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Home My WebLink AboutBUSINESS PLAN (2) i ~I ;._ ~~ :. UNIFFED PROGRAM INSPECTION CHECKLIST ~ Prevention Services . >3 ., t; R $ t , 0 900 Truxtun Ave., Suite 210 E _.__ _ _:: ~_ ._.. ~ ~ . FiiAE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Pr-ogram aRr'" Tel.: (661) 326-3979 - ~ Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME - - - ADDRESS PHONE NO. ~ ~IJO OF EMPLOYEES i FACILITY CONTACT _ BUSINESS ID NUMBER - t 15-021-OBI g~+~ ,' ~o~t N t S - i/I/I /~ °f'I C~-- I Section 1: Business Plan and Inventory Program _ ~~ ~~ ~ l~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION I C V ~ C=Compliance OPERATION V=Violation - COMMENTS LAY ^ APPROPRIATE PERMIT ON HAND I ~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE 0~ ^ VISIBLE ADDRESS I~ ^ CORRECT OCCUPANCY Q C ~" ~ ^ VERIFICATION OF INVENTORY MATERIALS ~~^ VERIFICATION OF QUANTITIES I 1 I~ ^ VERIFICATION OF LOCATION i5~ ^ PROPER SEGREGATION OF MATERIAL Ca' . ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING l Y ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,, /' L7 ^ EMERGENCY PROCEDURES ADEQUATE LT ^ CONTAINERS PROPERLY LABELED I~ ^ HOUSEKEEPING LL~^ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^YES L`J'NU EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979" Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # White -Prevention Services - - -Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ;, BAKERSFIELD PAINT & WALLPAPER Manager WADE EURTO Location: 1661 UNION AVE City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: O.~ " = SiteID: 015-021-001895 BusPhone: (661) 327-8431 Map 103 CommHaz High Grid: 29C FacUnits: 1 AOV: SIC Code:5231 DunnBrad: Emergency Contact / Title Emergency Contact / Title DENNIS MATICE / OWNER WADE EURTO / MANAGER Business Phone: (661) 327-8431x Business Phone: (661) 327-8431x 24-Hour Phone (661) 832-3500x 24-Hour Phone (661) 589-0956x Pager Phone ( ) - x Pager Phone (661) 809-2385x _......_.. Hazmat Hazards: Fire ImmHlth DelHlth Contact ~~+K~S ~~~C2_ Phone: (661) 327-8431x MailAddr: 1661 UNION AVE State: CA City BAKERSFIELD Zip 93305 Owner DENNIS MATICE Phone: (661) 327-8431x Address 508 STOVER AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~ C`~ Based on my inquiry of those 'individuals 1 certify n ti I t`fl ~~ IrQ I~It1 ~ ~ ® ~~~/ , o responsible for obtaining the informa f lava that 1 h8v~ personally under penalty o examined and am familiar with the information sub ~~ ed and believe the information is true, ' ~ ..te ,and com acc rat , ~ s ~ ~ ~ ~~~ Signature ~ Date -1- 01/25/2007 U ,~ F BAKERSFIELD PAINT & WALLPAPER SiteID: 015-021-001895 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LACQUER L 500.00 GAL Hi LACQUER THINNER F IH DH L 100.00 GAL Mod -2- 01/25/2007 -3- 01/25/2007 r F BAKERSFIELD PAINT & WALLPAPER ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME LACQUER Location within this Facility Unit WHSE SiteID: 015-021-001895 ~ Facility. Unit: Fixed Containers at Site ~ Days On Site 365 .Map: Grid: __ CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average - 5.00 GAL 500.00 GAL 300.00 GAL riHGHKL V U 7 l: V 1~1Y V1V ~1V 1 J °sWt. RS CAS# 10.00 Cellulose Nitrate No 9004700 78.00 Toluene No 108883 riAGHKL HSJL" JJ1~1J;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MAP No No No No/ Curies / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME LACQUER THINNER. Location within this Facility Unit WHSE Days On Site 365 Map: Grid: -- CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 100.00- GAL 50.00 GAL r1tiLHxlivua trvrlrVlV~iV1~ °sWt. RS CAS# 42.00 Naphtha Solvent No 8030306 15.00 Toluene No 108883 13.00 Methyl Ethyl Ketone No 78933 t11-~GFjtCL 1-~. JJJ;5J1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod Facility Unit: Fixed Containers at Site ~ -4- 01/25/2007 0 F BAKERSFIELD PAINT & WALLPAPER SiteID: 015-021-001895 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/05/2006 ~ FIRE DEPT 911. Employee Notif./Evacuation 07/20/1998 INTERCOM SYSTEM - TOLD TO EXIT THE NEAREST EXIT AND REPORT TO FRONT PARKING LOT. Public Notif./Evacuation IMMEDIATE NEIGHBORS WILL BE NOTIFIED BY OUR EMPLOYEES. 07/20/1998 Emergency Medical Plan CALL 911 FOR AMBULANCE SERVICE TO SAN JOAQUIN HOSPITAL. 07/20/1998 -5- 01/25/2007 n F BAKERSFIELD PAINT & WALLPAPER SiteID: 015-021-001895 ~ Fast Format. ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/20/1998 ~ ALL HAZARDOUS MATERIALS ARE STORED IN METAL CONTAINERS AND IN SAFE LOCATIONS. Release Containment ALL HAZARDOUS MATERIALS ARE HANDLED WITH EXTREME CARE. 07/20/1998 Clean Up 10/05/2005 OPEN SPILL PACK, PLACE SAFETY GOGGLES, GLOVES, AND BOOTS ON. USE ABSORBENT PADS TO ABSORB SPILL, PLACE SATURATED PADS INTO DISPOSABLE BAGS, MARK BAGS WITH CONTENTS AND DISPOSE OF PROPERLY. ' Other Resource Activation -6- 01/25/2007 F BAKERSFIELD PAINT & WALLPAPER SiteID: 015-021-001895 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JjJCC:1d1 rid'GC1.LU5 Utility Shut-Offs 10/05/20i~6 A) GAS - S SIDE OF BLDG ALLEY B) ELECTRICAL - S SIDE OF BLDG ALLEY C) WATER - S SIDE OF BLDG ALLEY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 8 FIRE EXTINGUISHERS. 10/05/2006 NEAREST FIRE HYDRANT - N OF BLDG ON 17TH ST AND NW CRNR UNION & 17TH. Building Occupancy Level 03/01/2006 8 EMPLOYEES, -7- 01/25/2007 F BAKERSFIELD PAINT & WALLPAPER SiteID: 015-021-001895 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training - 10/05/20i~6 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES HAVE-BEEN TAUGHT THE USE OF A SPILL PACK, FIRE EXTINGUISHER AND PROPER EVACUATION AND NOTIFICATION IN CASE OF A FIRE OR HAZARDOUS SPILL. rayc t. ncii,- ivi ru~uic v5c 11G 1<A lv1 r u~..utc vac -8- 01/25/2007 + BAKERS~'IELD PAINT & WALLPAPER _______________________ SiteID: 015-021-001895 + Manager.: BusPhone: (661) 327-8431 Location: 1661 UNION AVE Map 103 CommHaz High City BAKERSFIELD Grid: 29C FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:5231 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title DENNIS MATICE / OWNER WADE EURTO / MANAGER Business Phone: (661) 327-8431x Business Phone: (661) 327-8431x 24-Hour Phone (661) 832-3500x 24-Hour Phone (661) 589-0956x Pager Phone ( ) - x Pager Phone (661) 809-2385x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 327-8431x MailAddr: 1661 UNION AVE State: CA City BAKERSFIELD Zip 93305 Owner DENNIS MATICE Phone: (661) 327-8431x Address 508 STOVER AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo : -~_?~ Emergency Directives: PROG A - HAZMAT 9~'f~ MAR 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, accuya e, and comoia6e. /~ Signature ` Date -1- 03/01/2006 /, _ i i ~.,-., i'~ _ ~°~o`"4y4 ~~d CITY OF BAI{ERSFIEI:D FIRE DEPARTMENT ,.•~ ~< b~ OFFICE OF ENVIRONMENTAL SERVICES 1~~ y~ UNIFIED PROGRAM INSPECTION CHECKLIST ?,W ~4A,/,gyp 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 • FACILITY NAME ~251_`~'~~ QA ~n`~ INSPECTION DATE ~~~~ ~~ (~~ ADDRESS /(off l n1to~J ~~~ PHONE NO. 3?7~ FSy .FACILITY CONTACT ~~ Nht ~ ~ ATE ~ ~ BUSINESS 1D NO. 15-210- yo ~ 8"`7~ INSPECTION TIME~~,U rte` d.I NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~outine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand V Business 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 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 C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~o • Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy I f ~" Business Site Responsible Party Inspector: ~-~