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HomeMy WebLinkAboutBUSINESS PLAN 10/9/2007 1 i - - _ Prevention Services - _ _ UNIFIED PROGRAM INSPECTION CHECKLFST >1 _ F R s E ,_ D_ 9ooTruxtunAve., Suite 210 - . _ __.:. ~ ___ _ :,____ ____~ _ -FIRE Bakersfield, CA 93301 _ . SECTION 1: Business Plan and Inventory Program ~ ae>rM Tel.: (661) 326-3979 - ~ ~ Fax: -(661) 872-2171- - I FACILITY NAME G ~ ~ q-~ _ G Rc".~ ~ SYS',zwls _1: ~C, INSPECTION DATE l~ ~' u~ (INSPECTION TIME 15 M ADDRESS 01 ~--1 _ ~ / PHONE NO. ~ NO OF EMPLOYEES X . Vavl o~ L ~ FACILITY CONTACT _ iBUSINESS ID NUMBER it 15-021- ~j(~ `J i --- - - - - Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY. ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C=Compliance C V ( ) OPERATION V=Violation ' COMMENTS ', ^ APPROPRIATE PERMIT ON HAND i L~ ^ BUSIrteSS PLAN CONTACT INFORMATION ACCURATE [~ ^ VISIBLE ADDRESS qY ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS (~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION I /~ ^ PROPER SEGREGATION OF MATERIAL ' Q~ ^ VERIFICATION OF HAZ MAT TRAINING LlY ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ': ~ ^ EMERGENCY PROCEDURES ADEQUATE I ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING i ' ^ FIRE PROTECTION I~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l a~{7w ~U Spr 4 - ~ - Insp~ecJtor (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # B siness Site-/ Respo Bible Party (Please Print) White -Prevention Services Yellow -Station Copy - Pink =Business Copy ~ - - - FD 2155 (Rev. 09/05 ^ YES ~ NO .y. J-T- -.~.-~~ F CLEAR CREEK SYSTEMS INC Manager DAVID BEARD BusPhone: Location: 4101 UNION AVE Map 103 City BAKERSFIELD Grid: 19B CommCode: BFD STA 04 SIC Code: EPA Numb: DunnBrad: SiteID: 015-021-001971 (661) 324-9634 CommHaz Extreme FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title JOE GANNON / OWNER TIM GANNON / OWNER Business Phone: (661) 324-9634x Business Phone: (661) 324-9634x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact MARK SCHNAIDT Phone: (661) 324-9634x MailAddr: 4101 UNION AVE State: CA City BAKERSFIELD Zip 93305 Owner JOE & TIM GANNON Phone: (661) 324-9634x Address 4101 UNION AVE State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D QCT ~ ~8~~ 5?s{9d on my iriauiry of those individuals respcr~~;ibie for ol~~ainin~ thQ information, I certify under penalty of law that I have personally examined and am familiar with the information sunm~ttad and b21i®ve the information is true, accurate, and complete. .• /O ~ Signature Date -1- 07/10/2007 s r f ;~ F CLEAR CREEK SYSTEMS INC ~ Hazmat Inventory ~ MCP+DailyMax Order = = SiteID: 015-021-001971 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 2302.00 FT3 Hi -2- 07/10/2007 i -3- 07/10/2007 T ~ ~ F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE N END OF BLDG CAS# 74-98-6 STATE T TYPE PRESSURE ~T TEMPERATURE ~ CONTAINER TYPE ~GaS I Pure Above Ambient I Ambient I PORT _ PRF~~ _ f'~YT.TNnR.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 860.00 FT3 2302.00 FT3 360.00 FT3 HAZARDOUS COMPONENTS , °sWt. 100.00 Propane RSI CAS# Yes 74986 HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 07/10/2007 . p i F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/21/2007 ~ BAKERSFIELD MEMORIAL HOSPITAL, 420 34TH ST, 327-4647 Employee Notif./Evacuation 02/21/2007 NOTIFIED BY CELL PHONE OR WALKIE-TALKIE PAGER. NOTIFIED IN PERSON IF ON PREMISES. Public Notif./Evacuation 02/21/2007 NOTIFY BY DOOR-TO-DOOR OR PHONE. Emergency Medical Plan 02/21/2007 911 OR TRANSPORT TO MEMORIAL HOSPITAL. -5- 07/10/2007 ;: F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/21/2007 ~ EXTRA PROPANE IS CHAINED UP IN WAREHOUSE STORAGE BLDG. Release Containment Clean Up 02/21/2007 VENTILATE AREA. V1.11C 1. LCCSVULIrC LiU l.1VdL1C)11 -6- 07/10/2007 F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oNc~.iai nac~atu5 Utility Shut-Offs 02/21/2007 GAS - MAIN BLDG SW CRNR ELECTRIC - MAIN BLDG SW CRNR WATER - MAIN BLDG S FACE Fire Protec./Avail. Water 02/21/2007 SONITROL ALARM CO AND FIRE EXTINGUISHERS. FIRE HYDRANT - NEAR MAIN BLDG ON E SIDEWALK Building Occupancy Level 02/21/2007 8 EMPLOYEES -7- 07/10/2007 r.. F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/21/2007 ~ CCS SAFETY MEETINGS. CCS EMPLOYEE TRAINING MATERIALS, IE, SPILL PROTECTION IIPP, EMPLOYEE HANDBOOK. rayc ~ nC 1U tVl J: UL UIC lJSC L1C1U 1VL t ULUle USe -8- 07/10/2007 ~.. _ = - CLEAR~CREEK SYSTEMS INC SiteID: 015-021-001971 Manager ~vc~ ~~ BusPhone: (661) 324-9634 Location: 4101 UNION AVE Map 103 CommHaz Extreme City BAKERSFIELD Grid: 19B FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title ...____... Emergency Contact / Title JOE GANNON / OWNER TIM GANNON / OWNER Business Phone: (661) 324-9634x Business Phone: (661) 324-9634x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact MARK SCHNAIDT Phone: (661) 324-9634x MailAddr: 4101 UNION AVE State: CA City BAKERSFIELD Zip 93305 -.._.... Owner JOE & TIM GANNON Phone: (661) 324-9634x Address 4101 UNION AVE State: CA City BAKERSFIELD Zip 93305 .....___... Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: _ Emergency Directives: PROG A - HAZMAT _ ENT'D F E~ 212007 Based on my inquiry of those individuals responsible for obtaining the information, (certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, curate, and complete. a c ` //~~/e~ 2~~ ~D~ Signature Date -1- 01/29/2007 F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers_at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 2302.00 FT3 Hi -2- 01/29/2007 -3- 01/29/2007 F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME --- PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: -- INSIDE N END OF BLDG CAS# 74-98-6 STATE T TYPE T PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~" ~GaS I Pure I Above Ambient i Ambient I PnRT _ PRF:S~ _ C"'YT~TNI~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 860.00 FT3 2302.00 FT3 360.00 FT3 HAZARDOUS COMPONENTS %Wt. 100.00 Propane RSI CAS# Yes 74986 rltiGtiRL tiJ JL'.7 J1•1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 01/29/2007 F CLEAR CREEK SYSTEMS INC SiteID: 015-021-.001971 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ~1~~A M2~oc~a~ ~ ~-~-a~ ~Q~ C ~c~t13~.~ - ~t(~4 ~ P~LLL~11Vy CC 1VU 1.11. / L~VdC: lld l.l(~il ~~~~~ ~• moo,. ~~ ~~ ~e.~:~s~s ~ ~ tl1J.J11V 1YV L11 . ~ 1]V0.\..U0.1.1 V11 1 ~~0~~`1 ~,oo~ 'ho (~p0r ~~ p`nov.s~. Crn`\S 0 = Emergency Medical Plan 1 G~Oo V-Q- . -5- 01/29/2007 F CLEAR CREEK SYSTEMS INC SiteID: 015-021-001971 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ 1CC1C0..~. C r1.CVCll l..1 V11 Sao ~~- ~u~`~~ ~~ ~` itC 1C0.~7C t.V111,0.111111C111. lr1Cd11 V~J V1.11C1 1CC.7VU1. l:C LiC.: l.1Vdl~1V11 -6- 01/29/2007 F CLEAR-CREEK SYSTEMS INC SiteID: 015-021-001971 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special tiazaras V1~1111.y J11UL-V1lA ~~1~S - rM~~^ ~o~ ~\~ i ~ SW (~onr~lr ~ec.'rc~(~' ~~ , .!~/lAl f b,;,~c ~5 Sort(.. ~~- = Fire Protec./Avail. Water \,~- In~~se.. ~ ~ ~~-~viSI~S ~~~ o ~ ~~ s tc~e.~.,~.~1~ Building Occupancy Level -7- 01/29/2007 ~~ F CLEAR .CREEK SYSTEMS INC SiteID: 015-021-001971 ~ Fast Format ~ ~ Training Overall Site ~ ~IlL~J1U~/C~ 1Id1i11i1C~. CCS ~~-~ U~~~ js C CS ~`~~ ~ .~-ca,tti~,~ ~tS , i , e rayc c. Held for Future Use Held for Future Use -8- 0l/29/ZOOS :: STI'~ DUGRAM ~~ Business Name: ~~ Y Business Address: 16 Y 0 a~ ~ k X ~ p.~- ~.1 iV e `C` `o a~ L ~` f~ ~ ~a~ Vl '~,~v~ 5k i t ~ ~'~~ p~ \_J ('~ V FACII.TTY DIAGRAM ib h QV G ~~ ~o~s ~ ~ 4 ~hG~ i e~ ~1 ~I ~•:; _ i .% ~ f ~ smog ~r\ eh~rarGP~ 5 ~~P ~,~ BSc ~ k S~'1MT~5 fr~r~ wk}ter ~ a-n 3 ~~~ C G Gear ~vr~rgriG e -- --- x ~~+~t hy~- s Q UNIFIED PROGRAM INSPECTION CHECKLIST .SECTION •1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT e p Prevention Services IitRrt 900 Truxtun Ave., Suite 210 ~R>rr Bakersfield, CA 93301 Tel.: (661) 326:3979 Fax: (661) 872-2171 FACILITY NAME ~L~A~L C~~Zi+/ S~-(s iciM~S ~~ NSPECTION DATE l 27 06 NSPECTION TIME ~S Or'ica/ ADDRESS yrp ( ~~i'c~ ~4 /~, HONE NO. O OF EMPLOYEES FACILITY CONTACT ~ USINESS ID NUMBER 15-021- awl `17 _ Section 1: Business Plan and Inventory Program ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r, ~J 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 ^ VERIFICATION OF LOCATION - ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND P CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED - ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES ^ YES NO EXPLAIN: - •OUESTIONS REGARDING THIS INSPECTION? PLEA8E CALL US AT (881) 928-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of SitelStatan # Business Site/Sdtool Site Responsible Party (Please Print) White - Prwention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rw. 02105) Miscellaneous Recevahles =Inquiry.- CITY-OF,I3AKERSIIELD , i1pNiARD'PUBUG SECTOR ~} ry'~ ' Miscellaneous Receivables Inquiry - Customer ID: 25836 Name: CLEAR CREEK SYSTEMS INC Last statement: 12!01!07 Address: 4101 UNION AVE Last invoice: 0100100 BAKERSFIELD, CA 93305 Current balance: 00 - Pending: 00 Status: ACTIVE Type: ENVIRONMENTAL SERVICES ' _ __ - - ~ Deposd Detail I Pending Actmty_ _ I Charge History- : ' Payment History- I Combined Detail Open Wctimil I I A~utomaftc Charges r _ - - - - = I-.00 _ -' '. 00 _ _ _ .-- .00 A _; 0/00/00 - 0l00/DO , i~101?, _ -.mil 00 _- ".00 - 543.00 A __0/00!00 0!00!00= 55001- 1.00- :00 - 150:00 A 0700/00".0)00/OD - ~ - _ ;~ I + CLEAR CREEK SYSTEMS INC _____________________________ SiteID: 015-021-001971 + Manager Location: 4101 UNION AVE City BAKERSFIELD BusPhone: (661) 324-9634 Map 103 CommHaz High Grid: 19B FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOE GANNON / OWNER TIM GANNON / OWNER Business Phone: (661) 324-9634x Business Phone: (661) 324-9634x 24-Hour Phone ( ) - x 24-Hour Phone :.( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact MARK SCHNAIDT Phone: (661) 324-9634x MailAddr: 4101 UNION AVE State: CA City BAKERSFIELD Zip 93305 Owner JOE & TIM GANNON Phone: (661) 324-9634x Address 4101 UNION AVE State: CA City BAKERSFIELD Zip 93305 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 under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signature Date ~A~ 2 o zoos -1- 03/06/2006 UNIFIED PROGR~4M INSPECTION CHECKLIST SECTI(gE;~, 1: Eusiness Plan and Inventory Program • ~~. • a art a ~/t~ s FACILITY NAME - C.C~A~,~ CR.~~cK S~~,c~I.S INSPECTION lI ( oS~ JS~~ ADDRESS ~.((O ( (] iv ION q- v ~ HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- c~ (~ '7 Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENT S ^ APPROPRIATE PERMIT ON HAND ^ BUSIt1ASS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY C~ !! ^ VERIFICATION OF INVENTORY MATERIALS I. ^ VERIFICATION OF QUANTITIES ~ [~ [[ ^ VERIFICATION OF LOCATION ~ ' I~$ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~ ~O / ^ VERIFICATION OF HAZ MAT TRAINING I ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES I I~ // ^ 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 A~t?+~-LGw ~~ ~ ~J Inspector (Please Print) Fire Prevention / 1b` In /Shift of Site/Station # v BAKERSFIE'LD FIRE DEPT Prevention Services 900 Truxtun`A~we., Suite 210 Bakersfield, ij`A 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171x£`, , DATE INSPECTION TIME 6ZO~5 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05) I'~~` ~'~~' CITY OF BAKFRSF[ELD FIRE DEPARTMENT ~ ° OFFICE OF ENVIRONI~iF.NTAL SERVICES ~ . ~ ~~ UNIFIED PROGRAl11 INSPECTION CHECKLIST ~w ~ga,/~' 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME LLtA-2 L2t~K ~y~Ca'1S I ~SPECTION DATE ~ ~ - / 1- t~3 ADDRESS ~ !b I ~ Nt oN tF /~- PHONE NO. Z ~ - FACILITY CONTACT ~i~' k- ~~~-~i d~t- BUSINESS ID NO. 15-210-Ci0( 7 INSPECTION TIME~~IMI,/1 ~ NLJMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [Routine ^ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand 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 ~~~ 1/ Verification of Haz Mat training ~s2Q~j Verification of abatement supplies and procedures ~~ ~ Emergency procedures adequate Containers properly labeled Housekeeping ~.~ ~ O S.~ ~~ ~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation ~, ~- ~ ~C~~~ Any.haz rdo- waste on site?: es No Expilain: ~i''D ~~ ~, ~ / ~.~, ~G.~e, V L.-~ Questions regarding thts inspection? Please call us at (661) 326-3979 Businet~.s,Si White -Env. Svcs. Yellow -Station Copy Pink -Business Copy lnspeC[O ;f _ /"~ ~~ i e