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HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007~..~, ~ -- '~ SOIITH WEST SMOG 6801 WHITE LANE, BLDG E-1 ~.s' ysz~ y ~ ~ Y SOUTHWEST SMOG _l Manager ~03 ~2-' ~ A-~2~- ~ Location: 801 WHITE LN 1 City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: Map 123 Grid: 16D SIC Code: DunnBrad: SiteID: 015-021-002421 (661) 831-0833 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title ROBERT BARRETT / ~ GJ/JE ~ / Business Phone: (661) 831-0833x Business Phone: ( ) - x 24-Hour Phone (~G~ X03 -o,~Gx 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ~(3~2.i '(~.~~Z~-G"Ti Phone: (661) 831-0833x MailAddr: 6801 WHITE LN 1 State: CA City BAKERSFIELD Zip 93313 Owner ROBERT BARRETT Phone: (661) 831-0833x Address 6801 WHITE LN 1 State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: Jt~~ , ~ '-~'~` PROG A - HAZMAT Based on my 'tnc,uiry of those individuals ,fC'iu for ohtai;?ing the information, l certify respon under penalty ~vf IG~v that I h?ue personally exam;ned a?~d am ta;nifiar ~+~~ith the information submitted anc's L~s:lis~~e the information is true, accurate, and cor;tplete. Signature Date -1- 07/16/2007 f i F SOUTHWEST SMOG SiteID: 015-021-002421 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CALIBRATION GAS F P IH G 232.00 FT3 Min -2- 07/16/2007 r i -3- 07/16/2007 S. . .\ F SOUTHWEST SMOG SiteID: 015-021-002421 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CALIBRATION GAS Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CTR SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TMixture Above Ambient `Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 232.00 FT3 232.00 FT3 232.00 FT3 i1HGtitC.LVUJ 1,V1~lYV1Vt',1V1.7 oWt. RS CAS# 99.00 Nitrogen No 7727379 2.00 Oxygen, Compressed No 7782447 - 17tiL~l~iiCL LiJ .7 P~.7.71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 07/16/2007 T 4 F SOUTHWEST SMOG SiteID: 015-021-002421 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ rly~llcy 1VV1.111CdL1Vi1 Employee Notif./Evacuation tU1.J11C: 1VV 1.11. ~ l~VdC:UdL1V11 t~lllCiy Clll:y 1`1C1111:d1 t'1d11 -5- 07/16/2007 F SOUTHWEST SMOG SiteID: 015-021-002421 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention - 1CC1CQ.7-C 1..Vll 1. C1111LL1C11L I.l CGlll V~J V 1.11C1 11C~7VU11.C ri1.. 1.1VQ1. 11)11 -6- 07/16/2007 ,; F SOUTHWEST SMOG SiteID: 015-021-002421 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNCC:~.al na~ctiu~ V1.1111.y ^711LLL-VLL~ Fire Protec./Avail. Water Building Occupancy Level -~- 0~/16/200~ h 'd- F SOUTHWEST SMOG SiteID: 015-021-002421 ~ Fast Format ~ ~ Training Overall Site ~ P~l[l~J1CJyCC licl1i11i1C~. rays ~ nciu ivi ru~utc ~~c nciu ivt ru~.utc voc -8- 07/16/2007 UNIFIED PROGRAM INSPECTION CHECKL"IST SECTION 1: Business Plan and Inventory Program .• Prevention Services e e R s F, n 900 Truxtun Ave., Suite 210 - F~Re .Bakersfield, CA 93301 - aRrui _ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NS P GTION DATE E NSP ECTION TIME ~~~ ' ' j v'~~~~ c ~ J AD SS - 1 O 1 f ^r- - Y ~t ~ ~ .. t^~ ~~r ~ i ~ r ` PHONE NO. ~~ ~~ NO OF EMPLOYEES FACT 1 CONTACT ~ ~ ~ BUSINESS ID NUMBER 15-021- L`~ Z( ~ ` r- _ _ ~ _, Section 1: __ _- ~~~ Business Plan and.Inventory Program ^ ROUTINE ^ COMBIN ED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE l7 ^ VISIBLE ADDRESS • I l~t~ ~ ~ ~ ('~ V ~/ A.- ^ ^ 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 ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 s~ ~. ~Ci Insp or (Please Print) Fire Prevent' n 11" In /Shift of Site/Station # Busi s sible ~i~e's ri ) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 + SOUTHWEST SMOG ______________________________________ SiteID: 015-021-002421 + Manager BusPhone: (661) 831-0833 Location: 6801 WHITE LN 1 Map 123 CommHaz Minimal City BAKERSFIELD Grid: 16D FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title ROBERT BARRETT / / Business Phone: (661) 831-0833x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager-Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: __ ~ _Fire Press ImmHlth Contact Phone: (661) 831-0833x MailAddr: 6801 WHITE LN 1 State: CA City BAKERSFIELD Zip 93313 Owner ROBERT BARRETT Phone: (661) 831-0833x Address 6801 WHITE LN 1 State: CA City BAKERSFIELD Zip :- 93313 Period to TotalASTs: _ Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT o zoos Based on my inquiry of those indlvldu8ls responsible for obtaining the information, I q~9rtify exam ned anid am familiaa with athe mformataion submitted and believe the information is true, accurate, and complete. Signature Date -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST:' .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention Services ~/t~ 9001Yuxtun Ave:, Suite 210 ARfM t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME AA ~% NSPECTION DATE NSPECTION TIME ADDRESS Cs ~©r, W (~-~-~-G ~ N , ~ g~'E NO. O G~3 cS OOF EZ LOYEES FACILITY CONTACT ILpe4 ~ ~ A-e ¢~ "T'r" USINESS ID NUMBER 15-d21- Z y 2 I 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 L rJ - / L~' ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES LLB' ^ VERIFICATION OF LOCATION C3~ ^ PROPER SEGREGATION OF MATERIAL L+~!' ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING (~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND P RO CEDURES - / U ' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~~O •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 S . ~l~Tz ~L Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station tk usi s Site/Schoo Site Responsible Parry (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02/05) 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 NAME INSPECTION GATE INSPECTIO TIME ~0.~'*>~ ~ Ors ~ ~,c,....a ~; 2003 (0 - 14 -a3 (~ ---- ---~--------_...-----------------_~-...-------~----_---- --._._ g__...---------------- ----- --------- ADDRESS q OC~ ~ PHONE No. ~ No of Employees -------- ~° ~~ ~----w-~~~~- 1-h~-- "------------~-- ---- -- ~3l 033 i_ ~-..._..------- FACILITYCONTACT Business ID Number ~~ g~ tzT ~A-e~~, t` ( t5-021- po24Z~ Section 1: Business Plan and Inventory Program O't outine ^ Combined O Joint Agency ^ Multi-Agency ^ Complaint ^ Re-inspection ~C/V \V=Vioatonncel OPERATION (d ^ APPROPRIATE JPERMIT ON HAND COMMENTS ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ r L~J ^ CORRECT OCCUPANCY (~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES D ^ VERIFICATION OF LOCATION (~ ^ PROPER SEGREGATION OF MATERIAL ~ - (~^ VERIFICATION OF MSDS AVAILABILITYE L~ ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ Y ~^ EMERGENCY PROCEDURES ADEQUATE - - LJ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ------- - - ~/ L~ ^ FIRE PROTECTION --- ---- - ----- '--- ------ ~- ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ~ o ~` , ~/ ~ /1") Ol7 ~s ao ~ QUESTIONS REGARDING THIS INSPECTIONS f LEASE CALL US AT ~66~~ 32C-3g79 ~~?- ~~j-~4KScx__-_c________ -------- Ins ector Badge No. White • Environmental Services Yellow -Station Copy Business Site Responsible Party Pink -Business Copy I~ I ' 1..0 ! ' i SOUTH WEST SMOG Test Only Center Next Door To DMV 661-831-0833 6801 White In. BIdg E, Suite 1 . Bakersfield, CA 93313 . ex ./'" SOUTH WEST SMOG SiteID: 015-021-002421 Manager : Location: 6801 WHITE LN 1 City BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 16D (661) 831-0833 CommHaz : FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title du-ltJa<- Emergency Contact / Title -BRUff ~ IV!ACKE"i ~~Õ4~rr: / Business Phone: (661) 831-0833x Business Phone: ( ) - x 24-Hour Phone : (t:.to¡ )~ :::> -~~ 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Haza:çds: - - -- ---~~-- ~ - Fire Press - - - ~ ImmHlth - Contact : ~N'f It. Ml~CKgy ~'âCÆ...l :J.~J....¡(..sfi MailAddr: 6801 WHITE LN 1 City : BAKERSFIELD Phone: (661) 831-0833x State: CA Zip : 93313 Phone: (661) 831-0833x State: CA Zip : 93313 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address City - BItIMI K. fI~CIC:EI¥- : 6801 WHITE LN 1 : BAKERSFIELD 1L~íW~-\'~rí Period : Preparer: Certif'd: ParcelNo: .l' ~ ,#,," to 2,,(l~ ~~-' .a, ¡¡;rC' .. SL:-7 e.... ~-, ~\ ~-~'( ~ wE ~, AJ~' ~(¡,I',../I ¡KA-<..<clf UJ'Å'f Æ-}J ~ µ/ ~4-'~ rl4-~;- N..) ~6~/\ ': f.A1{~or prI~~ _ _~Oh_h~~~bY _certify that I h~V~ J ()...Jù,(l...u ~LC . I ¡:. ~. ¡C1¿Lt:# reviewed the attached hazardous materials manage· Emergency Directives: ,- -. ¡-{. Ave ð.Jr ptt/,E!1t ().J~~ ì-ié P/v n (/..JIL~<:1 · ~cJ é~~ ~~. /II? M 32'"2.:::- 7 ~ 6 ø' A r~ ¡:-4<- /&J~ .µA=è::- ~/(j)cJ~ ¡11(/f7 ~-1L wM-O, ¡-t¿;e.ê ment plan for~~.S'/~~ and that it along with (Name of BUSÍl\eS6) any corrections constitute a complete and correct man· agement plan for my facility. ~~..~- !>i~r1~lUre l2..-I7'"Ù3 O<l!e -1- 12/01/2003 h. , '~\ . . Ó¡5"- ();l/ -Oó ,2('/;;-/ CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd .<'Ioor, Bakersfield, CA 93301 IJ3-/~D c¡c, FACILITY NAME ~wG?"'" SMO(;,.. ADDRESS ~~o l WH--,~ t...)\J ß't,Q6.£-1 FACILITY CONTACT Ör,'I\+ ï<. fl1ack e '7 INSPECTION TIME If /J1 tJÚ I f/mð /1 5SiJó! INSPECTION DATE l D ("("l ( Dt.- PHONE NO. S?3t -C~3,?> BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ø Routine D Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS Appropriate pennit on hand f"JEz.V ~,~ Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials ~\~.".J "lR.. Verification of quantities 2.. 3 '- 6;::: Verification of location lA.Jstl)~ c.c~ ðI=- S ~ 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 & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain:' DYes ~o White - Env, Svcs, Yellow· Station Copy Pink· Business Copy Inspector: ,'ble P LJ/~ Questions regarding this inspection? Please call us at (661) 326-3979