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Home My WebLink AboutBUSINESS PLAN (3)r~ ~~~ ~~~ ~~ 8 ~ ~ ~~~=~ ~ ~~ !~ -, UNIFIED PROGRAM INSPECTION CHECKLIST SECTION-1: Business Plan and4lnventory Program Prevention Services A F R s r, , n 900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~ ~ cQ C.. ?-~ ../t 1 ~i- INSPECTION DATE 11- zl - o(o INSPECTION TIME zv ~.,: ~., ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER S~e.~t~ ~~r~.. _ - 15-021- C9C I ~7..f) ~~ /~ _. _ -_ _ _ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION Vv~ 1 ~ C V . ~ C=Compliance - OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ ~ VERIFICATION OF QUANTITIES ~O ./L, 1 vu2 ~ -Pc2~ ~e~2 ~ c S ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~` ^ /~- ( ~ VERIFICATION OF MSDS AVAILABILITY + ^ AJ [ ~ 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 ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 1 C.. ~. Inspec or (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # - ./~ White -Prevention Services ~ Yellow - Sta[ion Copy Pink -Business Copy - - FD 2155 (Rev. 09/05 'w ~=~' B A K E R S F I E L D MEMORANDUM TO: Sean Cacal, Community Relations Speciahst , , FROM: Ralph E. Huey, Director of Prevention Services J DATE: July 11, 2006 SUBJECT: City Hall Annex - LA Testing Attached please find the bill for the mold test performed on the samples supplied from the City Hall Annex. Please handle. REH/db LA TESTING 159 Pasadena Ave. %`~ S. Pasadena, CA 91030 CUSTOMER STA"CEMENT As of 6/21/2006 Bakersfield Fire Department Customer Number 32BAFD72 900 Truxton Avenue Terms Net 30 Days Suite 210 Credit Limit 500.00 CC Bakersfield, CA 93301 Balance 30.00 Bakersfield Fire Department Invoice # V.O. # Date Type Amount Adjustments "Total 32065898 M041 Fungi, Direct Exam 144+ Hours Proj Dese: City Hall Annex Basement 320606086 5/30/2006 Invoice 30.00 0.00 30.00 Balance: 30.00 Aged totals for Bakersfield Fire Department Current 30.00 31 To 60 61 To 90 Over 90 Total 30.00 Aged totals for All Locations of Bakersfield Fire Department Current 30.00 31 To 60 61 To 90 Over 90 Total 30.00 Please remit to: LA TESTING, P.O. BOX 375, Collingswood N3 08108-03?5 If you have already sent payment, please disregard. Questions, please call us at (866)-453-6020 cr7-1.0 Page 1 of 1 UNIFIED PROGRAM INSPECTION CWECKLIST ~,~~ ~~» SECTION ~1 Business Plan and Inventory Program • Bakersfield Fire I) Environmental Servi~ es' 9 ~~~5 900 Truxtun Ave., Suite 210 Bakersfield, .CA 93301 T 1 • !~~ 1 1 27A_20'70 INSPECTION DATE INSPECTION TIME FACILITY NAM //^~ _ ^' -------------1-~ _. -- --._ ~._ _....__ _ _.__ _ _J .- ---- . .. _. __........ ._.uL.-..-. .. PHON~.~~_' N of E ~loyee ~..___ ADDRESS T~ .-- ~ ~zG .-3t~i~__ ----~~-~Z_-~._.- --- - -----~- --------------- ---_ _. _._ . __ ._---- -- _ ._ _ _ -- i--- -~C~- _. . FACILITYCONTACT ~ ~ / Business ID Number `~1 ~V"L. 1 s-o21-~1~ /3?~i Section 1: Business Plan and Inventory Program ^ Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection • ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: ~iCI `d- J lM C ~ S IV'T".~ D~ /`~' lNl~eF White -Environmental Services Yellow -Station Copy Pink -Business Copy QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~6F)'I ~ 326-3979 . ;~ ~~~- ~, ~ Inspector (Please Print) Fire Prevention 1st-InlShift of Site Business Site Responsible UNDERGROUND STORAGE TANK APPLICATION TO PERFORM LINE TESTING /TANK TIGHTNESS TEST /SB989 SECONDARY CONTAINMENT TESTING / ELD BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 PERMIT NO. T T _. ~~ __.. ... I-I TANK TI(;HTNFSS TEST ^ LINE TESTING SB-989 SECONDARY CONTAINMENT TESTING ^ ENHANCED LEAK DETECTION FACILITY .f / ~ f' ADDRESS OPERATORS NAME Q ~F PERMIT TO OPERATE NO. OWNER AME OF NUMBER OF TANKS TO BE TESTED S PIPING GOING TO BE TESTED ^ YES ^ NO TANK NO. CONTENTS VOLUME TANK TESTING COMPANY MAILING ADDRESS i NAME & P NE NUMBER OF~ONTACT PERSON TEST METHOD NAME OF STER R SPE L INSPECTOR CERTIFICATION NO. DATE & TIME TEST IS TO BE CONDUCTED SIGNATURE O PPLI ANT ATE is -ate aa~ APPROVED BY ,/' ATE ~ r,-- FD2064 (Rev. oyos~ 3s`~`~ ~pS ! 1pp3 oc.~ ~, 4 ~4~QvE~n p~~~ CITY OF BAKERSFiE1.D FIRE C1EPA1tTN1ENT ~` ° OFFICE OF ENVIItONMENTAI. SERVICES m ~~ UNIFIED PROGRAM INSPECTION CHECKLIST 4 ~w ,~ 1715 Chester Ave., 3`d Floor, Bakersfield, CA 93301 FACILI"i~Y NAME ~ix. e QTY ~~~-`- ~ A.~Nk,~1NSPECTiON DATE ~O - Z2 - 03 ADDRESS /Sbl T2.~f•~~ _ _ PHONE NO. 3 Z~- 37$f FACIL[TY CONTACT ~~ (~~ ~ BUSINESS ID NO. 15-210- oi.~'oZ/- v~ ~3 L~ INSPECTION TIME '~ ~ L~~,J NUMBER OF EMPLOYEES _ Section 1: Business Plan and Inventory Program (~, Routine ^ Combined Q Joint Agency ^Molti-Agency (]Complaint 0 Re-inspection OPERATION C V COMMENTS Appropriate permit on hand t/, Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregatson of material ,~,~ Verification of MSDS availability Verification of Haz Mat training C~-.L,~ r~ Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ 'Yes j~ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy .~-1.C. 1~.. Business Si Inspector:_~~ ~_- f~ + BAKERSFIELD CITY HALL & ANiNEX _______________________ SiteID: 015-021-001320 + Manager Location: 1501 TRUXTUN AVE'~ City BAKERSFIELD BusPhone: (661) 326-3767 Map 103 CommHaz Low Grid: 30C FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code: DunnBrad: +__________________________--_____________________-________________________=====t Emergency Contact / '~t"'itle Emergency Contact / Title '^~ --____-- ~. L!f~A1fEL / SUPERVISOR ~B~'S•-aOLZJn.i(,~WAC~/ ~nc+~+~+-c-+ma+[~m S~p.,~~ i R+a;~Ew~ Business Phone: (661) 326-~3ioy Business Phone: (661) 326-3781x TI 24 -Hour Phone ( 661) ~ `~^' '' ^'-"x s~33-60~' 24 -Hour Phone ( 661) ~'' ^- " _ _ = = 587-7 33 ~ Pager Phone ( 661) ~ ~' ~ ~ ^ ^ ^~''' 1 Pager Phone ( ) - x ', Hazmat Hazards: Fire Press ImmHlth Contact Phone :( 6 61) 3 2 6 3-~-Cr'7~r 5 MailAddr: 1501 TRUXTUN AVE~ State: CA 3 76"7 City BAKERSFIELD Zip 93301 _ ------------ +- - ----------- + -- - Owner CITY OF BAKERSF'IELD Phone: (661) 326-3781x Address 1501 TRUXTUN AVE~ State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT E MAR 2 4 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law Chat t have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~ ~~~ ~I~~ 1~~ ignature Date -1- 02/28/2006