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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