HomeMy WebLinkAboutBUSINESS PLAN 1/14/2009Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ~i A A: ~ R S ~,~ 0 900 ~ruxtun Ave., suite 210
~ ~:_. _ -~__~~ : ~_-.:--_ _ _ ._ _. ~, T --_- ~._~_-~r ---__~~ ii ~,F/RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program j ~E~,ARIME~-r Tel.: (661) 326-3979
;a Fax: (661) 872-2171
FACILITY NAME
~~,~~ -~
~ ~
-~
~
1l INSPECTION DATE
~ INSPECTION TIME
-
,~
.
~~ ~,
s .
~ i-~y- . ~
ADDRESS
y ~
n
~
. HONE NO.
Z
- ~S~-~~ O OF EMPLOYEES
s .
-~h ~ ~
-
- 3
~
FACILITY CONTACT • BUSINESS ID NUMBER
15-021- b ~ ~ '7 'Zll
Section 1: Business Plan and Inventory Program
^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
" V=Violation COMMENTS
'
L7 ^ APPROPRIATE PERMIT ON HAND
L7 ~ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
IB' ~ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
~~ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
Lf ^ VERIFICATION OF MSDS AVAILABILITY
^ ~VERIFICATION OF HAZ MAT TRAINING - /~~v t ~~~ i~L ~ ~e~
i -'
^ 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
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station #
Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
+ DAI2RELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
Manager : DARRELL MONSIBAIS
Location: 927 BRUNDAGE LN
City : BAKERSFIELD
BusPhone: (661) 327-3589
Map : 103 CommHaz : High
Grid: 31C FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:
DunnBrad:
+_________________________________________r=====_______________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
DARRELL MONSIBAIS / OWNER DAVID MONSIBAIS / OWNERS FATHER
Business Phone: (661) 327-3589x Business.Phone: (661) 327-3589x
24-Hour Phone :(661) 871-3369x 24-Hour Phone : (661) 872-1771x
Pager Phone :(661) 747-8981x Pager Phone : ( ) - x
+------------------------------------- --+------------------ --------------------+
~ Hazmat Hazards: Fire ImmHlth DelHlth ~
+------------------------------------- --------------------- --------------------+
Contact : DARRELL MONSIBAIS Phone: (661) 327-3589x
MailAddr: 927 BRUNDAGE LN State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------- --------------------- --------------------+
Owner DARRELL MONSIBAIS Phone: (661) 327-3589x
Address : 927 BRUNDAGE LN State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------- --------------------- --------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
PROG H- HAZ WASTE GEN
PROG T- ABOVEGROUND STORAGE TANK
+______________________________________________________________________________
------------------------
-1- 08/25/2008
+ DARR.ELLS AUTOMOTIVE __________ ______________ ________ _ SiteID: 015-021-001720 +
+= Hazmat Inventory ____________ ______________ ________ _____ _= By Facility Unit +
+_= MCP+DailyMax Order _________ ______________ _______ Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
ACETYLENE E F IH DH G 80.00 FT3 Hi
OXYGEN F IH DH G 282.00 FT3 Low
WASTE OIL F DH L 165.00 GAL Low
AUTOMATIC TR.ANSMISSION FLUID F DH L 70.00 GAL Low
MOTOR OIL F DH L 120.00 GAL Min
"Z~r~ ~ QS
+______________________________________________________________________________+
-----------------------
-2- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
E WALL SHOP I CAS# I
74-86-2
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
80.00 FT3 80.00 FT3 60.00 FT3
+--------------------------+-------------------------+_________________________+
--------- --------- -------------------------
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lAcetylene IYesl ~S# ~4862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN Hazl RN~d~oactive/Cu~l'es I FPA HaIHrDH I~F~A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-3- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SE WALL SHOP I 7782_CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
282.00 FT3 282.00 FT3 141.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lOxygen, Compressed INosl CAS#7782447I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive~Curles I FPA HaIHrDH I~F~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+_________+_______-+-----+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-4- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers at Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
WASTE OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
E END YARD I 221 ~S# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambient ~ Ambient ~ DRUM/BARREL-METALLIC ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
55.00 GAL 165.00 GAL 165.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IWaste Oil, Petroleum Based INoSI CAS# OI
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cur1'es I FPA HazarDH I%F~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Definell
Ag.Defined9:
Ag.Definel0:
----------------------------------------------------------------+
+______________________________________________________________________________+
0
-5- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers at Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I TreatedNon Site ( CA Code I US Code I GAL Generated/Mo.l GAL Genera600/00 I
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: ~
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
+______________________________________________________________________________+
-6- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers at Site +
+_= CODM~lON NAME / CHEMICAL NAME ______________________________+________________+
AUTOMATIC TRANSMISSION FLUID Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
S WALL SHOP I CAS# I
64742-56-9
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient I Ambient ~ DRUM/BARREL-METALLIC I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
55.00 GAL 70.00 GAL 50.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I~Wt. I I RSI CAS# I
100.00 Transmission Fluid (Petroleum-Based) No 0
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No INo I No I No/ Curies I F DH I~~~ I I LOW I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-7- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
MOTOR OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
S WALL SHOP I 8020835 I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ ABOVE GROUND TANK ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
100.00 GAL 120.00 GAL 100.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IMotor Oil, Petroleum Based INosl CAS#8020835I
+_______+__________________________________________________+___+_______________+
-------------------
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RNd~~oactive/Cu~l'es I FPA HazarDH I jF~A/ I USDOT# I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-8- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 03/16/2001 +
LISTED.
+------------------------------------------------------------------------------+
-------------------- ------------------- -------------------------------
+__= Employee Notif./Evacuation ___________________________________ 03/16/2001 +
TO THE FRONT OF THE BLDG.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ 03/16/2001 +
VERBAL.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 03/16/2001 +
911 TO BE CALLED.
+______________________________________________________________________________+
-9- 08/25/2008
+ DAR.RELLS AUTOMOTIVE ________________________________= SiteID: 015-021-001720 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 10/26/2006 +
GAS CYLINDERS KEPT CHAINED TO CART. OIL TANKS LOCATED SOUTH WALL AND NOT IN
THE WAY OF TRAFFIC.
+______________________________________________________________________________+
+__= Release Containment _________________________________________= 04/27/2006 +
ABSORBENT AND MOPS TO PICK UP SPILLS.
+______________________________________________________________________________+
±___= Clean Up ____________________________________________________ 03/16/2001 +
WASTE OIL PICKED UP BY CRANES OR COLES.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-10- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 04/06/2007 +
NATURAL GAS/PROPANE - W OF BLDG
ELECTRICAL - INSIDE OFFICE
WATER - FRONT DOOR
SPECIAL - GUARD DOGS IN YARD
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water __________________________________= 12/11/2006 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN SHOP.
NEAREST FIRE HYDRANT - ACROSS ST.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
5 EMPLOYEES
+______________________________________________________________________________+
-11- 08/25/2008
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ O1/30/2007 +
MSDS ON FILE.
BRIEF SUNIMARY OF TRAINING PROGRAM: FIRST MONDAY OF EVERY MONTH.
+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-12- os/25/2oos
+ DARRELLS AUTOMOTIVE _________________________________ SiteID: 015-021-001720 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
-----------------
+------------------------------------------------------------------------------+
-------------- ------------------------------- ------------
+____= Finance/Administration _________________________________________________+
+------------------------------------------------------------------------------+
------------------- --------- ---------------------------
-13- 08/25/2008