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II ~:EMIL'S BODY WORKS SOUTI3WEST 1 ~ ~; 3415 WILSON ROAD ,~ ~, .> :, ,, I~VIFIED PROGRAM INSPECTION CWECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fi~ g~~ P Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 ~SPE TION TE INSPECTION TIME FACILITY NAME ! ~ /,~, ~ (~ / o ADDRESS PHONE No. No. of Employees .~4 t ~ l.W I L-SON ~ ~ U2 FACILITYCONTACT Business ID Number C ~ s 51~ 5 . -r-~t1'~Z ~ 15-021- ~.~~~ Section 1: Business Plan and Inventory Pn~gram ^ Routine °~Combined O Joint Agency ^ Mu1ti-Agency ^ Complaint ^ Re-inspection C V (v=Vioationncel OPERATION COMMENTS J l ~~ ~ ^ APPROPRIATE PERMIT ON HAND 1 ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~-=.--- - - --- ------- -- ----_ ---- - --- - _ _ - __ -- - b ^ VISIBLE ADDRESS I ~ O ~/ _ .- D .. - ~. . _-...-_ .. fd ^ CORRECT OCCUPANCY I ~ O ~/ t - - - -- - - - . - . _ -. _ _ --- - f~ ^ ~ VERIFICATION OF INVENTORY MATERIALS ~/ - - - - ifd ^ VERIFICATION OF QUANTITIES . ~~t~ L~ ^ .VERIFICATION OF LOCATION ^ ~ PROPER SEGREGATION OF MATERIAL P~.~jL /~_p 4~ ~~ ~ji„r UY~- ------ -- ------------------------- --- - - ---- ! -~~~ ~2'~t L~J ^ VERIFICATION OF MSDS AVAILABILITYE +Ll' ^ VERIFICATION OF HAt MAT TRAINING - ~d ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - _- -- 1 ~~~Dp .- . - -. _ .._. _.__ ---__. ____... ___- - - _ -_ - _ - -- - - - U MAY III ^ EMERGENCY PROCEDURES ADEQUATE I ®~ 006 10 ^ CONTAINERS- PROPERLY LABELED - -- ^ ~ I'IOUSEKEEPING ' ~L.C~S~ (gyp >~T V~E-~t- ~c~2Q .45_._P(~LM. l.J/_ /1,• - - --. - ^• FIRE PROTECTION i (~(~!~-C,~.r~ ' O J ~^ SITE DIAGRAM ADEQUATE ~ ON HAND j ANY HAZARDOUS WASTE ON SITE?: YES ^ NO EXPLAIN: 1„~.J,~y-r[- P~mlj ~~in!!JL/Z ~ ~~~ ~fL QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~G6'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shik of Site Business Site Responsible Party (Please Print) White -Environmental Services Yelbw - Sletan Copy Pink • Business Copy rn B r ~~iw~5' T~ ~\ CITY OF BAKERSFiELU FIRE DEPARTMENT i~ ~ / °+~ OFFICE OF ENVIRON1t~1EN`i'AL. SERVICES ~' y~~` UNIFIED PROGRAM INSPECTION CHECKLIST ~;-k~E,~4////i~ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME G «~S (3an~ (~eNZKS INSPECTION DATE ~ ~~I'/ Section 2: Underground Storage Tanks Program ^ Routine f Combined Type of Tank Type of Monitoring _ ^ Joint Agency ^Mulfi-Agency Number of Tanks _ Type of Piping _ i OPERATION C V C E NTS Proper tank data on file Proper ownerloperator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and c ent Maintenance records uate and current Failure to c ct prior UST violations there been an tmauthorized release? Yes No s Section 3: Aboveground Storage Tanks Program TANK SIZE(S) ~ZZi~ ~ r Zv ~~ ~ZcJ Tvne ~f Tank L~-~®% r~-4~ R-i AGGREGATE CAPACITY ~'~ Number of Tanks 3 OPERATION Y N COMMENTS SPCC available ~(A SPCC on file with OES /~l/J~ Adequate secondary protection r/ Proper tank placarding/labeling ~ Is tank used to dispense MVF? .~/~~. If yes, Does tank have overtillloverspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector W I n~Cs Office of Environmental Services (661) 326-3979 ~~'hitc - time. Secs. Pink -Business CnPy ^ Complaint ^ Re-inspection ~l SSA ,$a~s;,~Yl Business Site Responsible Party ~~4~' "`~'~- CITY OF BAKERSFIELD FIRE DEPARTMENT d FACILITY NAME C f~ s f3~~1/ t~ka2KS INSPECTION DATE ~ / ~` /6,6 Section 4: Hazardous Waste Generator Program EPA ID # ~ ~ OOO 2,6g (9 ^ Routine ~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made ,L~i-L i?`=itit5 ~lL EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within I S days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~. ..,.,...r.......,., . - . ,.,.auv„ . Inspector: ~~ '~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. OFFICE OF ENVIRONMENTAL SERVICES •" UNIFIED PROGRAM INSPECTION CHECKLIST `k~,"''~Agti ~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 Pink -Business Copy. ~-Ssg S ~ Business Site Responsible Party - (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS.MATERIALS INVENTORY -NEW ~DD ~ DELETE ~ REVISE 200 ~~ n a_R s..r.r. n PHi« AR1Al f BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 . Fax: (661) 852-2171 rOne form per malerral per building or area.) f i. FACILITY INF ORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~~YVI ((~ fS 3 CHEMICAL LOCATION C _ J ~S' t7 L ~ `~~~ p.~ "S .(~ Q 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 20 ~ Yes ~ Nq FACILITY ID No. 1 MAP No. (optionaq 203 GRID N0. (oprlona!) 2 II. CHEMICAL INF ORMATION ~ CHEMICAL NAME __ ~~'TUnn/~~ (~ ~-{~„~ SS ~~ 205 ~` ~ ~ 2 TRADE SECRET C Yes r No COMMON NAME Z07 ,. EHS' ~ Yes ^ No 20 CAS No. 209 'lf EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE tT ~ Z11 212 CURIES 21 i p •PURE C m MIXTURE ~ w WASTE RADIOACTIVE: a Yes ~ No PHYSICAL STATE ^ s SOLID ~tOUID ^ g GAS 214 LARGEST CONTAINER 21 I Lo FED HAZARD CATEGORIES !1~FIRE ~ 2 REACTIVE D 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH (Check all that apply) ^u 5 CHRONIC HEALTH 21 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ; "') O C• DAILY AMOUNT ~ ` U CODE UNITS LGAL 221 222 K EHS, amount must be in lbs. ^ cf CU FT ^ Ib LBS ~ to TONS DAYS ON SRE STORAGE CONTAINER (Check ell fha! epplyJ !~ a ABOVEGROUND TANK 0 f CAN ~ k BOX 0 p TANK WAGON 22 C b UNDERGROUND TANK G g CARBOY C I CYLINDER , q RAIL CAR - c TANK INSIDE BUILDING ~ h SILO d STEEL DRUM ~ i FIBER DRUM ~ n PLASTIC BOTTLE e PLASTIC/NONMETALLIC DRUM ~ j BAG u o TOTE BIN STORAGE PRESSURE ~a AMBIENT as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 STORAGE TEMPERATURE ~ AMBIENT C as ABOVE AMBIENT ~ ba BELOW AMBIENT C c CRYOGENIC ~ %WT HAZARDOUS COMPONENT EHS CAS# 1 226 227 ~ Yes No 228 22 2 230 231 ~r. Yes CNO 232 23 3 234 235 j=; Yes :-_ No 236 2871 4 238 239 ~_ Yes C No 240 241 5 242 243 ~- Yes i. No 2441 24 ~~ III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIG NATURE DATE d~P~ i ~4 X06 2 FD 2144 (Rev. 09/05) ENfi'D MAY 01 2006 HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS n a_ x s- r r n illi<ii CHEMICAL DESCRIPTION FORM AAfAI r HAZARDOUS MATERIALS INVENTORY NEW ADD ~ DELETE REVISE 200 BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 iGne form per material. per building or area.) f i. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~ CHEMICAL LOCATION 201 (~S t q ~ L. C_-*`~~ OI= 5{.~j.(~ CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 20 = Yes ~ N FACILITY ID No. 1 MAP No. (oprionai) 203 GRID N0. (ovrionai) 2 II. CHEMICAL INFORMATION ~ _ CHEMICAL NAME 205 r1 ~~ +• `~V lb~ U i L ~~ X40 ~y TRADE SECRET u Yes 2 ^ No COMMON NAME Z07 EHS' C Yes ^ No 2 CAS No. 209 "If EHS is "Yes; all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE _ / ~w.PURE C m MIXTURE w WASTE 211 . RADIOACTIVE: 0 Yes ~ No 212 CURIES 21 PHYSICAL STATE ~ s SOLID '~IQUID ~ g GAS 214 LARGEST CONTAINER 2t FED HAZARD CATEGORIES .,FIRE ~ 2 REACTIVE ~ 3 PRESSURE RELEASE C 4 ACUTE HEALTH (Check all that apply) ~ 5 CHRONIC HEALTH 21 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT / )/'1 1 ~~// DAILY AMOUNT /' /: toll CODE UNITS I a GAL 221 222 M EHS, amount must be in lbs. ^ cf CU FT ^ Ib LBS C to TONS DAYS ON SffE STORAGE CONTAINER (Check ell that ePPrY1 ABOVEGROUND TANK 7 t CAN ~ k BOX ~ p TANK WAGON 22 0 b UNDERGROUND TANK ~ g CARBOY I ~ I CYLINDER ~ q RAIL CAR c TANK INSIDE BUILDING O h SILO r• tl STEEL DRUM G i FIBER DRUM ~ n PLASTIC BOTTLE e PLASTIClNONMETALLIC DRUM ~ j BAG ~ o TOTE BIN STORAGE PRESSURE /Q~ a AMBIENT _ as ABOVE AMBIENT ^ ba BELOW AMBIENT v ~ 22 STORAGE TEMPERATURE y[ a AMBIENT ~ as ABOVE AMBIENT ~ ba BELOW AMBIENT !~ c CRYOGENIC v ~- 22 i %1/VT HAZARDOUS COMPONENT EHS CAS # 1 226 ~ 227 ~ Yes ~ No 228 22 2 230 231 i~ Yes ~ No 232 23 3 234 235 I= Yes ~ No 236 ~ 23 4 236 239 j_ Yes - No 240 241 5 242 243 ~= Yes '~ No 244 24 -III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 2„C ru naa (Kev. 09/05) ENT MAY Q 1 200- 6 --- ~ (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY NEW ~DD = DELETE ~ REVISE 200 A A R.S-P_i. n F/1[t AATAI T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 ;Cr,e )orm per material. per building or area.) I. FACILITY INFORMATION BUSINE S N S A ME (Same as FACILITY NAME or DBA -Doing Business As) ~~ ~~ __ w ~~1 ~ ~ rs CHEMICAL LOCATION 201 CHEMICAL LOCATION 20 ) NS rl~ ~ ~ L~~ C~ S rl'c.r~ CONFIDENTIAL (EPCRA) ^ Yes ~ N FACILITY ID No. 1 MAP No_ (oprionaQ 203 GRID N0. (oprionap 2 II. CHEMICAL INF ORMATION CHEMICAL NAME ~ _ 205 2 " ~~`~fZ O1 ~ t~ ~-3~~ TRADE SECRET ^ Yes ^ No COMMON NAME 2D7 EHS' ~ Yes ^ No 20 CAS No. 209 'N EHS is'Yes,° all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE PURE ^ m MIXTURE C w WASTE 211 RADIOACTIVE: ~~ Yes G No 212 CURIES 21 LARGEST CONTAINER 21 PHYSICAL STATE ^ s SOLID ~IQUID ^ g GAS 214 ~ Zb FED HAZARD CATEGORIES ~ IRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE C 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ZZQ DAILY AMOUNT f 1 ~ C CODE ^ UNITS . GAL 221 222 p~ K EHS, amount must be in lbs. ^ cf CU FT ^ Ib LBS ~ to TONS DAYS ON SRE STORAGE CONTAINER ~- ~ (Lheok all that apply) F~ ABOVEGROUND TANK i CAN C k BOX ,! p TANK WAGON 22 ^ b UNDERGROUND TANK C g CARBOY ^ I CYLINDER , q RAIL CAR - c TANK INSIDE BUILDING ~ h SILO r' d STEEL DRUM ~ i FIBER DRUM ^ n PLASTIC BOTTLE e PLASTICINONMETALLIC DRUM ~ j BAG u o TOTE BIN STORAGE PRESSURE ~' a AMBIENT ^ as ABOVE AMBIENT ~ ~ ^ ba BELOW AMBIENT 224, STORAGE TEMPERATURE ~ AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT I~ c CRYOGENIC 22 %WT HAZARDOUS COMPONENT EHS CAS # 1 226 227 ~ Yes No 226 22 2 230 231 i- Yes - No 232 23 3 234 235 C Yes . No 236 23 i 4 238 239 .Yes ~-• No 240 241 5 242 243 .Yes _ No 244 24~ III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE .SIGNATURE DATE 246 ~-1 (~4 G6 I ru rlaa (Hev. 09105) ENT'D MAYO 1 2006