HomeMy WebLinkAboutBUSINESS PLAN 9/19/2006II
pBAKERSFIELD AIR CONDITION
/..
~~ SUPPLY i ~,.-
~ ,.- z- , - - , .~
-- - ~ -
~ ~ ~~ ~
~lh^`aPAct`~" ~
,.~,
~,,.a
~'
fQ?(Q
~llL ~ ~ ~
<<
+ BAKERSFIELD AIR CONDITIONING SUPP ___________________ SiteID: 015-021-001269 +
Manager JIM GALACOCK BusPhone: (661) 327-3007
Location: 215 SUMNER ST Map 103 CommHaz Low
City BAKERSFIELD Grid: 29A FacUnits: 1 AOV:
CommCode: BFD STA 02 SIC Code:
EPA Numb: DunnBrad:
+_________________________---__________________________________________-___=====t
---------- ------ --------
Emergency Contact / Title Emergency Contact / Title
JIM GALACOCK / GENILP.AL MANAGER /
Business Phone: (661) 32T-3007x Business Phone: ( ) - x
24-Hour Phone (661) 59~9~-0514x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone :.( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact Phone: (661) 327-3007x
MailAddr: 215 SUMNER ST State: CA
City BAKERSFIELD Zip 93385
Owner JOY HARVEY Phone: (559) 539-6123x
Address 16081 MUSTANG AVE State: CA
City SPRINGVILLE Zip 93265
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
Based on my inquiry of those individuals
responsible for obtaining the information, I certify A
under penalty of law that I have personally ~ ~ ~U~
examined and am familiar with the information
submitted an believe the information is true,
acc te, a complete.
' ~ ~ ~a ~.~
Signature ~'~Lv Date
---
-1- 02/28/2006
Prevention Services
UNIFIED- PROGRAM INSPECTION CHECKLIST A E >z s ~ ,_ 900Truxtun Ave., Suite 210
- - - F-RE Bakersfield, CA 93301
ARTM T
SECTION 1: Business Plan and Inventory Program Tel:: (661) 326-3979
T rax: (nni~ aiz-~i i i
FACILIN NAME _ _
'
' INSPECTION DATE
~ ~!R INSPECTION TIME
!/ Zd
r`
C//L'
A-6l Fi~~D i4i/L c~.vdiriav~,vG Su~ - dC
ADDRESS =
2.- J S`" S u ~, tir.Z PHONE NO.
3 Z ~- 3O0 7 NO OF EMPLOYEES
/ 4
FACILITY CONTACT BUSINESS ID NUMBER
15-02~- 00! ZG f
ae•
Section 1: Business Plan and Inventory Program
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT' " ^ - RE-INSPECTION
C V ~ C=Compliance OPERATION ~
V=Violation - COMMENTS
~/
l~ ^ APPROPRIATE PERMIT ON HAND
^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE -
,_,,/
IQ ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY - I
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
,~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
1
XJ ^ VERIFICATION OF MSDS AVAILABILITY .. ZQQ~
^ 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 HAZARDOUS WASTE ON SITE? ^ YES C~ NO
EXPLAIN: -
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~N llfD~t/f! ~l4G~G~/g Z/~ -
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # i s Site /Responsible Pa se Print)
White -Prevention Services - - ~ -Yellow -Station Copy ~ - Pink -Business Copy ~ FD 2155 -(Rev. 09/05
BAKERSFIELD AIR CONDITIONING SUPP
Manager JIM Cg1.~S~OC./ ~
Location: 215 SUMNER ST
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
BusPhone:
Map 103
Grid: 29A
SIC Code:
DunnBrad:
SitelD: 015-021-0012r~9
(661) 327-3007
CommHaz Low
FacUnits: 1 AOV:
Emergency Contact / Title =>~~S Emergency Contact / Title
JIM C-'6C-R ~~O4L / ~~ MANAGER /
Business Phone: (661) 327-3007x Business Phone: ( ) - x
24-Hour Phone (661) 599-0514x 24-Hour Phone ( ) - x
Pager Phone ( } - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHltti
Contact ,~1~'l Cs-~C.~CDUL Phone: (661) 327-3007x
MailAddr: 215 SUMNER ST State: CA
City BAKERSFIELD Zip 93305
..............
Owner JOY HARVEY Phone: (559) 539-6123x
Address ~608~3-~f i~ ~~,1~~~,ZB 7 State: CA
City ~AK+zr1Z5t =i ~.~j Zip 9~-~-Fs5- 4'33$5
...
Period to TotalASTs: = Coal
Preparers TotalUSTs: = aal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENTD DEB ~ ~ 2
007
- - - -- Based on- my~ inquir-y 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,
accurat ,and , mplete.
~~
Sig ature Date
-1- O1/25/~007