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Home My WebLink AboutBUSINESS PLAN 4/30/2000 <` \~ - 5 UNIFIED PROGRAM INSPECTION CHECI4LIST SECTION 1 Business Plan and Inventory Program ~~ ~ a~-~~ Bakersfield Fire Dept. Enironmental services =~~~~ 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 --- FACILITY NAMEi , INSPEC ION DATE INSPECTION TIME ~('~°J,~J,n1~ '"~YZM95n~,r,SStr,+'~+ ! ~t•~30 ~v__d__- ;_ - ----------------------------- ------------------------------- ADDRESS PHONE No. j No. of Employees _ S3 4S ~ .. ~.Ntr~,J ----- -- t --- ------- -- - - FACILITYCONTACT ~ Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine `I~Combined ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection C V \V=Vioatioinncel OPERATION COMMENTS ^ ^ APPROPRIATE JPERMIT ON HAND - ---------- -- ---- ---- ----- ------- --_ ___i _-- ----... - - -- --- ------- - -- ---- - - __ _ - -- -------- - - -- --- -- ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE __. ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ------ ------- --- _.-- ------------ - --------_~1~~_. .._ _ __ ----- ---_... ------ ^ ^ VERIFICATION OF INVENTORY MATERIALS ' --------------------------- -- --- ~~-rC ~ ~ c. - -------------- ----- ^ ^ VERIFICATION OF QUANTITIES ~ --- - --- - ------ ! S~ G/k i~ ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ~~ __ ^ ^ VERIFICATION OF MSDS AVAILABILITYE ~ _.L_.1/VV ~- ` - -- - ---- -- - --- --- -- ~ - .._ ---- -- - _ - _. ----~-"- -~- ---pp ^ ^ VERIFICATION OF HAT MAT TRAINING ~,~, g~ ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ---- --- - --------- ^ ^ EMERGENCY PROCEDURES ADEQUATE j ------- ------------------ -------- ----------------- -- -1,----------- _-- ---- -- ---- -- - -- - ------- _- ------- ^ ^ CONTAINERS PROPERLY LABELED ~ ~~~ ~~W~r ^~~ ~ ~~ S~- ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION i 0 ~ ~' ~ .; ^ ^ SITE DIAGRAM ADEQUATE & ON HAND I ANY HAZARDOUS WASTE ON SITE: ~ES ^ NO ~~ v ^ EXPLAIN: L~JV1r~ ~ Cji(~ _ ~_ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 _ vJ ~ ^~~S Inspector (Please Print) Fire Prevention 1st-InIShiR of Site Business Site Responsible Party (Please Print) While -Environmental Services Yellow -Station Copy Pink -Business Copy rn g N UNIF~ED.PROGRAM INSPECTION CHECKLIST ~ -- SECTION 1 Business Plan and Inventory Program .a~~ Bakersfield Fire Dept. Enironmental Services -~°~~-~- 1715 Chester Ave Bakersfield, CA 93301 . Tel: (661)326-3979 FACILITY NAME, INSPEC ION DAT INSPECTION TIME CCu~:tU-r~n~ "~'~ZpN Sri. ~ S S t ~ ~'1 ~3 G ~v~ ADDRESS ~ PHONE No. No. of Employees 534 S ~ Unirr,+r.J _ __ ___ ___ __ _ 5 ' ~ I -~ - ----------- FACILITYCONTACT ~ - ,. - sB s ess ID Number 15-021- 1 Section 1: Business Plan and Inventory Program ^ Routine l~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-inspection C ~ lV=Vioatolnnce~ OPERATION COMMENTS ~,. ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ o VISIBLE ADDRESS --•- ----------- ------ -- -I --- - - ! ~ ..-.. ^ ^ CORRECT OCCUPANCY ^ --- ^ ---- VERIFICATION OF INVENTORY MATERIALS -------------- --- ---- --- -- - ~ t An.S.K ~ W ^ r t---- - - ------ -- - -- ^ ^ VERIFICATION OF QUANTITIES S~- ~~ ^ ^ VERIFICATION OF LOCATION S w c5J ' ~ ° ~ C~v2 c1T S t'~a~P -- ^ - ^ ---- -------- -- --- ------ -- - ---- PROPER SEGREGATION OF MATERIAL _ - -- - - - -- ~~ ^ ^ VERIFICATION OF MSDS AVAILABILITYE t _ 1r }~ -.~- f ^ ^ VERIFICATION OF HAT MAT TRAINING `~ p~ ~ { ~ ~ ^ ----- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -- ---- - -- ~ ! L~,t . ~~•" ~. ,~ t ^ ^ ---- EMERGENCY PROCEDURES ADEQUATE - --- ---=- --- --- --- ------- ---------- ----- 1 ------- - ----- - - - --- _. - -- - _ _ __ -- - - - ^ ^ CONTAINERS PROPERLY LABELED ZA~tC ~2C~/~nC~ ~ '~ S~ ------- -- -I ---- - ---- ---- - -- ------- ---- --- . --- ----- --------- ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ r------ ---- - - SITE DIAGRAM ADEQUATE & ON HAND I ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: ~ 3 T'C- C)tC_ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66~ ~ 326-3979 _____ l/~ i ~~5 Inspector (Please Print) Fire Prevention 1st-lnlShift of Site White -Environmental Services Yellow -Station Copy Business Site Responsible Party (Please Pink -Business Copy rn g ~ ;% .t_: '- NEW G AOD ^ DELETE U REVISE HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 2eo _._ __ i. FACILITY INFORMATION ~.,,~ - (one /orm per material per Omlding or area i -Page _ of _ _ 9USINESS NAME (Same as FACILITY NAME or OBA -Doing Business As) - - 3 CHEMICAL LOCATION ~ ~ S f ~£ SW ~'2:V~ CJ's ~rlc-I~I- 20. CHEMICAL LOCATION ^ Yes ^ No CONFIDENTIAL(EPCRA) 202 --- FACILITY ID # i ;::,+,, ' :--~ ---- - - L MAP # (oPfionaq r.:... ~ 1 203 GRID # (optionaQ - - - ---- ---------~- --- ~ - II. CiiEMiCAL INFORMATION 205 TRADE SECRET ^ Yes ^ No 2C6 CHEMICAL NAME (~~ ~ ~ t (,,, If Subjed to EPCRA, refer to ~nslruction s -- --- - -- - - - 207 - -------- -...---- ----- COMMON NAME EHS' ^ y~ ^ No 208 CAS # 209 •I[ EHS is'Yes.' all amounts below must be in ibs- FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2t0 -------------- --------..~"._~.q c _ TYPE ^ p PURE ^ m MIXTURE /L.Lw WA„-^ ~ -_. ---- ----- R-.QIOACCTIVc ^ Yes [~,~0 212 CURIES T 213 PHYSICAL STATE ^ s SOLID ~F-LIOUID ^ g GAg 2,4 L%~RGESTCONTAINER ~~ 2~5 FED HAZARD CATEGORIES ~a- FIRE ^ 2 REACTIVE ^ 3 PRESSURE F.ELE.' SE ~; .4:U-E HEALTH ^ 5 CHRONIC HEALTH 2t6 (Check atl that apply) ANNUAL WASTE 217 ;~I4XIMUti' 2t8 ~S OVERAGE 219 STATE WASTE CODE ~ ~ 220 AMOUNT DAILY AMOUNT DAILY AMOUNT UNITS' ,~ga GAL ^ d CU FT ^ Ib LBS i-.1 to TONS 221 DAYS ON SITE 222 If EHS, amount must be in Ibs. STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIGNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ~ STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE plea AMBIENT ^ as ABOVE AMBIENT ^ oa BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %Wf F'AZARDOUS COMPONENT EHS ~ CAS # 1 226 ~ 227 ^ Yes ^ No 228 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ Na 236 237 . q._i -. .------~238.j--.. ----~-------------------------_-------------------.__.._--~------ ---- .. _. 239-' .- --_ - - _. ...-- -- ^ Yes ^ No 240-- -247 -. 5 i 242 ` 243 ^ Yes ^ No 244 245 - y---- ___----. _. _.._...-. __ . . . .. . . ......__._._.. - .---- - -~ III. SIGNATURE f'l'y 1 f / ~~ q- PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ DATE 246 B E R S F I D P/R! ~RrM r ....y i ~ A 4..r~ CITlr' OF >t3.~I~ERSI~ IELD OFFICE OF EN~'IROV:~IEi~TAL SERA"ICES 171 ~ Chester Ave., CA 93301 (661) 326-3979 UPCF (7/99) S:\CUPAFORMS10ES2731.TV4.wpd 11;.x` c;,~,.~-~ Is~1z ~S l~ /~; ~-~ ~~ 2 iv-~1 ~ :, : ~ 3~J ~~~ ~~ 1 ~~~. ,r ',.~ UNIFIED PROGRAM INSPECTION CHECKLIST:: ~~i~ wRfM f .SECTION 1: Business Plan and Inventory Program ~ BASERSFlE1LD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~-r NSPECTION DATE NSPECTION TIME " C:.. Cv n/ O t~+ ~/ l ci n1S M r - S ~a N ~ ~-, (~ /~. ,~~ ADDRESS ~ s 3 ys- S u HONE NO. y~ 9 ~ ~ O OF EMPLOYEES N/~N v.~. . , FACILITY CONTACT USINESS ID NUMBER ~~~ 15-021- Section 1: Business Plan snd Inventory Program ROUTINE ~^~COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION COMMENTS V=Valation ^ APPROPRIATE PERMIT ON HAND ~ ~ ~~ ~ ~" ~_ G ~ ~~~l~vi~ ^~^ BUSIt1t?SS PLAN CONTACT INFORMATION ACCURATE ^ ' ^ VISIBLE ADDRESS i ^ ^ CORRECT OCCUPANCY ' ' ' , ' .6` D' ^ VERIFICATION OF INVENTORY MATERIALS ~ ' fl"i) ~C~~~~ _'~' ~ e{ ~ ~ UGC ~~ ~` ^ VERIFICATION OF QUANTITIES ~ 1 ^~ ^ VERIFICATION OF LOCATION ~~ a_ ` ~ . ~ t ~. ~ ^ ^ PROPER SEGREGATION OF MATERIAL (6 61 ] 3 9 S - 9 7 Z 6 ^ --- - ----- ------ -------------.._ .. ~ VERIFICATION OF MSDS AVAILABILITY --- --- -- , 3 ~: ::... 9=3'30 ^ ^ VERIFICATION OF HAZ MAT TRAINING ^' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ` ,/~ /' ~G~G-Oil/~ ~ ~a~7ieft~l/`s7 - 7 ~/ `r 7`~ Q ^ ^ EMERGENCY PROCEDURESADEOUATE ~ ~~~ Q~1 ~n~-yd+r$' ^ ^•'`~ CONTAINERS PROPERLY LABELED g~ // ^ ^ ~ ~ HOUSEKEEPING t: ~~ ; J'f~ ~ ; ~ ~ 1 ; J~ ^- ^• " ~ FIRE PROTECTION •^ (]'SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES AYES ~/ ^~~ NO EXPLAIN: L''~~ .~' 7f if ,.~ ~ ~Y /yh,/1/tri 2. ~'~~A~ 5 % ~~7ff ~ ~~~2~-ate f ------------- ----' ---- - OUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL U8 AT (861) 926-3979 Inspector (Please Print) - Fire Prevention / 1" In / Shift of Site/Station # Business Site/School Site Responsible Party (Please Prig White -Prevention Sarvieea Yellow - 3lation Copy Pink - Buainese Copy FD20~8 (Rw. OQJOS) .. ... .. st ~ ~`~ '~,~ BAKERSFIELD FIRE DEPT. ~ ~, "= y° a E R S P I D Prevention Services `FIRE PREVENTION INSPECTION F-RE 90o Truxtun Ave., ste. 210 ~ AIirTM f Bakersfield, CA 93301 Tel.: (661) 326-3979 a Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ -~ ~ EE ~~ ~®~ FACILITY ADDRESS `e- 7 ~~ ' ,O ~ J .7 CITY, STATE, ZIP7~ ~~ 5~~ ~ /J > / ~ FACILITY NAME `'~` MANAGER'S NAM E _F AC IL ITY PHONE O. _ BUSINESS OWNER'S NAME AND A RESS CITY, STATE, ZIP OWNER'S' PHONE NO. !; ~f J BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO ~~ CORRECT ALL•VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U F C ) COMBUSTIBLE WASTE /DRY . . . VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE SroRAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS Provide and install (amount) _ ~ approve (type 8 size) ~,,~,~//? ~~~ portable fire extinguisher to be immediately accessible for use in (area) ~. ~pC~_ g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain °EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U. F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______ , Plastering FIRE DOORS/ ________________________________ shall return the surface to its original fire resistive condition (U B C ) FIRE SEPARATIONS . . . . 10 Remove/repair (item 8 location) ______________________________________________ . Self-closing __________ doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) I 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) i ~? 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) , ~ OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8..49.040 of the.~Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 4 i a~ 1 / l ~ ) ~/ `~~- / ~ / CUSTOMER: G~v~ y/ / / • ~ ~//f LEGEND: / (Slgr~atlfre)~' `(Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE INSPECTOR: ~ AP NO.: B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)