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AUTO CRAFTERS
_ A i'S101 WHITE LANE
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UNI~iED~ROGRAIVi INSPECTION CHECKLIST?;
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SECTION 1: Business Plan and Inventory Prograrvr ~
BAKERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
~~ NSPECTION DATE INSPECTION TIME
.tom c \ - -c>S rti.:
ADDRESS
,s ~ ~, ~>~;,~ HONE NO.
ZS J~ ~ D~ O OF EMPLOYEES
FACILITY CONTACT
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~ ~ ~:~~- USINESS ID NUMBER
,5-02,- c~a~a~
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C]
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
__ ____ ____
^ APPROPRIATE PERMIT ON HAND
L~. ^ BUSIrI@SS PLAN CONTACT INFORMATION ACCURATE ~ ~ \ ~
v\
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^
,
\ VERIFICATION OF LOCATION
~
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
I~ ^ VERIFICATION OF HAZ MAT TRAINING
'\
^ VERIFICATION OF ABATEMENT SUPPLIES AND
P CEDURES
_
^ EMERGENCY PROCEDURES ADEQUATE I ~ j ~ ~j~ i ~j+~
j+' ~/
^ CONTAINERS PROPERLY LABELED I AFTER_fiAARKFT SPEC A,L-ISTS INC.
`6~'' ^ HOUSEKEEPING Gary Johnson
^ FIRE PROTECTION I 4106 Wible Road Bakersfield, California 93313
9591
661
836
^ SITE DIAGRAM ADEQUATE & ON HAND .
.
661.836.3288 • -Fax
ANY HAZARDOUS WASTE ON SITE? ^ YES NO
EXPLAIN:
•OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Busine
White -Prevention Services Yellow -Station Copy Pink -Business Copy
FD2049 (Rev.O?JOS)
~-
CRAFTERS SiteID: 015-021-002424
Manager
Location: 5101 WHITE LN
City BAKERSFIELD
BusPhone: (661) 836-3288
Map 123 CommHaz Minimal
Grid: 15B FacUnits: 1 AOV:
CommCode: BFD STA 13
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / T
tle
i Emergency~Contact / Title
-
`
r_rnr DT+DUTTTC / ~~v~tJl ~; /
Business Phone: (661) 836-3288x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ~( ~~` ) (,~(.g~ £t"t~ ~~`'`~ Pager Phone ( ) - x
Hazmat Hazards:
Contact GUY PERKINS Phone: (661) 836-3288x
MailAddr: 5101 WHITE LN State: CA
City BAKERSFIELD Zip 93309
Owner Phone: (661) 836-3288x
Address 5101 WHITE LN State: CA
City BAKERSFIELD Zip 93309
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
-1- 08/22/2005
~_
+ AUTO CRAFTERS =_______-_-.-___________________________ SiteID: 015-021-002424 +
Manager BusPhone: (661) 836-3288
Location: 5101. WHITE LN Map 123 CommHaz Low
City BAKERSFIELD Grid: 15B FacUnits: 1 AOV:
CommCode: BFD STA 13 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / ",~'itle Emergency Contact / Title
DAVID HIBBARD / Ge-~ W1u~~Gr'• /
Business Phone: (661) 83.6-3288x Business Phone: ( ) - x
24-Hour Phone (661) 97~-6276x 24-Hour Phone ( ) - x
~~'Phone ((~(~() 6S~ ~jJ~x Pager Phone ( ) - x
Hazmat Hazards:
~ ~ 1+eGt ~<1
S~"l°
U
Contact ~
~ Phone : ( 6 61) S~s~328"8~x
MailAddr: 5101 WHITE LN State: CA Z'~-78~~
City BAKERSFIELD Zip 93309
Owner G,; n q. '~'o~ h g~ , Phone : ( 6 61) ~~~z•8.8~c
Address 5101 WHITE LN State: CA ~ 3-$233
City BAKERSFIELD Zip 93309
Period to TotalASTs: = Gal
Preparers TotalUSTs: _ -~ Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
Based on my i iry of those individuals
responsible for t fining the information, I certify
under penait few that t have personally
examined a m familiar with the information
submitted believe the information is true,
accurate, ~ complete.
- -3 ~~ ~ ~~~ ~I
S ~a ~~ ~ 1
zoos
-1- 03/09/2006
~~ Prevention Services
UNI:F°tED PROGRAM INSPECTION CHECKLIST j B E_R.._S...F...., 90o Truxtun Ave., suite 210
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~-- =-~---_<-, -___ _~__.._ _ ~ .,.~_--~~--- --=-'~-=--;; F/RE Bakersfield, CA 93301
SECTION 1: Business Plan-and Inventory Program ~ ~RrM t Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILI NAME ~ ~~ INSPECTION DATE
~
~ INSPECTION TIME
~, o ,a e r s - 3(--c7
o
l 0 ~ ~ ~
ADDRESS ~ O ~ ~ ~ ~~,~Q ~ PHONE NO~~~
~
/ NO OF EMPLOYEES
7
C ~
p
~
FACILITY CONT CT
` I
N
SS ID NUMBER
.
BUS
E
15-021- ~o2~,z~
rr
Section 1; ,Business Plan-and Inventory Program ', ~~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C=compliance OPERATION
V=Violation COMMENTS .
^ APPROPRIATE PERMIT ON HAND
^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~1'~,~ I V -
1 V
^ ~/I$IBLE ADDRESS `
^ CORRECT OCCUPANCY
^ ;~C VERIFICATION OF INVENTORY MATERIALS ~ / / ~ n n
/~!~} ('Q er ~aV'~ ~~ LcU
^ ~ VERIFICATION OF QUANTITIES
^ ~ VERIFICATION OF LOCATION
^ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITY
^ ^ VERIFICATION OF HAZ MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~-~a ~~, ~ ~P~ x.
Inspect (Please Print) Fire Prevention / 15' Iri /Shift of Site/Station # I
^ YES ~NO
rcer-euis
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05