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HomeMy WebLinkAboutBUSINESS PLAN 12/4/2006~ ' p Wf I Qzf ~~~ ' o Q z Zi i w O) U N a N ~ O' C7 N ~ ' f L L''~'S ~ C(L~-~ ~? nee E ~ y~.~k-S -- ,~- i Prevention Services_ . UNIFIED PROGRAM INSPECTION CHECKLIST } >3_ _E_R s F ~ _ 900Truxtun Ave., suite 210 D FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARrM r Tel.: (661) 326-3979 - Iu ~ Fax: (661) 872 2171 FACILITY NAME /` /~~ ; f7i~'~LCS CV~t'V ~ INSPECTIO DAT (Z ~~ .~ INSPECTION TIME ADDRESS ~ (, ~ r ~( JI~ - w J s ' V PHONE NO. i O OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 021 Z"bcl 15 I - - _ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS j ^ ^ APPROPRIATE PERMIT ON HAND - ^ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ENT'D ©E C ~ 7 2006 ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS ~ ~ ~ ^ ^ VERIFICATION OF QUANTITIES lct~ ~ ~c.c~ ^ ^ VERIFICATION OF LOCATION Q~IM~- ~ ~C ~~ ,..r5 ~nL Gc~iC2 c~ s'E{~P ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ^ I ^ EMERGENCY PROCEDURES ADEQUATE ^ I ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION I 11 I--I CITC r11A!_Ol1 AA AfI Clll II1TC O !'1A1 LIAf.lf1 ~~. ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 j ~ f~. '~~ ~ ~ Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party (Please Print) YES ^ NO White -Prevention Services Yellow - S[ation Copy Pink -Business Copy - FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST.. A a E k r; 900Truxtun'Ave:, Suite 210 ,~_ . ~_.~ - FIRE - i Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° "'~"" Tel.: -(661) 326-3979 ' _ Fax: (661) 872-2171- - FACILITY NAME !INSPECTION DATE IINSP_ECTION TIME I. a~uZ e ~f INO ~~r~-Fv(` J~ V+C~ D--~.7- d~ ' jp~j - ADDRESS ~ ~ ~ PHONE NO. NO OF E_pt1QLOYEES - ! I •i o S %u~oti CR~e .~ - f iFACILITY CONTACT - BUSINESS ID NUMBER ~~ n ~/ ! ~aev~(,e ~2~L~2 -15-021- (/`I (o/ - _- - _- - _ Y ~ -- - ~-- ~ J-/ I! L~f ROUTINE ^ COMBINED eCt^nJOINTBAGE CeSS ^ MULTA GENCYtOr ^ OMPLAINT ^ RE-INSPECTION ~ C V- (C=Compliance OPERATION V=Violation COMMENTS ~ ~ ^ APPROPRIATE PERMIT ON HAND 1 1 E'J ^ BUSIDeSS PLAN CONTACT INFORMATION ACCURATE ~~~ t C~° ^ VISIBLE ADDRESS - i II Ct7~ ^ CORRECT OCCUPANCY I ,~/ Ud ^ ~/ERIFICATION OF INVENTORY MATERIALS \ ~I ^ ~/ERIFICATION OF QUANTITIES ~ ! ~ ,.~/ ^ VERIFICATION OF LOCATION Ln ^/ PROPER SEGREGATION OF MATERIAL ^ L/J ~/ERIFICATION OF MSDS AVAILABILITY N'~~ /m~$ ~~X ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ C~ EMERGENCY PROCEDURES ADEQUATE ~ Jv~F_DS 'h VL` ~c'~PQ~ Ar..~:v-I- of ', h nx, w -hr~ f ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING bA~ ~ 5 c d ^ FIRE PROTECTION rf n f~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~~~~ ~~~ ~ ~ C~d'YES ^ NQ~ ~ . QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please rint) Fire Preventio / 1~` In /Shift of Site/Station # _ White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 Bakersfield Fire ~ept. UNIFIE® PROGRAM INSPECTION CHECI(LIST Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION BATE INSPECTION TIME r'~~~~-EZ C+`-f~ r Nv ~.4d~ s /kTt~ S~L/r GG ~ (/ _+//_ _ __ __ _ _ _ ___ _ __ ~~------ -------------- ------ ---------- ----------- ....--------------' ~--« o~ ;. ADDRESS PHONE No. ~ No. of Employees Za~~ s ~ v~ t o~ ----------3~g-6zc z---- t Business ID Number F FACILITYCONTACT GC-~,C C''~-cs~JZ~u2 ~ 15-021- /~--W Section 1: Business Plan and Inventory Program ~outine ^ Combined ~ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection ~% ~ lv=voaPolnnce~ OPERATION ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY COMMENTS n~C~ s ~-nr - - -- -- - ^ ^ VERIFICATION OF INVENTORY MATERIALS I (~~L~~ ~~~ ~~ __ _.__ ^ ^ VERIFICATION OF QUANTITIES ;ICES' Cl~= ------- --- ------- - ---- -- --- ---- -- - ---t-------- ---- - - --- - --- ~~ __ l~t~ t~ Sl-~~--- ---- ---~ -~i~. --- ^ ^ VERIFICATION OF LOCATION ,~~ „~~ ~~~~ , n ~~ ~' j --- ------ ----------------------------------- -7- ~ ~_..-- T-- ------ -------- ------------- - ------ - -- --- -- ^ ^ PROPER SEGREGATION OF MATERIAL ~~~~` ~ `~ --- _. ^ ^ VERIFICATION OF MSDS AVAILABILITYE ,/ ~ ~~` ~~ ~~~'~. ^ ^ VERIFICATION OF HAT MAT TRAINING 1 ~ C ~ JJ \ ~ Y ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ~1/ ----- ----=------- ----------._ _..---t------------ ----- - ------ --- - -------- -------- ------ -- .. ^ ^ EMERGENCY PROCEDURES ADEOUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ~) FIRE PROTECTION i`~~-Qr~ S~L(7G+C ~~ ISL.{i2S fU.l/11t1~u G7~ t ~~~ ^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: t"J~~ OlL 1~'{la~l Stf~P ~ o[Kt*Z t.~Ji~S?~ 172u/~'~,S f c_~ (34y P2tc!/OtJs QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~G6'I ~ 326-3979 ~t~rs g , -------------- ---- -- -_ ----- ---- --Jo2h~----~~~~.~~,~- Inspector Badge No., Business Site Responsible Parry White -Environmental Services Yellow - Sletbn Copy Pink -Business Copy HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW ^ ADD ^ DELETE ^ REVISE 200 Bakersfield Fire Dept. B B R p l ° Environmental Services ~/R~ 1715 Chester Ave ~RT~ r Bakersfield; CA 93301 Tel: (661)326-3979 (one ldrrn per material per building or ales) Pagel of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA • Doing Business As) 3 G-Ur.~7~L-L~Z L'~/2rN'O CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 ( /~ S e ~~ C~^~T~`~ ~,~ Sf,~1,P CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY ID No. i 1 MAP No. (op60naQ 203 GRID Na. (optlonan 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 W~facs 1 ~ d I L- If Subject to EPCRA, refer to instnutians COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 •If EHS is'Yes.' alt amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Compete if requested by kxal Dre Uuef) 210 TYPE ,,~~// 211 ^ p PURE ^ m MIXTURE U9.w WASTE 212 RADIOACTIVE ^ Yes ~No CURIES 213 PHYSICAL STATE ,../ 214 ^ s SOLID L3J LIOUID ^ p GAS LARGEST CONTAINER S--S 215 FEO HAZARD CATEGORIES %~~ FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT ~~ DAILY AMOUNT ~~ CODE 2 UNITS' ~ga GAL ^ Cf CU FT 0 ID LBS ^ to TONS 221 GAYS ON SITE 222 if EMS, amount must be in IDs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (Check all fnaf apply) ^ D UNDERGROUND TANK ^ y CARBOY ^ I CYLINDER ^ q RAIL CAR ^ e TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTICJNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # . 1 228 227 ^ Yes O No 228 229 2 230 231 O Yes ^ No 232 233 3 234 235 ^ Yea O No 238 237 4 238 239 ^ Yes ^ No 240 241 S 242 243 ~ Yes 0 NO 244 245 PRINT NAME d TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 t - ' ~ ( r S o4 t o s - ,,ZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION }~wE`N ~ ADD O DELETE ~ REVISE 200 Bakersfield Fire Dept.. g , a , P , ° Environmental Services f~R/ 171 ~ Chester Ave ARTr T gakersf field, CA 93301 Tel: (661)326-3979 (one form per rnafenal per building or area) Paget of i. FACILITY INFORMATION 3USINESS VAME (Same as FACtLITV NAME ar OBA ~ Douiq 9us,nesa As) a -2 ~ Ga' '" 3 1 Np 2/. nf~TU2 St`-27/rc.C ~ct 5 GC ~ CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 ~"~ 1 rJS r ~L Ct_~ 1 C~ rte- s,l-,(U~ ;CONFIDENTIAL (EPCRA) ^ res ^ No FACIUTV .D No. I I ~ i I I 1 i MAP No. (optional) 203 GRID No. (optionaQ - I 204 II. CHEMICAL INFORMATION 205 CHEMICAL NAME TRADE SECRET ^ Yas ^ No 206 ~ ~7~T ~j-~A~ If SuD)latt to EPCRA, refer to inswcDans CCMMON NAME Z07 EHS' ^ Yes ^ No 208 CAS No. 209 •If ENS is'Yea.' aB amaalts below must be in IDs. FIRE CODE HAZARD CLASSES (Compete ii requested Dy kxal fire chieQ 210 HYPE 277 ~_ PURE ^ m MIXTURE ^ w WASTE 1 212 RADIOACTIVE ^ Yes ~No CURIES 213 PHYSICAL STATE ~ 210 ^ s SOLID ^ I LIOUID q GAS LARGEST CONTAINER 2 ~.~ 215 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ~ PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 276 (Check all that apply) ANNUAL WASTE 217 AMOUNT MAXIMUM 218 DAILY AMOUNT Z4L'`.f 1 AVERAGE 279 DAILY AMOUNT ZLt,G' STATE WASTE CODE 220 221 UNITS' ^ qa GAL ,ISL.cf CU FT ^ ID l8S ^ to TONS GAYS ON SITE 222 'If EHS, amount must be io Iba. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON ICnec<r all loaf aPPMI ^ D UNDERGROUND TANK ^ q CARBOY ~.( 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 PLASTICMONMETALLIC DRUM ^ j BAG ^ 0 707E BIN STORAGE PRESSURE ^ a AMBIENT ~ae ABOVE AMBIENT ^ oa BELOW AMBIENT 224 ,~~f/ STORAGE TEMPERATURE ;U~a AMBIENT ^ as ABOVE AMBIENT ^ Da 9ELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 7 228 227 ^ Yea ^ No 228 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yea ^ Na 238 237 4 238 239 ^ Yas ^ No 240 247 5 242 243 ^ Yes ^ NO 244 245 III. SIGNATURE PRINT NAME b TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE GATE 24a ~ a c T:- •, . ~. GONZALEZ CERINO RADIATOR SERVICE Manager GORGE GONZALEZ Location: 2080 S UNION AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: S~~y3 BusPhone: Map 124 Grid: 07D SiteID: 015-021-002898 (661) 398-6212 CommHaz Low FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / .Title Emergency Contact / Title _ GORGE GONZALEZ / AV1G~Ure`( / Business Phone: (661) 398- 212x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact GORGE GONZALEZ Phone: (661) 398-6212x MailAddr: 2080 S UNION AVE State: CA City BAKERSFIELD Zip 93307 Owner GORGE GONZALEZ Phone: (661) 398-6212x Address 2080 S UNION AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~~ Based on my inquiry of thase individt!a':~ the informatio i ng responsible for obtain ersonally that I have p under penalty of law d and am familiar with the information e i . ne exam the information is tru itted and bel~ subm lete and comp ccurate , a .~ .Q C -~=~ Z°n~- OS ~ D te a Signature ENT'D JUN 12 2007 -1- 04/23/2007 F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F TH DH G 249.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low WASTE ANTIFREEZE F DH L 110.00 GAL Low OIL L 55.00 GAL Min -2- 04/23/2007 -3- 04/23/2007 F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site. 365 Location within this Facility Unit Map: Grid: CENTER OF SHOP CAS# 7782-44-7 ATE T E - v S E i ntT~E CO ER ~Gas pure ~Abo Amb e ent Amb e PORT PRESS CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 249.00 FT3 249.00 FT3 249.00 FT3 HAZARDOUS C OMPONENTS %Wt• RS CAS# 100.00 Oxygen, Compressed No 7782447 ilt]L~tiRL tiJ JL~J ~71.1L' 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ IT/1Tifl~dllTT TTT LRT / rTTTT1TRT /1TT TTTfeT1 AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL I 55.00 GAL •u~uruu~v~o ~.vi~irvtvr~lvtS %Wt• RS CAS# 100.00 Waste Oil, Petroleum Based No 0 nrac~rucL tii 7 ~7 P.~a w71~1Li1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 04/23/2007 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CTR OF SHOP CAS# 107-21-1 Liquid TWaste ~mbient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average- 55.00 GAL 110.00 GAL 55.00 GAL t1E~GAtttJVUJ wl~lrutv~1v15 oWt. RS CAS# 30.00 Ethylene Glycol No 107211 tiHGHKL Lea aL' ~ J1~1~1V 1_ J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OIL Days On Site 365 Location within this Facility Unit Map: Grid: CENTER OF SHOP CAS# Liquid TMixtur~mbient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL rlta~taxLV u ~ ~vlnrvly ~lv l °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riEiGHKL 1~5~tS5a1~12S1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -5- 04/23/2007 F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -6- ~ 04/23/2007 F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention iCC1Cd.7-C l..Vll l.d 111L11C11L l.1Cd11 U~J ~Lner xesource r~cLivaLion -7- 04/23/2007 F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7YC1:1d1 rid'GdLU.S' V 1.1111. ~/ J11LLL-V11~ Fire Protec./Avail. Water Building Occupancy Level -8- 04/23/2007 F GONZALEZ CERINO RADIATOR SERVICE SiteID: 015-021-002898 ~ Fast Format ~ ~ Training Overall Site ~ Lilll~Jl VyCC 11GL1111111~. ~- I GONZALEZ CERINO Radiator Service & Auto Repair 307 E. California Ave. 2080 S. Union Ave. Bakersfield, CA 93307 Bakersfield, CA 93307 (661) 325-5540 (661) 39 ' Reparation. Adaptation, Pantiles Nuevos y Reconstruidos Especialistas en todo tipo de Radiadores de Plastico ~, --~ nclu I.vs_ ru~.ul.c vac nG.iu 1_vl_ ruuul_c u5c -9- 04/23/2007