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
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STI'~ DUGRAM ~~
Business Name: ~~ Y
Business Address: 16
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FACII.TTY DIAGRAM
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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