPERATURE /L~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT G c CRYOGENIC %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 I 241 5 242 243 ^ Yes ^ No 244 24 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 24 l / FD2o86