HomeMy WebLinkAboutBUSINESS PLANFASTENAL
416 WORKMAN STREET
Prevention Services
UNI-PIED PROGRAM INSPECTION CHECKLIST' ~ R 5 r , 0 9oo'IYuxtun Ave., suite 210
FierF Bakersfield, CA 93301
v ~RTM Tel.: (661) 326-3979~¢~ahn~
SECTION 1: Business Plan and Inventory Program
Fax: (661) 87 -
FACILITY NAME IINSPEC ION DATE INSPECTION TIME
ADDRESS KPH NE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15-021- C3 0 Z.~77
Section~1; Business Plan and Inventory Program ~,
-- _ _ _ _
~ -~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION !
C V ~ C=Compliance OPERATION COMMENTS
V=Violation
I ^~ APPROPRIATE PERMIT ON HAND I 1 NG,.~.. ~Qi~ ~~ ~-~ O ~_x`
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BUSiness PLAN CONTACT INFORMATION ACCURATE i
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^ VISIBLE ADDRESS ~
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^ CORRECT OCCUPANCY ~
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^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATIQN OF QUANTITIES
^ VERIFICATION OF LOCATION
~~ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITY rf /~
^ ^ VERIFICATION OF HAZ MAT TRAINING ~ ~ /~ O~
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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~ ^ EMERGENCY PROCEDURES ADEQUATE
\[~ ^ CONTAINERS PROPERLY LABELED
^ '~7I HOUSEKEEPING
^~ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ^ YES~~ NO
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 - J y~
Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site / sponsible Party (Please Print)
White -Prevention Services Yellow -Station Copy - Pink -Business Copy FD 2155 (Rev. 09/05
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IJNIFIE® PROGR~-M INSPECTION CHECKLIST
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SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME
ADDRESS //~~~~ //--
'-Cl ICJ WCX~~ S I
FACILITYCONTACT
j INSPECTION DATE ~ INSPECTION TIME
-- ------ ----rt---------
PHONE No. ; No. of Employees
- -
~Business ID Number
15-021- I~~
Section 1: Business Plan and Inventory Program
~$putine O Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V \V=Voationncel OPERAT90N COMMENTS
^ ^ APPROPRIATE (PERMIT ON HAND
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
- --- -- --- --- --- r - - - -- __ __. .. -- ---- --
---- ---- --
^ ^ VISIBLE ADDRESS /~ \
------- -- ------ -- -- -- - -- - - - --- -- - - -- - - - - - 1 - - -- -- ---
^ ^ CORRECT OCCUPANCY \~
- -- -- _- -
^ ^ VERIFICATION OF INVENTORY MATERIALS ~'VCfJP~G ~~~~~I--
-- ---- -- - ----- -- - -- -- t ---- ----- ---- t -""~' ~ -
^ ^ VERIFICATION OF QUANTITIES i 2~ C~ X Z r ~ ~,~~~ 1':
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^ ^ VERIFICATION OF LOCATION ~ ~nlS ~ ~~ S ~ G2N~ ~ _ W~~ F,.. .
------------------------ ------- ---------- -------------.---__.--------------------- -- - _ ~T~ ~~
,,~ - ~ - -
^ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITYE
^ ^ VERIFICATION OF FIAT MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
i
------- -------------~---~--~---~-~--~~----...------~-~---~---. _----~-r--~-- -------- -
^ FIRE PROTECTION z~_ 1()';13rC ~~,,~/V,t/tS~~ ~
C--v~'~ 7S ~AP~rzr
^ ^ SITE DIAGRAM ADEQUATE Hr ON HAND j
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ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66~~ 326-3979
~t~~ ___ __ __ __
Inspector (Please Print) Fire Prevention 1st-InlShift of Site
White -Environmental Services Yellow -Station Copy
usiness ite Please Print)
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Pink -Business Copy
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INDUSTRIAL & r,OlIlS7RUC770/V SUPPLIES
I
NICOLE VERGANO
ASSISTANT MANAGER ~
416 Workman Street Bakersfield, CA 93307
Phone: 661f35-3278 Fax: 661-635-3280
E-mail: cabal ~stores.fastenal.com
Buy It Online! www.fastenal.com GSA#: GS-06F-0039K
,~ C[TY OF BAKERSI'IELD
B OFFICE OF ENVIROYV1EitiTAL SERV'[CES
~~Rt CA 93301 661 326-3979
~RtI- t 1715 Chester Ave., ( ) ,.,~
~~~-~~' HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(on. ,brm p.r m.hrW pN p~yyg or area/
~Ew O ADO ^ OELETE C REVISE 200 Psgs - d
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_ r '~`.~ - 1. FACILITY INFORMATION ~~:*
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BUSINE ( at A Ill fJAAE~or 08A - Doiriy Butnas iltj --
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CHEMCAI LOCATION 207. CNEMCAI LOCATpN
f /JS toC _~ ,$•~ C2M2 O.F ~1~SF CoNF1oENruL (EPCRA) ~ O Yea O No 202
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ACT 1 I ~ ( ~ MA~~ (gpLbrra~ _ _ - -203 ~ GRID s (opnonaq -- 20,r
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_ ' U. CJiEMICAL INFORMATION - ' • ~ . .~
CHEMCAL NAIVE n _`n 205 TRADE SECRET ^ Ye3 ^ Np 206
P7 ~Elf',~ H SuejeU to EPCRI~ rotor ro irowWora
COMMON NAME
~ EHS• ^ Yes D No
208
~ CAS N 209 ` 'If 6ltS its}' •' ~amoiq~: be ~
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FI CO ( ragwstadbpT~~~i -- ------ ---- - :. :=.t
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270
TYPE D PURE ^ m MIXTURE ^ w WAS-O_ - - ..-.----R..DIOACTM _--
~ ^ Yes ^ No 272: CURIES 273
PHYSICAL STATE ^ a SOUO ^ I UOUID ~p GAS ~~ CONTAINER
274 -- - ~/+
`t
275
FED HAZARD CATEGORIES
(Cl7edc aA yW appy) 7 FEE ^ 2 REACTNE
~
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f~° PRESSURE RELEASE ^ 4 Av~!*E HEALTH ^ S CHRONIC HEALTH
216
i ANNUAL WASTE
~ AMOUNT 277 ~
JNAXB~IM
! DAILY AMDUNT -G ----
`'I $ O - ~ 218 I AVERAGE ------
~ DAILY AAAOUHi ~~ C 219 STATE WASTE CODE
4 ~ 220 .
UNRS' ^ ya GAL ~ d CU FT ^ tD LBS L7 a+ TONS 22t ! DAYS ON STTE 222
• r EHS. amount must be in ba.
STORAGE COMAINER
(CAeek a/ Nat appy) ^ a ABOVEGROUND TANK ^ e PLASTK'JNONMETALLIC DRUM ^ i fIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223
^ b UNDEROROUNO TAMC ^ f CAN G j BAG ^ n PLASTIC BOTTLE ^ r OTHER
D e TANK IPSIDE BUILDING D p CARBOY O k BOX ^ o TOTE BW
^ d STEEL DRUM ^ A SILO ~i -CYLINDER ^ p TANK WAGON
~ STORAGE PRESSURE ^ ! AMBIEM ~ ABOVE AMBIENT ^ ba BELOW AMBIENT 224
sroRAGE TEMPERATURE ~ AMBIENT ^ as ABOVE AI~IENt - - - - ^ Da BELOW AIb6ENT ^ c CRYOGENIC 225
~ L'`~~%~.~ `~ ' ".- HAZARDOUS COMPONENT
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^ Yes ^ No 228 I
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