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MATTS PAINT & BODY SHOP SiteTD: 015-021-001243
Manager : ~(~J~ ~`CY~~~~e-Z--
Location: 1616 V ST
City BAKERSFIELD
BusPhone: (661) 323-8880
Map 103 CommHaz High
Grid: 30D FaCUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
PAUL DOMINGUEZ / OWNER /
Business Phone: (661) 323-88$Ox Business Phone: { ) - x
24-Hour Phone (661) 721-9497x 24-Hour Phone ( ) - x
Pager Phone {661) 586-3903x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact ~SCq..r \~v~~~~--~ Phone: (661) 323-8880x
MailAddr: 1616 V ST State: CA
City BAKERSFIELD Zip 93301
Owner PAUL DOMINGUEZ SR & JR Phone: (661) 323-8880x
Address 1616 V ST State: CA
City BAKERSFTELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: -- Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG S - SPRAY PAINT BOOTH ~~
EN~'p q p~ 1 3
..: 2007
~
__ G
.... _
-1-
02/05/2007
Z'd ELZE-EZE-i99 Rpog ~ Muted s~~eW d6E~Z0 LO ZT add
+ MATTS-PAINT & BODY SHOP _____________________________ SiteID: 015-021-001243 +
Manager
Location: 1616 V ST BusPhone: (661) 323-8880
City BAKERSFIELD Map 103 CommHaz High
Grid: 30D FacUnits: 1 AOV:
CommCode: BFD STA 02 SIC Code:
EPA Numb: DunnBrad:
______ _______
__________
--------------------------
Emergency Contact / Title
OSCAR RUDNICK / OWNER
- Emergency Contact / Title
KATHY CACKLER / MANAGER
Business Phone: (661) 631-9970x Business Phone: (661) 323-8880x
24-Hour Phone (661) 472-2960x 24-Hour Phone ( ) - x
Pager Phone (661) 204-2933x Pager Phone (661) 900-2727x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact :
MailAddr: 1616 V ST Phone: (661) 323-8880x
City BAKERSFIELD State: CA
Zip 93301
Owner OSCAR RUDNICK Phone: (661) 323-8880x
Address 1616 V ST State: CA
City BAKERSFIELD Zip 93301
Period to ---------------------------------=---
+
TotalASTs: _
Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
-
Emergency Directives: ----------------------------
-±
PROG A - HAZMAT
PROG S - SPRAY PAINT BOOTH
Based on my inquiry ofi those individuals
responsible for obtaining the information, I certify
under penalty of law that ! have personally
examined and am farrllllar with 4he information
submitted and be ieve the infor ation is true,
accurate, and co late.
~ ~~ ~
,net re Dat
ENT'D MAR 2 ~ 2006
-1- 03/01/2006
r .-
~ -~ ~`'' -
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
~ ---
A E R S F_I D
PIPE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME /
ADDRESS
j ~ ~
S i 6Lf2J~~- PHONE NO. NO OF EMPLOYEES
3a a r ~6 8~ C~ ; (fp_
FACILITY CONTACT
~ BUSINESS ID NUMBER
15-021- ~O /~~/3
I ,AvL Mi.JGU L Z 5 2
I
Section 1: Business Plan and Ilnven#ory Program
~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION I
I~
'I C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^
[H" BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
/
IQ ^ VISIBLE ADDRESS
o ~ ~ ~ ~QO6
~/
to ^
I. CORRECT OCCUPANCY ~ -
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
L
~
^ VERIFICATION OF LOCATION ~
,
,_
/
L'7 ^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY ~ 1
l I
I' ^ ^ VERIFICATION OF HAZ MAT TRAINING " _ / /~
/v ,~ (~
VV `
VV
f~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I C~3' ^ EMERGENCY PROCEDURES ADEQUATE
C~ ^ CONTAINERS PROPERLY LABELED
^ ~
~ HOUSEKEEPING '
I ^ FIRE PROTECTION
I-I C1TC fIIA!_OA~A All C(ll IATC R. l1 AI LJAAIfI
ANY HAZARDOUS WASTE O SITE? IldYtS ^ NO
EXPLAIN: ~~~ ~ 1~•` ~~4 N'T ~~,til~/ rV 2~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~ ~~~--~~- oZ
Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Business Site !Responsible Party (Please Print
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09!05
l~'Q~tiYy Ff~P`L
~" ~~~~ ~~ CITY OF BAKERSFIELD FIRE DEPARTMENT
• ~` ~~ OFFICE OF ENVIRONMENTAL SERVICES
~~' . ~ `~` UNIFIED PROGRAI<'I INSPECTION CHECKLIST
e=t~F" ~ti,~d~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301
FACILITY NAME ~~ i ? S PRIN`i ~ ~o~y
ADDRESS 1, l ~ V S i
FACILITY CONTACT_/~(Q'rNi ~ ~~~ kl~~
INSPECTION TIME ~-~
INSPECTION DATE ~ 012 ~ I ~ ~~
PHONE NO. 3a ~-- ~ FsFsa
BUSINESS ID NO. 15-210- oo I ~y-~
NUMBER OF EMPLOYEES .~
Section 1: Business Plan and Inventory Program
~outine ^ 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 V
Verification of Haz Mat training ~( ~"-"
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
•
Any hazar ous waste on site?: ~ Yes ^ No
Explain: [,~ A57~ Sv Ivy
Questions regazding this inspection? Please call us at (661) 326-3979
White -Env. Svcs. Yellow -Station Copy Pink -Business Copy
~-.
Y---
Business Site Responsible Party
Inspector: ~
e~~~n FAR
F CITY OF BAKERSFIEI,D FIRE DEPARTMENT
°~ OFFICE OF ENVIRONNiENTAL SERVICES
y- UNIFIED PROGRAM INSPECTION CHECKLIST
;w ~gti,,~-- 1715 Chester Ave., 3r" Moor, Bakersfield, CA 93301
n
~./ 03
FACILITY NAME 1-r?A ( T S y Al N ~ ~ ~`'p r PHONE NON 3~ 3 -'~ g~y
ADDRESS
FACILITY ONTACT " ~. Q,,,~ ~~5Ni~0~? BUSINESS (D NO. 15-210- ~D 12- `/ 3
INSPECTION TIME ~ ~ -M i~ _ NLJti16ER OF EMPLOYEES ~
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^MuIti-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
Verification of Haz Mat training t l6 ~~~ ^ ~~
Verification of abatement supplies and procedures V ~ ~- l~r~ d ~~
Emergency procedures adequate /
Containers properly labeled
Housekeeping I ~~
-'~~`-GC-
Fire Protection
Site Diagram Adequate &.On Hand Q- ~ `f
C=Compliance V=Violation
Any hazardous waste on site?: ~ es ^ No
Explain:~~f A~TQ 't-'hth~N~2-
Questions regarding this inspection'' Please call us at (661) 326-3979
Whitr -Env. Svcs. Yellow - Station Copy Pink -Business Copy
Business Site Responsible Party
Inspector:
a_ ~