The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANA iARTHRITIS ASSOC. ADAPTIVE AQUA 1 '1800 WESTWIND DRIVE X500 -- - 1 ~'~ ~ °~ ~= l' UNIFIED PROGRAM INSPECTION CFIECKLIST SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93 0® Tel: (661)_326-397 ~ 5? FACILITY E n ADDRESS FACILITYCONTACT ~~A ,n h -Y /I't o'T'o .n /v-a- 9- d ~, ~ ~ PHONE No. No. of. Employees 3~z- 9Y//~// Business ID Number 15-021- ~a a~ 52 Section 1: Business Plan and Inventory Program 'Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection u C V (v=v ~Ulo~"~~ OPERATION COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~J ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL - ^ VERIFICATION OF MSDS AVAILABILITVE ------ -- - - - - I~ ---- ^ - ._..... _ - .. -- -- -- - - ......_.T ---.. •----- -..---- • - - - VERIFICATION OF FIAT MAT TRAINING -... _ _ _. ...._ _ _- - - ....._.. _ _.. ...... ... - ---.. - - ----._ ... -- __ .__ _._ _..... ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ~. ^ CONTAINERS PROPERLY LABELED r'~ ^ _ _..__ _._.~ HOUSEKEEPING ...... -. ^. FIRE PROTECTION ---.. ~ ^ SITE DIAGRAM ADEQUATE S ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YE5 ~NO ExPLAIN: • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT 661 326-3979 - _ .- - -Inspector (Please Print)---- --- --~ _ --- - ---~ - -Fire Prevention tst-INSAift of Site ~ -- - - White -Environmental Services Yelknv - Sfatan Copy uainess Site Re i Party (Please Print) a, Pink -Business Copy ~~~°~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT ~~ OFFICE OF ENVIRONMENTAL SERVICES .y~ UNIFIED PROGRAI6'[ INSPECTION CHECKLIST wA '~~ci~'~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME( ~~ ~~ 5 0~ l~e~ h ADDRESS sov W ~~~~ ~ FACILITY CONTACT Oobb% c. Q~'~fcdle, ~ INSPECTION TIME 1~'.~ Section 1: Routine INSPECTION DATE 1114 0 ~ PHONE NO. ~ 2- ~ ~4I BUSINESS ID NO. 15-210- NLIMBER OF EMPLOYEES~_ Business Plan and Inventory Program ^ Combined ^ Joint Agency ^Mu1ti-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 J 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 hazardous waste on site?: ^ Yes ~o Explain: _ ~J Questions regazding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy Business Site Responsible Party Inspector: ~'G~ay n r. • ~~'4~` "~~` CITY OF BAKERSFIELD FIRE DEPARTMENT m y.. ~E cam,, FACILITY NAME ~'~f1~2{'Tf S A SSIJ. 6F I~~iJ~tu~1SPECTION DATE , ADDRESS /4c~~ (~~~,v+(td~ ~~. ~laDCs ~tt~ PHONE NO. 3~~'7 ~I FACILITY CONTACT ~~6Y Ci~(f~~Al~ BUSINESS ID NO. 15-210- (70~~W~.- INSPECTION TIME ir~l0 NUMBER OF EMPLOYEES ~(G Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Vetification of inventory materials Verification of quantities Verification of location ~,/ Proper segregation of material Verification of MSDS availability L~ Verification of Haz Mat training Verification of abatement supplies and procedures %~ Emergency procedures adequate ~,/ Containers properly labeled Housekeeping l,/~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes [~ No • Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy OFFICE OF ENVIRONMENTAL SERVICES .y. UNIFIED PROGRAM INSPECTION CHECKLIST W ~gti ~ 1715 Chester Ave., 3`d Floor, Bakersfield, CA 93301 Business Site Re ponsible Party Inspector: (~'1~_~~~ J \~ ~`- ~'r~ CITY OF BAKERSF1El,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES s UNIFIED PROGRAM INSPECTION C.HECKI.IST :w '"a~.,~ 1715 Chester Ave., 3rd Floor, Bakersfie{d, CA 93301 5 2pp3 Nov FACILITY NAME~ttR.-(i~QrrtS ASSoL ADAPri/~ TiIVSPECTION DATE ~a 3~ 03 _ ADDRESS /SOb IoESTIJ~aA AK--~sao PHONE NO. 1;t~6 3~-~ytl Lcr. 7~-s6 y3 FACILITY CONTACT 'DE86tE o~t,AC~ BUSINESS ID NO. h~fi{~ O/S-off/-Day-/ya.. INSPECTION TIME /l-/a NUMBER OF EMPLOYEES 7 Section 1: Business Plan and Inventory Program P_j Routine ^ Combined ^ Joint Agency [~ Multi-Agency (,] Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand bC Business plan contact information accurate Visible address t ` K Correct occupancy Verification of inventory materials Verification of quantities pt Verification of location ~( Proper segregation of material ~, Verification of MSDS availability Verification of Naz Mat training ~L Verification of abatement supplies and procedures Emergency procedures adequate pt Containers properly labeled p( Housekeeping Fire Protection ~ ~ Site Diagram Adequate & On Hand - ~ /' C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ^ No Explain: Questions regarding this inspection? Please calf us at (661) 326-3979 siness Site Responsible Party While • Env. Svcs. Yellow - Ststion Copy Pink -Business Copy Inspector: MA-'r( k~ll)wt.Aa~ ~., ~ '" ~ :~ n-, ':i + ARTHRITIS ASSOC ADAPTIVE AQUATICS ___________________ SiteID: 015-021-002142 + Manager Location: 1800 WESTWIND DR 500 City BAKERSFIELD BusPhone: (661) 322-9411 Map 102 CommHaz High Grid: 26D FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code: DunnBrad: +_________________________-~~-______________________________________________=====t Emergency Contact / 'Y"itle Emergency Contact / Title DEBORAH S OFTEDAL / EX~'C'DIRECTOR JEANNIE MOTON / PROG DIRECTOR Business Phone: (661) 32'2.-9411x Business Phone: (661) 322-9411x 24-Hour Phone (661) 8T1-5643x 24-Hour Phone (661) 836-8034x Pager Phone (661) 33'3'-5448x Pager Phone (661) 340-0874x Hazmat Hazards: Reac t ImmHlth Contact Phone: (661) 322-9411x MailAddr: 1800 WESTWIND D~2' 500 State: CA City BAKERSFIELD Zip 93301 Owner ARTHRITIS ASSOC'ADAPTIVE AQUATICS Phone: (661) 322-9411x Address 1800 WESTWIND DP' 500 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT ~~~,~ t~IHt~ ~ ~ ~UUU 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. ignature Date -1- 02/27/2006