HomeMy WebLinkAboutBUSINESS PLAN 2/3/2009Prevention Services
UNIFI~D PROGRAM INSPECTION CHECKLIST~` A A~r R S F_, E. n 9oo~ruxtunAve., suite2~o
~ .._~_ _. _--=_~..._ . - -~ _ ~ ~ ~-_~~ __._ _ ~-~--~--m~ ~ _. ____ .~ ~-~--_ V--~ ~ F/RE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ~ ~ F~ A R T M ~ N r Tel.: (661) 326-3979
Fax: (661) 872-2T71
FACILITYINAME
l
i
`
~ INSPECT O DATE INS/PECTION TIME
ZS~
4 I
~
SJ
~Ot/~
~1 /M 5 Z 3 Q9 `; 7
ADDRESS
. Qo Pr~ ~ IN~a ~ PHO NO.
~.3 - z ss NO OFEMPLOYEES
a
FACILITY CONT T
~~~
I BUSINESS ID NUMBER
,5-o2,-vo~~-y~
, ~
~~~
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
~e ^ APPROPRIATE PERMIT ON HAND
L~ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
~ ^ VISIBLE ADDRESS
I~ 0 CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
G7~ ^ VERIFICATION OF LOCATION
CI ^ PROPER SEGREGATION OF MATERIAL
B~ ^ VERIFICATION OF MSDS AVAILABILITY
~^ VERIFICATION OF HAZ MAT TRAINING ~
M ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L'J ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~ ^ FIRE PROTECTION
~^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ~ES ^ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~Bhr1~~MM~" b ~
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
, ~
Manager : RANDY HARDEN
Location: 300 TERRACE WY
City : BAKERSFIELD
BusPhone: (661) 832-7080
Map : 124 CommHaz : High
Grid: 06B FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:7538
I
EPA Numb: I
DunnBrad:
+_____________________________________ _________________________________________+
+_____________________________________ __+______________________________________+
Emergency Contact / Title Emergency Coritact / Title
R.ANDY HARDEN / OWNER /
Business Phone: (661) 834-2555x Business Phone: ( ) - x
24-Hour Phone :(661) 201-0890x 24-Hour Phone :( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+------------------------------------- --+--------------------------------------+
~ Hazmat Hazards: Fire Press ImmHlth DelHlth I
+------------------------------------- -----------------------------------------+
Contact : RANDY HARDEN Phone: (661) 832-7080x
MailAddr: 300 TERR.ACE WY State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------- -----------------------------------------+
Owner JIMS GARAGE & TOWING Phone: (661) 832-7080x
Address : 300 TERR.ACE WY 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
+______________________________________________________________________________+
-1- 08/25/2008
+ JIMS GAR.AGE & TOWING _______ ________________ ________ _ SiteID: 015-021-001549 +
+= 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 P IH G 330.00 FT3 Hi
OXYGEN F IH DH G 281.00 FT3 Low
WASTE OIL F DH L 200.00 GAL Low
MOTOR OIL F DH L 200.00 GAL Min
+______________________________________________________________________________+
-2- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
FIRST REPAIR BAY PORTABLE I 74-86-~25# 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
330.00 FT3 330.00 FT3 330.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lAcetylene IYesl ~S# ~4862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNoretlNoSIBNoHazl RNo~oactive/Curles I FPP HalHrds I jF~A/ I USDOT# I HiP 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 ----------------------------------------------------------------+
*______________________________________________________________________________+
-3- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
FIRST REPAIR BAY PORTABLE I 7782_CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co281100rFT3 I Daily 281100m FT3 ( Daily 281r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lOxygen, Compressed INosl CAS#7782447I
+_______+--------------------------------------------------+---+---------------+
------ ----------------------------------------- --- ---------------
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNoretlNoSIBNoHazl RN~d~oactive/Cu~les I FPA HaIHrDH I%F~A/ I USDOT# 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 ----------------------------------------------------------------+
*______________________________________________________________________________+
-4- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
WASTE OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
FOURTH REPAIR BAY I 221 CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ waste ~ Ambient ~ Ambient I DRUM/BARREL-METALLIC I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co200100rG~ I Daily 200100m GAL I Daily 200r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IWaste Oil, Petroleum Based INosl CAS# OI
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cur1'es I FPA HazarDH I jF~A/ I USDOT# 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-5- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I TreatedNon Site I CA Code I US Code I GAL Generated/Mo.l GAL Gener1200/00 I
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: ~
+-----------------------------+------------------------------------------------+
Agency-Defined Text Label
+______________________________________________________________________________+
-6- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+= 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: +----------------+
FOURTH REPAIR BAY R SIDE WHITE METAL UNIT I CAS# I
8020835
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ METAL CONTAINR-NONDRUM ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
55.00 GAL 200.00 GAL 4200.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IMotor Oil, Petroleum Based INosl CAS#8020835I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Curles I FPA HazarDH I%F~A/ I USDOT# I Min (
+_______+___+______+____________________+_____________+-------__+________+_____+
+__________________________ 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
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 12/20/2000 +
CALL 911 OR CALL SPECIFIC AGENCY.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 12/20/2000 +
TELL EMPLOYEES TO EVACUATE THE BLDG.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ________________________________________________+
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 12/20/2000 +
KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2667.
+______________________________________________________________________________+
-8- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 03/21/2006 +
PLACEMENT IN NON-HAZARDOUS AREA, WEEKLY INSPECTION FOR LEAKS, REGUT,AR
REMOVAL OF PRODUCT BY WASTE HAULER, 30-DAY CYCLE.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 05/30/2007 +
PLACE ABSORBANT MATERIAL AROUND PERIMETER, DETERMINE SIZE OF SPILL AND
ADVISE ACCORDINGLY.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 05/30/2007 +
DEPENDING ON HAZARD LEVEL AND SIZE OF SPILL: SMALL OIL SPILLS - COVER WITH
ABSORBANT; AND LARGE OR HAZARDOUS SPILLS - CALL FIRE DEPT AND ACTI FOR
CLEAN-UP.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-9- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 05/30/2007 +
GAS - FRONT OF MAIN BLDG BY OFFICE WINDOW E
ELECTRICAL - INSIDE ROLL-UP DOOR ON WALL TO BATHROOM BY PARTS
WATER - FRONT BY ROLL-UP DOOR AND BY ST CLOSE TO TELEPHONE POLE
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 12/11/2006 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - ACROSS ST FROM MAIN OFFICE.
+------------------------------------------------------------------------------+
---------------------------------------------
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
35 EMPLOYEES
+______________________________________________________________________________+
-10- 08/25/2008
+ JIMS GARAGE & TOWING ________________________________ SiteID: 015-021-001549
+_________________________________________________________________ Fast Format
+= Training _____________________________________________________ Overall Site
+_= Employee Training _____________________________________________ 12/11/2006
MSDS SHEETS ON FILE.
BRIEF SUNIMARY OF TRAINING PROGR~M: TRAINING RECORDS ARE LOCATED ON THE CO
BULLETIN BOARD IN THE EMPLOYEE BREAK ROOM. WE HAVE A SAFETY AND HAZARDOUS
MATERIALS MEETING MONTHLY FOR ALL DRIVERS, QUARTERLY FOR ALL OFFICE
PERSONNEL, AND EVERY SIX MONTHS FOR AUTO MECHANICS, UNLESS UPDATES COME OUT
FROM THE MANUFACTURE ON CERTAIN PRODUCTS. THIS SAFETY MEETING ALSO INCLUDES
THE USE OF VIDEOS, WHERE POSSIBLE.
+
+
+
~
+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-11- os/2s/2oos
+ JIMS GAR.AGE & TOWING ________________________________ SiteID: 015-021-001549 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-12- 08/25/2008