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HomeMy WebLinkAboutBUSINESS PLAN (2)~,. .~ ~: "~ 3 o O M ~ ~ '- ~ ~ O~ o, UNDERGROUND STORAGE TANKS .~`"..~- - BAKERSFIELD FIRE DEPT. $ g ~ ~ ~ ; n Prevention Services FIRS ,IKEA/ f 900 Truxtun Ave., Ste. 210 APPLICATION .~. Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING Tel.: (661) 326-3979 / SB989 SECONDARY CONTAINMENT TESTING Fax: (661) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 of 1 PERMIT NO. ~ D ~ `O ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ~ TO PERFORM FUEL MONITORING CERTIFICATION ^ Cathodic Protection Testing SITE INFORMATION FACILITY READY GO MARKET NAME ~ FHONE NUMBER OF CONTACT PERSON I I ADDRESS 1600 VALHALLA DR I OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE N0. I NUMBER OF TANKS TO BE TESTED ~ IS PIPING GOING TO BE TESTED ^ YES ^ NO TANK # VOLUME CONTENTS I 1 87 UL 2 I 91 UL I I ~ I TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: 223613761 I i DATE 8 TIME TEST TO BE CONDUCTED NOVemI)er 2O, 2007 08:00: ICC #: //~~ q~~~ ~p ~ 106447- T SIGNATURE OF APPLICANT A~~ZI~- w ~tTh~1 DATE OCt 16, 2007 APPROVED BY ~_ i .- ~// ~~ / c.~-,/ DATE I FD 2095 (Rev. 09/05) + READY GO MARKET _______________________ ______________ SiteID: 015-021-001394 + Manager BusPhone: (661) 835-8518 Location: 1600 VALHALLA DR Map 123 CommHaz Moderate City BAKERSFIELD Grid: 02C FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code:5541 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title HAN MO CHUNG / DENNY / Business Phone: (661) 835-8518x Business Phone: ~~x 2 4 -Hour Phone ( 6 61) x 3~3-~~~ 2 4 -Hour Phone (d~Gl ) 3'13 - ~~~~ x Pager Phone (661) 373-6877x Pager Phone ( ) - x Hazmat Hazards: Contact Phone: (661) 835-8518x MailAddr: 1600 VALHALLA DR State: CA City BAKERSFIELD Zip 93309 Owner HAN MO CHUNG Phone: (661) Address _ 133~~ ~r~ t,:,~e~Ce ~L State: CA ~ ~3"'~tg'~+f City BAKERSFIELD Zip ~ ~~~ Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT. PROG U - UST ENT'D JUN ~ ~ 206 6 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 -1- 05/26/2006 i- c 't UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY ME o ~~-- INS CT ON DATE I INSPECTION TIME N f E l P N ADDRESS ~ ~~--- --- -- -- --- ~ mp oyees o. o oo.(7a ~ H11 N ~ bJ ~ tl ~ -~ -------- FACILITYCONTACT Business ID Number 15-~ZI- Section 1: Business Plan and Inventory Program ^ Routine ~mbined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V (C=Compliance) OPERATION COMMENTS `V=Violation ~^ A PPROPRIATE PERMIT ON HAND ( Y ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ f LJ ^ VISIBLE ADDRESS t~/ ^ CORRECT OCCUPANCY ~ ~^ V ERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION [~^ PROPER SEGREGATION OF MATERIAL ~ ( ^ VERIFICATION OF MSDS AVAILABILITYE T VERIFICATION OF HAT MAT TRAINING - - - ^ --------------- --- ------ - - ---------------------r------------- ------- VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE L~J ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~ ----- ------- --------- ----- - - ~/ LJ ^ FIRE PROTECTION -- ----------- A O H l~ U AND SITE DIAGRAM DEQUATE 8c N ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO EXPLAIN: QUESTION REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66~~ 326-3979 Inspector Badge No Business Site Responsible Party White -Environmental Services Yeltow - Slatbn Copy Pink -Business Copy ff L Y ,~'~~,~,. .~~~\ CITY" OF BAKERSFIEI.U FIRE DEPARTMENT ~~ ~ / M~ OFFICE OF ENVIRONI~~iENTAL SERVICES ~ y~` UNIFIED PROGRAM INSPECTION CI~ECKLIST \'__•t~ ~Rti,,~'~+ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 ,.,~~ FACILITY NAME ca~,~ O INSPECTION DATE Section 2: Underground Storage Tanks Program ^ Routine ~ombined _ ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank ~~~5 Number of f1'anks ~ _ Type of Monitoring _~`/_ f.Bti Type of Piping bU1(' OPERATION C V COMMENTS Proper tank data on file Proper ownerloperatar data on file Permit fees current Certification ot~ Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes _ No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Tvne ~f Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding!labeling [s tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance '=Violation Y=Yes N=NO 0~ i ;' c Inspector: Office of Environmental Services (661) 326- 9 \4'hitc - ~m~. Svcs. B ss Site Res Bible Part Pink -Business Ci~pv .,- - ~. .:. .. f: / t. - ~..- ... . , .. .. - ~ ... ` ~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330 Tel: (661)326-3979 's FACILITY ME I ~~--- --- ------ ---- ----~ INS~j CON DATE I INSPECTION TIME -- '~ 1~ 2' -~--- of Em to ees No PH N N ADDRESS p y . o. ~-~-- -- FACILITYCONTACT Business ID Number ~ 15-021- /~~ Section 1: Business Plan and InventoryProgram ^ Routine L~mtiried ~ ~ O Jo nt Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ncel OPERATION t COMMENTS on \V=Vioa - - -~_-_ ^ APPROPRIATE PERMIT ON HAND ____________ / D/ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ,,.. / LTV ^ CORRECT OCCUPANCY i ~ '~ ~ f ~^ TERIALS V -~.+s~ u ERIFICATION OF INVENTORY MA ^ VERIFICATION OF QUANTITIES ~- --- - --- -- ----- - -------- ------ 1 -- CJ ^ ------ ---------- VERIFICATION OF LOCATION ~ --- ~ ~ L~J L^. PROPER SEGREGATION OF MATERIAL --- ^ VERIFICATION OF MSDS AVAILABILITYE ~1~ -- --- !a / ~p ~ ~ ~ U U ----------- - VERIFICATION OF HAT MAT TRAINING -----f-- ~: - , - - - -, ~84s ----- - ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ; ---------- -- J L~J ^ - - --------- EMERGENCY PROCEDURES ADEQUATE ---- ^ CONTAINERS PROPERLY LABELED - - ------- ---F--- --- --------- --------.. ^ HOUSEKEEPING LI ^ FIRE PROTECTION H O A S L~J U N AND DEQUATE SITE DIAGRAM ~ ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO EXPLAIN: .~ ~:. QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 ,' Inspector Badge No Business Site Responsible Party White -Environmental Services Yellow -Station Copy Pink -Business Copy _ _ _ ~ .__ R . ~~ 4~~t~- ;.~ ~ ~ }.~ ~i~4~tiLD pl~ ~t'~~ i ~~~ CITY OF RAKERSFIELD FIRE DEPARTMENT / I ~~ 1 ~ ~~ OFFICE OF ENVIRONI\~IENTAL SERVICES yr' UNIF[ED PROGRAM INSPECTION CHECKLIST ~ \'__•cir ~~j,//'~r 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 ~.~~i FACILITY NAME ~ea~~ ~p0 n\~ ~'" INSPECTION DATE C ! •~ Section 2: Underground Storage Tanks Program `• ~. ^ Routine Combined _ ^ Joint Agency ^Mu1ti-Agency ^•~Complaint ^ Re-inspection Type of Tank ~~ 5 Number of Tanks ~. _ Type of Monitoring ._C`LP~- Type of Piping ~~d9 ~' OPERATION C V COMMENTS Proper tank data on file Proper owner;operator data on tilt Permit tees current Certification of Financial Responsibility Moliitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Tvne ~f Tank AGGREGATE CAPACITl~' Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding!labeling Is tank used to dispense MVF? If yes, Does tank have overtillioverspill protection'? C=Compliance V=Violation Y=Yes N=NO i % ' Inspector: Office of Environmental Services (661) 326- 79 ~'l'hitc - inv. Svcs. Busin~t~s Site Resp nsible Party Pink -Business Cody